SF-12评分
1. In general, would you say your health is:
总体而言，您的健康状况是：
Excellent ...............................................1
极好
Very Good.............................................2
非常好
Good......................................................3
好
Fair.........................................................4
一般
Poor .......................................................5
差
2. Does your health now limit you in Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf? If so, how much?
进行中等强度活动时，您是否会受到健康状况的，比如移动桌子，推动吸尘器，打保龄球，打高尔夫球？如果受到，受限程度有多大？
Yes, limited a lot................................ ....1
是的，很多
Yes, limited a little .................................2
是的，一点
No, not limited at all..............................3
一点也没有
3. Does your health now limit you in Climbing several flights of stairs? If so, how much?
您的健康状况对您爬楼梯的程度有多大？
Yes, limited a lot................................ ....1
很多
Yes, limited a little .................................2
一点
No, not limited at all..............................3
一点也没有
4. During the PAST FOUR WEEKS, how much of the time have you accomplished less than you would like with your work or other regular daily activities as a result of your physical health
在过去四周，有多少时候由于身体状况的使得您完成的工作和日常活动减少？
All of the time ..................................1
一直如此
Most of the time......................................2
大多数时候
Some of the time.....................................3
有些时候
A little of the time..................................4
少数时候
None of the time.....................................5
从来没有
5. During the PAST FOUR WEEKS, how much of the time have you not done work or other activities as carefully as usual as a result of your physical health
在过去四周，有多少时候由于身体状况的使得您无法像往常一样工作及活动？
All of the time ..................................1
一直如此
Most of the time......................................2
大多数时候
Some of the time.....................................3
有些时候
A little of the time..................................4
少数时候
None of the time.....................................5
从来没有
6. During the PAST FOUR WEEKS, how much of the time have you accomplished less than you would like with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?
在过去四周，有多少时候由于心理问题的使得您完成的工作和时常活动减少？
All of the time ..................................1
一直如此
Most of the time......................................2
大多数时候
Some of the time.....................................3
有些时候
A little of the time..................................4
少数时候
None of the time.....................................5
从来没有
7. During the PAST FOUR WEEKS, how much of the time have you not done work or other activities as carefully as usual as a result of any emotional problems (such as feeling depressed or anxious)?
在过去四周，有多少时候由于心理问题的使得您无法像往常一样工作及活动？
All of the time ..................................1
一直如此
Most of the time......................................2
大多数时候
Some of the time.....................................3
有些时候
A little of the time..................................4
少数时候
None of the time.....................................5
从来没有
8. During the PAST FOUR WEEKS, how much did pain interfere with your normal work (including both work outside the home and housework)?
在过去四周，疼痛在多大程度上影响到您的正常工作（包括家庭以外的工作和家务）？
Not at all..................................................1
从来没有
A little bit ................................................2
一点
Moderately..............................................3
中等程度
Quite a bit................................................4
相当大程度
Extremely................................................5
极其影响
9. How much of the time during the PAST FOUR WEEKS have you felt calm and peaceful?
在过去四周有多少时候您感觉平静？
All of the time.................................1
一直都是
Most of the time..............................2
大多数时候
Some of the time.............................3
有些时候
A little of the time...........................4
少数时候
None of the time.............................5
从来没有
10. How much of the time during the PAST FOUR WEEKS did you have a lot of energy?
在过去四周有多少时候您感觉精力充沛？
All of the time.................................1
一直都是
Most of the time..............................2
大多数时候
Some of the time.............................3
一些时候
A little of the time...........................4
有些时候
None of the time.............................5
从来没用
11. How much of the time during the PAST FOUR WEEKS have you felt downhearted and depressed?
在过去四周有多少时候您感觉沮丧和抑郁？
All of the time.................................1
一直都是
Most of the time..............................2
大多数时候
Some of the time.............................3
有些时候
A little of the time...........................4
少数时候
None of the time.............................5
从来没有
12. During the PAST FOUR WEEKS, how much of the time has your physical
health or emotional problems interfered with your social activities (like visiting with friends,relatives, etc.)?
在过去四周，有多少时候身体健康和心理问题影响到您的社交活动（比如拜访朋友和亲戚等）？
All of the time.........................................1
一直都是
Most of the time .....................................2
大多数时候
Some of the time ....................................3
有些时候
A little of the time ..................................4
少数时候
None of the time.....................................5
从来没有
