DSI Newsletter: Constipation Questionnaire

DSI Newsletters, Issue 59:
Constipation Quality of Life Questionnaire

A total of 28 items within four subscales will be rated to include:
Physical Discomfort (4 items)
1. Felt bloated to the point of bursting
2. Felt heavy because of your constipation
3. Felt any physical discomfort
4. Felt the need to have a bowel movement but not been able to
Psychosocial Discomfort (8 items)
5. Been embarrassed to be with other people
6. Been eating less and less because of not being able to have bowel movements
7. Had to be careful about what you eat
8. Had a decreased appetite
9. Been worried about not being able to choose what you eat
10. Been embarrassed about staying in the bathroom for so long when you were away from home
11. Been embarrassed about having to go to the bathroom so often when you were away from home
12. Been worried about having to change your daily routine
Worries and Concerns (11 items)
13. Felt irritable because of your constipation condition
14. Been upset by your constipation condition
15. Felt obsessed by your constipation condition
16. Felt stressed by your constipation condition
17. Felt less self-confident because of your constipation condition
18. Felt in control of your situation
19. Been worried about not knowing when you are going to be able to have a bowel movement
20. Been worried about not being able to have a bowel movement
21. Been more and more bothered by not being able to have a bowel movement
22. Been worried that your condition will get worse
23. Felt that your body was not working properly
Satisfaction (5 items)
24. Had fewer bowel movements than you would like
25. Satisfied with how often you have a bowel movement
26. Satisfied with the regularity of your bowel movements
27. Satisfied with the time it takes for food to pass through the intestines
28. Satisfied with your constipation treatment

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