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

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HLQ6G1 Description other problems Text-1 = no paid work-2 = off work longer than 1 month(HLQ2C = 2)-3 = have paid work, nohindrance (HLQ3A = 1)HLQ6G2 .. problem described 1 = almost never2 = sometimes3 = often4 = nearly always-1 = no paid work-2 = off work longer than 1 month(HLQ2C = 2)-3 = have paid work, nohindrance (HLQ3A = 1)HLQ7ANumber of hours needed to work to catchup?Number greater than 0-1 = no paid work-2 = off work longer than 1 monthHLQ2C=2)-3 = have paid work, nohindrance (HLQ3A = 1)HLQ8A Personal net income from paid work Number greater than 0 (in euros)-2 = won't say-1 = no paid work999 = missingHLQ8B Frequency 1 = per week2 = per 4 weeks3 = per month4 = per year-2 = won’t say-1 = no paid work999 = missingHLQ9A Situations 1. paid work2. run the household3. retired / early retirement.4. still at school5. (partially) unfit for paid workbecause of health problems6. no paid work for other reasons999 = missingHLQ9B % incapacity for work Number greater than 0-1 = not incapacitated for work999 = missingHLQ10A Household work 1. Performed this activity withoutbeing bothered by healthproblems2. Performed this activity,although bothered by healthproblems3. Did not perform this activity29
ecause of health problems4. Did not perform this activity forother reasons999= missingHLQ10B Groceries 1. Performed this activity withoutbeing bothered by healthproblems2. Performed this activity,although bothered by healthproblems3. Did not perform this activitybecause of health problems4. Did not perform this activity forother reasons999 = missingHLQ10C Odd jobs 1. Performed this activity withoutbeing bothered by healthproblems2. Performed this activity,although bothered by healthproblems3. Did not perform this activitybecause of health problems4. Did not perform this activity forother reasons999 = missingHLQ10D Activities with own children 1. Performed this activity withoutbeing bothered by healthproblems2. Performed this activity,although bothered by healthproblems3. Did not perform this activitybecause of health problems4. Did not perform this activity forother reasons5 = not applicable999 = missingHLQ11A Household tasks assumed by others 1 = no2 = yes999 = missingHLQ11BHLQ11CNumber of hours taken over by familymembersNumber of hours taken over by otherunpaid helpNumber greater than 0-1 = HLQ11A = 1999 = missingNumber greater than 0-1 = HLQ11A = 1999 = missingHLQ11D Number of hours home care Number greater than 0-1 = HLQ11A = 1999 = missingHLQ11E Number of hours other paid help Number greater than 0-1 = HLQ11A = 1999 = missing30
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 and 26: General questions1. Sex:malefemaleD
Page 27 and 28: Overstressed, depression, severe ne
Page 29: -3 = have paid work, nohindrance (H
Page 33 and 34: ALG3O Thyroid disease 1=YESALG3PPer

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

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