LH1_17
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From when you were born to age 50, did you ever live outside the United States for 6 months or more? |
LH1A_17
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Besides the U.S., how many different countries did you live in for 6 months or more from birth to age 50? |
LH1B_1_17
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Did you live outside the U.S. for 6 months or more before the age of 10? |
LH1B_2_17
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Did you live outside the U.S. for 6 months or more between age 10 and 17? |
LH1B_3_17
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Did you live outside the U.S. for 6 months or more between age 18 and 25? |
LH1B_4_17
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Did you live outside the U.S. for 6 months or more between age 26 and 50? |
LH2A_17
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Before you were age 16, did you ever live in a children's home or orphanage? |
LH2B_17
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Before you were age 16, did you ever live with a foster family or in a foster home? |
LH2C_17
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Before you were age 16, did you ever live in a boarding school? |
LH2D_17
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Before you were age 16, did your biological or adoptive parents separate or divorce? |
LH2E_17
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Before you were age 16, did one or both of your biological or adoptive parents die? |
LH2F_17
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Before you were age 16, did one or more of your siblings die? |
LH2G_17
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Before you were age 16, were you ever separated from your mother for 6 months or longer? |
LH2H_17
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Before you were age 16, were you ever separated from your father for 6 months or longer? |
LH2i_17
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Before you were age 16, were your grandparent(s) ever your primary caregivers? |
LH3_17
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How old were you when you first stopped living with your parent(s) or guardian(s) to live on your own or establish your own home? |
LH4A_17
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Before you were age 50, were you ever in a jail, prison, or a detention center for more than 3 days? |
LH4B_17
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Before you were age 50, were you ever a long-term inpatient in a hospital for 1 month or more? |
LH4C_17
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Before you were age 50, did you ever live in a combat zone? |
LH4D_17
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Before you were age 50, did you ever live on a military base or in military housing? |
LH4E_17
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Before you were age 50, were you ever homeless for 1 month or more? |
LH4F_17
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Before you were age 50, were you ever a long-term patient for 1 month or more in a clinic for a mental, emotional, or substance abuse problem? |
LH4G_17
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Before you were age 50, were you ever displaced from your home for more than 3 days because of a natural disaster? (e.g., earthquake, tornado, flood) |
LH5A_17
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please fill in as much information as you can about all the places that you have lived for one year or more from when you were born until now. To begin, please enter the year of your birth and the place where you lived when you were born. Beginning in #2, |
LH5B_17
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Please fill in as much information as you can about all the places that you have lived for one year or more from when you were born until now. To begin, please enter the year of your birth and the place where you lived when you were born. Beginning in #2, |
LH5C_17
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Please fill in as much information as you can about all the places that you have lived for one year or more from when you were born until now. To begin, please enter the year of your birth and the place where you lived when you were born. Beginning in #2, |
LH5D_17
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Please fill in as much information as you can about all the places that you have lived for one year or more from when you were born until now. To begin, please enter the year of your birth and the place where you lived when you were born. Beginning in #2, |
LH5E_17
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Please fill in as much information as you can about all the places that you have lived for one year or more from when you were born until now. To begin, please enter the year of your birth and the place where you lived when you were born. Beginning in #2, |
LH5F_17
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Did you or your family own or rent this residence? |
LH6_17
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Who lived with you when you were 10? [Check all that apply] |
LH7_17
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Including you, how many people lived in your household when you were 10? |
LH8_17
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How many bedrooms were there when you were 10? |
LH9_17
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What type of residence was it when you were 10? |
LH10_17
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When you were 10, how much did you feel part of your local area? (That is, the area within a 20 minute walk or about a mile of your home.) [Check one box] The closer your mark is to a statement, the more strongly you agree with it. |
LH11_17
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When you were 10 years old, approximately how many books were in the place you lived? Do not count magazines, newspapers, or your school books. [Check one box] |
LH12_17
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Which of the following best describes the language(s) spoken in your household when you were growing up, before you were age 18? Count only the language(s) used on a regular basis. [Check one box] |
LH13_17
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How old were you when you started your first full-time job? |
LH14_17
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Who lived with you when you started your first full-time job? |
LH15_17
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Including you, how many people lived in your household when you started your first full-time job? |
LH16_17
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What type of residence did you live in when you started your first job? |
LH17_17
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When you started your first full-time job, how much did you feel part of your local area? (That is, the area within a 20 minute walk or about a mile of your home.) The closer your mark is to a statement, the more strongly you agree with it. |
LH18_17
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Who lived with you when you were 40? [Check all that apply] |
LH19_17
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|
Including you, how many people lived in your household when you were 40? |
LH20__17
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What type of residence was it? |
LH21_17
|
|
When you were 40 years old, how much did you feel part of your local area? (That is, the area within a 20 minute walk or about a mile of your home.) [Check one box] The closer your mark is to a statement, the more strongly you agree with it. |
LH22A_17
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In the table below, please list all of the names of the PRIMARY, ELEMENTARY, MIDDLE, JUNIOR HIGH, AND HIGH SCHOOLS that you attended. Write “0” as the Grade for Kindergarten. Use one line for each school. If you attended the same school from Kindergarten |
LH22B_17
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In the table below, please list all of the names of the PRIMARY, ELEMENTARY, MIDDLE, JUNIOR HIGH, AND HIGH SCHOOLS that you attended. Write “0” as the Grade for Kindergarten. Use one line for each school. If you attended the same school from Kindergarten |
LH22C_17
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|
In the table below, please list all of the names of the PRIMARY, ELEMENTARY, MIDDLE, JUNIOR HIGH, AND HIGH SCHOOLS that you attended. Write “0” as the Grade for Kindergarten. Use one line for each school. If you attended the same school from Kindergarten |
LH22D_17
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In the table below, please list all of the names of the PRIMARY, ELEMENTARY, MIDDLE, JUNIOR HIGH, AND HIGH SCHOOLS that you attended. Write “0” as the Grade for Kindergarten. Use one line for each school. If you attended the same school from Kindergarten |
LH22E_17
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|
In the table below, please list all of the names of the PRIMARY, ELEMENTARY, MIDDLE, JUNIOR HIGH, AND HIGH SCHOOLS that you attended. Write “0” as the Grade for Kindergarten. Use one line for each school. If you attended the same school from Kindergarten |
LH22F_17
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|
In the table below, please list all of the names of the PRIMARY, ELEMENTARY, MIDDLE, JUNIOR HIGH, AND HIGH SCHOOLS that you attended. Write “0” as the Grade for Kindergarten. Use one line for each school. If you attended the same school from Kindergarten |
LH22G_17
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|
In the table below, please list all of the names of the PRIMARY, ELEMENTARY, MIDDLE, JUNIOR HIGH, AND HIGH SCHOOLS that you attended. Write “0” as the Grade for Kindergarten. Use one line for each school. If you attended the same school from Kindergarten |
LH22H_17
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Was this a public or private/religious school? |
LH22I_17
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Most children in the school were…? |
LH23_17
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Did you attend a pre-school, nursery school, or other program before primary/ elementary school? |
LH24_17
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How well did you do in Math compared to other children in your class? |
LH25_17
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How well did you do in Reading and Writing (i.e., spelling, grammar) compared to other children in your class? [Check one box] |
LH26A_17
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In Primary or Elementary School, did any teachers, principals or psychologists tell you or your parents that you had a problem with learning any of the usual school subjects below? [Check one box for each line] |
LH26B_17
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In Primary or Elementary School, did any teachers, principals or psychologists tell you or your parents that you had a problem with learning any of the usual school subjects below? [Check one box for each line] |
LH26C_17
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In Primary or Elementary School, did any teachers, principals or psychologists tell you or your parents that you had a problem with learning any of the usual school subjects below? [Check one box for each line] |
LH26D_17
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In Primary or Elementary School, did any teachers, principals or psychologists tell you or your parents that you had a problem with learning any of the usual school subjects below? [Check one box for each line] |
LH27A_17
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In Primary or Elementary School, did you ever have a hearing problem? |
LH27B_17
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|
In Primary or Elementary School, did you ever have a vision problem? |
LH27C_17
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|
In Primary or Elementary School, did you ever have a speech problem? |
LH27D_17
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|
In Primary or Elementary School, did you ever have a problem with balance or motor coordination? |
LH28A_17
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|
In Primary or Elementary School, were you or your parents ever told by a professional that you had any of the following problems? Mental or emotional problems |
LH28B_17
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In Primary or Elementary School, were you or your parents ever told by a professional that you had any of the following problems? Dyslexia |
LH28C_17
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In Primary or Elementary School, were you or your parents ever told by a professional that you had any of the following problems? Attention Deficit Hyperactivity Disorder (ADHD) |
LH28D_17
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In Primary or Elementary School, were you or your parents ever told by a professional that you had any of the following problems? Other learning disorder (please specify): |
LH29_17
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|
Did you go to high school? |
LH29A_1_17
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|
When you were in high school, did you take special courses or classes to better prepare you for college? |
LH29A_2_17
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|
When you were in high school , did you take courses or classes that were intended to prepare you for a job after high school (also called vocational training)? |
LH29A_3_17
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When you were in high school , did you often get into trouble at school for being absent more than usual, missing classes, or being truant? |
LH29A_4_17
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|
When you were in high school , did you often get into trouble for disrupting classes or not concentrating? |
LH30_17
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|
Did you study a foreign language in high school? |
LH30A_17
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|
Which languages did you study in high school? [Check all that apply] |
LH31A_17
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|
In high school, did you take classes or spend time to learn to play a musical instrument |
LH31B_17
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In high school, did you take classes or spend time to take singing lessons or sing in a chorus or choir |
LH31C_17
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In high school, did you take classes or spend time to learn woodwork or carpentry |
LH31D_17
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|
In high school, did you take classes or spend time to learn a craft (e.g., knitting, quilting, embroidery) |
LH31E_17
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|
In high school, did you take classes or spend time to learn ballet or dance |
LH31F_17
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|
In high school, did you take classes or spend time to learn to paint or draw or other art |
LH31G_17
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|
In high school, did you take classes or spend time to participate in math or science club |
LH31H_17
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|
In high school, did you take classes or spend time to learn drafting or technical drawing |
LH31I_17
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|
In high school, did you take classes or spend time to take vocational or trade classes (e.g., auto repair, HVAC) |
LH31J_17
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|
In high school, did you take classes or spend time to participate in theatre, drama, or debate club |
LH32_17
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Approximately how many school clubs or organizations were you involved with during high school? |
LH33_17
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During junior/middle and high school, did you participate in organized school, intramural, or recreational sports (such as football, basketball, baseball, soccer, swimming, track and field, tennis, hockey, volleyball, gymnastics, rowing, snow sports, etc. |
LH33A_17
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In how many of your junior/middle and high school years did you participate in organized sport(s)? |
LH33B_17
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In what sports did you participate? |
LH33C_1_17
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Did you ever suffer any of the following serious injuries playing organized sports in junior/middle and high school? Head injury such as concussion |
LH33C_1A_17
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If yes, was this before age 16? |
LH33C_2_17
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Did you ever suffer any of the following serious injuries playing organized sports in junior/middle and high school? Leg, arm, shoulder or back injury |
LH33C_3_17
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Did you ever suffer any of the following serious injuries playing organized sports in junior/middle and high school? Other |
LH33C_3A_17
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If yes, please specify the injury: |
LH34_17
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After High School, did you do any further education at a college, professional, or technical school? |
LH35A_17
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Please list the names of all of the COLLEGES/COMMUNITY COLLEGES and PROFESSIONAL or TECHNICAL SCHOOLS or PROGRAMS that you attended after High School. Use one line for each different college, school, or program you attended. If you are currently attending |
LH35B_17
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Please list the names of all of the COLLEGES/COMMUNITY COLLEGES and PROFESSIONAL or TECHNICAL SCHOOLS or PROGRAMS that you attended after High School. Use one line for each different college, school, or program you attended. If you are currently attending |
LH35C_17
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Please list the names of all of the COLLEGES/COMMUNITY COLLEGES and PROFESSIONAL or TECHNICAL SCHOOLS or PROGRAMS that you attended after High School. Use one line for each different college, school, or program you attended. If you are currently attending |
LH35D_17
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Please list the names of all of the COLLEGES/COMMUNITY COLLEGES and PROFESSIONAL or TECHNICAL SCHOOLS or PROGRAMS that you attended after High School. Use one line for each different college, school, or program you attended. If you are currently attending |
LH35E_17
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Please list the names of all of the COLLEGES/COMMUNITY COLLEGES and PROFESSIONAL or TECHNICAL SCHOOLS or PROGRAMS that you attended after High School. Use one line for each different college, school, or program you attended. If you are currently attending |
LH35F_17
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Was this a public/state or private/religious school? [Check one box] |
LH35G_17
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Did you attend full or part-time? [Check one box] |
LH35H_17
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|
Major/Field(s) of Study |
LH35I_17
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|
Degree(s) or Certificates Earned |
LH36_17
|
|
Have you ever been married? |
LH36A_1_17
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|
In the table below, please fill out the information for each of your marriages. If you have been married more than five times, please list the first five, beginning with your first marriage. Initials of Spouse |
LH36A_2_17
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|
In the table below, please fill out the information for each of your marriages. If you have been married more than five times, please list the first five, beginning with your first marriage. Gender of Spouse |
LH36A_3_17
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|
In the table below, please fill out the information for each of your marriages. If you have been married more than five times, please list the first five, beginning with your first marriage. Did you live together before marriage? |
LH36A_4_17
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|
In the table below, please fill out the information for each of your marriages. If you have been married more than five times, please list the first five, beginning with your first marriage. Year Married |
LH36A_5_17
|
|
In the table below, please fill out the information for each of your marriages. If you have been married more than five times, please list the first five, beginning with your first marriage. Are you still together? If not, how did this marriage end? |
LH36A_6_17
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In the table below, please fill out the information for each of your marriages. If you have been married more than five times, please list the first five, beginning with your first marriage. Year Marriage Ended (If applies) |
LH37_17
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Other than your spouse(s), have you ever lived together with someone else as a couple for at least a year or more? |
LH37A_1_17
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|
In the table below, please fill out the information for the partner(s), other than your spouse(s), with whom you lived together as a couple for at least a year or more. If you had more than five partners, please list the first five. Initials of Partner |
LH37A_2_17
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|
In the table below, please fill out the information for the partner(s), other than your spouse(s), with whom you lived together as a couple for at least a year or more. If you had more than five partners, please list the first five. Gender of Partner |
LH37A_3_17
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|
In the table below, please fill out the information for the partner(s), other than your spouse(s), with whom you lived together as a couple for at least a year or more. If you had more than five partners, please list the first five. Year Began Living Tog |
LH37A_4_17
|
|
In the table below, please fill out the information for the partner(s), other than your spouse(s), with whom you lived together as a couple for at least a year or more. If you had more than five partners, please list the first five. Are you still together |
LH37A_5_17
|
|
In the table below, please fill out the information for the partner(s), other than your spouse(s), with whom you lived together as a couple for at least a year or more. If you had more than five partners, please list the first five. Year Relationship Ende |
LH38_17
|
|
Since you left full-time education, have you ever done any paid work which lasted for a period of one year or more? (Paid work includes both full-time and part-time work) |
LH38A_17
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|
What was the reason(s) you never worked for pay for one year or more? [Check all that apply] |
LH39A_17
|
|
Did you ever stop working at a job to stay home and care for your children? |
LH39B_17
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|
Did you ever cut back on the number of hours worked at a job to care for your children? |
LH39C_17
|
|
Did you ever work longer hours to meet the added expenses of having children? |
LH39D_17
|
|
Did you ever switch to a different job that was less demanding or more flexible to be more available to your children? |
LH40A_17
|
|
Did your spouse or partner ever stop working at a job to stay home and care for your children? |
LH40B_17
|
|
Did your spouse or partner ever cut back on the number of hours worked at a job to care for your children? |
LH40C_17
|
|
Did your spouse or partner ever work longer hours to meet the added expenses of having children? |
LH40D_17
|
|
Did your spouse or partner ever switch to a different job that was less demanding or more flexible to be more available to your children? |
LH41A_17
|
|
In the table below, please fill out the information for all the places you have worked for one year or more after you finished full-time education. If you worked at more than ten places, fill out the information for the first ten places you worked. If you |
LH41B_17
|
|
In the table below, please fill out the information for all the places you have worked for one year or more after you finished full-time education. If you worked at more than ten places, fill out the information for the first ten places you worked. If you |
LH41C_17
|
|
In the table below, please fill out the information for all the places you have worked for one year or more after you finished full-time education. If you worked at more than ten places, fill out the information for the first ten places you worked. If you |
LH41D_17
|
|
In the table below, please fill out the information for all the places you have worked for one year or more after you finished full-time education. If you worked at more than ten places, fill out the information for the first ten places you worked. If you |
LH41E_17
|
|
In the table below, please fill out the information for all the places you have worked for one year or more after you finished full-time education. If you worked at more than ten places, fill out the information for the first ten places you worked. If you |
LH41F_17
|
|
In the table below, please fill out the information for all the places you have worked for one year or more after you finished full-time education. If you worked at more than ten places, fill out the information for the first ten places you worked. If you |
LH42_17
|
|
Which employer or business was that? |
LH43_17
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|
Did you work for someone else on that job, or were you self-employed or a partner in a business? |
LH44_17
|
|
In what city and state or country did you work for this employer or business? |
LH45_17
|
|
What was your job title? What were your most important activities or duties? |
LH46_17
|
|
What kind of business or industry did you work in – that is, what did they make or do at the place where you worked? |
LH47_17
|
|
How much did you earn before taxes and other deductions when you started that job? |
LH48_17
|
|
Were you covered on that job by a union or employee-association contract? |
LH49_17
|
|
Do you still work for this employer or business? |
LH50A_17
|
|
The job was physically demanding. |
LH50B_17
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|
I had very little freedom to decide how I did my work. |
LH50C_17
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|
At work, I felt I had control over what happened in most situations. |
LH50D_17
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|
I had a lot to say about what happened on my job |
LH50E_17
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|
The people I worked with could be relied on when I needed help. |
LH50F_17
|
|
I learned useful skills in this job. |
LH50G_17
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|
My skills were not a good match for this job. |
LH50H_17
|
|
The job was interesting and enjoyable. |
LH51_17
|
|
Have you ever provided unpaid care to a relative or friend with some sort of special need to help them take care of themselves for a period of 6 months or more? NOTE: Raising children without special needs does not apply here. A special need could be an i |
LH51A_1_17
|
|
In the table below, please list the people for whom you have provided unpaid care. If you have provided unpaid care for more than five people, please list the five that you consider to be the most important. If you are currently caring for someone, please |
LH51A_2_17
|
|
In the table below, please list the people for whom you have provided unpaid care. If you have provided unpaid care for more than five people, please list the five that you consider to be the most important. If you are currently caring for someone, please |
LH51A_3_17
|
|
In the table below, please list the people for whom you have provided unpaid care. If you have provided unpaid care for more than five people, please list the five that you consider to be the most important. If you are currently caring for someone, please |
LH51A_4_17
|
|
In the table below, please list the people for whom you have provided unpaid care. If you have provided unpaid care for more than five people, please list the five that you consider to be the most important. If you are currently caring for someone, please |
LH52A_17
|
|
Have you ever had any of the following serious conditions or diseases? Chronic breathing problems/asthma |
LH52B_17
|
|
Have you ever had any of the following serious conditions or diseases? Chronic hepatitis or other liver disease |
LH52C_17
|
|
Have you ever had any of the following serious conditions or diseases? HIV or AIDS |
LH52D_17
|
|
Have you ever had any of the following serious conditions or diseases? Inflammatory bowel disease (e.g., Crohn’s disease) |
LH52E_17
|
|
Have you ever had any of the following serious conditions or diseases? Kidney disease or failure |
LH52F_17
|
|
Have you ever had any of the following serious conditions or diseases? Meningitis or encephalitis |
LH52G_17
|
|
Have you ever had any of the following serious conditions or diseases? Mononucleosis (commonly referred to as mono) |
LH52H_17
|
|
Have you ever had any of the following serious conditions or diseases? Multiple sclerosis (commonly referred to as MS) |
LH52I_17
|
|
Have you ever had any of the following serious conditions or diseases? Neurological disorders (e.g., seizure, brain, or spinal cord disorders) |
LH52J_17
|
|
Have you ever had any of the following serious conditions or diseases? Thyroid disease |
LH52K_17
|
|
Have you ever had any of the following serious conditions or diseases? Rheumatoid arthritis |
LH52L_17
|
|
Have you ever had any of the following serious conditions or diseases? Gynecological issues [Females only] (e.g., fibroids or other problems with uterus or ovaries) |
LH53_17
|
|
Have you ever had a pregnancy (or experienced a partner’s pregnancy) that ended in a miscarriage, an induced abortion, or a stillbirth? |
LH54_17
|
|
Have you ever had a major surgery or operation? (e.g., Caesarian section, heart surgery, hysterectomy, joint replacement, organ transplant, tumor removal, etc.) |
LH55_17
|
|
Have you ever received any professional counseling, treatment, or therapy because of your use of alcohol or drugs? |
LH56_17
|
|
Have you ever been involved in a major car or vehicle crash or other accident that resulted in serious injury? |
LH57_17
|
|
After age 16, how many periods of ill health or disability (physical or mental) have you had that lasted for more than a year that kept you from doing usual activities? |
LH57A_1_17
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|
For each of the periods of ill health or disability, write the year the period began, what year the period ended, and the condition which accounted for the period of ill health or disability. If you marked “More than three” in Q57, refer to the three wors |
LH57A_2_17
|
|
For each of the periods of ill health or disability, write the year the period began, what year the period ended, and the condition which accounted for the period of ill health or disability. If you marked “More than three” in Q57, refer to the three wors |
LH57A_3_17
|
|
For each of the periods of ill health or disability, write the year the period began, what year the period ended, and the condition which accounted for the period of ill health or disability. If you marked “More than three” in Q57, refer to the three wors |
LH58A_17
|
|
During each of the following ages, how often did you take part in or train for sports or activities that are vigorous, such as running or jogging, swimming, cycling, basketball, football, snow sports, aerobics or gym workout, or tennis? Between ages 18 an |
LH58B_17
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During each of the following ages, how often did you take part in or train for sports or activities that are vigorous, such as running or jogging, swimming, cycling, basketball, football, snow sports, aerobics or gym workout, or tennis? Between ages 30 an |
LH58C_17
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During each of the following ages, how often did you take part in or train for sports or activities that are vigorous, such as running or jogging, swimming, cycling, basketball, football, snow sports, aerobics or gym workout, or tennis? Between ages 40 an |
LH59A_17
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During each of the following ages, how often did you take part in other types of physical activities that are moderately energetic, such as walking for more than 30 minutes at a moderate pace, dancing, floor or stretching exercises? Between ages 18 and 29 |
LH59B_17
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During each of the following ages, how often did you take part in other types of physical activities that are moderately energetic, such as walking for more than 30 minutes at a moderate pace, dancing, floor or stretching exercises? Between ages 30 and 39 |
LH59C_17
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During each of the following ages, how often did you take part in other types of physical activities that are moderately energetic, such as walking for more than 30 minutes at a moderate pace, dancing, floor or stretching exercises? Between ages 40 and 49 |
LH60_17
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Please use the space below to tell us about your most important accomplishments or the things that you are most proud of. We are very interested to read what you write. |
LH61_17
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Were the questions in this booklet answered by the person whose first name is written on the front cover? [Check one box] |
LH62_17
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Approximately, how long did it take you to complete this questionnaire? |
LH63_17
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If there is anything else you would like to tell us, please write in the space below. We appreciate your feedback. |