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SF-12 Health Survey (SF-12v2)

The SF-12 Health Survey version 2 is a brief, 12-item questionnaire designed to measure overall physical and mental health status across 8 domains.  

Description:

The SF-12 Health Survey version 2 is a brief, 12-item questionnaire designed to measure overall physical and mental health status across 8 domains.  

Disease States: General
Validated Uses: Treatment Monitoring & Evaluation, Symptom Severity
Administration Method: Self-report, Clinician-report
Time to administer: 5 minutes
Commonly used in: Clinical Trials & Research, Clinical Practice
Detailed Description:

The SF-12v2 score is calculated from two summary scores, the PCS and MCS.3 The PCS consists of four physical health concepts: physical functioning, role-physical, bodily pain, and general health, and the MCS consists of four mental health concepts: vitality, social functioning, role-emotional, and mental health. The SF-12v2 consists of 12 items that are a subset of those in the SF-36v2.3,6

The PCS and MCS scores are calculated using regression coefficients and a constant derived from the general US population. They are transformed to have a mean of 50 and a standard deviation of 10 in the general US population, with higher scores indicating better health.3,6

Scores above 50 indicate health status above average in the general US population, while scores below 50 indicate health status below average in the general US population.3

Scale Validity:

In a study with 946 patients with mental illness, including schizophrenia, bipolar disorder, or major depressive disorder, the SF-12 was shown to be a moderately valid measure of the physical and mental health components. The PCS was moderately related to physical health indexes, including the number of chronic health problems and number of health visits (correlations range: -0.17 to -0.32). The MCS was moderately related to mental health indices, including self-reported mental health ratings, psychiatric hospitalization in the past year, and comorbid substance use disorder (correlations range: -0.11 to 0.49).7 

Alternative Versions:

The SF-36 is an extended version of the SF-12, consisting of 36 items, 35 of which assess the same 8 health concepts evaluated in the SF-12. In addition, it includes a health transition question that measures changes in general health over the past 12 months.3,8 The SF-36v2 is an updated iteration of the SF-36, featuring improved item wording, revised response choices, and updated normative data. The shorter versions, SF-8 and SF-6, were primarily created for large population surveys, where the goal is to achieve precision by obtaining a larger sample size rather than enhancing measurement reliability.5

Cited Limitations:

Because SF-12v2 covers a narrower range of functioning than the SF-36v2, providing less quantitative and reliable information about a patient’s health status at a given time and over time, SF-36v2 is recommended for assessing and/or monitoring individual patients. Additionally, norm-based scoring requires the use of the norm based on the 2009 general US population, which may be outdated or limit its use for international populations.5

Footnotes:

Supporting references for the filters are as follows:

Disease states: general1-3; validated uses: comparison of general and specific populations, comparison of relative burden of diseases, differentiating the health benefits of various treatments, screening and monitoring patients4; administration method: self-administered or clinician-administered1,3; time to administer: five minutes1,3,5; commonly used in: clinical trials and research, clinical practice5
 

This resource is intended for educational purposes only and is intended for US healthcare professionals. Healthcare professionals should use independent medical judgment. All decisions regarding patient care must be handled by a healthcare professional and be made based on the unique needs of each patient.

ABBV-US-02145-MC, V2.0 
Approved 11/2025 
AbbVie Medical Affairs

References:
  1. IQVIA. SF-12v2 Health Survey® Standard. Accessed May 23, 2025. https://coas.iqvia.com/COAs/a037S000009cODBQA2/sf12v2-health-survey-standard
  2. Huo T, Guo Y, Shenkman E, Muller K. Assessing the reliability of the short form 12 (SF-12) health survey in adults with mental health conditions: a report from the wellness incentive and navigation (WIN) study. Health Qual Life Outcomes. 2018;16(1):34. doi:10.1186/s12955-018-0858-2
  3. Ware JE, Kosinski M, Keller SD. SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales. 2nd ed. The Health Institute, New England Medical Center; 1995.
  4. Michalos AC, ed. Encyclopedia of Quality of Life and Well-Being Research. Springer; 2014.
  5. Maruish ME, ed. User’s Manual for the SF-36v2 Health Survey. 3rd ed. QualityMetric Incorporated; 2011.
  6. Shah CH, Brown JD. Reliability and validity of the short-form 12 item version 2 (SF-12v2) health-related quality of life survey and disutilities associated with relevant conditions in the U.S. older adult population. J Clin Med. 2020;9(3):661. doi:10.3390/jcm9030661
  7. Salyers MP, Bosworth HB, Swanson JW, Lamb-Pagone J, Osher FC. Reliability and validity of the SF-12 health survey among people with severe mental illness. Med Care. 2000;38(11):1141-1150. doi:10.1097/00005650-200011000-00008
  8. Busija L, Ackerman IN, Haas R, et al. Adult measures of general health and health-related quality of life. Arthritis Care Res (Hoboken). 2020;72(suppl 10):522-564. doi:10.1002/acr.24216

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