Use this form to request a licence for the use of the Quality of Life questionnaires by a for-profit company\/organisation.<\/p>\n

If you are using the questionnaires for a not-for-profit organisation<\/strong>, please return to the start page<\/a> and select the correct option.<\/p>\n

If you wish to use the Cardiff Acne Disability Index (CADI)<\/strong> or Psoriasis Disability Index (PDI)<\/strong>, please contact technologytransfer@cardiff.ac.uk<\/a><\/p>\n

For FROM-16<\/strong> only, all requests for licensing and for information have to be submitted through the ePROVIDETM<\/a> platform.<\/p>\n<\/div>\n

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

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 email to state the license has been granted.<\/p>\n

In due course we will raise our invoice using the information supplied on the form. If you require us to reference a Purchase Order or other unique number on our invoice then please ensure you include this in the space provided on the form.<\/p>\n

If you need any help with licensing, please contact technologytransfer@cardiff.ac.uk<\/a>. For all other queries e.g. translation, validation or electronic use, contact dermqol@cardiff.ac.uk<\/a><\/p>\n

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Client Title<\/label> \n
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First name<\/label> \n
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This field is required<\/div> \n <\/div>\n <\/div>\n
Client Surname<\/label> \n
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This field is required<\/div> \n <\/div>\n <\/div>\n
Client Email<\/label> \n
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Please enter a valid email address<\/div> \n <\/div>\n <\/div>\n
Confirm client email<\/label> \n
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This field is required and must match the email address entered above<\/div> \n <\/div>\n <\/div>\n
Client Telephone<\/label> \n
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This field is required<\/div> \n <\/div>\n <\/div><\/fieldset>\n
Type of use<\/label>
Please select from this list how you are planning to use the questionnaire, or the type of study and institution you are associated with. If you cannot find a relevant type of use on this form, please contact technologytransfer@cardiff.ac.uk<\/a>, providing details of how you would like to use the questionnaire.<\/p>
For all other queries e.g. translation, validation or electronic use, contact dermqol@cardiff.ac.uk<\/a>.<\/p>\r\n<\/span>\n
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