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. 2020 Mar 20;11:100569. doi: 10.1016/j.ssmph.2020.100569

Table 1.

SF-12 Scale Items

Question Answer Choices Physical or Mental
Health Scale
In general, would you say your health is: Excellent, Very Good, Good, Fair, Poor Physical
Does your health now limit you in moderate activities—such as moving a table or playing basketball—a lot, a little, or not at all? A lot, A little, Not at all Physical
Does your health now limit you a lot, a little, or not at all when climbing several flights of stairs? A lot, A little, Not at all Physical
During the past 30 days, have you accomplished less than you would like to have accomplished as a result of your physical health? Yes, No Physical
During the past 30 days, were you limited in the kind of work or other regular activities you do as a result of your physical health? Yes, No Physical
During the past 30 days, how much did pain interfere with your normal work? Not at all, Slightly, Moderately, Quite a bit, Extremely Physical
During the past 30 days, have you accomplished less than you would like to have accomplished as a result of any emotional problems, such as feeling depressed or anxious? Yes, No Mental
During the past 30 days, did you not do work or other regular activities as carefully as usual as a result of any emotional problems, such as feeling depressed or anxious? Yes, No Mental
How much time during the past 30 days have you felt calm and peaceful? 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 Mental
How much time during the past 30 days did you have a lot of energy? 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 Mental
How much time during the past 30 days have you felt down? 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 Mental
During the past 30 days, how much of the time has your physical health or emotional problems interfered with your social activities like visiting with friends, relatives, etc.? 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 Mental