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Fibromyalgia impact questionnaire pdf

Fibromyalgia impact questionnaire pdf 2026

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The document is a Fibromyalgia Impact Questionnaire (FIQ) created by Dr. Robert J. Scranton at the Fibromyalgia Centers of America. It is designed to assess the symptoms and impact of fibromyalgia on patients' daily lives, including physical limitations, pain levels, fatigue, and emotional well-being. The questionnaire includes sections for personal information, symptom checklists, and a series of questions that gauge the severity of symptoms over the past week.

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Click ‘Get Form’ to open the fibromyalgia impact questionnaire in the editor.
Begin by entering your personal information at the top of the form, including your name, age, address, and contact details. This ensures that your responses are accurately linked to you.
In the symptoms section, check all applicable boxes for symptoms you currently experience or occasionally suffer from. This helps in assessing your condition effectively.
For trigger points, indicate whether you have 11 of the 18 trigger points and provide the number found. This is crucial for understanding your fibromyalgia impact.
Proceed to questions 1 through 13 where you will circle numbers that best describe your activities over the past week. Use our platform’s tools to easily mark your responses.
For questions 14 through 21, utilize the line indicators to express how you've felt regarding pain, tiredness, and overall well-being. Make sure to adjust these using our intuitive editing features.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the score on the fibromyalgia impact questionnaire?

Each of the 10 items has a maximum possible score of 10. Thus the maximum possible score is 100. The average FM patient scores about 50, severely afflicted patients are usually 70 plus.

What is the 10 item fibromyalgia impact questionnaire?

The Fibromyalgia Impact Questionnaire (FIQ) is a brief 10-item, self-administered instrument that measures physical functioning, work status, depression, anxiety, sleep, pain, stiffness, fatigue, and well being. We describe its development and validation.

What is the best outcome measure for fibromyalgia?

The FIQ has been most commonly used as an outcome measure in treatment trials and, in general, has demonstrated an ability to detect clinical change 6.

Is the fibromyalgia impact questionnaire reliable and valid?

The Cronbach alpha for the FIQR was 0.95, with item-total correlations ranging from 0.56 to 0.93. The item-total correlations for the four new items were 0.69 for memory, 0.56 for tenderness, 0.65 for balance, and 0.57 for sensitivity, strongly justifying their inclusion as part of the FIQR.