AFEQT Questionnaire Key Features

  • Validated questionnaire that was patient derived with expert clinical input
  • Easy to use format with 20 questions on a seven point Likert scale
  • Takes about five minutes to complete
  • Evaluates Health Related Quality of Life (HRQoL) across three domains
    • Symptoms - Four questions specifically targeted to assess AF related symptoms
    • Daily Activities - Eight questions that evaluate daily function in AF patients
    • Treatment Concerns - Six questions that assess AF treatment concerns in patients
  • Scoring key provides information on how to score the questionnaire and explains how to interpret results. The scoring key provides the following scores:
    • Overall AFEQT Score (18 questions)
    • Treatment Satisfaction Score (2 questions)
  • Reliable: Cronbach's alpha coefficients for the global and subscales scores of the AFEQT questionnaire >0.8 indicating internal consistency
  • Responsive: Moderate to large effect size observed for AFEQT scores following treatment intervention demonstrates responsiveness of AFEQT questionnaire

Download the Questionnaire
and License Agreement

The Copyright License Agreement allows you to license the survey for your use and must be completed as instructed for you to use the AFEQT Questionnaire.

Copyright License Agreement

The AFEQT Questionnaire is a copyrighted document, for use with completion of the Copyright License Agreement.

AFEQT Questionnaire

The AFEQT Instructions for Data Collection and Scoring is available for download in two formats:

PDF
MS Office Access

A pdf of the instructions is available with details on how to accurately score the questionnaire.

If you have Microsoft Office Access, a database is available to automatically score the questionnaire results. You may learn more about Microsoft Office Access here.

For instructions on how to download and use the AFEQT Scoring Program, click here