Licensing third-party outcome measures

Some outcome measures are in the public domain, whereas others must be commercially licensed prior to using them with your clients.
Fees and restrictions differ for each outcome measure and publisher.
For example, some publishers allow using outcome measures free of charge in non-funded academic studies, as well as when used in individual practices.

Information on license/permissions:

The Disabilities of the Arm, Shoulder and Hand (DASH) and The QuickDASH (

WOMAC Osteoarthritis Index(

Beck Anxiety Inventory(

Functional Rating Index(

Measures distributed by MAPI Trust ( are for example, but not limited to:

Neck Disability Index (NDI)

The Quebec Back Pain Disability Scale

Hospital Anxiety and Depression Scale (HADS)

Modified Oswestry Low Back Pain Disability Questionnaire

Oswestry 2.0 (ODI)

Pain Catastrophizing Scale(PCS)

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