Short form 36 health survey standard, us version 1. For each question, please give the one answer that comes closest to the way you have been feeling. For example, the raw score for physical function is transformed by. There are currently no studies that assess the measurement. The short form 36 health survey is a 36 item, patientreported survey of patient health. The sf 36 is a measure of health status and an abbreviated variant of it, the sf6d, is commonly used in health economics as a variable in the qualityadjusted life year calculation to determine the costeffectiveness of a health treatment.
A 36item shortform sf36 was constructed to survey health status in the medical outcomes study. Definition of 36item medical outcomes study shortform general health survey in the medical dictionary by the free dictionary. The short form 36 health survey questionnaire sf 36 is used to indicate the health status of particular populations, to help with service planning and to measure the impact of clinical and social interventions. Health conditions include diseases or illnesses, other health. Conceptual framework and item selection created date. All questions are scored on a scale from 0 to 100, with 100 representing the highest level of functioning possible. The sf36 is a measure of health status and an abbreviated variant of it, the sf6d, is commonly used in health. As part of the medical outcomes study mos, a multiyear, multisite study to explain variations in patient outcomes, rand developed the 36item short form health survey sf36. Medical outcomes study 36item shortform health survey sf36 description. Evaluation of the short form health survey sf36 using the. Culturespecific data are required to calculate sf 36 normbased scores. The short form 36 health survey is a 36item, patientreported survey of patient health. Medical outcomes study 36item shortform health survey.
The 36 item short form health survey sf 36 is widely validated and popularly used in assessing the subjective quality of life qol of patients and the general public. You can screen clients through this screening form template by asking them for their personal measurements, their current occupation and lifestyle, their medical history and nutrition habits if any. Development of the korean version of shortform 36item. Definition of 36 item medical outcomes study short form general health survey in the medical dictionary by the free dictionary. Available evidence suggests that the short form36 sf36 health survey questionnaire is a valid generic measure for rating hrql in several research fields on the basis of its good construct validity, high. Medical outcomes study questionnaire short form 36 health. Had difficulty performing the work or other activities for example, it took extra.
Rand 36 item short form health survey sf36 ahrq academy. Medical outcomes study 36item shortform health survey sf36. As part of the medical outcomes study mos, a multiyear, multisite study to explain variations in patient outcomes, rand developed the 36 item short form health survey sf 36. Questionnaire is available here in html format a pdf version of the sf36 is also available here, for ease of administration it fits on 2 pages. Rand recommends the following straightforward approach to scoring the rand 36 item health survey. You have a detailed bmp compliance survey form template here that begins with all details of survey preparation, followed by a record of survey, pcs information, inventory verification, space for citing storage areas etc. Scoring instructions html scoring instructions pdf. Qualityoflife instruments are categorized as general health or as conditionspecific questionnaires. The short form36 health survey sf36 is the leading hrqol assessment used in physical activity research. Short form 12 item version 2 health survey abilitylab. Medical outcomes study questionnaire short form 36 health survey sf 36 about. Sf12v2 is a shortened form 12 items of the sf36v2 health survey.
Items 20 and 32 are used to score the measure of social functioning. It has been found to be reliable, and valid in terms of. Compared to one year ago, how would you rate your health in general now. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities like visiting with friends, relatives, etc.
Construct validity of the short form36 health survey and its. All questions are scored on a scale from 0 to 100, with 100 representing the highest level of. The test consists of 36 questions and requires 10 minutes to administer. The sf 36 is an indicator of overall health status. The shortform36 health survey rand corporation and john e. Rand rand health surveys rand medical outcomes study 36item short form survey sf36. Evaluating the sf 36 health survey version 2 in older vietnamese americans2008. Using the 12item short form health survey sf12 to measure. Convergent validity was established since four out of five expected domains of the lymphicful showed a moderate correlation with expected domains of the 36item shortform.
Medical outcomes study 36item shortform health survey, sf36 a study used to provide perceived health status in eight domains. These questions are about how you feel and how things have been with you during the past 4 weeks. A generic assessment instrument for health and disability a tool to produce standardized disability levels and profiles applicable across cultures, in all adult populations directly linked at the. Sf36 includes one multiitem scale that assesses eight health concepts. The short form 36 health survey sf 36 is the leading hrqol assessment used in physical activity research. Convergent validity was established since four out of five expected domains of the lymphicful showed a moderate correlation with expected domains of the 36 item short form health survey questionnaire. The sf36 was designed for use in clinical practice. The demographics of the sample largely replicated that of britains. Our standard survey report templates have been used by state governments and many other firms all over the world.
Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Please answer the 36 questions of the health survey completely, honestly, and. The majority of physical activity researchers use either one or both of the sf 36 domain component scores physical and mental. Please give the one answer that is closest to the way you have been feeling for each item. Scoring and interpretation instructions can be found in the users. The sf 36 was designed for use in clinical practice and research, health policy evaluations, and general population surveys. The sf36 is a multipurpose survey designed to capture adult. They meet the standards of marketplace in each and every aspect. The aim of the study is to assess the psychometric properties of the 36 item short form health survey sf 36 in medical students in mainland of china. Page 1 of 4 36item, selfadministered 36item version, selfadministered this questionnaire asks about difficulties due to health conditions. Revision of the lymphedema functioning, disability and health. The shortform 36 sf36 health survey is a brief selfadministered questionnaire that generates scores across 8 dimensions of health.
A 36 item short form sf 36 was constructed to survey health status in the medical outcomes study. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. The sf 36 includes one multi item scale that assesses eight health conce. For each of the following questions, please circle. This chapter provides scoring instructions for the eight multiitem scales and for the reported health transition item included in the sf36 health survey.
Nov 17, 2012 the shortform 36 sf36 health survey is a brief selfadministered questionnaire that generates scores across 8 dimensions of health. Of the diagnosis of stroke by clinical judgment and by scoring method. The 36item short form of the medical outcomes study questionnaire sf36 was designed as. The 36item short form health survey sf36 is a set of generic, coherent, and. Form 36 sf36 health survey questionnaire, derived from a random sample of the. The 36item short form health survey sf36 is widely validated and popularly used in assessing the subjective quality of life qol of patients and the general public. Additional studies need to be conducted in a sample of the saudi population to further.
Jul 25, 20 the mos 36item short form health survey sf 36. The medical outcomes study 36 item short form sf 36 is a general health based survey of quality of life. The sf 36 is a wellresearched, reliable and valid broadbased, sophisticated instrument with population. Medical outcome short form 36 health survey clintools. The sf 36 was designed for use in clinical practice and research, health policy evaluations, and. The short form 36 health survey sf 36 evaluates the functional health and wellbeing of patients. The sf36 was designed for use in clinical practice and research, health policy evaluations, and. The short form 36 was derived from the general health survey of the medical outcomes study by stewart and colleagues 1988. Short form 36 sf 36 pdf the 36 item short form health survey sf 36 is a set of generic, coherent, and. The majority of physical activity researchers use either one or both. Medical outcome study shortform 36item health survey sf36 is a widely used health status measure.
Scoring and interpretation instructions can be found in the users manual. Based on a much longer survey developed in the 1980s by ware, j. The sf36 includes a multiitem scale with 8 subscales. The shortform 36 sf36 health survey and its use in. Validation of the short form 36 sf36 health survey questionnaire among stroke. The short form36 was derived from the general health survey of the medical outcomes study by stewart and colleagues 1988. Available evidence suggests that the short form 36 sf 36 health survey questionnaire is a valid generic measure for rating hrql in several research fields on the basis of its good construct validity, high internal consistency, and high testretest reliability 4, 5, 6. Mos 36item short form survey instrument sf36 arabic pdf scoring instructions for mos 36item short form survey instrument sf36 choose one option for each questionnaire item. It is one of the most widely used generic measures of healthrelated. The following items are about activities you might do during a typical day. Short form 36 health survey sf36 statistics solutions. The sf 36 includes one multi item scale that assesses eight health concepts. Sf36 health survey questionnaire oxford academic journals. The use of patientderived, objective outcome measures has expanded substantially within the orthopaedic literature.
Scoring rules for the rand 36item health survey version 1. Mos 36 item short form survey instrument sf 36 arabic pdf scoring instructions for mos 36 item short form survey instrument sf 36 choose one option for each questionnaire item. Mos 36item short form survey instrument sf36 arabic pdf. Users manual for the medical outcomes study mos core measures of health related quality of life. You can screen clients through this screening form template by asking them for their personal. The sf 36 is a multipurpose survey designed to capture adult patients perceptions of their own health and wellbeing. A 36item shortform sf36 was constructed to survey health status in the. Survey is administered as a questionnaire and can be selfadministered or completed through an interview. Medical outcome short form 36 health survey questionnaire availability. Medical outcomes study 36 item short form health survey sf 36 description. However, a korean version has not been developed and tested yet. There was good divergent validity because seven out of nine hypotheses assessing divergent validity were accepted. This information will help keep track of how you feel and how well you are able to do.
Sf 36 is a set of generic, coherent, and easily administered qualityoflife measures. Short form 36 sf 36 pdf the 36item short form health survey sf36 is a set of generic, coherent, and. This chapter provides scoring instructions for the eight multi item scales and for the reported health transition item included in the sf 36 health survey. Medical outcomes study questionnaire short form 36 health survey this survey asks for your views about your health. The wsib acknowledges that the rand 36 item short form health survey was developed at rand as part of the medical outcomes study. This is a generic assessment of healthrelated quality of life hr qol from the clientpatients perspective. Had difficulty performing the work or other activities for example, took extra effort. Medical outcomes study questionnaire short form 36. A general indicator of health status function and wellbeing and includes primarily nonpsychiatric health status questions. General scoring information and steps for data entry and scoring that are common to all items are discussed first see figure 6. Qualityoflife instruments are categorized as general health or as condition. However, figures for itemresponse and nonresponse to the sf36 have.
The shortform sf36 health survey national center for. It is one of the most widely used generic measures of health related quality of life and has been shown to discriminate between subjects with different chronic conditions and between subjects with different severity. Total raw score of subjects general health general health gh scale items, as part of version 2. The short form 36 health survey rand corporation and john e. Use this health screening report template if you are looking to screen clients before they can join your training. The use of the 12item shortform health status instrument in a longitudinal study of patients with stroke and. Standard survey reports are the standard form of survey reports. Medical outcomes study 36 item short form health survey, sf 36 a study used to provide perceived health status in eight domains.