SF-36 Summary

SF-36 Summary
1. In general, would you say your health is: (25 points)

Fair general health
2. Compared to one year ago, how would you rate your health in general now? (25 points)
Somewhat worse health than one year ago
3. Limitation of vigorous activities. (0 points)

Vigorous activites limited a lot
4. Limitation of moderate activities. (50 points)

Moderate activities limited a little
5. Limitation of lifting or carrying groceries. (50 points)

Lifting or carrying groceries limited a little
6. Limitation of climbing several flights of stairs. (50 points)

Climbing several flights of stairs limited a little
7. Limitation of climbing one flight of stairs. (50 points)

Climbing one flight of stairs limited a little
8. Limitation of bending, kneeling, or stooping. (0 points)

Bending/kneeling/stooping limited a lot
9. Limitation of walking more than a mile. (0 points)

Walking more than one mile limited a lot
10. Limitation of walking several blocks. (50 points)

Walking several blocks limited a little
11. Limitation of walking one block. (50 points)

Walking one block limited a little
12. Limitation of bathing or dressing yourself. (50 points)

Bathing or dressing limited a little
13. Cut down the amount of time you spent on work or other activities. (0 points)
Decrease in time spent on work due to physical health
14. Accomplished less than you would like. (0 points)

Has accomplished less than would like due to physical health
15. Were limited in the kind of work or other activities. (0 points)

Was limited in work due to physical health
16. Had difficulty performing the work or other activities. (0 points)

Difficulty performing work due to physical health
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17. Cut down the amount of time you spent on work or other activities. (100 points)
No decrease in time spent on work due to emotional problems
18. Accomplished less than you would like. (100 points)

Has not accomplished less than would like due to emotional problems
19. Didn't do work or other activities as carefully as usual. (100 points)

No difference in carefulness of work due to emotional problems
20. To what extent has your health interfered with your normal social activities? (25 points)
Quite a bit of interference of health or emotional problems with social activities
21. How much bodily pain have you had during the past 4 weeks? (20 points)
Severe bodily pain
22. How much did pain interfere with your normal work? (25 points)
Quite a bit of interference of pain with work
23. Did you feel full of pep? (80 points)

Most of the time felt full of pep
24. Have you been a nervous person? (60 points)

A nervous person some of the time
25. Have you felt so down in the dumps that nothing could cheer your up? (60 points)
Felt so down in the dumps that nothing could cheer up some of the time
26. Have you felt calm and peaceful? (60 points)

Felt calm and peaceful a good bit of the time
27. Did you have a lot of energy? (40 points)

Had a lot of energy some of the time
28. Have you felt downhearted and blue? (80 points)

Felt downhearted and blue a little of the time
29. Did you feel worn out? (60 points)

Felt worn out some of the time
30. Have you been a happy person? (60 points)

Was a happy person a good bit of the time
31. Did you feel tired? (60 points)

Felt tired some of the time
32. How much of the time has health interfered with your social activities? (50 points)
Physical health or emotional problems interfered with social activities some of the time
33. I seem to get sick a little easier than other people (25 points)
"I seem to get sick a little easier than other people" -- mostly true
34. I am as healthy as anybody I know (25 points)

"I am as healthy as anybody I know" -- mostly false
35. I expect my health to get worse (50 points)

"I expect my health to get worse" -- don't know
36. My health is excellent (50 points)

"My health is excellent" -- don't know
Pertinent Negative Pertinent Positive Pertinent Positive
SF-36 Score:
Physical functioning: 35 percent.
Role limitations due to physical health: 0 percent.
Role limitations due to emotional problems: 100 percent.
Energy/fatigue: 60 percent.
Emotional well-being: 64 percent.
Social functioning: 37.5 percent.
Pain: 22.5 percent.
General health: 35 percent.
Health change: 25 percent.

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SF-36 Summary

1. In general, would you say your health is: (25 points)

3. Limitation of vigorous activities. (0 points)

4. Limitation of moderate activities. (50 points)

5. Limitation of lifting or carrying groceries. (50 points)

6. Limitation of climbing several flights of stairs. (50 points)

7. Limitation of climbing one flight of stairs. (50 points)

8. Limitation of bending, kneeling, or stooping. (0 points)

9. Limitation of walking more than a mile. (0 points)

10. Limitation of walking several blocks. (50 points)

11. Limitation of walking one block. (50 points)

12. Limitation of bathing or dressing yourself. (50 points)

14. Accomplished less than you would like. (0 points)

15. Were limited in the kind of work or other activities. (0 points)

16. Had difficulty performing the work or other activities. (0 points)

18. Accomplished less than you would like. (100 points)

19. Didn't do work or other activities as carefully as usual. (100 points)

23. Did you feel full of pep? (80 points)

24. Have you been a nervous person? (60 points)

26. Have you felt calm and peaceful? (60 points)

27. Did you have a lot of energy? (40 points)

28. Have you felt downhearted and blue? (80 points)

29. Did you feel worn out? (60 points)

30. Have you been a happy person? (60 points)

31. Did you feel tired? (60 points)

34. I am as healthy as anybody I know (25 points)

35. I expect my health to get worse (50 points)

36. My health is excellent (50 points)

Pertinent Negative Pertinent Positive Pertinent Positive

Physical functioning: 35 percent.

Role limitations due to physical health: 0 percent.

Role limitations due to emotional problems: 100 percent.

Emotional well-being: 64 percent.

Social functioning: 37.5 percent.

Pain: 22.5 percent.

General health: 35 percent.

Health change: 25 percent.

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