I. MYSELF (W15, 2004)

1 Strongly disagree

2 Disagree

3 Agree

4 Strongly Agree

-9 Missing

MEI1A15    I feel I have a number of good qualities.

MEI1B15    I certainly feel useless at times.

MEI1C15    I feel I do not have much to be proud of.

MEI1D15    There is really no way I can solve some of the problems I have.

MEI1E15    I take a positive attitude toward myself.

MEI1F15    On the whole, I am satisfied with myself.

MEI1G15   Sometimes I feel that I'm being pushed around in life.

MEI1H15    I have little control over the things that happen to me.

MEI1I15    I can do just about anything I really set my mind to do.

MEI1J15   What happens to me in the future mostly depends on me.

MEI1K15    I often feel helpless in dealing with the problems of life.

MEI1L15   There is little I can do to change many of the important things in my life.

MEI1M15   At times I think I am no good at all.

MEI1N15   I wish I could have more respect for myself.

HEALTH15 I2 In general, would you say your health is (Circle one number):

1 Excellent

2 Very good

3 Good

4 Fair

5 Poor

I3 What is your current height and weight?

-9 Missing

Height: HIGHFT15 _____ feet and HIGHIN15 _____ inches

Weight: WEIGHT15_____ pounds

PSPROB15 I4 During the past 4 weeks, have physical health problems caused you difficulty in doing your work or other daily activities?

1 Not at all

2 Slightly

3 Moderately

4 Quite a bit

5 Extremely

-9 Missing

EMPROB15 I5 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?

1 Not at all

2 Slightly

3 Moderately

4 Quite a bit

5 Extremely

-9 Missing

SOPROB15 I6 During the past 4 weeks, have physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?

1 Not at all

2 Slightly

3 Moderately

4 Quite a bit

5 Extremely

-9 Missing

PSPAIN15 I7 How much physical pain have you had during the past 4 weeks?

1 None

2 Very mild

3 Mild

4 Moderate

5 Severe

6 Very severe

-9 Missing

I8 Have you ever been told by a doctor that you have any of the following?

1 Yes

2 No

-9 Missing

MASCUL15 I9 How masculine would you say you are?

1 Not at all masculine

2 Somewhat masculine

3 About average

4 Very masculine

5 Extremely masculine

-9 Missing

FEMINI15 I10 How feminine would you say you are?

1 Not at all feminine

2 Somewhat feminine

3 About average

4 Very feminine

5 Extremely feminine

-9 Missing

SEXORI15 I11 Has anyone ever assumed you were a different sexual orientation than you are?

1 No

2 Yes

-9 Missing

1 None of the time

2 A little of the time

3 Some of the time

4 Most of the time

5 All of the time

-9 Missing

MEI12A15  Have you felt that the future looks hopeful and promising?

MEI12B15  Have you been under any strain, stress, or pressure?

MEI12C15  Have you been anxious or worried?

MEI12D15  Have you generally enjoyed the things you do?

MEI12E15  Have you felt tired, worn out, or exhausted?

MEI12F15  Have you felt calm and peaceful?

MEI12G15  Have you felt downhearted and blue?

MEI12H15  Have you felt tense or “high strung”?

MEI12I15  Have you felt cheerful, lighthearted?

MEI12J15  Have you been moody or brooded about things?

MEI12K15  Have you felt depressed?

MEI12L15  Have you been in low or very low spirits?

MEI12M15  Have you felt lonely?

MEI12N15  Has your daily life been full of things that are interesting to you?

MEI12O15  Do you wake up feeling fresh and rested?

I13TER15 I13 How worried are you that you or someone in your family will become a victim of terrorism?

1 Very Worried

2 Somewhat Worried

3 Not Too Worried

4 Not Worried at All

-9 Missing

I14SAT15 I14 How satisfied are you with the way things are going for the US in the war on terrorism?

1 Very Satisfied

2 Somewhat Satisfied

3 Not too Satisfied

4 Not Satisfied at All

-9 Missing

-9 Missing