第三节 SF-36健康调查简表（SF-36）
SF-36健康调查简表（SF-36 Short Form Health Survey，SF-36）
These first questions are about your health now and your current daily activities.（首先提的这些问题是关于您现在的健康状况和您目前的日常活动。）
Please try to answer every question as accurately as you can. （请您尽可能准确地回答每个问题。）
1. In general, would you say your health is［READ RESPONSE CHOICES］总体来讲，您评价您的健康状况是【读一下备选回答】
（Circle one number）（圈一个答案）
1. Excellent非常好
2. Very good很好
3. Good好
4. Fair一般
5. Poor差
2. Compared to one week ago, how would you rate your health in general now? Would you say it is ［READ RESPONSE CHOICES］跟1周前比，您如何评价您现在的总体健康状况？您认为它是【读一下备选回答】
（Circle one number） （圈一个答案）
1. Much better now than one week ago现在比1周前好多了
2. Somewhat better now than one week ago现在比1周前好一些
3. About the same as one week ago现在跟1周前差不多
4. Somewhat worse now than one week ago现在比1周前差一些
5. Much worse now than one week ago现在比1周前差多了
Now I,m going to read a list of activities that you might do during a typical day.现在我要读一份您可能在日常生活中具有代表性活动的清单。
As I read each item, please tell me if your health now limits you a lot, limits you a little, or does not limit you at all in these activities.当我读每一项时，请您告诉我：您现在的健康状况在这些活动中是否对您限制很大、有点限制还是毫无限制。
3a. First, vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］首先是，重体力活动，如跑步、提举重的物品、参加剧烈运动。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3b. ...moderate activities such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. Does your health now limit you a lot, limit you a little, or not limit you at all?［READ RESPONSE CHOICES］适度的活动，如移动一张桌子、推吸尘器、打保龄球或打高尔夫球。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3c. ...lifting or carrying groceries. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］手提或携带日用品。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3d. ...climbing several flights of stairs. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］爬几层楼梯。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3e. ...climbing one flight of stairs. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］爬一层楼梯。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3f. ...bending, kneeling, or stooping. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］屈身、屈膝或弯腰。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3g. ...walking more than a mile. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］步行1英里（1.6km）以上的路程。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3h. ...walking several hundred yards. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］步行几百米的路程。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that be-cause of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3i. ...walking one hundred yards. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］步行100码（约100m）的路程。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
3j. ...bathing or dressing yourself. Does your health now limit you a lot, limit you a little, or not limit you at all? ［READ RESPONSE CHOICES］自己洗澡或穿衣。您现在的健康状况对您限制很大、有点限制还是毫无限制？ 【读一下备选回答】
［IF RESPONDENT SAYS S/HE DOES NOT DO ACTIVITY, PROBE: Is that because of your health?］ 【如果受试者回答她（他）不参加活动，则追问：那是因为您的健康状况吗？】
（Circle one number） （圈一个答案）
1. Yes, limited a lot是的，限制很大
2. Yes, limited a little是的，有点限制
3. No, not limited at all不，毫无限制
The following four questions ask you about your physical health and your daily activities.以下四个问题是问有关您的身体健康状况和您的日常活动。
4a. During the past week, how much of the time have you had to cut down on the amount of time you spent on work or other daily activities as a result of your physical health?［READ RESPONSE CHOICES］在过去1周里，您因为身体健康的原因而不得不减少了多少您花在工作或其他日常活动的时间？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. or None of the time?或没有时间？
4b. During the past week, how much of the time have you accomplished less than you would like as a result of your physical health? ［READ RESPONSE CHOICES］在过去1周里，您因为身体健康的原因而有多少时间只能完成一部分您本来想要做的事情？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. or None of the time?或没有时间？
4c. During the past week, how much of the time were you limited in the kind of work or other regular daily activities you do as a result of your physical health? ［READ RESPONSE CHOICES］在过去1周里，您因为身体健康的原因而有多少时间您的工作或您从事的其他日常活动的种类受到限制？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. or None of the time?或没有时间？
4d. During the past week, how much of the time have you had difficulty performing work or other regular daily activities as a result of your physical health, for example, it took extra effort? ［READ RESPONSE CHOICES］在过去1周里，您因为身体健康的原因而有多少时间完成工作或其他日常活动有困难，比如，需要额外的努力？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. or None of the time?或没有时间？
The following three questions ask about your emotions and your daily activi-ties.以下三个问题是问有关您的情绪和您的日常活动。
5a. During the past week, how much of the time have you had to cut down on the amount of time you spent on work or regular daily activities as a result of any emo-tional problems，such as feeling depressed or anxious？［READ RESPONSE CHOICES］在过去1周里，您因为任何情绪问题的原因、如感到压抑或忧虑而不得不减少了多少您花在工作或日常活动的时间？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. or None of the time?或没有时间？
5b. During the past week, how much of the time have you accomplished less than you would like as a result of any emotional problems，such as feeling depressed or anxious?［READ RESPONSE CHOICES］在过去1周里，您因为任何情绪问题的原因、如感到压抑或忧虑而有多少时间只能完成一部分您本来想要做的事情？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. or None of the time?或没有时间？
5c. During the past week, how much of the time did you do work or other regular daily activities less carefully than usual as a result of any emotional problems，such as feeling de-pressed or anxious? ［READ RESPONSE CHOICES］在过去1周里，您因为任何情绪问题的原因、如感到压抑或忧虑而有多少时间工作或从事其他日常活动不如平时仔细？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间(www.xing528.com)
4. A little of the time小部分时间
5. or None of the time?或没有时间？
6. During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? Has it interfered... ［READ RESPONSE CHOICES］在过去1周里，您的身体健康或情绪问题在多大程度上影响了您与家人、朋友、邻居或集体的正常社会交往？影响程度为……【读一下备选回答】
（Circle one number） （圈一个答案）
1. Not at all完全没有影响
2. Slightly有一点影响
3. Moderately中等影响
4. Quite a bit影响很大
5. or Extremely?或影响极大？
7. During the past week, how much did pain interfere with your normal work, including both work outside the home and housework? Did it interfere... ［READ RESPONSE CHOIC-ES］在过去1周里，您的身体疼痛影响了您的正常工作、包括家庭以外的工作和家务活两方面吗？影响程度为……【读一下备选回答】
（Circle one number） （圈一个答案）
1. Not at all完全没有影响
2. Slightly有一点影响
3. Moderately中等影响
4. Quite a bit影响很大
5. or Extremely?或影响极大？
8. How much bodily pain have you had during the past week? Have you had... ［READ RESPONSE CHOICES］在过去1周里，您有什么程度的身体疼痛？疼痛程度为……【读一下备选回答】
（Circle one number） （圈一个答案）
1. None无
2. Very Mild很轻
3. Mild轻度
4. Moderate中度
5. Severe严重
6. or Very Severe?或非常严重？
9. During the past week, how much of the time has your physical health or emotional problems interfered with your social activities like visiting with friends or relatives? Has it in-terfered... ［READ RESPONSE CHOICES］在过去1周里，有多少时间您的身体健康或情绪问题影响了您的社交活动，如拜访朋友或亲戚？影响程度为……【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. or None of the time?或没有时间？
The next questions are about how you feel and how things have been with you during the past week.接下去的问题是关于过去1周里您自己的感觉如何以及您周围的事物如何。
As I read each statement, please give me the one answer that comes closest to the way you have been feeling; is it all of the time, most of the time, some of the time, a little of the time, or none of the time?当我读每一项陈述时，请给我一个最接近您感觉的回答；它是出现于所有时间、大部分时间、一部分时间、小部分时间还是没有时间？
10a. How much of the time during the past week... did you feel full of life? ［READ RE-SPONSE CHOICES］在过去1周里，有多少时间……您感到生活充实？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
10b. How much of the time during the past week... have you been very nervous?［READ RESPONSE CHOICES］在过去1周里，有多少时间……您感到很紧张？ 【读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time或没有时间
10c. How much of the time during the past week... have you felt so down in the dumps that nothing could cheer you up? ［READ RESPONSE CHOICES ONLY IF NECES-SARY］在过去1周里，有多少时间……您感到情绪非常糟糕、没有什么事能使您高兴起来？ 【只在需要时读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
10d. How much of the time during the past week... have you felt calm and peace-ful?［READ RESPONSE CHOICES ONLY IF NECESSARY］在过去1周里，有多少时间……您感到平静和平和？ 【只在需要时读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
10e. How much of the time during the past week... did you have a lot of energy?［READ RESPONSE CHOICES ONLY IF NECESSARY］在过去1周里，有多少时间……您感到精力充沛？ 【只在需要时读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
10f. How much of the time during the past week... have you felt downhearted and depressed? ［READ RESPONSE CHOICES ONLY IF NECESSARY］在过去1周里，有多少时间……您感到沮丧和情绪低落？ 【只在需要时读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
10g. How much of the time during the past week... did you feel worn out? ［READ RESPONSE CHOICES ONLY IF NECESSARY］在过去1周里，有多少时间……您感到筋疲力尽？ 【只在需要时读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
10h. How much of the time during the past week... have you been happy? ［READ RESPONSE CHOICES ONLY IF NECESSARY］在过去1周里，有多少时间……您感到快乐？ 【只在需要时读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
10i. How much of the time during the past week... did you feel tired? ［READ RESPONSE CHOICES ONLY IF NECESSARY］在过去1周里，有多少时间……您感到疲劳？【只在需要时读一下备选回答】
（Circle one number） （圈一个答案）
1. All of the time所有时间
2. Most of the time大部分时间
3. Some of the time一部分时间
4. A little of the time小部分时间
5. None of the time没有时间
These next questions are about your health and health-related matters.接下去的问题是关于您的健康及和健康相关的事情。
Now, I,m going to read a list of statements. After each one, please tell me if it is definitely true, mostly true, mostly false, or definitely false. If you don,t know, just tell me.现在，我要读一份陈述清单。每读一项后，请告诉我它是绝对正确、大部分正确、大部分错误，还是绝对错误。如果您不知道，只需告诉我。
11a. I seem to get sick a little easier than other people. Would you say that,s... ［READ RESPONSE CHOICES］我好像比别人容易生病。您认为这话……【读一下备选回答】
（Circle one number） （圈一个答案）
1. Definitely true绝对正确
2. Mostly true大部分正确
3. Don,t know不能肯定
4. Mostly false大部分错误
5. Definitely false?绝对错误？
11b. I am as healthy as anybody I know. Would you say that,s... ［READ RESPONSE CHOICES］我跟我认识的人一样健康。您认为这话……【读一下备选回答】
（Circle one number） （圈一个答案）
1. Definitely true绝对正确
2. Mostly true大部分正确
3. Don,t know不能肯定
4. Mostly false大部分错误
5. Definitely false?绝对错误？
11c. I expect my health to get worse. Would you say that,s... ［READ RESPONSE CHOICES］我认为我的健康状况在变坏。您认为这话……【读一下备选回答】
（Circle one number） （圈一个答案）
1. Definitely true绝对正确
2. Mostly true大部分正确
3. Don,t know不能肯定
4. Mostly false大部分错误
5. Definitely false?绝对错误？
11d. My health is excellent. Would you say that,s... ［READ RESPONSE CHOICES］我认为我的健康状况非常好。您认为这话……【读一下备选回答】
（Circle one number） （圈一个答案）
1. Definitely true绝对正确
2. Mostly true大部分正确
3. Don,t know不能肯定
4. Mostly false大部分错误
5. Definitely false?绝对错误？
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