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FACIT Searchable Library and Custom Form Developer (Build-a-PRO)

Search the library

Use the search function to find FACIT measures or individual items. In the search results, click on the measure name or individual item name to view more details, including language availability.


Build a custom patient-reported outcome (PRO) form using individual FACIT items.

Use the search function to find FACIT individual items. Select items for your form, sort by order of appearance, add subscale heading(s), and click a button to generate a formatted copy of your custom PRO form (available in English only).

PLEASE NOTE: Be sure to save form to your computer. Selected custom form items and the custom forms you generate will not be saved in your account, even if you are logged-in.

Learn how to create a custom form

Registration and Requests

Register for permission to use a FACIT measure or custom form, or request non-English translations. Search the library and add items to your shopping cart, then click on your cart to register for permission to use a FACIT measure/item and/or request non-English language translations. Please note: there may be fees for use of non-English versions.

Learn more about our translation methodology

All FACIT measures and items from the FACIT Measurement System follow an established FACIT Multilingual Translation Methodology,1,2 which was developed and validated to ensure that resulting translations of quantitative measures reflect conceptual equivalence with the source document rendered in language that is culturally acceptable and relevant to the target population, and is consistent with consensus opinion3. This rigorous methodology requires two forward translations into the target language by native speakers, a reconciled version of the two forward translations done by a third independent translator who is a native speaker of the target language, a back-translation of the reconciled version by an English speaker fluent in the target language, harmonization of the translation with other languages, and review/finalization by a native speaking linguist or HRQL research expert. After the translation phase is completed, items are linguistically validated by testing with patients to confirm the suitability of the translations for the target patient population.

1 Bonomi, A. E., Cella, D.F., Hahn, E.A., Bjordal, K., Sperner-Unterweger, B., Gangeri, L., Bergman, B., Willems-Groot, J., Hanquet, P., and Zittoun, R. (1996). Multilingual translation of the Functional Assessment of Cancer Therapy (FACT) quality of life measurement system. Qual. Life. Res. 5:309-320.

2 Eremenco, S., Cella, D., & Arnold, B. J. (2005). A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Evaluation and the Health Professions, 28: 212-232.

3 Wild, D., Grove, A., Martin, M., Eremenco, S., Ford, S., Verjee-Lorenz, A. et al. (2005). Principles of good practice for the translation and cultural adaptation process for patient reported outcomes (PRO) measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health, 8(2): 94-104.

Learn more about our methodology
Functional Assessment of Cancer Therapy - Breast
(Version 4)
Copyright 1987, 1997
Disease-Specific Measure
View Measures

Below is a list of statements that other people with your illness have said are important. Please circle or mark one number per line to indicate your response as it applies to the past 7 days.

Afrikaans, Arabic, Armenian, Bengali, Bosnian, Bulgarian, Burmese, Cebuano, Croatian, Czech, Danish, Dutch, Estonian, Farsi, Finnish, French, German, Greek, Gujarati, Haitian Creole, Hebrew, Hindi, Hungarian, Indonesian, Italian, Japanese, Kannada, Korean, Latvian, Lithuanian, Macedonian, Malay, Malayalam, Maltese, Marathi, Norwegian, Polish, Portuguese, Punjabi, Romanian, Russian, Sepedi, Serbian, Simplified Chinese, Slovak, Slovene, Spanish, Swedish, Tagalog, Tamil, Telugu, Thai, Traditional Chinese, Turkish, Ukrainian, Urdu, Vietnamese, Wolof, Xhosa, Zulu
Translation of any FACIT measure(s) or item(s) into languages currently not available requires permission from All FACIT measures and items undergo a rigorous translation and linguistic validation methodology, including cognitive debriefing with patients. Please contact us for more information or to request a quote. Click here to learn more about our translation methodology.
GP1 I have a lack of energy
GP2 I have nausea
GP3 Because of my physical condition, I have trouble meeting the needs of my family
GP4 I have pain
GP5 I am bothered by side effects of treatment
GP6 I feel ill
GP7 I am forced to spend time in bed
GS1 I feel close to my friends
GS2 I get emotional support from my family
GS3 I get support from my friends
GS4 My family has accepted my illness
GS5 I am satisfied with family communication about my illness
GS6 I feel close to my partner (or the person who is my main support)
Q1 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box □ and go to the next section.
GS7 I am satisfied with my sex life
GE1 I feel sad
GE2 I am satisfied with how I am coping with my illness
GE3 I am losing hope in the fight against my illness
GE4 I feel nervous
GE5 I worry about dying
GE6 I worry that my condition will get worse
GF1 I am able to work (include work at home)
GF2 My work (include work at home) is fulfilling
GF3 I am able to enjoy life
GF4 I have accepted my illness
GF5 I am sleeping well
GF6 I am enjoying the things I usually do for fun
GF7 I am content with the quality of my life right now
B1 I have been short of breath
B2 I am self-conscious about the way I dress
B3 One or both of my arms are swollen or tender
B4 I feel sexually attractive
B5 I am bothered by hair loss
B6 I worry that other members of my family might someday get the same illness I have
B7 I worry about the effect of stress on my illness
B8 I am bothered by a change in weight
B9 I am able to feel like a woman
P2 I have certain parts of my body where I experience pain