Smoking | How many cigarettes do you smoke every day? | Yes >10 cigarettes/day or | Heavy Smoking Index |
| Do ever feel the need to cut down or stop your smoking? | Yes to second question | |
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Alcohol | Do you feel the need to cut down on your drinking alcohol? | Yes to either question | Alcohol Use Disorders Identification Test |
| In the past year, have you drunk more alcohol than you meant to? | | |
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Other drugs | Do you ever feel the need to cut down on your non-prescription or recreational drug use? | Yes to either question | Drug Abuse Screening Test |
| In the past year, have you ever used non-prescription or recreational drugs more than you meant to? | | |
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Gambling | Do you sometimes feel unhappy or worried after a session of gambling? | Yes to either question | South Oaks Gambling Screen |
| Does gambling sometimes cause you problems? | | |
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Depression | During the past month have you often been bothered by feeling down, depressed, or hopeless? | Yes to either question | Patient Health Questionnaire depression scale |
| During the past month have you often been bothered by having little interest or pleasure in doing things? | | |
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Anxiety | During the past month have you been worrying about a lot of different things? | Yes | Hospital Anxiety and Depression Scale |
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Abuse/violence | Is there anyone in your life of whom you are afraid or who hurts you in any way? | Yes to either question | Conflict Tactics Scale (CTS-1) and Hurts, Insults, Threatens, Screams tool |
| Is there anyone in your life who controls you and prevents you from doing what you want? | | |
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Anger | Is controlling your anger sometimes a problem for you? | Yes | CTS-1 |
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Physical inactivity | As a rule, do you do at least 30 minutes of moderate or vigorous exercise (such as walking or a sport) on 5 or more days of the week? | No | Aerobics Center Longitudinal Study – physical activity questionnaire |
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Eating disorders (anorexia nervosa, bulimia, or binging) | Do you often feel that you can't control what or how much you eat? | Yes to either question | ‘Sick, Control, One, Fat, Food’ questionnaire Eating Disorder Screen for for Primary Care |
| Does your weight affect the way you feel about yourself? | | |