Functional Living Index Cancer (FLIC)

Schipper‚ et al‚ 1984

1. How well do you appear today?
Poor Extremely 1 2 3 4 5 6 7 Well Extremely

2. Rate your confidence in your prescribed course of treatment.
No Confidence 1 2 3 4 5 6 7 Very Confident

3. How much of your pain or discomfort over the past 2 weeks was related to your cancer?
None 1 2 3 4 5 6 7 All

4. Rate how willing you were to see and spend time with friends‚ in the past 2 weeks.
Unwilling 1 2 3 4 5 6 7 Very Willing

5. Rate the degree to which you are frightened of the future.
Constantly Terrified 1 2 3 4 5 6 7 Not Afraid

6. How much nausea have you had in the past 2 weeks?
None 1 2 3 4 5 6 7 A Great Deal

7. Rate how willing you were to see and spend time with those closest to you‚ in the past 2 weeks.
Unwilling 1 2 3 4 5 6 7 Very willing

8. How much of your usual household tasks are you able to complete?
All 1 2 3 4 5 6 7 None

9. Rate the degree to which your cancer has imposed a hardship on you (personally) in the past 2 weeks.
Tremendous Hardship 1 2 3 4 5 6 7 No Hardship

10.How much is pain or discomfort interfering with your daily activities?
Not At All 1 2 3 4 5 6 7 A Great Deal

11.Rate in your opinion‚ how disruptive your cancer has been to those closest to you in the past 2 weeks.
Totally Disruptive 1 2 3 4 5 6 7 No Disruption

12.How uncomfortable do you feel today?
Not At All 1 2 3 4 5 6 7 Very Uncomfortable

13.Rate your satisfaction with your work and your jobs around the house in the past month.
Very Dissatisfied 1 2 3 4 5 6 7 Very Satisfied

14.Rate how often you feel discouraged about your life.
Always 1 2 3 4 5 6 7 Never

15.Rate the degree to which your cancer has imposed a hardship on those closest to you in the past 2 weeks.
No Hardship 1 2 3 4 5 6 7 Tremendous Hardship

16.Do you feel well enough to make a meal or do minor household repairs today?
Very Able 1 2 3 4 5 6 7 Not Able

17.How well do you feel today?
Extremely Poor 1 2 3 4 5 6 7 Extremely Well

18.Has nausea affected your daily functioning?
Not At All 1 2 3 4 5 6 7 A Great Deal

19.Rate your ability to maintain your usual recreation or leisure activities.
Able 1 2 3 4 5 6 7 Unable

20.How much time do you spend thinking about your illness?
Constantly 1 2 3 4 5 6 7 Never

21.How well are you coping with your everyday stress?
Not well 1 2 3 4 5 6 7 Very Well

22.Most people experience some feelings of depression at times. Rate how often you feel these feelings.
Never 1 2 3 4 5 6 7 Continually

Scores for questions 3‚ 6‚ 8‚ 10‚ 12‚ 15‚ 16‚ 18‚ 19‚ and 22 are reversed

This instrument can be found at: www.a4ebm.org/sites/default/files/Measuring%20Health.pdf

Schipper‚ H.‚ Clinch‚ J.‚ McMurray‚ A.‚ Levitt‚ M. (1984). Measuring the quality of life of cancer patients: the Functional Living Index- Cancer: development and validation. J Clin Oncol‚ 2(5):472–483.

Schipper‚ H.‚ Levitt‚ M. (1985). Measuring quality of life: risks and benefits. Cancer Treat Rep‚ 69(10):1115–1123.

Morrow‚ G.R.‚ Lindke‚ J.‚ Black‚ P. (1992). Measurement of quality of life in patients: psychometric analyses of the Functional Living Index-Cancer (FLIC). Qual Life Res‚ 1:287–296.

Kuenstner‚ S.‚ Langelotz‚ C.‚ Budach‚ V.‚ Possinger‚ K.‚ Krause‚ B.‚ Sezer‚ O. (2002). The comparability of quality of life scores: a multitrait multimethod analysis of the EORTC QLQ-C30‚ SF-36 and FLIC questionnaires. European Journal of Cancer‚ 38‚ 339-348.

Cheung‚ Y.B.‚ Khoo‚ K.S.‚ Wong‚ Z.W.‚ et al. (2003) Quick-FLIC: a short questionnaire for assessing quality of life of cancer patients. Acta Oncol 42: 36–42

McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS

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