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Name of questionnaires
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Author(s)
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Original language
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Countries concerned
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| 2-item Chronic Idiopathic Constipation (CIC 2) (Mapi Values / P.C) |
Mapi Values, P.C |
English (UK) |
Australia, Belgium (Dutch, French), Canada (French, English), Denmark, France, Germany, The Netherlands, Norway, Sweden |
| Chronic Liver Disease Questionnaire (CLDQ) |
Dr. Z.M. Younossi |
English (USA) |
Taiwan (Mandarin Chinese) |
| Constipation Symptom Assessment Inventory (CSAI) |
Lori Frank |
English (USA) |
Australia, Belgium (Dutch, French), Canada (French), Denmark, Finland, France, Germany, The Netherlands, Norway, Sweden, UK (English) |
| Digestive Health Status Instrument (DHSI) |
Dr M.J. Shaw |
English (USA) |
Austria, Belgium (Dutch, French), Bulgary, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Iceland, Israel (Hebrew, Russia), Italy, Lithuania, Norway, Poland, The Netherlands, Spain (Castillean, Catalan), Switzerland (French, German, Italian), UK (English), Ukraine |
| Dyspepsia Ranking Scale |
Nick Talley, Ingela Wiklund |
English (UK) |
France, Spain |
| Dyspepsia Symptom Checklist |
Nick Talley, Ingela Wiklund |
English (UK) |
France, Spain |
| Fecal Incontinence Quality of Life Questionnaire (FIQOL) |
Todd H. Rockwood |
English (USA) |
France, Germany, Sweden, UK (English) |
| Functional Digestive Disorders QOL Questionnaire (FDDQoL) |
O. Chassany, Mapi Values, PC |
French |
Canada (English, French), Germany, Hungary, Italy, Spain, UK (English), USA (English) |
| Gastrointestinal Assessment Profile (GIAP) |
Nick Talley, Ingela Wiklund |
English (UK) |
France, Spain |
| Gastrointestinal Symptom Rating Scale (GSRS) |
Dr J. Svedlund |
English (UK) |
Hungary, Poland, South Africa (Afrikaans) |
| Hepatitis Quality of Life Questionnaire (HEPQLQ) |
John Ware
QualityMetric |
English (USA) |
France |
| IBD QoL Questionnaire |
R. Fedorak |
English (Canada) |
Denmark, Finland, France, Germany, Italy, The Netherlands, Norway, Slovakia, Spain, Sweden |
| IBDQ (Inflammatory Bowel Disease Questionnaire) |
Prof. Jane Irvine |
English (Canada) |
Australia, Austria (German), Belgium (Dutch, French), Bulgaria, Canada (French), Denmark, Finland (Finnish, Swedish), France, Germany, Hungary, India (Bengali, English, Gujarati, Kannada, Malayalam, Marathi, Punjabi, Tamil, Telugu, Urdu), Italy, Israel (Arabic, Hebrew, Russian), Latvia (Latvian, Russian), Lithuania (Lithuanian, Russian), The Netherlands, New Zealand, Poland, Romania, Russia, Serbia, Slovakia, South Africa (Afrikaans, English, Sesotho, Xhosa, Zulu), Sweden, Ukraine (Russian), USA (Spanish) |
| IMPACT III |
Dr Loonen
Dr Derkx
Dr Thomas |
English (UK) and Dutch |
France |
| Irritable Bowel Syndrome Quality of Life Questionnaire (IBSQOL©) |
Prof Patrick
Dr Drossman
& Novartis |
English (USA) |
Argentina, Austria, Belgium (Dutch, French), Canada (English, French), Chile, Colombia, Czech Republic, Ecuador, Denmark, Egypt, Finland, France, Germany, Hungary, Italy, The Netherlands, New Zealand, Norway, Peru, Poland, Spain, South Africa (Afrikaans, English), Sweden, Turkey, UK (English), USA (Spanish) |
| Irritable Bowel Syndrome Questionnaire (IBSQ) |
Dr Beth Hahn |
English (UK) |
Brazil, China (Mandarin Chinese), Hong Kong (Cantonese Chinese), Korea, Philippines (Cebuano, Tagalog), Singapore (Mandarin Chinese), Taiwan (Mandarin Chinese), Thailand |
| Irritable Bowel Syndrome Questionnaire-Modified--Resource Utilization (IBSQM) |
Belgium (Dutch, French) |
| Leeds Dyspepsia Questionnaire (LDQ) |
Dr P. Moayyedi |
English (UK) |
Belgium (Dutch, French), Canada (English, French), France, The Netherlands, Poland, USA (English) |
| Nepean Dyspepsia Index, Short Form (SF-NDI) |
Nicholas J. Talley |
English (Australia) |
Belgium (Dutch, French), France, Germany, Hungary, Italy, Japan, The Netherlands, Poland, Spain, Norway, UK (English) |
| Patient Assessment of Constipation QoL (PAC-QOL©) |
Johnson & Johnson |
English (UK) |
Argentina (Spanish), Australian (English), Belgium (Dutch, French), Brazil (Portuguese), Canada (English , French), Chile, China (Mandarin Chinese), Czech Republic, Denmark, Estonia, Finland, Hong Kong (Cantonese Chinese, Mandarin Chinese), Hungary, India (Hindi, Kannada, Tamil, Telugu), Korea, Italy, Japan, Mexico (Spanish), The Netherlands, Norway, Pakistan (Urdu), Peru (Spanish), The Philippines (Tagalog), Poland, Singapore (Mandarin Chinese), Spain, Sweden, Taiwan (Mandarin Chinese), USA (English) |
| Patient Assessment of Constipation QoL (PAC-QOL) (ONLY Dissatisfaction module of PAC-QOL© (5 items)) |
English (UK) |
Chile, Czech Republic, Greece, Hungary, New Zealand, Portugal, Russia, Slovakia, South Africa (Afrikaans, English), USA (Spanish) |
| Patient Assessment of Constipation symptoms (PAC-SYM©) |
English (USA) |
Argentina, Australia (English), Belgium (Dutch and French), Brazil (Portuguese), Bulgaria, Canada (English and French), Chile (Spanish), Costa Rica (Spanish), Croatia, Czech Republic, Ecuador (Spanish), Estonia, Greece, Hong Kong (Chinese), Iceland, India (Hindi, Kannada, Tamil, Telugu), Italy, Japan, Korea, Latvia (Latvian, Russian), Lithuania, Mexico (Spanish), The Netherlands, Norway, Pakistan (Urdu), Panama (Spanish), Peru (Spanish), The Philippines (Tagalog), Poland, Portugal, Romania, Russia, Serbia, Slovakia, Slovenia, South Africa (Afrikaans, English), Spain, Sweden, Taiwan, (Chinese), Turkey, UK (English), Ukraine (Ukrainian, Russian), USA (English) |
| Electronic DiarywithPAGI-Sym Questions (E-Diary) |
English (USA) |
Belgium (French, Dutch), Brazil, Canada (English, French), Czech Republic, France, Germany, Korea, Poland, Slovakia, South Africa (English, Afrikaans), Spain, Turkey, USA (Spanish) |
| Patient Assessment of Upper Gastrointestinal Disorders Quality of Life Questionnaire (PAGI-QOL©) |
English (USA) |
Argentina, Australia (English), Austria (German), Belgium (French, Dutch), Brazil, Bulgaria, Canada (English, French), Chile, Colombia, Czech Republic, Denmark, Estonia, Finland, France, Greece, Germany, Hungary, India (Gujarati, Hindi, Kannada, Malayalam, Marathi, Tamil, Telugu), Israel (Arabic, Hebrew, Russian), Italy, Korea, Latvia, Lithuania, Mexico, The Netherlands, Norway, Peru, The Philippines (Cebuano, Tagalog), Poland, Portugal, Russia, Slovakia, South Africa (Afrikaans, English, Sesotho, Xhosa, Zulu), Spain, Sweden, Switzerland (French, German, Italian), UK (English), Ukraine, USA (Spanish), Turkey |
| Patient Assessment of Upper Gastrointestinal Disorders Symptoms Questionnaire (PAGI-SYM©) |
English (USA) |
Argentina, Australia (English), Austria (German), Belgium (French, Dutch), Brazil, Bulgaria, Canada (English, French), Chile, Colombia, Czech Republic, Denmark, Estonia, Finland, France, Greece, Germany, Hungary, India (Gujarati, Hindi, Kannada, Malayalam, Marathi, Tamil, Telugu), Israel (Arabic, Hebrew, Russian), Italy, Korea, Latvia, Lithuania, Mexico, The Netherlands, Peru, Poland, Portugal, Russia, Slovakia, South Africa (Afrikaans, English, Sesotho, Xhosa, Zulu), Spain, Sweden, Switzerland (French, German, Italian), UK (English), Ukraine, USA (Spanish), Turkey |
| Patient Assessment of Upper Gastrointestinal Disorders Quality of Life Questionnaire (PAGI-QOL©) |
Johnson & Johnson |
English (USA) |
Argentina, Australia (English), Austria (German), Belgium (Dutch), Brazil, Bulgaria, Canada (French), Chile, Colombia, Czech Republic, Denmark, Estonia, Finland, France, Greece, Germany, Hungary, India (Gujarati, hindi, Kannada, Malayalam, Marathi, Telugu, Tamil), Israel (Arabic, Hebrew, Russian), Italy, Latvia, Lithuania, Mexico, The Netherlands, Peru, Poland, Portugal, Russia, Slovakia, South Africa (Afrikaans, English, Sesotho, Xhosa, Zulu), Spain, Sweden, Switzerland (French, German, Italian), Ukraine, UK (English), US (Spanish) |
| Patient Assessment of Upper Gastrointestinal Disorders Symptoms Questionnaire (PAGI-SYM©) |
Argentina, Australia (English), Austria (German), Belgium (Dutch), Brazil, Bulgaria, Canada (French), Chile, Colombia, Czech Republic, Denmark, Estonia, Finland, France, Greece, Germany, Hungary, India (Gujarati, hindi, Kannada, Malayalam, Marathi, Telugu, Tamil), Israel (Arabic, Hebrew, Russian), Italy, Latvia, Lithuania, Mexico, The Netherlands, Peru, Poland, Portugal, Russia, Slovakia, South Africa (Afrikaans, English, sesotho, Xhosa, Zulu), Spain, Sweden, Switzerland (French, German, Italian), Ukraine, UK (English), USA (Spanish) |
| Patient Global Impression of Change - Bowel Symptoms (PGIC-IBD) |
- |
English (USA) |
USA (Spanish) |
| Personal Health Survey (Hepatitis) |
P.C, NEMC |
English (USA) |
Canada (French), Denmark, France, Germany, Italy, Spain, Sweden, UK (English) |
| QOLRAD-Dyspepsia (Questionnaire for Patients with Upper Abdominal Symptoms) |
Dr Ingela Wiklund |
English (UK) |
Hungary, Poland, South Africa (Afrikaans) |
| QOLRAD-Heartburn (Questionnaire for Patients with Symptoms of Heartburn) |
Dr Ingela Wiklund |
English (UK) |
Bulgaria, Czech Republic, Hungary, Japan, Poland, Slovakia, Romania |
| QOLRAD-NSAID (Questionnaire for Patients with Gastrointestinal Symptoms) |
Dr Ingela Wiklund |
English (UK) |
Hungary, Poland, South Africa (Afrikaans) |
| Quality of Life and Constipation (CICQOL battery) |
Mapi Values, P.C |
English (UK) |
Denmark, Finland, France, Germany, The Netherlands, Norway, Sweden, US (English) |
| Questionnaire Qualité de vie dans le Reflux Gastro-Oesophagien (Reflux Qual) |
Mapi Values, P.C |
French |
Belgium (Dutch), Germany, Italy, the Netherlands, UK (English), US (English, Mexican) |
| RFIPC |
D. Drossman |
English (USA) |
France |
| Severity of Dyspepsia Assessment (SODA) |
Dr Linda Rabeneck |
English (USA) |
Argentina, Belgium (Dutch, French), Brazil, Canada (French), Chile, Czech Republic, Denmark, Finland , France, Germany, Hungary, Italy, Japan, The Netherlands, Norway, Poland, Slovakia, Spain, Sweden, Turkey, USA (Spanish), UK (English) |
| Upper Gastro – Intestinal Disorders (UGID) |
- |
- |
Australia, Italy, The Netherlands, UK (English), US (English) |
P.C = pharmaceutical company
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Questionnaires-Translations 
