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This questionnaries is copyrighted mostly to prevent unapproved changes to it. Its use for individual purposes (e.g. supporting clinical assessment at a patient consultation) is free and does not requires any autorization.
The use the questionnaire by any research group, to aggregate data from different patients, requires a communication to the CARAT group.
For-profit organizations or the use of the questionnaire with commercial/marketing purpose will require case-by-case authorization from the CARAT group.