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Displaying 36601 - 36620 of 53097
Summary:

If you do not have a paid job, which of the following reasons is most applicable to your situation?

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Percentage of incapacity

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Due to cancer?

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Do you smoke?

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How long has it been you've quit smoking?

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Number of cigarettes per day

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Number of cigars per week

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Number of packages of pipe tobacco (50 grams) per week

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Can you state how many glasses of alcoholic drinks you drank on average per week in the past 12 months?

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How long has it been you've quit drinking alcohol?

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Number of glasses of beer per week

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Number of glasses of wine or port wine per week

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Number of glasses of liquor per week (eg. cognac, gin, whiskey, liquor)

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Can you indicate in the table below how many hours you have spend on average on a weekly basis on the following activities in the past summer and winter. This concerns activities outside your (un)paid work. If one type of activity does not apply, enter '0 '.

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Have you done weekly sporting activities in the past year?

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How many times did you have contact with your general practitioner in the past 12 months?

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How many of these contact moments had to do with cancer or the aftermath of cancer?

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How many times did you have contact with your specialist in the past 12 months?

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How many of these contact moments had to do with cancer or the aftermath of cancer?

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Do you still have follow up appointments?

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