The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
The Rivermead Post-concussion Symptoms Questionnaire (RPQ) is a simple, freely available, and widely used tool for assessment of the presence and severity of various post-concussion symptoms. The questionnaire was first published in 1995 to assess patients' psychosocial functioning post-concussion. It contains 16 questions targeting physical, cognitive and behavioural domains. It was modified by Eyres et al. is 2005 into RPQ Modified Scoring System (RPQ 13/ RPQ-3).
Method of Use
Questionnaire based: pen and paper
The questionnaire is a self-reported questionnaire containing 16 questions. They are asked if after the accident they experienced any:
|2||Feelings of Dizziness|
|3||Nausea and Vomiting|
Easily upset by loud noise
|6||Fatigue, tiring more easily|
|7||Being Irritable, easily angered|
|8||Feeling Depressed or Tearful|
|9||Feeling frustrated or Impatient|
|10||Forgetfulness, poor memory|
|12||Taking Longer to Think|
Easily upset by bright light
|Are you experiencing any other difficulties?|
0= Not experienced at all
1 = No more of a problem
2 = A mild problem
3 = A moderate problem
4 = A severe problem
Lower the Score, better the conditions.
In the modified version:
RPQ-3: Score of first three questions, Scoring is 0-12; if there is a higher score on the RPQ-3, earlier reassessment and closer monitoring is
RPQ-13: Sore of next 13 questions, Scoring is 0-52; later cluster of symptoms; greater impact on participation, psychosocial functioning and lifestyle.
For Head Injury: Excellent test re-test reliability, Excellent inter-rater reliability.
For Mild TBI: Adequate test re-test reliability, Adequate inter-rater reliability.
Excellent validity with Hospital Anxiety Depression Scale.
The questionnaire can be repeated to monitor a patient’s progress over time with changes seen in severity of symptoms, or the range of symptoms. Management can be planned likewise.
Find Additional details here
Find the Questionnaire here
- King, N. S., Crawford, S., Wenden, F.J., Moss, N.E.G. Wade, D.T. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. Journal of Neurology. 1995. 242, 587-592
- Eyres, S., Carey, A., Gilworth, G., Neumann, V., Tennant, A. Construct validity and reliability of the Rivermead Post Concussion Symptoms Questionnaire. Clinical Rehabilitation. 2005. 19, 878-887
- Crawford S, Wenden FJ, Wade DT. The Rivermead head injury follow up questionnaire: a study of a new rating scale and other measures to evaluate outcome after head injury. J Neurol Neurosurg Psychiatry. 1996 May;60(5):510-4. doi: 10.1136/jnnp.60.5.510.
- King NS, Crawford S, Wenden FJ, Caldwell FE, Wade DT. Early prediction of persisting post-concussion symptoms following mild and moderate head injuries. Br J Clin Psychol. 1999 Mar;38(1):15-25. doi: 10.1348/014466599162638.
- Asselstine J, Kristman VL, Armstrong JJ, Dewan N. The Rivermead Post-Concussion Questionnaire score is associated with disability and self-reported recovery six months after mild traumatic brain injury in older adults. Brain Inj. 2020;34(2):195-202. doi: 10.1080/02699052.2019.1682670
- de Guise E, Bélanger S, Tinawi S, Anderson K, LeBlanc J, Lamoureux J, Audrit H, Feyz M. Usefulness of the rivermead postconcussion symptoms questionnaire and the trail-making test for outcome prediction in patients with mild traumatic brain injury. Appl Neuropsychol Adult. 2016;23(3):213-22. doi: 10.1080/23279095.2015.1038747.
- Potter, S., Leigh, E., Wade, D., Fleminger, S. The Rivermead Post Concussion Symptoms Questionnaire. Journal of Neurology, October 2006.1-12.