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Start of CS. Coversheet
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CS1
IS (R NAME) LIVING?
IS (R NAME) LIVING?
1 YES
5 NO -- GO BACK TO CSMS AND CHOOSE "EXIT IW"
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CS1A
IWER: CHOOSE TYPE OF INTERVIEW:
IWER: CHOOSE TYPE OF INTERVIEW:
1 SELF
2 PROXY, SPOUSE IS REPORTER
3 PROXY, NON-SPOUSE IS REPORTER
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CS1B
WAVE 1 PROXY WAS (PROXY NAME). WAVE 2 PROXY IS:
WAVE 1 PROXY WAS (PROXY NAME). WAVE 2 PROXY IS:
1 SAME PERSON AS IN WAVE 1
2 DIFFERENT/NEW PERSON
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CS2
THE PROXY REPORTER'S RELATIONSHIP TO (R NAME).
THE PROXY REPORTER'S RELATIONSHIP TO (R NAME).
0 NOT PROXY INTERVIEW
1 SPOUSE
2 DAUGHTER/STEPDAUGH
3 SON/STEPSON
4 DAUGHTER-IN-LAW
5 SON-IN-LAW
6 GRANDDAUGHTER
7 GRANDSON
8 SISTER
9 BROTHER
10 OTHER RELATIVE
11 FRIEND
12 PAID HELPER
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D224
First we need to update our records. As of (Wave 1 date), when we talked with you, they show that you, ~IF MARRIED: (R NAME), were married. ~Else PARTNERED (R NAME), were living with a partner as if married. ~Else SINGLE (R NAME), were not married or living with a partner. if: WAVE 1 NOT SINGLE
FIRST WE NEED TO UPDATE OUR RECORDS. AS OF (WAVE 1 DATE), WHEN WE TALKED WITH YOU, THEY SHOW THAT YOU, ~IF MARRIED: (R NAME), WERE MARRIED. ~ELSE PARTNERED (R NAME), WERE LIVING WITH A PARTNER AS IF MARRIED. ~ELSE SINGLE (R NAME), WERE NOT MARRIED OR LIVING WITH A PARTNER. IF: WAVE 1 NOT SINGLE
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D226
(R SPOUSE NAME) still your (Husband/Wife/Partner)? ~Else Is (64)M62(Q205)= still your (Husband/Wife/Partner)?
(R SPOUSE NAME) STILL YOUR (HUSBAND/WIFE/PARTNER)? ~ELSE IS (64)M62(Q205)= STILL YOUR (HUSBAND/WIFE/PARTNER)?
1 YES, AND SP/PARTNER IS LIVING
5 NO
8 DK
9 RF
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D227
~IF 1ST HOUSEHOLD (Is (R SPOUSE NAME) still alive?)
~IF 1ST HOUSEHOLD (IS (R SPOUSE NAME) STILL ALIVE?)
1 YES
5 NO
8 DK
9 RF
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D228
~IF SPOUSE/PARTNER ALIVE In what month and year did you stop living together? ~Else In what month and year did (He/She)die?
~IF SPOUSE/PARTNER ALIVE IN WHAT MONTH AND YEAR DID YOU STOP LIVING TOGETHER? ~ELSE IN WHAT MONTH AND YEAR DID (HE/SHE)DIE?
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D229
YEAR SEPARATE/DIE
IN WHAT YEAR DID YOU STOP LIVING TOGETHER?
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D230
Are you married (to someone else)?
ARE YOU MARRIED (TO SOMEONE ELSE)?
1 YES
5 NO
8 DK
9 RF
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D231
Are you living with (a/another) partner as if married?
ARE YOU LIVING WITH (A/ANOTHER) PARTNER AS IF MARRIED?
1 YES
5 NO
8 DK
9 RF
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D233
Are you now married?
ARE YOU NOW MARRIED?
1 YES
5 NO
8 DK
9 RF
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D234
you living with a partner as if married?
YOU LIVING WITH A PARTNER AS IF MARRIED?
1 YES
5 NO
8 DK
9 RF
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CS11
~IF 1ST R IWER: ASK IF NECESSARY: Are you living in a nursing home or other health care facility? ~Else IWER: IS R LIVING IN A NURSING HOME OR OTHER HEALTH CARE FACILITY? DEF: A NURSING HOME OR OTHER HEALTH FACILITY PROVIDES ALL OF THE FOLLOWING SERVICES FOR ITS RESIDENTS: DISPENSING OF MEDICATION, 24-HOUR NURSING ASSISTANCE AND SUPERVISION, PERSONAL ASSISTANCE, AND ROOM & MEALS.
~IF 1ST R IWER: ASK IF NECESSARY: ARE YOU LIVING IN A NURSING HOME OR OTHER HEALTH CARE FACILITY? ~ELSE IWER: IS R LIVING IN A NURSING HOME OR OTHER HEALTH CARE FACILITY? DEF: A NURSING HOME OR OTHER HEALTH FACILITY PROVIDES ALL OF THE FOLLOWING SERVICES FOR ITS RESIDENTS: DISPENSING OF MEDICATION, 24-HOUR NURSING ASSISTANCE AND SUPERVISION, PERSONAL ASSISTANCE, AND ROOM & MEALS.
1 YES
5 NO
8 DK
9 RF
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D241
Are you and your (new) (Husband/Wife/Partner) living ~IF IN NURSING HOME in the same (nursing home/health care facility)? ~Else together in a house or apartment? IWER: THIS QUESTION IS TO TELL WHETHER R'S SPOUSE/PARTNER IS ALSO LIVING IN THE DWELLING OR INSTITUTION WHERE R LIVES.
ARE YOU AND YOUR (NEW) (HUSBAND/WIFE/PARTNER) LIVING ~IF IN NURSING HOME IN THE SAME (NURSING HOME/HEALTH CARE FACILITY)? ~ELSE TOGETHER IN A HOUSE OR APARTMENT? IWER: THIS QUESTION IS TO TELL WHETHER R'S SPOUSE/PARTNER IS ALSO LIVING IN THE DWELLING OR INSTITUTION WHERE R LIVES.
1 YES
5 NO
8 DK
9 RF
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D244
In what month and year did you stop living together?
IN WHAT MONTH AND YEAR DID YOU STOP LIVING TOGETHER?
MONTH:
YEAR:
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D245
YEAR STOP LIVE TOGETHER/DIE
IN WHAT YEAR DID YOU STOP LIVING TOGETHER? MONTH: YEAR:
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D246
Is your (new) (Husband/Wife/Partner) living in a nursing home or other health care facility? DEF: A NURSING HOME PROVIDES ALL OF THE FOLLOWING SERVICES FOR ITS RESIDENTS: DISPENSING OF MEDICATION, 24-HOUR NURSING ASSISTANCE AND SUPERVISION, PERSONAL ASSISTANCE, AND ROOM & MEALS.
IS YOUR (NEW) (HUSBAND/WIFE/PARTNER) LIVING IN A NURSING HOME OR OTHER HEALTH CARE FACILITY? DEF: A NURSING HOME PROVIDES ALL OF THE FOLLOWING SERVICES FOR ITS RESIDENTS: DISPENSING OF MEDICATION, 24-HOUR NURSING ASSISTANCE AND SUPERVISION, PERSONAL ASSISTANCE, AND ROOM & MEALS.
1 YES
5 NO
8 DK
9 RF
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D247
In what month and year did you and your (new) (Husband/Wife/Partner) start living together?
IN WHAT MONTH AND YEAR DID YOU AND YOUR (NEW) (HUSBAND/WIFE/PARTNER) START LIVING TOGETHER?
MONTH: _______ YEAR: __________
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D248
YEAR ST LIVE W/NEW SP/P
IN WHAT YEAR DID YOU AND YOUR (NEW) (HUSBAND/WIFE/PARTNER)
START LIVING TOGETHER? YEAR:
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CS17
R ROSTER CONFIRM. IWER: PRESS 1 TO CONFIRM R GRID IS FINISHED. YOU WILL NOT BE ABLE TO AMEND IT AFTER THIS POINT.
R ROSTER CONFIRM. IWER: PRESS 1 TO CONFIRM R GRID IS FINISHED. YOU WILL NOT BE ABLE TO AMEND IT AFTER THIS POINT.
1 RESPONDENT GRID COMPLETED
5 RESPONDENT GRID NOT COMPLETED
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D345
IN WAVE 1 IW, (R NAME) WAS THE (TYPE R) FOR WAVE 2 IW, (R NAME) IS THE (ASSIGNED TYPE R) ~IF NEW SPOUSE FOR WAVE 2 IW, (R SPOUSE NAME) IS THE (ASSIGNED TYPE R) ~IF HAD W1 SPOUSE IN WAVE 1 IW, (R SPOUSE NAME) WAS THE (TYPE R) FOR WAVE 2 IW, (R SPOUSE NAME) IS THE (ASSIGNED TYPE R) ~Else IN WAVE 1 IW, (R SPOUSE NAME) WAS THE (TYPE R) FOR WAVE 2 IW, (R SPOUSE NAME) IS THE (ASSIGNED TYPE R) IWER: DO YOU NEED TO CHANGE THIS ASSIGNMENT?
IN WAVE 1 IW, (R NAME) WAS THE (TYPE R) FOR WAVE 2 IW, (R NAME) IS THE (ASSIGNED TYPE R) ~IF NEW SPOUSE FOR WAVE 2 IW, (R SPOUSE NAME) IS THE (ASSIGNED TYPE R) ~IF HAD W1 SPOUSE IN WAVE 1 IW, (R SPOUSE NAME) WAS THE (TYPE R) FOR WAVE 2 IW, (R SPOUSE NAME) IS THE (ASSIGNED TYPE R) ~ELSE IN WAVE 1 IW, (R SPOUSE NAME) WAS THE (TYPE R) FOR WAVE 2 IW, (R SPOUSE NAME) IS THE (ASSIGNED TYPE R) IWER: DO YOU NEED TO CHANGE THIS ASSIGNMENT?
1 YES, CHANGE ASSIGNMENT
5 NO, LEAVE ASSIGNMENT AS STATED
8 DK
9 RF
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CS20A
WHY ARE YOU CHANGING THIS ASSIGNMENT?
WHY ARE YOU CHANGING THIS ASSIGNMENT?
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D347
INTERVIEW (R NAME) AS: TYPE:
INTERVIEW (R NAME) AS: TYPE:
1 FINANCIAL R
2 FAMILY R
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D348
INTERVIEW (R SPOUSE NAME) AS: OR NO SPOUSE -- IS assigned a value of TYPE: S22. SP TYPE
INTERVIEW (R SPOUSE NAME) AS: OR NO SPOUSE -- IS ASSIGNED TYPE: S22. SP TYPE
1 FINANCIAL R
2 FAMILY R
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CS25
In what month and year did you move to the (nursing home/health care facility) where you are now living?
IN WHAT MONTH AND YEAR DID YOU MOVE TO THE (NURSING HOME/HEALTH CARE FACILITY) WHERE YOU ARE NOW LIVING?
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CS25B
In what city and state is the (nursing home/health care facility) where you are living?
IN WHAT CITY AND STATE IS THE (NURSING HOME/HEALTH CARE FACILITY) WHERE YOU ARE LIVING?
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D420
Do you still own or rent a house or apartment outside the facility where you are living?
DO YOU STILL OWN OR RENT A HOUSE OR APARTMENT OUTSIDE THE FACILITY WHERE YOU ARE LIVING?
1 YES
5 NO
8 DK
9 RF
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D422
Our records show that in (Wave 1 date), (your house or apartment /one of your houses or apartments)was in (HH1 1st ADDR CITY , (HH1 1st ADDR STATE). ~IF IN NEW HH Do you still have the same house or apartment in (CITY)? ~Else Are you still living, all year or part of the year, in that same house or apartment in (CITY, STATE)?
OUR RECORDS SHOW THAT IN (WAVE 1 DATE), (YOUR HOUSE OR APARTMENT /ONE OF YOUR HOUSES OR APARTMENTS)WAS IN (HH1 1ST ADDR CITY , (HH1 1ST ADDR STATE). ~IF IN NEW HH DO YOU STILL HAVE THE SAME HOUSE OR APARTMENT IN (CITY)? ~ELSE ARE YOU STILL LIVING, ALL YEAR OR PART OF THE YEAR, IN THAT SAME HOUSE OR APARTMENT IN (CITY, STATE)?
5 NO
8 DK
9 RF
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D423
~IF IN NURSING HOME Is your house or apartment still in or around (CITY, STATE)? ~Else Do you still live, all year or part of the year in a house or apartment, in or around (CITY, STATE)?
~IF IN NURSING HOME IS YOUR HOUSE OR APARTMENT STILL IN OR AROUND (CITY, STATE)? ~ELSE DO YOU STILL LIVE, ALL YEAR OR PART OF THE YEAR IN A HOUSE OR APARTMENT, IN OR AROUND (CITY, STATE)?
1 YES
5 NO
8 DK
9 RF
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If ~IF IN NURSING HOME Is your house or apartment still in or around (CITY, STATE)? ~Else Do you still live, all year or part of the year in a house or apartment, in or around (CITY, STATE)? = 5 NO
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D425
How many years did you live around (CITY, STATE)? IF LESS THAN ONE YEAR, USE 1 if: NO W1 2ND RESIDENCE
HOW MANY YEARS DID YOU LIVE AROUND (CITY, STATE)? IF LESS THAN ONE YEAR, USE 1 IF: NO W1 2ND RESIDENCE
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D426
Our records also show that in (Wave 1 date), you had another house or apartment, one in (CITY, STATE). ~IF IN NURSING HOME Do you still have the same house or apartment in (CITY, STATE)? ~Else Are you still living, all year or part of the year, in that same house or apartment in (CITY, STATE)?
OUR RECORDS ALSO SHOW THAT IN (WAVE 1 DATE), YOU HAD ANOTHER HOUSE OR APARTMENT, ONE IN (CITY, STATE). ~IF IN NURSING HOME DO YOU STILL HAVE THE SAME HOUSE OR APARTMENT IN (CITY, STATE)? ~ELSE ARE YOU STILL LIVING, ALL YEAR OR PART OF THE YEAR, IN THAT SAME HOUSE OR APARTMENT IN (CITY, STATE)?
1 YES
5 NO
8 DK
9 RF
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D429
How many years did you live around (CITY, STATE)? IF LESS THAN ONE YEAR, USE 1
HOW MANY YEARS DID YOU LIVE AROUND (CITY, STATE)? IF LESS THAN ONE YEAR, USE 1
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CS33
In what city and state is your house or apartment currently located?
IN WHAT CITY AND STATE IS YOUR HOUSE OR APARTMENT CURRENTLY LOCATED?
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D431
Do you have any other house or apartment where youlive for 2 or more months of the year? IF R REPORTS MORE THAN ONE ADDITIONAL RESIDENCE, ASK ABOUT THE ONE THEY USE MOST.
DO YOU HAVE ANY OTHER HOUSE OR APARTMENT WHERE YOULIVE FOR 2 OR MORE MONTHS OF THE YEAR? IF R REPORTS MORE THAN ONE ADDITIONAL RESIDENCE, ASK ABOUT THE ONE THEY USE MOST.
1 YES
5 NO
8 DK
9 RF
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CS35
In what city and state is your other residence located?
IN WHAT CITY AND STATE IS YOUR OTHER RESIDENCE LOCATED?
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D438
Which is your main residence, your home in (CITY, STATE)or the one in (CITY, STATE) DEF: MAIN RESIDENCE, ONE WHERE R SPENDS THE MOST TIME (MTY)
WHICH IS YOUR MAIN RESIDENCE, YOUR HOME IN (CITY, STATE)OR THE ONE IN (CITY, STATE) DEF: MAIN RESIDENCE, ONE WHERE R SPENDS THE MOST TIME (MTY)
1 HOME IN (CITY, STATE 1st Residence Wave 1)
2 HOME IN (CITY, STATE named in CS33)
3 HOME IN (CITY, STATE 2nd Residence Wave 1)
4 HOME IN (CITY, STATE named in CS 35
8 DK
9 RF
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D466
some questions about children and whether any are living with you in (CITY). ~IF IN NURSING HOME IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN CHILD GRID TO NONRESIDENT OR DIED.
SOME QUESTIONS ABOUT CHILDREN AND WHETHER ANY ARE LIVING WITH YOU IN (CITY). ~IF IN NURSING HOME IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN CHILD GRID TO NONRESIDENT OR DIED.
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D470
VERIFY AND UPDATE INFORMATION ON CHILDREN & THEIR SPOUSES. PROMPT QUESTIONS FOR NEW CHILDREN ARE IN Q X Qs. REL MARI SP SPOUSE SP R HH TO R SEX NAME LAST STAT R HH NAME CHG Do you (or your) (Husband/Wife/Partner)have any (other) children, step-children, or sons- or daughters-in-law? USE DOWN ARROW TO CHECK FOR MORE PERSONS ON THE GRID. WHEN YOU ARE FINISHED, PRESS F10 TO CONTINUE if:1ST HOUSEHOLD
VERIFY AND UPDATE INFORMATION ON CHILDREN & THEIR SPOUSES. PROMPT QUESTIONS FOR NEW CHILDREN ARE IN Q X QS. REL MARI SP SPOUSE SP R HH TO R SEX NAME LAST STAT R HH NAME CHG DO YOU (OR YOUR) (HUSBAND/WIFE/PARTNER)HAVE ANY (OTHER) CHILDREN, STEP-CHILDREN, OR SONS- OR DAUGHTERS-IN-LAW? USE DOWN ARROW TO CHECK FOR MORE PERSONS ON THE GRID. WHEN YOU ARE FINISHED, PRESS F10 TO CONTINUE IF:1ST HOUSEHOLD
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D473
Now some questions about children and whether any are living with you in (CITY). ~IN NURSING HOME IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN CHILD GRID TO NONRESIDENT OR DIED.
NOW SOME QUESTIONS ABOUT CHILDREN AND WHETHER ANY ARE LIVING WITH YOU IN (CITY). ~IN NURSING HOME IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN CHILD GRID TO NONRESIDENT OR DIED.
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CS42
VERIFY AND UPDATE INFORMATION ON CHILDREN & THEIR SPOUSES. PROMPT QUESTIONS FOR NEW CHILDREN ARE IN Q X Qs. REL MARI SP SPOUSE SP R HH TO R SEX NAME LAST STAT R HH NAME CHG Do you (or your) (Husband/Wife/Partner)have any (other) children, step-children, or sons- or daughters-IN-law? USE DOWN ARROW TO CHECK FOR MORE PERSONS ON THE GRID. WHEN YOU ARE FINISHED, PRESS F10 TO CONTINUE
VERIFY AND UPDATE INFORMATION ON CHILDREN & THEIR SPOUSES. PROMPT QUESTIONS FOR NEW CHILDREN ARE IN Q X QS. REL MARI SP SPOUSE SP R HH TO R SEX NAME LAST STAT R HH NAME CHG DO YOU (OR YOUR) (HUSBAND/WIFE/PARTNER)HAVE ANY (OTHER) CHILDREN, STEP-CHILDREN, OR SONS- OR DAUGHTERS-IN-LAW? USE DOWN ARROW TO CHECK FOR MORE PERSONS ON THE GRID. WHEN YOU ARE FINISHED, PRESS F10 TO CONTINUE
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D478
I also need to update information about (other) people living with you in your home in (CITY). ~IF IN NURSING HOME: who lived with you back in (Wave 1 date). ~Else living with you in your home. IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN GRID TO NONRESIDENT OR DIED.
I ALSO NEED TO UPDATE INFORMATION ABOUT (OTHER) PEOPLE LIVING WITH YOU IN YOUR HOME IN (CITY). ~IF IN NURSING HOME: WHO LIVED WITH YOU BACK IN (WAVE 1 DATE). ~ELSE LIVING WITH YOU IN YOUR HOME. IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN GRID TO NONRESIDENT OR DIED.
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D484
I also need to update information about (other) people ~IF IN NURSING HOME: living with you in your home in (CITY). ~Else who lived with you back in (Wave 1 date). ~Else living with you in your home. IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN GRID TO NONRESIDENT OR DIED.
I ALSO NEED TO UPDATE INFORMATION ABOUT (OTHER) PEOPLE ~IF IN NURSING HOME: LIVING WITH YOU IN YOUR HOME IN (CITY). ~ELSE WHO LIVED WITH YOU BACK IN (WAVE 1 DATE). ~ELSE LIVING WITH YOU IN YOUR HOME. IWER: WHEN R LIVES IN NURSING HOME CHANGE ALL RESIDENT CODES IN GRID TO NONRESIDENT OR DIED.
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CS49
What is the relationship of (name) to your (Husband/Wife/Partner)?
WHAT IS THE RELATIONSHIP OF (NAME) TO YOUR (HUSBAND/WIFE/PARTNER)?
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End of CS. Coversheet
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