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 )