Survey Text

1990
1985
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1990
Survey form view entire document:  text  image
These next questions are about physical exercise.
Hand calendar.

1a. In the past 2 weeks (outlined on that calendar), beginning Monday (date) and ending this past Sunday (date), have you done any exercises, sports, or physically active hobbies?

1[] Yes
2[] No (3 on page 19)

b. What were they? ____
Record on next page, then 1c.

c. Anything else?

[] Yes (Reask 1b and c)
[] No (2b)

2a. In the past 2 weeks (outlined on that calendar), beginning Monday, (date), and ending this past Sunday, (date), have you done any (of the following exercises, sports, or physically active hobbies) --

Item W2
Refer to age.

1[] SP is 75+ (23)
8[] Other (2)
(7) Calisthenics or general exercise?
1[] Yes
2[] No

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1985
Survey form view entire document:  text  image
1a. In the past 2 weeks (outlined on that calendar), beginning Monday (date) and ending this past Sunday (date), have you done any exercises, sports, or physically active hobbies? [6]

1 [] Yes
2 [] No (3, page 13)

b. What were they? ____
Record on next page, THEN 1c.

c. Anything else?

[] Yes (Reask 1b and c)
[] No (2b)

2a. In the past 2 weeks (outlined on that calendar), beginning Monday, (date), and ending this past Sunday, (date), have you done any (of the following exercises, sports, or physically active hobbies) --

Refer to age

1 [] SP is 75+ (23)
8 [] Other (2)
(7) Calisthenics or general exercise?
1 [] Yes
2 [] No