SF-12v2 Survey Standard- Spanish - edgewood 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the date of the survey and your staff name at the top of the form.
  3. For each question, select the box that best describes your response. For example, in question 1, indicate your overall health by marking one of the options from 'Excelente' to 'Mala'.
  4. In questions 2 through 7, carefully read each statement regarding your daily activities and emotional well-being. Mark your response based on how you have felt over the past four weeks.
  5. Once all questions are answered, review your responses for accuracy before submitting.

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SF-36 and SF-12 questionnaires Compared with the SF-36, the SF-12 has only one or two items from each of the eight health concepts of the SF-36. The SF-12 items allow the calculation of the PCS (PCS-12) and MCS (MCS-12) scales but not of the subscales.
Thus, the SF-12 measures eight concepts commonly represented in widely used surveys: physical functioning, role limitations due to physical health problems, bodily pain, general health, vitality (energy/fatigue), social functioning, role limitations due to emotional problems, and mental health (psychological distress
Recall period depends which form is being used (standard 4 week, acute form 1 week).
To request for permission to use one of the Medical Outcomes Study (MOS) short form (SF-36, SF-12, MHI-5) surveys in your scholarly project, please fill out the form below. You will be emailed a response to grant you royalty-free permission to utilize these surveys.
It is a 12-item short-form health survey that assesses the same eight health domains as the SF-36v2 Health Survey, acting as an abridged version with one or two questions per domain: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health.

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The SF-12 is a general health questionnaire that consists of 12 questions which investigates the patients state of health via 8 different dimensions: General health perception 1 question. Physical health 2 questions. Limited physical role function 2 questions.
The SF-36 offers a choice of recall format at a standard (4 week) or acute (1 week) time frame.

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