C1. Health Status

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Module C1. Health Status of survey KLoSAW5

item label	type	description
C001		Next I have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor?
C002		How has your health status changed since the previous interview (____year__month__date)?
C003		Have you ever received a disability diagnosis from a doctor since the previous interview (____year__month__date)?
C004		What was your type of disability? Please choose all that apply.
C004_1		If others, please specify.
C005		Does your health condition hamper you doing work?
C006		Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)?
C007		When were you first diagnosed with hypertension? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C008		How have your symptoms of high blood pressure changed since the previous inrerview (____year__month__date)?
C009		Are you currently taking any medication or receiving treatment to lower your blood pressure?
C010		Does your high blood pressure limit your daily activities?
C011		Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)?
C012		When were you first diagnosed with diabetes or high blood sugar? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C013		How have your symptoms of diabetes or high blood sugar changed since the previous interview (____year__month__date)?
C014		Are you currently taking any medication or receiving treatment to treat your diabetes or stabilize your blood sugar level?
C015		Does your diabetes limit your daily activities?
C016		Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)?
C017		When were you first diagnosed with cancer or a malignant tumor, excluding minor skin cancer? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C018		In which organ or part of your body do you have cancer?
C019		others, please specify.
C020		How have your symptoms of cancer or malignant tumor (excluding minor skin cancer) changed since the previous interview (____year__month__day)?
C021		Are you currently taking any medication to alleviate your symptoms (pain, nausea, rash, etc.) or receiving cancer treatment such as chemotherapy?
C022		Does your cancer limit your daily activities?
C023		Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)?
C024		When were you first diagnosed with chronic lung disease, such as bronchitis or emphysema? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C025		How have your symptoms of chronic lung disease, such as bronchitis or emphysema, changed since the previous interview (____year__month__date)?
C026		Are you currently taking any medication or receiving treatment in relation to your lung disease?
C027		Does your lung condition limit your daily activities?
C028		you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver)
C029		When were you first diagnosed with liver disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C030		How have your symptoms of liver disease (All types of liver disease except fatty liver) changed since the previous interview (____year__month__date)?
C031		Are you currently taking any medication or receiving treatment due to your liver disease?
C032		Does your liver disease limit your daily activities?
C033		Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)?
C034		were you first diagnosed with such heart disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C035		How have your symptoms of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or any other heart disease changed since the previous interview (____year__month__date)?
C036		Are you currently taking any medication or receiving treatment due to your heart disease?
C037		Does your heart disease limit your daily activities?
C038		Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)?
C039		were you first diagnosed with cerebrovascular disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C040		How have your symptoms of cerebrovascular disease changed since the previous interview (____year__month__date)?
C041		Are you currently taking any medication or receiving treatment due to your cerebrovascular disease or its complications?
C042		Does your cerebrovascular disease limit your daily activities?
C043		Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)?
C044		When were you first diagnosed with such problems? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C045		How have your symptoms of emotional, nervous, or psychiatric problems changed since the previous interview (____year__month__date)?
C046		Are you currently taking tranquilizers, antidepressants, sedatives or sleeping pills or receiving psychiatric or psychological treatment?
C047		Do your emotional, nervous or psychiatric problems limit your daily activities?
C048		Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)?
C049		When were you first diagnosed with arthritis or rheumatism? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C050		How have your symptoms of arthritis or rheumatism changed since the previous interview (____year__month__date)?
C051		Are you currently taking any medication or receiving treatment for your arthritis or rheumatism?
C052		Does your arthritis or rheumatism limit your daily activities?
C053		Have you ever been in a traffic accident and received medical treatment since the previous interview (____year__month__date)?
C054		When did you have the traffic accident? If you had more than two accidents, please answer about the most recent one. (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 20114 If the month is not clear, enter 201400.]
C055		Does your injury caused by the traffic accident limit your daily activities?
C056		Have you ever fallen down since the previous interview (____year__month__date)?
C057		How many times have you had a fall accident since the previous interview (____year__month__date)? (unit : a time)_____ times
C058		In your most recent fall, did you injure yourself seriously enough to need medical treatment?
C059		Have you ever fractured your hip due to a fall accident?
C060		Does your injury or fracture due to the fall limit your daily activities?
C061		How much do you usually worry about falling down?
C062		Are there any activities that you refrain from doing due to the fear of falling down?
C063		Have you ever received a diagnosis of prostate disease from a doctor since the previous interview (____year__month__date)?
C064		When were you first diagnosed with prostate disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C065		How have your symptoms of prostate disease changed since the previous interview (____year__month__date)?
C066		Are you currently taking any mediation or receiving treatment for your prostate disease?
C067		Does your prostate disease limit your daily activities?
C068		The following questions may not be easy to answer. I would be grateful if you could answer them as honestly as possible. Did you ever experience urinary incontinence during the past one year?
C069		How have your symptoms of urinary incontinence changed since the previous interview (____year__month__date)?
C070		How many days did you experience urinary inconsistence last month? (unit : a day)____ daysDon't know Refuse to answer
C071		Was that more than 5 days?
C072		Was that more than 15 days?
C073		Did you ever use any absorbent products, such as pads, special underwear, sanitary napkins, or toilet paper?
C074		Have you ever received a diagnosis of gastritis, stomach ulcer, duodenal ulcer from a doctor?
C075		were you first diagnosed with diseases of the digestive system? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C076		Are you currently taking any mediation or receiving treatment for your diseases of the digestive system?
C077		Does your diseases of the digestive system limit your daily activities?
C078		Slipped disc Have you ever received a diagnosis of a herminated cervical (lumber) disc from doctor? (Exclude backache or muscular pain.)
C079		When were you first diagnosed with slipped disc? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
C080		Are you currently taking any mediation or receiving treatment for your slipped disc?
C081		Does your diseases of your slipped disc limit your daily activities?
C082		Now I have some questions about your eyesight. Do you usually wear glasses or corrective lens?
C083		How good is your eyesight (including corrected vision)?
C084		How good is your eyesight (including corrected vision) for seeing things at a distance, like recognizing a friend across a street?
C085		How good is your eyesight (including corrected vision) for seeing things up close, like reading a newspaper?
C086		Have you ever had a cataract surgery since the previous interview?
C087		Have you had a cataract surgery on both eyes or just one?
C088		Has a doctor ever treated you for glaucoma since the previous interview?
C089		Does your eyesight limit your daily activities?
C090		Now I have some questions about your hearing. Do you wear a hearing aid?
C091		How good is your hearing? If you use a hearing aid, answer about your hearing when you wear it.
C092		Does your hearing limit your daily activities?
C093		Now I have some questions about your dental health. Do you wear dentures?
C094		How easily can you chew solid foods, such as meat or apples, when wearing dentures?
C095		well can you chew solid foods, such as meat or apples, without the help of dentures?
C096		Now I have some questions about body pain. In what part of your body do you feel pain? Please list all body parts in which you are currently feeling pain. (Select multiple responses, but not with 14.)
C097		How bad is the headache?
C098		How bad is the shoulder pain?
C099		How bad is the arm pain?
C100		How bad is the wrist pain?
C101		How bad is the finger pain?
C102		How bad is the chest pain?
C103		How bad is the stomachache?
C104		How bad is the back pain?
C105		How bad is the buttocks pain?
C106		How bad is the leg pain?
C107		How bad is the knee pain?
C108		How bad is the ankle pain?
C109		How bad is the toe pain?
C110		Does the pain make it difficult for you to do daily activities?
C111		Do you have any other disease or health problem we have not talked about so far?
C112		What is that other disease or health problem?____________________
C113		How much do you weigh? (unit: Kilogram)______kilograms
C114		Did you gain or lose 5 or more kilograms during the past one year?Past one year means previous one year period from present. Not only 2013.
C115		How tall are you? (unit: Centimeter)______ centimeters
C116		The next few questions are about exercise. Do you work out more than once a week?
C117		What is the main reason that you cannot exercise regularly?
C118		If others, please specify.
C119		How often do you work out per week? (unit : times/per week)______times / per week
C120		How long do you work out per session? (unit : minutes)minutes
C121		How long have you been working out regularly?
C122		Now I am going to ask you about the meals you had for the last two days. Did you have three meals yesterday? Choose all that apply. (Select multiple responses.)[IWER: Caution! Choose only the meals R actually had.]
C123		Did you have three meals the day before yesterday? Choose all that apply. (Select multiple responses.)[IWER: Caution! Choose only the meals R actually had.]
C124		Have you smoked more than 5 packs of cigarettes (100 cigarettes) in total since the previous interview (____year__month__date)?
C125		Do you smoke cigarettes now?
C126		When did you first start smoking?(unit: : year and month combined into 6 digits)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R started smoking in March 2014.]
C127		How many cigarettes or packs do you usually smoke in a day now? (unit: a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs]______ cigarettes / days
C128		When you were smoking the most, how many cigarettes or packs did you usually smoke in a day? (unit : a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs.]______cigarettes / days
C129		When did you stop smoking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.]
C130		Do you sometimes or often drink any alcoholic beverages, such as Soju, beer, Makgeolli (rice wine), or liquor?
C131		When did you quit drinking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.]
C132		When did you start drinking? (unit: year and month combined into 6 digits)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R started drinking in March 2014.]
C133		Now, I am going to ask you how often and how much you drank during the past one year. Please answer how often you drank per month, and how much you drank at a time on average. I will repeat the questions for different types of alcoholic beverages.
C134		How often did you drink Soju (Korean liquor) in a month?
C135		How many glasses of Soju did you drink at a time? (unit: a glass)[1bottle = 6.5 glasses, a glass of Soju = 50cc] Average ______ glasses
C136		How often did you drink beer in a month?
C137		How many glasses of beer did you drink at a time? (unit: a glass)[IWER: If R answered a bottle, ask size of a bottle(500cc or 1.5L). And then calculate the number of glasses by a glass of beer(220cc). For example, two bottles of beer are about four glasses][1bottle = 2.5 glasses of beer, a glass of beer = 220cc]Average ______ glasses
C138		How often did you drink Makgeolli (rice wine) in a month?
C139		How many glasses of Makgeolli did you drink at a time? (unit: a glass) [IWER: 1 bottle = 7 glasses, a glass of Makgeoli = 240cc]Average ______ glasses
C140		How often did you drink whisky and other liquors in a month?
C141		How many glasses of whisky or liquor did you drink at a time? (unit: a glass)[IWER: a glass of whisky = 30cc, calculate the number of a glass by size of a bottle]Average ______ glasses
C142		How often did you drink wine in a month?
C143		How many glasses of wine did you drink at a time? (unit: a glass)[IWER: 1 bottle = 8 glasses, a glass of wine = 90cc]Average ______ glasses C.144. Have you ever felt that you should quit drinking?
C145		Has anyone complained about your drinking habit?
C146		Have people ever annoyed you by complaining about your drinking habit?
C147		Have you ever felt bad or guilty about drinking?
C148		Have you ever taken a drink first thing in the morning to calm your nerves or get rid of a hangover?
C149		Next I will ask you about your feelings and behavior during the last week. Please answer how often you felt or behaved in the following ways. How often did you felt that people gave you the cold shoulder in last week?
C150		How often did you felt sad last week?
C151		How often did you feel depressed last week?
C152		How often did you feel tired out or low in energy last week?
C153		How was your last week? How often did you feel pretty good?
C154		How often did you feel that people disliked you last week?
C155		How often did you have trouble falling asleep last week?
C156		How often did you feel satisfied overall last week?
C157		How often did you feel alone last week?
C158		How often did you feel down, no good or worthless last week?
C159		I have some questions about your health. How do you appreciate your health?
C160		[IWER: C1. HEALTH STATUS is completed. Please press save button. How often did R receive assistance in answering section C1‐HEALTH STATUS?]
C161		If proxy responded, what is the proxy's relationship to R?

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Start of C1. Health Status

C001 Next I have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor? view item details » NEXT I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. WOULD YOU SAY YOUR HEALTH IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR? 1 Excellent 2 Very good 3 Good 4 Fair 5 Poor

C159 I have some questions about your health. How do you appreciate your health? view item details » I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. HOW DO YOU APPRECIATE YOUR HEALTH? 1 Excellent 2 Very good 3 Good 4 Average 5 Bad

C002 How has your health status changed since the previous interview (____year__month__date)? view item details » HOW HAS YOUR HEALTH STATUS CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Greatly improved 2 Improved 3 Same 4 Worsened 5 Greatly worsened

C003 Have you ever received a disability diagnosis from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DISABILITY DIAGNOSIS FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes, received a disability diagnosis 5 No, haven't received a disability diagnosis

If Have you ever received a disability diagnosis from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes, received a disability diagnosis 5 No, haven't received a disability diagnosis »

	C004 What was your type of disability? Please choose all that apply. view item details » WHAT WAS YOUR TYPE OF DISABILITY? PLEASE CHOOSE ALL THAT APPLY. 1 Physical disability 2 Disability of brain lesion 3 Visual disability 4 Hearing disability 5 Speech disability 6 Kidney dysfunction 7 Cardiac dysfunction 8 Mental disorder 9 Others

C005 Does your health condition hamper you doing work? view item details » DOES YOUR HEALTH CONDITION HAMPER YOU DOING WORK? 1 Yes, very much so 2 Yes, to some degree 3 No, not much 4 No, not at all

If R DID NOT RECEIVE HIGH BP ON PREV INTERVIEW or DK or RF »

	C006 Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF HIGH BLOOD PRESSURE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

	If Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

		C007 When were you first diagnosed with hypertension? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH HYPERTENSION? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

Else

	C008 How have your symptoms of high blood pressure changed since the previous inrerview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF HIGH BLOOD PRESSURE CHANGED SINCE THE PREVIOUS INRERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

If Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)? view item details » != 5 »

	C009 Are you currently taking any medication or receiving treatment to lower your blood pressure? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT TO LOWER YOUR BLOOD PRESSURE? 1 Yes 5 No

	C010 Does your high blood pressure limit your daily activities? view item details » DOES YOUR HIGH BLOOD PRESSURE LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

Else

	C011 Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF DIABETES OR HIGH BLOOD SUGAR FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

	If Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

		C012 When were you first diagnosed with diabetes or high blood sugar? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH DIABETES OR HIGH BLOOD SUGAR? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

If Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)? view item details » != 5 »

	C013 How have your symptoms of diabetes or high blood sugar changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF DIABETES OR HIGH BLOOD SUGAR CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

	C014 Are you currently taking any medication or receiving treatment to treat your diabetes or stabilize your blood sugar level? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT TO TREAT YOUR DIABETES OR STABILIZE YOUR BLOOD SUGAR LEVEL? 1 Yes 5 No

	C015 Does your diabetes limit your daily activities? view item details » DOES YOUR DIABETES LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

If R DID NOT RECEIVE HIGH BP or DK or RF ON PREV INTERVIEW »

	C016 Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF CANCER OR A MALIGNANT TUMOR (EXCLUDING MINOR SKIN CANCER) FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)? 1 Yes 5 No

	If Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)? view item details » = 1 Yes 5 No »

		C017 When were you first diagnosed with cancer or a malignant tumor, excluding minor skin cancer? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

		C018 In which organ or part of your body do you have cancer? view item details » IN WHICH ORGAN OR PART OF YOUR BODY DO YOU HAVE CANCER? 1 Liver 2 Stomach 3 Lung 4 Colon 5 Thyroid 6 Breast 7 Cervix 8 Ovary 9 Prostate 10 Others

		If In which organ or part of your body do you have cancer? view item details » = 9 »

			C019 others, please specify. view item details » OTHERS, PLEASE SPECIFY.

Else

	C020 How have your symptoms of cancer or malignant tumor (excluding minor skin cancer) changed since the previous interview (____year__month__day)? view item details » HOW HAVE YOUR SYMPTOMS OF CANCER OR MALIGNANT TUMOR (EXCLUDING MINOR SKIN CANCER) CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

If Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)? view item details » != 5 »

	C021 Are you currently taking any medication to alleviate your symptoms (pain, nausea, rash, etc.) or receiving cancer treatment such as chemotherapy? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION TO ALLEVIATE YOUR SYMPTOMS (PAIN, NAUSEA, RASH, ETC.) OR RECEIVING CANCER TREATMENT SUCH AS CHEMOTHERAPY? 1 Yes 5 No

	C022 Does your cancer limit your daily activities? view item details » DOES YOUR CANCER LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

If R DID NOT RECEIVE DIAGNOSIS OF CHRONIC LUNG DISEASE or DK or RF = PREV INTERVIEW »

	C023 Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA, FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

	If Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

		C024 When were you first diagnosed with chronic lung disease, such as bronchitis or emphysema? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

If Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)? view item details » != 5 and When were you first diagnosed with chronic lung disease, such as bronchitis or emphysema? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » !was answered »

	C025 How have your symptoms of chronic lung disease, such as bronchitis or emphysema, changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA, CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

C026 Are you currently taking any medication or receiving treatment in relation to your lung disease? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT IN RELATION TO YOUR LUNG DISEASE? 1 Yes 5 No

C027 Does your lung condition limit your daily activities? view item details » DOES YOUR LUNG CONDITION LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

If R DID NOT RECEIVE DIAGNOSIS OF LIVER DISEASE or DK or RF = PREV INTERVIEW »

	C028 you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver) view item details » YOU EVER RECEIVED A DIAGNOSIS OF LIVER DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)? (ALL TYPES OF LIVER DISEASE EXCEPT FATTY LIVER) 1 Yes 5 No

	If you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver) view item details » = 1 Yes 5 No »

		C029 When were you first diagnosed with liver disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH LIVER DISEASE? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

If you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver) view item details » != 5 and When were you first diagnosed with liver disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » !was answered »

	C030 How have your symptoms of liver disease (All types of liver disease except fatty liver) changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF LIVER DISEASE (ALL TYPES OF LIVER DISEASE EXCEPT FATTY LIVER) CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

C031 Are you currently taking any medication or receiving treatment due to your liver disease? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR LIVER DISEASE? 1 Yes 5 No

C032 Does your liver disease limit your daily activities? view item details » DOES YOUR LIVER DISEASE LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

If R DID NOT RECEIVE A DIAGNOSIS OF A HEART DISEASE or DK or RF = PREV INTERVIEW »

	C033 Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF A HEART ATTACK, ANGINA PECTORIS, MYOCARDIAL INFARCTION, CONGESTIVE HEART FAILURE OR OTHER HEART DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)? 1 Yes 5 No

	If Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)? view item details » = 1 Yes 5 No »

		C034 were you first diagnosed with such heart disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WERE YOU FIRST DIAGNOSED WITH SUCH HEART DISEASE? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

If Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)? view item details » != 5 and Are you currently taking any medication or receiving treatment due to your heart disease? view item details » !was answered »

	C035 How have your symptoms of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or any other heart disease changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF A HEART ATTACK, ANGINA PECTORIS, MYOCARDIAL INFARCTION, CONGESTIVE HEART FAILURE OR ANY OTHER HEART DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

C036 Are you currently taking any medication or receiving treatment due to your heart disease? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR HEART DISEASE? 1 Yes 5 No

C037 Does your heart disease limit your daily activities? view item details » DOES YOUR HEART DISEASE LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

If R DID NOT RECEIVE A DIAGNOSIS OF CEREBROVASCULAR DISEASE or DK or RF = PREV INTERVIEW »

	C038 Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF CEREBROVASCULAR DISEASE (CEREBRAL APOPLEXY, CEREBRAL HEMORRHAGE, CEREBRAL INFARCTION, ETC.) FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 3 Possible stroke or transient ischemic attack 5 No

	If Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes 3 Possible stroke or transient ischemic attack 5 No or Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? view item details » = 3 »

		C039 were you first diagnosed with cerebrovascular disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WERE YOU FIRST DIAGNOSED WITH CEREBROVASCULAR DISEASE? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

If Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? view item details » != 5 and were you first diagnosed with cerebrovascular disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » !was answered »

	C040 How have your symptoms of cerebrovascular disease changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF CEREBROVASCULAR DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

C041 Are you currently taking any medication or receiving treatment due to your cerebrovascular disease or its complications? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR CEREBROVASCULAR DISEASE OR ITS COMPLICATIONS? 1 Yes 5 No

C042 Does your cerebrovascular disease limit your daily activities? view item details » DOES YOUR CEREBROVASCULAR DISEASE LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

If R NO PSYCHIATRIC / EMOTIONAL / NERVOUS or RF or DK »

	C043 Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF ANY EMOTIONAL (DEPRESSION, ANXIETY DISORDER, ETC.), NERVOUS (INSOMNIA, TOO MUCH STRESS, ETC.), OR PSYCHIATRIC (MENTAL DISORDER, DIFFICULTIES IN MAINTAINING INTERPERSONAL RELATIONSHIPS, ETC.) PROBLEMS FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

	If Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

		C044 When were you first diagnosed with such problems? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH SUCH PROBLEMS? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

If Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)? view item details » != 5 and When were you first diagnosed with such problems? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » !was answered »

	C045 How have your symptoms of emotional, nervous, or psychiatric problems changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

C046 Are you currently taking tranquilizers, antidepressants, sedatives or sleeping pills or receiving psychiatric or psychological treatment? view item details » ARE YOU CURRENTLY TAKING TRANQUILIZERS, ANTIDEPRESSANTS, SEDATIVES OR SLEEPING PILLS OR RECEIVING PSYCHIATRIC OR PSYCHOLOGICAL TREATMENT? 1 Yes 5 No

C047 Do your emotional, nervous or psychiatric problems limit your daily activities? view item details » DO YOUR EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

If R DIDNT RECEIVE ARTHRITIS or RHEUMATISM or DK or RF »

	C048 Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF ARTHRITIS OR RHEUMATISM FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

	If Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

		C049 When were you first diagnosed with arthritis or rheumatism? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH ARTHRITIS OR RHEUMATISM? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

If Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)? view item details » != 5 and When were you first diagnosed with arthritis or rheumatism? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » !was answered »

	C050 How have your symptoms of arthritis or rheumatism changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF ARTHRITIS OR RHEUMATISM CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

C051 Are you currently taking any medication or receiving treatment for your arthritis or rheumatism? view item details » ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT FOR YOUR ARTHRITIS OR RHEUMATISM? 1 Yes 5 No

C052 Does your arthritis or rheumatism limit your daily activities? view item details » DOES YOUR ARTHRITIS OR RHEUMATISM LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

C053 Have you ever been in a traffic accident and received medical treatment since the previous interview (____year__month__date)? view item details » HAVE YOU EVER BEEN IN A TRAFFIC ACCIDENT AND RECEIVED MEDICAL TREATMENT SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

If Have you ever been in a traffic accident and received medical treatment since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

	C054 When did you have the traffic accident? If you had more than two accidents, please answer about the most recent one. (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 20114 If the month is not clear, enter 201400.] view item details » WHEN DID YOU HAVE THE TRAFFIC ACCIDENT? IF YOU HAD MORE THAN TWO ACCIDENTS, PLEASE ANSWER ABOUT THE MOST RECENT ONE. (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 20114 IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

	C055 Does your injury caused by the traffic accident limit your daily activities? view item details » DOES YOUR INJURY CAUSED BY THE TRAFFIC ACCIDENT LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

C056 Have you ever fallen down since the previous interview (____year__month__date)? view item details » HAVE YOU EVER FALLEN DOWN SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

If Have you ever fallen down since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

	C057 How many times have you had a fall accident since the previous interview (____year__month__date)? (unit : a time)_____ times view item details » HOW MANY TIMES HAVE YOU HAD A FALL ACCIDENT SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? (UNIT : A TIME)_____ TIMES 1..100

	C058 In your most recent fall, did you injure yourself seriously enough to need medical treatment? view item details » IN YOUR MOST RECENT FALL, DID YOU INJURE YOURSELF SERIOUSLY ENOUGH TO NEED MEDICAL TREATMENT? 1 Yes 5 No

	C059 Have you ever fractured your hip due to a fall accident? view item details » HAVE YOU EVER FRACTURED YOUR HIP DUE TO A FALL ACCIDENT? 1 Yes 5 No

	C060 Does your injury or fracture due to the fall limit your daily activities? view item details » DOES YOUR INJURY OR FRACTURE DUE TO THE FALL LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

C061 How much do you usually worry about falling down? view item details » HOW MUCH DO YOU USUALLY WORRY ABOUT FALLING DOWN? 1 Not at all 3 A little bit 5 A lot

C062 Are there any activities that you refrain from doing due to the fear of falling down? view item details » ARE THERE ANY ACTIVITIES THAT YOU REFRAIN FROM DOING DUE TO THE FEAR OF FALLING DOWN? 1 Yes 5 No

If R IS MALE »

	If R SAID DIDNT RECEIVE A DIAGNOSIS OF PROSTATE CANCER or DK or RF »

		C063 Have you ever received a diagnosis of prostate disease from a doctor since the previous interview (____year__month__date)? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF PROSTATE DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

		If Have you ever received a diagnosis of prostate disease from a doctor since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No »

			C064 When were you first diagnosed with prostate disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH PROSTATE DISEASE? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

	If Have you ever received a diagnosis of prostate disease from a doctor since the previous interview (____year__month__date)? view item details » != 5 and When were you first diagnosed with prostate disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » !was answered »

		C065 How have your symptoms of prostate disease changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF PROSTATE DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

	C066 Are you currently taking any mediation or receiving treatment for your prostate disease? view item details » ARE YOU CURRENTLY TAKING ANY MEDIATION OR RECEIVING TREATMENT FOR YOUR PROSTATE DISEASE? 1 Yes 5 No

	C067 Does your prostate disease limit your daily activities? view item details » DOES YOUR PROSTATE DISEASE LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

Else

	If R SAID DIDNT RECEIVE A DIAGNOSIS OF URINARY INCONTINENCE or DK or RF »

		C068 The following questions may not be easy to answer. I would be grateful if you could answer them as honestly as possible. Did you ever experience urinary incontinence during the past one year? view item details » THE FOLLOWING QUESTIONS MAY NOT BE EASY TO ANSWER. I WOULD BE GRATEFUL IF YOU COULD ANSWER THEM AS HONESTLY AS POSSIBLE. DID YOU EVER EXPERIENCE URINARY INCONTINENCE DURING THE PAST ONE YEAR? 1 Yes 5 No

	Else

		C069 How have your symptoms of urinary incontinence changed since the previous interview (____year__month__date)? view item details » HOW HAVE YOUR SYMPTOMS OF URINARY INCONTINENCE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Completely recovered 2 Improved 3 Same 4 Worsened 5 Greatly worsened

	If The following questions may not be easy to answer. I would be grateful if you could answer them as honestly as possible. Did you ever experience urinary incontinence during the past one year? view item details » != 1 Yes 5 No »

		C070 How many days did you experience urinary inconsistence last month? (unit : a day)____ daysDon't know Refuse to answer view item details » HOW MANY DAYS DID YOU EXPERIENCE URINARY INCONSISTENCE LAST MONTH? (UNIT : A DAY)____ DAYSDON'T KNOW REFUSE TO ANSWER 0..31

		If How many days did you experience urinary inconsistence last month? (unit : a day)____ daysDon't know Refuse to answer view item details » was answered Don't know or How many days did you experience urinary inconsistence last month? (unit : a day)____ daysDon't know Refuse to answer view item details » was refused »

			C071 Was that more than 5 days? view item details » WAS THAT MORE THAN 5 DAYS? 1 Yes 5 No

			If Was that more than 5 days? view item details » = 1 Yes 5 No »

				C072 Was that more than 15 days? view item details » WAS THAT MORE THAN 15 DAYS? 1 Yes 5 No

		C073 Did you ever use any absorbent products, such as pads, special underwear, sanitary napkins, or toilet paper? view item details » DID YOU EVER USE ANY ABSORBENT PRODUCTS, SUCH AS PADS, SPECIAL UNDERWEAR, SANITARY NAPKINS, OR TOILET PAPER? 1 Yes 5 No

C074 Have you ever received a diagnosis of gastritis, stomach ulcer, duodenal ulcer from a doctor? view item details » HAVE YOU EVER RECEIVED A DIAGNOSIS OF GASTRITIS, STOMACH ULCER, DUODENAL ULCER FROM A DOCTOR? 1 Yes 5 No

If Have you ever received a diagnosis of gastritis, stomach ulcer, duodenal ulcer from a doctor? view item details » = 1 Yes 5 No or Have you ever received a diagnosis of gastritis, stomach ulcer, duodenal ulcer from a doctor? view item details » = 5 »

	C075 were you first diagnosed with diseases of the digestive system? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WERE YOU FIRST DIAGNOSED WITH DISEASES OF THE DIGESTIVE SYSTEM? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

	C076 Are you currently taking any mediation or receiving treatment for your diseases of the digestive system? view item details » ARE YOU CURRENTLY TAKING ANY MEDIATION OR RECEIVING TREATMENT FOR YOUR DISEASES OF THE DIGESTIVE SYSTEM? 1 Yes 5 No

	C077 Does your diseases of the digestive system limit your daily activities? view item details » DOES YOUR DISEASES OF THE DIGESTIVE SYSTEM LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

	C078 Slipped disc Have you ever received a diagnosis of a herminated cervical (lumber) disc from doctor? (Exclude backache or muscular pain.) view item details » SLIPPED DISC HAVE YOU EVER RECEIVED A DIAGNOSIS OF A HERMINATED CERVICAL (LUMBER) DISC FROM DOCTOR? (EXCLUDE BACKACHE OR MUSCULAR PAIN.) 1 Yes 5 No

	C079 When were you first diagnosed with slipped disc? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] view item details » WHEN WERE YOU FIRST DIAGNOSED WITH SLIPPED DISC? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.] 200600..201411

	C080 Are you currently taking any mediation or receiving treatment for your slipped disc? view item details » ARE YOU CURRENTLY TAKING ANY MEDIATION OR RECEIVING TREATMENT FOR YOUR SLIPPED DISC? 1 Yes 5 No

	C081 Does your diseases of your slipped disc limit your daily activities? view item details » DOES YOUR DISEASES OF YOUR SLIPPED DISC LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

C082 Now I have some questions about your eyesight. Do you usually wear glasses or corrective lens? view item details » NOW I HAVE SOME QUESTIONS ABOUT YOUR EYESIGHT. DO YOU USUALLY WEAR GLASSES OR CORRECTIVE LENS? 1 Yes 3 Visually disabled (blind) 5 No

If Now I have some questions about your eyesight. Do you usually wear glasses or corrective lens? view item details » != 3 »

	C083 How good is your eyesight (including corrected vision)? view item details » HOW GOOD IS YOUR EYESIGHT (INCLUDING CORRECTED VISION)? 1 Very good 2 Good 3 Fair 4 Poor 5 Very poor

	C084 How good is your eyesight (including corrected vision) for seeing things at a distance, like recognizing a friend across a street? view item details » HOW GOOD IS YOUR EYESIGHT (INCLUDING CORRECTED VISION) FOR SEEING THINGS AT A DISTANCE, LIKE RECOGNIZING A FRIEND ACROSS A STREET? 1 Very good 2 Good 3 Fair 4 Poor 5 Very poor

	C085 How good is your eyesight (including corrected vision) for seeing things up close, like reading a newspaper? view item details » HOW GOOD IS YOUR EYESIGHT (INCLUDING CORRECTED VISION) FOR SEEING THINGS UP CLOSE, LIKE READING A NEWSPAPER? 1 Very good 2 Good 3 Fair 4 Poor 5 Very poor

	C086 Have you ever had a cataract surgery since the previous interview? view item details » HAVE YOU EVER HAD A CATARACT SURGERY SINCE THE PREVIOUS INTERVIEW? 1 Yes 5 No

	If Have you ever had a cataract surgery since the previous interview? view item details » = 1 Yes 5 No »

		C087 Have you had a cataract surgery on both eyes or just one? view item details » HAVE YOU HAD A CATARACT SURGERY ON BOTH EYES OR JUST ONE? 1 One eye only 5 Both eyes

	C088 Has a doctor ever treated you for glaucoma since the previous interview? view item details » HAS A DOCTOR EVER TREATED YOU FOR GLAUCOMA SINCE THE PREVIOUS INTERVIEW? 1 Yes 5 No

	C089 Does your eyesight limit your daily activities? view item details » DOES YOUR EYESIGHT LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

C090 Now I have some questions about your hearing. Do you wear a hearing aid? view item details » NOW I HAVE SOME QUESTIONS ABOUT YOUR HEARING. DO YOU WEAR A HEARING AID? 1 Yes 5 No

C091 How good is your hearing? If you use a hearing aid, answer about your hearing when you wear it. view item details » HOW GOOD IS YOUR HEARING? IF YOU USE A HEARING AID, ANSWER ABOUT YOUR HEARING WHEN YOU WEAR IT. 1 Very good 2 Good 3 Fair 4 Poor 5 Very poor

C092 Does your hearing limit your daily activities? view item details » DOES YOUR HEARING LIMIT YOUR DAILY ACTIVITIES? 1 Yes 5 No

C093 Now I have some questions about your dental health. Do you wear dentures? view item details » NOW I HAVE SOME QUESTIONS ABOUT YOUR DENTAL HEALTH. DO YOU WEAR DENTURES? 1 Yes 5 No

If Now I have some questions about body pain. In what part of your body do you feel pain? Please list all body parts in which you are currently feeling pain. (Select multiple responses, but not with 14.) view item details » = 1 Head (Headache) 2 Shoulder 3 Arm 4 Wrist 5 Fingers 6 Chest 7 Stomach (Stomachache) 8 Back 9 Buttocks 10 Leg 11 Knee 12 Ankle 13 Toes 14 No pain »

	C097 How bad is the headache? view item details » HOW BAD IS THE HEADACHE? 1 Mild 3 Moderate 5 Severe

If 2 = C096 »

	C098 How bad is the shoulder pain? view item details » HOW BAD IS THE SHOULDER PAIN? 1 Mild 3 Moderate 5 Severe

If 3 = C096 »

	C099 How bad is the arm pain? view item details » HOW BAD IS THE ARM PAIN? 1 Mild 3 Moderate 5 Severe

If 4 = C096 »

	C100 How bad is the wrist pain? view item details » HOW BAD IS THE WRIST PAIN? 1 Mild 3 Moderate 5 Severe

If 5 = C096 »

	C101 How bad is the finger pain? view item details » HOW BAD IS THE FINGER PAIN? 1 Mild 3 Moderate 5 Severe

If 6 = C096 »

	C102 How bad is the chest pain? view item details » HOW BAD IS THE CHEST PAIN? 1 Mild 3 Moderate 5 Severe

If 7 = C096 »

	C103 How bad is the stomachache? view item details » HOW BAD IS THE STOMACHACHE? 1 Mild 3 Moderate 5 Severe

If 8 = C096 »

	C104 How bad is the back pain? view item details » HOW BAD IS THE BACK PAIN? 1 Mild 3 Moderate 5 Severe

If 9 = C096 »

	C105 How bad is the buttocks pain? view item details » HOW BAD IS THE BUTTOCKS PAIN? 1 Mild 3 Moderate 5 Severe

If 10 = C096 »

	C106 How bad is the leg pain? view item details » HOW BAD IS THE LEG PAIN? 1 Mild 3 Moderate 5 Severe

If 11 = C096 »

	C107 How bad is the knee pain? view item details » HOW BAD IS THE KNEE PAIN? 1 Mild 3 Moderate 5 Severe

If 12 = C096 »

	C108 How bad is the ankle pain? view item details » HOW BAD IS THE ANKLE PAIN? 1 Mild 3 Moderate 5 Severe

If 13 = C096 »

	C109 How bad is the toe pain? view item details » HOW BAD IS THE TOE PAIN? 1 Mild 3 Moderate 5 Severe

	C110 Does the pain make it difficult for you to do daily activities? view item details » DOES THE PAIN MAKE IT DIFFICULT FOR YOU TO DO DAILY ACTIVITIES? 1 Yes 5 No

If 14 = C096 »

	C111 Do you have any other disease or health problem we have not talked about so far? view item details » DO YOU HAVE ANY OTHER DISEASE OR HEALTH PROBLEM WE HAVE NOT TALKED ABOUT SO FAR? 1 Yes 5 No

If Do you have any other disease or health problem we have not talked about so far? view item details » = 1 Yes 5 No THRN

	C112 What is that other disease or health problem?____________________ view item details » WHAT IS THAT OTHER DISEASE OR HEALTH PROBLEM?____________________

C113 How much do you weigh? (unit: Kilogram)______kilograms view item details » HOW MUCH DO YOU WEIGH? (UNIT: KILOGRAM)______KILOGRAMS 30..200

C114 Did you gain or lose 5 or more kilograms during the past one year?Past one year means previous one year period from present. Not only 2013. view item details » DID YOU GAIN OR LOSE 5 OR MORE KILOGRAMS DURING THE PAST ONE YEAR?PAST ONE YEAR MEANS PREVIOUS ONE YEAR PERIOD FROM PRESENT. NOT ONLY 2013. 1 Yes, I gained weight 2 Yes, I lost weight 3 Yes, I gained weight and then lost it again 4 Yes, I lost weight and then gained it again 5 Changelessness

C115 How tall are you? (unit: Centimeter)______ centimeters view item details » HOW TALL ARE YOU? (UNIT: CENTIMETER)______ CENTIMETERS 70..210

C116 The next few questions are about exercise. Do you work out more than once a week? view item details » THE NEXT FEW QUESTIONS ARE ABOUT EXERCISE. DO YOU WORK OUT MORE THAN ONCE A WEEK? 1 Yes 5 No

If The next few questions are about exercise. Do you work out more than once a week? view item details » = 5 »

	C117 What is the main reason that you cannot exercise regularly? view item details » WHAT IS THE MAIN REASON THAT YOU CANNOT EXERCISE REGULARLY? 1 Too busy 2 No space or place to work out 3 Too lazy 4 Do not like exercise 5 Never thought about doing exercise 6 Others

	If What is the main reason that you cannot exercise regularly? view item details » = 6 »

		C118 If others, please specify. view item details »

If The next few questions are about exercise. Do you work out more than once a week? view item details » = 1 Yes 5 No »

	C119 How often do you work out per week? (unit : times/per week)______times / per week view item details » HOW OFTEN DO YOU WORK OUT PER WEEK? (UNIT : TIMES/PER WEEK)______TIMES / PER WEEK 1..97

	C120 How long do you work out per session? (unit : minutes)minutes view item details » HOW LONG DO YOU WORK OUT PER SESSION? (UNIT : MINUTES)MINUTES 1..1440

	C121 How long have you been working out regularly? view item details » HOW LONG HAVE YOU BEEN WORKING OUT REGULARLY? 1 Less than 3 months 2 4-6 months 3 7 months-1 year 4 1-2 years 5 2-3 years 6 3-4 years 7 4-5 years 8 5-6 years 9 6-7 years 10 More than 7 years

C122 Now I am going to ask you about the meals you had for the last two days. Did you have three meals yesterday? Choose all that apply. (Select multiple responses.)[IWER: Caution! Choose only the meals R actually had.] view item details » NOW I AM GOING TO ASK YOU ABOUT THE MEALS YOU HAD FOR THE LAST TWO DAYS. DID YOU HAVE THREE MEALS YESTERDAY? CHOOSE ALL THAT APPLY. (SELECT MULTIPLE RESPONSES.)[IWER: CAUTION! CHOOSE ONLY THE MEALS R ACTUALLY HAD.] 1 I had breakfast 2 I had lunch 3 I had dinner 4 I did not eat anything

C123 Did you have three meals the day before yesterday? Choose all that apply. (Select multiple responses.)[IWER: Caution! Choose only the meals R actually had.] view item details » DID YOU HAVE THREE MEALS THE DAY BEFORE YESTERDAY? CHOOSE ALL THAT APPLY. (SELECT MULTIPLE RESPONSES.)[IWER: CAUTION! CHOOSE ONLY THE MEALS R ACTUALLY HAD.] 1 I had breakfast 2 I had lunch 3 I had dinner 4 I did not eat anything

C124 Have you smoked more than 5 packs of cigarettes (100 cigarettes) in total since the previous interview (____year__month__date)? view item details » HAVE YOU SMOKED MORE THAN 5 PACKS OF CIGARETTES (100 CIGARETTES) IN TOTAL SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? 1 Yes 5 No

If Have you smoked more than 5 packs of cigarettes (100 cigarettes) in total since the previous interview (____year__month__date)? view item details » = 1 Yes 5 No OR »

	C125 Do you smoke cigarettes now? view item details » DO YOU SMOKE CIGARETTES NOW? 1 Yes 5 No

	If Do you smoke cigarettes now? view item details » = 1 Yes 5 No and R WAS NOT A SMOKER »

		C126 When did you first start smoking?(unit: : year and month combined into 6 digits)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R started smoking in March 2014.] view item details » WHEN DID YOU FIRST START SMOKING?(UNIT: : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R STARTED SMOKING IN MARCH 2014.] 200600..201411

	Else If Do you smoke cigarettes now? view item details » = 1 Yes 5 No »

		C127 How many cigarettes or packs do you usually smoke in a day now? (unit: a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs]______ cigarettes / days view item details » HOW MANY CIGARETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY NOW? (UNIT: A CIGARETTE)[IWER: ONE PACK IS 20 CIGARETTES. FOR EXAMPLE, MARK 30 FOR ONE AND A HALF PACKS]______ CIGARETTES / DAYS 1..100

	If Do you smoke cigarettes now? view item details » = 5 and R WAS A SMOKER »

		C128 When you were smoking the most, how many cigarettes or packs did you usually smoke in a day? (unit : a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs.]______cigarettes / days view item details » WHEN YOU WERE SMOKING THE MOST, HOW MANY CIGARETTES OR PACKS DID YOU USUALLY SMOKE IN A DAY? (UNIT : A CIGARETTE)[IWER: ONE PACK IS 20 CIGARETTES. FOR EXAMPLE, MARK 30 FOR ONE AND A HALF PACKS.]______CIGARETTES / DAYS 1..200

Else If Have you smoked more than 5 packs of cigarettes (100 cigarettes) in total since the previous interview (____year__month__date)? view item details » = 5 and R WAS A SMOKER »

	C129 When did you stop smoking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.] view item details » WHEN DID YOU STOP SMOKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS. E.G. 198903)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R QUITTED SMOKING IN MARCH 2014.] 200600..201411

C130 Do you sometimes or often drink any alcoholic beverages, such as Soju, beer, Makgeolli (rice wine), or liquor? view item details » DO YOU SOMETIMES OR OFTEN DRINK ANY ALCOHOLIC BEVERAGES, SUCH AS SOJU, BEER, MAKGEOLLI (RICE WINE), OR LIQUOR? 1 Yes 5 No

If Do you sometimes or often drink any alcoholic beverages, such as Soju, beer, Makgeolli (rice wine), or liquor? view item details » = 5 »

	If (R DRANK PREV INTERVIEW) and C130 = 5 »

		C131 When did you quit drinking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.] view item details » WHEN DID YOU QUIT DRINKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS. E.G. 198903)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R QUITTED SMOKING IN MARCH 2014.] 200600..201411

Else

	If (R NOT DRANK PREV INTERVIEW) and C130 = 1 »

		C132 When did you start drinking? (unit: year and month combined into 6 digits)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R started drinking in March 2014.] view item details » WHEN DID YOU START DRINKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R STARTED DRINKING IN MARCH 2014.] 200600..201411

	If (R DRANK PREV INTERVIEW) and C130 = 1 »

		C133 Now, I am going to ask you how often and how much you drank during the past one year. Please answer how often you drank per month, and how much you drank at a time on average. I will repeat the questions for different types of alcoholic beverages. view item details » NOW, I AM GOING TO ASK YOU HOW OFTEN AND HOW MUCH YOU DRANK DURING THE PAST ONE YEAR. PLEASE ANSWER HOW OFTEN YOU DRANK PER MONTH, AND HOW MUCH YOU DRANK AT A TIME ON AVERAGE. I WILL REPEAT THE QUESTIONS FOR DIFFERENT TYPES OF ALCOHOLIC BEVERAGES. 1 Confirm

	C134 How often did you drink Soju (Korean liquor) in a month? view item details » HOW OFTEN DID YOU DRINK SOJU (KOREAN LIQUOR) IN A MONTH? 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day

	C135 How many glasses of Soju did you drink at a time? (unit: a glass)[1bottle = 6.5 glasses, a glass of Soju = 50cc] Average ______ glasses view item details » HOW MANY GLASSES OF SOJU DID YOU DRINK AT A TIME? (UNIT: A GLASS)[1BOTTLE = 6.5 GLASSES, A GLASS OF SOJU = 50CC] AVERAGE ______ GLASSES

	C136 How often did you drink beer in a month? view item details » HOW OFTEN DID YOU DRINK BEER IN A MONTH? 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day

	If How often did you drink beer in a month? view item details » != 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day »

		C137 How many glasses of beer did you drink at a time? (unit: a glass)[IWER: If R answered a bottle, ask size of a bottle(500cc or 1.5L). And then calculate the number of glasses by a glass of beer(220cc). For example, two bottles of beer are about four glasses][1bottle = 2.5 glasses of beer, a glass of beer = 220cc]Average ______ glasses view item details » HOW MANY GLASSES OF BEER DID YOU DRINK AT A TIME? (UNIT: A GLASS)[IWER: IF R ANSWERED A BOTTLE, ASK SIZE OF A BOTTLE(500CC OR 1.5L). AND THEN CALCULATE THE NUMBER OF GLASSES BY A GLASS OF BEER(220CC). FOR EXAMPLE, TWO BOTTLES OF BEER ARE ABOUT FOUR GLASSES][1BOTTLE = 2.5 GLASSES OF BEER, A GLASS OF BEER = 220CC]AVERAGE ______ GLASSES

	C128 When you were smoking the most, how many cigarettes or packs did you usually smoke in a day? (unit : a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs.]______cigarettes / days view item details » WHEN YOU WERE SMOKING THE MOST, HOW MANY CIGARETTES OR PACKS DID YOU USUALLY SMOKE IN A DAY? (UNIT : A CIGARETTE)[IWER: ONE PACK IS 20 CIGARETTES. FOR EXAMPLE, MARK 30 FOR ONE AND A HALF PACKS.]______CIGARETTES / DAYS 1..200

	If How often did you drink Makgeolli (rice wine) in a month? view item details » != 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day »

		C129 When did you stop smoking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.] view item details » WHEN DID YOU STOP SMOKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS. E.G. 198903)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R QUITTED SMOKING IN MARCH 2014.] 200600..201411

	C140 How often did you drink whisky and other liquors in a month? view item details » HOW OFTEN DID YOU DRINK WHISKY AND OTHER LIQUORS IN A MONTH? 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day

	If How often did you drink whisky and other liquors in a month? view item details » != 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day »

		C141 How many glasses of whisky or liquor did you drink at a time? (unit: a glass)[IWER: a glass of whisky = 30cc, calculate the number of a glass by size of a bottle]Average ______ glasses view item details » HOW MANY GLASSES OF WHISKY OR LIQUOR DID YOU DRINK AT A TIME? (UNIT: A GLASS)[IWER: A GLASS OF WHISKY = 30CC, CALCULATE THE NUMBER OF A GLASS BY SIZE OF A BOTTLE]AVERAGE ______ GLASSES

	C142 How often did you drink wine in a month? view item details » HOW OFTEN DID YOU DRINK WINE IN A MONTH? 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day

	If How often did you drink wine in a month? view item details » != 1 None or less than once a month 2 Once a month 3 2-3 times a month 4 Once a week 5 2-3 times a week 6 4-6 times a week 7 Once a day 8 More than twice a day »

		C143 How many glasses of wine did you drink at a time? (unit: a glass)[IWER: 1 bottle = 8 glasses, a glass of wine = 90cc]Average ______ glasses C.144. Have you ever felt that you should quit drinking? view item details » HOW MANY GLASSES OF WINE DID YOU DRINK AT A TIME? (UNIT: A GLASS)[IWER: 1 BOTTLE = 8 GLASSES, A GLASS OF WINE = 90CC]AVERAGE ______ GLASSES C.144. HAVE YOU EVER FELT THAT YOU SHOULD QUIT DRINKING? 1 Yes 5 No

	C144

	C145 Has anyone complained about your drinking habit? view item details » HAS ANYONE COMPLAINED ABOUT YOUR DRINKING HABIT? 1 Yes 5 No

	If Has anyone complained about your drinking habit? view item details » = 1 Yes 5 No »

		C146 Have people ever annoyed you by complaining about your drinking habit? view item details » HAVE PEOPLE EVER ANNOYED YOU BY COMPLAINING ABOUT YOUR DRINKING HABIT? 1 Yes 5 No

	C147 Have you ever felt bad or guilty about drinking? view item details » HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING? 1 Yes 5 No

	If Have you ever felt bad or guilty about drinking? view item details » = 1 Yes 5 No »

		C148 Have you ever taken a drink first thing in the morning to calm your nerves or get rid of a hangover? view item details » HAVE YOU EVER TAKEN A DRINK FIRST THING IN THE MORNING TO CALM YOUR NERVES OR GET RID OF A HANGOVER? 1 Yes 5 No

C149 Next I will ask you about your feelings and behavior during the last week. Please answer how often you felt or behaved in the following ways. How often did you felt that people gave you the cold shoulder in last week? view item details » NEXT I WILL ASK YOU ABOUT YOUR FEELINGS AND BEHAVIOR DURING THE LAST WEEK. PLEASE ANSWER HOW OFTEN YOU FELT OR BEHAVED IN THE FOLLOWING WAYS. HOW OFTEN DID YOU FELT THAT PEOPLE GAVE YOU THE COLD SHOULDER IN LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C150 How often did you felt sad last week? view item details » HOW OFTEN DID YOU FELT SAD LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C151 How often did you feel depressed last week? view item details » HOW OFTEN DID YOU FEEL DEPRESSED LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C152 How often did you feel tired out or low in energy last week? view item details » HOW OFTEN DID YOU FEEL TIRED OUT OR LOW IN ENERGY LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C153 How was your last week? How often did you feel pretty good? view item details » HOW WAS YOUR LAST WEEK? HOW OFTEN DID YOU FEEL PRETTY GOOD? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C154 How often did you feel that people disliked you last week? view item details » HOW OFTEN DID YOU FEEL THAT PEOPLE DISLIKED YOU LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C155 How often did you have trouble falling asleep last week? view item details » HOW OFTEN DID YOU HAVE TROUBLE FALLING ASLEEP LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C156 How often did you feel satisfied overall last week? view item details » HOW OFTEN DID YOU FEEL SATISFIED OVERALL LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C157 How often did you feel alone last week? view item details » HOW OFTEN DID YOU FEEL ALONE LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C158 How often did you feel down, no good or worthless last week? view item details » HOW OFTEN DID YOU FEEL DOWN, NO GOOD OR WORTHLESS LAST WEEK? 1 Very rarely (less than one day) 2 Sometimes (1-2 days) 3 Often (3-4 days) 4 Almost always (5-7 days)

C159 I have some questions about your health. How do you appreciate your health? view item details » I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. HOW DO YOU APPRECIATE YOUR HEALTH? 1 Excellent 2 Very good 3 Good 4 Average 5 Bad

C160 [IWER: C1. HEALTH STATUS is completed. Please press save button. How often did R receive assistance in answering section C1‐HEALTH STATUS?] view item details » [IWER: C1. HEALTH STATUS IS COMPLETED. PLEASE PRESS SAVE BUTTON. HOW OFTEN DID R RECEIVE ASSISTANCE IN ANSWERING SECTION C1‐HEALTH STATUS?] 1 Never 2 A few times 3 Most or all of the time 4 The section was done by a proxy respondent.

C161 If proxy responded, what is the proxy's relationship to R? view item details » IF PROXY RESPONDED, WHAT IS THE PROXY'S RELATIONSHIP TO R? 1 Spouse 2 Mother 3 Father 6 Brother/sister 8 Son/daughter 9 Son-in-law/sister-in-law 10 Grandchild 11 Other relatives

End of C1. Health Status

Start of C1. Health Status

========================================================================

C001

Next I have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor?

NEXT I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. WOULD YOU SAY YOUR HEALTH IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor

========================================================================

C159

I have some questions about your health. How do you appreciate your health?

I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. HOW DO YOU APPRECIATE YOUR HEALTH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Excellent
2 Very good
3 Good
4 Average
5 Bad

========================================================================

C002

How has your health status changed since the previous interview (____year__month__date)?

HOW HAS YOUR HEALTH STATUS CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Greatly improved
2 Improved
3 Same
4 Worsened
5 Greatly worsened

========================================================================

C003

Have you ever received a disability diagnosis from a doctor since the previous interview (____year__month__date)?

HAVE YOU EVER RECEIVED A DISABILITY DIAGNOSIS FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, received a disability diagnosis
5 No, haven't received a disability diagnosis

If Have you ever received a disability diagnosis from a doctor since the previous interview (____year__month__date)? (C003) = 1 Yes, received a disability diagnosis 5 No, haven't received a disability diagnosis »

| ========================================================================

C004

What was your type of disability? Please choose all that apply.

WHAT WAS YOUR TYPE OF DISABILITY? PLEASE CHOOSE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Physical disability
2 Disability of brain lesion
3 Visual disability
4 Hearing disability
5 Speech disability
6 Kidney dysfunction
7 Cardiac dysfunction
8 Mental disorder
9 Others

========================================================================

C005

Does your health condition hamper you doing work?

DOES YOUR HEALTH CONDITION HAMPER YOU DOING WORK?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, very much so
2 Yes, to some degree
3 No, not much
4 No, not at all

If R DID NOT RECEIVE HIGH BP ON PREV INTERVIEW or DK or RF »

| ========================================================================

C006

Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF HIGH BLOOD PRESSURE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)? (C006) = 1 Yes 5 No »

| | ========================================================================

| |

C007

When were you first diagnosed with hypertension? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WHEN WERE YOU FIRST DIAGNOSED WITH HYPERTENSION? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

Else

| ========================================================================

C008

How have your symptoms of high blood pressure changed since the previous inrerview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF HIGH BLOOD PRESSURE CHANGED SINCE THE PREVIOUS INRERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

If Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)? (C006) != 5 »

| ========================================================================

C009

Are you currently taking any medication or receiving treatment to lower your blood pressure?

ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT TO LOWER YOUR BLOOD PRESSURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| ========================================================================

C010

Does your high blood pressure limit your daily activities?

DOES YOUR HIGH BLOOD PRESSURE LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

Else

| ========================================================================

C011

Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF DIABETES OR HIGH BLOOD SUGAR FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)? (C011) = 1 Yes 5 No »

| | ========================================================================

| |

C012

When were you first diagnosed with diabetes or high blood sugar? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WHEN WERE YOU FIRST DIAGNOSED WITH DIABETES OR HIGH BLOOD SUGAR? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

If Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)? (C011) != 5 »

| ========================================================================

C013

How have your symptoms of diabetes or high blood sugar changed since the previous interview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF DIABETES OR HIGH BLOOD SUGAR CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

| ========================================================================

C014

Are you currently taking any medication or receiving treatment to treat your diabetes or stabilize your blood sugar level?

ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT TO TREAT YOUR DIABETES OR STABILIZE YOUR BLOOD SUGAR LEVEL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| ========================================================================

C015

Does your diabetes limit your daily activities?

DOES YOUR DIABETES LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If R DID NOT RECEIVE HIGH BP or DK or RF ON PREV INTERVIEW »

| ========================================================================

C016

Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF CANCER OR A MALIGNANT TUMOR (EXCLUDING MINOR SKIN CANCER) FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)? (C016) = 1 Yes 5 No »

| | ========================================================================

| |

C017

When were you first diagnosed with cancer or a malignant tumor, excluding minor skin cancer? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WHEN WERE YOU FIRST DIAGNOSED WITH CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

| | ========================================================================

| |

C018

In which organ or part of your body do you have cancer?

IN WHICH ORGAN OR PART OF YOUR BODY DO YOU HAVE CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Liver
2 Stomach
3 Lung
4 Colon
5 Thyroid
6 Breast
7 Cervix
8 Ovary
9 Prostate
10 Others

| | If In which organ or part of your body do you have cancer? (C018) = 9 »

| | | ========================================================================

| | |

C019

others, please specify.

OTHERS, PLEASE SPECIFY.

Else

| ========================================================================

C020

How have your symptoms of cancer or malignant tumor (excluding minor skin cancer) changed since the previous interview (____year__month__day)?

HOW HAVE YOUR SYMPTOMS OF CANCER OR MALIGNANT TUMOR (EXCLUDING MINOR SKIN CANCER) CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

If Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)? (C016) != 5 »

| ========================================================================

C021

Are you currently taking any medication to alleviate your symptoms (pain, nausea, rash, etc.) or receiving cancer treatment such as chemotherapy?

ARE YOU CURRENTLY TAKING ANY MEDICATION TO ALLEVIATE YOUR SYMPTOMS (PAIN, NAUSEA, RASH, ETC.) OR RECEIVING CANCER TREATMENT SUCH AS CHEMOTHERAPY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| ========================================================================

C022

Does your cancer limit your daily activities?

DOES YOUR CANCER LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If R DID NOT RECEIVE DIAGNOSIS OF CHRONIC LUNG DISEASE or DK or RF = PREV INTERVIEW »

| ========================================================================

C023

Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA, FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)? (C023) = 1 Yes 5 No »

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| |

C024

When were you first diagnosed with chronic lung disease, such as bronchitis or emphysema? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WHEN WERE YOU FIRST DIAGNOSED WITH CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

If Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)? (C023) != 5 and When were you first diagnosed with chronic lung disease, such as bronchitis or emphysema? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] (C024) !was answered »

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C025

How have your symptoms of chronic lung disease, such as bronchitis or emphysema, changed since the previous interview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA, CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

========================================================================

C026

Are you currently taking any medication or receiving treatment in relation to your lung disease?

ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT IN RELATION TO YOUR LUNG DISEASE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

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C027

Does your lung condition limit your daily activities?

DOES YOUR LUNG CONDITION LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If R DID NOT RECEIVE DIAGNOSIS OF LIVER DISEASE or DK or RF = PREV INTERVIEW »

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C028

you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver)

YOU EVER RECEIVED A DIAGNOSIS OF LIVER DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)? (ALL TYPES OF LIVER DISEASE EXCEPT FATTY LIVER)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver) (C028) = 1 Yes 5 No »

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| |

C029

When were you first diagnosed with liver disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WHEN WERE YOU FIRST DIAGNOSED WITH LIVER DISEASE? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

If you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver) (C028) != 5 and When were you first diagnosed with liver disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] (C029) !was answered »

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C030

How have your symptoms of liver disease (All types of liver disease except fatty liver) changed since the previous interview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF LIVER DISEASE (ALL TYPES OF LIVER DISEASE EXCEPT FATTY LIVER) CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

========================================================================

C031

Are you currently taking any medication or receiving treatment due to your liver disease?

ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR LIVER DISEASE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

========================================================================

C032

Does your liver disease limit your daily activities?

DOES YOUR LIVER DISEASE LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If R DID NOT RECEIVE A DIAGNOSIS OF A HEART DISEASE or DK or RF = PREV INTERVIEW »

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C033

Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF A HEART ATTACK, ANGINA PECTORIS, MYOCARDIAL INFARCTION, CONGESTIVE HEART FAILURE OR OTHER HEART DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)? (C033) = 1 Yes 5 No »

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| |

C034

were you first diagnosed with such heart disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WERE YOU FIRST DIAGNOSED WITH SUCH HEART DISEASE? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

If Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)? (C033) != 5 and Are you currently taking any medication or receiving treatment due to your heart disease? (C036) !was answered »

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C035

How have your symptoms of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or any other heart disease changed since the previous interview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF A HEART ATTACK, ANGINA PECTORIS, MYOCARDIAL INFARCTION, CONGESTIVE HEART FAILURE OR ANY OTHER HEART DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

========================================================================

C036

Are you currently taking any medication or receiving treatment due to your heart disease?

ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR HEART DISEASE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

========================================================================

C037

Does your heart disease limit your daily activities?

DOES YOUR HEART DISEASE LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If R DID NOT RECEIVE A DIAGNOSIS OF CEREBROVASCULAR DISEASE or DK or RF = PREV INTERVIEW »

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C038

Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF CEREBROVASCULAR DISEASE (CEREBRAL APOPLEXY, CEREBRAL HEMORRHAGE, CEREBRAL INFARCTION, ETC.) FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
3 Possible stroke or transient ischemic attack
5 No

| If Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? (C038) = 1 Yes 3 Possible stroke or transient ischemic attack 5 No or Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? (C038) = 3 »

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| |

C039

were you first diagnosed with cerebrovascular disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WERE YOU FIRST DIAGNOSED WITH CEREBROVASCULAR DISEASE? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

If Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? (C038) != 5 and were you first diagnosed with cerebrovascular disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] (C039) !was answered »

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C040

How have your symptoms of cerebrovascular disease changed since the previous interview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF CEREBROVASCULAR DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

========================================================================

C041

Are you currently taking any medication or receiving treatment due to your cerebrovascular disease or its complications?

ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR CEREBROVASCULAR DISEASE OR ITS COMPLICATIONS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

========================================================================

C042

Does your cerebrovascular disease limit your daily activities?

DOES YOUR CEREBROVASCULAR DISEASE LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If R NO PSYCHIATRIC / EMOTIONAL / NERVOUS or RF or DK »

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C043

Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF ANY EMOTIONAL (DEPRESSION, ANXIETY DISORDER, ETC.), NERVOUS (INSOMNIA, TOO MUCH STRESS, ETC.), OR PSYCHIATRIC (MENTAL DISORDER, DIFFICULTIES IN MAINTAINING INTERPERSONAL RELATIONSHIPS, ETC.) PROBLEMS FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)? (C043) = 1 Yes 5 No »

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| |

C044

When were you first diagnosed with such problems? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WHEN WERE YOU FIRST DIAGNOSED WITH SUCH PROBLEMS? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

If Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)? (C043) != 5 and When were you first diagnosed with such problems? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] (C044) !was answered »

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C045

How have your symptoms of emotional, nervous, or psychiatric problems changed since the previous interview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

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C046

Are you currently taking tranquilizers, antidepressants, sedatives or sleeping pills or receiving psychiatric or psychological treatment?

ARE YOU CURRENTLY TAKING TRANQUILIZERS, ANTIDEPRESSANTS, SEDATIVES OR SLEEPING PILLS OR RECEIVING PSYCHIATRIC OR PSYCHOLOGICAL TREATMENT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

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C047

Do your emotional, nervous or psychiatric problems limit your daily activities?

DO YOUR EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If R DIDNT RECEIVE ARTHRITIS or RHEUMATISM or DK or RF »

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C048

Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)?

HAVE YOU EVER RECEIVED A DIAGNOSIS OF ARTHRITIS OR RHEUMATISM FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

| If Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)? (C048) = 1 Yes 5 No »

| | ========================================================================

| |

C049

When were you first diagnosed with arthritis or rheumatism? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]

WHEN WERE YOU FIRST DIAGNOSED WITH ARTHRITIS OR RHEUMATISM? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

If Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)? (C048) != 5 and When were you first diagnosed with arthritis or rheumatism? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] (C049) !was answered »

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C050

How have your symptoms of arthritis or rheumatism changed since the previous interview (____year__month__date)?

HOW HAVE YOUR SYMPTOMS OF ARTHRITIS OR RHEUMATISM CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened

========================================================================

C051

Are you currently taking any medication or receiving treatment for your arthritis or rheumatism?

ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT FOR YOUR ARTHRITIS OR RHEUMATISM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

========================================================================

C052

Does your arthritis or rheumatism limit your daily activities?

DOES YOUR ARTHRITIS OR RHEUMATISM LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

========================================================================

C053

Have you ever been in a traffic accident and received medical treatment since the previous interview (____year__month__date)?

HAVE YOU EVER BEEN IN A TRAFFIC ACCIDENT AND RECEIVED MEDICAL TREATMENT SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If Have you ever been in a traffic accident and received medical treatment since the previous interview (____year__month__date)? (C053) = 1 Yes 5 No »

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C054

When did you have the traffic accident? If you had more than two accidents, please answer about the most recent one. (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 20114 If the month is not clear, enter 201400.]

WHEN DID YOU HAVE THE TRAFFIC ACCIDENT? IF YOU HAD MORE THAN TWO ACCIDENTS, PLEASE ANSWER ABOUT THE MOST RECENT ONE. (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 20114 IF THE MONTH IS NOT CLEAR, ENTER 201400.]
- - - - - - - - - - - - - - - - - - - - - - - - -
200600..201411

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C055

Does your injury caused by the traffic accident limit your daily activities?

DOES YOUR INJURY CAUSED BY THE TRAFFIC ACCIDENT LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

========================================================================

C056

Have you ever fallen down since the previous interview (____year__month__date)?

HAVE YOU EVER FALLEN DOWN SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

If Have you ever fallen down since the previous interview (____year__month__date)? (C056) = 1 Yes 5 No »

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C057

How many times have you had a fall accident since the previous interview (____year__month__date)? (unit : a time)_____ times

HOW MANY TIMES HAVE YOU HAD A FALL ACCIDENT SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? (UNIT : A TIME)_____ TIMES
- - - - - - - - - - - - - - - - - - - - - - - - -
1..100

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C058

In your most recent fall, did you injure yourself seriously enough to need medical treatment?

IN YOUR MOST RECENT FALL, DID YOU INJURE YOURSELF SERIOUSLY ENOUGH TO NEED MEDICAL TREATMENT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

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C059

Have you ever fractured your hip due to a fall accident?

HAVE YOU EVER FRACTURED YOUR HIP DUE TO A FALL ACCIDENT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

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C060

Does your injury or fracture due to the fall limit your daily activities?

DOES YOUR INJURY OR FRACTURE DUE TO THE FALL LIMIT YOUR DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No

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C061

How much do you usually worry about falling down?

HOW MUCH DO YOU USUALLY WORRY ABOUT FALLING DOWN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Not at all
3 A little bit
5 A lot

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C062

Are there any activities that you refrain from doing due to the fear of falling down?

ARE THERE ANY ACTIVITIES THAT YOU REFRAIN FROM DOING DUE TO THE FEAR OF FALLING DOWN?

Home » Surveys at a Glance » KLoSA » KLoSA 2014 » C1. Health Status

C1. Health Status