In general, what would this person say his or her health is?
4. In general, what would this person say his or her health is?
Has a doctor told this person that he or she has a chronic lung disease, such as emphysema or chronic bronchitis?
Has a doctor told this person that he or she has cancer (excluding minor skin cancers)?
6. Has a doctor told this person that he or she has cancer (excluding minor skin cancers)?
Has a doctor told this person that he or she has congestive heart failure?
7. Has a doctor told this person that he or she has congestive heart failure?
Has a doctor ever told this person that he or she has diabetes or high blood sugar?
8. Has a doctor ever told this person that he or she has diabetes or high blood sugar?
Which best describes this person’s cigarette use?
9. Which best describes this person’s cigarette use?
Does this person have difficulty walking a quarter mile (several city blocks) without help from other people or special equipment?
10. Does this person have difficulty walking a quarter mile (several city blocks) without help from other people or special equipment?
During the past 12 months, how many times was this person hospitalized overnight?
Because of a health or memory problem, does this person have any difficulty with managing his or her money, such as paying bills or keeping track of expenses?
13. Because of a health or memory problem, does this person have any difficulty with managing his or her money, such as paying bills or keeping track of expenses?
Because of a health or memory problem, does this person have any difficulty with bathing or showering?
14. Because of a health or memory problem, does this person have any difficulty with bathing or showering?
Because of a physical, mental or emotional problem, does this person need the help of others in handling routine needs such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a health problem, does this person have any difficulty pushing or pulling large objects like a living room chair?
15. Because of a health problem, does this person have any difficulty pushing or pulling large objects like a living room chair?
What do you think this person best guess of 10 year mortality risk ?
Your best guess of 10 year mortality risk