Non-Commercial EQ-5D Registration:
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Title / Salutation Please select
Dr.
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Other Please select an option
Member of EuroQol Group?
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Please make sure to enter your country and mobile phone number correctly. Please contact Customer Support if you do not have a mobile telephone.
Country Please select
Afghanistan
Åland Islands
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Canada
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Chad
Chile
China
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Cook Islands
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Cuba
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Dominican Republic
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Ethiopia
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Finland
France
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French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
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Grenada
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Heard Island and McDonald Islands
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Honduras
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India
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Iraq
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Israel
Italy
Jamaica
Japan
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Jordan
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Kenya
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Korea, Republic of
Kuwait
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Liberia
Libya
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Madagascar
Malawi
Malaysia
Maldives
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Marshall Islands
Martinique
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Mexico
Micronesia, Federated States of
Moldova
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Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
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Netherlands
New Caledonia
New Zealand
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Nigeria
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North Macedonia
Northern Mariana Islands
Norway
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Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
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Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
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Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe Please select your country where your mobile phone number is register.
Organization
(In the dropdown below, if you find your work environment listed under “Commercial Work Environment“, you might want to switch to the Commercial registration route by clicking “Previous”, then “Back” and select the blue Commercial button)
Non Commercial Work Environment
Please select
University: student
University: staff
Hospital / Clinical Practice
Government / Non-Profit / HTA Agency
Health Insurance
Other Consulting / CRO / Vendor
Industry
Biotechnology
Pharmaceutical
Medical Device
Healthcare Communications Please select an option
Please specify other work environment Please complete this field
Intended use of EQ-5D
Title / Description / Study Code Please complete this field
Objective Please complete this field
Source of funding / Sponsor Please complete this field
EQ-5D will be used for Please select the most prominent area
Research (intend to publish the results)
Internal use (clinical use, routine data collection, PROMs etc.)
Other Please select an option
Please specify other intended use Please complete this field
Study design / primary use Please select
Intervention study (randomized or non-randomized trial)
Observational study (including case-control, cohort and cross-sectional studies)
Methodological study
Registry
Routine data collection
PROMs - Alberta, Canada
PROMs - CIHI, Canada
Swedish National Quality Registries
Valuation study
Other Please select an option
Please specify other design / primary use Please complete this field
Clinical area Please select the most prominent area
Acne
Acupuncture
Alcohol dependency
Angina (treatment options)
Angioplasty
Anorectal reconstruction
Asthma
Blood transfusion
Bone marrow transplant
Breast cancer
Breast cancer screening
Bronchitis
Cardiac surgery
Cardiology
Cardiovascular disease
Cataract surgery
Chemotherapy (impact)
Chronic fatigue
Chronic illness
Cochlear implantation
Colles fracture
Colorectal carcinoma
Congestive heart failure
Conservation work (benefits of)
Cosmetic surgery
COVID-19
Cystic fibrosis
Dementia
Detoxification
Diabetes
Drug monitoring (nursing home residents)
Dyspepsia
Dystonia
Elderly (QOL)
Endometriosis
Enteral nutrition
Epilepsy
Erectile dysfunction
Fabry's disease
Gastro-enteritis
General practice
Geriatrics
Gilles de la Tourette
Graves eye disease
Growth Hormone
Haemophilia
Hip fracture/replacement
HIV infection
Hodgkin's dis.
Homeopathy
Hormone replacement therapy
Hospital waiting lists
Hysterectomy
Imperforate anus
Incontinence
Inguinal hernia
Intensive care
Intestinal failure
Ischaemic heart disease
Joint replacement
Leg ulcer clinics
Liver disease
Liver transplantation
Low back pain
Lung cancer
Lung embolism
Lung transplantation
Lupus
Lymphoedema
Lymphoma
Magnetic Resonance Imaging
Melanoma (stage III)
Menorrhagia
Migraine
Multiple Sclerosis
Myeloid Leukaemia
Myocardial infarction
Neonatal surgery
Neural tube defects
Neurosurgery
Non-Hodgkin's disease
Nutrition
Obstructive sleep apnoea
Orthopaedic medicine
Osteoarthritis
Pain
Pancreatic cancer
Parenteral nutrition
Peripheral arterial disease
Peripheral vascular disease
Physiotherapy
Picture archiving and Communication systems (PACS)
Population health surveys
Primary care
Prostate cancer
Prostatic hypertrophy
Psoriasis
Psychiatric problems in GP practice
Redundancy (impact of)
Rehabilitation (effects of)
Renal (kidney stone disease)
Renal disease (end-stage)
Renal oncology
Respiratory illness
Rheumatoid arthritis
Rhinitis
Road accidents (non-fatal)
Schizophrenia
Sepsis
Sinusitis
Smoking (impact of)
Stent
Stroke
Trauma
Tuberculosis (prevention in HIV)
Turner's syndrome
Urology
Vascular surgery
Venous leg ulcers
Visual impairment
Weight loss (treatment for)
Women's surgery
Other / Unknown Please select an option
Other clinical area Please complete this field
Do you want to involve Vendors or CRO?
Please select an option
Vendors/CROs specified here will receive an invitation by email to log in to the EuroQol Customer Portal after verification of the request by a member of the EuroQol Office. In the Portal the available version(s) requested can be downloaded.
Are you planning to collect EQ-5D digitally, for instance in an App, or in a web-based solution?
Please select an option
Please describe how you intend to collect EQ-5D data digitally Please complete this field Please remember to indicate that you are collecting data digitally in the SELECT EQ-5D VERSION(S) section
Please describe how you intend to collect EQ-5D data digitally Please complete this field Please remember to indicate that you are collecting data digitally in the SELECT EQ-5D VERSION(S) section
Select EQ-5D Version(s)
Which EQ-5D version(s) will be used? Please select all that apply.
Please select an option
The EuroQol Group is currently developing new instruments such as EQ-HWB and EQ-TIPS. Note that these instruments are currently experimental and are only shared with selected research collaborators. Please click
here to enquire about our policy in this regard.
As the renaming process of the EQ-5D-Y to the EQ-5D-Y-3L is expected to take several months across all of our documents, either name can be found in the documentation. It should be noted that, apart from the name, EQ-5D-Y or EQ-5D-Y-3L, the content of the instrument is identical.
Please note that:
The 5L version has shown to be more sensitive than the 3L version.
The 5L value sets are newer and of a more consistent quality than those of the 3L.
So, if you do not need to collect 3L data, our advice is to use only the 5L.
If you want to see the differences and similarities between 3L and 5L, check out the demos and user guides .
When in doubt, contact Customer Support
Select EQ-5D Version(s)
Other modes of administration (exceptional circumstances): click to show
Other modes of administration (exceptional circumstances): click to hide
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Select EQ-5D Version(s)
Other modes of administration (exceptional circumstances): click to show
Other modes of administration (exceptional circumstances): click to hide
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Select EQ-5D Version(s)
Other modes of administration (exceptional circumstances): click to show
Other modes of administration (exceptional circumstances): click to hide
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Select EQ-5D Version(s)
Other modes of administration (exceptional circumstances): click to show
Other modes of administration (exceptional circumstances): click to hide
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Select countries/regions + languages
On this screen you can select the languages and countries/regions in which you want to collect data.
You can use the Search function below, or select the available languages from the list.
If your language or country/region is not available, you can enter these in the Other Country/region and Language fields.
Available EQ-5D Versions
Below you see all the versions you have selected, and their availability. The available versions have been selected automatically. Please review the table and select the versions you require.
Note that unavailable versions can be created for you, but this will take several months, at a minimum. Moreover, you will be asked to pay the translation-/adaption costs.
Please click here for details. We will contact you after registration regarding the next steps.
Permissions
Are you planning to modify EQ-5D?
Please select an option
Please note that EuroQol Research Foundation does not recommend modifying EQ-5D,
as by changing the instructions of EQ-5D results in an instrument that deviates significantly
from the original version. This could lead to difficulties with
authorities if they request EQ-5D data, as the modified version might produce different
data.
Please specify how you intend to modify the EQ-5D.
Please complete this field
After anonymization, can we use the information you provided in EuroQol reports on EQ-5D usage?
Please select an option
Can we contact you in case of important product notifications?
Please select an option
Can we contact you to complete a customer satisfaction survey once a year?
Please select an option
Please Check The General Conditions EuroQol handles personal data with the necessary care. More about this can be found in our
Privacy statement.
Summary
Commercial requests will be handled with priority. Depending on whether an active license agreement is in place, a quote, a license agreement and/or a third party agreement will be drafted. We will reply to your commercial requests within 2 business days.
Next steps:
After pressing Submit you will receive a confirmation of your registration by email.
At a later timepoint you will receive an invitation by email to log in to the EuroQol Customer Portal.
Note: initially not all your requested versions may be available for download in the Customer Portal, as your request is being processed. However, there may be tasks for you in the Portal, so we kindly ask you to log in. You will receive a separate email when your requested versions are available for download.
Note: Fast-Track Digital enabled.
Note: Fast track enabled.
No license agreement is needed. You will need to accept our Terms of Use which will be presented to you after you have clicked the submit button. We aim to deliver EQ-5D within 2 business days after you have accepted the Terms of Use.
Next steps:
After you have clicked the Submit button below you will be presented with the Terms of Use.
When you accept the Terms of Use you can download the document, or receive a copy by email. You can also download a copy later from the EuroQol Customer Portal. You will be contacted by the EuroQol Office if you reject the Terms of Use.
Next you will receive a confirmation of your registration by email.
After verification of your request by a member of the EuroQol Office, you will receive an invitation by email to log in to the EuroQol Customer Portal. In the Portal the available version(s) you requested can be downloaded.
We aim to deliver the requested EQ-5D language versions within 2 business days after accepting the Terms of Use.
Note: as you have selected an unavailable EQ-5D version, please indicate below your desired date of availability.
A license agreement is needed, at no cost to you.
Next steps:
After pressing Submit you will receive a confirmation of your registration by email.
With 5 business days a representative from the EuroQol Office will be in touch to discuss available options and to set up a license agreement.
At a later timepoint you will receive an invitation by email to log in to the EuroQol Customer Portal. Note: initially not all requested versions may be available for download in the Customer Portal, as your request is being processed. However, there may be tasks for you in the Portal, so we kindly ask you to log in. You will receive a separate email when your requested versions are available for download.
A team member from the EuroQol Office will be in contact about your registration.
The email checker was not able to verify your email address. This could mean that we cannot reach you. Please contact Support if you did not receive our registration confirmation email within 24 hours..
Your Details
Title / Salutation:
Member of EuroQol Group:
No
First Name:
Last Name / Family Name:
Email:
Country:
Mobile Phone:
Organization
Organization:
Non Commercial work environment:
Please specify other work environment:
Office Phone:
Postal Address:
City:
Postal / Zip code:
Intended use of EQ-5D
Title / Description / Study Code:
Objective:
Source of funding / Sponsor:
EQ-5D will be used for:
Please specify other intended use:
Study design / primary use:
Please specify other design / primary use:
Clinical area:
Other clinical area:
Number of patients / respondents for this registration:
Do you want to involve Vendors or CRO?:
Vendors:
Are you planning to collect EQ-5D digitally, for instance in an App, or in a web-based solution?:
Please describe how you intend to collect EQ-5D data digitally:
Start date:
End date:
Requested available and unavailable versions
Requested available versions:
Requested unavailable versions:
Permissions
Are you planning to modify EQ-5D?:
Please specify which EQ-5D modification you plan to do:
After anonymization, can we use the information you provided in EuroQol reports on EQ-5D usage?:
Can we contact you in case of important product notifications?:
Can we contact you to complete a customer satisfaction survey once a year?:
I agree with the General Conditions:
Please click the “Previous” button if you want to change your registration.
