Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf, 81 responses Yes, limited a lot Yes, limited a little No, not limited at all 79% 16% U 1

Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf, 81 responses Yes, limited a lot Yes, limited a little No, not limited at all 79% 16% U 1. In general would you say your health is 81 responses 46.9% Excellent Very Good Good Fair Poor 7.4% 12.3% 33.3% U 1. In general would you say your health is 81 responses 46.9% Excellent Very Good Good Fair Poor 7.4% 12.3% 33.3% 6. Accomplished less than you would like 81 responses Yes No 69.1% 30.9% 7. Didn't do work or other activities as carefully as usual 81 responses Yes No 81.5% 18.5% 7. Didn't do work or other activities as carefully as usual 81 responses Yes No 81.5% 18.5% 8. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? 81 responses 25.9% Not at all A little bit Moderately Quite a bit Extremely 65.4% 9. Have you felt calm and peaceful? 81 responses 32.1% 12.3% All of the time Most of the time A good bit of the time Some of the time A little of the time None of the time 16% 35.8% 10. Did you have a lot of energy? 80 responses 32.5% All of the time Most of the time A good bit of the time Some of the time A little of the time None of the time 27.5% 11.3% 25% 11. Have you felt downhearted & blue? 81 responses 28.4% 29.6% All of the time Most of the time A good bit of the time Some of the time A little of the time None of the time 16% 22.2% 12. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? 81 responses 40.7% All of the time Most of the time A good bit of the time Some of the time A little of the time None of the time 35.8% 14.8%