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COA Instruments Distributed by Mapi Research Trust

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Block 2005_OMFish / Block 2005 Food Frequency Questionnaire - Omega 3/6 Block 2005 Food Frequency Questionnaire - Omega 3/6

Block G, Hartman AM, Dresser CM, Carroll MD, Gannon J, Gardner L et al.

To provide estimates of usual and customary dietary intake.

Therapeutic indications : All

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Block 2005.1_PATH / Block 2005.1_PATH - Block 2005 Food Frequency Questionnaire – Asian American Block 2005.1_PATH - Block 2005 Food Frequency Questionnaire – Asian American

Block G, Hartman AM, Dresser CM, Carroll MD, Gardner L, Gannon J et al.

To provide estimates of usual and customary dietary intake.

Therapeutic indications : All

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Block Alaska Supplemental / Block Alaskan Food Supplemental Screener Block Alaskan Food Supplemental Screener

Block G, Hartman AM, Dresser CM, Carroll MD, Gannon J, Gardner L et al.

To provide estimates of usual and customary dietary intake of Alaskan foods.

Therapeutic indications : All

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Block Fat Screener / Block Dietary Fat Screener Block Dietary Fat Screener

Block G, Gillespie C, Rosenbaum EH, Jensen C et al.

To rank individuals with regard to their usual fat intake

Therapeutic indications : All

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Block FV Screener / Block Dietary Fruit/Vegetable Screener Block Dietary Fruit/Vegetable Screener

Block G, Gillespie C, Rosenbaum EH, Jensen C et al.

To rank individuals with regard to their usual intake of fruits and vegetables

Therapeutic indications : All

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Block FVF Screener / Block Fruit/Vegetable/Fiber Screener Block Fruit/Vegetable/Fiber Screener

Block G, Gillespie C, Rosenbaum EH, Jensen C et al.

To rank individuals with regard to their usual intake of fruits, vegetables and fibers

Therapeutic indications : All

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Block Kids 2000 - calcium / Block Kids 8-17 Calcium Food Frequency Questionnaire Block Kids 8-17 Calcium Food Frequency Questionnaire

Cullen KW, Watson K, Zakeri I et al.

Designed to provide estimates of usual and customary dietary intake in children and adolescents.

Therapeutic indications : All

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Block Sodium Screener / Block Sodium Screener Block Sodium Screener

Block G, Norris J, Block T et al.

To rank individuals with regard to their usual sodium intake.

Therapeutic indications : All

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Block Sugar Screener / Block Sugar Screener Block Sugar Screener

Block G, Hartman AM, Dresser CM, Carroll MD, Gannon J, Gardner L et al.

To rank individuals with regard to their usual sugar intake.

Therapeutic indications : All

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Block_DFE / Block Folic Acid / Dietary Folate Equivalents Screener Block Folic Acid / Dietary Folate Equivalents Screener

Clifford AJ, Noceti EM, Block-Joy A, Block T, Block G et al.

To rank individuals with regard to their usual folic acid intake

Therapeutic indications : All

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BSFS / Bristol Stool Form Scale Bristol Stool Form Scale

O'Donnell LJ, Virjee J, Heaton KW et al.

To assess intestinal transit rate by classifying faeces into seven groups

Therapeutic indications : Gastrointestinal Diseases, Inflammatory Bowel Diseases

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BVAS-WG / Birmingham Vasculitis Activity Score for Wegener’s Granulomatosis Birmingham Vasculitis Activity Score for Wegener’s Granulomatosis

Stone JH, Hoffman GS, Merkel PA, Min YI, Uhlfelder ML, Hellmann DB, Specks U, Allen NB, Davis JC, Spiera RF, Calabrese LH, Wigley FM, Maiden N, Valente RM, Niles JL, Fye KH, McCune JW, St Clair EW, Luqmani RA et al.

To capture disease manifestations relevant to Wegener Granulomatosis

Therapeutic indications : Granulomatosis with Polyangiitis

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C-ACT / Childhood Asthma Control Test Childhood Asthma Control Test

GlaxoSmithKline Research and Development Limited (GSK) et al.

To assess asthma control in children 4-11 years old

Therapeutic indications : Respiratory Tract Infections, Asthma

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CADSS / Clinician-Administered Dissociative States Scale Clinician-Administered Dissociative States Scale

Bremner JD, Krystal JH, Putnam FW, Southwick SM, Marmar C, Mazure CM, Charney DS et al.

To measure present-state dissociative symptoms

Therapeutic indications : Dissociative Disorders, Stress Disorders, Post-Traumatic, Depression, Schizophrenia, Panic Disorder

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CADSS-1 / Clinician-Administered Dissociative States Scale Clinician-Administered Dissociative States Scale

Bremner JD, Krystal JH, Putnam FW, Southwick SM, Marmar C, Mazure CM, Charney DS et al.

To measure present-state dissociative symptoms

Therapeutic indications : Dissociative Disorders, Stress Disorders, Post-Traumatic, Depression, Schizophrenia, Panic Disorder

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Caregiver WLQ / Caregiver Work Limitations Questionnaire Caregiver Work Limitations Questionnaire

Lerner D, Benson C, Chang H, Adler D, Rogers WH, Lyson MC, Parsons SK et al.

To assess the impact of caregiving on work performance and productivity

Therapeutic indications : All

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CarGOQoL / CareGiver Oncology Quality of Life questionnaire CareGiver Oncology Quality of Life questionnaire

Baumstarck K, Auquier P et al.

To measure the quality of life of the caregivers of patients with cancer

Therapeutic indications : Generic for Neoplasms

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CASC / Comprehensive Assessment of Satisfaction with Care Comprehensive Assessment of Satisfaction with Care

Bredart A et al.

To evaluate the competence of hospital physicians and nurses, as well as aspects of care organisation and hospital environment

Therapeutic indications : Generic for Neoplasms

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CAT™ / COPD Assessment Test™ COPD Assessment Test™

Jones PW, Harding G, Berry P, Leidy NK, Chen WH et al.

To measure the health status of patients with COPD

Therapeutic indications : Pulmonary Disease, Chronic Obstructive

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CCQ / Clinical COPD Questionnaire Clinical COPD Questionnaire

van der Molen T et al.

To measure clinical control in patients with COPD

Therapeutic indications : Pulmonary Disease, Chronic Obstructive