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SF12 PDF

This document provides information about the SF-12, a 12-item survey that measures physical and mental health. The SF-12 asks respondents to rate their health, ability to perform daily activities, pain levels, energy levels, and how much physical or emotional problems interfere with social functioning. Responses are scored on a scale and converted to physical and mental standardized values that are summed to calculate overall physical and mental health component summary scores. Scores below 50 indicate poorer physical health and below 42 poorer mental health. The SF-12 is a shorter version of the SF-36 that can be used to efficiently track a person's physical and mental health over time.

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951 views4 pages

SF12 PDF

This document provides information about the SF-12, a 12-item survey that measures physical and mental health. The SF-12 asks respondents to rate their health, ability to perform daily activities, pain levels, energy levels, and how much physical or emotional problems interfere with social functioning. Responses are scored on a scale and converted to physical and mental standardized values that are summed to calculate overall physical and mental health component summary scores. Scores below 50 indicate poorer physical health and below 42 poorer mental health. The SF-12 is a shorter version of the SF-36 that can be used to efficiently track a person's physical and mental health over time.

Uploaded by

kenetmartin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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SF-12

MEDICAL OUTCOMES STUDY (MOS) SHORT-FORM HEALTH SURVEY


This survey asks for your views about your health. This information will help you keep track of how you feel and
how well you are able to do your usual activities. Answer every question by selecting the answer as indicated. If
you are unsure about how to answer a question, please give the best answer you can.
1. In general, would you say your health is:
(1) Excellent

(2) Very good

(3) Good

(4) Fair

(5) Poor

The following questions are about activities you might do during a typical day. Does your health now limit you in
these activities? If so, how much?
Yes,
Yes,
No, not
limited
limited
limited
a lot
a little
at all
2. Moderate activities, such as moving a table, pushing
a vacuum cleaner, bowling, or playing golf
(1)
(2)
(3)
3. Climbing several flights of stairs

(1)

(2)

(3)

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?

4. Accomplished less than you would like

Yes
(1)

No
(2)

5. Were limited in the kind of work or other activities

(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 depressed or anxious)?

6. Accomplished less than you would like

Yes
(1)

No
(2)

7. Didn't do work or other activities as carefully as usual

(1)

(2)

8. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the
home and housework)?
(1) Not at all

(2) A little bit

(3) Moderately

(4) Quite a bit

(5) Extremely

These questions are about how you feel and how things have been with you during the past 4 weeks. For each
question, please give the one answer that comes closest to the way you have been feeling.
How much of the time during the past 4 weeks...
All of
the time

9. Have you felt calm and peaceful?


(1)
10. Did you have a lot of energy?
(1)
11. Have you felt downhearted and blue? (1)

Most of
the time

A Good
Bit of
the Time

(2)
(2)
(2)

(3)
(3)
(3)

Some of A little of
the time the time

(4)
(4)
(4)

(5)
(5)
(5)

None of
the time

(6)
(6)
(6)

12. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with
your social activities (like visiting friends, relatives, etc.)?
(1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time
SCORING
There are 3 steps involved in calculating the SF-12 Physical Component Summary
(PCS) and Mental Component Summary (MCS) scores.
Step 1. Check for missing or out-of-range values for items 11-22 (SF-12 portion of
combined survey). If any missing or out-of-range values are found for those items, the
PCS and MCS scores cannot be calculated.
Step 2. Convert each item response into both phy sical and mental standardized values
according to the table on the following page.
Step 3. Sum the physical standardized values from step 2 across all 12 items and add
56.57706 to create the SF-12 PCS score. Sum the mental standardized values in similar
fashion and add 60.75781 to create the SF-12 MCS score.

Converting SF-12 Item Responses to Physical and Mental Standardized


Values:
Item Number
Mental

Item Response

Physical

Value

Standardized Value

Standardized

1
2

0
-1.31872

0
-

-3.02396

-5.56461

-8.37399

-7.23216

-3.45555

Value
1 (General Health)
0.06064
0.03482
0.16891
1.71175
2 (Moderate Activities)
3.93115
1.86840

3
1

0
-6.24397

-2.73557

3
4 (Accomplish less than you would like) 1
1.44060
2
5 (Limited in the kind of activities)
1.66968
2
6 (Accomplish less than you would like) 1
6.82672
2
7 (Didnt do activities as carefully as usual)
-5.69921
2
8 (Pain interferes with normal work)
1
2
0.90384
3
1.49384
4
1.76691
5
1.48619
9 (Felt calm and peaceful)
0
2
1.94949
3
4.09842
4
6.31121
5
7.92717
6
10 (Have a lot of energy)
0
2
0.92057
3
1.65178
4
3.29805
5
4.88962
6
6.02409
11 (Felt downhearted and blue)
1
2
3
8.09914

0
-4.61617

3 (Climbing Several Flights of Stairs)


2.68282

1.43103

-5.51747
0
3.04365

0
-

2.32091
0
0
-3.80130

0
0

-6.50522
-8.38063
-11.25544
1

0
0.66514

1.36689

2.37241

2.90426

3.46638
0

-10.19085

-0.42251

-1.14387

-1.61850

-2.02168

-2.44706

4.61446
3.41593
2.34247

-16.15395
-10.77911
-

1.28044

0.41188

6
12 (Health interferes w/social activities) 1
6.29724
2
8.26066
3
5.63286
4
3.13896
5

0
-0.33682

0
-

-0.94342

-0.18043

0.11038

4.59055
1.95934

Cut Off Points: A cut off score of 50 can be used for PCS, and 42 for MCS.

There is an online scoring program:


http://www.sf-36.org/demos/SF-12.html
One can also purchase software online for scoring the SF-12 or SF-36 Health Outcomes
survey:
http://www.qualitymetric.com/products/ScoringSoftwareBasic.aspx

_______________________
Ware JE, Jr. , Snow KK, Kosinski M, Gandek B: SF-36 Health Survey Manual and Interpretation Guide.
Boston, MA, The Health Institute, New England Medical Center, 1997.

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