Thank you for taking a little time to fill in this short questionnaire. It is aimed to measure how much vitiligo has affected your life over the last week. Please check one box for each question.
Your responses will be part of the comparative study Vitiligo Quality of Life conducted by a non-profit Vitiligo Research Foundation. We respect your privacy and don’t ask for any personal information – this questionnaire is completely anonymous.
If you have questions regarding this questionnaire or our organization in general, please visit our website or send us an email.
1, Penn Plaza, #6205, New York, NY 10119 USA +1-855-966-3555 email@example.com www.VRFoundation.org
Copyright ©AY Finlay, GK Khan, April 1992. Used with permission. License ID CUQoL1665.