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DECISIONS LATITUDE (DL)
0
1
2
3
NEVER
SOMETIMES
VERY OFTEN
ALWAYS
“In your current FW...how
1
... often do you have a lot of say about
what happens on your job?
9
9
9
9
2
...often does your job require a high level
of skill?
9
9
9
9
3
...often do you have the freedom to
decide how you do your farmwork?
9
9
9
9
4
...often does your job require you to be
creative?
9
9
9
9
JOB DEMANDS (JD)
0
1
2
3
NEVER
SOMETIMES
VERY OFTEN
ALWAYS
“In your current FW...how
1
...often does your job in farmwork require
you to work very hard?
9
9
9
9
2
...often are you asked to do an excessive
amount of work?
9
9
9
9
WORK LIMITATIONS (WL)
WL1. Do you have any mental or emotional
problem that limits your work?
90
91
93
97
WL3. In the last 12 months, ABOUT how many
days have you MISSED WORK because of a
work-related illness or injury?
NO
YES
DON’T KNOW
REFUSED
91
92
97
WL2. Do you have any physical problem that limits
your work?
90
91
93
97
______DAYS.
DON’T KNOW
REFUSED
WL4. ...And in the last 12 months, ABOUT how
many days have you WORKED while injured
or ill because of a work-related illness or
injury?
NO
YES
DON’T KNOW
REFUSED
91
92
97
______DAYS.
DON’T KNOW
REFUSED
JOB INSECURITY (JI)
JI1.
JI2.
Are you afraid that you could be fired from
this farm job?
90
NO
91
YES
93
DON’T KNOW
1
How easy would it be to find another job, FW
or NF?
90
not at all easy? (difficult)
91
somewhat easy?
93
very easy?
93
DON’T KNOW
GENERAL HEALTH (GH)
GH1. In general, how would you describe your
health?
91
92
93
94
FAMILY WORRYING AND CONCERNS (FWC)
WF1. How difficult is it for you to be separated from
your family?
9 0
9 1
9 2
93
EXCELLENT
GOOD
FAIR
POOR
NOT AT ALL DIFFICULT
SOMEWHAT (MORE OR LESS)
VERY DIFFICULT
NOT SEPARATED FROM FAMILY
CESD - SHORT FORM (PILOT)
[FIRST ASK ALL QUESTIONS IN FIRST COLUMN AND MARK RESPONSE IN COLUMN "CES1".
DO NOT READ RESPONSE CATEGORIES (number of days in columns CES2 (1 TO 4) UNTIL YOU HAVE
ASKED ABOUT ALL THE SYMPTOMS IN FIRST COLUMN ]
CES1
“The next set of items are about your mood.
Different people experience their moods in
different ways, so some of the items may
sound similar, but I need to ask them. In the
past seven (7) days, have you felt...
a
...depressed?
[CHECK ALL
RESPONSES]
9 0 NO
9 1 YES
b
...that everything you did was an effort?
9 0 NO
9 1 YES
c
...restless in your sleep?
9 0 NO
9 1 YES
d
...happy?
9 0 NO
9 1 YES
e
...lonely?
9 0 NO
9 1 YES
f
...that people were unfriendly?
9 0 NO
9 1 YES
g
...that you enjoyed life?
9 0 NO
9 1 YES
h
...sad?
9 0 NO
9 1 YES
i
...that people disliked you?
9 0 NO
9 1 YES
j
...that you could not get going?
9 0 NO
9 1 YES
2
CES2.
How many of the past 7 days did you
feel... [SYMPTOM IN CES1] for MOST
of the day?”
[If RESPONDENT asks “what do you
mean by most?”, ANSWER:
“whatever “most” means to you.?
[WRITE NUMBER OF DAYS]
3
| File Type | application/pdf |
| File Title | S:\NAWSDOC\CYCLE54\ENGLISHCY54\MENTALHEALTH\MAY05NEWMENTALHEALTH.wpd |
| Author | jorge |
| File Modified | 2006-05-05 |
| File Created | 2006-05-05 |