Table 3.
Item | Domain | Item wording | Item response (score) | ||||
---|---|---|---|---|---|---|---|
Physical Health Subscale | |||||||
Item 1 | General health | In general, would you say your health is: ...... |
Excellent (5) |
Very good (4) |
Good (3) |
Fair (2) |
Poor (1) |
Item 3 | Physical health | In general, how would you rate your physical health? |
Excellent (5) |
Very good (4) |
Good (3) |
Fair (2) |
Poor (1) |
Item 6 | Physical function | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? |
Completely (5) |
Mostly (4) |
Moderately (3) |
A little (2) |
Not at all (1) |
Item 7 | Paina | In the past 7 days, how would you rate your pain on average? |
No pain (5) |
Score 1–3 (4) |
Score 4–6 (3) |
Score 7–9 (2) |
Worst pain (1) |
Item 8 | Fatigue | In the past 7 days, how would you rate your fatigue on average? |
None (5) |
Mild (4) |
Moderate (3) |
Severe (2) |
Very severe (1) |
Mental Health Subscale | |||||||
Item 2 | Quality of life | In general, would you say your quality of life is: |
Excellent (5) |
Very good (4) |
Good (3) |
Fair (2) |
Poor (1) |
Item 4 | Mental health | In general, how would you rate your mental health, including your mood and your ability to think? |
Excellent (5) |
Very good (4) |
Good (3) |
Fair (2) |
Poor (1) |
Item 5 | Social discretionary | In general, how would you rate your satisfaction with your social activities and relationships? |
Excellent (5) |
Very good (4) |
Good (3) |
Fair (2) |
Poor (1) |
Item 9 | Social roles | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) |
Excellent (5) |
Very good (4) |
Good (3) |
Fair (2) |
Poor (1) |
Source: PROMIS Health Organization and PROMIS Cooperative Group [26]
aPain scored from 0 to 10: 0 = No pain, 10 = Worst pain imaginable and subsequently reverse scored and recoded to 5 responses