Instrument Use Agreement | Self Care Measures

Patient
Self-Care
- Disease-specific measures
- Generic measures
  - SC of Chronic Illness Inventory
  - SC Inventory
Caregiver
Contributions
- Disease-specific measures
- Generic measures
  - CC-SCCII
Caregiver
Self-Care
- SC-Informal Caregivers Inventory
Accompanying
Measures
Additional
Resources

Select Page

Leave this field empty

First Name *

Last Name *

Email *

Academic Degrees or Credentials *

Professional Title *

Institution or Affiliation *

Address *

City *

Country *

What instrument do you want to use? *

Please select the instrument version: *

SCHFI *

SCHI *

SCCHD *

SCCII *

CC-SCHFI *

What is the language of the people you want to study? *

Is the instrument available in that language? * Yes No

How will you be using this instrument? * Clinical Practice Student Project Research Other

Provide a detailed explanation of how you will use this instrument: *

YOU DO NOT HAVE PERMISSION TO USE THIS INSTRUMENT. IT DOES NOT EXIST IN YOUR LANGUAGE.

If you want to translate this instrument please review the translation guidance (see Additional Resources). Then reach out to the primary contact listed on the website to request permission.

YOU DO NOT HAVE PERMISSION TO TRANSLATE THIS INSTRUMENT. If you need to translate it, please contact the person responsible for that instrument to obtain permission.

You must agree to these terms and conditions if you want to use this instrument. Do you agree…?

Not to change the instrument in anyway without explicit permission of the author * Yes No

To calculate scores in the manner prescribed on the website * Yes No

To properly cite the instrument in all publications using it, referring to the original publication * Yes No

Not to include the instrument itself in any publication because that transfers the copyright to the journal publisher * Yes No

By typing your full name below you agree to this use agreement. *

YOU DO NOT HAVE PERMISSION TO USE THIS INSTRUMENT. You must agree to all the terms and conditions.

Author Email

Author Name

Author Line 1

Author Line 2

Version Final

Designed & Hosted by MetaTechnical