I1 How strongly do you agree or disagree with each of the following statements? (Circle one number for each)
1 Strongly disagree
2 Disagree
3 Agree
4 Strongly Agree
-9 Missing
MEI1A13 I feel I have a number of good qualities.
MEI1B13 I certainly feel useless at times.
MEI1C13 I feel I do not have much to be proud of.
MEI1D13 There is really no way I can solve some of the problems I have.
MEI1E13 I take a positive attitude toward myself.
MEI1F13 On the whole, I am satisfied with myself.
MEI1G13 Sometimes I feel that I'm being pushed around in life.
MEI1H13 I have little control over the things that happen to me.
MEI1I13 I am useful to society.
MEI1J13 I can do just about anything I really set my mind to do.
MEI1K13 I am helpful to others.
MEI1L13 What happens to me in the future mostly depends on me.
MEI1M13 I often feel helpless in dealing with the problems of life.
MEI1N13 There is little I can do to change many of the important things in my life.
MEI1O13 At times I think I am no good at all.
MEI1P13 I wish I could have more respect for myself.
MEI213 I2 In general, would you say your health is (Circle one number):
1 Excellent
2 Very Good
3 Good
4 Fair
5 Poor
-9 Missing
I3 During past month, how much of the time: Circle one number for each.
1 No time
2 A little time
3 Some time
4 Most of the time
5 All of the time
-9 Missing
MEI3A13 Have you felt that the future looks hopeful and promising?
MEI3B13 Have you been under any strain, stress, or pressure?
MEI3C13 Have you generally enjoyed the things you do?
MEI3D13 Have you felt tired, worn out, or exhausted?
MEI3E13 Have you felt downhearted and blue?
MEI3F13 Have you felt tense or “high strung”?
MEI3G13 Have you felt cheerful, lighthearted?
MEI3H13 Have you felt depressed?
MEI3I13 Have you been in low or very low spirits?
MEI3J13 Have you felt lonely?
MEI3K13 Has your daily life been full of things that are interesting to you?
MEI3L13 Do you wake up feeling fresh and rested?
TIME USE
|
Typical Week (hrs/week) |
|
Low |
High |
|
Indoor household chores (cleaning, cooking, etc.) |
INDRLO13 |
INDRHI13 |
Outdoor household chores (gardening, lawn care, shoveling snow, etc.) |
OUDRLO13 |
OUDRHI13 |
Repairs and renovations (of house, car, etc.) |
REPRLO13 |
REPRHI13 |
Care for my child/children |
CRCHLO13 |
CRCHHI13 |
Caring for a sick or elderly relative |
CRSILO13 |
CRSIHI13 |
Studying and attending classes (as a student) |
STUDLO13 |
STUDHI13 |
Clubs and organizations (political, religious, civic, PTA, etc.) |
CLUBLO13 |
CLUBHI13 |
Watching television |
TVLO13 |
TVHI13 |
Reading (books, magazines, newspapers, etc.) |
READLO13 |
READHI13 |
Active sports and exercise (walking, jogging, swimming, basketball, etc.) |
SPTLO13 |
SPTHI13 |
On the internet (email with family & friends, chat groups, games, shopping) |
INTELO13 |
INTEHI13 |
Other recreational activities (spectator sports, movies, concerts, etc.) |
OTHRLO13 |
OTHRHI13 |
1 Not at all like an adult
2 Somewhat like an adult
3 Entirely like an adult
4 Does not apply/Never do this
-9 Missing
|
|
ATSCHO13 |
When I am at school |
ATWRK13 |
When I am at work |
PARTIC13 |
When I am participating in a community organization (civic, religious, etc.) |
EXERCI13 |
When I am doing active sports or exercising |
RECACT13 |
When I am involved in other recreational activities (going to a museum, concert, sports event, etc.) |
WFRNDS13 |
When I am with my friends |
ATHOME13 |
When I am taking care of my house/apartment |
WCHILD13 |
When I am with my child/children |
WPARNT13 |
When I am with my parent(s) |
WHONEY13 |
When I am with a romantic partner |
HPFAMI13 |
When I am helping a family member or other relative |
HPFRND13 |
When I am helping a friend or neighbor |
DOVOLU13 |
When I am doing volunteer work for a church, charity, or community group |
PAYTAX13 |
When I pay taxes |
SAVMON13 |
When I save or invest money |
DONMON13 |
When I donate money |
VOTE13 |
When I vote |
NDRINK13 |
When I limit my drinking because I am driving or serving as a “designated driver” |
DOWRON13 |
When I do something I know is wrong |
AGLAW13 |
When I do something that might be against the law |
MOSTIM13 |
Most of the time |
· If you HAVE experienced the event, indicate how “early,” “on time,” or “late” you were when you did it.
· If you think the event WILL occur in the future, indicate how “early,” “on time,” or “late” you will be when it happens.
· If you NEVER want or expect to experience the event (for example, you know that you never want to become a parent), then mark "Event Not Expected.”
· If you do not think being early, on time, or late are relevant considerations, mark “Timing Not Relevant.”
Has this event happened? |
Estimate of timing for each event. |
||||||||
|
1 Yes |
2 No |
1 Very Early |
2 Somewhat Early |
3 Right on Time |
4Somewhat Late |
5VeryLate |
6Event Not Expected |
7Timing Not Relevant |
Live with a partner or spouse |
LIVEWI13 |
TIMNG113 |
|||||||
Get married |
GETMAR13 |
TIMNG213 |
|||||||
Own a home |
OWNHM13 |
TIMNG313 |
|||||||
Become a parent |
BEPRNT13 |
TIMNG413 |
|||||||
Complete school |
FINISH13 |
TIMNG513 |
|||||||
Get a full-time job |
GETFTJ13 |
TIMNG613 |
|||||||
Become financially independent of my parents/guardians |
FINDEP13 |
TIMNG713 |
|||||||
Start a "career" |
CAREER13 |
TIMNG813 |
I7 Please record your experiences with each activity listed below:
Compared to five years ago, do you now do more, less, or about the same amount of these activities?
1 Never did this
2 Much Less
3 Somewhat Less
4 About the Same
5 Somewhat More
6 Much More
-9 Missing
COMP113 |
“Partying” with friends in bars or nightclubs |
COMP213 |
Breaking work rules (such as calling in sick when I’m not really sick) |
COMP313 |
Breaking other rules (such as driving after I’ve had too much to drink) |
1 Much Less
2 Somewhat Less
3 About the Same
4 Somewhat More
5 Much More
-9 Missing
COMP413 |
“Partying” with friends in bars or nightclubs |
COMP513 |
Breaking work rules (such as calling in sick when I’m not really sick) |
COMP613 |
Breaking other rules (such as driving after I’ve had too much to drink) |
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