Primarily self-administered comprehensive geriatric assessment tool*

Domain	Measures
Functional status	1) Activities of Daily Living [Subscale of Medical Outcomes Study Physical Health Scale]
	2) Instrumental Activities of Daily Living [Subscale of the OARS]
	3) Karnofsky performance status (Physician-Rated)
	4) Karnofsky performance status (Patient-Rated)
	5) Timed Up and Go
	6) Number of falls in last six months
Comorbidity	Physical Health Section [Subscale of the OARS]
Cognition	Blessed Orientation-Memory-Concentration Test
Psychological	Hospital Anxiety and Depression Scale
Social functioning	Medical Outcomes Study Social Activity Limitations Measure
Social support	Medical Outcomes Study Social Support Survey: Emotional/Information & Tangible Subscales
Nutrition	1) Body mass index
Nutrition	2) Percent unintentional weight loss in the last 6 months

OARS: Older Americans Resources and Services.
* Also captures information on demographics and cancer characteristics.

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