During the past week: did you experience this symptom? | Not at all | A little bit | Some-what | Quite a bit | Very much |
---|---|---|---|---|---|
1. Dizziness or lightheadedness | 0 | 1 | 2 | 3 | 4 |
2. Nausea | 0 | 1 | 2 | 3 | 4 |
3. Vomiting | 0 | 1 | 2 | 3 | 4 |
4. Headache | 0 | 1 | 2 | 3 | 4 |
5. Muscle cramps | 0 | 1 | 2 | 3 | 4 |
6. Swelling of the legs | 0 | 1 | 2 | 3 | 4 |
7. Shortness of breath | 0 | 1 | 2 | 3 | 4 |
8. Chest pain | 0 | 1 | 2 | 3 | 4 |
9. Itching | 0 | 1 | 2 | 3 | 4 |
10. Feeling cold | 0 | 1 | 2 | 3 | 4 |
11. Shivering | 0 | 1 | 2 | 3 | 4 |
12. Feeling tired or lack of energy | 0 | 1 | 2 | 3 | 4 |
13. Recovery time after dialysis: 0 = none 1 = after 1 h 2 = after half a day 3 = the next day 4 = the day of the next dialysis | 0 | 1 | 2 | 3 | 4 |
Are there any other symptoms not mentioned on this questionnaire that you have experienced during the past week? |