Question | Response options |
---|---|
1. Would you say your general health is | Excellent Very good Good Fair Poor |
2. Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? | Number of days |
3. Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good? | Number of days |
4. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation? | Number of days |