Appendix I Venous access device and EQ-5D Quality of life questionnaire Does the access device reduce your ability to carry out the following day to day activities? Not at all A little Quite a bit Very much 1 2 3 4 Driving a car Getting out of a car Using public transport Going out shopping Does the access device affect you ability to trial out normal day to day activities such as: Not at all A little Quite a bit Very much Eating 1 2 3 4 Hygiene washing, bathing, showering, – hair brushing, drying yourself, etc. Sleeping Mobility or movement Normal work activity Exercise swimming, et. – Hobbies gardening, etc. – Does the access device make you self conscious? Has it affected your socialising? Do you feel at risk of infecting the access device? Do you feel at risk of damaging the access device? To what extent has the presence of the access device had a negative impact on your quality of life ? Appendix II Sample Size Calculations
Appendix I Venous access device and EQ-5D Quality of life questionnaire Does the access device reduce your ability to carry out the following day to day activities? Not at all A little Quite a bit Very much 1 2 3 4 Driving a car Getting out of a car Using public transport Going out shopping Does the access device affect you ability to out normal day to day activities such as: Not at all A little Quite a bit Very much Eating 1 2 3 4 Hygiene – washing, bathing, showering, hair brushing, drying yourself, etc. Sleeping Mobility or movement Normal work activity Exercise – swimming, et. Hobbies – gardening, etc. Does the access device make you self conscious? Has it affected your socialising? Do you feel at risk of infecting the access device? Do you feel at risk of damaging the access device? To what extent has the presence of the access device had a negative impact on your quality of life ? Appendix II Sample Size Calculations trial
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