Food Allergy Quality of Life Questionnaire-Parent Form (FAQLQ-PF) (Shortened Version) for
Parents of children aged 0-17 years
The following are scenarios that parents have told us affect children’s quality of
life because of food allergy/ anaphylaxis /eczema/drug allergy.
Please indicate how much of an impact each scenario has on your child’s quality
of life by placing a rating of 0 to 6.
1 = not at all, 2 = a little bit, 3 = slightly, 4 = moderately, 5 = quite a bit, 6 = very much, 7 = extremely
not at all
extremely
All information given is completely confidential. This questionnaire will only be
identified by a PASSCODE number provided by T E A C H.
All the fields are required
There are 4 steps to participate in this study,
The completion of the questionnaire will be interpreted as your informed consent to participate and that you confirm that you are at least 18 years of age. You may refuse to take part in the research or exit the questionnaire at any time without penalty. All information obtained during the study will be kept confidential as required or permitted by law. The information in this study will be used only for research purposes. Any shared personal information that could identify you will be removed or changed before files are shared with other researchers or results are made public.