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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Family Interview

753 Shared Subjects

Clinical Trials:Family Interview, Baseline and Follow Up
Clinical Assessments
Questionnaire
05/07/2014
fint01
12/16/2022
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project CATIEID
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query visitid Integer Recommended MetaTrial Visit ID System variable: unique code for each type of visit -use to merge files
Query visit String 60 Recommended Visit name
Query truncvis Integer Recommended Truncated Visit Number Created variable: provides a numeric visit number for all visits, including unscheduled and end of phase
Query phase_ct String 20 Recommended Current Phase. Phase patient was in at the time of the assessment Phase 4 refers to the follow-up phase. Pre-Rand; Phase 1/1A; Phase 2; Phase 3; Phase 4; Phase 1B; Open-Choice Phase; Screening; Phase 1
Query visday Integer Recommended Number of days from study baseline to date of visit
protocol String 50 Recommended Protocol [Study] name
Query fi01 Integer Recommended 1. Relationship to the patient 1::7;97::99 1 = Parent/stepparent; 2 = Grandparent; 3 = Aunt or uncle; 4 = Brother or sister; 5 = Spouse or partner; 6 = Adult child of the client; 7 = Other, specify; 97 = Refused; 98 = Don't know;99 = NA
Query fi02 Integer Recommended 2. In the past month, did s/he live with 0;1;98;99 0 = No; 1 = Yes; 98 = Don't know; 99 = NA FU2
Query fi03 Integer Recommended 3. Did subject live with you at any time during the last month? 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know;99 = NA
Query fi04 Integer Recommended 4. What is your age?
Query fi04a Integer Recommended Other 97::99 97 = Refused; 98 = Don't know; 99 = NA
Query fi05a Integer Recommended 5a. White 0;1;97;98 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know
Query fi05b Integer Recommended 5b. Black or African American 0;1;97;98 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know
Query fi05c Integer Recommended 5c. American Indian or Alaska Native 0;1;97;98 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know
Query fi05d Integer Recommended 5d. Asian 0;1;97;98 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know
Query fi05e Integer Recommended 5e. Native Hawaiian or other Pacific Islander 0;1;97;98 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know
Query fi06 Integer Recommended 6. Are you Spanish/Hispanic/Latino? 0;1;97;98 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know
Query fi07 Integer Recommended 7. Are you currently employed? 1::6; 97::99 1 = Yes - employed full-time; 2 = Yes - employed part-time - or irregular; 3 = Not employed - able but cannot find work; 4 = Not employed - homemaker or caretaker; 5 = Not employed - disabled; 6 = Not employed - retired; 97 = Refused; 98 = Don't know; 99 = NA
Query fi08 Integer Recommended 8. What kind of work do you do? 1::9; 96::99 1 = Sheltered employment; 2 = Transitional employment; 3 = Unskilled labor; 4 = Skilled labor; 5 = Sales clerk; 6 = Administrative, supervisory, technician;7 = Manager; 8 = Executive, professional; 9 = Other, specify; 96 = Skip;97 = Refused; 98 = Don't know; 99 = NA
Query fi09 Integer Recommended 9. Are you now married or living as though married to someone? 1::5; 97::99 1 = Married/cohabitating; 2 = Widowed; 3 = Separated; 4 = Divorced; 5 = Never married; 97 = Refused; 98 = Don't know; 99 = NA
Query fi10 Integer Recommended 10. In the past month, how many times did a member of your household have contact with subject 0::3;97::99 0 = Not at all; 1 = Once; 2 = Once or more per week; 3 = Once or more per day; 97 = Refused; 98 = Don't know; 99 = NA
Query fi11 Integer Recommended 11. Sleep too little? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi12 Integer Recommended 12. Sleep too much? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi13 Integer Recommended 13. Sleep at odd hours? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi14 Integer Recommended 14. Overeat? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi15 Integer Recommended 15. Eat too little? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi16 Integer Recommended 16. Have hallucinations/delusions? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi17 Integer Recommended 17. Become socially withdrawn? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi18 Integer Recommended 18. Become verbally abusive? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi19 Integer Recommended 19. Destroy property? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi20 Integer Recommended 20. Pace aimlessly? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi21 Integer Recommended 21. Have temper tantrums? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi22 Integer Recommended 22. Physically abuse or attack others? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi23 Integer Recommended 23. Run away? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi24 Integer Recommended 24. Engage in inappropriat sexual behaviors? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi25 Integer Recommended 25. Become careless with safety? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi26 Integer Recommended 26. Think people talk behind his/her back? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi27a Integer Recommended 27a. Maintaining his/her personal hygiene? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi27b Integer Recommended 27b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi28a Integer Recommended 28a. Taking his/her prescribed medication 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi28b Integer Recommended 28b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi29a Integer Recommended 29a. Preparing his/her meals? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi29b Integer Recommended 29b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi30a Integer Recommended 30a. Getting him/herself up and dressed? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi30b Integer Recommended 30b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi31a Integer Recommended 31a. Doing household chores? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi31b Integer Recommended 31b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi32a Integer Recommended 32a. Making use of leisure time? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi32b Integer Recommended 32b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi33a Integer Recommended 33a. Socially unacceptable behavior 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi33b Integer Recommended 33b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi34a Integer Recommended 34a. Inappropriate sexual behavior 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi34b Integer Recommended 34b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi35a Integer Recommended 35a. Stealing? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi35b Integer Recommended 35b. How often did you try to help this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi36a Integer Recommended 36a. Violent or threatening behavior? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi36b Integer Recommended 36b. How often did you try to help with this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi37a Integer Recommended 37a. Talk or threats of suicide? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi37b Integer Recommended 37b. How often did you try to help this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi38a Integer Recommended 38a. Disturbing behaviors at night 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi38b Integer Recommended 38b. How often did you try to help this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi39a Integer Recommended 39a. Excessive use of drugs? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi39b Integer Recommended 39b. How often did you try to help this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi40a Integer Recommended 40a. Excessive use of alcohol? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi40b Integer Recommended 40b. How often did you try to help this problem 0::3; 96::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi41 Integer Recommended 41. Disruption of household routine due to problems associated with your mentally ill family member? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi42 Integer Recommended 42. Limitations on social/leisure activities 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi43 Integer Recommended 43. Other household members felt neglected due to the enormous amount of attention required by the ill family member? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi44 Integer Recommended 44. Household relationships were strained? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi45 Integer Recommended 45. Lost job opportunities for adults in the household? 0::3;97::99 0 = Never; 1 = Rarely; 2 = Occasionally; 3 = Often; 97 = Refused; 98 = Don't know; 99 = NA
Query fi46 Integer Recommended 46. On the whole, do you feel that, during the past month your relative was: 0::3;97::99 0 = No worry to you; 1 = A minor worry to you; 2 = Some worry to you; 3 = A great worry to you; 97 = Refused; 98 = Don't know; 99 = NA
Query fi47 Integer Recommended 47. Dealing with the police, sheriff, or court system concerning your relative?, hours
Query fi47a Integer Recommended 47a. Refused/Dont Know/NA 97::99 97 = Refused; 98 = Don't know; 99 = NA
Query fi48 Integer Recommended 48. Talking with preacher or clergy about subject; hours
Query fi48a Integer Recommended 48a. Refused/Dont Know/NA 97::99 97 = Refused; 98 = Don't know; 99 = NA
Query fi49 Integer Recommended 49. Providing recreation or social activity for subject; hours
Query fi49a Integer Recommended 49a. Refused/Dont Know/NA 97::99 97 = Refused; 98 = Don't know; 99 = NA
Query fi50 Integer Recommended 50. Caregiving for him or her? Hours
Query fi50a Integer Recommended 50a. Refused/Dont Know/NA 97::99 97 = Refused; 98 = Don't know; 99 = NA
Query fi51 Integer Recommended 51. Talking with mental health professionals? Hours
Query fi51a Integer Recommended 51a. Refused/Dont Know/NA 97::99 97 = Refused; 98 = Don't know; 99 = NA
Query fi52 Float Recommended 52. If you are employed, how many days in the past month did you miss work because you were caring for or providing assistance to your son/daughter/relative?
Query fi53 Float Recommended 53. How many days in the past month were you unable to perform your household responsibilities because you were caring for or providing assistance to your son/ daughter/ relative?
Query fi54 Float Recommended 54. Has anyone else missed work in the past month to provide assistance? For how may days?
Query fi55 Integer Recommended 55. Have you paid for or provided: Transportation? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi56 Integer Recommended 56. Have you paid for or provided: Pocket money, money for activities 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi57 Integer Recommended 57. Have you paid for or provided: Food? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi58 Integer Recommended 58. Have you paid for or provided: Rent? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi59 Integer Recommended 59. Have you paid for or provided: Household property damaged by client 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi60 Integer Recommended 60. Have you paid for or provided:Fines or damages for other's property 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi61 Integer Recommended 61. Have you paid for or provided: Legal expenses? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi62 Integer Recommended 62. Have you paid for or provided: Any kind of medication? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi63 Integer Recommended 63. Have you paid for or provided: Any mental health treatments? (Office or clinic) 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi64 Integer Recommended 64. Have you paid for or provided: Medical or dental expenses? (Office or clinic) 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi65 Integer Recommended 65. Have you paid for or provided: Any health insurance payments? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi66 Integer Recommended 66. Did you lose work time? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi67 Integer Recommended 67. Any other expenses in the past month 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi68 Float Recommended 68. Personal spend on these past month
Query fi68a Integer Recommended Other 97::99 97 = Refused; 98 = Don't know; 99 = NA
Query fi69 Integer Recommended 69. In the past month, did you feel burdened by any financial support you provided to subject 1::4; 96::99 99= NA; 1 = Not at all; 2 = Not much; 3 = Sometimes; 4 = A lot; 97 = Refused; 98 = Don't know
Query fi70 Integer Recommended 70. In the past month, how much of the time did subject take oral medications as prescribed? 1::4; 96::99 1 = Never/Almost Never; 2 = Sometimes; 3 = Usually; 4 = Always/ Almost Always; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi71 Integer Recommended 71. In the past month, did someone regularly remind subject to take her/his oral medications or shots? 0::2; 96::99 0 = No; 1 = Yes, reminded; 2 = Yes, also observed; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi72a Integer Recommended 72a. Who reminded him/her to take his/her oral medications? Did you? 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi72b Integer Recommended 72b. Who reminded him/her to take his/her oral medications? Parent 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi72c Integer Recommended 72c. Who reminded him/her to take his/her oral medications? Spouse 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi72d Integer Recommended 72d. Who reminded him/her to take his/her oral medications? Other Relative 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi72e Integer Recommended 72e. Who reminded him/her to take his/her oral medications? Legal Guardian (non-relative) 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi72f Integer Recommended 72f. Who reminded him/her to take his/her oral medications? MH/Social Service Worker 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi72g Integer Recommended 72g. Who reminded him/her to take his/her oral medications? Other 0;1;96::99 0 = No; 1 = Yes; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi73 Integer Recommended 73. Was s/he (also) supposed to keep appointments with the mental health center, local clinic or other mental health professional? 0::2; 96::99 0 = No; 1 = Yes, reminded; 2 = Yes, observed; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi74 Integer Recommended 74. How much of the time did subject make the appointment as scheduled? 1::4; 96::99 1 = Never/Almost Never; 2 = Sometimes; 3 = Usually; 4 = Always - Almost Always; 96 = Skip; 97 = Refused; 98 = Don't know; 99 = NA
Query fi75 Integer Recommended 75. physical fights past 6 months 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi76 Integer Recommended 76. threaten to hurt past 6 months 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi77 Integer Recommended 77. damage property past 6 months 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi78 Integer Recommended 78. attempt suicide past 6 months 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi79 Integer Recommended 79. deliberately hurt self past 6 months 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi80 Integer Recommended 80. Rate Health 1::4; 97::99 1 = Poor; 2 = Fair; 3 = Good; 4 = Excellent; 97 = Refused; 98 = Don't know; 99 = NA
Query fi81 Integer Recommended 81. Rate Mental Health 1::4; 97::99 1 = Poor; 2 = Fair; 3 = Good; 4 = Excellent; 97 = Refused; 98 = Don't know; 99 = NA
Query fi82 Integer Recommended 82. In the past month, was there a doctor, therapist, or case manager you saw for problems with emotions, nerves, or mental health problems? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi83 Integer Recommended 83. Do you wake up fresh and rested most mornings? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi84 Integer Recommended 84. Is your daily life full of things that keep you interested? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi85 Integer Recommended 85. Does it seem that no one understands you? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi86 Integer Recommended 86. Have you had periods of days, weeks, or months when you couldn't take care of things because you couldn't get going? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi87 Integer Recommended 87. Is your sleep fitful and disturbed? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi88 Integer Recommended 88. Do you feel weak all over much of the time? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi89 Integer Recommended 89. Are you troubled by headaches? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi90 Integer Recommended 90. Cant keep balance while walking 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi91 Integer Recommended 91. heart pounding/shortness of breath 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi92 Integer Recommended 92. Do you sometimes suddenly feel hot all over? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi93 Integer Recommended 93. Do you sometimes have periods of great restlessness where you cannot sit still very long? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi94 Integer Recommended 94. Would you say your appetite is good? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi95 Integer Recommended 95. Are you the worrying type? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi96 Integer Recommended 96. Are you sometimes bothered by nervousness or tenseness? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi97 Integer Recommended 97. Trouble getting/staying asleep 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi98 Integer Recommended 98. Are you bothered by acid stomach? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi99 Integer Recommended 99. Bothered by cold sweats 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi100 Integer Recommended 100. Are you occasionally bothered by feelings of guilt? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi101 Integer Recommended 101. Overwelmed by responsibility 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi102 Integer Recommended 102. Worries getting down physically 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi103 Integer Recommended 103. Do you feel somewhat alone, even among friends? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi104 Integer Recommended 104. Do you sometimes find yourself wondering if anything is worthwhile anymore? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA
Query fi105 Integer Recommended 105. Do you feel useful to your family and friends most of the time, some of the time, or hardly ever? 1::3; 97::99 1 = Hardly ever; 2 = Some; 3 = Most; 97 = Refused; 98 = Don't know; 99 = NA
Query fi106 Integer Recommended 106. Do you know what is going on with your family and friends most of the time, some of the time, or hardly ever? 1::3; 97::99 1 = Hardly ever; 2 = Some; 3 = Most; 97 = Refused; 98 = Don't know; 99 = NA
Query fi107 Integer Recommended 107. When you are talking with your family and friends, do you feel you are being listened to most of the time, some of the time, or hardly ever? 1::3; 97::99 1 = Hardly ever; 2 = Some; 3 = Most; 97 = Refused; 98 = Don't know; 99 = NA
Query fi108 Integer Recommended 108. Do you feel you have a definite role (place) in your family and among your friends most of the time, some of the time, or hardly ever? 1::3; 97::99 1 = Hardly ever; 2 = Some; 3 = Most; 97 = Refused; 98 = Don't know; 99 = NA
Query fi109 Integer Recommended 109. Can you talk about your deepest problems with at least some of your family and friends most of the time, some of the time, or hardly ever? 1::3; 97::99 1 = Hardly ever; 2 = Some; 3 = Most; 97 = Refused; 98 = Don't know; 99 = NA
Query fi110 Integer Recommended 110. How satisfied are you with the kinds of relationships you have with your family and friends--very dissatisfied, somewhat dissatisfied, or satisfied? 1::3; 97::99 1 = Very dissatisfied; 2 = Somewhat dissatisfied; 3 = Satisfied; 97 = Refused; 98 = Don't know; 99 = NA
Query fi111 Integer Recommended 111. During the past 6 months, how much information did you receive from mental health service providers about subject illness? 1::4; 97;98 1 = None at all; 2 = Very little; 3 = Some; 4 = A lot; 97 = Refused; 98 = Don't know FU111
Query fi112 Integer Recommended 112. In the past 6 months, how satisfied were you with the amount and quality of your contact with mental health professionals pertaining tosubject care? 1::4; 97;98 1 = None at all; 2 = Very little; 3 = Some; 4 = A lot; 97 = Refused; 98 = Don't know FU112
Query fi113 Integer Recommended 113. During the past 6 months, how satisfied were you with the mental health systems overall responses to your concerns about subject 1::5; 97;98 1 = Not at all; 2 = Very little; 3 = Don't know/ambiv.; 4 = Some; 5 = A lot; 97 = Refused FU113
Query fi114 Integer Recommended 114. During the past 6 months, how much help did subject receive from mental health professionals in finding other services, such as housing, legal aid, vocational programs or transportation? 1::4; 97;98 1 = None at all; 2 = Very little; 3 = Some; 4 = A lot; 97 = Refused; 98 = Don't know FU114
Query fi115 Integer Recommended 115. During the past 6 months, how available to subject were general health services, such as treatment for a cold or the flu, injuries, or chronic physical conditions such as diabetes 1::4; 97;98 1 = None at all; 2 = Very little; 3 = Some; 4 = A lot; 97 = Refused; 98 = Don't know FU115
Query fi116 Integer Recommended 116. During the past 6 months, how satisfied were you with the services subject received? 1::4; 97;98 1 = None at all; 2 = Very little; 3 = Some; 4 = A lot; 97 = Refused; 98 = Don't know FU116
Query fi117 Integer Recommended 117a. In the past 6 months, how much help has subject been with household chores, preparing meals, shopping, or providing you transportation? 1::4 1 = None; 2 = A little; 3 = Some; 4 = A lot FU117
Query fi117a Integer Recommended 117b. ...providing financial assistance? 1::4 1 = None; 2 = A little; 3 = Some; 4 = A lot FI117A
Query fi117b Integer Recommended 117c. ...providing companionship and emotional support? 1::4 1 = None; 2 = A little; 3 = Some; 4 = A lot FI117B
Query fi117c Integer Recommended 117d. ...in any other way? 1::4 1 = None; 2 = A little; 3 = Some; 4 = A lot FI117C
Query fi118 Integer Recommended 118. Are you planning to move or change residence in the next several months? 0;1;97::99 0 = No; 1 = Yes; 97 = Refused; 98 = Don't know; 99 = NA FU118
Query fi120 Integer Recommended 120. What is the highest educational level you have obtained? 0::9; 97::99 0 = Never attended school; 1 = Attended only special education; 2 = Completed gr. 6 or less; 3 = Completed gr. 7 - 12; 4 = High sch. grad. - incl. GED; 5 = Some college or tech school; 6 = College graduate; 7 = Completed grad./prof. sch; 8=Graduated 2 year college/technical school;9=Part graduate/professional school; 97 = Refused; 98 = Don't know; 99 = NA
Query fi121 Integer Recommended reported income before taxes 0::9; 97::99 1 = under $5000; 2 = $5,000-$9,999; 3 = $10,000-$19,999; 4 = $20,000-$29,999; 5 = $30,000-$39,999; 6 = $40,000-$49,999; 7 = $50,000-$59,999; 8 = $60,000-$69,999; 9 = $70,000 or more; 97 = Refused; 98 = Don't know; 99 = NA
Query fi122 Integer Recommended 122. Judging from the telephone voice, indicate gender 0;1 0 = Female; 1 = Male
Query fi00b Integer Recommended Is caregiver different from last interview 0;1 0 = No; 1 = Yes
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.

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