Table 1.
Socio-demographic, risk factor and self-reported chronic conditions questions
| Questions | Response categories |
|---|---|
| Including yourself how many people aged 16 years and over live in this household? |
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| How many children (including babies) under 16 years live in your household? |
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| In which country [were you / was child’s name] born? |
|
| In general, would you say [your] health is: |
|
| Excellent ; Very good; Good; Fair; Poor |
|
| In the last 12 months, how many times have you used a general practitioner in South Australia? |
|
| Have you ever been told by a doctor that you have diabetes? |
|
| Have you ever been told by a doctor that you have asthma? |
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| Have you ever been told by a doctor that you have had any of the following conditions? |
Heart attack; Angina; Heart disease; Stroke; None of the above |
| Have you ever been told by a doctor that you have arthritis? |
Yes, Osteoarthritis; Yes, Rheumatoid Arthritis; Yes, Juvenile Rheumatoid Arthritis (JRA); Yes, other (specify); No, don’t have arthritis; Yes, don’t know type |
| Have you ever been told by a doctor that you have osteoporosis? |
|
| Have you ever been told by a doctor or a nurse that you have high blood pressure? |
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| Have you ever been told by a doctor or a nurse that you have high cholesterol? |
|
| What is your height without shoes? (Centimetres or Feet : Inches) |
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| What is your weight? (Undressed in the morning)? (Kilograms (Kg) or Stones : Pounds) |
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| In the last week, how many times have you walked continuously, for at least 10 minutes, for recreation, exercise or to get to or from places? |
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| What do you estimate was the total time that you spent walking in this way in the last week? |
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| The following questions are about tobacco smoking. This includes cigarettes, cigars and pipes. Which of the following best describes your home situation? |
My home is smoke free (includes smoking is allowed outside); People occasionally smoke in the house; People frequently smoke in the house |
| Which of the following best describes your smoking status? |
I smoke daily; I smoke occasionally; I don’t smoke now but I used to; I’ve tried it a few times but never smoked regularly; I’ve never smoked |
| How often do you usually drink alcohol? |
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| A Standard Drink is equivalent to a schooner or midi of full strength beer, a glass of wine or a nip of spirits. On a day when you drink alcohol, how many drinks do you usually have? |
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| How many serves of vegetables [do you] usually eat each day? A ‘serve’ is ½ cup cooked vegetables or 1 cup of salad. |
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| How many serves of fruit [do you] usually eat each day? A ‘serve’ is 1 medium piece or 2 small pieces of fruit or 1 cup of diced pieces. |