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The National CDSMP Study Questionnaire is designed to collect important health information from users. This guide will provide you with clear, step-by-step instructions to help you complete the questionnaire accurately and effectively.

Follow the steps to fill out the National CDSMP Study Questionnaire with ease.

1. Press the ‘Get Form’ button to access the National CDSMP Study Questionnaire PDF and open it in your preferred PDF editor.
2. Begin by filling out your personal information, including your name, address, telephone number, date of birth, sex, email, and WSID. Ensure that all information is current and accurately reflects your details.
3. In the 'Background' section, check all applicable chronic conditions you may have. If none apply, select 'None.' Provide additional details as required, particularly for conditions like heart disease or cancer.
4. Indicate your marital status by selecting 'Yes' or 'No' for whether you are currently married or living as married.
5. Answer demographic questions by indicating whether you are Hispanic/Latino and selecting your race from the provided options.
6. Complete the education section by circling the highest year of school you have completed.
7. In the health insurance section, check all types of health insurance that you currently possess or indicate if you have none.
8. Rate your general health and quality of life by circling the number that best describes your perceptions in the past week.
9. Complete the daily activities questions by circling the number that accurately reflects how your health has interfered with various activities.
10. Fill in your physical activity details by circling the total time you spent exercising in the past week for various types of activities.
11. Respond to the symptoms section by circling the appropriate numbers that depict your experience with fatigue, pain, shortness of breath, stress, and sleep problems in the past week.
12. Complete the recent health section by indicating how many days your physical and mental health were not good in the past month.
13. In the physical activities section, indicate whether you participated in physical activities other than your regular job and provide additional details as requested.
14. Answer the medication questions honestly, circling 'Yes' or 'No' where applicable.
15. For the feelings section, circle the responses that best reflect your emotional state in the past week.
16. Rate your medical care experiences and indicate how often you prepared for doctor visits or discussed health concerns.
17. Finally, indicate your preferred method for receiving future questionnaires and provide any required additional information. After completing, you may save changes, download, or print the document.

Complete your National CDSMP Study Questionnaire online to help enhance chronic disease management.