This PROMIS10 survey will take you 1 min to complete. All your data is stored securely during and after this bounty program.

Question Title

* 1. Please respond to each item by marking one box per row

  Poor Fair Good Very Good Excellent
In general, would you say your health is:
In general, would you say your quality of life is:
In general, how would you rate your physical health?
In general, how would you rate your mental health, including your mood and your ability to think?
In general, how would you rate your satisfaction with your social activities and relationships?
In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)

T