| 67889-6 | Neuro-Qol item bank - anxiety - version 1.0 |
| 67890-4 | Neuro-Qol item bank - depression - version 1.0 |
| 67891-2 | Neuro-Qol item bank - fatigue - version 1.0 |
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67894-6 | Neuro-Qol item bank - executive function - version 1.0 |
| 67895-3 | Neuro-Qol item bank - general concerns - version 1.0 |
| 67896-1 | Neuro-Qol item bank - emotional - behavioral dyscontrol - version 1.0 |
| 67897-9 | Neuro-Qol item bank - positive affect - version 1.0 |
| 67898-7 | Neuro-Qol item bank - sleep disturbance - version 1.0 |
| 67899-5 | Neuro-Qol item bank - participate in social roles - version 1.0 |
| 67900-1 | Neuro-Qol item bank - satisfaction with social roles - version 1.0 |
| 67901-9 | Neuro-Qol item bank - stigma - version 1.0 |
| 67902-7 | Neuro-Qol item scale - communication - version 1.0 |
| 67903-5 | Neuro-Qol short form - anxiety - version 1.0 |
| 67904-3 | Neuro-Qol short form - depression - version 1.0 |
| 67905-0 | Neuro-Qol short form - fatigue - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 67908-4 | Neuro-Qol short form - executive function - version 1.0 |
| 67909-2 | Neuro-Qol short form - general concerns - version 1.0 |
| 67910-0 | Neuro-Qol short form - emotional - behavioral - version 1.0 |
| 67911-8 | Neuro-Qol short form - positive affect - version 1.0 |
| 67912-6 | Neuro-Qol short form - participate in social roles - version 1.0 |
| 67913-4 | Neuro-Qol short form - satisfaction with social roles - version 1.0 |
| 67914-2 | Neuro-Qol short form - stigma - version 1.0 |
| 67915-9 | I felt nervous when my normal routine was disturbed in the past 7 days (qualitative) |
| 67916-7 | I felt fearful about my future in the past 7 days (qualitative) |
| 67917-5 | I felt exhausted in the past 7 days (qualitative) |
| 67918-3 | I felt that I had no energy in the past 7 days (qualitative) |
| 67919-1 | I felt fatigued in the past 7 days (qualitative) |
| 67920-9 | I was too tired to do my household chores in the past 7 days (qualitative) |
| 67921-7 | I was too tired to leave the house in the past 7 days (qualitative) |
| 67922-5 | I was frustrated (qualitative, being too tired to do the things i wanted to do in the past 7 days) |
| 67923-3 | I felt tired in the past 7 days (qualitative) |
| 67924-1 | I had to limit my social activity because I was tired in the past 7 days (qualitative) |
| 67925-8 | I needed help doing my usual activities because of my fatigue in the past 7 days (qualitative) |
| 67926-6 | I needed to sleep during the day in the past 7 days (qualitative) |
| 67927-4 | I had trouble starting things because I was too tired in the past 7 days (qualitative) |
| 67928-2 | I had trouble finishing things because I was too tired in the past 7 days (qualitative) |
| 67929-0 | I was too tired to take a short walk in the past 7 days (qualitative) |
| 67930-8 | I was too tired to eat in the past 7 days (qualitative) |
| 67931-6 | I was so tired that I needed to rest during the day in the past 7 days (qualitative) |
| 67932-4 | I felt weak all over in the past 7 days (qualitative) |
| 67933-2 | I needed help doing my usual activities because of weakness in the past 7 days (qualitative) |
| 67934-0 | I had to limit my social activity because I was physically weak in the past 7 days (qualitative) |
| 67935-7 | I had to force myself to get up and do things because I was physically too weak in the past 7 days (qualitative) |
| 67936-5 | Are you able to make a phone call using a touch tone key-pad (qualitative) |
| 67937-3 | How much difficulty do you currently have using a spoon to eat a meal (qualitative) |
| 67938-1 | How much difficulty do you currently have putting on a pullover shirt (qualitative) |
| 67939-9 | How much difficulty do you currently have taking off a pullover shirt (qualitative) |
| 67940-7 | How much difficulty do you currently have removing wrappings from small objects (qualitative) |
| 67941-5 | How much difficulty do you currently have opening medications or vitamin containers, like childproof containers, small bottles (qualitative) |
| 67942-3 | How much difficulty do you currently have standing up from an armless straight chair, like a dining room chair (qualitative) |
| 67943-1 | How much difficulty do you currently have sitting down on and standing up from a chair with arms (qualitative) |
| 67944-9 | How much difficulty do you currently have moving from sitting at the side of the bed to lying down on your back (qualitative) |
| 67945-6 | How much difficulty do you currently have standing up from a low, soft couch (qualitative) |
| 67946-4 | How much difficulty do you currently have going up and down a flight of stairs inside, using a handrail (qualitative) |
| 67947-2 | How much difficulty do you currently have walking on uneven surfaces, like grass, dirt road or sidewalk (qualitative) |
| 67948-0 | How much difficulty do you currently have walking around one floor of your home (qualitative) |
| 67949-8 | How much difficulty do you currently have taking a 20 minute brisk walk, without stopping to rest (qualitative) |
| 67950-6 | How much difficulty do you currently have walking on a slippery surface, outdoors (qualitative) |
| 67951-4 | How much difficulty do you currently have climbing stairs step over step without a handrail - alternating feet (qualitative) |
| 67952-2 | How much difficulty do you currently have walking in a dark room without falling (qualitative) |
| 67953-0 | How much difficulty do you currently have checking the accuracy of financial documents, like bills, checkbook, or bank statements (qualitative) |
| 67954-8 | How much difficulty do you currently have counting the correct amount of money when making purchases (qualitative) |
| 67955-5 | How much difficulty do you currently have reading and following complex instructions, like directions for a new medication (qualitative) |
| 67956-3 | How much difficulty do you currently have planning for and keeping appointments that are not part of your weekly routine, like a therapy or doctor appointment, or a social gathering with friends and family (qualitative) |
| 67957-1 | How much difficulty do you currently have managing your time to do most of your daily activities (qualitative) |
| 67958-9 | How much difficulty do you currently have taking care of complicated tasks like managing a checking account or getting appliances fixed (qualitative) |
| 67959-7 | How much difficulty do you currently have keeping important personal papers such as bills, insurance documents and tax forms organized (qualitative) |
| 67960-5 | How much difficulty do you currently have learning new tasks or instructions (qualitative) |
| 67961-3 | How much difficulty do you currently have planning an activity several days in advance, like a meal, trip, or visit to friends (qualitative) |
| 67962-1 | How much difficulty do you currently have getting things organized (qualitative) |
| 67963-9 | How much difficulty do you currently have remembering where things were placed or put away, like keys (qualitative) |
| 67964-7 | How much difficulty do you currently have remembering a list of 4 or 5 errands without writing it down (qualitative) |
| 67965-4 | How much difficulty do you currently have keeping track of time, like using a clock (qualitative) |
| 67966-2 | I had to read something several times to understand it in the past 7 days (qualitative) |
| 67967-0 | I had trouble keeping track of what I was doing if I was interrupted in the past 7 days (qualitative) |
| 67968-8 | I had difficulty doing more than one thing at a time in the past 7 days (qualitative) |
| 67969-6 | I had trouble remembering new information, like phone numbers or simple instructions in the past 7 days (qualitative) |
| 67970-4 | I had trouble thinking clearly in the past 7 days (qualitative) |
| 67971-2 | My thinking was slow in the past 7 days (qualitative) |
| 67972-0 | I had to work really hard to pay attention or I would make a mistake in the past 7 days (qualitative) |
| 67973-8 | I had trouble concentrating in the past 7 days (qualitative) |
| 67974-6 | I made simple mistakes more easily in the past 7 days (qualitative) |
| 67975-3 | Words I wanted to use seemed to be on the tip of my tongue in the past 7 days (qualitative) |
| 67976-1 | I had trouble remembering whether I did things I was supposed to do, like taking a medicine or buying something I needed in the past 7 days (qualitative) |
| 67977-9 | I walked into a room and forgot what I meant to get or do there in the past 7 days (qualitative) |
| 67978-7 | I had trouble remembering the name of a familiar person in the past 7 days (qualitative) |
| 67979-5 | I reacted slowly to things that were said or done in the past 7 days (qualitative) |
| 67980-3 | I had trouble forming thoughts in the past 7 days (qualitative) |
| 67981-1 | I had trouble getting started on very simple tasks in the past 7 days (qualitative) |
| 67982-9 | I had trouble making decisions in the past 7 days (qualitative) |
| 67983-7 | I had trouble planning out steps of a task in the past 7 day (qualitative) |
| 67984-5 | It was hard to control my behavior in the past 7 days (qualitative) |
| 67985-2 | I said or did things without thinking in the past 7 days (qualitative) |
| 67986-0 | I got impatient with other people in the past 7 days (qualitative) |
| 67987-8 | I was irritable around other people in the past 7 days (qualitative) |
| 67988-6 | I was bothered (qualitative, little things in the past 7 days) |
