The aim of this study was to validate the measurement properties of the Danish version of the Illness Perception Questionnaire–Revised adapted to measure symptom representations among patients with colorectal cancer symptoms. A total of 488 colorectal cancer patients completed a questionnaire derived from the Illness Perception Questionnaire–Revised to retrospectively assess cognitive and emotional representations of experienced symptoms. A confirmatory factor analysis indicated no good comparative fit with the Illness Perception Questionnaire–Revised. Using exploratory factor analysis, a 7-factor structure was conducted, which fairly supported the Illness Perception Questionnaire–Revised. The modified Illness Perception Questionnaire–Revised is a promising tool for measuring symptom representations among Danish colorectal cancer patients.