National Health and Nutrition Examination Survey

2003-2004 Questionnaire Variable List

« Return to NHANES 2003-2004 Questionnaire Data

Variable NameVariable DescriptionData File NameData File DescriptionBegin YearEndYearComponentUse Constraints
CDQ001{Have you/Has SP} ever had any pain or discomfort in {your/her/his} chest?CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ002{Do you/Does she/Does he} get it when {you/she/he} walk uphill or hurry?CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ003{Do you/Does she/Does he} get it when {you/she/he} walk at an ordinary pace on level ground?CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ004What {do you/does she/does he} do if {you/she/he} get it while {you/she/he} are walking? {Do you/Does she/Does he} stop or slow down or continue at the same pace?CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ005If {you/she/he} stand still, what happens to it? Is the pain or discomfort relieved or not relieved?CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ006How soon is the pain relieved? Would you say...CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ008Have {you/she/he} ever had a severe pain across the front of {your/her/his} chest lasting for half an hour or more?CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009APlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009BPlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009CPlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009DPlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009EPlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009FPlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009GPlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ009HPlease look at this card and show me where the pain or discomfort is located.CDQ_CCardiovascular Health20032004QuestionnaireNone
CDQ010{Have you/Has SP} had shortness of breath either when hurrying on the level or walking up a slight hill?CDQ_CCardiovascular Health20032004QuestionnaireNone
SEQNRespondent sequence number.CDQ_CCardiovascular Health20032004QuestionnaireNone
ACD010AWhat language(s) {do you/does SP} usually speak at home?ACQ_CAcculturation20032004QuestionnaireNone
ACD010BWhat language(s) {do you/does SP} usually speak at home?ACQ_CAcculturation20032004QuestionnaireNone
ACD010CWhat language(s) {do you/does SP} usually speak at home?ACQ_CAcculturation20032004QuestionnaireNone
ACD040What language(s) {do you/does SP} usually speak at home? Would you say...ACQ_CAcculturation20032004QuestionnaireNone
ACD070In what country was {your/SP's} father born?ACQ_CAcculturation20032004QuestionnaireNone
ACD080In what country was {your/SP's} mother born?ACQ_CAcculturation20032004QuestionnaireNone
ACQ020The next questions are about language. In general, what language(s) {do you/does SP} read and speak. Would you say . . .ACQ_CAcculturation20032004QuestionnaireNone
ACQ030What was the language(s) {you/SP} used as a child? Would you say...ACQ_CAcculturation20032004QuestionnaireNone
ACQ050In which language(s) {do you/does SP} usually think? Would you say...ACQ_CAcculturation20032004QuestionnaireNone
ACQ060What language(s) {do you/does SP} usually speak with {your/his/her} friends? Would you say...ACQ_CAcculturation20032004QuestionnaireNone
SEQNRespondent sequence number.ACQ_CAcculturation20032004QuestionnaireNone
ALQ101The next questions are about drinking alcoholic beverages. Included are liquor (such as whiskey or gin), beer, wine, wine coolers, and any other type of alcoholic beverage. In any one year, {have you/has SP} had at least 12 drinks of any type of alcoholic beverage? By a drink, I mean a 12 oz. beer, a 4 oz. glass of wine, or an ounce of liquor.ALQ_CAlcohol Use20032004QuestionnaireNone
ALQ110In {your/SP's} entire life, {have you/has he/ has she} had at least 12 drinks of any type of alcoholic beverage?ALQ_CAlcohol Use20032004QuestionnaireNone
ALQ120QIn the past 12 months, how often did {you/SP} drink any type of alcoholic beverage? PROBE: How many days per week, per month, or per year did {you/SP} drink?ALQ_CAlcohol Use20032004QuestionnaireNone
ALQ120UUNIT OF MEASURE.ALQ_CAlcohol Use20032004QuestionnaireNone
ALQ130In the past 12 months, on those days that {you/SP} drank alcoholic beverages, on the average, how many drinks did {you/he/she} have?ALQ_CAlcohol Use20032004QuestionnaireNone
ALQ140QIn the past 12 months, on how many days did {you/SP} have 5 or more drinks of any alcoholic beverage? PROBE: How many days per week, per month, or per year did {you/SP} have 5 or more drinks in a single day?ALQ_CAlcohol Use20032004QuestionnaireNone
ALQ140UUNIT OF MEASURE.ALQ_CAlcohol Use20032004QuestionnaireNone
ALQ150Was there ever a time or times in {your/SP's} life when {you/he/she} drank 5 or more drinks of any kind of alcoholic beverage almost every day?ALQ_CAlcohol Use20032004QuestionnaireNone
SEQNRespondent sequence number.ALQ_CAlcohol Use20032004QuestionnaireNone
RXD300The next questions are about certain prescription and over the counter pain relievers that {you/SP} may be using now or may have used in the past on a regular basis. You may have told me about some of these pain relievers earlier. I have some different questions specifically about pain relievers. {Have you/has SP} ever taken any of these prescription or over-the-counter pain relievers nearly every day for a month or longer?RXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXD310Which products {have you/has SP} taken?RXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXD320Please think about {your/SP's} use of pain reliever products during {your/his/her} lifetime. For how many years did {you/s/he} use {PRODUCT NAME} nearly every day? Please do not count the months or years when {you were/s/he was} not taking the medicine.RXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXD330{Do you/Does SP} currently use or take {PRODUCT NAME} daily or nearly every day?RXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXD331QOn average, how many pills or doses of {PRODUCT NAME} {do you/does SP} take in a single day?RXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXD331UUNIT OF MEASURE RXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXQ355Interviewer: enter 1 responseRXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXQ360GInterviewer: Record strength of productRXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXQ360QQuantity of strengthRXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
RXQ360UUnit of strength on bottleRXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
SEQNRespondent sequence number.RXQANA_CAnalgesic Pain Relievers20032004QuestionnaireNone
AUQ130Which statement best describes {your/SP's} hearing (without hearing aid)? Would you say {your/his/her} hearing is good, that {you have/s/he has} a little trouble, a lot of trouble, or {are you/is s/he} deaf?AUQ_CAudiometry20032004QuestionnaireNone
AUQ140About how long has it been since {you/SP} last had {your/his/her} hearing tested?AUQ_CAudiometry20032004QuestionnaireNone
AUQ150{Have you/Has SP} ever worn a hearing aid?AUQ_CAudiometry20032004QuestionnaireNone
AUQ160{Are you/Is SP} now wearing a hearing aid?AUQ_CAudiometry20032004QuestionnaireNone
AUQ170In the past 12 months, {have you/has SP} ever worn a hearing aid?AUQ_CAudiometry20032004QuestionnaireNone
AUQ180In the past 12 months, how often would you say {you/SP} wore a hearing aid? Would you say . . .AUQ_CAudiometry20032004QuestionnaireNone
AUQ190In the past 12 months, {have you/has SP} ever had ringing, roaring, or buzzing in {your/his/her} ears?AUQ_CAudiometry20032004QuestionnaireNone
AUQ200How often did this happen? Would you say . . .AUQ_CAudiometry20032004QuestionnaireNone
AUQ210Outside of work, {have you/has SP} ever been exposed to firearms noise for an average of at least once a month for a year?AUQ_CAudiometry20032004QuestionnaireNone
AUQ220{Have you/Has SP} ever worn hearing protection devices when exposed to firearms noise?AUQ_CAudiometry20032004QuestionnaireNone
AUQ230Outside of work, {have you/has SP} ever been exposed to other types of loud noise, such as noise from power tools or loud music, for an average of at least once a month for a year? By loud noise I mean noise so loud that {you/s/he} had to speak in a rai sed voice to be heard.AUQ_CAudiometry20032004QuestionnaireNone
AUQ240{Have you/Has SP} ever worn hearing protection devices when exposed to these loud noises?AUQ_CAudiometry20032004QuestionnaireNone
SEQNRespondent sequence number.AUQ_CAudiometry20032004QuestionnaireNone
BAQ010During the past 12 months, {have you/has SP} had dizziness, difficulty with balance or difficulty with falling?BAQ_CBalance20032004QuestionnaireNone
BAQ020AWhich of these problems {have you/has SP} had . . .dizziness?BAQ_CBalance20032004QuestionnaireNone
BAQ020BWhich of these problems {have you/has SP} had . . .difficulty with balance?BAQ_CBalance20032004QuestionnaireNone
BAQ020CWhich of these problems {have you/has SP} had . . .difficulty with falling?BAQ_CBalance20032004QuestionnaireNone
BAQ030AHow long did the... dizziness last? Would you say less than two weeks, 2 weeks to 3 months, or more than 3 months?BAQ_CBalance20032004QuestionnaireNone
BAQ030BHow long did the... difficulty with balance last? Would you say less than two weeks, 2 weeks to 3 months, or more than 3 months?BAQ_CBalance20032004QuestionnaireNone
BAQ040{Do you/Does SP} get dizzy when {you/s/he} turn{s} over in bed?BAQ_CBalance20032004QuestionnaireNone
BAQ060AWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ060BWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ060CWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ060DWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ060EWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ060FWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ060GWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ060HWhich of the things on this list, if any, were related to {your/SP's} dizziness or balance problem?BAQ_CBalance20032004QuestionnaireNone
BAQ070{Have you/Has SP} ever been treated by a doctor or other health professional for dizziness, a balance problem, or falling?BAQ_CBalance20032004QuestionnaireNone
BAQ075How long ago {were you/was SP} treated? Would you say . . .BAQ_CBalance20032004QuestionnaireNone
BAQ080ADid this treatment involve. . .medication?BAQ_CBalance20032004QuestionnaireNone
BAQ080BDid this treatment involve. . .surgery to the ear?BAQ_CBalance20032004QuestionnaireNone
BAQ080CDid this treatment involve. . .some other type of surgery?BAQ_CBalance20032004QuestionnaireNone
BAQ080DDid this treatment involve. . .exercises or physical therapy?BAQ_CBalance20032004QuestionnaireNone
BAQ090As a result of this treatment, did {your/SP's} condition. . .BAQ_CBalance20032004QuestionnaireNone
BAQ100Have any of {your/SP's} biological, that is, blood relatives (grandparents, parents, brothers, or sisters) had a problem with dizziness, balance, or falling not related to aging?BAQ_CBalance20032004QuestionnaireNone
SEQNRespondent sequence number.BAQ_CBalance20032004QuestionnaireNone
BPD110A{Even though {you have/SP has} never had {your/his/her} blood cholesterol checked} {Even though a doctor or other health professional has never told {you/SP} that {your/his/her} blood cholesterol was high} we are now going to ask you if {you have/SP has} made any major changes on your own to lower {your/his/her} blood cholesterol. Specifically {do you/does s/he} eat fewer high fat or high cholesterol foods in order to lower {your/his/her} blood cholesterol?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPD110B{Even though {you have/SP has} never had {your/his/her} blood cholesterol checked} {Even though a doctor or other health professional has never told {you/SP} that {your/his/her} blood cholesterol was high} we are now going to ask you if {you have/SP has} made any major changes on your own to lower {your/his/her} blood cholesterol. Specifically {have you/has s/he} controlled {your/his/her} weight or lost weight in order to lower {your/his/her} blood cholesterol?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPD110C{Even though {you have/SP has} never had {your/his/her} blood cholesterol checked} {Even though a doctor or other health professional has never told {you/SP} that {your/his/her} blood cholesterol was high} we are now going to ask you if {you have/SP has} made any major changes on your own to lower {your/his/her} blood cholesterol. Specifically{have you/has s/he} increased {your/his/her} physical activity or exercise in order to lower {your/his/her} blood cholesterol?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPD120Even though a doctor or other health professional has never told {you/SP} to eat fewer high fat or high cholesterol foods, we are now going to ask if {you have/he/she has} made any major changes on {your/his/her} own to lower {your/his/her} cholesterol? Specifically, {do you/does he/she} eat fewer high fat or high cholesterol foods in order to lower {your/his/her} blood cholesterol?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPD130Even though a doctor or other health professional has never told {you/SP} to control {your/his/her} weight or lose weight, we are now going to ask if {you have/he/she/has} made any major changes on {your/his/her} own to lower {your/his/her} blood cholesterol? Specifically, {have you/has he/she} controlled {your/his/her} weight or lost weight in order to lower {your/his/her} blood cholesterol? BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPD140Even though a doctor or other health professional has never told {you/SP} to increase {your/his/her} physical activity or exercise, we are now going to ask if {you have/he/she has} made any major changes on {your/his/her} own to lower {your/his/her} blood cholesterol? Specifically, {have you/has he/she} increased {your/his/her} physical activity or exercise in order to lower {your/his/her} blood cholesterol? BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ010About how long has it been since {you/SP} last had {your/his/her} blood pressure taken by a doctor or other health professional? Was it . . .BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ020{Have you/Has SP} ever been told by a doctor or other health professional that {you/s/he} had hypertension, also called high blood pressure?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ030{Were you/Was SP} told on 2 or more different visits that {you/s/he} had hypertension, also called high blood pressure?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ040ABecause of {your/SP's} (high blood pressure/hypertension), {have you/has s/he} ever been told to . . . take prescribed medicine?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ040BBecause of {your/SP's} (high blood pressure/hypertension), {have you/has s/he} ever been told to control {your/his/her} weight or lose weight?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ040CBecause of {your/SP's} (high blood pressure/hypertension), {have you/has s/he} ever been told to cut down on salt or sodium in {your/his/her} diet?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ040DBecause of {your/SP's} (high blood pressure/hypertension), {have you/has s/he} ever been told to exercise more?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ040EBecause of {your/SP's} (high blood pressure/hypertension), {have you/has s/he} ever been told to cut down {your/his/her} alcohol consumption?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ040FBecause of {your/SP's} (high blood pressure/hypertension), {have you/has s/he} ever been told to do something else?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ043AWhat else?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ043BWhat else?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ043CWhat else?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ043DWhat else?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ050AHELP AVAILABLE (Are you/Is SP) now taking prescribed medicineBPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ050B(Are you/Is SP) now controlling (your/his/her) weight or losing weight?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ050C(Are you/Is SP) now cutting down on salt or sodium in (your/his/her) diet?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ050D(Are you/Is SP) now exercising more?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ050E(Are you/Is SP) now cutting down on (your/his/her) alcohol consumption?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ060{Have you/Has SP} ever had {your/his/her} blood cholesterol checked?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ070About how long has it been since {you/SP} last had {your/his/her} blood cholesterol checked? Has it been...BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ080{Have you/Has SP} ever been told by a doctor or other health professional that {your/his/her} blood cholesterol level was high?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ090ATo lower (your/his/her) blood cholesterol, (have/has) (you/SP) ever been told by a doctor or other health professional... to eat fewer high fat or high cholesterol foods?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ090B[To lower (your/his/her) blood cholesterol, (have/has) (you/SP) ever been told by a doctor or other health professional]... to control (your/his/her) weight or lose weight?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ090C[To lower (your/his/her) blood cholesterol, (have/has) (you/SP) ever been told by a doctor or other health professional]... to increase (your/his/her) physical activity or exercise?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ090D[To lower (your/his/her) blood cholesterol, (have/has) (you/SP) ever been told by a doctor or other health professional]... to take prescribed medicine?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ100A(Are you/Is SP) now following this advice to eat fewer high fat or high cholesterol foods?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ100B(Are you/Is SP) now following this advice to control (your/his/her) weight or lose weight?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ100C(Are you/Is SP) now following this advice to increase (your/his/her) physical activity or exercise?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
BPQ100D(Are you/Is SP) now following this advice to take prescribed medicine?BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
SEQNRespondent sequence number.BPQ_CBlood Pressure & Cholesterol20032004QuestionnaireNone
HSAQUEXSource of Health Status DataHSQ_CCurrent Health Status20032004QuestionnaireNone
HSD010{First/Next} I have some general questions about {your/SP's} health. Would you say {your/SP's} health in general is . . .HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ470The next set are of questions are about {your/SP's} recent health during the 30 days outlined on the calendar. Thinking about {your/SP's} physical health, which includes physical illness and injury, for how many days during the past 30 days was {your/his/her} physical health not good?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ480Now thinking about {your/SP's} mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was {your/his/her} mental health not good?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ490During the past 30 days, for about how many days did poor physical or mental health keep {you/SP} from doing {your/his/her} usual activities, such as self-care, work, school or recreation?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ500Did {you/SP} have a head cold or chest cold that started during those 30 days?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ510Did {you/SP} have a stomach or intestinal illness with vomiting or diarrhea that started during those 30 days?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ520Did {you/SP} have flu, pneumonia, or ear infections that started during those 30 days?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ571During the past 12 months, that is, since (DISPLAY CURRENT MONTH, DISPLAY LAST YEAR), a year ago, (have you/has SP) donated blood?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ580How long ago was {your/SP's} last blood donation?HSQ_CCurrent Health Status20032004QuestionnaireNone
HSQ590Except for tests {you/SP} may have had as part of blood donations, {have you/has he/has she} ever had {your/his/her} blood tested for the AIDS virus infection?HSQ_CCurrent Health Status20032004QuestionnaireNone
SEQNRespondent sequence number.HSQ_CCurrent Health Status20032004QuestionnaireNone
DED011Next are some general questions about {your/SP's} skin and hair. How many moles {do you/does SP} have that are at least 1/4 inch in diameter?DEQ_CDermatology20032004QuestionnaireNone
DED021What {is/was} {your/SP's} natural hair color {at 18}?DEQ_CDermatology20032004QuestionnaireNone
DED031If after several months of not being in the sun, {you/SP} then went out in the sun without sunscreen or protective clothing for a half hour, which one of these would happen to {your/his/her} skin?DEQ_CDermatology20032004QuestionnaireNone
DED038QHow many times in the past year {have you/has SP} had a sunburn?DEQ_CDermatology20032004QuestionnaireNone
DED041{Have you/Has SP} ever been told by a doctor or other health professional that {you/s/he/SP} had melanoma?DEQ_CDermatology20032004QuestionnaireNone
DED051Have any of {your/SP's} close blood relatives ever been told by a doctor or other health professional that they had melanoma? By close blood relatives, we mean parents, grandparents, brothers, sisters, or children.DEQ_CDermatology20032004QuestionnaireNone
DED061During the past 12 months, that is since {DISPLAY CURRENT MONTH} a year ago, {have you/has SP} had dermatitis, eczema, or any other type of red, inflamed skin rash?DEQ_CDermatology20032004QuestionnaireNone
DED071{Do you/Does SP} have this skin condition today?DEQ_CDermatology20032004QuestionnaireNone
DED083CWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DED083DWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DED083UWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DEQ034AWhen {you go/SP goes} outside on a very sunny day, for more than one hour, how often {do you/does SP} Stay in the shade?DEQ_CDermatology20032004QuestionnaireNone
DEQ034BWear a hat that shades {your/his/her} face, ears and neck? Would you say . .DEQ_CDermatology20032004QuestionnaireNone
DEQ034CWear a long sleeved shirt? Would you say . . .DEQ_CDermatology20032004QuestionnaireNone
DEQ034DUse sunscreen? Would you say . . .DEQ_CDermatology20032004QuestionnaireNone
DEQ036What is the SPF number of the sunscreen you use most often?DEQ_CDermatology20032004QuestionnaireNone
DEQ038GHow many times in the past year {have you/has SP} had a sunburn?DEQ_CDermatology20032004QuestionnaireNone
DEQ053(Have you/ Has SP) ever been told by a health care provider that (you/he/she) had psoriasis (sore-eye-asis)?DEQ_CDermatology20032004QuestionnaireNone
DEQ055On a scale of 1 to 10 how much of a problem has (your/his/her) psoriasis been in (your/his/her) everyday life, where 1 means no problem at all and 10 means a very large problem.DEQ_CDermatology20032004QuestionnaireNone
DEQ057(Do you/Does SP) currently have....DEQ_CDermatology20032004QuestionnaireNone
DEQ083APlease look at this card and tell me the parts of the body that {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DEQ083BWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DEQ083EWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DEQ083FWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DEQ083GWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DEQ083HWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
DEQ083IWhat parts of the body {were/are} affected by this skin condition? PROBE: Any other parts?DEQ_CDermatology20032004QuestionnaireNone
SEQNRespondent sequence number.DEQ_CDermatology20032004QuestionnaireNone
DID040GHow old {was SP/were you} when a doctor or other health professional first told {you/him/her} that {you/he/she} had diabetes or sugar diabetes?DIQ_CDiabetes20032004QuestionnaireNone
DID040QHow old {was SP/were you} when a doctor or other health professional first told {you/him/her} that {you/he/she} had diabetes or sugar diabetes?DIQ_CDiabetes20032004QuestionnaireNone
DID060GFor how long {have you/has SP} been taking insulin?DIQ_CDiabetes20032004QuestionnaireNone
DID060QFor how long {have you/has SP} been taking insulin?DIQ_CDiabetes20032004QuestionnaireNone
DIQ010The next questions are about specific medical conditions. {Other than during pregnancy, {have you/has SP}/{Have you/Has SP}} ever been told by a doctor or health professional that {you have/{he/she/SP} has} diabetes or sugar diabetes?DIQ_CDiabetes20032004QuestionnaireNone
DIQ050{Is SP/Are you} now taking insulinDIQ_CDiabetes20032004QuestionnaireNone
DIQ060UUNIT OF MEASUREDIQ_CDiabetes20032004QuestionnaireNone
DIQ070{Is SP/Are you} now taking diabetic pills to lower {{his/her}/your} blood sugar? These are sometimes called oral agents or oral hypoglycemic agents.DIQ_CDiabetes20032004QuestionnaireNone
DIQ080Has a doctor ever told {you/SP} that diabetes has affected {your/his/her} eyes or that {you/s/he} had retinopathy?DIQ_CDiabetes20032004QuestionnaireNone
DIQ090{Have you/Has SP} ever had an ulcer or sore on {your/his/her} leg or foot that took more than 4 weeks to heal?DIQ_CDiabetes20032004QuestionnaireNone
DIQ100During the past 3 months, {have you/has SP} had numbness or loss of feeling in {your/his/her} hands or feet, other than from {your/his/her} hands or feet falling asleep?DIQ_CDiabetes20032004QuestionnaireNone
DIQ110Has the numbness or loss of feeling been in {your/SP's} hands, feet, or both?DIQ_CDiabetes20032004QuestionnaireNone
DIQ120During the past 3 months, {have you/has SP} had a painful sensation or tingling in {your/his/her} hands or feet? Do not include normal foot aches from standing or walking for long periods.DIQ_CDiabetes20032004QuestionnaireNone
DIQ130Has the painful sensation or tingling been in {your/his/her} hands, feet, or both?DIQ_CDiabetes20032004QuestionnaireNone
DIQ140{Do you/Does SP} ever get pain in either leg while {you are/s/he is} walking?DIQ_CDiabetes20032004QuestionnaireNone
DIQ150Does this pain include pain in {your/SP's} calf or calves?DIQ_CDiabetes20032004QuestionnaireNone
SEQNRespondent sequence number.DIQ_CDiabetes20032004QuestionnaireNone
DBD020How old was {SP} when {he/she} was first fed something other than breastmilk or water?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD030How old was {SP} when {he/she} completely stopped breastfeeding or being fed breastmilk?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD040How old was {SP} when {he/she} was first fed formula on a daily basis?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD050How old was {SP} when {he/she} completely stopped drinking formula?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD060How old was {SP} when {he/she} was first fed milk on a daily basis?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD080How old was {SP} when {he/she} started eating solid foods [such as strained foods like baby food or any other non-liquid foods] on a daily basis?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD090{Next I have some general questions about {your/SP's} eating habits.} {First/Next} are questions about the kinds of food {you eat/SP eats}. On average, how many times per week {do you/does SP} eat meals that were prepared in a restaurant?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD197Now I'm going to ask a few questions about milk products. Do not include their use in cooking. In the past 30 days, how often did {you/SP} have milk to drink or on {your/his/her} cereal? Please include chocolate and other flavored milks as well as hot cocoa made with milk. Do not count small amounts of milk added to coffee or tea. Would you say...DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD381During the school year, about how many times a week {do you/does SP} usually get a complete school lunch?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBD411During the school year, about how many times a week {do you/does SP} usually get a complete breakfast at school?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ010Now I'm going to ask you some general questions about {SP's} eating habits. Was {SP} ever breastfed or fed breastmilk?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ071AWhat type of milk was {SP} first fed on a daily basis? Was it . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ071BWhat type of milk was {SP} first fed on a daily basis? Was it . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ071CWhat type of milk was {SP} first fed on a daily basis? Was it . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ071DWhat type of milk was {SP} first fed on a daily basis? Was it . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ071UWhat type of milk was {SP} first fed on a daily basis? Was it . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ221AWhat type of milk was it? Was it usually . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ221BWhat type of milk was it? Was it usually . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ221CWhat type of milk was it? Was it usually . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ221DWhat type of milk was it? Was it usually . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ221UWhat type of milk was it? Was it usually . . .DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ229The next question is about regular milk use. A regular milk drinker is someone who uses any type of milk at least 5 times a week. Using this definition, which statement best describes {you/SP}?...DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ235ANow, I'm going to ask you how often {you/SP} drank milk at different times in {your/his/her} life. How often did {you/SP} drink any type of milk, including milk added to cereal when {you were/s/he was} a child between the ages of 5 and 12 years old? Would you say...DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ235BNow, I'm going to ask you how often {you/SP} drank milk at different times in {your/his/her} life. How often did {you/SP} drink any type of milk, including milk added to cereal when {you were/s/he was} a teenager between the ages of 13 and 17 years old? Would you say...DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ235CNow, I'm going to ask you how often {you/SP} drank milk at different times in {your/his/her} life. How often did {you/SP} drink any type of milk, including milk added to cereal when {you were/s/he was} a young adult between the ages of 18 and 35 years old? Would you say...DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ301The next questions are about meals provided by community or government programs. In the past 12 months, did {you/SP} receive any meals delivered to {your/his/her} home from community programs, "Meals on Wheels", or any other programs?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ330In the past 12 months, did {you/SP} go to a community program or senior center to eat prepared meals?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ360During the school year, {do you/does SP} attend a kindergarten, grade school, junior or high school?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ370Does {your/SP's} school serve school lunches? These are complete lunches that cost the same every day.DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ390{Do you/Does SP} get these lunches free, at a reduced price, or {do you/does he/she} pay full price?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ400Does {your/SP's} school serve a complete breakfast that costs the same every day?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ421{Do you/Does SP} get these breakfasts free, at a reduced price, or {do you/does he/she} pay full price?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DBQ424(Do you/Does SP) get a free or reduced price meal at any summer program (he/she) attends?DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
SEQNRespondent sequence number.DBQ_CDiet Behavior & Nutrition20032004QuestionnaireNone
DUQ100The following questions ask about drug use. Have you ever used cocaine, including crack or freebase, or other street drugs? Do not include marijuana.DUQ_CDrug Use20032004QuestionnaireNone
DUQ110In the past 12 months, how many days have you used cocaine, including crack or freebase, or other street drugs?DUQ_CDrug Use20032004QuestionnaireNone
DUQ120Have you ever used a needle to take street drugs?DUQ_CDrug Use20032004QuestionnaireNone
DUQ130In the past 12 months, how many days have you used a needle to take street drugs?DUQ_CDrug Use20032004QuestionnaireNone
SEQNRespondent sequence number.DUQ_CDrug Use20032004QuestionnaireNone
ECD010First I have some questions about {SP NAME's} birth. How old was {SP NAME's} biological mother when {s/he} was born?ECQ_CEarly Childhood20032004QuestionnaireNone
ECD070AHow much did {SP NAME} weigh at birth?ECQ_CEarly Childhood20032004QuestionnaireNone
ECD070BHow much did {SP NAME} weigh at birth?ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ020Did {SP NAME's} biological mother smoke at any time while she was pregnant with {him/her}?ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ030At any time during the pregnancy, did {SP NAME's} biological mother quit or refrain from smoking for the rest of the pregnancy?ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ040About what month of the pregnancy did {SP NAME's} biological mother stop smoking?ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ060Did {SP NAME} receive any newborn care in an intensive care unit, premature nursery, or any other type of special care facility?ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ080Did {SP NAME} weigh . . .ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ090Did {SP NAME} weigh . . .ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ100(First/Next) I have some questions about day care and preschool. By day care I mean child care where there is more than 1 child in care in someone else's home or in a center. Did {SP} ever attend day care or preschool?ECQ_CEarly Childhood20032004QuestionnaireNone
ECQ110Does {SP} now attend day care or preschool?ECQ_CEarly Childhood20032004QuestionnaireNone
FSQ121Is {SP} now attending {Head Start/Early Head Start}?ECQ_CEarly Childhood20032004QuestionnaireNone
SEQNRespondent sequence number.ECQ_CEarly Childhood20032004QuestionnaireNone
SEQNRespondent sequence number.SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD410I would now like to ask you a few questions about smoking. Does anyone who lives here smoke cigarettes, cigars, or pipes anywhere inside this home?SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD415Total number of smokers in homeSMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD415ATotal # of cigarette smokers in home SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD415BTotal # of cigar smokers in home SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD415CTotal # of pipe smokers in home SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD430How many cigarettes per day {do you/does PERSON} usually smoke anywhere inside the home?SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD440How many cigars per day {do you/does PERSON} usually smoke anywhere inside the home?SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
SMD450How many pipes per day {do you/does PERSON} usually smoke anywhere inside the home?SMQFAM_CSmoking - Household Smokers20032004QuestionnaireNone
FSD032ANow I am going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was often true, sometimes true, or never true for {you/your household} in the last 12 months, that is since last {DISPLAY CURRENT MONTH}. The first statement is . . . {I/we} worried whether {my/our} food would run out before {I/we} got money to buy more.FSQ_CFood Security20032004QuestionnaireNone
FSD032B[The next statement is . . .] The food that {I/we} bought just didn't last, and {I/we} didn't have money to get more.FSQ_CFood Security20032004QuestionnaireNone
FSD032C[The next statement is . . .] {I/we} couldn't afford to eat balanced meals.FSQ_CFood Security20032004QuestionnaireNone
FSD032D[The next statement is . . .] (I/we) relied on only a few kinds of low-cost food to feed {CHILD'S NAME / THE CHILDREN} because (I was/we were) running out of money to buy food.FSQ_CFood Security20032004QuestionnaireNone
FSD032E[The next statement is . . .] (I/we) couldn't feed {CHILD'S NAME / THE CHILDREN} a balanced meal, because (I/we) couldn't afford that.FSQ_CFood Security20032004QuestionnaireNone
FSD032F[The next statement is . . .] {CHILD'S NAME WAS /THE CHILDREN WERE} not eating enough because (I/we) just couldn't afford enough food.FSQ_CFood Security20032004QuestionnaireNone
FSD041In the last 12 months, since last {DISPLAY CURRENT MONTH}, did {you/you or other adults in your household} ever cut the size of your meals or skip meals because there wasn't enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSD052How often did this happen?FSQ_CFood Security20032004QuestionnaireNone
FSD061In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money to buy food?FSQ_CFood Security20032004QuestionnaireNone
FSD071[In the last 12 months], were you ever hungry but didn't eat because you couldn't afford enough food?FSQ_CFood Security20032004QuestionnaireNone
FSD081[In the last 12 months], did you lose weight because you didn't have enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSD092[In the last 12 months], did {you/you or other adults in your household} ever not eat for a whole day because there wasn't enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSD102How often did this happen? Would you say . . .FSQ_CFood Security20032004QuestionnaireNone
FSD111In the last 12 months, since {DISPLAY CURRENT MONTH} of last year, did you ever cut the size of {CHILD'S NAME's/any of the children's} meals because there wasn't enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSD122[In the last 12 months], did {CHILD'S NAME/any of the children} ever skip meals because there wasn't enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSD132How often did this happen?FSQ_CFood Security20032004QuestionnaireNone
FSD141In the last 12 months, {was CHILD'S NAME/were the children} ever hungry but you just couldn't afford more food?FSQ_CFood Security20032004QuestionnaireNone
FSD146[In the last 12 months], did {CHILD'S NAME/any of the children} ever not eat for a whole day because there wasn't enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSD151In the last 12 months, did {you/you or any member of your household} ever get emergency food from a church, a food pantry, or a food bank, or eat in a soup kitchen?FSQ_CFood Security20032004QuestionnaireNone
FSD170N[In the last 12 months], how many people in your household were authorized to receive Food Stamps?FSQ_CFood Security20032004QuestionnaireNone
FSD180In the last 12 months, {were you/was SP} authorized to receive Food Stamps?FSQ_CFood Security20032004QuestionnaireNone
FSD190In the last 12 months, about how many months {were you/was SP} authorized to receive Food Stamps?FSQ_CFood Security20032004QuestionnaireNone
FSD200{Are you/Is SP} now authorized to receive Food Stamps?FSQ_CFood Security20032004QuestionnaireNone
FSD650CDid (child's name) receive benefits from WIC in the past 12 months?FSQ_CFood Security20032004QuestionnaireNone
FSD650MDid {you/(woman's name)} personally receive benefits from WIC, that is, the Women, Infants, and Children Program, in the past 12 months?FSQ_CFood Security20032004QuestionnaireNone
FSD660CIs (child's name) now receiving benefits from the WIC Program?FSQ_CFood Security20032004QuestionnaireNone
FSD660M{Are you/Is (woman's name)} now receiving benefits from the WIC Program?FSQ_CFood Security20032004QuestionnaireNone
FSD670CHow long did {(child's name) receive/ has (child's name) been receiving} benefits from the WIC program?FSQ_CFood Security20032004QuestionnaireNone
FSD670MHow long {did (woman's name) receive/has (woman's name) been receiving} benefits from the WIC program?FSQ_CFood Security20032004QuestionnaireNone
FSDADAdult food security category for last 12 monthsFSQ_CFood Security20032004QuestionnaireNone
FSDCHChild food security category for last 12 monthsFSQ_CFood Security20032004QuestionnaireNone
FSDHHHousehold food security category for last 12 monthsFSQ_CFood Security20032004QuestionnaireNone
FSQ162In the last 12 months, did {you/you or any member of your household} receive benefits from the WIC program, that is, the Women, Infants and Children program?FSQ_CFood Security20032004QuestionnaireNone
FSQ170[In the last 12 months], were {you/you or any members of your household} authorized to receive Food Stamps [which includes a food stamp card or voucher, or cash grants from the state for food]?FSQ_CFood Security20032004QuestionnaireNone
FSQ400In the last 30 days, did you ever cut the size of your meals or skip meals because there was not enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSQ410How many days did this happen in the last 30 days?FSQ_CFood Security20032004QuestionnaireNone
FSQ420In the last 30 days, did you ever eat less than you felt you should because there was not enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSQ430In the last 30 days, were you ever hungry but did not eat because you could not afford enough food?FSQ_CFood Security20032004QuestionnaireNone
FSQ440In the last 30 days, did you lose weight because you did not have enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSQ450In the last 30 days, did you ever not eat for a whole day because there was not enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSQ460How may times did this happen in the last 30 days?FSQ_CFood Security20032004QuestionnaireNone
FSQ470In the last 30 days, did (child's name) ever eat less than you felt (he/she) should because there was not enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSQ480In the last 30 days, did you ever cut the size of (child's name) meals because there was not enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSQ490In the last 30 days, was (child's name) ever hungry but you just could not afford more food?FSQ_CFood Security20032004QuestionnaireNone
FSQ500In the last 30 days, did (child's name) ever skip a meal because there was not enough money for food?FSQ_CFood Security20032004QuestionnaireNone
FSQ510How many days did this happen in the last 30 days?FSQ_CFood Security20032004QuestionnaireNone
FSQ520In the last 30 days, did (child's name) not eat for a whole day because there was not enough money for food?FSQ_CFood Security20032004QuestionnaireNone
SEQNRespondent sequence number.FSQ_CFood Security20032004QuestionnaireNone
HID010The (first/next) questions are about health insurance. {Are you/Is SP} covered by health insurance or some other kind of health care plan? [Include health insurance obtained through employment or purchased directly as well as government programs like Medicare and Medicaid that provide medical care or help pay medical bills.]HIQ_CHealth Insurance20032004QuestionnaireNone
HID030A{Are you/Is SP} covered by private insurance?HIQ_CHealth Insurance20032004QuestionnaireNone
HID030B{Are you/Is SP} covered by Medicare?HIQ_CHealth Insurance20032004QuestionnaireNone
HID030C{Are you/Is SP} covered by Medicaid/CHIP?HIQ_CHealth Insurance20032004QuestionnaireNone
HID030D{Are you/Is SP} covered by other government insurance?HIQ_CHealth Insurance20032004QuestionnaireNone
HID030E{Are you/Is SP} covered by any single service plan?HIQ_CHealth Insurance20032004QuestionnaireNone
HID040Does the insurance {you have/SP has} cover any part of dental care?HIQ_CHealth Insurance20032004QuestionnaireNone
HIQ210In the past 12 months, was there any time when {you/SP} did not have any health insurance coverage?HIQ_CHealth Insurance20032004QuestionnaireNone
HIQ220About how long has it been since {you/SP} last had health care coverage?HIQ_CHealth Insurance20032004QuestionnaireNone
SEQNRespondent sequence number.HIQ_CHealth Insurance20032004QuestionnaireNone
HOD011I'd like to ask you a few questions about your home. Is your home . . .HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD030How many apartments are in this building? Would you say . . .HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD040When was this {mobile home/house/building} originally built?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD050How many rooms are in this home? Count the kitchen but not the bathroom.HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD060How many years {have you/has your family} lived at this address?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD140During the last 12 months, were any areas inside your home painted, such as walls, trim or ceilings?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD150When this painting was done did someone sand or scrape off any of the old paint?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD160Are there any rooms in your home where you can see paint that is peeling, flaking or chipping off the walls, ceilings, doors, or windows?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD170In any of these rooms, can you see at least one total area of peeling, flaking or chipping paint that is larger than one page of a regular newspaper?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD180How many rooms have this much peeling, flaking or chipping paint? [Areas that are larger than one page of regular newspaper.]HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD190Can you see paint that is peeling, flaking or chipping on any outside area of your {house/building}?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD210Can you see any total area of peeling, flaking or chipping paint on any outside area that is larger than a regular door?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOD220The next questions are about work that has been done in your home in the past 12 months. In the past 12 months, have you or anyone else . . .replaced a window, cabinet or wall in your home?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOQ065Is this {mobile home/house/apartment} owned, being bought, rented, or occupied by some other arrangement by {you/you or someone else in your family}?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOQ070What is the source of tap water in this home? Is it a private or public water company, a private or public well, or something else?HOQ_CHousing Characteristics20032004QuestionnaireNone
HOQ080Are any of the water treatment devices listed on this card used in your home?HOQ_CHousing Characteristics20032004QuestionnaireNone
SEQNRespondent sequence number.HOQ_CHousing Characteristics20032004QuestionnaireNone
HCASCCT1Reasons the Interview was not doneHCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCASCST1Interview Status CodeHCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ020There are many types of hepatitis. Before receiving the letter with (your/SP's) test result, had you heard of hepatitis C?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ030Was the test result in our letter the first time you were told (you had/SP has) hepatitis C?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ040For about how long have you known that (you have/SP has) hepatitis C? Would you say ...HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ060Why were you first tested for hepatitis C? Was it because:HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ070Did (you/SP) see a doctor or other health professional about (your/his/her) hepatitis C test result?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ080(Do you/Does SP) have an appointment to see a doctor or other health care professional about (your/his/her) hepatitis C test result?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ090When (you/SP) saw a doctor or other health professional about (your/his/her) hepatitis C test results, did (you/he/she) have other blood tests to check how (your/his/her) liver is working?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ100Which of the following statements describes most closely what (your/SP's) doctor told you about (your/his/her) hepatitis C result?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ110Did (you/SP) have a liver biopsy (procedure to get a small piece of (your/his/her) liver through a needle)?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ121Did (your/SP's) doctor or health care professional tell you that there are medicines that can be used to treat hepatitis C?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ124Did (your/SP's) doctor or health care professional tell you that your hepatitis C should be treated with medication such as Interferon and Ribavirin?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ126AWhat reason did your doctor or health care professional give you when he/she told you that you should not be treated? Was it because your liver enzymes were normal?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ126BWhat reason did your doctor or health care professional give you when he/she told you that you should not be treated? Was it because you did not have liver disease?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ126CWhat reason did your doctor or health care professional give you when he/she told you that you should not be treated? Was it because you do not need to do anything for hepatitis C?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ126DWhat reason did your doctor or health care professional give you when he/she told you that you should not be treated? Was it because you can wait to be treated at a later time?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ126EWhat reason did your doctor or health care professional give you when he/she told you that you should not be treated? Was it because... No reason specified.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ130Did (you/SP) get treated with these medicines?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ140AWhy did (you/SP) not get treated? Was it because the side effects to the treatment are unpleasant?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ140BWhy did (you/SP) not get treated? Was it because the treatment shots must be self injected?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ140CWhy did (you/SP) not get treated? Was it because the treatment is too expensive?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ140DWhy did (you/SP) not get treated? Was it because there is a hope of better treatment in the future?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ140EWhy did (you/SP) not get treated? Was it because there is some other reason?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ150Did (your/SP's) doctor or health professional tell (you/him/her) to avoid or limit alcoholic beverages (in the future) because of (your/his/her) hepatitis C?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ160If someone is infected with hepatitus C virus, they will most likely carry the virus all their lives.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ170Infection with the hepatitis C virus can cause the liver to stop working.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ180Someone with hepatitis C can look and feel fine.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ190You can get hepatitis C by getting a blood transfusion from an infected donor.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ200You can get hepatitis C by shaking hands with someone who has hepatitis C.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ210You can get hepatitis C by kissing someone who has hepatitis C.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ220You can get hepatitis C by having sex with someone who has hepatitis CHCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ230You can get hepatitis C by being born to a woman who had hepatitis C when she gave birth.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ240You can get hepatitis C by being stuck with a needle or sharp instrument that has hepatitis C infected blood on it.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ250You can get hepatitis C by working with someone who has hepatitis C.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ260You can get hepatitis C by injecting illegal drugs, even if only a few times.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HCQ270Who was the main respondent for the questionnaire?HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
SEQNRespondent sequence number.HCQ_CHepatitis C Follow Up20032004QuestionnaireNone
HUD080How many different times did {you/SP} stay in any hospital overnight or longer {during the past 12 months}?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ010{First/Next} I have some general questions about {your/SP's} health. Would you say {your/SP's} health in general is . . .HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ020Compared with 12 months ago, would you say {your/SP's} health is now . . .HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ030Is there a place that {you/SP} usually {go/goes} when {you are/he/she is} sick or {you/s/he} need{s} advice about {your/his/her} health?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ040What kind of place {do you/does SP} go to most often: is it a clinic, doctor's office, emergency room, or some other place?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ050{During the past 12 months, how/How} many times {have you/has SP} seen a doctor or other health care professional about {your/his/her} health at a doctor's office, a clinic, hospital emergency room, at home or some other place? Do not include times {you were/s/he was} hospitalized overnight.HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ060About how long has it been since {you/SP} last saw or talked to a doctor or other health care professional about {your/his/her} health? Include doctors seen while {you were} {he/she was} a patient in a hospital. Has it been . . .HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ071{During the past 12 months, were you/{Was/was} SP} a patient in a hospital overnight? Do not include an overnight stay in the emergency room.HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ082During the past 12 months, {were you/was SP} a patient at a long term care or rehabilitation facility? Do not include residential facilities where health care was not provided.HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ084How many total days did {you/SP}stay in a long term care or rehabilitation facility?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ086During the past 12 months, has anyone in your household (not including yourself) been in an acute care hospital, long term care facility, or rehabilitation facility overnight? Do not include clinics or same day stays.HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ088aWhat was the type of facility?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ088bWhat was the type of facility?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ088cWhat was the type of facility?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
HUQ090During the past 12 months, that is since {DISPLAY CURRENT MONTH} of {DISPLAY LAST YEAR}, {have you/has SP} seen or talked to a mental health professional such as a psychologist, psychiatrist, psychiatric nurse or clinical social worker about {your/his/her} health?HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
SEQNRespondent sequence number.HUQ_CHospital Utilization & Access to Care20032004QuestionnaireNone
IMD010{Have you/Has SP} ever received hepatitis A vaccine? This vaccine is given as a two dose series routinely to some children older than 2 years, and to some adults and people who travel outside the United States. It has only been available since 1995.IMQ_CImmunization20032004QuestionnaireNone
IMQ020{Have you/Has SP} ever received the 3-dose series of the hepatitis B vaccine? This vaccine is given in three separate doses and has been recommended for all newborn infants since 1991. In 1995, it was recommended that adolescents be given the vaccine. Persons who may be exposed to other people's blood, such as health care workers, also may have received the vaccine.IMQ_CImmunization20032004QuestionnaireNone
IMQ030{Have you/Has SP} ever had a pneumonia vaccination? This shot is usually given only once in a person's lifetime and is different from a flu shot.IMQ_CImmunization20032004QuestionnaireNone
SEQNRespondent sequence number.IMQ_CImmunization20032004QuestionnaireNone
KIDUQUEX KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ022{Have you/Has SP} ever been told by a doctor or other health professional that {you/s/he} had weak or failing kidneys? Do not include kidney stones, bladder infections, or incontinence.KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ025In the past 12 months, {have you/has SP} received dialysis (either hemodialysis or peritoneal dialysis)?KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ042Many people experience leakage of urine. The next few questions ask about urine leakage under different conditions. During the past 12 months, {have/has SP} leaked or lost control of even a small amount of urine with an activity like coughing, liftKIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ043How frequently does this occur? Would {you/he/she} say this occurs...KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ044During the past 12 months, {have you/has SP} leaked or lost control of even a small amount of urine with an urge or pressure to urinate and {you/he/she} couldn't get to the toilet fast enough?`KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ045How frequently does this occur? Would {you/she/he} say this occurs...KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ046During the past 12 months, {have you/has SP} leaked or lost control of even a small amount of urine without an activity like coughing, lifting, or exercise, or an urge to urinate?KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ047How frequently does this occur? Would {you/she/he} say this occurs...KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ050During the past 12 months, how much did {your/her/his} leakage of urine bother {you/her/him}? Please select one of the following choices:KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
KIQ052During the past 12 months, how much did {you/her/his} leakage of urine affect {you/her/his} day-to-day activities? Please select one of the following choices:KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
SEQNRespondent sequence number.KIQ_U_CKidney Conditions - Urology20032004QuestionnaireNone
MCD093In what year did {you/SP} receive {your/his/her} first transfusion?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ010Has a doctor or other health professional ever told {you/SP} that {you have/s/he/SP has} asthma?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ025How old {were you/was SP} when {you were/s/he was} first told {he/she} had asthma?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ035{Do you/Does SP} still have asthma?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ040During the past 12 months, {have you/has SP} had an episode of asthma or an asthma attack?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ050[During the past 12 months], {have you/has SP} had to visit an emergency room or urgent care center because of asthma?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ053During the past 3 months, {have you/has SP} been on treatment for anemia, sometimes called "tired blood" or "low blood"? [Include diet, iron pills, iron shots, transfusions as treatment.]MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ060Has a doctor or health professional ever told {you/SP} that {you/s/he/SP} had attention deficit disorder?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ080Has a doctor or health professional ever told {you/SP} that {you were/s/he/SP was} overweight?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ083Has a representative from a school or a health professional ever told {you/SP} that {s/he/SP} had a learning disability?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ092{Have you/Has SP} ever received a blood transfusion?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ114Has {SP} ever been tested for lead poisoning?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ117QHow long has it been since {SP} was tested?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ117UUnit of measureMCQ_CMedical Conditions20032004QuestionnaireNone
MCQ120ADuring the past 12 months, {have you/has SP} had . . .hay fever?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ120BDuring the past 12 months, {have you/has SP} had . . .3 or more ear infections?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ120CDuring the past 12 months, {have you/has SP} had . . .frequent or severe headaches, including migraines?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ120DDuring the past 12 months, {have you/has SP} had . . .stuttering or stammering?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ140{Do you/Does SP} have trouble seeing, even when wearing glasses or contact lenses, if {you/he/she} wear{s} them?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ149Have {SP's} periods or menstrual cycles started yet?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ150GDuring the past 12 months, that is, since {DISPLAY CURRENT MONTH} of {DISPLAY LAST YEAR}, about how many days did {you/SP} miss school because of an illness or injury?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ150QDuring the past 12 months, that is, since {DISPLAY CURRENT MONTH} of {DISPLAY LAST YEAR}, about how many days did {you/SP} miss school because of an illness or injury?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160AHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had arthritis?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160BHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had congestive heart failure?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160CHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had coronary heart disease?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160DHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had angina, also called angina pectoris?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160EHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had a heart attack (also called myocardial infarction)?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160FHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had a stroke?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160GHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had emphysema?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160JHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .was overweight?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160KHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had chronic bronchitis?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160LHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . .had any kind of liver condition?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ160MHas a doctor or other health professional ever told {you/SP} that {you/s/he} . . . had a thyroid problem?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ170K{Do you/Does SP} still . . . have chronic bronchitis?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ170L{Do you/Does SP} still . . . have any kind of liver condition?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ170M{Do you/Does SP} still . . . have a thyroid problem?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180AHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . . had arthritis?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180BHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had congestive heart failure?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180CHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had coronary heart disease?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180DHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had angina, also called angina pectoris?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180EHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had a heart attack (also called myocardial infarction)?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180FHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had a stroke?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180GHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had emphysema?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180KHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had chronic bronchitis?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180LHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had any kind of liver condition?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ180MHow old {were you/was SP} when {you were/s/he was} first told {you/s/he} . . .had a thyroid problem?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ190Which type of arthritis was itMCQ_CMedical Conditions20032004QuestionnaireNone
MCQ220{Have you/Has SP} ever been told by a doctor or other health professional that {you/s/he} had cancer or a malignancy of any kind?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ230AWhat kind of cancer was it?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ230BWhat kind of cancer was it?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ230CWhat kind of cancer was it?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ230DWhat kind of cancer was it?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240AHow old {were you/was SP} when {TYPE OF CANCER/cancer} was first diagnosed? How old (were you/was SP) when bladder cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240AAHow old (were you/was SP) when testicular cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240BHow old {were you/was SP} when blood cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240BBHow old (were you/was SP) when thyroid cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240CHow old (were you/was SP) when bone cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240CCHow old (were you/was SP) when uterine cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240DHow old (were you/was SP) when brain cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240DDHow old (were you/was SP) when some other type of cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240EHow old (were you/was SP) when breast cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240FHow old (were you/was SP) when cervical cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240GHow old (were you/was SP) when colon cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240HHow old (were you/was SP) when esophageal cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240IHow old (were you/was SP) when gallbladder cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240JHow old (were you/was SP) when kidney cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240KHow old (were you/was SP) when larynx or windpipe cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240LHow old (were you/was SP) when leukemia was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240MHow old (were you/was SP) when liver cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240NHow old (were you/was SP) when lung cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240OHow old (were you/was SP) when lymphoma or Hodgkin's Disease was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240PHow old (were you/was SP) when melanoma was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240QHow old (were you/was SP) when mouth, tongue, or lip cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240RHow old (were you/was SP) when cancer of the nervous system was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240SHow old (were you/was SP) when ovarian cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240THow old (were you/was SP) when pancreatic cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240UHow old (were you/was SP) when prostate cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240VHow old (were you/was SP) when rectal cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240WHow old (were you/was SP) when non-melanoma skin cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240XHow old (were you/was SP) when the unknown kind of skin cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240YHow old (were you/was SP) when soft tissue (muscle or fat) cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ240ZHow old (were you/was SP) when stomach cancer was first diagnosed?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ245ADuring the past 12 months, that is since {DISPLAY CURRENT MONTH} of last year, about how many days did {you/SP} miss work at a job or business because of an illness or injury {do not include maternity leave}?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ245BDuring the past 12 months, that is since {DISPLAY CURRENT MONTH} of last year, about how many days did {you/SP} miss work at a job or business because of an illness or injury {do not include maternity leave}?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ250AIncluding living and deceased, were any of {SP's/ your} biological that is, blood relatives including grandparents, parents, brothers, sisters ever told by a health professional that they had . . .diabetes?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ250BIncluding living and deceased, were any of {SP's/ your} biological that is, blood relatives including grandparents, parents, brothers, sisters ever told by a health professional that they had . . .Alzheimer's disease?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ250CIncluding living and deceased, were any of {SP's/ your} biological that is, blood relatives including grandparents, parents, brothers, sisters ever told by a health professional that they had . . .asthma?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ250EIncluding living and deceased, were any of {SP's/ your} biological that is, blood relatives including grandparents, parents, brothers, sisters ever told by a health professional that they had . . .osteoporosis or brittle bones?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ250FIncluding living and deceased, were any of {SP's/ your} biological that is, blood relatives including grandparents, parents, brothers, sisters ever told by a health professional that they had . . .high blood pressure or stroke before the age of 50?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ250GIncluding living and deceased, were any of {SP's/ your} biological that is, blood relatives including grandparents, parents, brothers, sisters ever told by a health professional that they had . . .heart attack or angina before the age of 50?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260AAWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260ABWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260ACWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260ADWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260AEWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260AFWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260AGWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260AHWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260AIWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BAWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BBWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BCWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BDWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BEWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BFWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BGWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BHWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260BIWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CAWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CBWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CCWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CDWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CEWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CFWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CGWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CHWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260CIWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EAWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EBWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260ECWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EDWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EEWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EFWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EGWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EHWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260EIWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FAWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FBWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FCWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FDWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FEWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FFWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FGWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FHWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260FIWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GAWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GBWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GCWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GDWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GEWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GFWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GGWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GHWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ260GIWhich biological [blood] family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ265Including living and deceased, were any of (SP's/your) biological that is, blood relatives including grandparents, brothers, ever told by a health professional that they had prostate cancer?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ267AWhich biological blood family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ267BWhich biological blood family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ267CWhich biological blood family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ267DWhich biological blood family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ267EWhich biological blood family member?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ270Did {your/SP's} biological mother ever fracture her hip?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ280About how old was she when she fractured her hip (the first time)?MCQ_CMedical Conditions20032004QuestionnaireNone
MCQ290Was she. . . .MCQ_CMedical Conditions20032004QuestionnaireNone
SEQNRespondent sequence number.MCQ_CMedical Conditions20032004QuestionnaireNone
MPD040How many weeks, in the past year, did {you/SP} have joint symptoms due to an injury?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050APlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050BPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050CPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050DPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050EPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050FPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050GPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050HPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050IPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050JPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050KPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050LPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050MPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050NPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050OPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPD050PPlease look at this card and give me the joints that were affected.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ010During the past 12 months, {have you/has SP} had pain, aching, stiffness or swelling in or around a joint?[Do not include neck pain.]MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ020Were these symptoms present on most days for at least 1 month?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ030Did these symptoms begin only because of an injury?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ060The following questions are about pain {you/SP} may have experienced in the past 3 months. Please refer to pain that lasted a whole day or more. Do not report aches and pains that were fleeting or minor. During the past 3 months, did {you/SP} have neck pain?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ070[During the past 3 months], did {you/SP} have low back pain?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ080Did this pain spread down either leg to areas below the knees?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ090During the past 3 months, did {you/SP} have severe headaches or migraines?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ100During the past month, {have you/has SP} had a problem with pain that lasted more than 24 hours?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ110For how long {have you/has SP} experienced this pain? Would you say . . .MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120ARegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120AARegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120ABRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120ACRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120ADRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120AERegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120AFRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120BRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120CRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120DRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120ERegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120FRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120GRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120HRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120IRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120JRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120KRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120LRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120MRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120NRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120ORegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120PRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120QRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120RRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120SRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120TRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120URegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120VRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120WRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120XRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120YRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
MPQ120ZRegarding {your/SP's} pain problem, which regions are affected?MPQ_CMiscellaneous Pain20032004QuestionnaireNone
SEQNRespondent sequence number.MPQ_CMiscellaneous Pain20032004QuestionnaireNone
OCD150(SP Interview Version) In this part of the survey I will ask you questions about {your/SP's} work experience. Which of the following {were you/was SP} doing last week . . . (Family Interview Version) The next questions are about {your/NON-SP HEAD'S/NON- SP SPOUSE'S} current job or business. Which of the following {were you/was} {NON-SP HEAD/NON-SP SPOUSE} doing last week . . .OCQ_COccupation20032004QuestionnaireNone
OCD230What kind of business or industry is this? (For example: TV and radio management, retail shoe store, state labor department, farm.)OCQ_COccupation20032004QuestionnaireNone
OCD240(SP Interview Version) What kind of work {were you/was SP} doing? (For example: farming, mail clerk, computer specialist.) (Family Interview Version) What kind of work {were/was} {you/NON-SP HEAD/NON-SP SPOUSE} doing? (For example: farming, mail clerk, computer specialist.)OCQ_COccupation20032004QuestionnaireNone
OCD270About how long {have you/has SP} worked for {EMPLOYER} as a(n) {OCCUPATION}?OCQ_COccupation20032004QuestionnaireNone
OCD390Thinking of all the paid jobs or businesses {you/SP} ever had, what kind of work {were you/was s/he} doing the longest? (For example, electrical engineer, stock clerk, typist, farmer.)OCQ_COccupation20032004QuestionnaireNone
OCD390GThinking of all the paid jobs or businesses {you/SP} ever had, what kind of work {were you/was s/he} doing the longest? (For example, electrical engineer, stock clerk, typist, farmer.)OCQ_COccupation20032004QuestionnaireNone
OCD395About how long did {you/SP} work at that job or business?OCQ_COccupation20032004QuestionnaireNone
OCD470Earlier I recorded that {you have/SP has} been told by a doctor that {you/s/he} had asthma. When {you/SP} first developed symptoms of asthma, what kind of work {were you/was s/he} doing? (For example, electrical engineer, stock clerk, typist, farmer.)OCQ_COccupation20032004QuestionnaireNone
OCD470GEarlier I recorded that {you have/SP has} been told by a doctor that {you/s/he} had asthma. When {you/SP} first developed symptoms of asthma, what kind of work {were you/was s/he} doing? (For example, electrical engineer, stock clerk, typist, farmer.)OCQ_COccupation20032004QuestionnaireNone
OCD480What kind of business or industry was that? (For example, TV and radio manufacturing, retail shoe store, farm.)OCQ_COccupation20032004QuestionnaireNone
OCQ180How many hours did {you/SP} work last week at all jobs or businesses?OCQ_COccupation20032004QuestionnaireNone
OCQ210{Do you/Does SP} usually work 35 hours or more per week in total at all jobs or businesses?OCQ_COccupation20032004QuestionnaireNone
OCQ260Looking at the card, which of these best describes this job or work situation?OCQ_COccupation20032004QuestionnaireNone
OCQ290GThe next questions are about conditions {you/SP} may experience and equipment {you/he/she} may use at {EMPLOYER} as a(n) {OCCUPATION}. At this job or business, how many hours per day can {you/SP} smell the smoke from other people's cigarettes, cigars, and/or pipes?OCQ_COccupation20032004QuestionnaireNone
OCQ290QThe next questions are about conditions {you/SP} may experience and equipment {you/he/she} may use at {EMPLOYER} as a(n) {OCCUPATION}. At this job or business, how many hours per day can {you/SP} smell the smoke from other people's cigarettes, cigars, and/or pipes?OCQ_COccupation20032004QuestionnaireNone
OCQ295In this job, {do you/does SP} ever wear protective hearing devices?OCQ_COccupation20032004QuestionnaireNone
OCQ340Thinking of all the jobs {you have/SP has} ever had, {have you/has s/he} ever been exposed to loud noise at work for at least three months? By loud noise I mean noise so loud that {you/s/he} had to speak in a raised voice to be heard?OCQ_COccupation20032004QuestionnaireNone
OCQ350At {your/SP's} job as a(n) {OCCUPATION} for {EMPLOYER}, {are you/is s/he} currently exposed to loud noise? [By loud noise I mean noise so loud that {you/s/he} {have/has} to speak in a raised voice to be heard?]OCQ_COccupation20032004QuestionnaireNone
OCQ360On average, for how many hours per day {are you/is SP} currently exposed to this loud noise?OCQ_COccupation20032004QuestionnaireNone
OCQ380(SP Interview Version) What is the main reason {you/SP} did not work last week? (Family Interview Version) What is the main reason {you/NON-SP HEAD/NON-SP SPOUSE} did not work last week?OCQ_COccupation20032004QuestionnaireNone
OCQ420Thinking of all the previous jobs {you have/SP has} ever had, {have you/has s/he} ever been exposed to loud noise at work for at least three months? [By loud noise I mean noise so loud that {you/s/he} had to speak in a raised voice to be heard?]OCQ_COccupation20032004QuestionnaireNone
OCQ430Remembering the kind of work {you/SP} did the longest, that is, as a(n) {KIND OF WORK DOING THE LONGEST}, {were you/was s/he} ever exposed to loud noise in that job for at least three months? [By loud noise I mean noise so loud that {you/s/he} had to speak in a raised voice to be heard?]OCQ_COccupation20032004QuestionnaireNone
OCQ440On average, for how many hours per day {were you/was SP} exposed to loud noise in that job?OCQ_COccupation20032004QuestionnaireNone
OCQ450Did {you/SP} ever wear protective hearing devices while {you were/s/he was} exposed to loud noise in that job?OCQ_COccupation20032004QuestionnaireNone
SEQNRespondent sequence numberOCQ_COccupation20032004QuestionnaireNone
OHD691(Do you/ Does SP) need any teeth filled or replaced (fillings, crowns, or bridges)?OHQ_COral Health20032004QuestionnaireNone
OHD700Do you? does SP need to have teeth pulled?OHQ_COral Health20032004QuestionnaireNone
OHD711AWhy (Do you/ Does SP) need to have teeth pulled?OHQ_COral Health20032004QuestionnaireNone
OHD711BWhy (Do you/ Does SP) need to have teeth pulled?OHQ_COral Health20032004QuestionnaireNone
OHD711CWhy (Do you/ Does SP) need to have teeth pulled?OHQ_COral Health20032004QuestionnaireNone
OHD711DWhy (Do you/ Does SP) need to have teeth pulled?OHQ_COral Health20032004QuestionnaireNone
OHD711EWhy (Do you/ Does SP) need to have teeth pulled?OHQ_COral Health20032004QuestionnaireNone
OHD711GWhy (Do you/ Does SP) need to have teeth pulled?OHQ_COral Health20032004QuestionnaireNone
OHD721(Do you/ Does SP) need dentures (plates) made? Include partial plates, partial dentures and removable partials.OHQ_COral Health20032004QuestionnaireNone
OHD730(Do you/ Does SP) need gum treatment (periodontal treatment)?OHQ_COral Health20032004QuestionnaireNone
OHD740(Do you/ Does SP) need relief of pain (oral cavity pain)?OHQ_COral Health20032004QuestionnaireNone
OHD750(Do you/ Does SP) need your teeth cleaned?OHQ_COral Health20032004QuestionnaireNone
OHQ030About how long has it been since {you/SP} last visited a dentist? Include all types of dentists, such as, orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.OHQ_COral Health20032004QuestionnaireNone
OHQ033What was the main reason {you/SP} last visited the dentist?OHQ_COral Health20032004QuestionnaireNone
OHQ095Does the amount of saliva in {your/SP's} mouth seem to be too little, too much, or {do you/does s/he} not notice it?OHQ_COral Health20032004QuestionnaireNone
OHQ115Does {your/SP's} mouth feel dry when {you/s/he} eat{s} a meal?OHQ_COral Health20032004QuestionnaireNone
OHQ620How often during the last year (have you/ has SP) had painful aching anywhere in (your/his/her) mouth? Would you say....OHQ_COral Health20032004QuestionnaireNone
OHQ630How often during the last year (have you/ has SP) felt that life in general was less satisfying because of problems with (your/his/her) teeth, mouth or dentures? Would you say....OHQ_COral Health20032004QuestionnaireNone
OHQ640How often during the last year (have you/has SP) had difficulty doing (your/his/her) usual jobs or attending school because of problems with (your/his/her) teeth, mouth or dentures? Would you say...OHQ_COral Health20032004QuestionnaireNone
OHQ650How often during the last year (have you/has SP's) sense of taste been affected by problems with (your/his/her) teeth, mouth or dentures? Would you say...OHQ_COral Health20032004QuestionnaireNone
OHQ660How often during the last year (have you/has SP) avoided particular foods because of problems with (your/his/her) teeth, mouth or dentures? Would you say...OHQ_COral Health20032004QuestionnaireNone
OHQ670How often during the last year (have you/has SP) found it uncomfortable to eat food because of problems with (your/his/her) teeth, mouth or dentures? Would you say...OHQ_COral Health20032004QuestionnaireNone
OHQ680How often during the last year (have you/has SP) been self-conscious or embarrassed because of (your/his/her) teeth, mouth or dentures? Would you say...OHQ_COral Health20032004QuestionnaireNone
OHQ760How long has it been since (you/SP) had (your/his/her) teeth "cleaned" by a dentist or dental hygienist?OHQ_COral Health20032004QuestionnaireNone
OHQ770During the past 12 months was there a time when (you/SP) needed dental care but could not get it at that time?OHQ_COral Health20032004QuestionnaireNone
OHQ780AWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780BWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780CWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780DWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780EWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780FWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780GWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780HWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780IWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780JWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
OHQ780KWhat were the reasons that (you/SP) could not get the dental care (you/she/he) needed?OHQ_COral Health20032004QuestionnaireNone
SEQNRespondent sequence number.OHQ_COral Health20032004QuestionnaireNone
OSD030aaHow old {were you/was SP} when {you/s/he} fractured {your/his/her} hip the 1st time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030abHow old {were you/was SP} when {you/s/he} fractured {your/his/her} hip the 2nd time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030baHow old {were you/was SP} when {you/s/he} fractured {your/his/her} wrist the 1st time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030bbHow old {were you/was SP} when {you/s/he} fractured {your/his/her} wrist 2nd time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030bcHow old {were you/was SP} when {you/s/he} fractured {your/his/her} wrist the 3rd time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030bdHow old {were you/was SP} when {you/s/he} fractured {your/his/her} wrist the 4th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030beHow old {were you/was SP} when {you/s/he} fractured {your/his/her} wrist the 5th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030bfHow old {were you/was SP} when {you/s/he} fractured {your/his/her} wrist the 6th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030caHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 1st time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030cbHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 2nd time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030ccHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 3rd time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030cdHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 4th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030ceHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 5th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030cfHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 6th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030cgHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 7th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030chHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 8th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030ciHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 9th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD030cjHow old {were you/was SP} when {you/s/he} fractured {your/his/her} spine the 10th time?OSQ_COsteoporosis20032004QuestionnaireNone
OSD050aaDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050abDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050baDid that fracture occur as a result of. . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050bbDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050bdDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050caDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050cbDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050ccDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050cdDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050ceDid that fracture occur as a result of . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSD050cjDid that fracture occur as a result of.....OSQ_COsteoporosis20032004QuestionnaireNone
OSQ010aHas a doctor ever told {you/SP} that {you/s/he} had broken or fractured {your/his/her} . . .hip?OSQ_COsteoporosis20032004QuestionnaireNone
OSQ010bHas a doctor ever told {you/SP} that {you/s/he} had broken or fractured {your/his/her} . . .wrist?OSQ_COsteoporosis20032004QuestionnaireNone
OSQ010cHas a doctor ever told {you/SP} that {you/s/he} had broken or fractured {your/his/her} . . .spine?OSQ_COsteoporosis20032004QuestionnaireNone
OSQ020aHow many times {have you/has SP} broken or fractured {your/his/her} hip?OSQ_COsteoporosis20032004QuestionnaireNone
OSQ020bHow many times {have you/has SP} broken or fractured {your/his/her} wrist?OSQ_COsteoporosis20032004QuestionnaireNone
OSQ020cHow many times {have you/has SP} broken or fractured {your/his/her} spine?OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040aa{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040ab{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040ba{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040bb{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040bc{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040bd{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040be{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040bf{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040ca{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040cb{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040cc{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040cd{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040ce{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040cf{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040cg{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040ch{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040ci{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ040cj{Were you/Was SP} . . .OSQ_COsteoporosis20032004QuestionnaireNone
OSQ060Has a doctor ever told {you/SP} that {you/s/he} had osteoporosis, sometimes called thin or brittle bones?OSQ_COsteoporosis20032004QuestionnaireNone
OSQ070{Were you/Was SP} treated for osteoporosis?OSQ_COsteoporosis20032004QuestionnaireNone
SEQNRespondent sequence number.OSQ_COsteoporosis20032004QuestionnaireNone
PUD010Now I have a few questions about products {you use/your family uses} in or around your home. In the past month, were any chemicals used to treat this home to control fleas, roaches, ants, termites, or other insects?PUQ_CPesticide Use20032004QuestionnaireNone
PUD020[In the past month], which of the following areas of your home were treated with these chemical products?PUQ_CPesticide Use20032004QuestionnaireNone
PUD021[In the past month], were the foundation or any areas outside of your home treated with these chemical products?PUQ_CPesticide Use20032004QuestionnaireNone
PUD031[In the past month], did someone other than a professional member apply these chemical products in your home?PUQ_CPesticide Use20032004QuestionnaireNone
PUD032[In the past month], when these chemical products were used to treat your home, how many times did . . .a non-professional exterminator apply these products?PUQ_CPesticide Use20032004QuestionnaireNone
PUD033[In the past month], did a professional member apply these chemical products in your home?PUQ_CPesticide Use20032004QuestionnaireNone
PUD034[In the past month], when these chemical products were used to treat your home, how many times did . . .a professional exterminator apply these products?PUQ_CPesticide Use20032004QuestionnaireNone
PUD041Does the outdoor area around this home have a private lawn or yard?PUQ_CPesticide Use20032004QuestionnaireNone
PUD061In the past month, did anyone treat your lawn or yard with chemical products to kill insects, weeds, or plant diseases?PUQ_CPesticide Use20032004QuestionnaireNone
PUD071[In the past month], did someone other than a professional member apply these chemical products in your lawn or yard?PUQ_CPesticide Use20032004QuestionnaireNone
PUD072[In the past month], when these chemical products were used to treat your lawn or yard, how many times did . . .a non-professional exterminator apply these products?PUQ_CPesticide Use20032004QuestionnaireNone
PUD073[In the past month], did a professional member apply these chemical products in your lawn or yard?PUQ_CPesticide Use20032004QuestionnaireNone
PUD074[In the past month], when these chemical products were used to treat your lawn or yard, how many times did . . .a professional exterminator apply these products?PUQ_CPesticide Use20032004QuestionnaireNone
SEQNRespondent sequence number.PUQ_CPesticide Use20032004QuestionnaireNone
PAAQUEXQuestionnaire source flag for weighting PAQ_CPhysical Activity20032004QuestionnaireNone
PAD020The next series of questions are about physical activities that {you/SP} {have/has} done over the past 30 days. First I will ask about activities that are related to transportation. Then I'll ask about physical activities that {you/he/she} do at school or in {your/his/her} leisure time. Over the past 30 days, {have/has} {you/SP} walked or bicycled as part of getting to and from work, or school, or to do errands?PAQ_CPhysical Activity20032004QuestionnaireNone
PAD080On those days when {you/SP} walked or bicycled, about how long did {you/s/he} spend altogether doing this (minutes)?PAQ_CPhysical Activity20032004QuestionnaireNone
PAD120[Over the past 30 days], how often did {you/SP} do these tasks in or around {your/his/her} home or yard, that is tasks requiring at least moderate effort? [Such as raking leaves, mowing the lawn or heavy cleaning.] PROBE: How many times per day, per week, or per month did {you/s/he} do these activities?PAQ_CPhysical Activity20032004QuestionnaireNone
PAD160About how long did {you/SP} do these tasks each time (minutes)?PAQ_CPhysical Activity20032004QuestionnaireNone
PAD200The next questions are about physical activities including exercise, sports, and physically active hobbies that {you/SP} may have done in {your/his/her} leisure time or at school over the past 30 days. First I will ask you about vigorous activities that cause heavy sweating or large increases in breathing or heart rate. Then I will ask you about moderate activities that cause only light sweating or a slight to moderate increase in breathing or heart rate. Over the past 30 days, did {you/SP} do any vigorous activities for at least 10 minutes that caused heavy sweating, or large increases in breathing or heart rate? Some examples are running, lap swimming, aerobics classes or fast bicycling.PAQ_CPhysical Activity20032004QuestionnaireNone
PAD320[Over the past 30 days], did {you/SP} do moderate activities for at least 10 minutes that cause only light sweating or a slight to moderate increase in breathing or heart rate? Some examples are brisk walking, bicycling for pleasure, golf, and dancing .PAQ_CPhysical Activity20032004QuestionnaireNone
PAD440Over the past 30 days, did {you/SP} do any physical activities specifically designed to strengthen {your/his/her} muscles such as lifting weights, push-ups or sit-ups? Include all such activities even if you have mentioned them before.PAQ_CPhysical Activity20032004QuestionnaireNone
PAD460[Over the past 30 days], how often did {you/SP} do these physical activities? [Activities designed to strengthen {your/his/her} muscles such as lifting weights, push-ups or sit-ups.]PAQ_CPhysical Activity20032004QuestionnaireNone
PAD590Over the past 30 days, on average about how many hours per day did {you/SP} sit and watch TV or videos? Would you say...PAQ_CPhysical Activity20032004QuestionnaireNone
PAD600Over the past 30 days, on average about how many hours per day did {you/SP} use a computer or play computer games? Would you say...PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ050Q[Over the past 30 days], how often did {you/SP} do this? [Walk or bicycle as part of getting to and from work, or school, or to do errands.] PROBE: How many times per day, per week, or per month did {you/s/he} do these activities?PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ050UUNIT OF MEASURE.PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ100Over the past 30 days, did {you/SP} do any tasks in or around {your/his/her} home or yard for at least 10 minutes that required moderate or greater physical effort? By moderate physical effort I mean, tasks that caused light sweating or a slight to moder ate increase in {your/his/her} heart rate or breathing. [Such as raking leaves, mowing the lawn or heavy cleaning.]PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ180Please tell me which of these four sentences best describes {your/SP's} usual daily activities? [Daily activities may include {your/his/her} work, housework if {you are/s/he is} a homemaker, going to and attending classes if {you are/s/he is} a student, and what {you/s/he} normally {do/does} throughout a typical day if {you are/he/she is} a retiree or unemployed.] . . .PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ500How does the amount of activity that you reported {for SP} for the past 30 days compare with {your/his/her} physical activity for the past 12 months? Over the past 30 days, {were you/was he/she} . . .PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ520(MEC Interview Version) Compared with most {boys/girls} {your/SP's} age, would you say that {you are/SP is}... (SP Interview Version) Compared with most {men/boys/women/girls} {your/SP's} age, would you say that {you are/s/he is} . . .PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ540Compared with {yourself/himself/herself} 10 years ago, would you say that {you are/SP is} . . .PAQ_CPhysical Activity20032004QuestionnaireNone
PAQ560Now I'd like to ask you some questions about {SP's} activities. How many times per week {does SP} play or exercise enough to make {him/her} sweat and breathe hard?PAQ_CPhysical Activity20032004QuestionnaireNone
SEQNRespondent sequence number.PAQ_CPhysical Activity20032004QuestionnaireNone
PAAQUEXQuestionnaire source flag for weightingPAQIAF_CPhysical Activity - Individual Activities20032004QuestionnaireNone
PADACTIV[Over the past 30 days], what {vigorous/moderate} activities did {you/SP} do?PAQIAF_CPhysical Activity - Individual Activities20032004QuestionnaireNone
PADDURAT[Over the past 30 days], on average about how long did {you/SP} do {activity} each time?PAQIAF_CPhysical Activity - Individual Activities20032004QuestionnaireNone
PADLEVELReported intensity level of activity.PAQIAF_CPhysical Activity - Individual Activities20032004QuestionnaireNone
PADMETSMetabolic equivalent(MET) intensity level for activity.PAQIAF_CPhysical Activity - Individual Activities20032004QuestionnaireNone
PADTIMES[Over the past 30 days], how often did {you/SP} do {activity}?PAQIAF_CPhysical Activity - Individual Activities20032004QuestionnaireNone
SEQNRespondent sequence numberPAQIAF_CPhysical Activity - Individual Activities20032004QuestionnaireNone
PFD069AHow long (have/has) (you/SP) had arthritis or rheumatism (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069BHow long (have/has) (you/SP) had back or neck problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069CHow long (have/has) (you/SP) had cancer (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069DHow long (have/has) (you/SP) had depression, anxiety or emotional problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069EHow long (have/has) (you/SP) had other developmental problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069FHow long (have/has) (you/SP) had diabetes (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069GHow long (have/has) (you/SP) had fractures or bone or joint injury problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069HHow long (have/has) (you/SP) had hearing problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069IHow long (have/has) (you/SP) had heart problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069JHow long (have/has) (you/SP) had hypertension or high blood pressure (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069KHow long (have/has) (you/SP) had lung or breathing problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069LHow long (have/has) (you/SP) had mental retardation (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069MHow long (have/has) (you/SP) had other injury problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069NHow long (have/has) (you/SP) had senility (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069OHow long (have/has) (you/SP) had stroke problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069PHow long (have/has) (you/SP) had vision problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069QHow long (have/has) (you/SP) had weight problems (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFD069RHow long (have/has) (you/SP) had the other impairment you mentioned (# of days)?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ010The next set of questions is about limitations caused by any long-term physical, mental or emotional problem or illness. Please do not include temporary conditions, such as a cold. Is {SP} limited in the kind or amount of play activities {he/she} can do because of a physical, mental or emotional problem?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ015Is {SP} able to take part at all in the usual kinds of play activities done by most children {his/her} age?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ020{Do you/Does SP} have an impairment or health problem that limits {your/his/her} ability to {crawl, walk or play} {walk, run or play} {walk or run}?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ030Is this an impairment or health problem that has lasted, or is expected to last 12 months or longer?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ041Does {SP} receive Special Education or Early Intervention Services?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ049The next set of questions is about limitations caused by any long-term physical, mental or emotional problem or illness. Please do not include temporary conditions, such as a cold [or pregnancy]. Does a physical, mental or emotional problem now keep {you/SP} from working at a job or business?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ051{Are you/Is SP} limited in the kind or amount of work {you/s/he} can do because of a physical, mental or emotional problem?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ054Because of a health problem, {do you/does SP} have difficulty walking without using any special equipment?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ057{Are you/Is SP} limited in any way because of difficulty remembering or because {you/s/he} experience{s} periods of confusion?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ059{Are you/Is SP} limited in any way in any activity because of a physical, mental or emotional problem?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061AThe next questions ask about difficulties {you/SP} may have doing certain activities because of a health problem. By "health problem" we mean any long-term physical, mental or emotional problem or illness {not including pregnancy}. By {yourself/himself /herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .managing {your/his/her} money [such as keeping track of {your/his/her} expenses or paying bills]?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061BBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .walking for a quarter of a mile [that is about 2 or 3 blocks]?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061CBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .walking up 10 steps without resting?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061DBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .stooping, crouching, or kneeling?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061EBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .lifting or carrying something as heavy as 10 pounds [like a sack of potatoes or rice]?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061FBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .doing chores around the house [like vacuuming, sweeping, dusting, or straightening up]?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061GBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .preparing {your/his/her} own meals?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061HBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .walking from one room to another on the same level?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061IBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .standing up from an armless straight chair?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061JBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .getting in or out of bed?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061KBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .eating, like holding a fork, cutting food or drinking from a glass?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061LBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .dressing {yourself/himself/herself}, including tying shoes, working zippers, and doing buttons?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061MBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .standing or being on {your/his/her} feet for about 2 hours?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061NBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .sitting for about 2 hours?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061OBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .reaching up over {your/his/her} head?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061PBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .using {your/his/her} fingers to grasp or handle small objects?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061QBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .going out to things like shopping, movies, or sporting events?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061RBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .participating in social activities [visiting friends, attending clubs or meetings or going to parties]?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061SBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .doing things to relax at home or for leisure [reading, watching TV, sewing, listening to music]?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ061TBy {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does SP} have . . .pushing or pulling large objects like a living room chair?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ063AWhat condition or health problem causes {you/SP} to have difficulty with or need help with {NAME OF UP TO 3 ACTIVITIES/these activities}?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ063BWhat condition or health problem causes {you/SP} to have difficulty with or need help with {NAME OF UP TO 3 ACTIVITIES/these activities}?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ063CWhat condition or health problem causes {you/SP} to have difficulty with or need help with {NAME OF UP TO 3 ACTIVITIES/these activities}?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ063DWhat condition or health problem causes {you/SP} to have difficulty with or need help with {NAME OF UP TO 3 ACTIVITIES/these activities}?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ063EWhat condition or health problem causes {you/SP} to have difficulty with or need help with {NAME OF UP TO 3 ACTIVITIES/these activities}?PFQ_CPhysical Functioning20032004QuestionnaireNone
PFQ090{Do you/Does SP} now have any health problem that requires {you/him/her} to use special equipment, such as a cane, a wheelchair, a special bed, or a special telephone?PFQ_CPhysical Functioning20032004QuestionnaireNone
SEQNRespondent sequence number.PFQ_CPhysical Functioning20032004QuestionnaireNone
RXDCOUNTThe number of prescription medicines reportedRXQ_RX_CPrescription Medications20032004QuestionnaireNone
RXDDAYSFor how long have you been using or taking {PRODUCT NAME}?RXQ_RX_CPrescription Medications20032004QuestionnaireNone
RXDDRGIDGeneric drug codeRXQ_RX_CPrescription Medications20032004QuestionnaireNone
RXDDRUGGeneric drug nameRXQ_RX_CPrescription Medications20032004QuestionnaireNone
RXDUSEIn the past month have you used or taken medication for which a prescription is needed? Do not include prescription vitamins or minerals you may have already told me about.RXQ_RX_CPrescription Medications20032004QuestionnaireNone
RXQSEENWas prescription container seen by interviewer?RXQ_RX_CPrescription Medications20032004QuestionnaireNone
SEQNRespondent sequence number.RXQ_RX_CPrescription Medications20032004QuestionnaireNone
KIQ081The next set of questions is about men's health including urinary and prostate problems. The prostate is a gland located just below the bladder. Do you usually have trouble starting to urinate (pass water)?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ101After urinating (passing water), does your bladder feel empty?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ106Have you ever been told by a doctor or health professional that you have any disease of the prostate? This includes an enlarged prostate.KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ121Have you ever been told by a doctor or health professional that you had an enlarged prostate gland?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ141Was it a benign enlargement - that is, not cancerous, also called benign prostatic hypertrophy?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ161How old were you when you were first told that you had benign enlargement of the prostate gland?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ182Was the enlargement due to cancer?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ321Have you ever had a blood test that your doctor told you was being used to check for prostate cancer, called PSA, or Prostate Specific Antigen?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ341Have you ever had a rectal examination? A rectal exam is when a finger is inserted in the rectum or bottom to check for problems.KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ361Was this done to check for prostate cancer?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ381Was this done to check for blood in the stool?KIQ_P_CProstate Conditions20032004QuestionnaireNone
KIQ400Many men experience problems with sexual intercourse. How would you describe your ability to get and keep an erection adequate for satisfactory intercourse? Would you say that you are...KIQ_P_CProstate Conditions20032004QuestionnaireNone
SEQNRespondent sequence number.KIQ_P_CProstate Conditions20032004QuestionnaireNone
PSASCCT1Reasons for Not DonePSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSASCST1Interview Status CodePSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ020Before you participated in the NHANES survey, did you hear of the PSA test somewhere else?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ030AWhere did you hear about the PSA test? Was it from... A friend or relativePSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ030BWhere did you hear about the PSA test? Was it from... A doctorPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ030CWhere did you hear about the PSA test? Was it from... A health brochurePSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ030DWhere did you hear about the PSA test? Was it from... TelevisionPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ030EWhere did you hear about the PSA test? Was it from... RadioPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ030FWhere did you hear about the PSA test? Was it from... OtherPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ040To your knowledge, did you ever have a PSA test before you were tested in our survey?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ050How long ago did you have your first PSA test? Would you say it was....PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ060Was the test result in our letter the first time you were told you had a high PSA test result?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ070For about how long have you known that your PSA was high? Would you say...PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ080Think about your first PSA test. Did you specifically request the test...or was the decision made by your health care provider?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ090AMen get the PSA test for different reasons. Please answer yes if any of the following reasons were true for you. You requested the test because....You had prostate problems like frequent urination.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ090BMen get the PSA test for different reasons. Please answer yes if any of the following reasons were true for you. You requested the test because....Your wife or partner convinced you to have the test.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ090CMen get the PSA test for different reasons. Please answer yes if any of the following reasons were true for you. You requested the test because...The PSA test was offered at a health fair or community event.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ090DMen get the PSA test for different reasons. Please answer yes if any of the following reasons were true for you. You requested the test because...Men in your family had prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ090EMen get the PSA test for different reasons. Please answer yes if any of the following reasons were true for you. You requested the test because...People of your race or ethnicity are more likely to develop prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ090FMen get the PSA test for different reasons. Please answer yes if any of the following reasons were true for you. You requested the test because...You had another reason.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ100AHealth care providers order PSA tests for different reasons. Please answer yes if any of the following reasons are true. Your health care provider ordered a PSA test....As part of routine screening for your agePSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ100BHealth care providers order PSA tests for different reasons. Please answer yes if any of the following reasons are true. Your health care provider ordered a PSA test....Because men in your family had prostate cancerPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ100CHealth care providers order PSA tests for different reasons. Please answer yes if any of the following reasons are true. Your health care provider ordered a PSA test....You had prostate problems like frequent urination.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ100DHealth care providers order PSA tests for different reasons. Please answer yes if any of the following reasons are true. Your health care provider ordered a PSA test....An enlarged prostate was detected during your physical exam.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ100EHealth care providers order PSA tests for different reasons. Please answer yes if any of the following reasons are true. Your health care provider ordered a PSA test....Because men of your race/ethnicity are more likely to develop prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ100FHealth care providers order PSA tests for different reasons. Please answer yes if any of the following reasons are true. Your health care provider ordered a PSA test...Your wife or partner asked the doctor to check your PSA level.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ110Did you see a doctor or other health professional about your high PSA test result?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ120Do you have an appointment to see a doctor or other health care professional about your high PSA test result?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ130AThink back to when your doctor explained what a high PSA result means. Answer yes if you remember hearing your doctor tell you any of the following statements. A high PSA could mean.... You may have an inflamed prostate gland.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ130BThink back to when your doctor explained what a high PSA result means. Answer yes if you remember hearing your doctor tell you any of the following statements. A high PSA could mean.... You may have an enlarged prostate gland.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ130CThink back to when your doctor explained what a high PSA result means. Answer yes if you remember hearing your doctor tell you any of the following statements. A high PSA could mean.... You may have prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ130DThink back to when your doctor explained what a high PSA result means. Answer yes if you remember hearing your doctor tell you any of the following statements. A high PSA could mean.... Your result was a possible laboratory errorPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ130EThink back to when your doctor explained what a high PSA result means. Answer yes if you remember hearing your doctor tell you any of the following statements. A high PSA could mean.... OtherPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ140When you saw a doctor or other health professional about your high PSA test result, did you have other tests or procedures to check your prostate for possible problems?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ150Did you have a prostate biopsy?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ160Do you know the results of your prostate biopsy?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ170AWhat did your prostate biopsy show? Your biopsy showed...An inflammation of your prostate glandPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ170BWhat did your prostate biopsy show? Your biopsy showed...Normal prostate tissuePSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ170CWhat did your prostate biopsy show? Your biopsy showed...Prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ170DWhat did your prostate biopsy show? Your biopsy showed...OtherPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ180Did your doctor or health care professional tell you that you need treatment for your prostate condition?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ190Did you receive (or are you currently receiving) the treatment that your doctor recommended?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ200AWhy did you decide not to get treated? (Chose all that apply) Was it because ...The side effects to the treatment are unpleasant.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ200BWhy did you decide not to get treated? (Chose all that apply) Was it because ...The results following treatment is uncertainPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ200CWhy did you decide not to get treated? (Chose all that apply) Was it because ...The treatment is too expensive.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ200DWhy did you decide not to get treated? (Chose all that apply) Was it because ...There is hope of better treatment in the future.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ200EWhy did you decide not to get treated? (Chose all that apply) Was it because ...You decided to wait and see how the condition progresses (Watchful waiting).PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ200FWhy did you decide not to get treated? (Chose all that apply) Was it because ...You were afraid.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ200GWhy did you decide not to get treated? (Chose all that apply) Was it because ... Or is there some other reasonPSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ210Although it is possible that men who have a high PSA may have prostate cancer, they probably just have a large prostate.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ220Additional tests are usually required for your doctor to determine if a high PSA is caused by cancer or some other condition.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ230Some men who develop prostate cancer live to be 70 years of age or more.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ240Some men who develop prostate cancer may have rapid disease and die within five years.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ250Men are at a higher risk for developing prostate cancer if they have more than one relative, their father, or a brother that have been diagnosed with prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ260African American men have a higher risk of developing prostate cancer compared to other racial/ethnic groups.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ270There are several different types of treatment available to men diagnosed with prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ280Almost all options for treating and managing prostate cancer have some risk of side effects, including, loss of bladder control and problems with sexual performance.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ290There are support groups for men with prostate cancer.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
PSQ300What language was used for the interview?PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
SEQNRespondent sequence number.PSQ_CProstate Specific Antigen Follow-up20032004QuestionnaireNone
RHD042What is the reason that {you have/SP has} not had a period in the past 12 months?RHQ_CReproductive Health20032004QuestionnaireNone
RHD080Number of days since the last period started.RHQ_CReproductive Health20032004QuestionnaireNone
RHD143{Are you/Is SP} pregnant now?RHQ_CReproductive Health20032004QuestionnaireNone
RHD152Which month of pregnancy {are you/is she} in?RHQ_CReproductive Health20032004QuestionnaireNone
RHD170How many of {your/her} pregnancies resulted in a live birth?RHQ_CReproductive Health20032004QuestionnaireNone
RHD230How many of {your/SP's} children did {you/she} breast feed for at least 1 month?RHQ_CReproductive Health20032004QuestionnaireNone
RHD270How many of these babies were born preterm? A preterm delivery is one that occurs at 36 weeks or earlier in pregnancy.RHQ_CReproductive Health20032004QuestionnaireNone
RHD280{Have you/Has SP} had a hysterectomy that is, surgery to remove {your/her} uterus or womb?RHQ_CReproductive Health20032004QuestionnaireNone
RHD442{Are you/Is SP} taking birth control pills now?RHQ_CReproductive Health20032004QuestionnaireNone
RHD451How old {were you/was SP} when {you/she} stopped taking birth control pills?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ010The next series of questions are about {your/SP's} reproductive history. I will begin by asking about {your/SP's} periods or menstrual cycles. How old {were you/was SP} when {you/SP} had {your/her} first menstrual period?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ020{Were you/Was SP}...RHQ_CReproductive Health20032004QuestionnaireNone
RHQ031{Have you/Has SP} had at least one menstrual period in the past 12 months? (Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries.)RHQ_CReproductive Health20032004QuestionnaireNone
RHQ051When did {you/SP} have {your/her} last period? PROBE: How many months ago was {your/her} last period?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ060About how old {were you/was SP} when {you/SP} had {your/her} last menstrual period?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ070{Were you/Was SP}...RHQ_CReproductive Health20032004QuestionnaireNone
RHQ131The next questions are about {your/SP's} pregnancy history. {Have you/Has SP ever been pregnant? Please include (current pregnancy,) live births, miscarriages, stillbirths, tubal pregnancies and abortions.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ160How many times {have you/has SP} been pregnant? ({Again, be/Be} sure to count all {your/her} pregnancies including (current pregnancy,) live births, miscarriages, stillbirths, tubal pregnancies or abortions.)RHQ_CReproductive Health20032004QuestionnaireNone
RHQ180How old {were you/was SP} at the time of {your/her} first live birth?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ190How old {were you/was SP} at the time of {your/her} last live birth?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ200{Are you/Is SP} now breast feeding a child?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ210Did {you/SP} breast feed {your/her} child/any of {your/her} children?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ250{Did {your child/SP's child/Did any of {your/SP's} children} weigh less than 5 1/2 pounds (2,500g) at birth?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ260How many of {your/her} children weighed less than 5 1/2 pounds (2500g) at birth?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ291How old {were you/was SP} when {you/she} had {your/her} (hysterectomy/uterus removed/womb removed)?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ300{Have you/Has SP} had at least one of {your/her} ovaries removed (either when {you/she} had {your/her} uterus removed or at another time)?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ310Were both ovaries removed or only one?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ320Were both of {your/SP's} ovaries removed at the same time or at different times?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ330How old {were you/was SP} when {you/she} had {your/her} {ovary/ovaries} removed?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ340How old {were you/was SP} when {you/she} had the second ovary removed?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ360Has a doctor or other health professional ever told {you/SP} that {you/she} had endometriosis? (Endometriosis is a disease in which the tissue that forms the lining of the uterus/womb attaches to other places, such as the ovaries, fallopian tubes, orRHQ_CReproductive Health20032004QuestionnaireNone
RHQ370How old {were you/was SP} when {you were/she was} first told {you/she} had endometriosis?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ380Has a doctor or other health professional ever told {you/SP} that {you/she} had uterine fibroids? (Uterine fibroids are benign (not cancerous) tumors growing in various locations on or within the uterus/womb.)RHQ_CReproductive Health20032004QuestionnaireNone
RHQ390How old {were you/was SP} when {you were/she was} first told {you/she} had uterine fibroids?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ420Now I am going to ask you about {your/SP's} birth control history. {Have you/Has SP} ever taken birth control pills for any reason?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ430How old {were you/was SP} when {you/she} began using birth control pills?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ460QNot counting any time when {you/SP} stopped taking them, for how long altogether {have you taken/did you take/has she taken/did she take} birth control pills?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ460UUNIT OF MEASURE.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ510{Have you/Has SP} ever used Depo-Provera or injectables to prevent pregnancy?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ520{Are you/Is SP} now using Depo-Provera or injectables to prevent pregnancy?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ540{Have you/Has SP} ever used female hormones such as estrogen and progesterone? Please include any forms of female hormones, such as pills, cream, patch, and injectables, but do not include birth control methods or use for infertility.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ541AWhich forms of female hormones {have you/has SP} used.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ541BWhich forms of female hormones {have you/has SP} used.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ541CWhich forms of female hormones {have you/has SP} used.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ550At the time {you/SP} started using female hormones or hormone replacement therapy, {were you/was she} still having {your/her} periods or had {you/she} completely stopped having {your/her} periods?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ551AWhat are {your/SP's} reasons for having used estrogen or progesterone?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ551BWhat are {your/SP's} reasons for having used estrogen or progesterone?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ551CWhat are {your/SP's} reasons for having used estrogen or progesterone?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ551DWhat are {your/SP's} reasons for having used estrogen or progesterone?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ551EWhat are {your/SP's} reasons for having used estrogen or progesterone?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ551FWhat are {your/SP's} reasons for having used estrogen or progesterone?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ551GWhat are {your/SP's} reasons for having used estrogen or progesterone?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ554{Have you/Has SP} ever taken female hormone pills containing estrogen only (like Premarin)? (Do not include birth control pills.)RHQ_CReproductive Health20032004QuestionnaireNone
RHQ556How old {were you/was SP} when {you/she} first started taking pills containing estrogen only?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ558{Are you/Is SP} taking pills containing estrogen only now?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ560QNot counting any time when {you/SP} stopped taking them, for how long altogether {have you taken/did you take/has she taken/did she take} pills containing estrogen only?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ560UUNIT OF MEASURE.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ562{Have you/Has SP} taken female hormone pills containing progestin only (like Provera)? (Do not include birth control pills.)RHQ_CReproductive Health20032004QuestionnaireNone
RHQ564How old {were you/was SP} when {you/she} first started taking pills containing progestin only?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ566{Are you/Is SP} taking pills containing progestin only now?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ568QNot counting any time when {you/SP} stopped taking them, for how long altogether {have you taken/did you take/has she taken/did she take} pills containing progestin only?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ568UUNIT OF MEASURE.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ570{Have you/Has SP} taken female hormone pills containing both estrogen and progestin (like Prempro, Premphase)? (Do not include birth control pills.)RHQ_CReproductive Health20032004QuestionnaireNone
RHQ572How old {were you/was SP} when {you/she} first started taking pills containing both estrogen and progestin?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ574{Are you/Is SP} taking pills containing both estrogen and progestin now?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ576QNot counting any time when {you/SP} stopped taking them, for how long altogether {{have you/has SP} taken/did {you/SP} take} pills containing both estrogen and progestin?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ576UUNIT OF MEASURE.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ580{Have you/Has SP} ever used female hormone patches containing estrogen only?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ582How old {were you/was SP} when {you/she} first started using patches containing estrogen only?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ584{Are you/Is SP} using patches containing estrogen only now?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ586QNot counting any time when {you/SP} stopped taking them, for how long altogether {have you used/did you use/has she used/did she use} patches containing estrogen only?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ586UUNIT OF MEASURE.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ596{Have you/Has SP} used female hormone patches containing both estrogen and progestin?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ598How old {were you/was SP} when {you/she} first started using patches containing both estrogen and progestin?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ600{Are you/Is SP} using patches containing both estrogen and progestin now?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ602QNot counting any time when {you/SP} stopped taking them, for how long altogether {have you used/did you use/has she used/did she use} patches containing both estrogen and progestin?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ602UUNIT OF MEASURE.RHQ_CReproductive Health20032004QuestionnaireNone
RHQ700During the past month, {have you/has SP} used any of the following products for feminine hygiene?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ710AWhich of these products did {you/SP} use?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ710BWhich of these products did {you/SP} use?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ710CWhich of these products did {you/SP} use?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ710DWhich of these products did {you/SP} use?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ710EWhich of these products did {you/SP} use?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ710FWhich of these products did {you/SP} use?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ710GWhich of these products did {you/SP} use?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ720During the past 6 months, did {you/SP} douche? By douching, we mean putting a substance into {your/her} vagina either for routine cleansing or for vaginal irritation or signs of infection?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ730During the past 6 months, how often did {you/SP} douche? Would you say ...RHQ_CReproductive Health20032004QuestionnaireNone
RHQ740During the past month, did {you/SP} have any of the following problems: vaginal itching, an unpleasant vaginal odor, or an unusual vaginal discharge?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ750AWhich of these problems did {you/SP} have?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ750BWhich of these problems did {you/SP} have?RHQ_CReproductive Health20032004QuestionnaireNone
RHQ750CWhich of these problems did {you/SP} have?RHQ_CReproductive Health20032004QuestionnaireNone
SEQNRespondent sequence number.RHQ_CReproductive Health20032004QuestionnaireNone
RDD040For how many years {have you/has SP} had this cough?RDQ_CRespiratory Health20032004QuestionnaireNone
RDD060For how many years, {have you/has SP} had trouble with phlegm?RDQ_CRespiratory Health20032004QuestionnaireNone
RDD120[In the past 12 months], how many times {have you/has SP} gone to the doctor's office or the hospital emergency room for one or more of these attacks of wheezing or whistling?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ031{Do you/Does SP} usually cough on most days for 3 consecutive months or more during the year?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ050{Do you/Does SP} bring up phlegm on most days for 3 consecutive months or more during the year?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ070In the past 12 months {have you/has SP} had wheezing or whistling in {your/his/her} chest?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ080[In the past 12 months], how many attacks of wheezing or whistling {have you/has SP} had?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ090[In the past 12 months], how often, on average, has {your/SP's} sleep been disturbed because of wheezing? Would you say this happens . . .RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ100[In the past 12 months], has {your/SP's} chest sounded wheezy during or after exercise or physical activity?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ134(In the past 12 months), (have you/has SP) taken medication, prescribe by a doctor, for wheezing or whistling?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ135During the past 12 months, how much did {you/SP} limit {your/his/her} usual activities due to wheezing or whistling? Would you say…RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ137During the past 12 months, how many days of work or school did {you/SP} miss due to wheezing or whistling?RDQ_CRespiratory Health20032004QuestionnaireNone
RDQ140[In the past 12 months], {have you/has SP} had a dry cough at night not counting a cough associated with a cold or chest infection lasting 14 days or more?RDQ_CRespiratory Health20032004QuestionnaireNone
SEQNRespondent sequence number.RDQ_CRespiratory Health20032004QuestionnaireNone
SEQNRespondent sequence number.SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD030How old {were you/was SP} when {you/s/he} first started to smoke cigarettes fairly regularly?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD055How old {were you/was SP} when {you/s/he} last smoked cigarettes {fairly regularly}?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD057At that time, about how many cigarettes did {you/SP} usually smoke per day?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD070On average, how many cigarettes {do you/does SP} now smoke per day?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD075For about how many years {have you/has SP} smoked this amount?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD093May I please see the pack for the brand of cigarettes {you usually smoke/SP usually smokes}.SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD100BRCigarette Brand/sub-brandSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD100COFTC Carbon Monoxide ContentSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD100FLFilter typeSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD100LNCigarette product lengthSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD100MNCIGARETTE PRODUCT MENTHOLATED OR NON-MENTHOLATEDSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD100NIFTC Nicotine ContentSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD100TRFTC Tar ContentSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD130How old {were you/was SP} when {you/s/he} first started to smoke a pipe fairly regularly?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD160How old {were you/was SP} when {you/s/he} first started to smoke a cigar fairly regularly?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD190How old {were you/was SP} when {you/s/he} first started to use snuff fairly regularly?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD203How many "pinches", "dips" or "rubs" of snuff {do you/does SP} use per day?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD220How old {were you/was SP} when {you/s/he} first started to use chewing tobacco fairly regularly?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD233How many "plugs", "wads" or "chaws" of chewing tobacco {do you/does SP} use per day?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD235For about how many years {have you/has SP} used this amount?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD641On how many of the past 30 days did {you/SP} smoke a cigarette?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMD650During the past 30 days, on the days that {you/SP} smoked, about how many cigarettes did {you/s/he} smoke per day?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMDUPCACigarette 12-digit Universal Product Code (UPC)SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ020These next questions are about cigarette smoking and other tobacco use. {Have you/Has SP} smoked at least 100 cigarettes in {your/his/her} entire life?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ040{Do you/Does SP} now smoke cigarettes . .SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ050QHow long has it been since {you/SP} quit smoking cigarettes?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ050UUNIT OF MEASURESMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ077How soon after you wake up do you smoke? Would you say...SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ120{Have you/Has SP} smoked a pipe at least 20 times in {your/his/her} entire life?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ140{Do you/Does SP} now smoke a pipeSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ143How many pipefuls of tobacco {do you/does SP} smoke per day?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ145For about how many years {have you/has SP} smoked this amount?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ150{Have you/Has SP} smoked a cigar at least 20 times in {your/his/her} entire life?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ170{Do you/Does SP} now smoke a cigar . . .SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ173How many cigars {do you/does SP} smoke per day?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ175For about how many years {have you/has SP} smoked this amount?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ180{Have you/Has SP} used snuff, such as Skoal, Skoal Bandit, or Copenhagen at least 20 times in {your/his/her} entire life?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ200{Do you/Does SP} now use snuffSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ205For about how many years {have you/has SP} used this amount?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ210{Have you/Has SP} used chewing tobacco, such as Redman, Levi Garrett or Beechnut at least 20 times in {your/his/her} entire life?SMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SMQ230{Do you/Does SP} now use chewing tobaccoSMQ_CSmoking - Cigarette/Tobacco Use - Adult20032004QuestionnaireNone
SEQNRespondent sequence number.SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMAQUEXQuestionnaire Mode Flag.SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMD630How old were you when you smoked a whole cigarette for the first time?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ077How soon after you wake up do you smoke? Would you say...SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ620The following questions are about cigarette smoking and other tobacco use. Have you ever tried cigarette smoking, even 1 or 2 puffs?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ640During the past 30 days, on how many days did you smoke cigarettes?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ650During the past 30 days, on the days that you smoked, how many cigarettes did you smoke per day?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ660During the past 30 days, on the days that you smoked, which brand of cigarettes did you usually smoke?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ664B{Were/Was} the Benson and Hedges cigarettes menthol or non-menthol?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ664C{Were/Was} the Camel cigarettes menthol or non-menthol?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ664M{Were/Was} the Marlboro cigarettes menthol or non-menthol?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ664O{Were/Was} the other brand cigarettes menthol or non-menthol?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ664W{Were/Was} the Winston cigarettes menthol or non-menthol?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666B{Were/Was} the Benson and Hedges cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666C{Were/Was} the Camel cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666K{Were/Was} the Kool cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666M{Were/Was} the Marlboro cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666N{Were/Was} the Newport cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666O{Were/Was} the other brand cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666S{Were/Was} the Salem cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ666W{Were/Was} the Winston cigarettes regulars, lights, or ultra-lights?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ670During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ680The following questions ask about use of tobacco or nicotine products in the past 5 days. During the past 5 days, did {you/he/she} use any product containing nicotine including cigarettes, pipes, cigars, chewing tobacco, snuff, nicotine patches, nicotine gum, orany other product containing nicotine?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ690AWhich of these products did {you/he/she} use?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ690BWhich of these products did {you/he/she} use?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ690CWhich of these products did {you/he/she} use?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ690DWhich of these products did {you/he/she} use?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ690EWhich of these products did {you/he/she} use?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ690FWhich of these products did {you/he/she} use?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ710During the past 5 days {including today}, on how many days did {you/he/she} smoke cigarettes?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ720During the past 5 days, on the days {you/he/she} smoked, how many cigarettes did {you/he/she} smoke each day?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ725When did {you/he/she} smoke {your/his/her} last cigarette? Was it...SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ740During the past 5 days (including today), on how many days did {you/he/she} smoke a pipe?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ750During the past 5 days, on the days did {you/he/she} smoked a pipe, how many pipes did {you/he/she} smoke each day?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ755When did {you/he/she} smoke {your/his/her} last pipe? Was it...SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ770During the past 5 days (including today), on how many days did {you/he/she} smoke cigars?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ780During the past 5 days, on the days {you/he/she} smoked cigars, how many cigars did {you/he/she} smoke each day?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ785When did {you/he/she} smoke {your/his/her} last cigar? Was it...SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ800During the past 5 days (including today), on how many days did {you/he/she} use chewing tobacco, such as Redman, Levi Garrett or Beechnut?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ815When did {you/he/she} last use chewing tobacco? Was it...SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ817During the past 5 days {including today}, on how many days did {you/he/she} use snuff, such as Skoal, Skoal Bandits, or Copenhagen?SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ819When did {you/he/she} last use snuff? Was it...SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ830During the past 5 days (including today), on how many days did {you/he/she} use any product containing nicotine to help {you/he/she} stop smoking? Include nicotine patches, gum, or any other product containing nicotine.SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SMQ840When did {you/he/she} last use a product containing nicotine? Was it...SMQMEC_CSmoking - Adult Recent Tobacco Use & Youth Cigarette/Tobacco Use20032004QuestionnaireNone
SEQNRespondent sequence number.SSQ_CSocial Support20032004QuestionnaireNone
SSQ011Now I would like to ask a few questions about {your/SP's} friends and family. Can {you/SP} count on anyone to provide {you/him/her} with emotional support such as talking over problems or helping {you/him/her} make a difficult decision?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021AIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021BIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021CIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021DIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021EIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021FIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021GIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021HIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021IIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021JIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021KIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021LIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021MIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ021NIn the last 12 months, who was most helpful in providing {you/SP} with emotional support?SSQ_CSocial Support20032004QuestionnaireNone
SSQ031[In the last 12 months], could {you/SP} have used more emotional support than {you/s/he} received?SSQ_CSocial Support20032004QuestionnaireNone
SSQ041Would you say that {you/SP} could have used . . .SSQ_CSocial Support20032004QuestionnaireNone
SSQ051If {you/SP} need{s} some extra help financially, could {you/s/he} count on anyone to help {you/him/her}; for example, by paying any bills, housing costs, hospital visits, or providing {you/him/her} with food or clothes?SSQ_CSocial Support20032004QuestionnaireNone
SSQ061In general, how many close friends {do you/does SP} have? PROBE: By "close friends" I mean relatives or non-relatives that {you s/he} feel{s} at ease with, can talk to about private matters, and can call on for help.SSQ_CSocial Support20032004QuestionnaireNone
SEQNRespondent sequence number.SXQ_CSexual Behavior20032004QuestionnaireNone
SXD030How old were you when you had sex for the first time?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ020The next set of questions is about your sexual behavior. By sex, we mean vaginal, oral, or anal sex. Please remember that your answers are strictly confidential. Have you ever had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ100In your lifetime, with how many men have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ120In the past 12 months, with how many men have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ130In your lifetime, with how many women have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ150In the past 12 months, with how many women have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ170In your lifetime, with how many women have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ190In the past 12 months, with how many women have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ200In your lifetime, with how many men have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ220In the past 12 months, with how many men have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ241In the past 30 days, with how many people have you had sex?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ250In the past 30 days, how many times have you had sex without using a condom?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ260Has a doctor or other health care professional ever told you that you had genital herpes?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ265Has a doctor or other health care professional ever told you that you had genital warts?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ270In the past 12 months, has a doctor or other health care professional told you that you had gonorrhea, sometimes called GC or clap?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ272In the past 12 months, has a doctor or other health care professional told you that you had chlamydia?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ280Are you circumcised or uncircumcised?SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ292Do you think of yourself as...SXQ_CSexual Behavior20032004QuestionnaireNone
SXQ294Do you think of yourself as...SXQ_CSexual Behavior20032004QuestionnaireNone
SEQNRespondent sequence number.VIQ_CVision20032004QuestionnaireNone
VIQ010Next I have general questions about (your/SP's) vision. With both eyes open, can (you/he/she) see light?VIQ_CVision20032004QuestionnaireNone
VIQ031Next I have general questions about {your/SP's} vision. At the present time, would you say {your/SP's} eyesight, with glasses or contact lenses if {you/s/he} wear them, is . . .VIQ_CVision20032004QuestionnaireNone
VIQ041How much of the time {do you/does SP} worry about {your/his/her} eyesight? Would you say . . .VIQ_CVision20032004QuestionnaireNone
VIQ051AThe next questions are about how much difficulty, if any, {you have/SP has} doing certain activities, such as reading ordinary newsprint or going down steps. If {you/s/he} usually wear{s} glasses or contact lenses to do these activities, please rate {you r/his/her} ability to do them while wearing {your/his/her} glasses or contacts. How much difficulty {do you/does SP} have . . .reading ordinary print in newspapers?VIQ_CVision20032004QuestionnaireNone
VIQ051BHow much difficulty {do you/does SP} have . . .doing work or hobbies that require {you/him/her} to see well up close such as cooking, sewing, fixing things around the house, or using hand tools?VIQ_CVision20032004QuestionnaireNone
VIQ051CHow much difficulty {do you/does SP} have . . .going down steps, stairs, or curbs in dim light or at night?VIQ_CVision20032004QuestionnaireNone
VIQ051DHow much difficulty {do you/does SP} have . . .noticing objects off to the side while {you are/s/he is} walking?VIQ_CVision20032004QuestionnaireNone
VIQ051EHow much difficulty {do you/does SP} have . . .finding something on a crowded shelf?VIQ_CVision20032004QuestionnaireNone
VIQ056How much difficulty {do you/does SP} you have driving during the daytime in familiar places?VIQ_CVision20032004QuestionnaireNone
VIQ061How limited {are you/is SP} in how long {you/s/he} can work or do other daily activities such as housework, child care, school, or community activities because of {your/his/her} vision? Would you say {you are/s/he is} limited . . .VIQ_CVision20032004QuestionnaireNone
VIQ071{Have you/Has SP} ever had a cataract operation?VIQ_CVision20032004QuestionnaireNone
VIQ081Was the operation in {your/SPs} right eye, left eye, or both eyes?VIQ_CVision20032004QuestionnaireNone
SEQNRespondent sequence number.WHQ_CWeight History20032004QuestionnaireNone
WHD010These next questions ask about {your/SP's} height and weight at different times in {your/his/her} life. How tall {are you/is SP} without shoes?WHQ_CWeight History20032004QuestionnaireNone
WHD020How much {do you/does SP} weigh without clothes or shoes?WHQ_CWeight History20032004QuestionnaireNone
WHD050How much did {you/SP} weigh a year ago?WHQ_CWeight History20032004QuestionnaireNone
WHD080AHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080BHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080CHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080DHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080EHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080FHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080GHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080HHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080IHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080JHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080KHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080LHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080MHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD080NHow did {you/SP} try to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100aWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100bWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100cWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100dWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100eWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100fWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100gWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100hWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100iWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100jWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100kWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100lWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100MWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD100NWhat did {you/SP} do to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHD110How much did {you/SP} weigh 10 years ago? [If you don't know {your/his/her} exact weight, please make your best guess.]WHQ_CWeight History20032004QuestionnaireNone
WHD120How much did {you/SP} weigh at age 25? [If you don't know {your/his/her} exact weight, please make your best guess.]WHQ_CWeight History20032004QuestionnaireNone
WHD130How tall {were you/was SP} at age 25? [If you don't know {your/his/her} exact height, please make your best guess.]WHQ_CWeight History20032004QuestionnaireNone
WHD140Up to the present time, what is the most {you have/SP has} ever weighed?WHQ_CWeight History20032004QuestionnaireNone
WHQ030{Do you/Does SP} consider {your/his/her}self now to be . . .WHQ_CWeight History20032004QuestionnaireNone
WHQ040Would {you/SP} like to weigh . . .WHQ_CWeight History20032004QuestionnaireNone
WHQ060Was the change between {your/SP's} current weight and {your/his/her} weight a year ago intentional?WHQ_CWeight History20032004QuestionnaireNone
WHQ070During the past 12 months, {have you/has SP} tried to lose weight?WHQ_CWeight History20032004QuestionnaireNone
WHQ090During the past 12 months, {have you/has SP} done anything to keep from gaining weight?WHQ_CWeight History20032004QuestionnaireNone
WHQ150How old {were you/was SP} then? [If you don't know {your/his/her} exact age, please make your best guess.]WHQ_CWeight History20032004QuestionnaireNone
CIAORDEROrder in which CIDI modules are askedCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIDGPRBGeneral cause of being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIDGSCORGAD scoreCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG01The next questions are about longer periods of feeling worried, tense, or anxious. In the past 12 months, did you have a period of a month or more when most days you felt worried or tense or anxious about everyday problems such as work or family?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG02Did that period go on for at least six months?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG03How many months out of the last 12 did you feel worried or tense or anxious most days?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG04During (that/those) month(s), were you worried, tense, or anxious every day, nearly every day, most days, about half the days, or less than half the days?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG05And on the days you worried or were tense or anxious, did you usually feel that way all day long, most of the day, about half the day, or less than half the day?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG06People differ a lot in how much they worry about things. (READ THE NEXT SENTENCE SLOWLY.) In the past 12 months, did you have a period when most days you were a lot more worried or tense or anxious than most people would be in your same situation?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG07Did that period go on for at least six months?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG08How many months out of the last 12 did you feel worried or tense or anxious most days?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG09During (that/those) month(s), were you worried, tense, or anxious every day, nearly every day, most days, about half the days, or less than half the days?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG10And on the days you worried or were tense or anxious, did you usually feel that way all day long, most of the day, about half the day, or less than half the day?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG12Did R worry about health/drug use?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG13Did R have multiple worries?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG14Do you think your worry was excessive; that is, much stronger than it really should be in your situation?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG15How often did you find it difficult to control your worry -- often, sometimes, rarely, or never?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG16How often was your worry so strong that you couldn't put it out of your mind no matter how hard you tried -- often, sometimes, rarely, or never?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG17ANow look at this card. This is a list of problems some people have during periods of feeling worried, tense or anxious. In the past 12 months, during your period of worry, were you often restless? (feeling restless)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG17BNow look at this card. This is a list of problems some people have during periods of feeling worried, tense or anxious. In the past 12 months, during your period of worry, were you often restless? (feeling restless)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG17CNow look at this card. This is a list of problems some people have during periods of feeling worried, tense or anxious. In the past 12 months, during your period of worry, were you often restless? (feeling restless)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG17DNow look at this card. This is a list of problems some people have during periods of feeling worried, tense or anxious. In the past 12 months, during your period of worry, were you often restless? (feeling restless)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG17ENow look at this card. This is a list of problems some people have during periods of feeling worried, tense or anxious. In the past 12 months, during your period of worry, were you often restless? (feeling restless)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG17FNow look at this card. This is a list of problems some people have during periods of feeling worried, tense or anxious. In the past 12 months, during your period of worry, were you often restless? (feeling restless)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG17GNow look at this card. This is a list of problems some people have during periods of feeling worried, tense or anxious. In the past 12 months, during your period of worry, were you often restless? (feeling restless)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG18In the past 12 months did you tell a doctor about feeling worried, tense, or anxious when you also had some of the problems on the list?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG19Can you remember your exact age the very first time in your life you had a period of worry, tension, or anxiety like the one you had in the past 12 months (that lasted six months or longer) and you also had some of the other problems we just reviewed?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG20How old were you when first WTA?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG21About how old were you the first time you had a period of this sort?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG22What's the earliest age you can clearly remember a particular time when you had a period of this sort?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG23And how recently did you have a period of this sort -- in the past month, past six months, or more than six months ago?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG24In the past 12 months, how upset have you been with yourself for feeling worried, tense, or anxious -- very upset, somewhat, not very, or not at all upset?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG25Think about how your life and activities were affected in the past 12 months by your worry, tension or anxiety. Did these things interfere with your life and activities -- a lot, some, a little, or not at all?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG26About how many days in the past 12 months were you totally unable for the whole day to work and carry out your other normal activities because of your worry, tension, or anxiety? You can answer with any number between 0 and 365.CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG27Did that day occur in the past four weeks?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG28How many of these days occurred in the past four weeks?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG29[Not counting the day(s) you were totally unable to work,] about how many (other) days in the past 12 months did you cut back either on the amount of work you got done or on the quality of your work because of your worry, tension, or anxiety? (Again, you can use any number between 0 and 365.)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG30Thinking about (that cutback day/those cutback days), on a scale from 0 to 100 where zero means being totally unable to work and 100 means working a full high quality day, what number describes the quantity and quality of your work during (that day/those days)? You can use any number between 0 and 100.CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG31Did that cutback day occur in the past four weeks?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG32How many of these cutback days occurred in the past four weeks?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG33[Not counting the day(s) (you were totally unable to work)/(or)/(you cut back on work),] about how many (other) days in the past 12 months did it take an extreme effort to perform up to your usual level at work or at your other normal daily activities because of your worry, tension, or anxiety? (Again, you can use any number between 0 and 365.)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG34Did that day occur in the past four weeks?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG35No. days extreme past 4 weeksCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG36And about how many days in the past 12 months did your worry, tension, or anxiety seriously interfere with your personal or social life? (Again, you can use any number between 0 and 365.)CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG37Did that day occur in the past four weeks?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQG38How many of these days occurred in the past four weeks?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPADid you tell other professional about being, worried, tense, or anxious?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPBDid you take medication for being, worried, tense, or anxious?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPCDid being, worried, tense, or anxious interfere with life?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPDWas being, worried, tense, or anxious result of physical illness?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPEWas being, worried, tense, or anxious result of medicine, drugs, or alcohol?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPFWas being, worried, tense, or anxious always result of medicine, drugs, or alcohol?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHADoctor said nerves causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHBDoctor said stress causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHCDoctor said anxiety causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHDDoctor said depression causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHEDoctor said mental illness causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHFDoctor said medication causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHGDoctor said drugs causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHHDoctor said alcohol causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHIDoctor said physical illness causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHJDoctor said physical injury causing being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPHKDoc gave no definite diagnosis for being, worried, tense, or anxiousCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPJWas being, worried, tense, or anxious always result of midicine, drugs, or alcohol?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPKWhen being, worried, tense, or anxious was not the result of medicine, drugs, or alcohol, was being, worried, tense, or anxious result of physical illness?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPNWas being, worried, tense, or anxious always result of physical illness?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPOWhen being, worried, tense, or anxious was not result of physical illness, was being, worried, tense, or anxious always result medicine, drugs, or alcohol?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIQGPQAnything abnormal when examined?CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
SEQNRespondent sequence number.CIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
WTSCI2YRCIDI Subsample 2 year MEC WeightCIQGAD_CMental Health - Generalized Anxiety Disorder20032004QuestionnaireNone
CIAORDEROrder in which CIDI modules are askedCIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIDDPRBGeneral cause of problemCIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIDDSCORDepression ScoreCIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD001In the past 12 months, have you had a period of two weeks or longer when you felt sad or depressed or empty?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD002Think of the two weeks during the past 12 months when this feeling was most persistent. During that two-week period, did you feel sad or depressed or empty every day, nearly every day, most days, about half the days, or less than half the days?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD003And did this feeling usually last all day long, most of the day, about half the day, or less than half the day?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD004Please look at Card C. People who have periods of being sad, depressed, or empty often have other problems on this list at the same time, like changes in sleep or energy or appetite or concentration or feelings of low self-worth. During the time you were sad, depressed or empty, did you also have any of these other problems?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD005For the next questions, please think of the two weeks during the past 12 months when you were sad, depressed, or empty and had the largest number of these other problems. During that two-week period, did you lack energy or feel tired all the time nearly every day, even when you had not been working very hard?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD006During that two-week period, did you lose interest in most things like work, hobbies, and other things you usually enjoy?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD007During that two-week period, did you feel irritable or grouchy or in a bad mood most of the time?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD008In the past 12 months, have you had a period of two weeks or longer when you lost interest in most things like work, hobbies, and other things you usually enjoy?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD009Think of the two weeks when this loss of interest was most persistent. During that two-week period, did you lose interest in things every day, nearly every day, most days, about half the days, or less than half the days?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD010And did this feeling usually last all day long, most of the day, about half the day, or less than half the day?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD011Please look at Card C again. People who have periods of losing interest in most things often have other problems on this list at the same time. During the time that you lost interest in most things, did you also have any of these other problems?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD012For the next questions, please think of the two weeks during the past 12 months when you lost interest in most things and had the largest number of these other problems. During that two-week period, did you lack energy or feel tired all the time nearly every day, even when you had not been working very hard?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD013During that two-week period, did you feel irritable or grouchy or in a bad mood most of the time?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD014In the past 12 months, Did you have a period of two weeks or longer when you were irritable or grouchy or in a bad mood most of the time?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD015Think of the two weeks when this bad mood was most persistent. During that two-week period, did you feel irritable or grouchy or in a bad mood every day, nearly every day, most days, about half the days, or less than half the days?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD016And did this feeling usually last all day long, most of the day, about half the day, or less than half the day?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD017Please look at Card C again. People who have periods of being irritable or grouchy often have other problems on this list at the same time. During the time you were irritable or grouchy, did you also have any of these other problems?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD018For the next questions, please think of the two weeks during the past 12 months when you were irritable and had the largest number of these other problems. During that two-week period, did you lack energy or feel tired all the time nearly every day, even when you had not been working very hard?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD019(During that two-week period,) Did you have less appetite than usual almost every day?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD020(During that two-week period,) Did you lose weight without trying to?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD021How much weight did you lose during that two week period?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD022Did you have a much larger appetite than is usual for you almost every day during that two weeks?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD023(During that two-week period,) Did you gain weight?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD024How much did you gain during that two week period?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD025Did you have a lot more trouble than usual sleeping for these two weeks -- either trouble falling asleep, waking in the middle of the night, or waking up too early?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD026Did this happen every night, nearly every night, or less often during those two weeks?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD027Did you wake up at least two hours before you wanted to every day during these two weeks?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD028Did you sleep too much almost every day?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD029(During that two-week period,) Did you feel particularly bad when you first got up, but felt better later in the day?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD030(During that two-week period,) Was your interest in sex a lot less than usual?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD031(During that two-week period,) Did you lose the ability to enjoy having good things happen to you, like winning something or being praised or complimented?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD032Did you talk or move more slowly than is normal for you almost every day during these two weeks?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD033Did anyone else notice that you were talking or moving slowly?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD034(During that two-week period,) Did you have to be moving all the time -- that is, you couldn't sit still and paced up and down or couldn't keep your hands still when sitting?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD035Did anyone else notice that you were moving all the time?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD036(During that two-week period,) Did you feel worthless nearly every day?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD037Did you feel guilty?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD038Was there a particular reason for feeling (worthless/or/guilty)?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD040Was R worthless/guilty about depression?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD041Did you feel that you were not as good as other people?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD042Did you have so little self-confidence that you wouldn't try to have your say about anything?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD043(During that two-week period,) Did you have a lot more trouble concentrating than is normal for you?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD044Were you unable to read things that usually interest you or watch television or movies you usually like because you couldn't pay attention to them?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD045(During that two-week period,) Did your thoughts come much slower than usual or seem mixed up?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD046(During that two-week period,) Were you unable to make up your mind about things you ordinarily have no trouble deciding about?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD047(During that two-week period,) Did you think a lot about death?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD048Did you feel so low you thought a lot about committing suicide?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD049Did you make a suicide plan?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD050Did you attempt suicide?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD051I'm going to review what you told me. You had a period of two weeks or longer when you (stem phrase)?You also had other problems at the same time. For example, you (fill with first 3 phrases endorsed on list), and had other problems you mentioned.CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD052Was this one period of ("NUMBER FROM CIQD051 weeks") in a row, or was it two or more periods that add up to ("NUMBER FROM CIQD051 weeks").CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD053Was this one period or was it two or more periods?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD054Is this period still going on or has it ended?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD055How long has this period been going on so far?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD056When did it end -- in the past month or more than a month ago?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD057When did it end -- in the past month, past six months, or more than six months ago?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD058How long did this period go on before it ended? (Answer has been converted to weeks) CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD059Did this period begin just after someone close to you died?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD060Who was it that died?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD061Did this period begin within a month of you having a baby?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD062Did anything else happen shortly before this period began that might have caused it to happen?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD064How many periods?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD065How many weeks, months or years did the first of these periods go on before it ended? (Answers has been converted to weeks) CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD066Did this first period begin just after someone close to you died?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD067Who was it that died?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD068Did this period begin within a month of you having a baby?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD069Did anything else happen shortly before this period began that might have caused it to happen?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD071How much time went on between the end of this first period and the beginning of the second? (Answer has been converted to weeks)CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD072Did you feel OK for at least two months between the two periods?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD073Between these two periods, did you have at least two months when you were able to carry out your daily activities and enjoy being with other people as much as before the first period began?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD074Is the second period still going on now or has it ended?CIQDEP_CMental Health - Depression20032004QuestionnaireNone
CIQD075How long did