License for Academic
and Clinical use of the
Fibromyalgia Impact Questionnaire (FIQ)
|
This FIQ license is valid as of Thursday, August 26, 2010 |
|
Name of Licensee:
First_name
Last_name Location: City_State_Zip_Country Project title: Project_title Estimated start date: Start Estimated finish date: Finish
Note.
This license is only applicable to this one study.
A license to use
of the FIQ for any other studies requires re-registration.
|
Please download FIQ version 2.1 for use in this study
Please print this form for confirmation of your FIQ license