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Start of B. Health
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D769
Next I have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor?
NEXT I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. WOULD YOU SAY YOUR HEALTH IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
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D772
The next questions ask about what has happened to your health ~IF REINTERVIEW since the last time we talked to you in (Wave 1 date). Compared with your health then, would you say that your health is better now, about the same, or worse? ~Else In the last two years. Compared with you health two years ago, would you say that your health is better now, about the same, or worse?
THE NEXT QUESTIONS ASK ABOUT WHAT HAS HAPPENED TO YOUR HEALTH ~IF REINTERVIEW SINCE THE LAST TIME WE TALKED TO YOU IN (WAVE 1 DATE). COMPARED WITH YOUR HEALTH THEN, WOULD YOU SAY THAT YOUR HEALTH IS BETTER NOW, ABOUT THE SAME, OR WORSE? ~ELSE IN THE LAST TWO YEARS. COMPARED WITH YOU HEALTH TWO YEARS AGO, WOULD YOU SAY THAT YOUR HEALTH IS BETTER NOW, ABOUT THE SAME, OR WORSE?
1 BETTER
2 ABOUT SAME
3 WORSE
8 DK
9 RF
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D776
Is it much better or somewhat better?
IS IT MUCH BETTER OR SOMEWHAT BETTER?
1 MUCH BETTER
2 SOMEWHAT BETTER
8 DK
9 RF
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D776
Is it much better or somewhat better?
IS IT MUCH BETTER OR SOMEWHAT BETTER?
1 MUCH BETTER
2 SOMEWHAT BETTER
8 DK
9 RF
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D777
Is it much worse or somewhat worse?
IS IT MUCH WORSE OR SOMEWHAT WORSE?
4 SOMEWHAT WORSE
5 MUCH WORSE
8 DK
9 RF
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D781
~IF REINTERVIEW AND R DID HAVE HIGH BLOOD PRESSURE IN WAVE 1 ~IF NEW INTERVIEW Has a doctor ever told you that you have high blood pressure or hypertension? ~Else (IF R HAD HIGH BLOOD PRESSURE IN WAVE 1) Our records from your last interview show that you have had high blood pressure or hypertension. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD ~Else Since we last talked to you, that is since (Wave 1 date), has a doctor told you that you have high blood pressure or hypertension?
~IF REINTERVIEW AND R DID HAVE HIGH BLOOD PRESSURE IN WAVE 1 ~IF NEW INTERVIEW HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE HIGH BLOOD PRESSURE OR HYPERTENSION? ~ELSE (IF R HAD HIGH BLOOD PRESSURE IN WAVE 1) OUR RECORDS FROM YOUR LAST INTERVIEW SHOW THAT YOU HAVE HAD HIGH BLOOD PRESSURE OR HYPERTENSION. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD ~ELSE SINCE WE LAST TALKED TO YOU, THAT IS SINCE (WAVE 1 DATE), HAS A DOCTOR TOLD YOU THAT YOU HAVE HIGH BLOOD PRESSURE OR HYPERTENSION?
1 YES
5 NO
8 DK
9 RF
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D782
In order to lower your blood pressure, are you now taking any medication?
IN ORDER TO LOWER YOUR BLOOD PRESSURE, ARE YOU NOW TAKING ANY MEDICATION?
1 YES
5 NO
8 DK
9 RF
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If WAVE 1 R HIGH BLOOD PRESSURE »
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D783
In order to lower your blood pressure, ~IF REINTERVIEW have you lost weight or followed a special diet since (Wave 1 date)? ~Else have you lost weight or followed a special diet in the last 2 years?
IN ORDER TO LOWER YOUR BLOOD PRESSURE, ~IF REINTERVIEW HAVE YOU LOST WEIGHT OR FOLLOWED A SPECIAL DIET SINCE (WAVE 1 DATE)? ~ELSE HAVE YOU LOST WEIGHT OR FOLLOWED A SPECIAL DIET IN THE LAST 2 YEARS?
1 YES
5 NO
8 DK
9 RF
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D784
Is your blood pressure generally under control?
IS YOUR BLOOD PRESSURE GENERALLY UNDER CONTROL?
1 YES
5 NO
8 DK
9 RF
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If WAVE 1 R HIGH BLOOD PRESSURE »
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D785
Compared to when we interviewed you in (Wave 1 date), is your high blood pressure better, worse, or is it about the same as it was then?
COMPARED TO WHEN WE INTERVIEWED YOU IN (WAVE 1 DATE), IS YOUR HIGH BLOOD PRESSURE BETTER, WORSE, OR IS IT ABOUT THE SAME AS IT WAS THEN?
1 BETTER
2 ABOUT THE SAME
3 WORSE
8 DK
9 RF
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D788
~IF REINTERVIEW AND R HAD DIABETES IN WAVE 1 ~IF NEW INTERVIEW Has a doctor ever told you that you have diabetes or high blood sugar? ~Else (R HAD DIABETES IN WAVE 1) Our records from your last interview in (Wave 1 date) show that you have had diabetes or high blood sugar. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~Else Since we talked last in (Wave 1 date) has a doctor told you that you have diabetes or high blood sugar?
~IF REINTERVIEW AND R HAD DIABETES IN WAVE 1 ~IF NEW INTERVIEW HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE DIABETES OR HIGH BLOOD SUGAR? ~ELSE (R HAD DIABETES IN WAVE 1) OUR RECORDS FROM YOUR LAST INTERVIEW IN (WAVE 1 DATE) SHOW THAT YOU HAVE HAD DIABETES OR HIGH BLOOD SUGAR. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~ELSE SINCE WE TALKED LAST IN (WAVE 1 DATE) HAS A DOCTOR TOLD YOU THAT YOU HAVE DIABETES OR HIGH BLOOD SUGAR?
1 YES
5 NO
8 DK
9 RF
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D789
In order to treat or control your diabetes, Are you now taking medication that you swallow?
IN ORDER TO TREAT OR CONTROL YOUR DIABETES, ARE YOU NOW TAKING MEDICATION THAT YOU SWALLOW?
1 YES
5 NO
8 DK
9 RF
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D790
Are you now using insulin shots or pump?
ARE YOU NOW USING INSULIN SHOTS OR PUMP?
1 YES
5 NO
8 DK
9 RF
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D791
In order to treat or control your diabetes, ~IF REINTERVIEW have you lost weight since (Wave 1 date)? ~Else have you lost weight in the last two years?
IN ORDER TO TREAT OR CONTROL YOUR DIABETES, ~IF REINTERVIEW HAVE YOU LOST WEIGHT SINCE (WAVE 1 DATE)? ~ELSE HAVE YOU LOST WEIGHT IN THE LAST TWO YEARS?
1 YES
5 NO
8 DK
9 RF
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D792
Are you following a special diet?
ARE YOU FOLLOWING A SPECIAL DIET?
1 YES
5 NO
8 DK
9 RF
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D793
Is your diabetes generally under control?
IS YOUR DIABETES GENERALLY UNDER CONTROL?
1 YES
5 NO
8 DK
9 RF
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D794
Compared to when we interviewed you last in (Wave 1 date), has your diabetes gotten better, worse, or stayed about the same?
COMPARED TO WHEN WE INTERVIEWED YOU LAST IN (WAVE 1 DATE), HAS YOUR DIABETES GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 ABOUT THE SAME
3 WORSE
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D795
Has your diabetes caused you to have trouble with your kidneys or protein in your urine?
HAS YOUR DIABETES CAUSED YOU TO HAVE TROUBLE WITH YOUR KIDNEYS OR PROTEIN IN YOUR URINE?
1 YES
5 NO
8 DK
9 RF
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D801
~IF REINTERVIEW AND R DID HAVE CANCER WAVE 1 ~IF NEW INTERVIEW Has a doctor ever told you that you have cancer or a malignant tumor, excluding minor skin cancers? ~Else R HAD CANCER WAVE 1 Our records from your last interview in (Wave 1 date) show that you have had cancer. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~Else Since we last talked to you, that is since (Wave 1 date), has a doctor told you that you have cancer or a malignant tumor, excluding minor skin cancer?
~IF REINTERVIEW AND R DID HAVE CANCER WAVE 1 ~IF NEW INTERVIEW HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCERS? ~ELSE R HAD CANCER WAVE 1 OUR RECORDS FROM YOUR LAST INTERVIEW IN (WAVE 1 DATE) SHOW THAT YOU HAVE HAD CANCER. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~ELSE SINCE WE LAST TALKED TO YOU, THAT IS SINCE (WAVE 1 DATE), HAS A DOCTOR TOLD YOU THAT YOU HAVE CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER?
1 YES
5 NO
8 DK
9 RF
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If NOT (D801 = 1 and (WAVE 1 CANCER NOT YES and REINTERVIEW)) »
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D802
~IF REINTERVIEW Since (Wave 1 date) have you seen a doctor about your cancer? ~Else In the last two years have you seen a doctor about your cancer?
~IF REINTERVIEW SINCE (WAVE 1 DATE) HAVE YOU SEEN A DOCTOR ABOUT YOUR CANCER? ~ELSE IN THE LAST TWO YEARS HAVE YOU SEEN A DOCTOR ABOUT YOUR CANCER?
1 YES
5 NO
8 DK
9 RF
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D803
Are you now receiving treatment for cancer?
ARE YOU NOW RECEIVING TREATMENT FOR CANCER?
1 YES
5 NO
8 DK
9 RF
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If NOT (D802 NOT 1 and Are you now receiving treatment for cancer? = 5 NO and WAVE 1 CANCER = YES) »
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If NOT(D803 NOT 1 and WAVE 1 CANCER = YES) »
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D804M1
~IF NEW INTERVIEW During the last two years, ~Else Since (Wave 1 date), what sort of treatments have you received for cancer? CHOOSE ALL THAT APPLY
~IF NEW INTERVIEW DURING THE LAST TWO YEARS, ~ELSE SINCE (WAVE 1 DATE), WHAT SORT OF TREATMENTS HAVE YOU RECEIVED FOR CANCER? CHOOSE ALL THAT APPLY
1 CHEMOTHERAPY OR MEDICATION
2 SURGERY OR BIOPSY
3 RADIATION/ X-RAY
4 MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
5 NONE
7 OTHER, SPECIFY
8 DK
9 RF
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D805
Since (Wave 1 date), has the cancer gotten worse, better or stayed about the same?
SINCE (WAVE 1 DATE), HAS THE CANCER GOTTEN WORSE, BETTER OR STAYED ABOUT THE SAME?
1 BETTER
2 STAYED THE SAME
3 WORSE
8 DK
9 RF
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If NOT (D803 NOT 1 and WAVE 1 CANCER NOT YES)
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D806
Since (Wave 1 date), has a doctor told you that you had a new cancer or malignant tumor, excluding minor skin cancer?
SINCE (WAVE 1 DATE), HAS A DOCTOR TOLD YOU THAT YOU HAD A NEW CANCER OR MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER?
1 YES
5 NO
8 DK
9 RF
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D807
How many different cancers have you had?
HOW MANY DIFFERENT CANCERS HAVE YOU HAD?
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D812
(Has your cancer\Have any of your cancers) spread?
(HAS YOUR CANCER\HAVE ANY OF YOUR CANCERS) SPREAD?
1 YES
5 NO
8 DK
9 RF
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D813
In what month and year was your (most recent) cancer diagnosed? MONTH: YEAR:
IN WHAT MONTH AND YEAR WAS YOUR (MOST RECENT) CANCER DIAGNOSED? MONTH: YEAR:
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D814
YEAR RECENT CANCER
IN WHAT YEAR WAS YOUR (MOST RECENT) CANCER DIAGNOSED?
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D818
~IF REINTERVIEW AND R HAD LUNG CONDITIONS IN WAVE 1 ~IF NEW INTERVIEW Has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema? DO NOT INCLUDE ASTHMA ~Else R HAD LUNG CONDITIONS IN WAVE 1 Our records from your interview in (Wave 1 date) show that you had a chronic lung disease, such as chronic bronchitis or emphysema. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~Else Since we last talked with you, that is since (Wave 1 date), has a doctor told you that you have chronic lung disease, such as chronic bronchitis or emphysema? DO NOT INCLUDE ASTHMA
~IF REINTERVIEW AND R HAD LUNG CONDITIONS IN WAVE 1 ~IF NEW INTERVIEW HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE CHRONIC LUNG DISEASE SUCH AS CHRONIC BRONCHITIS OR EMPHYSEMA? DO NOT INCLUDE ASTHMA ~ELSE R HAD LUNG CONDITIONS IN WAVE 1 OUR RECORDS FROM YOUR INTERVIEW IN (WAVE 1 DATE) SHOW THAT YOU HAD A CHRONIC LUNG DISEASE, SUCH AS CHRONIC BRONCHITIS OR EMPHYSEMA. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~ELSE SINCE WE LAST TALKED WITH YOU, THAT IS SINCE (WAVE 1 DATE), HAS A DOCTOR TOLD YOU THAT YOU HAVE CHRONIC LUNG DISEASE, SUCH AS CHRONIC BRONCHITIS OR EMPHYSEMA? DO NOT INCLUDE ASTHMA
1 YES
5 NO
8 DK
9 RF
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If LUNG CONDITIONS includes WAVE 1 YES »
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D819
Since then, has this condition gotten better, worse, or stayed about the same?
SINCE THEN, HAS THIS CONDITION GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 ABOUT THE SAME
3 WORSE
8 DK
9 RF
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D823
Are you now taking medication or other treatment for your lung condition?
ARE YOU NOW TAKING MEDICATION OR OTHER TREATMENT FOR YOUR LUNG CONDITION?
1 YES
5 NO
8 DK
9 RF
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D824
Are you receiving oxygen for your lung condition?
ARE YOU RECEIVING OXYGEN FOR YOUR LUNG CONDITION?
1 YES
5 NO
8 DK
9 RF
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D825
Are you receiving physical or respiratory therapy for your lung condition?
ARE YOU RECEIVING PHYSICAL OR RESPIRATORY THERAPY FOR YOUR LUNG CONDITION?
1 YES
5 NO
8 DK
9 RF
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D826
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?
1 YES
5 NO
8 DK
9 RF
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If NOT ( WAVE 1 HEART PROBLEM NOT YES and WAVE 1 INTERVIEW REINTERVIEW) »
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D829
Are you now taking or carrying medication for your heart problem?
ARE YOU NOW TAKING OR CARRYING MEDICATION FOR YOUR HEART PROBLEM?
1 YES
5 NO
8 DK
9 RF
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D830
~IF REINTERVIEW Since (Wave 1 date), ~Else In the last two years, have you seen a doctor for your heart problem?
~IF REINTERVIEW SINCE (WAVE 1 DATE), ~ELSE IN THE LAST TWO YEARS, HAVE YOU SEEN A DOCTOR FOR YOUR HEART PROBLEM?
1 YES
5 NO
8 DK
9 RF
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D831
Since (Wave 1 date), has this condition gotten better, worse, or stayed about the same?
SINCE (WAVE 1 DATE), HAS THIS CONDITION GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 STAYED THE SAME
3 WORSE
8 DK
9 RF
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D834
Have you had a heart attack or myocardial infarction ~IF REINTERVIEW since (Wave 1 date)? ~Else In the past two years?
HAVE YOU HAD A HEART ATTACK OR MYOCARDIAL INFARCTION ~IF REINTERVIEW SINCE (WAVE 1 DATE)? ~ELSE IN THE PAST TWO YEARS?
1 YES
5 NO
8 DK
9 RF
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If Have you had a heart attack or myocardial infarction ~IF REINTERVIEW since (Wave 1 date)? ~Else In the past two years? = 1 YES »
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D836
(Since we talked to you last,) Have you seen a doctor IN connection with your heart attack?
(SINCE WE TALKED TO YOU LAST,) HAVE YOU SEEN A DOCTOR IN CONNECTION WITH YOUR HEART ATTACK?
1 YES
5 NO
8 DK
9 RF
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D837
Are you now taking medication because of your heart attack?
ARE YOU NOW TAKING MEDICATION BECAUSE OF YOUR HEART ATTACK?
1 YES
5 NO
8 DK
9 RF
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D838
In what month and year was your (most recent) heart attack? MONTH: YEAR:
IN WHAT MONTH AND YEAR WAS YOUR (MOST RECENT) HEART ATTACK? MONTH: YEAR:
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D839
YEAR RECENT HEARTATTACK
IN WHAT YEAR WAS YOUR (MOST RECENT) HEART ATTACK?YEAR
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D840
~IF NEW INTERVIEW In the last two years, ~Else REINTERVIEW Since (Wave 1 date), have you had any angina or chest pains due to your heart?
~IF NEW INTERVIEW IN THE LAST TWO YEARS, ~ELSE REINTERVIEW SINCE (WAVE 1 DATE), HAVE YOU HAD ANY ANGINA OR CHEST PAINS DUE TO YOUR HEART?
1 YES
5 NO
8 DK
9 RF
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D841
Are you now taking or carrying medications because of angina or chest pain?
ARE YOU NOW TAKING OR CARRYING MEDICATIONS BECAUSE OF ANGINA OR CHEST PAIN?
1 YES
5 NO
8 DK
9 RF
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D842
Are you limiting your usual activities because of your angina?
ARE YOU LIMITING YOUR USUAL ACTIVITIES BECAUSE OF YOUR ANGINA?
1 YES
5 NO
8 DK
9 RF
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D843
~IF REINTERVIEW Since we last talked to you, that is, since (Wave 1 date), has a doctor told you that ~Else In the last two years has a doctor told you that you have congestive heart failure?
~IF REINTERVIEW SINCE WE LAST TALKED TO YOU, THAT IS, SINCE (WAVE 1 DATE), HAS A DOCTOR TOLD YOU THAT ~ELSE IN THE LAST TWO YEARS HAS A DOCTOR TOLD YOU THAT YOU HAVE CONGESTIVE HEART FAILURE?
1 YES
5 NO
8 DK
9 RF
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D844
~IF NEW INTERVIEW In the past two years ~Else Since (Wave 1 date) Have you been admitted to the hospital overnight because of it (congestive heart failure)?
~IF NEW INTERVIEW IN THE PAST TWO YEARS ~ELSE SINCE (WAVE 1 DATE) HAVE YOU BEEN ADMITTED TO THE HOSPITAL OVERNIGHT BECAUSE OF IT (CONGESTIVE HEART FAILURE)?
1 YES
5 NO
8 DK
9 RF
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D845
Are you taking any medication for congestive heart failure?
ARE YOU TAKING ANY MEDICATION FOR CONGESTIVE HEART FAILURE?
1 YES
5 NO
8 DK
9 RF
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D846
~IF REINTERVIEW Since (Wave 1 date) ~Else In the past two years Have you had a special test or treatment of your heart where tubes were inserted into your veins or arteries (cardiac cathetarization, coronary angiogram or angioplasty)?
~IF REINTERVIEW SINCE (WAVE 1 DATE) ~ELSE IN THE PAST TWO YEARS HAVE YOU HAD A SPECIAL TEST OR TREATMENT OF YOUR HEART WHERE TUBES WERE INSERTED INTO YOUR VEINS OR ARTERIES (CARDIAC CATHETARIZATION, CORONARY ANGIOGRAM OR ANGIOPLASTY)?
1 YES
5 NO
8 DK
9 RF
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D847
~IF REINTERVIEW Since (Wave 1 date) ~Else In the past two years have you had surgery on your heart?
~IF REINTERVIEW SINCE (WAVE 1 DATE) ~ELSE IN THE PAST TWO YEARS HAVE YOU HAD SURGERY ON YOUR HEART?
1 YES
5 NO
8 DK
9 RF
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D848
~IF REINTERVIEW AND R HAD A STROKE IN WAVE 1 ~IF NEW INTERVIEW Has a doctor ever told you that you had a stroke? ~Else IF R HAD A STROKE IN WAVE 1 Our records from your last interview in (Wave 1 date) show that you had a stroke. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~Else Since your interview in (Wave 1 date) has a doctor told you that you have had a stroke?
~IF REINTERVIEW AND R HAD A STROKE IN WAVE 1 ~IF NEW INTERVIEW HAS A DOCTOR EVER TOLD YOU THAT YOU HAD A STROKE? ~ELSE IF R HAD A STROKE IN WAVE 1 OUR RECORDS FROM YOUR LAST INTERVIEW IN (WAVE 1 DATE) SHOW THAT YOU HAD A STROKE. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~ELSE SINCE YOUR INTERVIEW IN (WAVE 1 DATE) HAS A DOCTOR TOLD YOU THAT YOU HAVE HAD A STROKE?
1 YES
5 NO
8 DK
9 RF
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D850
~IF REINTERVIEW Since (Wave 1 date) ~Else In the past two years have you seen a doctor because of this or any other stroke?
~IF REINTERVIEW SINCE (WAVE 1 DATE) ~ELSE IN THE PAST TWO YEARS HAVE YOU SEEN A DOCTOR BECAUSE OF THIS OR ANY OTHER STROKE?
1 YES
5 NO
8 DK
9 RF
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D851
Do you still have any remaining problems because of your stroke(s)?
DO YOU STILL HAVE ANY REMAINING PROBLEMS BECAUSE OF YOUR STROKE(S)?
1 YES
5 NO
8 DK
9 RF
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If NOT (D850 = 5 and 851 = 5) »
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D852
Do you have weakness in your arms and legs, or decreased ability to move or use them?
DO YOU HAVE WEAKNESS IN YOUR ARMS AND LEGS, OR DECREASED ABILITY TO MOVE OR USE THEM?
1 YES
5 NO
8 DK
9 RF
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D853
Difficulty speaking or swallowing?
DIFFICULTY SPEAKING OR SWALLOWING?
1 YES
5 NO
8 DK
9 RF
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D854
Difficulty with your vision?
DIFFICULTY WITH YOUR VISION?
1 YES
5 NO
8 DK
9 RF
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D855
Difficulty in thinking or finding the right words to say?
DIFFICULTY IN THINKING OR FINDING THE RIGHT WORDS TO SAY?
1 YES
5 NO
8 DK
9 RF
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D856
Are you now taking any medications because of your stroke or its complications?
ARE YOU NOW TAKING ANY MEDICATIONS BECAUSE OF YOUR STROKE OR ITS COMPLICATIONS?
1 YES
5 NO
8 DK
9 RF
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D857
Are you receiving physical or occupational therapy because of your stroke or its complications?
ARE YOU RECEIVING PHYSICAL OR OCCUPATIONAL THERAPY BECAUSE OF YOUR STROKE OR ITS COMPLICATIONS?
1 YES
5 NO
8 DK
9 RF
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D858
Since (Wave 1 date), has a doctor told you that you had another stroke?
SINCE (WAVE 1 DATE), HAS A DOCTOR TOLD YOU THAT YOU HAD ANOTHER STROKE?
1 YES
5 NO
8 DK
9 RF
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D859
In what month and year was your (most recent) stroke? MONTH: YEAR:
IN WHAT MONTH AND YEAR WAS YOUR (MOST RECENT) STROKE? MONTH: YEAR:
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D860
YEAR RECENT STROKE
IN WHAT YEAR WAS YOUR (MOST RECENT) STROKE?
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D861
~IF REINTERVIEW AND R HAD PSYCHIATRIC PROBLEMS IN WAVE 1 ~IF NEW INTERVIEW Have you ever had or has a doctor ever told you that you have any emotional, nervous, or psychiatric problems? ~Else R HAD PSYCHIATRIC PROBLEMS IN WAVE 1 When we talked with you in (Wave 1 date), you said that you had some emotional, nervous, or psychiatric problems. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~Else Since (Wave 1 date), have you had or has a doctor told you that you have any emotional, nervous, or psychiatric problems?
~IF REINTERVIEW AND R HAD PSYCHIATRIC PROBLEMS IN WAVE 1 ~IF NEW INTERVIEW HAVE YOU EVER HAD OR HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ANY EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS? ~ELSE R HAD PSYCHIATRIC PROBLEMS IN WAVE 1 WHEN WE TALKED WITH YOU IN (WAVE 1 DATE), YOU SAID THAT YOU HAD SOME EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~ELSE SINCE (WAVE 1 DATE), HAVE YOU HAD OR HAS A DOCTOR TOLD YOU THAT YOU HAVE ANY EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS?
1 YES
5 NO
8 DK
9 RF
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D862
Have these problems gotten better, worse, or stayed about the same?
HAVE THESE PROBLEMS GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 STAYED THE SAME
3 WORSE
8 DK
9 RF
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D863
Do you now get psychiatric or psychological treatment for your problems?
DO YOU NOW GET PSYCHIATRIC OR PSYCHOLOGICAL TREATMENT FOR YOUR PROBLEMS?
1 YES
5 NO
8 DK
9 RF
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D864
Do you now take tranquilizers, antidepressants, or pills for nerves?
DO YOU NOW TAKE TRANQUILIZERS, ANTIDEPRESSANTS, OR PILLS FOR NERVES?
1 YES
5 NO
8 DK
9 RF
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D866
~IF REINTERVIEW AND R HAD ARTHRITIS IN WAVE 1 ~IF NEW INTERVIEW Have you ever had, or has a doctor ever told you that you have arthritis or rheumatism? ~Else R HAD ARTHRITIS IN WAVE 1 Our records from your last interview in (Wave 1 date) show that you have had arthritis. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~Else Since your interview in (Wave 1 date) have you had or has a doctor told you that you have arthritis or rheumatism?
~IF REINTERVIEW AND R HAD ARTHRITIS IN WAVE 1 ~IF NEW INTERVIEW HAVE YOU EVER HAD, OR HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ARTHRITIS OR RHEUMATISM? ~ELSE R HAD ARTHRITIS IN WAVE 1 OUR RECORDS FROM YOUR LAST INTERVIEW IN (WAVE 1 DATE) SHOW THAT YOU HAVE HAD ARTHRITIS. IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY DISPUTES W1 RECORD. ~ELSE SINCE YOUR INTERVIEW IN (WAVE 1 DATE) HAVE YOU HAD OR HAS A DOCTOR TOLD YOU THAT YOU HAVE ARTHRITIS OR RHEUMATISM?
1 YES
5 NO
8 DK
9 RF
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If NOT ( D866 = 1 and D116 NOT 1)
|
|
| |
|
| |
D867
Has this arthritis gotten better, worse, or stayed about the same?
HAS THIS ARTHRITIS GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 BETTER
2 ABOUT THE SAME
3 WORSE
8 DK
9 RFS
|
| |
|
D868
~IF REINTERVIEW Since (Wave 1 date) ~Else In the past two years have you seen a doctor specifically for your arthritis or rheumatism?
~IF REINTERVIEW SINCE (WAVE 1 DATE) ~ELSE IN THE PAST TWO YEARS HAVE YOU SEEN A DOCTOR SPECIFICALLY FOR YOUR ARTHRITIS OR RHEUMATISM?
1 YES
5 NO
8 DK
9 RF
|
| |
D869
Do you sometimes have pain, stiffness, or swelling in your joints?
DO YOU SOMETIMES HAVE PAIN, STIFFNESS, OR SWELLING IN YOUR JOINTS?
1 YES
5 NO
8 DK
9 RF
|
| |
D870
Are you currently taking any medication or other treatments for your arthritis or rheumatism?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR OTHER TREATMENTS FOR YOUR ARTHRITIS OR RHEUMATISM?
1 YES
5 NO
8 DK
9 RF
|
| |
D871
Does your arthritis sometimes limit your usual activities?
DOES YOUR ARTHRITIS SOMETIMES LIMIT YOUR USUAL ACTIVITIES?
1 YES
5 NO
8 DK
9 RF
|
| |
D872
Have you had surgery or any joint replacement because of arthritis ~IF REINTERVIEW since (Wave 1 date)? ~Else In the last two years?
HAVE YOU HAD SURGERY OR ANY JOINT REPLACEMENT BECAUSE OF ARTHRITIS ~IF REINTERVIEW SINCE (WAVE 1 DATE)? ~ELSE IN THE LAST TWO YEARS?
1 YES
5 NO
8 DK
9 RF
|
| |
If Have you had surgery or any joint replacement because of arthritis ~IF REINTERVIEW since (Wave 1 date)? ~Else In the last two years? = 1 YES
|
|
| |
|
| |
D875M1
Which joint was that? SELECT ALL THAT APPLY
WHICH JOINT WAS THAT? SELECT ALL THAT APPLY
1 HIP(S)
2 KNEE(S)
7 OTHER(SPECIFY)
8 DK
9 RF
|
| |
|
D878
Have you fallen down ~IF REINTERVIEW since (Wave 1 date)? ~Else In the last two years?
HAVE YOU FALLEN DOWN ~IF REINTERVIEW SINCE (WAVE 1 DATE)? ~ELSE IN THE LAST TWO YEARS?
1 YES
5 NO
8 DK
9 RF
|
| |
D879
How many times have you fallen ~IF REINTERVIEW since (Wave 1 date)? ~Else In the last two years? # TIMES:
HOW MANY TIMES HAVE YOU FALLEN ~IF REINTERVIEW SINCE (WAVE 1 DATE)? ~ELSE IN THE LAST TWO YEARS? # TIMES:
|
| |
D884
In (any of these falls/that fall), did you injure yourself seriously enough to need medical treatment?
IN (ANY OF THESE FALLS/THAT FALL), DID YOU INJURE YOURSELF SERIOUSLY ENOUGH TO NEED MEDICAL TREATMENT?
1 YES
5 NO
8 DK
9 RF
|
| |
D887
~IF NEW INTERVIEW Have you ever fractured your hip? ~Else IF R HAD BROKEN HIP IN WAVE 1 Have you fractured your hip since we talked In (Wave 1 date)?
~IF NEW INTERVIEW HAVE YOU EVER FRACTURED YOUR HIP? ~ELSE IF R HAD BROKEN HIP IN WAVE 1 HAVE YOU FRACTURED YOUR HIP SINCE WE TALKED IN (WAVE 1 DATE)?
1 YES
5 NO
8 DK
9 RF
|
| |
D892
The next question might not be easy to talk about, but it is very important for research on health and aging. During the last 12 months, have you lost any amount of urine beyond your control?
THE NEXT QUESTION MIGHT NOT BE EASY TO TALK ABOUT, BUT IT IS VERY IMPORTANT FOR RESEARCH ON HEALTH AND AGING. DURING THE LAST 12 MONTHS, HAVE YOU LOST ANY AMOUNT OF URINE BEYOND YOUR CONTROL?
1 YES
5 NO
8 DK
9 RF
|
| |
D893
On about how many days in the last month have you lost any urine? USE 31 FOR "EVERY DAY"
ON ABOUT HOW MANY DAYS IN THE LAST MONTH HAVE YOU LOST ANY URINE? USE 31 FOR "EVERY DAY"
|
| |
D894
Was that more than 5 days?
WAS THAT MORE THAN 5 DAYS?
1 YES
5 NO
8 DK
9 RF
|
| |
D895
More than 15 days?
MORE THAN 15 DAYS?
1 YES
5 NO
8 DK
9 RF
|
| |
D896
Do you ever use any absorbent products such as pads, special garments, sanitary napkins, or toilet paper for your urine loss condition?
DO YOU EVER USE ANY ABSORBENT PRODUCTS SUCH AS PADS, SPECIAL GARMENTS, SANITARY NAPKINS, OR TOILET PAPER FOR YOUR URINE LOSS CONDITION?
1 YES
5 NO
8 DK
9 RF
|
| |
D897
During the last 12 months, have you ever lost control over your stool or bowel movements?
DURING THE LAST 12 MONTHS, HAVE YOU EVER LOST CONTROL OVER YOUR STOOL OR BOWEL MOVEMENTS?
1 YES
5 NO
8 DK
9 RF
|
| |
D900
Now some questions about your vision. Is your eyesight excellent, very good, good, fair, or poor? (USING GLASSES OR CORRECTIVE LENS AS USUAL)
NOW SOME QUESTIONS ABOUT YOUR VISION. IS YOUR EYESIGHT EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR? (USING GLASSES OR CORRECTIVE LENS AS USUAL)
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
|
| |
D901
How good is your eyesight for seeing things at a distance, like recognizing a friend across the street? (USING GLASSES OR CORRECTIVE LENS AS USUAL)
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS AT A DISTANCE, LIKE RECOGNIZING A FRIEND ACROSS THE STREET? (USING GLASSES OR CORRECTIVE LENS AS USUAL)
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
|
| |
D902
RATE NEAR VISION
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS UP CLOSE, LIKE READING
ORDINARY NEWSPAPER PRINT? (USING GLASSES OR CORRECTIVE LENS AS USUAL)
|
| |
D903
~IF REINTERVIEW AND R HAD CATARACT SURGERY IN WAVE 1 ~IF NEW INTERVIEW Have you ever had cataract surgery? ~Else R HAD CATARACT SURGERY IN WAVE 1 Have you had cataract surgery since (Wave 1 date) other than what you told us about then? ~Else Have you had cataract surgery since (Wave 1 date)?
~IF REINTERVIEW AND R HAD CATARACT SURGERY IN WAVE 1 ~IF NEW INTERVIEW HAVE YOU EVER HAD CATARACT SURGERY? ~ELSE R HAD CATARACT SURGERY IN WAVE 1 HAVE YOU HAD CATARACT SURGERY SINCE (WAVE 1 DATE) OTHER THAN WHAT YOU TOLD US ABOUT THEN? ~ELSE HAVE YOU HAD CATARACT SURGERY SINCE (WAVE 1 DATE)?
1 YES
5 NO
8 DK
9 RF
|
| |
D904
Have you had cataract surgery on both eyes, or just one?
HAVE YOU HAD CATARACT SURGERY ON BOTH EYES, OR JUST ONE?
1 ONE EYE ONLY
2 BOTH EYES
8 DK
9 RF
|
| |
D905
Did the cataract surgery (on either eye) include implanting a lens?
DID THE CATARACT SURGERY (ON EITHER EYE) INCLUDE IMPLANTING A LENS?
1 YES
5 NO
8 DK
9 RF
|
| |
D906
Has a doctor ever treated you for glaucoma?
HAS A DOCTOR EVER TREATED YOU FOR GLAUCOMA?
1 YES
5 NO
8 DK
9 RF
|
| |
D907
Do you ever wear a hearing aid?
DO YOU EVER WEAR A HEARING AID?
1 YES
5 NO
8 DK
9 RF
|
| |
D908
Is your hearing excellent, very good, good, fair, or poor? (USING A HEARING AID AS USUAL)
IS YOUR HEARING EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR? (USING A HEARING AID AS USUAL)
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
|
| |
D911
Are you often troubled with pain?
ARE YOU OFTEN TROUBLED WITH PAIN?
1 YES
5 NO
8 DK
9 RF
|
| |
D912
When the pain is at its worst, is it mild, moderate or severe?
WHEN THE PAIN IS AT ITS WORST, IS IT MILD, MODERATE OR SEVERE?
1 MILD
2 MODERATE
3 SEVERE
8 DK
9 RF
|
| |
D913
How bad is the pain most of the time: mild, moderate or severe?
HOW BAD IS THE PAIN MOST OF THE TIME: MILD, MODERATE OR SEVERE?
1 MILD
2 MODERATE
3 SEVERE
8 DK
9 RF
|
| |
D914
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?
1 YES
5 NO
8 DK
9 RF
|
| |
D915
~IF REINTERVIEW Since we talked to you last in (Wave 1 date), have you had any other ~Else In the last two years, have you had any other major health problems which you haven't told me about? IF YES, SPECIFY ON NEXT SCREEN
~IF REINTERVIEW SINCE WE TALKED TO YOU LAST IN (WAVE 1 DATE), HAVE YOU HAD ANY OTHER ~ELSE IN THE LAST TWO YEARS, HAVE YOU HAD ANY OTHER MAJOR HEALTH PROBLEMS WHICH YOU HAVEN'T TOLD ME ABOUT? IF YES, SPECIFY ON NEXT SCREEN
1 YES
5 NO
8 DK
9 RF
|
| |
D919
~IF REINTERVIEW Since we talked to you last in (Wave 1 date), have you had any of ~Else In the last two years, have you had any of the following medical tests or procedures? A flu shot?
~IF REINTERVIEW SINCE WE TALKED TO YOU LAST IN (WAVE 1 DATE), HAVE YOU HAD ANY OF ~ELSE IN THE LAST TWO YEARS, HAVE YOU HAD ANY OF THE FOLLOWING MEDICAL TESTS OR PROCEDURES? A FLU SHOT?
1 YES
5 NO
8 DK
9 RF
|
| |
D920
A blood test for cholesterol?
A BLOOD TEST FOR CHOLESTEROL?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
|
| |
|
| |
D925
Do you check your breasts for lumps monthly?
DO YOU CHECK YOUR BREASTS FOR LUMPS MONTHLY?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D926
Did you have a mammogram or x-ray of the breast, to search for cancer ~IF REINTERVIEW since (Wave 1 date)? ~Else In the last two years?
DID YOU HAVE A MAMMOGRAM OR X-RAY OF THE BREAST, TO SEARCH FOR CANCER ~IF REINTERVIEW SINCE (WAVE 1 DATE)? ~ELSE IN THE LAST TWO YEARS?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D927
A PAP smear?
A PAP SMEAR?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D929
An examination of your prostate to screen for cancer?
AN EXAMINATION OF YOUR PROSTATE TO SCREEN FOR CANCER?
1 YES
5 NO
8 DK
9 RF
|
| |
D934
On average over the last 12 months have you participated in vigorous physical activity or exercise three times a week or more? By vigorous physical activity, we mean things like, sports, heavy housework, or a job that involves physical labor.
ON AVERAGE OVER THE LAST 12 MONTHS HAVE YOU PARTICIPATED IN VIGOROUS PHYSICAL ACTIVITY OR EXERCISE THREE TIMES A WEEK OR MORE? BY VIGOROUS PHYSICAL ACTIVITY, WE MEAN THINGS LIKE, SPORTS, HEAVY HOUSEWORK, OR A JOB THAT INVOLVES PHYSICAL LABOR.
1 YES
5 NO
8 DK
9 RF
|
| |
D942
Do you smoke cigarettes now?
DO YOU SMOKE CIGARETTES NOW?
1 YES
5 NO
8 DK
9 RF
|
| |
D943
About how many cigarettes or packs do you usually smoke in a day now? PROBE A RANGE CIGARETTES/DAY: PACKS/DAY:
ABOUT HOW MANY CIGARETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY NOW? PROBE A RANGE CIGARETTES/DAY: PACKS/DAY:
|
| |
|
|
| |
D949
Do you ever drink any alcoholic beverages such as beer, wine, or liquor?
DO YOU EVER DRINK ANY ALCOHOLIC BEVERAGES SUCH AS BEER, WINE, OR LIQUOR?
1 YES
5 NO
8 DK
9 RF
|
| |
D950
In the last three months, on average, how many days per week have you had any alcohol to drink? (For example, beer, wine, or any drink containing liquor.) DAYS:
IN THE LAST THREE MONTHS, ON AVERAGE, HOW MANY DAYS PER WEEK HAVE YOU HAD ANY ALCOHOL TO DRINK? (FOR EXAMPLE, BEER, WINE, OR ANY DRINK CONTAINING LIQUOR.) DAYS:
0 NONE
1-6 DAYS
7 EVERY DAY
|
| |
|
|
|
| |
|
| |
D951
In the last three months, on the days you drink, about how many drinks do you have? # DRINKS:
IN THE LAST THREE MONTHS, ON THE DAYS YOU DRINK, ABOUT HOW MANY DRINKS DO YOU HAVE? # DRINKS:
|
| |
|
D952
In the last three months, on how many days have you had four or more drinks on one occasion? USE ZERO FOR NONE
IN THE LAST THREE MONTHS, ON HOW MANY DAYS HAVE YOU HAD FOUR OR MORE DRINKS ON ONE OCCASION? USE ZERO FOR NONE
|
| |
D953
Have you ever felt that you should cut down on drinking?
HAVE YOU EVER FELT THAT YOU SHOULD CUT DOWN ON DRINKING?
1 YES
5 NO
8 DK
9 RF
|
| |
D954
About how much do you weigh? POUNDS:
ABOUT HOW MUCH DO YOU WEIGH? POUNDS:
|
| |
D955
Have you gained or lost ten or more pounds ~IF NEW INTERVIEW In the last 2 years? ~Else since we talked in (Wave 1 date)?
HAVE YOU GAINED OR LOST TEN OR MORE POUNDS ~IF NEW INTERVIEW IN THE LAST 2 YEARS? ~ELSE SINCE WE TALKED IN (WAVE 1 DATE)?
1 YES, GAINED
2 YES, LOST
5 NO
8 DK
9 RF
|
| |
D958
About how tall are you? FEET: INCHES:
ABOUT HOW TALL ARE YOU? FEET: INCHES:
|
| |
D959
HEIGHT INCHES
HEIGHT INCHES
|
| |
D961
~IF NEW INTERVIEW Have you had any of the following persistent or troublesome problems? ~Else Since we last talked to you in (Wave 1 date), have you had any of the following persistent or troublesome problems? Pain or cramps in your legs at night?
~IF NEW INTERVIEW HAVE YOU HAD ANY OF THE FOLLOWING PERSISTENT OR TROUBLESOME PROBLEMS? ~ELSE SINCE WE LAST TALKED TO YOU IN (WAVE 1 DATE), HAVE YOU HAD ANY OF THE FOLLOWING PERSISTENT OR TROUBLESOME PROBLEMS? PAIN OR CRAMPS IN YOUR LEGS AT NIGHT?
1 YES
5 NO
8 DK
9 RF
|
| |
D963
Persistent swelling in your feet or ankles?
PERSISTENT SWELLING IN YOUR FEET OR ANKLES?
1 YES
5 NO
8 DK
9 RF
|
| |
D964
Shortness of breath while awake?
SHORTNESS OF BREATH WHILE AWAKE?
1 YES
5 NO
8 DK
9 RF
|
| |
D967
Persistent dizziness or lightheadedness?
PERSISTENT DIZZINESS OR LIGHTHEADEDNESS?
1 YES
5 NO
8 DK
9 RF
|
| |
D968
Back pain or problems?
BACK PAIN OR PROBLEMS?
1 YES
5 NO
8 DK
9 RF
|
| |
D969
Have you had persistent headaches?
HAVE YOU HAD PERSISTENT HEADACHES?
1 YES
5 NO
8 DK
9 RF
|
| |
D972
Severe fatigue or exhaustion?
SEVERE FATIGUE OR EXHAUSTION?
1 YES
5 NO
8 DK
9 RF
|
| |
D973
Persistent wheezing, cough, or bringing up phlegm?
PERSISTENT WHEEZING, COUGH, OR BRINGING UP PHLEGM?
1 YES
5 NO
8 DK
9 RF
|
| |
D974
Difficulty or burning when urinating?
DIFFICULTY OR BURNING WHEN URINATING?
1 YES
5 NO
8 DK
9 RF
|
| |
If NOT PROXY RESPONDENT »
|
|
| |
|
| |
D985
Now think about the past week and the feelings you have experienced. Please tell me if each of the following was true for you much of the time during the past week. Much of the time during the past week, you felt depressed. (Would you say yes or no?)
NOW THINK ABOUT THE PAST WEEK AND THE FEELINGS YOU HAVE EXPERIENCED. PLEASE TELL ME IF EACH OF THE FOLLOWING WAS TRUE FOR YOU MUCH OF THE TIME DURING THE PAST WEEK. MUCH OF THE TIME DURING THE PAST WEEK, YOU FELT DEPRESSED. (WOULD YOU SAY YES OR NO?)
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D987
(Much of the time during the past week) You felt that everything you did was an effort.
(MUCH OF THE TIME DURING THE PAST WEEK) YOU FELT THAT EVERYTHING YOU DID WAS AN EFFORT.
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D989
(Much of the time during the past week) Your sleep was restless.
(MUCH OF THE TIME DURING THE PAST WEEK) YOUR SLEEP WAS RESTLESS.
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D991
(Much of the time during the past week) You were happy.
(MUCH OF THE TIME DURING THE PAST WEEK) YOU WERE HAPPY.
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D993
(Much of the time during the past week) You felt lonely.
(MUCH OF THE TIME DURING THE PAST WEEK) YOU FELT LONELY.
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D995
(Much of the time during the past week) You enjoyed life.
(MUCH OF THE TIME DURING THE PAST WEEK) YOU ENJOYED LIFE.
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D999
(Much of the time during the past week) You felt sad.
(MUCH OF THE TIME DURING THE PAST WEEK) YOU FELT SAD.
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1001
(Much of the time during the past week) You could not "get going".
(MUCH OF THE TIME DURING THE PAST WEEK) YOU COULD NOT "GET GOING".
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1003
(Much of the time during the past week) You had a lot of energy.
(MUCH OF THE TIME DURING THE PAST WEEK) YOU HAD A LOT OF ENERGY.
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
|
| |
|
| |
D1006
During the past 12 months, was there ever a time when you felt sad, blue, or depressed for two weeks or more in a row?
DURING THE PAST 12 MONTHS, WAS THERE EVER A TIME WHEN YOU FELT SAD, BLUE, OR DEPRESSED FOR TWO WEEKS OR MORE IN A ROW?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1007
Please think of the two-week period during the past 12 months when these feelings were worst. During that time did the feelings of being sad, blue, or depressed usually last all day long, most of the day, about half the day, or less than half the day?
PLEASE THINK OF THE TWO-WEEK PERIOD DURING THE PAST 12 MONTHS WHEN THESE FEELINGS WERE WORST. DURING THAT TIME DID THE FEELINGS OF BEING SAD, BLUE, OR DEPRESSED USUALLY LAST ALL DAY LONG, MOST OF THE DAY, ABOUT HALF THE DAY, OR LESS THAN HALF THE DAY?
1 ALL DAY LONG
2 MOST OF THE DAY
3 ABOUT HALF THE DAY
4 LESS THAN HALF THE DAY
8 DK
9 RF
|
| |
|
| |
D1008
During those two weeks, did you feel this way every day, almost every day, or less often than that?
DURING THOSE TWO WEEKS, DID YOU FEEL THIS WAY EVERY DAY, ALMOST EVERY DAY, OR LESS OFTEN THAN THAT?
1 EVERY DAY
2 ALMOST EVERY DAY
3 LESS OFTEN THAN THAT
8 DK
9 RF
|
| |
|
| |
D1009
During those two weeks, did you lose interest in most things? IF R SAYS USUALLY NO INTEREST IN THINGS: REPEAT Q ADDING: "...MORE THAN IS USUAL FOR YOU."
DURING THOSE TWO WEEKS, DID YOU LOSE INTEREST IN MOST THINGS? IF R SAYS USUALLY NO INTEREST IN THINGS: REPEAT Q ADDING: "...MORE THAN IS USUAL FOR YOU."
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1010
Thinking about those same two weeks, did you ever feel more tired out or low in energy than is usual for you?
THINKING ABOUT THOSE SAME TWO WEEKS, DID YOU EVER FEEL MORE TIRED OUT OR LOW IN ENERGY THAN IS USUAL FOR YOU?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1011
During those same two weeks, did you lose your appetite?
DURING THOSE SAME TWO WEEKS, DID YOU LOSE YOUR APPETITE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1012
Did your appetite increase during those same two weeks?
DID YOUR APPETITE INCREASE DURING THOSE SAME TWO WEEKS?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1013
Did you have more trouble falling asleep than you usually do during those two weeks?
DID YOU HAVE MORE TROUBLE FALLING ASLEEP THAN YOU USUALLY DO DURING THOSE TWO WEEKS?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1014
Did that happen every night, nearly every night, or less often during those two weeks?
DID THAT HAPPEN EVERY NIGHT, NEARLY EVERY NIGHT, OR LESS OFTEN DURING THOSE TWO WEEKS?
1 EVERY NIGHT
2 NEARLY EVERY NIGHT
3 LESS OFTEN
8 DK
9 RF
|
| |
|
| |
D1015
During that same two week period did you have a lot more trouble concentrating than usual?
DURING THAT SAME TWO WEEK PERIOD DID YOU HAVE A LOT MORE TROUBLE CONCENTRATING THAN USUAL?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1016
People sometimes feel down on themselves, and no good or worthless. During that two week period, did you feel this way?
PEOPLE SOMETIMES FEEL DOWN ON THEMSELVES, AND NO GOOD OR WORTHLESS. DURING THAT TWO WEEK PERIOD, DID YOU FEEL THIS WAY?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1017
Did you think a lot about death -- either your own, someone else's, or death in general -- during those two weeks?
DID YOU THINK A LOT ABOUT DEATH -- EITHER YOUR OWN, SOMEONE ELSE'S, OR DEATH IN GENERAL -- DURING THOSE TWO WEEKS?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
If To review, you had two weeks in a row during the past 12 months when you were sad, blue, or depressed and also had some other feelings or problems like - (READ UP TO THE FIRST 3 'YES' RESPONSES TO B28 - B34). ~IF 1009(1) losing interest ~IF 1010(1) feeling tired ~IF 1011(1) lose appetite ~IF 1012(1) appetite increase ~IF 1013(1) trouble falling asleep ~IF 1015(1) trouble concentrating ~IF 1016(1) feeling down on yourself ~IF 1017(1) thoughts about death About how many weeks altogether -- out of 52 -- did you feel this way during the past 12 months? WEEKS: MONTHS: ENTIRE YEAR: = 1 »
|
|
| |
|
|
| |
|
D1020
DEPRESS REVIEW-WEEKS
TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE PAST 12 MONTHS WHEN
YOU WERE SAD, BLUE, OR DEPRESSED AND ALSO HAD SOME OTHER FEELINGS OR
PROBLEMS LIKE - (READ UP TO THE FIRST 3 'YES' RESPONSES TO B28 - B34).
|
| |
|
|
| |
|
|
| |
|
|
| |
|
D1022
ENTIRE YEAR
ENTIRE YEAR
|
| |
|
|
| |
|
D1024
Think about the most recent time when you had two weeks in a row when you felt this way. In what month was this (during the last 12 months)? RECORD MOST RECENT MONTH
THINK ABOUT THE MOST RECENT TIME WHEN YOU HAD TWO WEEKS IN A ROW WHEN YOU FELT THIS WAY. IN WHAT MONTH WAS THIS (DURING THE LAST 12 MONTHS)? RECORD MOST RECENT MONTH
|
| |
|
|
| |
|
D1028
During the past 12 months, was there ever a time lasting two weeks or more when you lost interest in most things like hobbies, work, or activities that usually give you pleasure?
DURING THE PAST 12 MONTHS, WAS THERE EVER A TIME LASTING TWO WEEKS OR MORE WHEN YOU LOST INTEREST IN MOST THINGS LIKE HOBBIES, WORK, OR ACTIVITIES THAT USUALLY GIVE YOU PLEASURE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D1029
Please think of the two-week period during the past 12 months when you had the most complete loss of interest in things. During that two-week period, did the loss of interest usually last all day long, most of the day, about half the day, or less than half the day?
PLEASE THINK OF THE TWO-WEEK PERIOD DURING THE PAST 12 MONTHS WHEN YOU HAD THE MOST COMPLETE LOSS OF INTEREST IN THINGS. DURING THAT TWO-WEEK PERIOD, DID THE LOSS OF INTEREST USUALLY LAST ALL DAY LONG, MOST OF THE DAY, ABOUT HALF THE DAY, OR LESS THAN HALF THE DAY?
1 ALL DAY LONG
2 MOST OF THE DAY
3 ABOUT HALF THE DAY
4 LESS THAN HALF THE DAY
8 DK
9 RF
|
| |
|
|
| |
|
D1030
Did you feel this way every day, almost every day, or less often during the two weeks?
DID YOU FEEL THIS WAY EVERY DAY, ALMOST EVERY DAY, OR LESS OFTEN DURING THE TWO WEEKS?
1 EVERY DAY
2 ALMOST EVERY DAY
3 LESS OFTEN
8 DK
9 RF
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D1031
During those two weeks, did you feel tired out or low on energy all the time?
DURING THOSE TWO WEEKS, DID YOU FEEL TIRED OUT OR LOW ON ENERGY ALL THE TIME?
1 YES
5 NO
8 DK
9 RF
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D1032
During those same two weeks, did you lose your appetite?
DURING THOSE SAME TWO WEEKS, DID YOU LOSE YOUR APPETITE?
1 YES
5 NO
8 DK
9 RF
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D1033
Did your appetite increase during those same two weeks?
DID YOUR APPETITE INCREASE DURING THOSE SAME TWO WEEKS?
1 YES
5 NO
8 DK
9 RF
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D1034
During those same two weeks, did you have more trouble falling asleep than you usually do?
DURING THOSE SAME TWO WEEKS, DID YOU HAVE MORE TROUBLE FALLING ASLEEP THAN YOU USUALLY DO?
1 YES
5 NO
8 DK
9 RF
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D1035
Did that happen every night, nearly every night, or less often during those two weeks?
DID THAT HAPPEN EVERY NIGHT, NEARLY EVERY NIGHT, OR LESS OFTEN DURING THOSE TWO WEEKS?
1 EVERY NIGHT
2 NEARLY EVERY NIGHT
3 LESS OFTEN
8 DK
9 RF
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D1036
During those two weeks, did you have more trouble concentrating than usual?
DURING THOSE TWO WEEKS, DID YOU HAVE MORE TROUBLE CONCENTRATING THAN USUAL?
1 YES
5 NO
8 DK
9 RF
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D1037
People sometimes feel down on themselves, no good or worthless. Did you feel this way during that two-week period?
PEOPLE SOMETIMES FEEL DOWN ON THEMSELVES, NO GOOD OR WORTHLESS. DID YOU FEEL THIS WAY DURING THAT TWO-WEEK PERIOD?
1 YES
5 NO
8 DK
9 RF
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D1038
Did you think a lot about death during those two weeks --either your own, someone else's, or death in general?
DID YOU THINK A LOT ABOUT DEATH DURING THOSE TWO WEEKS --EITHER YOUR OWN, SOMEONE ELSE'S, OR DEATH IN GENERAL?
1 YES
5 NO
8 DK
9 RF
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D1041
To review, you had two weeks in a row during the past 12 months when you were sad, blue, or depressed and also had some other feelings or problems like - (READ UP TO THE FIRST 3 'YES' RESPONSES TO B28 - B33). ~IF 1031(1) feeling tired ~IF 1032(1) lose appetite ~IF 1033(1) appetite increase ~IF 1034(1) trouble falling asleep ~IF 1036(1) trouble concentrating ~IF 1037(1) feeling down on yourself ~IF 1038(1) thoughts about death About how many weeks altogether--out of 52--did you feel this way during the past 12 months? WEEKS: MONTHS: ENTIRE YEAR:
TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE PAST 12 MONTHS WHEN YOU WERE SAD, BLUE, OR DEPRESSED AND ALSO HAD SOME OTHER FEELINGS OR PROBLEMS LIKE - (READ UP TO THE FIRST 3 'YES' RESPONSES TO B28 - B33). ~IF 1031(1) FEELING TIRED ~IF 1032(1) LOSE APPETITE ~IF 1033(1) APPETITE INCREASE ~IF 1034(1) TROUBLE FALLING ASLEEP ~IF 1036(1) TROUBLE CONCENTRATING ~IF 1037(1) FEELING DOWN ON YOURSELF ~IF 1038(1) THOUGHTS ABOUT DEATH ABOUT HOW MANY WEEKS ALTOGETHER--OUT OF 52--DID YOU FEEL THIS WAY DURING THE PAST 12 MONTHS? WEEKS: MONTHS: ENTIRE YEAR:
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D1042
about the most recent time when you had two weeks in a row when you felt this way. In what month was this? MONTH:
ABOUT THE MOST RECENT TIME WHEN YOU HAD TWO WEEKS IN A ROW WHEN YOU FELT THIS WAY. IN WHAT MONTH WAS THIS? MONTH:
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D1043
ENTIRE YEAR
ENTIRE YEAR
1. ENTIRE YEAR
7. Other
8. DK (don't know); NA (not ascertained)
9. RF (refused)
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D1045
REVIEW MOST RECENT MONTH
THINK ABOUT THE MOST RECENT TIME WHEN YOU HAD TWO WEEKS IN A ROW WHEN YOU FELT THIS WAY. IN WHAT MONTH WAS THIS?
1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
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D1046
IWER:HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN ?
IWER:HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN ?
0 INAPs
1 NEVER
2 A FEW TIMES
3 MOST OR ALL OF THE TIME
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End of B. Health
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