cs_q2_Y  If you do any other activities at work which we have not included, please list them in the space below and fill in the hours per week column:  cs_q2_X  cs_No_Yes  Hours in week  cs_No_Yes  Hours in week 

0  No 1  Yes 
0  No 1  Yes 

Sitting – light work e.g. desk work, or driving a car or truck  1  Have you done each activity at work in the last year?  
Sitting – light work e.g. desk work, or driving a car or truck  1  If yes, how many hours per week?  
Sitting – light work e.g. desk work, or driving a car or truck  2  Have you done each activity at work in the last year?  
Sitting – light work e.g. desk work, or driving a car or truck  2  If yes, how many hours per week?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  1  Have you done each activity at work in the last year?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  1  If yes, how many hours per week?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  2  Have you done each activity at work in the last year?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  2  If yes, how many hours per week?  
Standing – light work e.g. lab technician work or working at a shop counter  1  Have you done each activity at work in the last year?  
Standing – light work e.g. lab technician work or working at a shop counter  1  If yes, how many hours per week?  
Standing – light work e.g. lab technician work or working at a shop counter  2  Have you done each activity at work in the last year?  
Standing – light work e.g. lab technician work or working at a shop counter  2  If yes, how many hours per week?  
Standing – light/moderate work e.g. light welding or stocking shelves  1  Have you done each activity at work in the last year?  
Standing – light/moderate work e.g. light welding or stocking shelves  1  If yes, how many hours per week?  
Standing – light/moderate work e.g. light welding or stocking shelves  2  Have you done each activity at work in the last year?  
Standing – light/moderate work e.g. light welding or stocking shelves  2  If yes, how many hours per week?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  1  Have you done each activity at work in the last year?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  1  If yes, how many hours per week?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  2  Have you done each activity at work in the last year?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  2  If yes, how many hours per week?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  1  Have you done each activity at work in the last year?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  1  If yes, how many hours per week?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  2  Have you done each activity at work in the last year?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  2  If yes, how many hours per week?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  1  Have you done each activity at work in the last year?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  1  If yes, how many hours per week?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  2  Have you done each activity at work in the last year?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  2  If yes, how many hours per week?  
Walking – carrying something heavy  1  Have you done each activity at work in the last year?  
Walking – carrying something heavy  1  If yes, how many hours per week?  
Walking – carrying something heavy  2  Have you done each activity at work in the last year?  
Walking – carrying something heavy  2  If yes, how many hours per week?  
Moving, pushing heavy objects weighing over 75 lbs  1  Have you done each activity at work in the last year?  
Moving, pushing heavy objects weighing over 75 lbs  1  If yes, how many hours per week?  
Moving, pushing heavy objects weighing over 75 lbs  2  Have you done each activity at work in the last year?  
Moving, pushing heavy objects weighing over 75 lbs  2  If yes, how many hours per week? 
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow manyMinutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day 
0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow manyMinutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day 
0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow manyMinutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day 

Swimming – leisurely not laps  
Swimming  competitive or laps  
Walking for pleasure do not include walking as a means of transport  
Backpacking, hill walking or mountain climbing  
Jogging  
Competitive running  
Cycling for pleasure  do not include cycling as a means of transport  
Racing or rough terrain cycling 
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Mowing the lawn – during the grass cutting season  
Watering the lawn or garden in the summer  
Digging, shoveling or chopping wood  
Weeding, pruning  
DIY e.g. carpentry, home or car maintenance 
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

High impact aerobics, step aerobics  
Other aerobics  
Exercises with weights  
Conditioning exercises e.g. using an exercise bike or rowing machine  
Floor exercises e.g. stretching, bending, keep fit 
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Snooker, billiards, darts  
Bowling – indoor, lawn or ten pin  
Tennis or badminton  
Squash  
Table tennis  
Golf  
Netball, volleyball, basketball  
Football, rugby or hockey (during the season)  
Cricket (during the season) 
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Dancing e.g. ballroom  
Musical instrument playing, singing  
Horseriding  
Fishing  
Rowing  
Sailing, windsurfing, boating  
Iceskating  
Winter sports e.g. skiing  
Martial arts, boxing, wrestling 
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Preparing food, cooking and washing up  
Shopping for food and groceries  
Shopping and browsing in shops for other items (e.g. clothes, toys)  
Cleaning the house  
Doing the laundry and ironing  
Caring for children or babies at home (not as paid employment)  
Caring for people who are elderly, handicapped or disabled at home (not as paid employment) 
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How manyHow manyMinutes in hourHow manyHow manyMinutes in hourHow manyMinutes in hourHow many  How manyHow manyMinutes in hourHow manyHow manyMinutes in hourHow manyMinutes in hourHow many  How manyHow manyMinutes in hourHow manyHow manyMinutes in hourHow manyMinutes in hourHow many  
First activity (please specify)  
Second activity (please specify) 
please specify the activity and indicate how often you did each activity on average over the last 12 months. For activities that are seasonal, please put the average frequency during the season when you did the activity. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line First activity (please specify)
please specify the activity and indicate how often you did each activity on average over the last 12 months. For activities that are seasonal, please put the average frequency during the season when you did the activity. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line Second activity (please specify)
Name/brand of supplement (please specify)    

Generic text 1  Daily 2  Several times a week 3  Less often Generic text1  Daily 2  Several times a week 3  Less often 
Generic text 1  Daily 2  Several times a week 3  Less often Generic text1  Daily 2  Several times a week 3  Less often 

Supplement 1:  
Supplement 2:  
Supplement 3:  
Supplement 4:  
Supplement 5:  
Supplement 6:  
Supplement 7:  
Supplement 8: 
How old were you when you broke the bone? Please give your age in years ... Years  Which bone did you break? Please specify in box below and also indicate on the diagram  What caused the bone to break? Please specify in box below  

Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text  Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text  Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text  
1st broken bone  
2nd broken bone  
3rd broken bone  
4th broken bone  
5th broken bone 
  

1  Strongly Agree 2  Agree 3  Neither Agree or Disagree 4  Disagree 5  Strongly Disagree 

I feel like I belong to this neighbourhood  
The friendships and associations I have with other people in my neighbourhood mean a lot to me  
If I needed some advice about something I could go to someone in my neighbourhood  
I borrow things and exchange favours with my neighbours  
I would be willing to work together with others on something to improve my neighbourhood  
I plan to remain a resident of this neighbourhood for a number of years  
I like to think of myself as similar to the people who live in this neighbourhood  
I regularly stop and talk with people in my neighbourhood 
In total, how many hours do you spend each week looking after or helping these people?
  

1  None of the time 2  Rarely 3  Some of the time 4  Often 5  All of the time 

I’ve been feeling optimistic about the future  
I’ve been feeling useful  
I’ve been feeling relaxed  
I’ve been feeling interested in other people  
I’ve had energy to spare  
I’ve been dealing with problems well  
I’ve been thinking clearly  
I’ve been feeling good about myself  
I’ve been feeling close to other people  
I’ve been feeling confident  
I’ve been able to make up my own mind about things  
I’ve been feeling loved  
I’ve been interested in new things  
I’ve been feeling cheerful 
  Month/Year  or Age at the time ... yrs  

Generic date 0  No 1  Yes AgeGeneric date0  No 1  Yes Age0  No 1  Yes AgeGeneric date 
Generic date 0  No 1  Yes AgeGeneric date0  No 1  Yes Age0  No 1  Yes AgeGeneric date 
Generic date 0  No 1  Yes AgeGeneric date0  No 1  Yes Age0  No 1  Yes AgeGeneric date 

Removal of uterus (womb) and both ovaries (hysterectomy and bilateral oophorectomy)  
Removal of uterus (womb) only (hysterectomy)  
Removal of uterus (womb) and one ovary (hysterectomy and oophorectomy)  
Removal of both ovaries only (bilateral oophorectomy)  
Removal of one ovary only (oophorectomy) 
Jan  Feb  Mar  Apr  May  June  July  Aug  Sep  Oct  Nov  Dec  

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2003  
2004  
2005  
2006  
2007  
2008  
2009  
2010 
nshd_06_pb
Read through each of the following categories and circle either 1 for Yes or 0 for No. Then go back through the list and, for each of the activities for which you have ticked yes, record the number of hours per week that you spent on that activity.
cs_q2_Y  If you do any other activities at work which we have not included, please list them in the space below and fill in the hours per week column:  cs_q2_X  cs_No_Yes  Hours in week  cs_No_Yes  Hours in week 

0  No 1  Yes 
0  No 1  Yes 

Sitting – light work e.g. desk work, or driving a car or truck  1  Have you done each activity at work in the last year?  
Sitting – light work e.g. desk work, or driving a car or truck  1  If yes, how many hours per week?  
Sitting – light work e.g. desk work, or driving a car or truck  2  Have you done each activity at work in the last year?  
Sitting – light work e.g. desk work, or driving a car or truck  2  If yes, how many hours per week?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  1  Have you done each activity at work in the last year?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  1  If yes, how many hours per week?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  2  Have you done each activity at work in the last year?  
Sitting – moderate work e.g. working heavy levers or riding a mower or forklift truck  2  If yes, how many hours per week?  
Standing – light work e.g. lab technician work or working at a shop counter  1  Have you done each activity at work in the last year?  
Standing – light work e.g. lab technician work or working at a shop counter  1  If yes, how many hours per week?  
Standing – light work e.g. lab technician work or working at a shop counter  2  Have you done each activity at work in the last year?  
Standing – light work e.g. lab technician work or working at a shop counter  2  If yes, how many hours per week?  
Standing – light/moderate work e.g. light welding or stocking shelves  1  Have you done each activity at work in the last year?  
Standing – light/moderate work e.g. light welding or stocking shelves  1  If yes, how many hours per week?  
Standing – light/moderate work e.g. light welding or stocking shelves  2  Have you done each activity at work in the last year?  
Standing – light/moderate work e.g. light welding or stocking shelves  2  If yes, how many hours per week?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  1  Have you done each activity at work in the last year?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  1  If yes, how many hours per week?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  2  Have you done each activity at work in the last year?  
Standing – moderate work e.g. fast rate assembly line work or lifting up to 50 lbs every 5 minutes for a few seconds at a time  2  If yes, how many hours per week?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  1  Have you done each activity at work in the last year?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  1  If yes, how many hours per week?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  2  Have you done each activity at work in the last year?  
Standing – moderate/heavy work e.g. masonry/painting or lifting more than 50 lbs every 5 minutes for a few seconds at a time  2  If yes, how many hours per week?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  1  Have you done each activity at work in the last year?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  1  If yes, how many hours per week?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  2  Have you done each activity at work in the last year?  
Walking at work – carrying nothing heavier than a briefcase e.g. moving about a shop  2  If yes, how many hours per week?  
Walking – carrying something heavy  1  Have you done each activity at work in the last year?  
Walking – carrying something heavy  1  If yes, how many hours per week?  
Walking – carrying something heavy  2  Have you done each activity at work in the last year?  
Walking – carrying something heavy  2  If yes, how many hours per week?  
Moving, pushing heavy objects weighing over 75 lbs  1  Have you done each activity at work in the last year?  
Moving, pushing heavy objects weighing over 75 lbs  1  If yes, how many hours per week?  
Moving, pushing heavy objects weighing over 75 lbs  2  Have you done each activity at work in the last year?  
Moving, pushing heavy objects weighing over 75 lbs  2  If yes, how many hours per week? 
Please write in the number of journeys of each distance that you made by foot in the last 7 days.
  

How many  
Journeys less than 0.5 miles  
Journeys of 0.5 to 1.5 miles  
Journeys of 1.5 to 2.5 miles  
Journeys of 2.5 to 3.5 miles  
Journeys of 3.5 to 5.5 miles  
Journeys of more than 5.5 miles 
Please write in the number of journeys of each distance that you made by bicycle in the last 7 days.
  

How many  
Journeys less than 0.5 miles  
Journeys of 0.5 to 1.5 miles  
Journeys of 1.5 to 2.5 miles  
Journeys of 2.5 to 3.5 miles  
Journeys of 3.5 to 5.5 miles  
Journeys of 5.5 to 9.5 miles  
Journeys of more than 9.5 miles 
please indicate how often you did each activity on average over the last 12 months. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line.
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow manyMinutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day 
0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow manyMinutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day 
0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow manyMinutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day 

Swimming – leisurely not laps  
Swimming  competitive or laps  
Walking for pleasure do not include walking as a means of transport  
Backpacking, hill walking or mountain climbing  
Jogging  
Competitive running  
Cycling for pleasure  do not include cycling as a means of transport  
Racing or rough terrain cycling 
please indicate how often you did each activity on average over the last 12 months. For mowing and watering the lawn put the average frequency during the season when you did the activity. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Mowing the lawn – during the grass cutting season  
Watering the lawn or garden in the summer  
Digging, shoveling or chopping wood  
Weeding, pruning  
DIY e.g. carpentry, home or car maintenance 
please indicate how often you did each activity on average over the last 12 months. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

High impact aerobics, step aerobics  
Other aerobics  
Exercises with weights  
Conditioning exercises e.g. using an exercise bike or rowing machine  
Floor exercises e.g. stretching, bending, keep fit 
please indicate how often you did each activity on average over the last 12 months. For activities that are seasonal, e.g. football and cricket please put the average frequency during the season when you did the activity. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Snooker, billiards, darts  
Bowling – indoor, lawn or ten pin  
Tennis or badminton  
Squash  
Table tennis  
Golf  
Netball, volleyball, basketball  
Football, rugby or hockey (during the season)  
Cricket (during the season) 
please indicate how often you did each activity on average over the last 12 months. For activities that are seasonal, e.g. skiing, please put the average frequency during the season when you did the activity. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Dancing e.g. ballroom  
Musical instrument playing, singing  
Horseriding  
Fishing  
Rowing  
Sailing, windsurfing, boating  
Iceskating  
Winter sports e.g. skiing  
Martial arts, boxing, wrestling 
please indicate how often you did each activity on average over the last 12 months. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 
How many 0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hour0  Not done in last year 1  Less than once month 2  Once a month 3  2 to 3 times a month 4  Once a week 5  2 to 3 times a week 6  4 to 5 times a week 7  6 times a week or every day Minutes in hourHow many 

Preparing food, cooking and washing up  
Shopping for food and groceries  
Shopping and browsing in shops for other items (e.g. clothes, toys)  
Cleaning the house  
Doing the laundry and ironing  
Caring for children or babies at home (not as paid employment)  
Caring for people who are elderly, handicapped or disabled at home (not as paid employment) 
please specify the activity and indicate how often you did each activity on average over the last 12 months. For activities that are seasonal, please put the average frequency during the season when you did the activity. Please indicate the average length of time you spent doing the activity on each occasion. Please complete EACH line
Number of times you did the activity in the last 12 months  Average time per episode Hours  Average time per episode Mins  

How manyHow manyMinutes in hourHow manyHow manyMinutes in hourHow manyMinutes in hourHow many  How manyHow manyMinutes in hourHow manyHow manyMinutes in hourHow manyMinutes in hourHow many  How manyHow manyMinutes in hourHow manyHow manyMinutes in hourHow manyMinutes in hourHow many  
First activity (please specify)  
Second activity (please specify) 
Please could you say how much time you spent on average during the last year watching TV or videos or using a computer, other than for work?
  

0  None 1  Less than 1 hour a day 2  1 to 2 hours a day 3  2 to 3 hours a day 4  3 or 4 hours a day 5  More than 4 hours a day 

TV or video viewing  
Using a computer (during leisure time only) 
For your main meal of the day, how many times during the week do you usually:
Number of times  

How many  
Eat out in a restaurant or café (including a fast food restaurant)  
Eat a meal from a takeaway restaurant  
Eat a meal prepared at home 
When you have your main meal at home, do you usually eat it….
  

1  Usually 2  Sometimes 3  Rarely/Never 

sitting at a table?  
watching television?  
with other members of the family?  
with friends?  
alone? 
How many times per week do you usually eat, either on their own or in mixed dishes, sandwiches etc:
  

1  57 times 2  34 times 3  12 times 4  Less often/Never 

red meat (beef, lamb, pork)  
white meat (chicken and turkey)  
processed meat (e.g. sausages – including salami, frankfurters, beefburgers, chicken nuggets 
please specify the names/brands of each supplement in table below and indicate how often you use each one in the table below.
Name/brand of supplement (please specify)    

Generic text 1  Daily 2  Several times a week 3  Less often Generic text1  Daily 2  Several times a week 3  Less often 
Generic text 1  Daily 2  Several times a week 3  Less often Generic text1  Daily 2  Several times a week 3  Less often 

Supplement 1:  
Supplement 2:  
Supplement 3:  
Supplement 4:  
Supplement 5:  
Supplement 6:  
Supplement 7:  
Supplement 8: 
please fill in details of each injury, starting with the first, in the table below:
How old were you when you broke the bone? Please give your age in years ... Years  Which bone did you break? Please specify in box below and also indicate on the diagram  What caused the bone to break? Please specify in box below  

Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text  Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text  Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text  
1st broken bone  
2nd broken bone  
3rd broken bone  
4th broken bone  
5th broken bone 
The following statements are about neighbourhoods. Please indicate how strongly you agree or disagree with each statement.
  

1  Strongly Agree 2  Agree 3  Neither Agree or Disagree 4  Disagree 5  Strongly Disagree 

I feel like I belong to this neighbourhood  
The friendships and associations I have with other people in my neighbourhood mean a lot to me  
If I needed some advice about something I could go to someone in my neighbourhood  
I borrow things and exchange favours with my neighbours  
I would be willing to work together with others on something to improve my neighbourhood  
I plan to remain a resident of this neighbourhood for a number of years  
I like to think of myself as similar to the people who live in this neighbourhood  
I regularly stop and talk with people in my neighbourhood 
The following statements are about feelings and thoughts. Please circle one number per line that best describes your experience of each statement over the last 2 weeks.
  

1  None of the time 2  Rarely 3  Some of the time 4  Often 5  All of the time 

I’ve been feeling optimistic about the future  
I’ve been feeling useful  
I’ve been feeling relaxed  
I’ve been feeling interested in other people  
I’ve had energy to spare  
I’ve been dealing with problems well  
I’ve been thinking clearly  
I’ve been feeling good about myself  
I’ve been feeling close to other people  
I’ve been feeling confident  
I’ve been able to make up my own mind about things  
I’ve been feeling loved  
I’ve been interested in new things  
I’ve been feeling cheerful 
please give dates of all operations. (Circle 0 (no) or 1 (yes) for ae). If you cannot remember the month and year, give your age at the time of the operation.
  Month/Year  or Age at the time ... yrs  

Generic date 0  No 1  Yes AgeGeneric date0  No 1  Yes Age0  No 1  Yes AgeGeneric date 
Generic date 0  No 1  Yes AgeGeneric date0  No 1  Yes Age0  No 1  Yes AgeGeneric date 
Generic date 0  No 1  Yes AgeGeneric date0  No 1  Yes Age0  No 1  Yes AgeGeneric date 

Removal of uterus (womb) and both ovaries (hysterectomy and bilateral oophorectomy)  
Removal of uterus (womb) only (hysterectomy)  
Removal of uterus (womb) and one ovary (hysterectomy and oophorectomy)  
Removal of both ovaries only (bilateral oophorectomy)  
Removal of one ovary only (oophorectomy) 
Please indicate (by ticking the boxes) which months you used HRT preparations.
Jan  Feb  Mar  Apr  May  June  July  Aug  Sep  Oct  Nov  Dec  

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1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 
1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 
1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 
1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 1  Tick 

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20062010 Clinic Study PreAssessment Booklet