1. The COMPASS-31 Scale
A validated 31-item quantitative audit of the patient's autonomic hardware.
Orthostatic Intolerance
1. In the past year, have you ever felt faint, dizzy, "goofy", or had difficulty thinking soon after standing up?
No Yes
2. When standing up, how frequently do you get these feelings?
N/A Rarely Occasionally Frequently Almost Always
3. How would you rate the severity of these feelings?
N/A Mild Moderate Severe
4. In the past year, have these feelings gotten:
N/A / Better / Gone Stayed about the same Somewhat worse Much worse
Vasomotor Function
5. In the past year, have you ever noticed color changes in your skin, such as red, white, or purple?
No Yes
6. What parts of your body are affected? (Select highest severity)
N/A Hands Feet Both
7. Have these skin changes gotten:
N/A / Better / Gone Stayed about the same Somewhat worse Much worse
Secretomotor Function
8. In the past 5 years, what changes have occurred in your general body sweating?
No Change Sweat somewhat less/more Sweat much less/more
9. Do your eyes feel excessively dry?
No Yes
10. Does your mouth feel excessively dry?
No Yes
11. For your dry eyes/mouth, has this symptom gotten:
N/A / Better / Gone Stayed about the same Somewhat worse Much worse
Gastrointestinal (Enteric) Function
12. Have you noticed changes in how quickly you get full when eating?
No Change Full more quickly Full a lot more quickly
13. Have you felt excessively full or bloated after a meal?
Never Sometimes A lot of the time
14. Have you vomited after a meal?
Never Sometimes A lot of the time
15. Have you had cramping or colicky abdominal pain?
Never Sometimes A lot of the time
16. Have you had bouts of diarrhea?
No Yes
17. How frequently do you have diarrhea?
N/A Rarely Occasionally Frequently / Constantly
18. How severe are these bouts?
N/A Mild Moderate Severe
19. Are the bouts of diarrhea getting:
N/A / Better / Gone Stayed about the same Somewhat worse Much worse
20. Have you been constipated?
No Yes
21. How frequently are you constipated?
N/A Rarely Occasionally Frequently / Constantly
22. How severe are these episodes?
N/A Mild Moderate Severe
23. Is your constipation getting:
N/A / Better / Gone Stayed about the same Somewhat worse Much worse
Bladder Function
24. Have you ever lost control of your bladder function?
Never Rarely Occasionally Frequently
25. Have you had difficulty passing urine?
Never Rarely Occasionally Frequently
26. Have you had trouble completely emptying your bladder?
Never Rarely Occasionally Frequently
Pupillomotor Function
27. Without sunglasses, has bright light bothered your eyes?
Never Rarely Occasionally Frequently
28. How severe is this sensitivity to light?
N/A Mild Moderate Severe
29. Have you had trouble focusing your eyes?
Never Rarely Occasionally Frequently
30. How severe is this focusing problem?
N/A Mild Moderate Severe
31. Is the most troublesome eye symptom getting:
N/A / Better / Gone Stayed about the same Somewhat worse Much worse
