Scale 1 (Physical, 8 items)
Item 1 My legs feel weak
Item 3 I get depressed
Item 9 I have problems carrying out my usual activities
Item 13 The illness affects my performance at work or in my usual tasks
Item 14 My joints ache
Item 15 I am usually tired
Item 19 I feel like a sick person
Item 22 I feel weak
Scale 2 (Psychological, 14 items)
Subscale 2·1 (Appearance, 7 items)
Item 2 I feel ugly
Item 4 I look awful in photographs
Item 7 I look different in the mirror
Item 11 Some parts of my body (nose, feet, hands, … ) are too big
Item 12 I have problems doing things with my hands, e.g. sewing or
handling tools
Item 16 I snore at night
Item 17 It is hard for me to articulate words due to the size of my tongue
Subscale 2·2 (Personal relations, 7 items)
Item 5 I avoid going out very much with friends because of my
appearance
Item 6 I try to avoid socializing
Item 8 I feel rejected by people because of my illness
Item 10 People stare at me because of my appearance
Item 18 I have problems with sexual relationships
Item 20 The physical changes produced by my illness govern my life
Item 21 I have little sexual appetite