Fibromyalgia impact questionnaire pdf 2025

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  1. Click ‘Get Form’ to open the fibromyalgia impact questionnaire in the editor.
  2. Begin by filling in your personal information at the top, including your name, age, gender, address, and contact details. This section is crucial for identifying your responses.
  3. Next, check any symptoms you currently experience or occasionally suffer from. This helps provide a comprehensive overview of your condition.
  4. For the trigger points section, indicate whether you have 11 of the 18 trigger points and note how many were found. This is important for assessing your fibromyalgia severity.
  5. Proceed to answer questions 1 through 13 by circling the number that best describes your activities over the past week. Be honest to ensure accurate results.
  6. For questions 14 to 21, mark the point on each line that reflects how you felt overall during the past week regarding pain, tiredness, and emotional state.

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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.
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.
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.
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.
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