Mental Health | Core | Neuro | |
General infomation | Age, sex, education, occupation, etc | ||
Current status | |||
Social network | OARS-social resources scale | ||
Visual Analog Health States | Pain, Fatigue, Sleep, Stress, Anxiety, Mood, Overall health, QOL, Shortness of breath |
Speech, coping, and driving items (from PBSI) |
|
EQ-5D | |||
Barthel Index-Self-report | |||
Starkstein’s Apathy Scale | |||
Past 7 days | |||
Disability / Function | Sheehan Disability Scale | Preference-based MS index | |
Past 2 weeks | |||
Mood | PHQ9 | ||
Past 4 weeks | |||
Fatigue and mental health | SF-36 (RAND-36 version) | ||
Falls | History of falls | ||
Cognition | C3Q - self assessment | ||
Sleep | Athens Insomnia Scale | ||
Past 6 months | |||
Physical activity (single item) | |||
Lifestyle | |||
Smoking | Fagerstrom Test for Nicotine Dependence | Smoking questionnaire | |
Alcohol use | AUDIT-C | ||
Drug use | DAST-10 |
Additional disease specific questionnaires
Parkinson’s disease: PDQ-8 Rasch version and UPDRS-PRO
Stroke: PBSI
Multiple Sclerosis: Patient Determined Disease S
Mental Health | Core | Neuro | |
Cognition | Digit-Symbol Coding Test (open source version of The Symbol Modalities Test - SDMT) | ||
IQ | Raven Matrix |
General Information Items | items or time |
Sexual and Gender Identity | 3 |
Bank of outcomes (additional / optional PROs) | |
The Cannabis Use Disorder Identification Test-Revised (CUDIT-R) | 8 |
General Anxiety Disorder-7 (GAD-7) | 7 |
Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5) | 6 |
Childhood Experiences of Violence Questionnaire | 15 |
Ten-Item Personality Inventory (TIPI) | 10 |
SF-36 (RAND-36 version) | 36 |
Health Assessment Questionnaire - Disability Index (HAQ-DI) | 27 |
Neuro-Qol-Lower Extremity - Short Form (NIH) | 8 |
Neuro-Qol-Upper Extremity - Short Form (NIH) | 8 |
PROMIS-29 (NIH) | 29 |
Reintegration to Normal Living | 11 |
Multi-racial Face Emotion Identification Test | ~3 minutes |
Visual Paired Associated Test | 5 minutes |