SF-36
General Functioning36-Item Short Form Survey
Overview
The SF-36 is a set of generic, coherent, and easily administered quality-of-life measures.
Scale Content & Assessment Items
Choose the option that best describes your health and daily activities.
1. In general, would you say your health is:
2. Compared to one year ago, how would you rate your health in general now?
3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
5. Lifting or carrying groceries
6. Climbing several flights of stairs
7. Climbing one flight of stairs
8. Bending, kneeling, or stooping
9. Walking more than a mile
10. Walking several blocks
11. Walking one block
12. Bathing or dressing yourself
13. Cut down the amount of time you spent on work or other activities (due to physical health)?
14. Accomplished less than you would like (due to physical health)?
15. Were limited in the kind of work or other activities (due to physical health)?
16. Had difficulty performing the work or other activities (due to physical health)?
17. Cut down the amount of time you spent on work or other activities (due to emotional problems)?
18. Accomplished less than you would like (due to emotional problems)?
19. Didn't do work or other activities as carefully as usual (due to emotional problems)?
20. During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities?
21. How much bodily pain have you had during the past 4 weeks?
22. During the past 4 weeks, how much did pain interfere with your normal work?
23. Did you feel full of pep?
24. Have you been a very nervous person?
25. Have you felt so down in the dumps that nothing could cheer you up?
26. Have you felt calm and peaceful?
27. Did you have a lot of energy?
28. Have you felt downhearted and blue?
29. Did you feel worn out?
30. Have you been a happy person?
31. Did you feel tired?
32. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?
33. I seem to get sick a little easier than other people
34. I am as healthy as anybody I know
35. I expect my health to get worse
36. My health is excellent