Terms and Conditions for Using the 36-Item Short Form Survey (SF-36)
www.rand/health/surveys_tools/mos/36-item-short-form.html
一，使用说明
RAND hereby grants permission to u RAND 36-Item Short Form Health Survey in accordance with the following conditions, which shall be assumed by all to have been agreed to as a conquence of accepting and using this document:
1. Changes to the Health Survey may be made without the written permission of RAND. However, all such changes shall be clearly identified as having been made by the recipient.
2. The ur of this Health Survey accepts full responsibility, and agrees to indemnify and hold RAND harmless, for the accuracy of any translations of the Health Survey into another language and for any errors, omissions, misinterpretations, or conquences thereof.
3. The ur of this Health Survey accepts full responsibility, and agrees to indemnify and hold RAND harmless, for any conquences resulting from the u of the Health Survey.
4. The ur of the 36-Item Health Survey will provide a credit line when printing and distributing this document acknowledging that it was developed at RAND as part of the Medical Outcomes Study.
5. No further written permission is needed for u of this Health Surv
二，英文量表
www.rand/health/surveys_tools/mos/36-item-short-form/survey-instrument.html
RAND 36-Item Health Survey 1.0 Questionnaire Items
SF-36 Resources
∙ Terms and Conditions for Using the SF-36
∙ MOS 36-Item Short Form Survey Instrument (SF-36)(English PDF)
∙ MOS 36-Item Short Form Survey Instrument (SF-36)(Arabic PDF)
∙ Scoring Instructions for MOS 36-Item Short Form Survey Instrument (SF-36)
Choo one option for each questionnaire item.
1. In general, would you say your health is:
1 - Excellent
2 - Very good
3 - Good
4 - Fair
5 - Poor
2. Compared to one year ago, how would you rate your health in general now?
1 - Much better now than one year ago
2 - Somewhat better now than one year ago
3 - About the same近似色
4 - Somewhat wor now than one year ago
5 - Much wor now than one year ago
The following items are about activities you might do during a typical day. Does your health now limit you in the activities? If so, how much?
| Yes, limited a lot | Yes, limited a little | No, not limited at all |
3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports | 1 | 2 | 3 |
4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf | 1 | 2 | 3 |
5. Lifting or carrying groceries | 1 | 2 | 3 |
6. Climbing veral flights of stairs | 1 | 2 | 3 |
7. Climbing one flight of stairs | 1 | 2 | 3 |
8. Bending, kneeling, or stooping | 1 | 2 | 3 |
9. Walking more than a mile | 1 | 2 | 3 |
10. Walking veral blocks | 1 | 2 | 3 |
龙君晓初11. Walking one block | 1 | 2 | 3 |
12. Bathing or dressing yourlf | 1 | 2 | 3 补充DHA |
| 圆通山 | | |
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?
| Yes | No |
13. Cut down the amount of time you spent on work or other activities | 1 不要小瞧我 | 2 |
14. Accomplished less than you would like | 1 | 2 | 荔波古镇
15. Were limited in the kind of work or other activities | 1 | 2 |
16. Had difficulty performing the work or other activities (for example, it took extra effort) | 1 | 2 |
| | |
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depresd or anxious)?
| Yes | No |
17. Cut down the amount of time you spent on work or other activities | 1 | 2 土豆炖排骨的家常做法 |
18. Accomplished less than you would like | 河马的英语1 | 2 |
19. Didn't do work or other activities as carefully as usual | 1 | 2 |
| | |
20. During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?
