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Fibromyalgia Health Assessment Questionnaire
The Fibromyalgia Health Assessment Questionnaire (FHAQ) is a subset of the orig-
inal Health Assessment Questionnaire (HAQ) [ 76 ] that has been specially designed
for FMS, adapting the original tool to measure more adequately the functional abil-
ity in FMS. It yields a score from 0 to 3 that refl ects the patient’s state of functional
ability; the lower the score, the better the functional state.
Function and Symptom Questionnaire
The Function and Symptom Questionnaire (FSQ) is a 9-item questionnaire that cov-
ers current disability in daily activities, somatic symptoms, and sleep quality [ 77 ].
It is only available in English, and it is simple to use and very useful in clinical
practice and research.
Multi-dimensional Questionnaire for Patient Reported Outcome
Measures: Fibromyalgia (PROMs-FM)
A recent questionnaire, the Multi-dimensional Questionnaire , for PROMs-FM was
developed specifi cally for fi bromyalgia patients (Appendix 3). It has integrated the
modifi ed 2010 ACR criteria for FMS as well as the patient reported outcome mea-
sures in a multidimensional format. In addition to patient reported assessment of
symptoms severity score and widespread pain index, it includes assessment for
functional disability, quality of life, VAS (0–100) for sleep disturbance, waking
feeling unrefreshed, global status, fatigue, body pain, and impact of mood changes,
as well as assessment for FMS associated comorbidities such as falls, cardiovascu-
lar risks, sexual dysfunction, self-helplessness together with self-reported soft tis-
sue painful areas [ 78 ]. Being short, rapid, and comprehensive, the questionnaire can
be used for the diagnosis, monitoring of the disease progression, as well as response
to therapy. It is only available in English in its original version.
Additional Considerations and Psychometric Properties
of the Included PROMs
For the collection of PROMs in FMS, we performed a systematic review. Although
we identifi ed other questionnaires used for FMS patients, we decided to include
PROMs that were specifi c for FMS only. Two indices that are widely used but that
were not included in our review are worth mentioning: (1) the combined index of
severity (the CODI index), which we excluded as it does not really fi t the concept of
L. Carmona et al.