Hurdle

Clinical COPD Quesitonnaire (CCQ)

screening

Digital administration of Clinical COPD Quesitonnaire (CCQ) to collect structured patient inputs for validated score calculation and clinical follow-up.

Clinical COPD Quesitonnaire (CCQ)

Clinical intent

The CCQ is a self-administered questionnaire specially developed to measure clinical control in patients with COPD[1].

Calculation

Domain scores

The domain scores are calculated by adding the scores of all the items in that domain and dividing that number by the number of items in that domain.

Total score

The total score is calculated by adding the scores of the ten items and dividing that number by ten (= number of items).

Clinical interpretation

The total CCQ score, and the score on each of the three domains, varies between 0 (very good health status) to 6 (extremely poor health status).

References

[1] van der Molen, T., Willemse, B.W., Schokker, S. et al. Development, validity and responsiveness of the Clinical COPD Questionnaire. Health Qual Life Outcomes 1, 13 (2003). https://doi.org/10.1186/1477-7525-1-13

Pathway

Mini Map

Form preview

Interactive preview of the questionnaire. Not for clinical use. Responses are not stored.

Clinical COPD Quesitonnaire (CCQ) Questionnaire
Please complete this questionnaire. Your responses help your clinical team assess your symptoms and monitor progress over time.
On average, during the past week, how often did you feel: Short of breath at rest?
On average, during the past week, how often did you feel: Short of breath doing physical activities?
On average, during the past week, how often did you feel: Concerned about getting a cold or your breathing getting worse?
On average, during the past week, how often did you feel: Depressed (down) because of your breathing problems?
In general, during the past week, how much of the time: Did you cough?
In general, during the past week, how much of the time: Did you produce phlegm?
On average, during the past week, how limited were you in these activities because of your breathing problems: Strenuous physical activities (such as climbing stairs, hurrying, doing sports)?
On average, during the past week, how limited were you in these activities because of your breathing problems: Moderate physical activities (such as walking, housework, carrying things)?
On average, during the past week, how limited were you in these activities because of your breathing problems: Daily activities at home (such as dressing, washing yourself)?
On average, during the past week, how limited were you in these activities because of your breathing problems: Social activities (such as talking, being with children, visiting friends/ relatives)?