The Distress Thermometer



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tarix06.05.2018
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The Distress Thermometer


Please circle or pick a number (0-10) from the drop down box that best describes how much distress you have been experiencing in the past week including today.


If you have Lung Cancer or Mesothelioma, please call either Johanna Lynch or Lucy Pike on: 01895 279584
(during office hours, Monday - Friday 9am-4pm)


to discuss your scores on the distress thermometer.

Second, please indicate if any of the following has been a problem for you
in the past week including today.



Practical Problems
 Child Care

 Housing

 Insurance/financial

 Transportation

 Work/school

Family Problems
 Dealing with children

 Dealing with partner

 Dealing with close friend/relative

Emotional Problems
 Depression

 Fears


 Nervousness

 Sadness

 Worry

 Loss of interest in usual activities



 Spiritual/religious concerns


Physical Problems
 Appearance

 Bathing/dressing

 Breathing

 Changes in urination

 Constipation

 Diarrhoea

 Eating

 Fatigue

 Feeling Swollen

 Fevers


 Getting around

 Indigestion

 Memory/concentration

 Mouth sores

 Nausea

 Nose dry/congested

 Pain

 Sexual


 Skin dry itchy

 Sleep


 Tingling in hands/feet


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