SF-8™ Health Survey Scoring Demonstration


This survey asks for your views about your health. This information will help you keep track of how you feel and how well you are able to do your usual activities. Thank you for completing this survey!

Answer every question by selecting the answer as indicated. If you are unsure about how to answer a question, please give the best answer you can.

For each of the following questions, please mark an [x] in the one box that best describes your answer.


1.

Overall, how would you rate your health during the past 4 weeks?

Excellent

Very good

Good

Fair

Poor

Very poor


2.

During the past 4 weeks, how much did physical health problems limit your usual physical activities (such as walking or climbing stairs)?

Not at all

Very little

Somewhat

Quite a lot

Could not do
physical activities


3.

During the past 4 weeks, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health?

None at all

A little bit

Some

Quite a lot

Could not do
daily work


4.

How much bodily pain have you had during the past 4 weeks?

None

Very mild

Mild

Moderate

Severe

Very Severe


5.

During the past 4 weeks, how much energy did you have?

Very much

Quite a lot

Some

A little

None


6.

During the past 4 weeks, how much did your physical health or emotional problems limit your usual social activities with family or friends?

Not at all

Very little

Somewhat

Quite a lot

Could not do
social activities


7.

During the past 4 weeks, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)?

Not at all

Slightly

Moderately

Quite a lot

Extremely


8.

During the past 4 weeks, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities?

Not at all

Very little

Somewhat

Quite a lot

Could not do
daily activities

Thank you for completing these questions!