TCM CONSTITUTION QUESTIONNAIRE - RESULT READING RECORD
Questionnaire title:
Author or organization:
Exact version, including long or short form:
Language and translation source:
Number of questions actually answered:
Date completed:
Recall period requested:
How completed, such as self-completed or interviewer-administered:
Any missing or misunderstood questions:
Source of scoring instructions:
Meaning of the displayed score:
Scale direction, including reverse-coded items if relevant:
Threshold and source, if a threshold is used:
Whether several categories can be returned:
Original scores, including close or low scores:
Research citation offered for this exact version:
Study population and setting:
What the study compared the questionnaire against:
Which measurement property was studied:
Limits mentioned by the researchers:
Changes since an earlier completion:
Unanswered questions to bring to a qualified professional:
This record is a reading aid, not the CCMQ, a validated questionnaire,
a health assessment, a scoring manual or a treatment recommendation.
Do not enter a password or identifying medical details into a public form.