Surveys

Survey Information

To utilize and explore these survey tools, please visit our Box folder. Please contact Karen Spritzer at kspritzer@mednet.ucla.edu or Dr. Ron Hays at drhays@ucla.edu with any questions.

Visit Survey Tools in Box

 

NIH Toolbox Vision-Targeted Health-Related Quality of Life Survey

  • NIH Toolbox Vision-Related Quality of Life Survey
  • NIH Toolbox Vision-Targeted Health-Related Quality of Life Survey
  • Toolbox Vision Survey - Item and Response Option Sources

Retirement Knowledge Scale (RKS)

  • Planning for Retirement - retired: English & Spanish
  • Planning for Retirement - not retired: English & Spanish
     

UCLA Loneliness Scale (ULS-8)
 

Expectations Regarding Aging (ERA) Survey

  • 12-item short version
  • 38-item survey

The ERA-38 and ERA-12 were created with support from the Robert Wood Johnson Foundation and the National Institute on Aging, and there is no fee for their use. 

It is requested that you use the following citation when you publish your findings using the ERA-12:

  • Sarkisian CA, Hays RD, Steers WN, Mangione CM. Development of the 12-item Expectations Regarding Aging (ERA-12) Survey. Gerontologist 2005;45(2):240-248.
  • When you publish your findings using the ERA-38 please cite: Sarkisian CA, Hays RD, Berry S, Mangione CM. Development, Reliability, and Validity of the Expectations Regarding Aging (ERA-38) Survey. The Gerontologist 2002;42:534-542.

The Kidney Disease Quality of Life Survey (KDQOL)

Note: Find survey information, scoring manuals, and other materials on the Rand site here.

  • KDQOL™-36, KDQOL™ 1.3, and   KDQOL™ 1.2.
  • Please see Box link above for more information.
     

Multiple Sclerosis Quality of Life (MSQOL-54) Instrument

  • Visit Box link above for MSQOL-54 instrument.pdf 

NEI RQL-42

  • Please visit Box link for abstracts for NEI-RQL papers and citations.
  • Note: you must first register to gain access and then click on the NEI tab. 
     

Peripheral Neuropathy Quality-of-Life Instrument-97

  • Vickrey, B.G., Hays, R.D., & Beckstrand, M.  (2000)

Development of a Health-Related Quality of Life Measure for Peripheral Neuropathy.  (2000). Neurorehabilitation and Neural Repair, Vol 14(2), 93-104.

  • Please visit Box for more information.

RAND-36 Health Status Inventory

  • The RAND-36 manual is provided without charge courtesy of The Psychological Corporation.

  • Suggested citation: Hays, R.D., Prince-Embury, S., & Chen, H. (1998).  RAND-36 Health Status Inventory.  San Antonio, TX: The Psychological Corporation.
  • Download entire manual, "R-36 entire book.pdf," in Box link above.  

Sleep

  • Please see surveys, scoring manuals and other materials in Box link above.

UMGA - Unified Medical Group Association and The Patient's View on Health Care Questionnaire

  • 5/16/2000: The Patient's View on Health Care Questionnaire: Spanish & English versions.
  • 12/21/2004: SAS™ code to derive patient satisfaction scales. Look for "UMGA122104.sas" on Box.
  • More on the Patient Satisfaction Survey can be found on RAND's website.