PDQ39 QUESTIONNAIRE（PDQ39问卷）.pdfVIP

PDQ-39 QUESTIONNAIRE Please complete the following Please tick one box for each question Due to having Parkinson’s disease, how often during the last month have you Never Occasionally Sometimes Often Always or cannot do 1 Had difficulty doing at all the leisure activities which you would like to do? 2 Had difficulty looking after your home, e.g. DIY, housework, cooking? 3 Had difficulty carrying bags of shopping? 4 Had problems walking half a mile? 5 Had problems walking 100 yards? 6 Had problems getting around the house as easily as you would like? 7 Had difficulty getting around in public? 8 Needed someone else to accompany you when you went out? 9 Felt frightened or worried about falling over in public? 10 Been confined to the house more than you would like? 11 Had difficulty washing yourself? 12 Had difficulty dressing yourself? 13 Had problems doing up your shoe laces? Please check that you have ticked one box for each question before going on to the next page Page 3 of 12 Questionnaires for patient completion Due to having Parkinson’s disease, Please tick one box for each question how often during the last month have you Never Occasionally Sometimes Often Always