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Catalog of MRT Questionnaires
questionnaires
List of instruments distributed by MAPI Research Trust


1. Coming soon! Information about licensing the following instruments will soon be displayed on our site. Meanwhile for any information please contact us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it !


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

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

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

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





2. Available here: please click on the following links to find conditions of use and other information about the particular instruments

triangle AAIQOL (Activity and Affect Indicators of QOL)
Steven Albert (USA)
 

triangle ACCEPT (Chronic Treatment Acceptance Questionnaire)
Registrat MAPI (France) / MAPI Consultancy
 

triangle ADCPQ (Alzheimer’s Disease Caregiver Preference Questionnaire)
Novartis Pharmaceuticals Corporation (USA) / MAPI Values
 

triangle ADRQL (Alzheimer Disease Related Quality of Life)
Black Betty S, Kasper Judith D and Rabins Peter V - Johns Hopkins Medical Institutions (USA) -
 

triangle ARTS (OsteoARthritis Treatment Satisfaction Questionnaire)
Pfizer (France) / MAPI Values
 

triangle ASRS (Augmentation Severity Rating Scale)
The European Restless Legs Syndrome Study Group (EURLSSG)
 

triangle AUQUEI (Autoquestionnaire Enfant Imagé - Pictured Child's Quality of Life Self Questionnaire)
Alice Dazord and Sabine Manificat (France)
 

triangle Barthel Index
Florence I. Mahoney and Dorothea W. Barthel.
 

triangle BDI-TDI (Baseline and Transition Dyspnea Indexes)
Donald A. Mahler (USA)
 

triangle BHQ (Bronchial Hyperresponsiveness Questionnaire)
Thys van der Molen (The Netherlands)
 
triangle BPHII (Benign Prostatic Hyperplasia Impact Index)
Michael Barry (USA)
 

triangle BREAST-Q™
Pusic AL, Cano S, Klassen A (USA)
 

triangle CASC (Comprehensive Assessment of Satisfaction with Care)
Anne Brédart (France)
 

triangle CCQ (Clinical COPD Questionnaire)
Thys van der Molen (The Netherlands)
 

triangle CECA (Cuestionario Específico en Condilomas Acuminados)
Xavier Badia (Spain)
 

triangle CONTILIFE (Quality of Life Assessment Questionnaire Concerning Urinary Incontinence)
Sanofi-Aventis (France) / MAPI Values
 

triangle CTSQ (Cancer Therapy Satisfaction Questionnaire)
Pfizer Inc. (USA)
 

triangle D-FIS (Daily Fatigue Impact Scale) 
John Fisk (Canada)
 

triangle DFS (Diabetic Foot Ulcer Scale) and DFS-SF (Diabetic Foot Ulcer Scale - Short Form) 
Johnson & Johnson (USA) / MAPI Values
 

triangle DiabMedSat (Diabetes Medication Satisfaction)
Novo Nordisk (Denmark)
 

triangle DN4 (Douleur Neuropathique 4 Questions - Neuropathic Pain 4 Items)
Didier Bouhassira (France)
 

triangle DPM (Diabetes Productivity Measure)
Novo Nordisk (Denmark)
 

triangle DSM (Diabetes Symptom Measure)
Novo Nordisk (Denmark)
 

triangle EDITS (Erectile Dysfunction Inventory of Treatment Satisfaction)
Pfizer Inc. (USA)
 

triangle ESS (Epworth Sleepiness Scale)
Murray W. Johns (Australia)
 

triangle FBA (Food Benefits Assessment)
Guyonnet D, Chassany O et al. for Danone (France) / MAPI Values
 

triangle FDDQL (Functional Digestive Disorders QoL Questionnaire)
Olivier Chassany, Parke Davis (France) / MAPI Values
 

triangle FIQ (Fibromyalgia Impact Questionnaire)
Burckhardt CS, Clark SR, Bennett RM (USA)
 

triangle FIQR (Revised Fibromyalgia Impact Questionnaire)
Bennett RM, Friend R (USA)
 

triangle FiRST (Fibromyalgia Rapid Screening Tool)
Serge Perrot & Didier Bouhassira (France)
 

triangle FIS (Fatigue Impact Scale)
John Fisk (Canada)
 

triangle GCSI (Gastroparesis Cardinal Symptom Index)
Johnson & Johnson (USA)
 

triangle GHQ (General Health Questionnaire)
David P Goldberg - GL Assessment (UK)
 

triangle GLAUQOL (Glaucoma Quality of Life Questionnaire)
Bausch & Lomb Chauvin (France) / MAPI Values
 

triangle GSAS (Gastroesophageal Reflux Disease Symptom Assessment Scale) 
Johnson & Johnson (USA)
 

triangle HADS (Hospital Anxiety and Depression Scale)
Snaith RP and Zigmond AS - GL Assessment (UK)
 

triangle HAQ (Health Assessment Questionnaire)
James F Fries (USA)
 

triangle HIV-SQUAD (Symptom Quality of Life Adherence) Questionnaire®
Abbott (France) / MAPI Values
 

triangle I-PSS (International Prostate Symptom Score)
Michael Barry (USA)
 

triangle IBS-QOL (Irritable Bowel Syndrome Quality of Life Instrument)
Donald L Patrick, Douglas Drossman, Novartis Pharmaceuticals Corporation (USA)
 

triangle ICQ (Inhaled corticosteroid Questionnaire Long Form)
Thys van der Molen (The Netherlands)
 

triangle ICQ-SF (Inhaled corticosteroid Questionnaire Short Form)
Thys van der Molen (The Netherlands)
 

triangle IIEF (International Index of Erectile Function)
Pfizer Inc. (USA)
 

triangle INQoL (Individualized Neuromuscular Quality of Life Questionnaire)
Kelly Vincent, Alison Carr and Michael Rose (UK)
 

triangle IRLS (International Restless Legs Syndrome Study Group Rating Scale)
International Restless Legs Syndrome Study Group (USA)
 

triangle ISL (Index of Sexual Life Questionnaire)
Pfizer (France) / MAPI Values
 

triangle ITSQ (Insulin Treatment Satisfaction Questionnaire)
Novo Nordisk (Denmark)
 

triangle KHQ (King's Health Questionnaire)
Linda Cardozo and Con Kelleher (UK)
 

triangle MFSQ (McCoy Female Sexuality Questionnaire)
Norma L McCoy (USA)
 

triangle MLHF (Minnesota Living with Heart Failure Questionnaire)
Thomas Rector (USA)
 

triangle MOS-HIV (Medical Outcome Study-HIV Health Survey)
Albert Wu (USA)
 

triangle MPQ (McGill Pain Questionnaire)
Ronald Melzack (Canada)
 

triangle MPQ-SF (McGill Pain Questionnaire - Short Form)
Ronald Melzack (Canada)
 

triangle MSHQ (Male Sexual Health Questionnaire)
Raymond Rosen (USA) and Sanofi-Aventis (France)
 

triangle NEMOQC (New Mother Quality of Care questionnaire)
Ljubica Besker-Ivasovic (Switzerland)
 

 triangle NPI (Neuropsychiatric Inventory)
Jeffrey L. Cummings (USA) 
 

triangle NPS (Neuropathic Pain Scale)
Brad Galer and Mark Jensen (USA)
 

triangle NPSI (Neuropathic Pain Symptom Inventory)
Didier Bouhassira (France)
 

triangle NQ (Nausea Questionnaire)
Ronald Melzack (Canada)
 

triangle ODEON® (Ocular Pain)
Bausch & Lomb Chauvin (France) / MAPI Values
 

triangle ODI (Oswestry Disability Index)
Jeremy Fairbank (UK)
 

triangle ONYCHO (Onychomycosis Quality of Life Questionnaire)
Johnson & Johnson (USA)
 

triangle OSD® (Ocular Surface Disease Questionnaire - Pathologies de la Surface Oculaire)
Bausch & Lomb Chauvin (France) / MAPI Values
 

triangle P-RLS-SS (Pediatric Restless Legs Syndrome Severity Scale)
Boehringer Ingelheim Pharma (Germany) / MAPI Values
 

triangle PAC-QOL (Patient Assessment of Constipation Quality of Life Questionnaire)
Johnson & Johnson (USA) / MAPI Values
 

triangle PAC-SYM (Patient Assessment of Constipation Symptoms Questionnaire)
Johnson & Johnson (USA)
 

triangle PACT-Q (Perception AntiCoagulant Treatment Questionnaire)
Sanofi-Aventis (France) / MAPI Values
 

triangle PAGI-QOL (Patient Assessment of Upper Gastroinstestinal Quality of Life Questionnaire)
Johnson & Johnson (USA) / MAPI Values
 

triangle PAGI-SYM (Patient Assessment of Upper Gastroinstestinal Symptoms Questionnaire)
Johnson & Johnson (USA)
 

triangle Par-ENT-Qol (Parents Questionnaire: The Effects of Rhinopharyngitis and/or Otitis of the Child upon Family Life)
Pierre Fabre Médicament (France) / MAPI Values

 

triangle PDQL (Parkinson's Disease Quality of Life Questionnaire)
Angela de Boer (The Netherlands)
 

triangle PDSS-2 (Parkinson's Disease Sleep Scale)
Ray Chaudhuri (UK), Claudia Trenkwalder (Germany) and Ralf Kohnen (Germany)
 

triangle PedsQL™ (Pediatric Quality of Life Inventory™)
James W. Varni (USA)
 

triangle PGWBI (Psychological General Well-Being Index)
Harold Dupuy (USA)
 

triangle PHQ (Patient Health Questionnaire)
Pfizer Inc. (USA)
The PHQ can now be obtained through the Patient Health Questionnaire website

 

triangle PI-ED (Paediatric Index of Emotional Distress)
Paediatric version of the HADS
GL Assessment (UK)
 

triangle PQAS (Pain Quality Assessment Scale)
Brad Galer, Mark Jensen, and Arnold Gammaitoni (USA)
 

triangle PQAS-R (Revised Pain Quality Assessment Scale)
Brad Galer, Mark Jensen, and Arnold Gammaitoni (USA)
 
triangle PRAC-Test (PRAgmatic Content and face validity Test)
MAPI Consultancy / MAPI Values
 

triangle PSQI (Pittsburgh Sleep Quality Index)
Buysse Daniel J, Berman Susan R, Kupfer David J, Monk Timothy H, Reynolds Charles F (USA)
 

triangle QUAL HEMO (Haemophilia Quality of life questionnaire) 
QUAL HEMO scientific committee /  BAXTER /  MAPI Values

 

triangle QUALIOST® (Quality of Life Questionnaire in Osteoporosis)
Servier (France) / MAPI Values
 

triangle REFLUX-QUAL (Quality of Life Questionnaire in Gastroesophageal Reflux)
Laboratoire Houdé (Aventis), Sanofi Aventis, Michel Amouretti, Jean-Pierre Galmiche and Thierry Poynard (France), MAPI Values
 

triangle RLS-QOL (Johns Hopkins Restless Legs Syndrome Quality of Life questionnaire)
Richard P. Allen (USA)
 

triangle SATMED-Q (Treatment Satisfaction with Medicines Questionnaire)
The EACCOS Group (Spain)
 

triangle SEAR (Self-Esteem And Relationship Questionnaire)
Pfizer Inc. (USA)
 

triangle SF-MPQ-2 (Short-form McGill Pain Questionnaire)
Ronald Melzack (Canada) and IMMPACT (USA)
 

triangle SF-QUALIVEEN (QUALIVEEN Short Form)
Véronique Bonniaud, Dianne Bryant, Pr. Gordon Guyatt, Pr Bernard Parratte and COLOPLAST (France, Canada) / MAPI Values
 

triangle SFI (Sexual Function Index)
Merck US and Michael O'Leary, (USA)
 

triangle SHIP (Studying the Hurdles of Insulin Prescription)
Pfizer (France) / MAPI Values
 

triangle SIP (Sickness Impact Profile)
Gilson Betty, Bergner Marilyn / The Johns Hopkins University (USA)
 

triangle SIQR (Symptom Impact Questionnaire)
Bennett RM, Friend R (USA)
 

triangle SIS (Stroke Impact Scale)
Pamela Duncan (USA)
 

triangle SKINDEX questionnaire - 16 and 29-items versions
Mary-Margaret Chren (USA)
 

triangle SPI (Symptom Problem Index)
Michael Barry (USA)
 

triangle SQLI (Stoma Quality of Life Index)
ConvaTec (USA)
 

triangle TRIM-D and TRIM-D Device (Treatment Related Impact Measure for Diabetes)
Novo Nordisk (Denmark)
 

triangle UROLIFE BPH-QL9 (Benign Prostatic Hypertrophy Health-related Quality of Life Questionnaire)
Bertrand Lukacs and Sanofi-Aventis (France)
 

triangle USP (Urinary Symptom Profile)
French Association of Urology (France) / MAPI Values
 

triangle WHQ (Women's Health Questionnaire)
Myra Hunter (UK)
 

triangle ZBI (Zarit Burden Interview)
Steve Zarit (USA)

 
 

2012 05 26

To access our catalog, please click here.

 

New questionnaires distributed by MAPI Research Trust

ACCEPT (Chronic Treatment Acceptance Questionnaire)
Registrat MAPI (France) and MAPI Consultancy

ADRQL (Alzheimer Disease Related Quality of Life)
Black Betty S, Kasper Judith D and Rabins Peter V. - Johns Hopkins Medical INstitutions (USA)

Barthel Index
Florence I. Mahoney and Dorothea W. Barthel.

ESS (Epworth Sleepiness Scale)
Murray W. Johns (Australia)

FIRST (Fibromyalgia Rapid Screening Tool)
Serge Perrot & Didier Bouhassira (France)

PDSS-2 (Parkinson's Disease Sleep Scale)
Ray Chaudhuri (UK), Claudia Trenkwalder (Germany), Ralf Kohnen (Germany)

Skindex questionnaire 
Mary-Margaret Chren (USA)

TRIM-D and TRIM-D Device (Treatment Related Impact Measure for Diabetes)
Novo Nordisk (Denmark)