Public Disability Benefits Questionnaire
Peripheral Nerves
The Peripheral Nerves questionnaire can describe chemotherapy-related peripheral nerve findings when its scope fits. The history, testing and functional-impact fields retain the treatment context and actual effects.
On the original questionnaire: Page 1: title exclusion and fields 1A–1B; page 2: 2A and 3A; pages 3–5: examination findings; pages 6 and 8: nerve assessment introductions; page 13: diagnostic testing; page 14: functional impact.