Əsas səhifə | Lurialab

Anonymous Anonymous

ISR ICD-10-Symptom-Rating

Please indicate if you have personally been affected from any one of the following symptoms within the past two weeks (with exception of question 28, which relates to the past few years). We would also like to know to what extent you have been affected by each symptom.

Please rate how each of the following statements applies to you without thinking much about it.

Select “does not apply”, if you do not suffer from this symptom at all

Select “applies a little”, if you suffer from this symptom a little

Select “applies quite a bit”, if you suffer from this symptom quite a bit

Select “applies to a great extent”, if you suffer from this symptom to a great extent

Select “applies extremely”, if you suffer from this symptom extremely.

Age range of the test : 14+ years old

To receive a copy of your test results by email, enter your email address here.

E-mail:

ISR ICD-10-Symptom-Rating

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