Identification Number
Respondent's age at time of interview
Age at first birth
Race/ethnicity
Educational attainment
Currently employed?
Current marital status
# of R's children living in hh past mo
Poverty status
Number of ER visits, past 12 mo
Number of doctor visits, past 12 mo
How satisfied w/ quality of health care-past 12 mo?
Has no health insurance currently
Number of months uninsured, past 12 mos
Currently smokes?
Height in inches
Weight-pounds
Body Mass Index
BMI category
Frequency of high stress-past month
Health condition limits R working
Currently pregnant
Number of live births
Number of miscarriages
Number of abortions
Total # of pregnancies
How often got drunk-past month
How often smoked marijuana past month
How often used cocaine/crack-past month
How often used heroin,PCP,ice-past month
R overall rating of own health (SF12 #1, physical)
Health limits moderate daily activities? (SF12 #2, physical)
Health limits climbing flghts stairs? (SF12 #3, physical)
Accomplsh LT want in activ, phys hlth reasons (SF12 #4, physical)
Limited in kind of activ done past mo (SF12#5, physical)
Accomplsh LT want in activ, mental hlth reasons (SF12 #6, mental)
Perfm actv less carefully, MH reasons (SF12 #7, mental)
Extent pain interfere w/work in/out home (SF12 #8, physical)
Freq/past mo felt calm & peaceful (SF12 #9, mental)
Freq/past mo felt very energetic (SF12 #10, mental)
Freq/past mo felt down (SF12 #11, mental)
Freq phys/emot hlth intrfer w/soc activ (SF12 #12, mental)
Health status, self-reported
SF12: Physical Health Component Score, standardized