Table 1.
EQ-5D and SF-12 Items and Response Categories
| Instrument | Item |
|---|---|
| EQ-5D | 1) Mobility |
| 1. I have no problems walking about | |
| 2. I have some problems walking about | |
| 3. I am confined to bed | |
| 2) Self-care | |
| 1. I have no problems with self-care | |
| 2. I have some problems washing or dressing myself | |
| 3. I am unable to wash or dress myself | |
| 3) Usual Activities (e.g. work, study, housework, family or leisure activities) | |
| 1. I have no problems with performing my usual activities | |
| 2. I have some problems with performing my usual activities | |
| 3. I am unable to perform my usual activities | |
| 4) Pain/discomfort | |
| 1. I have no pain or discomfort | |
| 2. I have moderate pain or discomfort | |
| 3. I have extreme pain or discomfort | |
| 5) Anxiety/depression | |
| 1. I am not anxious or depressed | |
| 2. I am moderately anxious or depressed | |
| 3. I am extremely anxious or depressed | |
| SF-12 | 6) In general, would you say your health today is: |
| 1. Excellent | |
| 2. Very good | |
| 3. Good | |
| 4. Fair | |
| 5. Poor | |
| The following two questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? | |
| 7) Moderate activities such as moving a table, pushing vacuum cleaner, bowling, or playing golf: | |
| 1. No. Not limited at all | |
| 2. Yes. Limited a little | |
| 3. Yes. Limited a lot | |
| 8) Climbing several flights of stairs: | |
| 1. No. Not limited at all | |
| 2. Yes. Limited a little | |
| 3. Yes. Limited a lot | |
| During the past 4 weeks, have you had any of the following problems with your work or regular activities as a result of your physical health? | |
| 9) Accomplished less than you would like? | |
| 1. No | |
| 2. Yes | |
| 10) Were limited in the kind of work or other activities | |
| 1. No | |
| 2. Yes | |
| During the past 4 weeks, were you limited in the kind of work you do or other regular activities as a result of any emotional problems (such as feeling depressed or anxious) | |
| 11) Accomplished less than you would like? | |
| 1. No | |
| 2. Yes | |
| 12) Didn't do work or other activities as carefully as usual: | |
| 1. No | |
| 2. Yes | |
| 13) During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? | |
| 1. Not at all | |
| 2. A little bit | |
| 3. Moderately | |
| 4. Quite a bit | |
| 5. Extremely | |
| The next three questions are about how you feel and how things have been 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: | |
| 14) Have you felt calm and peaceful? | |
| 1. All of the time | |
| 2. Most of the time | |
| 3. A good bit of the time | |
| 4. Some of the time | |
| 5. A little of the time | |
| 6. None of the time | |
| 15) Did you have a lot of energy? | |
| 1. All of the time | |
| 2. Most of the time | |
| 3. A good bit of the time | |
| 4. Some of the time | |
| 5. A little of the time | |
| 6. None of the time | |
| 16) Have you felt downhearted and blue? | |
| 1. None of the time | |
| 2. Some of the time | |
| 3. A good bit of the time | |
| 4. Most of the time | |
| 5. All of the time | |
| 17) During the past 4 weeks, how much of the time has your physical health or your emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? | |
| 1. None of the time | |
| 2. Some of the time | |
| 3. A good bit of the time | |
| 4. Most of the time | |
| 5. All of the time | |