1997 State of Hawaii Behavioral Risk Factor Surveillance System

Health Care Access
Do you have any kind of health care coverage?
What type of health care coverage do you use to pay for your medical care?
How long has it been since you had health care coverage?
Was there a time during the last 12 months when you needed to see a doctor but could not because of the cost?
How long has it been since you last visited a doctor for a routine checkup?

Hypertension
About how long has it been since your last blood pressure taken by a doctor, nurse, or other health professional?
Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure?
Have you been told on more than one occasion that your blood pressure was high, or have you been told this only once?

Cholesterol Awareness
Blood cholesterol is a fatty substance found in the blood. Have you ever had your blood cholesterol checked?
About how long has it been since you last had your blood cholesterol checked?
Have you ever been told by a doctor or other health professional that your blood cholesterol is high?

Diabetes
Have you ever been told by a doctor that you have diabetes?
Are you now taking insulin?
Have you ever heard of glycosylated hemoglobin or hemoglobin "A one C"?
About how many times in the past year have you seen a doctor, nurse, or other health professional for your diabetes?
About how many times in the last year has a health professional checked your feet for any sores or irritations?
When was the last time you had an eye exam in which the pupils were dilated?
Does your vision limit you in recognizing people or objects across the street?
Does your vision limit you in reading print in a newspaper, magazine, recipe, menu, or numbers on the telephone?
Does your vision limit you in watching television?

Arthritis
Have arthritis in broad definition
Type of arthritis been told by doctor?
Are you currently being treated by a doctor for arthritis?

Injury Control
How often do you use seatbelts when you drive or ride in a car?
How often does your oldest child in your household use a car safety seat or seatbelt when they ride in a car?
How often has your oldest child worn a bicycle helmet when riding a bicycle?
When was the last time you or someone else deliberately tested all of the smoke detectors in your home, either by pressing the test buttons or holding a source of smoke near them?

Tobacco Use
How about your cigarette smoking status
On the average, about how many cigarettes did you smoke a day?
During the past 12 months, have you quit smoking for 1 day or longer?
About how long has it been since you last smoked cigarettes regularly, that is, daily?

Alcohol Consumption
During the past month, have you had at least one drink of any alcoholic beverage such as beer, wine, wine coolers, or liquor?
Have you had 5 or more alcoholic beverage (accurate drinking) in past month on one or more occasions?
Have you had 60 or more alcoholic beverage (chronic drinking) in past month?
Have you had alcoholic beverage and drove after drinking too much one or more times?

Immunization
During the past 12 months, have you had a flu shot?
Have you ever had a pneumonia vaccination?

Firearms
Are any firearms now kept in or around your home?
Are any of the firearms handguns, such as pistols or revolvers?
Are any of the firearms long guns, such as rifles or shotguns?
What is the main reason that there are firearms in or around your home?
Is there a firearm in or around your home that is now both loaded and unlocked?
During the last 30 days, have you carried a loaded firearm on your person, outside of the home for protection against people?
During the last 30 days, have you driven or been a passenger in a motor vehicle in which you knew there was a loaded firearm?
During the last 12 months, have you confronted another person with a firearm, even if you did not fire it, to protect yourself, your property, or someone else?
In the past three years, have you attended a firearm safety workshop, class, or clinic?
Do any of the firearms kept in or around your home belong to you, personally?

Colorectal Cancer
A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit?
When did you have your last blood stool test using a home kit?
A sigmoidoscopy or proctoscopy is when a tube is inserted in the rectum to view the bowel for signs of cancer and other health problems. Have you ever had this exam?
When did you have your last sigmoidoscopy or proctoscopy?

Women’s Health
Have you ever had a clinical breast exam?
How long has it been since your last breast exam?
Was your last breast exam done as part of a routine checkup, because of a breast problem other than cancer, or because you've already had breast cancer?
A pap smear is a test for cancer of the cervix. Have you ever had a pap smear?
How long has it been since you had your last pap smear?
Was your last pap smear done as part of a routine exam, or to check a current or previous problem, or other reasons?
A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?
How long has it been since you had your last mammogram?
Was your last mammogram done as part of a routine checkup, because of a breast problem other than cancer, or because of cancer?
Have you had a hysterectomy?

HIV/AIDS
If you had a child in school, at what grade do you think he or she should begin receiving education in school about HIV infection and AIDS?
What are your chances of getting infected with HIV, the virus that causes AIDS?
If you had a teenager who was sexually active, would you encourage him or her to use a condom?
Have you ever been tested for HIV?
What was the main reason you had your last test for HIV?
Where did you have your last HIV test?
Did you receive the results of your last test?
Did you receive counseling or talk with a health care professional about the results of your tests?
Due to what you know about HIV, have you changed your sexual behavior in the past 12 months?
Did you decrease the number of your sexual partners or become abstinent?
Do you now have sexual intercourse with only the same partner?
Do you now always use condoms for protection?