It should be noted that although this stage providessome useful insight into how the person interprets theitems on the questionnaire, it does not address the construct validity, reliability, or item response patterns thatare also critical to describing a successful cross-culturaladaptation. The described process provides for somemeasure of quality in the content validity. Additionaltesting for the retention of the psychometric properties ofthe questionnaire is highly recommended and will be discussed briefly later.