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PHI stands for "Protected Health Information" (Y = Yes, N = No)
Display Field Phi Field type Condition choices Field note Header
1. In general, would you say your health is: sf12_1 N radio 1, 1- Excellent | 2, 2- Very Good | 3, 3- Good | 4, 4- Fair | 5, 5- Poor - -
2. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. sf12_2 N radio 1, 1- Yes, limited a lot | 2, 2- Yes, limited a little | 3, 3- No, not limited at all - The following items are about activities you might do during a typical day. Does your health now limit you in these activities? And if so, how much?
3. Climbing several flights of stairs sf12_3 N radio 1, 1- Yes, limited a lot | 2, 2- Yes, limited a little | 3, 3- No, not limited at all - -
4. Accomplished less than you would like sf12_4 N yesno - - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?
5. Were limited in the kind of work or other activites sf12_5 N yesno - - -
6. Accomplished less than you would like sf12_6 N yesno - - During the past 4 weeks have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?
7. Didn't do work or other activities as carefully as usual sf12_7 N yesno - - -
8. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? sf12_8 N radio 1, 1 - Not at all | 2, 2 - A little bit | 3, 3 - Moderately | 4, 4 - Quite a bit | 5, 5 - Extremely - -
9. Have you felt calm and peaceful? sf12_9 N radio 1, 1- All of the time | 2, 2- Most of the time | 3, 3- A good bit of the time | 4, 4- Some of the time | 5, 5- A little bit of the time | 6, 6- None of the time - These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks:
10. Did you have a lot of energy? sf12_10 N radio 1, 1- All of the time | 2, 2- Most of the time | 3, 3- A good bit of the time | 4, 4- Some of the time | 5, 5- A little bit of the time | 6, 6- None of the time - -
11. Have you felt down hearted and blue? sf12_11 N radio 1, 1- All of the time | 2, 2- Most of the time | 3, 3- A good bit of the time | 4, 4- Some of the time | 5, 5- A little bit of the time | 6, 6- None of the time - -
12. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? sf12_12 N radio 1, 1 - All of the time | 2, 2 - Most of the time | 3, 3 - Some of the time | 4, 4 - A little of the time | 5, 5 - None of the time - -
Notes sf12_notes Y notes - - -

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