Non Commercial End User License Application for Health Measures

Please indicate all health measures for which you require licencing:

SF-6D
SF-12
SPVU-5D (Evaluates economic impact of venous ulceration treatments)
CAT-QOL (Children’s Amblyopia Treatment Quality of Life Questionnaire)
CHU-9D (Paediatric Quality of Life)
EORTC-8D (enables widely used cancer measure EORTC QLQ-C30 data to be used to directly calculate QAL

I confirm that I have read and accept the terms and conditions of the Non-Commercial End User Licence Agreement (required)

I agree

Full Details of Proposed Licensee:

Title (eg Mr, Ms, Dr, Professor) (required)

First Name (required)

Family Name (required)

E-mail (required)

Telephone Number (required)

Fax Number

Organisation (required)

Authorised by (for and on behalf of) (required)

Address (required)

City (required)

State/Province (required)

Zip/Postcode (required)

Country (required)

Additional Details for Proposed Licence:

Title of Study/Project (required)

Type of Licence: Non-Commercial End User Licence

Comments

Queries

Once the Registration Form has been completed and accepted by the University of Sheffield, the software will be sent to you by email.

Please download and print a copy of the terms and conditions (licence agreement) from the link on the right-hand side of www.sheffield.ac.uk/scharr/sections/heds/mvh/sf-6d