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Free academic and clinical use of the Fibromyalgia Impact
Questionnaire (FIQ) is based on agreement to the following
understandings:
1. The
FIQ and all translations and
derivations are under copyright protection with all
rights reserved to the Authors.
2. This academic license of the
FIQ will not be used for Industry Sponsored Studies or similar
Commercial Uses.
3.
The original 1991 FIQ was modified in
1997, when 1 item (climb stairs) was added to the
physical function subscale, hashmarks
were added to the visual analogue scales to make scoring
easier, and the words "including housework" were added to the 2
work-related items so that housework was recognized as a legitimate type
of work. To avoid any confusion between both versions, each version will
be numbered as follows:
· FIQ
1991 will be version 1.0.
· FIQ
1997 revised will be version 2.0.
For
any new study, use of the FIQ 2.0 shall be required.
5.
No changes to the wording or phrasing of the FIQ can
occur without written permission from Authors. If any
changes are made to the wording
or
phrasing of any FIQ item without permission, the document
cannot be considered the FIQ,
and subsequent analyses and/or comparisons to other FIQ
data will not be considered appropriate.
6. Any publication resulting from
use of the FIQ shall reference the following 2 publications:
(i)
Burckhardt, C.S.,
Clark, S.R., Bennett, R.M.: The fibromyalgia impact questionnaire
(FIQ): development and validation.
J
Rheumatol.
18:728-733, 1991.
(ii) Bennett RM, The Fibromyalgia Impact Questionnaire (FIQ): a review
of its development, current version, operating
characteristics and uses. Clin Exp Rheumatol. 2005
Sep-Oct;23(5 Suppl 39):154-62.
7. Queries relating to this
academic license should be addressed to MAPI at
trust@mapi.fr.
8. I, the proposed licensee,
agree to the above stipulations and request an academic license to use
the FIQ by completing and submitting the following details:
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