| Hand Washing |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
After the oldest child in your
household, between the ages of 5 and 17, uses the toilet, how often do
they wash their hands with soap and water? |
1998s |
| |
After using the toilet, how
often do you wash your hands with soap and water? |
1998s |
| |
Besides meals prepared for
yourself and your family, do you prepare or handle food to be eaten by
other persons on a regular basis? |
1998s |
| |
During the past three months,
have you had diarrhea with at least three loose stools in a single day? |
1998s |
| |
To the following questions
please answer very important, somewhat important, or not important. How
important is it that a person wash their hands:
a. After using the toilet?
b. After handling raw meat?
c. After working outdoors?
d. Before eating?
e. After reading the newspaper?
f. Before preparing food? |
1998s |
| |
| Health Care Access, Adult |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
About how long has it been
since you had health care coverage? |
|
| |
About how long has it been
since you last visited a doctor for a routine checkup? |
|
| |
About how long has it been
since you last visited a doctor for a routine checkup? A routine checkup
is a general physical exam, not an exam for a specific injury, illness,
or condition. |
|
| |
About how long have you had
[fill in type (Medicare/Medicaid/this particular health coverage)]? |
1996c,
1997c |
| |
Do you have any kind of health
care coverage, including health insurance, prepaid plans such as HMOs,
or government plans such as Medicare? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2000cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2001cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2002cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2003cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2004cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2005cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2006cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2007cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare?,
2008cfor
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare? |
| |
Do you have one person you
think of as your personal doctor or health care provider? |
|
| |
Does your [fill in type (Medicare/Medicaid/health
coverage)] plan require you to select a certain doctor or clinic for all
of your routine care? |
1996c,
1997c |
| |
During the past 12 months,
was there a time that you did not have any health insurance or coverage? |
|
| |
Is there a book or list of
doctors associated with your [fill in type (Medicare/Medicaid/health coverage)]
plan? |
1996c,
1997c |
| |
Is there one particular clinic,
health center, doctor's office, or other place that you usually go to
if you are sick or need advice about your health? |
1993c |
| |
Medicare is a coverage plan
for people 65 or over and for certain disabled people. Do you have Medicare? |
|
| |
There are some types of coverage
you may not have considered. Please tell me if you have any of the following:
- Employer
- Someone else's employer
- Self-purchased plan
- Medicare
- Medicaid or Medical Assistance
- Military, CHAMPUS, Tricare, or VA
- Other
- None
|
|
| |
Was there a time during the
last 12 months when you needed to see a doctor, but could not because
of the cost? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
Was there a time during the last 12 months when you needed to see a doctor,
but could not because of the cost?, 2000cfor
Was there a time during the last 12 months when you needed to see a doctor,
but could not because of the cost?, 2003cfor
Was there a time during the last 12 months when you needed to see a doctor,
but could not because of the cost?, 2004cfor
Was there a time during the last 12 months when you needed to see a doctor,
but could not because of the cost? |
| |
Was there a time in the past
12 months when you needed to see a doctor, but could not because of the
cost? |
|
| |
Was there a time in the past
12 months when you needed medical care, but could not get it? |
|
| |
What is the main reason you
did not get medical care? |
|
| |
What type of health care coverage
do you use to pay for most of your medical care? |
|
| |
When you are sick or need advice
about your health, to which one of the following places do you usually
go? |
2002cfor
When you are sick or need advice about your health, to which one of the
following places do you usually go? |
| |
| Health Care Access,
Child |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
About how long has it been
since the youngest child last visited a doctor for a routine checkup? |
1997s |
| |
Does the [randomly selected
child] have any kind of insurance coverage that pays for some or all of
[his/her] routine dental care, including dental insurance, prepaid plans
such as HMOs, or government plans such as Medicaid? |
|
| |
Does the youngest child have
any kind of health care coverage, including health insurance, prepaid
plans such as HMOs, or government plans such as Medicare? |
1997s |
| |
During the past 12 months,
was there any time when the [randomly selected child] needed dental care
but did not get it? |
|
| |
How long has it been since
the [randomly selected child] last visited a dentist or dental clinic
for any reason? |
|
| |
Is there one particular clinic,
health center, doctor's office, or other place that you usually go to
if the youngest child is sick or you need advice about the youngest child's
health? |
1997s |
| |
There are some types of coverage
you may not have considered. Please tell me if the youngest child may
have any of the following:
- Your employer
- Someone else's employer
- A plan that you or someone else buys on your own
- Medicare
- Medicaid or Medical Assistance [or substitute state program name]
- The military, CHAMPUS, or the VA [or CHAMP-VA]
- The Indian Health Service [or the Alaska Native Health Service]
- Some other source
|
1997s |
| |
What type of health care coverage
do you use to pay for most of the youngest child's medical care? |
1997s |
| |
What was the main reason the
[randomly selected child] did not receive the dental care [he/she] needed? |
|
| |
Was there a time during the
last 12 months when the youngest child needed to see a doctor, but could
not because of the cost? |
1997s |
| |
| Health Care Coverage |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
During the past 12 months,
was there any time that you did not have any health insurance or coverage? |
1997o |
| |
Other than [fill in type (Medicare/Medicaid/the
health coverage that pays for most of your health care)], do you have
any other type of health care coverage? |
1997o |
| |
What type of health care coverage
do you use to pay for most of your medical care? Is it coverage through:
- Your employer
- Someone else's employer
- A plan that you or someone else buys on your own
- Medicare
- Medicaid or Medical Assistance
- The military, CHAMPUS, TriCare, or the VA
- The Indian Health Service (or the Alaska Native Health Service)
- Some other source
|
|
| |
What was the main reason you
were without health care coverage for the past 12 months? |
1998s |
| |
| Health Care Coverage,
Lack of |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
What was the main reason you
were without health care coverage? |
1997o,
1998s |
| |
What was the main reason you
were without health care coverage for the past 12 months? |
1998s |
| |
| Health Care Satisfaction |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
Do you have one person you
think of as your personal doctor or health care provider? |
|
| |
In the last 12 months, how
many times did you go to an emergency room to get care for yourself? |
|
| |
In the last 12 months, [fill
in "not counting times you went to an emergency room" as needed],
how many times did you go to a doctor’s office or clinic to get
care for yourself? |
|
| |
In the last 12 months, how
often did doctors or other health providers listen carefully to you? |
|
| |
In the last 12 months, how
often did doctors or other health providers explain things in a way you
could understand? |
|
| |
In the last 12 months, how
often did doctors or other health providers show respect for what you
had to say? |
|
| |
In the last 12 months, how
often did doctors or other health providers spend enough time with you? |
|
| |
We want to know your rating
of all your health care in the last 12 months from all doctors and other
health providers. Use any number from 1 to 5 where 1 is the worst health
care possible, and 5 the best health care possible. How would you rate
all your health care? |
|
| |
| Health Care Utilization |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
How far do you have to travel
to see the doctor or health care provider of your choice? |
1996s |
| |
How far do you have to travel
to use the hospital of your choice? |
1996s |
| |
Is there one of these places
that you go to most often when you are sick or need advice about your
health? |
1995o, 1996o |
| |
Is there one particular clinic,
health center, doctor's office, or other place that you usually go to
if you are sick or need advice about your health? |
1995o,
1996o |
| |
What is the main reason you
do not have a usual source of medical care? |
1995o,
1996o |
| |
What kind of place is it --
a clinic, a health center, a hospital, a doctor's office, or some other
place? |
1995o,
1996o |
| |
| Health of Children |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
About how long has it been
since the youngest child last visited a doctor for a routine checkup? |
1997s |
| |
Did anyone in this household
get food stamps at any time during the last 12 months? |
1997s |
| |
Does the youngest child have
any kind of health care coverage, including health insurance, prepaid
plans such as HMOs, or government plans such as Medicare? |
1997s |
| |
Does the youngest child's father
live in this household? |
1997s |
| |
Does the youngest child's mother
live in this household? |
1997s |
| |
How is the youngest child in
your household related to you? |
1997s |
| |
Is the youngest child limited
in any way in any activities because of any impairment or health problem? |
|
| |
Is there one particular clinic,
health center, doctor's office, or other place that you usually go to
if the youngest child is sick or you need advice about the youngest child's
health? |
1997s |
| |
There are some types of coverage
you may not have considered. Please tell me if the youngest child may
have any of the following:
- Your employer
- Someone else's employer
- A plan that you or someone else buys on your own
- Medicare
- Medicaid or Medical Assistance [or substitute state program name]
- The military, CHAMPUS, or the VA [or CHAMP-VA]
- The Indian Health Service [or the Alaska Native Health Service]
- Some other source
|
1997s |
| |
Was there a time during the
last 12 months when the youngest child needed to see a doctor, but could
not because of the cost? |
1997s |
| |
What is the age of the youngest
child in your household? |
1997s |
| |
What is the age of the youngest
child under age 18 in your household? |
|
| |
What type of health care coverage
do you use to pay for most of the youngest child's medical care? |
1997s |
| |
Would you say that in general
the youngest child’s health is:
- Excellent
- Very Good
- Good
- Fair
- Poor
|
|
| |
| Health Status |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
During the past 30 days, for
about how many days did poor physical or mental health keep you from doing
your usual activities, such as self-care, work, or recreation? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2000cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2001cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2002ofor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2003cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2004cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2005cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2006cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2007cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation?, 2008cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work, or recreation? |
| |
Now thinking about your mental
health, which includes stress, depression, and problems with emotions,
for how many days during the past 30 days was your mental health not good? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2000cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2001cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2002ofor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2003cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2004cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2005cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2006cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2007cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2008cfor
Now thinking about your mental health, which includes stress, depression,
and problems with emotions, for how many days during the past 30 days
was your mental health not good? |
| |
Now thinking about your physical
health, which includes physical illness and injury, for how many days
during the past 30 days was your physical health not good? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2000cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2001cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2002ofor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2003cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2004cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2005cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2006cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good?, 2007cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? |
| |
Would you say that in general
your health is:
- Excellent
- Very Good
- Good
- Fair
- Poor
|
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
Would you say that in general your health is:, 2000cfor
Would you say that in general your health is:, 2001cfor
Would you say that in general your health is:, 2002cfor
Would you say that in general your health is:, 2003cfor
Would you say that in general your health is:, 2004cfor
Would you say that in general your health is:, 2005cfor
Would you say that in general your health is:, 2006cfor
Would you say that in general your health is:, 2007cfor
Would you say that in general your health is:, 2008cfor
Would you say that in general your health is: |
| |
| Healthy Days - Health Related
Quality of Life |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
During the past 30 days, for
about how many days did poor
physical or mental health keep you from doing your usual activities, such
as self-care, work or recreation? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2000cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2001cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2002ofor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2003cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2004cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2005cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2006cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2007cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation?, 2008cfor
During the past 30 days, for about how many days did poor physical or
mental health keep you from doing your usual activities, such as self-care,
work or recreation? |
| |
Now thinking about your mental
health, which includes stress,
depression and problems with emotions, for how many days during the past
30 days was your mental health not good? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2000cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2001cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2002ofor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2003cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2004cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2005cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2006cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2007cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good?, 2008cfor
Now thinking about your mental health, which includes stress, depression
and problems with emotions, for how many days during the past 30 days
was your mental health not good? |
| |
Now thinking about your physical
health, which includes physical illness and injury, for how many days
during the past 30 days was your physical health not good? |
1993c,
1994c, 1995c, 1996c, 1997c, 1998c, 1999cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2000cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2001cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2002ofor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2003cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2004cfor
Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2005c
for Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2006c
for Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2007c
for Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? , 2008c
for Now thinking about your physical health, which includes physical illness
and injury, for how many days during the past 30 days was your physical
health not good? |
| |
| Heart Attack and Stroke |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
If you thought someone was
having a heart attack or stroke, what is the first thing you would do?
|
|
| |
Which of the following do you
think is a symptom of a heart attack? For each, tell me yes, no, or you're
not sure.
a. Do you think pain or discomfort in the jaw, neck, or back are symptoms
of a heart attack? |
2004o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. a. Do you think pain or discomfort
in the jaw, neck, or back are symptoms of a heart attack?,
2005o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. a. Do you think pain or discomfort
in the jaw, neck, or back are symptoms of a heart attack?,
2007o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. a. Do you think pain or discomfort
in the jaw, neck, or back are symptoms of a heart attack? |
| |
Which of the following do you
think is a symptom of a heart attack? For each, tell me yes, no, or you're
not sure.
b. (Do you think) feeling weak, lightheaded, or faint (are symptoms of
a heart attack?) |
2004o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. b. (Do you think) feeling weak,
lightheaded, or faint (are symptoms of a heart attack?),
2005o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. b. (Do you think) feeling weak,
lightheaded, or faint (are symptoms of a heart attack?),
2007o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. b. (Do you think) feeling weak,
lightheaded, or faint (are symptoms of a heart attack?) |
| |
Which of the following do you
think is a symptom of a heart attack? For each, tell me yes, no, or you're
not sure.
c. (Do you think) chest pain or discomfort (are symptoms of a heart attack?)
|
2004ofor
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. c. (Do you think) chest pain
or discomfort (are symptoms of a heart attack?) ,
2005ofor
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. c. (Do you think) chest pain
or discomfort (are symptoms of a heart attack?) ,
2007ofor
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. c. (Do you think) chest pain
or discomfort (are symptoms of a heart attack?) |
| |
Which of the following do you
think is a symptom of a heart attack? For each, tell me yes, no, or you're
not sure.
d. (Do you think) sudden trouble seeing in one or both eyes (is a symptom
of a heart attack?) |
2004o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. d. (Do you think) sudden trouble
seeing in one or both eyes (is a symptom of a heart attack?),
2005o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. d. (Do you think) sudden trouble
seeing in one or both eyes (is a symptom of a heart attack?),
2007o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. d. (Do you think) sudden trouble
seeing in one or both eyes (is a symptom of a heart attack?) |
| |
Which of the following do you
think is a symptom of a heart attack? For each, tell me yes, no, or you're
not sure.
e. (Do you think) pain or discomfort in the arms or shoulder (are symptoms
of a heart attack?) |
2004o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. e. (Do you think) pain or discomfort
in the arms or shoulder (are symptoms of a heart attack?),
2005o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. e. (Do you think) pain or discomfort
in the arms or shoulder (are symptoms of a heart attack?),
2007o
for
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. e. (Do you think) pain or discomfort
in the arms or shoulder (are symptoms of a heart attack?) |
| |
Which of the following do you
think is a symptom of a heart attack? For each, tell me yes, no, or you're
not sure.
f. (Do you think) shortness of breath (is a symptom of a heart attack?)
|
2004ofor
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. f. (Do you think) shortness
of breath (is a symptom of a heart attack?) ,
2005ofor
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. f. (Do you think) shortness
of breath (is a symptom of a heart attack?) ,
2007ofor
Which of the following do you think is a symptom of a heart attack? For
each, tell me yes, no, or you're not sure. f. (Do you think) shortness
of breath (is a symptom of a heart attack?) |
| |
Which of the following do you
think is a symptom of a stroke? For each, tell me yes, no, or you're not
sure.
a. Do you think sudden confusion or trouble speaking are symptoms of a
stroke? |
2004ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. a. Do you think sudden confusion
or trouble speaking are symptoms of a stroke?,
2005ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. a. Do you think sudden confusion
or trouble speaking are symptoms of a stroke?,
2007ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. a. Do you think sudden confusion
or trouble speaking are symptoms of a stroke? |
| |
Which of the following do you
think is a symptom of a stroke? For each, tell me yes, no, or you're not
sure.
b. Do you think sudden numbness or weakness of face, arm, leg, especially
on one side, are symptoms of a stroke? |
2004o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. b. Do you think sudden numbness or
weakness of face, arm, leg, especially on one side, are symptoms of a
stroke?, 2005o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. b. Do you think sudden numbness or
weakness of face, arm, leg, especially on one side, are symptoms of a
stroke?, 2007o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. b. Do you think sudden numbness or
weakness of face, arm, leg, especially on one side, are symptoms of a
stroke? |
| |
Which of the following do you
think is a symptom of a stroke? For each, tell me yes, no, or you're not
sure.
c. (Do you think) sudden trouble seeing in one or both eyes (is a symptom
of a stroke?) |
2004o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. c. (Do you think) sudden trouble
seeing in one or both eyes (is a symptom of a stroke?),
2005o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. c. (Do you think) sudden trouble
seeing in one or both eyes (is a symptom of a stroke?),
2007o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. c. (Do you think) sudden trouble
seeing in one or both eyes (is a symptom of a stroke?) |
| |
Which of the following do you
think is a symptom of a stroke? For each, tell me yes, no, or you're not
sure.
d. (Do you think) sudden chest pain or discomfort (are symptoms of stroke?) |
2004ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. d. (Do you think) sudden chest pain
or discomfort (are symptoms of stroke?),
2005ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. d. (Do you think) sudden chest pain
or discomfort (are symptoms of stroke?),
2007ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. d. (Do you think) sudden chest pain
or discomfort (are symptoms of stroke?) |
| |
Which of the following do you
think is a symptom of a stroke? For each, tell me yes, no, or you're not
sure.
e. (Do you think) sudden trouble walking, dizziness, or loss of balance
(are symptoms of a stroke?) |
2004o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. e. (Do you think) sudden trouble
walking, dizziness, or loss of balance (are symptoms of a stroke?),
2005o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. e. (Do you think) sudden trouble
walking, dizziness, or loss of balance (are symptoms of a stroke?),
2007o
for
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. e. (Do you think) sudden trouble
walking, dizziness, or loss of balance (are symptoms of a stroke?) |
| |
Which of the following do you
think is a symptom of a stroke? For each, tell me yes, no, or you're not
sure.
f. (Do you think) severe headache with no known cause (is a symptom of
a stroke?) |
2004ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. f. (Do you think) severe headache
with no known cause (is a symptom of a stroke?),
2005ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. f. (Do you think) severe headache
with no known cause (is a symptom of a stroke?),
2007ofor
Which of the following do you think is a symptom of a stroke? For each,
tell me yes, no, or you're not sure. f. (Do you think) severe headache
with no known cause (is a symptom of a stroke?) |
| |
| High Blood Pressure,
Actions to Control |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
Are you now doing any of the
following to help lower or control your high blood pressure:
(Are you) changing your eating habits (to help lower or control your high
blood pressure)? |
|
| |
Are you now doing any of the
following to help lower or control your high blood pressure:
(Are you) cutting down on salt (to help lower or control your high blood
pressure)? |
|
| |
Are you now doing any of the
following to help lower or control your high blood pressure:
(Are you) reducing alcohol use (to help lower or control your high blood
pressure)? |
|
| |
Are you now doing any of the
following to help lower or control your high blood pressure:
(Are you) exercising (to help lower or control your high blood pressure)? |
|
| |
Has a doctor or other health
professional EVER advised you to do any of the following to help lower
or control your high blood pressure:
(Ever advised you to) change your eating habits (to help lower or control
your high blood pressure)? |
|
| |
Has a doctor or other health
professional EVER advised you to do any of the following to help lower
or control your high blood pressure:
(Ever advised you to) cut down on salt (to help lower or control your
high blood pressure)? |
|
| |
Has a doctor or other health
professional EVER advised you to do any of the following to help lower
or control your high blood pressure:
(Ever advised you to) reduce alcohol use (to help lower or control your
high blood pressure)? |
|
| |
Has a doctor or other health
professional EVER advised you to do any of the following to help lower
or control your high blood pressure:
(Ever advised you to) exercise (to help lower or control your high blood
pressure)? |
|
| |
Has a doctor or other health
professional EVER advised you to do any of the following to help lower
or control your high blood pressure:
(Ever advised you to) take medication (to help lower or control your high
blood pressure)? |
|
| |
Were you told on two or more
different visits to a doctor or other health professional that you had
high blood pressure?
If “Yes” and respondent is female, ask: “Was this only
when you were pregnant?” |
|
| |
| HIV/AIDS/STDs |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
A pregnant woman with HIV can
get treatment to help reduce the chances that she will pass the virus
on to her baby. (True, False or Don't know/Not sure) |
|
| |
Can you tell by looking at
a person if he or she has the AIDS virus? |
1993c |
| |
Did you discuss your concerns
about AIDS or sexually transmitted diseases before having sex for the
first time with your most recent sexual partner? |
|
| |
Did you receive counseling
or talk with a health care professional about the results of your test? |
|
| |
Did you make any of the following
changes in the last 12 months?
- a. Did you decrease the number of your sexual partners or become
abstinent?
- b. Do you now have sexual intercourse with only the same partner?
- c. Do you now always use condoms for protection?
|
1997c |
| |
Did you receive the results
of your last test? |
|
| |
Did you use a condom the first
time you had sex with your most recent sex partner? |
|
| |
Did your doctor offer you an
HIV test during your last pregnancy? |
|
| |
Due to what you know about
HIV, have you changed your sexual behavior in the last 12 months? |
1995c,
1996c, 1997c |
| |
Except for tests you may have
had as part of blood donations, have you ever been tested for HIV? |
|
| |
Has a doctor or other health
professional ever talked with you about your sexual practices, including
family planning, sexually transmitted diseases, AIDS, or the use of condoms? |
1996c,
1999sfor
Has a doctor or other health professional ever talked with you about your
sexual practices, including family planning, sexually transmitted diseases,
AIDS, or the use of condoms?, 2000sfor
Has a doctor or other health professional ever talked with you about your
sexual practices, including family planning, sexually transmitted diseases,
AIDS, or the use of condoms? |
| |
Have you:
- a. Had sexual intercourse with only one partner?
- b. Used condoms for protection?
- c. Been more careful in selecting sexual partners?
|
1995c,
1996c |
| |
Have you been pregnant during
the past two years? |
|
| |
Have you donated blood in the
past 12 months? |
|
| |
Have you donated blood since
March 1985? |
|
| |
Have you ever been tested for
HIV? Do not count tests that you may have had as part of a blood donation.
Include test using fluid from your mouth. |
|
| |
Have you ever been tested for
HIV? Do not count tests that you may have had as part of a blood donation. |
|
| |
Have you ever had your blood
tested for HIV? |
1995c,
1996c, 1997c
|
| |
Have you ever had your blood
tested for the AIDS virus infection? |
1994c |
| |
Have you personally ever known
anyone with AIDS or the HIV virus? |
|
| |
Have you personnally ever known
anyone with AIDS or the AIDS virus? |
1994c |
| |
How effective do you think
these treatments are helping persons with HIV to live longer? |
|
| |
How important do you think
it is for people to know their HIV status by getting tested? |
|
| |
How many new sex partners did
you have during the past 12 months? |
|
| |
I'm going to read you a list.
When I'm done, please tell me if any of these situations apply to you.
You don't need to tell me which one.
- You have used intravenous drugs in the past year.
- You have been treated for a sexually transmitted or venereal disease
in the past year.
- You have given or received money or drugs in exchange for sex in
the past year.
- You had anal sex without a condom in the past year.
Do any of these situations apply to you? |
|
| |
I am going to read you a list
of reasons why some people have been tested for HIV. Not including blood
donations, which of these would you say was the MAIN reason for your last
HIV test? |
|
| |
If you had a child in school,
at what grade do you think he or she should begin AIDS education in school? |
1994c |
| |
If you had a child in school,
at what grade do you think he or she should begin receiving education
in school about HIV infection and AIDS? |
|
| |
If you had a child in school,
would you allow him or her to be in the same classroom with another child
who is infected with the AIDS virus? |
1993c,
1994c |
| |
If you had a teenager who was
sexually active, would you encourage him or her to use a condom? |
|
| |
If you received the results
of your last test, did you receive counseling or talk with a health care
professional about how to lower your chances of becoming infected with
the AIDS virus or how to avoid passing it on to another person? |
1993c |
| |
In the past 12 months, how
many times have you been tested for HIV, including times you did not get
your results? |
2004c |
| |
In the past 12 months has a
doctor, nurse, or other health professional talked to you about preventing
sexually transmitted diseases through condom use? |
|
| |
In the past five years (that
is, since 1988), have your chances of getting the AIDS virus increased,
decreased, or stayed the same? |
1993c |
| |
In the past year, have your
chances of getting the AIDS virus increased, decreased, or stayed the
same? |
1993c, 1994c |
| |
Not including your blood donations,
have you been tested for HIV in the past 12 months? |
|
| |
Not including blood donations,
in what month and year was your last HIV test? |
2001c,
2002c, 2003c, 2004c, 2005c, 2006c, 2008c |
| |
Some people use condoms to
keep from getting infected with HIV through sexual activity. How effective
do you think a properly used condom is for this purpose? |
1993c,
1994c, 1995c, 1996c |
| |
The following questions ask
about the acceptability of certain programs designed to reduce the spread
of sexually transmitted diseases and AIDS within communities. Please answer
whether the following programs would be very acceptable, somewhat acceptable,
somewhat unacceptable, or very unacceptable to you to have in your community.
- a. Contacting and treating the sexual partners of persons with sexually
transmitted diseases?
- b. Needle exchange programs for injectable drug users?
- c. Condom distribution to teenagers?
|
|
| |
There are medical treatments
available that are intended to help a person who is infected with HIV
to live longer. (True, False or Don't know/Not sure) |
|
| |
To your knowledge is there
medical treatment available that may help a person who is infected with
the AIDS virus live longer? |
1993c |
| |
Was
it a rapid test where you could get your results within a couple of hours? |
|
| |
Was this test done by a nurse
or other health worker, or with a home testing kit? |
|
| |
Were you drunk or high the
first time you had sex with your most recent sex partner? |
|
| |
What are your chances of getting
infected with HIV, the virus that causes AIDS? |
|
| |
What are your changes of getting
the AIDS virus? |
1993c, 1994c |
| |
What type of clinic did you
go to for your last HIV test? |
|
| |
What was the main reason you
had your last AIDS blood test? |
1994c |
| |
What was the main reason you
had your last test for HIV? |
|
| |
When did you last donate blood? |
1994c,
1995c, 1996c, 1997c
|
| |
When was your last AIDS blood
test? |
1994c |
| |
When was your last blood test
for HIV? |
1995c,
1996c, 1997c |
| |
When was your last test? |
1993c |
| |
Where did you have your last
blood test for the AIDS virus? |
1993c, 1994c |
| |
Where did you have your last
HIV test - at a private doctor or HMO office, at a counseling and testing
site, at a hospital, at a clinic, in a jail or prison, at home, or somewhere
else? |
2002cfor
Where did you have your last HIV test - at a private doctor or HMO office,
at a counseling and testing site, at a hospital, at a clinic, in a jail
or prison, at home, or somewhere else?, 2003cfor
Where did you have your last HIV test - at a private doctor or HMO office,
at a counseling and testing site, at a hospital, at a clinic, in a jail
or prison, at home, or somewhere else?, 2004cfor
Where did you have your last HIV test - at a private doctor or HMO office,
at a counseling and testing site, at a hospital, at a clinic, in a jail
or prison, at home, or somewhere else? |
| |
Where did you have the last HIV test, at a
private doctor or HMO office, at a counseling and testing site, at a hospital, at a clinic,
in a jail or prison, at home, drug treatment facility or somewhere else? |
2005cfor
Where did you have the last HIV test, at a private doctor or HMO office, at a counseling and
testing site, at a hospital, at a clinic, in a jail or prison, at home, drug treatment facility
or somewhere else?, 2006cfor
Where did you have the last HIV test, at a private doctor or HMO office, at a counseling and
testing site, at a hospital, at a clinic, in a jail or prison, at home, drug treatment facility
or somewhere else?, 2007cfor
Where did you have the last HIV test, at a private doctor or HMO office, at a counseling and
testing site, at a hospital, at a clinic, in a jail or prison, at home, drug treatment facility
or somewhere else?, 2008cfor
Where did you have the last HIV test, at a private doctor or HMO office, at a counseling and
testing site, at a hospital, at a clinic, in a jail or prison, at home, drug treatment facility
or somewhere else? |
| |
Where did you have your last
test for HIV? |
|
| |
Would you be willing to work
next to or near a person who you know is infected with the AIDS virus? |
1993c,
1994c |
| |
| HIV Testing in Pregnancy |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
Did your doctor offer you an
HIV test during your last pregnancy? |
|
| |
Have you been pregnant during
the past two years? |
|
| |
| Hypertension Awareness |
c
= CDC Core Question, o = CDC Optional Question, s = State-Added Question
|
About how long has it been
since you last had your blood pressure taken by a doctor, nurse, or other
health professional? |
|
| |
Are you currently taking medicine
for your high blood pressure? |
|
| |
Have you been told on more
than one occasion that your blood pressure was high, or have you been
told this only once? |
|
| |
Have you ever been told by
a doctor, nurse, or other health professional that you have high blood
pressure? |
1993c,
1995c, 1997c, 1999cfor
Have you ever been told by a doctor, nurse, or other health professional
that you have high blood pressure?, 2001cfor
Have you ever been told by a doctor, nurse, or other health professional
that you have high blood pressure?, 2003cfor
Have you ever been told by a doctor, nurse, or other health professional
that you have high blood pressure?, 2004ofor
Have you ever been told by a doctor, nurse, or other health professional
that you have high blood pressure?, 2005cfor
Have you ever been told by a doctor, nurse, or other health professional
that you have high blood pressure?, 2007cfor
Have you ever been told by a doctor, nurse, or other health professional
that you have high blood pressure?, 2008sfor
Have you ever been told by a doctor, nurse, or other health professional
that you have high blood pressure? |
| |