Interview Documentation

October 20, 1998

V.9
BP Interview
PROMPT SCREEN: Think about the time when the BP reading occurred
-At time of BPHow feeling? Alert?
NO 1 2 3 4 5 6 7 8 9 10 11
YES
-At time of BPHow feeling? Tired?
NO 1 2 3 4 5 6 7 8 9
10 11 YES
-At time of BPHow feeling? Energetic?
NO 1 2 3 4 5 6 7 8 9 10 11
YES
-At time of BPHow feeling? Happy?
NO 1 2 3 4 5 6 7 8 9
10 11 YES
-At time of BPHow feeling? Sad?
NO 1 2 3 4 5 6 7 8 9 10 11
YES
-At time of BPHow feeling? Frustrated/Angry?
NO 1 2 3 4 5 6 7 8 9 10
11 YES
-At time of BPHow feeling? Nervous/Stressed?
NO 1 2 3 4 5 6 7 8 9 10
11 YES
-At time of BPOther
-At time of BPLying down
-At time of BPtoo hot
-At time of BP-

Your location?
Your posture?

On your feet, Sitting,

Temperature comfort?

Comfortable, Too cold,

Talking during BP reading?

PROMPT SCREEN: Think about

-Activity Last 10 MinutesYES
-Activity Last 10 Minutes8 9 10 11 YES
-Activity Last 10 Minutes11 YES
-Activity Last 10 Minutes9 10 11 YES
-Activity Last 10 Minutes9 10 11 YES
-Activity Last 10 Minutes(Walk),
-Last 10 Minutes 11 YES
-Last 10 Minutes YES
-Last 10 Minutes YES

Home, Work, Vehicle, Outside,

No, Yes

mental and physical activity in past 10 minutes

Required working hard?
NO 1 2 3 4 5 6 7 8 9 10 11
Required working fast?

NO 1 2 3 4 5 6 7

Juggled several tasks at once?

NO 1 2 3 4 5 6 7 8 9 10

Could change activity if you chose to?

Choice in scheduling this activity?
Describe physical movement

Able to control important things?

NO 1 2 3 4 5 6 7 8
NO 1 2 3 4 5 6 7 8
Limited (Write), Light

Moderate (Jog), Heavy (Run)

NO 1 2 3 4 5 6 7 8 9 10

Difficulties seem to be piling up?

NO 1 2 3 4 5 6 7 8 9 10 11

Thought about things that upset you?

NO 1 2 3 4 5 6 7 8 9 10 11

-At time of BPCurrently in a social interaction?

No, Yes
(If Yes, skip to Think about this most recent interaction prompt.)
-Most Recent InteractionBP, 11-45 minutes,

When was your most recent

Social Interaction?

before BP

/var/www/apps/conversion/tmp/scratch_7/342359208.doc

0-10 minutes before

Before BP, 45+ minutes

2
PROMPT SCREEN: Think about this most recent interaction
-Most Recent InteractionLength of interaction
mins., 10-20 mins.,
-Most Recent InteractionTelephone, E-mail
-Most Recent Interactionothers, 4 or more
-Most Recent Interactionfamily or

Type of interaction

Less than 1 min., 1-10

20-45 mins., 45+mins.
In person,

With how many people?

1 other, 2 others, 3

Interacting with whom?

Spouse/Partner, Other

relative(s), other friend(s),

coworker(s), other
(If just Spouse/Partner, then skip to Pleasant interaction? question. If any other
response
is chosen, with or without Spouse/Partner, then NEXT.)
-Most Recent Interaction-Most Recent Interaction9 10 11 YES
-Most Recent InteractionYES
-Most Recent InteractionYES
-Most Recent InteractionYES
-During Recent InteractionYES
-During Recent InteractionYES
-During Recent Interaction-During Recent Interaction9 10 11 YES
-During Recent InteractionYES
-During Recent Interaction9 10 11 YES
-During Recent Interaction-During Recent Interaction-During Recent Interaction10 11 YES
-During Recent Interaction8 9 10 11 YES
-During Recent Interaction-During Recent Interaction8 9 10 11 YES

Interacting with a confidant?

No, Yes

Pleasant interaction?

NO 1 2 3 4 5 6 7 8

Agreeable interaction?

NO 1 2 3 4 5 6 7 8 9 10 11

Friendly interaction?

NO 1 2 3 4 5 6 7 8 9 10 11

Intimate/open interaction?

NO 1 2 3 4 5 6 7 8 9 10 11

Feeling close to person?

NO 1 2 3 4 5 6 7 8 9 10 11

Did you discuss personal feelings?

NO 1 2 3 4 5 6 7 8 9 10 11

Someone offered you helpful

information?
NO 1 2 3 4 5 6 7 8 9 10 11 YES
Someone did you a favor?
NO 1 2 3 4 5 6 7 8
Someone helped you with
an errand/task?

NO 1 2 3 4 5 6 7 8 9 10 11

Someone expressed confidence in you?

NO 1 2 3 4 5 6 7 8

Someone expressed care/concern

for you?
NO 1 2 3 4 5 6 7 8 9 10 11 YES
Someone gave you positive
feedback?
NO 1 2 3 4 5 6 7 8 9 10 11 YES
You tried to be helpful to someone?
NO 1 2 3 4 5 6 7 8 9
Someone treated you badly?

NO 1 2 3 4 5 6 7

Someone interfered with

your efforts?
NO 1 2 3 4 5 6 7 8 9 10 11 YES
Someone in conflict with you?
NO 1 2 3 4 5 6 7

PROMPT SCREEN: Think about time since last BP interview

-Since last BP interviewAny food, drink, or drug?
(If YES selected, then NEXT. If NO selected, then END.)
-Since last BP interviewType(s) of consumption?
Caffeine, Drug

No, Yes
Meal, Snack, Alcohol,

END OF BP INTERVIEW.