Cornell Medical Index Health Questionnaire – CMI

Q: How many questions does the Cornell Medical Index Health Questionnaire – CMI have?

The Cornell Medical Index Health Questionnaire – CMI contains 129 items and takes approximately 32 minutes to complete.

Q: How is the Cornell Medical Index Health Questionnaire – CMI scored?

Scores range from 0 to 129. Interpretation levels: Low clinical significance (0-29), High clinical significance (suggests need for further diagnostic evaluation) (30-129).

Q: Is the Cornell Medical Index Health Questionnaire – CMI free?

Yes, this assessment is completely free. You will receive your results immediately after completion, with an optional AI-powered personalized interpretation.

Mohammed looti

Cornell Medical Index Health Questionnaire – CMI

A comprehensive self-report instrument designed to collect medical, somatic, and psychiatric histories to assist in clinical evaluations.

129 Questions

~32 min

Yes no

Scale Development & Technical Details

Scale Overview

The Cornell Medical Index Health Questionnaire – CMI was developed by Kenneth Brodman, Albert J. Erdmann, Irving Lorge, Harold G. Wolff (1949). It is designed to measure Somatic and psychiatric health symptoms. The scale is intended for use with Adults.

Scale Structure

This instrument consists of 129 items organized into 13 factors/subscales: Eyes and Ears, Respiratory System, Cardiovascular System, Gastrointestinal System, Musculoskeletal System, Skin, Nervous System, Genitourinary System (Female), Genitourinary System (Male), Fatigability, Ill Health, Frequency of Illness, Habits.

Factor / Subscale	Items	N
Eyes and Ears	1,2,3,4,5,6,7,8,9	9
Respiratory System	10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27	18
Cardiovascular System	28,29,30,31,32	5
Gastrointestinal System	33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54	22
Musculoskeletal System	55,56,57,58,59,60,61,62	8
Skin	63,64,65,66,67,68,69	7
Nervous System	70,71,72,73,74,75,76,77	8
Genitourinary System (Female)	78,79,80,81,82,83,84,85,86,87,88	11
Genitourinary System (Male)	89,90,91,92,93,94,95,96,97,98,99	11
Fatigability	100,101,102,103,104,105,106	7
Ill Health	107,108	2
Frequency of Illness	109,110,111,112,113,114,115,116,117,118,119,120,121,122,123	15
Habits	124,125,126,127,128,129	6

Response Format

Respondents rate each item using a dichotomous Yes/No format.

Scoring

Items are summed to produce a total score.

Total scores range from 0 to 129. Interpretation guidelines:

Low clinical significance: 0 – 29
High clinical significance (suggests need for further diagnostic evaluation): 30 – 129

Administration

The scale is self-administered and typically takes approximately 15 minutes to complete. It can be administered individually or in group settings. No special training is required for administration.

0 / 129

About You

Please provide the following information before starting the assessment. This data is used for research purposes only and will remain confidential.

Gender *

Age *

Education Level

Country / Nationality

Instructions

Please answer every question by selecting 'Yes' or 'No' based on your medical history and current symptoms. Note that section H contains separate questions for females and males; please answer only the section corresponding to your biological sex.

Do you need glasses to read?

Yes No

Do you need glasses to see things at a distance?

Yes No

Has your eyesight often blacked out completely?

Yes No

Do your eyes continually blink or water?

Yes No

Do you often have bad pains in your eyes?

Yes No

Are your eyes often red or inflamed?

Yes No

Are you hard of hearing?

Yes No

Have you ever had a bad running ear?

Yes No

Do you have constant noises in your ears?

Yes No

Do you have to clear your throat frequently?

Yes No

Do you often feel a choking lump in your throat?

Yes No

Are you often troubled with bad spells of sneezing?

Yes No

Is your nose continually stuffed up?

Yes No

Do you suffer from a constantly running nose?

Yes No

Have you at times had bad nose bleeds?

Yes No

Do you often catch severe colds?

Yes No

Do you frequently suffer from heavy chest colds?

Yes No

When you catch a cold, do you always have to go to bed?

Yes No

Do frequent colds keep you miserable all winter?

Yes No

Do you get hay fever?

Yes No

Do you suffer from asthma?

Yes No

Are you troubled by constant coughing?

Yes No

Have you ever coughed up blood?

Yes No

Do you sometimes have severe soaking sweats at night?

Yes No

Have you ever had a chronic chest condition?

Yes No

Have you ever had T.B. (Tuberculosis)?

Yes No

Did you ever live with anyone who had T.B.?

Yes No

Has a doctor ever said your blood pressure was too high?

Yes No

Has a doctor ever said your blood pressure was too low?

Yes No

Do you have pains in the heart or chest?

Yes No

Are you often bothered by thumping of the heart?

Yes No

Does your heart often race like mad?

Yes No

Are you troubled by bleeding gums?

Yes No

Have you often had severe toothaches?

Yes No

Is your tongue usually badly coated?

Yes No

Is your appetite always poor?

Yes No

Do you usually eat sweets or other food between meals?

Yes No

Do you always gulp your food in a hurry?

Yes No

Do you often suffer from an upset stomach?

Yes No

Do you usually feel bloated after eating?

Yes No

Do you usually belch a lot after eating?

Yes No

Are you often sick to your stomach?

Yes No

Do you suffer from indigestion?

Yes No

Do severe pains in the stomach often double you up?

Yes No

Do you suffer from constant stomach trouble?

Yes No

Does stomach trouble run in your family?

Yes No

Has a doctor ever said you had stomach ulcers?

Yes No

Do you suffer from frequently loose bowel movements?

Yes No

Have you ever had severe bloody diarrhea?

Yes No

Were you ever troubled with intestinal worms?

Yes No

Do you constantly suffer from bad constipation?

Yes No

Have you ever had piles (rectal hemorrhoids)?

Yes No

Have you ever had jaundice (yellow eyes and skin)?

Yes No

Have you ever had serious liver or gall bladder trouble?

Yes No

Are your joints often painfully swollen?

Yes No

Do your muscles and joints constantly feel stiff?

Yes No

Do you usually have severe pains in the arms or legs?

Yes No

Are you crippled with severe rheumatism (arthritis)?

Yes No

Does rheumatism (arthritis) run in your family?

Yes No

Do weak or painful feet make your life miserable?

Yes No

Do pains in the back make it hard for you to keep up with your work?

Yes No

Are you troubled with a serious bodily disability or deformity?

Yes No

Is your skin very sensitive or tender?

Yes No

Do cuts in your skin usually stay open a long time?

Yes No

Does your face often get badly flushed?

Yes No

Do you sweat a great deal even in cold weather?

Yes No

Are you often bothered by severe itching?

Yes No

Does your skin often break out in a rash?

Yes No

Are you often troubled with boils?

Yes No

Have you at times had a twitching of the face or head?

Yes No

Did you ever have a fit or convulsion (epilepsy)?

Yes No

Has anyone in your family ever had fits or convulsions (epilepsy)?

Yes No

Did you bite your nails badly?

Yes No

Are you troubled by stuttering or stammering?

Yes No

Are you a sleep walker?

Yes No

Are you a bed wetter?

Yes No

Were you a bed wetter between the ages of 8 and 14?

Yes No

Have your menstrual periods usually been painful?

Yes No

Have you often felt weak or sick with your periods?

Yes No

Have you often had to lie down when your periods came on?

Yes No

Have you usually been tense or jumpy with your periods?

Yes No

Have you ever had constant severe hot flashes and sweats?

Yes No

Have you often been troubled with vaginal discharge?

Yes No

Do you have to get up every night and urinate?

Yes No

During the day, do you usually have to urinate frequently?

Yes No

Do you often have severe burning pain when you urinate?

Yes No

Do you sometimes lose control of your bladder?

Yes No

Has a doctor ever said you had kidney or bladder disease?

Yes No

Have you ever had anything seriously wrong with your genitals (privates)?

Yes No

Are your genitals often painful or sore?

Yes No

Have you ever had treatment for your genitals?

Yes No

Has a doctor ever said you had a hernia (rupture)?

Yes No

Have you ever passed blood while urinating (passing water)?

Yes No

Do you have trouble starting your stream when urinating?

Yes No

Do you have to get up every night and urinate?

Yes No

During the day, do you usually have to urinate frequently?

Yes No

Do you often have severe burning pain when you urinate?

Yes No

Do you sometimes lose control of your bladder?

Yes No

Has a doctor ever said you had kidney or bladder disease?

Yes No

100

Do you often get spells of complete exhaustion or fatigue?

Yes No

101

Does working tire you out completely?

Yes No

102

Do you usually get up tired and exhausted in the morning?

Yes No

103

Does every little effort wear you out?

Yes No

104

Are you constantly too tired and exhausted even to eat?

Yes No

105

Do you suffer from severe nervous exhaustion?

Yes No

106

Does nervous exhaustion run in your family?

Yes No

107

Are you always ill and unhappy?

Yes No

108

Are you constantly made miserable by poor health?

Yes No

109

Did you ever have scarlet fever?

Yes No

110

As a child, did you have rheumatic fever, growing pains or twitching of the limbs?

Yes No

111

Did you ever have malaria?

Yes No

112

Were you ever treated for severe anemia (thin blood)?

Yes No

113

Were you ever treated for 'bad blood' (venereal disease)?

Yes No

114

Do you have diabetes (sugar disease)?

Yes No

115

Did a doctor ever say you had a goiter (in your neck)?

Yes No

116

Did a doctor ever treat you for tumor or cancer?

Yes No

117

Did you suffer from any chronic disease?

Yes No

118

Are you definitely under weight?

Yes No

119

Are you definitely over weight?

Yes No

120

Did a doctor ever say you had varicose veins (swollen veins) in your legs?

Yes No

121

Did you ever have a serious operation?

Yes No

122

Did you ever have a serious injury?

Yes No

123

Did you often have small accidents or injuries?

Yes No

124

Do you usually have great difficulty in falling asleep or staying asleep?

Yes No

125

Do you find it impossible to take a regular rest period each day?

Yes No

126

Do you find it impossible to take regular daily exercise?

Yes No

127

Do you smoke more than 20 cigarettes a day?

Yes No

128

Do you drink more than six cups of coffee or tea a day?

Yes No

129

Do you usually take two or more alcoholic drinks a day?

Yes No

Answer all questions to submit

Scale Development & Technical Details

Scale Overview

Scale Structure

Response Format

Scoring

Administration

About You

Your Results