I. Physical Measures (respondent)

Up to survey overview Start of I. Physical Measures (respondent)   JI803 R elegible for physical measures view item details » INTERVIEWER: R IS ELIGIBLE FOR THESE MEASUREMENTS: ([BREATHING TEST/HAND STRENGTH TEST/WALKING TEST/HEIGHT/WEIGHT]) INTERVIEWER: MARK THE TESTS THAT R IS ELIGIBLE TO COMPLETE ON THE FRONT PAGE OF THE PHYSICAL MEASURES BOOKLET AND SWITCH TO PHYSICAL MEASURES BOOKLET TO ADMINISTER THE TESTS NOW. WHEN YOU HAVE COMPLETED ALL MEASUREMENTS, PRESS 1 TO CONTINUE 1. Continue Blank. Inapplicable   JI802 Physical measures consent form view item details » NOW I AM GOING TO ASK YOU TO DO A FEW SIMPLE ACTIVITIES FOR ME. RESEARCHERS ARE INTERESTED IN HOW PERFORMANCE ON THESE ACTIVITIES RELATES TO SOME OF THE OTHER FACTORS I HAVE ASKED YOU ABOUT IN THE INTERVIEW. I WILL ASK YOU TO DO ______ ACTIVITIES: ______ MY PRIMARY CONCERN IS FOR YOUR SAFETY, SO I WILL ASK YOU IF YOU FEEL IT WOULD BE SAFE FOR YOU TO COMPLETE EACH ACTIVITY. IF YOU HAVE ANY CONCERNS ABOUT THE ACTIVITY, PLEASE LET ME KNOW AND WE WILL SKIP IT. BEFORE WE BEGIN, I'D LIKE TO HAVE YOU READ AND SIGN A FORM EXPLAINING YOUR RIGHTS AS A PARTICIPANT IN THIS PART OF THE STUDY. INTERVIEWER: ENTER LOGGING ID ([SEE BLAISE SPECIFICATIONS FOR RTAB[1].X081_RLOGID ASSIGNMENT]) ON CONSENT FORM. INTERVIEWER: IF R REFUSES TO SIGN THE CONSENT FORM, ENTER CTRL-R. OTHERWISE, ENTER 1 TO CONTINUE. 1. Continue 9. Refused Blank. Inapplicable   JI804 Breathing test at least one trial view item details » BREATHING TEST INTERVIEWER: DID R COMPLETE AT LEAST ONE TRIAL OF THE BREATHING TEST? 1. Yes 5. No Blank. Inapplicable   If Breathing test at least one trial view item details » = 2 »         JI805 Reason not complete breathing test view item details » BREATHING TEST INTERVIEWER: WHY DIDN'T R COMPLETE THE BREATHING TEST? (SELECT ALL THAT APPLY) 1. R felt it would not be safe 2. Iwer felt it would not be safe 3. R refused or was not willing to complete the test 4. R tried but was unable to complete test 5. R did not understand the instructions 6. R had surgery, injury or other health condition that prevented r from taking the test 7. Other (specify) 11. Problem with equipment and/or consent form 98. Don't know; not ascertained 99. Refused Blank. Inapplicable     Else         JI807 Physical measures puff test reading view item details » BREATHING TEST FIRST READING: SECOND READING: THIRD READING: ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT. ENTER 999 IF R CHOSE NOT TO DO IT. 993. R tried but was unable to do it. 998. Don't know; not ascertained 999. Refused       JI808 Physical measures puff test reading- 2 view item details » BREATHING TEST FIRST READING: (PUFF TEST 1) SECOND READING: THIRD READING: ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT. ENTER 999 IF R CHOSE NOT TO DO IT. 993. R tried but was unable to do it. 998. Don't know; not ascertained 999. Refused       JI809 Physical measures puff test reading- 3 view item details » BREATHING TEST FIRST READING: (PUFF TEST 1) SECOND READING: (PUFF TEST 2) THIRD READING: ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT. ENTER 999 IF R CHOSE NOT TO DO IT. 993. R tried but was unable to do it. 998. Don't know; not ascertained 999. Refused       JI810 Breathing test effort view item details » BREATHING TEST INTERVIEWER: HOW MUCH EFFORT DID THE R GIVE TO THIS TEST? 1. R gave full effort 2. Full effort prevented by illness, pain, or other symptoms or discomforts 3. Full effort not given, but no obvious reason for this 8. Don't know; not ascertained 9. Refused Blank. Inapplicable       JI811 R position for breathing test view item details » BREATHING TEST INTERVIEWER: WHAT WAS THE R'S POSITION FOR THIS TEST? 1. Standing 2. Sitting 3. Lying down 8. Don't know; not ascertained 9. Refused Blank. Inapplicable     JI812 Hand strength at least one trial view item details » HAND STRENGTH TEST INTERVIEWER: DID R COMPLETE AT LEAST ONE TRIAL OF THE HAND STRENGTH TEST? 1. Yes 5. No Blank. Inapplicable   If Hand strength at least one trial view item details » = 2 »         JI813 Reason hand strength test not complete view item details » HAND STRENGTH TEST INTERVIEWER: WHY DIDN'T R COMPLETE THE HAND STRENGTH TEST? (SELECT ALL THAT APPLY) 1. R felt it would not be safe 2. Iwer felt it would not be safe 3. R refused or was not willing to complete the test 4. R tried but was unable to complete test 5. R did not understand the instructions 6. R had surgery, injury, swelling, etc. on both hands in past 6 months 7. Other (specify) 11. Problem with equipment and/or consent form 98. Don't know; not ascertained 99. Refused Blank. Inapplicable     Else         JI815 Hand strength dominant hand view item details » HAND STRENGTH TEST INTERVIEWER: RECORD R'S DOMINANT HAND. 1. Right hand 2. Left hand 3. Both hands equally dominant Blank. Inapplicable       JI816 First left hand measurement view item details » HAND STRENGTH TEST INTERVIEWER: LEFT HAND, FIRST MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: RIGHT HAND, FIRST MEASUREMENT: LEFT HAND, SECOND MEASUREMENT: RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT 99993. R was unable to perform this measurement 99998. Don't know; not ascertained 99999. R chose not to do it       JI851 Right hand first measurement view item details » HAND STRENGTH TEST INTERVIEWER: RIGHT HAND, FIRST MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: (LEFT FIRST) RIGHT HAND, FIRST MEASUREMENT: LEFT HAND, SECOND MEASUREMENT: RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT 99993. R was unable to perform this measurement 99998. Don't know; not ascertained 99999. R chose not to do it       JI852 Left hand second measurement view item details » HAND STRENGTH TEST INTERVIEWER: LEFT HAND, SECOND MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: (LEFT FIRST) RIGHT HAND, FIRST MEASUREMENT: (RIGHT FIRST) LEFT HAND, SECOND MEASUREMENT: RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT 99993. R was unable to perform this measurement 99998. Don't know; not ascertained 99999. R chose not to do it       JI853 Right hand second measurement view item details » HAND STRENGTH TEST INTERVIEWER: RIGHT HAND, SECOND MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: (LEFT FIRST) RIGHT HAND, FIRST MEASUREMENT: (RIGHT FIRST) LEFT HAND, SECOND MEASUREMENT: (LEFT SECOND) RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT 99993. R was unable to perform this measurement 99998. Don't know; not ascertained 99999. R chose not to do it       JI817 R effort hand strength test view item details » HAND STRENGTH TEST INTERVIEWER: HOW MUCH EFFORT DID THE R GIVE TO THIS TEST? 1. R gave full effort 2. Full effort prevented by illness, pain, or other symptoms or discomforts 3. Full effort not given, but no obvious reason for this 9. Refused Blank. Inapplicable       JI818 R position hand strength test view item details » HAND STRENGTH TEST INTERVIEWER: WHAT WAS THE R'S POSITION FOR THIS TEST? 1. Standing 2. Sitting 3. Lying down 9. Refused Blank. Inapplicable       JI819 Rest arm during hand strength test view item details » HAND STRENGTH TEST INTERVIEWER: DID THE R REST THEIR ARM ON A SUPPORT WHILE PERFORMING THIS TEST? 1. Yes 5. No 9. Refused Blank. Inapplicable     JI820 Walking test complete at least one trial view item details » WALKING TEST INTERVIEWER: DID R COMPLETE AT LEAST ONE TRIAL OF THE WALKING TEST? 1. Yes 5. No Blank. Inapplicable   If Walking test complete at least one trial view item details » = 2 »         JI821 Reason not complete walking test view item details » WALKING TEST INTERVIEWER: WHY DIDN'T R COMPLETE THE WALKING TEST? (SELECT ALL THAT APPLY) 1. R felt it would not be safe 2. Iwer felt it would not be safe 3. R refused or was not willing to complete the test 4. R tried but was unable to complete test 5. R did not understand the instructions 6. R had surgery, injury, or other health condition that prevented r from walking 7. No suitable space available 11. Problem with equipment and/or consent form 97. Other (specify) 98. Don't know; not ascertained 99. Refused Blank. Inapplicable     Else         JI823 Walking test first trial time view item details » WALKING TEST INTERVIEWER: RECORD TIME IN SECONDS TO TWO DECIMAL PLACES FIRST TRIAL: SECOND TRIAL: ENTER 99993 IF R WAS UNABLE TO DO IT ENTER 99999 IF R CHOSE NOT TO DO IT 999993. R was unable to do it 999998. Don't know; not ascertained 999999. R chose not to do it       JI824 Walking test second trial time view item details » WALKING TEST INTERVIEWER: RECORD TIME IN SECONDS TO TWO DECIMAL PLACES FIRST TRIAL: (T WALK 1ST TRIAL TIME) SECOND TRIAL: ENTER 99993 IF R WAS UNABLE TO DO IT ENTER 99999 IF R CHOSE NOT TO DO IT 999993. R was unable to do it 999998. Don't know; not ascertained 999999. R chose not to do it       JI825 Walking test- type of floor surface view item details » WALKING TEST INTERVIEWER: RECORD TYPE OF FLOOR SURFACE 1. Linoleum/tile/wood 2. Low-pile carpet 3. High-pile carpet 4. Concrete 5. Not sure 7. Other (specify) 8. Don't know; not ascertained 9. Refused Blank. Inapplicable       JI828 Walking test- type of aid used view item details » WALKING TEST INTERVIEWER: RECORD TYPE OF AID USED 1. None 2. Walking stick or cane 3. Elbow crutches 4. Walking frame 7. Other (specify) 8. Don't know; not ascertained 9. Refused Blank. Inapplicable       JI830 Walking test- r effort view item details » WALKING TEST INTERVIEWER: HOW MUCH EFFORT DID THE R GIVE TO THIS TEST? 1. R gave full effort 2. Full effort prevented by illness, pain, or other symptoms or discomforts 3. Full effort not given, but no obvious reason for this 8. Don't know; not ascertained 9. Refused Blank. Inapplicable     JI831 R height view item details » HEIGHT INTERVIEWER: WERE YOU ABLE TO MEASURE R'S HEIGHT? 1. Yes 5. No Blank. Inapplicable   If R height view item details » = 2 »         JI832 Measure height- not complete view item details » HEIGHT INTERVIEWER: WHY WEREN'T YOU ABLE TO MEASURE R'S HEIGHT? (SELECT ALL THAT APPLY) 1. R felt it would not be safe 2. Iw felt it would not be safe 3. R refused or was not willing to complete the measurement 4. R tried but was unable to complete the measurement 5. R did not understand the instructions 6. Respondent too tall, interviewer could not reach 7. No suitable space available 11. Problem with equipment and/or consent form 12. R not in sample for this test 97. Other (specify) 98. Don't know; not ascertained 99. Refused Blank. Inapplicable     Else         JI834 Height measurement view item details » HEIGHT INTERVIEWER: ENTER RESPONDENT'S HEIGHT IN INCHES. ROUND TO THE NEAREST QUARTER INCH.       JI835 Height measurment- floor surface view item details » HEIGHT INTERVIEWER: RECORD TYPE OF FLOOR SURFACE 1. Linoleum/tile/wood 2. Low-pile carpet 3. High-pile carpet 4. Concrete 5. Not sure 7. Other (specify) 8. Don't know; not ascertained 9. Refused Blank. Inapplicable       JI837 Height measurement- r wearing shoes view item details » HEIGHT INTERVIEWER: WAS R WEARING SHOES DURING MEASUREMENT? 1. Yes 5. No 8. Don't know; not ascertained 9. Refused Blank. Inapplicable     JI838 Able to measure weight view item details » WEIGHT INTERVIEWER: WERE YOU ABLE TO MEASURE R'S WEIGHT? 1. Yes 5. No Blank. Inapplicable   If Able to measure weight view item details » = 2 »         JI839 Reason not complete weight measurement view item details » WEIGHT INTERVIEWER: WHY WEREN'T YOU ABLE TO MEASURE R'S WEIGHT? (SELECT ALL THAT APPLY) 1. R felt it would not be safe 2. Iw felt it would not be safe 3. R refused or was not willing to complete the measurement 4. R tried but was unable to complete the measurement 5. R did not understand the instructions 6. Respondent was too heavy; did not attempt 7. No suitable space available 8. Scale did not work 11. Problem with equipment and/or consent form 12. R not in sample for this test 97. Other (specify) 98. Don't know; not ascertained 99. Refused Blank. Inapplicable     Else         JI841 R weight- pounds view item details » WEIGHT INTERVIEWER: ENTER RESPONDENT'S WEIGHT IN POUNDS AS RECORDED ON SCALE (TO THE NEAREST 1/2 POUND).       JI842 Weight- floor surface view item details » WEIGHT INTERVIEWER: RECORD TYPE OF FLOOR SURFACE 1. Linoleum/tile/wood 2. Low-pile carpet 3. High-pile carpet 4. Concrete 5. Not sure 7. Other (specify) Blank. Inapplicable       JI844 Weight- wearing shoes view item details » WEIGHT INTERVIEWER: WAS R WEARING SHOES DURING MEASUREMENT? 1. Yes 5. No Blank. Inapplicable     End of I. Physical Measures (respondent)

Start of I. Physical Measures (respondent)