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Patient- reported Outcomes Measurement Information System (PROMIS)
Global Health- PROMIS Global Health (10) SF
Patient-Completed Health Outcome Measures
Hays et al. 2009

PROMIS GLOBAL SF (10)
5=Excellent‚ 4=Very good‚ 3=Good‚ 2=Fair‚ 1= Poor
G1. In general‚ would you say your health is:
G2. In general‚ would you say your quality of life is:
G3. In general‚ how would you rate your physical health?
G4. In general‚ how would you rate your mental health‚ including your mood and your ability to think?
G5. In general‚ how would you rate your satisfaction with your social activities and relationships?
G9. In general‚ please rate how well you carry out your usual social activities and roles. (This includes activities at home‚ at work and in your community‚ and responsibilities as a parent‚ child‚ spouse‚ employee‚ friend‚ etc.)
G6. To what extent are you able to carry out your everyday physical activities such as walking‚ climbing stairs‚ carrying groceries‚ or moving a chair? 5=Completely‚ Mostly‚ Moderately‚ A Little‚ 1=Not At All
In the past 7 days
G10. How often have you been bothered by emotional problems such as feeling anxious‚ depressed or irritable? 5=Never‚ Rarely‚ Sometimes‚ Often‚ 1=Always
G8. How would you rate your fatigue on average? 5=None‚ Mild‚ Moderate‚ Severe‚ 1=Very Severe
G7. How would you rate your pain on average? 0= No Pain …. To 10= Worst imaginable Pain
PROMIS 29
Physical Function
5= Without any difficulty‚ 4=    With a little difficulty‚ 3=With some difficulty‚ 2=With much difficulty‚ 1=Unable to do
1. Are you able to do chores such as vacuuming or yard work?
2. Are you able to go up and down stairs at a normal pace?
3. Are you able to go for a walk of at least 15 minutes?
4. Are you able to run errands and shop?
Anxiety
In the past 7 days
1=Never‚ 2=Rarely‚ 3= Sometimes‚ 4=Often‚ 5= Always
5. I felt fearful
6. I found it hard to focus on anything other than my anxiety
7. My worries overwhelmed me
8. I felt uneasy
Depression
In the past 7 days
9. I felt worthless
10. I felt helpless
11. I felt depressed
12. I felt hopeless
Fatigue
During the past 7 days
1= Not at all‚ 2= A little bit‚ 3=Somewhat‚ 4=Quite a bit‚ 5= Very much
13. I feel fatigued
14. I have trouble starting things because I am tired
In the past 7 days
15. How run down did you feel on average?
16. How fatigued were you on average?
Sleep Disturbance
In the past 7 days
17. My sleep quality was… 5= Very poor‚ 4=Poor‚ 3= Fair‚ 2=Good‚ 1=Very good
In the past 7 days
1=Not at all‚ 2=A little bit‚ 3=Somewhat‚ 4=Quite a bit‚ 5=Very much
18. My sleep was refreshing (-)
19. I had a problem with sleep
20. I had difficulty falling asleep
Satisfaction with Social Role
1= Not at all‚ 2= A little bit‚ 3=Somewhat‚ 4=Quite a bit‚ 5= Very much
Satisfaction with Social Role
21. I am satisfied with how much work I can do (include work at home)
22. I am satisfied with my ability to work (include work at home)
23. I am satisfied with my ability to do regular personal and household responsibilities
24. I am satisfied with my ability to perform my daily routines
Pain Interference
In the past 7 days
25. How much did pain interfere with your day to day activities?
26. How much did pain interfere with work around the house?
27. How much did pain interfere with your ability to participate in social activities?
28. How much did pain interfere with your household chores?
Pain Intensity
Global29. How would you rate your pain on average?   
No Pain 0      1      2     3      4       5      6       7      8        9     10 Worst Imaginable Pain

>Re-code Global 7. The recoded score ranges from 1 to 5.
(5=0 No pain; 4=1; 4=2; 4=3; 3=4; 3=5; 3=6; 2=7; 2=8; 2=9; 1=10 Worst pain imaginable)
After recoding‚ the
Global Physical Health score = SUM responses to G3 + G6 + G7 + G8.
Global Mental Health score = SUM G2 + G4 + G5 + Global10.

This instrument can be found at: https://www.researchgate.net/publication/26308466 & http://www.ircimh.org/local/uploads/content/files/ALL%20COMPLETE%20PROMIS%2010%20PROMIS%2029%20MINDFULNESS%20CHOICES.doc  

Hays‚ R. D.‚ Bjorner‚ J. B.‚ Revicki‚ D. A.‚ Spritzer‚ K. L.‚ & Cella‚ D. (2009). Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Quality of Life Research‚ 18(7)‚ 873-880.