Table 1

Questionnaire for the screening of symptoms in aneurysmal subarachnoid hemorrhage (SOS-SAH)35

Item numberItems
1I have been able to bring to mind words that I wanted to use while talking to someone.Not at allA little bitSomewhatQuite a bitVery much
2I have been able to focus my attention.Not at allA little bitSomewhatQuite a bitVery much
3I have been able to remember to do things, like take medicine or buy something I needed.Not at allA little bitSomewhatQuite a bitVery much
4I have been able to think clearly.Not at allA little bitSomewhatQuite a bitVery much
5I have been able to remember the name of a familiar object.Not at allA little bitSomewhatQuite a bitVery much
6I have been able to concentrate.Not at allA little bitSomewhatQuite a bitVery much
7I have been able to pay attention and keep track of what I am doing without extra effort.Not at allA little bitSomewhatQuite a bitVery much
8I have been able to learn new things easily, like telephone numbers or instructions.Not at allA little bitSomewhatQuite a bitVery much
9In a busy environment I find myself quickly bothered by excessive stimuli.Not at allA little bitSomewhatQuite a bitVery much
10I feel tense or ‘wound up’.Most of the timeA lot of the timeFrome time to time, occasionallyNot at all
11I still enjoy the things I used to enjoy.Definitely as muchNot quite so muchOnly a littleHardly at all
12I get a sort of frightened feeling as if something awful is about to happen.Very definitely and quite badlyYes, but not too badlyA little, but it doesn't worry meNot at all
13I can laugh and see the funny side of things.As much as I always couldNot quite so much nowDefinitely not so much nowNot at all
14Worrying thoughts go through my mind.A great deal of the timeA lot of the timeFrom time to time but not too oftenOnly occasionally
15I feel cheerful.Not at allNot oftenSometimesMost of the time
16I can sit at ease and feel relaxed.DefintelyUsuallyNot oftenNot at all
17I feel as if I am slowed down.Nearly all the timeVery oftenSometimesNot at all
18I get a sort of frightened feeling like ‘butterflies’ in the stomach.Not at allOccasionallyQuite oftenVery often
19I have lost interest in my appearance.DefintelyI don't take so much care as I shouldI may not take quite as much careI take just as much care as ever
20I feel restless as I have to be on the move.Very much indeedQuite a lotNot very muchNot at all
21I look forward with enjoyment to things.As much as I ever didRather less than I used toDefinitely less than I used toHardly at all
22I get sudden feelings of panic.Very often indeedQuite oftenNot very oftenNot at all
23I can enjoy a good book or radio or TV programme.OftenSometimesNot oftenVery seldom
24I feel fatigued.Not at allA little bitSomewhatQuite a bitVery much
25I have trouble starting things because I am tired.Not at allA little bitSomewhatQuite a bitVery much
26How run-down did you feel on average?Not at allA little bitSomewhatQuite a bitVery much
27How fatigued were you on average?Not at allA little bitSomewhatQuite a bitVery much
28I have trouble doing all of my regular leisure activities with othersNeverRarelySometimesUsuallyAlways
29I have trouble doing all of the family activities that I want to doNeverRarelySometimesUsuallyAlways
30I have trouble doing all of my usual work (include work at home)NeverRarelySometimesUsuallyAlways
31I have trouble doing all of the activities with friends that I want to doNeverRarelySometimesUsuallyAlways
32I am a different person than I was before the (subarachnoid) hemorrhage.Not at allA little bitSomewhatQuite a bitVery much
33How difficult do you find it to hold a conversation?Not at allA little bitSomewhatQuite a bitVery much
34How difficult do you find it to follow a conversation?Not at allA little bitSomewhatQuite a bitVery much
35How much difficulty do you have with your sight?Not at allA little bitSomewhatQuite a bitVery much
36How much difficulty do you have with your sense of taste?Not at allA little bitSomewhatQuite a bitVery much
37How much difficulty do you have with your sense of smell?Not at allA little bitSomewhatQuite a bitVery much
38How much difficulty do you have with your hearing?Not at allA little bitSomewhatQuite a bitVery much
39How bothered are you by headaches?Not at allA little bitSomewhatQuite a bitVery much
40Has the (subarachnoid) hemorrhage affected your sex life?Not at allA little bitSomewhatQuite a bitVery much
41My family member is a different person than he/she was before the (subarachnoid) hemorrhage.Not at allA little bitSomewhatQuite a bitVery much
42My family member has been able to bring to mind words that he/she wanted to use while talking to someone.Not at allA little bitSomewhatQuite a bitVery much
43My family member has been able to focus his/her attention.Not at allA little bitSomewhatQuite a bitVery much
44My family member has been able to remember to do things, like take medicine or buy something he/she needed.Not at allA little bitSomewhatQuite a bitVery much
45My family member has been able to think clearly.Not at allA little bitSomewhatQuite a bitVery much
46My family member has been able to remember the name of a familiar object.Not at allA little bitSomewhatQuite a bitVery much
47My family member has been able to concentrate.Not at allA little bitSomewhatQuite a bitVery much
48My family member has been able to pay attention and keep track of what he/she is doing without extra effort.Not at allA little bitSomewhatQuite a bitVery much
49My family member has been able to learn new things easily, like telephone numbers or instructions.Not at allA little bitSomewhatQuite a bitVery much
  • The questionnaire was previously published in BMC Neurology. The authors obtained permission from Prof. Jeroen D Boogarts to publish the questionnaire as part of their narrative review.