EQ 5D 5L

Variable / Field Name	Section Header	Field Type	Field Label	Choices or Calculations
eq5d_done		yesno	Completed	1, Yes ; 0, No
eq5d_date		text	Date
eq5d_timepoints		radio	Is this questionnaire evaluating health state for pre-COVID, current visit or both?	1, Pre-COVID ; 2, Current visit ; 3, Both
eq5d5l_q1_pre		radio	Mobility - Pre-COVID	1, I have no problems in walking about ; 2, I have slight problems in walking about ; 3, I have moderate problems in walking about ; 4, I have severe problems in walking about ; 5, I am unable to walk about
eq5d5l_q2_pre		radio	Self-Care - Pre-COVID	1, I have no problems washing or dressing myself ; 2, I have slight problems washing or dressing myself ; 3, I have moderate problems washing or dressing myself ; 4, I have severe problems washing or dressing myself ; 5, I am unable to wash or dress myself
eq5d5l_q3_pre		radio	Usual activities (e.g. work, study, housework, family or leisure activities) - Pre-COVID	1, I have no problems doing my usual activities ; 2, I have slight problems with doing my usual activities ; 3, I have moderate problems doing my usual activities ; 4, I have severe problems doing my usual activities ; 5, I am unable to do my usual activities
eq5d5l_q4_pre		radio	Pain/ Discomfort - Pre-COVID	1, I have no pain or discomfort ; 2, I have slight pain or discomfort ; 3, I have moderate pain or discomfort ; 4, I have severe pain or discomfort ; 5, I have extreme pain or discomfort
eq5d5l_q5_pre		radio	Anxiety/ Depression - Pre-COVID	1, I am not anxious or depressed ; 2, I am slightly anxious or depressed ; 3, I am moderately anxious or depressed ; 4, I am severely anxious or depressed ; 5, I am extremely anxious or depressed
eq5d5l_summary_pre		text	How good or bad is your health overall? - Pre-COVID	Where 100 is the best health you can imagine and 0 is the worst health you can imagine.
eq5d5l_q1		radio	Mobility - Current	1, I have no problems in walking about ; 2, I have slight problems in walking about ; 3, I have moderate problems in walking about ; 4, I have severe problems in walking about ; 5, I am unable to walk about
eq5d5l_q2		radio	Self-Care - Current	1, I have no problems washing or dressing myself ; 2, I have slight problems washing or dressing myself ; 3, I have moderate problems washing or dressing myself ; 4, I have severe problems washing or dressing myself ; 5, I am unable to wash or dress myself
eq5d5l_q3		radio	Usual activities (e.g. work, study, housework, family or leisure activities) - Current	1, I have no problems doing my usual activities ; 2, I have slight problems with doing my usual activities ; 3, I have moderate problems doing my usual activities ; 4, I have severe problems doing my usual activities ; 5, I am unable to do my usual activities
eq5d5l_q4		radio	Pain/ Discomfort - Current	1, I have no pain or discomfort ; 2, I have slight pain or discomfort ; 3, I have moderate pain or discomfort ; 4, I have severe pain or discomfort ; 5, I have extreme pain or discomfort
eq5d5l_q5		radio	Anxiety/ Depression - Current	1, I am not anxious or depressed ; 2, I am slightly anxious or depressed ; 3, I am moderately anxious or depressed ; 4, I am severely anxious or depressed ; 5, I am extremely anxious or depressed
eq5d5l_summary		text	How good or bad is your health overall? - Current	Where 100 is the best health you can imagine and 0 is the worst health you can imagine.