Survey Questions in the Alabama Brain Study on Risk for Dementia
(excuse the strange characters and poor formatting)

​Start Date
End Date
Response Type
IP Address
Progress
Duration (in seconds)
Finished
Recorded Date
Response ID
Recipient Last Name
Recipient First Name
Recipient Email
External Data Reference
Location Latitude
Location Longitude
Distribution Channel
User Language
Please enter your Subject Code:
Age:
Sex:
Race: - Selected Choice
Race: - More than one race: - Text
Race: - Other: - Text
Have you ever served in the military?
Have you ever served in combat?
How many pets do you have?
If you have a pet, what kind(s) do you have?
Do you use a Fitbit or other device to track your physical and health activities?
Please provide information about your annual income (before taxes). Please provide your best estimates. - Your current annual salary
Please provide information about your annual income (before taxes). Please provide your best estimates. - Total current household income
Please provide information about your annual income (before taxes). Please provide your best estimates. - Total household income while you were growing up (on average).
Please provide information about your annual income (before taxes). Please provide your best estimates. - Your mother's current annual salary
Please provide information about your annual income (before taxes). Please provide your best estimates. - Your father's current annual salary
One a scale of 1 = not difficult at all to 4 = very difficult, please answer how hard it is for you to pay for basics like: - Food
One a scale of 1 = not difficult at all to 4 = very difficult, please answer how hard it is for you to pay for basics like: - Housing
One a scale of 1 = not difficult at all to 4 = very difficult, please answer how hard it is for you to pay for basics like: - Medical care
One a scale of 1 = not difficult at all to 4 = very difficult, please answer how hard it is for you to pay for basics like: - Heating
Your Socioeconomic Status.Think of a ladder with 10 rungs representing where people stand IN THE UNITED STATES. At the top of the ladder are the people who are the best off, those who have the MOST MONEY, MOST EDUCATION, and BEST JOBS. At the bottom are the people who are the worst off, those who have the least money, least education, and worst jobs or no job. Between 1 (bottom) and 10 (top), where do you think you currently stand on the ladder IN GENERAL?
Approximately how many hours of sleep on average (per night) have you had in the last 3 months?
How many hours of sleep did you get last night?
How much caffeine (coffee, tea, energy drinks, etc.) did you consume per day on average in the last 3 months?
Equivalent to ____ cups of coffee a day
How much caffeine (coffee, tea, energy drinks, etc.) did you consume in the last 24 hours?
Equivalent to ____ cups of coffee a day
Do you have a child?
How old is your eldest child now? - Years
How old is your eldest child now? - Months
Have you had any successes in your life in the last year that have changed your life for the better?
Please specify what successes you have had:
In the last year, have you experienced something that you would consider a major life event?
Please specify the major life event:
Have you had any large losses in your life in the last year that have changed your life for the worse?
Please specify the large losses in your life:
Do you feel that your life has stagnated in the last year (that is, progress towards a better life has stopped or slowed down)?
How do you rate your current quality of life?
Please indicate your marital status:
Please indicate your relationship status
Please provide as much information on your birthplace as possible. - City
Please provide as much information on your birthplace as possible. - State
Please provide as much information on your birthplace as possible. - Zip code
ZIP code of the region where you currently reside:











(If you do not know the ZIP code, please write the city and state)
How many people are in your household (including you)?
How many years of education have you completed?
What is (or was) your primary occupation?
How many years of education has your spouse completed?
How many years of education has your father completed?
How many years of education has your mother completed?
What is (or was) your spouse’s primary occupation?
Do you wear glasses or contact lenses?
How much difficulty do you have reading ordinary print in the newspaper with your
glasses or contact lenses? Would you say...
How much difficulty do you have reading ordinary print in the newspaper? Would you say...
Do you feel you have hearing loss?
Do you wear a hearing aid?
Do you feel you have hearing loss when wearing your hearing aid?
Stereotypes about African-Americans/Hispanics have not affected me personally.
I never worry that my behaviors will be viewed as stereotypical of African-
Americans/Hispanics.
When interacting with people from a different ethnic group, I feel like they interpret all
my behaviors in terms.
Most people do not judge others on the basis of their ethnicity.
Being African-American/Hispanic does not influence how people act towards me.
I almost never think about my ethnicity when I interact with people from other ethnic
groups.
Most people have a lot more prejudiced thoughts than they actually express.
I often think that White people are unfairly accused of being racists.
Most White people have a problem viewing African-Americans/Hispanics as equals.
How concerned/anxious would you be that the consultant’s
recommendation to remove parts of very your résumé is because of
your age?􏰀
I would expect that the consultant’s recommendation to remove
parts of my résumé is very because of my age.
How concerned/anxious would you be that the person is talking
to you in this way because of your very age?􏰀
I would expect that the person is talking to me in this way
because of my age.
How concerned/anxious would you be that the sales clerk
might direct his answers to your family member instead of you
because of your age?
I would expect that the sales clerk might direct his answers to
my family member instead of me because of my age.
How concerned/anxious would you be that you might be
evaluated as less qualified than others in very the class because of your age?
I would expect that I might be evaluated as less qualified as

others in the class because of my age.
How concerned/anxious would you be that your coworker is
only asking you if you need help very because of your age?
I would expect that my coworker would only ask me if I need
help because of my age.
How concerned/anxious would you be that the woman might

be impatient with you because of very your age?
I would expect that the woman might be impatient with me
because of my age.
How concerned/anxious would you be that your supervisor
replaced you because of your age?
I would expect that my supervisor replaced me because of my
age.
How concerned/anxious would you be that you might not be
hired because of your age.
I would expect that I might not be hired because of my age.
How concerned/anxious would you be that you might not be
chosen for the position because very of your age? 􏰀
I would expect that I might not be chosen for the position because of my age.
How concerned/anxious would you be that you might be
treated differently by the other students because of your age?
I would expect that the other students might treat me differently
because of my age.
How concerned/anxious would you be that the blame for the accident
might be placed on you because of your age?
I would expect that the blame for the accident might be placed
on me because of my age.
How concerned/anxious would you be that you might be
overcharged because of your age?
I would expect that I might be overcharged because of my age.
How concerned/anxious would you be that you might not get a
spot in the class because of your age? 􏰀􏰁
I would expect that I might not get a spot in the class because of
my age.
How concerned/anxious would you be that you might not be
selected for the training because of your age?
I would expect that I might not be selected for the training because of
my age.
How concerned/anxious would you be that the manager told you that
the position was filled because of your age? 􏰀
I would expect that the manager told me the position was filled
because of my age.
Many old people are stingy and hoard their money and possessions.
Many old people are not interested in making new friends, preferring
instead the circle of friends they have had for years.
Many old people just live in the past.
Most old people should not be trusted to take care of infants.
Many old people are happiest when they are with people their own
age.
Most old people would be considered to have poor personal hygiene.
Most old people can be irritating because they tell the same stories
over and over again.
Old people complain more than other people do.
I would prefer not to go to an open house at a senior’s club, if invited.
Teenage suicide is more tragic than suicide among the old.
I sometimes avoid eye contact with old people when I see them.
I don’t like it when old people try to make conversation with me.
Complex and interesting conversation cannot be expected form most
old people.
Feeling depressed when around old people is probably a common
feeling.
Old people should find friends their own age.
Old people should feeling welcome at the social gatherings of young
people.
Old people don’t really need to use our community sports facilities.
It is best that old people live where they won’t bother anyone.
The company of most old people is quite enjoyable.
It is sad to hear about the plight of the old in our society these days.
Old people should be encouraged to speak out politically.
Most old people are interesting, individualistic people.
I personally would not want to spend much time with an old person.
There should be special clubs set aside within sports facilities so that
old people can compete at their own level.
Old people deserve the same rights and freedoms as do other

members of our society.
Most old people should not be allowed to renew their driver’s
license.
Old people can be very creative.
I would prefer not to live with an old person.
Old people do not need much money to meet their needs.
Please select how often each statement occurs. - You are treated with less courtesy that other people.
Please select how often each statement occurs. - You are treated with less respect than other people.
Please select how often each statement occurs. - You receive poorer service than other people at restaurants and stores.
Please select how often each statement occurs. - People act as if they think you are not smart.
Please select how often each statement occurs. - People act as if they are afraid of you.
Please select how often each statement occurs. - People act as if they think you are dishonest.
Please select how often each statement occurs. - People act as if they're better than you.
Please select how often each statement occurs. - You are called names or insulted.
Please select how often each statement occurs. - You are threatened or harassed.
I feel in tune with the people around me.
There is no one I can turn to.
I feel alone.
I feel part of a group of friends.
I have a lot in common with the people around me.
I am no longer close with anyone.
My interests and ideas are not shared with those around me.
I am an outgoing person.
There are people I feel close to.
My social relationships are superficial.
No one really knows me well.
I can find companionship when I want it.
There are people who really understand me.
I am unhappy being so withdrawn.
People are around me, but not with me.
There are people I can talk to.
There are people I can turn to.
I feel like I am not always included in my circle of friends.
There really is no one that can give me an
objective view of how I am handling my problems.
If I were sick and needed someone to take me
to the doctor, I would have trouble finding someone.
If I were sick, I could easily find someone to
help me with my daily chores.
I don't often get invited to do things with others.
There is really no one I can trust to give me good
financial advice.
If I had to go out of town for a few weeks, it
would be difficult to find someone who would look after my house or apartment.
It would be difficult to find someone who would
lend me his or her car.
There is at least one person whose advice I
really trust.
How many people do you feel you can discuss important matters with?
How many types of relationships make up this group of people (e.g. Spouse, family member, friend, coworker)?
How many of these people live in your household?
How often do you interact with each of these people? - Person 1
How often do you interact with each of these people? - Person 1 - Text
How often do you interact with each of these people? - Person 2
How often do you interact with each of these people? - Person 2 - Text
How often do you interact with each of these people? - Person 3
How often do you interact with each of these people? - Person 3 - Text
How often do you interact with each of these people? - Person 4
How often do you interact with each of these people? - Person 4 - Text
How often do you interact with each of these people? - Person 5
How often do you interact with each of these people? - Person 5 - Text
How close do you consider yourself with each of these people? - Person 1
How close do you consider yourself with each of these people? - Person 1 - Text
How close do you consider yourself with each of these people? - Person 2
How close do you consider yourself with each of these people? - Person 2 - Text
How close do you consider yourself with each of these people? - Person 3
How close do you consider yourself with each of these people? - Person 3 - Text
How close do you consider yourself with each of these people? - Person 4
How close do you consider yourself with each of these people? - Person 4 - Text
How close do you consider yourself with each of these people? - Person 5
How close do you consider yourself with each of these people? - Person 5 - Text
How many people do you live with?
Do you live alone?
How many friends would you say you have?
How many children do you have?
How many grandchildren do you have?
How often do you attend religious services?
How often do you attend meetings of an organized group?
How often do you socialize with friends and relatives?
How often do you socialize with neighbors?
How often do you do volunteer work?
How often can you open up to members of you family?
How often can you rely on members of your family?
How often can you open up to your friends?
How often can you rely on your friends?
How often can you open up to your spouse or partner?
How often can you rely on your spouse or partner?
How often do you feel that you lack companionship?
How often do you feel left out?
How often do you feel isolated from others?
Were you bothered by things that don’t usually bother you?
Did you not feel like eating or had a poor appetite?
Did you feel that you could not shake off the blues with help from your family or friends?
Did you feel that you were just as good as other people?
Did you have trouble keeping your mind on what you were doing?
Did you feel depressed?
Did you feel that everything you did was an effort?
Did you feel hopeful about the future?
Did you think that your life had been a failure?
Did you feel fearful?
Was your sleep restless?
Were you happy?
Did you talk less than usual?
Did you feel lonely?
Were people unfriendly?
Did you enjoy life?
Did you have crying spells?
Did you feel sad?
Did you feel that people disliked you?
Could you not “get going?”
Have you been sad, blue, or depressed?
Have you expressed feelings of hopelessness or pessimism?
Have you felt life is not worth living? Or expressed a wish to die or done something that suggests you were considering suicide?
Have there been times when you don't enjoy the things you do as much as you used to?
Do you find you sometimes can't seem to get started on things you used to
do, even though your are capable of doing them?
(For example, do you find you won't start a task or pastime on your own, but
with a little encouragement you go ahead and carries it out?)
Was your sleeping pattern in the past month different from the way it used to be? (For example, do you sleep more or less
than you used to? Do you sleep at a different time of day than you used
to?)
Has your appetite during the past month changed from the way it used to be? (For example, at meal times does your desire to eat
seem different?)
Have there been times when you were agitated or upset?
Have there been times when you were easily irritated or annoyed?
Have you been threatening or verbally abusive toward others?
Has you been restless or overactive? (For example, do you fidget or
pace? Do you finger things or seem unable to sit still?)
Have you done things that seem to have no clear purpose or a confused
purpose? (For example, do you open and close drawers? Do you put
things in inappropriate places? Do you hoard things or rummage through
things?)
Have you wandered or tried to wander for no apparent reason?
Do you tend to say the same things repeatedly?
Have you done or said anything that suggests you believe that there are
people in or around the house beyond those who are actually there?
Have you done or said anything that suggests you think where you live is not
really your home, even though you used to consider it home?
Have you seen things or people that were not there?
I am interested in things.
I get things done during the day.
Getting things done is important to me.
I am interested in having new experiences.
I am interested in learning new things.
I put little effort into anything.
I approach life with intensity.
Seeing a job through to the end is important to me.
I spend time doing things that interest me.
Someone has to tell me what to do each day.
I am less concerned about my problems than I should be.
I have friends.
Getting together with friends is important to me.
When something good happens, I get excited.
I have accurate understanding of my problems.
Getting things done during the day is important to me.
I have initiative.
I have motivation.
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - interested
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - distressed
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - excited
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - upset
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - strong
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - guilty
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - scared
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - hostile
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - enthusiastic
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - proud
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - irritable
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - alert
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - ashamed
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - inspired
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - nervous
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - determined
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - attentive
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - jittery
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - active
The PANAS

 

 This scale consists of a number of words that describe different feelings and emotions. Read each item and then select the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment. Use the following scale to record your answers. - afraid
In most ways, my life is close to my ideal.
The conditions of my life are excellent.
I am satisfied with my life.
So far I have gotten the important things I want in life.
If I could live my life over, I would change almost nothing.
Please select how often you do each of the following. - I make a plan of action and follow it.
Please select how often you do each of the following. - I look for the silver lining or try to look on the bright side.
Please select how often you do each of the following. - I try to spend time alone.
Please select how often you do each of the following. - I hope the problem will take care of itself.
Please select how often you do each of the following. - I try to let my emotions out.
Please select how often you do each of the following. - I try to talk about it with a friend or family.
Please select how often you do each of the following. - I try to put the problem out of my mind.
Please select how often you do each of the following. - I tackle the problem head-on.
Please select how often you do each of the following. - I step back from the situation and try to put things in perspective.
Please select how often you do each of the following. - I tend to blame myself.
Please select how often you do each of the following. - I let my feelings out to reduce the stress.
Please select how often you do each of the following. - I hope for a miracle.
Please select how often you do each of the following. - I ask a close friend or relative that I respect for help or advice.
Please select how often you do each of the following. - I try not to think about the problem.
Please select how often you do each of the following. - I tend to criticize myself.
Please select how often you do each of the following. - I keep my thoughts and feelings to myself.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Looked for a stronger connection with God.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Sought God's love and care.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Sought help from God in letting go of my anger.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Tried to put my plans into action together with God.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Tried to see how God might be trying to strengthen me in this situation.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Asked forgiveness for my sins.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Focused on religion to stop worrying about my problems.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Wondered whether God had abandoned me.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Felt punished by God for my lack of devotion.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Wondered what I did for God to punish me.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Questioned God's love for me.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Wondered whether my church had abandoned me.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Decided the devil made this happen
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - Questioned the power of God.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - I feel it is impossible to reach the goals I would like to strive for.
The following items deal with ways you coped with the negative event in your life. There are many ways to try to deal with problems. These items ask what you did to cope with this negative event. Obviously different people deal with things in different ways, but we are interested in how you tried to deal with it. Each item says something different about a particular way of coping. We want to know to what extent you did what the item says. How much or how frequently. Don’t answer on the basis of what worked or not, just whether or not you did it. Try to rate each item separately in your mind from the others. Make your answers as true FOR YOU as you can.
Rate each item on a scale of 0 to 3 (0 = not at all, 3 = a great deal) - The future seems hopeless to me, and I can't believe that things are changing for the better.
How often do you attend religious meetings?
How often do you spend time in private religious activities, such as prayer, meditation,
or religious text study?
In my life, I experience the presence of the Divine (God)?
My religious beliefs are what really lie behind my whole approach to life.
I try hard to carry my religion over into all other dealings in life.
I feel strength and comfort in my religion or spiritual tradition.
I feel deep inner peace and harmony.
I feel God's love for me, directly or through others.
I am spiritually touched by the beauty of creation.
Contentment - I am generally pleased with my memory ability.
Contentment - There is something seriously wrong with my memory.
Contentment - If something is important, I will probably remember it.
Contentment - When I forget something, I fear that I may have a serious memory problem, like Alzheimer’s disease.
Contentment - My memory is worse than most other people my age.
Contentment - I have confidence in my ability to remember things.
Contentment - I feel unhappy when I think about my memory ability.
Contentment - I worry that others will notice that my memory is not very good.
Contentment - When I have trouble remembering something, I’m not too hard on myself.
Contentment - I am concerned about my memory.
Contentment - My memory is really going downhill lately.
Contentment - I am generally satisfied with my memory ability.
Contentment - I don’t get upset when I have trouble remembering something.
Contentment - I worry that I will forget something important.
Contentment - I am embarrassed about my memory ability.
Contentment - I get annoyed or irritated with myself when I am forgetful.
Contentment - My memory is good for my age.
Contentment - I worry about my memory ability.
Contentment - I get anxious when I am asked to remember something.
Ability - How often do you forget to pay a bill on time?
Ability - How often do you misplace something you use daily, like your keys or glasses?
Ability - How often do you have trouble remembering a telephone number you just looked up?
Ability - How often do you not recall the name of someone you just met?
Ability - How often do you leave something behind when you meant to bring it with you?
Ability - How often do you forget an appointment?
Ability - How often do you forget what you were just about to do; for example, walk into a room and forget what you went there to do?
Ability - How often do you forget to run an errand?
Ability - How often do you have difficulty coming up with a specific word that you want?
Ability - How often do you have trouble remembering details from a newspaper or magazine article you read earlier that day?
Ability - How often do you forget to take medication?
Ability - How often do you not recall the name of someone you have known for some time?
Ability - How often do you forget to pass on a message?
Ability - How often do you forget what you were going to say in conversation?
Ability - How often do you forget a birthday or anniversary that you used to know well?
Ability - How often do you forget a telephone number you use frequently?
Ability - How often do you retell a story or joke to the same person because you forgot that you had already told him or her?
Ability - How often do you misplace something that you put away a few days ago?
Ability - How often do you forget to buy something you intended to buy?
Ability - How often do you forget details about a recent conversation?
Ability - I can remember things as well as always.
Ability - I am less efficient at remembering things now that I used to be.
Ability - I have difficulty remembering things when I am anxious.
Ability - The older I get the harder it is to remember clearly.
Strategies - How often do you use a timer or alarm to remind you when to do something?
Strategies - How often do you ask someone to help you remember something or to remind you to do something?
Strategies - How often do you create a rhyme out of what you want to remember?
Strategies - How often do you create a visual image of something you want to remember, like a name and a face?
Strategies - How often do you write things on a calendar, such as appointments or things you need to do?
Strategies - How often do you go through the alphabet one letter at a time to see if it sparks a memory for a name or word?
Strategies - How often do you organize information you want to remember; for example, organize your grocery list according to food groups?
Strategies - How often do you say something out loud in order to remember it, such as a telephone number you just looked up?
Strategies - How often do you use a routine to remember important things, like checking that you have your wallet and keys when you leave home?
Strategies - How often do you make a list, such as a grocery list or a list of things to do?
Strategies - How often do you mentally elaborate on something you want to remember; for example, focus on a lot of the details?
Strategies - How often do you put something in a prominent place to remind you to do something, like putting your umbrella by the front door so that you will remember to take it with you?
Strategies - How often do you repeat something to yourself at increasingly longer and longer intervals so that you will remember it?
Strategies - How often do you create a story to link together information you want to remember?
Strategies - How often do you write down in a notebook things that you want to remember?
Strategies - How often do you create an acronym out of the first letters in a list of things to remember, such as carrots, apples, and bread (cab)?
Strategies - How often do you intentionally concentrate hard on something so that you will remember it?
Strategies - How often do you write a note or reminder for yourself (other than on a calendar or in a notebook)?
Strategies - How often do you mentally retrace your steps in order to remember something, such as the location of a misplaced item?
How is your memory compared to the way it was 10 years ago?
How is your ability to remember appointments correctly?
Please select the frequency of each statement. - I have noticed difficulty with my memory.
Please select the frequency of each statement. - I remember things less well than you did a year ago.
Please select the frequency of each statement. - I remember the names of close friends and relatives as well as I always have.
Please select the frequency of each statement. - I am worse at finding the word I want to use in a conversation.
Please select the frequency of each statement. - When I actually forget appointments, I consider this memory problem very serious.
Please select the frequency of each statement. - I forget things that I was told yesterday or a few days ago.
Please select the frequency of each statement. - I often remember what I entered a room to do.
Please select the frequency of each statement. - I often have trouble recalling frequently used phone numbers.
Metaconcentration Scale - I am good at concentrating on television or radio broadcasts.
Metaconcentration Scale - I am able to watch a whole film from the start to the end.
Metaconcentration Scale - I have trouble keeping concentrated during conversations.
Metaconcentration Scale - I am good at concentrating when reading.
Present Ability - I can remember to do the things I need to.
Present Ability - I'm not good at remembering things.
Present Ability - I can't remember things, even if I want to.
Present Ability - If I really want to remember something, I can.
Potential Improvement - I can't seem to figure out what to do to help me remember things.
Potential Improvement - I can find ways to improve my memory.
Potential Improvement - I can think of strategies to help me keep up my memory.
Effort Utility - If I work at it, I can improve my memory.
Effort Utility - If I use my memory a lot, it will stay in shape, just like my muscles do if i exercise.
Effort Utility - If I use my memory often, I won’t lose it.
Inevitable Decrement - There’s not much I can do to keep my memory from going downhill.
Inevitable Decrement - No matter how much I use my memory it is bound to get worse as I get older.
Inevitable Decrement - When it comes to memory, there is no way I can make up for the losses that come with age.
Independence - As I get older I’ll need to rely on others to remember things for me.
Independence - If I want to have a good memory I need to have others help me remember.
Alzheimer's Likelihood - Alzheimer’s disease is a common problem among the elderly.
Alzheimer's Likelihood - When I forget something I am apt to think I have Alzheimer’s disease.
Alzheimer's Likelihood - I sometimes think that I have Alzheimer’s disease.
Please select the degree to which you agree with each statement. - I am good at ‘‘sizing up’’ situations.
Please select the degree to which you agree with each statement. - I have a hard time making decisions when faced with difficult situations.
Please select the degree to which you agree with each statement. - I consider multiple options before making a decision.
Please select the degree to which you agree with each statement. - When I encounter difficult situations, I feel like I am losing control.
Please select the degree to which you agree with each statement. - I like to look at difficult situations from many different angles.
Please select the degree to which you agree with each statement. - I seek additional information not immediately available before attributing causes to behavior.
Please select the degree to which you agree with each statement. - When encountering difficult situations, I become so stressed that I can not think of a way to resolve the situation.
Please select the degree to which you agree with each statement. - I try to think about things from another person’s point of view.
Please select the degree to which you agree with each statement. - I find it troublesome that there are so many different ways to deal with difficult situations.
Please select the degree to which you agree with each statement. - I am good at putting myself in others’ shoes.
Please select the degree to which you agree with each statement. - When I encounter difficult situations, I just don’t know what to do.
Please select the degree to which you agree with each statement. - It is important to look at difficult situations from many angles.
Please select the degree to which you agree with each statement. - When in difficult situations, I consider multiple options before deciding how to behave.
Please select the degree to which you agree with each statement. - I often look at a situation from different viewpoints.
Please select the degree to which you agree with each statement. - I am capable of overcoming the difficulties in life that I face.
Please select the degree to which you agree with each statement. - I consider all the available facts and information when attributing causes to behavior.
Please select the degree to which you agree with each statement. - I feel I have no power to change things in difficult situations.
Please select the degree to which you agree with each statement. - When I encounter difficult situations, I stop and try to think of several ways to resolve it.
Please select the degree to which you agree with each statement. - I can think of more than one way to resolve a difficult situation I’m confronted with.
Please select the degree to which you agree with each statement. - I consider multiple options before responding to difficult situations.
In the past month, how much were you bothered
by: - Repeated, disturbing, and unwanted memories of the stressful experience?
In the past month, how much were you bothered
by: - Repeated, disturbing dreams of the stressful experience?
In the past month, how much were you bothered
by: - Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?
In the past month, how much were you bothered
by: - Feeling very upset when something reminded you of the stressful experience?
In the past month, how much were you bothered
by: - Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?
In the past month, how much were you bothered
by: - Avoiding memories, thoughts, or feelings related to the stressful experience?
In the past month, how much were you bothered
by: - Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?
In the past month, how much were you bothered
by: - Trouble remembering important parts of the stressful experience?
In the past month, how much were you bothered
by: - Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?
In the past month, how much were you bothered
by: - Blaming yourself or someone else for the stressful experience or what happened after it?
In the past month, how much were you bothered
by: - Having strong negative feelings such as fear, horror, anger, guilt, or shame?
In the past month, how much were you bothered
by: - Loss of interest in activities that you used to enjoy?
In the past month, how much were you bothered
by: - Feeling distant or cut off from other people?
In the past month, how much were you bothered
by: - Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?
In the past month, how much were you bothered
by: - Irritable behavior, angry outbursts, or acting aggressively?
In the past month, how much were you bothered
by: - Taking too many risks or doing things that could cause you harm?
In the past month, how much were you bothered
by: - Being “superalert” or watchful or on guard?
In the past month, how much were you bothered
by: - Feeling jumpy or easily startled?
In the past month, how much were you bothered
by: - Having difficulty concentrating?
In the past month, how much were you bothered
by: - Trouble falling or staying asleep?
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - In your job? (This would include feelings overworked, hassled at work, job insecurity etc.)
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - In your relationship with others? (This would include your marriage, friendships, dealing with relatives, etc.)
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - Related to living in your neighborhood? (This would include crime, traffic, events affecting your personal safety, etc.)
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - Related to caring for others? (This would include caring for an elderly parent or relative, caring for children, etc.)
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - Related to legal problems? (This would include dealing with lawyers, judges, or other court officials, being accused or convicted of crime, etc.)
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - Related to medical problems? (This would include personal health problems or illness in family, availability of health care, etc.)
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - Related to racism and discrimination? This would include feeling mistreated or discriminated against at work, in a restaurant, at the grocery store, etc.)
We are interested in the amount of stress that you have experienced over the past 12 months. Over the past 12 months, how much stress did you experience... - Related to meeting basic needs? (This would include housing, buying food, paying bills, etc.)
In the last month, how often have you felt that you were unable to control the important things in your life?
In the last month, how often have you felt confident about your ability to handle your personal problems?
In the last month, how often have you felt that things were going your way?
In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?
How busy are you during an average day?
How often do you/are you... - have too many things to do each day to actually get them all done?
How often do you/are you... - find yourself rushing from place to place trying to get appointments or to get things done?
How often do you/are you... - so busy that you miss scheduled breaks or rest periods?
How often do you/are you... - so busy that you miss your regular meal times?
How often do you/are you... - so busy that you forget what you are supposed to do?
How often do you/are you... - so busy that you cannot take your medications when you are supposed to take them?
How often do you/are you... - rush out of the house in the mornings to get to where you need to be?
How often do you/are you... - have so many things to do that you go to bed later than your regular bedtime?
How often do you/are you... - your days follow a basic routine?
How often do you/are you... - get out of bed in the morning and go to bed at night at about the same time?
How often do you/are you... - eat all of your meals at about the same time each day and night?
How often do you/are you... - engage in activities at home at specific time (i.e. read the paper after work,watch a particular television show,spend time with children,work on hobbies,etc.)?
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - I've always felt that i could make of my life pretty much what I wanted to make of it.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - Once i make up my mind to do something, i stay with it until the job is completely done.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - I like doing things that other people thought could not be done.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - When things don't go the way I want them to, that just makes me work even harder.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - Sometimes I feel that if anything is going to be done right, I have to do it myself.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - It's not always easy, but i manage to find a way to do things I really need to get done.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - Very seldom have I been disappointed by the results of my hard work.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - I feel that I am the kind of individual who stands up for what he believes in, regardless of the consequences.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - In the past, even when things got really tough, I never lost sight of my goals.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - It's important for me to be able to do things the way I want to do them rather than the way other people want me to do them.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - I don't really let my personal feelings get in the way of doing a job.
The next questions concern how you see yourself, today, as a person living and doing things in the real world. We would like an honest appraisal of how you generally see yourself. - Hard work has really helped me get ahead in life.
Now we would like to ask you some questions about what it is like to live in your neighborhood. Things about people's neighborhoods may be important to their health. By neighborhood, we mean the area around where you live. It may include places you shop, religious or public institutions, or a local business district. It is the general area around your house where you might perform routine tasks, such as shopping, going to the park, or visiting with neighbors. - This is a close knit neighborhood.
Now we would like to ask you some questions about what it is like to live in your neighborhood. Things about people's neighborhoods may be important to their health. By neighborhood, we mean the area around where you live. It may include places you shop, religious or public institutions, or a local business district. It is the general area around your house where you might perform routine tasks, such as shopping, going to the park, or visiting with neighbors. - People around here are willing to help their neighbors.
Now we would like to ask you some questions about what it is like to live in your neighborhood. Things about people's neighborhoods may be important to their health. By neighborhood, we mean the area around where you live. It may include places you shop, religious or public institutions, or a local business district. It is the general area around your house where you might perform routine tasks, such as shopping, going to the park, or visiting with neighbors. - People in this neighborhood generally don't get along with each other.
Now we would like to ask you some questions about what it is like to live in your neighborhood. Things about people's neighborhoods may be important to their health. By neighborhood, we mean the area around where you live. It may include places you shop, religious or public institutions, or a local business district. It is the general area around your house where you might perform routine tasks, such as shopping, going to the park, or visiting with neighbors. - People in this neighborhood do not share the same values.
Now we would like to ask you some questions about what it is like to live in your neighborhood. Things about people's neighborhoods may be important to their health. By neighborhood, we mean the area around where you live. It may include places you shop, religious or public institutions, or a local business district. It is the general area around your house where you might perform routine tasks, such as shopping, going to the park, or visiting with neighbors. - This neighborhood is safe from crime.
Now we are going to describe some events that may or may not have happened in your neighborhood.
During the past six months... - How often was there a fight in this neighborhood in which a weapon was used?
Now we are going to describe some events that may or may not have happened in your neighborhood.
During the past six months... - How often was there a violent argument between neighbors?
Now we are going to describe some events that may or may not have happened in your neighborhood.
During the past six months... - How often was there gang fights?
Now we are going to describe some events that may or may not have happened in your neighborhood.
During the past six months... - How often was there sexual assault or rape?
Now we are going to describe some events that may or may not have happened in your neighborhood.
During the past six months... - How often was there a robbery or mugging?
Thinking about your neighborhood as a whole, please tell us how much each of the following is a problem in your neighborhood. - Excessive noise
Thinking about your neighborhood as a whole, please tell us how much each of the following is a problem in your neighborhood. - Heavy traffic or speeding cars
Thinking about your neighborhood as a whole, please tell us how much each of the following is a problem in your neighborhood. - Lack of access to adequate food and/or shopping
Thinking about your neighborhood as a whole, please tell us how much each of the following is a problem in your neighborhood. - Lack of parks or playgrounds
Thinking about your neighborhood as a whole, please tell us how much each of the following is a problem in your neighborhood. - Trash and litter
Thinking about your neighborhood as a whole, please tell us how much each of the following is a problem in your neighborhood. - No sidewalks or poorly maintained sidewalks
What is Medicare?
Medicare Part D covers which of the following?
Medicare routinely covers costs associated with extended long-term
care, such as nursing home care lasting more than 1 month.
Suppose your doctor has given you a new prescription with the following
instructions: “Take 2 pills twice daily with food for 7 days.” Which of these choices represents
the BEST way for you to take this medicine?
You go to see your doctor and he recommends you get your flu vaccine. He tells
you that the flu is the most common cause of death in older people but warns that there is a 1 in
100,000 chance that you will develop a life-threatening complication if you get the vaccine.
Would you get the vaccination?
Please choose the leading causes of heart disease and stroke that are treatable
with medication. (Choose all that apply.)
Your doctor offers you two drugs. Drug A has a 1 in 100 chance of death. Drug B
has a 99 in 100 chance of survival. Which one is more risky?
Which of these percentages represents the biggest risk of getting a disease?
A store is offering 15% off a television that is normally priced at USD 1,000. How
much money would you save on the TV during this sale?
If a television set is on sale for USD 899, which is USD 200 off its normal price,
what is the normal price?
If 5 people all have the winning numbers in the lottery and the prize is USD 2
million, how much will each of them receive?
If the chance of getting a disease is 10%, how many people out of 1,000 would be
expected to get the disease?
Suppose you had USD 100 in a savings account and the interest rate was 2% per
year. After 5 years, how much do you think you would have in the account if you left the money
to grow: more than USD 102, exactly USD 102, or less than USD 102?
Again, suppose you had USD 100 in a savings account and the interest rate was
2% per year. After 5 years, how much do you think you would have in the account if you left the
money to grow: more than USD 110, exactly USD 110, or less than USD 110?
Imagine that the interest rate on your savings account is 1% per year and inflation
is 2% per year. After 1 year, will you be able to buy more than, exactly the same as, or less than
today with the money in your account?
What do the initials FDIC stand for?
What does the FDIC do?
A mutual fund is an investment that holds what – only stocks, only bonds, or
stocks AND bonds?
When interest rates go up, what do bond prices do: go down, go up, or stay the
same?
Buying a single company stock usually provides a better return than
a stock mutual fund.
An older person with USD 100,000 to invest should hold riskier
financial investments than a younger person with USD 100,000 to invest.
Using money in a bank account to pay off credit card debt is usually
wise.
To make money in the stock market, you have to buy and sell stocks
often.
Stocks and mutual funds generally produce higher average returns
above inflation compared to fixed-income investments such as bonds.
Imagine you receive a gift of USD 10,000. If you were to invest the money on
your own for the next 5 years, what percentage on average do you think you could earn per year?
Please provide a number from 0 to 100.
Again, imagine you receive a gift of USD 10,000. If you were to invest the money
in a government bond, what percentage on average do you think you could earn per year? Please
provide a number from 0 to 100.
Again, imagine you receive a gift of USD 10,000. If you were to invest the money
in a mutual fund, what percentage on average do you think you would earn per year? Please
provide a number from 0 to 100.
Has a close family member (parent or child) entered the stock market within the previous
five years?
Have your parents ever owned a home?
Have yours parents ever had retirement savings (pensions or retirement plans, tax-deferred
plans such as thrift/savings, 401(k)s, profit sharing or stock ownership plans and IRAs or Keogh
plans)?
Were your parents ever banked (had checking accounts, saving accounts or money market
mutual funds)?
Have your parents ever owned stocks or mutual funds?
PB.2  Is your mother that you will answer questions about in this questionnaire your... (choose biological mother if you knew her at least a little): - Selected Choice
PB.2  Is your mother that you will answer questions about in this questionnaire your... (choose biological mother if you knew her at least a little): - Adoptive Mother (If so, your age of adoption) - Text
PB.2  Is your mother that you will answer questions about in this questionnaire your... (choose biological mother if you knew her at least a little): - Step Mother (If so, your age when she assumed the role of guardian) - Text
PB.2  Is your mother that you will answer questions about in this questionnaire your... (choose biological mother if you knew her at least a little): - Foster Mother (If so, age at which you were first fostered to her) - Text
PB.1.2  What is the year of birth of your mother? - Year
PB1.3  Is your mother still alive?
PB.1.4  If not, what was your mothers year of death? - Year
PB.4.1  Is your father that you will answer questions about in this questionnaire your... (choose biological father if you knew him at least a little): - Selected Choice
PB.4.1  Is your father that you will answer questions about in this questionnaire your... (choose biological father if you knew him at least a little): - Adoptive father (If so, your age of adoption) - Text
PB.4.1  Is your father that you will answer questions about in this questionnaire your... (choose biological father if you knew him at least a little): - Step father (If so, your age when he assumed the role of guardian) - Text
PB.4.1  Is your father that you will answer questions about in this questionnaire your... (choose biological father if you knew him at least a little): - Foster Father (If so, age at which you were first fostered to him) - Text
PB.4.2 What is the year of birth of your father? - Year
PB.4.3  Is your father still alive?
PB.4.4  If not, what was your fathers year of death? - Year
PB.7.1  Did your parents separate from each other?
PB.7.2  What age were you at the time of separation?
PB.7.3  After the separation, how often did your mother say negative things to you about your father?
PB.7.4  After the separation, how often did your father say negative things to you about your mother?
PB.7.5  After the separation, did you live with your mother or father? (If both, which did you live with the most?)
PB.10.2  Current warmth of your mother:
PB.10.3  Competence (effectiveness) in life of your mother:
PB.10.4.  Generosity of your mother:
PB.10.5  Quality of current parenting in terms of good guidance from your mother:
PB.10.6  Quality of current parenting in terms of giving and receiving love from your mother:
PB.10.7  How do you rate your quality of your current relationship between you and your mother?
PB.11.2  Warmth of your father:
PB.11.3  Current competence (effectiveness) in life of your father:
PB.11.4  Current generosity of your father:
PB.11.5  Quality of current parenting in terms of good guidance from your father:
PB.11.6  Quality of Current Parenting in Terms of Giving and Receiving Love from your father:
PB.11.7  How do you rate your quality of your current relationship between you and your father?
PB.12 How do you rate your memory ability as a child?
PB.13  How do you rate your memory ability now, currently?
What age were you when you started first grade?
Did you know any mother (meaning biological, step, adoptive, or foster) at all?
MG1.1. During the whole year when you were in first grade, how often on average did you feel love toward your mother?
MG1.2. During the whole year when you were in first grade, how strong on average was your love toward your mother?
MG1.3. During the whole year when you were in first grade, how often on average did you feel affection toward your mother?
MG1.4. During the whole year when you were in first grade, how strong on average was your affection toward your mother?
MG1.5. During the whole year when you were in first grade, how often on average did you feel warmth toward your mother?
MG1.6. During the whole year when you were in first grade, how strong on average was your warmth toward your mother?
MG1.9. During the whole year when you were in first grade, how often on average did you feel fondness toward your mother?
MG1.10. During the whole year when you were in first grade, how strong on average was your fondness toward your mother?
MG1.27. During the whole year when you were in first grade, how often on average did you feel caring toward your mother?
MG1.28. During the whole year when you were in first grade, how strong on average was your caring toward your mother?
MG6.1. During the whole year when you were in sixth grade, how often on average did you feel love toward your mother?
MG6.2. During the whole year when you were in sixth grade, how strong on average was your love toward your mother?
MG6.3. During the whole year when you were in sixth grade, how often on average did you feel affection toward your mother?
MG6.4. During the whole year when you were in sixth grade, how strong on average was your affection toward your mother?
MG6.5. During the whole year when you were in sixth grade, how often on average did you feel warmth toward your mother?
MG6.6. During the whole year when you were in sixth grade, how strong on average was your warmth toward your mother?
MG6.9. During the whole year when you were in sixth grade, how often on average did you feel fondness toward your mother?
MG6.10. During the whole year when you were in sixth grade, how strong on average was your fondness toward your mother?
MG6.27. During the whole year when you were in sixth grade, how often on average did you feel caring toward your mother?
MG6.28. During the whole year when you were in sixth grade, how strong on average was your caring toward your mother?
MG9.1. During the whole year when you were in ninth grade, how often on average did you feel love toward your mother?
MG9.2. During the whole year when you were in ninth grade, how strong on average was your love toward your mother?
MG9.3. During the whole year when you were in ninth grade, how often on average did you feel affection toward your mother?
MG9.4. During the whole year when you were in ninth grade, how strong on average was your affection toward your mother?
MG9.5. During the whole year when you were in ninth grade, how often on average did you feel warmth toward your mother?
MG9.6. During the whole year when you were in ninth grade, how strong on average was your warmth toward your mother?
MG9.9. During the whole year when you were in ninth grade, how often on average did you feel fondness toward your mother?
MG9.10. During the whole year when you were in ninth grade, how strong on average was your fondness toward your mother?
MG9.27. During the whole year when you were in ninth grade, how often on average did you feel caring toward your mother?
MG9.28. During the whole year when you were in ninth grade, how strong on average was your caring toward your mother?
FG1.1. During the whole year when you were in first grade, how often on average did you feel love toward your father?
FG1.2. During the whole year when you were in first grade, how strong on average was your love toward your father?
FG1.3. During the whole year when you were in first grade, how often on average did you feel affection toward your father?
FG1.4. During the whole year when you were in first grade, how strong on average was your affection toward your father?
FG1.5. During the whole year when you were in first grade, how often on average did you feel warmth toward your father?
FG1.6. During the whole year when you were in first grade, how strong on average was your warmth toward your father?
FG1.9. During the whole year when you were in first grade, how often on average did you feel fondness toward your father?
FG1.10. During the whole year when you were in first grade, how strong on average was your fondness toward your father?
FG1.27. During the whole year when you were in first grade, how often on average did you feel caring toward your father?
FG1.28. During the whole year when you were in first grade, how strong on average was your caring toward your father?
FG6.1. During the whole year when you were in sixth grade, how often on average did you feel love toward your father?
FG6.2. During the whole year when you were in sixth grade, how strong on average was your love toward your father?
FG6.3. During the whole year when you were in sixth grade, how often on average did you feel affection toward your father?
FG6.4. During the whole year when you were in sixth grade, how strong on average was your affection toward your father?
FG6.5. During the whole year when you were in sixth grade, how often on average did you feel warmth toward your father?
FG6.6. During the whole year when you were in sixth grade, how strong on average was your warmth toward your father?
FG6.9. During the whole year when you were in sixth grade, how often on average did you feel fondness toward your father?
FG6.10. During the whole year when you were in sixth grade, how strong on average was your fondness toward your father?
FG6.27. During the whole year when you were in sixth grade, how often on average did you feel caring toward your father?
FG6.28. During the whole year when you were in sixth grade, how strong on average was your caring toward your father?
FG9.1. During the whole year when you were in ninth grade, how often on average did you feel love toward your father?
FG9.2. During the whole year when you were in ninth grade, how strong on average was your love toward your father?
FG9.3. During the whole year when you were in ninth grade, how often on average did you feel affection toward your father?
FG9.4. During the whole year when you were in ninth grade, how strong on average was your affection toward your father?
FG9.5. During the whole year when you were in ninth grade, how often on average did you feel warmth toward your father?
FG9.6. During the whole year when you were in ninth grade, how strong on average was your warmth toward your father?
FG9.9. During the whole year when you were in ninth grade, how often on average did you feel fondness toward your father?
FG9.10. During the whole year when you were in ninth grade, how strong on average was your fondness toward your father?
FG9.27. During the whole year when you were in ninth grade, how often on average did you feel caring toward your father?
FG9.28. During the whole year when you were in ninth grade, how strong on average was your caring toward your father?
Compared to other people your age, would you say that your health is excellent, good, fair, poor?
Has your doctor or health professional ever said that you have...? - High blood pressure or hypertension
Has your doctor or health professional ever said that you have...? - High blood cholesterol
Has your doctor or health professional ever said that you have...? - Heart attack
Has your doctor or health professional ever said that you have...? - Stroke
Has your doctor or health professional ever said that you have...? - Sugar in the blood or diabetes
Has your doctor or health professional ever said that you have...? - Kidney problems
Has your doctor or health professional ever said that you have...? - Cancer
Has your doctor or health professional ever said that you have...? - Chronic lung disease, such as bronchitis or emphysema
Has your doctor or health professional ever said that you have...? - Asthma
Has your doctor or health professional ever said that you have...? - A blood circulation problem
How old were you when first told that you had high blood pressure or hypertension?
How old were you when first told that you had high blood cholesterol?
How old were you when first told that you had a heart attack?
How old were you when first told that you had a stroke?
How old were you when first told that you had sugar in the blood or diabetes?
How old were you when first of that you had a kidney problem?
How old were you when first told that you had cancer?
How old were you when first told that you had chronic lung disease?
How old were you when first told that you had asthma?
How old were you when first told that you had a blood circulation problem?
Have you stayed overnight as a patient in a hospital during the past year?
Reason?
How many living brothers do you have?
How many living sisters do you have?
Do you have any brothers or sisters that are no longer living?
How many brothers are no longer living?
How many sisters are no longer living?
Have any of your brothers or sisters (whether living or not) ever had any of the following diseases? - Cancer
Have any of your brothers or sisters (whether living or not) ever had any of the following diseases? - Diabetes
Have any of your brothers or sisters (whether living or not) ever had any of the following diseases? - High blood pressure
Have any of your brothers or sisters (whether living or not) ever had any of the following diseases? - Stroke
Have any of your brothers or sisters (whether living or not) ever had any of the following diseases? - Heart disease
How many brothers or sisters had cancer?
How many of your brothers or sisters have had diabetes?
How many of your brothers or sisters have had high blood pressure?
How many of these brothers and sisters were younger than 60 years of age when told they had high blood pressure?
How many of your brothers or sisters have had a stroke?
How many of these brothers and sisters were younger than 60 years of age when told they had a stroke?
Have any of your adult (age 18 or older) natural children (whether living or not) ever been told they have...? - Cancer
Have any of your adult (age 18 or older) natural children (whether living or not) ever been told they have...? - Diabetes
Have any of your adult (age 18 or older) natural children (whether living or not) ever been told they have...? - High blood pressure
Have any of your adult (age 18 or older) natural children (whether living or not) ever been told they have...? - Stroke
Have any of your adult (age 18 or older) natural children (whether living or not) ever been told they have...? - Heart disease
How many of your brothers or sisters have had heart disease?
How many of these brothers and sisters were younger than 60 years of age when told they had heart disease?
How many are over 18 years old?
Were there any others who are no longer living?
How many natural children are no longer living?
How many of your natural children had cancer?
How many of your natural children had diabetes?
How many of your natural children had high blood pressure?
How many of your natural children were younger than 60 years of age when told they had high blood pressure?
How many of your natural children had a stroke?
How many of your natural children were younger than 60 years of age when told they had high blood pressure?
How many of your natural children had heart disease?
How many of your natural children were younger than 60 years of age when told they had high blood pressure?
Is your natural mother living?
Approximately how old was your mother when she died?
What was the cause of your natural mother's death?
Specify
How old is your mother?
Did your mother ever have (or does she have) any of the follow diseases? - Cancer
Did your mother ever have (or does she have) any of the follow diseases? - Diabetes
Did your mother ever have (or does she have) any of the follow diseases? - High blood pressure or hypertension
Did your mother ever have (or does she have) any of the follow diseases? - Stroke
Did your mother ever have (or does she have) any of the follow diseases? - Heart disease
How old was she when she was first told that she had high blood pressure or hypertension?
How old was your mother when she was first told that she had had a stroke?
How old was your mother when she was first told that she had heart disease?
Is your natural father living?
Approximately how old was your father when he died?
What was the cause of your natural father's death?
Specify
How old is your father?
Did your father ever have (or does he have) any of the follow diseases? - Cancer
Did your father ever have (or does he have) any of the follow diseases? - Diabetes
Did your father ever have (or does he have) any of the follow diseases? - High blood pressure or hypertension
Did your father ever have (or does he have) any of the follow diseases? - Stroke
Did your father ever have (or does he have) any of the follow diseases? - Heart disease
How old was he when he was first told that he had high blood pressure or hypertension?
How old was your father when he was first told that he had had a stroke?
How old was your father when he was first told that he had heart disease?
Are you a smoker?
How long have you been/were you a smoker?
Approximately how many cigarettes do you/did you smoke per day on average?
During the past year approximately how often did you smoke cigarettes?
During the past year, on the days you smoked, how many cigarettes did you smoke per day?
In the past, did you typically smoke more or less than this number?
Have you had thyroid problems?
Are you post-menopausal?
Approximately how long (in years) have you been post-menopausal?
Are you on estrogen replacement therapy?
When did you start estrogen replacement therapy?
How long have you been on estrogen replacement therapy?
Do you drink or have you in the past?
Which type of alcoholic beverage do you prefer?
On average, how many alcoholic beverages do you
consume?
Do you have a history of alcoholism?
How would you consider your drinking habits?
Have your drinking habits changed during your lifetime?
Before this change, how many alcoholic beverages
would you consume on average?
During
the past year, approximately how many times per week did you do exercises that
strengthened and toned your muscles or increased your flexibility?
On an average day, hour many hours of TV do you watch?
In
a typical day, how many hours do you spend in sedentary actions that involve no
physical effort, such as sitting in front of a computer or spending time on the
phone?
How many city
blocks (10 city blocks is about 1 mile) do you usually walk each day?
How
many minutes a day do you usually walk and/or bicycle?
Over the course of your lifetime, how active would you consider yourself?
In
comparison to other men/women of your age, do you think your work is physically
much lighter, lighter, the same as, heavier, or much heavier?
After work are you physically tired?
When you are working, how often do you do each of the following? - Sit
When you are working, how often do you do each of the following? - Stand
When you are working, how often do you do each of the following? - Walk
When you are working, how often do you do each of the following? - Lift heavy loads
When you are working, how often do you do each of the following? - Sweat from exertion
How often did you play sports or exercise during the past year?
Which sport or exercise did you do most frequently? Type N/A if you have not participated in any.
How many months in the past year did you do this activity?
How many hours a week did you do this activity?
What was the second most frequent sport or exercise you participated in?
How many months in the past year did you do this activity?
How many hours a week did you do this activity?
In comparison with others of your own age, do you think your recreational activity is much
less, less, the same as, more, or much more?
In general, would you say your health is:
In general, would you say your health is:
Because of your health now, are you limited in Vigorous activities such as running /
lifting heavy objects / participating in strenuous sports (like swimming laps)?
Because of your health now, are you limited in Moderate activities such as moving a
table / pushing a vacuum cleaner / bowling / or playing golf?
Because of your health now, are you limited in lifting or carrying groceries?
Because of your health now, are you limited in climbing several flights of stairs?
Because of your health now, are you limited in climbing one flight of stairs?
Because of your health now, are you limited in bending / kneeling / stooping?
Because of your health now, are you limited in walking more than a mile?
Because of your health now, are you limited in walking several hundred yards?
Because of your health now, are you limited in walking one hundred yards?
Because of your health now, are you limited in bathing or dressing yourself?
During the past four weeks, how much of the time have you had to cut down on the
amount of time you spent on work or other activities as a result of your physical health?
During the past four weeks, how much of the time have you accomplished less than
you would like as a result of your physical health?
During the past four weeks, how much of the time were you limited in the kind of
work or other activities you did as a result of your physical health?
During the past four weeks, how much of the time did you have difficulty performing
work or other activities (for example/ it took extra effort) as a result of your physical
health?
During the past four weeks, how much of the time have you had to cut down on the
amount of time you spent on work or other activities as a result of any emotional
problems (such as feeling depressed or anxious)?
During the past four weeks, how much of the time have you accomplished less than
you would like as a result of any emotional problems (such as feeling depressed or
anxious)?
During the past four weeks, how much of the time did you do work or other activities
less carefully than usual as a result of any emotional problems (such as feeling depressed
or anxious)?
During the past four weeks, to what extent has your physical health or emotional
problems interfered with your normal social activities with family/friends/neighbors/or
groups?
How much bodily pain have you had during the past four weeks?
During the past four weeks, how much did pain interfere with your normal work
(including both work outside the home and housework)?
How much of the time during the past four weeks did you feel full of life?
How much of the time during the past four weeks have you been very nervous?
How much of the time during the past four weeks have you felt so down in the dumps
that nothing could cheer you up?
How much of the time during the past four weeks have you felt calm and peaceful?
How much of the time during the past four weeks did you have a lot of energy?
How much of the time during the past four weeks have you felt downhearted and
depressed?
How much of the time during the past four weeks did you feel worn out?
How much of the time during the past four weeks have you been happy?
How much of the time during the past four weeks did you feel tired?
During the past four weeks, how much of the time has your physical health or
emotional problems interfered with your social activities (like visiting friends/ relatives/
etc.)?
How much would you agree with the following statements? - I seem to get sick a little easier than other people.
How much would you agree with the following statements? - I am as healthy as anybody I know.
How much would you agree with the following statements? - I expect my health to get worse.
How much would you agree with the following statements? - My health is excellent.
Please consider your
overall health in the following categories. - Mental health
Please consider your
overall health in the following categories. - Emotional health
Please consider your
overall health in the following categories. - Cognitive health
Please consider your
overall health in the following categories. - Physical health
A caregiver is defined as a family member or paid helper who regularly looks after an adult
over 18 years old such as a sick, elderly, or disabled person.


Do you consider yourself a caregiver?
How many hours per week do you spend helping someone over 18 years of age with the
following activities? - Financial Matters
How many hours per week do you spend helping someone over 18 years of age with the
following activities? - Medication
How many hours per week do you spend helping someone over 18 years of age with the
following activities? - Meal preparation
How many hours per week do you spend helping someone over 18 years of age with the
following activities? - Transportation
How many hours per week do you spend helping someone over 18 years of age with the
following activities? - Light household chores
How many hours per week do you spend helping someone over 18 years of age with the
following activities? - Using the telephone
How many hours per week do you spend helping someone over 18 years of age with the
following activities? - Shopping
Sometimes, people need help with more basic activities. How many hours per week do you
spend helping someone over 18 years of age with the following activities? - Bathing
Sometimes, people need help with more basic activities. How many hours per week do you
spend helping someone over 18 years of age with the following activities? - Dressing
Sometimes, people need help with more basic activities. How many hours per week do you
spend helping someone over 18 years of age with the following activities? - Grooming
Sometimes, people need help with more basic activities. How many hours per week do you
spend helping someone over 18 years of age with the following activities? - Toileting
Sometimes, people need help with more basic activities. How many hours per week do you
spend helping someone over 18 years of age with the following activities? - Transfer
Sometimes, people need help with more basic activities. How many hours per week do you
spend helping someone over 18 years of age with the following activities? - Eating
During the past month, what time have you usually gone to bed at night?
During the past month, how long (in minutes) has it usually taken you to fall asleep each
night?
During the past month, what time have you usually gotten up in the morning?
During the past month, how many hours of actual sleep did you get at night? (This may
be different than the number of hours you spent in bed.)
During the past month, how often have you had trouble sleeping because you... - Cannot get to sleep within 30 minutes
During the past month, how often have you had trouble sleeping because you... - Wake up in the middle of the night or early morning
During the past month, how often have you had trouble sleeping because you... - Have to get up to use the bathroom
During the past month, how often have you had trouble sleeping because you... - Cannot breathe comfortably
During the past month, how often have you had trouble sleeping because you... - Cough or snore loudly
During the past month, how often have you had trouble sleeping because you... - Feel to cold
During the past month, how often have you had trouble sleeping because you... - Feel too hot
During the past month, how often have you had trouble sleeping because you... - Had bad dreams
During the past month, how often have you had trouble sleeping because you... - Have pain
During the past month, how often have you had trouble sleeping because you... - Other
During the past month, how would you rate your sleep quality overall?
During the past month, how often have you taken medicine to help you sleep (prescribed or
"over the counter")?
During the past month, how often have you had trouble staying awake while driving, eating
meals, or engaging in social activity?
During the past month, how much of a problem has it been for you to keep up enough
enthusiasm to get things done?
Do you have a bed partner or a roommate?
If you have a roommate or bed partner, ask him/her how often in the past month
you have had... - Loud snoring
If you have a roommate or bed partner, ask him/her how often in the past month
you have had... - Long pauses between breaths while asleep
If you have a roommate or bed partner, ask him/her how often in the past month
you have had... - Legs twitching or jerking while you sleep
If you have a roommate or bed partner, ask him/her how often in the past month
you have had... - Episode of disorientation or confusion during sleep
If you have a roommate or bed partner, ask him/her how often in the past month
you have had... - Other
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I often set a goal but later choose to pursue a different one.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - New ideas and new projects sometimes distract me from previous ones.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I become interested in new pursuits every few months.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - My interests change from year to year.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I have been obsessed with a certain idea or project for a short time but later lost interest.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I have difficulty maintaining my focus on projects that take more than a few months to complete.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I have achieved a goal that took years of work.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I have overcome setbacks to conquer an important challenge.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I finish whatever I begin.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - Setbacks don't discourage me.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I am a hard worker.
Items are rated on a 5-point scale from 1 "not at all like me" to 5 "very much like me". - I am diligent.
Please select the degree to which you agree with each statement. - Whether or not I get to be a leader depends mostly on my ability.
Please select the degree to which you agree with each statement. - To a great extent my life is controlled by accidental happenings.
Please select the degree to which you agree with each statement. - I feel like what happens in my life is mostly determined by powerful people.
Please select the degree to which you agree with each statement. - Whether or not I get into a car accident depends mostly on how good a driver I am.
Please select the degree to which you agree with each statement. - When I make plans, I am almost certain to make them work.
Please select the degree to which you agree with each statement. - Often there is no chance of protecting my personal interest from bad luck happenings.
Please select the degree to which you agree with each statement. - When I get what I want, it‘s usually because I’m lucky.
Please select the degree to which you agree with each statement. - Although I might have good ability, I will not be given leadership responsibility without appealing to those in positions of power.
Please select the degree to which you agree with each statement. - How many friends I have depends on how nice a person I am.
Please select the degree to which you agree with each statement. - I have often found that what is going to happen will happen.
Please select the degree to which you agree with each statement. - My life is chiefly controlled by powerful others.
Please select the degree to which you agree with each statement. - Whether or not I get into a car accident is mostly a matter of luck.
Please select the degree to which you agree with each statement. - People like myself have very little chance of protecting our personal interests when they conflict with those of strong pressure groups.
Please select the degree to which you agree with each statement. - It’s not always wise for me to plan too far ahead because many things turn out to be a matter of good or bad fortune.
Please select the degree to which you agree with each statement. - Getting what I want requires pleasing those people above me.
Please select the degree to which you agree with each statement. - Whether or not I get to be a leader depends on whether I’m lucky enough to be in the right place at the right time.
Please select the degree to which you agree with each statement. - If important people were to decide they didn’t like me, I probably wouldn’t make many friends.
Please select the degree to which you agree with each statement. - I can pretty much determine what will happen in my life.
Please select the degree to which you agree with each statement. - I am usually able to protect my personal interests.
Please select the degree to which you agree with each statement. - Whether or not I get into a car accident depends mostly on the other driver.
Please select the degree to which you agree with each statement. - When I get what I want, it’s usually because I worked hard for it.
Please select the degree to which you agree with each statement. - In order to have my plans work, I make sure that they fit in with the desires of people who have power over me.
Please select the degree to which you agree with each statement. - My life is determined by my own actions.
Please select the degree to which you agree with each statement. - It’s chiefly a matter of whether or not I have few friends or many friends.
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is talkative
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Tends to find fault with others
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Does a thorough job
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is depressed, blue
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is original, comes up with new ideas
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is reserved
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is helpful and unselfish with others
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Can be somewhat careless
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is relaxed, handles stress well
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is curious about many different things
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is full of energy
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Starts quarrels with others
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is a reliable worker
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Can be tense
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is ingenious, a deep thinker
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Generates a lot of enthusiasm
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Has a forgiving nature
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Tends to be disorganized
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Worries a lot
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Has an active imagination
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Tends to be quiet
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is generally trusting
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Tends to be lazy
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is emotionally stable, not easily upset
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is inventive
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Has an assertive personality
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Can be cold and aloof
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Persevere until the task is finished
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Can be moody
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Values artistic, aesthetic experiences
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is sometimes shy, inhibited
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is considerate and kind to almost everyone
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Does things efficiently
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Remains calm in tense situations
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Prefers work that is routine
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is outgoing, sociable
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is sometimes rude to others
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Makes plans and follows through with them
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Gets nervous easily
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Likes to reflect, play with ideas
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Has few artistic interests
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Likes to cooperate with others
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is easily distracted
Here are a number of characteristics that may or may not apply to you. For example, do you
agree that you are someone who likes to spend time with others? Please indicate the extent to
which you agree or disagree with each statement. - Is sophisticated in art, music or literature