In a typical week during the past 4 weeks, did you … | 1 | 2 | 3 | 4 | 5 | 6 | |
---|---|---|---|---|---|---|---|
1. Speak with friends or family (other than those you live with)? □YES How many TIMES a week?_____→ □ NO |
How often do you speak with friends or family (phone and email)? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8 ½ hours | 9 or more hours |
2. Visit your friends or family (other than those you live with)? □ YES How many TIMES a week?_____→ □NO |
How often do you visit your friend or family? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8 ½ hours | 9 or more hours |
3. Attend other club or group meetings? □ YES How many TIMES a week? _____→ □NO |
How often do you attend club or meeting? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8 ½ hours | 9 or more hours |
4. Attend a concert, movie, lecture, or sport event? □YES How many TIMES a week?_____→ □NO |
How often do you attend a concert, movie, lecture, or sport event? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8 ½ hours | 9 or more hours |
5. Play cards, bingo, or board games with other people? □YES How many TIMES a week?______→ □NO |
How often do you play cards, bingo, or board games with other people? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8 ½ hours | 9 or more hours |
6. Attend church or take part in church activities? □YES How many TIMES a week?_____→; □NO |
How many TOTAL hours a week did you usually do it? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8 ½ hours | 9 or more hours |
7. Walk to do errands (such as to/from a store)? YES How many TIMES a week?_____→ □NO |
How often did you usually do it? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8½ hours | 9 or more hours |
8. Do house-works around the house (such as gardening, sweeping, vacuuming, mowing, cleaning, dish-washing, and dusting etc.)? □YES How many TIMES a week?_____→ □NO |
How many TOTAL hours a week did you usually do it? → | Less than 1 hour | 1–2 ½ hours | 3–4 ½ hours | 5–6 ½ hours | 7–8 ½ hours | 9 or more hours |