Physical activity |
Which level of physical activity have you had during the last year? |
• Easy exercise:none, less than 1 hour/week, 1–2 hours/week, 3 hours or more/week |
• Hard exercise:none, less than 1 hour/week, 1–2 hours/week, 3 hours or more/week |
Use of alcohol |
• Are you totally abstinent from alcohol? Yes/no |
• How many times a month do you usually drink alcohol? Number of times: |
• How many glasses of beer, wine or spirits do you usually drink during a two-week period? Number of glasses: |
Smoking |
• Do you smoke cigarettes daily? Yes/no |
• If you used to be a daily smoker, since when did you quit? Number of years: |
• If you are or were a daily smoker, how many cigarettes do or did you usually smoke during a day? Number of cigarettes: |
• For how many years have you been a daily smoker? Number of years: |
General health |
• How is your present general state of health? Bad/not quite good/good/very good |
Depressed mood |
• Have you felt down/depressed during the last two weeks? Yes/a little/considerably/very much |