Protocol - Self-Reported General Health Status

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This is a single item Likert-style self-administered question.

Specific Instructions

This question can be used for self or family member. If self, insert "your" here [fill: your/ALIAS’s] in this item. If family member, please insert family members name.




Would you say [fill: your/ALIAS’s] health in general is excellent, very good, good, fair, or poor?

1 [ ] Excellent

2 [ ] Very good

3 [ ] Good

4 [ ] Fair

5 [ ] Poor

7 [ ] Refused

9 [ ] Don’t know

Personnel and Training Required


Equipment Needs


Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self- or proxy-administered questionnaire


Adult, Senior, Pregnancy


Adults aged 18 and over

Selection Rationale

This well validated, single-item measure is both low burden and highly informative. The NHIS items have been used in multiple large scale studies.


English, Other languages available at source

caDSR Form PhenX PX770101 - Selfreported General Health Status 6930619 caDSR Form
Derived Variables


Process and Review

Not applicable.

Protocol Name from Source

National Health Interview Survey (NHIS), Family - Family Identification, 2014


2014 NCHS National Health Interview Survey - Family. Family Identification. Question ID: FHS.500_00.000, Instrument Variable Name: PHSTAT QuestionnaireFileName: Family. Document Version Date: 28-May-15

General References

Hagerty, M.R., Cummins, R.A., Ferriss, A.L., Land, K., Michalos, A.C., Peterson, M., Sharpe, A., Sirgy, J., & Vogel, J. (2001). Quality of life indexes for national policy: review and agenda for research. Social Indicators Research, 55, 1-96.

Idler, E. (1992). "Self-assessed Health and Mortality: A Review of Studies." In S. Maes, H. Leventhal, M. Johnston, eds., International Review of Health

Psychology. New York: John Wiley and Sons.

Zullig KJ, Huebner ES, Patton JM, Murray KA. The brief multidimensional students’ life satisfaction scale-college version. Am J Health Behav 2009;33(5):483-493.

Revicki DA, Kawata AK, Harnam N, Chen WH, Hays RD, Cella D. Predicting EuroQol (EQ-5D) scores from the patient-reported outcomes measurement information system (PROMIS) global items and domain item banks in a United States sample. Qual Life Res 2009;18(6):783-791.

Kapp JM, Jackson-Thompson J, Petroski GF, Schootman M. Reliability of health-related quality-of-life indicators in cancer survivors from a population-based sample, 2005, BRFSS. Public Health2009;123(4):321-325.

Jiang Y, Hesser JE. Using item response theory to analyze the relationship between health-related quality of life and health risk factors. Prev Chronic Dis 2009;6(1):A30.

Horner-Johnson W, Krahn G, Andresen E, Hall T. Developing summary scores of health-related quality of life for a population-based survey. Public Health Rep 2009;124(1):103-110.

Hays RD, Bjorner JB, Revicki DA, Spritzer KL, Cella D. Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Qual Life Res 2009;18(7): 873-880.

Barger SD, Burke SM, Limbert MJ. Do Induced Moods Really Influence Health Perceptions? Health Psychol 2007;26(1):85-95.

Protocol ID


Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX770101010000 Would you say [fill: your/ALIAS's] health in more
general is excellent, very good, good, fair, or poor? show less
Tobacco Regulatory Research Core: Tier 2
Measure Name

Self-Reported General Health Status

Release Date

August 30, 2016


A single item assessing an individual’s perception of his/her health in general.


Used to determine an individual’s perception of his/her health in general. This single item is predictive of morbidity and premature mortality (Idler, 1992).


health status, National Health Interview Survey, NHIS, Centers for Disease Control and Prevention, National Center for Health Statistics, CDC, NCHS

Measure Protocols
Protocol ID Protocol Name
770101 Self-Reported General Health Status

Castner, J., et al. (2018) Community interest and feasibility of using a novel smartphone-based formaldehyde exposure detection technology. Public Health Nurs. 2018 July; 35(4): 261-272. doi: 10.1111/phn.12384

Brown L.D., et al. (2018) Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities. Prev Chronic Dis. 2018 April; 15: E49. doi: 10.5888/pcd15.170347