Demographic characteristics
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Gender
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What gender are you?
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Male, Female
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ABS,
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45&Up
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Age
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What is your date of birth?
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dd/mm/yyyy
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ABS,
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45&Up
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Country of birth*
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In which country were you born?
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Australia, UK, Ireland, Italy, China, Greece, New Zealand, Germany, Lebanon, Philippines, Netherlands, Vietnam, Malta, Poland, other (please specify)
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ABS, 45&Up
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Rurality (ARIA+)
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What was your most recent previous residential location?
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Postcode or Suburb/Town, State/Territory, If overseas, country
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45&Up
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Socioeconomic status
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Education*
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What is the highest qualification you have completed?
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No school certificate or other qualifications; School or intermediate certification (or equiv); Higher School or leaving certificate (or equiv); Trade/apprenticeship (e.g. hairdresser, chef); Certificate/diploma (e.g. child care, technician); University degree or higher.
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Adapted from ABS; 45&Up
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Household income
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What is your usual yearly household income before tax from all sources? (please include wages, benefits, pensions, superannuation etc.)
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<$5,000; $5-9,999; $10-19,999; $20-29,999; $30-39,999; $40-49,999; $50-59,999; $60-69,999; $70-79,999; $80-89,999; $90-119,999; $120-149,999; $150,000 or more; I would rather not answer this questions
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ABS, 45&Up
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Lifestyle factors
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Smoking status
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Have you ever been a regular smoker?
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Yes, No
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ABS, 45&Up
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Are you a regular smoker NOW?
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Yes No
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About how much do you/did you smoke on average each day?
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Cigarettes per day; Pipes and Cigars per day
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Weight
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About how much do you weigh?
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Kg or Stones and lbs
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ABS, 45&Up
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Height*
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How tall are you without your shoes?
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cm or feet and inches
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ABS, 45&Up
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Physical activity
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How many times did you do each of these activities last week?
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Walking continuously for at least 10 min (Times last wk)
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ABS, 45&Up
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Vigorous physical activity (Times last wk)
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Moderate physical activity (Times last wk)
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If you add up all the time you spent doing each activity last week, how much time did you spend altogether doing each type of activity?
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Walking continuously for at least 10 min (hrs and mins)
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Vigorous physical activity (hours and minutes
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Moderate physical activity (hours and minutes)
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Diet
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About how many services of vegetables do you usually eat each day?
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Number of services of cooked vegetables each day; Number of services of raw vegetables each day
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ABS & 45&up
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About how many serves of fruit or glasses of fruit juice do you usually have each day
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Number of serves of fruit each day; Number of glasses of fruit juice each day
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Health care
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Health status
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In the last month have you been treated for
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Anxiety
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45&Up
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Depression
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High blood pressure
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High Cholesterol
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Access to GP
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Thinking of times when you want to see a particular doctor in your practice or medical centre, how quickly do you usually get to see that doctor?
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Same day; next day; 2–3 days; 4–5 days; more than 5 days
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Adapted from Comm Fund Survey
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Thinking of times when you want to see ANY doctor in your practice or medical centre, how quickly do you usually get to see that doctor?
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Same day; next day; 2–3 days; 4–5 days; more than 5 days
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If you need to see a GP urgently can you normally get seen on the same day?
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Yes, No
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Confidence in managing own health |
On a scale of 1 to 10, how confident are you that you can do all the things necessary to manage your health on a regular basis? |
1 (not at all confident), 2,3,4,5,6,7,8,9,10(totally confident) |
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