<input type="hidden" id="cuform" name="cuform" value="4a3e350505" /><input type="hidden" name="_wp_http_referer" value="/dqlf/wp-json/wp/v2/pages/593" />{"id":593,"date":"2022-07-27T10:51:50","date_gmt":"2022-07-27T09:51:50","guid":{"rendered":"http:\/\/sites-preprod.cardiff.ac.uk\/formsy\/?page_id=593"},"modified":"2022-10-14T09:28:36","modified_gmt":"2022-10-14T08:28:36","slug":"not-for-profit-licence","status":"publish","type":"page","link":"https:\/\/sites.cardiff.ac.uk\/dqlf\/not-for-profit-licence\/","title":{"rendered":"Licence for Non-profit organisation"},"content":{"rendered":"<form class=\"needs-validation\" novalidate role=\"form\" id=\"form-591\" method=\"post\" action=\"\"><p class=\"lead\">Use this form to request a free licence for the use of the Quality of Life questionnaires.<\/p>\n<div class=\"alert alert-warning\">\n<p>Free licenses are granted if the study\/use is <strong>publicly funded<\/strong> (e.g. funded by Medical Research Council or National Institutes of Health or other government bodies), and also to <strong>not-for-profit institutions and academics for studies not funded by for-profit organisations<\/strong>. If you intend using the questionnaires for any other purpose, please <a href=\"https:\/\/mappedsites.cardiff.ac.uk\/dqlf\/\">return to the start page<\/a> and select the correct option.<\/p>\n<p>If you wish to use the <strong>Cardiff Acne Disability Index (CADI)<\/strong> or <strong>Psoriasis Disability Index (PDI)<\/strong>, please contact <a href=\"mailto:technologytransfer@cardiff.ac.uk\">technologytransfer@cardiff.ac.uk<\/a><\/p>\n<p>For <strong>FROM-16<\/strong> only, all requests for licensing and for information have to be submitted through the<a href=\"https:\/\/eprovide.mapi-trust.org\/\"> ePROVIDETM<\/a> platform.<\/p>\n<\/div>\n<p>This licence covers the use of any validated translations given on our website. There is no need to specify which translation(s) will be used.<\/p>\n<p>The online form provides an instantaneous licence. The form and the terms and conditions attached to it form the agreement. Once you submit the form you will receive a confirmatory e-mail to state the license has been granted.<\/p>\n<p>If you need any help with licensing, please contact <a href=\"mailto:technologytransfer@cardiff.ac.uk\">technologytransfer@cardiff.ac.uk<\/a>. For all other queries e.g. translation, validation or electronic use, contact <a href=\"mailto:dermqol@cardiff.ac.uk\">dermqol@cardiff.ac.uk<\/a>.<\/p>\n <fieldset class=\"fieldset \">  \n        <div id=\"input_cufield_574\"  class=\"form-group control-group\"><label for=\"cufield_574\" class=\"form-label\" >Client Title<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_574\" name=\"client-title\"  class=\"form-control input-text \" value=\"\"   placeholder=\"\"  >   \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_575\"  class=\"form-group control-group\"><label for=\"cufield_575\" class=\"form-label required \" >First name<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_575\" name=\"client-first-name\"  class=\"form-control input-text  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">This field is required<\/div>  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_576\"  class=\"form-group control-group\"><label for=\"cufield_576\" class=\"form-label required \" >Client Surname<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_576\" name=\"client-surname\"  class=\"form-control input-text  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">This field is required<\/div>  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_577\"  class=\"form-group control-group\"><label for=\"cufield_577\" class=\"form-label required \" >Client Email<\/label>   \n          <div class=\"controls\">      \n            <input type=\"email\" id=\"cufield_577\" name=\"client-email\"  class=\"form-control input-email  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">Please enter a valid email address<\/div>  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_879\"  class=\"form-group control-group\"><label for=\"cufield_879\" class=\"form-label required \" >Confirm client email<\/label>   \n          <div class=\"controls\">      \n            <input type=\"email\" id=\"cufield_879\" name=\"confirm-client-email\"  class=\"form-control input-email  match  required \" value=\"\"   placeholder=\"\"  data-match=\"cufield_577\"   required > <div class=\"invalid-feedback\">This field is required and must match the email address entered above<\/div>  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_578\"  class=\"form-group control-group\"><label for=\"cufield_578\" class=\"form-label required \" >Client Telephone<\/label>   \n          <div class=\"controls\">      \n            <input type=\"tel\" id=\"cufield_578\" name=\"client-telephone\"  class=\"form-control input-tel  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">This field is required<\/div>  \n          <\/div>\n        <\/div><\/fieldset>\n        <div id=\"input_cufield_567\"  class=\"form-group control-group\"> <label for=\"cufield_567\" class=\"form-label required \" >Type of use<\/label>  <span class=\"field-description\"><p>Please select from this list how you are planning to use the questionnaire, or the type of study and institution you are associated with.<\/span>\n          <div class=\"controls\">\n            <select id=\"cufield_567\" name=\"instype-noncommercial\" class=\"form-control instype required \"   required ><option selected disabled value=\"\">Select<\/option><option  value=\"University-NonCom\"  >University: Not funded by a with-profit company\/organisation<\/option><option  value=\"Medical-NonCom\"  >Medical: Not funded by a with-profit company\/organisation<\/option><option  value=\"PublicFunded\"  >Publicly funded study<\/option><\/select>  <div class=\"invalid-feedback\">This field is required<\/div>  <div id=\"typeERROR\" class=\"alert instype-notice instype-Other\" style=\"display:none;\">\r\n    An online licence is not currently available for any other usage types.  Please contact <a href=\"mailto:dermqol@cardiff.ac.uk\">dermqol@cardiff.ac.uk<\/a> providing details of how you would like to use the questionnaire.<\/div>\r\n<div id=\"typeERROR2\" class=\"alert\">\r\n<p>For <strong>routine clinical use<\/strong>, no licence is required. Please visit the <a href=\"https:\/\/www.cardiff.ac.uk\/medicine\/resources\/quality-of-life-questionnaires\">Dermatology Quality of Life website<\/a> to download a copy of the questionnaire.<\/p>\r\n\r\n<p>If you cannot find a relevant type of use on this form please contact <a href=\"mailto:dermqol@cardiff.ac.uk\">dermqol@cardiff.ac.uk<\/a> providing details of how you would like to use the questionnaire.<\/p><\/div>         \n          <\/div>\n        <\/div><script> jQuery( \".instype\").on('change', function () {\t\t\r\n        var selected = jQuery(this).val();\r\n        var target = '.instype-'+ selected;\t\t\r\n        jQuery(\".instype-notice\").hide();\r\n        jQuery(target).show();\r\n    });<\/script>\n        <div id=\"input_cufield_579\"  class=\"form-group control-group\"><label for=\"cufield_579\" class=\"form-label required \" >Institution \/ Organisation Name<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_579\" name=\"institution-name\"  class=\"form-control input-text  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">This field is required<\/div>  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_580\"  class=\"form-group control-group\"><label for=\"cufield_580\" class=\"form-label required \" >Address Line 1<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_580\" name=\"address-line-1\"  class=\"form-control input-text  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">This field is required<\/div>  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_581\"  class=\"form-group control-group\"><label for=\"cufield_581\" class=\"form-label required \" >Address Line 2<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_581\" name=\"address-line-2\"  class=\"form-control input-text  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">This field is required<\/div>  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_582\"  class=\"form-group control-group\"><label for=\"cufield_582\" class=\"form-label\" >Address Line 3<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_582\" name=\"address-line-3\"  class=\"form-control input-text \" value=\"\"   placeholder=\"\"  >   \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_583\"  class=\"form-group control-group\"><label for=\"cufield_583\" class=\"form-label\" >Address Line 4<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_583\" name=\"address-line-4\"  class=\"form-control input-text \" value=\"\"   placeholder=\"\"  >   \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_584\"  class=\"form-group control-group\"><label for=\"cufield_584\" class=\"form-label\" >Post Code \/ Zip Code<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_584\" name=\"post-zip-code\"  class=\"form-control input-text \" value=\"\"   placeholder=\"\"  >   \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_571\"  class=\"form-group control-group\"> <label for=\"cufield_571\" class=\"form-label required \" >Country<\/label>  \n          <div class=\"controls\">\n            <select id=\"cufield_571\" name=\"country\" class=\"form-control  required \"   required ><option selected disabled value=\"\">Select<\/option><option  value=\"Afganistan\"  >Afganistan<\/option><option  value=\"Albania\"  >Albania<\/option><option  value=\"Algeria\"  >Algeria<\/option><option  value=\"American Samoa\"  >American Samoa<\/option><option  value=\"Andorra\"  >Andorra<\/option><option  value=\"Angola\"  >Angola<\/option><option  value=\"Anguilla\"  >Anguilla<\/option><option  value=\"Antigua &amp; Barbuda\"  >Antigua &amp; Barbuda<\/option><option  value=\"Argentina\"  >Argentina<\/option><option  value=\"Armenia\"  >Armenia<\/option><option  value=\"Aruba\"  >Aruba<\/option><option  value=\"Australia\"  >Australia<\/option><option  value=\"Austria\"  >Austria<\/option><option  value=\"Azerbaijan\"  >Azerbaijan<\/option><option  value=\"Bahamas\"  >Bahamas<\/option><option  value=\"Bahrain\"  >Bahrain<\/option><option  value=\"Bangladesh\"  >Bangladesh<\/option><option  value=\"Barbados\"  >Barbados<\/option><option  value=\"Belgium\"  >Belgium<\/option><option  value=\"Belize\"  >Belize<\/option><option  value=\"Benin\"  >Benin<\/option><option  value=\"Bermuda\"  >Bermuda<\/option><option  value=\"Bhutan\"  >Bhutan<\/option><option  value=\"Bolivia\"  >Bolivia<\/option><option  value=\"Bonaire\"  >Bonaire<\/option><option  value=\"Bosnia &amp; Herzegovina\"  >Bosnia &amp; Herzegovina<\/option><option  value=\"Botswana\"  >Botswana<\/option><option  value=\"Brazil\"  >Brazil<\/option><option  value=\"British Indian Ocean Ter\"  >British Indian Ocean Ter<\/option><option  value=\"Brunei\"  >Brunei<\/option><option  value=\"Bulgaria\"  >Bulgaria<\/option><option  value=\"Burkina Faso\"  >Burkina Faso<\/option><option  value=\"Burundi\"  >Burundi<\/option><option  value=\"Cambodia\"  >Cambodia<\/option><option  value=\"Cameroon\"  >Cameroon<\/option><option  value=\"Canada\"  >Canada<\/option><option  value=\"Canary Islands\"  >Canary Islands<\/option><option  value=\"Cape Verde\"  >Cape Verde<\/option><option  value=\"Cayman Islands\"  >Cayman Islands<\/option><option  value=\"Central African Republic\"  >Central African Republic<\/option><option  value=\"Chad\"  >Chad<\/option><option  value=\"Channel Islands\"  >Channel Islands<\/option><option  value=\"Chile\"  >Chile<\/option><option  value=\"Christmas Island\"  >Christmas Island<\/option><option  value=\"Cocos Island\"  >Cocos Island<\/option><option  value=\"Colombia\"  >Colombia<\/option><option  value=\"Comoros\"  >Comoros<\/option><option  value=\"Congo\"  >Congo<\/option><option  value=\"Cook Islands\"  >Cook Islands<\/option><option  value=\"Costa Rica\"  >Costa Rica<\/option><option  value=\"Cote DIvoire\"  >Cote D&#39;Ivoire<\/option><option  value=\"Croatia\"  >Croatia<\/option><option  value=\"Cuba\"  >Cuba<\/option><option  value=\"Curaco\"  >Curacao<\/option><option  value=\"Cyprus\"  >Cyprus<\/option><option  value=\"Czech Republic\"  >Czech Republic<\/option><option  value=\"Denmark\"  >Denmark<\/option><option  value=\"Djibouti\"  >Djibouti<\/option><option  value=\"Dominica\"  >Dominica<\/option><option  value=\"Dominican Republic\"  >Dominican Republic<\/option><option  value=\"East Timor\"  >East Timor<\/option><option  value=\"Ecuador\"  >Ecuador<\/option><option  value=\"Egypt\"  >Egypt<\/option><option  value=\"El Salvador\"  >El Salvador<\/option><option  value=\"Equatorial Guinea\"  >Equatorial Guinea<\/option><option  value=\"Eritrea\"  >Eritrea<\/option><option  value=\"Estonia\"  >Estonia<\/option><option  value=\"Ethiopia\"  >Ethiopia<\/option><option  value=\"Falkland Islands\"  >Falkland Islands<\/option><option  value=\"Faroe Islands\"  >Faroe Islands<\/option><option  value=\"Fiji\"  >Fiji<\/option><option  value=\"Finland\"  >Finland<\/option><option  value=\"France\"  >France<\/option><option  value=\"French Guiana\"  >French Guiana<\/option><option  value=\"French Polynesia\"  >French Polynesia<\/option><option  value=\"French Southern Ter\"  >French Southern Ter<\/option><option  value=\"Gabon\"  >Gabon<\/option><option  value=\"Gambia\"  >Gambia<\/option><option  value=\"Georgia\"  >Georgia<\/option><option  value=\"Germany\"  >Germany<\/option><option  value=\"Ghana\"  >Ghana<\/option><option  value=\"Gibraltar\"  >Gibraltar<\/option><option  value=\"Great Britain\"  >Great Britain<\/option><option  value=\"Greece\"  >Greece<\/option><option  value=\"Greenland\"  >Greenland<\/option><option  value=\"Grenada\"  >Grenada<\/option><option  value=\"Guadeloupe\"  >Guadeloupe<\/option><option  value=\"Guam\"  >Guam<\/option><option  value=\"Guatemala\"  >Guatemala<\/option><option  value=\"Guinea\"  >Guinea<\/option><option  value=\"Guyana\"  >Guyana<\/option><option  value=\"Haiti\"  >Haiti<\/option><option  value=\"Hawaii\"  >Hawaii<\/option><option  value=\"Honduras\"  >Honduras<\/option><option  value=\"Hungary\"  >Hungary<\/option><option  value=\"Iceland\"  >Iceland<\/option><option  value=\"India\"  >India<\/option><option  value=\"Indonesia\"  >Indonesia<\/option><option  value=\"Iran\"  >Iran<\/option><option  value=\"Iraq\"  >Iraq<\/option><option  value=\"Ireland\"  >Ireland<\/option><option  value=\"Isle of Man\"  >Isle of Man<\/option><option  value=\"Israel\"  >Israel<\/option><option  value=\"Italy\"  >Italy<\/option><option  value=\"Jamaica\"  >Jamaica<\/option><option  value=\"Japan\"  >Japan<\/option><option  value=\"Jordan\"  >Jordan<\/option><option  value=\"Kazakhstan\"  >Kazakhstan<\/option><option  value=\"Kenya\"  >Kenya<\/option><option  value=\"Kiribati\"  >Kiribati<\/option><option  value=\"Korea North\"  >Korea North<\/option><option  value=\"Korea Sout\"  >Korea South<\/option><option  value=\"Kuwait\"  >Kuwait<\/option><option  value=\"Kyrgyzstan\"  >Kyrgyzstan<\/option><option  value=\"Laos\"  >Laos<\/option><option  value=\"Latvia\"  >Latvia<\/option><option  value=\"Lebanon\"  >Lebanon<\/option><option  value=\"Lesotho\"  >Lesotho<\/option><option  value=\"Liberia\"  >Liberia<\/option><option  value=\"Libya\"  >Libya<\/option><option  value=\"Liechtenstein\"  >Liechtenstein<\/option><option  value=\"Lithuania\"  >Lithuania<\/option><option  value=\"Luxembourg\"  >Luxembourg<\/option><option  value=\"Macedonia\"  >Macedonia<\/option><option  value=\"Madagascar\"  >Madagascar<\/option><option  value=\"Malaysia\"  >Malaysia<\/option><option  value=\"Malawi\"  >Malawi<\/option><option  value=\"Maldives\"  >Maldives<\/option><option  value=\"Mali\"  >Mali<\/option><option  value=\"Malta\"  >Malta<\/option><option  value=\"Marshall Islands\"  >Marshall Islands<\/option><option  value=\"Martinique\"  >Martinique<\/option><option  value=\"Mauritania\"  >Mauritania<\/option><option  value=\"Mauritius\"  >Mauritius<\/option><option  value=\"Mayotte\"  >Mayotte<\/option><option  value=\"Mexico\"  >Mexico<\/option><option  value=\"Midway Islands\"  >Midway Islands<\/option><option  value=\"Moldova\"  >Moldova<\/option><option  value=\"Monaco\"  >Monaco<\/option><option  value=\"Mongolia\"  >Mongolia<\/option><option  value=\"Montserrat\"  >Montserrat<\/option><option  value=\"Morocco\"  >Morocco<\/option><option  value=\"Mozambique\"  >Mozambique<\/option><option  value=\"Myanmar\"  >Myanmar<\/option><option  value=\"Nambia\"  >Nambia<\/option><option  value=\"Nauru\"  >Nauru<\/option><option  value=\"Nepal\"  >Nepal<\/option><option  value=\"Netherland Antilles\"  >Netherland Antilles<\/option><option  value=\"Netherlands\"  >Netherlands (Holland, Europe)<\/option><option  value=\"Nevis\"  >Nevis<\/option><option  value=\"New Caledonia\"  >New Caledonia<\/option><option  value=\"New Zealand\"  >New Zealand<\/option><option  value=\"Nicaragua\"  >Nicaragua<\/option><option  value=\"Niger\"  >Niger<\/option><option  value=\"Nigeria\"  >Nigeria<\/option><option  value=\"Niue\"  >Niue<\/option><option  value=\"Norfolk Island\"  >Norfolk Island<\/option><option  value=\"Norway\"  >Norway<\/option><option  value=\"Oman\"  >Oman<\/option><option  value=\"Pakistan\"  >Pakistan<\/option><option  value=\"Palau Island\"  >Palau Island<\/option><option  value=\"Palestine\"  >Palestine<\/option><option  value=\"Panama\"  >Panama<\/option><option  value=\"Papua New Guinea\"  >Papua New Guinea<\/option><option  value=\"Paraguay\"  >Paraguay<\/option><option  value=\"Peru\"  >Peru<\/option><option  value=\"Phillipines\"  >Philippines<\/option><option  value=\"Pitcairn Island\"  >Pitcairn Island<\/option><option  value=\"Poland\"  >Poland<\/option><option  value=\"Portugal\"  >Portugal<\/option><option  value=\"Puerto Rico\"  >Puerto Rico<\/option><option  value=\"Qatar\"  >Qatar<\/option><option  value=\"Republic of Montenegro\"  >Republic of Montenegro<\/option><option  value=\"Republic of Serbia\"  >Republic of Serbia<\/option><option  value=\"Reunion\"  >Reunion<\/option><option  value=\"Romania\"  >Romania<\/option><option  value=\"Rwanda\"  >Rwanda<\/option><option  value=\"St Barthelemy\"  >St Barthelemy<\/option><option  value=\"St Eustatius\"  >St Eustatius<\/option><option  value=\"St Helena\"  >St Helena<\/option><option  value=\"St Kitts-Nevis\"  >St Kitts-Nevis<\/option><option  value=\"St Lucia\"  >St Lucia<\/option><option  value=\"St Maarten\"  >St Maarten<\/option><option  value=\"St Pierre &amp; Miquelon\"  >St Pierre &amp; Miquelon<\/option><option  value=\"St Vincent &amp; Grenadines\"  >St Vincent &amp; Grenadines<\/option><option  value=\"Saipan\"  >Saipan<\/option><option  value=\"Samoa\"  >Samoa<\/option><option  value=\"Samoa American\"  >Samoa American<\/option><option  value=\"San Marino\"  >San Marino<\/option><option  value=\"Sao Tome &amp; Principe\"  >Sao Tome &amp; Principe<\/option><option  value=\"Saudi Arabia\"  >Saudi Arabia<\/option><option  value=\"Senegal\"  >Senegal<\/option><option  value=\"Serbia\"  >Serbia<\/option><option  value=\"Seychelles\"  >Seychelles<\/option><option  value=\"Sierra Leone\"  >Sierra Leone<\/option><option  value=\"Singapore\"  >Singapore<\/option><option  value=\"Slovakia\"  >Slovakia<\/option><option  value=\"Slovenia\"  >Slovenia<\/option><option  value=\"Solomon Islands\"  >Solomon Islands<\/option><option  value=\"Somalia\"  >Somalia<\/option><option  value=\"South Africa\"  >South Africa<\/option><option  value=\"Spain\"  >Spain<\/option><option  value=\"Sri Lanka\"  >Sri Lanka<\/option><option  value=\"Sudan\"  >Sudan<\/option><option  value=\"Suriname\"  >Suriname<\/option><option  value=\"Swaziland\"  >Swaziland<\/option><option  value=\"Sweden\"  >Sweden<\/option><option  value=\"Switzerland\"  >Switzerland<\/option><option  value=\"Syria\"  >Syria<\/option><option  value=\"Tahiti\"  >Tahiti<\/option><option  value=\"Taiwan\"  >Taiwan<\/option><option  value=\"Tajikistan\"  >Tajikistan<\/option><option  value=\"Tanzania\"  >Tanzania<\/option><option  value=\"Thailand\"  >Thailand<\/option><option  value=\"Togo\"  >Togo<\/option><option  value=\"Tokelau\"  >Tokelau<\/option><option  value=\"Tonga\"  >Tonga<\/option><option  value=\"Trinidad &amp; Tobago\"  >Trinidad &amp; Tobago<\/option><option  value=\"Tunisia\"  >Tunisia<\/option><option  value=\"Turkey\"  >Turkey<\/option><option  value=\"Turkmenistan\"  >Turkmenistan<\/option><option  value=\"Turks &amp; Caicos Is\"  >Turks &amp; Caicos Is<\/option><option  value=\"Tuvalu\"  >Tuvalu<\/option><option  value=\"Uganda\"  >Uganda<\/option><option  value=\"Ukraine\"  >Ukraine<\/option><option  value=\"United Arab Erimates\"  >United Arab Emirates<\/option><option  value=\"United Kingdom\"  >United Kingdom<\/option><option  value=\"United States of America\"  >United States of America<\/option><option  value=\"Uraguay\"  >Uruguay<\/option><option  value=\"Uzbekistan\"  >Uzbekistan<\/option><option  value=\"Vanuatu\"  >Vanuatu<\/option><option  value=\"Vatican City State\"  >Vatican City State<\/option><option  value=\"Venezuela\"  >Venezuela<\/option><option  value=\"Vietnam\"  >Vietnam<\/option><option  value=\"Virgin Islands (Brit)\"  >Virgin Islands (Brit)<\/option><option  value=\"Virgin Islands (USA)\"  >Virgin Islands (USA)<\/option><option  value=\"Wake Island\"  >Wake Island<\/option><option  value=\"Wallis &amp; Futana Is\"  >Wallis &amp; Futana Is<\/option><option  value=\"Yemen\"  >Yemen<\/option><option  value=\"Zaire\"  >Zaire<\/option><option  value=\"Zambia\"  >Zambia<\/option><option  value=\"Zimbabwe\"  >Zimbabwe<\/option><\/select>  <div class=\"invalid-feedback\">This field is required<\/div>           \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_585\"  class=\"form-group control-group\"><label for=\"cufield_585\" class=\"form-label\" >Study Number \/ Reference \/ Code<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_585\" name=\"study-reference\"  class=\"form-control input-text \" value=\"\"   placeholder=\"\"  >   \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_586\"  class=\"form-group control-group\"><label for=\"cufield_586\" class=\"form-label required \" >Study Title<\/label>   \n          <div class=\"controls\">      \n            <input type=\"text\" id=\"cufield_586\" name=\"study-title\"  class=\"form-control input-text  required \" value=\"\"   placeholder=\"\"   required > <div class=\"invalid-feedback\">This field is required<\/div>  \n          <\/div>\n        <\/div>\n          <div id=\"input_cufield_473\"  class=\"form-group control-group\"><label for=\"cufield_473\" class=\"form-label required \" >Number of participants<\/label> \n            <div class=\"controls\">    \n              <input type=\"number\" value=\"\" min=\"1\"  class=\"form-control input-number  required \" id=\"cufield_473\" name=\"participants\" placeholder=\"\"  required > <div class=\"invalid-feedback\">This field is required<\/div> \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_587\"  class=\"form-group control-group\"><label for=\"cufield_587\" class=\"form-label\" >Study start date<\/label>  <span class=\"field-description\">The licence is valid from when you submit this form<\/span> \n          <div class=\"controls\">     \n            <input type=\"date\" id=\"cufield_587\" name=\"study-start-date\" class=\"form-control input-date d-none\" value=\"2026-04-14\" min=\"2026-04-14\"   placeholder=\"dd\/mm\/yy\" >  \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_588\"  class=\"form-group control-group\"><label for=\"cufield_588\" class=\"form-label required \" >Expected Study End Date<\/label> <span class=\"cu-tooltip\" id=\"cufield_588-tooltip\" data-toggle=\"tooltip\" data-placement=\"right\" title=\"Please input the expected date the study will end. If you do not know the end date, please provide an estimate\">?<\/span> <span class=\"field-description\">Please use the date format DD\/MM\/YYYY<\/span> \n          <div class=\"controls\">     \n            <input type=\"date\" id=\"cufield_588\" name=\"expected-study-end-date\" class=\"form-control input-date  required \" value=\"2026-04-14\" min=\"2026-04-14\"   placeholder=\"dd\/mm\/yy\"  required > <div class=\"invalid-feedback\">This field is required<\/div> \n          <\/div>\n        <\/div>\n        <div id=\"input_cufield_589\"  class=\"form-group control-group\"> <label for=\"cufield_589\" class=\"form-label required \" >Questionnaire type<\/label>  <span class=\"field-description\">Please note, a separate licence is required for each type of questionnaire.<\/span>\n          <div class=\"controls\">\n            <select id=\"cufield_589\" name=\"questionnaire-type\" class=\"form-control  reset  required \"   required ><option selected disabled value=\"\">Select<\/option><option  value=\"DLQI\"  >Dermatology Life Quality Index - DLQI<\/option><option  value=\"CDLQIa\"  >Children's Dermatology Life Quality Index - CDLQI (text only version)<\/option><option  value=\"CDLQIb\"  >Children's Dermatology Life Quality Index - CDLQI (cartoon version)<\/option><option  value=\"IDQOL\"  >Infant\u2019s Dermatitis Quality of Life Index - IDQOL<\/option><option  value=\"FDLQI\"  >Family Dermatology Life Quality Index - FDLQI<\/option><option  value=\"DFI\"  >Dermatitis Family Impact Questionnaire - DFI<\/option><option  value=\"PFI14\"  >Psoriasis Family Index - PFI-14<\/option><option  value=\"TQOL\"  >Teenage Quality of Life Questionnaire - TQoL<\/option><option  value=\"MLCDP\"  >Major Life Changing Decision Profile \u2013 MLCDP<\/option><\/select>  <div class=\"invalid-feedback\">This field is required<\/div>           \n          <\/div>\n        <\/div>\n          <div id=\"input_cufield_337\"  class=\"form-group control-group\"><label for=\"cufield_337\" class=\"form-label required \" >Accept Licence terms (Free licence)<\/label>   \n            <div class=\"controls\">            \n          <div class=\"form-check checkbox-option\">\n            <input type=\"checkbox\" id=\"cufield_337\" name=\"accept-licence-terms-non-commercial\"  class=\"form-check-input input-checkbox  reset  required  accept-licence-terms-non-commercial\"  value=\"Ticked\"   required >\n            <label for=\"cufield_337\" class=\"checkbox-option-label\">I agree to the <a href=\"#\" data-toggle=\"modal\" data-target=\"#termsModal\">Terms and conditions of the licence<\/a><\/label><div class=\"invalid-feedback\">You must accept the terms to proceed<\/div>\n          <\/div> <p>\n    \n    <div id=\"termsModal\" class=\"modal fade\" role=\"dialog\">\n    <div class=\"modal-dialog\">\n        <!-- Modal content-->\n        <div class=\"modal-content\">\n        <div class=\"modal-header\">\n            <h2 class=\"modal-title\">Terms &amp; Conditions: Not-for-profit Licence<\/h2>  \n            <button type=\"btn button\" class=\"close\" data-dismiss=\"modal\">\u00d7<\/button>\n                      \n        <\/div>\n        <div class=\"modal-body\"><p>Use of an Index implies acceptance in full of the following terms and conditions of use.<\/p>\n<p><strong>IT<\/strong> is agreed as follows:<\/p>\n<p><strong>1. Definitions<\/strong><\/p>\n<p><i>Copyright Statement<\/i><br \/>\nthe Index must always be reproduced with the appropriate copyright statement at the end of each copy of the Index, or visible to any user of any electronic version. Details of the appropriate copyright statement are available on the Cardiff University, Department of Dermatology website <a href=\"http:\/\/cardiff.ac.uk\/dermatology\" target=\"_blank\" rel=\"noopener\">http:\/\/cardiff.ac.uk\/dermatology<\/a> and will be sent to the Licensee via e-mail shortly after completion of the online order form by the Licensee (\"<strong>the Online Form\"<\/strong>);<\/p>\n<p><i>Effective date<\/i><br \/>\nthe date the Licensee commences use of the Index or the date the Licensee submits the related Online Form in respect of this Licence whichever is the earlier;<\/p>\n<p><i>Index<\/i><br \/>\nshall mean the index\/questionnaire subject to this Licence and any translation from the original English version commissioned or confirmed by the University and available for download from <a href=\"http:\/\/cardiff.ac.uk\/dermatology\" target=\"_blank\" rel=\"noopener\">http:\/\/cardiff.ac.uk\/dermatology<\/a><\/p>\n<p><i>Licensee<\/i><br \/>\nthe organisation named as such in the Online Form;<\/p>\n<p><i>Study<\/i><br \/>\nthe study details of which were submitted to UC3 on the Online Form;<\/p>\n<p><i>UC3<\/i><br \/>\nUniversity College Cardiff Consultants Limited, (company number 01477909) whose registered office is at 30-36 Newport Road, Cardiff CF24 0DE;<\/p>\n<p><i>University<\/i><br \/>\nCardiff University with administrative offices at 30-36 Newport Road, Cardiff, CF24 0DE, UK, established under royal charter, registered charity number 1136855;<\/p>\n<p><strong>2. Intellectual Property and Grant of Rights<\/strong><\/p>\n<p>2.1 Subject to the Licensee being a charity, public educational establishment, or other non-profit-making concern, UC3 grants to the Licensee a non-exclusive, non-transferable, worldwide free licence to use the Index for the purposes of the Study. For the avoidance of doubt, this Licence excludes any commercial use including funded research, clinical trials and\/or use for the purposes of monetary reward (whether by or for the Licensee, or any other person or entity) by means of use of the Index.<\/p>\n<p>2.2 The Licensee shall not be permitted to edit or in any way alter or amend the Index. In the event that the Licensee does edit, alter or amend the Index, UC3 shall have the right to terminate this Licence with immediate effect.<\/p>\n<p>2.3 The Licensee shall not grant sub-licences to use the Index without the express written permission of UC3.<\/p>\n<p><strong>3. Disclaimer<\/strong><\/p>\n<p>3.1 The Index, information and advice on interpretation of the Index are wholly and in part provided \u2018as is\u2019. Neither UC3 nor the University warrant that any of the above, where provided, are fit for any purpose or do not innocently infringe any third party intellectual property rights.<\/p>\n<p>3.2 Save in respect of claims for death or personal injury arising from negligence by UC3 or the University, neither UC3 nor the University shall be liable for any loss or damage, howsoever caused, including but not limited to loss of profit or business, consequential loss or damages, arising from the Licence\u2019s use of the Index or any information and advice on interpretation of the Index provided by the University.<\/p>\n<p>3.3 Neither UC3 or the University have any liability for any direct or indirect damage or loss caused by the Index.<\/p>\n<p><strong>4. Support<\/strong><\/p>\n<p>Neither UC3 nor the University shall be under an obligation to provide any support whatsoever to the Licensee in the implementation of the Index. Any provision of support requested by the Licensee will be by separate agreement between UC3 and\/or the University and the Licensee.<\/p>\n<p><strong>5. Storage of information<\/strong><\/p>\n<p>The Licensee agrees that its contact details may be held by UC3 and the University on a secure database (in accordance with the Data Protection Act 1998) and shall be used for the purpose of administration of this Licence only.<\/p>\n<p><strong>6. Duration and Termination<\/strong><\/p>\n<p>6.1 This Licence shall take effect as of the Effective Date and shall continue until six months after the completion date of the Study as detailed in the Online Form, if no such completion Study date was specified this Licence shall terminate 24 months after submission of the Online Form. Thereafter the parties may at their sole discretion extend this Licence by mutual agreement in writing.<\/p>\n<p>6.2 UC3 reserves the right to terminate the License immediately if it is of the reasonable opinion (a) the Online Form is incomplete or incorrect or (b) the Licensee\u2019s use is bringing the Index or another party\u2019s reputation into disrepute.<\/p>\n<p>6.3 Any party (the \u201cTerminating party\u201d) may terminate this Licence by notice in writing to any of the other parties if that other party (the \u201cDefaulting Party\u201d) :-<\/p>\n<p>a) commits any material breach of this Licence and, where such breach is capable of remedy, shall fail to remedy such breach within 30 (thirty) days after receipt of written notice from the Terminating Party requiring the breach to be remedied; or<\/p>\n<p>b) becomes insolvent, or if an order is made or a resolution is passed for its winding up (other than voluntarily for the purpose of solvent amalgamation or reconstruction), or if a manager, administrator, administrative receiver or receiver is appointed in respect of the whole or any part of its assets or business, or if it makes any composition with its creditors or takes or suffers any similar or analogous action in consequence of debt in any country in the world.<\/p>\n<p>6.4 Upon termination or expiry of this Licence the Licensee shall cease to use the Index.<\/p>\n<p>6.5 The termination or expiry of this Licence howsoever arising will be without prejudice to the rights and duties of all parties accrued prior to termination. Clauses 2.3, 3, 6.4, 7 and 8, together with the definitions of clause 1 are expressly intended to survive termination of this Licence.<\/p>\n<p><strong>7. Notices<\/strong><\/p>\n<p>Any notice required or authorised to be given hereunder shall be in writing and served personally or sent by post addressed to the relevant parties as follows:<\/p>\n<p>For UC3 and Cardiff University: the addresses specified above;<br \/>\nFor the Licensee: address as per the related Online Form;<br \/>\nor to such other address as may from time to time be notified to the other party hereto in writing for this purpose. Any notice served personally shall be deemed to have been given upon such service. Any notice sent by post shall be deemed to have been served five 5 days after the same shall have been posted and in proving such service it shall be sufficient to prove that the letter was properly addressed and posted.<\/p>\n<p><strong>8. Miscellaneous<\/strong><\/p>\n<p>8.1 UC3 may occasionally e-mail the Licensee on updates to the Index.<\/p>\n<p>8.2 Nothing in this Licence shall be deemed to constitute any of the parties hereto as the agent for another party.<\/p>\n<p>8.3 The Licensee may not assign its rights or delegate its responsibilities under this Licence without the written consent of UC3 and the University.<\/p>\n<p>8.5 This Licence constitutes the entire agreement of the parties about its subject matter, supersedes all prior communications, understandings and agreements (whether written or oral) relating to its subject matter and may not be amended or modified except by agreement in writing signed each of the parties.<\/p>\n<p>8.6 No failure or delay by any party to exercise any right, power or remedy will operate as a waiver of it nor will any partial exercise preclude any further exercise of the same, or of some other right, power or remedy.<\/p>\n<p>8.7 This Licence may be executed in any number of counterparts, each of which so executed will be an original, but together will constitute one and the same instrument.<\/p>\n<p>8.8 The validity, construction and performance of this Licence shall be governed by English and Welsh law and shall be subject to the exclusive jurisdiction of the courts of England and Wales, to which the parties to this Licence submit.<\/p>\n<\/div>\n        <div class=\"modal-footer\">\n            <button type=\"button\" class=\"btn btn-default\" data-dismiss=\"modal\">Close<\/button>\n        <\/div>\n        <\/div>\n    <\/div>\n    <\/div><\/p>\n\n            <\/div>\n          <\/div>\n          <div id=\"input_cufield_1076\"  class=\"form-group control-group\"><label for=\"cufield_1076\" class=\"form-label required \" >Authorisation<\/label>   \n            <div class=\"controls\">            \n          <div class=\"form-check checkbox-option\">\n            <input type=\"checkbox\" id=\"cufield_1076\" name=\"authorisation\"  class=\"form-check-input input-checkbox  reset  required  authorisation\"  value=\"Confirmed\"   required >\n            <label for=\"cufield_1076\" class=\"checkbox-option-label\">I confirm that I have the authority to obtain a licence on behalf of the institution \/ organisation that I represent<\/label><div class=\"invalid-feedback\">This field is required<\/div>\n          <\/div> \n            <\/div>\n          <\/div> <input name=\"formid\" type = \"hidden\" value=\"591\"\/> <input name=\"next\" type = \"hidden\" value=\"606\"\/>  <input name = \"category\" type=\"hidden\" value=\"Non-Commercial Licence\" \/>  <div class=\"form-group\"><div class=\"row\"><div class=\"col-md-6\"><\/div><div class=\"col-md-6 text-right\"><button id=\"submitbutton\" type=\"submit\" class=\"form-button btn btn-success \">Submit<\/button><\/div><\/div><\/div> <input type=\"hidden\" id=\"cuform\" name=\"cuform\" value=\"4a3e350505\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/dqlf\/wp-json\/wp\/v2\/pages\/593\" \/><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8577,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-593","page","type-page","status-publish","hentry"],"meta_box":[],"_links":{"self":[{"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/pages\/593","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/users\/8577"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/comments?post=593"}],"version-history":[{"count":1,"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/pages\/593\/revisions"}],"predecessor-version":[{"id":1667,"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/pages\/593\/revisions\/1667"}],"wp:attachment":[{"href":"https:\/\/sites.cardiff.ac.uk\/dqlf\/wp-json\/wp\/v2\/media?parent=593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}