Spiritual distress may ascend from unmet spiritual needs. The use of instruments to measure spiritual distress seems to facilitate the approach to spirituality. such as the Spiritual Distress Scale (SDS) that has been used worldwide. No instrument to assess spiritual distress in cancer patients is currently available in Portugal. https://www.bekindtopets.com/quick-offer-Rough-Country-1307-2in-Leveling-Kit-2007-2020-Silverado-Sierra-1500-mega-pick/