| 95996-5 | Skindex-29 |
| 95997-3 | Symptom score |
| 95998-1 | Emotion score |
| 95999-9 | Function score |
| 96000-5 | Total score |
| 96001-3 | During the past 4 weeks, my skin hurts (qualitative) |
| 96002-1 | During the past 4 weeks, my skin condition affects how well I sleep (qualitative) |
| 96003-9 | During the past 4 weeks, I worry that my skin condition may be serious (qualitative) |
| 96004-7 | During the past 4 weeks, my skin condition makes it hard to work or do hobbies (qualitative) |
| 96005-4 | During the past 4 weeks, my skin condition affects my social life (qualitative) |
| 96006-2 | During the past 4 weeks, my skin condition makes me feel depressed (qualitative) |
| 96007-0 | During the past 4 weeks, my skin condition burns or stings (qualitative) |
| 96008-8 | During the past 4 weeks, I tend to stay at home because of my skin condition (qualitative) |
| 96009-6 | During the past 4 weeks, I worry about getting scars from my skin condition (qualitative) |
| 96010-4 | During the past 4 weeks, my skin itches (qualitative) |
| 96011-2 | During the past 4 weeks, my skin condition affects how close I can be with those I love (qualitative) |
| 96012-0 | During the past 4 weeks, I am ashamed of my skin condition (qualitative) |
| 96013-8 | During the past 4 weeks, I worry that my skin condition may get worse (qualitative) |
| 96014-6 | During the past 4 weeks, I tend to do things (qualitative, myself because of my skin condition) |
| 96015-3 | During the past 4 weeks, my skin condition makes me tired (qualitative) |
| 96016-1 | During the past 4 weeks, my skin condition interferes with my sex life (qualitative) |
| 96017-9 | During the past 4 weeks, I am annoyed (qualitative, my skin condition) |
| 96018-7 | During the past 4 weeks,, my skin condition bleeds (qualitative) |
| 96019-5 | During the past 4 weeks, I am humiliated (qualitative, my skin condition) |
| 96020-3 | During the past 4 weeks, my skin condition affects my desire to be with people (qualitative) |
| 96021-1 | During the past 4 weeks, my skin is sensitive (qualitative) |
| 96022-9 | During the past 4 weeks, I am frustrated (qualitative, my skin condition) |
| 96023-7 | During the past 4 weeks, my skin condition is a problem for the people I love (qualitative) |
| 96024-5 | During the past 4 weeks, I am embarrassed (qualitative, my skin condition) |
| 96025-2 | During the past 4 weeks, my skin condition affects my interactions with others (qualitative) |
| 96026-0 | During the past 4 weeks, my skin is irritated (qualitative) |
| 96027-8 | During the past 4 weeks, I worry about side-effects from skin medications or treatments (qualitative) |
| 96028-6 | During the past 4 weeks, my skin condition makes showing affection difficult (qualitative) |
| 96029-4 | During the past 4 weeks, water bothers my skin condition (bathing, washing hands) (qualitative) |
| 96030-2 | During the past 4 weeks, I am angry about my skin condition (qualitative) |