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FIQ (Fibromyalgia Impact Questionnaire) PDF Print E-mail

Developed by:
Burckhardt CS, Clark SR, Bennett RM at Oregon Health & Science University

Objective:
To capture the total spectrum of problems related to fibromyalgia and the responses to therapy

Copyright:
Burckhardt CS, Clark SR, Bennett RM. All Rights Reserved

Reference publication:
Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991; 18(5):728-733.

A list of FIQ references (in HTML format) can be found on the Fibromyalgia Information Website.

Conditions of use:

1. Academic and Clinical License:

The FIQ is free for academic and clinical use.
To obtain an on-line license to use the FIQ, please register at Academic and Clinical License
To access FIQ existing translations, please contact MAPI Research Trust at This e-mail address is being protected from spambots. You need JavaScript enabled to view it  
To develop FIQ translations, please see below conditions to translate.

2. Industry and Commercial License:

The use of the FIQ for industry sponsored research and other commercial uses is licensed by the MAPI Research Trust on behalf of the copyright holders. It is subject to specific conditions including a user fee and translation fee.
Details are provided below :

2.1.  User Agreement:

User is required to complete and sign a User Agreement in which specific conditions required by the copyright holders are detailed.

2.2.  Access fees:

carre6 Author's royalty fee : The use of the FIQ for industry sponsored research and other commercial uses is subject to Authors' royalty fees, of an amount 1,000 €*  per protocol/application + 500 €* per language version.

Other specific conditions requested by the Author are detailed in the User Agreement.

carre6 Distribution fees : The use of the FIQ for industry sponsored research and other commercial uses is subject to a distribution fee payable to MAPI Research Trust, of an amount of 500 €* per study + 150 €* per language version.

Conditions to translate:

The FIQ has already been translated into various languages. Distribution of the FIQ translations is processed as the orignal version. Please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it for list of existing translations (validated or not validated).

carre6 Performing new translations
To be granted permission to translate the FIQ, please complete the FIQ Translation Agreement.

The Translation Agreement shall complement the User Agreement. All FIQ translations must be conducted in close collaboration with MAPI Institute in Lyon, France and with the developers who jointly developed translation guidelines to fit the FIQ specificities. Developers of the FIQ owns the copyright on any new translation (refer to the User and Translation Agreements for more details about conditions of use).

carre6 Commercial and/or International studies
In order to undertake the linguistic validation of the FIQ questionnaire, funds are needed to support the whole translation process. Please contact the MAPI Institute at This e-mail address is being protected from spambots. You need JavaScript enabled to view it for an estimate of time and cost to translate/validate the needed version(s) in collaboration with the developers.

carre6 Academic translations / Not funded research and Evaluation studies
If funds are not available, FIQ translation guidelines will be provided to allow academics and clinicians to use the FIQ in their institution.

Review copy / Original version:

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 has been numbered as follows:

carre6 FIQ 1991 will be version 1.0.
carre6 FIQ 1997 revised will be version 2.0.
For any new study, use of the FIQ 2.0 shall be required.

Original US English version 2.0 available for review purpose only. Please click here to access.

Contact information:

MAPI Research Trust
Christelle BERNE

27 rue de la Villette
F - 69003 LYON
Tel: +33 4 72 13 65 75
Fax: +33 4 72 13 66 82

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Please have the User Agreement completed, dated and signed and return one original copy to MAPI Research Trust by post. As soon as we receive it, we will process your request.

More information on Oregon Fibromyalgia Foundation  and FIQ on PROQOLID

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