Physical functioning |
Does current health limit in the following activities: |
6–18 |
82.33 |
17.76 |
|
Vigorous activities |
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|
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Moderate activities |
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Walking uphill or climbing stairs |
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|
|
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Bending, lifting objects, or kneeling |
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Walking a distance |
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Eating, dressing, bathing |
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Role functioning |
Health prevents from working at a job, doing work around the house or attending school |
2–4 |
56.67 |
21.63 |
|
Limited in the kinds or amounts of work, housework or school work because of health |
|
|
|
Social functioning |
In past 30 days, health limits social activities, like visiting with friends or family |
1–6 |
82.67 |
22.49 |
Cognitive functioning |
In past 30 days: |
4–24 |
73.27 |
19.11 |
|
Had difficulty reasoning and making decisions |
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|
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Forgot things that happened recently |
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Had trouble keeping attention on any activity for long |
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Had difficulty doing activities involving concentration and thinking |
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|
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Pain |
How much bodily pain in past 30 days |
2–11 |
58.50 |
19.58 |
|
How much did pain interfere with normal work in past 30 days |
|
|
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Mental health |
In past 30 days, felt: |
5–30 |
65.21 |
16.32 |
|
Nervous |
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|
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Calm and peaceful |
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Depressed |
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Happy |
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Couldn't be cheered up |
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|
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General health |
In general, health is…(excellent/very good/good/fair/poor) |
5–25 |
32.29 |
24.93 |
|
True/false: |
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|
|
|
Somewhat ill |
|
|
|
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Healthy as other people |
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|
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Health is excellent |
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Feeling bad recently |
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Vitality |
In past 30 days, felt: |
4–24 |
60.60 |
16.79 |
|
Full of life/energy |
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Without energy |
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Tired |
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Had enough energy to do things |
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Health distress |
In past 30 days, felt: |
4–24 |
82.52 |
15.78 |
|
Weighed down by health problems |
|
|
|
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Discouraged by health problems |
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Despair over health problems |
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|
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Afraid because of health |
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Quality of life |
Quality of life during past 30 days/how things have been going |
1–5 |
47.22 |
18.37 |
Health transition |
Compared to 30 days ago, how would rate: |
1–5 |
44.35 |
17.60 |
|
Physical health now |
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Emotional condition now |
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Ability to care for and provide for children and family members now |
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