RAND 36-Item Health Survey 1.0 (RAND-36)

Assessment tool

Choose one option for each questionnaire item.

01 In general, would you say your health is:
02 Compared to one year ago, how would you rate your health in general now? Not included in total

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?

03 Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
04 Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
05 Lifting or carrying groceries
06 Climbing several flights of stairs
07 Climbing one flight of stairs
08 Bending, kneeling, or stooping
09 Walking more than a mile
10 Walking several blocks
11 Walking one block
12 Bathing or dressing yourself

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 your physical health?

13 Cut down the amount of time you spent on work or other activities
14 Accomplished less than you would like
15 Were limited in the kind of work or other activities
16 Had difficulty performing the work or other activities (for example, it took extra effort)

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)?

17 Cut down the amount of time you spent on work or other activities
18 Accomplished less than you would like
19 Didn't do work or other activities as carefully as usual
20 During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?
21 How much bodily pain have you had during the past 4 weeks?
22 During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?

These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling.
How much of the time during the past 4 weeks...

23 Did you feel full of pep?
24 Have you been a very nervous person?
25 Have you felt so down in the dumps that nothing could cheer you up?
26 Have you felt calm and peaceful?
27 Did you have a lot of energy?
28 Have you felt downhearted and blue?
29 Did you feel worn out?
30 Have you been a happy person?
31 Did you feel tired?
32 During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?

How TRUE or FALSE is each of the following statements for you.

33 I seem to get sick a little easier than other people
34 I am as healthy as anybody I know
35 I expect my health to get worse
36 My health is excellent

Responses stay in this page’s memory. Reset or leave the page to clear them. No patient identifiers are collected.

About this scale and references
Reference information · Questionnaire
Last content update
2026-10-26
Clinical review
Not independently reviewed
Source jurisdiction
See individual sources
Coverage
Questionnaire
What changed in this edition
FieldInstrument context
VersionRAND 36-Item Health Survey 1.0; original English 36 items; RAND eight-domain recoding and averaging
PopulationAdults; apply population-appropriate clinical interpretation of health-related functioning and well-being.
RespondentSelf-report
Recall periodPast 4 weeks for most symptom and role items; current/general health for specified items; item 2 compares with one year ago.
PurposeMeasure eight dimensions of health-related functioning and well-being

Administration

Select one answer for each item, following each section’s exact time frame. This website requires all 35 domain-scored responses before displaying the eight domain scores. Item 2, perceived change in health compared with one year ago, is optional and is not included in any domain. RAND source scoring permits available-item means; this website instead uses an explicitly stricter complete-response rule without imputing missing answers.

Scoring method

Recode each domain-scored response onto the RAND Table 1 0–100 scale, then average the specified items in each of the eight domains. Higher domain scores represent more favorable self-reported health. Item 2 is a separate health-change response and is excluded from domains. No overall or physical/mental summary score is calculated.

Interpretation & limitations

  • Report physical functioning, role limitations due to physical health, role limitations due to emotional problems, energy/fatigue, emotional well-being, social functioning, pain and general health separately on0–100 scales. A higher domain score indicates a more favorable self-reported health state.
  • The original RAND scoring method differs from some MOS SF-36 scoring procedures. These are RAND 36-Item Health Survey1.0 domain scores, not licensed SF-36 norm-based physical/mental component summaries or Veterans RAND VR-36 scores.
  • RAND permits domain means using answered items. MindEven’s identified adaptation requires all35 domain-scored responses before producing any domain scores and performs no missing-answer imputation.
  • Question2 is retained as the original health-transition response comparing current health with one year ago. It is optional and contributes to none of the eight domain scores.
  • The eight domain scores have no universal diagnostic or treatment thresholds, and this implementation does not invent an overall total, severity class or safety conclusion.
  • Assess health conditions, function and clinical concerns independently of questionnaire domain values.
  • No automatic diagnosis, medication change or declaration of safety.
References · 3
  1. RAND official original English 36-item questionnaire
  2. RAND original scoring: response recoding table and eight-domain membership/averaging
  3. RAND instrument-specific permission, adaptation and attribution terms · RAND’s instrument-specific terms grant permission to use the RAND 36-Item Short Form Health Survey, state that no further written permission is needed, permit identified changes, and require credit that the survey was developed at RAND as part of the Medical Outcomes Study. The required credit is retained and the accessible response layout and stricter complete-response policy are explicitly identified as MindEven changes.

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