Very important Somewhat important Not very important Not ...
[Pages:4]PERSONAL PREFERENCE
Very important Somewhat important Not very important Not important at all Important, but can't do or no choice No response or non-responsive
Provided by QIPMO, MU MDS and Quality Research Team
April 2010
PHQ-9
Never or 1 day 2-6 days (several days) 7-11 days (half or more of the days) 12-14 days (nearly every day)
Provided by QIPMO, MU MDS and Quality Research Team
April 2010
PAIN
10 Worst pain you can imagine 9 8 7 6 5 4 3 2 1
0 No pain
Provided by QIPMO, MU MDS and Quality Research Team
April 2010
PAIN
Very severe, horrible Severe
Moderate Mild
Provided by QIPMO, MU MDS and Quality Research Team
April 2010
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