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Sleep Heart Health Study

Name Label Folder
ess_s2
Epworth Sleepiness Scale score (Sleep Heart Health Study Visit Two (SHHS2))
Epworth Sleepiness Scale score (Sleep Heart Health Study Visit Two (SHHS2)) Questionnaires/SHHS2/Epworth Sleepiness Scale
fosq
Functional Outcomes of Sleep Questionnaire (FOSQ) Score
Functional Outcomes of Sleep Questionnaire (FOSQ) Score Questionnaires/SHHS2/FOSQ
saqli
The Short Sleep Apnea Quality of Life Index (SAQLI) Score
The Short Sleep Apnea Quality of Life Index (SAQLI) Score

The Short Sleep Apnea Quality of Life Index (Short SAQLI) score

Questionnaires/SHHS2/SAQLI
sh317
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) diagnosed sleep disorder
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) diagnosed sleep disorder

17. Have you ever been told by a doctor that you have a sleep disorder (other than sleep apnea)?

Questionnaires/SHHS2/Sleep Habits
smokstat_s2
Smoking Status at Sleep Heart Health Study Visit Two (SHHS2)
Smoking Status at Sleep Heart Health Study Visit Two (SHHS2)

Current Smoking Status at the Sleep Heart Health Study Visit Two (SHHS2)

Questionnaires/SHHS2/Sleep Habits
sh319a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting and reading
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting and reading

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) a. Sitting and reading

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319b
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while watching TV
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while watching TV

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) b. Watching TV

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319c
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting inactive in a public place
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting inactive in a public place

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) c. Sitting inactive in a public place (such as a theater or a meeting).

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319d
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while a passenger in a car
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while a passenger in a car

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) d. Riding as a passenger in a car for an hour without a break.

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319e
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while lying down in the afternoon
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while lying down in the afternoon

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) e. Lying down to rest in the afternoon when circumstances permit.

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319f
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting and talking
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting and talking

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) f. Sitting and talking to someone

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319g
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting quietly after lunch
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while sitting quietly after lunch

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) g. Sitting quietly after a lunch without alcohol.

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319h
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while in a car
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while in a car

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) h. In a car, while stopped for a few minutes in traffic.

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319i
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while at the dinner table
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while at the dinner table

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) i. At the dinner table.

Questionnaires/SHHS2/Epworth Sleepiness Scale
sh319j
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while driving
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Fall asleep while driving

19. What is the chance that you would doze off or fall asleep (not just "feel tired") in each of the following situations? (Check one box for each situation. If you are never or rarely in the situation, please give your best guess for what would happen.) j. While driving.

Questionnaires/SHHS2/Epworth Sleepiness Scale
formdate_hi
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Date completed
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Date completed Questionnaires/SHHS2/Health Interview
hi202
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Aspirin in last 2 weeks
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Aspirin in last 2 weeks

2. During the last two weeks, did you take any aspirin or aspirin-containing medicines such as Bufferin, Anacin, or Ascriptin?

Questionnaires/SHHS2/Health Interview
hi202a
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Number of days took aspirin
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Number of days took aspirin

a. If "Yes," on how many days during the last two weeks did you take this medicine?

Questionnaires/SHHS2/Health Interview
hi205
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): How well slept last night
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): How well slept last night

5. How well did you sleep last night?

Questionnaires/SHHS2/Health Interview
hi207
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): How stressful was day today
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): How stressful was day today

7. How stressful was your day today? Was it: (check one.)

Questionnaires/SHHS2/Health Interview
hi208a
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Urge to move legs
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Urge to move legs

C. Restless legs 8. In the past year, while SITTING OR LYING DOWN, have you had any of the following symptoms? a. An urge to move your legs

Questionnaires/SHHS2/Health Interview
hi208b
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Unpleasant feeling in legs
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Unpleasant feeling in legs

C. Restless legs 8. In the past year, while SITTING OR LYING DOWN, have you had any of the following symptoms? b. Unpleasant or uncomfortable feelings in your legs

Questionnaires/SHHS2/Health Interview
hi209
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of restless legs
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of restless legs

C. Restless legs [Questions #9-10 are about your MOST FREQUENT symptom you checked as yes in item #8.] 9. How often do you get this symptom? (check the one best answer)

Questionnaires/SHHS2/Health Interview
hi210
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): How bothersome is restless legs
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): How bothersome is restless legs

C. Restless legs [Questions #9-10 are about your MOST FREQUENT symptom you checked as yes in item #8.] 10. How bothersome or troublesome is this symptom? (answer based on most frequent symptom) Does it bother you: (check one)

Questionnaires/SHHS2/Health Interview
hi211
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): When do restless legs happen
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): When do restless legs happen

C. Restless legs [Questions #11-15 refer to all symptoms you checked as present in item #8.11.] These symptoms are most likely to occur when you are (check the one best answer):

Questionnaires/SHHS2/Health Interview
hi212
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): restless legs worse when not moving
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): restless legs worse when not moving

C. Restless legs [Questions #11-15 refer to all symptoms you checked as present in item #8.11.] 12. Are they worse when you are sitting or lying down than when you are moving around or walking?

Questionnaires/SHHS2/Health Interview
hi213
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): restless leg symptoms improve with walking
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): restless leg symptoms improve with walking

C. Restless legs [Questions #11-15 refer to all symptoms you checked as present in item #8.11.] 13. Do the symptoms improve if you get up and start walking?

Questionnaires/SHHS2/Health Interview
hi214
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): restless leg symptoms during what time of day
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): restless leg symptoms during what time of day

C. Restless legs [Questions #11-15 refer to all symptoms you checked as present in item #8.11.] 14. What time of day do they occur? (check the one best answer):

Questionnaires/SHHS2/Health Interview
hi214a
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Restless leg symptoms worse at night
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Restless leg symptoms worse at night

a. If both day and night, do they get worse at night?

Questionnaires/SHHS2/Health Interview
hi215
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Age when restless leg symptoms first noticed
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Age when restless leg symptoms first noticed

C. Restless legs [Questions #11-15 refer to all symptoms you checked as present in item #8.11.] 15. How old were you when you first noticed these symptoms? (write in "D" if Don't know) _____ _____ age in years (approximate OK)

Questionnaires/SHHS2/Health Interview
hi217
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Language of interview
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Language of interview

Field Site Use Only 17. Interviewer administered in:

Questionnaires/SHHS2/Health Interview
timslp
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Time went to sleep last night
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Time went to sleep last night Questionnaires/SHHS2/Health Interview
totminnap
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Total minutes slept during nap
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Total minutes slept during nap Questionnaires/SHHS2/Health Interview
totminslp
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Total minutes slept last night
Health Interview (Sleep Heart Health Study Visit Two (SHHS2)): Total minutes slept last night Questionnaires/SHHS2/Health Interview
formdate_ms
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Date completed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Date completed

Date of Morning Survey form

Questionnaires/SHHS2/Morning Survey
ms204a
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep light/deep
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep light/deep

4. Rate the actual quality of your sleep last night (Do not compare to usual sleep quality). My sleep last night was (circle a number for each): a. [5 point Likert scale from "Light" to "Dark"]

Questionnaires/SHHS2/Morning Survey
ms204b
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep: short/long
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep: short/long

4. Rate the actual quality of your sleep last night (Do not compare to usual sleep quality). My sleep last night was (circle a number for each): b. [5 point Likert scale from "Short" to "Long"]

Questionnaires/SHHS2/Morning Survey
ms204c
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep: restless/restful
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep: restless/restful

4. Rate the actual quality of your sleep last night (Do not compare to usual sleep quality). My sleep last night was (circle a number for each): c. [5 point Likert scale from "Restless" to "Restful"]

Questionnaires/SHHS2/Morning Survey
ms205
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep compared to usual
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Quality of sleep compared to usual

5. Compared to your usual night's sleep, how well did you sleep last night? (check one)

Questionnaires/SHHS2/Morning Survey
ms209a
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): glasses of wine before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): glasses of wine before bed

9. How many of the following drinks did you have during the 4 hours before you went to sleep last night? (Please write "0" if you did not drink any of that beverage.) a. ____ glasses of wine (4 oz.)

Questionnaires/SHHS2/Morning Survey
ms209b
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): mixed drinks before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): mixed drinks before bed

9. How many of the following drinks did you have during the 4 hours before you went to sleep last night? (Please write "0" if you did not drink any of that beverage.) b. ____ drinks with hard liquor (1 shot)

Questionnaires/SHHS2/Morning Survey
ms209c
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): bottles or cans of beer before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): bottles or cans of beer before bed

9. How many of the following drinks did you have during the 4 hours before you went to sleep last night? (Please write "0" if you did not drink any of that beverage.) c. ____ bottles or cans of beer (12 oz.)

Questionnaires/SHHS2/Morning Survey
ms210a
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cups of coffee before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cups of coffee before bed

10. How many of the following drinks with caffeine did you have during the 4 hours before you went to sleep last night? (Please write "0" if you did not drink any of that beverage.) a. ____ cups of regular coffee (with caffeine)

Questionnaires/SHHS2/Morning Survey
ms210b
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cups of tea before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cups of tea before bed

10. How many of the following drinks with caffeine did you have during the 4 hours before you went to sleep last night? (Please write "0" if you did not drink any of that beverage.) b. ____ cups of tea (with caffeine)

Questionnaires/SHHS2/Morning Survey
ms210c
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): glasses or cans of soda before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): glasses or cans of soda before bed

10. How many of the following drinks with caffeine did you have during the 4 hours before you went to sleep last night? (Please write "0" if you did not drink any of that beverage.) c. ____ glasses or cans of cola or other soda (with caffeine)

Questionnaires/SHHS2/Morning Survey
ms211a
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cigarettes before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cigarettes before bed

11. How much did you smoke during the 4 hours before you went to sleep last night? (Please write "0" for each that you did not smoke last night.) a. ____ number of cigarettes

Questionnaires/SHHS2/Morning Survey
ms211b
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): pipe bowls before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): pipe bowls before bed

11. How much did you smoke during the 4 hours before you went to sleep last night? (Please write "0" for each that you did not smoke last night.) b. ____ number of pipe bowls

Questionnaires/SHHS2/Morning Survey
ms211c
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cigars before bed
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): cigars before bed

11. How much did you smoke during the 4 hours before you went to sleep last night? (Please write "0" for each that you did not smoke last night.) c. ____ number of cigars

Questionnaires/SHHS2/Morning Survey
ms212
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Nasal stuffiness, discharge last night
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Nasal stuffiness, discharge last night

12. Did you have nasal stuffiness, obstruction, or discharge last night? (check one)

Questionnaires/SHHS2/Morning Survey
ms212a
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Nasal stuffiness interfered with sleep
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Nasal stuffiness interfered with sleep

12. Did you have nasal stuffiness, obstruction, or discharge last night? a. If yes, did this interfere with your sleep last night? (check one)

Questionnaires/SHHS2/Morning Survey
rptacttimslp
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Reported time actually slept last night
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Reported time actually slept last night Questionnaires/SHHS2/Morning Survey
rptelaptimslpwak
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Reported elapsed time between sleep and wakening
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): Reported elapsed time between sleep and wakening Questionnaires/SHHS2/Morning Survey
rpttimtoslp
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): minutes to fall asleep
Morning Survey (Sleep Heart Health Study Visit Two (SHHS2)): minutes to fall asleep Questionnaires/SHHS2/Morning Survey
formdate_pm
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): Date of completed
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): Date of completed

Date of Physical Measurements form

Questionnaires/SHHS2/Physical Measurements
pm226a
Doppler Systolic blood pressure (BP) (Sleep Heart Health Study Visit Two (SHHS2))
Doppler Systolic blood pressure (BP) (Sleep Heart Health Study Visit Two (SHHS2))

26. Ankle-arm Blood Pressure Index (AAI) Doppler Obliteration Pressure a. Doppler Systolic:

Questionnaires/SHHS2/Physical Measurements
pm226b
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): Max inflation level Ankle-arm Blood Pressure Index (AAI BP)
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): Max inflation level Ankle-arm Blood Pressure Index (AAI BP)

26. Ankle-arm Blood Pressure Index (AAI) Doppler Obliteration Pressure b. Max inflation level: (palpated +30)

Questionnaires/SHHS2/Physical Measurements
pm226c
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 1st: Rt/left arm systolic blood pressure (BP)
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 1st: Rt/left arm systolic blood pressure (BP)

First readings: Record in order shown (If reading for one leg not available, code as "n__".) c. Right or left arm brachial systolic blood pressure (BP):

Questionnaires/SHHS2/Physical Measurements
pm226d
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 1st: Rt leg posterior systolic blood pressure (BP)
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 1st: Rt leg posterior systolic blood pressure (BP)

First readings: Record in order shown (If reading for one leg not available, code as "n__".) d. Right leg posterior tibial systolic blood pressure (BP):

Questionnaires/SHHS2/Physical Measurements
pm226e
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 1st: Left leg posterior systolic blood pressure (BP)
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 1st: Left leg posterior systolic blood pressure (BP)

First readings: Record in order shown (If reading for one leg not available, code as "n__".) e. Left leg posterior tibial systolic blood pressure (BP):

Questionnaires/SHHS2/Physical Measurements
pm226f
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 2nd: Left leg posterior systolic blood pressure (BP)
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 2nd: Left leg posterior systolic blood pressure (BP)

Wait 30 seconds before second readings. Second readings: Record in order shown (If no second reading, code as "n__".) f. Left leg posterior tibial systolic blood pressure (BP):

Questionnaires/SHHS2/Physical Measurements
pm226g
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 2nd: Rt leg posterior systolic blood pressure (BP)
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 2nd: Rt leg posterior systolic blood pressure (BP)

Wait 30 seconds before second readings. Second readings: Record in order shown (If no second reading, code as "n__".) g. Right leg posterior tibial systolic blood pressure (BP):

Questionnaires/SHHS2/Physical Measurements
pm226h
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 2nd: Rt/left arm systolic blood pressure (BP)
Physical Measurements (Sleep Heart Health Study Visit Two (SHHS2)): 2nd: Rt/left arm systolic blood pressure (BP)

Wait 30 seconds before second readings. Second readings: Record in order shown (If no second reading, code as "n__".) h. Right or left arm brachial systolic blood pressure (BP):

Questionnaires/SHHS2/Physical Measurements
formdate_ql
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Date completed
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Date completed

Date of Quality of Life (QOL) form

Questionnaires/SHHS2/Quality Of Life
ql201
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): General health
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): General health

1. In general, would you say your health is: (Check one box.)

Questionnaires/SHHS2/Quality Of Life
ql202
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health compared to one year ago
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health compared to one year ago

2. Compared to one year ago, how would you rate your health in general now? (Check one box.)

Questionnaires/SHHS2/Quality Of Life
ql203a
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits vigorous activities
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits vigorous activities

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) a. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.

Questionnaires/SHHS2/Quality Of Life
ql203b
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits moderate activities
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits moderate activities

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) b. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.

Questionnaires/SHHS2/Quality Of Life
ql203c
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits lifting or carrying groceries
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits lifting or carrying groceries

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) C. Lifting or carrying groceries.

Questionnaires/SHHS2/Quality Of Life
ql203d
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits climbing several flights of stairs
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits climbing several flights of stairs

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) d. Climbing several flights of stairs.

Questionnaires/SHHS2/Quality Of Life
ql203e
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits climbing one flight of stairs
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits climbing one flight of stairs

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) e. Climbing one flight of stairs.

Questionnaires/SHHS2/Quality Of Life
ql203f
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits bending, kneeling, or stooping
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits bending, kneeling, or stooping

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) f. Bending, kneeling, or stooping

Questionnaires/SHHS2/Quality Of Life
ql203g
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits walking more than a mile
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits walking more than a mile

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) g. Walking more than a mile.

Questionnaires/SHHS2/Quality Of Life
ql203h
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits walking several blocks
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits walking several blocks

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) h. Walking several blocks.

Questionnaires/SHHS2/Quality Of Life
ql203i
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits walking one block
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits walking one block

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) i. Walking one block.

Questionnaires/SHHS2/Quality Of Life
ql203j
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits bathing and dressing
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits bathing and dressing

3. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Check one box for each question.) j. Bathing and dressing yourself.

Questionnaires/SHHS2/Quality Of Life
ql204a
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits time on work
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits time on work

4. During the past four weeks, have you had any of the following problems with your work or other regular daily activities as a result of your PHYSICAL HEALTH? a. Cut down on the amount of time you spent on work or other activities.

Questionnaires/SHHS2/Quality Of Life
ql204b
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits accomplishment
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits accomplishment

4. During the past four weeks, have you had any of the following problems with your work or other regular daily activities as a result of your PHYSICAL HEALTH? b. Accomplished less than you would like.

Questionnaires/SHHS2/Quality Of Life
ql204c
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits kind of work or activities
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limits kind of work or activities

4. During the past four weeks, have you had any of the following problems with your work or other regular daily activities as a result of your PHYSICAL HEALTH? c. Were limited in the kind of work or other activities you were able to do.

Questionnaires/SHHS2/Quality Of Life
ql204d
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health causes difficulty performing work
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health causes difficulty performing work

4. During the past four weeks, have you had any of the following problems with your work or other regular daily activities as a result of your PHYSICAL HEALTH? d. Had difficulty performing the work or other activities. (For example, it took extra effort).

Questionnaires/SHHS2/Quality Of Life
ql205a
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Emotional problems limit time on work
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Emotional problems limit time on work

5. During the past four weeks, have you had any of the following problems with regular daily activities as a result of EMOTIONAL PROBLEMS (such as feeling depressed or anxious)? (Please check either Yes or No for each question) a. Cut down on the amount of time you spent on work or other activities.

Questionnaires/SHHS2/Quality Of Life
ql205b
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Emotional problems limit accomplishment
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Emotional problems limit accomplishment

5. During the past four weeks, have you had any of the following problems with regular daily activities as a result of EMOTIONAL PROBLEMS (such as feeling depressed or anxious)? (Please check either Yes or No for each question) b. Accomplished less than you would like.

Questionnaires/SHHS2/Quality Of Life
ql205c
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Emotional problems limit being careful
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Emotional problems limit being careful

5. During the past four weeks, have you had any of the following problems with regular daily activities as a result of EMOTIONAL PROBLEMS (such as feeling depressed or anxious)? (Please check either Yes or No for each question.) c. Didn't do work or other activities as carefully as usual.

Questionnaires/SHHS2/Quality Of Life
ql206
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health or emotional problems limit social activities
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health or emotional problems limit social activities

6. During the past four weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? (Check one box.)

Questionnaires/SHHS2/Quality Of Life
ql207
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): bodily pain
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): bodily pain

7. How much bodily pain have you had during the past four weeks? (Check one box.)

Questionnaires/SHHS2/Quality Of Life
ql208
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Pain interferes with work
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Pain interferes with work

8. During the past four weeks, how much did pain interfere with your normal work (including both work outside the home and housework? (Check one box.)

Questionnaires/SHHS2/Quality Of Life
ql209a
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Feel full of pep
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Feel full of pep

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. a. Did you feel full of pep?

Questionnaires/SHHS2/Quality Of Life
ql209b
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Been a very nervous person
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Been a very nervous person

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. b. Have you been a very nervous person?

Questionnaires/SHHS2/Quality Of Life
ql209c
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt down in the dumps
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt down in the dumps

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. c. Have you felt so down in the dumps that nothing could cheer you up?

Questionnaires/SHHS2/Quality Of Life
ql209d
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt calm and peaceful
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt calm and peaceful

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. d. Have you felt calm and peaceful?

Questionnaires/SHHS2/Quality Of Life
ql209e
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Have a lot of energy
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Have a lot of energy

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. e. Did you have a lot of energy?

Questionnaires/SHHS2/Quality Of Life
ql209f
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt downhearted and blue
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt downhearted and blue

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. f. Have you felt downhearted and blue?

Questionnaires/SHHS2/Quality Of Life
ql209g
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt worn out
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt worn out

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. g. Did you feel worn out?

Questionnaires/SHHS2/Quality Of Life
ql209h
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Been a happy person
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Been a happy person

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. h. Have you been a happy person?

Questionnaires/SHHS2/Quality Of Life
ql209i
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt tired
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Felt tired

9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, check the box for the one answer that comes closest to the way you have been feeling. During the past 4 weeks, how much of the time. i. Did you feel tired?

Questionnaires/SHHS2/Quality Of Life
ql210
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limited your social activities
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health limited your social activities

10. During the past 4 weeks, how much of the time has your health limited your social activities (like visiting with friends or close relatives)? (Check one box.)

Questionnaires/SHHS2/Quality Of Life
ql211a
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Get sick easier than other people
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Get sick easier than other people

11. Please choose the answer that best describes how true or false each of the following statements is for you. a. I seem to get sick a little easier than other people.

Questionnaires/SHHS2/Quality Of Life
ql211b
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): As healthy as anybody
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): As healthy as anybody

11. Please choose the answer that best describes how true or false each of the following statements is for you. b. I am as healthy as anybody I know.

Questionnaires/SHHS2/Quality Of Life
ql211c
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Expect health to get worse
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Expect health to get worse

11. Please choose the answer that best describes how true or false each of the following statements is for you. c. I expect my health to get worse.

Questionnaires/SHHS2/Quality Of Life
ql211d
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health is excellent
Quality of Life (QOL) (Sleep Heart Health Study Visit Two (SHHS2)): Health is excellent

11. Please choose the answer that best describes how true or false each of the following statements is for you. d. My health is excellent.

Questionnaires/SHHS2/Quality Of Life
bp_s2
Short Form 36 Health Survey (SF-36) Calculated (Sleep Heart Health Study Visit Two (SHHS2)): Pain Index Standardized Score
Short Form 36 Health Survey (SF-36) Calculated (Sleep Heart Health Study Visit Two (SHHS2)): Pain Index Standardized Score Questionnaires/SHHS2/SF-36