Table 3.

Sociodemographic measures

ItemResponse optionsItem source
What is your age?____ Years old (18–130)HINTS
Are you male or female?
  • Male

  • Female

HINTS
What is your race? One or more categories may be selected. Mark all that apply.
  • White

  • Black or African American

  • American Indian or Alaska Native

  • Asian Indian

  • Chinese

  • Filipino

  • Japanese

  • Korean

  • Vietnamese

  • Other Asian

  • Native Hawaiian

  • Guamanian or Chamorro

  • Samoan

  • Other Pacific Islander

HINTS
Are you Hispanic, Latino/a, or Spanish origin? Mark all that apply.
  • Mexican, Mexican American, Chicano/a

  • Puerto Rican

  • Cuban

  • Another Hispanic, Latino/a, or Spanish origin

  • None of these

BRFSS
Thinking about members of your family living in this household, what is your combined annual income, meaning the total pre tax income from all sources earned in the past year?
  • $0 to $9,999

  • $10,000 to $14,999

  • $15,000 to $19,999

  • $20,000 to $34,999

  • $35,000 to $49,999

  • $50,000 to $74,999

  • $75,000 to $99,999

  • $100,000 to $199,999

  • $200,000 or more

HINTS
Do you currently rent or own your home?
  • Own

  • Rent

  • Occupied without paying monetary rent

HINTS
Which one of these comes closest to your own feelings about your household's income these days?
  • Living comfortably on present income.

  • Getting by on present income.

  • Finding it difficult on present income.

  • Finding it very difficult on present income

Gallup
Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare, or Indian Health Service?
  • Yes

  • No

BRFSS
What is the primary source of your health care coverage?
  • A plan purchased through an employer or union (including plans purchased through another person's employer)

  • A plan that you or another family member buys on your own

  • Medicare

  • Medicaid or other state program

  • TRICARE (formerly CHAMPUS), VA, or Military

  • Alaska Native, Indian Health Service, Tribal Health Services

  • Some other source

BRFSS
What is the highest grade or level of schooling you completed?
  • Less than 8 years

  • 8 through 11 years

  • 12 years or completed high school

  • Post high school training other than college (vocational or technical)

  • Some college

  • College graduate

  • Postgraduate

HINTS
What is your marital status? Mark only one.
  • Married

  • Living as married

  • Divorced

  • Widowed

  • Separated

  • Single, never been married

HINTS
What is your current occupational status? Mark only one.
  • Employed

  • Unemployed

  • Homemaker

  • Student

  • Retired

  • Disabled

  • Other (Specify)_______

HINTS
Were you born in the United States?
  • Yes

  • No

HINTS
  • NOTE: Question wording was provided for both self-administered and interviewer-administered surveys. The question wording was adapted for mode without fundamental or consequential changes to the stem or response options.