Below are a number of statements that people often use to describe themselves. Please read each statement and then circle the appropriate number next to that statement to indicate your answer. There are no right or wrong answers. Your own impression is the only thing thing that matters.
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.
Did you discuss with your specialist how often you have to come back from this moment on?
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?