Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner?
Does your spouse (sexual partner) currently live with you in the same house?
How long have you and your spouse (sexual partner) been living separately?
In the last 30 days, how much of a problem did [name of person] have with worry or anxiety?
Overall in the last 30 days, how much of a problem did [name of person] have with moving around?
In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling?
Overall in the last 30 days, how much of a problem did [name of person] have with moving around?
In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling?
Overall in the last 30 days, how much difficulty did [name of person] have with moving around?
In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling?
Overall in the last 30 days, how much of a problem did [name of person] have with feeling sad, low, or depressed?
In the last 30 days, how much of a problem did [name of person] have with worry or anxiety?
Overall in the last 30 days, how much difficulty did [name of person] have with moving around?
In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling?
Overall in the last 30 days, how much of a problem did [name of person] have with moving around?
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