HLQ Data: CMMI_HA_011
Participant Information
CMMI ID:
CMMI_HA_011
Study ID:
MMS000067
Questionnaire Date:
2025-12-04 07:13
Upload:
Manual Import
Age:
73
Sex:
Female
Lives Alone:
No
General Health:
Very Good
Takes Supplements:
No
Demographics & Household7
Sex
2
2
Age Calc
73
73
Child Hh
0
0
Other Hh
0
0
Live Alone
0
0
Partner Hh
1
1
Multi Child Hh
0
0
Pets1
Pets Hh
0
0
General Health & Supplements6
Amemia
0
0
Gluten
2
2
Behav Chg
0
0
Gen Health
4
4
Food Allergies
2
2
Reg Supplement
0
0
Bowel Habits & Digestion17
Bowel 1
0
0
Bowel 2
1
1
Bowel 3
1
1
Bowel 4
1
1
Bowel 6
1
1
Bowel 7
0
0
Bowel 8
0
0
Bowel 9
1
1
Stool 1
1
1
Stool 2
1
1
Stool 3
0
0
Stool 4
1
1
Stool 5
0
0
Stool 6
0
0
Bloating
2
2
Laxatives
0
0
Constipation Symp 6 Mo
1
1
IBS Symptoms3
Pain Abs 3 Mos
0
0
Pain Abs 6 Mos
0
0
Pain Abs Menstru
0
0
Health-Related Medications3
Med Acid Reflux
0
0
Med Antibiotics
1
1
Med Constipation
0
0
Current Medications8
Med 1
ROSUVASTATIN
ROSUVASTATIN
Med 2
VAGIFEM
VAGIFEM
Med 3
MONOPROST
MONOPROST
Med Num
3
3
Med Type 1
STATIN
STATIN
Med Type 2
HORMONE REPLACEMENT
HORMONE REPLACEMENT
Med Type 3
GLAUCOMA
GLAUCOMA
Med Current
1
1
Disease History - Cardiovascular11
Hf Ever
0
0
Mi Ever
0
0
Chd Ever
0
0
Hbp Ever
0
0
Vhd Ever
0
0
Angina Ever
0
0
Atrial Ever
0
0
Cardio Ever
1
1
Thrombo Ever
0
0
High Chol Ever
1
1
Arrhythmia Ever
1
1
Disease History - Diabetes4
Diab Ever
0
0
Diab Gest
0
0
Diab Type1
0
0
Diab Type2
0
0
Disease History - Respiratory7
Cb Ever
0
0
Ild Ever
0
0
Copd Ever
0
0
Resp Ever
0
0
Asthma Ever
0
0
Emphysema Ever
0
0
Cystic Fib Ever
0
0
Disease History - Digestive & GI10
Lc Ever
0
0
Uc Ever
0
0
Ibs Ever
0
0
Gerd Ever
0
0
Crohn Ever
0
0
Fatty Ever
0
0
Celiac Ever
0
0
Gastro Ever
0
0
Ulcers Ever
0
0
Gallstones Ever
0
0
Disease History - Neurological5
Ms Ever
9
9
Neuro Ever
9
9
Dement Ever
9
9
Migraine Ever
9
9
Alzheimer Ever
9
9
Disease History - Autoimmune & Inflammatory8
Sle Ever
9
9
Arthritis Ever
9
9
Fibromyal Ever
9
9
Scleroderma Ever
0
0
Weak Immune Ever
0
0
Sjogren Syndrome Ever
0
0
Hashimoto Thyroid Ever
0
0
Ankylosing Spondylitis Ever
0
0
Disease History - Bone & Muscle3
Op Ever
9
9
Rd Ever
0
0
Bones Ever
9
9
Disease History - Skin4
Ps Ever
0
0
Skin Ever
0
0
Eczema Ever
0
0
Rosacea Ever
0
0
Disease History - Kidney & Liver5
Hemo Ever
0
0
Liver Ever
0
0
Acute Fail Ever
0
0
Chronic Fail Ever
0
0
Kidney Stones Ever
0
0
Disease History - Other Conditions7
Ch Ever
0
0
Hm Ever
0
0
Hiv Ever
0
0
Infec Ever
0
0
Other Cond Ever
0
0
Infec Type Other
0
0
Sleep Apnea Ever
0
0
Mental Health - Depression & Anxiety22
Mh Ever
0
0
Dep Ever
0
0
Minor Dep Ever
0
0
Mh 5 Eating Prob
1
1
Anxiety Dis Ever
0
0
Mh 5 Too Restless
0
0
Mh 3 Sleeping Prob
0
0
Mh 4 Feeling Tired
1
1
Mh 6 Easily Annoyed
1
1
Mh 6 Self Conf Prob
1
1
Mh 7 Feeling Afraid
1
1
Mh 8 Impact Anxious
0
0
Mh 8 Slow Fast Prob
1
1
Mh 1 Feeling Nervous
1
1
Mh 1 Little Interest
0
0
Mh 4 Trouble Relaxing
1
1
Mh 7 Concentrate Prob
0
0
Mh 2 Constant Worrying
1
1
Mh 2 Feeling Depressed
0
0
Mh 9 Suicidal Thoughts
0
0
Mh 10 Impact Depressive
0
0
Mh 3 Excessive Worrying
1
1
Mental Health - Other Conditions6
Ocd Ever
0
0
Ptsd Ever
0
0
Eating Dis Ever
0
0
Bipolar Dis Ever
0
0
Schizophrenia Ever
0
0
Addiction Disorder Ever
0
0
Sleep - Duration & Quality12
Sleep Hr
9999
9999
Awake Time
7:10:00
7:10:00
Sleep Time
22:05:24
22:05:24
Bed Partner
3
3
Sleep Behav A
2
2
Sleep Behav B
0
0
Sleep Behav C
1
1
Sleep Behav D
0
0
Sleep Behav E
2
2
Sleep Quality
3
3
Enthusiam Prob
1
1
Fall Asleep Time
9999
9999
Sleep - Trouble & Disturbances11
Trouble A
0
0
Trouble B
2
2
Trouble C
3
3
Trouble D
1
1
Trouble E
1
1
Trouble F
0
0
Trouble G
2
2
Trouble H
2
2
Trouble I
2
2
Trouble J
0
0
Trouble Awake Freq
0
0
Sleep - Medication & Treatment1
Med
0
0
Physical Activity7
Mod Freq
1
1
Mod Time
70
70
Vig Freq
0
0
Walk Freq
5
5
Walk Time
30
30
Sit Time Wkday
210
210
Sit Time Wkend
310
310
Physical Measurements3
Height Ft
5
5
Height In
7
7
Weight Lb
151
151
Smoking & Tobacco2
Ecig 30 Days
0
0
Cig Cur Freq
0
0
Drug Use4
Wrk Freq
0
0
Home Freq
0
0
Mj Use Cur
0
0
Illicit Drugs Cur
0
0