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.

item label type description
MERGEID Question person identifier (fix across modules and waves)
HHID Question household (fix across modules and waves)
HHID1 Question household identifier wave 1
COUNTRY Question country identifier
WAVEID Question identifier of original wave
LANGUAGE Question language of questionnaire
CVID Question coverscreen sequence identifier (wave specific)
Q1 Question how satisfied are you with your life in general
Q2_A Question my age prevents me from doing the things i would like to
Q2_B Question i feel that what happens to me is out of my control
Q2_C Question i feel left out of things
Q2_D Question i can do the things that i want to do
Q2_E Question family responsibilities prevent me from doing what i want to do
Q2_F Question shortage of money stops me from doing the things i want to do
Q2_G Question i look forward to each day
Q2_H Question i feel that my life has meaning
Q2_I Question on balance, i look back on my life with a sense of happiness
Q2_J Question i feel full of energy these days
Q2_K Question i feel that life is full of opportunities
Q2_L Question i feel that the future looks good for me
Q3_A Question i pursue my goals with lots of energy
Q3_B Question in uncertain times, i usually expect the best
Q3_C Question i am always optimistic about my future
Q3_D Question i hardly ever expect things to go my way
Q3_E Question i still find ways to solve a problem if others have given up
Q3_F Question i rarely count on good things happening to me
Q3_G Question given my previous experiences i feel well prepared for my future
Q4_A Question i felt depressed
Q4_B Question i felt that everything i did was an effort
Q4_C Question my sleep was restless
Q4_D Question i was happy
Q4_E Question i felt lonely
Q4_F Question i felt people were unfriendly
Q4_G Question i enjoyed life
Q4_H Question i felt sad
Q4_I Question i felt that people disliked me
Q4_J Question i could not get going
Q4_K Question i did not feel like eating; my appetite was poor
Q4_L Question i had a lot of energy
Q4_M Question i felt tired
Q4_N Question i felt really rested when i woke up in the morning
Q5_A Question i always satisfied w/ balance between what given partner and what received in return
Q5_B Question i always received adequate appreciation for providing help in my family
Q5_C Question in my current major activity i always satisfied w. rewards received for efforts
Q5_D Question i have been seriously disappointed or hurt by someone to whom i gave my trust
Q6_A Question parents duty: do best for children even at expense of own well-being
Q6_B Question grandparents duty: be there for grandchildren in cases of difficulty
Q6_C Question grandparents duty: contribute towards economic security of grandchildren and families
Q6_D Question grandparents duty: help grandchildren's parents in looking after young grandchildren.
Q7_A Question family or state: financial support for older persons who are in need
Q7_B Question family or state: help with household chores for older persons in need
Q7_C Question family or state: personal care for older persons in need
Q8_A Question conflicts with parents
Q8_B Question conflicts with parents-in-law
Q8_C Question conflicts with partner/spouse
Q8_D Question conflicts with children
Q8_E Question conflicts with other family members
Q8_F Question conflicts with friends, coworkers, acquaintances
Q9 Question how often conflicts with children/-in-law over education/upbringing of grandchildren
Q10 Question do you or did you ever share a household with a husband, wife or partner
Q11_A Question who in couple in charge of bringing up children
Q11_B Question who in couple in charge of earning money
Q11_C Question who in couple in charge of cooking, cleaning the house, laundry and ironing
Q11_D Question who in couple in charge of caring for elderly
Q12 Question have general pratictioner
Q13_A Question how often does gp ask about physical activity
Q13_B Question how often does gp tell to get exercise
Q13_C Question how often does gp ask about falling down
Q13_D Question how often does gp check balance
Q13_E Question how often does gp check weight
Q13_F Question how often does gp ask about drugs
Q14 Question had flu vaccination
Q15 Question advised to have flu vaccination
Q16 Question had eye exam
Q17 Question had mammogram
Q18 Question advised to have colonoscopy
Q19 Question ever had colonoscopy
Q20 Question had stool blood test
Q21 Question advised to have stool blood test
Q22 Question joint pain
Q23_A Question pain in hips
Q23_B Question pain in knees
Q23_C Question pain in other joints
Q24 Question joint pain on most days
Q25 Question drugs for joint pain
Q26 Question join pain controlled
Q27 Question tell gp about joint pain
Q28_A Question did gp check joints
Q28_B Question did gp suggest treatment
Q28_C Question did gp tell about side effects
Q29_A Question ever had physiotherapy
Q29_B Question ever suggested surgery
Q29_C Question ever been send to orthopeadic surgeon
Q30_A Question an indoor bath or shower only for your households personal use
Q30_B Question an indoor flushing toilet only for your households personal use
Q30_C Question central heating
Q30_D Question air condition
Q30_E Question an elevator
Q30_F Question a balcony, terrace or garden
Q31_A Question accomodation has not enough space
Q31_B Question accomodation costs too much
Q31_C Question accomodation has not enough light
Q31_D Question accomodation has insufficient heating or cooling facilities
Q32_A Question does area have sufficient supply of pharmacy/medical care/grocery in reasonable distance
Q32_B Question does area have sufficient possibilities for public transportation
Q32_C Question does area have pollution, noise or other environmental problems
Q32_D Question does area suffer from vandalism or crime
Q33_A Question has dog
Q33_B Question has cat
Q33_C Question has bird
Q33_D Question has fish
Q33_E Question has other pets
Q33_F Question has no pets in household
Q34_R Question religious preference
Q35 Question about how often do you pray?
Q36 Question have you been educated religiously by your parents?
Q37 Question party preference
Q38_A Question gender
Q38_B Question date of birth
Start of SC. Self-Completion Questionnaire
 
Q1

how satisfied are you with your life in general

HOW SATISFIED ARE YOU WITH YOUR LIFE IN GENERAL?
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Q4_A

i felt depressed

HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT DEPRESSED.
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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.
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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.
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Q4_D

i was happy

HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I WAS HAPPY.
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Q4_E

i felt lonely

HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT LONELY.
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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.
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Q4_G

i enjoyed life

HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I ENJOYED LIFE.
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Q4_H

i felt sad

HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT SAD.
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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.
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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.
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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.
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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.
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Q4_M

i felt tired

HOW OFTEN HAVE YOU EXPERIENCED THE FOLLOWING FEELINGS OVER THE LAST WEEK? I FELT TIRED.
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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.
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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.
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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.
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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.
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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.
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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.
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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).
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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.
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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.
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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?
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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?
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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?
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Q8_A

conflicts with parents

PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. PARENTS.
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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.
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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.
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Q8_D

conflicts with children

PLEASE TELL US HOW OFTEN, IF AT ALL, YOU EXPERIENCE CONFLICT WITH EACH OF THE FOLLOWING PERSONS. CHILDREN.
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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.
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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.
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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)?
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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?
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If do you or did you ever share a household with a husband, wife or partner = 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.
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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.
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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.
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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.
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Q12

have general pratictioner

DO YOU HAVE A "GENERAL PRACTITIONER" (I.E. A DOCTOR YOU USUALLY TURN TO FOR YOUR COMMON HEALTH PROBLEMS)?
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If have general pratictioner = 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?
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Q13_B

how often does gp tell to get exercise

HOW OFTEN DOES YOUR GENERAL PRACTITIONER TELL YOU THAT YOU SHOULD GET REGULAR EXERCISE?
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Q13_C

how often does gp ask about falling down

HOW OFTEN DOES YOUR GENERAL PRACTITIONER ASK YOU ABOUT FALLING DOWN?
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Q13_D

how often does gp check balance

HOW OFTEN DOES YOUR GENERAL PRACTITIONER CHECK YOUR BALANCE OR THE WAY YOU WALK?
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Q13_E

how often does gp check weight

HOW OFTEN DOES YOUR GENERAL PRACTITIONER CHECK YOUR WEIGHT?
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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?
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Q14

had flu vaccination

IN THE LAST YEAR, HAVE YOU HAD A FLU VACCINATION?
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If had flu vaccination = 1. yes »
 
   
 
Q15

advised to have flu vaccination

IN THE LAST YEAR, WERE YOU ADVISED BY ANY DOCTOR TO HAVE A FLU VACCINATION?
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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?
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Q17

had mammogram

IF YOU ARE A WOMAN: IN THE LAST TWO YEARS, HAVE YOU HAD A MAMMOGRAM (X-RAY OF THE BREAST)?
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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?
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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?
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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?
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If had stool blood test = 1. yes »
 
   
 
Q21

advised to have stool blood test

IN THE LAST TEN YEARS, DID A HEALTH CARE PROVIDER EVER RECOMMEND THIS TEST?
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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?
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If joint pain = 1. yes »
 
   
 
Q23_A

pain in hips

CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN HIPS.
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Q23_B

pain in knees

CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN KNEES.
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Q23_C

pain in other joints

CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN OTHER JOINTS.
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Q24

joint pain on most days

DO YOU HAVE JOINT PAIN ON MOST DAYS?
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Q25

drugs for joint pain

DO YOU CURRENTLY TAKE DRUGS FOR YOUR JOINTS PAIN?
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If drugs for joint pain = 1. yes »
 
     
   
Q26

join pain controlled

IS THE PAIN CONTROLLED WHEN YOU TAKE DRUGS?
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Q27

tell gp about joint pain

DID YOU TELL YOUR GENERAL PRACTITIONER OR ANY OTHER DOCTOR ABOUT YOUR JOINT PAIN?
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If tell gp about joint pain = 1. yes »
 
     
   
Q28_A

did gp check joints

WHEN YOU TOLD THE DOCTOR ABOUT YOUR PAIN, DID HE OR SHE CHECK YOUR JOINTS?
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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?
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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?
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Q29_A

ever had physiotherapy

HAVE YOU EVER BEEN SENT TO PHYSIOTHERAPY OR AN EXERCISE PROGRAM FOR YOUR JOINT PAIN?
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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?
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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?
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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?
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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?
expand
 
Q30_C

central heating

DOES YOUR ACCOMMODATION HAVE CENTRAL HEATING?
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Q30_D

air condition

DOES YOUR ACCOMMODATION HAVE AIR CONDITION?
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Q30_E

an elevator

DOES YOUR ACCOMMODATION HAVE AN ELEVATOR?
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Q30_F

a balcony, terrace or garden

DOES YOUR ACCOMMODATION HAVE A BALCONY, TERRACE OR GARDEN?
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Q31_A

accomodation has not enough space

FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS NOT ENOUGH SPACE?
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Q31_B

accomodation costs too much

FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT COSTS TOO MUCH?
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Q31_C

accomodation has not enough light

FURTHER, WITH RESPECT TO YOUR ACCOMMODATION, WOULD YOU SAY IT HAS NOT ENOUGH LIGHT?
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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?
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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?
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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?
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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?
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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?
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Q33_A

has dog

DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? DOG.
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Q33_B

has cat

DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? CAT.
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Q33_C

has bird

DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? BIRD.
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Q33_D

has fish

DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? FISH.
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Q33_E

has other pets

DO YOU CURRENTLY HAVE ONE OR MORE OF THE FOLLOWING PETS IN YOUR HOUSEHOLD? OTHER PETS.
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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.
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Q34_R

religious preference

WHAT RELIGION DO YOU BELONG OR FEEL ATTACHED TO MOSTLY?
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Q35

about how often do you pray?

THINKING ABOUT THE PRESENT, ABOUT HOW OFTEN DO YOU PRAY?
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Q36

have you been educated religiously by your parents?

HAVE YOU BEEN EDUCATED RELIGIOUSLY BY YOUR PARENTS?
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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)
 
Q38_A

gender

FINALLY, PLEASE STATE YOUR SEX AND BIRTH YEAR: I AM...
expand
 
Q38_B

date of birth

FINALLY, PLEASE STATE YOUR SEX AND BIRTH YEAR: I WAS BORN IN ______ (YEAR)
 
End of SC. Self-Completion Questionnaire
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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

If do you or did you ever share a household with a husband, wife or partner (Q10) = 1. yes »

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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

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

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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

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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

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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

If have general pratictioner (Q12) = 1. yes »

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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

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

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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

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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

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

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

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Q14
had flu vaccination

IN THE LAST YEAR, HAVE YOU HAD A FLU VACCINATION?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no

If had flu vaccination (Q14) = 1. yes »

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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

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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

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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

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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

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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

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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

If had stool blood test (Q20) = 1. yes »

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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

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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

If joint pain (Q22) = 1. yes »

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Q23_A
pain in hips

CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN HIPS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked

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Q23_B
pain in knees

CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN KNEES.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked

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Q23_C
pain in other joints

CAN YOU SPECIFY THE LOCATION OF YOUR JOINT PAIN? PAIN IN OTHER JOINTS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0 not ticked
1 ticked

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Q24
joint pain on most days

DO YOU HAVE JOINT PAIN ON MOST DAYS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
5 no

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Q25
drugs for joint pain

DO YOU CURRENTLY TAKE DRUGS FOR YOUR JOINTS PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5. not answered
1. yes
5. no

If drugs for joint pain (Q25) = 1. yes »

| |  ========================================================================
| | 
Q26
join pain controlled

IS THE PAIN CONTROLLED WHEN YOU TAKE DRUGS?
- - - - - - - - - - - - - - - - - - - - - - - - -
-5 not answered
1 yes
2 somewhat
3 no

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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

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

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

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

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

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

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

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

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

========================================================================
Q30_C
central heating

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

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Q30_E
an elevator

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

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

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

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

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

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

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

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

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

========================================================================
Q33_A
has dog

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

========================================================================
Q33_C
has bird

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

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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

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

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

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

========================================================================
Q36
have you been educated religiously by your parents?

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)

========================================================================
Q38_A
gender

FINALLY, PLEASE STATE YOUR SEX AND BIRTH YEAR: I AM...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. male
2. female

========================================================================
Q38_B
date of birth

FINALLY, PLEASE STATE YOUR SEX AND BIRTH YEAR: I WAS BORN IN ______ (YEAR)

End of SC. Self-Completion Questionnaire