SC. Self-Completion Questionnaire
This module is self-completed. Topics covered are overall life satisfaction, quality of life, optimism/pessimism, depression, balance between respondent and others, family duty, personality, respondent's general practitioner, preventative care, pain, physical structure of respondent's accommodation, and neighborhood.
Start of SC. Self-Completion Questionnaire
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Q1
how satisfied are you with your life in general
HOW SATISFIED ARE YOU WITH YOUR LIFE IN GENERAL?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 very satisfied
2 somewhat satisfied
3 somewhat dissatisfied
4 very dissatisfied
HOW SATISFIED ARE YOU WITH YOUR LIFE IN GENERAL?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 very satisfied
2 somewhat satisfied
3 somewhat dissatisfied
4 very dissatisfied
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Q2_A
my age prevents me from doing the things i would like to
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. MY AGE PREVENTS ME FROM DOING THE THINGS I WOULD LIKE TO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. MY AGE PREVENTS ME FROM DOING THE THINGS I WOULD LIKE TO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
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Q2_B
i feel that what happens to me is out of my control
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT WHAT HAPPENS TO ME IS OUT OF MY CONTROL.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT WHAT HAPPENS TO ME IS OUT OF MY CONTROL.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
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Q2_C
i feel left out of things
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL LEFT OUT OF THINGS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL LEFT OUT OF THINGS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
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Q2_D
i can do the things that i want to do
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I CAN DO THE THINGS THAT I WANT TO DO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I CAN DO THE THINGS THAT I WANT TO DO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
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Q2_E
family responsibilities prevent me from doing what i want to do
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. FAMILY RESPONSIBILITIES PREVENT ME FROM DOING WHAT I WANT TO DO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. FAMILY RESPONSIBILITIES PREVENT ME FROM DOING WHAT I WANT TO DO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
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Q2_F
shortage of money stops me from doing the things i want to do
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. SHORTAGE OF MONEY STOPS ME FROM DOING THE THINGS I WANT TO DO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. SHORTAGE OF MONEY STOPS ME FROM DOING THE THINGS I WANT TO DO.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
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Q2_G
i look forward to each day
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I LOOK FORWARD TO EACH DAY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I LOOK FORWARD TO EACH DAY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
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Q2_H
i feel that my life has meaning
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT MY LIFE HAS MEANING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT MY LIFE HAS MEANING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
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Q2_I
on balance, i look back on my life with a sense of happiness
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. ON BALANCE, I LOOK BACK ON MY LIFE WITH A SENSE OF HAPPINESS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. ON BALANCE, I LOOK BACK ON MY LIFE WITH A SENSE OF HAPPINESS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
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Q2_J
i feel full of energy these days
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL FULL OF ENERGY THESE DAYS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL FULL OF ENERGY THESE DAYS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
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Q2_K
i feel that life is full of opportunities
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT LIFE IS FULL OF OPPORTUNITIES.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT LIFE IS FULL OF OPPORTUNITIES.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely 4never
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Q2_L
i feel that the future looks good for me
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT THE FUTURE LOOKS GOOD FOR ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
WE WOULD LIKE TO KNOW HOW OFTEN, IF AT ALL, YOU THINK THIS APPLIES TO YOU. I FEEL THAT THE FUTURE LOOKS GOOD FOR ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
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Q3_A
i pursue my goals with lots of energy
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I PURSUE MY GOALS WITH LOTS OF ENERGY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I PURSUE MY GOALS WITH LOTS OF ENERGY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
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Q3_B
in uncertain times, i usually expect the best
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. IN UNCERTAIN TIMES, I USUALLY EXPECT THE BEST.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. IN UNCERTAIN TIMES, I USUALLY EXPECT THE BEST.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
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Q3_C
i am always optimistic about my future
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I AM ALWAYS OPTIMISTIC ABOUT MY FUTURE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I AM ALWAYS OPTIMISTIC ABOUT MY FUTURE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
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Q3_D
i hardly ever expect things to go my way
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I HARDLY EVER EXPECT THINGS TO GO MY WAY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I HARDLY EVER EXPECT THINGS TO GO MY WAY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
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Q3_E
i still find ways to solve a problem if others have given up
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I STILL FIND WAYS TO SOLVE A PROBLEM IF OTHERS HAVE GIVEN UP.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I STILL FIND WAYS TO SOLVE A PROBLEM IF OTHERS HAVE GIVEN UP.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
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Q3_F
i rarely count on good things happening to me
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I RARELY COUNT ON GOOD THINGS HAPPENING TO ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. I RARELY COUNT ON GOOD THINGS HAPPENING TO ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
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Q3_G
given my previous experiences i feel well prepared for my future
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. GIVEN MY PREVIOUS EXPERIENCES I FEEL WELL PREPARED FOR MY FUTURE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT FOR YOU PERSONALLY. GIVEN MY PREVIOUS EXPERIENCES I FEEL WELL PREPARED FOR MY FUTURE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
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Q4_A
i felt depressed
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT DEPRESSED.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time 2most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT DEPRESSED.
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-5 not answered 1almost all of the time 2most of the time
3 some of the time
4 almost none of the time
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Q4_B
i felt that everything i did was an effort
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT THAT EVERYTHING I DID WAS AN EFFORT.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT THAT EVERYTHING I DID WAS AN EFFORT.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_C
my sleep was restless
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? MY SLEEP WAS RESTLESS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? MY SLEEP WAS RESTLESS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_D
i was happy
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I WAS HAPPY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I WAS HAPPY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_E
i felt lonely
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT LONELY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT LONELY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_F
i felt people were unfriendly
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT PEOPLE WERE UNFRIENDLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT PEOPLE WERE UNFRIENDLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_G
i enjoyed life
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I ENJOYED LIFE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I ENJOYED LIFE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_H
i felt sad
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT SAD.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT SAD.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_I
i felt that people disliked me
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT THAT PEOPLE DISLIKED ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time 2most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT THAT PEOPLE DISLIKED ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time 2most of the time
3 some of the time
4 almost none of the time
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Q4_J
i could not get going
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I COULD NOT GET GOING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I COULD NOT GET GOING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_K
i did not feel like eating; my appetite was poor
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I DID NOT FEEL LIKE EATING; MY APPETITE WAS POOR.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time 2most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I DID NOT FEEL LIKE EATING; MY APPETITE WAS POOR.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1almost all of the time 2most of the time
3 some of the time
4 almost none of the time
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Q4_L
i had a lot of energy
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I HAD A LOT OF ENERGY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I HAD A LOT OF ENERGY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_M
i felt tired
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT TIRED.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT TIRED.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q4_N
i felt really rested when i woke up in the morning
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT REALLY RESTED WHEN I WOKE UP IN THE MORNING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT REALLY RESTED WHEN I WOKE UP IN THE MORNING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 almost all of the time
2 most of the time
3 some of the time
4 almost none of the time
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Q5_A
i always satisfied w/ balance between what given partner and what received in return
I HAVE ALWAYS BEEN SATISFIED WITH THE BALANCE BETWEEN WHAT I HAVE GIVEN MY PARTNER AND WHAT I HAVE RECEIVED IN RETURN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
8 does not apply
I HAVE ALWAYS BEEN SATISFIED WITH THE BALANCE BETWEEN WHAT I HAVE GIVEN MY PARTNER AND WHAT I HAVE RECEIVED IN RETURN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree 5strongly disagree
8 does not apply
========================================================================
Q5_B
i always received adequate appreciation for providing help in my family
I HAVE ALWAYS RECEIVED ADEQUATE APPRECIATION FOR PROVIDING HELP IN MY FAMILY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
8 does not apply
I HAVE ALWAYS RECEIVED ADEQUATE APPRECIATION FOR PROVIDING HELP IN MY FAMILY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
8 does not apply
========================================================================
Q5_C
in my current major activity i always satisfied w. rewards received for efforts
IN MY CURRENT MAJOR ACTIVITY (JOB, LOOKING AFTER HOME, VOLUNTARY WORK) I HAVE ALWAYS BEEN SATISFIED WITH THE REWARDS I RECEIVED FOR MY EFFORTS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
8 does not apply
IN MY CURRENT MAJOR ACTIVITY (JOB, LOOKING AFTER HOME, VOLUNTARY WORK) I HAVE ALWAYS BEEN SATISFIED WITH THE REWARDS I RECEIVED FOR MY EFFORTS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
8 does not apply
========================================================================
Q5_D
i have been seriously disappointed or hurt by someone to whom i gave my trust
I HAVE BEEN SERIOUSLY DISAPPOINTED OR HURT BY SOMEONE TO WHOM I GAVE MY TRUST.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
8 does not apply
I HAVE BEEN SERIOUSLY DISAPPOINTED OR HURT BY SOMEONE TO WHOM I GAVE MY TRUST.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
8 does not apply
========================================================================
Q6_A
parents duty: do best for children even at expense of own well-being
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. PARENTS' DUTY IS TO DO THEIR BEST FOR THEIR CHILDREN EVEN AT THE EXPENSE OF THEIR OWN WELL-BEING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. PARENTS' DUTY IS TO DO THEIR BEST FOR THEIR CHILDREN EVEN AT THE EXPENSE OF THEIR OWN WELL-BEING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
========================================================================
Q6_B
grandparents duty: be there for grandchildren in cases of difficulty
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. GRANDPARENTS’ DUTY IS TO BE THERE FOR GRANDCHILDREN IN CASES OF DIFFICULTY (SUCH AS DIVORCE OF PARENTS OR ILLNESS).
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. GRANDPARENTS’ DUTY IS TO BE THERE FOR GRANDCHILDREN IN CASES OF DIFFICULTY (SUCH AS DIVORCE OF PARENTS OR ILLNESS).
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
========================================================================
Q6_C
grandparents duty: contribute towards economic security of grandchildren and families
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. GRANDPARENTS’ DUTY IS TO CONTRIBUTE TOWARDS THE ECONOMIC SECURITY OF GRANDCHILDREN AND THEIR FAMILIES.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. GRANDPARENTS’ DUTY IS TO CONTRIBUTE TOWARDS THE ECONOMIC SECURITY OF GRANDCHILDREN AND THEIR FAMILIES.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
========================================================================
Q6_D
grandparents duty: help grandchildren's parents in looking after young grandchildren.
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. GRANDPARENTS’ DUTY IS TO HELP GRANDCHILDREN'S PARENTS IN LOOKING AFTER YOUNG GRANDCHILDREN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
PLEASE TELL US HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. GRANDPARENTS’ DUTY IS TO HELP GRANDCHILDREN'S PARENTS IN LOOKING AFTER YOUNG GRANDCHILDREN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 strongly agree
2 agree
3 neither agree nor disagree
4 disagree
5 strongly disagree
========================================================================
Q7_A
family or state: financial support for older persons who are in need
IN YOUR OPINION, WHO - THE FAMILY OR THE STATE - SHOULD BEAR THE RESPONSIBILITY FOR EACH OF THE FOLLOWING: FINANCIAL SUPPORT FOR OLDER PERSONS WHO ARE IN NEED?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 totally family
2 mainly family
3 both equally
4 mainly state
5 totally state
IN YOUR OPINION, WHO - THE FAMILY OR THE STATE - SHOULD BEAR THE RESPONSIBILITY FOR EACH OF THE FOLLOWING: FINANCIAL SUPPORT FOR OLDER PERSONS WHO ARE IN NEED?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 totally family
2 mainly family
3 both equally
4 mainly state
5 totally state
========================================================================
Q7_B
family or state: help with household chores for older persons in need
IN YOUR OPINION, WHO - THE FAMILY OR THE STATE - SHOULD BEAR THE RESPONSIBILITY FOR EACH OF THE FOLLOWING: HELP WITH HOUSEHOLD CHORES FOR OLDER PERSONS WHO ARE IN NEED SUCH AS HELP WITH CLEANING, WASHING?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 totally family
2 mainly family
3 both equally
4 mainly state
5 totally state
IN YOUR OPINION, WHO - THE FAMILY OR THE STATE - SHOULD BEAR THE RESPONSIBILITY FOR EACH OF THE FOLLOWING: HELP WITH HOUSEHOLD CHORES FOR OLDER PERSONS WHO ARE IN NEED SUCH AS HELP WITH CLEANING, WASHING?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 totally family
2 mainly family
3 both equally
4 mainly state
5 totally state
========================================================================
Q7_C
family or state: personal care for older persons in need
IN YOUR OPINION, WHO - THE FAMILY OR THE STATE - SHOULD BEAR THE RESPONSIBILITY FOR EACH OF THE FOLLOWING: PERSONAL CARE FOR OLDER PERSONS WHO ARE IN NEED SUCH AS NURSING OR HELP WITH BATHING OR DRESSING?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 totally family
2 mainly family
3 both equally
4 mainly state
5 totally state
IN YOUR OPINION, WHO - THE FAMILY OR THE STATE - SHOULD BEAR THE RESPONSIBILITY FOR EACH OF THE FOLLOWING: PERSONAL CARE FOR OLDER PERSONS WHO ARE IN NEED SUCH AS NURSING OR HELP WITH BATHING OR DRESSING?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 totally family
2 mainly family
3 both equally
4 mainly state
5 totally state
========================================================================
Q8_A
conflicts with parents
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. PARENTS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. PARENTS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
========================================================================
Q8_B
conflicts with parents-in-law
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. PARENTS-IN-LAW.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. PARENTS-IN-LAW.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
========================================================================
Q8_C
conflicts with partner/spouse
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. PARTNER/SPOUSE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. PARTNER/SPOUSE.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
========================================================================
Q8_D
conflicts with children
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. CHILDREN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. CHILDREN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
========================================================================
Q8_E
conflicts with other family members
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. OTHER FAMILY MEMBERS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. OTHER FAMILY MEMBERS.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
========================================================================
Q8_F
conflicts with friends, coworkers, acquaintances
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. FRIENDS, COWORKERS, ACQUAINTANCES.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. FRIENDS, COWORKERS, ACQUAINTANCES.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
========================================================================
Q9
how often conflicts with children/-in-law over education/upbringing of grandchildren
HOW OFTEN DO YOU EXPERIENCE CONFLICTS WITH YOUR CHILDREN OR CHILDREN-IN-LAW OVER THE EDUCATION AND BRINGING UP OF YOUR GRANDCHILD(REN)?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
HOW OFTEN DO YOU EXPERIENCE CONFLICTS WITH YOUR CHILDREN OR CHILDREN-IN-LAW OVER THE EDUCATION AND BRINGING UP OF YOUR GRANDCHILD(REN)?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 often
2 sometimes
3 rarely
4 never
8 does not apply
========================================================================
Q10
do you or did you ever share a household with a husband, wife or partner
DO YOU OR DID YOU EVER SHARE A HOUSEHOLD WITH A HUSBAND, WIFE OR PARTNER?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
DO YOU OR DID YOU EVER SHARE A HOUSEHOLD WITH A HUSBAND, WIFE OR PARTNER?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
If do you or did you ever share a household with a husband, wife or partner (Q10) = 1. yes »
| ========================================================================
|
Q11_A
who in couple in charge of bringing up children
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? BRINGING UP CHILDREN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly 5my partner only
8 does not apply
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? BRINGING UP CHILDREN.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly 5my partner only
8 does not apply
| ========================================================================
|
Q11_B
who in couple in charge of earning money
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? EARNING MONEY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly
5 my partner only
8 does not apply
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? EARNING MONEY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly
5 my partner only
8 does not apply
| ========================================================================
|
Q11_C
who in couple in charge of cooking, cleaning the house, laundry and ironing
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? COOKING, CLEANING THE HOUSE, LAUNDRY AND IRONING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly
5 my partner only
8 does not apply
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? COOKING, CLEANING THE HOUSE, LAUNDRY AND IRONING.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly
5 my partner only
8 does not apply
| ========================================================================
|
Q11_D
who in couple in charge of caring for elderly
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? CARING FOR ELDERLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly 5my partner only
8 does not apply
WHO IN THE COUPLE TAKES OR TOOK THE MAIN RESPONSIBILITY FOR THE FOLLOWING TASKS? CARING FOR ELDERLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 myself only
2 myself mainly
3 myself and my partner equally
4 my partner mainly 5my partner only
8 does not apply
========================================================================
Q12
have general pratictioner
DO YOU HAVE A "GENERAL PRACTITIONER" (I.E. A DOCTOR YOU USUALLY TURN TO FOR YOUR COMMON HEALTH PROBLEMS)?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
DO YOU HAVE A "GENERAL PRACTITIONER" (I.E. A DOCTOR YOU USUALLY TURN TO FOR YOUR COMMON HEALTH PROBLEMS)?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
If have general pratictioner (Q12) = 1. yes »
| ========================================================================
|
Q13_A
how often does gp ask about physical activity
HOW OFTEN DOES YOUR GENERAL PRACTITIONER ASK HOW MUCH PHYSICAL ACTIVITY YOU DO?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
HOW OFTEN DOES YOUR GENERAL PRACTITIONER ASK HOW MUCH PHYSICAL ACTIVITY YOU DO?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
| ========================================================================
|
Q13_B
how often does gp tell to get exercise
HOW OFTEN DOES YOUR GENERAL PRACTITIONER TELL YOU THAT YOU SHOULD GET REGULAR EXERCISE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
HOW OFTEN DOES YOUR GENERAL PRACTITIONER TELL YOU THAT YOU SHOULD GET REGULAR EXERCISE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
| ========================================================================
|
Q13_C
how often does gp ask about falling down
HOW OFTEN DOES YOUR GENERAL PRACTITIONER ASK YOU ABOUT FALLING DOWN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1at every visit
2 at some visits
3 never
HOW OFTEN DOES YOUR GENERAL PRACTITIONER ASK YOU ABOUT FALLING DOWN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1at every visit
2 at some visits
3 never
| ========================================================================
|
Q13_D
how often does gp check balance
HOW OFTEN DOES YOUR GENERAL PRACTITIONER CHECK YOUR BALANCE OR THE WAY YOU WALK?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1at every visit
2 at some visits
3 never
HOW OFTEN DOES YOUR GENERAL PRACTITIONER CHECK YOUR BALANCE OR THE WAY YOU WALK?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered 1at every visit
2 at some visits
3 never
| ========================================================================
|
Q13_E
how often does gp check weight
HOW OFTEN DOES YOUR GENERAL PRACTITIONER CHECK YOUR WEIGHT?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
HOW OFTEN DOES YOUR GENERAL PRACTITIONER CHECK YOUR WEIGHT?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
| ========================================================================
|
Q13_F
how often does gp ask about drugs
HOW OFTEN DOES YOUR GENERAL PRACTITIONER ASK YOU ABOUT ANY DRUGS YOU TAKE, EITHER BOUGHT OVER-THE-COUNTER OR DRUGS PRESCRIBED BY ANOTHER DOCTOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
HOW OFTEN DOES YOUR GENERAL PRACTITIONER ASK YOU ABOUT ANY DRUGS YOU TAKE, EITHER BOUGHT OVER-THE-COUNTER OR DRUGS PRESCRIBED BY ANOTHER DOCTOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 at every visit
2 at some visits
3 never
========================================================================
Q14
had flu vaccination
IN THE LAST YEAR, HAVE YOU HAD A FLU VACCINATION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
IN THE LAST YEAR, HAVE YOU HAD A FLU VACCINATION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
If had flu vaccination (Q14) = 1. yes »
| ========================================================================
|
Q15
advised to have flu vaccination
IN THE LAST YEAR, WERE YOU ADVISED BY ANY DOCTOR TO HAVE A FLU VACCINATION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
IN THE LAST YEAR, WERE YOU ADVISED BY ANY DOCTOR TO HAVE A FLU VACCINATION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q16
had eye exam
IN THE LAST TWO YEARS, HAVE YOU HAD AN EYE EXAM PERFORMED BY AN EYE CARE PROFESSIONAL SUCH AS AN OPHTHALMOLOGIST OR OPTOMETRIST?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
IN THE LAST TWO YEARS, HAVE YOU HAD AN EYE EXAM PERFORMED BY AN EYE CARE PROFESSIONAL SUCH AS AN OPHTHALMOLOGIST OR OPTOMETRIST?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q17
had mammogram
IF YOU ARE A WOMAN: IN THE LAST TWO YEARS, HAVE YOU HAD A MAMMOGRAM (X-RAY OF THE BREAST)?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
8 does not apply
IF YOU ARE A WOMAN: IN THE LAST TWO YEARS, HAVE YOU HAD A MAMMOGRAM (X-RAY OF THE BREAST)?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
8 does not apply
========================================================================
Q18
advised to have colonoscopy
SOME HEALTH CARE PROVIDERS DO TESTS SUCH AS SIGMOIDOSCOPY OR COLONOSCOPY TO CHECK FOR COLON CANCER. IN THE PAST TEN YEARS, DID A HEALTH CARE PROVIDER EVER RECOMMEND ANY OF THESE TESTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
SOME HEALTH CARE PROVIDERS DO TESTS SUCH AS SIGMOIDOSCOPY OR COLONOSCOPY TO CHECK FOR COLON CANCER. IN THE PAST TEN YEARS, DID A HEALTH CARE PROVIDER EVER RECOMMEND ANY OF THESE TESTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q19
ever had colonoscopy
HAVE YOU EVER HAD A SIGMOIDOSCOPY OR COLONOSCOPY? IF SO, ABOUT HOW LONG AGO DID YOU HAVE THE MOST RECENT ONE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes, I had one of these tests less than 10 years ago
2 yes, I had one of these tests 10 or more years ago
3 no, I never had any of these tests
HAVE YOU EVER HAD A SIGMOIDOSCOPY OR COLONOSCOPY? IF SO, ABOUT HOW LONG AGO DID YOU HAVE THE MOST RECENT ONE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes, I had one of these tests less than 10 years ago
2 yes, I had one of these tests 10 or more years ago
3 no, I never had any of these tests
========================================================================
Q20
had stool blood test
ANOTHER TEST DETECTS HIDDEN BLOOD IN YOUR STOOL. FOR THIS TEST, YOU PUT A SMALL STOOL SAMPLE ON A SPECIAL CARD. IN THE LAST TEN YEARS, HAVE YOU HAD THIS TEST?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
ANOTHER TEST DETECTS HIDDEN BLOOD IN YOUR STOOL. FOR THIS TEST, YOU PUT A SMALL STOOL SAMPLE ON A SPECIAL CARD. IN THE LAST TEN YEARS, HAVE YOU HAD THIS TEST?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
If had stool blood test (Q20) = 1. yes »
| ========================================================================
|
Q21
advised to have stool blood test
IN THE LAST TEN YEARS, DID A HEALTH CARE PROVIDER EVER RECOMMEND THIS TEST?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
IN THE LAST TEN YEARS, DID A HEALTH CARE PROVIDER EVER RECOMMEND THIS TEST?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q22
joint pain
THE NEXT QUESTIONS CONCERN JOINT PAIN. HAVE YOU BEEN BOTHERED BY PAIN IN HIPS, KNEES OR OTHER JOINTS (UPPER OR LOWER LIMBS) FOR AT LEAST 6 MONTHS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
THE NEXT QUESTIONS CONCERN JOINT PAIN. HAVE YOU BEEN BOTHERED BY PAIN IN HIPS, KNEES OR OTHER JOINTS (UPPER OR LOWER LIMBS) FOR AT LEAST 6 MONTHS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
If joint pain (Q22) = 1. yes »
| ========================================================================
|
Q23_A
pain in hips
CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN HIPS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked
CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN HIPS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked
| ========================================================================
|
Q23_B
pain in knees
CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN KNEES.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked
CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN KNEES.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked
| ========================================================================
|
Q23_C
pain in other joints
CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN OTHER JOINTS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked
CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN OTHER JOINTS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked
| ========================================================================
|
Q24
joint pain on most days
DO YOU HAVE JOINT PAIN ON MOST DAYS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
DO YOU HAVE JOINT PAIN ON MOST DAYS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
| ========================================================================
|
Q25
drugs for joint pain
DO YOU CURRENTLY TAKE DRUGS FOR YOUR JOINTS PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
DO YOU CURRENTLY TAKE DRUGS FOR YOUR JOINTS PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
|
If drugs for joint pain (Q25) = 1. yes »
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| |
Q26
join pain controlled
IS THE PAIN CONTROLLED WHEN YOU TAKE DRUGS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
2 somewhat
3 no
IS THE PAIN CONTROLLED WHEN YOU TAKE DRUGS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
2 somewhat
3 no
| ========================================================================
|
Q27
tell gp about joint pain
DID YOU TELL YOUR GENERAL PRACTITIONER OR ANY OTHER DOCTOR ABOUT YOUR JOINT PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
DID YOU TELL YOUR GENERAL PRACTITIONER OR ANY OTHER DOCTOR ABOUT YOUR JOINT PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no
|
If tell gp about joint pain (Q27) = 1. yes »
| | ========================================================================
| |
Q28_A
did gp check joints
WHEN YOU TOLD THE DOCTOR ABOUT YOUR PAIN, DID HE OR SHE CHECK YOUR JOINTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
WHEN YOU TOLD THE DOCTOR ABOUT YOUR PAIN, DID HE OR SHE CHECK YOUR JOINTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
| | ========================================================================
| |
Q28_B
did gp suggest treatment
WHEN YOU TOLD THE DOCTOR ABOUT YOUR PAIN, DID HE OR SHE SUGGEST A TREATMENT FOR THIS JOINT PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
WHEN YOU TOLD THE DOCTOR ABOUT YOUR PAIN, DID HE OR SHE SUGGEST A TREATMENT FOR THIS JOINT PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
| | ========================================================================
| |
Q28_C
did gp tell about side effects
WHEN YOU TOLD THE DOCTOR ABOUT YOUR PAIN, DID HE OR SHE TELL YOU ABOUT THE POSSIBLE SIDE EFFECTS OR RISKS FROM ANTI-INFLAMMATORIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
WHEN YOU TOLD THE DOCTOR ABOUT YOUR PAIN, DID HE OR SHE TELL YOU ABOUT THE POSSIBLE SIDE EFFECTS OR RISKS FROM ANTI-INFLAMMATORIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
| | ========================================================================
| |
Q29_A
ever had physiotherapy
HAVE YOU EVER BEEN SENT TO PHYSIOTHERAPY OR AN EXERCISE PROGRAM FOR YOUR JOINT PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
HAVE YOU EVER BEEN SENT TO PHYSIOTHERAPY OR AN EXERCISE PROGRAM FOR YOUR JOINT PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
| | ========================================================================
| |
Q29_B
ever suggested surgery
HAVE YOU EVER BEEN TOLD BY A DOCTOR THAT YOU SHOULD HAVE SURGERY OR JOINT REPLACEMENT FOR THE PAIN THAT YOU PRESENTLY HAVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
HAVE YOU EVER BEEN TOLD BY A DOCTOR THAT YOU SHOULD HAVE SURGERY OR JOINT REPLACEMENT FOR THE PAIN THAT YOU PRESENTLY HAVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
| | ========================================================================
| |
Q29_C
ever been send to orthopeadic surgeon
HAVE YOU EVER BEEN SENT BY A DOCTOR TO AN ORTHOPEADIC SURGEON FOR THE JOINT PAIN THAT YOU PRESENTLY HAVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
HAVE YOU EVER BEEN SENT BY A DOCTOR TO AN ORTHOPEADIC SURGEON FOR THE JOINT PAIN THAT YOU PRESENTLY HAVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q30_A
an indoor bath or shower only for your households personal use
DOES YOUR ACCOMMODATION HAVE AN INDOOR BATH OR SHOWER ONLY FOR YOUR HOUSEHOLDS PERSONAL USE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes 5no
DOES YOUR ACCOMMODATION HAVE AN INDOOR BATH OR SHOWER ONLY FOR YOUR HOUSEHOLDS PERSONAL USE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes 5no
========================================================================
Q30_B
an indoor flushing toilet only for your households personal use
DOES YOUR ACCOMMODATION HAVE AN INDOOR FLUSHING TOILET ONLY FOR YOUR HOUSEHOLDS PERSONAL USE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes 5no
DOES YOUR ACCOMMODATION HAVE AN INDOOR FLUSHING TOILET ONLY FOR YOUR HOUSEHOLDS PERSONAL USE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes 5no
========================================================================
Q30_C
central heating
DOES YOUR ACCOMMODATION HAVE CENTRAL HEATING?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
DOES YOUR ACCOMMODATION HAVE CENTRAL HEATING?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q30_D
air condition
DOES YOUR ACCOMMODATION HAVE AIR CONDITION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
DOES YOUR ACCOMMODATION HAVE AIR CONDITION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q30_E
an elevator
DOES YOUR ACCOMMODATION HAVE AN ELEVATOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
DOES YOUR ACCOMMODATION HAVE AN ELEVATOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q30_F
a balcony, terrace or garden
DOES YOUR ACCOMMODATION HAVE A BALCONY, TERRACE OR GARDEN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
DOES YOUR ACCOMMODATION HAVE A BALCONY, TERRACE OR GARDEN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q31_A
accomodation has not enough space
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS NOT ENOUGH SPACE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS NOT ENOUGH SPACE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q31_B
accomodation costs too much
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT COSTS TOO MUCH?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT COSTS TOO MUCH?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q31_C
accomodation has not enough light
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS NOT ENOUGH LIGHT?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS NOT ENOUGH LIGHT?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q31_D
accomodation has insufficient heating or cooling facilities
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS INSUFFICIENT HEATING OR COOLING FACILITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS INSUFFICIENT HEATING OR COOLING FACILITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q32_A
does area have sufficient supply of pharmacy/medical care/grocery in reasonable distance
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT HAS SUFFICIENT SUPPLY OF FACILITIES SUCH AS PHARMACY, MEDICAL CARE, GROCERY AND THE LIKE WITHIN REASONABLE DISTANCE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT HAS SUFFICIENT SUPPLY OF FACILITIES SUCH AS PHARMACY, MEDICAL CARE, GROCERY AND THE LIKE WITHIN REASONABLE DISTANCE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q32_B
does area have sufficient possibilities for public transportation
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT HAS SUFFICIENT POSSIBILITIES FOR PUBLIC TRANSPORTATION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT HAS SUFFICIENT POSSIBILITIES FOR PUBLIC TRANSPORTATION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q32_C
does area have pollution, noise or other environmental problems
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT HAS POLLUTION, NOISE OR OTHER ENVIRONMENTAL PROBLEMS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT HAS POLLUTION, NOISE OR OTHER ENVIRONMENTAL PROBLEMS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q32_D
does area suffer from vandalism or crime
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT SUFFERS FROM VANDALISM OR CRIME?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
AND, HOW ABOUT THE AREA IMMEDIATELY SURROUNDING YOUR ACCOMMODATION, WOULD YOU SAY IT SUFFERS FROM VANDALISM OR CRIME?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q33_A
has dog
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? DOG.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? DOG.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
========================================================================
Q33_B
has cat
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? CAT.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? CAT.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
========================================================================
Q33_C
has bird
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? BIRD.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? BIRD.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
========================================================================
Q33_D
has fish
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? FISH.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected 1selected
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? FISH.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected 1selected
========================================================================
Q33_E
has other pets
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? OTHER PETS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? OTHER PETS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
========================================================================
Q33_F
has no pets in household
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? NO PETS IN HOUSEHOLD.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? NO PETS IN HOUSEHOLD.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not selected
1 selected
========================================================================
Q34_R
religious preference
WHAT RELIGION DO YOU BELONG OR FEEL ATTACHED TO MOSTLY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 protestant
2 catholic
3 orthodox
4 jewish
5 muslim
7 other
8 none
WHAT RELIGION DO YOU BELONG OR FEEL ATTACHED TO MOSTLY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 protestant
2 catholic
3 orthodox
4 jewish
5 muslim
7 other
8 none
========================================================================
Q35
about how often do you pray?
THINKING ABOUT THE PRESENT, ABOUT HOW OFTEN DO YOU PRAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 more than once a day
2 once daily or almost daily
3 a couple of times a week
4 once a week
5 less than once a week
6 never
THINKING ABOUT THE PRESENT, ABOUT HOW OFTEN DO YOU PRAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 more than once a day
2 once daily or almost daily
3 a couple of times a week
4 once a week
5 less than once a week
6 never
========================================================================
Q36
have you been educated religiously by your parents?
HAVE YOU BEEN EDUCATED RELIGIOUSLY BY YOUR PARENTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
HAVE YOU BEEN EDUCATED RELIGIOUSLY BY YOUR PARENTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no
========================================================================
Q37
party preference
MANY PEOPLE IN [COUNTRY] LEAN TOWARDS ONE POLITICAL PARTY IN THE LONG TERM, EVEN IF THEY OCCASIONALLY VOTE FOR ANOTHER PARTY. TOWARD WHICH PARTY DO YOU LEAN? (COUNTRY SPECIFIC CATEGORIES)
MANY PEOPLE IN [COUNTRY] LEAN TOWARDS ONE POLITICAL PARTY IN THE LONG TERM, EVEN IF THEY OCCASIONALLY VOTE FOR ANOTHER PARTY. TOWARD WHICH PARTY DO YOU LEAN? (COUNTRY SPECIFIC CATEGORIES)
========================================================================
Q38_A
gender
FINALLY, PLEASE STATE YOUR SEX AND BIRTH YEAR: I AM...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. male
2. female
FINALLY, PLEASE STATE YOUR SEX AND BIRTH YEAR: I AM...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. male
2. female
========================================================================
End of SC. Self-Completion Questionnaire