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. 2018 Nov 29;16(4):eAO4339. doi: 10.31744/einstein_journal/2018AO4339

Table 2. The Medical Outcomes Study 36-Item Short Form Health Survey items.

Group 1 − physical health Funcional capacity Vigorous activities
Moderate activities
Lifting
Climbing several flights of stairs
Climbing one flight of stairs
Bending, kneeling or stooping
Walking >1km
Walking ½ km
Walking 100 metres
Bathing or dressing yourself
Physical apperance Reduce time working
Accomplished less
Limited in kind
Difficult to work
Pain Pain intensity
Pain interference
General health Your health
Sick easier than others
Healthy as others
Health will get worse
Excellent health
Group 2 − mental health Vitality Full of pep
Energy
Worn out
Tired
Social aspects Interference in social activies
Social time
Emotional aspects Cut down time
Accomplished less
Not careful
Mental health Nervous
Nothing could cheer you up
Calm and peaceful
Down-hearted
Happy
Health transition Compared to one year ago, how would you rate your health in general now?

Source: Translated from: Ciconelli R, Ferraz M, Santos W, Meinão I, Quaresma M. Translation into Portuguese and validation of the generic questionnaire for quality of life assessment SF-36 (Brazil). Rev Bras Reumatol. 1999;39(3):143-50.( 17 )