The purpose of the study was to construct a measure of good long-term health based on sickness absenteeism (SA)/sickness presenteeism (SP) and to investigate its relationship to self-rated health and self-reported symptoms. The analyses were performed on data from three Swedish projects with representative samples but with some differences in the subjects’ age and type of employment. The result show clear relationships between the measure of long-term health and self-ratings of health and investigated self-reported symptoms. There are differences in the absolute level of self-rated health in the three datasets, but these may be ascribed to differences in the rating scales and distributions. The most interesting result is that the rank for the three sets of data is the same. Of the two intermediate categories, the group with high sickness presenteeism/low sickness absenteeism seems to have a somewhat more problematic health situation than the group with low sickness presenteeism/high sickness absenteeism.