of0
 
CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Huntington's Disease
Sub-Domain: Quality of Life
CRF: Short Form 36-Item Health Survey (SF-36)
Item count: 36 (36 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C08500
36-item Short Form Health Survey (SF-36) - General health score
SF36GenHlthScore
Score of surveyee-reported general health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
In general, would you say your health is
1;2;3;4;5;
Excellent;Very good;Good;Fair;Poor;
Numeric Values
This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q1
 
Single Pre-Defined Value Selected
       
C08502
36-item Short Form Health Survey (SF-36) - Now heath score
SF36NowHlthScore
Score of surveyee-reported present general heath compared to a year ago as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Compared to one year ago, how would you rate your health in general now?
1;2;3;4;5;
Much better now than one year ago;Somewhat better now than one year ago;About the same;Somewhat worse now than one year ago;Much worse now than one year ago;
Numeric Values
This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q2
 
Single Pre-Defined Value Selected
       
C08503
36-item Short Form Health Survey (SF-36) - Health limited vigorous activities score
SF36HlthLmtVigorActScore
Score of surveyee-reported limited vigorous activities due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q3
 
Single Pre-Defined Value Selected
       
C08504
36-item Short Form Health Survey (SF-36) - Health limited moderate activities score
SF36HlthLmtModActScore
Score of surveyee-reported limited moderate activities due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q4
 
Single Pre-Defined Value Selected
       
C08505
36-item Short Form Health Survey (SF-36) - Health limited carrying groceries score
SF36HlthLmtCrryGrocryScore
Score of surveyee-reported limited lifting or carrying groceries due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Lifting or carrying groceries?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q5
 
Single Pre-Defined Value Selected
       
C08506
36-item Short Form Health Survey (SF-36) - Health limited climbing several stairs score
SF36HlthLmtClmbSvrlStairScore
Score of surveyee-reported limited climbing several flights of stairs due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Climbing several flights of stairs?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q6
 
Single Pre-Defined Value Selected
       
C08507
36-item Short Form Health Survey (SF-36) - Health limited climbing one stair score
SF36HlthLmtClmb1StairScore
Score of surveyee-reported limited climbing one flight of stairs due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Climbing one flight of stairs?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q7
 
Single Pre-Defined Value Selected
       
C08508
36-item Short Form Health Survey (SF-36) - Health limited bending kneeling stooping score
SF36HlthLmtBndKnlStpScore
Score of surveyee-reported limited bending, kneeling, or stooping due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Bending, kneeling, or stooping?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q8
 
Single Pre-Defined Value Selected
       
C08509
36-item Short Form Health Survey (SF-36) - Health limited walking miles score
SF36HlthLmtWlkSvrlMilScore
Score of surveyee-reported limited walking more than one mile due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Walking more than a mile?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q9
 
Single Pre-Defined Value Selected
       
C08510
36-item Short Form Health Survey (SF-36) - Health limited walking several blocks score
SF36HlthLmtWlkSvrlBlckScore
Score of surveyee-reported limited walking several blocks due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Walking several blocks?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q10
 
Single Pre-Defined Value Selected
       
C08511
36-item Short Form Health Survey (SF-36) - Health limited walking one block score
SF36HlthLmtWlk1BlckScore
Score of surveyee-reported limited walking one block due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Walking one block?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q11
 
Single Pre-Defined Value Selected
       
C08512
36-item Short Form Health Survey (SF-36) - Health limited bathing dressing score
SF36HlthLimtBthDrssScore
Score of surveyee-reported limited bathing or dressing due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
Does your health now limit you in: Bathing or dressing yourself?
1;2;3;
Yes, limited a lot;Yes, limited a little;No, not limited at all;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q12
 
Single Pre-Defined Value Selected
       
C08513
36-item Short Form Health Survey (SF-36) - Cut time on work activities physical health indicator
SF36CutTimeWrkActPhyHlthInd
Indicator for surveyee-reported cut down time on work or other activities as a result of physical health during past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, have you: Cut down on the amount of time you spent on work or other activities?
1;2;
Yes;No;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q13
 
Single Pre-Defined Value Selected
       
C08514
36-item Short Form Health Survey (SF-36) - Less accomplished physical health indicator
SF36LesAccompPhyHlthInd
Indicator for surveyee-reported less accomplishment as a result of physical health during past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, have you: Accomplished less than you would like?
1;2;
Yes;No;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q14
 
Single Pre-Defined Value Selected
       
C08515
36-item Short Form Health Survey (SF-36) - Limited work activities physical health indicator
SF36LmtWrkActPhyHlthInd
Indicator for surveyee-reported limited work or activities as a result of physical health during past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, you: Were limited in the kind of work or other activities?
1;2;
Yes;No;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q15
 
Single Pre-Defined Value Selected
       
C08516
36-item Short Form Health Survey (SF-36) - Difficulty work activities physical health indicator
SF36DiffcltWrkActPhyHlthInd
Indicator for surveyee-reported difficulty performing work or other activities as a result of physical health during past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, have you: Had difficulty performing the work or other activities (for example, it took extra effort)?
1;2;
Yes;No;
Numeric Values
Text before question 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? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q16
 
Single Pre-Defined Value Selected
       
C08517
36-item Short Form Health Survey (SF-36) - Cut time on work activities emotional problems indicator
SF36CutTmeWrkActEmotProbInd
Indicator for surveyee-reported cut down time on work or other activities as a result of emotional problems during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, have you: Cut down on the amount of time you spent on work or other activities?
1;2;
Yes;No;
Numeric Values
Text before question 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)? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q17
 
Single Pre-Defined Value Selected
       
C08518
36-item Short Form Health Survey (SF-36) - Less accomplished emotional problems indicator
SF36LesAccompEmotProbInd
Indicator for surveyee-reported less accomplishment as a result of emotional problems during past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, have you: Accomplished less than you would like?
1;2;
Yes;No;
Numeric Values
Text before question 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)? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q18
 
Single Pre-Defined Value Selected
       
C08519
36-item Short Form Health Survey (SF-36) - Work not carefully emotional problems indicator
SF36WkNotCarefulEmotProbInd
Indicator for surveyee-reported doing work or other activities not as carefully as usual as a result of emotional problems during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, you: Didn't do work or other activities as carefully as usual?
1;2;
Yes;No;
Numeric Values
Text before question 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)? This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q19
 
Single Pre-Defined Value Selected
       
C08520
36-item Short Form Health Survey (SF-36) - Interfered social activities physical emotional problems score
SF36InterfSocPhyEmotScore
Score of interfered normal social activities with family, friends, neighbors, or groups due to physical health or emotional problems during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
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?
1;2;3;4;5;
Not at all;Slightly;Moderately;Quite a bit;Extremely;
Numeric Values
This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q20
 
Single Pre-Defined Value Selected
       
C08521
36-item Short Form Health Survey (SF-36) - Bodily pain score
SF36BodyPainScore
Score of bodily pain during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
How much bodily pain have you had during the past 4 weeks?
1;2;3;4;5;6;
None;Very mild;Mild;Moderate;Severe;Very severe;
Numeric Values
This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q21
 
Single Pre-Defined Value Selected
       
C08522
36-item Short Form Health Survey (SF-36) - Pain interfere work score
SF36PainInterfWrkScore
Score of bodily pain interfering with work (in home and outside) during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
1;2;3;4;5;
Not at all;A little bit;Moderately;Quite a bit;Extremely;
Numeric Values
This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q22
 
Single Pre-Defined Value Selected
       
C08523
36-item Short Form Health Survey (SF-36) - Times pep score
SF36TimesPepScore
Score of times feeling full of pep during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
How much of the time during the past 4 weeks: Did you feel full of pep?
1;2;3;4;5;6;
All of the time;Most of the time;A good bit of the time;Some of the time;A little of the time;None of the time;
Numeric Values
Text before question 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. How much of the time during the past 4 weeks... This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q23
 
Single Pre-Defined Value Selected
       
C08524
36-item Short Form Health Survey (SF-36) - Times nervous score
SF36TimesNervsScore
Score of times being a very nervous person during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
How much of the time during the past 4 weeks: Have you been a very nervous person?
1;2;3;4;5;6;
All of the time;Most of the time;A good bit of the time;Some of the time;A little of the time;None of the time;
Numeric Values
Text before question 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. How much of the time during the past 4 weeks... This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q24
 
Single Pre-Defined Value Selected
       
C08525
36-item Short Form Health Survey (SF-36) - Times down score
SF36TimesDownScore
Score of times feeling so down in the dumps that nothing could cheer up during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?
1;2;3;4;5;6;
All of the time;Most of the time;A good bit of the time;Some of the time;A little of the time;None of the time;
Numeric Values
Text before question 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. How much of the time during the past 4 weeks... This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q25
 
Single Pre-Defined Value Selected
       
C08526
36-item Short Form Health Survey (SF-36) - Times calm peaceful score
SF36TimesCalmPcfulScore
Score of times feeling calm and peaceful during the past 4 weeks as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
How much of the time during the past 4 weeks: Have you felt calm and peaceful?
1;2;3;4;5;6;
All of the time;Most of the time;A good bit of the time;Some of the time;A little of the time;None of the time;
Numeric Values
Text before question 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. How much of the time during the past 4 weeks... This CDE captures data from SF-36 version 1.0, with permission from the RAND Corporation. Scoring and validation differ for editions by the RAND Corporation (http://www.rand.org) and by the National Multiple Sclerosis Society (NMSS, http://www.nationalmssociety.org) for Multiple Sclerosis Quality of Life instruments. Questions and values for SF-36 version 2.0 differ from version 1.0. Separate permission must be obtained from QualityMetric Inc. (http://www.sf-36.org) to use that instrument.
SF-36 version 1.0 is reproduced (in its entirety) with permission from the RAND Corporation. Copyright by the RAND Corporation. RAND's permission to reproduce the survey is not an endorsement of the products, services, or other uses in which the survey appears or is applied.
Hays, RD (1994). The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Short Form 36-Item Health Survey (SF-36)
Quality of Life
Outcomes and End Points
SF-36 Q26
 
Single Pre-Defined Value Selected
       
03-22-2017
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