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  1. Home
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  3. BIMS Lower Limb Burn

BIMS Lower Limb Burn

BIMS Lower Limb Burn

The link you have used to access this survey is incorrect. If you have any queries please contact us.

All questions must be answered before the survey can be submitted. Your survey will be saved automatically when you have finished.

Lower Limb Burn

SIP, Itch, BSHS, SF36, BFI, Posas, LLFI

SIP Questions

If you answered yes, check only those statements that you are sure describe you today...

Itch during the past week

Itch during the last 24 hours

Select one number that describes how, during the past 24 hours itch has interfered with your...

BSHS Questions

How much difficulty do you have:

To what extent does each of the following statements describe you?

Below you will find a number of questions about your damage. To what extent does each of the following statements describe you?

SF-36 Questions

The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?

During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health?

During the past week, how much of the time have you had any of the following problems with your work orother regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)

These questions are about how you feel and how things have been with you during the past week. For eachquestion, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week...

How true or false is each of the following statements for you?

Fatigue

Throughout our lives, most of us have times when we feel very tired or fatigued.

Select the one number that describes how, during the past 24 hours, fatigue has interfered with your...

POSAS

LLFI

Your lower limb (leg) may make it difficult to do some things you normally do. This list contains sentences people use to describe themselves when they have such problems. Think of yourself now or over the last few days. If an item describes you mark the box. If not leave the box blank..

PATIENT SPECIFIC INDEX - Think of 5 activities that are important to you and affected by your leg problem. If you can not think of 5, choose from those you marked in the question above. Score each activity on a scale range as follows, you may use half marks if you wish: 0= Best (Never affected / can do normal activity).....10=Worst (Always affected / Cant do activity at all)

Last Updated: 25/08/2023
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