Core module questions used1-150
(1) Would you say that in general your health is:
Please Read
a. Excellent1
b. Very good2
c. Good3
d. Fair4
e. Poor5
Do not read these responses
Don't know/Not sure7
Refused9
(2) Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good?
(3) Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?
Optional module questions used1-150
(4) Are you limited in any way in any activities because of any impairment or health problem? (if yes, answer 5)
a. Yes1
b. No2
Don't know/Not sure7
Refused9
(5) Because of any impairment or health problem, do you need the help of other persons with your personal care needs, such as eating, bathing, dressing, or getting around the house?
a. Yes1
b. No2
Don't know/Not sure7
Refused9