IMPROVE Trial ID
I mmediate M anagement of the P atient with R upture:
O pen V ersus E ndovascular repair
England, Wales & Northern Ireland
Ethics Ref No: 08/H0505/173
<<Enter Date>>
Dear <<Patient’s First Name>> ,
I am writing to you about the IMPROVE research study that you very kindly agreed to take part in when you underwent repair for your ruptured aneurysm a few years ago. Regular updates about this study are posted on the trial website: www.improvetrial.org
As part of this study, we are writing to ask you to fill in a final short questionnaire about your current health status.
When you have filled in the enclosed questionnaire please return it to us in the pre-paid envelope provided.
As a token of our appreciation for your assistance with the study, we enclose a £10 shopping voucher. This can be used at a number of different shops (as detailed on the voucher).
If you have any queries about the questions or would like to discuss this research further, please don’t hesitate to contact me <<Enter Name>> on <<Enter contact Telephone no.>>
Thank you again for your help with this study.
Yours sincerely,
<<Enter Name>>
<<Enter Job Title>>
Patient letter for additional EQ-5D : Version 1.0 28-Aug-2013

IMPROVE Trial ID
Immediate Management of the Patient with Rupture: Open Versus Endovascular repair
The EQ-5D form must be completed in the 2.5 - 4 year time window following aneurysm repair.
Date of questionnaire completion: dd/mm/yy
IMPROVE Trial Contacts:
Trial Chief Investigator: Professor Janet T Powell Trial Manager: Dr Pinar Ulug
E-mail: j.powell@imperial.ac.uk E-mail: p.ulug@imperial.ac.uk
Tel: 020 3311 7312 Tel: 020 3311 7307
Fax: 020 3311 7330 Fax: 020 3311 7318
Vascular Surgery Research Group, Imperial College at Charing Cross Hospital
St. Dunstan’s Road, London W6 8RP

IMPROVE Trial ID
By placing a tick in one box in each group below, please indicate which statements best describe your own health state today.
Mobility
I have no problems in walking about
I have some problems in walking about
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I am confined to bed
Self-Care
I have no problems with self-care
I have some problems washing or dressing myself
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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

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I am unable to perform my usual activities
Pain/Discomfort
I have no pain or discomfort
I have moderate pain or discomfort
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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
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UK (English) © 1990 EuroQol Group EQ-5D™ is a trade mark of the EuroQol Group

IMPROVE Trial ID
To help people say how good or bad a health state is, we have drawn a scale (rather like a thermometer) on which the best state you can imagine is marked 100 and the worst state you can imagine is marked 0.
We would like you to indicate on this scale how good or bad your own health is today, in your opinion.
Please do this by drawing a line from the box below to whichever point on the scale indicates how good or bad your health state is today.
Your own health state today
UK (English) © 1990 EuroQol Group EQ-5D™ is a trade mark of the EuroQol Group
Best imaginable health state
100
6 0
5 0
4 0
3 0
9 0
8 0
7 0
2 0
1 0
0
Worst imaginable health state