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.
Please be informed that in the week of Feb 17th, turnaround time for commercial registrations can be 3-5 days instead of 2 days, due to system updates.
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.
No license agreement is needed. You will need to print, sign and upload a Digital Use Letter before delivery. We aim to deliver EQ-5D within 2 days after you have uploaded the Digital Use Letter.
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: