Examples of PROMs

The following are validated Patient Reported Outcome Measures (PROMs) used to measure change in general health status, acute and chronic pain, and depression while waiting for care and after surgical treatment.


The EuroQol Group 5-D Instrument (EQ-5D) is a quick instrument that is applicable to a wide range of conditions and treatments. For licensing information and to view a sample generic EQ-5D survey, please visit the Euroqol Website.


The European Organization for Research and Treatment of Cancer QLQ-C30 (EORTC QLQ-C30) is a questionnaire that assesses the quality of life of patients with cancer. Please visit the EORTC site to view a sample and request the questionnaire.

The Impact of Weight on Quality of Life (IWQOL-Lite) assesses obesity-specific quality of life measures. To obtain the questionnaire, please visit this site.

Surgical specialty


Sample Breast-Q instruments are attached below. For information on use and licensing please visit MAPI Research Trust.

Breast augmentation

Breast mastectomy

Breast reconstruction

Breast reduction

Gastrointestinal and Colorectal

Sample colorectal instruments are attached below. Many were obtained from instrument validation studies. Please obtain permission from the author prior to use.


Please obtain permission from author prior to use.


Ear, Nose and Throat


Arm, Shoulder and Hand