| Table Name | Data Element Name | Data Type | Max Length | Description | Permissible Value List | Notes |
|---|---|---|---|---|---|---|
| EnrollmentFormDimension | ParticipantID | varchar | 50 | Participant ID | ||
| EnrollmentFormDimension | Physical_Street_Address | nvarchar | 200 | Physical address | ||
| EnrollmentFormDimension | Physical_City | nvarchar | 100 | City | ||
| EnrollmentFormDimension | Physical_State | nvarchar | 4 | State | ||
| EnrollmentFormDimension | Physical_Zipcode | nvarchar | 10 | Zip code | ||
| EnrollmentFormDimension | Physical_County | nvarchar | 100 | County | ||
| EnrollmentFormDimension | Place_Of_Birth_City | nvarchar | 200 | Place of Birth: City | ||
| EnrollmentFormDimension | Place_Of_Birth_State | nvarchar | 4 | Place of Birth: State | ||
| EnrollmentFormDimension | Place_Of_Birth_Country | nvarchar | 200 | Place of Birth: Country(if other than the United States) | ||
| EnrollmentFormDimension | Height_Feet | nvarchar | 20 | Height(in feet and inches): ______ feet | ||
| EnrollmentFormDimension | Height_Inches | nvarchar | 20 | Height(in feet and inches): ______ inches | ||
| EnrollmentFormDimension | Weight | nvarchar | 20 | Weight(in pounds): | ||
| EnrollmentFormDimension | Hours_Sleep_Per_Night | nvarchar | 20 | How many hours of sleep do you usually get per night? | ||
| EnrollmentFormDimension | Primary_Care_Doctor | varchar | 100 | Who is your primary care or main doctor? | ||
| EnrollmentFormDimension | Primary_Care_Practice | varchar | 100 | What is the name of the primary care practice where you are usually seen? | ||
| EnrollmentFormDimension | Marital_Status | nvarchar | 40 | Current Marital Status | • Married • Divorced • Widowed • Separated • Never Married • Domestic Partner | |
| EnrollmentFormDimension | Highest_Education_Level | nvarchar | 120 | What is the highest level of education you have achieved? | • Less than high school graduate • High school graduate (includes equivalent such as GED) • Some college or associate's degree • Bachelor's degree • Master's or higher professional degree | |
| EnrollmentFormDimension | Highest_Education_Level_Mother | nvarchar | 120 | What was the highest level of education your mother achieved?(or the person you lived with who was like a mother to you) | • Less than high school graduate • High school graduate (includes equivalent such as GED) • Some college or associate's degree • Bachelor's degree • Master's or higher professional degree • Don't Know | |
| EnrollmentFormDimension | Highest_Education_Level_Father | nvarchar | 120 | What was the highest level of education your father achieved?(or the person you lived with who was like a father to you) | • Less than high school graduate • High school graduate (includes equivalent such as GED) • Some college or associate's degree • Bachelor's degree • Master's or higher professional degree • Don't Know | |
| EnrollmentFormDimension | Employment_Past_12_Months | nvarchar | 10 | Employment: During the past twelve months, did you do any work for pay? | • Yes • No | |
| EnrollmentFormDimension | Current_Employment_Status | nvarchar | 200 | What is your current employment status? | • Working now full-time • Working now part-time • Unemployed/looking for work • Stay at home full-time for parenting, care giving, or other responsibilities • Retired • Temporarily laid off or sick/maternity leave • Permanently disabled • Student • Other | |
| EnrollmentFormDimension | Current_Employment_Status_Other | nvarchar | 200 | When "Other" is indicated for [Current_Employment_Status], the free text response is captured here. | ||
| EnrollmentFormDimension | Times_Laid_Off_Past_12_Months | nvarchar | 20 | If you have done work for pay in the past 12 months, how many times have you been laid off from work? | ||
| EnrollmentFormDimension | Mothers_Occupation | nvarchar | 100 | During your childhood, what was your mother's occupation or main job? | ||
| EnrollmentFormDimension | Fathers_Occupation | nvarchar | 100 | During your childhood, what was your father's occupation or main job? | ||
| EnrollmentFormDimension | Where_Do_You_Live | nvarchar | 300 | Where do you live? | • A single family home that is detached from other homes • A single family home that is attached to other homes (like a townhouse or duplex) • An apartment • Other | |
| EnrollmentFormDimension | Pay_For_Housing | nvarchar | 300 | How do you pay for your housing? | • I make a mortgage payment • I pay rent • I don't have to pay for housing because I own my house outright • I don't have to pay for housing because I live with family or friends • Other | |
| EnrollmentFormDimension | Pay_For_Housing_Other | nvarchar | 200 | When "Other" is indicated for [Pay_For_Housing], the free text response is captured here. | ||
| EnrollmentFormDimension | Living_In_Household_Under_18 | nvarchar | 20 | How many people currently live in your household(including yourself)? Children under age 18 | ||
| EnrollmentFormDimension | Living_In_Household_18-65 | nvarchar | 20 | How many people currently live in your household(including yourself)? Adults aged 18-65 | ||
| EnrollmentFormDimension | Living_In_Household_Over_65 | nvarchar | 20 | How many people currently live in your household(including yourself)? Adults over age 65 | ||
| EnrollmentFormDimension | Total_Household_Income | nvarchar | 40 | What was your total household income LAST YEAR? Please include all sources of income before taxes. | • Under $10,000 • $10,000-29,999 • $30,000-49,999 • $50,000-69,999 • $70,000-89,999 • $90,000 or more • Dont Know | |
| EnrollmentFormDimension | How_Well_Off_Growing_Up | nvarchar | 40 | How well off would you say your family was when you were growing up to age 12? | • Poor • Below average • About average • Above average • Quite well off | |
| EnrollmentFormDimension | Health_Rating_SF8 | nvarchar | 20 | Overall, how would you rate your health during the past 4 weeks? | • Excellent • Very Good • Good • Fair • Poor • Very poor | |
| EnrollmentFormDimension | Limit_Physical_Activity_SF8 | nvarchar | 100 | During the past 4 weeks, how much did physical health problems limit your usual physical activities (such as walking or climbing stairs)? | • Not at all • Very little • Somewhat • Quite a lot • Could not do physical activities | |
| EnrollmentFormDimension | Difficulty_With_Daily_Work_SF8 | nvarchar | 100 | During the past 4 weeks, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health? | • None at all • A little bit • Some • Quite a lot • Could not do daily work | |
| EnrollmentFormDimension | How_Much_Bodily_Pain_SF8 | nvarchar | 100 | How much bodily pain have you had during the past 4 weeks? | • None • Very mild • Mild • Moderate • Severe • Very Severe | |
| EnrollmentFormDimension | How_Much_Energy_SF8 | nvarchar | 100 | During the past 4 weeks, how much energy did you have? | • Very much • Quite a lot • Some • A little • None | |
| EnrollmentFormDimension | Health_Limit_Social_SF8 | nvarchar | 100 | During the past 4 weeks, how much did your physical health or emotional problems limit your usual social activities with family or friends? | • Not at all • Very little • Somewhat • Quite a lot • Could not do social activities | |
| EnrollmentFormDimension | Emotional_Problems_SF8 | nvarchar | 100 | During the past 4 weeks, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)? | • Not at all • Slightly • Moderately • Quite a lot • Extremely | |
| EnrollmentFormDimension | Emotion_Problem_Limit_Work_SF8 | nvarchar | 100 | During the past 4 weeks, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities? | • Not at all • Very little • Somewhat • Quite a lot • Could not do daily activities | |
| EnrollmentFormDimension | Health_Rating | nvarchar | 100 | In general, would you say your health is: | • Excellent • Very Good • Good • Fair • Poor | |
| EnrollmentFormDimension | Health_Limit_Climbing_Stairs | nvarchar | 100 | Does your health now limit you in climbing one flight of stairs? | • Not at all • Very little • Somewhat • Quite a lot • Cannot do | |
| EnrollmentFormDimension | Health_Limit_Walking_Mile | nvarchar | 100 | Does your health now limit you in walking more than a mile? | • Not at all • Very little • Somewhat • Quite a lot • Cannot do | |
| EnrollmentFormDimension | Health_Limit_Carry_Groceries | nvarchar | 100 | Does your health now limit you in lifting or carrying groceries? | • Not at all • Very little • Somewhat • Quite a lot • Cannot do | |
| EnrollmentFormDimension | Health_Limit_Bending | nvarchar | 100 | Does your health now limit you in bending, kneeling, or stooping? | • Not at all • Very little • Somewhat • Quite a lot • Cannot do | |
| EnrollmentFormDimension | Health_Limit_Vigorous_Activity | nvarchar | 100 | Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports? | • Not at all • Very little • Somewhat • Quite a lot • Cannot do | |
| EnrollmentFormDimension | Able_To_Do_Chores | nvarchar | 100 | Are you able to do chores such as vacuuming or yard work? | • Without any difficulty • With a little difficulty • With some difficulty • With much difficulty • Unable to do | |
| EnrollmentFormDimension | Able_To_Dress_Yourself | nvarchar | 100 | Are you able to dress yourself, including tying shoelaces and doing buttons? | • Without any difficulty • With a little difficulty • With some difficulty • With much difficulty • Unable to do | |
| EnrollmentFormDimension | Able_To_Wash_Body | nvarchar | 100 | Are you able to wash and dry your body? | • Without any difficulty • With a little difficulty • With some difficulty • With much difficulty • Unable to do | |
| EnrollmentFormDimension | Able_To_Get_On_And_Off_Toilet | nvarchar | 100 | Are you able to get on and off the toilet? | • Without any difficulty • With a little difficulty • With some difficulty • With much difficulty • Unable to do | |
| EnrollmentFormDimension | Able_To_Run_Five_Miles | nvarchar | 100 | Are you able to run five miles? | • Without any difficulty • With a little difficulty • With some difficulty • With much difficulty • Unable to do | |
| EnrollmentFormDimension | Felt_Fearful | nvarchar | 100 | In the past 7 days I felt fearful. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Anxiety | nvarchar | 100 | In the past 7 days I found it hard to focus on anything other than my anxiety. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Worries_Overwhelmed | nvarchar | 100 | In the past 7 days my worries overwhelmed me. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Felt_Uneasy | nvarchar | 100 | In the past 7 days I felt uneasy. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Felt_Worthless | nvarchar | 100 | In the past 7 days I felt worthless. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Felt_Unhappy | nvarchar | 100 | In the past 7 days I felt unhappy. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Felt_Depressed | nvarchar | 100 | In the past 7 days I felt depressed. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Felt_Hopeless | nvarchar | 100 | In the past 7 days I felt hopeless. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | How_Fatigued_On_Average | nvarchar | 100 | In the past 7 days how fatigued were you on average? | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | How_Run_Down_On_Average | nvarchar | 100 | In the past 7 days how run-down did you feel on average? | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | How_Tired_On_Average | nvarchar | 100 | In the past 7 days how tired did you feel on average? | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | Rate_Your_Pain_0_10 | nvarchar | 100 | In the past 7 days how would you rate your pain on average? (where 0 = 'No pain' & 10 = 'Worst imaginable pain') | • 0 • 1 • 2 • 3 • 4 • 5 • 6 • 7 • 8 • 9 • 10 | |
| EnrollmentFormDimension | Pain_Interfere_Day_To_Day | nvarchar | 100 | In the past 7 days how much did pain interfere with your day to day activities? | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | Pain_Interfere_Social | nvarchar | 100 | In the past 7 days how much did pain interfere with your ability to participate in social activities? | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | Pain_Interfere_Enjoyment_Life | nvarchar | 100 | In the past 7 days how much did pain interfere with your enjoyment of life? | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | Satisfied_Sleep | nvarchar | 100 | In the past 7 days I was satisfied with my sleep. | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | Felt_Angry | nvarchar | 100 | In the past 7 days I felt angry. | • Never • Rarely • Sometimes • Often • Always | |
| EnrollmentFormDimension | Satisfied_With_Daily_Routines | nvarchar | 100 | In the past 7 days I am satisfied with my ability to perform my daily routines. | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | Satisfied_Leisure_Activities | nvarchar | 100 | In the past 7 days I am satisfied with my ability to do leisure activities. | • Not at all • A little bit • Somewhat • Quite a bit • Very much | |
| EnrollmentFormDimension | Coronary_Artery_Disease | nvarchar | 20 | Do you have, or have you ever had, [Coronary artery disease]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Atrial_Fibrillation | nvarchar | 20 | Do you have, or have you ever had, [Atrial fibrillation]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Heart_Attack | nvarchar | 20 | Do you have, or have you ever had, [Heart attack or angina]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Congestive_Heart_Failure | nvarchar | 20 | Do you have, or have you ever had, [Congestive heart failure]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Pacemaker_Placement | nvarchar | 20 | Do you have, or have you ever had, [Implantable cardiac defibrillator (ICD) or pacemaker placement]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Breast_Cancer | nvarchar | 20 | Do you have, or have you ever had, [Breast cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Colon_Cancer | nvarchar | 20 | Do you have, or have you ever had, [Colon cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Lung_Cancer | nvarchar | 20 | Do you have, or have you ever had, [Lung cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Prostate_Cancer | nvarchar | 20 | Do you have, or have you ever had, [Prostate cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Cervical_Cancer | nvarchar | 20 | Do you have, or have you ever had, [Cervical cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Melanoma | nvarchar | 20 | Do you have, or have you ever had, [Melanoma]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Skin_Cancer_Not_Melanoma | nvarchar | 20 | Do you have, or have you ever had, [Skin cancer, not melanoma]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Oral_Cancer | nvarchar | 20 | Do you have, or have you ever had, [Oral cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Other_Type_Of_Cancer | nvarchar | 20 | Do you have, or have you ever had, [Other type of cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Diabetes | nvarchar | 20 | Do you have, or have you ever had, [Diabetes]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | High_Cholesterol | nvarchar | 20 | Do you have, or have you ever had, [High cholesterol]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Thyroid_Disease | nvarchar | 20 | Do you have, or have you ever had, [Thyroid disease]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | High_Blood_Pressure | nvarchar | 20 | Do you have, or have you ever had, [High blood pressure]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Obesity | nvarchar | 20 | Do you have, or have you ever had, [Obesity]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Asthma | nvarchar | 20 | Do you have, or have you ever had, [Asthma]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Emphysema | nvarchar | 20 | Do you have, or have you ever had, [Emphysema or "COPD"]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Osteoarthritis | nvarchar | 20 | Do you have, or have you ever had, [Osteoarthritis]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Rheumatoid_Arthritis | nvarchar | 20 | Do you have, or have you ever had, [Rheumatoid arthritis]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Other_Autoimmune_Disease | nvarchar | 20 | Do you have, or have you ever had, [Other autoimmune disease (Other than Multiple Sclerosis)]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Osteoporosis_Osteopenia | nvarchar | 20 | Do you have, or have you ever had, [Osteoporosis/Osteopenia]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Gout | nvarchar | 20 | Do you have, or have you ever had, [Gout]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Alzheimers_Disease | nvarchar | 20 | Do you have, or have you ever had, [Alzheimer's disease]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Depression | nvarchar | 20 | Do you have, or have you ever had, [Depression]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Other_Mental_Illness | nvarchar | 20 | Do you have, or have you ever had, [Other mental illness]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Stroke | nvarchar | 20 | Do you have, or have you ever had, [Stroke]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Multiple_Sclerosis | nvarchar | 20 | Do you have, or have you ever had, [Multiple sclerosis]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Crohns_Disease | nvarchar | 20 | Do you have, or have you ever had, [Crohn's disease/ulcerative colitis]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Liver_Disease | nvarchar | 20 | Do you have, or have you ever had, [Liver disease]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Kidney_Disease | nvarchar | 20 | Do you have, or have you ever had, [Kidney disease]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Family_Heart_Disease | nvarchar | 20 | Have your biological parents or siblings (brothers or sisters) ever had [Heart Disease (coronary artery disease, heart attack, bypass sugery, or angioplasty/stent)]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Family_Cancer | nvarchar | 20 | Have your biological parents or siblings (brothers or sisters) ever had [Cancer]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Family_Mental_Illness | nvarchar | 20 | Have your biological parents or siblings (brothers or sisters) ever had [Mental illness (depression, bipolar disorder, anxiety, schizophrenia, etc.)]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Family_Dementia | nvarchar | 20 | Have your biological parents or siblings (brothers or sisters) ever had [Dementia]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Family_Diabetes | nvarchar | 20 | Have your biological parents or siblings (brothers or sisters) ever had [Diabetes]? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Smoked_At_Least_100_Cigarettes | nvarchar | 100 | In your lifetime, have you smoked at least 100 cigarettes (5 packs)? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Currently_Smoke_Cigarettes | nvarchar | 100 | Do you currently smoke cigarettes? | • Yes, only some days • Yes, everyday • No | |
| EnrollmentFormDimension | Daily_Cigarette_Consumption | nvarchar | 100 | On days that you smoke (or did smoke), about how many cigarettes a day do you smoke/did you smoke, on the average? | ||
| EnrollmentFormDimension | How_Many_Years_Did_You_Smoke | nvarchar | 100 | If you currently smoke or have smoked cigarettes regularly in the past, how many years have you smoked/did you smoke regularly? | • Less than 1 year • 1-5 Years • 6-10 Years • 11-15 Years • 16-20 Years • 21-25 Years • More than 25 Years • N/A | |
| EnrollmentFormDimension | Ever_Tried_Smokeless_Tobacco | nvarchar | 100 | Have you ever used or tried any smokeless tobacco products such as chewing tobacco or snuff? | • Yes • No | |
| EnrollmentFormDimension | Currently_Use_Smokeless_Tobacco | nvarchar | 100 | Do you currently use chewing tobacco or snuff every day, some days, or not at all? | • Every day • Some days • Not at all | |
| EnrollmentFormDimension | Current_Other_Tobacco_Products | nvarchar | 100 | Do you currently use cigars, pipes, bidis, kreteks, or other tobacco products? Do not include cigarettes, snuff, or chewing tobacco. | • Yes • No | |
| EnrollmentFormDimension | Smoke_Exposure_Indoor_Work | nvarchar | 300 | What is your exposure to tobacco smoke in your indoor workplace while you are there? | • I am currently exposed to tobacco smoke at work • I have previously been exposed to tobacco smoke at work • I have never been exposed to tobacco smoke at work | |
| EnrollmentFormDimension | Smoke_Exposure_Home | nvarchar | 300 | What is your exposure to tobacco smoke in your home while you are there? | • I am currently exposed to tobacco smoke at home • I have previously been exposed to tobacco smoke at home • I have never been exposed to tobacco smoke at home | |
| EnrollmentFormDimension | Drinks_Past_Month | nvarchar | 100 | During the past month, have you had at least one drink of any alcoholic beverage, such as beer, wine, wine coolers, or liquor? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | Drinks_Per_Day | nvarchar | 100 | On an average day that you drink an alcoholic beverage(a can or bottle of beer, a 4-ounce glass of wine, or one cocktail containing one ounce of liquor), how many drinks do you have? Please specify a number: | ||
| EnrollmentFormDimension | Alcohol_Days_Per_Week | nvarchar | 200 | During the past month, on how many days per week did you drink any alcoholic beverages, on the average? | • Less than 1 day per week/don't drink alcoholic beverages • 1-2 days per week • 3-4 days per week • 5-7 days per week | |
| EnrollmentFormDimension | Years_Of_Drinking_Alcohol | nvarchar | 100 | If you currently drink, or have drunk alcohol regularly in the past(even if it was only one or two drinks/week), how many years have you drunk/did you drink alcohol regularly? | • Less than 1 year • 1-5 Years • 6-10 Years • 11-15 Years • 16-20 Years • 21-25 Years • More than 25 Years • N/A | |
| EnrollmentFormDimension | Troubles_From_Alcohol | nvarchar | 100 | In you entire life, did you EVER have job, school, personal, or legal troubles because of your drinking or being sick from drinking - like missing too much work? | • Yes • No • Dont Know | |
| EnrollmentFormDimension | On_The_Job_Activity | nvarchar | 1100 | On-The-Job Activity During Past Year. Please check the box next to the one statement that best describes the kinds of physical activity you usually performed while on the job this last year. If you are not gainfully employed outside the home but perfrom work around the home regularly, indicate that activity in this section. | • Not Applicable • I spent most of the day sitting or standing. When I was at work I did such things as writing, typing, talking on the telephone, assembling small parts or operating a machine that takes very little exertion or strength. If I drove a car or truck while at work, I did not lift or carry anything for more than a few minutes each day. • I spent most of the day walking or using my hands and arms in work that required moderate exertion. When I was at work I did such things as delivering mail, patrolling on guard duty, mechanical work on automobiles or other large machines, house painting or operating a machine that requires some moderate activity of me. If I drove a truck or lift, my job required me to lift and carry things frequently. • I spent most of the day lifting or carrying heavy objects or moving most of my body in some other way. When I was at work, I did such things as stacking cargo or inventory, handling parts or materials, or I did work like that of a carpenter who builds structures or a gardener who does most of the work without machines. • I spent most of the day doing hard physical labor. When I was at work I did such things as digging or chopping with heavy tools, or carrying heavy loads (bricks, for example) to the place where they are to be used. If I drove a truck or operated equipment, my job also required me to do hard physical work most of the day with only short breaks. | |
| EnrollmentFormDimension | Leisure_Time_Activity | nvarchar | 1100 | Leisure-Time Activity During Past Year. Please check the box next to the one statement which best describes the way you spent your leisure time during most of the last year. | • Most of my leisure time was spent without very much physical activity. I mostly did things like watching television, reading, or playing cards. If I did anything else, it was likely to be light chores around the house or yard, or some easy-going game like bowling or catch. Only occasionally, no more than once or twice a month, did I do anything more vigorous, like jogging, playing tennis, or active gardening. • Weekdays, when I got home from work, I did few active things. But most weekends I was able to get outdoors for some light exercise-going for walks, playing a round of golf (without motorized carts), or doing some active chores around the house. • Three times per week, on the average, I engaged in some moderate activity-such as brisk walking or slow jogging, swimming or riding a bike for 15-20 minutes or more. Or I spent 45 minutes to an hour or more doing moderately difficult chores-such as raking or washing windows, mowing the lawn or vacuuming, or playing games such as doubles tennis or basketball. • During my leisure time over the past year, I engaged in a regular program of physical fitness involving some kind of heavy physical activity at least three times per week. Examples of heavy physical activity are: jogging, running or riding fast on a bicycle for 30 minutes or more; heavy gardening or other chores for an hour or more; active games or sports such as handball or tennis for an hour or more; or a regular program involving calisthenics and jogging or the equivalent for 30 minutes or more. • Over the past year I engaged in a regular program of physical fitness along the lines described in the last paragraph, but I did it almost daily-5 or more times per week. | |
| EnrollmentFormDimension | Eat_At_Restaurant | nvarchar | 100 | On average, how many times per week do you eat meals that were prepared in a restaurant? Please include eat-in restaurants, carry-out restaurants, and restaurants that deliver food to your house. | • Less than 1/week • 1-2/week • 3-6/week • 7-10/week • 11-13/week • 14 or more/week • Dont Know | |
| EnrollmentFormDimension | Read_Nutrition_Labels | nvarchar | 100 | When shopping for food products, how often do you read the nutrition label? | • Always • Very Often • Sometimes • Rarely • Never • N/A | |
| EnrollmentFormDimension | Servings_Fruits_And_Vegetables | nvarchar | 20 | How many servings of each of the following do you have per day, on average(1 serving = 1 cup solids, 12 ounces liquid): Fruits and vegetables-fresh, canned, or frozen(not including juices, potatoes, or lettuce)? | ||
| EnrollmentFormDimension | Servings_Dairy_Products | nvarchar | 20 | How many servings of each of the following do you have per day, on average(1 serving = 1 cup solids, 12 ounces liquid): Milk or dairy foods that are made from milk, such as cheese, cottage cheese, ice cream, milk shakes, or yogurt)? | ||
| EnrollmentFormDimension | Servings_Protein | nvarchar | 20 | How many servings of each of the following do you have per day, on average(1 serving = 1 cup solids, 12 ounces liquid): Protein foods, such as meat, fish, seafood, chicken, turkey, or eggs. Also include protein foods such as peanut butter, or foods that are made from dried beans, such as bean soup, baked beans, or refried beans, meat substitutes, and soy protein foods such as tofu? | ||
| EnrollmentFormDimension | Servings_Sweets | nvarchar | 20 | How many servings of each of the following do you have per day, on average(1 serving = 1 cup solids, 12 ounces liquid): Sweets(cookies, candies, cakes, ice cream, etc.)? | ||
| EnrollmentFormDimension | Servings_Caffeinated_Drinks | nvarchar | 20 | How many servings of each of the following do you have per day, on average(1 serving = 1 cup solids, 12 ounces liquid): Caffeinated drinks? | ||
| EnrollmentFormDimension | Servings_Sweetened_Beverages | nvarchar | 20 | How many servings of each of the following do you have per day, on average(1 serving = 1 cup solids, 12 ounces liquid): Sugar sweetened beverages(non-diet soda, sweetened tea, punch, etc.)? | ||
| EnrollmentFormDimension | Regular_Periods | nvarchar | 100 | Are you having: | • Regular periods during the last year • No periods during the last year • Irregular periods during the last year | |
| EnrollmentFormDimension | Hormone_Replacement_Menopause | nvarchar | 100 | Do you take hormone replacement therapy as a treatment for menopause? | • Yes • No • Dont Know |