Question Grid

Name

qg_11

Label

11

Question Text

For each of the following statements please choose one answer that best describes how true or false it is for you.

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1 - Definitely true

2 - Mostly true

3 - Don't know

4 - Mostly false

5 - Definitely false

I seem to get ill a little easier than other people
I am as healthy as anybody I know
I expect my health to get worse
My health is excellent

Usage

19 questions before...
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 time during the past four weeks

Tick one box on each line

-

1 - All of the time

2 - Most of the time

3 - A good bit of the time

4 - Some of the time

5 - A little of the time

6 - None of the time

Did you feel full of life?
Have you been a very nervous person?
Have you felt so down in the dumps nothing could cheer you up?
Have you felt calm and cheerful?
Did you have a lot of energy?
Have you felt downhearted and low?
Did you feel worn out?
Have you been a happy person?
Did you feel tired?
Has your health limited your social activities (like visiting friends, relatives, etc.)?
For each of the following statements please choose one answer that best describes how true or false it is for you.

Tick one box on each line

-

1 - Definitely true

2 - Mostly true

3 - Don't know

4 - Mostly false

5 - Definitely false

I seem to get ill a little easier than other people
I am as healthy as anybody I know
I expect my health to get worse
My health is excellent
Please check you have completed all the questions
14 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
Codes