Lifestyle Change Behaviors to Prevent/Control Diabetes
c = CDC Core Question, o = CDC Optional Question, s = State-Added Question
(Are you) changing your eating habits (to help [Fill: prevent/manage your] diabetes)?
 
(Are you) exercising (to help [Fill: prevent/manage your] diabetes)?
 
Has a doctor or other health professional ever advised you to do any of the following to help [Fill: prevent/manage your] diabetes?

(Ever advised you to) change your eating habits (to help [Fill: prevent/manage your] diabetes)?
 
(Ever advised you to) exercise (to help [Fill: prevent/manage your] diabetes)?
 
Have you ever taken a course or class in how to help [Fill: prevent/manage your] diabetes yourself?
 
Lung Cancer Screening
c = CDC Core Question, o = CDC Optional Question, s = State-Added Question
Have you ever been told by a doctor or other health professional that you have lung cancer?
 
Have you discussed with your health care provider whether or not to be screened for lung cancer?

INTERVIEWER NOTE:

X-rays and CT scans of the chest area are tests sometimes used to screen for lung cancer.

 
You’ve told us that you have smoked in the past or are currently smoking. The next questions are about screening for lung cancer.

How old were you when you first started to smoke cigarettes regularly?

Interviewer Note:
"Regularly" is at least one cigarette or more on days that a respondent smokes (either every day or some days) or smoked (not at all).
 
How old were you when you last smoked cigarettes regularly?

Interviewer Note:
"Regularly" is at least one cigarette or more on days that a respondent smokes (either every day or some days) or smoked (not at all).
 
In the last 12 months, has a doctor, nurse or other health professional recommended that you have a CT or CAT scan?
 
On average, when you [CATI Note: Fill with “smoke” or “smoked”] regularly, about how many cigarettes [CATI Note: Fill with “do” or “did”] you usually smoke each day?

Interviewer Note:
"Regularly" is at least one cigarette or more on days that a respondent smokes (either every day or some days) or smoked (not at all).

INTERVIEWER NOTE:
Respondents may answer in packs instead of number of cigarettes. Below is a conversion table:
0.50 PACK = 10 CIGARETTES
0.75 PACK = 15 CIGARETTES
1.00 PACK = 20 CIGARETTES
1.25 PACKS = 25 CIGARETTES
1.50 PACKS = 30 CIGARETTES
1.75 PACKS = 35 CIGARETTES
2.00 PACKS = 40 CIGARETTES
2.50 PACKS = 50 CIGARETTES
3.00 PACKS = 60 CIGARETTES
 
The next question is about CT or CAT scans. During this test, you lie flat on your back on a table. While you hold your breath, the table moves through a donut shaped x-ray machine while the scan is done. In the last 12 months, did you have a CT or CAT scan?