| he001a | Remembering that 0 means your health is equally as bad as being dead, and 100 means that your health is perfect, on a scale from 0 to 100, how would you rate your current health? | rate current health |
| he001b | Remembering that 0 means your health is equally as bad as being dead, and 100 means that your health is perfect, on a scale from 0 to 100, what level of health do you expect to have in 10 years? | rate expected health in 10 years |
| he001c | Remembering that 0 means your health is equally as bad as being dead, and 100 means that your health is perfect, on a scale from 0 to 100, how would you rate the health of your spouse or significant other? | rate spouse current health |
| he001d | Remembering that 0 means your health is equally as bad as being dead, and 100 means that your health is perfect, on a scale from 0 to 100, how do you think the average person your age would rate their own health? | average peson rate R current health |
| he002 | Has a doctor ever told you that you have any of the following conditions? (Check all that apply.) | any health conditions |
| he003a | How would you rate a health score = 20? | rate a health score = 20 |
| he003b | How would you rate a health score = 35? | rate a health score = 35 |
| he003c | How would you rate a health score = 45? | rate a health score = 45 |
| he003d | How would you rate a health score = 65? | rate a health score = 65 |
| he003f | How would you rate a health score = 75? | rate a health score = 75 |