Data Dictionary: Health 2000 and 2011 - Finland

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Source: [1]

Background Information
What is your mother tongue?
Current marital status
Which year did your current relationship (marriage or cohabitation) begin?
Which year did you divorce?
Which year did you become widowed?
Have you earlier been married or had a common-law relationship with someone else?
How many marriages or common-law relationships have you had? (including your current/last relationship)?
How many people belong to your household at the moment, including yourself?
What year was he/she born? (Holsehold people)
His/her gender (Holsehold people)
How is he/she related to you? (Holsehold people)
Which other relation? (Holsehold people)
Basic education level
Highest completed education or examination after your basic education
How many years altogether have you studied full-time, including primary school?
Employment status
Do you receive a part-time disability pension?
Do you receive a part-time pension?
Do you receive a work disability pension or other early retirement pension
Do you receive an old age pension (due to your age or working years)
Do you receive an unemployment pension
Do you receive some other pension
How many months has your current unemployment or temporary lay-off period
And have you worked at all in a paid job during the past 12 months?
Have you worked full-time
Have you worked part-time
Which year have you last been employed?
Would you like to work full-time or at least occasionally some hours per week
Type of present occupation
What is your present/latest (previous) occupation?
Name of present occupation
What are/were your most important working tasks?
How many years altogether have you worked in your present/latest occupation?
Type of employer
How many years altogether have you worked in your present/latest occupation?
Is/was your present/latest employment teporary or permanent?
How many job contracts (or jobs) have you had during the past 12 months?
What sort of hours do/did you work in your main occupation
What is/was your weekly working time in your main job in hours?
How much time (in minutes) does your way to work and back on the average take on a normal working day?
Have you been unemployed or laid off during the past 5 years?
How many times?
How many months have you been unemployed or laid off during the past 5 years?
How many times altogether have you been unemployed or laid off during the past 5 years including the present period?
How many months altogether?
Spouse’s current main activity
Is he/she on invalidity pension or other early retirement
Is he/she on old age pension (due to his/her age or working years)
Is he/she on unemployment pension
Is he/she

Health and Illnesses
Present state of health
Do you have any permanent or chronic illness or any defect, trouble or injury, which reduces your working capacity or functional ability?
Have you had to change your occupation or working tasks because of your illness or handicap since the year 2000?
Since the year 2000, have you had to change your occupation
Since the year 2000, have you had to change your job
Since the year 2000, have you had to move over to other tasks in your place of work
Since the year 2000, have you had to reduce or give up some task permanently?
Has a doctor ever diagnosed you with asthma
Has a doctor ever diagnosed you with chronic obstructive pulmonary disease (COPD)?
Has a doctor ever diagnosed you with chronic bronchitis?
Has a doctor ever diagnosed you with other respiratory disease?
Has a doctor ever diagnosed you with Coronary thrombosis i.e. myocardial infarction?
Has a doctor ever diagnosed you with Coronary heart disease (angina pectoris)?
How much do the coronary disease symptoms trouble you in your daily activities?
Have you had shortness of breath or difficulties in breathing because of asthma during the past 12 months?
How often have you had shortness of breath or difficulties in breathing because of asthma during the past 12 months?
Have you had Coronary by-pass surgery?
Have you had Balloon distension (PTCA)?
Have you had Heart failure, cardiac insufficiency?
Have you had some other heart disease?
Do you have heart arrhythmia
Do you have congenital heart disease
Do you have valvular heart disease
Do you have heart muscle disease (cardiomyopathia) or inflammation of the heart muscle (myocarditis)
Do you have other heart disease or inflammation of the heart
Do you have High blood pressure, hypertension?
How many times has your blood pressure been measured during the past 12 months?
Do you have Stroke (cerebral haemorrhage, cerebral thrombosis)?
Do you have Varicose veins in the lower extremities?
Do you have Rheumatoid arthritis?
Do you have Osteoarthritis (arthrosis, joint degeneration)?
In which joints?
Do you have a hip endoprosthesis?
Do you have a knee endoprosthesis?
Do you have Back disease or other back defect?
Which back disease?
Do you have Neck disease or other defect in the neck?
Which neck disease?
Do you have Fracture or fractures (broken bones)?
Where have you had fractures?
Do you have Osteoporosis (bone loss)?
In which bone do you have Osteoporosis?
Do you have Permanent injury or defect caused by an accident?
Is it a face or chin injury?
Do you have a permanent head or brain injury (caused by an accident)?
Do you have a permanent vision defect (caused by an accident)?
Do you have a permanent hearing defect (caused by an accident)?
Do you have a permanent injury in the upper limb/s (caused by an accident)?
Do you have a permanent hip fracture or its consequence (caused by an accident)?
Do you have some other permanent injury of the lower limb/s (caused by an accident)?
Do you have a permanent injury of the trunk or back (caused by an accident)?
Do you have a permanent pulmonary injury (caused by an accident)?
Do you have some other permanent injury (caused by an accident)?
Has a doctor ever diagnosed you with a psychological or mental illness?
What type of mental illness is it?
Which year was it diagnosed for the first time?
Do you currently receive any other treatment for it, e.g. psychotherapy?
Do you have Cataract in the eyes?
Are you followed-up by an ophthalmologist (eye specialist) because of it?
Have you had an eye operation because of it?
Do you have Glaucoma?
Have you received laser treatment of the eyes because of it?
Do you have Eye ground degeneration?
Do you have Other visual defect or injury?
Do you have Hearing defect, hearing injury or disease causing impaired hearing?
Do you have noise injury
Do you have congenital hearing defect
Do you have declined hearing, age-related
Do you have deafness, deafness of one ear
Do you have tinnitus, ringing in the ears
Do you have infection, secretory inflammation of the middle ear, cholesteatoma
Do you have disease of the eardrum
Do you have diseases of the ear canal
Do you have war injury, accident
Do you have earache
Do you have Ménière’s disease
Do you have otosclerosis
Do you have complication of another illness
Do you have Diabetes?
Do you use tablets or insulin or both?
How many times has your blood glucose been measured during the past 12 months? Please include measurements you have performed yourself as well as measurements by health care professionals.
Has a doctor ever examined your eyegrounds or have your eyegrounds been photographed?
Have you been diagnosed with changes in your eyegrounds caused by diabetes?
Have you received laser treatment of the eyegrounds because of diabetes?
Has increased albumin excretion been observed in your urine?
Have you been diagnosed with kidney insufficiency?
Has a part of your lower limb (toe, foot or leg) been amputated because of diabetes?
Do you have A chronic skin disease, e.g. psoriasis or atopic dermatitis?
What type of chronic skin disease is it?
Do you have A chronic illness or inflammation of the bowel, e.g. celiac disease, lactose intolerance or colitis (inflammation of the large intestine)?
What type of chronic illness on the bowel is it?
Do you have Cancer (malignant growth)?
Which cancer?
Do you have Benign tumours of the uterus, e.g. myomas?
Do you have Parkinson’s disease?
Have you had recurrent, severe (moderate or intense) headaches?
Do you have Bladder, urinary tract or a renal pelvis infection or bacteria in the urine?
How many infections have you had during the past 12 months?
Do you have Urinary incontinence, problems in controlling the bladder?
Do you have some other chronic illness, defect, trouble or injury diagnosed by a doctor?
Do you currently use medication because of it?
How many times have you seen a doctor because of it during the past 12 months?
And how many times have you seen a nurse or public health nurse because of it during the past 12 months?
Which year was it diagnosed for the first time?
Have you been hospitalised because of it?
Have you received physiotherapy or other rehabilitation because of it during the past 12 months?
Have you been operated because of it?
Do you need continuous treatment by a doctor because of any of the chronic illnesses, defects or injuries you just mentioned?
Do you have a chronic illness for which you would like to get continuous treatment by a doctor but do not receive it?
Which illness/es?
Have queuing to get treatment prevented you from getting the doctor’s treatment you want
Have poor means of transportation to the place of treatment to get treatment prevented you from getting the doctor’s treatment you want
Have excessively high service fees and prices to get treatment prevented you from getting the doctor’s treatment you want
Have difficulties in getting treatment for some other reason to get treatment prevented you from getting the doctor’s treatment you want
Have you been an inpatient in a hospital ward during the past 12 months?
How many days in total?
Have you been operated on since the year 2000?

Health and Illnesses - Questions for men
How many living children do you have at the moment, including adopted children, children for whom you are a foster parent and other “non biological” children?
Have there been time periods when you have attempted to have a child but have not succeeded or it took over 12 months to succeed?
Which year did you last attempt to have a child?
Have you been examined because of infertility or sought treatment because of it?
Which year were you last examined or sought treatment?
Did you succeed in having a child due to the treatments?
Which contraceptive method are you currently using or have recently used with your partner?
Why are you not using contraception?

Health and Illnesses - Questions for women
How old were you when your periods started?
Do you have periods nowadays
When did you last have periods?
Reason for the end of your periods
Have you had a hysterectomy?
What was removed in the operation?
Are you pregnant at the moment?
How many deliveries have you had?
Which year was your first delivery?
And which year was your last delivery?
How many live children have you delivered?
How many months did you breastfeed your 1st child, including also partial breastfeeding together with other feeding?
And your youngest child?
Are you currently breastfeeding?
How many miscarriages have you had?
(How many) extra uterine pregnancies have you had?
(How many) abortions have you had?
How many living children do you have at the moment, including adopted children, children whose foster parent you are and other “non biological” children?
Have you during any pregnancy had Toxaemia
During how many pregnancies?
Have you during any pregnancy had High blood pressure?
During how many pregnancies?
Was your high blood pressure treated with medicines during (any) pregnancy?
Was the antihypertensive treatment (always) stopped after the delivery?
Was the antihypertensive treatment continued after (any) delivery
Have you during any pregnancy had albumin in the urine?
During how many pregnancies?
Have you during any pregnancy had high blood sugar values?
During how many pregnancies?
What kind of treatment did you receive because of the high blood glucose values
Have there been time periods, when you have attempted to have a child but have not succeeded or it took over 12 months to succeed?
Have you been in examinations because of infertility or received treatment for it?
Which year were you last examined or sought treatment?
Did you succeed in having a child due to the treatments?
Have you received Hormone treatments
Have you received Artificial insemination
Have you received In vitro fertilisation (IVF) or intra cytoplastic sperm injection treatment (ICSI) or equivalent?
Have you received Frozen embryo transfer (FET)?
Have you received Other infertility treatment?
Which contraceptive method are you currently using or have recently used with your partner?
Why are you not using contraception?
For how many years altogether have you been taking contraceptive pills (including all earlier time periods)?
For how many years altogether have you been using a hormonal intrauterine device (all separate time periods included, note only hormonal intrauterine devices, not intrauterine devices without hormone)?
Have you used hormone replacement therapy as tablets, gel or patches because of menopause, menstrual problems or some other reason during the past six months?
What is the name of the preparation you are using now?
Have you earlier used hormone replacement therapy as tablets, gel or patches because of menopause or menstrual problems?
For how many years have you been using hormone replacement therapy (all earlier time periods included)?
How old were you when you started using hormone replacement therapy?

Health Services
Do you have a certain doctor that you generally visit?
In which type of establishment does this doctor works on
Do you have a certain nurse whom you primarily contact when in need of help or advice concerning your health?
In which type of establishment does this nurse works on
Have you seen a doctor because of your own illness (or pregnancy or delivery) during the past 12 months? Do not include the times you have been in a hospital as an inpatient.
How many times altogether?
How many times during the past 12 months have you visited a health centre doctor because of your own illness
How many times during the past 12 months have you visited a hospital outpatient department because of your own illness
How many times during the past 12 months have you visited an occupational health care doctor because of your own illness
How many times during the past 12 months have you visited a student health care doctor because of your own illness
How many times during the past 12 months have you visited a private doctor’s surgery or private medical centre because of your own illness
How many times during the past 12 months have you met a doctor at your home because of your own illness
How many times during the past 12 months have you seen a doctor somewhere else because of your own illness
What illness was the reason for your latest visit to a doctor?
Where did you last visit a doctor (or had a doctor visit you)?
What illness was the reason for your second most recent visit to a doctor?
Where did you visit a doctor (or had a doctor visit you) during your second most recent visit?
What illness was the reason for your third most recent visit to a doctor?
Where did you visit a doctor (or had a doctor visit you) during your third most recent visit?
Thinking about your latest visit to a doctor, do you agree with the following: I was able to get an appointment fast enough
Thinking about your latest visit to a doctor, do you agree with the following: I received adequate information about my health status and care
Thinking about your latest visit to a doctor, do you agree with the following: The doctor listened to me and showed interest in me
Thinking about your latest visit to a doctor, do you agree with the following: I was able to influence the decisions made about my treatment
Thinking about your latest visit to a doctor, do you agree with the following: The treatment I received helped me
How many times during the past 12 months have you been in contact with a doctor by phone because of your own illness (or pregnancy or delivery)
How many times during the past 12 months have you been in contact with a doctor via Internet, e-mail? because of your own illness (or pregnancy or delivery)
How many times during the past 12 months have you visited an occupational health nurse because of your own illness (or pregnancy or delivery)
How many times during the past 12 months have you visited some other nurse because of your own illness (or pregnancy or delivery)
How many times during the past 12 months have you met a nurse in your home because of your own illness (or pregnancy or delivery)
How many times during the past 12 months have you visited a student health nurse because of your own illness (or pregnancy or delivery)
How many times during the past 12 months have you been in contact with a nurse by phone because of your own illness (or pregnancy or delivery)
How many times during the past 12 months have you been in contact with a nurse via Internet, e-mail? because of your own illness (or pregnancy or delivery)
Have you used any health services because of mental health problems during the past 12 months?
Have you visited a health centre because of mental health problems during the past 12 months
Have you visited an occupational health clinic because of mental health problems during the past 12 months
Have you visited a student health clinic because of mental health problems during the past 12 months
Have you visited a mental health clinic or a psychiatric outpatient department because of mental health problems during the past 12 months
Have you visited an A-clinic (clinic for persons with alcohol and/or other addiction problems) because of mental health problems during the past 12 months
Have you visited a doctor or a psychologist in a private clinic because of mental health problems during the past 12 months
Have you visited a psychiatric hospital because of mental health problems during the past 12 months
Have you visited another hospital because of mental health problems during the past 12 months
Have you visited somewhere else because of mental health problems during the past 12 months
Elsewhere, where?
Did your treatment comprise psychotherapy?
Who has treated you because of mental health problems during the past 12 months
How many times during the past 12 months?
Did your treatment include pharmacotherapy (medicines)?
Have you been in group therapy or group rehabilitation because of mental health problems?
Thinking about the services you have received for mental health problems, do you agree with the following: I was able to get an appointment fast enough
Thinking about the services you have received for mental health problems, do you agree with the following: . I received adequate information about my health status and care
Thinking about the services you have received for mental health problems, do you agree with the following: The therapist listened to me and showed interest in me
Thinking about the services you have received for mental health problems, do you agree with the following: I was able to influence the decisions made about my treatment
Thinking about the services you have received for mental health problems, do you agree with the following: The treatment I received helped me
How long did you wait to get an appointment?
Do you think that you are currently in need of health services due to mental health problems?
What kind of service?
What other treatment?
Have you attended driver’s license examination during the past five (5) years
Have you attended the employment-related health examination or some other examination in the occupational health service during the past five (5) years
Have you attended the student health examination during the past five (5) years
Have you attended the examination for the unemployed during the past five (5) years
Have you attended the examination for a certain age group during the past five (5) years
Have you attended the examination connected with birth control during the past five (5) years
Have you attended the examination connected with pregnancy or delivery during the past five (5) years
Have you attended vision examination during the past five (5) years
Have you attended hearing examination during the past five (5) years
Have you attended blood sugar level measurement during the past five (5) years
Have you attended blood cholesterol measurement during the past five (5) years
Have you attended bone density measurement during the past five (5) years
Have you attended fecal blood test for diagnosing intestinal cancer during the past five (5) years
Have you attended HIV test during the past five (5) years
Have you attended mammography (X-ray of the breasts) during the past five (5) years
Have you attended ultrasonic examination of the breasts during the past five (5) years
Have you attended PAP smear (cervix cancer screening) during the past five (5) years
Have you attended a gynaecological examination during the past five (5) years
Have you attended a Blood sample to measure PSA value related to prostate examination during the past five (5) years
How about within the past 12 months?
Has a home visit been made in order to assess your need for services?
Did you spend so much on health care services in 2010 that your expenses exceeded the amount one has to pay out of own pocket?
Have you been in physiotherapy on a doctor’s referral during the past 12 months?
Have you been to physiotherapy without a doctor’s referral during the past 12 months?
How many physiotherapy visits have you made during the past 12 months?
What illness, symptom, trouble or injury was the reason for the most recent physiotherapy visit?
Which body part was the reason for the most recent physiotherapy visit
Did you receive physiotherapy at a health centre
Did you receive physiotherapy at a hospital outpatient department
Did you receive physiotherapy in a private clinic or in a physiotherapist’s private practice
Did you receive physiotherapy in occupational health care
Did you receive physiotherapy in student health care
Did you receive physiotherapy by a physiotherapist that visited you at home
Did you receive physiotherapy somewhere else
Thinking about the physiotherapy services you have received, do you agree with the following: I was able to get an appointment fast enough
Thinking about the physiotherapy services you have received, do you agree with the following: I received adequate information about my health status and care
Thinking about the physiotherapy services you have received, do you agree with the following: The therapist listened to me and showed interest in me
Thinking about the physiotherapy services you have received, do you agree with the following: I was able to influence the decisions made about my treatment
Thinking about the physiotherapy services you have received, do you agree with the following: The treatment I received helped me
Have you been to a massage therapist during the past 12 months
Have you been to a chiropractor, osteopath or naprapath during the past 12 months
Have you been to a lymph therapist during the past 12 months
Have you been to a zone therapist or reflexologist during the past 12 months
Have you been to acupuncture treatment during the past 12 months
Have you been to a homeopath during the past 12 months
Have you been to some other alternative treatment (e.g. traditional healer, reiki treatment or Chinese medicine) during the past 12 months
Have you used any medicine prescribed by a doctor at least once during the past 12 months? including birthcontrol pills
Are you at the moment using any medicine prescribed by a doctor?
What are the names of these medicines?
Have you used it during the past seven days?
Are you using it continuously
Are you using it occasionally/temporarily
Are you using it only when needed
Did you spend so much on medicine in 2010 that your expenses exceeded the amount that one has to pay out of own pocket?
Have you used any of the following at least once during the past 12 months: a non-prescription medicine from a pharmacy
Have you used any of the following at least once during the past 12 months: a vitamin or mineral product?
Have you used any of the following at least once during the past 12 months: natural medicines or medicinal herbs or products
Have you used any of the following at least once during the past 12 months: homeopathic or anthroposophic products?
Are you at the moment using any of these products?
What are the names of these products?

Oral Health Status
What is the condition of your teeth and the health of your mouth at present?
Have you during the past 12 months had toothache or other trouble related to your teeth or dentures?
Are you able to chew hard or tough food, such as rye bread, meat or apple?
Do you have removable dentures?
How often do you usually brush your teeth?
How often do you use for cleaning and caring for your mouth and teeth: an electric tooth brush
How often do you use for cleaning and caring for your mouth and teeth: dental floss or interdental brush
How often do you use for cleaning and caring for your mouth and teeth: fluoride toothpaste
How often do you use for cleaning and caring for your mouth and teeth: mouth wash or mouth rinse
Do you usually go to a dentist
How frequently do you visit a dentist for a check-up
How regularly do you visit a dental hygienist
When did you last receive dental care? Dental care refers to visits to a dentist, dental hygienist, dental nurse and/or dental technician
How many times during the past 12 months have you visited: a dentist at a health centre
How many times during the past 12 months have you visited: a dentist at a private clinic
How many times during the past 12 months have you visited: a dentist somewhere else (students’ health care, defence forces, university, hospital etc.)
How many times during the past 12 months have you visited: a dental technician
How many times during the past 12 months have you visited: a dental hygienist at a health centre
How many times during the past 12 months have you visited: a dental hygienist at a private clinic
How many times during the past 12 months have you visited: some other dental treatment
Have queuing to get treatment prevented you from getting the dentist’s treatment you want?
Have poor means of transportation to the place of treatment prevented you from getting the dentist’s treatment you want?
Have excessively high service charges and prices prevented you from getting the dentist’s treatment you want?
How did you make the appointment to begin your latest dental treatment series?
Which treatments were performed during your latest treatment series: examination of mouth and teeth
Which treatments were performed during your latest treatment series: X-ray
Which treatments were performed during your latest treatment series: filling or renewal of old filling
Which treatments were performed during your latest treatment series: root treatment
Which treatments were performed during your latest treatment series: making or repairing a crown or bridge
Which treatments were performed during your latest treatment series: making or repairing dentures
Which treatments were performed during your latest treatment series: extraction of a tooth or root
Which treatments were performed during your latest treatment series: surgery in the mouth
Which treatments were performed during your latest treatment series: treatment of temporomandibular joint disorders
Which treatments were performed during your latest treatment series: cleaning of teeth or scaling tartar from the teeth
Which treatments were performed during your latest treatment series: fluoride varnish or other fluoride treatment
Which treatments were performed during your latest treatment series: teaching how to brush
Which treatments were performed during your latest treatment series: food and nutrition counselling
Which treatments were performed during your latest treatment series: advice on use of fluoride
By whom were they (examinations and treatments) performed? dentist or specialized dentist
By whom were they (examinations and treatments) performed? dental hygienist or dental nurse
By whom were they (examinations and treatments) performed? dental technician or specialized dental technician
Thinking about your latest visit to a dentist, do you agree with the following: I was able to get an appointment fast enough
Thinking about your latest visit to a dentist, do you agree with the following: I received adequate information about my health status and care
Thinking about your latest visit to a dentist, do you agree with the following: The dentist listened to me and showed interest in me
Thinking about your latest visit to a dentist, do you agree with the following: I was able to influence the decisions made about my treatment
Thinking about your latest visit to a dentist, do you agree with the following: The treatment I received helped me
Do you think you need dental treatment now?
Do you think that visiting a dentist is: not frightening at all
Do you think that visiting a dentist is: somewhat frightening
Do you think that visiting a dentist is: very frightening

Living Habits
Who mainly prepares your meals?
Which spread do you mostly use on your bread?
Which cooking fat do you mostly use?
How frequently do you eat cheese
What kind of cheese do you usually eat
How many slices of rye bread do you normally eat daily
How often have you eaten vegetables and root vegetables (not potatoes) during the past week (7 days) as such, grated or in fresh salads
How often have you eaten fruits or berries during the past week (7 days)
Have you been to nutritional counselling because of some illness during the past 5 years
For what reason? heart disease
For what reason? stroke or other vascular disease
For what reason? high blood pressure
For what reason? high cholesterol
For what reason? diabetes
For what reason? overweight
For what reason? other reason
Have you ever smoked during your life time?
Have you ever smoked daily for at least one year?
How many years altogether have you smoked daily?
Do you smoke nowadays (cigarettes, cigars or pipe)?
When did you smoke last?
On average, how much do you smoke or used to smoke daily (cigarettes, cigarillos, cigars, full pipes)?
How many times have you seriously (= been without smoking for 24 hours at a time) attempted to quit smoking during the past 10 years?

Living Environment
Do you live in: a regular private residence
Do you live in: sheltered housing unit, retirement home or institution
Do you live: in a sheltered housing unit or group home
Do you live: retirement home (nursing home)
Do you live: health centre or hospital
Do you live: somewhere else
Where?
Is the sheltered housing unit where you live: A regular sheltered housing unit with services available part of the time, for example during daytime (less than 24 hours a day)
Is the sheltered housing unit where you live: A sheltered housing unit with services available 24 hours a day
What is the name of the unit or institution where you live?
Do you currently live in a block of flats (apartment building)?
On which floor do you live?
Is there a lift?
Do the following factors hinder your living in your residence: hindering stairs
Do the following factors hinder your living in your residence: lack of a lift/elevator
Do the following factors hinder your living in your residence: doorsteps or thresholds which hinder moving
Do the following factors hinder your living in your residence: doorways which are too narrow
Do the following factors hinder your living in your residence: lack of gripping aids (e.g. in toilet, bathroom)
Do the following factors hinder your living in your residence: kitchen cupboards or working surfaces set up too high or too low
Do the following factors hinder your living in your residence: poor lighting
Do the following factors hinder your living in your residence: insufficient washing facilities
Do the following factors hinder your living in your residence: insufficient cooking facilities
Do the following factors hinder your living in your residence: lack of running warm water
Do the following factors hinder your living in your residence: poor laundering facilities
Are there any of the following facilitating factors in your residence: ramp at front door or stairs
Are there any of the following facilitating factors in your residence: motion sensors which turn on lights automatically
Are there any of the following facilitating factors in your residence: other factors which facilitate living
Which other facilitating factors?
Are there any of the following safety equipment in your residence: Switches which turn off electricity automatically (e.g. safety cooker)
Are there any of the following safety equipment in your residence: Fire alarm
Do you use any of the following safety equipment: slip stoppers for shoes
Do you use any of the following safety equipment: safety hip pants
Do you use any of the following safety equipment: safety phone or wrist band
Are there any of the following hindering factors in your living environment outside of your home? poorly maintained slippery yards or streets
Are there any of the following hindering factors in your living environment outside of your home? heavy traffic
Are there any of the following hindering factors in your living environment outside of your home? unrest or threat of violence
Are there any of the following hindering factors in your living environment outside of your home? steep, narrow or slippery stairs
Are there any of the following hindering factors in your living environment outside of your home? poor lighting in walkways, streets or staircases
How do you usually go to the nearest grocery shop you use?
How far is it?
How do you usually go from your home to the nearest friend or relative with whom you are in contact?
How far is it?
How far is it to your nearest neighbour?
How far from your home is the health centre?
How far from your home is the nearest pharmacy?
How far from your home is the nearest public transport stop?
Do you manage all the trips mentioned above on your own (GC01-GC06)?
How do you manage the following activities nowadays: getting in and out of bed?
How do you manage the following activities nowadays: dressing and undressing?
How do you manage the following activities nowadays: cutting your toenails?
How do you manage the following activities nowadays: eating?
How do you manage the following activities nowadays: washing yourself?
How do you manage the following activities nowadays: going to the toilet?
How do you manage the following activities nowadays: using the phone for calls?
How do you manage the following activities nowadays: dosing and taking medication?
How do you manage the following activities nowadays: shopping?
How do you manage the following activities nowadays: cooking?
How do you manage the following activities nowadays: laundering?
How do you manage the following activities nowadays: heavy cleaning, e.g. carrying and beating of carpets or washing windows?
How do you manage the following activities nowadays: carrying a shopping bag or some other load weighing about 5 kilos for at least 100 metres?
How do you manage the following activities nowadays: carrying a shopping bag or some other load weighing about 5 kilos for at least 10 metres?
How do you manage the following activities nowadays: banking, handling matters in public offices or similar?
How do you manage the following activities nowadays: taking care of matters together with other people?
How do you manage the following activities nowadays: presenting matters to unknown people?
How is your physical condition?
How well can you move?
Are you able to run a longer distance (about half a kilometre)?
Are you able to run a short distance (about 100 metres)?
Are you able to climb up several flights of stairs without resting?
How easy is it for you to climb several flights of stairs without resting?
Do you get tired when climbing several flights of stairs?
During the past year have you cut down on climbing stairs (several flights) because your physical condition or health has deteriorated?
Are you able to climb one flight of stairs without resting?
Are you able to walk about 2 kilometres without resting?
How easy is it for you to walk about 2 kilometres without resting?
Do you get tired when walking about 2 kilometres?
During the past year have you cut down on walking longer distances (about 2 kilometres) because your physical condition or health has deteriorated?
Are you able to walk about half a kilometre without resting?
Are you able to move about in your apartment from one room to another?
Are you able to travel by train, bus or tram?
Do you drive a car or some other motor vehicle yourself when you go shopping, make visits or take care of other matters, for example?
Is your eye sight good enough (with glasses) for reading normal newspaper text?
Can you hear without difficulties what is said in a conversation between several people (with or without a hearing aid)?
Can you hear without difficulties what is said to you in a one-to-one (between two persons) conversation (with or without a hearing aid)?
Do you receive repeated assistance or help in your everyday activities (for example household work, washing up, shopping) because of your reduced functional capacity?
In which of the following activities do you receive assistance or help: cooking
In which of the following activities do you receive assistance or help: eating
In which of the following activities do you receive assistance or help: washing
In which of the following activities do you receive assistance or help: dressing
In which of the following activities do you receive assistance or help: taking care of medication
In which of the following activities do you receive assistance or help: cleaning
In which of the following activities do you receive assistance or help: laundry or other care of clothes
In which of the following activities do you receive assistance or help: shopping
In which of the following activities do you receive assistance or help: handling other tasks outside home, e.g. banking
In which of the following activities do you receive assistance or help: something else?
Would you need this kind of assistance or help due to reduced functional capacity?
In which of the following activities would you need assistance or help: cooking
In which of the following activities would you need assistance or help: eating
In which of the following activitieswould you need assistance or help: washing
In which of the following activities would you need assistance or help: dressing
In which of the following activities would you need assistance or help: taking care of medication
In which of the following activities would you need assistance or help: cleaning
In which of the following activities would you need assistance or help: laundry or other care of clothes
In which of the following activities would you need assistance or help: shopping
In which of the following activities would you need assistance or help: handling other tasks outside home, e.g. banking
In which of the following activities would you need assistance or help: something else?
How often would you need this kind of help?
Have you received help: from your spouse?
Have you received help: from your children or their spouses?
Have you received help: from relatives, neighbours, friends or acquaintances?
How often do you receive help from these people in total (relatives, neighbours, friends or acquaintances)?
Have you received help from a home care assistant or nurse?
Was the home care: municipal
Was the home care: private
Was the home care: both municipal and private
How often do you receive help from a home care assistant or nurse?
Have you received help from an assistant or nurse at a sheltered home?
How often do you receive help from her/him? (assistant or nurse at a sheltered home)
Have you received help from someone/somewhere else (e.g. privately purchased cleaning help)?
From where or whom?
How often do you receive help from someone/somewhere else?
How often do you receive help from all the persons mentioned above in total? (relatives, neighbours etc., home care and/or sheltered home assistants or nurses or somewhere else)
Do you have an informal caregiver who is entitled to an informal caregiver’s allowance?
Do you receive some other help or assistance such as: meal service (meals on wheels)
Do you receive some other help or assistance such as: transport service
Do you receive some other help or assistance such as: bathing or sauna service outside your home
Do you receive some other help or assistance such as: some other help or service
Have you been in interval care for short periods during the past 12 months in a sheltered home, nursing home or hospital ward?
Do you receive enough help to manage at home?
Do you help anybody (spouse, relative, friend, neighbour) regularly in tasks helping him/her to cope at home?
Whom are you helping? grandparents or spouse’s grandparents
Whom are you helping? parents or spouse’s parents
Whom are you helping? spouse, partner
Whom are you helping? child
Whom are you helping? other relative
Whom are you helping? friend or neighbour
Do you live in the same household as the person whom you are helping?
Are you this person´s informal caregiver and receive informal caregiver´s allowance?
How many hours per week in total, including travel time, do you spend helping?
Do you wear glasses (reading spectacles, distance spectacles, bifocals or contact lenses)?
Do you use other assistive devices for seeing?
What? Special spectacles or lenses
What? Magnifying glass, binoculars
What? Electronic reading magnifiers, aka video magnifier
What? Braille typewriter
What? Tactile white stick or white cane
What? Guide dog
What? Computer software, e.g. magnifying, speech synthesis or Braille sofware
What? Some other device for seeing
What? What other device for seeing?
Do you use any assistive device for hearing?
Which assistive device for hearing? Hearing aid
Which assistive device for hearing? Assistive device for listening to the radio or TV
Which assistive device for hearing? Indicator for doorbell, telephone etc. alarm sounds
Which assistive device for hearing? Telephone attachment or video phone
Which assistive device for hearing? Some other assistive device for hearing
What other device for hearing?
Do you use any assistive device for speaking or communication?
Which assistive device for speaking or communication? Communication board or folder
Which assistive device for speaking or communication? Dialogue device
Which assistive device for speaking or communication? Computer-based communication programme
Which assistive device for speaking or communication? Some other assistive device for communication
What other device for communication?
Do you use any assistive device for mobility?
Which moving aids? Walking cane
Which moving aids? Nordic walking poles
Which moving aids? Elbow or auxiliary crutches
Which moving aids? Rollator, 4 wheeled kick bike or other walker
Which moving aids? Specially designed adaptive bicycle (also electric)
Which moving aids? Manual wheelchair (also power assisted m.wheelchair)
Which moving aids? Electric wheelchair or electric moped (scooter)
Which moving aids? Car with special adaptations to facilitate its use
Which moving aids? Lifting or transferring device
Which moving aids? What other mobility device?
Do you use any assistive device to facilitate eating, cooking or other everyday tasks?
Which assistive device?
Adaptive eating utensils
Assistive device for food preparing (special knife, cheese slicer, scissors, jar or bottle opener)
Gripping tongs
Shower chair
Raised toilet seats
Raised chair or bed
Other
What other assistive device?
Do you use constantly any orthoses, support bandages or prostheses?
Which orthoses, support bandages or prostheses? Individually made supporting insoles
Which orthoses, support bandages or prostheses? Orthopaedic shoes
Which orthoses, support bandages or prostheses? Back brace, supporting girdle
Which orthoses, support bandages or prostheses? Elbow or wrist brace/orthose
Which orthoses, support bandages or prostheses? Knee or ankle brace/orthose
Which orthoses, support bandages or prostheses? Lower limb prosthesis
Which orthoses, support bandages or prostheses? Upper limb prosthesis
Which orthoses, support bandages or prostheses? Other brace /orthose
What other brace / orthose?
Do you need some other assistive device because of your reduced functional capacity?
Would you need assistive device because of your reduced functional capacity?
Will the MMSE-test be performed or attempted?
What year is this?
What is today’s date?
What month is this?
Memory test performance
Are you generally able to concentrate on matters
Are you able to acquire new information and learn
How would you estimate your present memory?
Has your memory changed during the past years
Does your poor memory cause any problems in your everyday life?
Has the reason for your poor memory been established?
What is the reason for your poor memory?
What other reason?