Table 2.
Questionnaire of quality of life.
| 1. Gender: Male, female |
| 2. Age: |
| 3. Nationality: |
| 4. Duration of residence in the locality: -less than 5, 5–9 years, 10–19 years, 20 and more year |
| 5. Education: incomplete secondary, secondary, specialized secondary, incomplete higher, higher |
| 6. Marital status: married, divorced, widower, single |
| 7. Occupation: worker, government worker, farmer, pensioner, student, housewife, individual work activity, unemployed |
| 8. Disability (Group): 1, 2, 3 |
| 9. Frequency of visits to healthcare facilities during the year Not once. [5], 1–4 times [4], 5–9 times [3], monthly [2], weekly [1] |
| 10. How often do respiratory diseases signs (runny nose, sneezing, cough, etc.) occur during the year Not once. [5], 1–4 times [4], 5–9 times [3], monthly [2], weekly [1] |
| 11. How often do signs of the stomach, intestinal diseases, diarrhea, nausea, vomiting, etc. occur during the year Not once. [5], 1–4 times [4], 5–9 times [3], monthly [2], weekly [1] |
| 12. How often do signs of heart and vascular disease (heart pain, swelling, increased blood pressure, etc.) occur during the year Not once. [5], 1–4 times [4], 5–9 times [3], monthly [2], weekly [1] |
| 13. How often do skin changes (itching, redness, enlarged lymph nodes, etc.) occur during the year Not once. [5], 1–4 times [4], 5–9 times [3], monthly [2], weekly [1] |
| 14. How often do signs of kidney disease (frequent and difficult urination, etc.) occur during the year Not once. [5], 1–4 times [4], 5–9 times [3], monthly [2], weekly [1] |
| 15. How often do signs of nervous diseases (irritability, insomnia, spinal pain, etc.) occur during the year Not once. [5], 1–4 times [4], 5–9 times [3], monthly [2], weekly [1] |
| 16. How often do you experience pain: do not [5], relatively rarely [4], relatively often [3], often [2], very often [1] |
| 17. Are you worried about physical pain or discomfort? No [5], a little [4], moderately [3], relatively strongly [2], Very strongly [1] |
| 18. Do you have enough energy for everyday life? Yes [5], a little lacking [4], moderately lacking [3], severely lacking [2], very much lacking [1] |
| 19. How easily do you get tired? No [5], relatively rarely [4], moderately [3], strongly [2], very strongly [1] |
| 20. How well do you sleep? Very good [5], good [4], satisfactory [3], Bad [2], Very bad [1]. |
| 21 How do you assess your health now? Very good [5], good [4], satisfactory [3], Bad [2], Very Bad [1]. |
| 22. Emotional state during the last 4 weeks caused difficulties at work, in communicating with family, relatives, neighbors or work colleagues: No [5]; a little [4]; moderately [3]; strongly [2]; Very strongly [1]. |
| 23. Your mood during the last 4 weeks. Did you feel cheerful and calm: Very often [5]; often [4]; sometimes [3]; rarely [2]; never [1]. |
| 24. Your mood during the last 4 weeks. Were you nervous and feeling depressed? Never [5] rarely [4] sometimes [3]; often [2]; very often [1] |
| 25. Do family and household conflicts often occur? Very rarely [5]; rarely [4], sometimes [3]; often [2]; very often [1]. |
| 26. How satisfied are you with your ability to learn new things, focus attention and make decisions? Very strongly [5]; strongly [4], moderately [3]; little [2]; not satisfied [1]. |
| 27. How satisfied are you with your appearance and yourself? Very strongly [5]; strongly [4], moderately [3]; little [2]; not satisfied [1]. |
| 28. How well are you able to move around? Very good [5], good [4], satisfactory [3], bad [2], very bad [1]. |
| 29. To what extent are you able to cope with everyday tasks? Very good [5], good [4], satisfactory [3], bad [2], very bad [1]. |
| 30. Are you dependent on medications? No [5]; a little [4]; moderately [3]; strongly [2]; very strongly [1]. |
| 31. How badly do you need any medical treatment for everyday life? No [5], a little [4], moderately [3], relatively strongly [2], Very strongly [1] |
| 32. Can you work? Fully [5]; slightly less [4], moderately less [3], little [2], not at all [1] |
| 33. Personal relationships with relatives, friends, neighbors and colleagues Very good [5], good [4], satisfactory [3], bad [2], very bad [1]. |
| 34. Do you feel happy in communicating with your family members? Fully [5]; slightly less [4], moderately less [3], little [2], not at all [1] |
| 35. Do you get any support from others when you need it? Fully [5]; slightly less [4], moderately less [3], little [2], not at all [1] |
| 36. How satisfied are you with the support you receive from others? Fully [5]; slightly less [4], moderately less [3], little [2], not at all [1] |
| 37. How safe do you feel in your daily life? Fully [5]; slightly less [4], moderately less [3], little [2], not at all [1] |
| 38. How comfortable is your accommodation (place of residence)? Fully [5]; slightly less [4], moderately less [3], little comfortable [2], uncomfortable [1]. |
| 39. Are you satisfied with your financial situation? Fully [5]; slightly less [4], moderately less [3], little satisfied [2], no [1]. |
| 40. How easily can you get qualified medical care? Easy [5]; a little harder [4], moderately harder [3], with great difficulty [2], cannot [1]. |
| 41. How satisfied are you with the availability of medical care for you? Fully [5]; slightly less [4], moderately less [3], little satisfied [2], no [1]. |
| 42. Are you having trouble in purchasing medicines? No [5], a little [4], moderately [3], relatively strongly [2], Very strongly [1] |
| 43. How do you assess the quality of social assistance available to you? Very good [5], good [4], satisfactory [3], Bad [2], Very bad [1]. |
| 44. How accessible is the information you need in your daily life? Fully [5]; slightly less [4], moderately less [3], little available [2], not available [1]. |
| 45. What are the opportunities for recreation and entertainment? Very good [5], good [4], satisfactory [3], Bad [2], Very bad [1]. |
| 46. How important is the adequate operation of transport in everyday life for you? Fully [5]; slightly less [4], moderately less [3], Little important [2], not important [1]. |
| 47. Do you smoke? (How much) No [5]; 1–3 cigarettes per day [4]; up to 0.5 packs per day [3]; up to a pack per day [2]; more than one pack per day [1]. |
| 48. Alcohol consumption No [5], on holidays [4], once a month [3], once a week [2]; every day [1]. |
| 49. Drug use (Есірткіні пайдалану) yes [1], No [5] |
| 50. Do you suffer from dustiness of the atmospheric air? No [5], slightly [4], moderately [3], strongly [2], very strongly [1] |
| 51. Are you satisfied with the climate? Fully [5]; slightly less [4], moderately [3], little [2], no [1] |
| 52. Are you satisfied with the quality of drinking water? (Ауыз судың сапасы қанағаттандыра ма?) Fully [5]; slightly less [4], moderately [3], little [2], no [1] |
| 53. Are you satisfied with the landscaping of the territory? Fully [5]; slightly less [4], moderately [3], little [2], no [1] |
| 54. Are you satisfied with the environment? Fully [5]; slightly less [4], moderately [3], little [2], no [1] |
| 55. Are you concerned about the presence of a cosmodrome in your region, areas of falling of separating parts of launch vehicles? No [5], slightly [4], moderately [3], strongly [2], very strongly [1] |
| 56. Do the launches of launch vehicles from the baikonur cosmodrome affect you? No [5], slightly [4], moderately [3], strongly [2], very strongly [1] |
| 57. The impact effects on the state of health is (underline) environmental pollution; poor drinking water; polluted air; poor living conditions; lack of work; lack of money, poor-quality medical care; conflicts in the family, conflicts at work |
| 58. What needs to be improved in the first place: medical care; job creation; water supply, living conditions, etc.___________________________________ |