Overall, how would you rate your mental health on a scale from 1 to 7, where 1 is poor, 4 is average, 7 excellent?
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- Maud Floyd
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1 Question: 300 0> SKIP THE SECTION ON WELL-BEING 1> ASK THE SECTION ON WELL-BEING Question: 301 The next several questions ask you about your personal well-being. Overall, how would you rate your physical health on a scale from 1 to 7, where 1 is poor, 4 is fair, and 7 is excellent? 1> POOR 2> 3> 4> FAIR 5> 6> 7> EXCELLENT q301 general physical health Q301 Frequency Percent Frequency Percent ƒƒƒƒƒƒ 1 POOR FAIR EXCELLENT Question: 302 Overall, how would you rate your mental health on a scale from 1 to 7, where 1 is poor, 4 is average, 7 excellent? 1> POOR 2> 3> 4> FAIR 5> 6> 7> EXCELLENT q302 general mental health Q302 Frequency Percent Frequency Percent
2 ƒƒƒƒƒƒ FAIR EXCELLENT Question: 303 How satisfied are you with your physical condition? very dissatisfied, dissatisfied, satisfied, or very satisfied? 1> VERY DISSATISFIED 2> DISSATISFIED 3> SATISFIED 4> VERY SATISFIED q303 satisfied with physical condt Q303 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒ 1 VERY DISSAT DISSAT SATISFIED V. SATISFIED Question: 304 Frequency Missing = 240 How satisfied are you with your mental condition? 1> VERY DISSATISFIED 2> DISSATISFIED 3> SATISFIED 4> VERY SATISFIED q304 satisfied with mental condt Q304 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒ 1 VERY DISSAT DISSAT SATISFIED V. SATISFIED Frequency Missing = 240 Question: 305 The next few questions ask you about your mood and
3 feelings over the last week. How often did you feel.. that you were just as good as other people? q305 as good as others last wk Q305 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒƒƒ 1 <1D LAST WEEK D LAST WEEK D LAST WEEK D LAST WEEK Frequency Missing = 241 Question: 306 Over the last week, how often did you feel.. bothered by things that usually don't bother you? q306 bothered by things usu dont Q306 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒƒƒ 1 <1D LAST WEEK D LAST WEEK D LAST WEEK D LAST WEEK Frequency Missing = 241 Question: 307 Over the last week, how often did you feel.. like not eating, having a poor appetite? q307 poor appetite last wk
4 Q307 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒƒƒ 1 <1D LAST WEEK D LAST WEEK D LAST WEEK D LAST WEEK Frequency Missing = 246 Question: 308 Over the last week, how often did you feel.. that you had trouble keeping your mind on what you were doing? q308 had trouble focusing on doing Q308 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒƒƒ 1 <1D LAST WEEK D LAST WEEK D LAST WEEK D LAST WEEK Frequency Missing = 244 Question: 309 Over the last week, how often did you feel.. that you were enjoying life? q309 felt enjoying life last wk Q309 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒƒƒ 1 <1D LAST WEEK D LAST WEEK D LAST WEEK D LAST WEEK Question: 310
5 The next few questions are about some physical reactions you might have had over the last 3 months, perhaps when you were worried or anxious, - - reactions that could not be entirely explained by physical illness or injury. that is since January, were easily startled? q310 easily startled last 3 mons Q310 Frequency Percent Frequency Percent ƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒ 0 NO YES Frequency Missing = 240 Question: 311 that is since January, were trembly or shaky? q311 trembly or shaky last 3 mons Q311 Frequency Percent Frequency Percent 0 NO YES Frequency Missing = Question: 312 were restless? q312 restless last 3 mons Q312 Frequency Percent Frequency Percent 0 NO
6 1 YES Frequency Missing = Question: 313 were bothered by tense, sore, or aching muscles? q313 bothered by tense muscles 3M Q313 Frequency Percent Frequency Percent 0 NO YES Frequency Missing = 240 Frequency Missing = Question: 314 were you keyed up or on edge? Question: 315 q314 keyed up or on edge last 3M Q314 Frequency Percent Frequency Percent 0 NO YES Frequency Missing = were easily tired? q315 easily tired last 3 mons Q315 Frequency Percent Frequency Percent
7 0 NO YES Question: 316 had difficulty making decisions? q316 diffic making decision 3M Q316 Frequency Percent Frequency Percent 0 NO YES Frequency Missing = Question: 317 had difficulty problem solving? q317 diffic problm solving 3M Q317 Frequency Percent Frequency Percent 0 NO YES Frequency Missing = Question: 318 had difficulty concentrating? q318 diffic concentrating 3M
8 Q318 Frequency Percent Frequency Percent 0 NO YES Question: 319 had memory problems (short or long term)? q319 memory problm 3M Q319 Frequency Percent Frequency Percent 0 NO YES Question: 320 had trouble falling asleep? q320 had trouble sleep 3M Q320 Frequency Percent Frequency Percent 0 NO YES
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