COMPASS 31 QUIZ -

Welcome to your COMPASS 31 QUIZ. This quiz is a refined, internally consistent, and markedly abbreviated quantitative measure of autonomic symptoms based on the original ASP and COMPASS, that is suitable for widespread use in autonomic research and practice.

1. In the past year, have you ever felt faint, dizzy, “goofy”, or had difficulty thinking soon after standing up from a sitting or lying position?

Yes

No (if you marked No, please skip to question 5)

2. When standing up, how frequently do you get these feelings or symptoms?

Rarely

Occasionally

Frequently

Almost Always

3. How would you rate the severity of these feelings or symptoms?

Mild

Moderate

Severe

4. In the past year, have these feelings or symptoms that you have experienced:

Gotten much worse

Gotten somewhat worse

Stayed about the same

Gotten somewhat better

Gotten much better

Completely gone

5. In the past year, have you ever noticed color changes in your skin, such as red, white, or purple?

Yes

No (if you marked No, please skip to question 8)

6. What parts of your body are affected by these color changes? (Check all that apply)

Hands

Feet

7. Are these changes in your skin color:

Getting much worse

Getting somewhat worse

Staying about the same

Getting somewhat better

Getting much better

Completely gone

8. In the past 5 years, what changes, if any, have occurred in your general body sweating?

I sweat much more than I used to

I sweat somewhat more than I used to

I haven’t noticed any changes in my sweating

I sweat somewhat less than I used to

I sweat much less than I used to

9. Do your eyes feel excessively dry?

Yes

10. Does you mouth feel excessively dry?

Yes

11. For the symptom of dry eyes or dry mouth that you have had for the longest period of time, is this symptom:

I have not had any of these symptoms

Getting much worse

Getting somewhat worse

Staying about the same

Getting somewhat better

Getting much better

Completely gone

12. In the past year, have you noticed any changes in how quickly you get full when eating a meal?

I get full a lot more quickly now than I used to

I get full more quickly now than I used to

I haven’t noticed any change

I get full less quickly now than I used to

I get full a lot less quickly now than I used to

13. In the past year, have you felt excessively full or persistently full (bloated feeling) after a meal?

Never

Sometimes

A lot of the time

14. In the past year, have you vomited after a meal?

Never

Sometimes

A lot of the time

15. In the past year, have you had a cramping or colicky abdominal pain?

Never

Sometimes

A lot of the time

16. In the past year, have you had any bouts of diarrhea?

Yes

No (if you marked No, please skip to question 20)

17. How frequently does this occur?

Rarely

Occasionally

Frequently

Constantly

18. How severe are these bouts of diarrhea?

Mild

Moderate

Severe

19. Are your bouts of diarrhea getting:

Much worse

Somewhat worse

Staying the same

Somewhat better

Much better

Completely gone

20. In the past year, have you been constipated?

Yes

No (if you marked No, please skip to question 24)

21. How frequently are you constipated?

Rarely

Occasionally

Frequently

Constantly

22. How severe are these episodes of constipation?

Mild

Moderate

Severe

23. Is your constipation getting:

Much worse

Somewhat worse

Staying the same

Somewhat better

Much better

Completely gone

24. In the past year, have you ever lost control of your bladder function?

Never

Occasionally

Frequently

Constantly

25. In the past year, have you had difficulty passing urine?

Never

Occasionally

Frequently

Constantly

26. In the past year, have you had trouble completely emptying your bladder?

Never

Occasionally

Frequently

Constantly

27. In the past year, without sunglasses or tinted glasses, has bright light bothered your eyes?

Never (if you marked Never, please skip to question 29)

Occasionally

Frequently

Constantly

28. How severe is this sensitivity to bright light?

Mild

Moderate

Severe

29. In the past year, have you had trouble focusing your eyes?

Never (if you marked Never, please skip to question 31)

Occasionally

Frequently

Constantly

30. How severe is this focusing problem?

Mild

Moderate

Severe

31. Is the most troublesome symptom with your eyes (i.e. sensitivity to bright light or trouble focusing) getting:

I have not had any of these symptoms

Much worse

Somewhat worse

Staying about the same

Somewhat better

Much better

Completely gone

Thank you for taking the time to take this quiz and be on the path to better health in collaboration with your primary care doctor. You will find the quiz results. Enjoy complimentary journals to download for you to help keep better track of your diagnosis and symptoms.

Diagnosis Journal,

Symptom Journal

Vitals and Exercise Journal

Diet Journal

Sleep Journal

Name