Page 187 - Demo

Development and validation of the TSC-PROM185613. What is the current living situation of the individual?□ Alone, without assistance□ With other people, without assistance□ Alone with ambulatory professional support□ With other people and with ambulatory professional support□ In an assisted living facility for people with a disability (no 24 hour care)□ In an assisted living facility for people with a disability (with 24 hour care)13 Has the individual ever been diagnosed with any of the following?No Yes I don’t know Autism spectrum disorder (Autism, ASS, PDD-NOS, Asperger)□ □ □Attention deficit hyperactivity disorder (ADD, ADHD) □ □ □Obsessive compulsive disorder (OCD) □ □ □Anxiety disorder □ □ □Depressive disorder □ □ □Psychotic disorder (f.e. schizophrenia) □ □ □Other diagnoses, namely __________________________________15. (a) Does the individual has any other health concerns besides TSC?□ No (go to question 15)□ Yes (b) What are these health concerns?□ High blood pressure (hypertension)□ Diabetes (‘sugar’)□ Thyroid problems□ Malignant tumor (cancer)□ Other (please specify): _______________________________16. (a) In the past year, has the individual experienced any major life events?□ No (go to the next section)□ Yes(b) What kind of life events?□ Moving house□ Change of employment / daytime occupation□ Severe illness or death of a relative or friend□ Another major life event, namely _______________________Annelieke Muller sHL.indd 185 14-11-2023 09:07