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SF-12 V2(第二版本,目前常用).docx

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WORD格式-精品资料分享 - 64In general, would you say your health is: Excellent ...............................................1 Very Good.............................................2 Good......................................................3 Fair.........................................................4 Poor .......................................................5 65Does 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? Yes, limited a lot................................ ....1 Yes, limited a little .................................2 No, not limited at all..............................3 66Does your health now limit you in Climbing several flights of stairs? If so, how much? Yes, limited a lot................................ ....1 Yes, limited a little .................................2 No, not limited at all..............................3 67During 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 All of the time ..................................1 所有时间 Most of the time......................................2 大多数时间 Some of the time.....................................3 有时 A little of the time..................................4 很少 None of the time.....................................5几乎没有 68During 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 All of the time ..................................1 Most of the time......................................2 Some of the time.....................................3 A little of the time..................................4 None of the time.....................................5 69During 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 r

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