Question no

Below average

Average

Good

Very good

Excellent

Total score

(Out of 25)

1

2

3

4

5

Are you satisfied by this scar

Are you in need of change of the clothing style because of scar

Has your daily manual work or duties influenced by the donor site

Are you in need of applying special medication for donor site

Is there problem to wear the ornaments or watch after operation on affected side