CDC OPTIONAL MODULES:

PRE-DIABETES				DIABETES
ARTHRITIS BURDEN				ANXEITY AND DEPRESSION
CHILDHOOD IMMUNIZATION

STATE ADDED QUESTIONS:

HYPERTENSION AWARENESS				CHOLESTEROL AWARENESS
CANCER SURVIVORS				FISH CONSUMPTION
CHILDHOOD ASTHMA

RISK FACTORS AND DERIVED VARIABLES (Located within the corresponding section)

CDC CORE SECTIONS:

HEALTH STATUS
Would you say in general that your health is excellent, very good, good, fair or poor?

RISK FACTORS / CREATED VARIABLES
Risk factor for fair and poor health

HEALTHY DAYS                                                                             Back to topics
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?
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?
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?

HEALTH CARE ACCESS                                                               Back to topics
Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOS, or government plans such as Medicare?
Do you have one person you think of as your personal doctor or health care provider?
Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?
About how long has it been since you last visited a doctor for a routine checkup?

RISK FACTORS / CREATED VARIABLES
Adults aged 18-64 who have health care coverage

SLEEP                                                                                               Back to topics
During the past 30 days, for about how many days have you felt you did not get enough rest or sleep?

EXERCISE                                                                                       Back to topics
During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?

RISK FACTORS / CREATED VARIABLES
Adults that report doing physical activity or exercise during the past 30 days other than their regular job.

DIABETES                                                                                       Back to topics
Have you ever been told by a doctor that you have diabetes?

ORAL HEALTH                                                                               Back to topics
How long has it been since you last visited a dentist or a dental clinic for any reason? Include visits to dental specialists, such as orthodontists?
How many of your permanent teeth have been removed because of tooth decay or gum disease? Include teeth lost due to infection, but do not include teeth lost for other reasons, such as injury or orthodontics.
How long has it been since you had your teeth cleaned by a dentist or dental hygienist?

RISK FACTORS / CREATED VARIABLES
Risk factor for having had permanent teeth extracted.
Adults aged 65+ who have had all their natural teeth extracted.
Adults that have visited a dentist, dental hygienist or dental clinic within the past year.

CARDIOVASCULAR DISEASE PREVALENCE                        Back to topics
Has a doctor, nurse or other health professional ever told you that you have had a heart attack, also called a myocardial infarction?
Has a doctor, nurse or other health professional ever told you that you have angina or coronary heart disease?
Has a doctor, nurse or other health professional ever told you that you have had a stroke?

ASTHMA                                                                                          Back to topics
Have you ever been told by a doctor, nurse or other health professional that you had asthma?
Do you still have asthma?

RISK FACTORS / CREATED VARIABLES
Adults who have ever been told they have asthma (Lifetime Asthma Prevalence)
Asthma status
Adults who have been told they currently have asthma (Current Asthma Prevalence)

TOBACCO USE                                                                                Back to topics
Have you smoked at least 100 cigarettes in your entire life?
Do you now smoke cigarettes every day, some days or not at all?
During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?
How long has it been since you last smoked cigarettes regularly?
Do you currently use chewing tobacco, snuff, or snus every day, some days, or not at all?

RISK FACTORS / CREATED VARIABLES 
Four level computed smoking status
Risk factor for smoking

VETERAN STATUS                                                                          Back to topics
Have you ever served on active duty in the United States Armed Forces, either in the regular military or in a National Guard or Military Reserve Unit?

ALCOHOL CONSUMPTION                                                         Back to topics
During the past 30 days, have you had at least one drink of any alcoholic beverage such as beer, wine, a malt beverage or liquor?
During the past 30 days, how many days per week or per month did you have at least one drink of any alcoholic beverage?
On days when you drank, about how many drinks did you drink on the average?
Considering all types of alcoholic beverages, how many times during the past 30 days did you have 5 or more drinks on an occasion?
During the past 30 days, what is the largest number of drinks you had on any occasion?

RISK FACTORS / CREATED VARIABLES
At risk for binge drinking.
At risk for heavy alcohol consumption
Heavy Drinking Among Men
Heavy Drinking Among Women

IMMUNIZATION                                                                             Back to topics
During the past 12 months, have you had a flu shot?
During the past 12 months, have you had a flu vaccine that was sprayed into your nose?
Have you ever had a pneumonia shot? This shot is usually given only once or twice in a person’s lifetime and is different from the flu shot. It is also called the pneumocoocal vaccine.

RISK FACTORS / CREATED VARIABLES
Risk factor for respondents aged 65 or older that did not have a flu shot within the past 12 months.
Risk factor for respondents aged 65 or older that have never had a pneumonia shot.

FALLS                                                                                                 Back to topics
In the past 3 months, have you had a fall? By a fall, we mean when a person unintentionally comes to rest on the ground or another lower level.
How many of these falls caused an injury? By an injury, we mean the fall caused you to limit your regular activities for at least a day or to go see a doctor.

SEATBELT USE                                                                                 Back to topics
How often do you use seat belts when you drive or ride in a car? Would you say always, nearly always, sometimes, seldom, or never?

RISK FACTORS / CREATED VARIABLES
Always or Nearly Always Wear Seat Belts.
Always Wear Seat Belts.

DRINKING AND DRIVING                                                             Back to topics
During the past 30 days, how many times have you driven when you’ve had perhaps too much to drink?

WOMENS HEALTH                                                                           Back to topics
A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?
How long has it been since you had your last mammogram?
A clinical breast exam is when a doctor, nurse, or other health professional feels the breast for lumps. Have you ever had a clinical breast exam?
How long has it been since your last breast exam?
A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?
How long has it been since you had your last Pap test?
Have you had a hysterectomy?

RISK FACTORS / CREATED VARIABLES
Women respondents aged 40+ that have had a mammogram in the past two years.
Women respondents aged 50+ that have had a mammogram in the past two years.
Women respondents aged 18+ that have had a pap test in the past three years.

PROSTATE CANCER SCREENING                                                 Back to topics
A Prostate-Specific Antigen test, also called a PSA test, is a blood test used to check men for prostate cancer. Have you ever had a PSA test?
How long has it been since you had your last PSA test?
A digital rectal exam is an exam in which a doctor, nurse or other health professional places a gloved finger into the rectum to feel the size, shape, and hardness of the prostate gland. Have you ever had a digital rectal exam?
How long has it been since your last digital rectal exam?
Have you ever been told by a doctor, nurse, or other health professional that you had prostate cancer?

RISK FACTORS / CREATED VARIABLES
Male respondents aged 40+ that have had a PSA test in the past 2 years.

COLORECTAL CANCER SCREENING                                          Back to topics
A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit?
How long has it been since you had your last blood stool test using a home kit?
Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. Have you ever had either of these exams?
Was your most recent exam a sigmoidoscopy or a colonoscopy?
How long has it been since you had your last sigmoidoscopy or colonoscopy?

RISK FACTORS / CREATED VARIABLES
Respondents aged 50+ that have had a blood stool test within the past two years.
Respondents aged 50 or older that have had a sigmoidoscopy or colonoscopy.

HIV/AIDS                                                                                             Back to topics
Have you ever been tested for HIV? Do not count tests you may have had as part of a blood donation.
Not including blood donations, in what month and year was your last HIV test? Include saliva tests.
Where did you have your last HIV test- at a private doctor or HMO office, at a counseling and testing site, at a hospital, at a clinic, in a jail or prison, at home or somewhere else?
Was it a rapid test where you could get your results within a couple of hours?

RISK FACTORS / CREATED VARIABLES
Adults aged 18-64 that have ever been tested for HIV

EMOTIONAL SUPPORT AND LIFE SATISFACTION                  Back to topics
How often do you get the soical and emotional support you need? Would you say....
In general, how satisfied are you with your life? Would you say...

OBESITY VARIABLES                                                                       Back to topics
Four categories of Body Mass Index
Risk factor for overweight or obese  

CDC OPTIONAL MODULES                                  Back to topics

PRE-DIABETES
Have you had a test for high blood sugar or diabetes within the past three years?
Have you ever been told by a doctor or other health professional that you have pre-diabetes or borderline diabetes?

DIABETES                                                                                            Back to topics
How old were you when you were told you have diabetes?
Are you now taking insulin?
About how often do you check your blood for glucose or sugar? Include times when checked by a family member or friend, but do not include times when checked by a health professional.
About how often do you check your feet for any sores or irritations? Include times when checked by a family member or friend, but do not include times when checked by a health professional.
About how many times in the past 12 months have you seen a doctor, nurse, or other health professional for your diabetes?
A test for "A one C" measures the average level of blood sugar over the past three months. About how many times in the past 12 months has a doctor, nurse, or other health professional checked you for hemoglobin "A one C"?
About how many times in the past 12 months has a health professional checked your feet for any sores or irritations?
When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to bright light.
Has a doctor ever told you that diabetes has affected your eyes or that you had retinopathy?
Have you ever taken a course or class in how to manage your diabetes yourself

ARTHRITIS BURDEN                                                                        Back to topics
Have you ever been told by a doctor or other health professional that you have some form of arthritis, rheumatoid arthritis, gout, lupus or fibromyalgia?

ANXIETY AND DEPRESSION                                                           Back to topics
Over the last 2 weeks, how many days have you had little interest or pleasure in doing things?
Over the last 2 weeks, how many days have you felt down, depressed or hopeless?
Over the last 2 weeks, how many days have you had trouble falling asleep or staying asleep or sleeping too much?
Over the last 2 weeks, how many days have you felt tired or had little energy?
Over the last 2 weeks, how many days have you had a poor appetite or ate too much?
Over the last 2 weeks, how many days have you felt bad about yourself or that you were a failure or had let yourself or your family down?
Over the last 2 weeks, how many days have you had trouble concentrating on things, such as reading the newspaper or watching the TV?
Over the last 2 weeks, how many days have you moved or spoken so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you were moving around a lot more than usual?
Has a doctor or other healthcare provider EVER told you that you had an anxiety disorder (including acute stress disorder, anxiety, generalized anxiety disorder, obsessive-complusive disorder, panic disorder, phobia, posttraumatic stress disorder, or social anxiety disorder)?
Has a doctor or other healthcare provider EVER told you that you have a depressive disorder (including depression, major depression, dysthymia, or minor depression)?

CHILDHOOD IMMUNIZATION                                                      Back to topics
During the past 12 months, has your child had a seasonal flu vaccination?

STATE ADDED QUESTIONS                                  Back to topics

HYPERTENSION AWARENESS
Have you ever been told by a doctor, nurse or other health professional that you have high blood pressure?

RISK FACTORS / CREATED VARIABLES
Adults who have been told they have high blood pressure by a doctor, nurse or other health professional.

CHOLESTEROL AWARENESS                                                         Back to topics
Blood cholesterol is a fatty substance found in the blood. Have you ever had your blood cholesterol checked?
About how long has it been since you last had your blood cholesterol checked?
Have you ever been told by a doctor, nurse or other health professional that your blood cholesterol is high?

RISK FACTORS / CREATED VARIABLES
Cholesterol check within the past five years
Adults who have had their cholesterol checked and have been told by a doctor, nurse or other health professional that it was high.

CANCER SURVIVORS                                                                        Back to topics
Have you ever been told by a doctor, nurse, or other health professional that you had cancer?
How many different types of cancer have you had?
At what age were you told that you had cancer? OR At what age was your first diagnosis of cancer?
What type of cancer was it? OR With your most recent diagnoses of cancer, what type of cancer was it?

FISH CONSUMPTION                                                                         Back to topics
During the past 12 months, on average, how often did you eat sport-caught fish?
Which group of sport-caught fish did you eat the most?
Which type, or body, of water did the sport-caught fish you ate the most come from?
Thinking only about the sport-caught fish you ate the most, what area of the state did the fish come from?
During the past 12 months, on average, how often did you eat commercial fish?
What kind of commercial fish did you eat most?

CHILDHOOD ASTHMA                                                                      Back to topics
Has a doctor, nurse or other health professional ever said that the child has Asthma?
Does the child still have Asthma?