[p. 71]
2 [] SP 19+ callback required (NP)
3 [] SP 19+ avail. (1-5)
1a. During the past 6 months, did you use any medicines, drugs or pills for insomnia or to help you sleep?
2 [] N (2)
b. On the average, do you use this medication one or more times a week?
2 [] N
c. Did a doctor advise you to take this medication?
2 [] N
2a. During the past 6 months, did you use any aspirin or aspirin type pills?
2 [] N (3)
b. On the average, do you use these pills one or more times per week?
2 [] N
2 [] N (3e)
b. On the average, how many cups a day do you drink?
00 [] Less than one per day
c. Do you usually drink decaffeinated coffee or regular coffee?
2 [] Regular
d. Were you EVER advised by a doctor to use decaffeinated coffee?
2 [] N
e. Have you EVER been advised by a doctor to cut down or to stop drinking coffee?
2 [] N
2 [] N (4c)
b. On the average, how many cups a day do you drink?
00 [] Less than one per day
2 [] N (4f)
d. In which season do you drink the MOST iced tea?
[] Other (Specify) ____
e. (During the (season) ) On the average, how many glasses a day do you drink?
00 [] Less than one a day
f. Have you EVER been advised by a doctor to cut down or to stop drinking tea?
2 [] N
5a. Have you smoked at least 100 cigarettes in your entire life?
2 [] N (6)
b. Do you smoke cigarettes now?
2 [] N (5e)
c. On the average, ABOUT how many cigarettes a day do you smoke?
d. Have you EVER tried to stop smoking?
2 [] N
e. Have you EVER been advised by a doctor to stop smoking?
2 [] N (6)
f. Was this because of a specific condition you had at that time?
2 [] N (6)
g. What condition was it? Any other condition? ____
ASK QUESTION 6 ONLY DURING CALLBACK
6. Compared to other persons your age, would you say that your health is excellent, good, fair, or poor?
2 [] G
3 [] F
4 [] P
Person ____ was respondent (Footnote reason)