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 || |