Specific questionnaires: RESPIRATORY TRACT DISEASES

Name of questionnaires

Author(s)

Original language

Countries concerned

Adult Asthma QoL Questionnaire (AQLQ)
(Self- and Interviewer-administered versions)

E. Juniper English (Canada) Argentina (Spanish), Australia, Austria, Belgium (Dutch, French), Brazil, Bulgaria, Canada (French), Chile, China (Mandarin Chinese), Colombia, Costa Rica, Croatia, Czech Republic, Denmark, Ecuador , Estonia, Finland, France, Germany, Greece, Guatemala, Honduras, Hong Kong (Cantonese Chinese, English), Hungary, India (Gujarati, Hindi, Kannada, Malayalam, Marathi, Punjabi, Tamil, Telugu, Urdu), Indonesia, Israel, Italy, Japan, Korea, Latvia, Lithuania, Macedonia, Malaysia (English, Malay, Mandarin Chinese, Tamil), Mexico, The Netherlands, Norway, Pakistan (Urdu), Peru, The Philippines (English, Filipino), Poland, Portugal, Puerto Rico, Romania, Russia, Serbia, Singapore (Mandarin Chinese, English, Malay), Slovakia, South Africa (Afrikaans, English), Spain, Sweden, Taiwan (Mandarin Chinese), Thailand, Turkey, UK (English), Ukraine, USA (English and Spanish), Venezuela, Vietnam
Adult Asthma QoL Questionnaire with standardised activities (AQLQS)
(Self- and Interviewer-administered versions)
English (Canada) Argentina, Australian, Austria, Belgium (Dutch, French), Brazil, Bulgaria, Canada (French), Chile, China (Mandarin Chinese), Colombia, Costa Rica, Croatia, Czech Republic, Denmark, Ecuador, Estonia, Finland (Finnish, Swedish), France, Germany, Greece, Guatemala, Honduras, Hong Kong (Cantonese Chinese, English), Hungary, India (Gujarati, Hindi, Kannada, Malayalam, Marathi, Punjabi, Tamil, Telugu, Urdu), Indonesia, Israel, Italy, Japan, Korea, Latvia, Lithuania, Macedonian, Malaysia (English, Malay, Mandarin Chinese, Tamil), Mexico, The Netherlands, Norway, Pakistan (Urdu), Peru, The Philippines (Filipino, English), Poland, Portugal, Puerto Rico, Romania, Russia (self-administered only), Serbia, Singapore (English, Malay, Mandarin Chinese), Slovakia, South Africa (Afrikaans, English), Spain, Sweden, Taiwan (Mandarin Chinese), Thailand, Turkey, UK (English), Ukraine, USA (Spanish), Venezuela, Vietnam
Adult Asthma QoL Questionnaire with standardised activities (AQLQS)
Self administered – “Last pollen season” specific version
English (Canada) Germany
Asthma QoL Questionnaire with standardised activities (AQLQ(S) >12 English (Canada)

Argentina, Bulgary, Chile, Colombia, Costa Rica, Croatia, Czech Republic, Denmark, Ecuador, Estonia, Honduras, Hungary, Guatemala, Israel (Hebrew), Latvia, Lithuania, Mexico, Peru, Poland, Puerto Rico, Romania, Russia, Serbia, Slovakia, South Africa (Afrikaans, English), Sweden, Ukraine, Venezuela

Asthma Control Questionnaire (ACQ) English (Canada)

Argentina, Australia, Austria, Belgium (Dutch, French), Brazil (Portuguese), Bulgaria, Canada (French), Chile, China (Mandarin Chinese), Colombia, Costa Rica (Spanish), Croatia, Czech Republic, Denmark, Ecuador, Estonia (Estonian, Russian), Finland, France, Germany, Greece, Guatemala, Honduras, Hong Kong (English, Cantonese Chinese), Hungary, India (English, Hindi, Kannada, Malayalam, Marathi, Tamil, Telugu), Indonesia, Italy, Israel (Hebrew), Japan, Korea, Malaysia (English, Malay, Mandarin Chinese, Tamil), Mexico (Spanish), The Netherlands, Norway, New Zealand, Pakistan (Urdu), Peru, The Philippines (English, Filipino), Poland, Portugal, Puerto Rico, Romania, Russia, Serbia, Singapore (English, Mandarin Chinese), Slovakia, South Africa (Afrikaans, English), Spain, Sweden (Swedish, Finnish), Taiwan (Mandarin Chinese), Thailand, Turkey, UK (English), Ukraine, USA (Spanish), Venezuela, Vietnam

Asthma Control Diary (ACD) English (Canada)

Argentina (Spanish), Brazil (Portuguese), Bulgaria, Czech Republic, Italy, Mexico (Spanish), Poland, Puerto Rico (Spanish), Russia, Spain, Ukraine

Asthma Control Test™
(ACT)
QualityMetric, Inc. English (USA)

Algeria, Argentina, Austria (German), Bangladesh (Bengali), Belgium (Dutch, French), Brazil (Portuguese), Canada (English, French), Chile, China (Mandarin Chinese), Colombia, Czech Republic, Denmark, Ecuador, Egypt, Finland, France, Germany, Greece, Hong Kong, Iceland, India (Hindi), Indonesia, Italy, Iran (Farsi), Japan, Korea, Malaysia (Malay), Mexico, Morocco, The Netherlands, Norway, Pakistan (Urdu), Paraguay, Peru, The Philippines (English), Poland, Portugal, Puerto Rico, Saudi Arabia, Serbia, Singapore (Chinese Mandarin), Slovakia, South Africa (Afrikaans, Sesotho, Zulu), Spain, Sri Lanka (Singhalese), Sweden, Taiwan (Mandarin Chinese), Thailand, Turkey, UK (English), Uruguay, USA (Spanish), Venezuela, Vietnam

Baseline and Transitional Dyspnea Index (BDI-TDI) Donald Mahler English (USA)

Argentina, Australia, Austria, Belgium (French, Dutch), Bulgaria, Brazil (Portuguese), Canada (English, French), Chile, China (Mandarin Chinese), Colombia, Czech Republic, Croatia, Denmark, Ecuador, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, India (Bengali, English, Gujarati, Hindi, Kannada, Malayalam, Marathi, Punjabi, Tamil, Telugu, Urdu), Italy, Israel (Hebrew), Japan, Latvia, Lithuania, Malaysia (Malay, Mandarin Chinese), Mexico, The Netherlands, New Zealand (English), Norway, Peru, The Philippes (English, Filipino), Poland, Portugal, Romania, Russia, Slovakia, Slovenia, South Africa (Afrikaans, English), South Korea, Spain, Sweden, Switzerland (French, German, Italian), Taiwan (Mandarin Chinese), Thailand, Turkey, UK (English), Ukraine, USA (English, Spanish), Venezuela

Instructions for Baseline and Transitional Dyspnea Index (BDI-TDI) English (USA)

Argentina (Spanish), Australia, Austria, Belgium (French, Dutch), Brazil (Portuguese), Bulgaria, Canada (English, French), Chile, Chian (Mandarin Chinese), Estonia, Finland, France, Germany, Hungary, India (Bengali, English, Gujarati, Hindi, Kannada, Malayalam, Marathi, Punjabi, Tamil, Telugu, Urdu), Iceland, Israel (Hebrew), Italy, Japan, Latvia, Lithuania, Malaysia (Malay, Mandarin Chinese), Mexico, The Netherlands, New Zealand, The Philippines (English, Filipino), Poland, Portugal, Romania, South Africa (Afrikaans, English), Spanish, Sweden, Switzerland (German, Italian), Thailand, Turkey, UK (English), Ukraine, Taiwan (Mandarin Chinese), Venezuela

CAP2000-Patient Diary (CAP2D) Mapi Values France, P.C English (UK) Belgium (Dutch), France, Germany, Hungary, Israel, Italy, The Netherlands, Norway, Poland, Portugal, Russia, South Africa (Afrikaans), Spain, Sweden
CAP2000-Symptom Questionnaire (CAP 2000) English (UK) Belgium (Dutch), Czech Republic, France, Finland, Germany, Greece, Hungary, Israel, Italy, The Netherlands, Norway, Poland, Portugal, Russia, South Africa (Afrikaans), Spain, Sweden
Cap Score questionnaire (Cap Score) REI Moussaoui
& JM Prins
Dutch Denmark, Finland, Norway, Sweden
CAP-Symptom Questionnaire (CAP-Sym) Donna L Lamping PhD, London School of Hygiene & Tropical Medicine English (UK)

Argentina, Brazil (Portuguese), Canada (English, French), Israel (Arabic, Hebrew), Lithuania, Poland (18 items version), Romania, Russia, Ukraine, USA (English, Spanish)

 

Chronic Bronchitis (CHROBRON) P.C English (USA) Belgium (Dutch), Denmark, Finland, France, Germany, Italy, The Netherlands, Norway, Sweden, UK (English)
Chronic Respiratory Questionnaire (CRQ) Gordon Guyatt English (Canada) Brazil, France, Italy, The Netherlands, USA (Spanish)
Chronic Respiratory Questionnaire Interviewer-Administered Standardised (CRQ-IAS)

Gordon Guyatt,
Holger Schünemann

English (Canada) France, The Netherlands
Chronic Respiratory Questionnaire Self-Administered Standardised (CRQ-SAS) English (Canada)

Australia, Belgium (Dutch, French), Canada (French), Chile, Colombia, Denmark, France, Israel, Lithuania, The Netherlands, New Zealand, Spain, Sweden, Switzerland (German), UK (English), USA (Spanish)

COPD Control Questionnaire (CCQ) Prof. T. van der Molen English (UK)

Argentina, Australia, Austria (German), Brazil, Bulgaria, Canada (English, French), Chile, China (Mandarin Chinese), Denmark, Finland, France, Germany, Greece, Hungary, Italy, Japan, Korea, The Netherlands, Norway, Peru, Poland, Portugal, Slovakia, Slovenia, South Africa (Afrikaans, English), Spain, Sweden, Taiwan, Thailand, USA (English, Spanish)

COPD Control Questionnaire (CCQ) Diary Version

English (UK)

Belgium (Dutch, French), India (English, Hindi, Tamil, Telugu), The Philippines (Filipino)

COPD Control Questionnaire (CCQ) Standard Version English (UK)

Belgium (Dutch, French), India (English, Hindi, Tamil, Telugu), The Philippines (Filipino)

Exacerbation Chronic Bronchitis (EBC) Mapi Values French Belgium (Dutch), Czech Republic, Finland, Greece, Germany, Hungary, Israel (Hebrew, Russian), Norway, Poland, Portugal, Spain, UK (English), South Africa (Afrikaans), Slovenia, Sweden
Inhaled Corticosteroids Questionnaire (ICQ) Prof. T. van der Molen English (UK)

Australia, Austria, Belgium (French and Dutch), Brazil, Canada (English, French), Czech Republic, France, Germany, Hungary, Italy, Poland, Portugal, South Africa (English, Afrikaans), Spain, USA

Major Symptoms Questions Robert Stockley English (UK) Denmark , Finland, Norway

Morning Activities and Symptom Questionnaire (MASQ)

Elisabeth Ståhl English (UK)

Argentina, Australia, Belgium (Dutch, French), Brazil, Canada (English, French), Denmark, France, Germany, Hungary, India (English, Hindi, Tamil, Telugu), Korea, Mexico, The Philippines, Poland, Slovakia, Spain, Sweden, Taiwan (Mandarin Chinese)

Mini Adult Asthma Quality of Life Questionnaire (MINI AQLQ) E. Juniper English (Canada) Belgium (Dutch), Canada (French), Chile, Colombia, Costa Rica, Czech Republic, Denmark, Ecuador, Estonia, Finland, France, Germany, Greece, Guatemala, Honduras, Hungary, India (Hindi), Italy, Japan, Korea, Latvia, Lithuania, Macedonian, Malaysia (English, Malay, Tamil), The Netherlands, Norway, Peru, Poland, Portugal, Puerto Rico, Russia, Serbia, Slovakia, South Africa (Afrikaans), Spain, Sweden, Thailand, Turkey, UK (English), USA (Spanish), Venezuela
Respiratory Illness Questionnaire A. Kaptein The Netherlands France
Rhinoconjunctivitis & Asthma Symptom Score Jean-Blaise Wasserfallen English (USA)

Brazil (Portuguese), Bulgaria, Czech Republic, Germany, Hungary, Israel (Hebrew), Mexico, Russia, South Africa (Afrikaans), Ukraine

Satisfaction with Asthma Treatment Questionnaire (SATQ) - English (UK)

France, Greece, The Netherlands, Spain, Sweden

St George's Hospital Respiratory Questionnaire (SGRQ) P. Jones English (UK)

Argentina, Australia, Austria, Belgium (French, Dutch), Brazil, Bulgaria, Canada (English, French), Chile, China (Mandarin Chinese), Colombia, Czech Republic, Denmark, Estonia (Estonian Russian), Finland (Finnish and Swedish for Finland), France, Germany, Greece, Hong Kong (Mandarin Chinese), Hungary, Iceland, Italy, Israel (Hebrew, Russian), Korea, Latvia (Latvian, Russia), Lithuania, Malaysia (Malay, Mandarin Chinese), Mexico, The Netherlands, New Zealand, Norway, Peru, Poland, Portugal, Romania, Russia, Singapore (English, Mandarin Chinese), Slovakia, Slovenia, South Africa (Afrikaans, English), Spain, Sweden, Taiwan (Mandarin Chinese), Thailand, USA (English), Venezuela

St George's Hospital Respiratory Questionnaire for COPD patients (SGRQ-C)

English (UK)

Argentina , Australia, Belgium (Dutch, French), Brazil, Bulgaria, Canada (English, French), Denmark, Finland (Finnish, Swedish), France, Germany, Greece, Hungary, India (English, Hindi, Tamil, Telugu), Italy, Korea, Latvia (Latvian, Russian), Lithuania (Lithuanian, Russian), Mexico, Norway, The Philippines (Filipino), Poland, Portugal, Slovakia, South Africa (English, Afrikaans), Spain, Sweden, Taiwan (Mandarin Chinese), Turkey

Shortness of Breath Questionnaire (SOBQ) Andrew L. Ries / Elizabeth Eakin English (USA)

Austria (German), Belgium (Dutch, French), Canada (English, French), France, Germany, Hungary, Italy, The Netherlands, South Africa (Afrikaans, English), Spain, UK (English)

P.C = pharmaceutical company