PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| During the past 6 months, were there other events that caused disruption in your life that were not included in the above list? | leosr_past6mo | N | yesno | - | - | - | |
| 39. Other event: | leosr_otherevent2 | Y | text | - | - | - | |
| 38. Other event: | leosr_otherevent1 | Y | text | - | - | - | |
| Notes | leosr_notes | Y | notes | - | - | - | |
| Level of Disruption_x000D_ 9. Separate or divorce from your partner. | leosr_9_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 9. Separate or divorce from your partner. 10. Spouse/partner died. | leosr_9 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 8. Relations with spouse/partner changed for the worse. | leosr_8_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 8. Relations with spouse/partner changed for the worse. | leosr_8 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 7. Started a love affair. | leosr_7_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 7. Started a love affair. | leosr_7 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 6. Engaged or married. | leosr_6_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 6. Engaged or married. | leosr_6 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 5. Retirement. | leosr_5_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 5. Retirement. | leosr_5 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 4. Laid off, fired, quit, or extended leave. | leosr_4_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| Level of Disruption_x000D_ 40. Other event | leosr_40_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 4. Laid off, fired, quit, or extended leave. | leosr_4 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 3. Demoted at work, or suffered a loss in business. | leosr_3_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| Level of Disruption_x000D_ 39. Other event | leosr_39_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| Level of Disruption_x000D_ 38. Other event | leosr_38_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| Level of Disruption_x000D_ 37. Recently assumed care-giving duties for relative, spouse/ partner, or friend. | leosr_37_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 37. Recently assumed care-giving duties for relative, spouse/ partner, or friend. | leosr_37 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 36. Serious illness started or got worse in close friend. | leosr_36_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 36. Serious illness started or got worse in close friend. | leosr_36 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 35. Serious illness started or got worse in family member other than spouse/partner or child. | leosr_35_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 35. Serious illness started or got worse in family member other than spouse/partner or child. | leosr_35 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 34. Serious illness started or got worse in child. | leosr_34_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 34. Serious illness started or got worse in child. | leosr_34 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 33. Serious illness started or got worse in spouse/partner. | leosr_33_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 33. Serious illness started or got worse in spouse/partner. | leosr_33 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 32. Close friend died. | leosr_32_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 32. Close friend died. | leosr_32 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 31. Broke up with a friend. | leosr_31_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 31. Broke up with a friend. | leosr_31 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 30. Serious mental or emotional illness started or got worse. | leosr_30_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 30. Serious mental or emotional illness started or got worse. | leosr_30 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| 3. Demoted at work, or suffered a loss in business. | leosr_3 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 2. Had trouble with a boss. | leosr_2_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| Level of Disruption_x000D_ 29. Serious physical illness or injury started or got worse. | leosr_29_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 29. Serious physical illness or injury started or got worse. | leosr_29 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 28. Suffered a financial loss or loss of property. | leosr_28_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 28. Suffered a financial loss or loss of property. | leosr_28 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 27. Took out a major loan. | leosr_27_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 27. Took out a major loan. | leosr_27 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 26. Convicted or found guilty of a crime. | leosr_26_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 26. Convicted or found guilty of a crime. | leosr_26 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 25. Arrested. | leosr_25_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 25. Arrested. | leosr_25 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 24. Involved in a lawsuit. | leosr_24_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 24. Involved in a lawsuit. | leosr_24 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 23. Robbed or burglarized. | leosr_23_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 23. Robbed or burglarized. | leosr_23 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 22. Physically assaulted or attacked. | leosr_22_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 22. Physically assaulted or attacked. | leosr_22 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 21. Unable to enter or stay in school. | leosr_21_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 21. Unable to enter or stay in school. | leosr_21 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 20. Started or completed school. | leosr_20_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 20. Started or completed school. | leosr_20 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| 2. Had trouble with a boss. | leosr_2 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 1. Started a new job or change in job. | leosr_1_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| Level of Disruption_x000D_ 19. Family member other than spouse or child died. | leosr_19_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 19. Family member other than spouse or child died. | leosr_19 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 18. Moved to a different residence or neighborhood. | leosr_18_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 18. Moved to a different residence or neighborhood. | leosr_18 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 17. New person moved in or out of your household. | leosr_17_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 17. New person moved in or out of your household. | leosr_17 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 16. Child died. | leosr_16_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 16. Child died. | leosr_16 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 15. Miscarriage or still birth. | leosr_15_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 15. Miscarriage or still birth. | leosr_15 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 14. Abortion | leosr_14_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 14. Abortion | leosr_14 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 13. Birth of a child, or adopted a child | leosr_13_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 13. Birth of a child, or adopted a child | leosr_13 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 12. Recently became pregnant. | leosr_12_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 12. Recently became pregnant. | leosr_12 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 11. Relations with spouse/partner changed for the better. | leosr_11_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 11. Relations with spouse/partner changed for the better. | leosr_11 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| Level of Disruption_x000D_ 10. Spouse/partner died. | leosr_10_disruption | N | radio | 0, 0 None | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | - | - | |
| 10. Spouse/partner died. | leosr_10 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | - | |
| 1. Started a new job, or change in job. | leosr_1 | N | checkbox | 1, Check if event occurred | 2, If event occurred: Was it desirable? Check if yes | - | INSTRUCTIONS: The following items depict experiences that can happen to people at some time in their lives. I would like you to indicate if any of the events listed below happened to you or someone important to you in the LAST SIX MONTHS. _x000D_ _x000D_ If any event happened to you or someone important to you, use the following scoring system to rate whether the event was desirable or undesirable, and what disruptive changes occurred in YOUR LIFE as a result of each event._x000D_ _x000D_ 0 = The event occurred but caused no disruption in my daily living. _x000D_ For example, you were laid off from your job but you have no major financial concerns and enjoy staying home. OR, you became engaged. This was planned and has not led to any changes in your daily activity. _x000D_ _x000D_ 1 = The event occurred and caused mild change in daily living for at least 3 days._x000D_ For example, your partner had a serious operation and is recovering at home before returning to work. You have lost some sleep because you are doing extra work at home plus skipping lunch in order to go home early to help your partner. OR, you opened a new business that you always wanted. It is doing well but you have lost sleep and skipped meals._x000D_ _x000D_ 2 = The event occurred and caused moderate change in daily living for at least 3 days._x000D_ For example, your partner left, you are struggling financially and having trouble taking care of the children. OR, you have a new child as planned, but you have underestimated the cost and are struggling financially. _x000D_ _x000D_ 3 = The event occurred and caused severe change in daily living for at least 3 days._x000D_ For example, you lost your job and, as a result, you lost your apartment. You are now staying with family. Living arrangements are overcrowded with much arguing and less food for everyone. OR, you have a job promotion overseas, but you must sell your home and possessions and leave your extended family._x000D_ _x000D_ In the first column, check the box to indicate whether each of the following events occurred._x000D_ <i>If the event occurred,</i> check the box in the second column to indicate whether the event was desirable._x000D_ | |
| 40. Other event_x000D_ (LEOS old version) | leos_otherevent3 | Y | text | - | - | - |