| 112 | | |
| 113 | | |
| | 112 | || Have you ever used any other tobacco or nicotine product for at least 6 months || y, n, pnta, dk || y || |
| | 113 | || Do you currently use any other tobacco or nicotine product || y, n, pnta, dk || y || |
| | 114 | || How much of the tobacco or nicotine product per week did you use when you were using the most? || numeric box, pnta, dk || y || |
| | 115 | || How old were you when you began using the tobacco or nicotine product? || numeric box, pnta, dk || y || |
| | 116 | || How old were you when you stopped using the tobacco or nicotine product? || numeroc box, pnta, dk || y || |
| | 117 | || How much of the tobacco or nicotine product do you use per week? || numeric box, pnta, dk || y || |
| | 118 | || When was the last time you had any tobacco or nicotine? || Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours) || y || |
| | 119 | || Have you ever drunk alcohol? || y, n, pnta, dk || y || |
| | 120 | || Have you ever drunk alcohol at least once per week? || y, n, pnta, dk || y || |
| | 121 | || Do you currently drink alcohol at least once per week? || y, n, pnta, dk || y || |
| | 122 | || How many pints of beer do you drink in a typical week? || numeric box, pnta, dk || y || |
| | 123 | || How many glasses of white wine do you drink in a typical week? || numeric box, pnta, dk || y || |
| | 124 | || How many glasses of red wine do you drink in a typical week? || numeric box, pnta, dk || y || |
| | 125 | || How many glasses of rose wine do you drink in a typical week? || numeric box, pnta, dk || y || |
| | 126 | || How many measures of spirits do you drink in a typical week? || numeric box, pnta, dk || y || |
| | 127 | || How old were you when you began drinking alcohol? || numeric box, pnta, dk || y || |
| | 128 | || When was the last time you had a drink containing alcohol? || Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours) || y || |
| | 129 | || How would you describe your diet? || Radio buttons: various diets || y || |
| | 130 | || If you work, does your work involve any physical activity? || Radio buttons || y || |
| | 131 | || Apart from work, do you undertake any regular physical exercise over and above that of daily living? || Radio buttons || y || |
| | 132 | || Number of Family members || see below || y || |
| | 133 | || How many brothers do you have? || numeric, pnta, dk || n || |
| | 134 | || How many sisters do you have? || numeric, pnta, dk || n || |
| | 135 | || How many children do you have? || numeric, pnta, dk || n || |
| | 136 | || Have any of your relatives suffered angina or other Coronary Artery Disease? || see below || y || |
| | 137 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 138 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 139 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 140 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 141 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 142 | || Have any of your relatives suffered a heart attack or Myocardial Infarction? || see below || y || |
| | 143 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 144 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 145 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 146 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 147 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 148 | || Have any of your relatives ever been diagnosed with heart failure? || see below || y || |
| | 149 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 150 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 151 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 152 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 153 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 154 | || Have any of your relatives ever suffered Atrial Fibrillation (AF)? || see below || y || |
| | 155 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 156 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 157 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 158 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 159 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 160 | || Have any of your relatives ever suffered a stroke or CVA? || see below || y || |
| | 161 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 162 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 163 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 164 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 165 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 166 | || Have any of your relatives been diagnosed with high blood pressure? || see below || y || |
| | 167 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 168 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 169 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 170 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 171 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 172 | || Have any of your relatives been diagnosed with valvular heart disease? || see below || y || |
| | 173 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 174 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 175 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 176 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 177 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 178 | || At what age did they first suffer from angina or Coronary Artery Disease? || see below || y || |
| | 179 | || Father || numeric box, pnta, dk || n || |
| | 180 | || Mother || numeric box, pnta, dk || n || |
| | 181 | || Brother || numeric box, pnta, dk || n || |
| | 182 | || Sister || numeric box, pnta, dk || n || |
| | 183 | || Child || numeric box, pnta, dk || n || |
| | 184 | || Have they received treatment for their angina or Coronary Artery Disease? || see below || y || |
| | 185 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 186 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 187 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 188 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 189 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 190 | || At what age did they suffer their first heart attack or Myocardial Infarction? || see below || y || |
| | 191 | || Father || numeric box, pnta, dk || n || |
| | 192 | || Mother || numeric box, pnta, dk || n || |
| | 193 | || Brother || numeric box, pnta, dk || n || |
| | 194 | || Sister || numeric box, pnta, dk || n || |
| | 195 | || Child || numeric box, pnta, dk || n || |
| | 196 | || Have they received treatment for their angina or Coronary Artery Disease? || see below || y || |
| | 197 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 198 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 199 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 200 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 201 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 202 | || At what age did they first suffer from heart failure? || see below || y || |
| | 203 | || Father || numeric box, pnta, dk || n || |
| | 204 | || Mother || numeric box, pnta, dk || n || |
| | 205 | || Brother || numeric box, pnta, dk || n || |
| | 206 | || Sister || numeric box, pnta, dk || n || |
| | 207 | || Child || numeric box, pnta, dk || n || |
| | 208 | || Have they received treatment for their heart failure? || see below || y || |
| | 209 | || Father || Radio buttons: y, n, pnta, dk || n || |
| | 210 | || Mother || Radio buttons: y, n, pnta, dk || n || |
| | 211 | || Brother || Radio buttons: y, n, pnta, dk || n || |
| | 212 | || Sister || Radio buttons: y, n, pnta, dk || n || |
| | 213 | || Child || Radio buttons: y, n, pnta, dk || n || |
| | 214 | || At what age did they first suffer from Atrial Fibrillation? || see below || y || |
| | 215 | || Father || numeric box, pnta, dk || n || |
| | 216 | || Mother || numeric box, pnta, dk || n || |
| | 217 | || Brother || numeric box, pnta, dk || n || |
| | 218 | || Sister || numeric box, pnta, dk || n || |
| | 219 | || Child || numeric box, pnta, dk || n || |