1. How severe were the symptoms of itching or pain (including soreness, stinging, etc.) from your skin in the past week?
2. How often did your skin lesions make you feel self-conscious or embarrassed in the past week?
3. To what extent did your skin lesions affect your shopping, household chores, or gardening activities in the past week?
4. To what extent did your skin lesions affect your clothing in the past week?
5. To what extent did your skin lesions affect your social or leisure activities in the past week?
6. To what extent did your skin lesions make sports difficult in the past week?
7. In the past week, did your skin lesions cause you to pause work or study?
If “No”, how much did your skin lesions disturb you during work or study last week? If you answered “Yes” to the previous question, please select “None”.
8. To what extent did your skin lesions cause trouble for your peers, close friends, or family in the past week?
9. To what extent did your skin lesions cause difficulties in sexual life in the past week?
10. How difficult was the treatment process last week? For example, making the home unclean or wasting time.
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