Health Opinion Survey – HOS

Do you have any particular physical or health trouble at present?

Do your hands ever tremble enough to bother you?

Are you ever troubled by your hands or feet sweating so that they feel damp and clammy?

Have you ever felt you were going to have a nervous breakdown?

Have you ever been bothered by your heart beating hard?

Do you tend to feel tired in the mornings?

Do you have any trouble in getting to sleep and staying asleep?

How often are you bothered by having an upset stomach?

Are you ever bothered by nightmares? (Dreams which frighten you or upset you?)

Do your arms or legs go to sleep rather easily?

Have you ever been troubled by 'cold sweats'?

Do you feel you are bothered by all sorts (different kinds) of ailments in different parts of your body?

Do you smoke?

Are you troubled by sick headaches?

Do you ever have loss of appetite?

Do you ever have a bad taste in your mouth?

Does your food ever seem tasteless and hard to swallow?

Do you feel it is necessary to take vitamin pills for your health?

Do you depend on patent medicines?

Do you feel that you are more apt to catch contagious diseases than most people?

Has ill health affected the amount of work you do?

Do you ever take weak turns?

Have you ever had spells of dizziness?

Do you tend to lose weight when you have important things bothering you?

Are you bothered by nervousness?

Have you ever been bothered by shortness of breath when you were not exercising or working hard?

For the most part, do you feel healthy enough to carry out the things that you would like to do?