Metoda PRT
Metoda PRT

FIQ-R questionnaire — fibromyalgia's impact on functioning

An interactive version of the FIQ-R (Revised Fibromyalgia Impact Questionnaire), which measures how much fibromyalgia affects a patient's daily functioning. It has three parts: function, overall impact and symptoms. The result (0–100) is calculated automatically at the end.

The tool is for monitoring symptom severity in people already diagnosed with fibromyalgia — it is not a diagnostic test. It takes about 30 minutes on average, but you can pause and return at any time.

Before you start

  1. Answer based on how you have felt over the last 7 days.
  2. For each question pick a value from 0 to 10 that best describes your situation.
  3. If you cannot perform a given activity, select 10.
  4. If you did not perform an activity in this period, rate the difficulty the last time you did.

Part 1 — Function

For each of the 9 activities, mark how much fibromyalgia made it difficult to perform over the last 7 days.

Caring for hair and scalp, e.g. combing
0 · No difficulty10 · Very difficult
Walking continuously for 20 minutes
0 · No difficulty10 · Very difficult
Preparing a home-cooked meal
0 · No difficulty10 · Very difficult
Vacuuming, scrubbing or sweeping floors
0 · No difficulty10 · Very difficult
Lifting and carrying a bag full of groceries
0 · No difficulty10 · Very difficult
Climbing one flight of stairs
0 · No difficulty10 · Very difficult
Changing bed sheets
0 · No difficulty10 · Very difficult
Sitting in a chair for 45 minutes
0 · No difficulty10 · Very difficult
Grocery shopping
0 · No difficulty10 · Very difficult

Part 1 score (sum ÷ 3): 0Answered: 0 / 9

Part 2 — Overall impact

Mark how you would rate fibromyalgia's overall impact on you over the last 7 days.

Fibromyalgia prevented me from accomplishing my goals
0 · Never10 · Every time
Fibromyalgia symptoms disrupted my functioning
0 · Not at all10 · Completely

Part 2 score (sum): 0Answered: 0 / 2

Part 3 — Symptoms

For each of the 10 symptoms, mark the severity you experienced over the last 7 days.

Pain level
0 · No pain10 · Unbearable pain
Rate your energy level
0 · Lots of energy10 · No energy at all
Stiffness level
0 · No stiffness10 · Severe stiffness
Sleep quality
0 · Woke up rested10 · Woke up exhausted
Level of low mood
0 · None10 · Deep dejection / depression
Memory problems
0 · Good memory (no problems)10 · Serious problems
Anxiety level
0 · None10 · Severe anxiety
Tenderness to touch
0 · No hypersensitivity10 · Severe hypersensitivity
Balance problems
0 · None10 · Very frequent and severe
Sensitivity to loud noises, bright lights, smells and cold
0 · No hypersensitivity10 · Severe hypersensitivity

Part 3 score (sum ÷ 2): 0Answered: 0 / 10

Your result

Function (0–30)
0
Overall impact (0–20)
0
Symptoms (0–50)
0
FIQ-R total score (0–100)
— / 100

Answer all 21 questions to see your total score. (0 / 21)

How to interpret the score

0–30 · Low impact

A mild impact of fibromyalgia on daily life. Fewer or milder symptoms allow relatively good functioning.

31–59 · Moderate impact

A moderate impact of fibromyalgia. A noticeable level of pain and other symptoms that moderately affect daily activities.

60–100 · High impact

A significant impact of fibromyalgia. Often considerable pain, fatigue and other symptoms that seriously disrupt daily tasks and quality of life.

The FIQ-R is just one tool for assessing fibromyalgia's impact. The condition is complex and its picture can differ markedly between individuals. A physician decides on disease severity and treatment, taking into account overall health, medical history and individual circumstances.

FIQ-R (Revised Fibromyalgia Impact Questionnaire). Original research: Bennett R.M., Friend R., Jones K.D. et al., "The Revised Fibromyalgia Impact Questionnaire (FIQR)" (2009).

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