CDE Detailed Report

Disease: NeuroRehab
Subdomain Name: Emotional/Behavioral
CRF: PROMIS Item Bank v1.0 - Emotional Distress - Anxiety

Displaying 1 - 29 of 29
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C20776 Quality of Life - Startle ease assessment past week scale PROMISEasilyStartledScale The scale which represents how often the participant was easily startled in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant was easily startled in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I was easily startled. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX11 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20787 Quality of Life - Nervousness assessment past week scale PROMISFeltNrvousScale The scale which represents how often the participant felt nervous in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt nervous in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt nervous. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX22 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20740 Patient-Reported Outcome Measurement Information System (PROMIS) - Fear assessment past week scale PROMISFeltFearfulScale The scale which represents how often the participant felt fearful in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant felt fearful in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I felt fearful. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX01 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 16:25:53.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20777 Patient-Reported Outcome Measurement Information System (PROMIS) - Concentration trouble assessment past week scale PROMISTrblPayingAttentionScale The scale which represents how often the participant had trouble paying attention in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant had trouble paying attention in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I had trouble paying attention. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX12 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20788 Patient-Reported Outcome Measurement Information System (PROMIS) - Indecisiveness assessment past week scale PROMISFeltIndecisiveScale The scale which represents how often the participant felt indecisive in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant felt indecisive in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I felt indecisive. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX23 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20762 Patient-Reported Outcome Measurement Information System (PROMIS) - Fright assessment past week scale PROMISFeltFrightenedScale The scale which represents how often the participant felt frightened in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant felt frightened in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I felt frightened. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX02 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20778 Patient-Reported Outcome Measurement Information System (PROMIS) - Public place activity avoidance past week scale PROMISAvdPubPlaceActivityScale The scale which represents how often the participant avoided public places or activities in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant avoided public places or activities in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I avoided public places or activities. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX13 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20789 Quality of Life - Worry many situation assessment past week scale PROMISManySitsMadeWorryScale The scale which represents how often the many situations made the participant worry in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the many situations made the participant worry in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days many situations made me worry. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX24 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20764 Patient-Reported Outcome Measurement Information System (PROMIS) - Nervousness fear assessment past week scale PROMISScaredWhenNervousScale The scale which represents how often the participant was scared when he/she felt nervous in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant was scared when he/she felt nervous in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days it scared me when I felt nervous. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX03 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20779 Quality of Life - Fidgety assessment past week scale PROMISFeltFidgetyScale The scale which represents how often the participant felt fidgety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt fidgety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt fidgety. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX14 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20790 Quality of Life - Sleep difficultly assessment past week scale PROMISDifficultySleepingScale The scale which represents how often the participant had difficulty sleeping in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant had difficulty sleeping in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I had difficulty sleeping. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX25 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20766 Quality of Life - Anxiousness assessment past week scale PROMISFeltAnxiousScale The scale which represents how often the participant felt anxious in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt anxious in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt anxious. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX04 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20780 Quality of Life - Fear terrible future occurrence past week scale PROMISSomethingAwflHappenScale The scale which represents how often the participant felt something awful would happen in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt something awful would happen in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt something awful would happen. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX15 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20791 Quality of Life - Relax trouble assessment past week scale PROMISTroubleRelaxingScore The scale which represents how often the participant had trouble relaxing in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant had trouble relaxing in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I had trouble relaxing. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX26 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20768 Quality of Life - Anxiety assistance assessment past week scale PROMISFltHlpNeedFrAnxietyScale The scale which represents how often the participant felt like help was needed for his anxiety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt like help was needed for his anxiety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt like I needed help for my anxiety. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX05 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20781 Quality of Life - Worry assessment past week scale PROMISFeltWorriedScale The scale which represents how often the participant felt worried in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt worried in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt worried. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX16 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20792 Quality of Life - Uneasiness assessment past week scale PROMISFeltUneasyScale The scale which represents how often the participant felt uneasy in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt uneasy in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt uneasy. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX27 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20770 Patient-Reported Outcome Measurement Information System (PROMIS) - Mental health concern past week scale PROMISCncrndAbtMentalHlthScale The scale which represents how often the participant was concerned about his mental health in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant was concerned about his mental health in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I was concerned about my mental health. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX06 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20782 Patient-Reported Outcome Measurement Information System (PROMIS) - Afraid assessment past week scale PROMISFeltTerrifiedScale The scale which represents how often the participant felt terrified in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant felt terrified in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I felt terrified. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX17 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20793 Quality of Life - Tension assessment past week scale PROMISFeltTenseScale The scale which represents how often the participant felt tense in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant felt tense in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I felt tense. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX28 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20772 Patient-Reported Outcome Measurement Information System (PROMIS) - Upset assessment past week scale PROMISFeltUpsetScale The scale which represents how often the participant felt upset in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant felt upset in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I felt upset. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX07 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20783 Patient-Reported Outcome Measurement Information System (PROMIS) - Other people reaction worry assessment past week scale PROMISWorriedAbtOthReactnScale The scale which represents how often the participant was worried about other people's reactions to him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant was worried about other people's reactions to him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I worried about other people's reactions to me. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX18 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20794 Quality of Life - Calmness difficulty assessment past week scale PROMISDifficultyCalmDownScale The scale which represents how often the participant had difficulty calming down in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant had difficulty calming down in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I had difficulty calming down. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX29 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20773 Patient-Reported Outcome Measurement Information System (PROMIS) - Heart rate fast assessment past week scale PROMISRacePoundHeartScale The scale which represents how often the participant had a racing or pounding heart in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and PHQ-15 - Feeling your heart pount or race The scale which represents how often the participant had a racing or pounding heart in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and PHQ-15 - Feeling your heart pount or rac In the past 7 days I had a racing or pounding heart. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX08 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20784 Patient-Reported Outcome Measurement Information System (PROMIS) - Anxiety concentration difficulty past week scale PROMISConcntrtOnlyOnAnxtyScale The scale which represents how often the participant found it hard to focus on anything other than anxiety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant found it hard to focus on anything other than anxiety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I found it hard to focus on anything other than my anxiety. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX19 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20774 Patient-Reported Outcome Measurement Information System (PROMIS) - Alter normal routine anxiety assessment past week scale PROMISAnxsIfRoutinDstrbedScale The scale which represents how often the participant was anxious if his normal routine was disturbed in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant was anxious if his normal routine was disturbed in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I was anxious if my normal routine was disturbed. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX09 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20785 Quality of Life - Overwhelm worry assessment past week scale PROMISWorriesOverwhelmedScale The scale which represents how often the participant's worries overwhelmed him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant's worries overwhelmed him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days my worries overwhelmed me. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX20 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20775 Quality of Life - Sudden panic assessment past week scale PROMISSuddenFeelingsOfPncScale The scale which represents how often the participant had sudden feelings of panic in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety The scale which represents how often the participant had sudden feelings of panic in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiet In the past 7 days I had sudden feelings of panic. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX10 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

C20786 Patient-Reported Outcome Measurement Information System (PROMIS) - Muscle twitch tremble assessment past week scale PROMISTwitchTrembleMuscleScale The scale which represents how often the participant had twitching or trembling muscles in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant had twitching or trembling muscles in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I had twitching or trembling muscles. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX21 Adult NeuroRehab Supplemental-Highly Recommended 1.00 2015-05-20 17:42:14.0 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety Emotional/Behavioral Outcomes and End Points

Single Pre-Defined Value Selected

CSV