The Non-Motor Fluctuation Assessment (NoMoFA) Questionnaire

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The Non-Motor Fluctuation Assessment (NoMoFA) Questionnaire

Acronym: NoMoFA

Authors: Galit Kleiner, MD, Hubert H Fernandez MD, Kelvin L Chou MD, Alfonso A Fasano MD PhD , Kevin R Duque MD, Diana Hengartner MD, Albie Law BA, CCRA, Adam Margolius MD, Yu-Yan Poon RN, Michel Sáenz-Farret MD, Philip Saleh MD MSc, Joaquin Vizcarra MD, Glenn T Stebbins PhD, Alberto J Espay MD MSc on behalf of the PSG NoMoFA Working Group

The Non-Motor Fluctuation Assessment (NoMoFA) Questionnaire is an assessment tool that facilitates the identification and quantification of severity of both static and fluctuating non-motor symptoms (NMF) that occur in Parkinson's disease. An initial version of the scale was developed following the FDA guidance on PRO development and validation. The current version was further validated and found to have good clinimetric properties with acceptable item utility, floor/ceiling effects, internal consistency, test-retest stability, construct validity, concurrent validity and scaling (via item response theory analyses).

Original PublicationView the Scale (PDF) │View the Score Sheet (PDF)

To request permission to use this Rating Scale, please fill out a Permission Request Form.

Year Published: 2021
Scale Last Updated: February 5, 2021

Estimated Time to Complete the Scale: 15-20minutes

Assessment Type: Patient-Reported Outcome (PRO)

Available Translations: None.

Additional Scale Publications: None.


MDS-Owned Rating Scales   

Global Assessment Scale for Wilson's Disease (GAS for WD)

Global Dystonia Scale (GDS)

MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS)

MDS Non-Motor Rating Scale (MDS-NMS)

Modified Bradykinesia Rating Scale (MBRS)

Non-Motor Symptoms Scale (NMSS)

Non-Motor Symptoms Questionnaire (NMSQ)

Non-Motor Fluctuation Assessment (NoMoFA) Questionnaire

PKAN Disease Rating Scale (PKAN-DRS)

Progressive Supranuclear Palsy Clinical Deficits Scale (PSP-CDS)

Quality of Life Essential Tremor Questionnaire (QUEST)

Rating Scale for Psychogenic Movement Disorders (PMD)

Rush Dyskinesia Rating Scale (RDRS)

Rush Video-Based Tic Rating Scale

SCales for Outcomes in PArkinson’s disease - Autonomic Dysfunction (SCOPA-AUT)

SCales for Outcomes in PArkinson’s disease – Diary Card (SCOPA-DC)

SCales for Outcomes in PArkinson’s disease – Psychiatric Complications (SCOPA-PC)

SCales for Outcomes in PArkinson’s disease – Psychosocial Functioning​ (SCOPA-PS)

SCales for Outcomes in PArkinson’s disease – Sleep (SCOPA-SLEEP)

SCales for Outcomes in PArkinson's disease-COGnition (SCOPA-COG)

Short Parkinson's Evaluation Scale (SPES)/SCales for Outcomes in PArkinson’s disease – Motor Functions (SPES/SCOPA-Motor)

UFMG Sydenham's Chorea Rating Scale (USCRS)​

Unified Dyskinesia Rating Scale (UDysRS)

Unified Dystonia Rating Scale (UDRS)

Unified Multiple System Atrophy Rating Scale (UMSARS) 

For more information about all MDS Rating Scales, please contact the International Secretariat.


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