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LCQ

This document is a 19-question cough questionnaire that assesses the impact of cough on various aspects of a patient's life over the past 2 weeks. It asks the patient to rate how often their cough has caused chest or stomach pains, disrupted sleep, caused embarrassment or frustration, and interfered with daily tasks or enjoyment of life. It also asks how often their cough has produced phlegm, caused a hoarse voice, or disturbed conversations. The final questions ask how much control the patient feels over their cough and their overall energy level.

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Liza Wijaya
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3K views1 page

LCQ

This document is a 19-question cough questionnaire that assesses the impact of cough on various aspects of a patient's life over the past 2 weeks. It asks the patient to rate how often their cough has caused chest or stomach pains, disrupted sleep, caused embarrassment or frustration, and interfered with daily tasks or enjoyment of life. It also asks how often their cough has produced phlegm, caused a hoarse voice, or disturbed conversations. The final questions ask how much control the patient feels over their cough and their overall energy level.

Uploaded by

Liza Wijaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LEICESTER COUGH QUESTIONNAIRE

Patient Name: Date:

This questionnaire is designed to assess the impact of cough on various aspects of your life. Read each
question carefully and answer with the best response that applies to you. Please answer ALL questions as
honestly as you can.

1=all the time 2=most of the time 3=a good bit of the time 4=some of the time
5=a little bit of the time 6=hardly any of the time 7=none of the time

1) In the last 2 weeks, have you had chest or stomach pains as a result of your cough?

2) In the last 2 weeks, have you been bothered by sputum (phlegm) production when you cough?

3) In the last 2 weeks, have you been tired because of your cough?

4) How often during the last 2 weeks have you felt embarrassed by your coughing?

5) In the last 2 weeks, my cough has made me feel anxious

6) In the last 2 weeks, my cough has interfered with my job or other daily tasks

7) In the last 2 weeks, I felt that my cough interfered with the overall enjoyment of my life

8) In the last 2 weeks, exposure to paint or fumes has made me cough

9) In the last 2 weeks, has your cough disturbed your sleep?

10) In the last 2 weeks, how many times a day have you had coughing bouts?

11) In the last 2 weeks, my cough has made me feel frustrated

12) In the last 2 weeks, my cough has made me feel fed up

13) In the last 2 weeks, have you suffered from a hoarse voice as a result of your cough?

14) In the last 2 weeks, have you worried that your cough may indicate serious illness?

In the last 2 weeks, have you been concerned that other people think something is wrong with
15)
you, because of your cough?

16) In the last 2 weeks, my cough has interrupted conversation or telephone calls

17) In the last 2 weeks, I feel that my cough has annoyed my partner, family, or friends

1=none of the time 2=hardly any of the time 3=a little of the time 4=some of the time
5=a good bit of the time 6=most of the time 7=all of the time

18) In the last 2 weeks, have you felt in control of your cough?

19) In the last 2 weeks, have you had a lot of energy?

Compared to prior to seeing us, are you:


not improved at all a little better much better wonderfully improved

Total Score______________

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