Anal Cancer NCT00324415 Quality of Life - AMC-045 Quality of Life Instruments (QLQ) - 2937315v1.0 Unnamed1 Eortc Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase Do you have any trouble taking a long walk Do you have any trouble taking a short walk outside of the house Do you need to stay in bed or a chair during the day Do you need help with eating, dressing, washing yourself or using the toilet Eortc1 Were you limited in doing either your work or other daily activities? Were you limited in pursuing your hobbies or other leisure time activities? Were you short of breath Have you had pain Did you need to rest Eortc2 Have you had trouble sleeping Have you felt weak Have you lacked appetite Have you felt nauseated Have you vomited Eortc3 Have you been constipated Have you had diarrhea Were you tired Did pain interfere with your daily activities Have you had difficulty in concentrating on things, like reading a newspaper or watching television Eortc4 Did you feel tense Did you worry Did you feel irritable Did you feel depressed Have you had difficulty remembering things Eortc5 Has your physical condition or medical treatment interfered with your family life Has your physical condition or medical treatment interfered with your social activities Has your physical condition or medical treatment caused you financial difficulties How would you rate your overall health during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you) How would you rate your overall quality of life during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you) Additional Concerns Did you urinate frequently during the day Did you urinate frequently during the night? Did you have pain when you urinated? Did you have a bloated feeling in your abdomen Did you have abdominal pain? Did you have pain in your buttocks? Were you bothered by gas (flatulence)? Did you belch? Have you lost weight? Did you have a dry mouth? Have you had thin or lifeless hair as a result of your disease or treatment Did food and drink taste different from usual? Have you felt physically less attractive as a result of your disease or treatment? Have you been feeling less feminine/masculine as a result of your disease or treatment? Have you been dissatisfied with your body? Were you worried about your health in the future? During The Past Four Weeks: To what extent were you interested in sex? To what extent were you sexually active (with or without intercourse)? To what extent was sex enjoyable for you? (Answer this question only if you have been sexually active) Did you have difficulty getting or maintaining an erection? (For men only) Did you have problems with ejaculation (e.g., so-called 'dry ejaculation')? (For men only) Did you have a dry vagina during intercourse? (Only for women who have had intercourse) Did you have pain during intercourse? (Only for women who have had intercourse) Stoma Do you have a stoma (colostomy bag)? Only For Patients Without A Stoma (colostomy Bag): Did you have frequent bowel movements during the day? Did you have frequent bowel movements during the night? Did you feel the urge to move your bowels without actually producing any stools Have you had any unintentional release of stools Have you had blood with your stools Have you had difficulty in moving your bowels Have your bowel movements been painful? Unnamed 4 Were you afraid that other people would be able to hear your stoma Were you afraid that other people would be able to smell your stools Were you worried about possible leakage from the stoma bag? Did you have problems with caring for your stoma Was your skin around the stoma irritated Did you feel embarassed because of your stoma Did you feel less complete because of your stoma Supplemental Quality Of Life Questions How satisfied are you with your current degree of anal or anal/rectal function (on a scale of 1-10 with 1 being totally dissatisfied to 10 totally satisfied) How well does your anus function (MEMORIAL SLOAN KETTERING ANAL FUNCTION SCALE) 
