| LP119624-7 | View of myself in past 7 days | COMPONENT | 1 |
| LP119625-4 | Thoughts of death or suicide in past 7 days | COMPONENT | 1 |
| LP119626-2 | General interest in past 7 days | COMPONENT | 1 |
| LP119627-0 | Energy level in past 7 days | COMPONENT | 1 |
| LP119628-8 | Feeling slowed down in past 7 days | COMPONENT | 1 |
| LP119629-6 | Feeling restless in past 7 days | COMPONENT | 1 |
| LP119630-4 | Have you felt fat | COMPONENT | 1 |
| LP119631-2 | Have you had a definite fear that you might gain weight or become fat | COMPONENT | 1 |
| LP119632-0 | Has your weight influenced how you think about or judge yourself as a person | COMPONENT | 1 |
| LP119633-8 | Has your shape influenced how you think about or judge yourself as a person | COMPONENT | 1 |
| LP119634-6 | During the past 6 months have there been times when you felt you have eaten what other people would regard as an unusually large amount of food - a quart of ice cream - given the circumstances | COMPONENT | 1 |
| LP119635-3 | During the times when you ate an unusually large amount of food, did you experience a loss of control - feel you couldn't stop eating or control what or how much you were eating | COMPONENT | 1 |
| LP119636-1 | How many days per week on average over the past 6 months have you eaten an unusually large amount of food and experienced a loss of control | COMPONENT | 1 |
| LP119637-9 | How many times per week on average over the past 3 months have you eaten an unusually large amount of food and experienced a loss of control | COMPONENT | 1 |
| LP119638-7 | How long have you had any of these fears | COMPONENT | 1 |
| LP119639-5 | Are you limited in the kinds of things you can do because of your vision | COMPONENT | 1 |
| LP119640-3 | Do you have more help from others because of your vision | COMPONENT | 1 |
| LP119641-1 | Corneal vertex distance measured by retinomax | COMPONENT | 1 |
| LP119642-9 | What is the longest period of time that this kind of worrying has ever continued | COMPONENT | 1 |
| LP119643-7 | During that period, was your worry stronger than in other people | COMPONENT | 1 |
| LP119644-5 | Did you worry most days | COMPONENT | 1 |
| LP119645-2 | Did you usually worry about one particular thing, such as your job security or the failing health of a loved one, or more than one thing | COMPONENT | 1 |
| LP119646-0 | Did you find it difficult to stop worrying | COMPONENT | 1 |
| LP119647-8 | Did you ever have different worries on your mind at the same time | COMPONENT | 1 |
| LP119648-6 | How often was your worry so strong that you couldn't put it out of your mind no matter how hard you tried | COMPONENT | 1 |
| LP119649-4 | How often did you find it difficult to control your worry | COMPONENT | 1 |
| LP119650-2 | Did you take medication or use drugs or alcohol more than once for the worry or the problems it was causing | COMPONENT | 1 |
| LP119651-0 | How much did the worry or anxiety interfere with your life or activities | COMPONENT | 1 |
| LP119652-8 | How often do you get upset when you are in that situation | COMPONENT | 1 |
| LP119653-6 | How many Mos have you had any of these fears | COMPONENT | 1 |
| LP119654-4 | How much have any of these fears ever interfered with your life or activities | COMPONENT | 1 |
| LP119655-1 | Have you ever been very upset with yourself for having any of these fears | COMPONENT | 1 |
| LP119656-9 | Do you or your child have any of the following diseases | COMPONENT | 1 |
| LP119657-7 | Relation with diabetes-related problem | COMPONENT | 1 |
| LP119658-5 | Problem related to diabetes | COMPONENT | 2 |
| LP119659-3 | Do you normally work or attend school during the day and sleep at night | COMPONENT | 1 |
| LP119660-1 | What is your normal work or school and sleep schedule | COMPONENT | 1 |
| LP119661-9 | If your normal work or school and sleep schedule is other, describe | COMPONENT | 1 |
| LP119662-7 | What shift schedule do you most often work | COMPONENT | 1 |
| LP119663-5 | At what time do you usually go to bed | COMPONENT | 1 |
| LP119664-3 | About how many months does it usually take for you to fall asleep | COMPONENT | 1 |
| LP119665-0 | At what time do you usually wake up | COMPONENT | 1 |
| LP119666-8 | How many hours and minutes does it take for you to become fully awake from regular sleep, after first opening your eyes in the morning | COMPONENT | 1 |
| LP119667-6 | Do you use an alarm clock to wake up in the morning | COMPONENT | 1 |
| LP119668-4 | Do you have great difficulty waking up in the morning | COMPONENT | 1 |
| LP119669-2 | Do you often have so much trouble waking up that an alarm clock won't wake you and you have to use other methods to wake up | COMPONENT | 1 |
| LP119670-0 | Describe other methods used to wake up | COMPONENT | 1 |
| LP119671-8 | When you wake up in the morning or from a nap, do you feel out of it and confused | COMPONENT | 1 |
| LP119672-6 | How many hours and minutes does it take for you to fully awaken from a nap | COMPONENT | 1 |
| LP119673-4 | How much sleep do you usually get on a typical night | COMPONENT | 1 |