Table 1. How would you say your general health is?
Table 2. How many days during the past 30 days was your physical health not good?
Table 3. How many days during the past 30 days was your mental health not good?
Table 4. How many days during the past 30 days were you limited in your usual activities?
Table 5. Average number of days in past 30 days, physical or mental health not good or activities limited.

Health Care Access

Table 6. Do you have Medicare coverage?
Table 7. What health care coverage is used to pay for most of medical care?
Table 8. Other types of coverage.
Table 9. During the past 12 months, was there any time you did not have any health insurance coverage?
Table 10. How long has it been since you had health care coverage?
Table 11. How long since you visited a doctor for a routine checkup?

Asthma

Table 12. Did a doctor ever tell you that you had asthma?
Table 13. Do you still have asthma?

Exercise

Table 14. Type of physical activity that respondent spends the most time doing I.
Table 15. Type of physical activity that respondent spends the most time doing II.
Table 16. Type of physical activity that respondent spends the next most time doing I.
Table 17. Type of physical activity that respondent spends the next most time doing II.

Smoking

Table 18. Have you smoked at least 100 cigarettes in your lifetime?
Table 19. Do you smoke cigarettes everyday, some days, or not at all?
Table 20. Average number of cigarettes daily.
Table 21. When you smoked during the past 30 days, what was the average number of cigarettes you smoked daily?
Table 22. Have you quit smoking for 1 day or longer in the past year?
Table 23. How long has it been since last smoked cigarettes regularly?
Table 24. Smoking status summary.

Fruits and Vegetables

Table 25. How often do you drink fruit juices such as orange, grapefruit, or tomato?
Table 26. Not counting juice, how often do you eat fruit?
Table 27. How often do you eat green salad?
Table 28. How often do you eat potatoes (not including French fries, fried potatoes, or potato chips)?
Table 29. How often do you eat carrots?
Table 30. Not counting carrots, potatoes or salad, how many servings of vegetables do you usually eat?

Weight Control

Table 31. Are you now trying to lose weight?
Table 32. Are you now trying to maintain your current weight, that is to keep from gaining weight?
Table 33. Are you eating either fewer calories or less fat to lose weight or maintain weight?
Table 34. Are you using physical activity or exercise to lose weight or maintain weight?
Table 35. Has a health professional given you advice about your weight in the past 12 months?

Diabetes

Table 36. Have you ever been told by a doctor that you had diabetes?

Women’s Health

Table 37. Females only: have you ever had a mammogram?
Table 38. Females only: how long has it been since you had your last mammogram?
Table 39. Females only: why was your last mammogram done?
Table 40. Females only: have you ever had a breast physical exam by a doctor?
Table 41. Females only: how long has it been since your last breast physical exam?
Table 42. Females only: why was your last breast physical exam done?
Table 43. Females only: have you ever had a pap smear?
Table 44. Females only: when did you have your last pap smear?
Table 45. Females only: why was your last pap smear done?
Table 46. Females only: have you had a hysterectomy?
Table 47. Females 18-44 only: are you now pregnant?

HIV/AIDS

Table 48. If you had a child in school, what grade do you think she/he should begin HIV and AIDS education?
Table 49. If you had sexually active teenager, would you encourage him or her to use a condom?
Table 50. What are your chances of getting infected with HIV?
Table 51. Have you donated blood since March 1985?
Table 52. Have you donated blood in the last 12 months?
Table 53. Except for tests you may have had as part of blood donations, have you ever been tested for HIV?
Table 54. Have you ever been tested for HIV?
Table 55. Not including your blood donations, have you been tested for HIV in the past 12 months?
Table 56. Have you been tested for HIV in the past 12 months?
Table 57A. What was the main reason you had your last test for HIV?
Table 57B. What was the main reason you had your last test for HIV? (cont.)
Table 58A. Where did you have your last test for HIV?
Table 58B. Where did you have your last test for HIV? (cont.)
Table 58C. Where did you have your last test for HIV? (cont.)
Table 59. Did you receive the results of your last test?
Table 60. Did you receive counseling or talk with a health care professional about the results of your last test?

Obesity

Table 61. Body weight status based on BMI - current definitions.

Demographics

Table 62. Frequency: the number of respondents from each county.

Health Care Coverage and Utilization Module

Table 63A. What is the main reason you are without health care coverage?
Table 63B. What is the main reason you are without health care coverage? (cont.)
Table 64A. What is the main reason you were without health care coverage in past 12 months?
Table 64B. What is the main reason you were without health care coverage in past 12 months? (cont.)
Table 65. Is there one particular clinic, health center, doctor’s office, or other place you usually go to if you are sick or need advice about your health?
Table 66. Is there one of these places you go to most often when you are sick or need advice about your health?
Table 67. What kind of place is it?
Table 68. Do you have one person you think of as your personal doctor or health care provider?

Arthritis Module

Table 69. During the past 12 months, have you had pain, aching, stiffness or swelling in or around a joint?
Table 70. Were these symptoms present on most days for at least one month?
Table 71. Are you now limited in any activities because of joint symptoms?
Table 72. Have you ever been told by a doctor that you have arthritis?
Table 73. What type of arthritis did the doctor say you have?
Table 74. Are you currently being treated by a doctor for arthritis?

Cardiovascular Disease Module

Table 75. To lower your risk of developing heart disease or stroke, has a doctor advised you to eat fewer high fat or high cholesterol foods?
Table 76. To lower your risk of developing heart disease or stroke, has a doctor advised you to exercise more?
Table 77. To lower your risk of developing heart disease or stroke, are you eating fewer high fat or high cholesterol foods?
Table 78. To lower your risk of developing heart disease or stroke, are you exercising more?
Table 79. Has a doctor ever told you that you had a heart attack or myocardial infarction?
Table 80. Has a doctor ever told you that you had angina or coronary heart disease?
Table 81. Has a doctor ever told you that you had a stroke?
Table 82. Do you take aspirin daily or every other day?
Table 83. Do you have a health problem or condition that makes taking aspirin unsafe for you?
Table 84. Why do you take aspirin? - to relieve pain.
Table 85. Why do you take aspirin? - to reduce the chance of a heart attack.
Table 86. Why do you take aspirin? - to reduce the chance of a stroke.
Table 87. Have you gone through or are you going through menopause?
Table 88. Has your doctor discussed the benefits and risks of estrogen with you?
Table 89. Other than birth control pills, has your doctor ever prescribed estrogen pills for you?
Table 90. Are you currently taking estrogen pills?
Table 91. Why are you taking estrogen? - to prevent a heart attack.
Table 92. Why are you taking estrogen? - to treat or prevent bone thinning, bone loss, or osteoporosis.
Table 93. Why are you taking estrogen? - to treat symptoms of menopause such as hot flashes.
Table 94. Why did you take estrogen? - to prevent a heart attack.
Table 95. Why did you take estrogen? - to treat or prevent bone thinning, bone loss, or osteoporosis.
Table 96. Why did you take estrogen? - to treat symptoms of menopause such as hot flashes.

Diabetes Module

Table 97. How old were you when you were told you have diabetes?
Table 98. Are you now taking insulin?
Table 99. Are you now taking diabetes pills?
Table 100. How often do you check your blood for glucose or sugar?
Table 101. How often do you check your feet for sores or irritations?
Table 102. Have you ever had any sores or irritations on your feet that took more than four weeks to heal?
Table 103. How many times in the last year have you seen a doctor, nurse, or other health professional for your diabetes?
Table 104. How many times in the last year has a doctor, nurse or other health professional checked you for hemoglobin a one c?
Table 105. How many times in the last year has a health professional checked your feet for any sores or irritations?
Table 106. When was the last time you had an eye exam in which the pupils were dilated?
Table 107. Has a doctor ever told you that diabetes has affected your eyes or that you had retinopathy?
Table 108. Have you ever taken a course or class in how to manage your diabetes yourself?

Folic Acid Module

Table 109. Do you currently take any vitamin pills or supplements?
Table 110. Are any of these a multivitamin?
Table 111. Do any of the vitamin pills or supplements you take contain folic acid?
Table 112. How often do you take this vitamin pill or supplement?
Table 113. Some health experts recommend that women take 400 micrograms of the B vitamin folic acid for which of the following reasons?

Tobacco Use Prevention Module

Table 114. In the past 30 days has anyone, including yourself, smoked cigarettes, cigars, or pipes anywhere inside your home?
Table 115. While working at your job, are you indoors most of the time?
Table 116. Which of the following best describes your place of work’s official smoking policy for indoor public or common areas?
Table 117. Which of the following best describes your place of work’s official smoking policy for work areas?
Table 118. In restaurants, do you think that smoking should be allowed in all areas, some areas, or not allowed at all?
Table 119. In schools, do you think that smoking should be allowed in all areas, some areas, or not allowed at all?
Table 120. In day care centers, do you think that smoking should be allowed in all areas, some areas, or not allowed at all?
Table 121. In indoor work areas, do you think that smoking should be allowed in all areas, some areas, or not allowed at all?
Table 122. Has a doctor or other health professional ever advised you to quit smoking?

Appendices:

Appendix A - Healthy People 2000 in Indiana

Appendix B - Definitions of BRFSS Risk Factors

Appendix C - 2000 Behavioral Risk Factor Surveillance Survey Questionnaire

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