Table 2 Functional compromise sub-scale of the Keratoconus End-Points Assessment Questionnaire (KEPAQ-F)
Code | Question | Not at all | A little | Quite a bit | A lot | N/A |
|---|---|---|---|---|---|---|
Q_F01 | Do you feel your eye disease has affected your ability to play sports? | 3 | 2 | 1 | 0 | X |
Q_F02 | Do you feel your eye disease has affected your ability to see objects near you? | 3 | 2 | 1 | 0 | X |
Q_F03 | Do you feel your eye disease has affected your ability to perform your daily tasks? | 3 | 2 | 1 | 0 | X |
Q_F04 | Do you feel your eye disease has affected your ability to go to the movies? | 3 | 2 | 1 | 0 | X |
Q_F05 | Do you feel your eye disease has affected your ability to do your job? | 3 | 2 | 1 | 0 | X |
Q_F06 | Do you feel your eye disease has affected your ability to watch television? | 3 | 2 | 1 | 0 | X |
Q_F07 | Do you feel your eye disease has affected your ability to use the computer? | 3 | 2 | 1 | 0 | X |
Q_F08 | Do you feel your eye disease has affected your ability to read books? | 3 | 2 | 1 | 0 | X |
Q_F09 | Do you feel your eye disease has affected your ability to see objects that are faraway? | 3 | 2 | 1 | 0 | X |