__ Number of adults (Note: If college housing = then number of adults is set to 1.) ”yes” Core Sections I will not ask for your last name, address, or other personal information that can identify you. You do not have to answer any question you do not want to, and you can end the interview at any time. Any information you give me will be confidential. If you have any questions about the survey, please call (give appropriate state telephone number). Section 1: Health Status 1.1 you say that in general your health is— (90) Please read: 1 Excellent 2 Very good 3 Good 4 Fair Or 5 Poor Do not read: 7 Don’t know / Not sure 9 Refused Section 2: Healthy Days Health-Related Quality of Life — 2.1 Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? (91–92 _ _ Number of days 8 8 None 7 7 Don’t know / Not sure 9 9 Refused
__ Number of adults (Note: If college housing = ”yes” then number of adults is set to 1.) Core Sections I will not ask for your last name, address, or other personal information that can identify you. You do not have to answer any question you do not want to, and you can end the interview at any time. Any information you give me will be confidential. If you have any questions about the survey, please call (give appropriate state telephone number). Section 1: Health Status 1.1 you say that in general your health is— (90) Please read: 1 Excellent 2 Very good 3 Good 4 Fair Or 5 Poor Do not read: 7 Don’t know / Not sure 9 Refused Section 2: Healthy Days — Health-Related Quality of Life 2.1 Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? (91–92 _ _ Number of days 8 8 None 7 7 Don’t know / Not sure 9 9 Refused
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