Now I would like to ask you some questions about your health.

In general, how is your health?

(REFER TO SHOWCARD TT )

In a typical week, how many times do you eat fruit? (Do not count fruit juice.)

(REFER TO SHOWCARD UU )

In a typical week, how many times do you eat vegetables other than french fries or potato chips?

How often when you eat a food item would you say you are aware of its nutritional content or ingredients, for example, by having read the label?

In the past seven days, how many times did you eat food from a fast food restaurant such as McDonalds, Kentucky Fried Chicken, Pizza Hut, or Taco Bell?

SELECT PER DAY/WEEK

(In the past seven days, how many times did you...)

Eat a snack between meals?

SELECT PER DAY/WEEK

(In the past seven days, how many times did you...)

Skip a meal?

SELECT PER DAY/WEEK

(In the past seven days, how many times did you...)

Have a fruit juice, soft drink or soda that contained sugar? (Do not include diet soft drinks or soda, or carbonated water.)

SELECT PER DAY/WEEK

(In the past seven days, how many days did you...)

Try to control the number of calories you took in for the day?

During a usual week, how many times do you brush your teeth?

SELECT PER DAY/WEEK

(During a usual week, how many times do you...)

use dental floss?

SELECT PER DAY/WEEK

How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate? You may do these activities for exercise, for work, or for some other reason.

(How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?)

SELECT FREQUENCY

About how long do you do these vigorous activities each time?

SELECT MINUTES/HOURS

How often do you do light or moderate activities for at least 10 minutes that cause only slight sweating or slight to moderate increase in breathing or heart rate?

PROBE IF NEEDED: You may do these activities for exercise, for work, or for some other reason.

(How often do you do light or moderate activities for at least 10 minutes that cause only slight sweating or slight to moderate increase in breathing or heart rate?)

SELECT FREQUENCY

About how long do you do these light or moderate activities each time?

SELECT MINUTES/HOURS

How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)

(How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.))

SELECT FREQUENCY

About how long do you do these physical activities each time?

SELECT MINUTES/HOURS

In a typical week, how many hours total do you use a computer?

In a typical week, how many hours do you watch television?

On a typical week night, how many hours of sleep do you usually get?

During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol?

During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol?

[YHEA_LIMTXT1] limited in the kind of work you [YHEA_LIMTXT2] do on a job for pay because of your health?

[YHEA_LIMTXT1] limited in the amount of work you [YHEA_LIMTXT2] do on a job for pay because of your health?

During the past 12 months, how many times were you physically injured or ill so that you missed at least one full day of usual activities such as work or school?

During the past 12 months, how many times did you have an emotional, mental or psychiatric problem so that you missed at least one full day of usual activities such as work or school?

How many times did you miss work because you were just not feeling right – for example, you were ‘too blue' to get up in the morning, or feeling too anxious to conduct your usual activities? Please do not include times that you missed work that you've already told me about.

Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicaid?

(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)

What is the source of your primary health or hospitalization plan? Is it from a policy from your current or previous employer, [/a policy from your spouse or partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, or is it from some other source?

Who else in your family is covered by this plan?

(SELECT ALL THAT APPLY.)

([YHEA-1910] == 0 || [YHEAINSSOURCE] != 3) && ([KEY_MARSTAT] ==1 || [YOUTH_PARTNER]==1)

COMMENT: R has no health insurance Or R is not covered by spouse/partner's current employer AND R has a spouse or partner

Can you obtain coverage from a health plan from your [spouse/partner]?

[YHEA-1910] == 1

COMMENT: R currently has health insurance

Since [LINTDATE~X], was there any time that you did not have any health insurance or coverage?

Since [LINTDATE~X], was there any time that you had health coverage?

In the past twelve months, have you visited a doctor for a routine checkup?