SF-36v2 Health Survey

In general, would you say your health is:

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

Does your health now limit you in vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?

Does your health now limit you in moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?

Does your health now limit you in lifting or carrying groceries?

Does your health now limit you in climbing several flights of stairs?

Does your health now limit you in climbing one flight of stairs?

Does your health now limit you in bending, kneeling, or stooping?

Does your health now limit you in walking more than a mile?

Does your health now limit you in walking several hundred yards?

Does your health now limit you in walking one hundred yards?

Does your health now limit you in bathing or dressing yourself?

During the past 4 weeks, how much of the time have you cut down on the amount of time you spent on work or other activities as a result of your physical health?

During the past 4 weeks, how much of the time have you accomplished less than you would like as a result of your physical health?

During the past 4 weeks, how much of the time were you limited in the kind of work or other activities as a result of your physical health?

During the past 4 weeks, how much of the time had difficulty performing the work or other activities as a result of your physical health?

During the past 4 weeks, how much of the time have you cut down on the amount of time you spent on work or other activities as a result of any emotional problems?

During the past 4 weeks, how much of the time have you accomplished less than you would like as a result of any emotional problems?

During the past 4 weeks, how much of the time did work or other activities less carefully than usual as a result of any emotional problems?

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?

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

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

During the past 4 weeks, how much of the time did you feel full of life?

During the past 4 weeks, how much of the time have you been very nervous?

During the past 4 weeks, how much of the time have you felt so down in the dumps that nothing could cheer you up?

During the past 4 weeks, how much of the time have you felt calm and peaceful?

During the past 4 weeks, how much of the time did you have a lot of energy?

During the past 4 weeks, how much of the time have you felt downhearted and depressed?

During the past 4 weeks, how much of the time did you feel worn out?

During the past 4 weeks, how much of the time have you been happy?

During the past 4 weeks, how much of the time did you feel tired?

During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?

I seem to get sick a little easier than other people

I am as healthy as anybody I know

I expect my health to get worse

My health is excellent