A minimally invasive treatment option for mitral valve regurgitation

Self-Test Questionnaire

/17

1 / 17

1. I quickly feel physically exhausted

2 / 17

2. I suffer from shortness of breath, especially when exercising or lying down

3 / 17

3. Are you already currently being treated by a cardiologist?

4 / 17

4. I am worrying about my health all the time

5 / 17

5. I feel dependent on other people

6 / 17

6. I feel sad

7 / 17

7. It's hard for me to focus or remember things

8 / 17

8. I have been hospitalized more than twice in the past 12 months

9 / 17

9. I have fewer and fewer hobbies

10 / 17

10. I have fewer and fewer social activities with friends/family

11 / 17

11. I don't feel like eating my favorite meals anymore

12 / 17

12. I have little energy

13 / 17

13. I don't sleep well at night

14 / 17

14. I often have to go to the toilet at night

15 / 17

15. I suffer from swollen feet, ankles, stomach, or neck

16 / 17

16. I have a tickly cough, which gets worse when I lie down

17 / 17

17. I often feel dizzy or light-headed

0%

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