Item
1. Have you moved during the last 12 months?
text
C2699029 (UMLS CUI [1])
Code List
1. Have you moved during the last 12 months?
CL Item
No (Skip to Q.2) (1)
Item
1a. If yes: Would you say that you moved to a neighborhood that is better, worse, or about the same as where you were living?
text
C0027569 (UMLS CUI [1,1])
C0348080 (UMLS CUI [1,2])
Code List
1a. If yes: Would you say that you moved to a neighborhood that is better, worse, or about the same as where you were living?
Item
1b. Overall, would you say that your moving was a good or bad experience?
text
C2699029 (UMLS CUI [1])
C0023672 (UMLS CUI [2])
Code List
1b. Overall, would you say that your moving was a good or bad experience?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
2. Have you broken off an engagement to be married or ended an intimate relationship during the last 12 months?
text
C0686969 (UMLS CUI [1])
Code List
2. Have you broken off an engagement to be married or ended an intimate relationship during the last 12 months?
CL Item
No (Skip to Q.3) (1)
Item
2a. If yes: How would you rate your feelings about breaking up?
text
C1527305 (UMLS CUI [1,1])
C0686969 (UMLS CUI [1,2])
Code List
2a. If yes: How would you rate your feelings about breaking up?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
3. Did you get married during the last 12 months?
text
C0024841 (UMLS CUI [1])
Code List
3. Did you get married during the last 12 months?
CL Item
No (Skip to Q.4) (1)
Agree marriage
Item
3a. If yes: Did you want to get married?
boolean
C3641827 (UMLS CUI [1,1])
C0024841 (UMLS CUI [1,2])
Item
3b. Overall, would you rate getting married as a good or bad experience?
text
C0024841 (UMLS CUI [1])
Code List
3b. Overall, would you rate getting married as a good or bad experience?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
4. Did someone you were close to die during the last 12 months?
text
C1716700 (UMLS CUI [1])
Code List
4. Did someone you were close to die during the last 12 months?
CL Item
No (Skip to Q.5) (1)
Item
4. If yes, who:
text
C1716700 (UMLS CUI [1])
Code List
4. If yes, who:
CL Item
Spouse or intimate friend (1)
CL Item
Spouse's parent (3)
CL Item
Brother or sister child other relatives (4)
Item
5. Were you separated or divorced during the last 12 months?
text
C0682073 (UMLS CUI [1])
Code List
5. Were you separated or divorced during the last 12 months?
CL Item
No (Skip to Q.6) (1)
Agree Separated/Divorced
Item
5a. If yes: Did you want to get separated or divorced?
boolean
C3641827 (UMLS CUI [1,1])
C0682073 (UMLS CUI [1,2])
Item
5b. Overall, would you rate your separation or divorce as a good or bad experience?
text
C0023672 (UMLS CUI [1,1])
C0682073 (UMLS CUI [1,2])
Code List
5b. Overall, would you rate your separation or divorce as a good or bad experience?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
6. Did you break up with a close friend during the last 12 months?
text
C0443299 (UMLS CUI [1,1])
C0814601 (UMLS CUI [1,2])
Code List
6. Did you break up with a close friend during the last 12 months?
CL Item
No (Skip to Q.7) (1)
Agree separation from close friend
Item
6a. If yes: Did you want to break up with this friend?
boolean
C3641827 (UMLS CUI [1,1])
C0814601 (UMLS CUI [1,2])
Item
6b. Overall, would you rate your breaking up as a good or bad experience?
text
C0023672 (UMLS CUI [1,1])
C0814601 (UMLS CUI [1,2])
Code List
6b. Overall, would you rate your breaking up as a good or bad experience?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
7. Have you had any important relationship, for example, with your spouse, a close friend, your boss, or a family member become significantly worse during the last 12 months (this should not include the relationship referred to in item 6 above)?
text
C0438401 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0015576 (UMLS CUI [1,3])
C0043227 (UMLS CUI [1,4])
Code List
7. Have you had any important relationship, for example, with your spouse, a close friend, your boss, or a family member become significantly worse during the last 12 months (this should not include the relationship referred to in item 6 above)?
CL Item
No (Skip to Q.8) (1)
Item
7a. If yes: With whom? (more than one response is possible)
text
C0438401 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0015576 (UMLS CUI [1,3])
C0043227 (UMLS CUI [1,4])
Code List
7a. If yes: With whom? (more than one response is possible)
CL Item
Other family member (6)
Item
8. Did you have a child or adopt a child during the last 12 months?
text
C0237459 (UMLS CUI [1])
Code List
8. Did you have a child or adopt a child during the last 12 months?
CL Item
No (Skip to Q.9) (1)
adoption of child
Item
8a. If yes: Is this a first child?
boolean
C0237459 (UMLS CUI [1])
plan Adoption of child
Item
8b. Did you plan to have this child?
boolean
C1301732 (UMLS CUI [1,1])
C0237459 (UMLS CUI [1,2])
Item
8c. Would you rate having a child and adjusting to having a child as a good or bad experience?
text
C0023672 (UMLS CUI [1,1])
C0237459 (UMLS CUI [1,2])
Code List
8c. Would you rate having a child and adjusting to having a child as a good or bad experience?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
9. Have you, a very close friend, or close family member had an accident that required emergency medical treatment during the last 12 months?
text
C3259057 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
C0013969 (UMLS CUI [2])
Code List
9. Have you, a very close friend, or close family member had an accident that required emergency medical treatment during the last 12 months?
CL Item
No (Skip to Q.10) (1)
Item
9a. If yes: Who? (more than one response is possible)
text
C3259057 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
C0013969 (UMLS CUI [2])
Code List
9a. If yes: Who? (more than one response is possible)
CL Item
Spouse/partner (2)
CL Item
Spouse’s parent (5)
CL Item
Brother or sister (6)
Item
10. Have you, a very close friend, or close family member been hospitalized for a serious (life- threatening) illness during the last 12 months?
text
C0019993 (UMLS CUI [1,1])
C3259057 (UMLS CUI [1,2])
C0086282 (UMLS CUI [1,3])
Code List
10. Have you, a very close friend, or close family member been hospitalized for a serious (life- threatening) illness during the last 12 months?
CL Item
No (Skip to Q.11) (1)
Item
10a. If yes: Who? (more than one response is possible)
text
C0019993 (UMLS CUI [1,1])
C3259057 (UMLS CUI [1,2])
C0086282 (UMLS CUI [1,3])
Code List
10a. If yes: Who? (more than one response is possible)
CL Item
Spouse/partner (2)
CL Item
Spouse’s parent (5)
CL Item
Brother or sister (6)
Item
11a. (Women) Have you been pregnant during the last 12 months?
text
C0552579 (UMLS CUI [1])
Code List
11a. (Women) Have you been pregnant during the last 12 months?
CL Item
No (Skip to Q.12) (1)
Item
If yes: a. Was the pregnancy planned or unplanned?
text
C0032992 (UMLS CUI [1])
Code List
If yes: a. Was the pregnancy planned or unplanned?
Item
b. How would you rate being pregnant?
text
C0023672 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
Code List
b. How would you rate being pregnant?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
11b. (Men) Has your wife, partner or girlfriend been pregnant during the last 12 months? [Tick no if you do not have a wife, partner, or girlfriend.]
text
C0552579 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
Code List
11b. (Men) Has your wife, partner or girlfriend been pregnant during the last 12 months? [Tick no if you do not have a wife, partner, or girlfriend.]
CL Item
No (Skip to Q.12) (1)
Item
If yes: a. Was the pregnancy planned or unplanned?
text
C0032992 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
Code List
If yes: a. Was the pregnancy planned or unplanned?
Item
b. How would you rate being pregnant?
text
C0023672 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
Code List
b. How would you rate being pregnant?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
12a. (Women) Have you had an abortion during the last 12 months?
text
C0156543 (UMLS CUI [1])
Code List
12a. (Women) Have you had an abortion during the last 12 months?
CL Item
No (Skip to Q.13) (1)
Item
12b. (Men) Has your wife, partner or girlfriend had an abortion during the last 12 months? [Tick no if you do not have a wife, partner, or girlfriend.]
text
C0156543 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
Code List
12b. (Men) Has your wife, partner or girlfriend had an abortion during the last 12 months? [Tick no if you do not have a wife, partner, or girlfriend.]
CL Item
No (Skip to Q.13) (1)
Item
13a. (Women) Have you had a miscarriage or stillbirth during the last 12 months?
text
C0438080 (UMLS CUI [1,1])
C0595939 (UMLS CUI [1,2])
Code List
13a. (Women) Have you had a miscarriage or stillbirth during the last 12 months?
CL Item
No (Skip to Q.14) (1)
Item
13b. (Men) Has your wife, partner or girlfriend had a miscarriage or stillbirth during the last 12 months? [Tick no if you do not have a wife, partner, or girlfriend.]
text
C0438080 (UMLS CUI [1,1])
C0595939 (UMLS CUI [1,2])
C0682323 (UMLS CUI [1,3])
Code List
13b. (Men) Has your wife, partner or girlfriend had a miscarriage or stillbirth during the last 12 months? [Tick no if you do not have a wife, partner, or girlfriend.]
CL Item
No (Skip to Q.14) (1)
Item
14. Have you or your spouse/partner lost or changed jobs or been involuntarily unemployed during the last 12 months?
text
C0242271 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
Code List
14. Have you or your spouse/partner lost or changed jobs or been involuntarily unemployed during the last 12 months?
CL Item
No (Skip to Q.15) (1)
Item
If yes: a. Who?
text
C0242271 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
Code List
If yes: a. Who?
CL Item
Spouse/partner (2)
Item
b. Why did you (or spouse) leave? (answer only for you if both lost or changed jobs)
text
C0566251 (UMLS CUI [1,1])
C0557455 (UMLS CUI [1,2])
Code List
b. Why did you (or spouse) leave? (answer only for you if both lost or changed jobs)
CL Item
Temporarily laid off (2)
CL Item
Found better job (4)
CL Item
Plant or business closing or reorganizing (5)
agree Leaving job
Item
c. Could you (or spouse) have stayed in your old job if you wanted?
boolean
C3641827 (UMLS CUI [1,1])
C0557455 (UMLS CUI [1,2])
Item
d. How would you rate your feelings about leaving your job? (or your spouse leaving his/her job)?
text
C0023672 (UMLS CUI [1,1])
C0557455 (UMLS CUI [1,2])
Code List
d. How would you rate your feelings about leaving your job? (or your spouse leaving his/her job)?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
15. During the last 12 months, have you or your spouse/partner suffered a significant business or investment loss or has a business you owned failed?
text
C0425099 (UMLS CUI [1])
Code List
15. During the last 12 months, have you or your spouse/partner suffered a significant business or investment loss or has a business you owned failed?
CL Item
No (Skip to Q.16) (1)
Item
If yes: a. Who?
text
C0425099 (UMLS CUI [1])
Code List
If yes: a. Who?
CL Item
Spouse/partner (2)
Item
16. During the last 12 months, have you or your spouse/partner had any serious problems or disappointment at school or in an educational course (university, training program, etc.)? (answer only for you if both had disappointments)
text
C0036373 (UMLS CUI [1,1])
C0870427 (UMLS CUI [1,2])
Code List
16. During the last 12 months, have you or your spouse/partner had any serious problems or disappointment at school or in an educational course (university, training program, etc.)? (answer only for you if both had disappointments)
CL Item
No (Skip to Q.17) (1)
Item
If yes: a. Who?
text
C0036373 (UMLS CUI [1,1])
C0870427 (UMLS CUI [1,2])
Code List
If yes: a. Who?
CL Item
Spouse/partner (2)
Item
b. What was the disappointment?
text
C0036373 (UMLS CUI [1,1])
C0870427 (UMLS CUI [1,2])
Code List
b. What was the disappointment?
CL Item
Failed to get raise or promotion (2)
CL Item
Failed a course (3)
CL Item
Trouble with boss or coworkers (4)
CL Item
Put on academic probation (5)
CL Item
Failed to get into an educational course (college, training program, etc.) (6)
Item
17. Have you or your spouse/partner had significant success at work or in an educational course (university, training program) during the last 12 months?
text
C0597535 (UMLS CUI [1,1])
C0043227 (UMLS CUI [1,2])
C0013622 (UMLS CUI [1,3])
Code List
17. Have you or your spouse/partner had significant success at work or in an educational course (university, training program) during the last 12 months?
CL Item
No (Skip to Q.18) (1)
Item
If yes: a. Who?
text
C0597535 (UMLS CUI [1,1])
C0043227 (UMLS CUI [1,2])
C0013622 (UMLS CUI [1,3])
Code List
If yes: a. Who?
CL Item
Spouse/partner (2)
Item
18. Has there been a significant change in your personal finances during the last 12 months?
text
C0557159 (UMLS CUI [1])
Code List
18. Has there been a significant change in your personal finances during the last 12 months?
CL Item
No (Skip to Q.19) (1)
Item
If yes: a. Has the change been for the better or worse?
text
C0023672 (UMLS CUI [1,1])
C0557159 (UMLS CUI [1,2])
Code List
If yes: a. Has the change been for the better or worse?
Item
19. Has your house been broken into and/or burgled during the last 12 months?
text
C0521878 (UMLS CUI [1])
Code List
19. Has your house been broken into and/or burgled during the last 12 months?
CL Item
No (Skip to Q.20) (1)
Item
20. Have you or your spouse/partner or other member of your immediate family been assaulted or mugged during the last 12 months?
text
C2169639 (UMLS CUI [1])
Code List
20. Have you or your spouse/partner or other member of your immediate family been assaulted or mugged during the last 12 months?
CL Item
No (Skip to Q.21) (1)
Item
If yes: a. Who? (more than one response is possible)
text
C2169639 (UMLS CUI [1])
Code List
If yes: a. Who? (more than one response is possible)
CL Item
Spouse/partner (2)
CL Item
Brother or sister (5)
Item
21. Has the behavior of any member of your family been a significant problem for you during the last 12 months?
text
C0004930 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
Code List
21. Has the behavior of any member of your family been a significant problem for you during the last 12 months?
CL Item
No (Skip to Q.22) (1)
Item
If yes: a. Who? (more than one response is possible)
text
C0004930 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
Code List
If yes: a. Who? (more than one response is possible)
CL Item
Spouse/partner (1)
CL Item
Brother or sister (4)
Item
22. Have you or your spouse/partner had to appear in court during the last 12 months as a defendant, a witness in a criminal case, or as party to a suit?
text
C0422117 (UMLS CUI [1])
Code List
22. Have you or your spouse/partner had to appear in court during the last 12 months as a defendant, a witness in a criminal case, or as party to a suit?
CL Item
No (Skip to Q.23) (1)
Item
If yes: a. Who?
text
C0422117 (UMLS CUI [1])
Code List
If yes: a. Who?
CL Item
Spouse/partner (2)
Item
b. How would you rate the court experience?
text
C0023672 (UMLS CUI [1,1])
C0422117 (UMLS CUI [1,2])
Code List
b. How would you rate the court experience?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
23. Have you had a pet (animal) to whom you were attached die, or get lost, or did you have to give it away during the last 12 months?
text
C0524346 (UMLS CUI [1])
Code List
23. Have you had a pet (animal) to whom you were attached die, or get lost, or did you have to give it away during the last 12 months?
CL Item
No (Skip to Q.24) (1)
Item
24. Other than the events we have already asked about, have any other important things happened to you or to a very close friend or close family member in the last 12 months that made that period significantly different from a typical year?
text
C1287456 (UMLS CUI [1])
Code List
24. Other than the events we have already asked about, have any other important things happened to you or to a very close friend or close family member in the last 12 months that made that period significantly different from a typical year?
CL Item
No (DONE w/ Questionnaire) (1)
Item
If yes: You can list up to three (3) events. Please do not feel obliged to include an additional event or events unless they were significant! Event 1: To whom?
text
C1287456 (UMLS CUI [1])
Code List
If yes: You can list up to three (3) events. Please do not feel obliged to include an additional event or events unless they were significant! Event 1: To whom?
CL Item
Spouse/partner (2)
CL Item
Spouse’s parent (5)
CL Item
Brother or sister (6)
important event
Item
What happened?
text
C1287456 (UMLS CUI [1])
desire important event
Item
Did you want the event to happen?
boolean
C0871633 (UMLS CUI [1,1])
C1287456 (UMLS CUI [1,2])
Item
How would you rate your feelings about this event?
text
C0023672 (UMLS CUI [1,1])
C1287456 (UMLS CUI [1,2])
Code List
How would you rate your feelings about this event?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
Event 2: To whom?
text
C1287456 (UMLS CUI [1])
Code List
Event 2: To whom?
CL Item
Spouse/partner (2)
CL Item
Spouse’s parent (5)
CL Item
Brother or sister (6)
important event
Item
What happened?
text
C1287456 (UMLS CUI [1])
desire important event
Item
Did you want the event to happen?
boolean
C0871633 (UMLS CUI [1,1])
C1287456 (UMLS CUI [1,2])
Item
How would you rate your feelings about this event?
text
C0023672 (UMLS CUI [1,1])
C1287456 (UMLS CUI [1,2])
Code List
How would you rate your feelings about this event?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)
Item
Event 3: To whom?
text
C1287456 (UMLS CUI [1])
Code List
Event 3: To whom?
CL Item
Spouse/partner (2)
CL Item
Spouse’s parent (5)
CL Item
Brother or sister (6)
important event
Item
What happened?
text
C1287456 (UMLS CUI [1])
desire important event
Item
Did you want the event to happen?
boolean
C0871633 (UMLS CUI [1,1])
C1287456 (UMLS CUI [1,2])
Item
How would you rate your feelings about this event?
text
C0023672 (UMLS CUI [1,1])
C1287456 (UMLS CUI [1,2])
Code List
How would you rate your feelings about this event?
CL Item
Moderately good (2)
CL Item
Slightly good (3)
CL Item
Moderately bad (5)