Scoliosis Research Society QoL - Revised (SRS-22r)
22-item quality of life survey across function, pain, self-image, mental health, & treatment satisfaction for scoliosis
Provided by
EVAL FoundationInstructions
Function
The SRS-22r is a validated, condition-specific quality of life instrument for scoliosis patients. It comprises 22 items organized into five domains:
Function/Activity (5 items): Questions # 1-5
Note: The literature references these domain questions as # 5, 9, 12, 15, 18
Pain (5 items): Questions # 6-10
Note: The literature references these domain questions as # 1, 2, 8, 11, 17
Self-Image/Appearance (5 items): Questions # 11-15
Note: The literature references these domain questions as # 4, 6, 10, 14, 19
Mental Health (5 items): Questions # 16-20
Note: The literature references these domain questions as # 3, 7, 13, 16, 20
Satisfaction with Management (2 items): Questions # 21-22 (same as the literature)
Each item uses a 5-point ordinal scale (1–5), with higher scores indicating better outcomes. Domain scores and a total score are calculated as averages, ranging from 1 to 5.
The instrument is sensitive to clinical change and appropriate for tracking longitudinal outcomes in patients managed conservatively (observation, bracing) or surgically.
Clinically meaningful minimally detectable change is approximately 0.5 points on the 5-point scale.
The SRS-22r is widely used in research and clinical practice for preoperative assessment, postoperative follow-up, and comparative effectiveness studies.
Original Literature:
Haher, Thomas R., et al. “Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis: a multicenter study of 244 patients.” Spine 24.14 (1999): 1435.
Additional References
Asher MA, Lai SM, Glattes RC, Burton DC, Alanay A, Bago J. Refinement of the SRS22 health-related quality of life questionnaire function domain. Spine 2006;31:593-7.
Glattes RC, Burton DC, Lai SM, Frasier E, Asher, MA. The reliability and concurrent validity of the Scoliosis Research Society-22r patient questionnaire compared with the Child Health Questionnaire-CF87 patient questionnaire for adolescent spinal deformity. Spine 2007;32:1778-84.
Hashimoto H, Sase T, Arai Y, Maruyama T, Isobe K, Shouno Y. Validation of a Japanese version of the Scoliosis Research Society-22 patient questionnaire among idiopathic scoliosis patients in Japan. Spine 2007;32:E141-E146.
For a complete list of references, go to https://www.srs.org/Files/Research/SRS22_bibliography.pdf
For more information on the SRS-22r, to include scoring, go to https://www.srs.org/Research/Patient-Outcome-Questionnaires
All questions & possible results
Function
1. What is your current level of activity?
Select one option:
- Full activities without restriction
- Moderate labor and moderate sports
- Light labor and light sports
- Primarily no activity
- Bedridden
2. What is your current level of work/school activity?
Select one option:
- 100% normal
- 75% normal
- 50% normal
- 25% normal
- 0% normal
3. Does your back limit your ability to do things around the house?
Select one option:
- Never
- Rarely
- Sometimes
- Often
- Very Often
4. Are you and/or your family experiencing financial difficulties because of your back?
Select one option:
- None
- Slightly
- Mildly
- Moderately
- Severely
5. In the last 3 months have you taken any days off of work, including household work, or school because of back pain?
Select one option:
- 0 days
- 1 day
- 2 days
- 3 days
- 4 or more days
Pain
6. Which one of the following best describes the amount of pain you have experienced during the past 6 months?
Select one option:
- None
- Mild
- Moderate
- Moderate to severe
- Severe
7. Which one of the following best describes the amount of pain you have experienced over the last month?
Select one option:
- None
- Mild
- Moderate
- Moderate to severe
- Severe
8. Do you experience back pain when at rest?
Select one option:
- Never
- Rarely
- Sometimes
- Often
- Very often
9. Which one of the following best describes your pain medication use for back pain?
Select one option:
- None
- Non-narcotics weekly or less (e.g., aspirin, Tylenol, Ibuprofen)
- Non-narcotics daily
- Narcotics weekly or less (e.g. Tylenol III, Lorcet, Percocet)
- Narcotics daily
10. Does your back condition limit your going out with friends/family?
Select one option:
- Never
- Rarely
- Sometimes
- Often
- Very often
Self-Image
11. If you had to spend the rest of your life with your back shape as it is right now, how would you feel about it?
Select one option:
- Very happy
- Somewhat happy
- Neither happy nor unhappy
- Somewhat unhappy
- Very unhappy
12. How do you look in clothes?
Select one option:
- Very good
- Good
- Fair
- Bad
- Very bad
13. Which of the following best describes the appearance of your trunk; defined as the human body except for the head and extremities?
Select one option:
- Very good
- Good
- Fair
- Poor
- Very Poor
14. Do you feel that your back condition affects your personal relationships?
Select one option:
- None
- Slightly
- Mildly
- Moderately
- Severely
15. Do you feel attractive with your current back condition?
Select one option:
- Yes, very
- Yes, somewhat
- Neither attractive nor unattractive
- No, not very much
- No, not at all
Mental Health
16. During the past 6 months have you been a very nervous person?
Select one option:
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
17. In the past 6 months have you felt so down in the dumps that nothing could cheer you up?
Select one option:
- Never
- Rarely
- Sometimes
- Often
- Very often
18. Have you felt calm and peaceful during the past 6 months?
Select one option:
- All of the time
- Most of the time
- Some of the time
- A little of the time
- None of the time
19. In the past 6 months have you felt down hearted and blue?
Select one option:
- Never
- Rarely
- Sometimes
- Often
- Very often
20. Have you been a happy person during the past 6 months?
Select one option:
- All of the time
- Most of the time
- Some of the time
- A little of the time
- None of the time
Satisfaction with Management
21. Are you satisfied with the results of your back management?
Select one option:
- Very satisfied
- Satisfied
- Neither satisfied nor unsatisfied
- Unsatisfied
- Very unsatisfied
22. Would you have the same management again if you had the same condition?
Select one option:
- Definitely yes
- Probably yes
- Not sure
- Probably not
- Definitely not
Possible results
Total SRS-22r Score
Higher scores represents greater quality of life
Function Score
Higher scores represents greater quality of life
Pain Score
Higher scores represents greater quality of life
Satisfaction Score
Higher scores represents greater quality of life
Self-Image Score
Higher scores represents greater quality of life
Mental Health Score
Higher scores represents greater quality of life
Citation
Scoliosis Research Society https://www.srs.org/Research/Patient-Outcome-Questionnaires?
Haher, Thomas R., et al. “Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis: a multicenter study of 244 patients.” Spine 24.14 (1999): 1435.
