Outcomes pertaining to health related quality of life (HRQOL) are gaining importance when assessing the impact that interventions have on various disease states (34). Many tools are available, however it has been recommended that both a general and disease specific HRQOL tool be used to help ensure any changes in HRQOL status are captured (34,35). Regardless of the instrument(s) chosen they should be valid & reliable, as well as sensitive and responsive to change (35, 36). Other key considerations include utilizing a tool that captures the key dimensions of HRQOL, specifically physical, psychological, & social/role functioning (35, 37). A critical component to assessing HRQOL is that, given the subjective nature of quality of life, the data should be assessed by the patient, not the health care provider (37).