Form Coding Instructions

For questions 1-14: This section of the examination contains questions about how you feel and how things have been going with you. For each question, select the answer which best applies to you.For questions 15-18: For each of the four scales below, note that the words at each end of the 0 to 10 scale describe opposite feelings. Select the number that seems closest to how you have generally felt DURING THE PAST MONTH

Source: National Center for Health Statistics

91628-8 How have you been feeling in general? (DURING THE PAST MONTH)

Fully-Specified Name

Component
How have you been feeling in general during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

How have you been feeling in general during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5263-0

AnswerCodeScoreAnswer ID
In excellent spirits5LA29822-6
In very good spirits4LA29823-4
In good spirits mostly3LA29824-2
I've been up and down in spirits a lot2LA29825-9
In low spirits mostly1LA29826-7
In very low spirits0LA29827-5

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91627-0 Have you been bothered by nervousness or your nerves? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you been bothered by nervousness or your nerves during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you been bothered by nervousness or your nerves during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5268-9

AnswerCodeScoreAnswer ID
Extremely so -- to the point where I could not work or take care of things0LA29828-3
Very much so1LA29829-1
Quite a bit2LA13902-4
Some -- enough to bother me3LA29831-7
A little4LA13940-4
Not at all5LA6568-5

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91626-2 Have you been in firm control of your behavior, thoughts, emotions, or feelings? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you been in firm control of your behavior, thoughts, emotions, or feelings during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you been in firm control of your behavior, thoughts, emotions, or feelings during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5276-2

AnswerCodeScoreAnswer ID
Yes, definitely so5LA29833-3
Yes, for the most part4LA18533-2
Generally so3LA29835-8
Not too well2LA29836-6
No, and I am somewhat disturbed1LA29837-4
No, and I am very disturbed0LA29838-2

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91625-4 Have you felt so sad, discourages, hopeless, or had so many problems that you wondered if anything was worthwhile? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you felt so sad, discouraged, hopeless, or had so many problems that you wondered if anything was worthwhile during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you felt so sad, discouraged, hopeless, or had so many problems that you wondered if anything was worthwhile during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5275-4

AnswerCodeScoreAnswer ID
Extremely so -- to the point that I have just about given up0LA29839-0
Very much so1LA29829-1
Quite a bit2LA13902-4
Some -- enough to bother me3LA29831-7
A little bit4LA13863-8
Not at all5LA6568-5

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91633-8 Have you been under or felt you were under any strain, stress, or pressure? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you been under or felt you were under any strain, stress, or pressure during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you been under or felt you were under any strain, stress, or pressure during the past month [NHANES]

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5266-3

AnswerCodeScoreAnswer ID
Yes -- almost more than I could bear or stand0LA29840-8
Yes -- quite a bit of pressure1LA29841-6
Yes -- some - more than usual2LA29842-4
Yes -- some - but about usual3LA29843-2
Yes - a little4LA29844-0
Not at all5LA6568-5

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91624-7 How happy, satisfied, or pleased have you been with your personal life? (DURING THE PAST MONTH)

Fully-Specified Name

Component
How happy, satisfied, or pleased have you been with your personal life during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

How happy, satisfied, or pleased have you been with your personal life during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5274-7

AnswerCodeScoreAnswer ID
Extremely happy -- could not have been more satisfied or pleased5LA29845-7
Very happy4LA29846-5
Fairly happy3LA29847-3
Satisfied -- pleased2LA29848-1
Somewhat dissatisfied1LA29849-9
Very dissatisfied0LA14638-3

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91623-9 Have you had any reason to wonder if you were losing your mind, or losing control over the way you act, talk, think, feel, or of your memory? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you had any reason to wonder if you were losing your mind, or losing control over the way you act, talk, think, feel, or of your memory during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you had any reason to wonder if you were losing your mind, or losing control over the way you act, talk, think, feel, or of your memory during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5273-9

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Only a little4LA22687-0
Some -- but not enough to be concerned or worried about3LA29851-5
Some and I have been a little concerned2LA29852-3
Some and I am quite concerned1LA29853-1
Yes, very much so and I am very concerned0LA29854-9

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91632-0 Have you been anxious, worried, or upset? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you been anxious, worried, or upset during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you been anxious, worried, or upset during the past month [NHANES]

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5265-5

AnswerCodeScoreAnswer ID
Extremely so -- to the point of being sick, or almost sick0LA29855-6
Very much so1LA29829-1
Quite a bit2LA13902-4
Some -- enough to bother me3LA29831-7
A little bit4LA13863-8
Not at all5LA6568-5

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91622-1 Have you been waking up fresh and rested? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you been waking up fresh and rested during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you been waking up fresh and rested during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5294-5

AnswerCodeScoreAnswer ID
Every day5LA14799-3
Most every day4LA29859-8
Fairly often3LA16644-9
Less than half the time2LA14723-3
Rarely1LA10066-1
None of the time0LA6297-1

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91631-2 Have you been bothered by any illness, bodily disorder, pains, or fears about your health? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you been bothered by any illness, bodily disorder, pains, or fears about your health during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you been bothered by any illness, bodily disorder, pains, or fears about your health during the past month [NHANES]

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5264-8

AnswerCodeScoreAnswer ID
All of the time0LA6154-4
Most of the time1LA14734-0
A good bit of the time2LA18860-9
Some of the time3LA14733-2
A little of the time4LA14732-4
None of the time5LA6297-1

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91621-3 Has your daily life been full of things that were interesting to you? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Has your daily life been full of things that were interesting to you during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Has your daily life been full of things that were interesting to you during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5293-7

AnswerCodeScoreAnswer ID
All of the time5LA6154-4
Most of the time4LA14734-0
A good bit of the time3LA18860-9
Some of the time2LA14733-2
A little of the time1LA14732-4
None of the time0LA6297-1

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91630-4 Have you felt down hearted and blue? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you felt down-hearted and blue during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you felt down-hearted and blue during the past month [NHANES]

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5264-8

AnswerCodeScoreAnswer ID
All of the time0LA6154-4
Most of the time1LA14734-0
A good bit of the time2LA18860-9
Some of the time3LA14733-2
A little of the time4LA14732-4
None of the time5LA6297-1

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91620-5 Have you been feeling emotionally stable and sure of yourself? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you been feeling emotionally stable and sure of yourself during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you been feeling emotionally stable and sure of yourself during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5293-7

AnswerCodeScoreAnswer ID
All of the time5LA6154-4
Most of the time4LA14734-0
A good bit of the time3LA18860-9
Some of the time2LA14733-2
A little of the time1LA14732-4
None of the time0LA6297-1

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91619-7 Have you felt tired, worn out, used-up, or exhausted? (DURING THE PAST MONTH)

Fully-Specified Name

Component
Have you felt tired, worn out, used-up, or exhausted during the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

Have you felt tired, worn out, used-up, or exhausted during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5264-8

AnswerCodeScoreAnswer ID
All of the time0LA6154-4
Most of the time1LA14734-0
A good bit of the time2LA18860-9
Some of the time3LA14733-2
A little of the time4LA14732-4
None of the time5LA6297-1

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91618-9 How concerned or worried about your HEALTH have you been? (DURING THE PAST MONTH)

Fully-Specified Name

Component
How concerned or worried about your health have you been during the past Mo
Property
Score
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

How concerned or worried about your health have you been during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5269-7

AnswerCodeScoreAnswer ID
0 - Not concerned at all10LA29866-3
19LA6112-2
2 or more8LA6113-0
37LA6114-8
46LA6115-5
55LA10137-0
64LA10138-8
73LA10139-6
82LA10140-4
91LA10141-2
10 - Very concerned0LA29867-1

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91617-1 How RELEAXED or TENSE have you been? (DURING THE PAST MONTH)

Fully-Specified Name

Component
How relaxed or tense have you been during the past Mo
Property
Score
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

How relaxed or tense have you been during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5270-5

AnswerCodeScoreAnswer ID
0 - Very relaxed10LA29868-9
19LA6112-2
2 or more8LA6113-0
37LA6114-8
46LA6115-5
55LA10137-0
64LA10138-8
73LA10139-6
82LA10140-4
91LA10141-2
10 - Very tense0LA29869-7

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91616-3 How much ENERGY, PEP, and VITALITY have you felt? (DURING THE PAST MONTH)

Fully-Specified Name

Component
How much energy, pep, and vitality have you felt during the past Mo
Property
Score
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

How much energy, pep, and vitality have you felt during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5271-3

AnswerCodeScoreAnswer ID
0 - No energy at all, listless0LA29870-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - Very energetic, dynamic10LA29871-3

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91615-5 How DEPRESSED or CHEERFUL have you been? (DURING THE PAST MONTH)

Fully-Specified Name

Component
How depressed or cheerful have you been during the past Mo
Property
Score
Time
1Mo
System
^Patient
Scale
Ord
Method
NHANES

Long Common Name

How depressed or cheerful have you been during the past month [NHANES]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5272-1

AnswerCodeScoreAnswer ID
0 - Very depressed0LA29872-1
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - Very cheerful10LA29873-9

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

91651-0 General Well-Being Schedule - 18 item - total score [NHANES]

Term Description

The total score for the General Well Being Schedule (GWB) 18-item, self-administered questionnaire. The first 14 questions use 6-point response scales representing intensity or frequency, where each response is assigned a numeric score from 0 to 5 (in the original GWB Schedule) or 1 to 6 (in some alternate versions). The remaining four questions use 0-10 rating scales defined by adjectives at each end. The polarity of items 1, 3, 6, 7, 9, 11, 13, 15, and 16 is reversed for scoring, and if using the original GWB Schedule, scores within each subscale are added together for a total score. If the first 14 questions are scored using the alternate 1 to 6 scoring then 14 is substracted from the total. Regardless of the scoring system used, the total score ranges from 0-110. Lower scores reflect distress and higher scores reflect positive well-being. PMID: 610049

Fully-Specified Name

Component
General Well-Being Schedule - 18 item - total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
NHANES

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
91629-6General Well-Being Schedule - 18 item [NHANES]

Example Units

UnitSource
{score}Example UCUM Units