Myself

What is your sex?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
C1																H1
W1C033																H117

How masculine would you say you are?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
														I9		H2
														MASCUL15		H217

How feminine would you say you are?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
														I10		H3
														FEMINI15		H317

How would you describe your sexual identity

	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

Has anyone ever assumed you were a different sexual orientation than you are?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
														I11
														SEXORI15

Were you born in the United States?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
C2																H4
W1C034																H417

In what country were you born?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
C2A																H5
W1C035A																H517

How much do you agree or disagree with the following statements?

	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

How would you describe yourself?

	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

How strongly do you agree or disagree with each of the following statements?

	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

During the past month, how much of the time...

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	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

How happy, satisfied, or pleased have you been with your personal life?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
							L54
							W8C466

Have you felt in firm control of your thoughts, emotions, and feelings?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
							L55
							W8C467

Did you ever think about taking your own life?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
							L56
							W8C468

Have you been anxious or worried?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
							L57
							W8C469

How often have you awakened feeling fresh and rested?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
							L58
							W8C470

In general, would you say your health is ...

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

What is your current height and weight?

	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

During the past 4 weeks, have physical health problems caused you difficulty in doing your work or other daily activities?

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

During the past 4 weeks, have emotional problems(such as feeling depressed or anxious) led you to accomplish less than you would like in your work or other daily activities?

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

During the past 4 weeks, have physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?

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

How much physical pain have you had during the past 4 weeks?⁵

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

Have you ever been told by a doctor that you have the following?

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										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

Did you visit a doctor for a routine checkup during the past year?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
									I8	I9
									CHECKU10¹	CHECKU11

Is there one particular clinic, health center, or doctor's office that you usually go to if you are sick or need advice about your health?

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

In an average week how many days do you ...

	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

How many hours of sleep do you usually get in a 24 hour period?

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

In the past 12 months have you...

	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

Think about your goals, both things you want to improve and the things you are satisfied with and want to maintain. How do you go about accomplishing what you want in life? Please circle A or B below, indicating the one statement in each pair that best describes your behavior

	W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
														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

We'd like you to consider how things are going in various areas of your life and whether you would like to change them.

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																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

People often feel more or less like "an adult" in different situations or areas of their lives. In answering the following questions, please consider how you usually feel in these situations.

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											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

Please record whether you have experienced each event listed below

Has this event happened?

	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

Estimate of timing

	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

How worried are you that you or someone in your family will become a victim of terrorism?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
														I13
														I13TER15

How satisfied are you with the way things are going for the US in the war on terrorism?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
														I14
														14SAT15

How much time do you spend on the following tasks or activities in an average week?

		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
Indoor household chores (cleaning, cooking, etc.)	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
Repairs and renovations (of house, car, etc.)	Hours-Low													REPRLO13		REPRLO15
Time alone with my spouse or partner	Hours-High															SPSHI15
Time alone with my spouse or partner	Hours-Low															SPSLO15
Care for my child/children	Hours-High											CARECH11		CRCHHI13		CRCHHI15
Care for my child/children	Hours-Low													CRCHLO13		CRCHLO15
Caring for a sick or elderly relative	Hours-High											CARESI11		CRSIHI13		CRSIHI15
Caring for a sick or elderly relative	Hours-Low													CRSILO13		CRSILO15
Sleeping	Hours-High											SLEEP11
Sleeping	Hours-Low
Socializing with friends	Hours-High											SOCING11
Socializing with friends	Hours-Low
Studying and attending classes (as a student)	Hours-High											STUDY11		STUDHI13		STUDHI15
Studying and attending classes (as a student)	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
Watching television	Hours-Low													TVLO13		TVLO15
Reading (books, magazines, newspapers, etc.)	Hours-High											READ11		READHI13		READHI15
Reading (books, magazines, newspapers, etc.)	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

What do you think are the chances that you will live a long and healthy life?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
								F10	I23	I13									L3
								W9C243	LONGLI10	LONGLI11									L3LONGLI20

How successful do you feel in your work life?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
																	I2	L2
																	MEI218	MEL219

How successful do you feel in your family or personal life?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
																	I3	L3
																	MEI318	MEL319

How successful do you feel in balancing work and family/personal life?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
																	I4	L4
																	MEI418	MEL419

Do you have issues regarding saddness or other mental health problems that you would like some help with?

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
																	I17	L20
																	MEI1718	MEL2019

How strongly do you agree or disagree with each of the following statements?

	W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
																			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

I have tried to lose weight by fasting or going on diets.

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
																		L17	L14
																		MEL1719	L14MELW20

I think I am...(underweight/overweight)

W1	W2	W3	W4	W5	W6	W7	W8	W9	W10	W11	W12	W13	W14	W15	W16	W17	W18	W19	W20
																		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.