PH. Physical & Cognitive Health

PH. Physical & Cognitive Health module of TILDA 2010

Start of PH. Physical & Cognitive Health
 
PH003

Some people suffer from chronic or long-term health problems. By long-term we mean it has troubled you over a period of time or is likely to affect you over a period of time. Do you have any long-term health problems, illness, disability or infirmity? NOTE: INCLUDING MENTAL HEALTH PROBLEMS

SOME PEOPLE SUFFER FROM CHRONIC OR LONG-TERM HEALTH PROBLEMS. BY LONG-TERM WE MEAN IT HAS TROUBLED YOU OVER A PERIOD OF TIME OR IS LIKELY TO AFFECT YOU OVER A PERIOD OF TIME. DO YOU HAVE ANY LONG-TERM HEALTH PROBLEMS, ILLNESS, DISABILITY OR INFIRMITY? NOTE: INCLUDING MENTAL HEALTH PROBLEMS
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If Some people suffer from chronic or long-term health problems. By long-term we mean it has troubled you over a period of time or is likely to affect you over a period of time. Do you have any long-term health problems, illness, disability or infirmity? NOTE: INCLUDING MENTAL HEALTH PROBLEMS != 1. Yes »
 
   
 
PH004

Does this illness or disability limit your activities in any way?

DOES THIS ILLNESS OR DISABILITY LIMIT YOUR ACTIVITIES IN ANY WAY?
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If Does this illness or disability limit your activities in any way? != 1. Yes »
 
     
   
PH005

IWER: CODE THE ONE THAT APPLIES For the past six months or more, to what extent have you been limited because of a health problem in activities people usually do? IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

FOR THE PAST SIX MONTHS OR MORE, TO WHAT EXTENT HAVE YOU BEEN LIMITED BECAUSE OF A HEALTH PROBLEM IN ACTIVITIES PEOPLE USUALLY DO?

IWER: READ OUT
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PH006

Do you have any health problem or disability that limits the kind or amount of paid work you could do, should you want to?

DO YOU HAVE ANY HEALTH PROBLEM OR DISABILITY THAT LIMITS THE KIND OR AMOUNT OF PAID WORK YOU COULD DO, SHOULD YOU WANT TO?
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If Do you have any health problem or disability that limits the kind or amount of paid work you could do, should you want to? != 1. Yes »
 
   
 
PH007

Is this a health problem or disability that you expect to last less than three months?

IS THIS A HEALTH PROBLEM OR DISABILITY THAT YOU EXPECT TO LAST LESS THAN THREE MONTHS?
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PH008

In the past year have you lost 10 pounds (4.5 kg) or more in weight when you weren't trying to, for example, because of illness?

IN THE PAST YEAR HAVE YOU LOST 10 POUNDS (4.5 KG) OR MORE IN WEIGHT WHEN YOU WEREN'T TRYING TO, FOR EXAMPLE, BECAUSE OF ILLNESS?
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PH009

IWER: CODE THE ONE THAT APPLIES In general, compared to other people your age, would you say your health is ...... IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

IN GENERAL, COMPARED TO OTHER PEOPLE YOUR AGE, WOULD YOU SAY YOUR HEALTH IS ......

IWER: READ OUT
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PH101

Do you usually wear glasses or contact lenses?

DO YOU USUALLY WEAR GLASSES OR CONTACT LENSES?
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If Do you usually wear glasses or contact lenses? = 1. Yes »
 
   
 
PH101A

Do you usually wear ordinary glasses, bifocals or contact lenses? CHOOSE THE ITEM WORN MOST OFTEN

DO YOU USUALLY WEAR ORDINARY GLASSES, BIFOCALS OR CONTACT LENSES? CHOOSE THE ITEM WORN MOST OFTEN
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If Do you usually wear ordinary glasses, bifocals or contact lenses? CHOOSE THE ITEM WORN MOST OFTEN = 1. Glasses »
 
     
   
PH101B

How long have you had bifocals?

HOW LONG HAVE YOU HAD BIFOCALS?
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PH102

IWER: CODE THE ONE THAT APPLIES Is your eyesight (using glasses or contact lens if you use them)... IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

IS YOUR EYESIGHT (USING GLASSES OR CONTACT LENS IF YOU USE THEM)...

IWER: READ OUT
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PH103

IWER: CODE THE ONE THAT APPLIES How good is your eyesight for seeing things at a distance, like recognising a friend across the street (using glasses or contact lens if you use them)? Would you say it is.. IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS AT A DISTANCE, LIKE RECOGNISING A FRIEND ACROSS THE STREET (USING GLASSES OR CONTACT LENS IF YOU USE THEM)? WOULD YOU SAY IT IS..

IWER: READ OUT
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PH104

IWER: CODE THE ONE THAT APPLIES How good is your eyesight for seeing things up close, like reading ordinary newspaper print (using glasses or contact lens if you use them)? Would you say it is... Interviewer read out IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS UP CLOSE, LIKE READING ORDINARY NEWSPAPER PRINT (USING GLASSES OR CONTACT LENS IF YOU USE THEM)? WOULD YOU SAY IT IS... INTERVIEWER READ OUT

IWER: READ OUT
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PH105

IWER: CODE ALL THAT APPLY Has a doctor ever told you that you have any of the following eye diseases? IWER: READ OUT

IWER: CODE ALL THAT APPLY

HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ANY OF THE FOLLOWING EYE DISEASES?

IWER: READ OUT
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If IWER: CODE ALL THAT APPLY Has a doctor ever told you that you have any of the following eye diseases? IWER: READ OUT = 1. Cataracts »
 
   
 
PH106

Have you had cataract surgery?

HAVE YOU HAD CATARACT SURGERY?
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PH107

IWER: CODE ALL THAT APPLY Do you use any of the following aids or appliances to help you with your hearing? IWER: READ OUT

IWER: CODE ALL THAT APPLY

DO YOU USE ANY OF THE FOLLOWING AIDS OR APPLIANCES TO HELP YOU WITH YOUR HEARING?

IWER: READ OUT
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PH108

IWER: CODE THE ONE THAT APPLIES Is your hearing (with or without a hearing aid)........ IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

IS YOUR HEARING (WITH OR WITHOUT A HEARING AID)........

IWER: READ OUT
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PH109

IWER: CODE THE ONE THAT APPLIES Can you follow a conversation with one person (with or without a hearing aid)? IWER: READ OUT IWER: IF RESPONDENT ASKS, CLARIFY THAT THE ENVIRONMENT TO THINK OF SHOULD BE NON-NOISY, I.E. THEIR HOME

IWER: CODE THE ONE THAT APPLIES

CAN YOU FOLLOW A CONVERSATION WITH ONE PERSON (WITH OR WITHOUT A HEARING AID)?

IWER: READ OUT

IWER: IF RESPONDENT ASKS, CLARIFY THAT THE ENVIRONMENT TO THINK OF SHOULD BE NON-NOISY, I.E. THEIR HOME
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PH110

IWER: CODE THE ONE THAT APPLIES Can you follow a conversation with four people (with or without a hearing aid)? IWER: READ OUT IWER: IF RESPONDENT ASKS, CLARIFY THAT THE ENVIRONMENT TO THINK OF SHOULD BE NON-NOISY, I.E. THEIR HOME

IWER: CODE THE ONE THAT APPLIES

CAN YOU FOLLOW A CONVERSATION WITH FOUR PEOPLE (WITH OR WITHOUT A HEARING AID)?

IWER: READ OUT

IWER: IF RESPONDENT ASKS, CLARIFY THAT THE ENVIRONMENT TO THINK OF SHOULD BE NON-NOISY, I.E. THEIR HOME
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PH111

IWER: CODE THE ONE THAT APPLIES Can you use a normal telephone? IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

CAN YOU USE A NORMAL TELEPHONE?

IWER: READ OUT
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PH112

IWER: CODE THE ONE THAT APPLIES Is your sense of smell........ IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

IS YOUR SENSE OF SMELL........

IWER: READ OUT
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PH113

IWER: CODE THE ONE THAT APPLIES Is your sense of taste........ IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

IS YOUR SENSE OF TASTE........

IWER: READ OUT
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PH114

IWER: CODE THE ONE THAT APPLIES How would you rate your day-to-day memory at the present time? Would you say it is? IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

HOW WOULD YOU RATE YOUR DAY-TO-DAY MEMORY AT THE PRESENT TIME? WOULD YOU SAY IT IS?

IWER: READ OUT
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PH115

IWER: CODE THE ONE THAT APPLIES How often would you find that you are absent minded, for example forgetting where you put your glasses / keys or finding yourself in a room having forgotten why you came in there? Would you say that you are absent minded in this sort of way? IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

HOW OFTEN WOULD YOU FIND THAT YOU ARE ABSENT MINDED, FOR EXAMPLE FORGETTING WHERE YOU PUT YOUR GLASSES / KEYS OR FINDING YOURSELF IN A ROOM HAVING FORGOTTEN WHY YOU CAME IN THERE? WOULD YOU SAY THAT YOU ARE ABSENT MINDED IN THIS SORT OF WAY?

IWER: READ OUT
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PH116

If the respondent still cannot hear properly, code that you will read out the list yourself.

IF THE RESPONDENT STILL CANNOT HEAR PROPERLY, CODE THAT YOU WILL READ OUT THE LIST YOURSELF.
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If If the respondent still cannot hear properly, code that you will read out the list yourself. = 1. List read out by computer »
 
   
 
PH117

INTRO: READ OUT The computer will now read a set of 10 words. We have purposely made the list long so it will be difficult for anyone to recall all the words. Most people recall just a few. Please listen carefully to the set of words, as they cannot be repeated. When it has finished, I will ask you to recall aloud as many of the words as you can, in any order. Is this clear? IWER: If no explain further. If yes press to begin test and have booklet ready Word List A: Hotel, River, Tree, Skin, Gold, Market, Paper, Child, King, Book Word List B: Sky, Ocean, Flag, Dollar, Wife, Machine, Home, Earth, College, Butter Word List C: Water, Church, Doctor, Palace, Fire, Garden, Sea, Village, Baby Word List D: Women, Rock, Blood, Corner, Shoes, Letter, Girl, House, Valley, Engine Table IWER: After the word list has been read out press Now please tell me all the words you can recall. IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS. WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

INTRO: READ OUT THE COMPUTER WILL NOW READ A SET OF 10 WORDS. WE HAVE PURPOSELY MADE THE LIST LONG SO IT WILL BE DIFFICULT FOR ANYONE TO RECALL ALL THE WORDS. MOST PEOPLE RECALL JUST A FEW. PLEASE LISTEN CAREFULLY TO THE SET OF WORDS, AS THEY CANNOT BE REPEATED. WHEN IT HAS FINISHED, I WILL ASK YOU TO RECALL ALOUD AS MANY OF THE WORDS AS YOU CAN, IN ANY ORDER. IS THIS CLEAR?

IWER: IF NO EXPLAIN FURTHER. IF YES PRESS TO BEGIN TEST AND HAVE BOOKLET READY WORD LIST A: HOTEL, RIVER, TREE, SKIN, GOLD, MARKET, PAPER, CHILD, KING, BOOK WORD LIST B: SKY, OCEAN, FLAG, DOLLAR, WIFE, MACHINE, HOME, EARTH, COLLEGE, BUTTER WORD LIST C: WATER, CHURCH, DOCTOR, PALACE, FIRE, GARDEN, SEA, VILLAGE, BABY WORD LIST D: WOMEN, ROCK, BLOOD, CORNER, SHOES, LETTER, GIRL, HOUSE, VALLEY, ENGINE TABLE

IWER: AFTER THE WORD LIST HAS BEEN READ OUT PRESS NOW PLEASE TELL ME ALL THE WORDS YOU CAN RECALL.

IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS. WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.
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PH118

INTRO: READ OUT The computer will now read the same set of 10 words out again. When it has finished, I will ask you to recall aloud as many of the words as you can, in any order, including the words you recalled earlier. Is this clear? IWER: After the word list has been read out press Now please tell me all the words you can recall. IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS. WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

INTRO: READ OUT THE COMPUTER WILL NOW READ THE SAME SET OF 10 WORDS OUT AGAIN. WHEN IT HAS FINISHED, I WILL ASK YOU TO RECALL ALOUD AS MANY OF THE WORDS AS YOU CAN, IN ANY ORDER, INCLUDING THE WORDS YOU RECALLED EARLIER. IS THIS CLEAR?

IWER: AFTER THE WORD LIST HAS BEEN READ OUT PRESS NOW PLEASE TELL ME ALL THE WORDS YOU CAN RECALL.

IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS. WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.
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PH119

INTRO: Now, I am going to read a list of 10 words from my computer screen. We have purposely made the list long so it will be difficult for anyone to recall all the words. Most people recall just a few. Please listen carefully to the set of words, as they cannot be repeated. When I have finished, I will ask you to recall aloud as many of the words as you can, in any order. Is this clear? IWER: IF RESPONDENT IS NOT CLEAR REPEAT INSTRUCTIONS. IWER: WAIT UNTIL WORDS APPEAR ON THE SCREEN. Word List A: Hotel, River, Tree, Skin, Gold, Market, Paper, Child, King, Book Word List B: Sky, Ocean, Flag, Dollar, Wife, Machine, Home, Earth, College, Butter Word List C: Women, Rock, Blood, Corner, Shoes, Letter, Girl, House, Valley, Engine Word List D: Water, Church, Doctor, Palace, Fire, Garden, Sea, Village, Baby, Table IWER: PAUSE FOR 3 SECONDS AFTER EACH WORD IWER: WRITE WORDS ON SHEET PROVIDED. IWER: ALLOW UP TO ONE MINUTE FOR RECALL. Now please tell me all the words you can recall. IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS. IWER: WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

INTRO: NOW, I AM GOING TO READ A LIST OF 10 WORDS FROM MY COMPUTER SCREEN. WE HAVE PURPOSELY MADE THE LIST LONG SO IT WILL BE DIFFICULT FOR ANYONE TO RECALL ALL THE WORDS. MOST PEOPLE RECALL JUST A FEW. PLEASE LISTEN CAREFULLY TO THE SET OF WORDS, AS THEY CANNOT BE REPEATED. WHEN I HAVE FINISHED, I WILL ASK YOU TO RECALL ALOUD AS MANY OF THE WORDS AS YOU CAN, IN ANY ORDER. IS THIS CLEAR?

IWER: IF RESPONDENT IS NOT CLEAR REPEAT INSTRUCTIONS.

IWER: WAIT UNTIL WORDS APPEAR ON THE SCREEN. WORD LIST A: HOTEL, RIVER, TREE, SKIN, GOLD, MARKET, PAPER, CHILD, KING, BOOK WORD LIST B: SKY, OCEAN, FLAG, DOLLAR, WIFE, MACHINE, HOME, EARTH, COLLEGE, BUTTER WORD LIST C: WOMEN, ROCK, BLOOD, CORNER, SHOES, LETTER, GIRL, HOUSE, VALLEY, ENGINE WORD LIST D: WATER, CHURCH, DOCTOR, PALACE, FIRE, GARDEN, SEA, VILLAGE, BABY, TABLE

IWER: PAUSE FOR 3 SECONDS AFTER EACH WORD

IWER: WRITE WORDS ON SHEET PROVIDED.

IWER: ALLOW UP TO ONE MINUTE FOR RECALL. NOW PLEASE TELL ME ALL THE WORDS YOU CAN RECALL.

IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

IWER: WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.
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PH120

INTRO: Now I am going to read the same words out again. When I have finished, I will ask you to recall aloud as many of the words as you can, in any order, including the words you recalled earlier. Is this clear? IWER: IF RESPONDENT IS NOT CLEAR REPEAT INSTRUCTIONS. IWER: READ OUT THE LIST GENERATED FOR PH116 Word List A: Hotel, River, Tree, Skin, Gold, Market, Paper, Child, King, Book Word List B: Sky, Ocean, Flag, Dollar, Wife, Machine, Home, Earth, College, Butter Word List C: Women, Rock, Blood, Corner, Shoes, Letter, Girl, House, Valley, Engine Word List D: Water, Church, Doctor, Palace, Fire, Garden, Sea, Village, Baby, Table Now please tell me all the words you can recall? IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS. IWER: WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

INTRO: NOW I AM GOING TO READ THE SAME WORDS OUT AGAIN. WHEN I HAVE FINISHED, I WILL ASK YOU TO RECALL ALOUD AS MANY OF THE WORDS AS YOU CAN, IN ANY ORDER, INCLUDING THE WORDS YOU RECALLED EARLIER. IS THIS CLEAR?

IWER: IF RESPONDENT IS NOT CLEAR REPEAT INSTRUCTIONS.

IWER: READ OUT THE LIST GENERATED FOR PH116 WORD LIST A: HOTEL, RIVER, TREE, SKIN, GOLD, MARKET, PAPER, CHILD, KING, BOOK WORD LIST B: SKY, OCEAN, FLAG, DOLLAR, WIFE, MACHINE, HOME, EARTH, COLLEGE, BUTTER WORD LIST C: WOMEN, ROCK, BLOOD, CORNER, SHOES, LETTER, GIRL, HOUSE, VALLEY, ENGINE WORD LIST D: WATER, CHURCH, DOCTOR, PALACE, FIRE, GARDEN, SEA, VILLAGE, BABY, TABLE NOW PLEASE TELL ME ALL THE WORDS YOU CAN RECALL?

IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

IWER: WRITE THE WORDS IN THE BOOKLET PROVIDED. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES. ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.
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PH121

Please tell me what year it is

PLEASE TELL ME WHAT YEAR IT IS
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PH122

What month it is?

WHAT MONTH IT IS?
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PH123

Can you tell me what day of the week it is?

CAN YOU TELL ME WHAT DAY OF THE WEEK IT IS?
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PH124

Can you tell me what today's date is?

CAN YOU TELL ME WHAT TODAY'S DATE IS?
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PH125

Now I would like you to name as many different animals as you can think of. You have one minute to do this. Ready? go. IWER: ALLOW ONE MINUTE PRECISELY. IF THE SUBJECT STOPS BEFORE THE END OF THE TIME, ENCOURAGE THEM TO TRY TO FIND MORE WORDS. IF RESPONDENT IS SILENT FOR 15 SECONDS REPEAT THE BASIC INSTRUCTION (''I WANT YOU TO TELL ME ALL THE ANIMALS YOU CAN THINK OF''). NO EXTENSION ON THE TIME LIMIT IS MADE IN THE EVENT THAT THE INSTRUCTION HAS TO BE REPEATED IWER: ONLY IF THE PARTICIPANT ASKS FOR CLARIFICATION, EXPLAIN THAT ANIMALS INCLUDE BIRDS, INSECTS, FISH ETC. IWER: THE SCORE IS THE SUM OF ACCEPTABLE ANIMALS. ANY MEMBER OF THE ANIMAL KINGDOM, REAL OR MYTHICAL IS SCORED CORRECT, EXCEPT REPETITIONS AND PROPER NOUNS. SPECIFICALLY, EACH OF THE FOLLOWING GETS CREDIT: A SPECIES NAME AND ANY ACCOMPANYING BREEDS WITHIN THE SPECIES; MALE, FEMALE AND INFANT NAMES WITHIN THE SPECIES. IWER: CODE NUMBER OF ANIMALS

NOW I WOULD LIKE YOU TO NAME AS MANY DIFFERENT ANIMALS AS YOU CAN THINK OF. YOU HAVE ONE MINUTE TO DO THIS. READY? GO.

IWER: ALLOW ONE MINUTE PRECISELY. IF THE SUBJECT STOPS BEFORE THE END OF THE TIME, ENCOURAGE THEM TO TRY TO FIND MORE WORDS. IF RESPONDENT IS SILENT FOR 15 SECONDS REPEAT THE BASIC INSTRUCTION (''I WANT YOU TO TELL ME ALL THE ANIMALS YOU CAN THINK OF''). NO EXTENSION ON THE TIME LIMIT IS MADE IN THE EVENT THAT THE INSTRUCTION HAS TO BE REPEATED

IWER: ONLY IF THE PARTICIPANT ASKS FOR CLARIFICATION, EXPLAIN THAT ANIMALS INCLUDE BIRDS, INSECTS, FISH ETC.

IWER: THE SCORE IS THE SUM OF ACCEPTABLE ANIMALS. ANY MEMBER OF THE ANIMAL KINGDOM, REAL OR MYTHICAL IS SCORED CORRECT, EXCEPT REPETITIONS AND PROPER NOUNS. SPECIFICALLY, EACH OF THE FOLLOWING GETS CREDIT: A SPECIES NAME AND ANY ACCOMPANYING BREEDS WITHIN THE SPECIES; MALE, FEMALE AND INFANT NAMES WITHIN THE SPECIES.

IWER: CODE NUMBER OF ANIMALS
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PH201

IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY.

IWER: SHOW CARD PH1

PLEASE LOOK AT CARD PH1. HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ANY OF THE CONDITIONS ON THIS CARD? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY.
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If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 9. A heart murmur or IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 10. An abnormal heart rhythm or IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 96. None of these or IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 98. DK or IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 99. RF »
 
   
 
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 8. High cholesterol »
 
     
   
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 95. Any other heart trouble (specify) [ph201a] »
 
       
     
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 7. Ministroke or TIA »
 
         
       
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 6. A stroke (cerebral vascular disease) »
 
           
         
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 5. Diabetes or high blood sugar »
 
             
           
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 4. Congestive heart failure »
 
               
             
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 3. A heart attack (including myocardial infarction or coronary thrombosis) »
 
                 
               
If IWER: SHOW CARD PH1 Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? INTERVIEWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY. != 2. Angina »
 
                   
                 
PH202

Approximately how old were you when you were first told by a doctor that you had high blood pressure?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD HIGH BLOOD PRESSURE?
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PH203

Approximately how old were you when you were first told by a doctor that you had angina?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD ANGINA?
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PH204

Are you limiting your usual activities because of your angina?

ARE YOU LIMITING YOUR USUAL ACTIVITIES BECAUSE OF YOUR ANGINA?
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PH205

Approximately how old were you when you were first told by a doctor that you had a heart attack (including myocardial infarction or coronary thrombosis)?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD A HEART ATTACK (INCLUDING MYOCARDIAL INFARCTION OR CORONARY THROMBOSIS)?
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PH206

In what year/month was your (most recent) heart attack? (MM/YYYY)

IN WHAT YEAR/MONTH WAS YOUR (MOST RECENT) HEART ATTACK? (MM/YYYY)
               
             
PH207

According to the doctor how many heart attacks have you had?

ACCORDING TO THE DOCTOR HOW MANY HEART ATTACKS HAVE YOU HAD?
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PH208

Have you ever had an angioplasty or Stent?

HAVE YOU EVER HAD AN ANGIOPLASTY OR STENT?
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PH209

In what year/month was your last angioplasty or Stent? (MM/YYYY)

IN WHAT YEAR/MONTH WAS YOUR LAST ANGIOPLASTY OR STENT? (MM/YYYY)
               
             
PH210

Have you ever had open heart surgery?

HAVE YOU EVER HAD OPEN HEART SURGERY?
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PH211

In what year/month was your last heart surgery? (MM/YYYY)

IN WHAT YEAR/MONTH WAS YOUR LAST HEART SURGERY? (MM/YYYY)
               
           
PH212

Approximately how old were you when you were first told by a doctor that you had congestive heart failure?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD CONGESTIVE HEART FAILURE?
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PH213

Approximately how old were you when you were first told by a doctor that you had diabetes or high blood sugar?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD DIABETES OR HIGH BLOOD SUGAR?
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PH214

Are you currently taking any tablets, pills or other medication that you swallow for diabetes?

ARE YOU CURRENTLY TAKING ANY TABLETS, PILLS OR OTHER MEDICATION THAT YOU SWALLOW FOR DIABETES?
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PH215

Do you currently inject insulin for diabetes?

DO YOU CURRENTLY INJECT INSULIN FOR DIABETES?
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PH216

Has a doctor ever told you that you have any of the following conditions related to your diabetes?

HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ANY OF THE FOLLOWING CONDITIONS RELATED TO YOUR DIABETES?
expand
           
       
PH218

Approximately how old were you when you were first told by a doctor that you had a stroke?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD A STROKE?
expand
         
       
PH219

How many strokes have you had?

HOW MANY STROKES HAVE YOU HAD?
expand
         
       
PH220

In what year was your most recent stroke? (MM/YYYY)

IN WHAT YEAR WAS YOUR MOST RECENT STROKE? (MM/YYYY)
         
     
PH221

Approximately how old were you when you were first told by a doctor that you had a TIA, ministroke, or transient ischemic attack?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD A TIA, MINISTROKE, OR TRANSIENT ISCHEMIC ATTACK?
expand
       
     
PH222

How many TIA's or ministrokes have you had?

HOW MANY TIA'S OR MINISTROKES HAVE YOU HAD?
expand
       
     
PH223

In what year was your most recent TIA or ministrokes? (MM/YYYY)

IN WHAT YEAR WAS YOUR MOST RECENT TIA OR MINISTROKES? (MM/YYYY)
       
   
PH224

Approximately how old were you when you were first told by a doctor that you had any other heart trouble?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD ANY OTHER HEART TROUBLE?
expand
     
 
PH225

Are you currently taking any tablets or pills for high cholesterol?

ARE YOU CURRENTLY TAKING ANY TABLETS OR PILLS FOR HIGH CHOLESTEROL?
expand
   
PH301

IWER: SHOW CARD PH2 Please look at card PH2. Has a doctor ever told you that you have any of the following conditions? IWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY.

IWER: SHOW CARD PH2

PLEASE LOOK AT CARD PH2. HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ANY OF THE FOLLOWING CONDITIONS?

IWER: PROBE - 'WHAT OTHERS?' CODE ALL THAT APPLY.
expand
 
If Are you receiving oxygen for your lung condition? != 2 or Are you receiving oxygen for your lung condition? != 4 or Are you receiving oxygen for your lung condition? != 10 or Are you receiving oxygen for your lung condition? != 12 or Are you receiving oxygen for your lung condition? != 13 or Are you receiving oxygen for your lung condition? != 14 or Are you receiving oxygen for your lung condition? != 96 or Are you receiving oxygen for your lung condition? != 98. DK or Are you receiving oxygen for your lung condition? != 99. RF »
 
   
 
If Are you receiving oxygen for your lung condition? != 8 »
 
     
   
If Are you receiving oxygen for your lung condition? != 11 »
 
       
     
If Are you receiving oxygen for your lung condition? != 10 »
 
         
       
If Are you receiving oxygen for your lung condition? != 9 »
 
           
         
If Are you receiving oxygen for your lung condition? != 7 »
 
             
           
If Are you receiving oxygen for your lung condition? != 6 »
 
               
             
If Are you receiving oxygen for your lung condition? != 4 or Are you receiving oxygen for your lung condition? != 5. No
 
                 
               
If Are you receiving oxygen for your lung condition? != 2 or Are you receiving oxygen for your lung condition? != 3 »
 
                   
                 
PH302

Are you receiving oxygen for your lung condition?

ARE YOU RECEIVING OXYGEN FOR YOUR LUNG CONDITION?
expand
                   
                 
PH303

Does your lung condition limit your usual activities, such as household chores or work?

DOES YOUR LUNG CONDITION LIMIT YOUR USUAL ACTIVITIES, SUCH AS HOUSEHOLD CHORES OR WORK?
expand
                   
               
PH304

IWER: CODE ALL THAT APPLY Which type or types of arthritis do you have? IWER: READ OUT

IWER: CODE ALL THAT APPLY

WHICH TYPE OR TYPES OF ARTHRITIS DO YOU HAVE?

IWER: READ OUT
expand
                 
               
PH305

Approximately how old were you when you were first told by a doctor that you had arthritis?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD ARTHRITIS?
expand
                 
               
PH306

Does your arthritis make it difficult for you to do your usual activities such as household chores or work?

DOES YOUR ARTHRITIS MAKE IT DIFFICULT FOR YOU TO DO YOUR USUAL ACTIVITIES SUCH AS HOUSEHOLD CHORES OR WORK?
expand
                 
               
PH307

Does the arthritis limit your social and leisure activities?

DOES THE ARTHRITIS LIMIT YOUR SOCIAL AND LEISURE ACTIVITIES?
expand
                 
               
PH308

Does your arthritis make it difficult for you to sleep at night?

DOES YOUR ARTHRITIS MAKE IT DIFFICULT FOR YOU TO SLEEP AT NIGHT?
expand
                 
             
PH309

Approximately how old were you when you were first told by a doctor that you had cancer or a malignant tumour?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD CANCER OR A MALIGNANT TUMOUR?
expand
               
             
PH310

IWER: SHOW CARD PH3 Please look at card PH3. In which organ or part of the body have you or have you had cancer? IWER: CODE ALL THAT APPLY

IWER: SHOW CARD PH3

PLEASE LOOK AT CARD PH3. IN WHICH ORGAN OR PART OF THE BODY HAVE YOU OR HAVE YOU HAD CANCER?

IWER: CODE ALL THAT APPLY
expand
               
             
PH311

Have you received any treatment for your cancer?

HAVE YOU RECEIVED ANY TREATMENT FOR YOUR CANCER?
expand
               
             
PH312

IWER: SHOW CARD PH4 Please look at card PH4. What sort of treatments have you received for cancer? IWER: CODE ALL THAT APPLY

IWER: SHOW CARD PH4

PLEASE LOOK AT CARD PH4. WHAT SORT OF TREATMENTS HAVE YOU RECEIVED FOR CANCER?

IWER: CODE ALL THAT APPLY
expand
               
             
PH313

Since you received treatment has the cancer got worse, better or stayed about the same?

SINCE YOU RECEIVED TREATMENT HAS THE CANCER GOT WORSE, BETTER OR STAYED ABOUT THE SAME?
expand
               
           
PH314

Approximately how old were you when you were first told by a doctor that you had Parkinson's disease?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD PARKINSON'S DISEASE?
expand
             
         
PH315

Approximately how old were you when you were first told by a doctor that you had emotional, nervous or psychiatric problems?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS?
expand
           
         
PH316

IWER: SHOW CARD PH5 Please look at card PH5. What type of emotional, nervous or psychiatric problems do/did you have? IWER: CODE ALL THAT APPLY

IWER: SHOW CARD PH5

PLEASE LOOK AT CARD PH5. WHAT TYPE OF EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS DO/DID YOU HAVE?

IWER: CODE ALL THAT APPLY
expand
           
         
PH317

Do you now get psychiatric treatment for your problems, such as attending a psychiatrist?

DO YOU NOW GET PSYCHIATRIC TREATMENT FOR YOUR PROBLEMS, SUCH AS ATTENDING A PSYCHIATRIST?
expand
           
       
PH318

Approximately how old were you when you were first told by a doctor that you had Alzheimer's Disease?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD ALZHEIMER'S DISEASE?
expand
         
     
PH319

Approximately how old were you when you were first told by a doctor that you had dementia, senility?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD DEMENTIA, SENILITY?
expand
       
   
PH319A

Approximately how old were you when you were first told by a doctor that you had serious memory impairment?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU HAD SERIOUS MEMORY IMPAIRMENT?
expand
     
 
PH320

Approximately how old were you when you were first told by a doctor that you suffered from alcohol or substance abuse?

APPROXIMATELY HOW OLD WERE YOU WHEN YOU WERE FIRST TOLD BY A DOCTOR THAT YOU SUFFERED FROM ALCOHOL OR SUBSTANCE ABUSE?
expand
   
 
PH321

Do you currently suffer from alcohol or substance abuse?

DO YOU CURRENTLY SUFFER FROM ALCOHOL OR SUBSTANCE ABUSE?
expand
   
 
If Do you currently suffer from alcohol or substance abuse? = 1. Yes »
 
     
   
PH322

Are you receiving any treatment for your alcohol or substance abuse?

ARE YOU RECEIVING ANY TREATMENT FOR YOUR ALCOHOL OR SUBSTANCE ABUSE?
expand
     
 
PH323

How long did you suffer from alcohol or substance abuse?

HOW LONG DID YOU SUFFER FROM ALCOHOL OR SUBSTANCE ABUSE?
expand
   
 
PH324

Did you receive any treatment for your alcohol or substance abuse?

DID YOU RECEIVE ANY TREATMENT FOR YOUR ALCOHOL OR SUBSTANCE ABUSE?
expand
   
PH401

Have you fallen in the last year?

HAVE YOU FALLEN IN THE LAST YEAR?
expand
 
If Have you fallen in the last year? = 1. Yes »
 
   
 
PH402

How many times have you fallen in the last year?

HOW MANY TIMES HAVE YOU FALLEN IN THE LAST YEAR?
expand
   
 
PH403

Were any of these falls non-accidental, i.e. with no apparent or obvious reason?

WERE ANY OF THESE FALLS NON-ACCIDENTAL, I.E. WITH NO APPARENT OR OBVIOUS REASON?
expand
   
 
PH404

Did you injure yourself seriously enough to need medical treatment? IWER: IF YES, PROBE: Did you get medical treatment?

DID YOU INJURE YOURSELF SERIOUSLY ENOUGH TO NEED MEDICAL TREATMENT?

IWER: IF YES, PROBE: DID YOU GET MEDICAL TREATMENT?
expand
   
PH405

Have you ever had a blackout or fainted?

HAVE YOU EVER HAD A BLACKOUT OR FAINTED?
expand
 
If Have you ever had a blackout or fainted? = 1. Yes »
 
   
 
PH406

Approximately how many times have you had a blackout or fainted in the last year?

APPROXIMATELY HOW MANY TIMES HAVE YOU HAD A BLACKOUT OR FAINTED IN THE LAST YEAR?
expand
   
 
PH407

Were you a frequent fainter when you were younger?

WERE YOU A FREQUENT FAINTER WHEN YOU WERE YOUNGER?
expand
   
PH408

Are you afraid of falling?

ARE YOU AFRAID OF FALLING?
expand
 
If Are you afraid of falling? = 1. Yes »
 
   
 
PH409

Do you feel somewhat afraid or very much afraid of falling?

DO YOU FEEL SOMEWHAT AFRAID OR VERY MUCH AFRAID OF FALLING?
expand
   
 
PH410

Do you ever limit your activities, for example, what you do or where you go, because you are afraid of falling?

DO YOU EVER LIMIT YOUR ACTIVITIES, FOR EXAMPLE, WHAT YOU DO OR WHERE YOU GO, BECAUSE YOU ARE AFRAID OF FALLING?
expand
   
PH411

IWER: CODE THE ONE THAT APPLIES We are interested in your steadiness when walking, standing or getting up from a chair. When walking, do you feel IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

WE ARE INTERESTED IN YOUR STEADINESS WHEN WALKING, STANDING OR GETTING UP FROM A CHAIR. WHEN WALKING, DO YOU FEEL

IWER: READ OUT
expand
 
PH412

IWER: CODE THE ONE THAT APPLIES When standing, do you feel IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

WHEN STANDING, DO YOU FEEL

IWER: READ OUT
expand
 
PH413

IWER: CODE THE ONE THAT APPLIES When getting up from a chair, do you feel IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

WHEN GETTING UP FROM A CHAIR, DO YOU FEEL

IWER: READ OUT
expand
 
PH414

Have you ever fractured your hip or wrist?

HAVE YOU EVER FRACTURED YOUR HIP OR WRIST?
expand
 
PH415

Have you had any joint replacements?

HAVE YOU HAD ANY JOINT REPLACEMENTS?
expand
 
If Have you had any joint replacements? != 5. No »
 
   
 
PH416

Which joints did you have replaced?

WHICH JOINTS DID YOU HAVE REPLACED?
expand
   
 
PH417

Was the joint replacement(s) because of arthritis, a fracture or for some other reason?

WAS THE JOINT REPLACEMENT(S) BECAUSE OF ARTHRITIS, A FRACTURE OR FOR SOME OTHER REASON?
expand
   
PH418

IWER: HAND THE COGNITIVE MODULE BOOKLET TO THE RESPONDENT WITH THE WORD LIST - ANIMAL NAMES PAGE (PAGE 3) SHOWING AND ALSO HAND HIM/HER A PEN THEN SAY "These are for you". IWER: PAUSE FOR EXACTLY 5 SECONDS. 'You were going to do something when I gave you the paper and pen. Can you remember what it was?' IWER: IF RESPONDENT SAYS 'AM I SUPPOSED TO....?' THEN SAY: 'Do whatever you think you are supposed to do'. IWER: CODE WHETHER OR NOT YOU PROMPTED RESPONDENT.

IWER: HAND THE COGNITIVE MODULE BOOKLET TO THE RESPONDENT WITH THE WORD LIST - ANIMAL NAMES PAGE (PAGE 3) SHOWING AND ALSO HAND HIM/HER A PEN THEN SAY "THESE ARE FOR YOU".

IWER: PAUSE FOR EXACTLY 5 SECONDS. 'YOU WERE GOING TO DO SOMETHING WHEN I GAVE YOU THE PAPER AND PEN. CAN YOU REMEMBER WHAT IT WAS?'

IWER: IF RESPONDENT SAYS 'AM I SUPPOSED TO....?' THEN SAY: 'DO WHATEVER YOU THINK YOU ARE SUPPOSED TO DO'. IWER: CODE WHETHER OR NOT YOU PROMPTED RESPONDENT.
expand
 
PH419

Now take back the booklet and pen and code what respondent did when you handed them the booklet and pen.

NOW TAKE BACK THE BOOKLET AND PEN AND CODE WHAT RESPONDENT DID WHEN YOU HANDED THEM THE BOOKLET AND PEN.
expand
 
PH501

Are you often troubled with pain?

ARE YOU OFTEN TROUBLED WITH PAIN?
expand
 
If Are you often troubled with pain? = 1. Yes »
 
   
 
PH502

IWER: CODE THE ONE THAT APPLIES How bad is the pain most of the time? Is it... IWER: READ OUT

IWER: CODE THE ONE THAT APPLIES

HOW BAD IS THE PAIN MOST OF THE TIME? IS IT...

IWER: READ OUT
expand
   
 
PH503

Now thinking about this pain, in which part of your body is it most severe? IWER: CODE ALL THAT APPLY

NOW THINKING ABOUT THIS PAIN, IN WHICH PART OF YOUR BODY IS IT MOST SEVERE?

IWER: CODE ALL THAT APPLY
expand
   
 
PH504

Does the pain make it difficult for you to do your usual activities such as household chores or work?

DOES THE PAIN MAKE IT DIFFICULT FOR YOU TO DO YOUR USUAL ACTIVITIES SUCH AS HOUSEHOLD CHORES OR WORK?
expand
   
 
PH505

Are you taking any medication to control the pain?

ARE YOU TAKING ANY MEDICATION TO CONTROL THE PAIN?
expand
   
 
PH506

Does this medication control your pain?

DOES THIS MEDICATION CONTROL YOUR PAIN?
expand
   
PH507

IWER: SHOW CARD PH6 Please look at card PH6. Which best describes the teeth you have? IWER: CODE THE ONE THAT APPLIES

IWER: SHOW CARD PH6

PLEASE LOOK AT CARD PH6. WHICH BEST DESCRIBES THE TEETH YOU HAVE?

IWER: CODE THE ONE THAT APPLIES
expand
 
PH601

During the last 12 months, have you lost any amount of urine beyond your control?

DURING THE LAST 12 MONTHS, HAVE YOU LOST ANY AMOUNT OF URINE BEYOND YOUR CONTROL?
expand
 
If During the last 12 months, have you lost any amount of urine beyond your control? = 1. Yes »
 
   
 
PH602

Did this happen more than once during a 1 month period?

DID THIS HAPPEN MORE THAN ONCE DURING A 1 MONTH PERIOD?
expand
   
 
PH603

Have you ever mentioned this problem to a doctor, nurse or other health professional?

HAVE YOU EVER MENTIONED THIS PROBLEM TO A DOCTOR, NURSE OR OTHER HEALTH PROFESSIONAL?
expand
   
 
PH604

Do you ever limit your activities, for example, what you do or where you go, because of urinary incontinence?

DO YOU EVER LIMIT YOUR ACTIVITIES, FOR EXAMPLE, WHAT YOU DO OR WHERE YOU GO, BECAUSE OF URINARY INCONTINENCE?
expand
   
PH701

A flu shot?

A FLU SHOT?
expand
 
PH702

A blood test for cholesterol?

A BLOOD TEST FOR CHOLESTEROL?
expand
 
If IWER: Code without asking. Is this respondent male or female? = 2 »
 
   
 
PH703

Have you gone through the menopause? IWER: If respondent is currently going through menopause code 'Yes'

HAVE YOU GONE THROUGH THE MENOPAUSE?

IWER: IF RESPONDENT IS CURRENTLY GOING THROUGH MENOPAUSE CODE 'YES'
expand
   
 
If Have you gone through the menopause? IWER: If respondent is currently going through menopause code 'Yes' = 1. Yes »
 
     
   
PH704

Can you remember approximately what age you were when it started?

CAN YOU REMEMBER APPROXIMATELY WHAT AGE YOU WERE WHEN IT STARTED?
expand
     
   
PH705

IWER: SHOW CARD PH7 Since menopause, have you used prescription hormones (examples given on card)

IWER: SHOW CARD PH7

SINCE MENOPAUSE, HAVE YOU USED PRESCRIPTION HORMONES (EXAMPLES GIVEN ON CARD)
expand
     
   
If IWER: SHOW CARD PH7 Since menopause, have you used prescription hormones (examples given on card) = 1. Yes, currently taking hormones »
 
       
     
PH706

For how many years have you been taking prescription hormones?

FOR HOW MANY YEARS HAVE YOU BEEN TAKING PRESCRIPTION HORMONES?
expand
       
   
Else If IWER: SHOW CARD PH7 Since menopause, have you used prescription hormones (examples given on card) = 2. Yes, but no longer taking hormones »
 
       
     
PH707

For how many years did you take prescription hormones?

FOR HOW MANY YEARS DID YOU TAKE PRESCRIPTION HORMONES?
expand
       
 
PH708

Do you check your breasts for lumps regularly?

DO YOU CHECK YOUR BREASTS FOR LUMPS REGULARLY?
expand
   
 
PH709

Have you had a mammogram or x-ray of the breast, to search for cancer?

HAVE YOU HAD A MAMMOGRAM OR X-RAY OF THE BREAST, TO SEARCH FOR CANCER?
expand
   
Else
 
   
 
PH710

An examination of your prostate to screen for cancer?

AN EXAMINATION OF YOUR PROSTATE TO SCREEN FOR CANCER?
expand
   
 
PH711

A PSA blood test to screen for cancer? Note: PSA blood test is a test to screen for prostate cancer

A PSA BLOOD TEST TO SCREEN FOR CANCER? NOTE: PSA BLOOD TEST IS A TEST TO SCREEN FOR PROSTATE CANCER
expand
   
If If the respondent still cannot hear properly, code that you will read out the list yourself. = 1. List read out by computer »
 
   
 
PH712

A little while ago, the computer read you a list of words twice, and you repeated the ones you could remember. Please tell me any of the words that you can remember now? IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

A LITTLE WHILE AGO, THE COMPUTER READ YOU A LIST OF WORDS TWICE, AND YOU REPEATED THE ONES YOU COULD REMEMBER. PLEASE TELL ME ANY OF THE WORDS THAT YOU CAN REMEMBER NOW?

IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.
expand
   
PH713

A little while ago, I read you a list of words twice, and you repeated the ones you could remember. Please tell me any of the words that you can remember now? IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.

A LITTLE WHILE AGO, I READ YOU A LIST OF WORDS TWICE, AND YOU REPEATED THE ONES YOU COULD REMEMBER. PLEASE TELL ME ANY OF THE WORDS THAT YOU CAN REMEMBER NOW?

IWER: ENTER THE NUMBER OF WORDS THE RESPONDENT CORRECTLY RECALLS.
expand
 
PH714

That is the end of the memory and concentration tasks. IWER: PAUSE FOR EXACTLY FIVE SECONDS IWER: IF NO RESPONSE, PROMPT: YOU WERE GOING TO DO SOMETHING WHEN I SAID THAT. CAN YOU REMEMBER WHAT IT WAS? IWER: IF RESPONDENT SAYS 'AM I SUPPOSED TO .....?' THEN SAY: 'DO WHATEVER YOU THINK YOU ARE SUPPOSED TO.' IWER: CODE WHETHER OR NOT YOU PROMPTED RESPONDENT.

THAT IS THE END OF THE MEMORY AND CONCENTRATION TASKS.

IWER: PAUSE FOR EXACTLY FIVE SECONDS

IWER: IF NO RESPONSE, PROMPT: YOU WERE GOING TO DO SOMETHING WHEN I SAID THAT. CAN YOU REMEMBER WHAT IT WAS?

IWER: IF RESPONDENT SAYS 'AM I SUPPOSED TO .....?' THEN SAY: 'DO WHATEVER YOU THINK YOU ARE SUPPOSED TO.'

IWER: CODE WHETHER OR NOT YOU PROMPTED RESPONDENT.
expand
 
PH715

IWER: CODE WHAT RESPONDENT DID

IWER: CODE WHAT RESPONDENT DID
expand
 
PH716

IWER: DURING THE COGNITIVE FUNCTION TEST WERE THERE ANY FACTORS THAT MAY HAVE IMPAIRED THE RESPONDENT'S PERFORMANCE ON THE TESTS?

IWER: DURING THE COGNITIVE FUNCTION TEST WERE THERE ANY FACTORS THAT MAY HAVE IMPAIRED THE RESPONDENT'S PERFORMANCE ON THE TESTS?
expand
 
PH717

IWER: WHAT WERE THESE FACTORS? IWER: CODE ALL THAT APPLY

IWER: WHAT WERE THESE FACTORS?

IWER: CODE ALL THAT APPLY
expand
 
PH718

IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION PH?

IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION PH?
expand
 
End of PH. Physical & Cognitive Health