5
Sources
958
Studies
52143
Questions
502
Persons
How many times did you have contact with your general practitioner in the past 12 months?
If you do not have a paid job, which of the following reasons is most applicable to your situation?
Below you see a list of chronic conditions and diseases. Please indicate for each condition or disease whether you have it now or have had it in the past 12 months. Please answer this for each condition or disease.
Patients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you have experienced these symptoms or problems.
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors or groups?
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?
