Section A: General Background

Section A: General Background Module of 2003 Mail Survey On Diabetes

Label Type Description
A1 Question Would you say your health is: (Mark one.) (qxa1)
A2 Question At what age were you told by a doctor that you had diabetes? (years old)
A3 Question Which type of diabetes did your doctor say that you have? (Mark one.)
A4 Question At the time your diabetes was first diagnosed, were you covered by health insurance?
A5 Question At the time your diabetes was first diagnosed, did you have any coverage for prescription drugs?
A6 Question At the time your diabetes was first diagnosed, were you working for pay?
A7 Question Are you currently working for pay?
A8 Question In your opinion, has your diabetes kept you from promotions, better jobs, or other advancement in your work?
A9 Question How old were you when you stopped working? (years old)
A10 Question In your opinion, did your diabetes cause you to quit work sooner than you would have otherwise?
A11 Question How much do you weigh now? (lbs)
A12 Question How much did you weigh when you were about 50 years old? (lbs)
A13 Question Up to the present time, what is the most you have ever weighed? (Women: Do not include any times when you were pregnant.) (lbs)
A14 Question How old were you then? (years old)
A15A Question Thinking about your life in general, do you agree or disagree with these statements? (Circle one answer for each line.) I am satisfied with my life
A15B Question Thinking about your life in general, do you agree or disagree with these statements? (Circle one answer for each line.) I have little control over the things that happen to me
A15C Question I live life one day at a time and don't think much about the future.
A15D Question I can do just about anything I set out to do.
A15E Question Sometimes I feel that I'm being pushed around in life.
A15F Question I often feel hopeless about the future.
A15G Question Taking care of myself now will have a big payoff later.
A16A Question The following statements are about how important diabetes is compared with other things you are dealing with in your life. How much do you agree or disagree with the following statements? (Circle one answer for each line.) Taking care of my diabetes is my top priority right now.
A16B Question I have other health problems that are more important than diabetes.
A16C Question I have many more important things in my life than diabetes to take care of now.
A16D Question I feel confident in my ability to manage my diabetes.