ISSWSH
10 - item questionnaire to assess your exposure to potentially traumatic experiences occurring from birth to age 18.
Collection
Clinical Outcomes Assessment (COA)
Evaluations in Clinical Outcomes Assessment (COA)
EVAL Foundation
A 3-item tool to screen for unhealthy alcohol use in patients who may not be alcohol-dependent.
EVAL Foundation
A 10-item tool to screen for hazardous alcohol use, harmful use, and alcohol dependence.
EVAL Foundation
15-item assessment of shoulder pain and functional limitations in activities of daily living.
Behavioral Activity Rating Scale (BARS)
For practitionersEVAL Foundation
A 1-item rating scale to quantify a patient's level of agitation in acute care or psychiatric settings.
Brief Sexual Function Inventory (BSFI)
For practitionersSMSNA
Assessment of male sexual function and any disturbance due to lower urinary tract symptoms (LUTS).
Decreased Sexual Desire Screener (DSDS)
For patientsISSWSH
5 question tool for women to help your clinician determine the cause of your loss of interest in sex.
Drug Abuse Screening Test (DAST-10)
For patientsEVAL Foundation
A patient self-report questionnaire to screen for problematic drug use (excluding alcohol/tobacco).
Female Sexual Function Index (FSFI)
For patientsISSWSH
Measures six domains of female sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain.
Foot and Ankle Ability Measure (FAAM)
For patientsEVAL Foundation
Assesses functional limitations and disability related to foot and ankle conditions in daily activities and sports.
Foot and Ankle Disability Index (FADI)
For patientsEVAL Foundation
Assess functional limitations of those with a variety of foot and ankle conditions
General Anxiety Disorder (GAD-7)
For practitionersEVAL Foundation
Measure severity of anxiety
Hip Outcome Score
For patientsEVAL Foundation
Assess functional limitations related to hip pathology, specifically in active individuals undergoing surgery.
International Index of Erectile Function (IIEF)
For practitionersSMSNA
Assesses ED and related male sexual functions: erectile, orgasmic, desire, intercourse/overall satisfaction using IIEF.
International Index of Erectile Function-6 (IIEF-6)
For practitionersSMSNA
6-item quiz to identify erectile dysfunction and severity over the past 4 weeks.
International Prostate Symptoms Score (IPSS)
For practitionersSMSNA
Used to quantify benign prostatic hyperplasia (BPH) & to monitor treatment success.
Locke-Wallace Marital Adjustment Test (MAT)
For practitionersSMSNA
AKA the Short Marital Adjustment Test (SMAT) used to assess marital satisfaction and adjustment within married couples.
Marx Activity Rating Scale
For patientsEVAL Foundation
Assess knee function & activity level, such as patients with knee ligament injuries (commonly ACL tears) or post surgery
Medical Symptom/Toxicity Questionnaire (MSQ)
For practitionersEVAL Foundation
The MSQ assesses degree of symptomology associated with potential body toxicity burden.
Migraine Treatment Optimization Questionnaire-4 (mTOQ-4)
For practitionersEVAL Foundation
Measures effectiveness of current migraine treatment plan.
National Cancer Institute PRO-CTCAE
For patientsEVAL Foundation
Evaluates symptomatic toxicity in patients on cancer clinical trials
Patient Health Questionnaire-9 (PHQ-9) Adult
For patientsISSWSH
10 - item assessment tool for screening, diagnosing, monitoring and measuring the severity of depression.
Pelvic Floor Distress Inventory (PFDI - 20)
For patientsEVAL Foundation
20- item, short form of the PFDI, to assess quality of life for women with pelvic floor conditions.
Peyronie's Disease Questionnaire (PDQ)
For practitionersSMSNA
Evaluates symptoms & psychological effects in patients with PD who have had vaginal intercourse within the last 3 months
Pittsburgh Agitation Scale (PAS)
For practitionersEVAL Foundation
4-item survey to monitor the severity of agitation associated with dementia based on direct observations of the patient.
Postoperative Quality of Recovery (QoR-15)
For patientsEVAL Foundation
15-item tool to measure the early postoperative health status of patients after anesthesia.
Premature Ejaculation Profile (PEP)
For practitionersSMSNA
A 4-item patient self-reported questionnaire to assess the impact and severity of premature ejaculation (PE).
Professional Quality of Life Scale (ProQOL 5)
For patientsEVAL Foundation
A 30-item self-report measure of compassion satisfaction, burnout, and secondary traumatic stress for helping profession
EVAL Foundation
Measures compassion satisfaction, burnout, and secondary traumatic stress for healthcare professionals based on the ProQ
Quality of Life Survey (VASCUQOL-6)
For practitionersOSU Center for Health Sciences
Validated instrument for the assessment of health-related quality of life in peripheral arterial disease (PAD).
EVAL Foundation
10-item symptom survey to facilitate the detection of men at risk for androgen (or testosterone) deficiency.
Questionnaire For Genito-Pelvic Dysethesia (GPD)
For patientsISSWSH
Captures the physical quality and the psychological distress of sensations of arousal that occur without sexual desire.
Revised Cardiac Risk Index for Pre-operative Risk
For practitionersEVAL Foundation
Estimates risk of cardiac complications after noncardiac surgery
Revised Opioid Risk Tool (ORT-OUD)
For practitionersEVAL Foundation
Measures risk of aberrant drug-related behaviors in patients with chronic pain prescribed opioid therapy.
Roland-Morris Disability Questionnaire
For patientsEVAL Foundation
Measures functional disability and activity limitations in patients with low back pain.
Memorial Sloan Kettering Cancer Center
A 16-question survey for patients to report their satisfaction and experience with their inflatable penile implant.
EVAL Foundation
22-item quality of life survey across function, pain, self-image, mental health, & treatment satisfaction for scoliosis
Severity Measure for Panic Disorder - Adult
For practitionersEVAL Foundation
Assesses the severity of panic disorder symptoms
Sexual Desire Inventory-2 (SDI-2)
For practitionersSMSNA
Self-report questionnaire designed to measure various facets of sexual desire.
Sexual Health Inventory For Men (SHIM) or IIEF-5
For practitionersSMSNA
5-item quiz to identify erectile dysfunction and severity. AKA the International Index of Erectile Function-5 (IIEF-5)
Simple Shoulder Test
For patientsEVAL Foundation
12-item assessment of shoulder pain, function, and disability across comfort, mobility, strength, and work capacity.
STOP-BANG Score for Obstructive Sleep Apnea
For practitionersEVAL Foundation
Screens for obstructive sleep apnea
Tegner Lysholm Knee Score
For patientsEVAL Foundation
Assessment of knee function and symptoms affecting daily activities and sports participation.
The Greene Climacteric Scale (GCS)
For patientsEVAL Foundation
A 21-item questionnaire that captures the symptoms that occur in perimenopause.
The Pelvic Pain Impact Questionnaire (PPIQ)
For patientsEVAL Foundation
A 10-item tool for women to assess the impact of their pelvic pain on daily life and function.
EVAL Foundation
A 36-item, patient-reported survey (RAND v.1) measuring health status and quality of life across eight health domains.
EVAL Foundation
A 20-item, patient-reported survey (RAND v.1) measuring health status and quality of life across six health domains.
Vulvar Pain Functional Questionnaire (V-Q)
For patientsISSWSH
11-item survey assessing how pelvic pain affects everyday life.
Western Ontario Shoulder Instability Index (WOSI)
For practitionersEVAL Foundation
Measures functional disability/symptoms related to shoulder instability across physical, activity, lifestyle, & emotion.