Hurdle

Short Form 36 (SF-36)

screening

Digital administration of Short Form 36 (SF-36) to collect structured patient inputs for validated score calculation and clinical follow-up.

Short Form 36 (SF-36)

Clinical intent

The SF-36 was a product of the Medical Outcomes Study (MOS), a four-year study that examined specific influences on outcomes of care [1]. From the original 149-item Functional and Well Being Profile used in the MOS, Ware and Sherbourne, working with the RAND Corporation, published the SF-36 in 1992, selecting eight health domains from the forty identified in the MOS [2]. The original SF-36 underwent many changes and separate derivatives were created. In 1993, Hays, Sherbourne, and Mazel released a publicly available version of the SF-36, the RAND-36 [3].

Clinical interpretation

Generally, a high score defines a more favorable health state.

References

[1] Tarlov AR, Ware JE Jr, Greenfield S, Nelson EC, Perrin E, Zubkoff M. The Medical Outcomes Study. An application of methods for monitoring the results of medical care. JAMA. 1989;262(7):925-930. doi:10.1001/jama.262.7.925
[2] Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-483.
[3] Hays RD, Sherbourne CD, Mazel RM. The RAND 36-Item Health Survey 1.0. Health Econ. 1993;2(3):217-227. doi:10.1002/hec.4730020305

Pathway

Mini Map

Form preview

Interactive preview of the questionnaire. Not for clinical use. Responses are not stored.

Short Form 36 (SF-36) Questionnaire
Please complete this questionnaire. Your responses help your clinical team assess your symptoms and monitor progress over time.
In general, would you say your health is:
Compared to one year ago, how would you rate your health in general now?
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? Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports 
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf 
Lifting or carrying groceries 
Climbing several flights of stairs 
Climbing one flight of stairs 
Bending, kneeling, or stooping 
Walking more than a mile 
Walking several blocks 
Walking one block 
Bathing or dressing yourself 
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? Cut down the amount of time you spent on work or other activities 
Accomplished less than you would like 
Were limited in the kind of work or other activities 
Had difficulty performing the work or other activities (for example, it took extra effort) 
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)? Cut down the amount of time you spent on work or other activities 
Accomplished less than you would like 
Didn\'t do work or other activities as carefully as usual 
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)?
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. How much of the time during the past 4 weeks... Did you feel full of pep? 
Have you been a very nervous person? 
Have you felt so down in the dumps that nothing could cheer you up? 
Have you felt calm and peaceful? 
Did you have a lot of energy? 
Have you felt downhearted and blue? 
Did you feel worn out? 
Have you been a happy person? 
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 with friends, relatives, etc.)?
How TRUE or FALSE is each of the following statements for you. 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