|
SC1-A
|
 |
First, we list some statements that people have used to describe their health.WALKING |
|
SC1-B
|
|
First, we list some statements that people have used to describe their health.SELF-CAREI have no problems with self-care............1 |
|
SC1-C
|
|
First, we list some statements that people have used to describe their health.Performing my usual activities |
|
SC1-D
|
|
First, we list some statements that people have used to describe their health.Pain or discomfort |
|
SC1-E
|
|
First, we list some statements that people have used to describe their health.Depression |
|
SC2
|
|
To help people say how good or bad their health state is, we have drawn a scale (rather like a thermometer) on which the best state you can imagine is marked 100 and the worst state you can imagine is marked 0. We would like you to indicate on this scale how good or bad your health is today, in your opinion |
|
SC3-A
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Medical visits to a general practitioner |
|
SC3-B
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Medical visits to specialists, when prescribed by a general practitioner |
|
SC3-C
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Medical visits to specialists, when not prescribed by a general practitioner |
|
SC3-D
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Medical visits to any doctor of your choice |
|
SC3-E
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Dental care |
|
SC3-F
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Prescribed drugs |
|
SC3-G
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Hospitalisations in public hospitals |
|
SC3-H
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Hospitalisations in private hospitals |
|
SC3-I
|
|
Thinking about your current health insurance, please indicate who [In countries with deductibles in health insurance: PAST YOUR DEDUCTIBLE] finally pays for the costs of these types of care, should you need them:Stays in a nursing home/nursing care at home in case of chronic disease or disability |
|
SC4-A
|
|
Not counting health insurance premiums or reimbursements from employers, about how much did you pay out-of-pocket for hospital inpatient care |
|
SC4-B
|
|
Not counting health insurance premiums or reimbursements from employers, about how much did you pay out-of-pocket for outpatient care |
|
SC4-C
|
|
Not counting health insurance premiums or reimbursements from employers, about how much did you pay out-of-pocket for prescribed drugs (excluding self-medication) |
|
SC4-D
|
|
Not counting health insurance premiums or reimbursements from employers, about how much did you pay out-of-pocket for care in nursing homes, in day-care centers |
|
SC4-E
|
|
Not counting health insurance premiums or reimbursements from employers, about how much did you pay out-of-pocket for home care services |
|
SC5-A
|
|
How much of the time do you feel you lack companionship? |
|
SC5-B
|
|
How much of the time do you feel left out? |
|
SC5-C
|
|
How much of the time do you feel isolated from others? |
|
SC5-D
|
|
How much of the time do you feel lonely? |
|
SC6-A
|
|
Sex? |
|
SC6-B
|
|
Birth year? |