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Table 1 The 5-item EQ-5D questionnaire (Source:[22])

From: Rationale and design of the costs, health status and outcomes in community-acquired pneumonia (CHO-CAP) study in elderly persons hospitalized with CAP

Mobility  
I have no problems in walking about
I have some problems in walking about
I am confined to bed
Self-care  
I have no problems with self-care
I have some problems washing or dressing myself
I am unable to wash or dress myself
Usual activities (e.g. work, study, housework, family or leisure activities)  
I have no problems with performing my usual activities
I have some problems with performing my usual activities
I am unable to perform my usual activities
Pain/discomfort  
I have no pain or discomfort
I have moderate pain or discomfort
I have extreme pain or discomfort
Anxiety/depression  
I am not anxious or depressed
I am moderately anxious or depressed
I am extremely anxious or depressed