FM/CFS/ME RESOURCES - Fibromyalgia Impact Questionnaire (FIQ)

 

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Fibromyalgia Impact Questionnaire (FIQ)

The Fibromyalgia Impact Questionnaire is frequently used by doctors and researchers to gauge the impact of fibromyalgia on patients' lives. It has been evaluated for reliability and validity in the fibromyalgia population, making this a highly credible evaluation tool.

To use this questionnaire, you will need to print this page or keep track of your answers on paper.


For questions 1 through 11, use the following scale to characterize how you did overall for the past week.

(If you don't normally do something that's asked about, skip the question.)

Always = 0
Most = 1
Occasionally = 2
Never = 3


In the last week, were you able to:

  1. Do shopping? ________
  2. Do laundry with a washer and dryer? ________
  3. Prepare meals? ________
  4. Wash dishes/cooking utensils by hand? ________
  5. Vacuum a rug? ________
  6. Make beds? ________
  7. Walk several blocks? ________
  8. Visit friends or relatives? ________
  9. Do yard work? ________
  10. Drive a car? ________
  11. Climb stairs? ________

Scoring For the first 11 questions:

  • Add up all of the numbers you entered
  • Divide the total by the number of questions you answered
  • Multiply that number by 3.33

Your score is: ________

For question 12 your answer will be a number between 0 and 7

12. Of the past 7 days, how many days did you feel good? ________

Scoring For Question 12:

Find your answer and assign it the following amount:
  • Answer of 0 = 7 points
  • Answer of 1 = 6 points
  • Answer of 2 = 5 points
  • Answer of 3 = 4 points
  • Answer of 4 = 3 points
  • Answer of 5 = 2 points
  • Answer of 6 = 1 points
  • Answer of 7 = 0 points

Multiply the number of points by 1.43

Your score is: ________

For question 13 your answer will be a number between 0 and 7

13. How many days in the past week did you miss work, including housework, because of fibromyalgia? ________

Scoring For Question 13:

Use the number you entered as the number of points. Multiply the number of points by 1.43
Your score is: ________

For questions 14 through 20, rank your answer between 0 and 10.

14. When you worked, how much did pain or other fibromyalgia symptoms interfere with your ability to do your work, including housework? _______
(0 = no problem with work, 10 = great difficulty with work)

15. How bad has your pain been? ________
(0 = no pain, 10 = very severe pain)

16. How tired have you been? ________
(0 = no tiredness, 10 = very tired)

17. How have you felt when you get up in the morning? ________
(0 = awoke well rested, 10 = awoke very tired)

18. How bad has your stiffness been? ________
(0 = no stiffness, 10 = very stiff)

19. How nervous or anxious have you felt? ________
(0 = not anxious, 10 = very anxious)

20. How depressed or blue have you felt? ________
(0 = not depressed, 10 = very depressed)



Fibromyalgia Impact Questionnaire Scoring

Add the four scores above for your total score. Here is what your personal FIQ score means:

Low (Under 25)
Below Average (26-50)
Average to High (50-69)
Severe (70+)

Tips:

  • The higher your total score, the more impact fibromyalgia is having on your life.

  • The average person with fibromyalgia scores around 50 points. A score of 70 or higher is considered severe.

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Source:

  • Burckhardt, C.S., Clark, S.R., Bennett, R.M.: The fibromyalgia impact questionnaire(FIQ): development and validation. J Rheumatol. 18:728-733, 1991, PMID: 1865419.

  • Fibromyalgia Information Foundation, Scoring for FIQ (version 2.1).
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