What impact does your condition have on your lifestyle and quality of life? Have your daily life, tasks, or hobbies been impacted?*
(Please select the option that relates most to you)
*E.g. house cleaning, long walks, golf, cooking, time with family/friends, going to the store, walking the dog, etc.
Legend
- 0-3: No impact on my daily life, tasks, and hobbies
- 4-7: A mild-to-moderate impact on my daily life, tasks, and hobbies
- 8–9: A severe impact, I sometimes cannot perform one or more of my daily life activities, tasks, and hobbies due to my condition
- 10: A very severe impact, I often cannot perform one or more of my daily life activities, tasks, and hobbies due to my condition