Menstrual Distress Questionnaire

License to Reproduce

License to Administer

Allows you to administer the MDQ as an online survey via a non-Mind Garden survey system or as a paper and pencil survey. The downloadable PDF file includes one copy of each MDQ form, scoring key, and permission to administer the MDQ up to the quantity purchased. The PDF is non-refundable.

$2.75
This product is not sold individually. You must select at least 50 quantity for this product.
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  • Volume Discount

Menstrual Distress Questionnaire: Form C and Form T (MDQ)
License to Administer

Purchase MDQ License to Administer if you plan to administer the MDQ as an online survey via a non-Mind Garden survey system or as a paper and pencil survey. You retype or reproduce, administer, and score the MDQ yourself.

MDQ demographics: Age, Marital Status, Occupation.

Conditions for Online Use

You agree to:
  • Administer this Mind Garden instrument for research purposes only. This research license is for data collection only and not for providing individual feedback to survey participants.
  • Control access to the instrument. The instrument may not be made available via the open web, nor sent in the message body or as an attachment to survey participants.
  • Avoid using copyrighted items from this instrument on the survey landing page. You should put other items on this landing page, e.g., demographics or informed consent.
  • Put the instrument copyright statement on every page containing questions/items from this instrument. The copyright statement is provided in the enclosed permission letter.
  • Track your license use. Each time a participant opens the survey and has access to the copyrighted items is considered one administration.
  • Compensate Mind Garden, Inc. for each administration.
  • Purchase a license for any additional administrations over the initial purchase quantity, or close the survey.
  • Remove this online survey at the conclusion of your data collection and you will personally confirm that it cannot be accessed.
Caution: If you do not require a unique login for each respondent, the survey method you use may elicit a large number of responses to your survey. You are responsible for compensating Mind Garden for every administration, regardless of circumstances.

Distributing an entire instrument in either the text of an email or as an email attachment is strictly prohibited.

Translations
Translations are available free of charge with your MDQ license purchase. Translations are provided in a separate pdf-format file. Select the language from the Translation drop-down list. Need multiple translations? Contact us. Can't find the translation you need? You may request permission to make a translation by requesting/completing the Translation Application Form.

View available translations
  • Chinese-Mandarin (Form C only)
  • Czech (Form C only)
  • Danish (Form C only)
  • Dutch (Form C only)
  • Dutch--Belgium (Form C only)
  • Estonian (Form C only)
  • Finnish (Form C only)
  • French (Form C only)
  • French--Belgium (Form C only)
  • French--Canada (Form C only)
  • German (Form C only)
  • German--Switzerland (Form C only)
  • Hungarian (Form C only)
  • Italian (Form C only)
  • Japanese
  • Korean
  • Latvian-Lettish (Form C only)
  • Malay (Form C only)
  • Norwegian
  • Polish (Form C only)
  • Portuguese--Brazil (Form C only)
  • Russian (Form C only)
  • Spanish (Form C only)
  • Spanish--Argentina (Form C only)
  • Spanish--Chile (Form C only)
  • Spanish--Mexico (Form C only)
  • Spanish--United States (Form C only)
  • Swedish (Form C only)
  • Thai (Form C only)
  • Vietnamese (Form C only)

Note: We cannot assure translation quality — many are made by individual researchers and we are not necessarily familiar with the particular language or dialect. Some of the translations are partial and typically do not have validation data. Basically, we offer whatever is available to facilitate your work.

Alternative License Types

Purchase licenses to administer the MDQ as an online survey using the Mind Garden Transform™ System. Offers easy administration, downloadable data file with raw results and scale scores per respondent. Customization services are available to include additional information such as informed consent, demographic questions, and other assessments -- fees apply.
Moos, Rudolf H.

Rudolf H. Moos, PhD, is a pioneer in conceptualizing the role of social atmosphere in people's satisfaction. He is a Senior Research Center Scientist at the Department of Veteran Affairs (Palo Alto, CA) and professor in the Department of Psychiatry at Stanford University (Stanford, CA).

Volume discounts

QuantityPrice Per Unit
50 $2.75
100 $1.93
500 $1.51
1000 $1.10
5000 $0.88
10000 $0.66
25000 $0.47
50000 $0.39

For pricing on higher quantities please contact Mind Garden.