Questions on health conditions from the National Health Interview Survey on Disability, Health Status, and Chronic Conditions
Have you ever been told by a doctor or other health professional that you had
Hypertension, also called high blood pressure?
Coronary heart disease?
Angina, also called angina pectoris?
A heart attack, also called myocardial infarction?
Any kind of heart condition or heart disease, other than the ones just listed above?
Have you ever been told by a doctor or other health professional that you have diabetes or sugar diabetes?
During the past 12 months, have you been told by a doctor or other health professional that you had chronic bronchitis?
During the past 12 months, have you had pain, aching, stiffness or swelling in or around a joint?
During the past three months, did you have low back pain?
Hearing and Vision Questions
Which statement best describes your hearing (without a hearing aid): good, a little trouble, a lot of trouble, deaf?
Do you have any trouble seeing, even when wearing glasses or contact lenses?
Mental Health Questions
During the past 30 days, how often did you feel so sad that nothing could cheer you up, nervous, restless or fidgety, hopeless, that everything was an effort, worthless?
All of the time
Most of the time
Some of the time
A little of the time
None of the time
Health Status and Functional Limitation Questions
Compared with 12 months ago, would you say your health is better, worse, or about the same?
By yourself, and without using any special equipment, how difficult is it for you to walk a quarter of a mile--about 3 blocks? Walk up 10 steps without resting? Go out to things like shopping, movies, or sporting events? Participate in social activities such as visiting friends, going to clubs and meetings, going to parties?
Not at all difficult
Only a little difficult
Can't do at all
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