Number of items

Item range

Version 3.0 Item numbers

Functional scales

Body image

4

3

39-42

Sexual functioning

2

3

44, 45

Sexual enjoyment

1

3

46

Future perspective

1

3

43

Symptoms scales/Items

Systemic side effect

7

3

31-34, 36, 37, 38

Breast symptoms

4

3

50-53

Arm symptoms

3

3

47, 48, 49

Upset by hair loss

1

3

35