Feeling of general well-being |
Very Poor |
|
Excellent |
Presence and severity of bodily pain |
Extreme |
|
No Problem |
Feeling washed out or drained |
Extremely Fatigued |
|
Full of Energy |
Sleep quality |
Very Poor |
|
Excellent |
Difficulty breathing or shortness of breath |
Extreme |
|
No Problem |
Appetite |
Very Poor |
|
Excellent |
If you have a current fistula, how well do you think it is working today |
Not working |
|
Working Perfectly |
|