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Escalas en Neurología - Sociedade Galega de Neuroloxia

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14-ESCALAS (293-309) 3/6/08 12:11 Página 306<br />

R. SÁIZ DÍAZ, P. PEÑA, F. BERMEJO PAREJA<br />

Health in g<strong>en</strong>eral<br />

42-47. Please choose the answer that best <strong>de</strong>scribes how true or false each of the following statem<strong>en</strong>ts<br />

is for you (circle one number on each line)<br />

� 306 �<br />

Definitely Mostly Not Mostly Definitely<br />

true true sure false false<br />

42. I seem to get sick (any kind of sickness)<br />

a little easier than other people 1 2 3 4 5<br />

43. I am as healthy as anybody I know 1 2 3 4 5<br />

44. I expect muy health to get worse 1 2 3 4 5<br />

45. My health is excell<strong>en</strong>t 1 2 3 4 5<br />

46. Wh<strong>en</strong> there is an illness going around,<br />

I usually catch it 1 2 3 4 5<br />

47. I seem to get seizures a little easier than<br />

other people with epilepsy 1 2 3 4 5<br />

Quality of life<br />

Escala 97. EPILEPSY SURGERY INVENTORY ESI-55 (Cont.)<br />

48. Hos has the quality of your life be<strong>en</strong> during the past 4 weeks; i. e. how have things be<strong>en</strong><br />

going for you? (circle one number)<br />

Very well (could hardly be better) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

Pretty good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

Good and bad parts about equal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />

Pretty bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />

Very bad (could hardly be worse) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

49. In the past 4 weeks, have you had any trouble with your memory? (circle one number?<br />

5<br />

Yes, a great <strong>de</strong>al . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

Yes, somewhat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

Yes, a little . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />

No, not al all . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

50. In the past 4 weeks, have you had any trouble with your speed or language? (circle one<br />

number)<br />

4<br />

Yes, a great <strong>de</strong>al . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

Yes, somewhat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

Yes, a little . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />

No, no at all. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />

51-55. During the past 4 weeks, have you had any of the following problems with your regular<br />

daily activities or work as a result of any memory, speech or languages problems? (please<br />

answer Yes or No for each questions by circling 1 or 2 each line)<br />

Yes No<br />

51. Cut down on the amount of time you could sp<strong>en</strong>d on work or other activities. . 1 2<br />

52. Accomplished less than you would like. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2<br />

53. Were limited in the king of work of orther activities . . . . . . . . . . . . . . . . . . . . . . . . . 1 2<br />

54. Had difficulty performing the work or other activities. . . . . . . . . . . . . . . . . . . . . . . . . 1 2<br />

55. Did work or other activities less carefuly than usual . . . . . . . . . . . . . . . . . . . . . . . . . . 1 22

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