Top

The SF-12v2® Health Survey–Crisis Impact™

A 19-question survey for measuring mental and physical health in pandemics, national emergencies, epidemics, and community disasters.

The SF-12v2® Crisis Impact Survey is very responsive in measuring mental and physical health in pandemics, national emergencies, epidemics, and community disasters. QualityMetric offers the only complete PRO solution in the marketplace today to administer, collect, score, and interpret the results in real-time. QualityMetric’s consulting team can provide analytical support to help measure and understand health-related quality of life during the pandemic using the SF-36v2®.

Mental health impacts: Social isolation, employment instability, financial loss and national emergencies have all been linked to impairments in general well-being.

Physical health impacts: Inability to access regular health care services due to pandemics and increased stress may directly or indirectly exacerbate chronic conditions.

Completion time:
3-4 minutes
Administered to:
Adults aged 18 and older
Recall period:
24-hour
Translations:
205

Translations Available by Modes of Administration

If you need a translation in a specific language, consult with our translation team to determine a cost estimate and timeline that fits to your project needs.

Computer
Tablet
Smartphone
Interviewer Script
Paper Form

Interpretation & Insights

Combining our eCOA Platform with research expertise, our consultants help your teams develop, validate, implement and analyze PROs with a custom approach. Our services ensure you gain the most meaningful insights on patient-reported data.

Burden of
Disease Analysis
Treatment
Efficacy Analysis
Norm-based Interpretation
of Treatment Effects
Categorical Change Analysis:
Treatment Responders
Criterion-based
Interpretation of Change Scores
Depression
Screening
Advanced Predictive Interpretation
  • Healthcare Utilization
  • Productivity
  • Health Utility
  • Future Hospitalization

COA Platform for Data Collection, Scoring & Interpretation

Desktop Software

Our proprietary COA desktop software, which provides the ability to collect, score and interpret data for your study or program.

Learn More

Electronic Data Capture

A customizable cloud-based data collection and reporting portal for capturing data from patients or clinicians securely and accurately.

Learn More

Analytics Module

Our advanced reporting feature, built to seamlessly convert patient-reported data into reports with actionable insights.

Learn More

Scoring & Interpretation

Standardized solutions for scoring datasets with absolute accuracy and identifying errors that may impact interpretation of results.

Learn More

Request a license.

To learn more about our services or to request a license, please select the organization that best describes your company:

* A valid email address must be entered.
* Please ensure all fields are completed correctly. Fields colored red are invalid or incomplete.

Survey License Application

Please answer the following questions and we will be in touch regarding your license.

* Please ensure all fields are completed correctly. Fields colored red are invalid or incomplete.
of

Contact Information

* A valid email address must be entered.
* Please enter a numeric value.

Have you started or completed collecting data for your study/project?

*If yes, please email a copy of the survey being administrated to license@qualitymetric.com. We will QA the form for any changes that may affect the scoring and interpretation of the data collected. (Fees may apply).
* Please enter a numeric value.
* Please enter a numeric value.
* Please enter a numeric value.
* Please enter a numeric value.
* Please enter a numeric value.


What recall period is needed?

Who will be scoring and analyzing the data?

Which license are you applying for?

Who will be Licensee on the license agreement?

Student Information

University Information

Thank you for your request.

QualityMetric is reviewing your application and will get back to you shortly with approval to move forward with a license to administer, collect, score, and interpret the data for your project/study.

Next steps:

If you have started administering the survey, please email a copy of the survey being administered to license@qualitymetric.com. We will QA the form for any changes that may affect the scoring and interpretation of the data collected. (Fees may apply).

If you are applying for a student license, please email a copy of your student ID to license@qualitymetric.com.

Request a product demo.

To receive a product demo of this survey, please select the organization that best describes your company:

* A valid email address must be entered.
* Please ensure all fields are completed correctly. Fields colored red are invalid or incomplete.

Thank you for your request.

QualityMetric is reviewing your application and will get back to you shortly with approval to move forward with a license to administer, collect, score, and interpret the data for your project/study.

Next steps:

If you have started administering the survey, please email a copy of the survey being administered to license@qualitymetric.com. We will QA the form for any changes that may affect the scoring and interpretation of the data collected. (Fees may apply).

If you are applying for a student license, please email a copy of your student ID to license@qualitymetric.com.