Site Code
0 = A
1 = B

Visit Code
1 = Baseline
2 = Followup

What is your gender?
1 = Male
2 = Female

What is your current marital or partnership status?
1 = Legally married
2 = Never married
3 = Divorced
4 = Widowed
5 = Domestic partnership
6 = Other
8 = Refuse to Answer

Which of the following best describe your race?
7 = Refuse to Answer
9 = Don't Know

In the past year, has a health care provider recommended that you receive a flu vaccine?
0 = No
1 = Yes
7 = Don't Know
8 = Refuse to Answer
9 = Not Applicable

How would you rate your current state of health?
1 = Worst possible health
10 = Best possible health
98 = Refuse to Answer

Medical care rating
1 = Worst Possible Care
5 = Moderate Care
10 = Best Possible Care
98 = Refuse to Answer
99 = Not Applicable

How long since last medical appointment
99997 = Don't Know
99998 = Refuse to Answer
99999 = Not Applicable

Nervousness or shakiness inside
0 = Not at all
1 = A little bit
2 = Moderately
3 = Quite a bit
4 = Extremely
8 = Refuse to Answer

What time do you usually wake up in the morning?
98 = Refuse to Answer

Favorite recreational activities
97 = Don't Know
98 = Refuse to Answer

Times 3D movies in the last 30 days
97 = Don't Know
98 = Refuse to Answer
99 = Not Applicable

Have you ever smoked a cigarette?
0 = No
1 = Yes
7 = Don't Know
8 = Refuse to Answer

During the past 7 days, how many cigarettes did you smoke?
997 = Don't Know
998 = Refuse to Answer

When you smoke, how soon after you wake up do you have your first cigarette?
1 = Within 5 minutes
2 = 6-30 minutes
3 = 31-60 minutes
4 = After 60 minutes
7 = Don't Know
8 = Refuse to Answer

Years: How long since last medical appointment
997 = Don't Know
998 = Refuse to Answer
999 = Not Applicable