Survey Text

2021
top
2021
Survey form view entire document:  text  image
Question ID: SPD.0020.00.2
Variable: SAD_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
During the past 30 days, how often did you feel
...So sad that nothing could cheer you up?
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?
Response:
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
Universe:
Sample Adults 18+
Skip Instructions:
1-5,RF,DK [goto NERVOUS_A]
Question ID: SPD.0030.00.2
Variable: NERVOUS_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
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?
Response:
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
Universe:
Sample Adults 18+
Skip Instructions:
1-5,RF,DK [goto RESTLESS_A]
Question ID: SPD.0040.00.2
Variable: RESTLESS_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
Read if necessary: During the past 30 days, how often did you feel
...Restless or fidgety?
Read if necessary: 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?
Response:
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
Universe:
Sample Adults 18+
Skip Instructions:
1-5,RF,DK [goto HOPELESS_A]
Question ID: SPD.0050.00.2
Variable: HOPELESS_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
Read if necessary: During the past 30 days, how often did you feel
...Hopeless?
Read if necessary: 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?
Response:
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
Universe:
Sample Adults 18+
Skip Instructions:
1-5,RF,DK [goto EFFORT_A]
Question ID: SPD.0060.00.2
Variable: EFFORT_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
Read if necessary: During the past 30 days, how often did you feel
...That everything was an effort?
Read if necessary: 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?
Response:
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
Universe:
Sample Adults 18+
Skip Instructions:
1-5,RF,DK [goto WORTHLESS_A]
Question ID: SPD.0070.00.2
Variable: WORTHLESS_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
Read if necessary: During the past 30 days, how often did you feel
...Worthless?
Read if necessary: 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?
Response:
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
Universe:
Sample Adults 18+
Skip Instructions:
1-5,RF,DK [goto next section]