What is your current weight?

In the past year, what was your highest weight?

In the past year, what was your lowest weight?

Think about the walking you do outside the home. How often do you walk outside the home for more than 10 minutes without stopping? (Mark only one.)

When you walk outside the home for more than 10 minutes without stopping, for how many minutes do you usually walk?

What is your usual speed?

Not including walking outside the home, how often each week (7 days) do you usually do STRENUOUS OR VERY HARD EXERCISE (you work up a sweat and your heart beats fast)? For example, aerobics, aerobic dancing, jogging, tennis, swimming laps.

How long do usually exercise like this at one time?

Not including walking outside the home, how often each week (7 days) do you usually do MODERATE EXERCISE (Not exhausting). For example, biking outdoors, use of an exercise machine (like a stationary bike or treadmill), calisthenics, easy swimming, popular and folk dancing.

How long do usually exercise like this at one time?

Not including walking outside the home, how often each week (7 days) do you usually do MILD EXERCISE. For example, slow dancing, bowling, golf.

How long do usually exercise like this at one time?

Do you smoke cigarettes now?

How many cigarettes do you usually smoke each day? (Mark one.)

Other prescription weight loss medication

Caffeinated coffee, either instant or paper-filtered drip (cups)

Other caffeinated coffee, such as perked, espresso or latte (cups)

Decaf coffee, either instant or paper-filtered drip (cups)

Other decaf coffee, such as perked, espresso or latte (cups)

Regular tea (not decaf) (cups)

Decaf tea (cups)

Soft drinks with caffeine (such as Coke, Diet Pepsi, Dr. Pepper, Mountain Dew) (12 oz. Can)

Soft drinks without caffeine (such as Sprite, 7-Up, Diet Sprite) (12 oz. can)

In the past year, did you use any "natural" hormones that you can get without a doctor's prescription? These are usually made from plants and often obtained from health food stores or by mail order. They may be in the form of a pill, vaginal cream or suppository, skin cream or soy-enriched foods.

Progesterone suppositories

DHEA (dehydroepiandosterone pills)

Phytoestrogen pills or powder (soy or flax)

Phytoestrogen creams (soy or flax)

Phytoestrogen enriched foods (tofu, soybeans)

Other (Specify)

In the past year, have you used any treaments for osteoporosis or other bone conditions that you get with a doctor's prescription? Examples are Fosamax, Miacalcin, and Actonel. (Do not include use of selective estrogen receptor modulators (SERMs) such as Evista (Raloxifene) which are covered in Question 13.)

Other (Specify)

In the past year, did you use any non-estrogen prescription treatments for hormone replacement? These may be prescribed to prevent osteoporosis and breast cancer and are sometimes called "designer estrogens" or selective estrogen receptor modulators (SERMs). Examples are Evista (Raloxifene) and Nolvadex (Tamoxifen).

Other (Specify)

In the past year, did you use any female hormones (ESTROGEN or PROGESTERONE [also called PROGESTIN] that were prescribed by a doctor? (This may have been in the form of a pill, skin patch, shots, or vaginal cream or suppository.)

In the past year, did you use female hormone PILLS or PATCHES prescribed by a doctor which contained both ESTROGEN and progestin (PROGESTERONE) COMBINED in the same pill, patch, or package (for example, Prempro, Premphase)? (Do not include use of two separate estrogen and progestin pills used at the same time.)

In the past year, how many months did you use COMBINED female hormone PILLS or PATCH which contained both ESTROGEN and PROGESTIN?

Which combination did you use the longest?

In the past year, did you use female hormone PILLS prescribed by a doctor which contained both ESTROGEN and TESTOSTERONE COMBINED in the same pill (for example, Estratest)?

In the past year, how many months did you use COMBINED female hormone PILLS which contained both ESTROGEN and TESTOSTERONE?

In the past year, what type of COMBINED ESTROGEN and TESTOSTERONE pill did you use the longest?

In the past year, did you use any ESTROGEN pill, patch, cream or shots (other than the combination described in Qxs 15 and 16)?

Did you use an estrogen pill?

For how many months did you use the Estrogen pills?

What kind did you take? (Mark the one used the longest if you used more than one kind.)

For how many months did you use the patch?

For how many months did you use the cream?

Did you have estrogen shots?

For how many months did you have the shots?

In the past year, did you use any PROGESTERONE or PROGESTIN pill, cream, or shots (other than the combinations described in Quextion 15)?

Did you use a progesterone or progestin pill or capsule?

For how many months did you use the pill or capsule?

What kind did you take (Mark the one used the longest if you used more than one kind)?

How many days per month did you use it?

Did you use a progesterone or progestin cream?

For how many months did you use progesterone or progestin cream?

Did you have progesterone or progestin shots?

For how many months did you have progesterone or progestin shots

Macular degeneration of the retina

Emphysema or chronic bronchitis

Heart failure or congestive heart failure

Angina (chest pains from the heart)

Kidney or bladder stones (renal or urinary calculi)

Dialysis for kidney or renal failure

Pancreatitis (inflamed pancreas)

Liver disease (chronic active hepatitis, cirrhosis, or yellow jaundice)

Amyotropic Lateral Sclerosis (ALS, motor neuron disease, or Lou Gehrig's disease)

Has any member of your family (mother, father, full-blooded sister or brother) been dianosed with Alzheimer's disease or senile dementia?

Any brother

Any sister

What is your current marital status? (Mark the one that best describes you.)

Computed from Form 148, questions 4, 5, 6, and 7. Total number of episodes per week of recreational physical activity (includes walking, mild, moderate and strenuous physical activity).

Computed from Form 148, questions 4,4.1, 5,5.1, 6.6.1, 7,7.1. Episodes per week of recreational physical activity of >=20 minutes duration (includes walking, mild, moderate and strenuous physical activity).

Computed from Form 148, questions 4.2, 5, and 6. Episodes per week of moderate and strenuous recreational physical activity (includes walking fairly fast or very fast, moderate physical activity and strenuous physical activity.

Computed from Form 148, questions 4, 4.1, 4.2, 5, 5.1, 6 and 6.1. Episodes per week of moderate and strenuous recreational physical activity of >=20 minutes duration (includes walking fairly fast or very fast, moderate physical activity and strenuous physical activity).

Computed from Form 148, questions 4, 4.1, 4.2, 5, 5.1, 6, and 6.1. Categorical variable of episodes per week of moderate and strenuous recreational physical activity of >= 20 minutes duration (includes walking fairly fast or very fast, moderate physical activity and strenuous physical activity). Computed from XLMSEPI and TEPIWK.

Computed from Form 148, question 5. Episodes per week of strenuous recreational physical activity.

Computed from Form 148, questions 4,4.1,5,5.1,6, 6.1, 7 and 7.1. Total minutes per week of recreational physical activity (includes walking, mild, moderate and strenuous physical activity).

Computed from Form 148, questions 4, 4.2, 5, and 6. Minutes per week of moderate and strenuous recreational physical activity (includes walking fairly fast or very fast, moderate physical activity and strenuous physical activity).

Computed from Form 148, questions 5 and 5.1. Minutes per week of strenuous recreational physical activity).

Computed from Form 148, questions 4, 4.1, 4.2, 5, 5.1, 6, 6.1,7 and 7.1. Total MET-hours per week. Expenditure of energy from recreational physical activity (includes walking, mild, moderate and strenuous physical activity in kcal/week/kg).

Computed from Form 148, questions 4, 4.1, and 4.2. Expenditure of energy from physical activity from walking in kcal/week/kg (MET-hours per week).

Computed from Form 148, questions 4, 4.1 and 4.2. Energy expenditure from average walking (2-3 mph) in MET-hours per week.

Computed from Form 148, questions 4, 4.1 and 4.2. Energy expenditure form walking fairly fast (3-4 mph) in MET-hours per week.

Computed from Form 148, questions 4, 4.1, and 4.2. Energy expenditure from walking very fast (> 4 mph) in MET-hours per week.

Computed from Form 148, questions 5 and 5.1. Energy expenditure from strenuous or very hard exercise (for example, aerobics, aerobic dancing, jogging, tennis, swimming laps) in MET-hours per week.

Computed from Form 148, questions 6 and 6.1. Energy expenditure from moderate exercise (for example, biking outdoors, using an exercise machine, calisthenics, easy swimming, popular or folk dancing) in MET-hours per week.

Computed from Form 148, questions 7 and 7.1. Energy expenditure from mild exercise (for example, slow dancing, bowling, golf) in MET-hours per week.

Computed from form 148, questions 14, 15, 16, 17, 17.1 and 17.4.

Computed from form 148, questions 14, 15, 18 and 18.1.

Computed from variables "Progesterone use last year" and "Estrogen use last year".