Mapi Research Trust provides reliable, comprehensive and up-to-date information services to research scientists, pharmaceutical companies, and governmental health agencies involved in the fields of Patient-Reported Outcomes (PRO) and Epidemiology worldwide.

CONFIDENTIAL DISCLOSURE

LIMITED USE AGREEMENT

for the Skindex questionnaire - version 29-items
(SKINDEX29©)

THIS AGREEMENT WILL EXPIRE 7 DAYS AFTER RECEIPT.
THE COPY OF THE SKINDEX29 SUPPLIED WITH THIS AGREEMENT MAY ONLY BE USED FOR EXAMINATION PURPOSES.
To view the questionnaire, please complete the following form:
Gender Male     Female
First Name
Last Name*
Company
Position
Title
Address*
Zip / Postal Code*
City*
State / Province
Country*
Phone
Fax
Email*
* required field


The information which concerns you is intended for Mapi Research Trust and its affiliates. It helps us to get to know you better and will be used to keep you informed of our products and services.

If you object, please tick this box

You have the right to access , modify , rectify and delete any data that concern you (art. 34 - Law "Informatique et Libertes" of January 6, 1978 - Data Protection). To exercise this right, contact Mapi Research Trust, 27 rue de la Villette, 69003 Lyon, France.

YOUR ACQUISITION OF AN EXAMINATION COPY OF SKINDEX29 SIGNIFIES YOUR FULL AGREEMENT TO THE FOLLOWING CONDITIONS:

This License Agreement is for your limited use of the Skindex questionnaire - version 29-items (SKINDEX29©) , © MM Chren, 1997   All Rights Reserved.

This Agreement provides you with a personal, non-transferable, royalty-free, non-exclusive right and license to use the SKINDEX29 for limited purpose of examining the suitability of the SKINDEX29 for subsequent research and/or clinical use. This Agreement does not include: (1) any license for use of the SKINDEX29 in research or in clinical practice(2) any license to sell or sublicense use of the SKINDEX29 . The SKINDEX29 may be examined only by persons whom you employ or whom you engage as independent contractors. You assume all risk for use of the SKINDEX29. This License only entitles you to obtain and use, for examination purposes, a single copy of the SKINDEX29.

You are not authorized to modify, retype, translate, copy or otherwise duplicate the SKINDEX29 except with the further and prior written permission of LICENSOR (Mapi RESEARCH TRUST).

2013 05 22

To access the catalog of the questionnaires distributed by Mapi Research Trust, please click here.

 

New questionnaires distributed by Mapi Research Trust 
 
BASDAI (Bath Ankylosing Spondylitis Disease Activity Index)
Andrei Calin (UK)

BASFI (Bath Ankylosing Spondylitis Functional Index)
Andrei Calin (UK)

CQLQ (Cough-Specific Quality-of-Life Questionnaire)
Richard S. Irwin, Kenneth E. Fletcher and Cynthia T. French (USA)

IBHQ (Impact of Bronchiolitis Hospitalization Questionnaire)
Abbott France (France)

PACD (Pediatric Asthma Caregiver Diary)
Merck Sharp & Dohme Corp. (USA)

SAC BDI-TDI (Self-administered Computerized version of the BDI-TDI) 
Psychological Applications LLC (USA) and Donald A. Mahler (USA)




Coming soon!

Information about licensing the following instruments will soon be displayed on our site.
Meanwhile for any information please contact us !

Crohn and Anti-tnf Treatment Satisfaction questionnaire
Abbott France (France)

G-SAQ (Grenoble Sleep Apnea Questionnaire)
Daniel Veale et al. (France)

P-RLS-DI (Pediatric Restless Legs Syndrome Diagnostic Interview)
Boehringer Ingelheim Pharma (Germany)