Questionnaires - German

the SENOMAC trial - download your questionnaires here (German)!

 

In the SENOMAC trial, questionnaires concerning health-related quality of life, arm morbidity and function, and health economy are distributed at baseline and after 1, 3, 5 and 10 years. For downloading the correct questionnaire to use at a specific follow-up, please use the documents provided under each link below.

 

Please note that questionnaires which are not marked with the participant's individual patient number and the date of completion cannot be assigned to the correct individual and time point, making the participant's answers useless. Therefore, always mark the questionnaire with the correct patient number before handing it over or posting it to the participant, and remind the participant to fill in the date of completion!

 

Completed questionnaires are sent to the German CRO monitoring the SENOMAC trial: CRO Dr. med. Kottmann, att: SENOMAC, Beverstr. 64, 59077 Hamm.

 

 

BASELINE

EORTC-C30 baseline deutsch

EORTC-B23 baseline deutsch

Lymph-ICF baseline deutsch

EQ5D baseline deutsch

 

1-YEAR FOLLOW-UP

EORTC-C30 1FU deutsch

EORTC-B23 1FU deutsch

Lymph-ICF 1FU deutsch

EQ5D 1FU deutsch

 

3-YEAR FOLLOW-UP

EORTC-C30 3FU deutsch

EORTC-B23 3FU deutsch

Lymph-ICF 3FU deutsch

EQ5D 3FU deutsch

 

5-YEAR FOLLOW-UP

EORTC-C30 5FU deutsch

EORTC-B23 5FU deutsch

Lymph-ICF 5FU deutsch

EQ5D 5FU deutsch

 

10-YEAR FOLLOW-UP

EORTC-C30 10FU deutsch

EORTC-B23 10FU deutsch

Lymph-ICF 10FU deutsch

EQ5D 10FU deutsch