Search and filter scales from multiple repositories. Click any card to view details, run a demo, or download.
Showing all 362 scales
The Health Information National Trends Survey (HINTS) collects data about use of cancer-related online information. The
The Biphasic Alcohol Effects Scale (BAES) is a self-report, unipolar adjective rating scale after consuming alcohol that
The Addiction Research Center Inventory (ARCI) is a subjective drug effects questionnaire to evaluate whether a responde
The Cigarette Evaluation Questionnaire (CEQ) assesses the degree to which subjects experience the reinforcing effects of
The Self-Rating of the Effects of Alcohol (SRE) is a self-administered questionnaire that asks the respondent to think b
This instrument uses a set of self-administered questions to assess early response to tobacco smoking, and it may also b
This protocol includes 30 self-administered questions from the short form of the Adult Sickle Cell Quality of Life Measu
The Buss-Perry Aggression Questionnaire (BPAQ) consists of 29 self-administered items rated on a 5-point Likert scale. T
This protocol includes two questions from Sly et al. (2001) and Niederdeppe (2005). Questions assess whether or not a re
There are two questions. The first question asks about a household‘s annual income from all sources. Categories with r
The Screen for Child Anxiety Related Emotional Disorders (SCARED) is a 41-item, self- or parent-report questionnaire des
The Cannabis Use Disorder Identification Test - Revised (CUDIT-R) is a self-administered 8-item questionnaire designed t
The Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale (ASRS-v1.1) Symptom Checklist is an 18-item, two-pa
The Strengths and Weaknesses of Attention-Deficit/Hyperactivity Disorder Symptoms and Normal Behavior Scale (SWAN) is an
This series of questions can be used to determine an individual’s knowledge of pharmacogenomics (PGx) and if the indiv
The six-item, self-administered, Likert-style index includes patient-reported levels of back pain, fatigue, peripheral j
The University of North Carolina Genomic Knowledge Scale (UNC-GKS) was developed to assess knowledge domains thought to
The Cigarette Purchase Task (CPT) is a simulation procedure to assess reinforcement efficacy of cigarettes within a spec
The Global Appraisal of Individual Needs - Short Screener (GAIN-SS) contains 20 items that make up four subscreeners (a
Proxy-reported birth weight
The respondent completes the self-administered questionnaire by indicating his or her place of birth. If he or she was b
The respondent completes the self-administered questionnaire by indicating his or her maternal grandmothers place of bir
The respondent completes the self-administered questionnaire by indicating his or her biological mothers place of birth.
These parent-reported, self-administered questions obtain information on the infants feeding schedule, frequency of addi
The Social Network Assessment (SNA) is a self- or interviewer-administered, 9-item scale measuring (a) total network siz
This self-administered subset of the questionnaire collects employment data to understand the lasting effects of cancer
These self-administered questions can be used to inquire about the frequency of an individual’s consumption of beverag
These self-administered questions ask about different cancer screening tests a respondent may have had in the past 3 yea
These questions start by asking if the respondent has had cancer. For respondents who have had cancer, detailed follow-u
This protocol is used to assess if the respondent and his or her biological parents, siblings, and children have had can
This questionnaire includes up to 135 self-administered items from the International Cannabis Policy Study Survey, Wave
The Child Eating Behavior Questionnaire (CEBQ) is a 35-item parent-report questionnaire assessing eating style in childr
This protocol includes two questions from the National Longitudinal Study on Adolescent Health (Add Health) that ask the
A self-report questionnaire which assesses 13 common medical conditions and the impact of comorbidities on functional st
Measurement to determine respondent’s cigarette smoking status.
The healthcare provider is asked about his or her knowledge of genetic results without seeking information from other so
The PROMIS® Cognitive Function v.2.0 - Short Form 6a is a six-item sub-set scale of the PROMIS® Cognitive Function ite
The protocol includes 33 self-administered questions from the Communities That Care Youth Survey (http://www.communities
This screening protocol includes 10 self-administered questions from the Centers for Disease Control and Prevention (CDC
This screening protocol includes nine proxy-administered questions from the Centers for Disease Control and Prevention (
These self-administered questions are used to assess an individuals current and past contact lens use. The respondent an
This protocol is administered either as an interview or a self-report. It includes two questions about how an adult has
The Coronavirus Anxiety Scale (CAS) is a self-reported mental health screener of dysfunctional anxiety associated with t
This protocol includes a bleeding log from the American Thrombosis and Hemostasis Network (ATHN) and consensus definitio
This is a self-reported survey for adults to assess their quality of sleep and how it has been affected by COVID-19. It
The RAND American Life Panel Impacts of COVID-19 survey is an online, self-administered, multi-part survey of adult Amer
Social Distancing Experiences due to COVID-19
A survey to understand how COVID-19 has impacted people’s lives, asking about social interaction before and after the
This protocol has 13 items asking about the COVID-19 vaccination and enrollment in the vaccine trial.
This protocol has 7 items asking about the COVID-19 vaccination.
Using a list of 40 criminal and delinquent questions, the respondent indicates if he or she has engaged in each activity
Using a list of 48 criminal and delinquent activities, the respondent indicates if he or she has engaged in each activit
The selected protocol assesses strenuous and moderate physical activities and exercise at various stages of life. Respon
This protocol includes 9 questions to determine if there has been an increase in discrimination directed at certain race
The Monetary-Choice Questionnaire (MCQ) is a 27-item, self-administered questionnaire. For each item, the participant ch
The Quick Inventory of Depressive Symptoms (QIDS) is a self-administered questionnaire; QIDS includes 16 items that capt
The Mood and Feelings Questionnaire (MFQ) is a 13-item, self-administered questionnaire on depressive symptoms. Each ite
An interviewer- or self-administered questionnaire of 15 yes/no questions to screen for depression in older adults.
The Reasons for Living (RFL) inventory includes 48 self-report items that measures the respondent’s various reasons fo
The Reasons for Living for Adolescents (RFL-A) inventory includes 32 self-report items that measure the adolescent respo
The Attitudes Towards Suicide Scale (ATTS) includes 37 self-report items that measure the respondent’s attitudes about
The Michigan Neuropathy Screening Instrument (MNSI) consists of 15 yes-or-no questions that assess feelings in the legs
The Three Factor Eating Questionnaire (TFEQ-18) is an 18-item, self-administered questionnaire with Likert-style questio
These self-administered questions ask how many times per week a supplement was taken and for how many years.
A single-item (with 13 subparts), Likert-style self-report questionnaire used to capture information about a woman’s p
Respondents complete a self-administered question from the Monitoring the Future (MTF) 2015 questionnaire, related to wh
The DMS scale is a 7-item instrument that assesses a person’s prior experiences of mistreatment while getting health c
The Newcastle Paediatric Mitochondrial Disease Scale (NPMDS) and the Newcastle Mitochondrial Disease Adult Scale (NMDAS)
The UPPS Impulsive Behavior Scale contains 59 self-administered questions that are scored as five subscales (urgency, pr
The UPPS-P Impulsive Behavior Scale for Children includes 40 self-administered items that are scored as five subscales (
The Disruptive Behavior Disorders Rating Scale (DBDRS) is a proxy-administered (parent or teacher) questionnaire that is
The Speech and Language Assessment Scale (SLAS) is a 19-item, parent-report questionnaire designed to identify children
The Eating Disorder Diagnostic Scale (EDDS) is a 22-item self-report scale that simultaneously assesses anorexia nervosa
This protocol asks a series of questions about how the education and childcare of children from preschool through post-s
This set of questions from the PROMIS© Version 1.0 item banks measure self-reported emotional anxiety, depression, and
The Positive Affect and Negative Affect Schedule-Expanded Form (PANAS X) is a 60-item scale used to measure the responde
The Positive Affect and Negative Affect Schedule-Child Form (PANAS-C) is a 30-item, self-report questionnaire used to me
The respondent completes a question from the California Health Interview Survey (CHIS) asking for the respondent’s own
This protocol includes questions that ask about ethnicity and race with answers that are multiple choice. For Ethnicity,
The Exercise Dependence Scale is a 21-item self-administered scale that can be administered in individual and group sett
Female respondents self-report the use of estrogen and progesterone, including the duration and dose.
The Brief Comprehensive Effects of Alcohol questionnaire (B-CEOA) is a 15-item version of the Comprehensive Effects of A
The Stimulant Effect Expectancy Questionnaire (SEEQ) is a modification of the Cocaine Effect Expectancy Questionnaire th
The Marijuana Effect Expectancy Questionnaire (MEEQ) contains 78 items that describe the effects of marijuana on respond
The Prescription Stimulant Expectancy Questionnaire (PSEQ) is a 40-item instrument containing statements about the posit
The Smoking Consequences Questionnaire-Adult (BSCQ-A) is a questionnaire assessing various outcome expectancies associat
The Cannabis Effects Expectancy Questionnaire–Medical (CEEQ-M) is a self-administered, 21-item questionnaire that asse
The respondent is asked to complete a table of questions about exposures at work or during daily life. If the respondent
The Burden Assessment Scale (BAS) is a 19-item, self-administered scale to assess the burden on families with a seriousl
The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (crit
The 15-item Systematic Clinical Outcome Routine Evaluation (SCORE-15) Index of Family Functioning and Change is a 15-ite
My Family Health Portrait (MFHP) is a free Internet-based tool that allows individuals to record their family health his
The Family History Questionnaire is a 9-item proxy-administered questionnaire completed by a parent for their young chil
The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV) is a fully structured diagnostic
The Alcohol Use Disorder and Associated Disabilities Interview Schedule -IV (AUDADIS-IV) is a fully structured diagnosti
This 7-item unidimensional scale is a screening instrument that has been used to assess Fear of Cancer Recurrence (FCR)
The FertiQoL (Fertility Quality of Life tool) is a 34-item, self-administered questionnaire that assesses the influences
This self-administered subset of the questionnaire collects data on the effects of cancer and cancer treatments on the l
This protocol is divided into two parts. Part I consists of the Study of Osteoporotic Fractures (SOF) Fractures and Fall
This protocol includes three self-administered questions from the Cooperative Study of Sickle Cell Disease (CSSCD) that
This questionnaire includes six items from the International Cannabis Policy Study Survey, Wave 6 (2023). Respondents ar
The K6 is a screening scale consisting of six questions to assess nonspecific psychological distress during the last 30
The General Well Being Schedule (GWB) is an 18-item, self-administered questionnaire that was developed for the U.S. Hea
The Gross Motor Function Classification System (GMFCS) Family Report Questionnaire is a five-item parent-report instrume
The Happiness with Recovery Questionnaire includes one question rated on a scale from 0 (strongly disagree) to 10 (stron
The protocol includes three items designed to assess an English-speaking adult‘s ability to read and understand medica
MEPS is a SAQ that aims to understand how people feel about their health and health care by assessing prior experiences
The Heaviness of Smoking Index is a two-item self-report measure including questions on time to first cigarette and numb
The Haemophilia Activities List (HAL) is a disease-specific, self-administered questionnaire that includes 42 multiple c
The Pediatric Haemophilia Activities List (PedHAL) is a disease-specific, self- or proxy-administered questionnaire that
Female participants answer questions about when menstruation began and when they reached full height.
Male participants answer questions about the timing of various maturation milestones.
This protocol includes three self-administered questions from the Duke-UNC-Emory Outcome Modifying Genes Study that capt
The respondent answers questions about the interior surfaces in his or her residence and workplace.
Female participants are asked whether they have ever used prescription female hormones (number of months taken, types, d
This protocol includes 10 interviewer-administered questions from the Reproductive Health section of the National Health
The Confusion, Hubbub, and Order Scale (CHAOS) is 15 question survey of one’s own home environment using a scale of tr
This protocol is a self- or proxy-administered questionnaire from the American Health Information Management Association
The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a 12-question, self-administered questi
This protocol includes two self-administered questions about time spent in juvenile detention centers from the Youth Men
This protocol includes four self-administered questions that capture total number of arrests and also number of arrests
After a patient receives genetic test results, the patient is asked which sources were used to find out more about the g
STOP-IT is a computer-administered stop-signal task. Participants react as quickly as possible to a visual stimulus unle
This protocol includes seven self-administered questions from the National Health and Nutrition Examination Survey (NHAN
The Insomnia Severity Index (ISI) is a brief, self-administered questionnaire that captures the respondent’s perceptio
The Global Appraisal of Individual Needs-Short Screener (GAIN-SS) contains a five-item internal disorder screener, a fiv
From the Global Surveillance Network of the International Society of Travel Medicine (ISTM) and the Centers for Disease
This protocol includes four self- administered questions from the HINTS 5, Cycle 4 – Section B: Using the Internet to
This protocol includes three questions assessing social interactions about cigarette warning labels. The first question
The Intolerance of Uncertainty Scale (IUS) includes 27 items relating to the idea that uncertainty is unacceptable, refl
A self-administered questionnaire consisting 42 Likert-style items in five subscales: Pain, Other Symptoms, Function in
A self-report, three-item series of questions with answer choices for “Yes,” “No,” and “Don’t know.”
The Balloon Analogue Risk Task (BART) is a computerized, laboratory-based test of risky behavior, which can be used with
The Inventory of Callous-Unemotional Traits (ICU) parent-report preschool version is a 24-item, self-administered questi
The Inventory of Callous-Unemotional Traits (ICU) Teacher Version-Preschool is a 24-item, self-administered questionnair
The Inventory of Callous-Unemotional Traits (ICU) self-report version is a 24-item questionnaire that includes three sub
The Inventory of Callous-Unemotional Traits (ICU) Teacher Report version is a 24-item, self-administered questionnaire t
This protocol helps better describe and understand the patient experience and recovery of those with confirmed or suspec
The Long COVID in Children and Young People (The CLoCk Study) “How you feel about your overall health” section conta
A self-administered questionnaire that asks about Long COVID symptoms, persistence of symptoms and the ability to perfor
A self-administered questionnaire that asks about the effects of Long COVID symptoms on physical functioning.
A self-administered questionnaire to better describe and understand the patient experience and recovery of those with co
The Neurology module extracted from the Online Survey on Recovery from COVID-19 contains 14 items measuring symptom expe
This screener measures new or continuing self-reported COVID-19 symptoms. There are 36 different symptoms included in th
The male participant answers whether he was ever diagnosed with Cryptorchidism, Hypospadias and/or other related conditi
The participant answers whether he has had difficulty with erections and sexual function during the past 4 weeks.
This protocol uses seven questions from Wave 6 of the Population Assessment of Tobacco and Health (PATH) study to assess
This protocol uses four questions from the COVID-19 Experiences (COVEX) questionnaire Media Use module. The questions as
This questionnaire includes two items from the International Cannabis Policy Study Survey, Wave 6 (2023). Respondents ar
The National Cancer Institute (NCI) Supplement Cannabis Core Measures Questionnaire is a 37-item survey primarily used b
This measure assesses current and past use of prescription and over-the-counter (OTC) medications. Protocol obtains info
Females answer questions about the frequency and regularity of her menstrual cycle and whether any irregularities were d
The Mental Health Statics Improvement Program (MHSIP) Youth Services Survey (YSS) is a 25-item, self-administered rating
These self-administered questions ask current smokers about their attempts to stop smoking cigarettes within the past 3
The Pediatric Migraine Disability Assessment (PedMIDAS) headache disability questionnaire is completed by the patient an
This protocol includes 11 self-administered questions adapted from the Million Veteran Program (MVP) Baseline Survey (5
A woman who gave birth is asked several questions about the amount of time she spent trying to become pregnant and if sh
A woman who gave birth is asked several questions about how the baby was delivered.
These ten questions from the Pregnancy Risk Assessment Monitoring System (PRAMS) and the Population Assessment of Tobacc
This protocol is a single item measuring motivation to quit smoking among those who want to quit smoking.
The coping and enhancement subscales from the Drinking Motives Questionnaire Revised (DMQ-R) consist of 10 questions abo
Respondents complete self-administered questions from the Monitoring the Future (MTF) 2015 questionnaire regarding their
The Brief Wisconsin Inventory of Smoking Dependence Motives (Brief WISDM) consists of 37 questions spanning 11 subscales
The Comprehensive Marijuana Motives Questionnaire (CMMQ) Short Form includes 15 self-administered items. Each item is sc
The Drinking Motives Questionnaire Revised (DMQ-R) consists of 20 questions about the respondents reasons for drinking a
This questionnaire includes nine self-administered items from the International Cannabis Policy Study Survey, Wave 6 (20
The Glasgow Antipsychotic Side-effect Scale (GASS) is a 22-item, self-administered checklist that captures a patient’s
The Multidimensional Inventory of Recovery Capital (MIRC) is a 28-item self-assessed or interviewer-administered questio
The Phinney Scale is a 12-item multiethnic identity measure used among adolescents and young adults.
The Peer Alternatives for Addiction (PAL) Mutual-help Group Involvement and Treatment Attendance Questionnaire consists
The Survey of Autonomic Symptoms (SAS) is a self-administered 12-item questionnaire that measures autonomic symptoms ove
This protocol includes 14 questions with Likert-style responses. The Night Eating Questionnaire © (NEQ) is self-adminis
Questions ask for self-reports about the number of natural teeth an adult or child has in his or her mouth. In addition,
This protocol includes two self-administered questions from the American Community Survey (ACS) that capture the respond
The Offspring/Pregnancy History section of the Childhood Cancer Survivor Study includes three self-administered question
These self-administered questions ask about menstruation and pregnancy history. Female respondents are asked about age a
Individuals are presented with an image of a body and asked to indicate at which of the marked thirty-five locations the
The Pain Catastrophizing Scale - Child Version (PCS-C) includes 13 items that measure heightened negative cognitive and
The Pain Catastrophizing Scale - Parent Version (PCS-P) includes 13 items that measure heightened negative cognitive and
The Coping Strategies Questionnaire (CSQ) comprises 14 items split into several 2-item scales designed to rapidly assess
This protocol consists of a single self-administered question from the Patient-Reported Outcomes Measurement Information
The Patient-Reported Outcomes Measurement Information System (PROMIS ® ) Item Bank v1.1 - Pain Interference - Short For
The Patient-Reported Outcomes Measurement Information System (PROMIS ® ) Pediatric Item Bank v2.0 - Pain Interference -
The Patient-Reported Outcome Measurement Information System (PROMIS ® ) Parent Proxy Item Bank v2.0 - Pain Interference
The Childhood Arthritis and Rheumatology Research Alliance (CARRA) Pain Chart is a self-administered body map with 21 sc
The Patient-Reported Outcomes Measurement Information System (PROMIS ® ) Pediatric Short Form v2.0 - Pain Quality - Aff
The Patient-Reported Outcomes Measurement Information System (PROMIS ® ) Scale v2.0 - Neuropathic Pain Quality 5a is a
The Patient-Reported Outcomes Measurement Information System (PROMIS ® ) Scale v2.0 - Nociceptive Pain Quality 5a is a
The Patient-Reported Outcomes Measurement Information System (PROMIS ® ) Pediatric Short Form v2.0 - Pain Quality - Sen
The Alabama Parenting Questionnaire is a 42-item questionnaire that measures five dimensions of parenting that can affec
This protocol includes one question from the Framingham Heart Study that assess whether the participant has ever been to
This protocol assesses exposure to environmental tobacco smoke (ETS) during childhood and in adulthood at home, at work,
A self-reported questionnaire with 36 Likert style items. For use with adults interacting with doctors and other health
The CAHPS® Cancer Care Survey asks adult patients (age 18 and older) to report on their experiences with the care team
The Patient Global Impression of Change scale is a single, self-administered question asking respondents to rate how the
The Feelings About genomiC Testing Results (FACToR) instrument is used to measure the psychosocial impact of returning g
The Genetic Counseling Satisfaction Scale (GCSS) is a 6-item, 5-point Likert scale used to assess patient satisfaction w
The Monitoring the Future (MTF) questions from this module address whether the respondent has ever smoked, drunk alcohol
This protocol includes four questions from the Education - School Questionnaire from the Pediatric Hydroxyurea Phase III
The PROMIS Peer Relationships item banks assess parental or self-reported quality of relationships with friends and othe
The PROMIS Peer Relationships item banks assess self-reported quality of relationships with friends and other acquaintan
This protocol includes two self-administered subscales from the 2015 Monitoring the Future (MTF) project survey. The Fri
The Monitoring the Future (MTF) project studies changes in the beliefs, attitudes, and behavior of young people in the U
Three items from the Implementing GeNomics In pracTicE (IGNITE) Pre-implementation Provider Survey that healthcare provi
This protocol includes six questions of perceived effectiveness from the Perceived Effectiveness of Cessation Advertisem
The National Survey on Drug Use and Health (NSDUH) provides information on the prevalence, patterns, and consequences of
The respondent completes three groups of questions about interactions with spouse/partner, family, and friends. Each gro
This 10-item self-administered scale is used to measure an individual’s level of perceived stress in the past month. A
These self-administered questions for adults can be used to inquire about the frequency of an individual’s consumption
The Recovery Self-Assessment (RSA) administrator/manager version is a 36-item, provider-completed rating scale that focu
The Recovery Self-Assessment (RSA) family member/significant other version is a 40-item, proxy-administered rating scale
The Recovery Self-Assessment (RSA) is a 32-item, self-administered rating scale that focuses on perceptions of recovery
The Recovery Self-Assessment (RSA) provider version is a 32-item, provider- completed rating scale that focuses on perce
The Greene Climacteric Scale is a twenty-one–item, self-administered questionnaire that captures the symptoms that occ
This protocol includes self-administered questions from the Lupus Family Registry and Repository (LFRR). Respondents ans
This protocol obtains information about the personal history of respiratory symptoms and illnesses. Duration of disease,
Age-specific questions are asked in this protocol to two different age ranges of children. For children ages 13 and 14,
A series of self-administered questions to assess family and personal history of strabismus, including history of treatm
This protocol is a self- or proxy-administered personal health record from the American Health Information Management As
This self-administered questionnaire asks respondents about their personal history of several gastrointestinal condition
This protocol is a proxy-administered personal health record from the American Health Information Management Association
These questions ask current and former smokers how often they worry about lung cancer and ask them to assess their perce
The Personal Wellbeing Index-Adult (PWI-A) is a seven-item, self-administered scale that measures satisfaction with the
The Personal Wellbeing Index-School Children (PWI-SC) is a self-administered scale that includes seven items of happines
The Big Five Inventory (BFI) is a self-administered, 44-question instrument designed to measure the big five dimensions
Syllable Repetition Task (SRT) is an 18-item task to assess the ability to repeat nonwords. Administrator presses the do
The International Physical Activity Questionnaire (IPAQ) is a 7-item, self-administered questionnaire that captures a su
PANES is a 17-item, self-administered questionnaire that assesses environmental factors in physical activity participati
A brief set of self-administered physical and medical questions used to determine if the person needs to visit a doctor
The individual is asked to complete a series of questions about his or her feelings about physical activities and how su
The participant is asked to complete a brief set of questions about his or her perceived ability to perform physical act
Patient-Reported Outcomes Measurement Information System ® (PROMIS ® ) Item Bank v2.1 Mobility is a 44-item self-admin
Patient-Reported Outcomes Measurement Information System ® (PROMIS) Pediatric Item Bank v2.0 - Mobility Short Form 8a i
The Youth Acute Pain Functional Ability Questionnaire (YAPFAQ) is a 12-item self-administered questionnaire, with items
The Positive and Negative Perfectionism Scale is a 40-item self-report inventory to assess the levels of positive and ne
The Penn Alcohol Craving Scale (PACS) is a five-item, self-report measure that includes questions about the frequency, i
This self-administered protocol asks respondents to indicate the year of diagnosis for clinician-diagnosed illnesses. Th
The Edinburgh Postnatal Depression Scale© (EPDS) was developed to screen prenatal and postpartum women for the indicati
The Priapism Impact Profile (PIP) Questionnaire is a self-administered questionnaire containing 12 items that assess a p
Interviewer-administered questions for adults to determine when the participant last visited the dentist and the purpose
Two questions asking current tobacco users about their use of specific tobacco products since the end of an initial grac
The Prolonged Grief Disorder (PG-13-Revised) is a self-administered questionnaire that includes 13 items to assess sympt
The Psoriasis Epidemiology Screening Tool (PEST) is a five-item, yes-or-no response, self-report questionnaire.
The modified Colorado Symptom Index (CSI) is a 14-item, self-report scale designed to assess frequency of positive mood
A self-administered questionnaire with six Likert-style items.
The Triarchic Psychopathy Measure (TriPM) is a 58-item, self-report questionnaire designed to measure psychopathy in ter
The Questionnaire about the Process of Recovery (QPR) is a 15-item, self-administered rating scale that captures a patie
The Primary Care-PTSD Screen (PC-PTSD-IV) for The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition
The PTSD Checklist (PCL-5) for The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is a 20-
The Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) Quality of Care Module is a set of 27 que
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey 4.0 Child Medicaid Questionnair
This protocol includes 29 self-administered quality of life-type questions from the PROMIS® Profile 29 for adults. The
PROMIS© Version 1.1 Pediatric Profile 25 consists of seven item banks. There is one bank for physical function mobility
This self-administered questionnaire contains 50 items and 76 weighted responses divided into three components: symptoms
The Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) is a 16 item self-administered qu
The Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) is a 15-item self-administered questio
A self-report 41-item Likert style questionnaire representing the four domains of quality of life including physical wel
The Reactions to Loss Scale (RTL) is a self-administered questionnaire to assess reactions to death and non-death losses
The Recovery and Recurrence Questionnaire (RRQ) includes seven questions completed by a parent about their child. Questi
A single, self-reported Likert-style item inquiring about personal identification in relation to recovery.
The Decision Regret Scale is a 5-item Likert scale. Respondents read each statement and use the response options to indi
Two questions from the Implementing GeNomics In pracTicE (IGNITE) Pre-implementation Provider Survey that healthcare pro
The female participant is first asked how many pregnancies she has had. If none, the protocol is complete. For each preg
The male participant is asked whether he has ever fathered a pregnancy. For each pregnancy he reports, he is asked his a
The Work Productivity and Activity Impairment Questionnaire (WPAI) is a 6-item, self-report instrument that measures imp
This single proxy-administered question from the National Survey of Childrens Health (NSCH) measures impact of health pr
The protocol includes nine self-administered questions from two School Protective Factors subscales/constructs (Opportun
The protocol includes 39 self-administered questions developed by Zullig et al. (2010). The items are scored with a five
The Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD) is a 16-item screening instrument developed by a c
The Brief Michigan Alcoholism Screening Test (Brief MAST) is a 10-item instrument to screen for alcoholism. It is used a
The Alcohol Use Disorders Identification Test (AUDIT) includes 10 screening questions about the use of alcohol and alcoh
The Smoking Self-Efficacy Questionnaire (SEQ-12) is a 12-item instrument that measures the confidence of current and for
The Sickle Cell Disease Self-Efficacy Scale is a nine-item self-administered questionnaire that measures disease-specifi
The Rosenberg Self-Esteem Scale is a 10-item scale used to evaluate a person’s general self-worth, with 5 positive sta
The National HIV Behavioral Surveillance System (NHBS) survey began in 2003 to determine risk behavior and HIV testing e
The Alcohol Urge Questionnaire (AUQ) consists of eight statements about the respondent’s feelings and thoughts about d
The Cocaine Craving Questionnaire-Brief (CCQ-Brief) consists of 10 statements about the respondent’s feelings and thou
The Heroin Craving Questionnaire - Short Form 14 (HCQ-SF-14) consists of 14 statements about the respondent’s feelings
The Marijuana Craving Questionnaire - Short Form (MCQ-SF) consists of 12 statements about the respondent’s feelings an
The Brief Questionnaire of Smoking Urges (QSU-Brief) consists of 10 statements about the respondent’s feelings and tho
These four questions from the Global Adult Tobacco Survey (GATS), Core Questionnaire Survey are directly related to expo
This is a single item Likert-style self-administered question.
The behavioral inhibition system (BIS)/behavioral activation system (BAS) scale is a self-administered 20-item questionn
The child version of the behavioral inhibition system (BIS)/behavioral activation system (BAS) scale is a self- or proxy
The PROMIS® v2.0 Brief Profile Sexual Function and Satisfaction (Female) measure is a 14-item, self-administered questi
The PROMIS® v2.0 Brief Profile Sexual Function and Satisfaction (Male) is a 10-item, self-administered questionnaire pr
The purpose of this measure is to quantify sexual risk behavior in women or men. The measure quantifies both same-sex an
The CollaboRATE questionnaire is a 3-item, self-administered questionnaire that measures the shared decision-making proc
This series of questions can be used to determine who the individual shared his or her genetic tests results with, if an
The Sickle Cell Disease Health-Related Stigma Scale Short Form (SCD-HRSS-SF) is a 21-item self-administered questionnair
The Measure of Sickle Cell Stigma (MoSCS) is an 11-item, self-administered questionnaire that measures the amount of tot
The Child Stigma Scale (CSS) is an eight-item, self-administered questionnaire that measures how the chronic disease bur
The modified version of the Sickle Cell Disease Pain Burden Interview–Youth (SCPBI-Y) is a 7-item, self-administered q
The Sickle Cell Disease Pain Location Body Map - Adult protocol is one question from a wider self-administered pain diar
A validated sickle cell disease-specific readiness for transition assessment tool from pediatric to adult care. It is co
This protocol is an estimate of how many hours and minutes the person spends sitting during normal situations (e.g., wat
The protocol developed by Quereux et al. (2010) includes a self administered questionnaire that captures the main skin c
The questionnaire asks about risk factors for sleep apnea, namely snoring behavior, wake time, sleepiness or fatigue, an
The Sleep Disturbances Scale for Children is a 26-item, self-administered scale completed by the parent that assesses th
These self-administered questions ask current and former smokers about their intention to quit smoking, details of past
The UCLA Loneliness Scale includes 20 questions used to assess how lonely the respondent feels. Each question begins wit
The National Institutes of Health (NIH) Toolbox Adult Social Relationship (SR) Scales are a self-administered measure wi
The Medical Outcomes Study (MOS) Social Support Survey is a self-administered questionnaire that that includes 19 items
This questionnaire includes four self-administered items from the International Cannabis Policy Study Survey, Wave 6 (20
The WHOQOL Spirituality, Religion and Personal Beliefs (SRPB) is an instrument covering 8 facets, representing 32 items.
The Stroke Impact Scale (SIS) includes 59 proxy- or self-report items in 8 domains that assess multidimensional stroke o
The Thoughts About Abstinence (TAA) Scale is a four-item instrument that asks respondents about their desire to quit a s
Measurement of respondent’s 30-day frequency of use of drugs.
This measure assesses if a patient died of sudden cardiac arrest by reviewing symptoms prior to death, timing of death,
The Childhood Autism Spectrum Test (CAST), also known as the Social and Communication Development Questionnaire, is a 37
The Early Adolescent Temperament Questionnaire (EATQ-R) is a 65-item self- or parent-report questionnaire that measures
The Tinnitus Handicap Inventory is a 25-item self-administered questionnaire that assesses the impact of tinnitus on the
Measures used to calculate the respondent’s 30-day quantity and frequency use of cigarettes. For the adolescent respon
Measurement to ascertain the respondent’s age of initiation of first/regular use of cigarettes, which can be used to c
Measurement to ascertain when the respondent quit smoking. Response is used to calculate duration of use and pack-years
Four questions used to determine the type of cigarette brand that is most often used by the respondent.
Definitions of different types of cigars and three questions asked by an interviewer to determine the cigar brand and ty
This protocol consists of two self-administered questions about the normal level of physical activity associated with th
There are many research contexts in which one could collect this information, and how the information is collected will
The Brief Assessment of Recovery Capital (BARC-10) is a 10-item self-administered measure of individual recovery capital
A 30-item short-form version of the Survivor Unmet Needs Survey (SF-SUNS) which assesses unmet needs across four domains
This is a single-item, three-part measure taken from the Growing Up Today Study (GUTS) that assesses use and frequency o
The respondent is asked a series of 5 questions to assess their childs current and past use of glasses and contact lense
This is a self-reported survey for healthcare workers on their access to and reuse of Personal Protective Equipment (PPE
The Use of Treatment and Recovery Support Services is a self-administered or interviewer-administered questionnaire that
The Dizziness Handicap Inventory (DHI) assesses perceived disability due to dizziness (e.g., vertigo [spinning sensation
This protocol includes 1 self-administered question adapted from the Million Veteran Program (MVP) Baseline Survey.
Self-reported vision-targeted health status is measured with the Vision Function Questionnaire (VFQ-25). This interviewe
The Voice Handicap Index (VHI) is a 30-item self-administered questionnaire that asks individuals to describe their voic
The COVID-19 Experiences (COVEX) questionnaire was developed by investigators from the Division of Child and Adolescent
This is a two-item measure of an individual’s weight change goals used in the 2015 Youth Risk Behavior Survey (YRBS).
The protocol contains a question about the participant’s weight 1 year ago.* *NOTE: This period can be modified for di
The Minnesota Withdrawal Scale - Revised offers a self-report protocol which reviews symptoms of withdrawal. This protoc
This protocol includes 10 questions from the 2016 Nebraska Worksite Wellness Survey that are used to assess a respondent
This protocol includes five questions from the University of Michigan and National Institutes of Health’s 2022 Monitor
Try a different search term or clear the domain / license filters.