SF-36 Questionnaire SLMSAT-17

Please answer the 36 questions of the Health Survey completely, honestly, and without interruption.
  • Your participant ID is noted on the top of your participant information provided with your trial product. However, if in doubt, please just use your initials, followed by the day and month of your birth. For example GA0210
  • This can be found on your product bottles
  • General Health

  • Limitations of Activities

    The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?
  • Physical Health Problems

    During the last 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?
  • Emotional Heath Problems

    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)?
  • Social Activities

  • Pain

  • Energy and Emotions

    These questions are about how you feel and how things have been with you during the last 4 week. For each question, please give the answer that comes closest to the way you have been feeling.
  • Social Activities

  • General Health

    How true or false is each of the following statements for you?
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