< Topic >The revised edition tissue myalgic symptom question vote JFIQR whose diagnosis and clinical evaluation of the degree of serious illness of the tissue myalgic symptom are possible on the basis of the extent of the symptom which the patient is conscious, is offered.SolutionsRevised edition tissue myalgic symptom question vote JFIQR100, symptom question field 11, the reply choice field provides 12, and field score total section 13 while 1 sheets, symptom question field 11 is stated on the left side of the sheet. Multiple questions are stated in symptom question field 11, the choice field which displays the extent of concrete symptom of the tissue myalgic symptom as the reply for multiple questions is stated in the reply choice field 12. In addition, in the reply choice field 12, the score which responds to the extent of concrete symptom is calculated. Total of the score which was calculated in the reply choice field 12 is posted in field score total section 13.< Choice figure >Drawing 1【課題】患者の自覚する症候の度合いに基づいて、線維筋痛症の重症度の診断及び臨床評価が可能な改訂版線維筋痛症質問票JFIQRを提供する。【解決手段】改訂版線維筋痛症質問票JFIQR100は、症候質問欄11、回答選択領域12、及び領域点数合計部13を1枚のシート内に設け、症候質問欄11はシートの左側に記載される。症候質問欄11には、複数の質問が記載され、回答選択領域12には、複数の質問に対する回答として線維筋痛症の具体的症候の度合いをあらわす選択欄が記載されている。また、回答選択領域12では、具体的症候の度合いに応じた点数が算出される。領域点数合計部13には、回答選択領域12において算出された点数の合計が記入される。【選択図】図1
