From: Preventive care in general practice among healthy older New South Wales residents
Participant characteristics | Question | Response | Source |
---|---|---|---|
Demographic characteristics | |||
Gender | What gender are you? | Male, Female | ABS, |
45&Up | |||
Age | What is your date of birth? | dd/mm/yyyy | ABS, |
45&Up | |||
Country of birth* | In which country were you born? | Australia, UK, Ireland, Italy, China, Greece, New Zealand, Germany, Lebanon, Philippines, Netherlands, Vietnam, Malta, Poland, other (please specify) | ABS, 45&Up |
Rurality (ARIA+) | What was your most recent previous residential location? | Postcode or Suburb/Town, State/Territory, If overseas, country | 45&Up |
Socioeconomic status | |||
Education* | What is the highest qualification you have completed? | No school certificate or other qualifications; School or intermediate certification (or equiv); Higher School or leaving certificate (or equiv); Trade/apprenticeship (e.g. hairdresser, chef); Certificate/diploma (e.g. child care, technician); University degree or higher. | Adapted from ABS; 45&Up |
Household income | What is your usual yearly household income before tax from all sources? (please include wages, benefits, pensions, superannuation etc.) | <$5,000; $5-9,999; $10-19,999; $20-29,999; $30-39,999; $40-49,999; $50-59,999; $60-69,999; $70-79,999; $80-89,999; $90-119,999; $120-149,999; $150,000 or more; I would rather not answer this questions | ABS, 45&Up |
Lifestyle factors | |||
Smoking status | Have you ever been a regular smoker? | Yes, No | ABS, 45&Up |
 | Are you a regular smoker NOW? | Yes No |  |
 | About how much do you/did you smoke on average each day? | Cigarettes per day; Pipes and Cigars per day |  |
Weight | About how much do you weigh? | Kg or Stones and lbs | ABS, 45&Up |
Height* | How tall are you without your shoes? | cm or feet and inches | ABS, 45&Up |
Physical activity | How many times did you do each of these activities last week? | Walking continuously for at least 10Â min (Times last wk) | ABS, 45&Up |
Vigorous physical activity (Times last wk) | |||
Moderate physical activity (Times last wk) | |||
 | If you add up all the time you spent doing each activity last week, how much time did you spend altogether doing each type of activity? | Walking continuously for at least 10 min (hrs and mins) |  |
Vigorous physical activity (hours and minutes | |||
Moderate physical activity (hours and minutes) | |||
Diet | About how many services of vegetables do you usually eat each day? | Number of services of cooked vegetables each day; Number of services of raw vegetables each day | ABS & 45&up |
 | About how many serves of fruit or glasses of fruit juice do you usually have each day | Number of serves of fruit each day; Number of glasses of fruit juice each day |  |
Health care | Â | Â | Â |
Health status | In the last month have you been treated for | Anxiety | 45&Up |
Depression | |||
High blood pressure | |||
High Cholesterol | |||
Access to GP | Thinking of times when you want to see a particular doctor in your practice or medical centre, how quickly do you usually get to see that doctor? | Same day; next day; 2–3 days; 4–5 days; more than 5 days | Adapted from Comm Fund Survey |
Thinking of times when you want to see ANY doctor in your practice or medical centre, how quickly do you usually get to see that doctor? | Same day; next day; 2–3 days; 4–5 days; more than 5 days |  | |
If you need to see a GP urgently can you normally get seen on the same day? | Yes, No | Â | |
Confidence in managing own health | On a scale of 1 to 10, how confident are you that you can do all the things necessary to manage your health on a regular basis? | 1 (not at all confident), 2,3,4,5,6,7,8,9,10(totally confident) | Â |