Request the UMAS Questionnaire

Complete the form below to receive the original UMAS instrument files. Access is free for all researchers, subject to a citation commitment.

Researcher Identity

Your professional information

Full Name *

Professional Email *

Affiliation / Institution *

Country of Origin *

Professional Role

Research Plan Details

Help us understand your intended use of UMAS

Research / Project Title *

Research Objectives *

Target Population *Indicate the disease condition(s) and patient group

Research Location *City, province, or specific facility

Study Type

Research Start Date

Estimated End Date

Agreements

Required confirmations before submitting

Accuracy Confirmation

I confirm that the information provided above is accurate and that this request is for academic or clinical research purposes only.

Citation Commitment

I commit to citing the in any publication resulting from this research.

Publication Listing Consent

I consent to having a link to my resulting publication listed on the UMAS website once it is published, as part of the open evidence network.

Non-Commercial Use

I confirm that my use of this scale is exclusively for non-commercial purposes. I acknowledge that this material and its adaptations cannot be sold, commercialized, or used in any business activities aimed at generating financial profit.

You will receive the questionnaire files via email within 2–3 business days.