ASTHMA QUALITY OF LIFE QUESTIONNAIRE

Package Contents

Asthma Quality of Life Questionnaire (Interviewer-administered)

Asthma Quality of Life Questionnaire (Self-administered)

Standardised Asthma Quality of Life Questionnaire (Interviewer-administered)

Standardised Asthma Quality of Life Questionnaire (Self-administered)

Mini Asthma Quality of Life Questionnaire (Self-administered)

Background, Administration and Analysis (an implementation manual)

Reprints of published manuscripts describing the development, validation and interpretation of the AQLQ, AQLQ(S), MiniAQLQ.

List of languages

4 coloured response option cards

AQLQ Package ordering

Packages to Europe are sent by Airmail.

Packages to the rest of the world are sent by Surface Mail (about 8 weeks delivery)

If you live outside Europe and would like your package sent by courier, please include your courier number (e.g. FedEx, UPS or DHL).

*Title :

*Name

*Organisation

*Address :

*Post Code/Zip :

*Country :

*Email :

Telephone no:

*Language(s)

Courier Number (e.g. FedEx, UPS , DHL)

Additional Comments:

* Please describe briefly the purpose for which you will be using the questionnaire

*Must be completed