REVISED FIBROMYALGIA IMPACT QUESTIONNAIRE (FIQR) -

Welcome to your REVISED FIBROMYALGIA IMPACT QUESTIONNAIRE (FIQR)

The Fibromyalgia Impact Questionnaire (FIQ) is a commonly used instrument in the evaluation of fibromyalgia (FM) patients. Over the last 18+ years, since the publication of the original FIQ, several deficiencies have become apparent and the cumbersome scoring algorithm has been a barrier to widespread clinical use. The aim of this paper is to describe and validate a revised version of the FIQ: the FIQR.

1. Brush or comb your hair

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

2. Walk continuously for 20 minutes

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

3. Prepare a homemade meal

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

4. Vacuum, scrub or sweep floors

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

5. Lift and carry a bag full of groceries

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

6. Climb one flight of stairs

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

7. Change bed sheets

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

8. Sit in a chair for 45 minutes

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

9. Go shopping for groceries

0 (No Difficulty)

1

2

3

4

5

6

7

8

9

10 (Very Difficult)

10. Fibromyalgia prevented me from accomplishing goals for the week

0 (Never)

1

2

3

4

5

6

7

8

9

10 (Always)

11. I was completely overwhelmed by my fibromyalgia symptoms

0 (Never)

1

2

3

4

5

6

7

8

9

10 (Always)

12. Please rate your level of pain

0 (No Pain)

1

2

3

4

5

6

7

8

9

10 (Unbearable Pain)

13. Please rate your level of energy

0 (Lots of Energy)

1

2

3

4

5

6

7

8

9

10 (No Energy)

14. Please rate your level of stiffness

0 (No Stiffness)

1

2

3

4

5

6

7

8

9

10 (Severe Stiffness)

15. Please rate the quality of your sleep

0 (Awoke Well Rested)

1

2

3

4

5

6

7

8

9

10 (Awoke Very Tired)

16. Please rate your level of depression

0 (No Depression)

1

2

3

4

5

6

7

8

9

10 (Very Depressed)

17. Please rate your level of memory problems

0 (Good Memory)

1

2

3

4

5

6

7

8

9

10 (Very Poor Memory)

18. Please rate your level of anxiety

0 (Not Anxious)

1

2

3

4

5

6

7

8

9

10 (Very Anxious)

19. Please rate your level of tenderness to touch

0 (No Tenderness)

1

2

3

4

5

6

7

8

9

10 (Verytender)

20. Please rate your level of tenderness to touch

0 (No Tenderness)

1

2

3

4

5

6

7

8

9

10 (Very Tender)

21. Please rate your level of balance problems

0 (No Imbalance)

1

2

3

4

5

6

7

8

9

10 (Severe Imbalance)

22. Please rate your level of sensitivity to loud noises, bright lights, odors and cold

0 (No Sensitivity)

1

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4

5

6

7

8

9

10 (Extreme Sensitivity)

Thank you for taking the time to take this quiz and be on the path to better health in collaboration with your primary care doctor. You will find the quiz results. Enjoy complimentary journals to download for you to help keep better track of your diagnosis and symptoms.

Diagnosis Journal

Symptom Journal

Vitals and Exercise Journal

Diet Journal

Sleep Journal

REVISED FIBROMYALGIA IMPACT QUESTIONNAIRE (FIQR)

https://webofdysautonomia.com/qsm_quiz/revised-fibromyalgia-impact-questionnaire-fiqr/

December 23, 2024

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