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Start of E: Health Care and Costs
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D1664
Wave 1 date / In the last two years), have you been a patient in a hospital overnight?
WAVE 1 DATE / IN THE LAST TWO YEARS), HAVE YOU BEEN A PATIENT IN A HOSPITAL OVERNIGHT?
1 YES
5 NO
8 DK
9 RF
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D1665
How many different times were you a patient in a hospital overnight (Since Wave 1 date / in the last two years)?
HOW MANY DIFFERENT TIMES WERE YOU A PATIENT IN A HOSPITAL OVERNIGHT (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)?
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D1664
Wave 1 date / In the last two years), have you been a patient in a hospital overnight?
WAVE 1 DATE / IN THE LAST TWO YEARS), HAVE YOU BEEN A PATIENT IN A HOSPITAL OVERNIGHT?
1 YES
5 NO
8 DK
9 RF
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D1669
Were the costs for your hospital stay(s) completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance?
WERE THE COSTS FOR YOUR HOSPITAL STAY(S) COMPLETELY COVERED BY ~IF R BIRTH YEAR ON OR BEFORE 1931 MEDICARE, MEDICAID, OR OTHER HEALTH INSURANCE, PARTLY COVERED BY INSURANCE, OR NOT COVERED AT ALL BY INSURANCE?
1 FULLY COVERED
3 PARTLY COVERED
5 NOT COVERED AT ALL
7 COSTS NOT SETTLED YET
8 DK
9 RF
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If NOT includes NURSING HOME »
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D1681
NURSING HOME
(SINCE (W1 INTERVIEW MONTH-YEAR)/IN THE LAST TWO YEARS), HAVE YOU BEEN A PATIENT OVERNIGHT IN A NURSING HOME, CONVALESCENT HOME, OR OTHER LONG-TERM HEALTH CARE FACILITY?
1. YES
5. NO
7. Other
8. DK (don't know);
9. RF (refused)
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D1682
How many times ~IF IN NURSING HOME including now, have you been a patient in a nursing home ~Else were you a patient in a nursing home or other long-term care facility (Since Wave 1 date / in the last two years)? E7. (Altogether) How many nights were you a patient In a nursing home (Since Wave 1 date / In the last two years)? USE 996 FOR CONTINUOUS SINCE ENTERED NIGHTS: OR MONTHS:
HOW MANY TIMES ~IF IN NURSING HOME INCLUDING NOW, HAVE YOU BEEN A PATIENT IN A NURSING HOME ~ELSE WERE YOU A PATIENT IN A NURSING HOME OR OTHER LONG-TERM CARE FACILITY (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)? E7. (ALTOGETHER) HOW MANY NIGHTS WERE YOU A PATIENT IN A NURSING HOME (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)? USE 996 FOR CONTINUOUS SINCE ENTERED NIGHTS: OR MONTHS:
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D1683
(Altogether) How many nights were you a patient in a nursing home (since (W1 Interview Month-Year)/in the last two years)?
(ALTOGETHER) HOW MANY NIGHTS WERE YOU A PATIENT IN A NURSING HOME (SINCE (W1 INTERVIEW MONTH-YEAR)/IN THE LAST TWO YEARS)? USE 996 FOR CONTINUOUS SINCE ENTERED
NIGHTS:
OR
MONTHS:
0-995. Actual value (allowable range is shown)
996. CONTINUOUS SINCE ENTERED
997. Other
998. DK (don't know); NA (not ascertained)
999. RF (refused)
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D1684
(Altogether) How many months were you a patient in a nursing home (since (W1 Interview Month-Year)/in the last two years)?
1-36. Actual value (allowable range is shown)
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
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D1686
~IF IN NURSING HOME Are the costs for your nursing home stay(s) completely covered by ~Else Were the costs for your nursing home stay(s) completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance?
~IF IN NURSING HOME ARE THE COSTS FOR YOUR NURSING HOME STAY(S) COMPLETELY COVERED BY ~ELSE WERE THE COSTS FOR YOUR NURSING HOME STAY(S) COMPLETELY COVERED BY ~IF R BIRTH YEAR ON OR BEFORE 1931 MEDICARE, MEDICAID, OR OTHER HEALTH INSURANCE, PARTLY COVERED BY INSURANCE, OR NOT COVERED AT ALL BY INSURANCE?
1 FULLY COVERED
3 PARTLY COVERED
5 NOT COVERED AT ALL
7 COSTS NOT SETTLED YET
8 DK
9 RF
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If ( ~IF IN NURSING HOME Are the costs for your nursing home stay(s) completely covered by ~Else Were the costs for your nursing home stay(s) completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance? > 3 PARTLY COVERED and ~IF IN NURSING HOME Are the costs for your nursing home stay(s) completely covered by ~Else Were the costs for your nursing home stay(s) completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance? < 7 COSTS NOT SETTLED YET) or ( Were the costs for your hospital stay(s) completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance? > 3 PARTLY COVERED and Were the costs for your hospital stay(s) completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance? < 7 COSTS NOT SETTLED YET)
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D1688
About how much did you pay out-of-pocket for (nursing home, hospital) bills (Since Wave 1 date / In the last two years)? DO NOT PROBE DK/RF AMOUNT:
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR (NURSING HOME, HOSPITAL) BILLS (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)? DO NOT PROBE DK/RF AMOUNT:
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D1689
Was it more than $10,000?
WAS IT MORE THAN $10,000?
1 YES
5 NO
8 DK
9 RF
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D1690
Was it more than $20,000?
WAS IT MORE THAN $20,000?
1 YES
5 NO
8 DK
9 RF
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D1691
Was it more than $50,000?
WAS IT MORE THAN $50,000?
1 YES
5 NO
8 DK
9 RF
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D1692
Was it more than $5,000?
WAS IT MORE THAN $5,000?
1 YES
5 NO
8 DK
9 RF
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D1693
Was it more than $500?
WAS IT MORE THAN $500?
1 YES
5 NO
8 DK
9 RF
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D1698
~IF R HAS BEEN AN OVERNIGHT HOSPITAL PATIENT IN THE LAST TWO YEARS Aside from any hospital stays, How many times have you seen or talked to a medical doctor about your health, including emergency room or clinic visits (Since Wave 1 date / In the last two years)? USE ZERO FOR NONE
~IF R HAS BEEN AN OVERNIGHT HOSPITAL PATIENT IN THE LAST TWO YEARS ASIDE FROM ANY HOSPITAL STAYS, HOW MANY TIMES HAVE YOU SEEN OR TALKED TO A MEDICAL DOCTOR ABOUT YOUR HEALTH, INCLUDING EMERGENCY ROOM OR CLINIC VISITS (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)? USE ZERO FOR NONE
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D1701
Were the costs for your doctor visit(s) completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance?
WERE THE COSTS FOR YOUR DOCTOR VISIT(S) COMPLETELY COVERED BY ~IF R BIRTH YEAR ON OR BEFORE 1931 MEDICARE, MEDICAID, OR OTHER HEALTH INSURANCE, PARTLY COVERED BY INSURANCE, OR NOT COVERED AT ALL BY INSURANCE?
1 FULLY COVERED
3 PARTLY COVERED
5 NOT COVERED AT ALL
8 DK
9 RF
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D1713
(Since Wave 1 date / In the last two years), ~Else (1644)(N5) E14 Not counting overnight hospital stays, (Since Wave 1 date / In the last two years), have you had outpatient surgery?
(SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), ~ELSE (1644)(N5) E14 NOT COUNTING OVERNIGHT HOSPITAL STAYS, (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), HAVE YOU HAD OUTPATIENT SURGERY?
1 YES
5 NO
8 DK
9 RF
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If (Since Wave 1 date / In the last two years), ~Else (1644)(N5) E14 Not counting overnight hospital stays, (Since Wave 1 date / In the last two years), have you had outpatient surgery? = 1 YES »
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D1716
Were your expenses for your outpatient surgery completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance?
WERE YOUR EXPENSES FOR YOUR OUTPATIENT SURGERY COMPLETELY COVERED BY ~IF R BIRTH YEAR ON OR BEFORE 1931 MEDICARE, MEDICAID, OR OTHER HEALTH INSURANCE, PARTLY COVERED BY INSURANCE, OR NOT COVERED AT ALL BY INSURANCE?
1 FULLY COVERED
3 PARTLY COVERED
5 NOT COVERED AT ALL
8 DK
9 RF
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D1728
(Since Wave 1 date / In the last two years) have you seen a dentist for dental care, including dentures?
(SINCE WAVE 1 DATE / IN THE LAST TWO YEARS) HAVE YOU SEEN A DENTIST FOR DENTAL CARE, INCLUDING DENTURES?
1 YES
5 NO
8 DK
9 RF
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If (Since Wave 1 date / In the last two years) have you seen a dentist for dental care, including dentures? = 1 YES »
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D1731
Were your dental expenses completely covered by health insurance, partly covered by insurance, or not covered at all by insurance?
WERE YOUR DENTAL EXPENSES COMPLETELY COVERED BY HEALTH INSURANCE, PARTLY COVERED BY INSURANCE, OR NOT COVERED AT ALL BY INSURANCE?
1 FULLY COVERED
3 PARTLY COVERED
5 NOT COVERED AT ALL
8 DK
9 RF
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D1732
About how much did you pay out-of-pocket for (doctor, outpatient surgery, dental) bills (Since Wave 1 date/IN the last two years)? (Except any payments you told me about.) DO NOT PROBE DK/RF AMOUNT:
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR (DOCTOR, OUTPATIENT SURGERY, DENTAL) BILLS (SINCE WAVE 1 DATE/IN THE LAST TWO YEARS)? (EXCEPT ANY PAYMENTS YOU TOLD ME ABOUT.) DO NOT PROBE DK/RF AMOUNT:
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If About how much did you pay out-of-pocket for (doctor, outpatient surgery, dental) bills (Since Wave 1 date/IN the last two years)? (Except any payments you told me about.) DO NOT PROBE DK/RF AMOUNT: = 1 »
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D1732
About how much did you pay out-of-pocket for (doctor, outpatient surgery, dental) bills (Since Wave 1 date/IN the last two years)? (Except any payments you told me about.) DO NOT PROBE DK/RF AMOUNT:
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR (DOCTOR, OUTPATIENT SURGERY, DENTAL) BILLS (SINCE WAVE 1 DATE/IN THE LAST TWO YEARS)? (EXCEPT ANY PAYMENTS YOU TOLD ME ABOUT.) DO NOT PROBE DK/RF AMOUNT:
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D1733
Was it more than $1,000?
WAS IT MORE THAN $1,000?
1 YES
5 NO
8 DK
9 RF
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D1734
Was it more than $5,000?
WAS IT MORE THAN $5,000?
1 YES
5 NO
8 DK
9 RF
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D1735
Was it more than $20,000?
WAS IT MORE THAN $20,000?
1 YES
5 NO
8 DK
9 RF
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D1736
Was it more than $500?
WAS IT MORE THAN $500?
1 YES
5 NO
8 DK
9 RF
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D1737
Was it more than $200?
WAS IT MORE THAN $200?
1 YES
5 NO
8 DK
9 RF
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D1744
Do you regularly take prescription medications?
DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS?
1 YES
5 NO
8 DK
9 RF
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If Do you regularly take prescription medications? = 1 YES »
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D1748
Were the costs of your prescription medications completely covered by ~IF R BIRTH YEAR LESS THAN 1930 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by health insurance?
WERE THE COSTS OF YOUR PRESCRIPTION MEDICATIONS COMPLETELY COVERED BY ~IF R BIRTH YEAR LESS THAN 1930 MEDICARE, MEDICAID, OR OTHER HEALTH INSURANCE, PARTLY COVERED BY INSURANCE, OR NOT COVERED AT ALL BY HEALTH INSURANCE?
1 FULLY COVERED
3 PARTLY COVERED
5 NOT COVERED AT ALL
7 COSTS NOT SETTLED YET
8 DK
9 RF
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D1749
On the average, about how much have you paid out-of-pocket per month for these prescriptions (Since Wave 1 date / In the last two years)? DO NOT PROBE DK/RF AMOUNT PER MONTH:
ON THE AVERAGE, ABOUT HOW MUCH HAVE YOU PAID OUT-OF-POCKET PER MONTH FOR THESE PRESCRIPTIONS (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)? DO NOT PROBE DK/RF AMOUNT PER MONTH:
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D1750
Is it more than $20 per month?
IS IT MORE THAN $20 PER MONTH?
1 YES
5 NO
8 DK
9 RF
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D1750
Is it more than $20 per month?
IS IT MORE THAN $20 PER MONTH?
1 YES
5 NO
8 DK
9 RF
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D1751
Is it more than $100 per month?
IS IT MORE THAN $100 PER MONTH?
1 YES
5 NO
8 DK
9 RF
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D1752
Is it more than $500 per month?
IS IT MORE THAN $500 PER MONTH?
1 YES
5 NO
8 DK
9 RF
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D1753
Is it more than $10 per month?
IS IT MORE THAN $10 PER MONTH?
1 YES
5 NO
8 DK
9 RF
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D1754
Is it more than $5 per month?
IS IT MORE THAN $5 PER MONTH?
1 YES
5 NO
8 DK
9 RF
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D1755
Sometimes people delay taking medication or filling prescriptions because of the cost. At any time (Since Wave 1 date / In the last two years) have you ended up taking less medication than was prescribed for you because of the cost?
SOMETIMES PEOPLE DELAY TAKING MEDICATION OR FILLING PRESCRIPTIONS BECAUSE OF THE COST. AT ANY TIME (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS) HAVE YOU ENDED UP TAKING LESS MEDICATION THAN WAS PRESCRIBED FOR YOU BECAUSE OF THE COST?
1 YES
5 NO
8 DK
9 RF
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If NOT includes NURSING HOME »
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D1760
(Since Wave 1 date / In the last two years), has any medically-trained person come to your home to help you?
(SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), HAS ANY MEDICALLY-TRAINED PERSON COME TO YOUR HOME TO HELP YOU?
1 YES
5 NO
8 DK
9 RF
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D1762
Were the costs of your home medical care completely covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance, partly covered by insurance, or not covered at all by insurance?
WERE THE COSTS OF YOUR HOME MEDICAL CARE COMPLETELY COVERED BY ~IF R BIRTH YEAR ON OR BEFORE 1931 MEDICARE, MEDICAID, OR OTHER HEALTH INSURANCE, PARTLY COVERED BY INSURANCE, OR NOT COVERED AT ALL BY INSURANCE?
1 FULLY COVERED
3 PARTLY COVERED
5 NOT COVERED AT ALL
8 DK
9 RF
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D1774
READ SLOWLY (Since Wave 1 date / In the last two years), did you use any special facility or service which we haven't talked about, such as: an adult care center, a social worker, an outpatient rehabilitation program, or transportation or meals for the elderly or disabled?
READ SLOWLY (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), DID YOU USE ANY SPECIAL FACILITY OR SERVICE WHICH WE HAVEN'T TALKED ABOUT, SUCH AS: AN ADULT CARE CENTER, A SOCIAL WORKER, AN OUTPATIENT REHABILITATION PROGRAM, OR TRANSPORTATION OR MEALS FOR THE ELDERLY OR DISABLED?
1 YES
5 NO
8 DK
9 RF
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D1781
About how much did you pay out-of-pocket for (IN-home medical care/ special facilities or services) (Since Wave 1 date / In the last two years)? DO NOT PROBE DK/RF AMOUNT:
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR (IN-HOME MEDICAL CARE/ SPECIAL FACILITIES OR SERVICES) (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)? DO NOT PROBE DK/RF AMOUNT:
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D1782
Was it more than $5,000?
WAS IT MORE THAN $5,000?
1 YES
5 NO
8 DK
9 RF
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D1783
Was it more than $10,000?
WAS IT MORE THAN $10,000?
1 YES
5 NO
8 DK
9 RF
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D1784
Was it more than $20,000?
WAS IT MORE THAN $20,000?
1 YES
5 NO
8 DK
9 RF
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D1785
Was it more than $1,000?
WAS IT MORE THAN $1,000?
1 YES
5 NO
8 DK
9 RF
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D1786
Was it more than $500?
WAS IT MORE THAN $500?
1 YES
5 NO
8 DK
9 RF
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If NOT( HOSPITAL-YR = 1 or NURSING HOME = 1 or NOT (1698 = 0 or ~IF R HAS BEEN AN OVERNIGHT HOSPITAL PATIENT IN THE LAST TWO YEARS Aside from any hospital stays, How many times have you seen or talked to a medical doctor about your health, including emergency room or clinic visits (Since Wave 1 date / In the last two years)? USE ZERO FOR NONE = 8 or ~IF R HAS BEEN AN OVERNIGHT HOSPITAL PATIENT IN THE LAST TWO YEARS Aside from any hospital stays, How many times have you seen or talked to a medical doctor about your health, including emergency room or clinic visits (Since Wave 1 date / In the last two years)? USE ZERO FOR NONE = 9) or (Since Wave 1 date / In the last two years), ~Else (1644)(N5) E14 Not counting overnight hospital stays, (Since Wave 1 date / In the last two years), have you had outpatient surgery? = 1 YES or (Since Wave 1 date / In the last two years) have you seen a dentist for dental care, including dentures? = 1 YES or Do you regularly take prescription medications? = 1 YES or (Since Wave 1 date / In the last two years), has any medically-trained person come to your home to help you? = 1 YES or Do you regularly take prescription medications? = 1 YES OR includes NURSING HOME = YES) »
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D1799
I would like to get a rough idea of the total cost of your ~IF R HAS BEEN A PATIENT IN A HOSPITAL OVERNIGHT SINCE WAVE 1/IN THE LAST TWO YEARS hospital stays ~IF R HAS BEEN A PATIENT OVERNIGHT IN A NURSING HOME, CONVALESCENT HOME, OR OTHER LONG TERM HEALTH CARE FACILITY SINCE WAVE 1 DATE/IN THE LAST TWO YEARS OR IN NURSING HOME nursing home stays ~IF OUT OF POCKET EXPENSES FOR HOSPITAL, NURSING HOME BILLS SINCE WAVE 1/IN THE LAST TWO YEARS ARE GREATER THAN $20,000 doctor and clinic visits ~IF R HAS HAD OUTPATIENT SURGERY NOT COUNTING HOSPITAL STAYS SINCE WAVE 1 DATE/IN THE LAST TWO YEARS outpatient surgery ~IF R HAS SEEN A DENTIST FOR DENTAL CARE, INCLUDING DENTURES SINCE WAVE 1/IN THE LAST TWO YEARS dental visits ~IF R REGULARLY TAKES PRESCRIPTION MEDICATIONS prescriptions ~IF R HAD ANY MEDICALLY-TRAINED PERSON COME TO THEIR HOME SINCE WAVE 1 DATE/IN THE LAST TWO YEARS IN-home-medical care (and) all other medical costs for you (Since Wave 1 date / In the last two years), including costs covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance. Do you think the total costs were more than $5,000?
I WOULD LIKE TO GET A ROUGH IDEA OF THE TOTAL COST OF YOUR ~IF R HAS BEEN A PATIENT IN A HOSPITAL OVERNIGHT SINCE WAVE 1/IN THE LAST TWO YEARS HOSPITAL STAYS ~IF R HAS BEEN A PATIENT OVERNIGHT IN A NURSING HOME, CONVALESCENT HOME, OR OTHER LONG TERM HEALTH CARE FACILITY SINCE WAVE 1 DATE/IN THE LAST TWO YEARS OR IN NURSING HOME NURSING HOME STAYS ~IF OUT OF POCKET EXPENSES FOR HOSPITAL, NURSING HOME BILLS SINCE WAVE 1/IN THE LAST TWO YEARS ARE GREATER THAN $20,000 DOCTOR AND CLINIC VISITS ~IF R HAS HAD OUTPATIENT SURGERY NOT COUNTING HOSPITAL STAYS SINCE WAVE 1 DATE/IN THE LAST TWO YEARS OUTPATIENT SURGERY ~IF R HAS SEEN A DENTIST FOR DENTAL CARE, INCLUDING DENTURES SINCE WAVE 1/IN THE LAST TWO YEARS DENTAL VISITS ~IF R REGULARLY TAKES PRESCRIPTION MEDICATIONS PRESCRIPTIONS ~IF R HAD ANY MEDICALLY-TRAINED PERSON COME TO THEIR HOME SINCE WAVE 1 DATE/IN THE LAST TWO YEARS IN-HOME-MEDICAL CARE (AND) ALL OTHER MEDICAL COSTS FOR YOU (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), INCLUDING COSTS COVERED BY ~IF R BIRTH YEAR ON OR BEFORE 1931 MEDICARE, MEDICAID, OR OTHER HEALTH INSURANCE. DO YOU THINK THE TOTAL COSTS WERE MORE THAN $5,000?
1 YES
5 NO
8 DK
9 RF
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If I would like to get a rough idea of the total cost of your ~IF R HAS BEEN A PATIENT IN A HOSPITAL OVERNIGHT SINCE WAVE 1/IN THE LAST TWO YEARS hospital stays ~IF R HAS BEEN A PATIENT OVERNIGHT IN A NURSING HOME, CONVALESCENT HOME, OR OTHER LONG TERM HEALTH CARE FACILITY SINCE WAVE 1 DATE/IN THE LAST TWO YEARS OR IN NURSING HOME nursing home stays ~IF OUT OF POCKET EXPENSES FOR HOSPITAL, NURSING HOME BILLS SINCE WAVE 1/IN THE LAST TWO YEARS ARE GREATER THAN $20,000 doctor and clinic visits ~IF R HAS HAD OUTPATIENT SURGERY NOT COUNTING HOSPITAL STAYS SINCE WAVE 1 DATE/IN THE LAST TWO YEARS outpatient surgery ~IF R HAS SEEN A DENTIST FOR DENTAL CARE, INCLUDING DENTURES SINCE WAVE 1/IN THE LAST TWO YEARS dental visits ~IF R REGULARLY TAKES PRESCRIPTION MEDICATIONS prescriptions ~IF R HAD ANY MEDICALLY-TRAINED PERSON COME TO THEIR HOME SINCE WAVE 1 DATE/IN THE LAST TWO YEARS IN-home-medical care (and) all other medical costs for you (Since Wave 1 date / In the last two years), including costs covered by ~IF R BIRTH YEAR ON OR BEFORE 1931 Medicare, Medicaid, or other health insurance. Do you think the total costs were more than $5,000? = 1 YES »
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D1800
Was it more than $1,000?
WAS IT MORE THAN $1,000?
1 YES
5 NO
8 DK
9 RF
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D1801
Was it more than $25,000?
WAS IT MORE THAN $25,000?
1 YES
5 NO
8 DK
9 RF
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D1802
Was it more than $100,000?
WAS IT MORE THAN $100,000?
1 YES
5 NO
8 DK
9 RF
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D1803
Was it more than $500,000?
WAS IT MORE THAN $500,000?
1 YES
5 NO
8 DK
9 RF
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D1805
Has anyone helped you (and your Husband/Wife/Partner) pay for your health care costs (Since Wave 1 date / In the last two years)? DEF: APART FROM WHAT WAS COVERED BY INSURANCE.
HAS ANYONE HELPED YOU (AND YOUR HUSBAND/WIFE/PARTNER) PAY FOR YOUR HEALTH CARE COSTS (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS)? DEF: APART FROM WHAT WAS COVERED BY INSURANCE.
1 YES
5 NO
8 DK
9 RF
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D1806
Is that a (child or other) relative of yours (and your Husband/Wife/Partner), or is that someone else?
IS THAT A (CHILD OR OTHER) RELATIVE OF YOURS (AND YOUR HUSBAND/WIFE/PARTNER), OR IS THAT SOMEONE ELSE?
1 CHILD/CHILD-IN-LAW/GRANDCHILD
2 OTHER RELATIVE
3 SOMEONE ELSE
8 DK
9 RF
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D1809
Altogether, about how much money did that help amount to? AMOUNT:
ALTOGETHER, ABOUT HOW MUCH MONEY DID THAT HELP AMOUNT TO? AMOUNT:
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D1812
(Aside from any hospital or nursing home stays,) ~Else HOSPITAL-YR(YES)+ NURSING HOME-YR(NOT YES) E31 (Aside from any hospital stays,) ~Else HOSPITAL-YR(NOT YES)+ NURSING HOME-YR (YES) E31 (Aside from any nursing home stays,) ~Else E31 About how many days did you stay in bed more than half the day because of illness or injury during the last month? USE ZERO FOR NONE
(ASIDE FROM ANY HOSPITAL OR NURSING HOME STAYS,) ~ELSE HOSPITAL-YR(YES)+ NURSING HOME-YR(NOT YES) E31 (ASIDE FROM ANY HOSPITAL STAYS,) ~ELSE HOSPITAL-YR(NOT YES)+ NURSING HOME-YR (YES) E31 (ASIDE FROM ANY NURSING HOME STAYS,) ~ELSE E31 ABOUT HOW MANY DAYS DID YOU STAY IN BED MORE THAN HALF THE DAY BECAUSE OF ILLNESS OR INJURY DURING THE LAST MONTH? USE ZERO FOR NONE
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D1833
We need to understand difficulties people may have with various activities because of a health or physical problem. Please tell me whether you have any difficulty doing each of the everyday activities that I read to you. Exclude any difficulties that you expect to last less than three months.
WE NEED TO UNDERSTAND DIFFICULTIES PEOPLE MAY HAVE WITH VARIOUS ACTIVITIES BECAUSE OF A HEALTH OR PHYSICAL PROBLEM. PLEASE TELL ME WHETHER YOU HAVE ANY DIFFICULTY DOING EACH OF THE EVERYDAY ACTIVITIES THAT I READ TO YOU. EXCLUDE ANY DIFFICULTIES THAT YOU EXPECT TO LAST LESS THAN THREE MONTHS.
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D1834
Because of a health problem do you have any difficulty with walking several blocks?
BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY WITH WALKING SEVERAL BLOCKS?
1 YES
5 NO
8 DK
9 RF
|
| |
If Because of a health problem do you have any difficulty with walking several blocks? = 5 NO
|
|
| |
|
| |
D1837
Do you have any difficulty with running or jogging about a mile?
DO YOU HAVE ANY DIFFICULTY WITH RUNNING OR JOGGING ABOUT A MILE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D1840
(Because of a health problem) (do you have any difficulty) with walking one block?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH WALKING ONE BLOCK?
1 YES
5 NO
8 DK
9 RF
|
| |
D1843
(Because of a health problem) (do you have any difficulty) with sitting for about two hours?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH SITTING FOR ABOUT TWO HOURS?
1 YES
5 NO
8 DK
9 RF
|
| |
D1846
(Because of a health problem) (do you have any difficulty) with getting up from a chair after sitting for long periods?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH GETTING UP FROM A CHAIR AFTER SITTING FOR LONG PERIODS?
1 YES
5 NO
8 DK
9 RF
|
| |
D1849
(Because of a health problem) (do you have any difficulty) with climbing several flights of stairs without resting?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH CLIMBING SEVERAL FLIGHTS OF STAIRS WITHOUT RESTING?
1 YES
5 NO
8 DK
9 RF
|
| |
If (Because of a health problem) (do you have any difficulty) with climbing several flights of stairs without resting? != 5 NO »
|
|
| |
|
| |
D1852
(Because of a health problem) (do you have any difficulty) with climbing one flight of stairs without resting?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH CLIMBING ONE FLIGHT OF STAIRS WITHOUT RESTING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D1855
(Because of a health problem) (do you have any difficulty) with stooping, kneeling, or crouching?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH STOOPING, KNEELING, OR CROUCHING?
1 YES
5 NO
8 DK
9 RF
|
| |
D1858
(Because of a health problem) (do you have any difficulty) with reaching or extending your arms above shoulder level?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH REACHING OR EXTENDING YOUR ARMS ABOVE SHOULDER LEVEL?
1 YES
5 NO
8 DK
9 RF
|
| |
D1861
(Because of a health problem) (do you have any difficulty) with pulling or pushing large objects like a living room chair?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH PULLING OR PUSHING LARGE OBJECTS LIKE A LIVING ROOM CHAIR?
1 YES
5 NO
8 DK
9 RF
|
| |
D1864
(Because of a health problem) (do you have any difficulty) with lifting or carrying weights over 10 pounds, like a heavy bag of groceries?
(BECAUSE OF A HEALTH PROBLEM) (DO YOU HAVE ANY DIFFICULTY) WITH LIFTING OR CARRYING WEIGHTS OVER 10 POUNDS, LIKE A HEAVY BAG OF GROCERIES?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
|
| |
|
|
|
| |
|
| |
D1871
Here are a few more everyday activities. Please tell me if you have any difficulty with these because of a physical, mental, emotional or memory problem. Again exclude any difficulties you expect to last less than three months. Because of a health or memory problem do you have any difficulty with walking across a room?
HERE ARE A FEW MORE EVERYDAY ACTIVITIES. PLEASE TELL ME IF YOU HAVE ANY DIFFICULTY WITH THESE BECAUSE OF A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY PROBLEM. AGAIN EXCLUDE ANY DIFFICULTIES YOU EXPECT TO LAST LESS THAN THREE MONTHS. BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH WALKING ACROSS A ROOM?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1874
Do you ever use equipment or devices such as a cane, walker or wheelchair when crossing a room?
DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR WHEELCHAIR WHEN CROSSING A ROOM?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1875M1
What equipment is that? CHOOSE ALL THAT APPLY
WHAT EQUIPMENT IS THAT? CHOOSE ALL THAT APPLY
01 RAILING
02 WALKER
03 CANE
04 CRUTCHES
05 ORTHOPEDIC SHOES
06 BRACE (LEG OR BACK)
07 PROSTHESIS
08 OXYGEN/RESPIRATOR
09 FURNITURE/WALLS
10 WHEELCHAIR/CART
97 OTHER, SPECIFY
98 DK
99 RF
|
| |
|
| |
If Here are a few more everyday activities. Please tell me if you have any difficulty with these because of a physical, mental, emotional or memory problem. Again exclude any difficulties you expect to last less than three months. Because of a health or memory problem do you have any difficulty with walking across a room? != 5 NO »
|
|
| |
|
|
| |
|
D1877
Does anyone ever help you get across a room?
DOES ANYONE EVER HELP YOU GET ACROSS A ROOM?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
D1884
(Because of a health or memory problem do you have) any difficulty with dressing, including putting on shoes and socks?
(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH DRESSING, INCLUDING PUTTING ON SHOES AND SOCKS?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1887
anyone ever help you dress?
ANYONE EVER HELP YOU DRESS?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1894
Because of a health or memory problem do you have any difficulty with bathing or showering?
BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH BATHING OR SHOWERING?
1 YES
5 NO
6 CAN'T DO
7 DON'T DO
8 DK
9 RF
|
| |
|
| |
D1897
Does anyone ever help you bathe?
DOES ANYONE EVER HELP YOU BATHE?
1 YES
5 NO
7 OTHER
8 DK
9 RF
|
| |
|
| |
D1904
of a health or memory problem do you have) any difficulty with eating, such as cutting up your food?
OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH EATING, SUCH AS CUTTING UP YOUR FOOD?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1907
Does anyone ever help you eat?
DOES ANYONE EVER HELP YOU EAT?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D1914
(Because of a health or memory problem do you have) any difficulty with getting in or out of bed?
(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH GETTING IN OR OUT OF BED?
1 YES
5 NO
6 CAN'T DO
7 DON'T DO
8 DK
9 RF
|
| |
|
| |
D1917
Do you ever use equipment or devices such as a cane, walker or railing when getting in or out of bed?
DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR RAILING WHEN GETTING IN OR OUT OF BED?
1 YES
5 NO
7 OTHER
8 DK
9 RF
|
| |
|
| |
D1918M1
What equipment is that? CHOOSE ALL THAT APPLY
WHAT EQUIPMENT IS THAT? CHOOSE ALL THAT APPLY
01 RAILING
02 WALKER
03 CANE
04 CRUTCHES
05 ORTHOPEDIC SHOES
06 BRACE (LEG OR BACK)
07 PROSTHESIS
08 OXYGEN/RESPIRATOR
09 FURNITURE/WALLS
10 WHEELCHAIR/CART
97 OTHER, SPECIFY
98 DK
99 RF
|
| |
|
| |
If (Because of a health or memory problem do you have) any difficulty with getting in or out of bed? != 5 NO »
|
|
| |
|
|
| |
|
D1920
Does anyone ever help you get in or out of bed?
DOES ANYONE EVER HELP YOU GET IN OR OUT OF BED?
1 YES
5 NO
T OTHER
8 DK
9 RF
|
| |
|
|
| |
D1927
(Because of a health or memory problem do you have) any difficulty with using the toilet, including getting up and down?
(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH USING THE TOILET, INCLUDING GETTING UP AND DOWN?
1 YES
5 NO
6 CAN'T DO
7 DON'T DO
97 OTHER
98 DK
99 RF
|
| |
|
| |
D1930
Does anyone ever help you use the toilet?
DOES ANYONE EVER HELP YOU USE THE TOILET?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D1941
of a health or memory problem do you have any difficulty with getting across a room, dressing, bathing, eating, getting out of bed, or using the toilet?
OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH GETTING ACROSS A ROOM, DRESSING, BATHING, EATING, GETTING OUT OF BED, OR USING THE TOILET?
1 YES
5 NO
8 DK
9 RF
|
| |
D1952
Because of a health or memory problem do you ever use equipment or devices such as a cane, walker, railing or wheelchair?
BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER, RAILING OR WHEELCHAIR?
1 YES
5 NO
8 DK
9 RF
|
| |
D1953M1
What equipment is that? CHOOSE ALL THAT APPLY
WHAT EQUIPMENT IS THAT? CHOOSE ALL THAT APPLY
01 RAILING
02 WALKER
03 CANE
04 CRUTCHES
05 ORTHOPEDIC SHOES
06 BRACE (LEG OR BACK)
07 PROSTHESIS
08 OXYGEN/RESPIRATOR
09 FURNITURE/WALLS
10 WHEELCHAIR/CART
97 OTHER, SPECIFY
98 DK
99 RF
|
| |
D1955
Because of a health or memory problem does anyone ever help you with ~IF 1870(5) any of these activities: getting across a room, dressing, bathing, eating, getting out of bed, or using the toilet? ~Else ~IF WALKING DIFFICULTY (NO) getting across a room, ~IF DRESSING DIFFICULTY (NO) dressing, ~IF BATHING DIFFICULTY (NO) bathing ~IF EATING DIFFICULTY (NO) eating, ~IF BED DIFFICULTY (NO) getting in and out of bed, ~IF TOILET DIFFICULTY (NO) using the toilet.
BECAUSE OF A HEALTH OR MEMORY PROBLEM DOES ANYONE EVER HELP YOU WITH ~IF 1870(5) ANY OF THESE ACTIVITIES: GETTING ACROSS A ROOM, DRESSING, BATHING, EATING, GETTING OUT OF BED, OR USING THE TOILET? ~ELSE ~IF WALKING DIFFICULTY (NO) GETTING ACROSS A ROOM, ~IF DRESSING DIFFICULTY (NO) DRESSING, ~IF BATHING DIFFICULTY (NO) BATHING ~IF EATING DIFFICULTY (NO) EATING, ~IF BED DIFFICULTY (NO) GETTING IN AND OUT OF BED, ~IF TOILET DIFFICULTY (NO) USING THE TOILET.
1 YES
5 NO
8 DK
9 RF
|
| |
D1967
is that person's relationship to you? ~IF IN NURSING HOME + NOT ON LIST or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 If:(IN NURSING HOME) *AND* (NOT ON LIST) -AND-
IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + NOT ON LIST OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 IF:(IN NURSING HOME) *AND* (NOT ON LIST) -AND-
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEE OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D1969
Does anyone else help you with (this activity/these activities)?
DOES ANYONE ELSE HELP YOU WITH (THIS ACTIVITY/THESE ACTIVITIES)?
1 YES
5 NO
8 DK
9 RF
|
| |
D1976
is that person's relationship to you? ~IF IN NURSING HOME + NOT ON LIST or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER (1976)
IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + NOT ON LIST OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER (1976)
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEE OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D1983
Does anyone else help you with (this activity/these activities)?
DOES ANYONE ELSE HELP YOU WITH (THIS ACTIVITY/THESE ACTIVITIES)?
1 YES
5 NO
8 DK
9 RF
|
| |
D1985
is that person's relationship to you? ~IF IN NURSING HOME (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
2 UNLISTED CHILD OR CHILD-IN-LAW
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D1987
Does anyone else help you with these activities? (1987)
DOES ANYONE ELSE HELP YOU WITH THESE ACTIVITIES? (1987)
1 YES
5 NO
8 DK
9 RF
|
| |
D1989
What is that person's relationship to you?~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU?~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEE OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D1991
Does anyone else help you with these activities?
DOES ANYONE ELSE HELP YOU WITH THESE ACTIVITIES?
1 YES
5 NO
8 DK
9 RF
|
| |
D1993
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEE OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D1995
anyone else help you with these activities?
ANYONE ELSE HELP YOU WITH THESE ACTIVITIES?
1 YES
5 NO
8 DK
9 RF
|
| |
D1997
What is that person's relationship to you?
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU?
IF Q240 IS (1) AND Q1996 IS (97) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE?
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF INSTITUTION
4. GRANDCHILD
5. RELATIVE-OTHER
6. OTHER INDIVIDUAL
7. ORGANIZATION
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
|
| |
D2001
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEE OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D2005
you ride in a car, how often do you wear your seatbelt? Is it all or most of the time, sometimes, rarely, or never?
YOU RIDE IN A CAR, HOW OFTEN DO YOU WEAR YOUR SEATBELT? IS IT ALL OR MOST OF THE TIME, SOMETIMES, RARELY, OR NEVER?
1 ALL OR MOST
2 SOMETIMES
3 RARELY
4 NEVER
8 DK
9 RF
|
| |
D2009
Do you have a car available to use when you need one?
DO YOU HAVE A CAR AVAILABLE TO USE WHEN YOU NEED ONE?
1 YES
5 NO
8 DK
9 RF
|
| |
D2010
Do you limit your driving to nearby places, or do you also drive on longer trips?
DO YOU LIMIT YOUR DRIVING TO NEARBY PLACES, OR DO YOU ALSO DRIVE ON LONGER TRIPS?
1 LIMIT TO NEARBY
2 DRIVE LONG TRIPS
8 DK
9 RF
|
| |
D2011
Here are a few other activities which some people have difficulty with because of a physical, mental, emotional, or memory problem. Please tell me whether you have any difficulty with each activity I name. If you don't do the activity at all, just tell me so. Exclude any difficulties that you expect to last less than three months.
HERE ARE A FEW OTHER ACTIVITIES WHICH SOME PEOPLE HAVE DIFFICULTY WITH BECAUSE OF A PHYSICAL, MENTAL, EMOTIONAL, OR MEMORY PROBLEM. PLEASE TELL ME WHETHER YOU HAVE ANY DIFFICULTY WITH EACH ACTIVITY I NAME. IF YOU DON'T DO THE ACTIVITY AT ALL, JUST TELL ME SO. EXCLUDE ANY DIFFICULTIES THAT YOU EXPECT TO LAST LESS THAN THREE MONTHS.
|
| |
D2012
you have any difficulty using a map to figure out how to get around in a strange place?
YOU HAVE ANY DIFFICULTY USING A MAP TO FIGURE OUT HOW TO GET AROUND IN A STRANGE PLACE?
1 YES
5 NO
8 DK
9 RF
|
| |
D2021
(Because of a health or memory problem) (Do you have) any difficulty preparing a hot meal?
(BECAUSE OF A HEALTH OR MEMORY PROBLEM) (DO YOU HAVE) ANY DIFFICULTY PREPARING A HOT MEAL?
1 YES
5 NO
8 DK
9 RF
|
| |
D2023
Is that because of a health or memory problem?
IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D2024
Does anyone help you prepare hot meals?
DOES ANYONE HELP YOU PREPARE HOT MEALS?
1 YES
5 NO
7 OTHER
8 DK
9 RF
|
| |
D2026
(Because of a health or memory problem, do you have) any difficulty with shopping for groceries?
(BECAUSE OF A HEALTH OR MEMORY PROBLEM, DO YOU HAVE) ANY DIFFICULTY WITH SHOPPING FOR GROCERIES?
1 YES
5 NO
8 DK
9 RF
|
| |
D2028
Is that because of a health or memory problem?
IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
D2031
(Because of a health or memory problem, do you have) any difficulty with making phone calls?
(BECAUSE OF A HEALTH OR MEMORY PROBLEM, DO YOU HAVE) ANY DIFFICULTY WITH MAKING PHONE CALLS?
1 YES
5 NO
8 DK
9 RF
|
| |
D2033
Is that because of a health or memory problem?
IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D2034
Does anyone help you make telephone calls?
DOES ANYONE HELP YOU MAKE TELEPHONE CALLS?
1 YES
5 NO
8 DK
9 RF
|
| |
D2036
(Because of a health or memory problem, do you have) any difficulty taking medications?
(BECAUSE OF A HEALTH OR MEMORY PROBLEM, DO YOU HAVE) ANY DIFFICULTY TAKING MEDICATIONS?
1 YES
5 NO
8 DK
9 RF
|
| |
D2038
Is that because of a health or memory problem?
IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D2039
Does anyone help you with taking medication?
DOES ANYONE HELP YOU WITH TAKING MEDICATION?
1 YES
5 NO
8 DK
9 RF
|
| |
D2042
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 If: IN NURSING HOME *AND* (NOT ON LIST) -AND-
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 IF: IN NURSING HOME *AND* (NOT ON LIST) -AND-
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEES OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D2044
Does anyone else help you ~IF 2024(1) prepare meals, ~IF 2029(1) shop for groceries ~IF 2034(1) make telephone calls ~IF 2039(1) take medications?
DOES ANYONE ELSE HELP YOU ~IF 2024(1) PREPARE MEALS, ~IF 2029(1) SHOP FOR GROCERIES ~IF 2034(1) MAKE TELEPHONE CALLS ~IF 2039(1) TAKE MEDICATIONS?
1 YES
5 NO
8 DK
9 RF
|
| |
D2051
is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 If:(IN NURSING HOME) *AND* (NOT ON LIST) -AND- (2051)
IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 IF:(IN NURSING HOME) *AND* (NOT ON LIST) -AND- (2051)
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEES OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D2053
Does anyone else help you with these activities?
DOES ANYONE ELSE HELP YOU WITH THESE ACTIVITIES?
1 YES
5 NO
7 OTHER
8 DK
9 RF
|
| |
D2056
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 If:(IN NURSING HOME) *AND* (NOT ON LIST) -AND- (2056)
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 IF:(IN NURSING HOME) *AND* (NOT ON LIST) -AND- (2056)
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEES OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
|
| |
D2059
Does anyone else help you with these activities?
DOES ANYONE ELSE HELP YOU WITH THESE ACTIVITIES?
1 YES
5 NO
8 DK
9 RF
|
| |
If Does anyone else help you with these activities? = 1 YES »
|
|
| |
|
| |
D2062
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? USE 3 If: IN NURSING HOME *AND* (NOT ON LIST) -AND- (2062)
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? USE 3 IF: IN NURSING HOME *AND* (NOT ON LIST) -AND- (2062)
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEES OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
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D2065
Does anyone else help you with these activities?
DOES ANYONE ELSE HELP YOU WITH THESE ACTIVITIES?
1 YES
5 NO
8 DK
9 RF
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D2068
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 If IN NURSING HOME *AND* (NOT ON LIST) -AND- (2068)
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 IF IN NURSING HOME *AND* (NOT ON LIST) -AND- (2068)
2 UNLISTED CHILD OR CHILD-IN-LAW
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
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D2074
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? USE 3 If IN NURSING HOME *AND* (NOT ON LIST) -AND- (2074)
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? USE 3 IF IN NURSING HOME *AND* (NOT ON LIST) -AND- (2074)
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEES OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
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D2076
(Besides any help you have told me about,) Does anyone (else) help you with work around the house or yard because of a health problem? (2076)
(BESIDES ANY HELP YOU HAVE TOLD ME ABOUT,) DOES ANYONE (ELSE) HELP YOU WITH WORK AROUND THE HOUSE OR YARD BECAUSE OF A HEALTH PROBLEM? (2076)
1 YES
5 NO
8 DK
9 RF
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D2099
Because of a health or memory problem, do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses?
BECAUSE OF A HEALTH OR MEMORY PROBLEM, DO YOU HAVE ANY DIFFICULTY WITH MANAGING YOUR MONEY -- SUCH AS PAYING YOUR BILLS AND KEEPING TRACK OF EXPENSES?
1 YES
5 NO
8 DK
9 NA
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D2100
Is that because of a health or memory problem?
IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?
1 YES
5 NO
8 DK
9 RF
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D2102
Does anyone ever help you manage your money?
DOES ANYONE EVER HELP YOU MANAGE YOUR MONEY?
1 YES
5 NO
8 DK
9 RF
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|
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D2108
What is that person's relationship to you? ~IF IN NURSING HOME + (NOT ON LIST) or are they an employee of the place you live? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 If IN NURSING HOME *AND* (NOT ON LIST) -AND- (2108)
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME + (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? ASK IF NOT YET ON LIST AS R'S SPOUSE/PARTNER, CHILD OR CHILD'S SPOUSE OR HH MEMBER USE 3 IF IN NURSING HOME *AND* (NOT ON LIST) -AND- (2108)
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEES OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
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If NOT (D2108 = 8 or D2188 = 9) »
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D2115
Does anyone else help you manage your money?
DOES ANYONE ELSE HELP YOU MANAGE YOUR MONEY?
1 YES
5 NO
8 DK
9 RF
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D2122
What is that person's relationship to you? ~IF IN NURSING HOME+ (NOT ON LIST) or are they an employee of the place you live? USE 3 If IN NURSING HOME *AND* (NOT ON LIST) -AND-
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU? ~IF IN NURSING HOME+ (NOT ON LIST) OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE? USE 3 IF IN NURSING HOME *AND* (NOT ON LIST) -AND-
2 UNLISTED CHILD OR CHILD-IN-LAW
3 EMPLOYEES OF "INSTITUTION"
4 GRANDCHILD
5 RELATIVE-OTHER
6 OTHER INDIVIDUAL
7 ORGANIZATION
8 DK
9 RF
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D2140
During the last month, on about how many days did (NAME) help you? DAYS IN LAST MONTH: DAYS PER WEEK:
DURING THE LAST MONTH, ON ABOUT HOW MANY DAYS DID (NAME) HELP YOU? DAYS IN LAST MONTH: DAYS PER WEEK:
1 EVERY DAY
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D2145
On the days (NAME) helps you, about how many hours per day is that? LESS THAN AN HOUR = 1
ON THE DAYS (NAME) HELPS YOU, ABOUT HOW MANY HOURS PER DAY IS THAT? LESS THAN AN HOUR = 1
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D2146
Is (NAME) paid to help you?
IS (NAME) PAID TO HELP YOU?
1 YES
5 NO
8 DK
9 RF
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D2147
Medicaid or insurance help pay (NAME)?
MEDICAID OR INSURANCE HELP PAY (NAME)?
1 YES
5 NO
8 DK
9 RF
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D2148
(Not counting expenses paid by Medicaid or insurance,) about how much did you (and your Husband/Wife/Partner) end up paying (NAME) for the last month? AMOUNT: PER:
(NOT COUNTING EXPENSES PAID BY MEDICAID OR INSURANCE,) ABOUT HOW MUCH DID YOU (AND YOUR HUSBAND/WIFE/PARTNER) END UP PAYING (NAME) FOR THE LAST MONTH? AMOUNT: PER:
1 MONTH
2 WEEK
3 DAY
5 YEAR
8 DK
9 RF
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If (Not counting expenses paid by Medicaid or insurance,) about how much did you (and your Husband/Wife/Partner) end up paying (NAME) for the last month? AMOUNT: PER: = 8 DK or (Not counting expenses paid by Medicaid or insurance,) about how much did you (and your Husband/Wife/Partner) end up paying (NAME) for the last month? AMOUNT: PER: = 9 RF »
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D2151
Is it more than $100 for the month?
IS IT MORE THAN $100 FOR THE MONTH?
1 YES
5 NO
8 DK
9 RF
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D2152
Does any other person help you (and your Husband/Wife/Partner) pay this cost?
DOES ANY OTHER PERSON HELP YOU (AND YOUR HUSBAND/WIFE/PARTNER) PAY THIS COST?
1 YES
5 NO
8 DK
9 RF
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D2153
Is that a (child or other) relative of yours (and your Husband/Wife/Partner), or is that someone else?
IS THAT A (CHILD OR OTHER) RELATIVE OF YOURS (AND YOUR HUSBAND/WIFE/PARTNER), OR IS THAT SOMEONE ELSE?
1 CHILD/CHILD-IN-LAW/GRANDCHILD
2 OTHER RELATIVE
3 SOMEONE ELSE
8 DK
9 RF
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|
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D2154
(Which child is that?) IF GRANDCHILD: (Which of your children is the parent of that grandchild?) if:IN NURSING HOME (2154)(A61-A71)
(WHICH CHILD IS THAT?) IF GRANDCHILD: (WHICH OF YOUR CHILDREN IS THE PARENT OF THAT GRANDCHILD?) IF:IN NURSING HOME (2154)(A61-A71)
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If includes NURSING HOME »
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D2157
Now we are interested in the hiring of persons paid to help you at home with activities like dressing, bathing, and other personal care needs. ~IF REINTERVIEW +M2152(1) Is someone paid to help you with activities like that? ~Else (WAVE 1 INTERVIEW)(NOT REINTERVIEW)+M2152(1) In the last two years did you pay anyone to help you with activities like that? ~Else REINTERVIEW (Since Wave 1 date / In the last two years) did you pay anyone to help you with activities like that? ~Else In the last two years did you pay anyone to help you with activities like that?
NOW WE ARE INTERESTED IN THE HIRING OF PERSONS PAID TO HELP YOU AT HOME WITH ACTIVITIES LIKE DRESSING, BATHING, AND OTHER PERSONAL CARE NEEDS. ~IF REINTERVIEW +M2152(1) IS SOMEONE PAID TO HELP YOU WITH ACTIVITIES LIKE THAT? ~ELSE (WAVE 1 INTERVIEW)(NOT REINTERVIEW)+M2152(1) IN THE LAST TWO YEARS DID YOU PAY ANYONE TO HELP YOU WITH ACTIVITIES LIKE THAT? ~ELSE REINTERVIEW (SINCE WAVE 1 DATE / IN THE LAST TWO YEARS) DID YOU PAY ANYONE TO HELP YOU WITH ACTIVITIES LIKE THAT? ~ELSE IN THE LAST TWO YEARS DID YOU PAY ANYONE TO HELP YOU WITH ACTIVITIES LIKE THAT?
1 YES
5 NO
8 DK
9 RF
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D2158
The last time someone was hired to help with these kind of activities, did anyone assist you in finding possible helpers?
THE LAST TIME SOMEONE WAS HIRED TO HELP WITH THESE KIND OF ACTIVITIES, DID ANYONE ASSIST YOU IN FINDING POSSIBLE HELPERS?
1 YES
5 NO
8 DK
9 RF
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D2159M1
Who helped you find possible helpers, that is, what is their relationship to you? CHOOSE ALL THAT APPLY
WHO HELPED YOU FIND POSSIBLE HELPERS, THAT IS, WHAT IS THEIR RELATIONSHIP TO YOU? CHOOSE ALL THAT APPLY
1 SPOUSE
2 CHILD/CHILD-IN-LAW/GRANDCHILD
3 OTHER RELATIVE
4 OTHER PERSON OR ORGANIZATION
8 DK
9 RF
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D2160
(Which child is that?) IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
(WHICH CHILD IS THAT?) IF GRANDCHILD: (WHICH OF YOUR CHILDREN IS THE PARENT OF THAT GRANDCHILD?)
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D2162
Did you take part in deciding which of the possible helpers would be hired?
DID YOU TAKE PART IN DECIDING WHICH OF THE POSSIBLE HELPERS WOULD BE HIRED?
1 YES
5 NO
8 DK
9 RF
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D2163
Were you the primary decision-maker in the hiring?
WERE YOU THE PRIMARY DECISION-MAKER IN THE HIRING?
1 YES
5 NO
8 DK
9 RF
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D2164
(Since Wave 1 date / In the last two years), have your (and your Husband/Wife/Partner) children or granchildren spent any time helping you, yourself, with household chores, errands, transportation, etc.?
(SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), HAVE YOUR (AND YOUR HUSBAND/WIFE/PARTNER) CHILDREN OR GRANCHILDREN SPENT ANY TIME HELPING YOU, YOURSELF, WITH HOUSEHOLD CHORES, ERRANDS, TRANSPORTATION, ETC.?
1 YES
5 NO
8 DK
9 RF
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|
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D2165M1
(Which child is that?) CHOOSE ALL THAT APPLY IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
(WHICH CHILD IS THAT?) CHOOSE ALL THAT APPLY IF GRANDCHILD: (WHICH OF YOUR CHILDREN IS THE PARENT OF THAT GRANDCHILD?)
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D2167
(Since Wave 1 date / In the last two years), have you, yourself, spent time helping others with household chores, errands, transportation, etc? (Do not count time taking care of grandchildren or great-grandchildren.)
(SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), HAVE YOU, YOURSELF, SPENT TIME HELPING OTHERS WITH HOUSEHOLD CHORES, ERRANDS, TRANSPORTATION, ETC? (DO NOT COUNT TIME TAKING CARE OF GRANDCHILDREN OR GREAT-GRANDCHILDREN.)
1 YES
5 NO
8 DK
9 RF
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D2169
(Since Wave 1 date / In the last two years), have you spent 200 hours or more doing volunteer work or helping others with activities such as household chores, errands, and transportation?
(SINCE WAVE 1 DATE / IN THE LAST TWO YEARS), HAVE YOU SPENT 200 HOURS OR MORE DOING VOLUNTEER WORK OR HELPING OTHERS WITH ACTIVITIES SUCH AS HOUSEHOLD CHORES, ERRANDS, AND TRANSPORTATION?
1 YES
5 NO
8 DK
9 RF
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D2172
Suppose in the future, you (and your Husband/Wife/Partner) needed help with basic personal care activities like eating or dressing. Do you have relatives or friends (beside your Husband/Wife/Partner) who would be willing and able to help you over a long period of time?
SUPPOSE IN THE FUTURE, YOU (AND YOUR HUSBAND/WIFE/PARTNER) NEEDED HELP WITH BASIC PERSONAL CARE ACTIVITIES LIKE EATING OR DRESSING. DO YOU HAVE RELATIVES OR FRIENDS (BESIDE YOUR HUSBAND/WIFE/PARTNER) WHO WOULD BE WILLING AND ABLE TO HELP YOU OVER A LONG PERIOD OF TIME?
1 YES
5 NO
8 DK
9 RF
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D2173
Is that a (child or other) relative of yours (and your Husband/Wife/Partner) or is that someone else?
IS THAT A (CHILD OR OTHER) RELATIVE OF YOURS (AND YOUR HUSBAND/WIFE/PARTNER) OR IS THAT SOMEONE ELSE?
1 CHILD/CHILD-IN-LAW/GRANDCHILD
2 OTHER RELATIVE
3 SOMEONE ELSE
8 DK
9 RF
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|
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D2174M1
(Which child is that?) CHOOSE ALL THAT APPLY IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
(WHICH CHILD IS THAT?) CHOOSE ALL THAT APPLY IF GRANDCHILD: (WHICH OF YOUR CHILDREN IS THE PARENT OF THAT GRANDCHILD?)
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D2177
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 E: Health Care and Costs
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