西雅圖心絞痛量表

SeattleAnginaQuestionnaire(SAQ)

Pleasemarkwithacheckmark(?)theboxthatcorrespondstoyouranswerforeachitemlistedbelow:

1.Inthepastfourweeks,towhatextenthavethefollowingactivitiesbeenlimitedduetochestpain,chesttightness,orangina:

Dressingyourself

Indoorwalking

Showering

Climbinghillsorstairs(3flightswithoutstopping)

Outdooractivitiesorcarryinggroceries

Walkingbrisklyforashortdistance(1km)

Jogging(1km)

Liftingormovingheavyobjects

Vigoroussports(suchasswimmingorplayingball)

Severelylimited

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Moderatelylimited

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Slightlylimited

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Alittlelimited

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Notlimited

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Limitedforotherreasons

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2.Comparedtofourweeksago,howoftendoyouexperiencechestpain,chesttightness,oranginaduringthemoststrenuousactivities?

Significantlyincreased

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Slightlyincreased

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Same

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Slightlydecreased

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Significantlydecreased

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3.Inthepastfourweeks,howmanytimesonaveragehaveyouexperiencedchestpain,chesttightness,orangina?

≥4timesperday

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1-3timesperday

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≥3timesperweek

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1-2timesperweek

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<1timeperweek

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Noepisodes

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4.Inthepastfourweeks,howoftendidyoutakenitroglycerinorothernitratesforchestpain,chesttightness,orangina?

≥4timesperday

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1-3timesperday

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≥3timesperweek

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1-2timesperweek

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<1timeperweek

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Didnotuse

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5.Howmuchdoesfollowingyourdoctor'smedicationregimenforchestpain,chesttightness,oranginabotheryou?

Severely

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Moderately

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Slightly

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Verylittle

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Notatall

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Doctordidnotprescribemedication

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6.Howsatisfiedareyouwiththevariousmeasuresusedtotreatyourchestpain,chesttightness,orangina?

Veryunsatisfied

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Mostlyunsatisfied

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Partlysatisfied

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Mostlysatisfied

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Highlysatisfied

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7.Howsatisfiedareyouwiththeexplanationsyourdoctorhasgivenyouaboutyourchestpain,chesttightness,orangina?

Veryunsatisfied

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Mostlyunsatisfied

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Partlysatisfied

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Mostlysatisfied

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Highlysatisfied

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8.Overall,howsatisfiedareyouwiththetreatmentofyourchestpain,chesttightness,orangina?

Veryunsatisfied

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Mostlyunsatisfied

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Partlysatisfied

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Mostlysatisfied

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Highlysatisfied

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9.Inthepastfourweeks,towhatextenthaschestpain,chesttightness,oranginaaffectedyourenjoymentoflife?

Verynegatively

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Mostlynegatively

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Partlynegatively

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Mostlypositively

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Verypositively

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10.Ifyouweretoexperiencechestpain,chesttightness,oranginainthefuture,howwouldyoufeel?

Verynegatively

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Mostlyneg