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Sleep Heart Health Study

Name Label Folder
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