AHS2 > Hospitalization and History Forms > HHF4
HHF4: Page 3
Notes
Image
Questions
Question 8 ( Meal size and time )
| Variable name | Description | Notes |
| SMALMOR | Small size meal in the morning | |
| SMALAFT | Small size meal in the afternoon | |
| SMALNGT | Small size meal in the night | |
| LARGMOR | Large size meal in the morning | |
| LARGAFT | Large size meal in the afternoon | |
| LARGNGT | Large size meal in the night | |
| OTHMOR | Other meals in the morning | |
| OTHAFT | Other meals in the afternoon | |
| OTHNGT | Other meals in the night | |
| SNKMOR | Snacks in the morning | |
| SNKAFT | Snacks in the afternoon | |
| SNKNGT | Snacks in the night | |
Question 9 ( Present weight )
| Variable name | Description | Notes |
| WTNOW | Present body weight | |
Question 10 ( Housing )
| Variable name | Description | Notes |
| HOUSEYN | Do You live in a place you own or you rent? | |
| HOUSEN1 | If no, do you live in assisted living? | |
| HOUSEN2 | If no, do you live in a nursing homes? | |
| HOUSEN3 | If no, do you live with family or friends? | |
Question 11 ( Medical condition )
| Variable name | Description | Notes |
| GALSTON | Has your doctor told you that you have gall stones? | |
| GALSTONTX | Have you been treated for this in the last 12 months? | |
| COPD | Has your doctor told you that you have COPD/chronic bronchitis? | |
| COPDTX | Have you been treated for this in the last 12 months? | |
| ATRFIB | Has your doctor told you that you have atrial fibrillation? | |
| ATRFIBTX | Have you been treated for this in the last 12 months? | |
| EMPHSMA | Has your doctor told you that you have emphysema? | |
| EMPHSMATX | Have you been treated for this in the last 12 months? | |
| ASTHMA | Has your doctor told you that you have asthma? | |
| ASTHMATX | Have you been treated for this in the last 12 months? | |
| OSTSIS | Has your doctor told you that you have osteoporosis? | |
| OSTSISTX | Have you been treated for this in the last 12 months? | |
| DEPRESS | Has your doctor told you that you have depression? | |
| DEPRESSTX | Have you been treated for this in the last 12 months? | |