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    Functional Status Questionnaire (FSQ)

    Author(s)
    Jette Alan
    Purpose
      Pathology:
    Generic

      Disease:
    All

      Objective:
    To provide a comprehensive and feasible assessment of physical, psychological, social and role function in ambulatory patients

      Population:
    Adult
    Characteristics
      Type of instrument:
    Physical functioning
    Health-Related Quality of Life - HRQL (incl. health status)

      Mode of administration:
    Self-administered

      Number of items:
    34

      Existence of database:
    No

      Time recall:
    During the past month
     
    Language(s)
      Original language:
    English for the USA

      List of existing translations:
    (the translations may not have undergone a full linguistic validation process. Please check status of translations with Mapi Research Trust / the developers / copyright holders / distributors)

    Dutch for the Netherlands
    French
    German
     Swedish
    English for the UK
    French for Canada*
    Italian
     


    * translations performed by the Mapi Research Institute
     


    Last update: November 2007
    Last update in collaboration with the author: November 2002


    Details of the questionnaire
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