ID

42706

Description

This document contains the 36-Item Short Form Survey Instrument Version 1 (SF-36) form, developed at RAND as part of the Medical Outcomes Study. RAND owns the copyright. All of the surveys and tools from RAND Health are public documents, available without charge. For more information - e.g. on terms and conditions for use or scoring instructions: https://www.rand.org/health-care/surveys_tools/mos/36-item-short-form.html Changes made to the questionnaire should be made clearly identifiable.

Link

https://www.rand.org/health-care/surveys_tools/mos/36-item-short-form.html

Keywords

Versions (3)
  1. 10/30/14 10/30/14 - Martin Dugas
  2. 7/3/19 7/3/19 - Sarah Riepenhausen
  3. 9/17/21 9/17/21 -
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RAND

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September 17, 2021

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License

Creative Commons BY-NC 3.0
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SF-36 (RAND)

English

SF-36 (RAND)

1 forms  
  1. StudyEvent: ODM-Test
    1. SF-36 (RAND)
General Info
Description

General Info

Alias
UMLS CUI-1
C1508263
1. In general, would you say your health is:
Description

Perceived general health

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C0516984
2. Compared to one year ago, how would your rate your health in general now?
Description

General health compared to one year ago

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1707455
UMLS CUI [2,2]
C0516984
The following items are about activities you might do during a typical day. Does you health now limit you in these activities? If so, how much?
Description

The following items are about activities you might do during a typical day. Does you health now limit you in these activities? If so, how much?

Alias
UMLS CUI-1
C0449295
UMLS CUI-2
C0018759
UMLS CUI-3
C0521116
3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Description

Vigorous activities limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C4060778
4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Description

Moderate activities limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C3833417
5. Lifting or carrying groceries
Description

Groceries limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C3829286
6. Climbing several flights of stairs
Description

Stairs limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C3831080
7. Climbing one flight of stairs
Description

Stairs very limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C3831081
8. Bending, kneeling, or stooping
Description

Bending limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C3831371
9. Walking more than a mile
Description

Long walk limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C3827523
10. Walking several blocks
Description

Intermediate walk limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C0443302
UMLS CUI [2,4]
C0429886
11. Walking one block
Description

Short walk limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0439801
UMLS CUI [2,3]
C0205447
UMLS CUI [2,4]
C0429886
12. Bathing or dressing yourself
Description

Bathing limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0018759
UMLS CUI [2,2]
C0237400
UMLS CUI [2,3]
C0439801
UMLS CUI [2,4]
C3831396
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?
Description

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?

Alias
UMLS CUI-1
C0018759
UMLS CUI-2
C1546466
UMLS CUI-3
C3828653
13. Cut down the amount of time you spent on work or other activities
Description

Work time limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1546466
UMLS CUI [2,2]
C0043227
UMLS CUI [2,3]
C0332282
UMLS CUI [2,4]
C0018759
UMLS CUI [3,1]
C1546466
UMLS CUI [3,2]
C0001288
UMLS CUI [3,3]
C0332282
UMLS CUI [3,4]
C0018759
UMLS CUI [4,1]
C0392756
UMLS CUI [4,2]
C0040223
UMLS CUI [4,3]
C0805077
14. Accomplished less than you would like
Description

Accomplishment limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1546466
UMLS CUI [2,2]
C0043227
UMLS CUI [2,3]
C0332282
UMLS CUI [2,4]
C0018759
UMLS CUI [3,1]
C1546466
UMLS CUI [3,2]
C0001288
UMLS CUI [3,3]
C0332282
UMLS CUI [3,4]
C0018759
UMLS CUI [4]
C3900126
15. Were limited in the kind of work or other activities
Description

Work limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1546466
UMLS CUI [2,2]
C0043227
UMLS CUI [2,3]
C0332282
UMLS CUI [2,4]
C0018759
UMLS CUI [3,1]
C1546466
UMLS CUI [3,2]
C0001288
UMLS CUI [3,3]
C0332282
UMLS CUI [3,4]
C0018759
UMLS CUI [4]
C3641747
16. Had difficulty performing the work or other activities (for example, it took extra effort)
Description

Working difficulty

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1546466
UMLS CUI [2,2]
C0043227
UMLS CUI [2,3]
C0332282
UMLS CUI [2,4]
C0018759
UMLS CUI [3,1]
C1546466
UMLS CUI [3,2]
C0001288
UMLS CUI [3,3]
C0332282
UMLS CUI [3,4]
C0018759
UMLS CUI [4]
C1299586
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)?
Description

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)?

Alias
UMLS CUI-1
C0677660
UMLS CUI-2
C3828653
17. Cut down the amount of time you spent on work or other activities
Description

Work time limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1546466
UMLS CUI [2,2]
C0043227
UMLS CUI [2,3]
C0332282
UMLS CUI [2,4]
C0677660
UMLS CUI [3,1]
C1546466
UMLS CUI [3,2]
C0001288
UMLS CUI [3,3]
C0332282
UMLS CUI [3,4]
C0677660
UMLS CUI [4,1]
C0392756
UMLS CUI [4,2]
C0040223
UMLS CUI [4,3]
C0805077
18. Accomplished less than you would like
Description

Accomplishment limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1546466
UMLS CUI [2,2]
C0043227
UMLS CUI [2,3]
C0332282
UMLS CUI [2,4]
C0677660
UMLS CUI [3,1]
C1546466
UMLS CUI [3,2]
C0001288
UMLS CUI [3,3]
C0332282
UMLS CUI [3,4]
C0677660
UMLS CUI [4]
C3900126
19. Didn't do work or other activities as carefully as usual
Description

Carefulness limited

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C1546466
UMLS CUI [2,2]
C0043227
UMLS CUI [2,3]
C0332282
UMLS CUI [2,4]
C0677660
UMLS CUI [3,1]
C1546466
UMLS CUI [3,2]
C0001288
UMLS CUI [3,3]
C0332282
UMLS CUI [3,4]
C0677660
UMLS CUI [4,1]
C0043227
UMLS CUI [4,2]
C1272696
UMLS CUI [5,1]
C0205394
UMLS CUI [5,2]
C0441655
UMLS CUI [5,3]
C1272696
Past 4 weeks
Description

Past 4 weeks

Alias
UMLS CUI-1
C3828653
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?
Description

Interference with social activities

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0677660
UMLS CUI [2,2]
C0521102
UMLS CUI [2,3]
C0814554
UMLS CUI [3,1]
C0018759
UMLS CUI [3,2]
C0521102
UMLS CUI [3,3]
C0814554
21. How much bodily pain have you had during the past 4 weeks?
Description

Bodily pain

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C3890602
22. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
Description

Interference pain and work

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C3898033
UMLS CUI [2,2]
C1265611
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.
Description

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.

Alias
UMLS CUI-1
C3828653
UMLS CUI-2
C0013987
How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?
Description

Full of pep

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C3484313
How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?
Description

Nervous

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C3829750
How much of the time during the past 4 weeks . . . 25. Have you felt so down in the dumps that nothing could cheer you up?
Description

Felt down

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C3829738
How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?
Description

Felt calm

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C0522165
How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?
Description

Energy

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C3898912
How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?
Description

Felt downhearted

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C3829743
How much of the time during the past 4 weeks . . . 29. Did you feel worn out?
Description

Felt worn out?

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C3899145
How much of the time during the past 4 weeks . . . 30. Have you been a happy person?
Description

Happiness

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C0018592
How much of the time during the past 4 weeks . . . 31. Did you feel tired?
Description

Tired

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C2051663
UMLS CUI [3]
C0849970
32. 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.)?
Description

Interference with social activities

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2,1]
C0677660
UMLS CUI [2,2]
C0521102
UMLS CUI [2,3]
C0814554
UMLS CUI [3,1]
C0018759
UMLS CUI [3,2]
C0521102
UMLS CUI [3,3]
C0814554
How TRUE or FALSE is each of the following statements for you.
Description

How TRUE or FALSE is each of the following statements for you.

Alias
UMLS CUI-1
C1710187
33. I seem to get sick a little easier than other people
Description

Get sick

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C1710187
UMLS CUI [3,1]
C3899028
UMLS CUI [3,2]
C2984078
34. I am as healthy as anybody I know
Description

Healthy as anybody

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C1710187
UMLS CUI [3]
C3900054
35. I expect my health to get worse
Description

Health getting worse

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C1710187
UMLS CUI [3]
C3475697
36. My health is excellent
Description

Excellent health

Data type

integer

Alias
UMLS CUI [1]
C0451287
UMLS CUI [2]
C1710187
UMLS CUI [3]
C3476206
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Similar models

SF-36 (RAND)

1 forms
  1. StudyEvent: ODM-Test
    1. SF-36 (RAND)
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Info
C1508263 (UMLS CUI-1)
Item
1. In general, would you say your health is:
integer
C0451287 (UMLS CUI [1])
C0516984 (UMLS CUI [2])
Perceived general health
Code List
1. In general, would you say your health is:
CL Item
Excellent (1)
C1961136 (UMLS CUI-1)
(Comment:en)
CL Item
Very good (2)
C3641222 (UMLS CUI-1)
(Comment:en)
CL Item
Good (3)
C0205170 (UMLS CUI-1)
(Comment:en)
CL Item
Fair (4)
C2911689 (UMLS CUI-1)
(Comment:en)
CL Item
Poor (5)
C2700379 (UMLS CUI-1)
(Comment:en)
Item
2. Compared to one year ago, how would your rate your health in general now?
integer
C0451287 (UMLS CUI [1])
C1707455 (UMLS CUI [2,1])
C0516984 (UMLS CUI [2,2])
General health compared to one year ago
Code List
2. Compared to one year ago, how would your rate your health in general now?
CL Item
Much better now than one year ago (1)
C3841449 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat better now than one year ago (2)
C3841646 (UMLS CUI-1)
(Comment:en)
CL Item
About the same (3)
C0442739 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat worse now than one year ago (4)
C3897551 (UMLS CUI-1)
(Comment:en)
CL Item
Much worse now than one year ago (5)
C3841448 (UMLS CUI-1)
(Comment:en)
Item Group
The following items are about activities you might do during a typical day. Does you health now limit you in these activities? If so, how much?
C0449295 (UMLS CUI-1)
C0018759 (UMLS CUI-2)
C0521116 (UMLS CUI-3)
Item
3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C4060778 (UMLS CUI [2,3])
Limitations regarding Vigorous activities
Code List
3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C3833417 (UMLS CUI [2,3])
Limitations regarding Vigorous activities
Code List
4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
5. Lifting or carrying groceries
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C3829286 (UMLS CUI [2,3])
Limitations regarding Vigorous activities
Code List
5. Lifting or carrying groceries
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
6. Climbing several flights of stairs
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C3831080 (UMLS CUI [2,3])
Limitations regarding Vigorous activities
Code List
6. Climbing several flights of stairs
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
7. Climbing one flight of stairs
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C3831081 (UMLS CUI [2,3])
Limitations regarding Vigorous activities
Code List
7. Climbing one flight of stairs
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
8. Bending, kneeling, or stooping
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C3831371 (UMLS CUI [2,3])
Limitations regarding Vigorous activities
Code List
8. Bending, kneeling, or stooping
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
9. Walking more than a mile
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C3827523 (UMLS CUI [2,3])
Limitations regarding Vigorous activities
Code List
9. Walking more than a mile
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
10. Walking several blocks
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C0443302 (UMLS CUI [2,3])
C0429886 (UMLS CUI [2,4])
Limitations regarding Vigorous activities
Code List
10. Walking several blocks
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
11. Walking one block
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C0205447 (UMLS CUI [2,3])
C0429886 (UMLS CUI [2,4])
Limitations regarding Vigorous activities
Code List
11. Walking one block
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item
12. Bathing or dressing yourself
integer
C0451287 (UMLS CUI [1])
C0018759 (UMLS CUI [2,1])
C0237400 (UMLS CUI [2,2])
C0439801 (UMLS CUI [2,3])
C3831396 (UMLS CUI [2,4])
Limitations regarding Vigorous activities
Code List
12. Bathing or dressing yourself
CL Item
Yes, Limited a Lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, Limited a Little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, Not limited at All (3)
C3845941 (UMLS CUI-1)
(Comment:en)
Item Group
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?
C0018759 (UMLS CUI-1)
C1546466 (UMLS CUI-2)
C3828653 (UMLS CUI-3)
Item
13. Cut down the amount of time you spent on work or other activities
integer
C0451287 (UMLS CUI [1])
C1546466 (UMLS CUI [2,1])
C0043227 (UMLS CUI [2,2])
C0332282 (UMLS CUI [2,3])
C0018759 (UMLS CUI [2,4])
C1546466 (UMLS CUI [3,1])
C0001288 (UMLS CUI [3,2])
C0332282 (UMLS CUI [3,3])
C0018759 (UMLS CUI [3,4])
C0392756 (UMLS CUI [4,1])
C0040223 (UMLS CUI [4,2])
C0805077 (UMLS CUI [4,3])
Work time limited
Code List
13. Cut down the amount of time you spent on work or other activities
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
14. Accomplished less than you would like
integer
C0451287 (UMLS CUI [1])
C1546466 (UMLS CUI [2,1])
C0043227 (UMLS CUI [2,2])
C0332282 (UMLS CUI [2,3])
C0018759 (UMLS CUI [2,4])
C1546466 (UMLS CUI [3,1])
C0001288 (UMLS CUI [3,2])
C0332282 (UMLS CUI [3,3])
C0018759 (UMLS CUI [3,4])
C3900126 (UMLS CUI [4])
Work time limited
Code List
14. Accomplished less than you would like
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
15. Were limited in the kind of work or other activities
integer
C0451287 (UMLS CUI [1])
C1546466 (UMLS CUI [2,1])
C0043227 (UMLS CUI [2,2])
C0332282 (UMLS CUI [2,3])
C0018759 (UMLS CUI [2,4])
C1546466 (UMLS CUI [3,1])
C0001288 (UMLS CUI [3,2])
C0332282 (UMLS CUI [3,3])
C0018759 (UMLS CUI [3,4])
C3641747 (UMLS CUI [4])
Work time limited
Code List
15. Were limited in the kind of work or other activities
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
16. Had difficulty performing the work or other activities (for example, it took extra effort)
integer
C0451287 (UMLS CUI [1])
C1546466 (UMLS CUI [2,1])
C0043227 (UMLS CUI [2,2])
C0332282 (UMLS CUI [2,3])
C0018759 (UMLS CUI [2,4])
C1546466 (UMLS CUI [3,1])
C0001288 (UMLS CUI [3,2])
C0332282 (UMLS CUI [3,3])
C0018759 (UMLS CUI [3,4])
C1299586 (UMLS CUI [4])
Work time limited
Code List
16. Had difficulty performing the work or other activities (for example, it took extra effort)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item Group
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)?
C0677660 (UMLS CUI-1)
C3828653 (UMLS CUI-2)
Item
17. Cut down the amount of time you spent on work or other activities
integer
C0451287 (UMLS CUI [1])
C1546466 (UMLS CUI [2,1])
C0043227 (UMLS CUI [2,2])
C0332282 (UMLS CUI [2,3])
C0677660 (UMLS CUI [2,4])
C1546466 (UMLS CUI [3,1])
C0001288 (UMLS CUI [3,2])
C0332282 (UMLS CUI [3,3])
C0677660 (UMLS CUI [3,4])
C0392756 (UMLS CUI [4,1])
C0040223 (UMLS CUI [4,2])
C0805077 (UMLS CUI [4,3])
Work time limited
Code List
17. Cut down the amount of time you spent on work or other activities
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
18. Accomplished less than you would like
integer
C0451287 (UMLS CUI [1])
C1546466 (UMLS CUI [2,1])
C0043227 (UMLS CUI [2,2])
C0332282 (UMLS CUI [2,3])
C0677660 (UMLS CUI [2,4])
C1546466 (UMLS CUI [3,1])
C0001288 (UMLS CUI [3,2])
C0332282 (UMLS CUI [3,3])
C0677660 (UMLS CUI [3,4])
C3900126 (UMLS CUI [4])
Work time limited
Code List
18. Accomplished less than you would like
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
19. Didn't do work or other activities as carefully as usual
integer
C0451287 (UMLS CUI [1])
C1546466 (UMLS CUI [2,1])
C0043227 (UMLS CUI [2,2])
C0332282 (UMLS CUI [2,3])
C0677660 (UMLS CUI [2,4])
C1546466 (UMLS CUI [3,1])
C0001288 (UMLS CUI [3,2])
C0332282 (UMLS CUI [3,3])
C0677660 (UMLS CUI [3,4])
C0043227 (UMLS CUI [4,1])
C1272696 (UMLS CUI [4,2])
C0205394 (UMLS CUI [5,1])
C0441655 (UMLS CUI [5,2])
C1272696 (UMLS CUI [5,3])
Work time limited
Code List
19. Didn't do work or other activities as carefully as usual
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item Group
Past 4 weeks
C3828653 (UMLS CUI-1)
Item
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?
integer
C0451287 (UMLS CUI [1])
C0677660 (UMLS CUI [2,1])
C0521102 (UMLS CUI [2,2])
C0814554 (UMLS CUI [2,3])
C0018759 (UMLS CUI [3,1])
C0521102 (UMLS CUI [3,2])
C0814554 (UMLS CUI [3,3])
Interference with social activities
Code List
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?
CL Item
Not at all (1)
C2003901 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly (2)
C0750482 (UMLS CUI-1)
(Comment:en)
CL Item
Moderately (3)
C0205081 (UMLS CUI-1)
(Comment:en)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely (5)
C0205403 (UMLS CUI-1)
(Comment:en)
Item
21. How much bodily pain have you had during the past 4 weeks?
integer
C0451287 (UMLS CUI [1])
C3890602 (UMLS CUI [2])
Bodily pain
Code List
21. How much bodily pain have you had during the past 4 weeks?
CL Item
None (1)
C0549184 (UMLS CUI-1)
(Comment:en)
CL Item
Very mild (2)
C4036115 (UMLS CUI-1)
(Comment:en)
CL Item
Mild (3)
C2945599 (UMLS CUI-1)
(Comment:en)
CL Item
Moderate (4)
C0205081 (UMLS CUI-1)
(Comment:en)
CL Item
Severe (5)
C0205082 (UMLS CUI-1)
(Comment:en)
CL Item
Very severe (6)
C3641272 (UMLS CUI-1)
(Comment:en)
Item
22. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
integer
C0451287 (UMLS CUI [1])
C3898033 (UMLS CUI [2,1])
C1265611 (UMLS CUI [2,2])
Interference with social activities
Code List
22. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
CL Item
Not at all (1)
C2003901 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly (2)
C0750482 (UMLS CUI-1)
(Comment:en)
CL Item
Moderately (3)
C0205081 (UMLS CUI-1)
(Comment:en)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely (5)
C0205403 (UMLS CUI-1)
(Comment:en)
Item Group
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.
C3828653 (UMLS CUI-1)
C0013987 (UMLS CUI-2)
Item
How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C3484313 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C3829750 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 25. Have you felt so down in the dumps that nothing could cheer you up?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C3829738 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 25. Have you felt so down in the dumps that nothing could cheer you up?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C0522165 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C3898912 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C3829743 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 29. Did you feel worn out?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C3899145 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 29. Did you feel worn out?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 30. Have you been a happy person?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C0018592 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 30. Have you been a happy person?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How much of the time during the past 4 weeks . . . 31. Did you feel tired?
integer
C0451287 (UMLS CUI [1])
C2051663 (UMLS CUI [2])
C0849970 (UMLS CUI [3])
Full of pep
Code List
How much of the time during the past 4 weeks . . . 31. Did you feel tired?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
32. 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.)?
integer
C0451287 (UMLS CUI [1])
C0677660 (UMLS CUI [2,1])
C0521102 (UMLS CUI [2,2])
C0814554 (UMLS CUI [2,3])
C0018759 (UMLS CUI [3,1])
C0521102 (UMLS CUI [3,2])
C0814554 (UMLS CUI [3,3])
Full of pep
Code List
32. 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.)?
CL Item
All of the Time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the Time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A Good Bit of the Time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the Time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A Little of the Time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the Time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item Group
How TRUE or FALSE is each of the following statements for you.
C1710187 (UMLS CUI-1)
Item
33. I seem to get sick a little easier than other people
integer
C0451287 (UMLS CUI [1])
C1710187 (UMLS CUI [2])
C3899028 (UMLS CUI [3,1])
C2984078 (UMLS CUI [3,2])
Get sick
Code List
33. I seem to get sick a little easier than other people
CL Item
Definitely True (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly True (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't Know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly False (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely False (5)
C3842802 (UMLS CUI-1)
(Comment:en)
Item
34. I am as healthy as anybody I know
integer
C0451287 (UMLS CUI [1])
C1710187 (UMLS CUI [2])
C3900054 (UMLS CUI [3])
Get sick
Code List
34. I am as healthy as anybody I know
CL Item
Definitely True (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly True (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't Know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly False (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely False (5)
C3842802 (UMLS CUI-1)
(Comment:en)
Item
35. I expect my health to get worse
integer
C0451287 (UMLS CUI [1])
C1710187 (UMLS CUI [2])
C3475697 (UMLS CUI [3])
Get sick
Code List
35. I expect my health to get worse
CL Item
Definitely True (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly True (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't Know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly False (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely False (5)
C3842802 (UMLS CUI-1)
(Comment:en)
Item
36. My health is excellent
integer
C0451287 (UMLS CUI [1])
C1710187 (UMLS CUI [2])
C3476206 (UMLS CUI [3])
Get sick
Code List
36. My health is excellent
CL Item
Definitely True (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly True (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't Know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly False (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely False (5)
C3842802 (UMLS CUI-1)
(Comment:en)
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