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This book will provide the reader with a comprehensive and an up-to-date review of the methodology of constructing a health related quality of life instrument (HRQOL) with particular attention to creating an instrument pertinent to obesity and bariatric surgery namely Bariatric and Obesity Surgery Survey (BOSS). The development and validation of a self report HRQOL instrument from scratch is a multistage process which requires statistical and non statistical expertise. The reader will find this book a useful guide as the author utilised a practical approach during exploring the field of psychometrics. The author explained the process in a simple step by step fashion while various psychometric properties are measured such as: factor analysis, reliability and validity.