Data Dictionary: European Health Interview Survey (EHIS) - Czech Republic
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Source: The variables vary according to the waves. Click here to learn more.
| Variables | Description |
|---|---|
| PID | Personal identifier |
| PWGT | Personal weight |
| PROXY | Was the selected person interviewed or someone of his/her household (proxy interview) |
| INSTIT | If the person is living in an institution |
| AGE | Age of the person at the moment of interview |
| SEX | Sex |
| IP01 | Country |
| IP02 | Region of residence |
| IP03 | Degree of urbanisation |
| IP04 | Date of interview |
| HH03 | What is your country of birth? |
| HH04 | What is your citizenship? |
| HH05 | What is your legal marital status? |
| HH06 | May I just check, are you living with someone in this household as a couple? |
| HH07 | What is the highest education leaving certificate, diploma or education degree you have obtained? Please include any vocational training |
| HH08 | How would you define your current labour status? |
| HH09 | Have you ever worked for pay or profit? |
| HH10 | Are (Were) you an employee, self-employed or working without payment as a family worker? |
| HH11 | What type of work contract do (did) you have? |
| HH12 | In your (main) job do (did) you work full-time or part-time? |
| HH13 | What is (was) your occupation in this job? |
| HH14 | What does (did) the business/organisation mainly produce or do at the place where you work (worked) (e.g. chemical, fishing, hotel/restaurant, health and social work, etc.)? |
| HS01 | How is your health in general? |
| HS02 | Do you have any longstanding illness or [longstanding] health problem? [By longstanding I mean illnesses or health problems which have lasted, or are expected to last, for 6 months or more]. |
| HS03 | For at least the past 6 months, to what extent have you been limited because of a health problem in activities people usually do? |
| HS04A | Do you have or have you ever had asthma (allergic asthma included)? |
| HS04B | Do you have or have you ever had chronic bronchitis, chronic obstructive pulmonary disease, emphysema? |
| HS04C | Do you have or have you ever had myocardial infarction? |
| HS04D | Do you have or have you ever had coronary heart disease (angina pectoris)? |
| HS04E | Do you have or have you ever had high blood pressure (hypertension)? |
| HS04F | Do you have or have you ever had stroke (cerebral haemorrhage, cerebral thrombosis)? |
| HS04G | Do you have or have you ever had rheumatoid arthritis (inflammation of the joints)? |
| HS04H | Do you have or have you ever had osteoarthritis (arthrosis, joint degeneration)? |
| HS04I | Do you have or have you ever had low back disorder or other chronic back defect? |
| HS04J | Do you have or have you ever had neck disorder or other chronic neck defect? |
| HS04K | Do you have or have you ever had diabetes? |
| HS04L | Do you have or have you ever had allergy, such as rhinitis, eye inflammation, dermatitis, food allergy or other (allergic asthma excluded)? |
| HS04M | Do you have or have you ever had stomach ulcer (gastric or duodenal ulcer)? |
| HS04N | Do you have or have you ever had cirrhosis of the liver, liver dysfunction? |
| HS04O | Do you have or have you ever had cancer (malignant tumour, also including leukaemia and lymphoma)? |
| HS04P | Do you have or have you ever had severe headache such as migraine? |
| HS04Q | Do you have or have you ever had urinary incontinence, problems in controlling the bladder? |
| HS04R | Do you have or have you ever had chronic anxiety? |
| HS04S | Do you have or have you ever had chronic depression? |
| HS04T | Do you have or have you ever had other mental health problems? |
| HS04U | Do you have or have you ever had permanent injury or defect caused by an accident? |
| {HS07A-HS07D} | In the past 12 months, have you had any of the following type of accidents resulting in injury (external or internal)? |
| HS08A | Did you visit a doctor, a nurse or an emergency department of a hospital as a result of road traffic accident? |
| HS08B | Did you visit a doctor, a nurse or an emergency department of a hospital as a result of accident at work? |
| HS08C | Did you visit a doctor, a nurse or an emergency department of a hospital as a result of accident at school? |
| HS08D | Did you visit a doctor, a nurse or an emergency department of a hospital as a result of home and leisure accident? |
| HS09 | Are any of the diseases you had in the past 12 months caused or made worse by your job or by work you have done in the past? |
| HS10 | In the past 12 months, have you been absent from work for reasons of health problems? Take into account all kind of diseases, injuries and other health problems that you had and which resulted in your absence from work. |
| HS11 | In the past 12 months, how many days in total were you absent from work for reasons of health problems? |
| PL01 | Do you wear glasses or contact lenses? |
| PL02 | Can you see newspaper print? |
| PL03 | Can you see the face of someone 4 metres away (across a road)? |
| PL04 | Do you wear a hearing aid? |
| PL05 | Can you hear what is said in a conversation with several people? |
| PL06 | Can you walk 500 metres on a flat terrain without a stick or other walking aid or assistance? |
| PL07 | Can you walk up and down a flight of stairs without a stick, other walking aid, assistance or using the banister? |
| PL08 | Can you bend and kneel down without any aid or assistance? |
| PL09 | Using your arms, can you carry a shopping bag weighing 5 kilos for at least 10 metres without any aid or assistance? |
| PL10 | Can you use your fingers to grasp or handle a small object like a pen without any aids? |
| PL11 | Can you bite and chew on hard foods such as a firm apple without any aid (for example, denture)? |
| PC01A | Do you usually have difficulty feeding yourself? |
| PC01B | Do you usually have difficulty getting in and out of a bed or chair by yourself? |
| PC01C | Do you usually have difficulty dressing and undressing by yourself? |
| PC01D | Do you usually have difficulty using toilets by yourself? |
| PC01E | Do you usually have difficulty bathing or showering by yourself? |
| PC02 | Do you usually have help? |
| PC02A | What type of help? Personal assistance |
| PC02B | What type of help? Technical aids |
| PC02C | What type of help? Housing adaptation |
| PC03 | Do you have enough help? |
| PC03A | What type of help you don't have enough? Personal assistance |
| PC03B | What type of help you don't have enough? Technical aids |
| PC03C | What type of help you don't have enough? Housing adaptation |
| PC04 | Would you need help? |
| PC04A | What type of help you would need? Personal assistance |
| PC04B | What type of help you would need? Technical aids |
| PC04C | What type of help you would need? Housing adaptation |
| HA01A | Do you usually have difficulty preparing meals by yourself? |
| HA01B | Do you usually have difficulty using the telephone by yourself? |
| HA01C | Do you usually have difficulty shopping by yourself? |
| HA01D | Do you usually have difficulty managing medication by yourself? |
| HA01E | Do you usually have difficulty light housework by yourself? |
| HA01F | Do you usually have difficulty occasional heavy housework by yourself? |
| HA01G | Do you usually have difficulty taking care of finances and everyday administrative tasks by yourself? |
| {HA02A-HA02G} | Why? |
| HA03 | Do you usually have help? |
| HA03A | What type of help? Personal assistance |
| HA03B | What type of help? Technical aids |
| HA03C | What type of help? Housing adaptation |
| HA04 | Do you have enough help? |
| H04A | What type of help you don't have enough? Personal assistance |
| H04B | What type of help you don't have enough? Technical aids |
| H04C | What type of help you don't have enough? Housing adaptation |
| HA05 | Would you need help? |
| HA05A | What type of help you would need? Personal assistance |
| HA05B | What type of help you would need? Technical aids |
| HA05C | What type of help you would need? Housing adaptation |
| SF01 | Overall during the past four weeks, how much physical pain or physical discomfort did you have? |
| SF02 | How much of the time, during the past 4 weeks did you feel full of life? |
| SF03 | How much of the time, during the past 4 weeks have you been very nervous? |
| SF04 | How much of the time, during the past 4 weeks have you felt so down in the dumps that nothing could cheer you up? |
| SF05 | How much of the time, during the past 4 weeks have you felt calm and peaceful? |
| SF06 | How much of the time, during the past 4 weeks did you have a lot of energy? |
| SF07 | How much of the time, during the past 4 weeks have you felt downhearted and depressed? |
| SF08 | How much of the time, during the past 4 weeks did you feel worn out? |
| SF09 | How much of the time, during the past 4 weeks have you been happy? |
| SF10 | How much of the time, during the past 4 weeks did you feel tired? |
| HC01 | During the past 12 months, that is since (date one year ago), have you been in hospital as an inpatient, that is overnight or longer? |
| HC02 | How many separate stays in hospital as an inpatient have you had since (date one year ago)? Count all the stays that ended in this period. |
| HC03 | Thinking of this/these inpatient stay(s), how many nights in total did you spend in hospital? |
| HC04 | During the past 12 months, that is since (date one year ago), have you been admitted to hospital as a day patient, that is admitted to a hospital bed, but not required to remain overnight? |
| HC05 | How many days have you been admitted as a day patient since (date one year ago)? |
| HC06 | During the past 12 months, was there any time when you really needed to be hospitalised following a recommendation from a doctor, either as an inpatient or a day patient, but did not? |
| HC07 | What was the main reason for not being hospitalised? |
| HC08 | When was the last time you visited a dentist or orthodontist on your own behalf (that is, not while only accompanying a child, spouse, etc.)? |
| HC09 | During the past four weeks ending yesterday, that is since (date), how many times did you visit a dentist or orthodontist on your own behalf? |
| HC10 | When was the last time you consulted a GP (general practitioner) or family doctor on your own behalf? |
| HC11 | During the past four weeks ending yesterday, that is since (date), how many times did you consult a GP (general practitioner) or family doctor on your own behalf? |
| HC12 | When was the last time you consulted a medical or surgical specialist on your own behalf? |
| HC13 | During the past four weeks ending yesterday, that is since (date), how many times did you consult a specialist on your own behalf? |
| HC14 | Was there any time during the past 12 months when you really needed to consult a specialist but did not? |
| HC15 | What was the main reason for not consulting a specialist? |
| HC16A | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a medical laboratory, radiology centre |
| HC16B | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a physiotherapist / kinesitherapist |
| HC16C | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a nurse, midwife (excluding when being hospitalised, for home care services or in a medical laboratory or radiology centre) |
| HC16D | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a dietician |
| HC16E | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a speech therapist |
| HC16F | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a chiropractor, manual therapist |
| HC16G | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a occupational therapist |
| HC16H | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a psychologist or psychotherapist |
| HC16I | During the past 12 months, that is since (date on year ago), have you visited on your own behalf other paramedics |
| HC17A | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a homeopath |
| HC17B | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a acupuncturist |
| HC17C | During the past 12 months, that is since (date on year ago), have you visited on your own behalf a phytotherapist / herbalist |
| HC17D | During the past 12 months, that is since (date on year ago), have you visited on your own behalf other alternative medicine practitioner |
| HC18A | During the past 12 months, have you yourself used home care service provided by a nurse or midwife care services? |
| HC18B | During the past 12 months, have you yourself used home help for the housework or for elderly people care services? |
| HC18C | During the past 12 months, have you yourself used "Meals on wheels" care services? |
| HC18D | During the past 12 months, have you yourself used transport service care services? |
| HC18E | During the past 12 months, have you yourself used other home care services? |
| MD01 | During the past two weeks, have you used any medicines (including dietary supplements such as herbal medicines or vitamins) that were prescribed or recommended for you by a doctor – (for women, please also state: include also contraceptive pills or other hormones)? |
| MD02A | Were they medicines for asthma |
| MD02B | Were they medicines for chronic bronchitis, chronic obstructive pulmonary disease, emphysema |
| MD02C | Were they medicines for high blood pressure |
| MD02D | Were they medicines for lowering the blood cholesterol level |
| MD02E | Were they medicines for other cardiovascular disease, such as stroke and heart attack |
| MD02F | Were they medicines for pain in the joints (arthrosis, arthritis) |
| MD02G | Were they medicines for pain in the neck or back |
| MD02H | Were they medicines for headache or migraine |
| MD02I | Were they medicines for other pain |
| MD02J | Were they medicines for diabetes |
| MD02K | Were they medicines for allergic symptoms (eczema, rhinitis, hay fever) |
| MD02L | Were they medicines for stomach troubles |
| MD02M | Were they medicines for cancer (chemotherapy) |
| MD02N | Were they medicines for depression |
| MD02O | Were they medicines for tension or anxiety |
| MD02P | Were they medicines for sleeping tablets |
| MD02Q | Were they medicines for antibiotics such as penicillin (or any other national relevant example) |
| MD02R | Were they medicines for (for women in fertile age – assumed 50 years or younger) contraceptive pills |
| MD02S | Were they medicines for (for women in or after menopausal age – assumed 45 years or older) hormones for menopause |
| MD02T | Were they some other medicines prescribed by a doctor |
| MD03 | During the past two weeks, have you used any medicines or dietary supplement or herbal medicines or vitamins not prescribed or recommended by a doctor? |
| MD04A | Were they medicines or supplements for pain in the joints (arthrosis, arthritis) |
| MD04B | Were they medicines or supplements for headache or migraine |
| MD04C | Were they medicines or supplements for other pain |
| MD04D | Were they medicines or supplements for cold, flu or sore throat |
| MD04E | Were they medicines or supplements for allergic symptoms (eczema, rhinitis, hay fever) |
| MD04F | Were they medicines or supplements for stomach trouble |
| MD04G | Were they vitamins, minerals or tonics |
| MD04H | Were they some other type or medicine or supplement |
| PA01 | Have you ever been vaccinated against flu? |
| PA02 | When were you last time vaccinated against flu? |
| PA03 | Can I just check, what month was that? |
| PA04 | Has your blood pressure ever been measured by a health professional? |
| PA05 | When was the last time that your blood pressure was measured by a health professional? |
| PA06 | Has your blood cholesterol ever been measured? |
| PA07 | When was the last time that your blood cholesterol was measured? |
| PA08 | Has your blood sugar ever been measured? |
| PA09 | When was the last time that your blood sugar was measured? |
| PA10 | Have you ever had a mammography, which is an X-ray of one or both of your breasts? |
| PA11 | When was the last time you had a mammography (breast X-ray)? |
| PA12 | What was the reason for this last mammography? |
| PA12A | Myself or my GP/family doctor or a specialist noticed something not quite right in my breast (e.g. a lump) |
| PA12B | My GP/family doctor or a specialist advised me to have it without there being something wrong |
| PA12C | Because of breast cancer in my family |
| PA12D | Invitation from a national or local screening programme |
| PA12E | Other reason |
| PA13 | Have you ever had a cervical smear test? |
| PA14 | When was the last time you had a cervical smear test? |
| PA15 | What was the reason for this last cervical smear test? |
| PA16 | Have you ever had a faecal occult blood test? |
| PA17 | When was the last time you had a faecal occult blood test? |
| SA01A | Level of satisfaction with the hospitals (including emergency departments) services provided by the country |
| SA01B | Level of satisfaction with the dentists, orthodontists and other dental care specialists services provided by the country |
| SA01C | Level of satisfaction with the medical or surgical specialists services provided by the country |
| SA01D | Level of satisfaction with the family doctors or GPs services provided by the country |
| SA01E | Level of satisfaction with the home care services provided by the country |
| OP01A-OP01B | For the dental care on your own behalf during the past four weeks at the date of the interview, about how much did you pay out-of-pocket? |
| OP02A-OP02B | For the visits to GPs, family doctors or medical or surgical specialists on your own behalf during the past four weeks at the date of the interview, about how much did you pay out-of-pocket? |
| OP03A-OP03B | For the medicines prescribed to you by a doctor, that you used during the past two weeks at the date of the interview, about how much did you pay out-of-pocket? |
| BMI01 | How tall are you without shoes? |
| BMI02 | How much do you weigh without clothes and shoes? |
| PE01 | During the past 7 days, on how many days did you do vigorous physical activities? |
| PE02 | During the past 7 days, how much time did you spend doing vigorous physical activities? |
| PE03 | During the past 7 days, on how many days did you do moderate physical activities? |
| PE04 | During the past 7 days, how much time did you spend doing moderate physical activities? |
| PE05 | During the past 7 days, on how many days did you walk for at least 10 minutes at a time? |
| PE06 | During the past 7 days, how much time did you spend walking? |
| FV01 | How often do you eat fruits (excluding juice)? |
| FV02 | How often do you eat vegetables or salad (excluding juice and potatoes)? |
| FV03 | How often do you drink fruit- or vegetable - juice? |
| EN01A | Thinking about the past 12 months, when you were at home, to what extent were you exposed to any of the following conditions? Noise (as road traffic, train traffic, airplane traffic, factories, neighbours, animals, restaurant / bars /disco) |
| EN01B | Thinking about the past 12 months, when you were at home, to what extent were you exposed to any of the following conditions? Air pollution (fine dust, grime, dust, fume, ozone) |
| EN01C | Thinking about the past 12 months, when you were at home, to what extent were you exposed to any of the following conditions? Bad smells (from the industry, from the agriculture, sewer, waste) |
| EN02 | Thinking about the past 12 months, to what extent were you exposed to crime, violence or vandalism at home or in the area where you live? |
| EN03A | At your workplace, to what extent are you exposed to harassment or bullying |
| EN03B | At your workplace, to what extent are you exposed to discrimination |
| EN03C | At your workplace, to what extent are you exposed to violence or threat of violence |
| EN03D | At your workplace, to what extent are you exposed to time pressure or overload of work |
| EN03E | At your workplace, to what extent are you exposed to chemicals, dust, fumes, smoke or gases |
| EN03F | At your workplace, to what extent are you exposed to noise or vibration |
| EN03G | At your workplace, to what extent are you exposed to difficult work postures, work movements or handling of heavy loads |
| EN03H | At your workplace, to what extent are you exposed to risk of accident |
| EN04 | How many people are so close to you that you can count on them if you have serious personal problem? |
| SK01 | Do you smoke at all nowadays? |
| SK02A | What tobacco product do you smoke each day? Manufactured cigarettes |
| SK02B | What tobacco product do you smoke each day? Hand-rolled cigarettes |
| SK02C | What tobacco product do you smoke each day? Cigars |
| SK02D | What tobacco product do you smoke each day? Pipefuls of tobacco |
| SK02E | What tobacco product do you smoke each day? Other |
| SK03A | On average, how many cigarettes, cigars or pipefuls do you smoke each day? Manufactured cigarettes |
| SK03B | On average, how many cigarettes, cigars or pipefuls do you smoke each day? Hand-rolled cigarettes |
| SK03C | On average, how many cigarettes, cigars or pipefuls do you smoke each day? Cigars |
| SK03D | On average, how many cigarettes, cigars or pipefuls do you smoke each day? Pipefuls of tobacco |
| SK03E | On average, how many cigarettes, cigars or pipefuls do you smoke each day? Other |
| SK04 | Have you ever smoked (cigarettes, cigars, pipes) daily, or almost daily, for at least one year? |
| SK05 | For how many years have you smoked daily? Count all separate periods of smoking daily. If you don't remember the exact number of years, please give an estimate. |
| SK06 | How often are you exposed to tobacco smoke indoors at home? |
| SK07 | How often are you exposed to tobacco smoke indoors in public places and transport (bars, restaurants, shopping malls, arenas, bingo halls, bowling alleys, trains, metro, bus)? |
| SK08 | How often are you exposed to tobacco smoke indoors at your workplace? |
| AL01 | During the past 12 months, how often have you had an alcoholic drink of any kind (that is beer, wine, spirits, liqueurs or other alcoholic beverages)? |
| {AL02A-AL02G} | How many drinks containing alcohol do you have each day in a typical week when you are drinking? |
| AL03 | During the past 12 months, how often did you have 6 or more drinks on one occasion? |
| CN01 | Do you personally know people who take cannabis (or term best understood by respondent)? |
| CN02 | During the past 12 months, have you taken any cannabis? |
| CN03 | Do you personally know people who take other drugs, such as cocaine, amphetamines, ecstasy or other similar substances? |
| CN04 | During the past 12 months, have you taken any other drug, such as cocaine, amphetamines, ecstasy or other similar substances? |
| Household Characteristics | |
|---|---|
| Variables | Description |
| HHID | Household identifier |
| HHWGT | Household weight |
| IN01A | Which kinds of income you and the other members of your household receive? Income from work (as employee or self-employed) |
| IN01B | Which kinds of income you and the other members of your household receive? Unemployment benefits |
| IN01C | Which kinds of income you and the other members of your household receive? Old-age or survivor's benefits |
| IN01D | Which kinds of income you and the other members of your household receive? Sickness or disability benefits |
| IN01E | Which kinds of income you and the other members of your household receive? Family/children related allowances |
| IN01F | Which kinds of income you and the other members of your household receive? Housing allowances |
| IN01G | Which kinds of income you and the other members of your household receive? Education-related allowance |
| IN01H | Which kinds of income you and the other members of your household receive? Other regular benefits |
| IN01I | Which kinds of income you and the other members of your household receive? No source of income |
| IN04 | Perhaps you can provide the approximate range instead. Would you (please look at this card and) tell me which group represents your household's total net monthly income from all these sources after deductions for income tax, National Insurance etc |
| IN05 | Midpoint of the income interval indicated in IN04 |
| HHSIZE0 | Total number of persons in household |
| HHSIZE1 | Number of children aged less than or equal to 4 |
| HHSIZE2 | Number of children aged from 5 to 13 |
| HHSIZE3 | Number of children aged from 14 to 15 |
| HHSIZE4 | Number of dependent children aged from 16 to 24 |
| HHSIZE5 | Number of other members aged 16 to 24 |
| HHSIZE6 | Number of persons aged from 25 to 64 |
| HHSIZE7 | Number of persons aged more than or equal to 65 |
| HHTYPE | Household type |
| HHACT | Number of persons aged 16-64 in household who are at work |
| HHINACT | Number of persons aged 16-64 in household who are unemployed or are inactive |
| BI01 | [Do/Does] [you/he/she] wear glasses or contact lenses? |
| BI02 | How much difficulty [do/does] [you/he/she] have in clearly seeing someone's face across a room? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI03 | How much difficulty [do/does] [you/he/she] have clearly seeing printed text in a newspaper? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI04 | [Do/Does] [you/he/she] wear a hearing aid? |
| BI05 | How much difficulty [do/does] [you/he/she] have hearing what is said in a conversation with one other person in a noisy room where there are several other conversations going on? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI06 | How much difficulty [do/does] [you/he/she] have hearing what is said in a conversation with one other person in a quiet room? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI07 | [Do/Does] [you/he/she] use any aids or equipment for walking or moving around? |
| BI08A | [Do/does] [you/he/she] use cane or walking stick? |
| BI08B | [Do/does] [you/he/she] use walker? |
| BI08C | [Do/does] [you/he/she] use crutches? |
| BI08D | [Do/does] [you/he/she] use wheelchair? |
| BI08E | [Do/does] [you/he/she] use someone's assistance? |
| BI08F | [Do/does] [you/he/she] use other (specify) |
| BI09 | How much difficulty [do/does] [you/he/she] have walking 500 metres on level ground? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI10 | How much difficulty [do/does] [you/he/she] have walking 100 metres on level ground? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI11 | How much difficulty [do/does] [you/he/she] have walking up and down a flight of stairs, (if yes above) without using [your/his/her] [your/his/her] ______ [mention the aid from 1b]? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI12 | Overall, during the past week, how much physical pain or physical discomfort did you have? Would you say: none at all, a little, moderate, a lot, or extreme physical pain or physical discomfort? |
| BI13 | How much difficulty [do/does] you have remembering important things? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this? |
| BI14 | Overall, during the past week, how worried, nervous, or anxious did you [he/she] feel? Would you say: not at all, slightly, moderately, a lot, or extremely worried, nervous, or anxious? |
| BI15 | Overall, during the past week, how sad, low, or depressed did you [he/she] feel? Would you say: not at all, slightly, moderately, a lot, or extremely worried, nervous, or anxious? |
