License to Use Agreement
Friedman Assessment Scales
Well-Being Scale • Belief Scale • Quality of Life Scale

All fields must be completed.

Your Name (First/Last Name)
 
Email Address
e.g., acme@aol.com
 
Telephone Number
e.g, (510) 739-0393
 
1. I agree to leave the copyright notice on the Friedman Assessment Scale(s). Please check.

Yes

 

2. I agree not to make any changes to the Friedman Assessment Scale(s). Please check.

Yes

 
3. I agree to use the Friedman Assessment Scale(s) in paper and pencil form and not create any electronic versions of the scale(s) without Dr. Friedman’s express permission. Please check.

Yes

 
4. I agree to use the Friedman Assessment Scale(s) thoughtfully and responsibly, always with regard to my clients' well-being. Please check.

Yes

 
Today's Date
Please spell out:
July 21, 2001 or October 10, 2002

Thank you! Please double-check your information before proceeding.

By virtue of submitting this agreement, you agree to take full and complete responsibility for the accuracy and integrity of the information submitted. In addition, you agree to take full and complete responsibility for any and all services you render using the Friedman scale(s), without exception.