Functional Assessment of Cancer Therapy - General version (FACT-G)

PHYSICAL WELL-BEING
1.    have a lack of energy.
2.    I have nausea.
3.    Because of my physical condition‚ I have trouble meeting the needs of my family.
4.    I have pain.
5.    I am bothered by side effects of treatment.
6.    I feel ill.
7.    I am forced to spent time in bed.
SOCIAL/FAMILY WELL-BEING
1.    I feel close to my friends.
2.    I get emotional support from my family.
3.    I get support from my friends.
4.    My family has accepted my illness.
5.    I am satisfied with family communication about my illness.
6.    I feel close to my partner (or the person who is my main support).
Regardless of your current level of sexual activity‚ please answer the following question. If you prefer not to answer it‚ please check this box 􀂉 and go to the next section.
7.    I am satisfied with my sex life.
EMOTIONAL WELL-BEING
1.    I feel sad.
2.    I am satisfied with how I am coping with my illness.
3.    I am losing hope in the fight against my illness.
4.    I feel nervous.
5.    I worry about dying.
6.    I worry that my condition will get worse.
FUNCTIONAL WELL-BEING
1.    I am able to work (include work at home).
2.    My work (include work at home) is fulfilling.
3.    I am able to enjoy life.
4.    I have accepted my illness.
5.    I am sleeping well.
6.    I am enjoying the things I usually do for fun.
7.    I am content with the quality of my life right now.
Family Caregiver Version
PHYSICAL WELL-BEING
1.    I have a lack of energy.
2.    I have nausea.
3.    Because of my physical condition‚ I have trouble meeting the needs of my family.
4.    I have pain.
5.    Are you currently taking any medication or receiving other medical treatments?
􀂉 No.
􀂉 Yes. If yes‚ I am bothered by side effects of my treatment.
6.    I feel ill.
7.    I am forced to spent time in bed.
SOCIAL/FAMILY WELL-BEING
1.    I feel close to my friends.
2.    I get emotional support from my family.
3.    I get support from my friends.
4.    My family has accepted the illness.
5.    I am satisfied with family communication about the illness.
6.    I feel close to my partner (or the person who is my main support).
Q. Regardless of your current level of sexual activity‚ please answer the following question. If you prefer not to answer it‚ please check this box 􀂉 and go to the next section.
7.    I am satisfied with my sex life.
EMOTIONAL WELL-BEING Not at
1.    I feel sad.
2.    I am satisfied with how I am coping with my family member's illness.
3.    I am losing hope in the fight against my family member's illness.
4.    I feel nervous.
5.    I worry about my family member dying.
6.    I worry that my family member's condition will get worse.
FUNCTIONAL WELL-BEING
1.    I am able to work (include work at home).
2.    My work (include work at home) is fulfilling.
3.    I am able to enjoy life.
4.    I have accepted my family member's illness.
5.    I am sleeping well.
6.    I am enjoying the things I usually do for fun.
7.    I am content with the quality of my life right now.
 
Subscale; alpha (Patients‚ Family Members)
Physical Well-Being subscale (PWB); alpha (0.89‚ 0.85)
Social / Family Well-Being subscale (SWB); alpha (0.71‚ 0.80)
Emotional Well-Being subscale (EWB); alpha (0.71‚ 0.67)
Functional Well-Being subscale (FWB); alpha (0.87‚ 0.88)
Total scale of the FACT-G; alpha (0.91‚ 0.91)
 
0-Not at All‚ 1-A Little‚ 2-Somewhat‚ 3-Quite a Bit‚ 4-Very Much
 
 

Wisawatapnimit‚ Panarut. (2009). Assessment of Family Quality of Life Among Families with a Member who has Cancer. Vanderbilt University. Doctoral Dissertation.

Caldwell. S. M. (2003). The Family Well-Being Assessment Tool. In O. L. Strickland‚ & C. Dilorio. (Eds.)‚ Measurement of nursing outcomes. (2nd ed.) (pp. 75-88). New York: Springer Publishing Company.

McDonald‚ G. W. (1979). Family well-being and quality of life: Humanistic concerns of the family impact analyst. The Family Coordinator‚ 28(3)‚ 313-320.