W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C1 | H1 | ||||||||||||||||||
W1C033 | H117 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I9 | H2 | ||||||||||||||||||
MASCUL15 | H217 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I10 | H3 | ||||||||||||||||||
FEMINI15 | H317 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
K10 | ||||||||||||||||||||
MEK1012 | ||||||||||||||||||||
Other, Please specify | MEK10F12 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I11 | |||||||||||||||||||
SEXORI15 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C2 | H4 | ||||||||||||||||||
W1C034 | H417 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C2A | H5 | ||||||||||||||||||
W1C035A | H517 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
G1 | ||||||||||||||||||||
I think it is fun to change my plans at the last minute | CHANGE11 | |||||||||||||||||||
When I am confused about an important issue, I feel very upset | UPSET11 | |||||||||||||||||||
I prefer to socialize with friends who I know well because I know what to expect from them | FRNDS11 | |||||||||||||||||||
I feel uncomfortable when someone's meaning or intention is unclear to me | UNCLEA11 | |||||||||||||||||||
It is annoying to listen to someone who cannot make up his or her mind | ANNOY11 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
L1 | ||||||||||||||||||||
Dependent - Independent | W8C413 | |||||||||||||||||||
Unemotional - Emotional | W8C414 | |||||||||||||||||||
Submissive - Dominant | W8C415 | |||||||||||||||||||
Calm in a major crisis - Exitable in a major crisis | W8C416 | |||||||||||||||||||
Passive - Active | W8C417 | |||||||||||||||||||
Self-centered - Devoted completely to others | W8C418 | |||||||||||||||||||
Competitive - Not competitive | W8C419 | |||||||||||||||||||
Others' approval matters a lot - Indifferent to others' approval | W8C420 | |||||||||||||||||||
Feelings easily hurt - Feelings not easily hurt | W8C421 | |||||||||||||||||||
Aware of others' feelings - Not aware of others' feelings | W8C422 | |||||||||||||||||||
Can make decisions easily - Having difficulty making decisions | W8C423 | |||||||||||||||||||
Give up easily - Persistant | W8C424 | |||||||||||||||||||
Cry very easily - Never cry | W8C425 | |||||||||||||||||||
Very self-confidant - Not at all confident | W8C426 | |||||||||||||||||||
Feel inferior - Feel superior | W8C427 | |||||||||||||||||||
Strong need for security - Little need for security | W8C428 | |||||||||||||||||||
Go to pieces under pressure - Stand up well under pressure | W8C429 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
K4-17 | K4-17 | K4-17 | K4-17 | L18 | G1-G7 | K1 | I1 | I1 | I1 | I1 | I1 | L1 | L1 | |||||||
I feel I have a number of good qualities | W1C302 |
W2C265 | W3C266 | W4C309 | W8C430 | MEK1A12 | MEI1A13 | MEI1A14 | MEI1A15 | MEI1A16 | MEI1A18 | MEL1A19 | L1MEA20 | |||||||
I certainly feel useless at times | W1C303 |
W2C266 | W3C267 | W4C310 | W8C431 | MEK1B12 | MEI1B13 | MEI1B14 | MEI1B15 | MEI1B16 | MEI1B18 | MEL1B19 | L1MEB20 | |||||||
I feel I do not have much to be proud of | W1C304 |
W2C267 | W3C268 | W4C311 | W8C432 | MEK1C12 | MEI1C13 | MEI1C14 | MEI1C15 | MEI1C16 | MEI1C18 | MEL1C19 | L1MEC20 | |||||||
In my community people trust each other | MEI1D18 | MEL1D19 | ||||||||||||||||||
There is really no way I can solve some of the problems I have | W1C305 |
W2C268 | W3C269 | W4C312 | W8C433 | SOLVPR10 | MEK1D12 | MEI1D13 | MEI1D14 | MEI1D15 | MEI1D16 | MEI1E18 | MEL1E19 | L1MEE20 | ||||||
I take a positive attitude toward myself | W1C306 |
W2C269 | W3C270 | W4C313 | W8C434 | MEK1E12 | MEI1E13 | MEI1E14 | MEI1E15 | MEI1E16 | MEI1F18 | MEL1F19 | L1MEF20 | |||||||
On the whole, I am satisfied with myself | W1C307 |
W2C270 | W3C271 | W4C314 | W8C435 | MEK1F12 | MEI1F13 | MEI1F14 | MEI1F15 | MEI1F16 | MEI1G18 | MEL1G19 | L1MEG20 | |||||||
Sometimes I feel that I'm being pushed around in life | W1C308 |
W2C271 | W3C272 | W4C315 | W8C436 | PUSHED10 | MEK1G12 | MEI1G13 | MEI1G14 | MEI1G15 | MEI1G16 | MEI1H18 | MEL1H19 | L1MEH20 | ||||||
In my community people are careful about whom they trust | MEI1I18 | |||||||||||||||||||
I have little control over the things that happen to me | W1C309 |
W2C272 | W3C273 | W4C316 | W8C437 | NOCTRL10 | MEK1H12 | MEI1H13 | MEI1H14 | MEI1H15 | MEI1H16 | MEI1J18 | MEL1I19 | L1MEI20 | ||||||
I am useful to society | MEK1I12 | MEI1I13 | MEI1I14 | |||||||||||||||||
I can do just about anything I really set my mind to do | W1C311 |
W2C274 | W3C275 | W4C318 | W8C439 | CDOANY10 | MEK1J12 | MEI1J13 | MEI1J14 | MEI1I15 | MEI1I16 | MEI1K18 | MEL1J19 | L1MEJ20 | ||||||
I am helpful to others | MEK1K12 | MEI1K13 | MEI1K14 | |||||||||||||||||
What happens to me in the future mostly depends on me | W1C313 |
W2C276 | W3C277 | W4C320 | W8C441 | DPNDME10 | MEK1L12 | MEI1L13 | MEI1L14 | MEI1J15 | MEI1J16 | MEI1L18 | MEL1K19 | L1MEK20 | ||||||
I often feel helpless in dealing with the problems of life | W1C314 |
W2C277 | W3C278 | W4C321 | W8C442 | HLPLES10 | MEK1M12 | MEI1M13 | MEI1M14 | MEI1K15 | MEI1K16 | MEI1M18 | MEL1L19 | L1MEL20 | ||||||
There is little I can do to change many of the important things in my life | W1C315 |
W2C278 | W3C279 | W4C322 | W8C443 | CHGTHG10 | MEK1N12 | MEI1N13 | MEI1N14 | MEI1L15 | MEI1L16 | MEI1N18 | MEL1M19 | L1MEM20 | ||||||
At times I think I am no good at all | W1C312 |
W2C275 | W3C276 | W4C319 | W8C440 | MEK1O12 | MEI1O13 | MEI1O14 | MEI1M15 | MEI1M16 | MEI1O18 | MEL1N19 | L1MEN20 | |||||||
I wish I could have more respect for myself | W1C310 |
W2C273 | W3C274 | W4C317 | W8C438 | MEK1P12 | MEI1P13 | MEI1P14 | MEI1N15 | MEI1N16 | MEI1P18 | MEL1O19 | ||||||||
I like to take the lead when a group does things together | MEI1O16 | |||||||||||||||||||
I enjoy convincing others of my opinions | MEI1P16 | |||||||||||||||||||
I like to assume responsibility | MEI1Q16 | |||||||||||||||||||
I am an active citizen in my community | MEK1Q12 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
K18-26 | K18-26 | K18-26 | K18-26 | L33 | I6 | K2 | I3 | I4 | I12 | I15 | H13 | I16 | L19 | L16 | ||||||
Have you felt that the future looks hopeful and promising? | W1C316 |
W2C279 | W3C280 | W4C323 | W8C445 | MEK2A12 | MEI3A13 | MEI4A14 | MEI12A15 | MEI15A16 | H12A17 | MEI16A18 | MEL19A19 | L16MEHOP20 | ||||||
Have you been under any strain, stress, or pressure? | W1C317 |
W2C280 | W3C281 | W4C324 | W8C446 | STRAIN11 | MEK2B12 | MEI3B13 | MEI4B14 | MEI12B15 | MEI15B16 | H13B17 | MEI16B18 | MEL19B19 | L16MESTR20 | |||||
Have you been anxious or worried? | W8C4692 | MEI12C15 | MEI15C16 | H13C17 | MEI16C18 | MEL19C19 | L16MEANX20 | |||||||||||||
Have you generally enjoyed the things you do? | W1C318 |
W2C281 | W3C282 | W4C325 | W8C447 | MEK2C12 | MEI3C13 | MEI4C14 | MEI12D15 | MEI15D16 | H13D17 | MEI16D18 | MEL19D19 | L16MEENJ20 | ||||||
Have you felt tired, worn out, or exhausted? | MEK2D12 | MEI3D13 | MEI4D14 | MEI12E15 | MEI15E16 | H13E17 | MEI16E18 | MEL19E19 | L16METIR20 | |||||||||||
Have you felt calm and peaceful? | W1C319 |
W2C282 | W3C283 | W4C326 | W8C448 | MEI12F15 | MEI15F16 | H13F17 | MEI16F18 | MEL19F19 | L16MECAL20 | |||||||||
Have you felt downhearted and blue? | W1C320 |
W2C283 | W3C284 | W4C327 | W8C449 | BLUE11 | MEK2E12 | MEI3E13 | MEI4E14 | MEI12G15 | MEI15G16 | H13G17 | MEI16G18 | MEL19G19 | L16MEDB20 | |||||
Have you felt tense or "high strung"? | W8C459 | MEK2F12 | MEI3F13 | MEI4F14 | MEI12H15 | MEI15H16 | H13H17 | MEI16H18 | MEL19H19 | L16METNS20 | ||||||||||
Have you felt cheerful or lighthearted? | W1C322 |
W2C285 | W3C286 | W4C329 | W8C451 | MEK2G12 | MEI3G13 | MEI4G14 | MEI12I15 | MEI15I16 | H13I17 | MEI16I18 | MEL19I19 | L16MECH20 | ||||||
Have you been moody or brooded about things? | W1C321 |
W2C284 | W3C285 | W4C328 | W8C450 | MOODY11 | MEI12J15 | MEI15J16 | H13J17 | MEI16J18 | MEL19J19 | L16MEMB20 | ||||||||
Have you felt depressed? | W1C323 |
W2C286 | W3C287 | W4C330 | W8C452 | DEPRES11 | MEK2H12 | MEI3H13 | MEI4H14 | MEI12K15 | MEI15K16 | H13K17 | MEI16K18 | MEL19K19 | L16MEDEP20 | |||||
Have you been in low or very low spirits? | W1C324 |
W2C287 | W3C288 | W4C331 | W8C453 | SPIRIT11 | MEK2I12 | MEI3I13 | MEI4I14 | MEI12L15 | MEI15L16 | H13L17 | MEI16L18 | MEL19L19 | L16MELOW20 | |||||
Have you felt lonely? | W8C454 | MEK2J12 | MEI3J13 | MEI4J14 | MEI12M15 | MEI15M16 | H13M17 | MEI16M18 | MEL19M19 | L16MELON20 | ||||||||||
Has your daily life been full of things that are interesting to you? | W8C455 | MEK2K12 | MEI3K13 | MEI4K14 | MEI12N15 | MEI15N16 | H13N17 | MEI16N18 | MEL19N19 | L16MEINT20 | ||||||||||
Do you wake up feeling fresh and rested? | W8C4703 | MEK2L12 | MEI3L13 | MEI4L14 | MEI12O15 | MEI15O16 | H13O17 | MEI16O18 | MEL19O19 | L16MEFR20 | ||||||||||
Have you felt relaxed and free of tension? | W8C456 | |||||||||||||||||||
Have you felt loved and wanted? | W8C457 | |||||||||||||||||||
Have you been nervous? | W8C458 | |||||||||||||||||||
Have you felt emotionally stable? | W8C460 | |||||||||||||||||||
Have your relationships with loved ones been full and complete? | W8C461 | |||||||||||||||||||
Has living been a wonderful adventure for you? | W8C462 | |||||||||||||||||||
Did your hands shake when you tried to do something? | W8C463 | |||||||||||||||||||
Did you feel that you had nothing to look forward to? | W8C464 | |||||||||||||||||||
Did you feel that nothing turned out the way you wanted it to? | W8C465 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
L54 | |||||||||||||||||||
W8C466 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
L55 | |||||||||||||||||||
W8C467 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
L56 | |||||||||||||||||||
W8C468 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
L57 | |||||||||||||||||||
W8C469 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
L58 | |||||||||||||||||||
W8C470 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
L32 | I1 | I1 | K3 | I2 | I2 | I2 | I3 | H8 | I5 | L5 | L2 | ||||||||
W8C4444 | HEALTH10 | HEALTH11 | MEK312 | MEI213 | MEI214 | HEALTH15 | MEI3HE16 | H817 | MEI5HE18 | MEL5HE19 | L2MEHE20 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I2 | K4 | I3 | I4 | H9 | I6 | L6 | L4 | |||||||||||||
Feet | FEET10 | TALLFT12 | HIGHFT15 | MEI4FE16 | H9HGTF17 | MEI6FE18 | MEL6FE19 | L4MEFE30 | ||||||||||||
Inches | INCH10 | TALLIN12 | HIGHIN15 | MEI4IN16 | H9HGTI17 | MEI6IN18 | MEL6IN19 | L4MEIN20 | ||||||||||||
Pounds | WEIGHT10 | MEFAT12 | WEIGHT15 | MEI4WE16 | H9WGT17 | MEI6WE18 | MEL6WE19 | M4MEWE20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I3 | I2 | K5 | I4 | I5 | I7 | L7 | L5 | ||||||||||||
PHYHEA10 | PHYHEA11 | MEK512 | PSPROB15 | MEI5PH16 | MEI7PH18 | MEL7PH19 | L5MEPH20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I4 | I3 | K6 | I5 | I6 | I8 | L8 | L6 | ||||||||||||
EMOHEA10 | EMOHEA11 | MEK612 | EMPROB15 | MEI6EM16 | MEI8EM18 | MEL8EM19 | L6MEEM20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I5 | I4 | K7 | I6 | I7 | I9 | L9 | L7 | ||||||||||||
SOCIAL10 | SOCIAL11 | MEK712 | SOPROB15 | MEI7SO16 | MEI9SO18 | MEL9SO19 | L7MESO20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I6 | I5 | K8 | I7 | I8 | I10 | L10 | L8 | ||||||||||||
PAIN10 | PAIN11 | MEK812 | PSPAIN15 | MEI8PA16 | MEI1018 | MEL1019 | L8MEPP20 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I7 | I8 | I9 | I11 | L11 | L9 | |||||||||||||||
High blood pressure | BPRESS10 | HIGHBP15 | MEI9A16 | MEI11A18 | MEL11A19 | L9MEA20 | ||||||||||||||
Heart condition | HEART10 | HEART15 | MEI9B16 | MEI11B18 | MEL11B19 | L9MEB20 | ||||||||||||||
Stroke | MEI11C18 | MEL11C19 | L9MEC20 | |||||||||||||||||
Hepatitis/jaundice | MEI11D18 | MEL11D19 | L9MED20 | |||||||||||||||||
Diabetes | DIABET10 | DIABET15 | MEI9C16 | MEI11E18 | MEL11E19 | L9MEE20 | ||||||||||||||
Prolonged anxiety, depression or other mental health problems | MENTAL10 | DEPRES15 | MEI9D16 | MEI11F18 | MEL11F19 | L9MEF20 | ||||||||||||||
Cancer | CANCER10 | CANCER15 | MEI9E16 | MEI11G18 | MEL11G19 | L9MEG20 | ||||||||||||||
Chronic Lung Disease (emphysema, Asthma, chronic bronchitis) | LUNG10 | LUNG15 | MEI9F16 | MEI11H18 | MEL11H19 | L9MEH20 | ||||||||||||||
Fractures or broken bones | BONE10 | BONE15 | MEI9G16 | MEI11I18 | MEL11I19 | L9MEI20 | ||||||||||||||
Chronic digestive disease (ulcer, colitis, liver problems) | DIGEST10 | DIGEST15 | MEI9H16 | MEI11J18 | MEL11J19 | L9MEJ20 | ||||||||||||||
Epilepsy or seizure disorder | EPILEP10 | EPILEP15 | MEI9I16 | MEI11K18 | MEL11K19 | L9MEK20 | ||||||||||||||
Chronic back problems | BACK10 | BACKPB15 | MEI9J16 | MEI11L18 | MEL11L19 | L9MEL20 | ||||||||||||||
Developmental problems | DEVELP10 | DEVELP15 | MEI9K16 | MEI11M18 | MEL11M19 | |||||||||||||||
Allergies | MEI9L16 | MEI11N18 | MEL11N19 | L9MEN20 | ||||||||||||||||
Any other major disease, disability or handicap | I8OTH15 | MEI9M16 | MEI11O18 | MEL11O19 | L9MEO20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I8 | I9 | ||||||||||||||||||
CHECKU101 | CHECKU11 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I9 | I10 | K9 | I10 | ||||||||||||||||
CLINIC10 | CLINIC11 | MEK912 | MEI1016 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I10 | K11 | I11 | H10 | I12-I14 | L12-L14 | L10-L12 | ||||||||||||||
Eat breakfast | BREAKF10 | MEK1112 | MEI1116 | H10BFT17 | MEI1218 | MEL1219 | L10MEBRK20 | |||||||||||||
Do moderate physical activity for at least 30 minutes? | MODACT10 | MEK1212 | MEI1216 | H10MEX17 | MEI1318 | MEL1319 | L10MEMOD20 | |||||||||||||
Do vigorous physical activities for at least 30 minutes? | VIGACT10 | MEK1312 | MEI1316 | H10VEX17 | MEI1418 | MEL1419 | L10MEVIG20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I13 | K14 | I14 | I15 | L15 | L13 | ||||||||||||||
SLEEP10 | MEK1412 | MEI1416 | MEI1518 | MEL1519 | L13MESLP20 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
H11 | ||||||||||||||||||||
See or talked to a mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker about your own mental health? | H11A17 | |||||||||||||||||||
Seen or talked to a doctor, nurse, or other health professional about your own physical health? | H11B17 | |||||||||||||||||||
Had your blood pressure checked by a doctor or nurse? | H11C17 | |||||||||||||||||||
Had a blood test for cholesterol? | H11D17 | |||||||||||||||||||
Seen a dentist for dental care, including routine check-ups? | H11E17 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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I3 | ||||||||||||||||||||
Statement 1 | MEI30114 | |||||||||||||||||||
Statement 2 | MEI30214 | |||||||||||||||||||
Statement 3 | MEI30312 | |||||||||||||||||||
Statement 4 | MEI30412 | |||||||||||||||||||
Statement 5 | MEI30512 | |||||||||||||||||||
Statement 6 | MEI30612 | |||||||||||||||||||
Statement 7 | MEI30712 | |||||||||||||||||||
Statement 8 | MEI30812 | |||||||||||||||||||
Statement 9 | MEI30912 | |||||||||||||||||||
Statement 10 | MEI31014 | |||||||||||||||||||
Statement 11 | MEI31114 | |||||||||||||||||||
Statement 12 | MEI31214 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I16 | ||||||||||||||||||||
Relationship with my spouse or partner | MEI16A16 | |||||||||||||||||||
Relationship with my parents | MEI16B16 | |||||||||||||||||||
Relationship with my child or children | MEI16C16 | |||||||||||||||||||
My job or career | MEI16D16 | |||||||||||||||||||
Religious or spiritual aspects of my life | MEI16E16 | |||||||||||||||||||
Involvement in a neighborhood group | MEI16F16 | |||||||||||||||||||
Involvement in my community | MEI16G16 | |||||||||||||||||||
Other | MEI16H16 | |||||||||||||||||||
Please specify | MEI16I16 |
|
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
G3 | I5 | I17 | ||||||||||||||||||
When I am at school | ATSCHO11 | ATSCHO13 | MEI17A16 | |||||||||||||||||
When I am at work | ATWRK11 | ATWRK13 | MEI17B16 | |||||||||||||||||
When I am participating in a community organization (civic, religious, etc.) | PARTIC11 | PARTIC13 | MEI17C16 | |||||||||||||||||
When I am doing active sports or exercising | EXERCI11 | EXERCI13 | MEI17D16 | |||||||||||||||||
When I am doing other recreational activities (going to a museum, concert, sport event, etc.) | RECACT11 | RECACT13 | MEI17E16 | |||||||||||||||||
When I am with my friends | WFRNDS11 | WFRNDS13 | MEI17F16 | |||||||||||||||||
When I am taking care of my house/apartment | ATHOME11 | ATHOME13 | MEI17G16 | |||||||||||||||||
When I am with my child/children | WCHILD11 | WCHILD13 | MEI17H16 | |||||||||||||||||
When I am with my parent(s) | WPARNT11 | WPARNT13 | MEI17I16 | |||||||||||||||||
When I am with a romantic partner | WHONEY11 | WHONEY13 | MEI17J16 | |||||||||||||||||
When I am helping a family member or other relative | HPFAMI13 | |||||||||||||||||||
When I am helping a friend or neighbor | HPFRND13 | |||||||||||||||||||
When I am doing volunteer work | DOVOLU13 | MEI17K16 | ||||||||||||||||||
When I pay taxes | PAYTAX13 | |||||||||||||||||||
When I save or invest money | SAVMON13 | |||||||||||||||||||
When I donate money | DONMON13 | MEI17L16 | ||||||||||||||||||
When I vote | VOTE13 | MEI17M16 | ||||||||||||||||||
When I limit my drinking because I am driving or serving as a "designated driver" | NDRINK13 | MEI17N16 | ||||||||||||||||||
When I do something I know is wrong | DOWRON13 | MEI17O16 | ||||||||||||||||||
When I do something that might be against the law | AGLAW13 | MEI17P16 | ||||||||||||||||||
Most of the time | MOST11 | MOSTIM13 | MEI17Q16 |
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W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
G4 | I6 | I18 | ||||||||||||||||||
Cohabit with a partner or spouse | LIVEWI11 | LIVEWI13 | ME18A116 | |||||||||||||||||
Get married | GETMAR11 | GETMAR13 | ME18B116 | |||||||||||||||||
Own a home | OWNHOM11 | OWNHM13 | ME18C116 | |||||||||||||||||
Become a parent | BEPRNT11 | BEPRNT13 | ME18D116 | |||||||||||||||||
Complete school | FINISH11 | FINISH13 | ME18E116 | |||||||||||||||||
Get a full-time job | GETFTJ11 | GETFTJ13 | ME18F116 | |||||||||||||||||
Become financially independent | FINDEP11 | FINDEP13 | ME18G116 | |||||||||||||||||
Start a "career" | CAREER11 | CAREER13 | ME18H116 |
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W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
G4 | I6 | I18 | ||||||||||||||||||
Cohabit with a partner or spouse | TIMNG111 | TIMNG113 | ME18A216 | |||||||||||||||||
Get married | TIMNG211 | TIMNG213 | ME18B216 | |||||||||||||||||
Own a home | TIMNG311 | TIMNG313 | ME18C216 | |||||||||||||||||
Become a parent | TIMNG411 | TIMNG413 | ME18D216 | |||||||||||||||||
Complete school | TIMNG511 | TIMNG513 | ME18E216 | |||||||||||||||||
Get a full-time job | TIMNG611 | TIMNG613 | ME18F216 | |||||||||||||||||
Become financially independent | TIMNG711 | TIMNG713 | ME18G216 | |||||||||||||||||
Start a "career" | TIMNG811 | TIMNG813 | ME18H216 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I13 | |||||||||||||||||||
I13TER15 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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I14 | |||||||||||||||||||
14SAT15 |
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W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
G2 | I4 | I15 | |||||||||||||||||||
Indoor household chores (cleaning, cooking, etc.) | Hours-High | INDOOR11 | INDRHI13 | INDRHI15 | |||||||||||||||||
Hours-Low | INDRLO13 | INDRLO15 | |||||||||||||||||||
Outdoor household chores (gardening, lawn care, shoveling snow, etc.) | Hours-High | OUTDOR11 | OUDRHI13 | OUDRHI15 | |||||||||||||||||
Hours-Low | OUDRLO13 | OUDRLO15 | |||||||||||||||||||
Repairs and renovations (of house, car, etc.) | Hours-High | REPAIR11 | REPRHI13 | REPRHI15 | |||||||||||||||||
Hours-Low | REPRLO13 | REPRLO15 | |||||||||||||||||||
Time alone with my spouse or partner | Hours-High | SPSHI15 | |||||||||||||||||||
Hours-Low | SPSLO15 | ||||||||||||||||||||
Care for my child/children | Hours-High | CARECH11 | CRCHHI13 | CRCHHI15 | |||||||||||||||||
Hours-Low | CRCHLO13 | CRCHLO15 | |||||||||||||||||||
Caring for a sick or elderly relative | Hours-High | CARESI11 | CRSIHI13 | CRSIHI15 | |||||||||||||||||
Hours-Low | CRSILO13 | CRSILO15 | |||||||||||||||||||
Sleeping | Hours-High | SLEEP11 | |||||||||||||||||||
Hours-Low | |||||||||||||||||||||
Socializing with friends | Hours-High | SOCING11 | |||||||||||||||||||
Hours-Low | |||||||||||||||||||||
Studying and attending classes (as a student) | Hours-High | STUDY11 | STUDHI13 | STUDHI15 | |||||||||||||||||
Hours-Low | STUDLO13 | STUDLO15 | |||||||||||||||||||
Clubs and organizations (political, religious, civic, PTA, etc.) | Hours-High | CLUBS11 | CLUBHI13 | CLUBHI15 | |||||||||||||||||
Hours-Low | CLUBLO13 | CLUBLO15 | |||||||||||||||||||
Watching television | Hours-High | TV11 | TVHI13 | TVHI15 | |||||||||||||||||
Hours-Low | TVLO13 | TVLO15 | |||||||||||||||||||
Reading (books, magazines, newspapers, etc.) | Hours-High | READ11 | READHI13 | READHI15 | |||||||||||||||||
Hours-Low | READLO13 | READLO15 | |||||||||||||||||||
Active sports and exercise (walking, jogging, swimming, basketball, etc.) | Hours-High | SPORTS11 | SPTHI13 | SPTHI15 | |||||||||||||||||
Hours-Low | SPTLO13 | SPTLO15 | |||||||||||||||||||
On the internet (email with family and friends, chat groups, games, shopping, etc.) | Hours-High | INTNET11 | INTEHI13 | INTEHI15 | |||||||||||||||||
Hours-Low | INTELO13 | INTELO15 | |||||||||||||||||||
Other recreational activities (spectator sports, movies, concerts, etc.) | Hours-High | REC11 | OTHRHI13 | OTHRHI15 | |||||||||||||||||
Hours-Low | OTHRLO13 | OTHRLO15 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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F10 | I23 | I13 | L3 | ||||||||||||||||
W9C243 | LONGLI10 | LONGLI11 | L3LONGLI20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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I2 | L2 | ||||||||||||||||||
MEI218 | MEL219 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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I3 | L3 | ||||||||||||||||||
MEI318 | MEL319 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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I4 | L4 | ||||||||||||||||||
MEI418 | MEL419 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I17 | L20 | ||||||||||||||||||
MEI1718 | MEL2019 |
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W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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L16 | ||||||||||||||||||||
I like my looks just the way they are | MEL16A19 | |||||||||||||||||||
I check my appearance in the mirrow whenever I can | MEL16B19 | |||||||||||||||||||
Before going out, I usually spend a lot of time getting ready | MEL16C19 | |||||||||||||||||||
I use very few beauty or styling products | MEL16D19 | |||||||||||||||||||
I don't care what people think about my appearance | MEL16E19 | |||||||||||||||||||
I am physically unattractive | MEL16F19 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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L17 |
L14 | ||||||||||||||||||
MEL1719 |
L14MELW20 |
W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 | W9 | W10 | W11 | W12 | W13 | W14 | W15 | W16 | W17 | W18 | W19 | W20 |
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L18 |
L15 | ||||||||||||||||||
MEL1819 |
L15MESEW20 |
Notes: |
1 "About how long has it been since you last visited a doctor for a routine check-up?" |
2 Different question format- L57 |
3 Different question format- L58 |
4 Different question format- L32 |
5 W11 uses slightly different wordings. |