Forms SF-12 Patient Questionnaire

Consultation Questionnaire SF-12

Questionnaire to keep track of how you feel and how well you are able to do you usual activities

The SF-12 form is to be completed by all our patients scheduled for surgery. It quantifies the effects of your pain on your psyche related to general activities of daily life. We will ask you to complete this after surgery at intervals as part of your followup. Thank You.

Step 1 of 2

Book a Consultation:

Personal Assistant to Dr Munting

Merle Hermanus

+27 21 424 0725/6

Settle my Account:

Accounts & Admin

Sheneal Moultrie

+27 21 424 0726

Find Us:

Netcare Christiaan Barnard Memorial Hospital

25 D.F. Malan St, Foreshore,

Cape Town, 8001

Find on Map