EQ-5D

EQ-5D







    UNDER EACH HEADING, PLEASE SELECT THE STATEMENT THAT BEST DESCRIBES YOUR HEALTH TODAY.







    On a scale of 0 to 100 (where 100 means the best health you can imagine and 0 means the worst health
    you can imagine), please input a number appropriate to you.

    THANK YOU FOR COMPLETING THIS QUESTIONNAIRE

    STAFF USE ONLY
    Participants NHS Number:
    Researchers Name:
    NHS Site Number: