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Start of C. Physical Health
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C001 Next we have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor?
NEXT WE 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
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C002 Compared with your health when we last asked you in R's LAST IW MONTH, YEAR, would you say that your health is better now, about the same, or worse?
COMPARED WITH YOUR HEALTH WHEN WE LAST ASKED YOU IN R'S LAST IW MONTH, YEAR, WOULD YOU SAY THAT YOUR HEALTH IS BETTER NOW, ABOUT THE SAME, OR WORSE?
1 BETTER
2 ABOUT THE SAME
3 WORSE
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C005 Has a doctor ever told you that you have high blood pressure or hypertension?
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE HIGH BLOOD PRESSURE OR HYPERTENSION?
1 YES
5 NO ............
4 NEVER HAD HIGH BLOOD PRESSURE (hidden)
6 HAD HIGH BLOOD PRESSURE BEFORE, BUT DO NOT HAVE IT NOW AND AM NOT TAKING MEDICATION FOR IT (hidden)
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If Has a doctor ever told you that you have high blood pressure or hypertension? = 1 YES or Has a doctor ever told you that you have high blood pressure or hypertension? = 3 »
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C006 In order to lower your blood pressure, are you now taking any medication?
IN ORDER TO LOWER YOUR BLOOD PRESSURE, ARE YOU NOW TAKING ANY MEDICATION?
1 YES
5 NO
4 NEVER HAD HIGH BLOOD PRESSURE (only displayed if Z101=1 and C185 NOT 1)
6 HAD HIGH BLOOD PRESSURE BEFORE, BUT DO NOT HAVE IT NOW AND AM NOT TAKING MEDICATION FOR IT
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C010 Has a doctor ever told you that you have diabetes or high blood sugar?
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE DIABETES OR HIGH BLOOD SUGAR?
1 YES
5 NO ............
4 NEVER HAD DIABETES OR HIGH BLOOD SUGAR (hidden)............
6 HAD DIABETES OR HIGH BLOOD SUGAR BEFORE, BUT DO NOT HAVE IT NOW AND AM NOT TAKING MEDICATION FOR IT (hidden)............
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If Has a doctor ever told you that you have diabetes or high blood sugar? = 1 YES or Has a doctor ever told you that you have diabetes or high blood sugar? = 3 »
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C214 In what year was your diabetes first diagnosed?
IN WHAT YEAR WAS YOUR DIABETES FIRST DIAGNOSED?
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C011 In order to treat or control your [diabetes/blood sugar], are you now taking medication that you swallow?
IN ORDER TO TREAT OR CONTROL YOUR [DIABETES/BLOOD SUGAR], ARE YOU NOW TAKING MEDICATION THAT YOU SWALLOW?
1 YES
5 NO
4 NEVER HAD [DIABETES/DIABETES OR HIGH BLOOD SUGAR] (only displayed if Z281=1)
6 HAD [DIABETES/DIABETES OR HIGH BLOOD SUGAR] BEFORE, BUT DO NOT HAVE IT NOW AND AM NOT TAKING MEDICATION FOR IT (only displayed if Z281=1)
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C012 Are you now using insulin shots or a pump?
ARE YOU NOW USING INSULIN SHOTS OR A PUMP?
1 YES ............
5 NO
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If Are you now using insulin shots or a pump? = 5 »
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C236 Has a doctor ever recommended to you that you use insulin?
HAS A DOCTOR EVER RECOMMENDED TO YOU THAT YOU USE INSULIN?
1 YES
5 NO
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C018 Since we last asked R™s FIRST NAME (in R's LAST IW MONTH, YEAR), had a doctor told R™s FIRST NAME that [he/she] had cancer or a malignant tumor, excluding minor skin cancer?
SINCE WE LAST ASKED R™S FIRST NAME (IN R'S LAST IW MONTH, YEAR), HAD A DOCTOR TOLD R™S FIRST NAME THAT [HE/SHE] HAD CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER?
1 YES
5 NO ............
4 NEVER HAD CANCER (hidden)
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If Since we last asked R™s FIRST NAME (in R's LAST IW MONTH, YEAR), had a doctor told R™s FIRST NAME that [he/she] had cancer or a malignant tumor, excluding minor skin cancer? = 1 YES or Since we last asked R™s FIRST NAME (in R's LAST IW MONTH, YEAR), had a doctor told R™s FIRST NAME that [he/she] had cancer or a malignant tumor, excluding minor skin cancer? = 3 »
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C019 Since [MONTH], [YEAR]/In the last two years before [her/his] death/Since then], had [she/he] seen a doctor about [her /his] cancer?
SINCE [MONTH], [YEAR]/IN THE LAST TWO YEARS BEFORE [HER/HIS] DEATH/SINCE THEN], HAD [SHE/HE] SEEN A DOCTOR ABOUT [HER /HIS] CANCER?
1 YES
5 NO
4 NEVER HAD CANCER (only displayed if Z103=1 and C185 NOT 1)
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C020 We want to know about any cancer treatment that may have taken place during the last two years. [Since [MONTH], [YEAR]/In the last two years before [her /his ] death], had [she/he] received any treatment for cancer?]
WE WANT TO KNOW ABOUT ANY CANCER TREATMENT THAT MAY HAVE TAKEN PLACE DURING THE LAST TWO YEARS. [SINCE [MONTH], [YEAR]/IN THE LAST TWO YEARS BEFORE [HER /HIS ] DEATH], HAD [SHE/HE] RECEIVED ANY TREATMENT FOR CANCER?]
1 YES
5 NO
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C023 Since R's LAST IW MONTH, YEAR, has the cancer gotten worse, better or stayed about the same?
SINCE R'S LAST IW MONTH, YEAR, HAS THE CANCER GOTTEN WORSE, BETTER OR STAYED ABOUT THE SAME?
1 BETTER
2 ABOUT THE SAME
3 WORSE
7 [VOL] CANCER IS GONE OR IN REMISSION
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C024 Since R's LAST IW MONTH, YEAR, has a doctor told you that you had a new cancer or malignant tumor, excluding minor skin cancer?
SINCE R'S LAST IW MONTH, YEAR, HAS A DOCTOR TOLD YOU THAT YOU HAD A NEW CANCER OR MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER?
1 YES
5 NO............
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If Since R's LAST IW MONTH, YEAR, has a doctor told you that you had a new cancer or malignant tumor, excluding minor skin cancer? = 1 YES »
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C028 In what year was your (most recent) cancer diagnosed?
IN WHAT YEAR WAS YOUR (MOST RECENT) CANCER DIAGNOSED?
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C029 In what month was that?
IN WHAT MONTH WAS THAT?
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C030 Has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema?
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE CHRONIC LUNG DISEASE SUCH AS CHRONIC BRONCHITIS OR EMPHYSEMA?
1 YES
5 NO ............
4 NEVER HAD LUNG CONDITION (hidden)
6 HAD LUNG CONDITION BEFORE, BUT DO NOT HAVE IT NOW (hidden)
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If Has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema? = 1 YES »
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C031 Since then, has this condition gotten better, worse, or stayed about the same?
SINCE THEN, HAS THIS CONDITION GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 ABOUT THE SAME
3 WORSE
4 NEVER HAD LUNG CONDITION (only displayed if Z104=1 and C185 NOT 1)
6 HAD LUNG CONDITION BEFORE, BUT DO NOT HAVE IT NOW
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If Has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema? = 1 YES or Has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema? = 3 »
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C032 Are you now taking medication or other treatment for your lung condition?
ARE YOU NOW TAKING MEDICATION OR OTHER TREATMENT FOR YOUR LUNG CONDITION?
1 YES
5 NO
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C033 Are you receiving oxygen for your lung condition?
ARE YOU RECEIVING OXYGEN FOR YOUR LUNG CONDITION?
1 YES
5 NO
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C034 Are you receiving physical or respiratory therapy for your lung condition?
ARE YOU RECEIVING PHYSICAL OR RESPIRATORY THERAPY FOR YOUR LUNG CONDITION?
1 YES
5 NO
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C036 Has a doctor ever told you that you have had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE HAD A HEART ATTACK, CORONARY HEART DISEASE, ANGINA, CONGESTIVE HEART FAILURE, OR OTHER HEART PROBLEMS?
1 YES
5 NO ............
4 NEVER HAD HEART PROBLEM (hidden)
6 HAD HEART PROBLEM BEFORE, BUT DO NOT HAVE IT NOW AND AM NOT TAKING
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If Has a doctor ever told you that you have had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems? = 1 YES or Has a doctor ever told you that you have had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems? = 3 »
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C037 Are you now taking or carrying medication for your heart problem?
ARE YOU NOW TAKING OR CARRYING MEDICATION FOR YOUR HEART PROBLEM?
1 YES
5 NO
4 NEVER HAD HEART PROBLEM (only displayed if Z105=1 and C185 NOT 1)
6 HAD HEART PROBLEM BEFORE, BUT DO NOT HAVE IT NOW AND AM NOT TAKING
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C038 Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you seen a doctor for your heart problem?
SINCE R'S LAST IW [MONTH, ]YEAR/IN THE LAST TWO YEARS], HAVE YOU SEEN A DOCTOR FOR YOUR HEART PROBLEM?
1 YES
5 NO
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If Are you now taking or carrying medication for your heart problem? != 5 or Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you seen a doctor for your heart problem? != 5 »
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C039 Since R's LAST IW MONTH, YEAR, has this condition gotten better, worse, or stayed about the same?
SINCE R'S LAST IW MONTH, YEAR, HAS THIS CONDITION GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 ABOUT THE SAME
3 WORSE
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If Are you now taking or carrying medication for your heart problem? != 5 or Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you seen a doctor for your heart problem? != 5 or (OZ105 and OZ076 = REINTERVIEW) »
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C040 Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you had a heart attack or myocardial infarction?
SINCE R'S LAST IW [MONTH, ]YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD A HEART ATTACK OR MYOCARDIAL INFARCTION?
1 YES
5 NO ............
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If Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you had a heart attack or myocardial infarction? = 1 YES »
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C041 Since then, have you seen a doctor in connection with your heart attack?
SINCE THEN, HAVE YOU SEEN A DOCTOR IN CONNECTION WITH YOUR HEART ATTACK?
1 YES
5 NO
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C042 Are you now taking or carrying medication because of your heart attack?
ARE YOU NOW TAKING OR CARRYING MEDICATION BECAUSE OF YOUR HEART ATTACK?
1 YES
5 NO
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C043 In what year was your (most recent) heart attack?
IN WHAT YEAR WAS YOUR (MOST RECENT) HEART ATTACK?
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If In what year was your (most recent) heart attack? = LESS THAN 2 YEARS AGO »
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C044 In what month was that?
IN WHAT MONTH WAS THAT?
1 JAN
2 FEB
3 MAR
4 APR
5 MAY
6 JUN
7 JUL
8 AUG
9 SEP
10 OCT
11 NOV
12 DEC
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C045 Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you had any angina or chest pains due to your heart?
SINCE R'S LAST IW [MONTH, ]YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD ANY ANGINA OR CHEST PAINS DUE TO YOUR HEART?
1 YES
5 NO ............
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If Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you had any angina or chest pains due to your heart? = 1 YES »
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C046 Are you now taking or carrying medications because of angina or chest pain?
ARE YOU NOW TAKING OR CARRYING MEDICATIONS BECAUSE OF ANGINA OR CHEST PAIN?
1 YES
5 NO
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C048 Since we last asked you, that is, since [R's LAST IW [MONTH, ]YEAR/in the last two years], has a doctor told you that you have congestive heart failure?
SINCE WE LAST ASKED YOU, THAT IS, SINCE [R'S LAST IW [MONTH, ]YEAR/IN THE LAST TWO YEARS], HAS A DOCTOR TOLD YOU THAT YOU HAVE CONGESTIVE HEART FAILURE?
1 YES
5 NO, C266 BRANCHPOINT
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If Since we last asked you, that is, since [R's LAST IW [MONTH, ]YEAR/in the last two years], has a doctor told you that you have congestive heart failure? = 1 YES »
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C049 Since R's LAST IW MONTH, YEAR/In the last two years], have you been admitted to the hospital overnight because of congestive heart failure?
SINCE R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS], HAVE YOU BEEN ADMITTED TO THE HOSPITAL OVERNIGHT BECAUSE OF CONGESTIVE HEART FAILURE?
1 YES
5 NO
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C050 Are you taking or carrying any medication for congestive heart failure?
ARE YOU TAKING OR CARRYING ANY MEDICATION FOR CONGESTIVE HEART FAILURE?
1 YES
5 NO
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C051 Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you had a special test or treatment of your heart where tubes were inserted into your veins or arteries (cardiac catheterization, coronary angiogram, angioplasty, or bypass graft notation)?
SINCE R'S LAST IW [MONTH, ]YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD A SPECIAL TEST OR TREATMENT OF YOUR HEART WHERE TUBES WERE INSERTED INTO YOUR VEINS OR ARTERIES (CARDIAC CATHETERIZATION, CORONARY ANGIOGRAM, ANGIOPLASTY, OR BYPASS GRAFT NOTATION)?
1 YES
5 NO
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C052 Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you had surgery on your heart?
SINCE R'S LAST IW [MONTH, ]YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD SURGERY ON YOUR HEART?
1 YES
5 NO
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C053 Has a doctor ever told you that you have had a stroke?
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE HAD A STROKE?
1 YES
2 [VOL] POSSIBLE STROKE OR TIA
5 NO ............
4 NEVER HAD A STROKE (hidden)
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If Has a doctor ever told you that you have had a stroke? = 1 YES or Has a doctor ever told you that you have had a stroke? = 2 or Has a doctor ever told you that you have had a stroke? = 3 »
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C054 Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you seen a doctor because of this or any other stroke?
SINCE R'S LAST IW [MONTH, ]YEAR/IN THE LAST TWO YEARS], HAVE YOU SEEN A DOCTOR BECAUSE OF THIS OR ANY OTHER STROKE?
1 YES
5 NO
4 NEVER HAD A STROKE (only displayed if Z106=1 and C185 NOT 1)
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C055 Do you still have any remaining problems because of your stroke(s)?
DO YOU STILL HAVE ANY REMAINING PROBLEMS BECAUSE OF YOUR STROKE(S)?
1 YES
5 NO
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If Since R's LAST IW [MONTH, ]YEAR/In the last two years], have you seen a doctor because of this or any other stroke? != 5 or Do you still have any remaining problems because of your stroke(s)? != 5 »
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C060 Are you now taking any medications because of your stroke or its complications?
ARE YOU NOW TAKING ANY MEDICATIONS BECAUSE OF YOUR STROKE OR ITS COMPLICATIONS?
1 YES
5 NO
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C061 Are you receiving physical or occupational therapy because of your stroke or its complications?
ARE YOU RECEIVING PHYSICAL OR OCCUPATIONAL THERAPY BECAUSE OF YOUR STROKE OR ITS COMPLICATIONS?
1 YES
5 NO
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C062 Since [MONTH], [YEAR], did a doctor tell [him/her] that [she/he] had another stroke?
SINCE [MONTH], [YEAR], DID A DOCTOR TELL [HIM/HER] THAT [SHE/HE] HAD ANOTHER STROKE?
1 YES
5 NO ............
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If Since [MONTH], [YEAR], did a doctor tell [him/her] that [she/he] had another stroke?
= 1 YES
5 NO ............
»
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C064 In what year was your most recent stroke?
IN WHAT YEAR WAS YOUR MOST RECENT STROKE?
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If In what year was your most recent stroke?
= LESS THAN 2 YEARS AGO »
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C063 In what month was that?
IN WHAT MONTH WAS THAT?
1 JAN
2 FEB
3 MAR
4 APR
5 MAY
6 JUN
7 JUL
8 AUG
9 SEP
10 OCT
11 NOV
12 DEC
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C065 Have you ever had or has a doctor ever told you that you have any emotional, nervous, or psychiatric problems?
HAVE YOU EVER HAD OR HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ANY EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS?
1 YES
5 NO ............
4 NEVER HAD EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS (hidden)
6 HAD EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS BEFORE, BUT DO NOT HAVE
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If Have you ever had or has a doctor ever told you that you have any emotional, nervous, or psychiatric problems?
= 1 YES
5 NO ............
4 NEVER HAD EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS (hidden)
6 HAD EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS BEFORE, BUT DO NOT HAVE
or Have you ever had or has a doctor ever told you that you have any emotional, nervous, or psychiatric problems?
= 3 »
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C070 Since we last asked you (in R's LAST IW MONTH, YEAR), have you had or has a doctor told you that you have arthritis or rheumatism?
SINCE WE LAST ASKED YOU (IN R'S LAST IW MONTH, YEAR), HAVE YOU HAD OR HAS A DOCTOR TOLD YOU THAT YOU HAVE ARTHRITIS OR RHEUMATISM?
1 YES
5 NO ............
4 NEVER HAD ARTHRITIS (hidden)
6 HAD ARTHRITIS BEFORE, BUT DO NOT HAVE IT NOW (hidden)
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If Since we last asked you (in R's LAST IW MONTH, YEAR), have you had or has a doctor told you that you have arthritis or rheumatism?
= 1 YES
5 NO ............
4 NEVER HAD ARTHRITIS (hidden)
6 HAD ARTHRITIS BEFORE, BUT DO NOT HAVE IT NOW (hidden)
or Since we last asked you (in R's LAST IW MONTH, YEAR), have you had or has a doctor told you that you have arthritis or rheumatism?
= 3 »
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C071 Since R's LAST IW MONTH, YEAR, has this arthritis gotten better, worse, or stayed about the same?
SINCE R'S LAST IW MONTH, YEAR, HAS THIS ARTHRITIS GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 ABOUT THE SAME
3 WORSE
4 NEVER HAD ARTHRITIS (only displayed if Z108=1 and C185 NOT 1)
6 HAD ARTHRITIS BEFORE, BUT DO NOT HAVE IT NOW
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C076 Since R's LAST IW MONTH, YEAR/In the last two years], have you had surgery or any joint replacement because of arthritis?
SINCE R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD SURGERY OR ANY JOINT REPLACEMENT BECAUSE OF ARTHRITIS?
1 YES
5 NO ............
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If Since R's LAST IW MONTH, YEAR/In the last two years], have you had surgery or any joint replacement because of arthritis?
= 1 YES
5 NO ............
»
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C218 Which did you have: joint replacement, surgery not involving joint replacement, or both?
WHICH DID YOU HAVE: JOINT REPLACEMENT, SURGERY NOT INVOLVING JOINT REPLACEMENT, OR BOTH?
1 JOINT REPLACEMENT
2 SURGERY WITHOUT JOINT REPLACEMENT
3 BOTH
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C219 Which type or types of arthritis do you have?
WHICH TYPE OR TYPES OF ARTHRITIS DO YOU HAVE?
1 YES
5 NO
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C220 Do you have rheumatoid arthritis?
DO YOU HAVE RHEUMATOID ARTHRITIS?
1 YES
5 NO
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C222 Do you have arthritis related to a previous injury?
DO YOU HAVE ARTHRITIS RELATED TO A PREVIOUS INJURY?
1 YES
5 NO
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C240 Have you ever had shingles?
HAVE YOU EVER HAD SHINGLES?
1 YES
5 NO
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C246 A vaccine for shingles has been available since 2006, and a second vaccine was more recently introduced. Have you ever had a vaccine for shingles?
A VACCINE FOR SHINGLES HAS BEEN AVAILABLE SINCE 2006, AND A SECOND VACCINE WAS MORE RECENTLY INTRODUCED. HAVE YOU EVER HAD A VACCINE FOR SHINGLES?
1 YES
5 NO............
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C079 Have you fallen down [since R's LAST IW MONTH, YEAR/in the last two years]?
HAVE YOU FALLEN DOWN [SINCE R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS]?
1 YES
5 NO ............
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If Have you fallen down [since R's LAST IW MONTH, YEAR/in the last two years]?
= 1 YES
5 NO ............
»
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C080 How many times have you fallen [since R's LAST IW MONTH, YEAR/in the last two years]?
HOW MANY TIMES HAVE YOU FALLEN [SINCE R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS]?
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C081 In that fall/In any of these falls], did you injure yourself seriously enough to need medical treatment?
IN THAT FALL/IN ANY OF THESE FALLS], DID YOU INJURE YOURSELF SERIOUSLY ENOUGH TO NEED MEDICAL TREATMENT?
1 YES
5 NO
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C082 Have you ever fractured your hip?
HAVE YOU EVER FRACTURED YOUR HIP?
1 YES
5 NO
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C087 This might not be easy to talk about, but during the last 12 months, have you lost any amount of urine beyond your control?
THIS MIGHT NOT BE EASY TO TALK ABOUT, BUT DURING THE LAST 12 MONTHS, HAVE YOU LOST ANY AMOUNT OF URINE BEYOND YOUR CONTROL?
1 YES
5 NO ............
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If This might not be easy to talk about, but during the last 12 months, have you lost any amount of urine beyond your control?
= 1 YES
5 NO ............
»
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C088 On about how many days in the last month have you lost any urine?
ON ABOUT HOW MANY DAYS IN THE LAST MONTH HAVE YOU LOST ANY URINE?
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If On about how many days in the last month have you lost any urine?
was not answered »
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C089 Was that more than 5 days? In the last month, have you lost any urine on more than 5 days?
WAS THAT MORE THAN 5 DAYS? IN THE LAST MONTH, HAVE YOU LOST ANY URINE ON MORE THAN 5 DAYS?
1 YES
5 NO ............
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If Was that more than 5 days? In the last month, have you lost any urine on more than 5 days?
= 1 YES
5 NO ............
»
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C090 More than 15 days? In the last month, have you lost any urine on more than 15 days?
MORE THAN 15 DAYS? IN THE LAST MONTH, HAVE YOU LOST ANY URINE ON MORE THAN 15 DAYS?
1 YES
5 NO
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C095 Is your eyesight excellent, very good, good, fair, or poor using glasses or corrective lens as needed?
IS YOUR EYESIGHT EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR USING GLASSES OR CORRECTIVE LENS AS NEEDED?
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
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If Is your eyesight excellent, very good, good, fair, or poor using glasses or corrective lens as needed?
!= 6 »
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C096 How good is your eyesight for seeing things at a distance, like recognizing a friend across the street, using glasses or corrective lens as needed?
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS AT A DISTANCE, LIKE RECOGNIZING A FRIEND ACROSS THE STREET, USING GLASSES OR CORRECTIVE LENS AS NEEDED?
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
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C097 How good is your eyesight for seeing things up close, like reading ordinary newspaper print, using glasses or corrective lens as needed?
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS UP CLOSE, LIKE READING ORDINARY NEWSPAPER PRINT, USING GLASSES OR CORRECTIVE LENS AS NEEDED?
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
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C098 Have you ever had cataract surgery?
HAVE YOU EVER HAD CATARACT SURGERY?
1 YES ............
5 NO ............
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If Have you ever had cataract surgery?
= 1 YES ............
5 NO ............
»
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C099 Have you had cataract surgery on both eyes, or just one?
HAVE YOU HAD CATARACT SURGERY ON BOTH EYES, OR JUST ONE?
1 ONE EYE ONLY
2 BOTH EYES
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C100 Did the cataract surgery [on either eye] include implanting a lens?
DID THE CATARACT SURGERY [ON EITHER EYE] INCLUDE IMPLANTING A LENS?
1 YES
5 NO
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C101 Has a doctor ever treated you for glaucoma?
HAS A DOCTOR EVER TREATED YOU FOR GLAUCOMA?
1 YES
5 NO
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C237 Have you lost all of your upper and lower natural permanent teeth?
HAVE YOU LOST ALL OF YOUR UPPER AND LOWER NATURAL PERMANENT TEETH?
1 YES
5 NO
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If OZ090 != YES or C185 = 1 »
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C102 Do you ever wear a hearing aid?
DO YOU EVER WEAR A HEARING AID?
1 YES
5 NO
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C103 Is your hearing excellent, very good, good, fair, or poor?
IS YOUR HEARING EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
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C083 How often do you have trouble falling asleep?
HOW OFTEN DO YOU HAVE TROUBLE FALLING ASLEEP?
1 MOST OF THE TIME
2 SOMETIMES
3 RARELY OR NEVER
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C084 How often do you have trouble because of waking up during the night?
HOW OFTEN DO YOU HAVE TROUBLE BECAUSE OF WAKING UP DURING THE NIGHT?
1 MOST OF THE TIME
2 SOMETIMES
3 RARELY OR NEVER
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C085 How often do you have trouble with waking up too early and not being able to fall asleep again?
HOW OFTEN DO YOU HAVE TROUBLE WITH WAKING UP TOO EARLY AND NOT BEING ABLE TO FALL ASLEEP AGAIN?
1 MOST OF THE TIME
2 SOMETIMES
3 RARELY OR NEVER
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C086 How often do you feel really rested when you wake up in the morning?
HOW OFTEN DO YOU FEEL REALLY RESTED WHEN YOU WAKE UP IN THE MORNING?
1 MOST OF THE TIME
2 SOMETIMES
3 RARELY OR NEVER
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C104 Are you often troubled with pain?
ARE YOU OFTEN TROUBLED WITH PAIN?
1 YES
5 NO ............
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If Are you often troubled with pain?
= 1 YES
5 NO ............
»
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C105 How bad is the pain most of the time: mild, moderate or severe?
HOW BAD IS THE PAIN MOST OF THE TIME: MILD, MODERATE OR SEVERE?
1 MILD
2 MODERATE
3 SEVERE
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C106 Does the pain make it difficult for you to do your usual activities such as household chores or work?
DOES THE PAIN MAKE IT DIFFICULT FOR YOU TO DO YOUR USUAL ACTIVITIES SUCH AS HOUSEHOLD CHORES OR WORK?
1 YES
5 NO
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C107 Did [she/he] have any (other) major illnesses [since the time of our interview in [MONTH] [YEAR]?/in the two years preceding [her /his ]death?]
DID [SHE/HE] HAVE ANY (OTHER) MAJOR ILLNESSES [SINCE THE TIME OF OUR INTERVIEW IN [MONTH] [YEAR]?/IN THE TWO YEARS PRECEDING [HER /HIS ]DEATH?]
1 YES
5 NO ............
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If Did [she/he] have any (other) major illnesses [since the time of our interview in [MONTH] [YEAR]?/in the two years preceding [her /his ]death?]
= 1 YES
5 NO ............
»
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C109 Since we asked you last in R's LAST IW MONTH, YEAR/In the last two years], have you had: A flu shot?
SINCE WE ASKED YOU LAST IN R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD: A FLU SHOT?
1 YES
5 NO
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C110 Since we asked you last in R's LAST IW MONTH, YEAR/In the last two years], have you had:) A blood test for cholesterol?
SINCE WE ASKED YOU LAST IN R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD:) A BLOOD TEST FOR CHOLESTEROL?
1 YES
5 NO
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C112 Did you have a mammogram or x-ray of the breast, to search for cancer [since R's LAST IW MONTH, YEAR/in the last two years]?
DID YOU HAVE A MAMMOGRAM OR X-RAY OF THE BREAST, TO SEARCH FOR CANCER [SINCE R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS]?
1 YES
5 NO
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C113 [Since we asked you last in R's LAST IW MONTH, YEAR/In the last two years], have you had: A PAP smear?
[SINCE WE ASKED YOU LAST IN R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD: A PAP SMEAR?
1 YES
5 NO
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If OA007 != 1 and OA009 = 1 »
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C249 Have you ever had a hysterectomy, that is, surgery to remove your uterus or womb?
HAVE YOU EVER HAD A HYSTERECTOMY, THAT IS, SURGERY TO REMOVE YOUR UTERUS OR WOMB?
1 YES
5 NO ............
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C250 How old were you when you had your hysterectomy? AGE
HOW OLD WERE YOU WHEN YOU HAD YOUR HYSTERECTOMY? AGE
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If How old were you when you had your hysterectomy? AGE
> 45 »
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C251 Did you have your hysterectomy after your last menstrual period, that is, after you went through menopause?
DID YOU HAVE YOUR HYSTERECTOMY AFTER YOUR LAST MENSTRUAL PERIOD, THAT IS, AFTER YOU WENT THROUGH MENOPAUSE?
1 YES ............
5 NO ............
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If OA019 <= 55 or Have you ever had a hysterectomy, that is, surgery to remove your uterus or womb?
= 1 YES
5 NO ............
»
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C253 About how old were you when you finished going through menopause, that is, had your last menstrual period?
ABOUT HOW OLD WERE YOU WHEN YOU FINISHED GOING THROUGH MENOPAUSE, THAT IS, HAD YOUR LAST MENSTRUAL PERIOD?
39 Under 40
40 - 59.
60 60 or older
97 Still having menstrual periods
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C252 Regarding menopause, do you think you are without a sign, just beginning, in the middle, near the end, or all through?
REGARDING MENOPAUSE, DO YOU THINK YOU ARE WITHOUT A SIGN, JUST BEGINNING, IN THE MIDDLE, NEAR THE END, OR ALL THROUGH?
1 WITHOUT A SIGN ............
2 JUST BEGINNING ............
3 IN THE MIDDLE ............
4 NEAR THE END ............
5 ALL THROUGH
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C253 About how old were you when you finished going through menopause, that is, had your last menstrual period?
ABOUT HOW OLD WERE YOU WHEN YOU FINISHED GOING THROUGH MENOPAUSE, THAT IS, HAD YOUR LAST MENSTRUAL PERIOD?
39 Under 40
40 - 59.
60 60 or older
97 Still having menstrual periods
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C254 Were you older than age 50, younger than 50, or what?
WERE YOU OLDER THAN AGE 50, YOUNGER THAN 50, OR WHAT?
1 OLDER THAN AGE 50 ............
3 ABOUT AGE 50 ............
5 YOUNGER THAN 50
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C255 Were you older than age 45, younger than 45, or what?
WERE YOU OLDER THAN AGE 45, YOUNGER THAN 45, OR WHAT?
1 OLDER THAN AGE 45
3 ABOUT AGE 45
5 YOUNGER THAN 45
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C256 Were you older than age 55, younger than 55, or what?
WERE YOU OLDER THAN AGE 55, YOUNGER THAN 55, OR WHAT?
1 OLDER THAN AGE 55
3 ABOUT AGE 55
5 YOUNGER THAN 55
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C114 [Since we asked you last in R's LAST IW MONTH, YEAR/In the last two years], have you had: A PSA blood test or other examination to screen for prostate cancer?
[SINCE WE ASKED YOU LAST IN R'S LAST IW MONTH, YEAR/IN THE LAST TWO YEARS], HAVE YOU HAD: A PSA BLOOD TEST OR OTHER EXAMINATION TO SCREEN FOR PROSTATE CANCER?
1 YES
5 NO
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C223 How often do you take part in sports or activities that are vigorous, such as running or jogging, swimming, cycling, aerobics or gym workout, tennis, or digging with a spade or shovel?
HOW OFTEN DO YOU TAKE PART IN SPORTS OR ACTIVITIES THAT ARE VIGOROUS, SUCH AS RUNNING OR JOGGING, SWIMMING, CYCLING, AEROBICS OR GYM WORKOUT, TENNIS, OR DIGGING WITH A SPADE OR SHOVEL?
7 [VOL] EVERY DAY
1 MORE THAN ONCE A WEEK
2 ONCE A WEEK
3 ONE TO THREE TIMES A MONTH
4 HARDLY EVER OR NEVER
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C224 How often do you take part in sports or activities that are moderately energetic, such as gardening, cleaning the car, walking at a moderate pace, dancing, floor or stretching exercises?
HOW OFTEN DO YOU TAKE PART IN SPORTS OR ACTIVITIES THAT ARE MODERATELY ENERGETIC, SUCH AS GARDENING, CLEANING THE CAR, WALKING AT A MODERATE PACE, DANCING, FLOOR OR STRETCHING EXERCISES?
7 [VOL] EVERY DAY
1 MORE THAN ONCE A WEEK
2 ONCE A WEEK
3 ONE TO THREE TIMES A MONTH
4 HARDLY EVER OR NEVER
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C225 How often do you take part in sports or activities that are mildly energetic, such as vacuuming, laundry, home repairs?
HOW OFTEN DO YOU TAKE PART IN SPORTS OR ACTIVITIES THAT ARE MILDLY ENERGETIC, SUCH AS VACUUMING, LAUNDRY, HOME REPAIRS?
7 [VOL] EVERY DAY
1 MORE THAN ONCE A WEEK
2 ONCE A WEEK
3 ONE TO THREE TIMES A MONTH
4 HARDLY EVER OR NEVER
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C116 Have you ever smoked cigarettes?
HAVE YOU EVER SMOKED CIGARETTES?
1 YES
5 NO ............
|
|
If Have you ever smoked cigarettes?
= 1 YES
5 NO ............
»
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C117 Do you smoke cigarettes now?
DO YOU SMOKE CIGARETTES NOW?
1 YES
5 NO
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If Do you smoke cigarettes now?
= 1 YES
5 NO
»
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C118 About how many cigarettes do you usually smoke in a day now?
ABOUT HOW MANY CIGARETTES DO YOU USUALLY SMOKE IN A DAY NOW?
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If About how many cigarettes do you usually smoke in a day now?
was assigned an EMPTY value »
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C120 About how old were you when you started smoking? AGE
ABOUT HOW OLD WERE YOU WHEN YOU STARTED SMOKING? AGE
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If About how old were you when you started smoking? AGE
!= 95 »
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C121 YEAR STARTED SMOKING
YEAR STARTED SMOKING
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C122 STARTED SMOKING YEARS AGO
STARTED SMOKING YEARS AGO
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If About how old were you when you started smoking? AGE
!= 95 and Do you smoke cigarettes now?
!= 1 YES
5 NO
»
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C123 When you were smoking the most, about how many cigarettes did you usually smoke in a day?
WHEN YOU WERE SMOKING THE MOST, ABOUT HOW MANY CIGARETTES DID YOU USUALLY SMOKE IN A DAY?
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If When you were smoking the most, about how many cigarettes did you usually smoke in a day?
was assigned an EMPTY value »
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If When you were smoking the most, about how many cigarettes did you usually smoke in a day?
!= 995 »
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C125 About how many years ago did you stop smoking?
ABOUT HOW MANY YEARS AGO DID YOU STOP SMOKING?
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If About how many years ago did you stop smoking?
was assigned an EMPTY value »
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C126 YEAR STOPPED SMOKING
YEAR STOPPED SMOKING
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If YEAR STOPPED SMOKING
was assigned an EMPTY value »
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C127 AGE WHEN STOPPED SMOKING
AGE WHEN STOPPED SMOKING
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C128 Do you ever drink any alcoholic beverages such as beer, wine, or liquor?
DO YOU EVER DRINK ANY ALCOHOLIC BEVERAGES SUCH AS BEER, WINE, OR LIQUOR?
1 YES
5 NO
3 [VOL] NEVER HAVE USED ALCOHOL
|
|
If Do you ever drink any alcoholic beverages such as beer, wine, or liquor?
= 1 YES
5 NO
3 [VOL] NEVER HAVE USED ALCOHOL
»
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C129 In the last three months, on average, how many days per week have you had any alcohol to drink? DAYS
IN THE LAST THREE MONTHS, ON AVERAGE, HOW MANY DAYS PER WEEK HAVE YOU HAD ANY ALCOHOL TO DRINK? DAYS
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If In the last three months, on average, how many days per week have you had any alcohol to drink? DAYS
!= 0 or In the last three months, on average, how many days per week have you had any alcohol to drink? DAYS
was not answered »
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C130 In the last three months, on the days you drink, about how many drinks do you have? NUMBER OF DRINKS
IN THE LAST THREE MONTHS, ON THE DAYS YOU DRINK, ABOUT HOW MANY DRINKS DO YOU HAVE? NUMBER OF DRINKS
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C131 In the last three months, on how many days have you had four or more drinks on one occasion? NUMBER OF DAYS
IN THE LAST THREE MONTHS, ON HOW MANY DAYS HAVE YOU HAD FOUR OR MORE DRINKS ON ONE OCCASION? NUMBER OF DAYS
|
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|
If Do you ever drink any alcoholic beverages such as beer, wine, or liquor?
!= 1 YES
5 NO
3 [VOL] NEVER HAVE USED ALCOHOL
»
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C134 In your entire life, have you had at least 12 drinks of any type of alcoholic beverage?
IN YOUR ENTIRE LIFE, HAVE YOU HAD AT LEAST 12 DRINKS OF ANY TYPE OF ALCOHOLIC BEVERAGE?
1 YES
2 YES, ASSIGNED BASED ON PRIOR REPORT ............
5 NO ............
6 NO, ASSIGNED BASED ON PRIOR REPORT ............
8 DK ............
9 RF ............
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If In your entire life, have you had at least 12 drinks of any type of alcoholic beverage?
= 1 YES
2 YES, assigned a value of BASED ON PRIOR REPORT ............
5 NO ............
6 NO, assigned a value of BASED ON PRIOR REPORT ............
8 DK ............
9 RF ............
»
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C135 Have you ever felt that you should cut down on drinking?
HAVE YOU EVER FELT THAT YOU SHOULD CUT DOWN ON DRINKING?
1 YES
5 NO
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|
If Do you ever drink any alcoholic beverages such as beer, wine, or liquor?
= 1 YES
5 NO
3 [VOL] NEVER HAVE USED ALCOHOL
or In your entire life, have you had at least 12 drinks of any type of alcoholic beverage?
= 1 YES
2 YES, assigned a value of BASED ON PRIOR REPORT ............
5 NO ............
6 NO, assigned a value of BASED ON PRIOR REPORT ............
8 DK ............
9 RF ............
»
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C136 Have people ever annoyed you by criticizing your drinking?
HAVE PEOPLE EVER ANNOYED YOU BY CRITICIZING YOUR DRINKING?
1 YES
5 NO
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C137 Have you ever felt bad or guilty about drinking?
HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING?
1 YES
5 NO
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C138 Have you ever taken a drink first thing in the morning to steady your nerves or get rid of a hangover?
HAVE YOU EVER TAKEN A DRINK FIRST THING IN THE MORNING TO STEADY YOUR NERVES OR GET RID OF A HANGOVER?
1 YES
5 NO
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C139 About how much do you weigh? POUNDS
ABOUT HOW MUCH DO YOU WEIGH? POUNDS
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C140 Have you gained or lost ten or more pounds in the last 2 years?
HAVE YOU GAINED OR LOST TEN OR MORE POUNDS IN THE LAST 2 YEARS?
1 YES, GAINED
2 YES, LOST
3 YES, GAINED AND LOST
5 NO
|
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C226 Do not include weight during pregnancy. POUNDS
DO NOT INCLUDE WEIGHT DURING PREGNANCY. POUNDS
|
|
If Do not include weight during pregnancy. POUNDS
was answered »
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C228 How old were you then? (If you don't know your exact age, please make your best guess.) AGE
HOW OLD WERE YOU THEN? (IF YOU DON'T KNOW YOUR EXACT AGE, PLEASE MAKE YOUR BEST GUESS.) AGE
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C141 About how tall are you?
ABOUT HOW TALL ARE YOU?
|
|
If About how tall are you?
was answered »
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C142 About how tall are you? INCHES
ABOUT HOW TALL ARE YOU? INCHES
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C143 Have you had any of the following persistent or troublesome problems?
HAVE YOU HAD ANY OF THE FOLLOWING PERSISTENT OR TROUBLESOME PROBLEMS?
1 YES
5 NO
|
|
C144 Shortness of breath while awake?
SHORTNESS OF BREATH WHILE AWAKE?
1 YES
5 NO
|
|
C145 Persistent dizziness or lightheadedness?
PERSISTENT DIZZINESS OR LIGHTHEADEDNESS?
1 YES
5 NO
|
|
C146 Back pain or problems?
BACK PAIN OR PROBLEMS?
1 YES
5 NO
|
|
C147 Have you had persistent headaches?
HAVE YOU HAD PERSISTENT HEADACHES?
1 YES
5 NO
|
|
C148 Severe fatigue or exhaustion?
SEVERE FATIGUE OR EXHAUSTION?
1 YES
5 NO
|
|
C149 Persistent wheezing, cough, or bringing up phlegm?
PERSISTENT WHEEZING, COUGH, OR BRINGING UP PHLEGM?
1 YES
5 NO
|
|
C229 Aside from any hospital or nursing home stays, about how many days did you stay in bed more than half the day because of illness or injury during the last month? DAYS
ASIDE FROM ANY HOSPITAL OR NURSING HOME STAYS, ABOUT HOW MANY DAYS DID YOU STAY IN BED MORE THAN HALF THE DAY BECAUSE OF ILLNESS OR INJURY DURING THE LAST MONTH? DAYS
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C150 During the last 12 months, was there ever a time when you felt sad, blue, or depressed for two weeks or more in a row?
DURING THE LAST 12 MONTHS, WAS THERE EVER A TIME WHEN YOU FELT SAD, BLUE, OR DEPRESSED FOR TWO WEEKS OR MORE IN A ROW?
1 YES
5 NO ............
3 [VOL] DID NOT FEEL DEPRESSED BECAUSE ON ANTI-DEPRESSANT MEDICATION ............
|
|
If During the last 12 months, was there ever a time when you felt sad, blue, or depressed for two weeks or more in a row?
= 1 YES
5 NO ............
3 [VOL] DID NOT FEEL DEPRESSED BECAUSE ON ANTI-DEPRESSANT MEDICATION ............
»
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C151 During that time did the feelings of being sad, blue, or depressed usually last all day long, most of the day, about half the day, or less than half the day?
DURING THAT TIME DID THE FEELINGS OF BEING SAD, BLUE, OR DEPRESSED USUALLY LAST ALL DAY LONG, MOST OF THE DAY, ABOUT HALF THE DAY, OR LESS THAN HALF THE DAY?
1 ALL DAY LONG
2 MOST OF THE DAY
3 ABOUT HALF THE DAY ............
4 LESS THAN HALF THE DAY ............
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|
If During that time did the feelings of being sad, blue, or depressed usually last all day long, most of the day, about half the day, or less than half the day?
= 1 ALL DAY LONG
2 MOST OF THE DAY
3 ABOUT HALF THE DAY ............
4 LESS THAN HALF THE DAY ............
or During that time did the feelings of being sad, blue, or depressed usually last all day long, most of the day, about half the day, or less than half the day?
= 2 »
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C152 During those two weeks, did you feel this way every day, almost every day, or less often than that?
DURING THOSE TWO WEEKS, DID YOU FEEL THIS WAY EVERY DAY, ALMOST EVERY DAY, OR LESS OFTEN THAN THAT?
1 EVERY DAY
2 ALMOST EVERY DAY
3 LESS OFTEN ............
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|
If During those two weeks, did you feel this way every day, almost every day, or less often than that?
= 1 EVERY DAY
2 ALMOST EVERY DAY
3 LESS OFTEN ............
or During those two weeks, did you feel this way every day, almost every day, or less often than that?
= 2 »
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C153 During those two weeks, did you lose more interest in things than is usual for you?
DURING THOSE TWO WEEKS, DID YOU LOSE MORE INTEREST IN THINGS THAN IS USUAL FOR YOU?
1 YES
5 NO
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C154 Thinking about those same two weeks, did you ever feel more tired out or low in energy than is usual for you?
THINKING ABOUT THOSE SAME TWO WEEKS, DID YOU EVER FEEL MORE TIRED OUT OR LOW IN ENERGY THAN IS USUAL FOR YOU?
1 YES
5 NO
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C155 During those same two weeks, did you lose your appetite?
DURING THOSE SAME TWO WEEKS, DID YOU LOSE YOUR APPETITE?
1 YES ............
5 NO
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|
|
If During those same two weeks, did you lose your appetite?
!= 1 YES ............
5 NO
»
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C156 Did your appetite increase during those same two weeks?
DID YOUR APPETITE INCREASE DURING THOSE SAME TWO WEEKS?
1 YES
5 NO
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C157 Did you have more trouble falling asleep than you usually do during those two weeks?
DID YOU HAVE MORE TROUBLE FALLING ASLEEP THAN YOU USUALLY DO DURING THOSE TWO WEEKS?
1 YES
5 NO ............
|
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|
If Did you have more trouble falling asleep than you usually do during those two weeks?
= 1 YES
5 NO ............
»
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C158 Did that happen every night, nearly every night, or less often during those two weeks?
DID THAT HAPPEN EVERY NIGHT, NEARLY EVERY NIGHT, OR LESS OFTEN DURING THOSE TWO WEEKS?
1 EVERY NIGHT
2 NEARLY EVERY NIGHT
3 LESS OFTEN
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C159 During that same two-week period, did you have a lot more trouble concentrating than usual?
DURING THAT SAME TWO-WEEK PERIOD, DID YOU HAVE A LOT MORE TROUBLE CONCENTRATING THAN USUAL?
1 YES
5 NO
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C160 People sometimes feel down on themselves, and no good or worthless. During that two-week period, did you feel this way?
PEOPLE SOMETIMES FEEL DOWN ON THEMSELVES, AND NO GOOD OR WORTHLESS. DURING THAT TWO-WEEK PERIOD, DID YOU FEEL THIS WAY?
1 YES
5 NO
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C161 Did you think a lot about death -- either your own, someone else's, or death in general -- during those two weeks?
DID YOU THINK A LOT ABOUT DEATH -- EITHER YOUR OWN, SOMEONE ELSE'S, OR DEATH IN GENERAL -- DURING THOSE TWO WEEKS?
1 YES
5 NO
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C163 About how many weeks altogether -- out of 52 -- did you feel this way during the last 12 months? WEEKS
ABOUT HOW MANY WEEKS ALTOGETHER -- OUT OF 52 -- DID YOU FEEL THIS WAY DURING THE LAST 12 MONTHS? WEEKS
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If About how many weeks altogether -- out of 52 -- did you feel this way during the last 12 months? WEEKS
!= 52 and MONTHS
!= 12 and YEAR
!= 1 »
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C166 In what month was this during the last 12 months?
IN WHAT MONTH WAS THIS DURING THE LAST 12 MONTHS?
1 JAN
2 FEB
3 MAR
4 APR
5 MAY
6 JUN
7 JUL
8 AUG
9 SEP
10 OCT
11 NOV
12 DEC
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If About how many weeks altogether -- out of 52 -- did you feel this way during the last 12 months? WEEKS
!= 52 and MONTHS
!= 12 and YEAR
!= 1 and During those two weeks, did you feel this way every day, almost every day, or less often than that?
!= 1 EVERY DAY
2 ALMOST EVERY DAY
3 LESS OFTEN ............
and During those two weeks, did you feel this way every day, almost every day, or less often than that?
!= 2 and During that time did the feelings of being sad, blue, or depressed usually last all day long, most of the day, about half the day, or less than half the day?
!= 1 ALL DAY LONG
2 MOST OF THE DAY
3 ABOUT HALF THE DAY ............
4 LESS THAN HALF THE DAY ............
and During that time did the feelings of being sad, blue, or depressed usually last all day long, most of the day, about half the day, or less than half the day?
!= 2 »
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C167 During the last 12 months, was there ever a time lasting two weeks or more when you lost interest in most things like hobbies, work, or activities that usually give you pleasure?
DURING THE LAST 12 MONTHS, WAS THERE EVER A TIME LASTING TWO WEEKS OR MORE WHEN YOU LOST INTEREST IN MOST THINGS LIKE HOBBIES, WORK, OR ACTIVITIES THAT USUALLY GIVE YOU PLEASURE?
1 YES
5 NO ............
3 [VOL] NOT FEEL LOSS OF INTEREST BECAUSE ON ANTI DEPRESSANT MEDICATION .............
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If During the last 12 months, was there ever a time lasting two weeks or more when you lost interest in most things like hobbies, work, or activities that usually give you pleasure?
= 1 YES
5 NO ............
3 [VOL] NOT FEEL LOSS OF INTEREST BECAUSE ON ANTI DEPRESSANT MEDICATION .............
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C168 During that two-week period, did the loss of interest usually last all day long, most of the day, about half the day, or less than half the day?
DURING THAT TWO-WEEK PERIOD, DID THE LOSS OF INTEREST USUALLY LAST ALL DAY LONG, MOST OF THE DAY, ABOUT HALF THE DAY, OR LESS THAN HALF THE DAY?
1 ALL DAY LONG
2 MOST OF THE DAY
3 ABOUT HALF THE DAY ............
4 LESS THAN HALF THE DAY ............
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If During that two-week period, did the loss of interest usually last all day long, most of the day, about half the day, or less than half the day?
= 1 ALL DAY LONG
2 MOST OF THE DAY
3 ABOUT HALF THE DAY ............
4 LESS THAN HALF THE DAY ............
or During that two-week period, did the loss of interest usually last all day long, most of the day, about half the day, or less than half the day?
= 2 »
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C169 Did you feel this way every day, almost every day, or less often during the two weeks?
DID YOU FEEL THIS WAY EVERY DAY, ALMOST EVERY DAY, OR LESS OFTEN DURING THE TWO WEEKS?
1 EVERY DAY
2 ALMOST EVERY DAY
3 LESS OFTEN ............
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If Did you feel this way every day, almost every day, or less often during the two weeks?
= 1 EVERY DAY
2 ALMOST EVERY DAY
3 LESS OFTEN ............
or Did you feel this way every day, almost every day, or less often during the two weeks?
= 2 »
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C170 During those two weeks, did you feel tired out or low on energy all the time?
DURING THOSE TWO WEEKS, DID YOU FEEL TIRED OUT OR LOW ON ENERGY ALL THE TIME?
1 YES
5 NO
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C171 During those same two weeks, did you lose your appetite?
DURING THOSE SAME TWO WEEKS, DID YOU LOSE YOUR APPETITE?
1 YES ............
5 NO
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If During those same two weeks, did you lose your appetite?
!= 1 YES ............
5 NO
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C172 Did your appetite increase during those same two weeks?
DID YOUR APPETITE INCREASE DURING THOSE SAME TWO WEEKS?
1 YES
5 NO
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C173 During those same two weeks, did you have more trouble falling asleep than you usually do?
DURING THOSE SAME TWO WEEKS, DID YOU HAVE MORE TROUBLE FALLING ASLEEP THAN YOU USUALLY DO?
1 YES
5 NO ............
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If During those same two weeks, did you have more trouble falling asleep than you usually do?
= 1 YES
5 NO ............
»
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C174 Did that happen every night, nearly every night, or less often during those two weeks?
DID THAT HAPPEN EVERY NIGHT, NEARLY EVERY NIGHT, OR LESS OFTEN DURING THOSE TWO WEEKS?
1 EVERY NIGHT
2 NEARLY EVERY NIGHT
3 LESS OFTEN
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C175 During those two weeks, did you have more trouble concentrating than usual?
DURING THOSE TWO WEEKS, DID YOU HAVE MORE TROUBLE CONCENTRATING THAN USUAL?
1 YES
5 NO
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C176 Did you feel this way during that two-week period?
DID YOU FEEL THIS WAY DURING THAT TWO-WEEK PERIOD?
1 YES
5 NO
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C177 Did you think a lot about death during those two weeks -- either your own, someone else's, or death in general?
DID YOU THINK A LOT ABOUT DEATH DURING THOSE TWO WEEKS -- EITHER YOUR OWN, SOMEONE ELSE'S, OR DEATH IN GENERAL?
1 YES
5 NO
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C179 About how many weeks altogether - out of 52 - did you feel this way during the last 12 months?WEEKS
ABOUT HOW MANY WEEKS ALTOGETHER - OUT OF 52 - DID YOU FEEL THIS WAY DURING THE LAST 12 MONTHS?WEEKS
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If About how many weeks altogether - out of 52 - did you feel this way during the last 12 months?WEEKS
!= 52 and MONTHS
!= 12 and YEAR
!= 1 »
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C182 Think about the time when you had two weeks in a row when you felt this way. In what month was this during the last 12 months?
THINK ABOUT THE TIME WHEN YOU HAD TWO WEEKS IN A ROW WHEN YOU FELT THIS WAY. IN WHAT MONTH WAS THIS DURING THE LAST 12 MONTHS?
1 JAN
2 FEB
3 MAR
4 APR
5 MAY
6 JUN
7 JUL
8 AUG
9 SEP
10 OCT
11 NOV
12 DEC
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C183 HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION C -- HEALTH?
HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION C -- HEALTH?
1 NEVER
2 A FEW TIMES
3 MOST OR ALL OF THE TIME
4 THE SECTION WAS DONE BY A PROXY REPORTER
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End of C. Physical Health
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