Pre PSQ

Variable / Field Name	Section Header	Field Type	Field Label	Choices or Calculations
pre_psq_version		radio	Pre-COVID Patient Symptom Questionnaire completed	1, 1.0
pre_psq_date		text	Date of questionnaire completion
psq_scale_blness_pre2	Rate these symptoms on a scale 0 - 10	radio	Breathlessness	0, 0 ; 1, 1 ; 2, 2 ; 3, 3 ; 4, 4 ; 5, 5 ; 6, 6 ; 7, 7 ; 8, 8 ; 9, 9 ; 10, 10
psq_scale_cough_pre2		radio	Cough	0, 0 ; 1, 1 ; 2, 2 ; 3, 3 ; 4, 4 ; 5, 5 ; 6, 6 ; 7, 7 ; 8, 8 ; 9, 9 ; 10, 10
psq_scale_fatigue_pre2		radio	Fatigue	0, 0 ; 1, 1 ; 2, 2 ; 3, 3 ; 4, 4 ; 5, 5 ; 6, 6 ; 7, 7 ; 8, 8 ; 9, 9 ; 10, 10
psq_scale_sleep_pre2		radio	Sleep quality	0, 0 ; 1, 1 ; 2, 2 ; 3, 3 ; 4, 4 ; 5, 5 ; 6, 6 ; 7, 7 ; 8, 8 ; 9, 9 ; 10, 10
psq_scale_pain_pre2		radio	Pain	0, 0 ; 1, 1 ; 2, 2 ; 3, 3 ; 4, 4 ; 5, 5 ; 6, 6 ; 7, 7 ; 8, 8 ; 9, 9 ; 10, 10
pre_psq_mrcds	MRC Dyspnoea Scale	yesno	Have you completed a MRC dyspnoea scale form?	1, Yes ; 0, No
pre_psq_social	Occupation and Work	yesno	Have you completed an Occupation and Work (Social history) form?	1, Yes ; 0, No
pre_psq_eq5d5l	EQ-5D-5L	yesno	Have you completed a EQ-5D-5L form?	1, Yes ; 0, No
patient_sq_l_b_seeing2	Difficulties due to health problem	radio	Do you have difficulty seeing, even if wearing glasses?	0, No - no difficulty ; 1, Yes - some difficulty ; 2, Yes - a lot difficulty ; 3, Cannot do at all
patient_sq_l_b_hearing2		radio	Do you have difficulty hearing, even if using a hearing aid?	0, No - no difficulty ; 1, Yes - some difficulty ; 2, Yes - a lot difficulty ; 3, Cannot do at all
patient_sq_l_b_walking2		radio	Do you have difficulty walking or climbing steps?	0, No - no difficulty ; 1, Yes - some difficulty ; 2, Yes - a lot difficulty ; 3, Cannot do at all
patient_sq_l_b_remembering2		radio	Do you have difficulty remembering or concentrating?	0, No - no difficulty ; 1, Yes - some difficulty ; 2, Yes - a lot difficulty ; 3, Cannot do at all
patient_sq_l_b_self_care2		radio	Do you have difficulty (with self-care such as) washing all over or dressing?	0, No - no difficulty ; 1, Yes - some difficulty ; 2, Yes - a lot difficulty ; 3, Cannot do at all
patient_sq_l_b_communicate2		radio	Using your usual (customary) language, do you have difficulty communicating, for example understanding or being understood?	0, No - no difficulty ; 1, Yes - some difficulty ; 2, Yes - a lot difficulty ; 3, Cannot do at all
psq_tinnitus_before2	Hearing and balance disturbance	radio	Have you had noises (such as ringing or buzzing) in your head or in one or both ears that lasts for more than 5 minutes at a time?	5, Yes, most or all of the time ; 4, Yes, a lot of the time ; 3, Yes, some of the time ; 2, No, not in the past year ; 1, No, never ; 0, Do not know/Prefer not to answer
psq_balance_q1_before2		radio	a) Attacks of dizziness in which things seem to spin around you?	1, Yes ; 0, No
psq_balance_q2_before2		radio	b) Attacks of dizziness in which you seem to move?	1, Yes ; 0, No