NJ Podell Medical Practice Revised Fibromyalgia Impact Questionnaire (FIQR) 2011-2025 free printable template

REVISED FIBROMYALGIA IMPACT QUESTIONNAIRE (FIR) Last Name: First Name: Date of Birth Section I: Activity Level Directions: For each of the following 9 questions check the box from 0 (No difficulty)

How to fill out fiqr form

How to fill out NJ Podell Medical Practice Revised Fibromyalgia Impact

1. Obtain a copy of the NJ Podell Medical Practice Revised Fibromyalgia Impact form.
2. Read the instructions carefully to understand the sections.
3. Begin with your personal information in the designated fields.
4. Proceed to fill out the symptom assessment section, marking the severity of symptoms you experience.
5. Complete the impact section by rating how fibromyalgia affects your daily activities.
6. Review your entries for accuracy and completeness.
7. Sign and date the form where required.

Who needs NJ Podell Medical Practice Revised Fibromyalgia Impact?

1. Individuals diagnosed with fibromyalgia who need to assess their condition's impact.
2. Patients undergoing treatment for fibromyalgia to provide their healthcare providers with updated information.
3. Those participating in clinical studies or assessments related to fibromyalgia.

People Also Ask about

What is the range of the FIQ scores?

Score interpretation. The final scores for each of the FIQ and FIQR items range from 0 (no impairment) to 10 (maximum impairment). The total maximum score for both the FIQ and the FIQR is 100, which represents the maximum impact of FM on the patient.

What are the 2 most common symptoms of fibromyalgia?

The primary symptoms of fibromyalgia include: Widespread pain. The pain associated with fibromyalgia often is described as a constant dull ache that has lasted for at least three months. Fatigue. Cognitive difficulties.

How do you interpret the fibromyalgia impact questionnaire?

The FIQ is scored in such a way that a higher score indicates a greater impact of the syndrome on the person. 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 are the 7 signs of fibromyalgia?

What are the signs and symptoms of fibromyalgia? Pain and stiffness all over the body. Fatigue and tiredness. Depression and anxiety. Sleep problems. Problems with thinking, memory, and concentration. Headaches, including migraines.

Is the FIQR reliable and valid?

Convergent and divergent validity were assessed via Spearman and Pearson correlations. Results: The FIQR demonstrated a good to very good internal consistency (from a = 0.87 to a = 0.94). All items correlated to a good degree (above 0.30) to the total score and contributed significantly to the overall reliability.

What is the FIQ physical function?

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.

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What is NJ Podell Medical Practice Revised Fibromyalgia Impact?

The NJ Podell Medical Practice Revised Fibromyalgia Impact is an assessment tool used to evaluate the severity and impact of fibromyalgia on a patient's daily life.

Who is required to file NJ Podell Medical Practice Revised Fibromyalgia Impact?

Patients diagnosed with fibromyalgia seeking evaluation and management of their condition are typically required to file the NJ Podell Medical Practice Revised Fibromyalgia Impact.

How to fill out NJ Podell Medical Practice Revised Fibromyalgia Impact?

To fill out the NJ Podell Medical Practice Revised Fibromyalgia Impact, patients should follow the provided guidelines, answering all questions honestly and to the best of their ability to accurately reflect their symptoms and daily struggles.

What is the purpose of NJ Podell Medical Practice Revised Fibromyalgia Impact?

The purpose of the NJ Podell Medical Practice Revised Fibromyalgia Impact is to quantify the impact of fibromyalgia on a patient's life, guide treatment planning, and monitor progress over time.

What information must be reported on NJ Podell Medical Practice Revised Fibromyalgia Impact?

Patients must report information relating to their pain levels, fatigue, sleep quality, physical functioning, and any other symptoms they experience as part of the NJ Podell Medical Practice Revised Fibromyalgia Impact.