ID

5855

Beschrijving

RAND 36-Item Health Survey 1.0 Questionnaire Items http://www.rand.org/health/surveys_tools/mos/mos_core_36item_survey.html http://en.wikipedia.org/wiki/SF-36

Link

http://www.rand.org/health/surveys_tools/mos/mos_core_36item_survey.html

Trefwoorden

Versies (3)
  1. 30-10-14 30-10-14 - Martin Dugas
  2. 03-07-19 03-07-19 - Sarah Riepenhausen
  3. 17-09-21 17-09-21 -
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30 oktober 2014

DOI

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

Engels

SF-36 (RAND)

1 Formulieren  
  1. StudyEvent: ODM-Test
    1. SF-36 (RAND)
General Info
Beschrijving

General Info

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

1. In general, would you say your health is:

Datatype

integer

Alias
UMLS CUI-1
C0516984
2. Compared to one year ago, how would your rate your health in general now?
Beschrijving

2. Compared to one year ago, how would your rate your health in general now?

Datatype

integer

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

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

3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Beschrijving

3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports

Datatype

integer

4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Beschrijving

4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf

Datatype

integer

5. Lifting or carrying groceries
Beschrijving

5. Lifting or carrying groceries

Datatype

integer

6. Climbing several flights of stairs
Beschrijving

6. Climbing several flights of stairs

Datatype

integer

7. Climbing one flight of stairs
Beschrijving

7. Climbing one flight of stairs

Datatype

integer

8. Bending, kneeling, or stooping
Beschrijving

8. Bending, kneeling, or stooping

Datatype

integer

9. Walking more than a mile
Beschrijving

9. Walking more than a mile

Datatype

integer

10. Walking several blocks
Beschrijving

10. Walking several blocks

Datatype

integer

11. Walking one block
Beschrijving

11. Walking one block

Datatype

integer

12. Bathing or dressing yourself
Beschrijving

12. Bathing or dressing yourself

Datatype

integer

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?
Beschrijving

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?

13. Cut down the amount of time you spent on work or other activities
Beschrijving

13. Cut down the amount of time you spent on work or other activities

Datatype

boolean

14. Accomplished less than you would like
Beschrijving

14. Accomplished less than you would like

Datatype

boolean

15. Were limited in the kind of work or other activities
Beschrijving

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

Datatype

boolean

16. Had difficulty performing the work or other activities (for example, it took extra effort)
Beschrijving

16. Had difficulty performing the work or other activities (for example, it took extra effort)

Datatype

boolean

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)?
Beschrijving

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)?

17. Cut down the amount of time you spent on work or other activities
Beschrijving

17. Cut down the amount of time you spent on work or other activities

Datatype

boolean

18. Accomplished less than you would like
Beschrijving

18. Accomplished less than you would like

Datatype

boolean

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

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

Datatype

boolean

Past 4 weeks
Beschrijving

Past 4 weeks

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?
Beschrijving

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?

Datatype

integer

21. How much bodily pain have you had during the past 4 weeks?
Beschrijving

21. How much bodily pain have you had during the past 4 weeks?

Datatype

integer

22. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
Beschrijving

22. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?

Datatype

integer

How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?
Beschrijving

How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?

Datatype

integer

How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?
Beschrijving

How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?

Datatype

integer

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?
Beschrijving

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?

Datatype

integer

How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?
Beschrijving

How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?

Datatype

integer

How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?
Beschrijving

How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?

Datatype

integer

How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?
Beschrijving

How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?

Datatype

integer

How much of the time during the past 4 weeks . . . 29. Did you feel worn out?
Beschrijving

How much of the time during the past 4 weeks . . . 29. Did you feel worn out?

Datatype

integer

How much of the time during the past 4 weeks . . . 30. Have you been a happy person?
Beschrijving

How much of the time during the past 4 weeks . . . 30. Have you been a happy person?

Datatype

integer

How much of the time during the past 4 weeks . . . 31. Did you feel tired?
Beschrijving

How much of the time during the past 4 weeks . . . 31. Did you feel tired?

Datatype

integer

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.)?
Beschrijving

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.)?

Datatype

integer

General statements
Beschrijving

General statements

33. I seem to get sick a little easier than other people
Beschrijving

33. I seem to get sick a little easier than other people

Datatype

integer

34. I am as healthy as anybody I know
Beschrijving

34. I am as healthy as anybody I know

Datatype

integer

35. I expect my health to get worse
Beschrijving

35. I expect my health to get worse

Datatype

integer

36. My health is excellent
Beschrijving

36. My health is excellent

Datatype

integer

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Similar models

SF-36 (RAND)

1 Formulieren
  1. StudyEvent: ODM-Test
    1. SF-36 (RAND)
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
General Info
C1508263 (UMLS CUI-1)
Item
1. In general, would you say your health is:
integer
C0516984 (UMLS CUI-1)
Perceived general health
Code List
1. In general, would you say your health is:
CL Item
Excellent (1)
CL Item
Very good (2)
CL Item
Good (3)
CL Item
Fair (4)
CL Item
Poor (5)
Item
2. Compared to one year ago, how would your rate your health in general now?
integer
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)
CL Item
Somewhat better now than one year ago (2)
CL Item
About the same (3)
CL Item
Somewhat worse now than one year ago (4)
CL Item
Much worse now than one year ago (5)
Item Group
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?
Item
3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
integer
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)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
integer
undefined item
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)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
5. Lifting or carrying groceries
integer
undefined item
Code List
5. Lifting or carrying groceries
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
6. Climbing several flights of stairs
integer
undefined item
Code List
6. Climbing several flights of stairs
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
7. Climbing one flight of stairs
integer
undefined item
Code List
7. Climbing one flight of stairs
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
8. Bending, kneeling, or stooping
integer
undefined item
Code List
8. Bending, kneeling, or stooping
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
9. Walking more than a mile
integer
undefined item
Code List
9. Walking more than a mile
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
10. Walking several blocks
integer
undefined item
Code List
10. Walking several blocks
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
11. Walking one block
integer
undefined item
Code List
11. Walking one block
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
Item
12. Bathing or dressing yourself
integer
undefined item
Code List
12. Bathing or dressing yourself
CL Item
Yes, Limited a Lot (1)
CL Item
Yes, Limited a Little (2)
CL Item
No, Not limited at All (3)
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?
Work time limited
Item
13. Cut down the amount of time you spent on work or other activities
boolean
Accomplishment limited
Item
14. Accomplished less than you would like
boolean
Work limited
Item
15. Were limited in the kind of work or other activities
boolean
Working difficulty
Item
16. Had difficulty performing the work or other activities (for example, it took extra effort)
boolean
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)?
Work time limited
Item
17. Cut down the amount of time you spent on work or other activities
boolean
Accomplishment limited
Item
18. Accomplished less than you would like
boolean
Carefulness limited
Item
19. Didn't do work or other activities as carefully as usual
boolean
Item Group
Past 4 weeks
Item
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
Interference with social activities
Code List
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)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
21. How much bodily pain have you had during the past 4 weeks?
integer
Bodily pain
Code List
21. How much bodily pain have you had during the past 4 weeks?
CL Item
None (1)
CL Item
Very mild (2)
CL Item
Mild (3)
CL Item
Moderate (4)
CL Item
Severe (5)
CL Item
Very severe (6)
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
Interference pain and work
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)
CL Item
A little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?
integer
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
Item
How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?
integer
undefined item
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
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
undefined item
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
Item
How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?
integer
undefined item
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
Item
How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?
integer
undefined item
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
Item
How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?
integer
undefined item
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
Item
How much of the time during the past 4 weeks . . . 29. Did you feel worn out?
integer
undefined item
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
Item
How much of the time during the past 4 weeks . . . 30. Have you been a happy person?
integer
undefined item
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)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
Item
How much of the time during the past 4 weeks . . . 31. Did you feel tired?
integer
undefined item
Code List
How much of the time during the past 4 weeks . . . 31. Did you feel tired?
CL Item
All of the Time (1)
CL Item
Most of the Time (2)
CL Item
A Good Bit of the Time (3)
CL Item
Some of the Time (4)
CL Item
A Little of the Time (5)
CL Item
None of the Time (6)
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
Interference with social activities
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)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item Group
General statements
Item
33. I seem to get sick a little easier than other people
integer
Get sick
Code List
33. I seem to get sick a little easier than other people
CL Item
Definitely True (1)
CL Item
Mostly True (2)
CL Item
Don't Know (3)
CL Item
Mostly False (4)
CL Item
Definitely False (5)
Item
34. I am as healthy as anybody I know
integer
undefined item
Code List
34. I am as healthy as anybody I know
CL Item
Definitely True (1)
CL Item
Mostly True (2)
CL Item
Don't Know (3)
CL Item
Mostly False (4)
CL Item
Definitely False (5)
Item
35. I expect my health to get worse
integer
undefined item
Code List
35. I expect my health to get worse
CL Item
Definitely True (1)
CL Item
Mostly True (2)
CL Item
Don't Know (3)
CL Item
Mostly False (4)
CL Item
Definitely False (5)
Item
36. My health is excellent
integer
undefined item
Code List
36. My health is excellent
CL Item
Definitely True (1)
CL Item
Mostly True (2)
CL Item
Don't Know (3)
CL Item
Mostly False (4)
CL Item
Definitely False (5)
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