Mental health
Q1. In the past 4 weeks, about how often did you feel tired out for no good reason? [READ OUT]
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
X Don't know
R Refused
Q2. In the past 4 weeks, about how often did you feel nervous? [READ OUT]
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 → Q4
X Don't know → Q4
R Refused → Q4
Q3. In the past 4 weeks, about how often did you feel so nervous that nothing could calm you down? [READ OUT]
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
X Don't know
R Refused
Q4. In the past 4 weeks, about how often did you feel hopeless? [READ OUT]
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
X Don't know
R Refused
Q5. In the past 4 weeks, about how often did you feel restless or fidgety? [READ OUT]
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 → Q7
X Don't know → Q7
R Refused → Q7
Q6. In the past 4 weeks, about how often did you feel so restless you could not sit still? [READ OUT]
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
X Don't know
R Refused
Q7. In the past 4 weeks, about how often did you feel depressed? [READ OUT]
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
X Don't know
R Refused
Q8. In the past 4 weeks, about how often did you feel that everything was an effort? [READ OUT]
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
X Don't know
R Refused
Q9. In the past 4 weeks, about how often did you feel so sad that nothing could cheer you up? [READ OUT]
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
X Don't know
R Refused
Q10. In the past 4 weeks, about how often did you feel worthless? [READ OUT]
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
X Don't know
R Refused
Q11. In the last 4 weeks, how many days were you totally unable to work, study or manage your day-to-day activities because of these feelings?
1. ________ number of days
X Don't know
R Refused
Q12. Aside from [that day–those days], in the last 4 weeks, how many days were you able to work, study or manage your day-to-day activities, but had to cut down on what you did because of these feelings?
1. ________ number of days
X Don't know
R Refused
Q13. In the last 4 weeks, how many times have you seen a doctor or other health professional about these feelings?
1. ________ number of consultations
X Don't know
R Refused
Q14. In the last 4 weeks, how often have physical health problems been the main cause of these feelings? [READ OUT]
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
X Don't know
R Refused
| Source: | New South Wales Population Health Survey 2006 (HOIST). Centre for Epidemiology and Research, NSW Department of Health. |
| Print version: | Although this page can be printed directly from your web browser, a higher quality version is available as a PDF file that can be printed or viewed on screen. |
| Produced by: | Centre for Epidemiology and Research, Population Health Division, NSW Department of Health. |
| Last updated on: | 1 July 2007 |