Dermatology Life Quality Index (DLQI) Score: The aim of this questionnaire is to measure how much your skin problem has afected your life OVER THE LAST WEEK. Please check one box for each question. ref: Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol 1994; 19: 210–6. 1. Over the last week, how itcht, sore, painful or Very much stinging has your skin been? A lot A little Not at all 6. Over the last week, how much has your skin made it Very much diffcult for you to do any sport? A lot A little Not at all 2. Over the last week, how embarrassed or self Very much conscious have you been because of your skin? A lot A little Not at all 7. Over the last week, has your skin prevented you from YES working or studying? NO A lot If "No", over the last week how much has your skin been a A little problem at work or studying? 3. Over the last week, how much has your skin interfered Very much with you going shopping or looking after your home or A lot yard? A little Not at all 8. Over the last week, how much has your skin created Very much problems with your partner or any of your close friends or A lot relatives? A little Not at all 4. Over the last week, how much has your skin Very much infuenced the clothes you wear? A lot A little Not at all Very much 9. Over the last week, how much has your skin caused any A lot sexual diffculties? A little Not at all 5. Over the last week, how much has your skin affected any Very much social or leisure activities? A lot A little Not at all Very much 10. Over the last week, how much of a problem has the A lot treatment for your skin been, for example by making your A little home messy, or by taking up time? Not at all Not relevant Not relevant Not relevant Not relevant Not at all Not relevant Not relevant Not relevant 44
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