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Table 1 Socio-demographic, risk factor and self-reported chronic conditions questions

From: Reliability of self-reported health risk factors and chronic conditions questions collected using the telephone in South Australia, Australia

Questions

Response categories

Including yourself how many people aged 16 years and over live in this household?

 

How many children (including babies) under 16 years live in your household?

 

In which country [were you / was child’s name] born?

 

In general, would you say [your] health is:

 

Excellent ; Very good; Good; Fair; Poor

 

In the last 12 months, how many times have you used a general practitioner in South Australia?

 

Have you ever been told by a doctor that you have diabetes?

 

Have you ever been told by a doctor that you have asthma?

 

Have you ever been told by a doctor that you have had any of the following conditions?

Heart attack; Angina; Heart disease; Stroke; None of the above

Have you ever been told by a doctor that you have arthritis?

Yes, Osteoarthritis; Yes, Rheumatoid Arthritis; Yes, Juvenile Rheumatoid Arthritis (JRA); Yes, other (specify); No, don’t have arthritis; Yes, don’t know type

Have you ever been told by a doctor that you have osteoporosis?

 

Have you ever been told by a doctor or a nurse that you have high blood pressure?

 

Have you ever been told by a doctor or a nurse that you have high cholesterol?

 

What is your height without shoes? (Centimetres or Feet : Inches)

 

What is your weight? (Undressed in the morning)? (Kilograms (Kg) or Stones : Pounds)

 

In the last week, how many times have you walked continuously, for at least 10 minutes, for recreation, exercise or to get to or from places?

 

What do you estimate was the total time that you spent walking in this way in the last week?

 

The following questions are about tobacco smoking. This includes cigarettes, cigars and pipes. Which of the following best describes your home situation?

My home is smoke free (includes smoking is allowed outside); People occasionally smoke in the house; People frequently smoke in the house

Which of the following best describes your smoking status?

I smoke daily; I smoke occasionally; I don’t smoke now but I used to; I’ve tried it a few times but never smoked regularly; I’ve never smoked

How often do you usually drink alcohol?

 

A Standard Drink is equivalent to a schooner or midi of full strength beer, a glass of wine or a nip of spirits. On a day when you drink alcohol, how many drinks do you usually have?

 

How many serves of vegetables [do you] usually eat each day? A ‘serve’ is ½ cup cooked vegetables or 1 cup of salad.

 

How many serves of fruit [do you] usually eat each day? A ‘serve’ is 1 medium piece or 2 small pieces of fruit or 1 cup of diced pieces.