Manual Short Form- Health and Labour Questionnaire (SF-HLQ)

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High blood pressureStroke, or the consequences of a strokeGastric or duodenal ulcerSevere intestinal disorders lasting for longer than 3 monthsGall bladder stones or gall bladder infectionLiver disease or liver cirrhosisKidney stonesSevere kidney diseaseChronic bladder infectionProlapseDiabetesThyroid diseasePersistent (longer than 3 months) back problems, or herniated discJoint degradation (arthritis) of the knees, hips or handsJoint inflammation (rheumatism) of the hands and/or feetOther chronic rheumatism, lasting longer than 3 monthsEpilepsyOther neurological diseases, such as Parkinson’s diseaseMultiple sclerosisDizziness and fallingMigraineMalignancy, cancer25
Overstressed, depression, severe nervousnessChronic skin disease or eczemaInjury due to an accident in and around the house, during sports, at school, work or intrafficWe are grateful to you for taking the time and making the effort to complete this questionnaire.If you have any comments, remarks or suggestions, please let us know.......................................................................................................................................................................................................................................................................................................…………………………………………………………………………………………………………….26
Page 1 and 2: ManualShort Form- Health and Labour
Page 3 and 4: User conditionsThis questionnaire w
Page 5 and 6: 1. IntroductionBackgroundIn economi
Page 7 and 8: Random sample size, effect size and
Page 9 and 10: Valuation module 1There are two met
Page 11 and 12: Individuals with health problems ar
Page 13 and 14: without absenteeism may also be val
Page 15 and 16: followed by the question of whether
Page 17 and 18: ‘unpaid help’ (what is known as
Page 19 and 20: 4. References1. Nederlandse richtli
Page 21 and 22: This questionnaire concerns the con
Page 23 and 24: 9. Which of the following situation
Page 25: General questions1. Sex:malefemaleD
Page 29 and 30: -3 = have paid work, nohindrance (H
Page 31 and 32: ecause of health problems4. Did not
Page 33 and 34: ALG3O Thyroid disease 1=YESALG3PPer

Manual Short Form- Health and Labour Questionnaire (SF-HLQ)

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