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Short Form-6D Health Survey

214 Shared Subjects

Short Form-6D Health Survey
Clinical Assessments
Questionnaire
10/04/2012
sf6d01
09/06/2023
View Change History
01
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* GUID
src_subject_id String 20 Required Subject ID how it's defined in lab/project
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY cg_interview_date
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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported chi_gen, gender
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data cg_comments_misc
Query cg_yearhealth Integer Recommended Health now vs one year ago 1::5 1 = Much better than a year ago; 2 = Somwehat better; 3 = About the same; 4 = Somewhat worse; 5 = Much worse than a year ago q16
Query cg_ldsh Integer Recommended Least Desirable State of Health Scale 0; 10; 20; 30; 40; 50; 60; 70; 80; 90; 100 q17
Query cg_hstatus Integer Recommended Health status in general 1::5 1 = Excellent; 2 = Very good; 3 = Good; 4 = Fair; 5 = Poor q18
Query cg_mod_limit Integer Recommended Health Limitations and Moderate Activity (Daily) 1::3 1 = Yes, limited a lot; 2 = Yes, limited a little; 3 = No, not limited at all q19
Query cg_stairs_limit Integer Recommended Health Limitations and Climbing Stairs (Daily) 1::3 1 = Yes, limited a lot; 2 = Yes, limited a little; 3 = No, not limited at all q20
Query cg_phealth Integer Recommended Physical Health and Accomplishments (Monthly) 0; 1 0 = No; 1 = Yes q21
Query cg_activities String 255 Recommended Physical Health and kind of activities (Monthly) 0; 1 0 = No; 1 = Yes q22
Query cg_eaccomp String 255 Recommended Emotional Problems and Accomplishments (Monthly) 0; 1 0 = No; 1 = Yes q23
Query cg_ecareful String 255 Recommended Emotional Problems and Carefullness (Monthly) 0; 1 0 = No; 1 = Yes q24
Query cg_pain Integer Recommended Pain Interference with work (Monthly) 1::6 1 = Not at all ; 2 = A little; 3 = Moderately; 4 = Quite a bit; 5 = Extremely q25
Query cg_calm Integer Recommended Calm and Peaceful (Monthly) 1::6 1 = All of the time; 2 = Most of the time; 3 = A good bit of the time; 4 = Some of the time; 5 = A little of the time; 6 = None of the time q26
Query cg_energy Integer Recommended Lots of Energy (Monthly) 1::6; 9 1 = All of the time; 2 = Most of the time; 3 = A good bit of the time; 4 = Some of the time; 5 = A little of the time; 6 = None of the time q27
Query cg_downh Integer Recommended Downhearted and Blue (Monthly) 1::6; 9 1 = All of the time; 2 = Most of the time; 3 = A good bit of the time; 4 = Some of the time; 5 = A little of the time; 6 = None of the time q28
Query cg_psocial Integer Recommended Physical Health or Emotional Problems and Social Activities 1::5 1 = All of the time; 2 = Most of the time; 3 = Some of the time; 4 = A little of the time; 5 = None of the time q29
ghq_q8 Integer Recommended During the past 6 months, about how many hours per week did you spend in strenuous (heavy)?activities? 1 :: 6 1= 0hrs; 2= 1hr; 3= 2 to 5hrs; 4= 6 to 10hrs; 5= 11 to 15hrs; 6= 16hrs or more
ghq_q9 Integer Recommended During the past 6 months, about how many hours per week did you spend in relaxing or meditative?activities?? 1 :: 6 1= 0hrs; 2= 1hr; 3= 2 to 5hrs; 4= 6 to 10hrs; 5= 11 to 15hrs; 6= 16hrs or more
ghq_q10 Integer Recommended Which statement describes you best? 1 :: 4 1= Not very active, sitting and walking mostly; 2= A weekend or vacation exerciser; 3= Physically active at least 1 to 2 times during the week; 4= Physically active at least 3 or more times during the week
ghq_q11 Integer Recommended How much do you enjoy exercising? 1 :: 5 1=Hate It; 2= Dislike It; 3= Neutral; 4= Like It; 5= Love It
weight_std Float Recommended Weight - Standard Unit -1 = Not known; 999 = Missing
height Float Recommended Medical history and physical development - Height (inches) inches
ghq_q14 Date Recommended If you menstruate: What was the first day of your last menstrual period? (Leave blank otherwise) MM/DD/YYYY
ghq_q15 Integer Recommended If you menstruate: Are your menstrual periods regular (predictable roughly every 28 days)? (Leave blank otherwise) 0;1 0= No; 1= Yes
ghq_q16 Integer Recommended How many distinct times do you use tobacco products (cigarettes, cigars, pipe tobacco, chewing tobacco, etc.) in an average day? 1 :: 5 1=0; 2=1; 3= 2 to 3; 4= 4 to 5; 5= 6 or more
ghq_q17 String 50 Recommended What types of tobacco products (and how much) have you used in the past five hours?
ghq_q1 String 4,000 Recommended Please list any medications you take regularly (e.g., allergy medicine, aspirin, birth control pills, blood pressure medicine, etc.). Please include the amount you take each day.
ghq_q2 Integer Recommended How many cups of caffeinated beverages do you typically consume in an average day? 1 :: 5 1=0; 2=1; 3= 2 to 3; 4= 4 to 5; 5= 6 or more
ghq_q3 Float Recommended How much caffeine (if any) have you had in the past five hours?? Number of Drinks
ghq_q4 Integer Recommended How many hours do you typically sleep in a night? Number in Hours
ghq_q5 Integer Recommended How many hours did you sleep last night? Number in Hours
ghq_q6 Integer Recommended How much alcohol have you had in the past five hours (if any)? Number of Drinks
ghq_q7 Integer Recommended During the past 6 months, about how many hours per week did you spend in medium exercise?activities? 1 :: 6 1= 0hrs; 2= 1hr; 3= 2 to 5hrs; 4= 6 to 10hrs; 5= 11 to 15hrs; 6= 16hrs or more
ghq_q14_t String 2,000 Recommended If you menstruate: What was the first day of your last menstrual period?
ghq_q15_t String 2,000 Recommended If you menstruate: Are your menstrual periods regular (predictable roughly every 28 days)?
ghq_q3_t String 2,000 Recommended How much caffeine (if any) have you had in the past five hours?
ghq_q4_t String 2,000 Recommended How many hours do you typically sleep in a night?
ghq_q5_t String 2,000 Recommended How many hours did you sleep last night?
ghq_q6_t String 2,000 Recommended How much alcohol have you had in the past five hours (if any)?
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.