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Individual identifier: 150 = KN ( the Knowledge Networks web-enabled panel is a method for conducting Internet-based survey research with a U.S. representative probability sample), dash, then five digit ID#
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Consent (on-line consent form)
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Consent (on-line consent form)
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Authorization (on-line consent form)
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Authorization (on-line consent form)
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Have you ever had a time in your life when you felt sad, blue, or depressed for two weeks or more in a row?
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Have you ever had a time in your life when you felt sad, blue, or depressed for two weeks or more in a row?
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Have you ever had a time in your life lasting two weeks or more when you lost interest in most things like hobbies, work, or activities that usually give you pleasure?
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Have you ever had a time in your life lasting two weeks or more when you lost interest in most things like hobbies, work, or activities that usually give you pleasure?
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How much of the day did these feelings usually last?
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How much of the day did these feelings usually last?
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Most of the day (2)
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About half of the day (3)
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Less than of the day (4)
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Please think of the two-week period in your life when your feelings of depression or loss of interest were worst: did you feel this way? ( every day, almost every day, less often)
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Please think of the two-week period in your life when your feelings of depression or loss of interest were worst: did you feel this way? ( every day, almost every day, less often)
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Almost every day (2)
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Did you feel more tired out or low on energy than is usual for you?
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Did you feel more tired out or low on energy than is usual for you?
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Did you gain or lose weight without trying, or did you stay about the same weight?
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Did you gain or lose weight without trying, or did you stay about the same weight?
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Both gained and lost weight (3)
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Stayed about the same or on a diet (4)
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About how much weight did you gain?
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About how much weight did you gain?
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About how much weight did you lose?
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About how much weight did you lose?
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(Gained): about how much weight did you gain and lose?
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(Gained): about how much weight did you gain and lose?
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(Lost): about how much weight did you gain and lose?
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(Lost): about how much weight did you gain and lose?
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Did you have more trouble falling asleep than you usually do?
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Did you have more trouble falling asleep than you usually do?
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Did you have more trouble falling asleep than you usually do? If yes: how often did that happen?
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Did you have more trouble falling asleep than you usually do? If yes: how often did that happen?
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Nearly every night (2)
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Did you have a lot more trouble concentrating than usual?
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Did you have a lot more trouble concentrating than usual?
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People sometimes feel down on themselves, no good, or worthless. Did you feel this way?
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People sometimes feel down on themselves, no good, or worthless. Did you feel this way?
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Did you think a lot about death - either your own, someone else's, or death in general?
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Did you think a lot about death - either your own, someone else's, or death in general?
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Count of 'yes' answers to A1B (Have you ever had a time in your life lasting two weeks or more when you lost interest in most things like hobbies, work, or activities that usually give you pleasure?), A2 (Did you feel more tired out or low on energy than is usual for you?), A3 (Did you gain or lose weight without trying, or did you stay about the same weight?), A4 (Did you have more trouble falling asleep than you usually do?), A5 (Did you have a lot more trouble concentrating than usual?), A6 (People sometimes feel down on themselves, no good, or worthless. Did you feel this way?), and A7 (Did you think a lot about death - either your own, someone else's, or death in general?) question in questionnaire
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Count of 'yes' answers to A1B (Have you ever had a time in your life lasting two weeks or more when you lost interest in most things like hobbies, work, or activities that usually give you pleasure?), A2 (Did you feel more tired out or low on energy than is usual for you?), A3 (Did you gain or lose weight without trying, or did you stay about the same weight?), A4 (Did you have more trouble falling asleep than you usually do?), A5 (Did you have a lot more trouble concentrating than usual?), A6 (People sometimes feel down on themselves, no good, or worthless. Did you feel this way?), and A7 (Did you think a lot about death - either your own, someone else's, or death in general?) question in questionnaire
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Count 1 of 'yes' answer to A1B, A2, A3, A4, A5, A6, and A7 (1)
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Count of 2 'yes' answers to A1B, A2, A3, A4, A5, A6, and A7 (2)
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Count of 3 'yes' answers to A1B, A2, A3, A4, A5, A6, and A7 (3)
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count of 4 'yes' answers to A1B, A2, A3, A4, A5, A6, and A7 (4)
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count of 5 'yes' answers to A1B, A2, A3, A4, A5, A6, and A7 (5)
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count of 6 'yes' answers to A1B, A2, A3, A4, A5, A6, and A7 (6)
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count of 7 'yes' answers to A1B, A2, A3, A4, A5, A6, and A7 (7)
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About how many weeks altogether did you feel this way? Count the weeks before, during and after the worst two weeks. The total period of depression/loss of interest was:
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About how many weeks altogether did you feel this way? Count the weeks before, during and after the worst two weeks. The total period of depression/loss of interest was:
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How many periods like this did you have in your life, lasting two or more weeks?
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How many periods like this did you have in your life, lasting two or more weeks?
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About how old were you the FIRST time you had a period of two weeks like this? (Whether or not you received any help for it?) Years of age when you first felt this way
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About how old were you the FIRST time you had a period of two weeks like this? (Whether or not you received any help for it?) Years of age when you first felt this way
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About how old were you the LAST time you had a period of two weeks like this? (Whether or not you received any help for it?) Years of age when the most recent episode happened
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About how old were you the LAST time you had a period of two weeks like this? (Whether or not you received any help for it?) Years of age when the most recent episode happened
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Did you ever tell a professional about these problems (medical doctor, psychologist, social worker, counselor, nurse, clergy, or other helping professional)?
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Did you ever tell a professional about these problems (medical doctor, psychologist, social worker, counselor, nurse, clergy, or other helping professional)?
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Did you take medication or use drugs or alcohol more than once for these problems?
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Did you take medication or use drugs or alcohol more than once for these problems?
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How much did these problems (feeling depression or loss of interest) interfere with your life or activities? (A lot, some, a little, not at all)
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How much did these problems (feeling depression or loss of interest) interfere with your life or activities? (A lot, some, a little, not at all)
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Have you ever have a period lasting one month or longer when most of the time you felt worried, tense, or anxious?
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Have you ever have a period lasting one month or longer when most of the time you felt worried, tense, or anxious?
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People differ a lot in how much they worry about things. Did you ever have a time when you worried a lot more than most people would in your situation?
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People differ a lot in how much they worry about things. Did you ever have a time when you worried a lot more than most people would in your situation?
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(Years): what is the longest period of time that this kind of worrying has ever continued? (Years and months)
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(Years): what is the longest period of time that this kind of worrying has ever continued? (Years and months)
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(Months): what is the longest period of time that this kind of worrying has ever continued? (Years and months)
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(Months): what is the longest period of time that this kind of worrying has ever continued? (Years and months)
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If no value to B2YEARS (name of variable) or B2MONTH (name of variable): all of my life/as long as I can remember?
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If no value to B2YEARS (name of variable) or B2MONTH (name of variable): all of my life/as long as I can remember?
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No all of my life/as long as I can remember (0)
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All of my life/as long as I can remember (1)
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During that period, was your worry stronger than in other people?
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During that period, was your worry stronger than in other people?
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Did you worry most days?
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Did you worry most days?
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Did you usually worry about one particular thing, such as your job security or the failing health of a loved one, or more than one thing?
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Did you usually worry about one particular thing, such as your job security or the failing health of a loved one, or more than one thing?
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More than one thing (2)
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Did you find it difficult to stop worrying?
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Did you find it difficult to stop worrying?
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Did you ever have different worries on your mind at the same time?
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Did you ever have different worries on your mind at the same time?
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How often was your worry so strong that you couldn't put it out of your mind no matter how hard you tried?
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How often was your worry so strong that you couldn't put it out of your mind no matter how hard you tried?
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How often did you find it difficult to control your worry?
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How often did you find it difficult to control your worry?
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When you were worried or anxious, were you also restless?
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When you were worried or anxious, were you also restless?
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When you were worried or anxious, were you also "keyed up or on edge"?
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When you were worried or anxious, were you also "keyed up or on edge"?
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When you were worried or anxious, were you also easily tired?
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When you were worried or anxious, were you also easily tired?
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When you were worried or anxious, were you also "having difficulty keeping your mind on what you were doing"?
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When you were worried or anxious, were you also "having difficulty keeping your mind on what you were doing"?
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When you were worried or anxious, were you also more irritable than usual?
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When you were worried or anxious, were you also more irritable than usual?
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When you were worried or anxious, were you also "having tense, sore, or aching muscles"?
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When you were worried or anxious, were you also "having tense, sore, or aching muscles"?
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When you were worried or anxious, were you also "often having trouble falling or staying asleep"?
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When you were worried or anxious, were you also "often having trouble falling or staying asleep"?
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Did you ever tell a professional about these problems (medical doctor, psychologist, social worker, counselor, nurse, clergy, or other helping professional)?
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Did you ever tell a professional about these problems (medical doctor, psychologist, social worker, counselor, nurse, clergy, or other helping professional)?
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Did you take medication or use drugs or alcohol more than once for the worry or the problems it was causing?
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Did you take medication or use drugs or alcohol more than once for the worry or the problems it was causing?
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How much did the worry or anxiety interfere with your life or activities?
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How much did the worry or anxiety interfere with your life or activities?
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Do you have an unreasonably strong fear or avoid any of the following things: heights, storms, thunder, lightning, or being in still water, like a swimming pool or lake?
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Do you have an unreasonably strong fear or avoid any of the following things: heights, storms, thunder, lightning, or being in still water, like a swimming pool or lake?
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Do you have an unreasonably strong fear or avoid any of the following things: being in a closed space like a cave, tunnel, elevator, or airplane?
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Do you have an unreasonably strong fear or avoid any of the following things: being in a closed space like a cave, tunnel, elevator, or airplane?
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Do you have an unreasonably strong fear or avoid any of the following things: snakes, birds, rats, bugs, or other animals?
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Do you have an unreasonably strong fear or avoid any of the following things: snakes, birds, rats, bugs, or other animals?
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Do you have an unreasonably strong fear or avoid any of the following things: seeing blood, getting a shot or injection, seeing a dentist, or going to a hospital?
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Do you have an unreasonably strong fear or avoid any of the following things: seeing blood, getting a shot or injection, seeing a dentist, or going to a hospital?
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How often do you get upset when you are in that situation?
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How often do you get upset when you are in that situation?
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Most of the time (2)
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Some of the time (3)
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Only one or two times ever (4)
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Only one or two times ever (5)
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How long have you had any of these fears?
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How long have you had any of these fears?
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Less than 1 year (please enter # of months below) (1)
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Between 1 and 5 years (2)
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More than 5 years (3)
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If C4 (how long have your had any of these fears?) is less than 1 year, please enter # of months
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If C4 (how long have your had any of these fears?) is less than 1 year, please enter # of months
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How much have any of these fears ever interfered with your life or activities?
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How much have any of these fears ever interfered with your life or activities?
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Have you ever been very upset with yourself for having any of these fears?
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Have you ever been very upset with yourself for having any of these fears?
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Is your fear unreasonable - that is, much stronger than it should be?
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Is your fear unreasonable - that is, much stronger than it should be?
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Is your fear much stronger than in other people?
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Is your fear much stronger than in other people?
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Do you have an unreasonably strong fear or avoid any of the following situations: giving a speech or speaking in public?
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Do you have an unreasonably strong fear or avoid any of the following situations: giving a speech or speaking in public?
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Do you have an unreasonably strong fear or avoid any of the following situations: eating or drinking where someone could watch you?
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Do you have an unreasonably strong fear or avoid any of the following situations: eating or drinking where someone could watch you?
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Do you have an unreasonably strong fear or avoid any of the following situations: talking to people because you might have nothing to say or might sound foolish?
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Do you have an unreasonably strong fear or avoid any of the following situations: talking to people because you might have nothing to say or might sound foolish?
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Do you have an unreasonably strong fear or avoid any of the following situations: writing while someone watches?
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Do you have an unreasonably strong fear or avoid any of the following situations: writing while someone watches?
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Do you have an unreasonably strong fear or avoid any of the following situations: taking part or speaking in a meeting or class?
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Do you have an unreasonably strong fear or avoid any of the following situations: taking part or speaking in a meeting or class?
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Do you have an unreasonably strong fear or avoid any of the following situations: going to a party or other social outing?
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Do you have an unreasonably strong fear or avoid any of the following situations: going to a party or other social outing?
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Please think only of the situation(s) that cause you unreasonably strong fears: how often do you get very upset when you are in this situation?
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Please think only of the situation(s) that cause you unreasonably strong fears: how often do you get very upset when you are in this situation?
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Most of the time (2)
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Some of the time (3)
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Only one or two times ever (4)
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Only one or two times ever (5)
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How long have you had any of these fears? (Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?)
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How long have you had any of these fears? (Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?)
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Less than 1 year (please enter # of months below) (1)
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Between 1 and 5 years (2)
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More than 5 years (3)
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If D3 (How long have you had any of these fears?: Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?) is less than 1 year, please enter # of months
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If D3 (How long have you had any of these fears?: Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?) is less than 1 year, please enter # of months
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How much have any of these fears (Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?) ever interfered with your life or activities?
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How much have any of these fears (Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?) ever interfered with your life or activities?
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Have you ever been very upset with yourself for having any of these fears? (Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?)
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Have you ever been very upset with yourself for having any of these fears? (Giving a speech or speaking in public? Eating or drinking where someone could watch you? Talking to people because you might have nothing to say or might sound foolish? Writing while someone watches? Taking part or speaking in a meeting or class? Going to a party or other social outing?)
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Is your fear unreasonable - that is, much stronger than it should be?
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Is your fear unreasonable - that is, much stronger than it should be?
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Is your fear much stronger than in other people?
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Is your fear much stronger than in other people?
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Do you have an unreasonably strong fear for or avoid any of the following: being in a crowd or standing in line?
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Do you have an unreasonably strong fear for or avoid any of the following: being in a crowd or standing in line?
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Do you have an unreasonably strong fear for or avoid any of the following: being away from home alone?
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Do you have an unreasonably strong fear for or avoid any of the following: being away from home alone?
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Do you have an unreasonably strong fear for or avoid any of the following: traveling alone?
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Do you have an unreasonably strong fear for or avoid any of the following: traveling alone?
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Do you have an unreasonably strong fear for or avoid any of the following: traveling in a bus, train, or car?
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Do you have an unreasonably strong fear for or avoid any of the following: traveling in a bus, train, or car?
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Do you have an unreasonably strong fear for or avoid any of the following: being in a public place like a department store?
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Do you have an unreasonably strong fear for or avoid any of the following: being in a public place like a department store?
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Please think only of the situation(s) that cause you to have unreasonably strong fears, such as: being in a crowd or standing in line; being away from home alone; traveling alone; traveling in a bus, train, or car; being in a public place like a department store. How often do you get very upset in the situation?
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Please think only of the situation(s) that cause you to have unreasonably strong fears, such as: being in a crowd or standing in line; being away from home alone; traveling alone; traveling in a bus, train, or car; being in a public place like a department store. How often do you get very upset in the situation?
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Most of the time (2)
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Some of the time (3)
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Only one or two times ever (4)
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How long have you had any of these fears? (being in a crowd or standing in line; being away from home alone; traveling alone; traveling in a bus, train, or car; being in a public place like a department store)
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How long have you had any of these fears? (being in a crowd or standing in line; being away from home alone; traveling alone; traveling in a bus, train, or car; being in a public place like a department store)
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Less than 1 year (please enter # of months below) (1)
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Between 1 and 5 years (2)
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More than 5 years (3)
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If E4 (How long have you had any of these fears?) (being in a crowd or standing in line; being away from home alone; traveling alone; traveling in a bus, train, or car; being in a public place like a department store) is less than 1 year, please enter # of months
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If E4 (How long have you had any of these fears?) (being in a crowd or standing in line; being away from home alone; traveling alone; traveling in a bus, train, or car; being in a public place like a department store) is less than 1 year, please enter # of months
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Were you ever afraid that you might faint, lose control, or embarrass yourself in other ways?
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Were you ever afraid that you might faint, lose control, or embarrass yourself in other ways?
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Do you worry that you might be trapped without any way to escape?
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Do you worry that you might be trapped without any way to escape?
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Do you worry that help might not be available if you needed it?
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Do you worry that help might not be available if you needed it?
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How much did any of these fears ever interfere with your life or activities?
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How much did any of these fears ever interfere with your life or activities?
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Did you ever have a spell or an attack when all of a sudden you felt frightened, anxious, or very uneasy?
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Did you ever have a spell or an attack when all of a sudden you felt frightened, anxious, or very uneasy?
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Did any of these attacks occur when you were in a life-threatening situation?
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Did any of these attacks occur when you were in a life-threatening situation?
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Did any of these attacks occur when you were not in a life-threatening situation?
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Did any of these attacks occur when you were not in a life-threatening situation?
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About how many attacks have you had in your life?
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About how many attacks have you had in your life?
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How long ago did you have the most recent attack? - # months ago (enter 0 if you had one in the past month)
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How long ago did you have the most recent attack? - # months ago (enter 0 if you had one in the past month)
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Did some of your attacks happen in a situation when you were not in danger or not the center of attention?
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Did some of your attacks happen in a situation when you were not in danger or not the center of attention?
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When you have sudden anxiety attacks, do they usually occur in specific situations that cause you unreasonably strong fear?
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When you have sudden anxiety attacks, do they usually occur in specific situations that cause you unreasonably strong fear?
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Did you ever have an attack when you were not in a situation that usually causes you to have unreasonably strong fears?
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Did you ever have an attack when you were not in a situation that usually causes you to have unreasonably strong fears?
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When you have attacks: does your heart pound or race?
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When you have attacks: does your heart pound or race?
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When you have attacks: do you have tightness, pain, or discomfort in your chest or stomach?
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When you have attacks: do you have tightness, pain, or discomfort in your chest or stomach?
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When you have attacks: do you sweat?
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When you have attacks: do you sweat?
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When you have attacks: do you tremble or shake?
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When you have attacks: do you tremble or shake?
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When you have attacks: do you have hot flashes or chills?
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When you have attacks: do you have hot flashes or chills?
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When you have attacks: do you, or things around you, seem unreal?
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When you have attacks: do you, or things around you, seem unreal?
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The next questions are about how frequently you drink alcoholic beverages. By a "drink" we mean either: a bottle of beer, a wine cooler, a glass of wine, a shot of liquor, or a mixed drink. With these definitions in mind, what is the largest number of drinks you had in any single day ever?
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The next questions are about how frequently you drink alcoholic beverages. By a "drink" we mean either: a bottle of beer, a wine cooler, a glass of wine, a shot of liquor, or a mixed drink. With these definitions in mind, what is the largest number of drinks you had in any single day ever?
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Was there ever a time in your life when your drinking or being hung over interfered with: your work at school, or your work at a job, or your home life or house work?
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Was there ever a time in your life when your drinking or being hung over interfered with: your work at school, or your work at a job, or your home life or house work?
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How often did drinking interfere with school, job or home life?
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How often did drinking interfere with school, job or home life?
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Once or Twice (1)
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More than 20 times (5)
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Were you ever under the influence of alcohol in a situation where you could get hurt - like when driving a car or boat, using knives or guns or machinery, or anything else?
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Were you ever under the influence of alcohol in a situation where you could get hurt - like when driving a car or boat, using knives or guns or machinery, or anything else?
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Did you have any emotional or psychological problems from using alcohol - such as feeling uninterested in things, feeling depressed, suspicious of people, paranoid, or having strange ideas?
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Did you have any emotional or psychological problems from using alcohol - such as feeling uninterested in things, feeling depressed, suspicious of people, paranoid, or having strange ideas?
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Did you have such a strong desire or urge to drink that you could not keep from drinking?
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Did you have such a strong desire or urge to drink that you could not keep from drinking?
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During that year, did you have a period of a month or more when you spent a great deal of time drinking or getting over the effects of alcohol?
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During that year, did you have a period of a month or more when you spent a great deal of time drinking or getting over the effects of alcohol?
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Did you ever have more to drink than you intended to, or did you drink much longer than you intended to?
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Did you ever have more to drink than you intended to, or did you drink much longer than you intended to?
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During that year, how often did you drink more or longer than you intended to?
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During that year, how often did you drink more or longer than you intended to?
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Once or twice (1)
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More than 20 times (5)
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During that year, was there ever a time when you had to drink much more than you used to drink, to get the same effect you wanted?
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During that year, was there ever a time when you had to drink much more than you used to drink, to get the same effect you wanted?
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Sedatives, including either barbiturates or sleeping pills? (Seconal, Halcion, Methaqualone, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Sedatives, including either barbiturates or sleeping pills? (Seconal, Halcion, Methaqualone, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Tranquilizers or "nerve pills"? (Librium, Valium, Ativan, Meprobamate, Xanax, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Tranquilizers or "nerve pills"? (Librium, Valium, Ativan, Meprobamate, Xanax, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Amphetamines or other stimulants? (Methamphetamine, Preludin, Dexedrine, Ritalin, "Speed")
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Amphetamines or other stimulants? (Methamphetamine, Preludin, Dexedrine, Ritalin, "Speed")
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Analgesics or other prescription painkillers on your own? (This does NOT include normal use of aspirin, Tylenol without codeine, Advil, etc., but does include use of Tylenol with codeine and other prescription painkillers like Demerol, Darvon, Percodan, Codeine, Morphine, and Methadone.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Analgesics or other prescription painkillers on your own? (This does NOT include normal use of aspirin, Tylenol without codeine, Advil, etc., but does include use of Tylenol with codeine and other prescription painkillers like Demerol, Darvon, Percodan, Codeine, Morphine, and Methadone.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Inhalants that you sniff or breathe to get high or to feel good? (Amylnitrate, Freon, Nitrous Oxide, "Whippets", gasoline, spray paint, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Inhalants that you sniff or breathe to get high or to feel good? (Amylnitrate, Freon, Nitrous Oxide, "Whippets", gasoline, spray paint, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Marijuana or hashish?
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Marijuana or hashish?
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Cocaine or crack or free base?
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Cocaine or crack or free base?
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? LSD or other hallucinogens? (PCP, angeldust, peyote, ecstasy-MDMA, mescaline, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? LSD or other hallucinogens? (PCP, angeldust, peyote, ecstasy-MDMA, mescaline, etc.)
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Heroin?
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The next questions are about your use of drugs on your own. By "on your own" we mean either without a doctor's prescription, in larger amounts than prescribed, or for longer than prescribed. With this definition in mind, did you ever use any of the following drugs on your own? Heroin?
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Did your use of any of these substances ever interfere with: your work at school, or your work at a job, or your home life or housework?
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Did your use of any of these substances ever interfere with: your work at school, or your work at a job, or your home life or housework?
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How often did using any substances interfere with school, job or home life?
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How often did using any substances interfere with school, job or home life?
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Once or twice (1)
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More than 20 times (5)
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Were you ever under the influence of any of these substances in a situation where you could get hurt - like when driving a car or boat, using knives or guns or machinery, or anything else?
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Were you ever under the influence of any of these substances in a situation where you could get hurt - like when driving a car or boat, using knives or guns or machinery, or anything else?
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Did you have any emotional or psychological problems from using any of these substances - such as feeling uninterested in things, feeling depressed, suspicious of people, paranoid, or having strange ideas?
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Did you have any emotional or psychological problems from using any of these substances - such as feeling uninterested in things, feeling depressed, suspicious of people, paranoid, or having strange ideas?
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Did you have such a strong desire or urge to use any of these substances that you could not keep from using it?
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Did you have such a strong desire or urge to use any of these substances that you could not keep from using it?
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Did you have a period of a month or more when you spent a great deal of time using any of these substances or getting over their effects?
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Did you have a period of a month or more when you spent a great deal of time using any of these substances or getting over their effects?
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Did you ever use any of these substances in much larger amounts, or for a longer period of time, than you intended to?
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Did you ever use any of these substances in much larger amounts, or for a longer period of time, than you intended to?
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During that year, how often did you use any of these substances more or longer than you intended to?
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During that year, how often did you use any of these substances more or longer than you intended to?
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Once or twice (1)
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More than 20 times (5)
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Was there ever a time when you had to use more of any of these substances than you used to, to get the same effect you wanted?
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Was there ever a time when you had to use more of any of these substances than you used to, to get the same effect you wanted?
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Have you ever been bothered by having certain unpleasant thoughts of your own that kept entering your mind against your wishes? An example would be if you kept having the idea that your hands are dirty or have germs on them.
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Have you ever been bothered by having certain unpleasant thoughts of your own that kept entering your mind against your wishes? An example would be if you kept having the idea that your hands are dirty or have germs on them.
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Another example of an unpleasant thought would if you kept having the idea that you might harm someone, even though you really didn't want to. Or you might have had thoughts you were ashamed of, but couldn't keep out of your mind. Have you ever had any unpleasant and persistent thoughts like that?
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Another example of an unpleasant thought would if you kept having the idea that you might harm someone, even though you really didn't want to. Or you might have had thoughts you were ashamed of, but couldn't keep out of your mind. Have you ever had any unpleasant and persistent thoughts like that?
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Did some of these thoughts seem to you to be unreasonable?
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Did some of these thoughts seem to you to be unreasonable?
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Did these thoughts keep coming back again and again into your mind no matter how hard you tried to resist, ignore, or get rid of them?
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Did these thoughts keep coming back again and again into your mind no matter how hard you tried to resist, ignore, or get rid of them?
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Did you ever tell a doctor about these thoughts?
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Did you ever tell a doctor about these thoughts?
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Did thinking about these ideas interfere with your life or work, or cause you difficulty with your relatives or friends, or upset you a great deal?
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Did thinking about these ideas interfere with your life or work, or cause you difficulty with your relatives or friends, or upset you a great deal?
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Some people have the unpleasant feeling that they have to do something over and over again even though they know it is foolish, but they can't resist doing it - things like washing their hands again and again or going back several times to be sure they've locked a door or turned off the stove. Have you ever had to do something like that over and over?
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Some people have the unpleasant feeling that they have to do something over and over again even though they know it is foolish, but they can't resist doing it - things like washing their hands again and again or going back several times to be sure they've locked a door or turned off the stove. Have you ever had to do something like that over and over?
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Was there a time when you felt you had to do something in a certain order, like getting dressed perhaps, and had to start all over again if you did it in the wrong order?
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Was there a time when you felt you had to do something in a certain order, like getting dressed perhaps, and had to start all over again if you did it in the wrong order?
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Has there been a period of several weeks when you felt you had to count something, like the squares in a tile floor, and couldn't resist doing it even when you tried to?
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Has there been a period of several weeks when you felt you had to count something, like the squares in a tile floor, and couldn't resist doing it even when you tried to?
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Did you have a period when you had to say certain words over and over, either aloud or to yourself?
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Did you have a period when you had to say certain words over and over, either aloud or to yourself?
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Please think about the time in your life when having to do these things was bothering you the most (doing or counting or checking something over and over, or in the same order). Did you think that these actions were unnecessary or that you overdid it?
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Please think about the time in your life when having to do these things was bothering you the most (doing or counting or checking something over and over, or in the same order). Did you think that these actions were unnecessary or that you overdid it?
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Please think about the time in your life when having to do these things was bothering you the most (doing or counting or checking something over and over, or in the same order). Did you tell a doctor about having to do these things?
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Please think about the time in your life when having to do these things was bothering you the most (doing or counting or checking something over and over, or in the same order). Did you tell a doctor about having to do these things?
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Please think about the time in your life when having to do these things was bothering you the most (doing or counting or checking something over and over, or in the same order). Did having to do these things interfere with your life or work, or cause you difficulty with your relatives or friends, or upset you a great deal?
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Please think about the time in your life when having to do these things was bothering you the most (doing or counting or checking something over and over, or in the same order). Did having to do these things interfere with your life or work, or cause you difficulty with your relatives or friends, or upset you a great deal?
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Have you smoked more than 100 cigarettes in your lifetime?
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Have you smoked more than 100 cigarettes in your lifetime?
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Have you ever smoked a whole cigarette?
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Have you ever smoked a whole cigarette?
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How many cigarettes have you smoked in your lifetime?
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How many cigarettes have you smoked in your lifetime?
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Did you smoke cigarettes on a daily basis?
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Did you smoke cigarettes on a daily basis?
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How many cigarettes did you smoke on a typical day?
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How many cigarettes did you smoke on a typical day?
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During this time when you smoked the most, how soon after waking did you smoke your first cigarette?
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During this time when you smoked the most, how soon after waking did you smoke your first cigarette?
CL Item
5 minutes or less (1)
CL Item
6 to 30 minutes (2)
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31 minutes to an hour (3)
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More than an hour (4)
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Did you find it difficult to refrain from smoking in places where it is forbidden, e.g., in church, at the library, in the cinema, etc.?
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Did you find it difficult to refrain from smoking in places where it is forbidden, e.g., in church, at the library, in the cinema, etc.?
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During this period, which one cigarette would you have hated most to give up?
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During this period, which one cigarette would you have hated most to give up?
CL Item
1st one in the morning (1)
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During this period, did you smoke more frequently during the first hours after waking than during the rest of the day?
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During this period, did you smoke more frequently during the first hours after waking than during the rest of the day?
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During this period, did you smoke if you are so ill that you are in bed most of the day?
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During this period, did you smoke if you are so ill that you are in bed most of the day?
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Do you currently smoke cigarettes?
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Do you currently smoke cigarettes?
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How many cigarettes do you smoke in a typical day?
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How many cigarettes do you smoke in a typical day?
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(Years): how long has it been since you quit smoking? (Years and months)
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(Years): how long has it been since you quit smoking? (Years and months)
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(Months): how long has it been since you quit smoking? (Years and months)
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(Months): how long has it been since you quit smoking? (Years and months)
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Do you consider yourself to be: heterosexual, bisexual, gay or lesbian, I would prefer to not answer this question?
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Do you consider yourself to be: heterosexual, bisexual, gay or lesbian, I would prefer to not answer this question?
CL Item
Gay or lesbian (3)
CL Item
I would prefer to not answer this question (4)
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(Feet): please enter your current height in feet and inches
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(Feet): please enter your current height in feet and inches
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(Inches): please enter your current height in feet and inches
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(Inches): please enter your current height in feet and inches
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Please enter below your current weight in pounds:
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Please enter below your current weight in pounds:
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What is the greatest weight ever in your life (excluding pregnancy or 6 months after delivery)
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What is the greatest weight ever in your life (excluding pregnancy or 6 months after delivery)
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Have you ever received treatment for, or been diagnosed with, any of the following conditions: schizophrenia or schizoaffective disorder
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Have you ever received treatment for, or been diagnosed with, any of the following conditions: schizophrenia or schizoaffective disorder
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Have you ever received treatment for, or been diagnosed with, any of the following conditions: hearing voices others could not hear or believing things that others said were not true (such as that people were trying to harm you)
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Have you ever received treatment for, or been diagnosed with, any of the following conditions: hearing voices others could not hear or believing things that others said were not true (such as that people were trying to harm you)
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Have you ever received treatment for, or been diagnosed with, any of the following conditions: bipolar disorder (manic-depression)
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Have you ever received treatment for, or been diagnosed with, any of the following conditions: bipolar disorder (manic-depression)
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Does your mood often go up and down?
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Does your mood often go up and down?
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Do you ever feel 'just miserable' for no reason?
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Do you ever feel 'just miserable' for no reason?
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Are you an irritable person?
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Are you an irritable person?
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Are your feelings easily hurt?
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Are your feelings easily hurt?
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Do you often feel 'fed-up'?
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Do you often feel 'fed-up'?
Item
Would you call yourself a nervous person?
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Would you call yourself a nervous person?
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Are you a worrier?
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Are you a worrier?
Item
Would you call yourself tense or 'highly-strung'?
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Would you call yourself tense or 'highly-strung'?
Item
Do you worry too long after an embarrassing experience?
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Do you worry too long after an embarrassing experience?
Item
Do you suffer from 'nerves'?
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Do you suffer from 'nerves'?
Item
Do you often feel lonely?
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Do you often feel lonely?
Item
Are you often troubled about feelings of guilt?
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Are you often troubled about feelings of guilt?
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Are you a talkative person?
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Are you a talkative person?
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Are you rather lively?
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Are you rather lively?
Item
Do you enjoy meeting new people?
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Do you enjoy meeting new people?
Item
Can you usually let yourself go and enjoy yourself at a lively party?
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Can you usually let yourself go and enjoy yourself at a lively party?
Item
Do you usually take the initiative in making new friends?
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Do you usually take the initiative in making new friends?
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Can you easily get some life into a rather dull party?
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Can you easily get some life into a rather dull party?
Item
Do you tend to keep in the background on social occasions?
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Do you tend to keep in the background on social occasions?
Item
Do you like mixing with people?
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Do you like mixing with people?
Item
Do you like plenty of bustle and excitement around you?
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Do you like plenty of bustle and excitement around you?
Item
Are you mostly quiet when you are with other people?
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Are you mostly quiet when you are with other people?
Item
Do other people think of you as being very lively?
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Do other people think of you as being very lively?
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Can you get a party going?
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Can you get a party going?
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Anglo-Saxon
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Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Anglo-Saxon
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Northern European (e.g., Norwegian)
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Northern European (e.g., Norwegian)
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). West European (e.g., French, German)
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). West European (e.g., French, German)
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First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). East European, Slavic
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Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). East European, Slavic
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Russian
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Russian
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Mediterranean
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Mediterranean
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Ashkenazi Jew
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Ashkenazi Jew
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Sephardic Jew
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Sephardic Jew
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Hispanic (not Puerto Rican)
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Hispanic (not Puerto Rican)
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Puerto Rican Hispanic
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Puerto Rican Hispanic
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Mexican Hispanic
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Mexican Hispanic
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Asian
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Asian
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Arab
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Arab
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Native American/Alaskan Native
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Native American/Alaskan Native
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). African American, not of Hispanic Origin
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). African American, not of Hispanic Origin
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Other
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Other
Item
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Not sure
text
Code List
First, please check all the ethnic backgrounds that apply to your paternal grandfather (that is, your father's father). Not sure
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Anglo-Saxon
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Anglo-Saxon
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Northern European (e.g., Norwegian)
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Northern European (e.g., Norwegian)
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). West European (e.g., French, German)
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). West European (e.g., French, German)
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). East European, Slavic
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). East European, Slavic
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Russian
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Russian
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Mediterranean
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Mediterranean
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Ashkenazi Jew
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Ashkenazi Jew
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Sephardic Jew
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Sephardic Jew
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Hispanic (not Puerto Rican)
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Hispanic (not Puerto Rican)
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Puerto Rican Hispanic
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Puerto Rican Hispanic
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Mexican Hispanic
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Mexican Hispanic
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Asian
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Asian
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Arab
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Arab
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Native American/Alaskan Native
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Native American/Alaskan Native
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). African American, not of Hispanic Origin
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). African American, not of Hispanic Origin
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Other
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Other
Item
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Not sure
text
Code List
Second, please check all the ethnic backgrounds that apply to your paternal grandmother (that is, your father's mother). Not sure
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Anglo-Saxon
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Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Anglo-Saxon
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Northern European (e.g., Norwegian)
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Northern European (e.g., Norwegian)
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). West European (e.g., French, German)
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). West European (e.g., French, German)
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). East European, Slavic
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). East European, Slavic
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Russian
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Russian
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Mediterranean
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Mediterranean
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Ashkenazi Jew
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Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Ashkenazi Jew
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Sephardic Jew
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Sephardic Jew
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Hispanic (not Puerto Rican)
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Hispanic (not Puerto Rican)
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Puerto Rican Hispanic
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Puerto Rican Hispanic
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Mexican Hispanic
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Mexican Hispanic
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Asian
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Asian
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Arab
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Arab
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Native American/Alaskan Native
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Native American/Alaskan Native
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). African American, not of Hispanic Origin
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). African American, not of Hispanic Origin
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Other
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Other
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Not sure
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandfather (that is, your mother's father). Not sure
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Anglo-Saxon
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Anglo-Saxon
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Northern European (e.g., Norwegian)
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Northern European (e.g., Norwegian)
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). West European (e.g., French, German)
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). West European (e.g., French, German)
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). East European, Slavic
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). East European, Slavic
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Russian
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Russian
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Mediterranean
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Mediterranean
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Ashkenazi Jew
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Ashkenazi Jew
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Sephardic Jew
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Sephardic Jew
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Hispanic (not Puerto Rican)
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Hispanic (not Puerto Rican)
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Puerto Rican Hispanic
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Puerto Rican Hispanic
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Mexican Hispanic
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Mexican Hispanic
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Asian
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Asian
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Arab
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Arab
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Native American/Alaskan Native
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Native American/Alaskan Native
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). African American, not of Hispanic Origin
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). African American, not of Hispanic Origin
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Other, specify
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Other, specify
Item
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Not sure
text
Code List
Now, please check all the ethnic backgrounds that apply to your maternal grandmother (that is, your mother's mother). Not sure
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