Short Form (SF) 12 results (46 patients completed this questionnaire)
| SF 12 questions | Rating | N (%) |
| Would you say your health is | Excellent | 7 (15) |
| Very Good | 12 (26) | |
| Good | 17 (37) | |
| Fair | 4 (9) | |
| Poor | 6 (13) | |
| Does your physical health limit you in moderate activities, for example, moving a table, vacuuming, playing golf | Not at all | 24 (52) |
| Limited a little | 11 (24) | |
| Limited a lot | 11 (24) | |
| Does your physical health now limit you in climbing stairs | Not at all | 24 (52) |
| Limited a little | 15 (33) | |
| Limited a lot | 7 (15) | |
| In the past 4 weeks, have you accomplished less than you would like as a result of your physical health | No | 26 (56) |
| Yes | 20 (43) | |
| During the past 4 weeks were you limited in the kind of work or other activities you performed due to your physical health | No | 26 (56) |
| Yes | 20 (43) | |
| During the past 4 weeks, have you accomplished less than you would like as a result of any emotional problems | No | 26 (56) |
| Yes | 20 (43) | |
| During the past 4 weeks, have you not worked or performed activities as carefully as usual as a result of any emotional problems | No | 31 (67) |
| Yes | 15 (33) | |
| During the past week, how much did pain interfere with your normal work | Not at all | 34 (74) |
| A little bit | 7 (15) | |
| Moderately | 4 (9) | |
| Quite a bit | 0 (0) | |
| Extremely | 1 (2) | |
| During the past week have you felt peaceful and calm | All of the time | 8 (17) |
| Most of the time | 20 (43) | |
| A good bit of the time | 3 (6) | |
| Some of the time | 8 (17) | |
| A little of the time | 4 (9) | |
| None of the time | 3 (6) | |
| During the past week have you had a lot of energy | All of the time | 5 (11) |
| Most of the time | 18 (39) | |
| A good bit of the time | 4 (9) | |
| Some of the time | 6 (13) | |
| A little of the time | 9 (20) | |
| None of the time | 4 (9) | |
| During the past week have you felt down hearted and blue | All of the time | 2 (4) |
| Most of the time | 5 (11) | |
| A good bit of the time | 3 (6) | |
| Some of the time | 9 (20) | |
| A little of the time | 14 (30) | |
| None of the time | 13 (28) | |
| During the past week how much of the time has your physical health or emotional problems interfered with your social activities | All of the time | 1 (2) |
| Most of the time | 7 (15) | |
| Some of the time | 11 (24) | |
| A little of the time | 4 (9) | |
| None of the time | 23 (50) |