Specific questionnaires: DIABETES

Name of questionnaires

Author(s)

Original language

Countries concerned

Audit of Diabetes Dependent Quality of Life (ADDQoL) C. Bradley English (UK) Brazil, France, Italy, Mexico, Poland, Portugal
New Audit of Diabetes Dependent Quality of Life (New ADDQoL) Brazil, Canada (English, French), Finland, France, Germany, India (Hindi, Punjabi), Italy, Mexico, Poland, Spain, US (English, Spanish)
Audit of Diabetes Knowledge (ADKnowl) C. Bradley English (UK) India (Hindi, Punjabi)
Beliefs about severity (BAS) C. Bradley English (UK) France
Barrieren der Insulintherapie-Fragebogen (BIT) Dr Frank Petrak German US (English)
Diabetes--Fear of Injecting and Self-Testing Questionnaire (D-FISQ) F.J. Snoek Dutch France, Korea, UK (English)
Diabetes Impact Measurement Scale (DIMS) Thomas Aoki & Steven Hammond English (USA) France
Diabetic Neuropathy Quality of Life Questionnaire (QOL-DN) Aaron and Vinik English (USA) Australia, Canada (English, French), Germany, France, Spain, English
Diabetes QoL Measure (DQoL) A. Jacobson and DCCT Group English (USA) Belgium (French), France, Spain
Diabetes Symptom Checklist - Revised (DSC-R) F.J. Snoek Dutch Australia, Belgium (Dutch, French), Brazil, Bulgaria, Canada (French), Chile, Colombia, Czech Republic, Croatia, Denmark, Estonia, Finland, France, Germany, Greece, Guatemala, Hungary, Israel (Arabic, Hebrew, Russian), Italy, Korea, Marathi, The Netherlands, Norway, Poland, Portugal, Puerto Rico, Romania, Russia, Slovakia, South Africa (English), Spain, Sweden, Turkey, US (Spanish), Venezuela

DSC-R2: Latvia, Lithuania, Ukraine
Diabetes Treatment Satisfaction Questionnaire (DTSQ) C. Bradley English (UK)

Argentina, Australia, Austria, Belgium (Dutch, French), Brazil, Bulgaria, Canada (English, French), Chile, Colombia, Croatia, Czech Republic, Denmark, Finland (Finnish, Swedish), France, Germany, Guatemala, Iceland, Italy, Israel (Hebrew), Hungary, India (Hindi, Kannada, Malayalam, Marathi, Punjabi, , Tamil, Telugu), Lithuania, Macedonia, Mexico, The Netherlands, Norway, The Philippines (Tagalog, Cebuano), Poland, Portugal, Puerto Rico, Russia, Slovakia, South Africa (Afrikaans, English), Spain (Castillean, Catalan), Switzerland (French, German, Italian), Taiwan (Mandarin Chinese), Turkey, Ukraine (Russian), USA (English, Spanish), Venezuela

Diabetes Treatment Satisfaction Questionnaire, 9-item form (DTSQ-9) India (Hindi, Punjabi)
Diabetes Treatment Satisfaction Questionnaire, Status Version (DTSQS) Brazil, France
Diabetic Foot Ulcer Scale (DFS) P.C
Mapi Values
English (UK)

Belgium (Dutch), Canada (French), France, Germany, Italy, The Netherlands, Sweden, US (English)

Diabetic Foot Ulcer Scale - Short Form (DFS-SF) Canada (French)
Edmonton Symptom Assessment System (ESAS) Eduardo Bruera, Kuehn N, Miller MJ, Selmser P, Macmillan K., Wade M.D. Anderson English (USA) Argentina (Spanish), Australia (English), Brazil (Portuguese), Canada (English, French), China (Mandarin Chinese), Danemark (Danish), France (French), Germany, Hungary, Italy, Israel (Arabic, Hebrew, Russian), New Zealand (English), the Netherlands (Dutch), Poland, Portugal (Portuguese), Russia (Russian), South Africa (Afrikaans, English), Spain (Spanish), Sweden, Turkey, UK (English), US (English, Spanish)
Experience of Treatment Benefits and Barriers (ETBB) C. Bradley English (UK) Canada (French), France, UK (English), USA (Spanish)
FBD (QSD 45) P. Hershbach German France
Hypoglycemia Fear Survey (HFS) - Worry subscale L. Gonder-Frederick English (USA) France, Germany
Insulin Satisfaction Questionnaire (InsulinSQ) S. Szeinbach English (USA) Canada (French), Czech Republic, Germany, Italy, Poland
Insulin Treatment Satisfaction Questionnaire (ITSQ) Dr Meryl Brod (The BROD Group) English (USA) Australia , India (Hindi, Kannada, Malayalam, Marathi, Telugu, Tamil), Malaysia (Chinese, Malay), Slovakia
Macular Disease – Quality of Life (MacDQoL) C. Bradley English (UK) Argentina (Spanish), Brazil (Portuguese)
Quality of Life Questionnaire Diabetic Neuropathy Version (QOL-DN) Aaron and Etta Vinik English (USA) Australia, Canada (English, French), German, Spain, UK (English)
RetDQOL C. Bradley English (UK) Canada (English, French), France, Germany, Italy, Spain, USA (English, Spanish)
RetTSQ C. Bradley English (UK)

*includes RetTSQ State and Change

Canada (English, French), France, Germany, Italy, Spain, USA (English, Spanish)

Rotterdam Symptom Checklist (RSCL) JCJM de Haes, FCE van Knippenberg, JFA Pruyn, JP Neijt Dutch (the Netherlands) Argentina (Spanish), Australia (English), Brazil (Portuguese), Canada (English, French), China (Mandarin Chinese), Danemark (Danish), France (French), Germany, Hungary, Italy, Israel (Arabic, Hebrew, Russian), New Zealand (English), the Netherlands (Dutch), Poland, Portugal (Portuguese), Russia (Russian), South Africa (Afrikaans, English), Spain (Spanish), Sweden, Turkey, UK (English), US (English, Spanish)
Self-Report Adherence and Barriers Questinnaire (SRAB) R.W. Grant English (USA) Finland, France, Germany, Norway, Spain, Sweden
Treatment Flexibility Scale (TFS) Lewin-Technology Assessment Group (TAG) English (USA) Australia, Belgium (Dutch, French), Brazil, Denmark, Finland, France, Germany, Italy, The Netherlands, Norway, Poland, Portugal, Puerto Rico, Sweden
Well-Being questionnaire (WBQ-12) C. Bradley English (UK) Argentina, Brazil
Well-Being questionnaire (WBQ-28) India (Hindi, Punjabi)
P.C = pharmaceutical company