12-Item Short Form Survey

Measure your patient's overall health using the 12-Item Short Form Survey (SF-12). Access a free PDF template and example to get started.

By Ashleigh Knowles on Jun 20, 2024.

Fact Checked by RJ Gumban.

Use Template
12-Item Short Form Survey PDF Example
toolsShare uiAI icon

What is a 12-Item Short Form Survey (SF-12)?

Maintaining our overall health is essential for living a healthy, fulfilled life. It is an important marker for evaluating our physical, mental, and emotional well-being. Knowing our baseline health can help us identify when something is not quite right, allowing us to take proactive steps to stay on top of our wellness.

The (SF-12) is one of the most widely used health surveys for measuring overall patient well-being. It comprises 12 questions that assess physical and mental health and overall functioning. The SF-12 was designed to provide a quick and effective means of measuring overall health-related quality of life.

The SF-12 has two scores: the physical health component score (PCS) and the mental health component score (MCS). The PCS measures physical functioning, bodily pain, and general health. The MCS evaluates vitality, social functioning, role-emotional, and mental health. An individual’s total or composite score is determined by taking an average of the two scores.

This self-report assessment tool is a shortened version of the 36-Item Short Form Survey (SF-36). It was developed to provide a more efficient means of evaluating patient health. The SF-12 is commonly used in medical research, clinical practice, and epidemiological studies.

Printable 12-Item Short Form Survey

Download this 12-Item Short Form Survey and evaluate the general health of your clients.

How does this SF-12 work?

The SF-12 consists of 12 questions covering physical and mental health. It measures physical functioning, bodily pain, general health, vitality, and social functioning. Additionally, it evaluates emotional and mental health.

Here’s a step-by-step guide to using this free SF-12 template:

Step One: Access the SF-12

Access the free SF-12 form using the link provided on this page. You can also download it from the Carepatron app or our handy resources library.

Step Two: Give your patient a copy

Hand your patient with a copy of the SF-12 to complete. Explain how the survey will help measure their overall health. Allow them time to work through the questions and provide any assistance they may need.

Step Three: Score their answers

Calculate your patient’s score. Higher scores indicate that an individual has fewer limitations in activities of daily living or has greater psychological well-being. Lower scores may indicate a need for further medical intervention or lifestyle changes to improve health outcomes.

Step Four: Provide feedback

After scoring the survey, provide your patient with feedback on their overall health. Discuss any areas of concern and make recommendations for steps they can take to improve their health.

SF-12 example (sample)

We have written an SF-12 example to provide you with a better understanding of how it works. This sample demonstrates how to answer the questionnaire and score it. You can view the sample here or download the PDF version as a reference.

Download the free SF-12 example (sample)

SF-12 example (sample)

When to use an Sf-12 Questionnaire?

The SF-12 is an excellent tool for evaluating overall health. It can be used to monitor changes in health over time and identify areas of improvement or deterioration. You can use this tool to:

Monitor a patient's health over time

You can use the SF-12 to compare results over time and track patient health. This may help identify any underlying problems or improvement areas requiring additional attention.

Assess the health-related quality of life

The SF-12 can help you assess an individual’s overall health-related quality of life. It is beneficial when a patient suffers from a chronic condition and needs to make lifestyle changes or explore available treatments.

Screen patients for conditions

This assessment tool lets you quickly get an overall view of a patient’s health. This may help you identify any underlying conditions that require further investigation.

Assess the impact of medical interventions

You can use the SF-12 to evaluate the effectiveness of medical interventions. It can help you determine which treatments most effectively improve a patient’s quality of life.

Who is this printable SF-12 PDF for?

The SF-12 PDF is suitable for a wide range of uses. It's particularly handy for:

  • General practitioners
  • Nurses
  • Social workers 
  • Psychologists
  • Mental health practitioners 
  • Physical therapists 
  • Occupational therapists 
  • Researchers

You can also use it in hospitals, clinics, research centers, and universities. It can also be used in medical research, clinical practice, and epidemiological studies.

Physical Therapy Software Feedback

Benefits of free SF-12 template

The free SF-12 template is a great way to measure overall health quickly. Here are some of the benefits:

It's easy to use

The SF-12 has a simple, straightforward format that makes it easy to understand and complete. It's also entirely digital, so your patient can complete it online or download it as a PDF.

It's fast to score

Scoring the SF-12 is quick and easy. All you need to do is average the PCS and MCS scores for each answer set and you'll have an immediate result. The SF-12 provides a holistic view of your patient’s overall health. This can help you identify underlying issues and provide appropriate recommendations for the best outcomes.

It's reliable and valid

The SF-12 is a well-researched and validated tool. It has been used in numerous studies, making it a reliable and valid choice for assessing overall health.

Why use this SF-12 app?

Carepatron is the perfect choice for any medical practice looking to optimize its day-to-day operations and improve patient care. We provide everything you need for a streamlined and successful workflow.

Here are some of the benefits that Carepatron offers:

  • Streamlined scheduling. Our intuitive, user-friendly system makes scheduling appointments with patients a breeze. We offer an automated workflow that can help you stay organized, so you can focus on caring for your patients and giving them the best possible experience.
  • Improved communication. Our integrated messaging feature allows you to communicate easily with your staff and patients, making it faster and easier to stay connected.
  • Secure and compliant. Carepatron’s secure storage and encryption technology help keep your medical records safe, so your data is always protected. We also meet HIPAA standards, so you can be sure that all of your information complies with government regulations.
  • Easy billing and payment. Our billing features allow you to quickly and efficiently process payments from your patients. You don’t have to worry about lengthy paperwork or complicated processes. 

At Carepatron, we know what it takes to keep a medical practice running like a well-oiled machine. With our powerful platform and tools, you can take your practice to the next level and provide the best patient care possible. Get started with Carepatron today!

Physical Therapy Software
When to use the SF-12?
When to use the SF-12?

Commonly asked questions

When to use the SF-12?

You can use the SF-12 to evaluate overall health over time, assess the quality of life, screen patients for conditions, and measure the effectiveness of medical interventions.

What does SF-12 stand for?

SF-12 stands for 12-Item Short Survey. It is a well-validated self-report tool to assess a patient's overall health.

How to score the SF-12 questionnaire?

Average the PCS and MCS scores for each answer set, and you'll have an immediate result.

Join 10,000+ teams using Carepatron to be more productive

One app for all your healthcare work