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Outcomes Assessment Tools
QualityMetric Incorporated outcomes assessment tools currently offered through the general licensing
and user registration program include general health status surveys and disease-specific surveys. Our
surveys capture accurate and scientifically valid patient-based health information essential to
measuring health and improving the quality of health care.
SF-36® Health Survey
The SF-36® Health Survey is the most widely used patient-based health status survey in the world. The
survey has been translated into more than 40 languages and administered to millions of people worldwide.
This 36-item, comprehensive short form generates a health profile consisting of eight scales and two summary
measures describing health-related quality of life, and takes about 5 minutes to complete.
View the SF-36® Health Survey (Standard)
View the SF-36® Health Survey (Acute)
SF-36v2™ Health Survey
Version 2.0 of the SF-36® Health Survey (SF-36v2â„¢)was developed by QualityMetric staff to
improve upon the original SF-36® Health Survey. Version 2.0 incorporates changes that
significantly improve the wording and format of the form, and the precision of the role-functioning scales,
with no change in respondent burden.
View the SF-36v2™ Health Survey (Standard)
View the SF-36v2™ Health Survey (Acute)
SF-12® Health Survey
A 12-item (two minute) survey was developed from the SF-36® Health Survey for use in monitoring
outcomes for general and patient populations. This survey yields summary physical and mental
health outcome scores that are interchangeable with those scored from the SF-36® in both general and patient populations.
View the SF-12® Health Survey (Standard)
View the SF-12® Health Survey (Acute)
SF-12v2™ Health Survey
The SF-12v2â„¢, which incorporates improvements made in Version 2.0 of the SF-36® Health Survey
yields summary physical and mental health outcome scores that are interchangeable with
those from the SF-36® in both general and patient populations. It has been used extensively as a
screening tool, and is frequently used as part of longer, condition-specific surveys.
View the SF-12v2™ Health Survey (Standard)
View the SF-12v2™ Health Survey (Acute)
SF-8™ Health Survey
The SF-8™ Health Survey represents a major advance in the application of SF technology for purposes
of achieving both brevity and comprehensiveness in population health surveys. It has only eight questionnaire
items. By relying on a single item to measure each of the eight domains of health in the SF-36®
Health Survey, the SF-8™ represents the ultimate phase in the evolution of SF assessments--single-item scales.
View the SF-8™ Health Survey (4-week)
View the SF-8™ Health Survey (1-week)
View the SF-8™ Health Survey (24-hour)
HIT-6™ Survey
The HIT-6™ Survey is a short-form version of the computer-adaptive Headache Impact Test. A
one page, self-scoring survey designed for use in clinical practice, the HIT-6™ captures the impact
of headache on the patient's daily functioning and well being.
View the HIT-6™ Survey
ITG Asthma Short Form
The ITG-ASF™, a 15-item short form, is a standardized, patient-based measure of asthma and
its impact on functional status and well being and is part of the Asthma Outcomes Monitoring
System (AOMS™). Scoring the ITG-ASF yields five subscales and a summary measure, offering a
comprehensive evaluation of an asthma patient's health: Symptom-Free Index, Functioning with Asthma,
Psychosocial Impact of Asthma, Asthma-Energy and Asthma-Confidence in Health. The goal of the (ITG-ASF)
development team at QualityMetric Incorporated was to create an instrument that balanced two
opposing measurement objectives: achieving brevity and ensuring completeness.
The AOMS, jointly developed by QualityMetric Incorporated and the Joint Council of Allergy,
Asthma and Immunology, combines generic (SF-8™ Health Survey) and asthma-specific assessments
(ITG-ASF) with supplemental questions to assess the burden of asthma and the benefits of treatment.
It is available on line and can be administered via QM’s health assessment website www.amIhealthy.com.
View the ITG Asthma Short Form
Asthma Impact Survey-6™
The short form AIS-6 is a 6-item self-assessment survey that captures the impact of asthma and its symptoms
on everyday functioning and well-being. It can be applied in clinical practice, disease management and
population monitoring efforts as both a screener for disease impact and as a health outcomes monitoring
tool. This survey has been designed to maximize measurement precision and minimize burden, and can be
administered paper and pencil, as a mail-back form, during telephone or face-to-face interviews and in
a variety of electronic formats. The AIS-6 survey is scored so that a higher score indicates that asthma
has a greater impact on a person's life. Scores range from 36, indicating little or no impact, to 78, indicating severe impact.
In developing the new AIS-6, the investigators sought to create a self-assessment survey that captures
a broad conceptualization of asthma impact, measuring the physical, social and role functioning, and
emotional well-being of an individual with asthma. The goal was to measure a full range of health-related
states including, but not limited to the most severe levels of distress and disability while achieving
brevity and ease of use by clinicians in any setting.
View the AIS-6™ Survey
Asthma Control Test™
The Asthma Control Test™ (ACT) is a 5-item self-administered survey designed to assess asthma control
and is scored on a scale from 0 (poorly controlled) to 5 (well controlled). In developing the new Asthma
Control Test™ the investigators sought to produce a survey that reflects the multidimensional nature of
asthma control with items empirically selected, predictive of asthma specialist global assessment of
asthma control, based on NHLBI guidelines.
ACT is well-suited to measure the degree of asthma control in a variety of settings ranging from
clinical practice to disease management and public awareness campaigns. Physicians and other health care
providers, payers, clinical researchers, public health analysts, and policy officials each will find uses
for ACT. Brevity, ease of administration and interpretation are key features allowing
successful integration of ACT in any setting.
View the ACT™ Survey (English)
View the ACT™ Survey (Spanish)
Which Asthma survey do I want?
The ITG-ASF compares favorably with other asthma-specific HQL instruments in terms of validity and
comprehensiveness, though it is shorter and offers practical application for clinical trials or any
health outcomes project. The ITG-ASF survey can be used alone or in combination with generic health
assessments or other survey modules. The Asthma Outcomes Monitoring System (AOMS), well-validated,
comprehensive system, represents one such approach, tracking patient-based outcomes in adults and
children with asthma.
The next two surveys are asthma specific self-assessment short forms that are brief, reliable and easy to use.
AIS-6 is intended to screen for individuals with compromised functioning secondary to asthma and its
symptoms. The answers to survey questions will provide relevant information about the areas of functioning
(physical, social, role or emotional) that are impaired. The survey is also a reliable health outcomes
measure, capturing change in functioning and well-being over time. Survey results can be used to measure
the success of a disease management or treatment program in improving the health-related quality of life
of its members.
ACT is intended to screen for individuals with asthma control problems and is very well suited for any
program or project where identifying individuals at risk of acute exacerbations is desired. The answers to
survey questions will provide clinically relevant information about night time awakenings, frequency of
symptoms, use of rescue medication, limitations on functioning and an individual's self perception of
asthma control status.
