10 Questions

10-Question Assessment (Fertility Concerns Considered)

Complete all questions using the past seven days as your reference period. The final page will display the TCQOLI final utility score prominently, with the technical disutility values shown secondarily.

Questionnaire progress

Answer each row once before submitting.

0 of 10 questions completed

Physical and treatment concerns

Select the one best response for each item.

Not at all A little bit Somewhat Quite a bit Very much
To what extent are you fearful of recurrence of your cancer?
Has your illness or treatment caused negative changes in your appearance?
My illness has been a financial hardship to my family and me.
Changes in my voice have been troubling to me.
Have you had trouble swallowing?
Is your ability to have more children a concern for you?
How much did pain interfere with your day-to-day activities?

Mood and cognition

Use the response frequency scale below.

Never or N/A Rarely Sometimes Often Always
I feel depressed.
How often did you run out of energy?
My thinking has been slow.

Self-rated quality-of-life effect scale

Drag the marker to reflect how much thyroid cancer affects your quality of life today on a 0 to 100 scale, where 0 means no effect and 100 means very affected.

Very affected
100
90
80
70
60
50
40
30
20
10
0
No effect on quality of life
Your answer: 050