Register 1. Name of study or project * 2. Objective and brief description of the study * 3. Lead institution or organisation responsible for the study * 4. Please list the names of the Chief Investigators * 5. Country * 6. Email * 7. Which version of the DWI do you want to register? * Plain English Easy English Both 8. In which country(ies) will the instrument be used? * 9. Expected start date of your study * MM DD YYYY 10. Expected finish date of your study * MM DD YYYY 11. Anticipated number of respondents * 12. Which population(s) are you investigating? * Age Disability types Other relevant characteristics (optional) 13. Method of delivery of the instrument * Tick all that apply Face to face Online video Paper-based Self-administered online Screen reader Phone Other 14. Who will complete the survey? * Tick all that apply Self-complete Self-complete with assistance Proxy Proxy with input from targeted respondent 15. Which other instruments are you using in your study to measure quality of life or wellbeing? (optional) 16. Are you willing for any of the information provided on this form to be included in reports in aggregate form about the use of the DWI? * Yes No 17. Are you willing for any of the information provided on this form to be made publicly available in individual (non-identifiable) form? * Yes No 18. Can we contact you regarding future DWI-related opportunities, updates, or validation research? * Note: Your identifiable information will not be released in any form. Yes No Thank you for your responses!
