BIMS QoR Quality of Recovery PreOP

Section 1: Pre-Operation Questions PART A

Pre-Operation Questions PART A

How have you been feeling in he last 24 hours? (0 to 10, where : 0 = None of the time [poor] and 10 = all of the time [excellent])

Able to breathe easily 0 1 2 3 4 5 6 7 8 9 10 Been able to enjoy food? 0 1 2 3 4 5 6 7 8 9 10 Feeling rested? 0 1 2 3 4 5 6 7 8 9 10 Have had a good sleep? 0 1 2 3 4 5 6 7 8 9 10 Able to look after personal toilet and hygiene unaided 0 1 2 3 4 5 6 7 8 9 10 Able to communicate with family and friends 0 1 2 3 4 5 6 7 8 9 10 Getting support from hospital doctors and nurses 0 1 2 3 4 5 6 7 8 9 10 Able to return to work or usual home activities 0 1 2 3 4 5 6 7 8 9 10 Feeling comfortable and in control 0 1 2 3 4 5 6 7 8 9 10 Having a feeling of general well-being 0 1 2 3 4 5 6 7 8 9 10

Section 2: Prezxc1Operation Questions PART B

Pre-Operation Questions PART B

Have you had any of the following in the last 24 hours? (10 to 0, where 10 = none of the time [excellent] and 0 = all of the time [poor])

Moderate pain 0 1 2 3 4 5 6 7 8 9 10 Severe pain 0 1 2 3 4 5 6 7 8 9 10 Nausea or vomiting 0 1 2 3 4 5 6 7 8 9 10 Feeling worried or anxious 0 1 2 3 4 5 6 7 8 9 10 Feeling sad or depressed 0 1 2 3 4 5 6 7 8 9 10