C. Health
The goal of this section is to learn about some health characteristics of the respondent. Contents include self-reports of conditions, symptoms, diagnosed diseases and treatment, functional status, hygienic behaviors (e.g., smoking, drinking history and preventative care), fall and fracture, pain, and depression.
Start of C. Health
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C1
Now I have some questions about your health. Would you say your health is...
NOW I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. WOULD YOU SAY YOUR HEALTH IS...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
8. RF
9. DK
NOW I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. WOULD YOU SAY YOUR HEALTH IS...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
8. RF
9. DK
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C2
Comparing your health now with your health of two years ago, would you say your health now is...
COMPARING YOUR HEALTH NOW WITH YOUR HEALTH OF TWO YEARS AGO, WOULD YOU SAY YOUR HEALTH NOW IS...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Much better
2. Somewhat better
3. More or less the same
4. Somewhat worse
5. Much worse
8. RF
9. DK
COMPARING YOUR HEALTH NOW WITH YOUR HEALTH OF TWO YEARS AGO, WOULD YOU SAY YOUR HEALTH NOW IS...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Much better
2. Somewhat better
3. More or less the same
4. Somewhat worse
5. Much worse
8. RF
9. DK
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C3
Comparing with two years ago, would you say that you now worry about your health ...?
COMPARING WITH TWO YEARS AGO, WOULD YOU SAY THAT YOU NOW WORRY ABOUT YOUR HEALTH ...?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. More
2. Less
3. Same
8. RF
9. DK
COMPARING WITH TWO YEARS AGO, WOULD YOU SAY THAT YOU NOW WORRY ABOUT YOUR HEALTH ...?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. More
2. Less
3. Same
8. RF
9. DK
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C4
Has a doctor or medical personnel (ever/in the last two years) told you that you have hypertension or high blood pressure?
HAS A DOCTOR OR MEDICAL PERSONNEL (EVER/IN THE LAST TWO YEARS) TOLD YOU THAT YOU HAVE HYPERTENSION OR HIGH BLOOD PRESSURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAS A DOCTOR OR MEDICAL PERSONNEL (EVER/IN THE LAST TWO YEARS) TOLD YOU THAT YOU HAVE HYPERTENSION OR HIGH BLOOD PRESSURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If Has a doctor or medical personnel (ever/in the last two years) told you that you have hypertension or high blood pressure? (C4) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
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C5
Are you currently taking any medication to lower your blood pressure?
ARE YOU CURRENTLY TAKING ANY MEDICATION TO LOWER YOUR BLOOD PRESSURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU CURRENTLY TAKING ANY MEDICATION TO LOWER YOUR BLOOD PRESSURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C6
Has a doctor or medical personnel (ever/in the last two years) told you that you have diabetes?
HAS A DOCTOR OR MEDICAL PERSONNEL (EVER/IN THE LAST TWO YEARS) TOLD YOU THAT YOU HAVE DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAS A DOCTOR OR MEDICAL PERSONNEL (EVER/IN THE LAST TWO YEARS) TOLD YOU THAT YOU HAVE DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If Has a doctor or medical personnel (ever/in the last two years) told you that you have diabetes? (C6) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
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C7
Are you currently taking any oral medication in order to control your diabetes?
ARE YOU CURRENTLY TAKING ANY ORAL MEDICATION IN ORDER TO CONTROL YOUR DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU CURRENTLY TAKING ANY ORAL MEDICATION IN ORDER TO CONTROL YOUR DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C8
Are you currently using insulin shots?
ARE YOU CURRENTLY USING INSULIN SHOTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU CURRENTLY USING INSULIN SHOTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C9
Do you follow a special diet to control your diabetes?
DO YOU FOLLOW A SPECIAL DIET TO CONTROL YOUR DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DO YOU FOLLOW A SPECIAL DIET TO CONTROL YOUR DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C10
In general, is your diabetes under control now?
IN GENERAL, IS YOUR DIABETES UNDER CONTROL NOW?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN GENERAL, IS YOUR DIABETES UNDER CONTROL NOW?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C11_1
With what frequency do you measure your blood-sugar level or urine-sugar level?-Number of times
WITH WHAT FREQUENCY DO YOU MEASURE YOUR BLOOD-SUGAR LEVEL OR URINE-SUGAR LEVEL?-NUMBER OF TIMES
- - - - - - - - - - - - - - - - - - - - - - - - -
00. Zero, never
88. RF
99. DK n. Other values] 0 n
WITH WHAT FREQUENCY DO YOU MEASURE YOUR BLOOD-SUGAR LEVEL OR URINE-SUGAR LEVEL?-NUMBER OF TIMES
- - - - - - - - - - - - - - - - - - - - - - - - -
00. Zero, never
88. RF
99. DK n. Other values] 0 n
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C11_2
With what frequency do you measure your blood-sugar level or urine-sugar level?-Period
WITH WHAT FREQUENCY DO YOU MEASURE YOUR BLOOD-SUGAR LEVEL OR URINE-SUGAR LEVEL?-PERIOD
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Week
2. Month
3. Year
5. Never
WITH WHAT FREQUENCY DO YOU MEASURE YOUR BLOOD-SUGAR LEVEL OR URINE-SUGAR LEVEL?-PERIOD
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Week
2. Month
3. Year
5. Never
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C12
Has a doctor or medical personnel (ever/in the last two years) told yo uthat you have cancer?
HAS A DOCTOR OR MEDICAL PERSONNEL (EVER/IN THE LAST TWO YEARS) TOLD YO UTHAT YOU HAVE CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAS A DOCTOR OR MEDICAL PERSONNEL (EVER/IN THE LAST TWO YEARS) TOLD YO UTHAT YOU HAVE CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If Has a doctor or medical personnel (ever/in the last two years) told yo uthat you have cancer? (C12) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
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C13
In total, how many cancers have you had?
IN TOTAL, HOW MANY CANCERS HAVE YOU HAD?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
IN TOTAL, HOW MANY CANCERS HAVE YOU HAD?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
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C14
In which organs or parts of your body have you had cancers?
IN WHICH ORGANS OR PARTS OF YOUR BODY HAVE YOU HAD CANCERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
01. Abdomen - NOS (no organ specified)
02. Spleen
03. Mouth, oral
04. Arm- NOS(includes wrist)
05. Bronchus
06. Head - NOS
07. Hip
08. Face - NOS
09. Cerebrum - astrocytoma
10. Cervix, cervical, uterus neck
11. Colon
12. Neck - NOS
13. Endometrium
14. Esophagus
15. Back - NOS
16. Spine
17. Stomach
18. Extremity - NOS
19. Ganglion, glandules, 'glandules behind the ear', 'knots', lymphoma (excl. Hodgkings)
20. Throat
21. Gastrointestinal
22. Adrenal Glandule
23. Liver
24. Hodgkins
25. Bone, cartilages
11. Intestine, abdomen
26. Lips
27. Larynges, vocal chords
28. Tongue
30. Myeloma (múltiple)
32. Nose, nasal
33. Ear
34. Eye
35. Feminine organs - NOS
36. Ovaries
37. Pancreas
38. Pelvis - NOS
39. Penis
40. Skin - basal cell
31. Skin - melanoma; mole on the back
41. Skin - other or doesn't know which, including any body part affected with skin cancer
42. Leg- NOS
43. Prostate
05. Lung, chest - NOS
11. Rectum
44. Kidney, renal
45. Blood - NOS
46. Breast
47. Testicles
48. Thyroids; goiter in neck
49. Trachea
50. Urethra, ureter
51. Vagina, vaginal
52. Bladder
53. Vesicle
54. Vulva, genital lip
13. Uterus
29. Jaw, jaw-bone
30. Marrow
31. Melanoma
95. Metastasized, 'Everywhere'
95. Everywhere (metastasized)
97. Other
88. RF
99. DK
IN WHICH ORGANS OR PARTS OF YOUR BODY HAVE YOU HAD CANCERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
01. Abdomen - NOS (no organ specified)
02. Spleen
03. Mouth, oral
04. Arm- NOS(includes wrist)
05. Bronchus
06. Head - NOS
07. Hip
08. Face - NOS
09. Cerebrum - astrocytoma
10. Cervix, cervical, uterus neck
11. Colon
12. Neck - NOS
13. Endometrium
14. Esophagus
15. Back - NOS
16. Spine
17. Stomach
18. Extremity - NOS
19. Ganglion, glandules, 'glandules behind the ear', 'knots', lymphoma (excl. Hodgkings)
20. Throat
21. Gastrointestinal
22. Adrenal Glandule
23. Liver
24. Hodgkins
25. Bone, cartilages
11. Intestine, abdomen
26. Lips
27. Larynges, vocal chords
28. Tongue
30. Myeloma (múltiple)
32. Nose, nasal
33. Ear
34. Eye
35. Feminine organs - NOS
36. Ovaries
37. Pancreas
38. Pelvis - NOS
39. Penis
40. Skin - basal cell
31. Skin - melanoma; mole on the back
41. Skin - other or doesn't know which, including any body part affected with skin cancer
42. Leg- NOS
43. Prostate
05. Lung, chest - NOS
11. Rectum
44. Kidney, renal
45. Blood - NOS
46. Breast
47. Testicles
48. Thyroids; goiter in neck
49. Trachea
50. Urethra, ureter
51. Vagina, vaginal
52. Bladder
53. Vesicle
54. Vulva, genital lip
13. Uterus
29. Jaw, jaw-bone
30. Marrow
31. Melanoma
95. Metastasized, 'Everywhere'
95. Everywhere (metastasized)
97. Other
88. RF
99. DK
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C15
In the last two years, have you consulted a doctor or a medical personnel about your cancer?
IN THE LAST TWO YEARS, HAVE YOU CONSULTED A DOCTOR OR A MEDICAL PERSONNEL ABOUT YOUR CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU CONSULTED A DOCTOR OR A MEDICAL PERSONNEL ABOUT YOUR CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C16_1
During the last tow years, what type of treatments have you received for your cancer?-Chemotherapy/Medication
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-CHEMOTHERAPY/MEDICATION
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
5. None
8. RF
9. DK
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-CHEMOTHERAPY/MEDICATION
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
5. None
8. RF
9. DK
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C16_2
During the last tow years, what type of treatments have you received for your cancer?-Surgery or Biopsy
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-SURGERY OR BIOPSY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-SURGERY OR BIOPSY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
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C16_3
During the last tow years, what type of treatments have you received for your cancer?-Radiation or X-Ray
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-RADIATION OR X-RAY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-RADIATION OR X-RAY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
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C16_4
During the last tow years, what type of treatments have you received for your cancer?-Medication or Treatment for Symptoms (Pain, Nausea, Rash)
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-MEDICATION OR TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASH)
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-MEDICATION OR TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASH)
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
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C16_5
During the last tow years, what type of treatments have you received for your cancer?-Other
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-OTHER
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
DURING THE LAST TOW YEARS, WHAT TYPE OF TREATMENTS HAVE YOU RECEIVED FOR YOUR CANCER?-OTHER
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
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C17
Are you currently receiving treatment for your cancer?
ARE YOU CURRENTLY RECEIVING TREATMENT FOR YOUR CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU CURRENTLY RECEIVING TREATMENT FOR YOUR CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C18
About in what year or at what age was your (most recent) cancer diagnosed?
ABOUT IN WHAT YEAR OR AT WHAT AGE WAS YOUR (MOST RECENT) CANCER DIAGNOSED?
- - - - - - - - - - - - - - - - - - - - - - - - -
8888. RF
9999. DK
ABOUT IN WHAT YEAR OR AT WHAT AGE WAS YOUR (MOST RECENT) CANCER DIAGNOSED?
- - - - - - - - - - - - - - - - - - - - - - - - -
8888. RF
9999. DK
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C19
In the last two years/ever, has a doctor or medical personnel told you that you have a respiratory illness, such as asthma, or emphysema?
IN THE LAST TWO YEARS/EVER, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE A RESPIRATORY ILLNESS, SUCH AS ASTHMA, OR EMPHYSEMA?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS/EVER, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE A RESPIRATORY ILLNESS, SUCH AS ASTHMA, OR EMPHYSEMA?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If In the last two years/ever, has a doctor or medical personnel told you that you have a respiratory illness, such as asthma, or emphysema? (C19) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
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C20
Are you currently taking medication or using another treatment for your respiratory illness?
ARE YOU CURRENTLY TAKING MEDICATION OR USING ANOTHER TREATMENT FOR YOUR RESPIRATORY ILLNESS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU CURRENTLY TAKING MEDICATION OR USING ANOTHER TREATMENT FOR YOUR RESPIRATORY ILLNESS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C21
Does this condition limit your daily activities such as household chores or your job?
DOES THIS CONDITION LIMIT YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DOES THIS CONDITION LIMIT YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C22A
(During the last two years/ever), has a doctor or medical personnel told you that you have had a heart attack?
(DURING THE LAST TWO YEARS/EVER), HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE HAD A HEART ATTACK?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
(DURING THE LAST TWO YEARS/EVER), HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE HAD A HEART ATTACK?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If (During the last two years/ever), has a doctor or medical personnel told you that you have had a heart attack? (C22A) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
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C22B
About in what year or at what age did you have your (most recent) heart atack?
ABOUT IN WHAT YEAR OR AT WHAT AGE DID YOU HAVE YOUR (MOST RECENT) HEART ATACK?
- - - - - - - - - - - - - - - - - - - - - - - - -
8888. RF
9999. DK
ABOUT IN WHAT YEAR OR AT WHAT AGE DID YOU HAVE YOUR (MOST RECENT) HEART ATACK?
- - - - - - - - - - - - - - - - - - - - - - - - -
8888. RF
9999. DK
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C23
Are you currently taking medication for you heart condition?
ARE YOU CURRENTLY TAKING MEDICATION FOR YOU HEART CONDITION?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU CURRENTLY TAKING MEDICATION FOR YOU HEART CONDITION?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C24
Do you carry any medicine with you for chest pain?
DO YOU CARRY ANY MEDICINE WITH YOU FOR CHEST PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DO YOU CARRY ANY MEDICINE WITH YOU FOR CHEST PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C25
Does this heart problem limit your daily activities such as household chores or your job?
DOES THIS HEART PROBLEM LIMIT YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DOES THIS HEART PROBLEM LIMIT YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C26
(In the last two years/ever) Has a doctor or medical personnel told you tha you had a stroke?
(IN THE LAST TWO YEARS/EVER) HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THA YOU HAD A STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
(IN THE LAST TWO YEARS/EVER) HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THA YOU HAD A STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If (In the last two years/ever) Has a doctor or medical personnel told you tha you had a stroke? (C26) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
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C27_1
Because of your stroke do you have any weakness in your arms or legs or has your capacity to move them or use them been diminished?
BECAUSE OF YOUR STROKE DO YOU HAVE ANY WEAKNESS IN YOUR ARMS OR LEGS OR HAS YOUR CAPACITY TO MOVE THEM OR USE THEM BEEN DIMINISHED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
BECAUSE OF YOUR STROKE DO YOU HAVE ANY WEAKNESS IN YOUR ARMS OR LEGS OR HAS YOUR CAPACITY TO MOVE THEM OR USE THEM BEEN DIMINISHED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C27_2
Because of your stroke do you have difficulty in eating or speaking?
BECAUSE OF YOUR STROKE DO YOU HAVE DIFFICULTY IN EATING OR SPEAKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
BECAUSE OF YOUR STROKE DO YOU HAVE DIFFICULTY IN EATING OR SPEAKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
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C27_3
Because of your stroke do you have difficulty with your vision?
BECAUSE OF YOUR STROKE DO YOU HAVE DIFFICULTY WITH YOUR VISION?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
BECAUSE OF YOUR STROKE DO YOU HAVE DIFFICULTY WITH YOUR VISION?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C27_4
Because of your stroke do you have difficulty thinking or saying what you want?
BECAUSE OF YOUR STROKE DO YOU HAVE DIFFICULTY THINKING OR SAYING WHAT YOU WANT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
BECAUSE OF YOUR STROKE DO YOU HAVE DIFFICULTY THINKING OR SAYING WHAT YOU WANT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C28
Are you currently taking any medications because of your stroke or for complications due to the stroke?
ARE YOU CURRENTLY TAKING ANY MEDICATIONS BECAUSE OF YOUR STROKE OR FOR COMPLICATIONS DUE TO THE STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU CURRENTLY TAKING ANY MEDICATIONS BECAUSE OF YOUR STROKE OR FOR COMPLICATIONS DUE TO THE STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C29
Are you doing physical therapy or rehabilitation because of the stroke or the complications that resulted from the stroke?
ARE YOU DOING PHYSICAL THERAPY OR REHABILITATION BECAUSE OF THE STROKE OR THE COMPLICATIONS THAT RESULTED FROM THE STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU DOING PHYSICAL THERAPY OR REHABILITATION BECAUSE OF THE STROKE OR THE COMPLICATIONS THAT RESULTED FROM THE STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C30
About in what year or at what age did you have your (most recent) stroke?
ABOUT IN WHAT YEAR OR AT WHAT AGE DID YOU HAVE YOUR (MOST RECENT) STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
8888. RF
9999. DK
ABOUT IN WHAT YEAR OR AT WHAT AGE DID YOU HAVE YOUR (MOST RECENT) STROKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
8888. RF
9999. DK
| ========================================================================
|
C31
Has this stroke limited your daily activities such as household chores or your job?
HAS THIS STROKE LIMITED YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAS THIS STROKE LIMITED YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C32
(In the last two years/ever) Has a doctor or medical personnel told you that you have arthritis or rheumatism?
(IN THE LAST TWO YEARS/EVER) HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE ARTHRITIS OR RHEUMATISM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
(IN THE LAST TWO YEARS/EVER) HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE ARTHRITIS OR RHEUMATISM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If (In the last two years/ever) Has a doctor or medical personnel told you that you have arthritis or rheumatism? (C32) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
| ========================================================================
|
C33
Do you feel pain, stiffness or swelling in your joints?
DO YOU FEEL PAIN, STIFFNESS OR SWELLING IN YOUR JOINTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DO YOU FEEL PAIN, STIFFNESS OR SWELLING IN YOUR JOINTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C34
Are you taking medication or are you receiving other treatment for your arthritis or rheumatism?
ARE YOU TAKING MEDICATION OR ARE YOU RECEIVING OTHER TREATMENT FOR YOUR ARTHRITIS OR RHEUMATISM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU TAKING MEDICATION OR ARE YOU RECEIVING OTHER TREATMENT FOR YOUR ARTHRITIS OR RHEUMATISM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C35
Are your daily activities such as household chores or your job limited because of your arthritis?
ARE YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB LIMITED BECAUSE OF YOUR ARTHRITIS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOUR DAILY ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB LIMITED BECAUSE OF YOUR ARTHRITIS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C36_1
In the last two years, has a doctor or medical personnel told you that you have Liver or kidney infection?
IN THE LAST TWO YEARS, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE LIVER OR KIDNEY INFECTION?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE LIVER OR KIDNEY INFECTION?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C36_2
In the last two years, has a doctor or medical personnel told you that you have Tuberculosis?
IN THE LAST TWO YEARS, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE TUBERCULOSIS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE TUBERCULOSIS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C36_3
In the last two years, has a doctor or medical personnel told you that you have Pneumonia?
IN THE LAST TWO YEARS, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE PNEUMONIA?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAS A DOCTOR OR MEDICAL PERSONNEL TOLD YOU THAT YOU HAVE PNEUMONIA?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C37
Have you fallen down in the last two years?
HAVE YOU FALLEN DOWN IN THE LAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAVE YOU FALLEN DOWN IN THE LAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If Have you fallen down in the last two years? (C37) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
| ========================================================================
|
C38
Approximately how many times has this happened?
APPROXIMATELY HOW MANY TIMES HAS THIS HAPPENED?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
APPROXIMATELY HOW MANY TIMES HAS THIS HAPPENED?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
| ========================================================================
|
C39
Have you hurt yourself in these falls badly enough to need medical treatment?
HAVE YOU HURT YOURSELF IN THESE FALLS BADLY ENOUGH TO NEED MEDICAL TREATMENT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAVE YOU HURT YOURSELF IN THESE FALLS BADLY ENOUGH TO NEED MEDICAL TREATMENT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C40
Since your fiftieth birthday, have you fractured any bone including your hip?
SINCE YOUR FIFTIETH BIRTHDAY, HAVE YOU FRACTURED ANY BONE INCLUDING YOUR HIP?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Younger than 50 years
8. RF
9. DK
SINCE YOUR FIFTIETH BIRTHDAY, HAVE YOU FRACTURED ANY BONE INCLUDING YOUR HIP?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Younger than 50 years
8. RF
9. DK
========================================================================
C41
Do you usually wear glasses?
DO YOU USUALLY WEAR GLASSES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DO YOU USUALLY WEAR GLASSES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C42
How is your vision (with glasses)?
HOW IS YOUR VISION (WITH GLASSES)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
6. Legally blind
8. RF
9. DK
HOW IS YOUR VISION (WITH GLASSES)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
6. Legally blind
8. RF
9. DK
========================================================================
C43
Do you usually use a hearing aid or auditory device?
DO YOU USUALLY USE A HEARING AID OR AUDITORY DEVICE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DO YOU USUALLY USE A HEARING AID OR AUDITORY DEVICE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C44
How is your hearing/auditory range (using hearing aid or auditory device)?
HOW IS YOUR HEARING/AUDITORY RANGE (USING HEARING AID OR AUDITORY DEVICE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
6. Legally deaf
8. RF
9. DK
HOW IS YOUR HEARING/AUDITORY RANGE (USING HEARING AID OR AUDITORY DEVICE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
6. Legally deaf
8. RF
9. DK
========================================================================
C45
Do you often suffer from pain?
DO YOU OFTEN SUFFER FROM PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DO YOU OFTEN SUFFER FROM PAIN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If Do you often suffer from pain? (C45) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
| ========================================================================
|
C46
How is the pain majority of the time?
HOW IS THE PAIN MAJORITY OF THE TIME?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Mild
2. Moderate
3. Severe
8. RF
9. DK
HOW IS THE PAIN MAJORITY OF THE TIME?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Mild
2. Moderate
3. Severe
8. RF
9. DK
| ========================================================================
|
C47
Does this pain limit your usual activities such as household chores or your job?
DOES THIS PAIN LIMIT YOUR USUAL ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DOES THIS PAIN LIMIT YOUR USUAL ACTIVITIES SUCH AS HOUSEHOLD CHORES OR YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C48A
In the last two years, have you had any of the following medical exams or procedures?-A vaccination against tetanus?
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A VACCINATION AGAINST TETANUS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A VACCINATION AGAINST TETANUS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C48B
In the last two years, have you had any of the following medical exams or procedures?-A blood test for cholesterol
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A BLOOD TEST FOR CHOLESTEROL
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A BLOOD TEST FOR CHOLESTEROL
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C48C
In the last two years, have you had any of the following medical exams or procedures?-A test for tuberculosis
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A TEST FOR TUBERCULOSIS
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A TEST FOR TUBERCULOSIS
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C48D
In the last two years, have you had any of the following medical exams or procedures?-A test for diabetes?
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A TEST FOR DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A TEST FOR DIABETES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C48E
In the last two years, have you had any of the following medical exams or procedures?-A test for hyperextension or high blood pressure?
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A TEST FOR HYPEREXTENSION OR HIGH BLOOD PRESSURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL EXAMS OR PROCEDURES?-A TEST FOR HYPEREXTENSION OR HIGH BLOOD PRESSURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If FEMALE »
| ========================================================================
|
C48F
Do you examine your breasts every month to detect lumps?
DO YOU EXAMINE YOUR BREASTS EVERY MONTH TO DETECT LUMPS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Does not have
8. RF
9. DK
DO YOU EXAMINE YOUR BREASTS EVERY MONTH TO DETECT LUMPS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Does not have
8. RF
9. DK
| ========================================================================
|
C48G
Have you had a mammogram or an x-ray of your breasts to detect for cancer?
HAVE YOU HAD A MAMMOGRAM OR AN X-RAY OF YOUR BREASTS TO DETECT FOR CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Does not have
8. RF
9. DK
HAVE YOU HAD A MAMMOGRAM OR AN X-RAY OF YOUR BREASTS TO DETECT FOR CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Does not have
8. RF
9. DK
| ========================================================================
|
C48H
Have you had a pap smear?
HAVE YOU HAD A PAP SMEAR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Does not have
8. RF
9. DK
HAVE YOU HAD A PAP SMEAR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Does not have
8. RF
9. DK
========================================================================
C48I
In the last 2 years, have you had an exam or blood test to screen for prostate cancer?
IN THE LAST 2 YEARS, HAVE YOU HAD AN EXAM OR BLOOD TEST TO SCREEN FOR PROSTATE CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Already had operation
8. RF
9. DK
IN THE LAST 2 YEARS, HAVE YOU HAD AN EXAM OR BLOOD TEST TO SCREEN FOR PROSTATE CANCER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Already had operation
8. RF
9. DK
========================================================================
C49_1
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-you felt depressed
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT DEPRESSED
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT DEPRESSED
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_2
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt that everything you did was an effort
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT THAT EVERYTHING YOU DID WAS AN EFFORT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT THAT EVERYTHING YOU DID WAS AN EFFORT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_3
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt your sleep was restless
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT YOUR SLEEP WAS RESTLESS
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT YOUR SLEEP WAS RESTLESS
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_4
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt happy
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT HAPPY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT HAPPY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_5
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt lonely
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT LONELY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT LONELY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_6
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt that you enjoyed life
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT THAT YOU ENJOYED LIFE
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT THAT YOU ENJOYED LIFE
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_7
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt sad
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT SAD
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT SAD
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_8
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt tired
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT TIRED
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT TIRED
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C49_9
These questions reger to how you have felt during the past week. For each question please tell me if the majority of the time:-You felt you had a lot of energy
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT YOU HAD A LOT OF ENERGY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
THESE QUESTIONS REGER TO HOW YOU HAVE FELT DURING THE PAST WEEK. FOR EACH QUESTION PLEASE TELL ME IF THE MAJORITY OF THE TIME:-YOU FELT YOU HAD A LOT OF ENERGY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C50
On average during the last two years, have you exercised or done hard physical work three or more times a week?
ON AVERAGE DURING THE LAST TWO YEARS, HAVE YOU EXERCISED OR DONE HARD PHYSICAL WORK THREE OR MORE TIMES A WEEK?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ON AVERAGE DURING THE LAST TWO YEARS, HAVE YOU EXERCISED OR DONE HARD PHYSICAL WORK THREE OR MORE TIMES A WEEK?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C51
Have you ever smoked cigarettes?
HAVE YOU EVER SMOKED CIGARETTES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAVE YOU EVER SMOKED CIGARETTES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If Have you ever smoked cigarettes? (C51) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
| ========================================================================
|
C52
How old were you when you started smoking?
HOW OLD WERE YOU WHEN YOU STARTED SMOKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
HOW OLD WERE YOU WHEN YOU STARTED SMOKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
| ========================================================================
|
C53
Have you smoked cigarrettes in the last two years?
HAVE YOU SMOKED CIGARRETTES IN THE LAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAVE YOU SMOKED CIGARRETTES IN THE LAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
|
If Have you smoked cigarrettes in the last two years? (C53) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
| | ========================================================================
| |
C54
Do you smoke cigarrettes now?
DO YOU SMOKE CIGARRETTES NOW?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DO YOU SMOKE CIGARRETTES NOW?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| |
If Do you smoke cigarrettes now? (C54) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
| | | ========================================================================
| | |
C55
How often do you smoke?
HOW OFTEN DO YOU SMOKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Everyday
2. Not everyday
8. RF
9. DK
HOW OFTEN DO YOU SMOKE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Everyday
2. Not everyday
8. RF
9. DK
| | |
If How often do you smoke? (C55) = 1. Everyday
2. Not everyday
8. RF
9. DK »
2. Not everyday
8. RF
9. DK »
| | | | ========================================================================
| | | |
C56
About how many cigarrettes or packs do you usually smoke in a day?
ABOUT HOW MANY CIGARRETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
87. 87 or more cigarrettes
88. RF
99. DK
ABOUT HOW MANY CIGARRETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
87. 87 or more cigarrettes
88. RF
99. DK
|
If C54! = 1 »
| | ========================================================================
| |
C57
When you were smoking the most, about how many cigarrettes or packs did you usually smoke in a day?
WHEN YOU WERE SMOKING THE MOST, ABOUT HOW MANY CIGARRETTES OR PACKS DID YOU USUALLY SMOKE IN A DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
87. 87 or more cigarrettes 87
88. RF
99. DK
WHEN YOU WERE SMOKING THE MOST, ABOUT HOW MANY CIGARRETTES OR PACKS DID YOU USUALLY SMOKE IN A DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
87. 87 or more cigarrettes 87
88. RF
99. DK
| | ========================================================================
| |
C58
About how many years ago did you stop smoking?
ABOUT HOW MANY YEARS AGO DID YOU STOP SMOKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
ABOUT HOW MANY YEARS AGO DID YOU STOP SMOKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
========================================================================
C59A
Do you ever drink any alcoholic beverages such as beer, wine, liquor or pulque?
DO YOU EVER DRINK ANY ALCOHOLIC BEVERAGES SUCH AS BEER, WINE, LIQUOR OR PULQUE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Never used alcohol
8. RF
9. DK
DO YOU EVER DRINK ANY ALCOHOLIC BEVERAGES SUCH AS BEER, WINE, LIQUOR OR PULQUE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Never used alcohol
8. RF
9. DK
If C59A! = 3 »
|
If Do you ever drink any alcoholic beverages such as beer, wine, liquor or pulque? (C59A) = 1. Yes
2. No
3. Never used alcohol
8. RF
9. DK »
2. No
3. Never used alcohol
8. RF
9. DK »
| | ========================================================================
| |
C59B
In the last three months, about how many days a week have you had any alcohol to drink?
IN THE LAST THREE MONTHS, ABOUT HOW MANY DAYS A WEEK HAVE YOU HAD ANY ALCOHOL TO DRINK?
- - - - - - - - - - - - - - - - - - - - - - - - -
0. Never, less than once a week
8. RF
9. DK
IN THE LAST THREE MONTHS, ABOUT HOW MANY DAYS A WEEK HAVE YOU HAD ANY ALCOHOL TO DRINK?
- - - - - - - - - - - - - - - - - - - - - - - - -
0. Never, less than once a week
8. RF
9. DK
| | ========================================================================
| |
C59C
On the days you drank alcoholic beverages in the last three months, about how many drinks did you have per day?
ON THE DAYS YOU DRANK ALCOHOLIC BEVERAGES IN THE LAST THREE MONTHS, ABOUT HOW MANY DRINKS DID YOU HAVE PER DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
ON THE DAYS YOU DRANK ALCOHOLIC BEVERAGES IN THE LAST THREE MONTHS, ABOUT HOW MANY DRINKS DID YOU HAVE PER DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
88. RF
99. DK
| | ========================================================================
| |
C59D
In the last three months, on how many days have you had four or more drinks on one occasion?
IN THE LAST THREE MONTHS, ON HOW MANY DAYS HAVE YOU HAD FOUR OR MORE DRINKS ON ONE OCCASION?
- - - - - - - - - - - - - - - - - - - - - - - - -
00. None
87. 87 or more days
88. RF
99. DK
IN THE LAST THREE MONTHS, ON HOW MANY DAYS HAVE YOU HAD FOUR OR MORE DRINKS ON ONE OCCASION?
- - - - - - - - - - - - - - - - - - - - - - - - -
00. None
87. 87 or more days
88. RF
99. DK
|
If C59A! = 1 »
| | ========================================================================
| |
C59E
During the last two years, have you had any alcoholic drinks such as beer, wine, liquor, or pulque (drink made from fermented cactus sap)?
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY ALCOHOLIC DRINKS SUCH AS BEER, WINE, LIQUOR, OR PULQUE (DRINK MADE FROM FERMENTED CACTUS SAP)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY ALCOHOLIC DRINKS SUCH AS BEER, WINE, LIQUOR, OR PULQUE (DRINK MADE FROM FERMENTED CACTUS SAP)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C60
(When you were drinking), have you ever felt that you should (have) cut down on the quanitity of drinks you have (had)?
(WHEN YOU WERE DRINKING), HAVE YOU EVER FELT THAT YOU SHOULD (HAVE) CUT DOWN ON THE QUANITITY OF DRINKS YOU HAVE (HAD)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
(WHEN YOU WERE DRINKING), HAVE YOU EVER FELT THAT YOU SHOULD (HAVE) CUT DOWN ON THE QUANITITY OF DRINKS YOU HAVE (HAD)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C61
(When you were drinking), have (Did) people ever annoy(ed) you by critizing your drinking?
(WHEN YOU WERE DRINKING), HAVE (DID) PEOPLE EVER ANNOY(ED) YOU BY CRITIZING YOUR DRINKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
(WHEN YOU WERE DRINKING), HAVE (DID) PEOPLE EVER ANNOY(ED) YOU BY CRITIZING YOUR DRINKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C62
Have you ever felt bad or guilty about drinking?
HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
| ========================================================================
|
C63
Have you ever had an alcoholic drink when you woke up in the morning in order to calm your nerves or to get rid of a 'hangover'?
HAVE YOU EVER HAD AN ALCOHOLIC DRINK WHEN YOU WOKE UP IN THE MORNING IN ORDER TO CALM YOUR NERVES OR TO GET RID OF A 'HANGOVER'?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
HAVE YOU EVER HAD AN ALCOHOLIC DRINK WHEN YOU WOKE UP IN THE MORNING IN ORDER TO CALM YOUR NERVES OR TO GET RID OF A 'HANGOVER'?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C64
Comparing with two years ago, your weight is...
COMPARING WITH TWO YEARS AGO, YOUR WEIGHT IS...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. 5 kilos or more
2. 5 kilos or less
3. More or less the same
8. RF
9. DK
COMPARING WITH TWO YEARS AGO, YOUR WEIGHT IS...
- - - - - - - - - - - - - - - - - - - - - - - - -
1. 5 kilos or more
2. 5 kilos or less
3. More or less the same
8. RF
9. DK
========================================================================
C65
In the last two years, have you changed your diet or your exercise habits in order to gain or lose weight?
IN THE LAST TWO YEARS, HAVE YOU CHANGED YOUR DIET OR YOUR EXERCISE HABITS IN ORDER TO GAIN OR LOSE WEIGHT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU CHANGED YOUR DIET OR YOUR EXERCISE HABITS IN ORDER TO GAIN OR LOSE WEIGHT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C66
About how much do you weigh now?
ABOUT HOW MUCH DO YOU WEIGH NOW?
- - - - - - - - - - - - - - - - - - - - - - - - -
888. RF
999. DK
ABOUT HOW MUCH DO YOU WEIGH NOW?
- - - - - - - - - - - - - - - - - - - - - - - - -
888. RF
999. DK
========================================================================
C67
How tall are you without shoes?
HOW TALL ARE YOU WITHOUT SHOES?
- - - - - - - - - - - - - - - - - - - - - - - - -
888. RF
999. DK
HOW TALL ARE YOU WITHOUT SHOES?
- - - - - - - - - - - - - - - - - - - - - - - - -
888. RF
999. DK
========================================================================
C68A
During the last two years, have you had any of the following problems or incoveniences?-Frequent swelling in your feet or ankles
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-FREQUENT SWELLING IN YOUR FEET OR ANKLES
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-FREQUENT SWELLING IN YOUR FEET OR ANKLES
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68B
During the last two years, have you had any of the following problems or incoveniences?-Difficulty breathing while lying down
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-DIFFICULTY BREATHING WHILE LYING DOWN
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-DIFFICULTY BREATHING WHILE LYING DOWN
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68C
During the last two years, have you had any of the following problems or incoveniences?-Fainting spells or vertigo
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-FAINTING SPELLS OR VERTIGO
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-FAINTING SPELLS OR VERTIGO
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68D
During the last two years, have you had any of the following problems or incoveniences?-Intense thirst
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-INTENSE THIRST
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-INTENSE THIRST
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68E
During the last two years, have you had any of the following problems or incoveniences?-Severe fatigue or exhaustion
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-SEVERE FATIGUE OR EXHAUSTION
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-SEVERE FATIGUE OR EXHAUSTION
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68F
During the last two years, have you had any of the following problems or incoveniences?-Wheezing or coughing or bringing up phlegm
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-WHEEZING OR COUGHING OR BRINGING UP PHLEGM
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-WHEEZING OR COUGHING OR BRINGING UP PHLEGM
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68G
During the last two years, have you had any of the following problems or incoveniences?-Pain in lower limbs while (or after) walking
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-PAIN IN LOWER LIMBS WHILE (OR AFTER) WALKING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-PAIN IN LOWER LIMBS WHILE (OR AFTER) WALKING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68H
During the last two years, have you had any of the following problems or incoveniences?-Stomach pain, indigestion, diarrhea
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-STOMACH PAIN, INDIGESTION, DIARRHEA
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-STOMACH PAIN, INDIGESTION, DIARRHEA
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68I
During the last two years, have you had any of the following problems or incoveniences?-Involuntary loss of urine
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-INVOLUNTARY LOSS OF URINE
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-INVOLUNTARY LOSS OF URINE
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68J
During the last two years, have you had any of the following problems or incoveniences?-Pain or burning when urinating
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-PAIN OR BURNING WHEN URINATING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-PAIN OR BURNING WHEN URINATING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68K
During the last two years, have you had any of the following problems or incoveniences?-Bleeding when urinating or defecating
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-BLEEDING WHEN URINATING OR DEFECATING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-BLEEDING WHEN URINATING OR DEFECATING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68L
During the last two years, have you had any of the following problems or incoveniences?-Sweating while sleeping
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-SWEATING WHILE SLEEPING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-SWEATING WHILE SLEEPING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C68M
During the last two years, have you had any of the following problems or incoveniences?-Bleeding while coughing
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-BLEEDING WHILE COUGHING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
DURING THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING PROBLEMS OR INCOVENIENCES?-BLEEDING WHILE COUGHING
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C69A
Are you missing any limb or part of your legs or arms due to an accident or illness?
ARE YOU MISSING ANY LIMB OR PART OF YOUR LEGS OR ARMS DUE TO AN ACCIDENT OR ILLNESS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
ARE YOU MISSING ANY LIMB OR PART OF YOUR LEGS OR ARMS DUE TO AN ACCIDENT OR ILLNESS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
If Are you missing any limb or part of your legs or arms due to an accident or illness? (C69A) = 1. Yes
2. No
8. RF
9. DK »
2. No
8. RF
9. DK »
| ========================================================================
|
C69B
In the last two years, have you lost an extremity or part of your feet or arms due to an accident sickness?
IN THE LAST TWO YEARS, HAVE YOU LOST AN EXTREMITY OR PART OF YOUR FEET OR ARMS DUE TO AN ACCIDENT SICKNESS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
IN THE LAST TWO YEARS, HAVE YOU LOST AN EXTREMITY OR PART OF YOUR FEET OR ARMS DUE TO AN ACCIDENT SICKNESS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF
9. DK
========================================================================
C70
Have you ever/in the last two years been told by a doctor or medical personnel that you suffer from a health problem caused by your job?
HAVE YOU EVER/IN THE LAST TWO YEARS BEEN TOLD BY A DOCTOR OR MEDICAL PERSONNEL THAT YOU SUFFER FROM A HEALTH PROBLEM CAUSED BY YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Never worked
8. RF
9. DK
HAVE YOU EVER/IN THE LAST TWO YEARS BEEN TOLD BY A DOCTOR OR MEDICAL PERSONNEL THAT YOU SUFFER FROM A HEALTH PROBLEM CAUSED BY YOUR JOB?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
3. Never worked
8. RF
9. DK
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C71
Due to sickness or injury, during the last 12 months, how many days did you stay in bed for at least half the day?
DUE TO SICKNESS OR INJURY, DURING THE LAST 12 MONTHS, HOW MANY DAYS DID YOU STAY IN BED FOR AT LEAST HALF THE DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
000. Never
888. RF
999. DK
DUE TO SICKNESS OR INJURY, DURING THE LAST 12 MONTHS, HOW MANY DAYS DID YOU STAY IN BED FOR AT LEAST HALF THE DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
000. Never
888. RF
999. DK
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C72
Interviewer: With what frequency did the respondent need help to answer Section C. Health?
INTERVIEWER: WITH WHAT FREQUENCY DID THE RESPONDENT NEED HELP TO ANSWER SECTION C. HEALTH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Never
2. A few times
3. Most of the time
INTERVIEWER: WITH WHAT FREQUENCY DID THE RESPONDENT NEED HELP TO ANSWER SECTION C. HEALTH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Never
2. A few times
3. Most of the time
End of C. Health