Question Index: Psychosocial


Questions

Year(s) Asked on Long Forms

(Click on year to view PDF of questionnaire.)

Questionnaires>>Home 1986 1987 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
Amount of stress
-at home
-at work
        x                
Living arrangement x x x x x x x x x x x x
Fear of being in enclosed spaces (stores, elevators, etc)           x   x        
Worry about getting incureable illness x   x   x
Fear of hights   x       x   x        
Feel panicky in crowds x     x   x  
Worry when relativeslate coming home x   x   x  
Feel more relaxed indoors     x x x
Dislike going out alone   x       x   x        
Feel uneasy traveling on buses or trains   x x x
Energy level in last 4 weeks             x            
Influence of health/emotions on social activities   x
Health in last 4 weeks     x          
Provide care for family/friends   x
Amount of stress caring for others   x
How rewarding is it to care for others   x
Did bodily pain interfere with normal work   x
Number of times you have fallen to the ground in the past year   x
In past 2 years, two weeks of feeling sad, blue or depressed for most of day     x
In past 2 years, fractures of hip or wrist     x
Past 4 weeks trouble with work or regular activities due to physical health   x
Age of retirement   x
Quality of retired life compared to life when working   x
Attend religious meetings x   x x
Hours/week participate in groups (social, work, church, self-help, charity, public service) x   x
Number of living children x   x x
Number of children see once a month x   x x
Number of relatives feel close to x   x x
Number of close relatives seen once a month x   x x
Number of close friends x   x x
Number of close friends seen once a month x   x x
Felt depressed for two weeks or longer; told a doctor       x x   x
Impulse questions (grid)       x    

Felt in the past month: Satisfied with life, like empty, bored, good spirits, afraid of something bad happening, happy, helpless, full of energy, hopeless, forgetful

          x
Experienced any change in ability to remember things           x
Questionnaires>>Home 1986 1987 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008


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