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DLQI (Dermatology Life Quality Index)
So we can send you a copy of your results, don’t worry, it wont be used for any other purposes and will not be passed on other than to your GP practice or specialist.
Not required but makes it easier to ensure it gets to the right person

The aim of this questionnaire is to measure how much your skin problem has affected your life OVER THE LAST WEEK.

Over the last week, how itchy, sore, painful or stinging has your skin been?
Over the last week, how embarrassed or self conscious have you been because of your skin?
Over the last week, how much has your skin interfered with you going shopping or looking after your home or garden?
Over the last week, how much has your skin influenced the clothes you wear?
Over the last week, how much has your skin affected any social or leisure activities?
Over the last week, how much has your skin made it difficult for you to do any sport?
Over the last week, has your skin prevented you from working or studying?
If “No”, over the last week how much has your skin been a problem at work or studying?
Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives?
Over the last week, how much has your skin caused any sexual difficulties?
Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time?

The DLQI is copyright but may be used without seeking permission by clinicians for routine clinical purposes. For other purposes, please contact the copyright owners*.

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REFERENCES
Finlay AY and Khan GK. Dermatology Life Quality Index (DLQI): A simple practical measure for routine clinical use. Clin Exp Dermatol 1994; 19:210-216.
Basra MK, Fenech R, Gatt RM, Salek MS and Finlay AY. The Dermatology Life Quality Index 1994-2007: A comprehensive review of validation data and clinical results. Br J Dermatol 2008; 159:997-1035.
Hongbo Y, Thomas CL, Harrison MA, Salek MS and Finlay AY. Translating the science of quality of life into practice: What do dermatology life quality index scores mean? J Invest Dermatol 2005; 125:659-64.