Question Grid

Name

qg_6

Label

6

Question Text

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)? Have you...

-

1 - Yes

2 - No

Cut down the amount of time you spent on work or other activities?
Accomplished less than you would like?
Not done your work or other activities as carefully as usual?

Usage

12 questions before...
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 your physical health? Have you...

Tick one box on each line

-

1 - Yes

2 - No

Cut down the amount of time you spent on work or other activities?
Accomplished less than you would like?
Been limited in the kind of work or other activities you were able to do?
Had difficulty performing work or other activities (for example, it took extra effort)?
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)? Have you...

Tick one box on each line

-

1 - Yes

2 - No

Cut down the amount of time you spent on work or other activities?
Accomplished less than you would like?
Not done your work or other activities as carefully as usual?

During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbours, or groups?

Tick one box only

1
Not at all
2
Slightly
3
Moderately
4
Quite a bit
5
Extremely
21 questions after...

Dimensions

Code Dimension

Display Code
False
Display Label
False

Code Dimension

Type
Code List
Selection Style
SelectOne
Codes
  • 1 -
Display Code
False
Display Label
False

Response Options

Type
Code List
Selection Style
SelectOne