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?

A stroke?

Emphysema?

Asthma?

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

Somewhat difficult

Very difficult

Can't do at all

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