During the past 30 days, how often did you feel
...Nervous?
Would you say all of the time, most of the time, some of the time, a little of the time, or none of the time?

1 - all of the time
2 - most of the time
3 - some of the time
4 - a little of the time
5 - none of the time
7 - Refused
9 - Don't Know

Sample Adults 18+

1-5,RF,DK [goto RESTLESS_A]

Instrument Variable Name: ACINERV
Question Text:

(book) ASI5
* Read if necessary:
During the PAST 30 DAYS, how often did you feel
...Nervous?

1ALL of the time
2MOST of the time
3SOME of the time
4A LITTLE of the time
5NONE of the time
7Refused
9Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto ACIRSTLS]

Instrument Variable Name: ACINERV
Question Text:

(book) ASI5
* Read if necessary:
During the PAST 30 DAYS, how often did you feel
...Nervous?

1ALL of the time
2MOST of the time
3SOME of the time
4A LITTLE of the time
5NONE of the time
7Refused
9Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto ACIRSTLS]

Instrument Variable Name: ACINERV
Question Text:

(book) ASI5
* Read if necessary:
During the PAST 30 DAYS, how often did you feel
...Nervous?

1ALL of the time
2MOST of the time
3SOME of the time
4A LITTLE of the time
5NONE of the time
7Refused
9Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto ACIRSTLS]

Instrument Variable Name: ACINERV
Question Text:

(book) ASI5
* Read if necessary:
During the PAST 30 DAYS, how often did you feel
...Nervous?

1ALL of the time
2MOST of the time
3SOME of the time
4A LITTLE of the time
5NONE of the time
7Refused
9Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto ACIRSTLS]

Instrument Variable Name: ACINERV
Question Text:

(book) ASI5
* Read if necessary:
During the PAST 30 DAYS, how often did you feel
...Nervous?

1ALL of the time
2MOST of the time
3SOME of the time
4A LITTLE of the time
5NONE of the time
7Refused
9Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto ACIRSTLS]

Instrument Variable Name: ACINERV
Question Text:

(book) ASI5
* Read if necessary:
During the PAST 30 DAYS, how often did you feel
...Nervous?

1ALL of the time
2MOST of the time
3SOME of the time
4A LITTLE of the time
5NONE of the time
7Refused
9Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto ACIRSTLS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

Instrument Variable Name: NERVOUS
QuestionText:

(book) A5 * Read if necessary: During the PAST 30 DAYS, how often did you feel... Nervous?

1 ALL of the time
2 MOST of the time
3 SOME of the time
4 A LITTLE of the time
5 NONE of the time
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1-5,R,D) [goto RESTLESS]

FR: SHOW CARD A5
Now I am going to ask you some questions about felings you may have experienced over the
PAST 30 DAYS.
During the PAST 30 DAYS, how often did you feel..

(1) All of the time
(2) Most of the time
(3) Some of the time
(4) A little of the time
(5) None of the time
(7) Refused
(9) Don't know

1. All of the time
2. Most of the time
3. Some of the time
4. A little of the time
5. None of the time

SAD... So sad that nothing could cheer you up?
NERVOUS... Nervous?
RESTLESS... Restless or fidgety
HOPELESS... Hopeless
EFFORT... That everything was an effort?
WORTHLS... Worthless?

FR: SHOW CARD A5
Now I am going to ask you some questions about felings you may have experienced over the
PAST 30 DAYS.
During the PAST 30 DAYS, how often did you feel..

(1) All of the time
(2) Most of the time
(3) Some of the time
(4) A little of the time
(5) None of the time
(7) Refused
(9) Don't know

1. All of the time
2. Most of the time
3. Some of the time
4. A little of the time
5. None of the time

SAD... So sad that nothing could cheer you up?
NERVOUS... Nervous?
RESTLESS... Restless or fidgety
HOPELESS... Hopeless
EFFORT... That everything was an effort?
WORTHLS... Worthless?

FR: SHOW CARD A5
Now I am going to ask you some questions about felings you may have experienced over the
PAST 30 DAYS.
During the PAST 30 DAYS, how often did you feel..

(1) All of the time
(2) Most of the time
(3) Some of the time
(4) A little of the time
(5) None of the time
(7) Refused
(9) Don't know

1. All of the time
2. Most of the time
3. Some of the time
4. A little of the time
5. None of the time

SAD... So sad that nothing could cheer you up?
NERVOUS... Nervous?
RESTLESS... Restless or fidgety
HOPELESS... Hopeless
EFFORT... That everything was an effort?
WORTHLS... Worthless?