Patient number

Filling optionals

March 20, 2025 2:24pm

A Physical aspects 33%

  1. Abdominal pain (3/4)
  2. Anal or perianal problems (2/4)
  3. Fecal urgency (3/4)
  4. Poor sleep (3/4)
  5. Fatigue (2/4)
  6. Flare-up of your bowel disease (3/4)

B Activities 31%

  1. Physical care (4/4)
  2. Activities (2/4)
  3. Travel (3/4)
  4. Work or study (2/4)

C Social aspects 42%

  1. Relationships with relatives (2/4)
  2. Relationships with friends (2/4)
  3. Intimate relationships (3/4)

D Psychological aspects 42%

  1. Life satisfaction (3/4)
  2. Outlook on the future (4/4)
  3. Autonomy (3/4)
  4. Resilience (1/4)
  5. Self-confidence (2/4)
  6. Feeling in control of your complaints (1/4)

E Circumstances 37%

  1. Surgical procedure (3/4)
  2. Hospitalization (1/4)
  3. Inability to take out health insurance (2/4)
  4. Income loss due to inability to work (4/4)

Patient feels his/her knowledge of IBD is sufficient.
Chief complaint: zxcv

Normal life
Impairment profile

Normal life impairment score

37% ability to live a normal life on items answered.