I. Physical Measures

I. Physical Measures module of HRS 2012

Start of I. Physical Measures
 
NV800

MODE OF INTERVIEW FOR PHYSICAL MEASURES

» ENTER CURRENT MODE OF INTERVIEW
expand
 
If NX090_R = ENHANCEDFTF »
 
   
 
If MODE OF INTERVIEW FOR PHYSICAL MEASURES = 2 F-t-f and R IN NURSING HOME = NO and LANGUAGE = SPANISH or ENGNVSH »
 
     
   
NV802

PHYSICAL MEASURES CONSENT

» DID R SIGN THE PHYSICAL MEASURES CONSENT FORM?
expand
     
   
If PHYSICAL MEASURES CONSENT = 1 Yes »
 
       
     
NV854

Blood Pressure Complete

BLOOD PRESSURE» DID R COMPLETE AT LEAST ONE BLOOD PRESSURE MEASUREMENT?
expand
       
     
If Blood Pressure Complete = 5 No »
 
         
       
NV855

Reason Blood Pressure Not Complete

BLOOD PRESSURE
» WHY DIDN'T R COMPLETE THE BLOOD PRESSURE MEASUREMENT?
» (SELECT ALL THAT APPLY)

expand
         
     
ElseIf Blood Pressure Complete = 1 Yes »
 
         
       
NV857

BLOODPRESSURE TIME

BLOOD PRESSURE - 1ST TIME
»FIRST READING TIME OF READING
» ENTER HOUR, COLON, MINUTES, AND EITHER 'AM' OR 'PM'. E.G., FOR A
TIME OF 1:23PM, ENTER '1' FOLLOWED BY ':' FOLLOWED BY '23' FOLLOWED BY 'PM'.
PLEASE CHECK TO MAKE SURE ENTRY DISPLAYS CORRECTLY BEFORE PROCEEDING.

         
       
NV859

BLOODPRESSURE 1 SYSTOLIC (mmHg)

BLOOD PRESSURE - 1ST SYSTOLIC
»FIRST READING SYSTOLIC
»ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT.
»ENTER 999 IF R CHOSE NOT TO DO IT.

expand
         
       
If BLOODPRESSURE 1 SYSTOLIC (mmHg) != 9993 and BLOODPRESSURE 1 SYSTOLIC (mmHg) != 999 »
 
           
         
NV860

BLOODPRESSURE 1 DIASTOLIC (mmHg)

BLOOD PRESSURE - 1ST DIASTOLIC
»FIRST READING DIASTOLIC
expand
           
         
NV861

BLOODPRESSURE 1 Pulse (bpm)

BLOOD PRESSURE - 1ST PULSE
»FIRST READING PULSE
expand
           
         
NV862

BLOODPRESSURE2 TIME

BLOOD PRESSURE - 2ND TIME
»SECOND READING TIME OF READING
» ENTER HOUR, COLON, MINUTES, AND EITHER 'AM' OR 'PM'. E.G., FOR A TIME OF 1:23PM,
ENTER '1' FOLLOWED BY ':' FOLLOWED BY '23' FOLLOWED BY 'PM'. PLEASE CHECK TO MAKE SURE ENTRY
DISPLAYS CORRECTLY BEFORE PROCEEDING.

           
         
NV864

BLOODPRESSURE 2 SYSTOLIC (mmHg)

BLOOD PRESSURE - 2ND SYSTOLIC
»SECOND READING SYSTOLIC
»ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT.
»ENTER 999 IF R CHOSE NOT TO DO IT.

expand
           
         
If BLOODPRESSURE 2 SYSTOLIC (mmHg) != 9993 and BLOODPRESSURE 2 SYSTOLIC (mmHg) != 999 »
 
             
           
NV865

BLOODPRESSURE 2 DIASTOLIC (mmHg)

BLOOD PRESSURE - 2ND DIASTOLIC
»SECOND READING DIASTOLIC
expand
             
           
NV866

BLOODPRESSURE 2 Pulse (bpm)

BLOOD PRESSURE - 2ND PULSE
»SECOND READING PULSE
expand
             
           
NV867

BLOODPRESSURE 3 TIME

BLOOD PRESSURE - 3RD TIME
»THIRD READING TIME OF READING
» ENTER HOUR, COLON, MINUTES, AND EITHER 'AM' OR 'PM'. E.G., FOR A TIME OF 1:23PM,
ENTER '1' FOLLOWED BY ':' FOLLOWED BY '23' FOLLOWED BY 'PM'. PLEASE CHECK TO MAKE SURE ENTRY
DISPLAYS CORRECTLY BEFORE PROCEEDING.

             
           
NV869

BLOODPRESSURE 3 Systolic (mmHg)

BLOOD PRESSURE - 3RD SYSTOLIC
»THIRD READING SYSTOLIC
»ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT.
»ENTER 999 IF R CHOSE NOT TO DO IT.

expand
             
           
If BLOODPRESSURE 3 Systolic (mmHg) != 9993 and BLOODPRESSURE 3 Systolic (mmHg) != 999 »
 
               
             
NV870

BLOODPRESSURE 3 DIASTOLIC (mmHg)

BLOOD PRESSURE - 3RD DIASTOLIC
»THIRD READING DIASTOLIC
expand
               
             
NV871

BLOODPRESSURE 3 Pulse (bpm)

BLOOD PRESSURE - 3RD PULSE
»THIRD READING PULSE
expand
               
         
NV872

BLOODPRESSURE ARM

BLOOD PRESSURE - ARM
»WHICH ARM WAS USED TO CONDUCT THE MEASUREMENTS?
expand
           
         
NV873

BLOODPRESSURE Compliance

BLOOD PRESSURE - COMPLIANCE
»HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
expand
           
         
NV874

BLOODPRESSURE Position

BLOOD PRESSURE - POSITION
»WHAT WAS R'S POSITION FOR THIS TEST?
expand
           
         
NV875

BLOODPRESSURE Smoke Etc

BLOOD PRESSURE - SMOKE ETC.
»DID R SMOKE, EXERCISE, CONSUME ALCOHOL OR FOOD WITHIN THE 30
MINUTES PRIOR TO COMPLETING THE BLOOD PRESSURE TEST?

expand
           
     
NV804

Breath COMPLETE AT LEAST ONE TRIAL

BREATHING TEST
» DID R COMPLETE AT LEAST ONE TRIAL OF THE BREATHING TEST?
expand
       
     
If Breath COMPLETE AT LEAST ONE TRIAL != 1 Yes »
 
         
       
NV805

Breath Test REASON NOT COMPLETE

BREATHING TEST
» WHY DIDN'T R COMPLETE THE BREATHING TEST? (SELECT ALL THAT APPLY)
expand
         
     
If Breath COMPLETE AT LEAST ONE TRIAL = 1 Yes »
 
         
       
NV807

Puff Test 1 (L/min)

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.

expand
         
       
NV808

Puff Test 2 (L/min)

BREATHING TEST
FIRST READING: ^V807_PUFF1
SECOND READING:
THIRD READING:
» ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT.
» ENTER 999 IF R CHOSE NOT TO DO IT.

expand
         
       
NV809

Puff Test 3 (L/min)

BREATHING TEST
FIRST READING: ^V807_PUFF1
SECOND READING: ^V808_PUFF2
THIRD READING:
» ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT.
» ENTER 999 IF R CHOSE NOT TO DO IT.

expand
         
       
NV810

R BREATHING TEST effort

BREATHING TEST
» HOW MUCH EFFORT DID THE R GIVE TO THIS TEST?
expand
         
       
NV811

BREATHING TEST R position

BREATHING TEST
» WHAT WAS THE R'S POSITION FOR THIS TEST?
expand
         
     
NV812

HAND STRENGTH COMPLETE AT LEAST ONE TRIAL

HAND STRENGTH TEST
» DID R COMPLETE AT LEAST ONE TRIAL OF THE HAND STRENGTH TEST?
expand
       
     
If HAND STRENGTH COMPLETE AT LEAST ONE TRIAL != 1 Yes »
 
         
       
NV813

HAND STRENGTH TEST REASON NOT COMPLETE

HAND STRENGTH TEST
» WHY DIDN'T R COMPLETE THE HAND STRENGTH TEST? (SELECT ALL THAT APPLY)
expand
         
     
Else If HAND STRENGTH COMPLETE AT LEAST ONE TRIAL = 1 Yes »
 
         
       
NV815

grip dominant hand

HAND STRENGTH TEST
» RECORD R'S DOMINANT HAND.
expand
         
       
NV816

Left first (kg)

HAND STRENGTH TEST
» LEFT HAND, FIRST MEASUREMENT.
LEFT HAND, FIRST MEASUREMENT:
RIGHT HAND, FIRST MEASUREMENT:
LEFT HAND, SECOND MEASUREMENT:
RIGHT HAND, SECOND MEASUREMENT:
» ENTER THE RESULT TO THE NEAREST 0.5 KILOGRAM.
» ENTER 993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT
ENTER 999 IF R CHOSE NOT TO DO IT
expand
         
       
NV851

RIGHT first (kg)

HAND STRENGTH TEST
» RIGHT HAND, FIRST MEASUREMENT.
LEFT HAND, FIRST MEASUREMENT: ^V816_LEFTFIRST
RIGHT HAND, FIRST MEASUREMENT:
LEFT HAND, SECOND MEASUREMENT:
RIGHT HAND, SECOND MEASUREMENT:
» ENTER THE RESULT TO THE THE NEAREST 0.5 KILOGRAM.
» ENTER 993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT
ENTER 999 IF R CHOSE NOT TO DO IT
expand
         
       
NV852

left second (kg)

HAND STRENGTH TEST
» LEFT HAND, SECOND MEASUREMENT.
LEFT HAND, FIRST MEASUREMENT: ^V816_LEFTFIRST
RIGHT HAND, FIRST MEASUREMENT: ^V851_RIGHTFIRST
LEFT HAND, SECOND MEASUREMENT:
RIGHT HAND, SECOND MEASUREMENT:
» ENTER THE RESULT TO THE THE NEAREST 0.5 KILOGRAM.
ENTER 993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT
ENTER 999 IF R CHOSE NOT TO DO IT
expand
         
       
NV853

RIGHT Second (kg)

HAND STRENGTH TEST
» RIGHT HAND, SECOND MEASUREMENT.
LEFT HAND, FIRST MEASUREMENT: ^V816_LEFTFIRST
RIGHT HAND, FIRST MEASUREMENT: ^V851_RIGHTFIRST
LEFT HAND, SECOND MEASUREMENT: ^V852_LEFTSECOND
RIGHT HAND, SECOND MEASUREMENT:
» ENTER THE RESULT TO THE THE NEAREST 0.5 KILOGRAM.
ENTER 993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT
ENTER 999 IF R CHOSE NOT TO DO IT
expand
         
       
NV817

GRIP R EFFORT

HAND STRENGTH TEST
» HOW MUCH EFFORT DID THE R GIVE TO THIS TEST?
expand
         
       
NV818

HAND STRENGTH TEST R POSITION

HAND STRENGTH TEST
» WHAT WAS THE R'S POSITION FOR THIS TEST?
expand
         
       
NV819

HAND STRENGTH rest arm

HAND STRENGTH TEST
» DID THE R REST THEIR ARM ON A SUPPORT WHILE PERFORMING THIS TEST?
expand
         
     
NV876

BALANCE TEST - SEMI-TANDEM STAND

BALANCE TEST - SEMI-TANDEM STAND
» DID R COMPLETE THE SEMI-TANDEM STAND?
expand
       
     
If BALANCE TEST - SEMI-TANDEM STAND != 1 Yes »
 
         
       
NV877

BALANCE TEST SEMI-TANDEM REASON NOT COMPLETE

BALANCE TEST - SEMI-TANDEM STAND
» WHY DIDN'T R COMPLETE THE SEMI-TANDEM STAND?
» SELECT ALL THAT APPLY

expand
         
     
ElseIf BALANCE TEST - SEMI-TANDEM STAND = 1 Yes »
 
         
       
NV879

BALANCE TEST SEMI-TANDEM Hold Full Time

BALANCE TEST - SEMI-TANDEM STAND
» DID R HOLD SEMI-TANDEM STAND FOR FULL 10 SECONDS WITHOUT STEPPING OUT OF PLACE OR GRABBING HOLD OF ANYTHING?
expand
         
       
If BALANCE TEST SEMI-TANDEM Hold Full Time = 1 Yes »
 
           
         
NV880

BALANCE TEST SEMI-TANDEM Time

BALANCE TEST - SEMI-TANDEM STAND
» RECORD TIME IN SECONDS TO TWO DECIMAL PLACES
expand
           
       
If BALANCE TEST SEMI-TANDEM Hold Full Time != 999 R chose not to do it and BALANCE TEST SEMI-TANDEM Hold Full Time != 993 R tried but was unable »
 
           
         
NV881

BALANCE TEST SEMI-TANDEM Compensatory

BALANCE TEST - SEMI-TANDEM STAND
» DID R USE ANY COMPENSATORY MOVEMENTS OF HIS/HER TRUNK, ARMS OR LEGS TO STEADY HIM/HERSELF DURING SEMI-TANDEM STAND?
expand
           
     
If BALANCE TEST - SEMI-TANDEM STAND = 5 No or BALANCE TEST SEMI-TANDEM Hold Full Time != 1 Yes »
 
         
       
NV883

BALANCE TEST S-B-S Complete

BALANCE TEST - SIDE-BY-SIDE STAND
» DID R COMPLETE THE SIDE-BY-SIDE STAND?
expand
         
       
If BALANCE TEST S-B-S Complete != 1 Yes »
 
           
         
NV884

BALANCE TEST S-B-S STAND REASON NOT COMPLETE

BALANCE TEST - SIDE-BY-SIDE STAND
» WHY DIDN'T R COMPLETE THE SIDE-BY-SIDE STAND?
» SELECT ALL THAT APPLY

expand
           
       
ElseIf BALANCE TEST S-B-S Complete = 1 Yes »
 
           
         
NV886

BALANCE TEST S-B-S Hold Full Time

BALANCE TEST - SIDE-BY-SIDE STAND
» DID R HOLD SIDE-BY-SIDE STAND FOR FULL 10 SECONDS WITHOUT STEPPING OUT OF PLACE OR GRABBING HOLD OF ANYTHING?
expand
           
         
If BALANCE TEST S-B-S Hold Full Time = 1 Yes »
 
             
           
NV887

BALANCE TEST SIDE-BY-SIDE Time

BALANCE TEST - SIDE-BY-SIDE STAND
» RECORD TIME IN SECONDS TO TWO DECIMAL PLACES
expand
             
         
If BALANCE TEST S-B-S Hold Full Time != 993 R tried but was unable and BALANCE TEST S-B-S Hold Full Time != 999 R chose not to do it »
 
             
           
NV888

BALANCE TEST SIDE-BY-SIDE Compensatory

BALANCE TEST - SIDE-BY-SIDE STAND
» DID R USE ANY COMPENSATORY MOVEMENTS OF HIS/HER TRUNK, ARMS OR LEGS TO STEADY HIM/HERSELF DURING SIDE-BY-SIDE STAND?
expand
             
           
NV889

BALANCE TEST S-B-S Floor Surface

BALANCE TEST - SIDE-BY-SIDE STAND
» RECORD TYPE OF FLOOR SURFACE
expand
             
           
NV891

BALANCE TEST S-B-S Compliance

BALANCE TEST - SIDE-BY-SIDE STAND
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
expand
             
     
Else
 
         
       
NV893

BALANCE TEST Full Tandem Complete

BALANCE TEST - FULL TANDEM STAND
» DID R COMPLETE THE FULL TANDEM STAND?
expand
         
       
If BALANCE TEST Full Tandem Complete != 1 Yes »
 
           
         
NV894

BALANCE TEST Full Tandem STAND REASON NOT COMPLETE

BALANCE TEST - FULL TANDEM STAND
» WHY DIDN'T R COMPLETE THE FULL -TANDEM STAND?
» SELECT ALL THAT APPLY

expand
           
       
Else
 
           
         
NV896

BALANCE TEST FULL TANDEM Hold Full Time

BALANCE TEST - FULL TANDEM STAND
» DID R HOLD FULL TANDEM STAND FOR FULL ^FLV896 SECONDS WITHOUT STEPPING OUT OF PLACE OR GRABBING HOLD OF ANYTHING?
expand
           
         
If BALANCE TEST FULL TANDEM Hold Full Time = 1 Yes and R CURRENT AGE CALCULATION > 70 »
 
             
           
NV897

BALANCE TEST FULL TANDEM Time

BALANCE TEST - FULL TANDEM STAND
» RECORD TIME IN SECONDS TO TWO DECIMAL PLACES
expand
             
         
If BALANCE TEST FULL TANDEM Hold Full Time != 993 R tried but was unable and BALANCE TEST FULL TANDEM Hold Full Time != 999 R chose not to do it »
 
             
           
NV898

BALANCE TEST FULL TANDEM Compensatory

BALANCE TEST - FULL TANDEM STAND
» DID R USE ANY COMPENSATORY MOVEMENTS OF HIS/HER TRUNK, ARMS OR LEGS TO STEADY HIM/HERSELF DURING FULL TANDEM STAND?
expand
             
           
NV899

BALANCE TEST FULL TANDEM Floor Surface

BALANCE TEST - FULL TANDEM
» RECORD TYPE OF FLOOR SURFACE
expand
             
           
NV902

BALANCE TEST FULL TANDEM Compliance

BALANCE TEST - FULL TANDEM STAND
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
expand
             
     
If R CURRENT AGE CALCULATION > 64 »
 
         
       
NV820

WALKING TEST COMPLETE AT LEAST ONE TRIAL

WALKING TEST
» DID R COMPLETE AT LEAST ONE TRIAL OF THE WALKING TEST?
expand
         
       
If WALKING TEST COMPLETE AT LEAST ONE TRIAL != 1 Yes »
 
           
         
NV821

WALKING TEST REASON NOT COMPLETE

WALKING TEST
» WHY DIDN`T R COMPLETE THE WALKING TEST? (SELECT ALL THAT APPLY)
expand
           
       
Else
 
           
         
NV823

T walk 1st trial time (seconds)

WALKING TEST - TIME FROM FIRST TRIAL
» RECORD TIME IN SECONDS TO TWO DECIMAL PLACES
FIRST TRIAL:
SECOND TRIAL:
ENTER 993 IF R WAS UNABLE TO DO IT
ENTER 999 IF R CHOSE NOT TO DO IT

expand
           
         
If T walk 1st trial time (seconds) != 993 and T walk 1st trial time (seconds) != 999 »
 
             
           
NV824

T walk 2nd trial time (seconds)

WALKING TEST - TIME FROM SECOND TRIAL
» RECORD TIME IN SECONDS TO TWO DECIMAL PLACES
FIRST TRIAL: ^V823_TWALK1STTRIALTIME
SECOND TRIAL:
ENTER 993 IF R WAS UNABLE TO DO IT
ENTER 999 IF R CHOSE NOT TO DO IT

expand
             
           
NV825

T walk floor surface

WALKING TEST
» RECORD TYPE OF FLOOR SURFACE
expand
             
           
NV828

walking aid type

WALKING TEST
» RECORD TYPE OF AID USED
expand
             
           
NV830

walk R effort

WALKING TEST
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT
expand
             
     
NV831

MEASURE R HEIGHT

HEIGHT
» WERE YOU ABLE TO MEASURE R`S HEIGHT?
expand
       
     
If MEASURE R HEIGHT != 1 Yes »
 
         
       
NV832

HEIGHT REASON NOT COMPLETE

HEIGHT
» WHY WEREN'T YOU ABLE TO MEASURE R`S HEIGHT? (SELECT ALL THAT APPLY)
expand
         
     
Else
 
         
       
NV834

HEIGHT MEASURMENT (inches)

HEIGHT
» ENTER RESPONDENT'S HEIGHT IN INCHES. ROUND TO THE NEAREST QUARTER INCH.
expand
         
       
NV835HEIGHTFLOORING

HEIGHT floor surface

HEIGHT
» RECORD TYPE OF FLOOR SURFACE
expand
         
       
NV837

HEIGHT wearing shoes

HEIGHT
» WAS R WEARING SHOES DURING MEASUREMENT?
expand
         
       
NV903

HEIGHT wearing shoes

HEIGHT
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
expand
         
     
If WEIGHT IN POUNDS < 300 »
 
         
       
NV838

WEIGHT ABLE TO MEASURE

WEIGHT
» WERE YOU ABLE TO MEASURE R`S WEIGHT?
expand
         
       
If WEIGHT ABLE TO MEASURE != 1 Yes »
 
           
         
NV839

WEIGHT REASON NOT COMPLETE

WEIGHT
» WHY WEREN'T YOU ABLE TO MEASURE R`S WEIGHT? (SELECT ALL THAT APPLY)
expand
           
       
Else
 
           
         
NV841

Weight Measurment (lbs)

WEIGHT
» ENTER RESPONDENT'S WEIGHT IN POUNDS AS RECORDED ON SCALE (TO THE NEAREST
expand
           
         
NV842

WEIGHT floor surface

WEIGHT
» RECORD TYPE OF FLOOR SURFACE
expand
           
         
NV844

WEIGHT wearing shoes

WEIGHT
» WAS R WEARING SHOES DURING MEASUREMENT?
expand
           
         
NV947

WEIGHT Compliance

WEIGHT
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
expand
           
     
NV904

WAIST Complete

WAIST CIRCUMFERENCE
» WERE YOU ABLE TO MEASURE R'S WAIST CIRCUMFERENCE?
expand
       
     
If WAIST Complete != 1 Yes »
 
         
       
NV905

Waist Why Not Complete

WAIST CIRCUMFERENCE
» WERE YOU ABLE TO MEASURE R'S WAIST CIRCUMFERENCE? (SELECT ALL THAT APPLY)
expand
         
     
Else
 
         
       
NV907

Waist Measurment (inches)

WAIST CIRCUMFERENCE -MEASUREMENT
» ENTER RESPONDENT'S WAIST MEASUREMENT TO THE NEAREST QUARTER INCH.
» ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT.
» ENTER 999 IF R CHOSE NOT TO DO IT.

expand
         
       
If Waist Measurment (inches) != 993 and Waist Measurment (inches) != 999 »
 
           
         
NV908

Waist Difficulties

WAIST CIRCUMFERENCE -MEASUREMENT
» WHAT DIFFICULTIES OCCURRED DURING THIS MEASUREMENT?
» SELECT ALL THAT APPLY
expand
           
         
NV910

Waist Compliance

WAIST CIRCUMFERENCE
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
expand
           
         
NV911

Waist Who Measured

WAIST CIRCUMFERENCE
» WHO COMPLETED THE MEASUREMENT?
expand
           
         
NV912

Waist Bulky Clothes

WAIST CIRCUMFERENCE
» WAS R WEARING BULKY CLOTHING DURING THIS MEASUREMENT?
expand
           
   
NV913

Saliva Consent

SALIVA SAMPLE
» DID R SIGN THE CONSENT FORM FOR THE SALIVA SAMPLE?
expand
     
   
If Saliva Consent = 5 No »
 
       
     
NV941

Why No Consent Saliva

SALIVA SAMPLE
» WHY DIDN'T R SIGN THE SALIVA CONSENT FORM? (SELECT ALL THAT APPLY)
expand
       
   
Else
 
       
     
NV915

Saliva Complete

SALIVA SAMPLE
» DID R COMPLETE THE SALIVA SAMPLE?
expand
       
     
If Saliva Complete != 1 Yes »
 
         
       
NV916

Saliva Why Not Complete

SALIVA SAMPLE
» WHY DIDN'T R COMPLETE THE SALIVA SAMPLE? (SELECT ALL THAT APPLY)
expand
         
     
Else
 
         
       
NV918

Saliva Fill Vial

SALIVA SAMPLE
» DID R FILL THE VIAL TO THE DESIRED LEVEL?
expand
         
       
NV919

Saliva Problems

SALIVA SAMPLE
» WHAT, IF ANY, PROBLEMS OCCURED?
(SELECT ALL THAT APPLY)

expand
         
       
NV921

Saliva Compliance

SALIVA SAMPLE
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
expand
         
   
NV922

BLOOD Consent

BLOOD SAMPLE
» DID R SIGN THE BLOOD SAMPLE CONSENT FORM?
expand
     
   
If BLOOD Consent = 5 No »
 
       
     
NV943

Why No Consent Blood

BLOOD SAMPLE
» WHY DIDN'T R SIGN THE BLOOD CONSENT FORM? (SELECT ALL THAT APPLY)
expand
       
   
Else
 
       
     
NV923

Blood Complete

BLOOD SAMPLE
» DID R COMPLETE THE BLOOD SAMPLE?
expand
       
     
If Blood Complete != 1 Yes »
 
         
       
NV924

Blood Why Not Complete

BLOOD SAMPLE
» WHY DIDN'T R COMPLETE THE BLOOD SAMPLE? (SELECT ALL THAT APPLY)
expand
         
     
Else
 
         
       
NV926

Blood What Problems

BLOOD SAMPLE
» WHAT, IF ANY, PROBLEMS OCCURRED DURING THE COLLECTION OF THE BLOOD SAMPLE?
(SELECT ALL THAT APPLY)

expand
         
       
NV928

Blood Who Measured

BLOOD SAMPLE
» WHO PRICKED THE R'S FINGER(S)?
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NV929

Blood Fill Spots

BLOOD SAMPLE
» HOW MANY CIRCLES WERE FILLED ON THE FIRST CARD?
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NV945

Blood Fill Spots

BLOOD SAMPLE
» HOW MANY CIRCLES WERE FILLED ON THE STORAGE CARD?
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NV930

Blood Pricks

BLOOD SAMPLE
» HOW MANY TIMES DID THE R'S FINGER HAVE TO BE PRICKED IN ORDER TO FILL THE CARDS?
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NV931

Blood Compliance

BLOOD SAMPLE
» HOW COMPLIANT WAS R DURING THIS MEASUREMENT?
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End of I. Physical Measures