|
Questions on lifestyle and health status |
| 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 hour/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** |
|
* Less than good general health: bad or not so good ** Depressed mood: yes or a little |
Brekke et al. BMC Geriatrics 2006 6:16 doi:10.1186/1471-2318-6-16 |