|
|
|
Start of M. Modules
|
| |
D5327
Although we have finished the interview, we would like to ask you a few additional experimental questions. They are very similar to questions we have already asked you, but researchers are interested in how people respond when the questions are changed just a little.
ALTHOUGH WE HAVE FINISHED THE INTERVIEW, WE WOULD LIKE TO ASK YOU A FEW ADDITIONAL EXPERIMENTAL QUESTIONS. THEY ARE VERY SIMILAR TO QUESTIONS WE HAVE ALREADY ASKED YOU, BUT RESEARCHERS ARE INTERESTED IN HOW PEOPLE RESPOND WHEN THE QUESTIONS ARE CHANGED JUST A LITTLE.
1 DO MODULE
9 REFUSED
|
| |
D5328
We need to understand difficulties people may have with various activities because of a health or physical problem. Please tell me whether you get help or have any difficulty doing each of the everyday activities that I read to you. If you never do that activity, just tell me so.
WE NEED TO UNDERSTAND DIFFICULTIES PEOPLE MAY HAVE WITH VARIOUS ACTIVITIES BECAUSE OF A HEALTH OR PHYSICAL PROBLEM. PLEASE TELL ME WHETHER YOU GET HELP OR HAVE ANY DIFFICULTY DOING EACH OF THE EVERYDAY ACTIVITIES THAT I READ TO YOU. IF YOU NEVER DO THAT ACTIVITY, JUST TELL ME SO.
|
| |
D5331
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
|
| |
D5332
Do you get that help most of the time, some of the time, or only occasionally?
DO YOU GET THAT HELP MOST OF THE TIME, SOME OF THE TIME, OR ONLY OCCASIONALLY?
1 MOST (ALL) OF THE TIME
2 SOME OF THE TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
D5333
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
|
| |
D5334M4
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
|
| |
D5335
Do you usually use that equipment?
DO YOU USUALLY USE THAT EQUIPMENT?
1 YES
5 NO
8 DK
9 RF
|
| |
D5336
(Even when someone helps you) (Even when using the (equipment mentioned in M133c)) (Without any help or special equipment) Do you have any difficulty walking across the room?
(EVEN WHEN SOMEONE HELPS YOU) (EVEN WHEN USING THE (EQUIPMENT MENTIONED IN M133C)) (WITHOUT ANY HELP OR SPECIAL EQUIPMENT) DO YOU HAVE ANY DIFFICULTY WALKING ACROSS THE ROOM?
1 YES
5 NO
8 DK
9 RF
|
| |
D5337
(Is that a little or a lot of difficulty?)
(IS THAT A LITTLE OR A LOT OF DIFFICULTY?)
1 LITTLE
2 A LOT
8 DK
9 RF
|
| |
D5342
Does anyone ever help you dress, including putting on shoes and socks?
DOES ANYONE EVER HELP YOU DRESS, INCLUDING PUTTING ON SHOES AND SOCKS?
1 YES
5 NO
8 DK
9 RF
|
| |
D5343
Do you get that help most of the time, some of the time, or only occasionally?
DO YOU GET THAT HELP MOST OF THE TIME, SOME OF THE TIME, OR ONLY OCCASIONALLY?
1 MOST (ALL) OF THE TIME
2 SOME OF THE TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
D5344
Do you have any difficulty dressing
DO YOU HAVE ANY DIFFICULTY DRESSING
1 YES
5 NO
8 DK
9 RF
|
| |
D5345
(Is that a little or a lot of difficulty?)
(IS THAT A LITTLE OR A LOT OF DIFFICULTY?)
1 LITTLE
2 A LOT
8 DK
9 RF
|
| |
D5350
Does anyone ever help you bathe or shower?
DOES ANYONE EVER HELP YOU BATHE OR SHOWER?
1 YES
5 NO
8 DK
9 RF
|
| |
D5351
Do you get that help most of the time, some of the time, or only occasionally?
DO YOU GET THAT HELP MOST OF THE TIME, SOME OF THE TIME, OR ONLY OCCASIONALLY?
1 MOST (ALL) OF THE TIME
2 SOME OF THE TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
D5352
Do you have any difficulty bathing
DO YOU HAVE ANY DIFFICULTY BATHING
1 YES
5 NO
8 DK
9 RF
|
| |
D5353
(Is that a little, or a lot of difficulty?)
(IS THAT A LITTLE, OR A LOT OF DIFFICULTY?)
1 LITTLE
2 A LOT
8 DK
9 RF
|
| |
D5358
Does anyone ever help you eat, such as cutting up your food?
DOES ANYONE EVER HELP YOU EAT, SUCH AS CUTTING UP YOUR FOOD?
1 YES
5 NO
8 DK
9 RF
|
| |
D5359
Do you get that help most of the time, some of the time, or only occasionally?
DO YOU GET THAT HELP MOST OF THE TIME, SOME OF THE TIME, OR ONLY OCCASIONALLY?
1 MOST (ALL) OF THE TIME
2 SOME OF THE TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
D5360
Do you have any difficulty eating
DO YOU HAVE ANY DIFFICULTY EATING
1 YES
5 NO
8 DK
9 RF
|
| |
D5361
(Is that a little or a lot of difficulty?)
(IS THAT A LITTLE OR A LOT OF DIFFICULTY?)
1 LITTLE
2 A LOT
8 DK
9 RF
|
| |
D5366
Does anyone ever help you get in and out of bed?
DOES ANYONE EVER HELP YOU GET IN AND OUT OF BED?
1 YES
5 NO
8 DK
9 RF
|
| |
D5367
Do you have that help most of the time, some of the time, or only occasionally?
DO YOU HAVE THAT HELP MOST OF THE TIME, SOME OF THE TIME, OR ONLY OCCASIONALLY?
1 MOST (ALL) OF THE TIME
2 SOME OF THE TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
D5371
Do you ever use equipment or devices such as a rail, cane, walker, wheelchair or lift to help you get in and out of bed?
DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A RAIL, CANE, WALKER, WHEELCHAIR OR LIFT TO HELP YOU GET IN AND OUT OF BED?
1 YES
5 NO
8 DK
9 RF
|
| |
D5372M3
What equipment is that? CHOOSE ALL THAT APPLY
WHAT EQUIPMENT IS THAT? CHOOSE ALL THAT APPLY
01 RAILING
02 WALKER
03 CANE
04 CRUTCHES
06 BRACE (LEG OR BACK)
07 PROSTHESIS
08 LIFT
09 FURNITURE/WALLS
10 WHEELCHAIR/CART
97 OTHER SPECIFY
98 DK
99 RF
|
| |
D5373
Do you usually use that equipment?
DO YOU USUALLY USE THAT EQUIPMENT?
1 YES
5 NO
8 DK
9 RF
|
| |
D5374
Do you have any difficulty getting in and out of bed?
DO YOU HAVE ANY DIFFICULTY GETTING IN AND OUT OF BED?
1 YES
5 NO
8 DK
9 RF
|
| |
D5377
Does anyone ever help you use the toilet, including getting up and down?
DOES ANYONE EVER HELP YOU USE THE TOILET, INCLUDING GETTING UP AND DOWN?
1 YES
5 NO
8 DK
9 RF
|
| |
D5378
Do you get that help most of the time, some of the time, or only occasionally?
DO YOU GET THAT HELP MOST OF THE TIME, SOME OF THE TIME, OR ONLY OCCASIONALLY?
1 MOST (ALL) OF THE TIME
2 SOME OF THE TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
D5379
Do you have any difficulty using the toilet
DO YOU HAVE ANY DIFFICULTY USING THE TOILET
1 YES
5 NO
8 DK
9 RF
|
| |
D5380
(Is that a little or a lot of difficulty?)
(IS THAT A LITTLE OR A LOT OF DIFFICULTY?)
1 LITTLE
2 A LOT
8 DK
9 RF
|
| |
D5385
I have just a few more questions about how people are getting along financially these days. First, do you have any money in savings accounts? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
I HAVE JUST A FEW MORE QUESTIONS ABOUT HOW PEOPLE ARE GETTING ALONG FINANCIALLY THESE DAYS. FIRST, DO YOU HAVE ANY MONEY IN SAVINGS ACCOUNTS? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
1 YES
5 NO
8 DK
9 RF
|
| |
D5386
If you added up all such accounts, would the total right now amount to $1,000 or more?
IF YOU ADDED UP ALL SUCH ACCOUNTS, WOULD THE TOTAL RIGHT NOW AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5387
Would it amount to $10,000 or more?
WOULD IT AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
If 5387 !was answered Don't know or RF »
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
D5390
Would it amount to $5,000 or more?
WOULD IT AMOUNT TO $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
If Would it amount to $5,000 or more? !was answered Don't know or RF »
|
|
| |
|
|
| |
|
D5391
Would it amount to $2,000 or more?
WOULD IT AMOUNT TO $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5392
Would it amount to $50,000 or more?
WOULD IT AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
D5393
About how much did you and your household spend on everything in the past month? Please think about all bills such as rent, mortgage loan payments, utility and other bills, as well as all expenses such as food, clothing, transportation, entertainment and any other expenses you and your household may have. DO NOT PROBE DK OR RF AMOUNT:
ABOUT HOW MUCH DID YOU AND YOUR HOUSEHOLD SPEND ON EVERYTHING IN THE PAST MONTH? PLEASE THINK ABOUT ALL BILLS SUCH AS RENT, MORTGAGE LOAN PAYMENTS, UTILITY AND OTHER BILLS, AS WELL AS ALL EXPENSES SUCH AS FOOD, CLOTHING, TRANSPORTATION, ENTERTAINMENT AND ANY OTHER EXPENSES YOU AND YOUR HOUSEHOLD MAY HAVE. DO NOT PROBE DK OR RF AMOUNT:
|
| |
D5394
Would the total amount be $2,000 or more in the past month?
WOULD THE TOTAL AMOUNT BE $2,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5395
Was it $5,000 or more?
WAS IT $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5396
Was it $1,000 or more?
WAS IT $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5397
Was it $500 or more?
WAS IT $500 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
M2-0
Although we have finished the interview, we would like to ask you a few additional experimental questions. They are very similar to questions we have already asked you, but researchers are interested in how people respond when the questions are changed just a little.
ALTHOUGH WE HAVE FINISHED THE INTERVIEW, WE WOULD LIKE TO ASK YOU A FEW ADDITIONAL EXPERIMENTAL QUESTIONS. THEY ARE VERY SIMILAR TO QUESTIONS WE HAVE ALREADY ASKED YOU, BUT RESEARCHERS ARE INTERESTED IN HOW PEOPLE RESPOND WHEN THE QUESTIONS ARE CHANGED JUST A LITTLE.
1 DO MODULE
9 REFUSED
|
| |
M2-32
We need to understand difficulties people may have with various activities because of a health or physical problem.
WE NEED TO UNDERSTAND DIFFICULTIES PEOPLE MAY HAVE WITH VARIOUS ACTIVITIES BECAUSE OF A HEALTH OR PHYSICAL PROBLEM. PLEASE TELL ME WHETHER YOU GET HELP OR HAVE ANY DIFFICULTY DOING EACH OF THE EVERYDAY ACTIVITIES THAT I READ TO YOU. IF YOU NEVER DO THAT ACTIVITY, JUST TELL ME SO. M2-32A. [FIX]
|
| |
M2-33
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
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
M2-37
Does anyone ever help you bathe or shower?
DOES ANYONE EVER HELP YOU BATHE OR SHOWER?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
|
| |
|
|
| |
M2-39
Does anyone ever help you eat, such as cutting up your food?
DOES ANYONE EVER HELP YOU EAT, SUCH AS CUTTING UP YOUR FOOD?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
|
| |
|
|
| |
M2-41
Does anyone ever help you get in and out of bed?
DOES ANYONE EVER HELP YOU GET IN AND OUT OF BED?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
M2-43
Do you ever use equipment or devices such as a rail, cane, walker, wheelchair or lift to help you get in and out of bed?
DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A RAIL, CANE, WALKER, WHEELCHAIR OR LIFT TO HELP YOU GET IN AND OUT OF BED?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
M2-44
Does anyone ever help you use the toilet, including getting up and down?
DOES ANYONE EVER HELP YOU USE THE TOILET, INCLUDING GETTING UP AND DOWN?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
|
| |
If Do you have any difficulty using the toilet (WHEN SOMEONE IS HELPING YOU? / WITHOUT ANY HELP?) != (NO or DK or RF) »
|
|
| |
|
| |
|
| |
|
D5468
If you added up all such accounts, would the total right now amount to $2,000 or more?
IF YOU ADDED UP ALL SUCH ACCOUNTS, WOULD THE TOTAL RIGHT NOW AMOUNT TO $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5469
Would it amount to $10,000 or more?
WOULD IT AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5470
Would it amount to $5,000 or more?
WOULD IT AMOUNT TO $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5471
Would it amount to $50,000 or more?
WOULD IT AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5472
Would it amount to $20,000 or more?
WOULD IT AMOUNT TO $20,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5473
Would it amount to $200,000 or more?
WOULD IT AMOUNT TO $200,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5474
Would it amount to $1,000 or more?
WOULD IT AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
If If you added up all such accounts, would the total right now amount to $2,000 or more? !was answered Don't know or RF »
|
|
| |
|
| |
D5469
Would it amount to $10,000 or more?
WOULD IT AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5470
Would it amount to $5,000 or more?
WOULD IT AMOUNT TO $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5471
Would it amount to $50,000 or more?
WOULD IT AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
If Would it amount to $50,000 or more? != (DK or RF) »
|
|
| |
|
|
| |
|
D5472
Would it amount to $20,000 or more?
WOULD IT AMOUNT TO $20,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5473
Would it amount to $200,000 or more?
WOULD IT AMOUNT TO $200,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5474
Would it amount to $1,000 or more?
WOULD IT AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
|
|
| |
D5476
Would the total amount be $500 or more in the past month?
WOULD THE TOTAL AMOUNT BE $500 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5477
Was it $1,000 or more?
WAS IT $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5478
Was it $2,000 or more?
WAS IT $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5479
Was it $5,000 or more?
WAS IT $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5487
Although we have finished the interview, we would like to ask you a few additional experimental questions. They are very similar to questions we have already asked you, but researchers are interested in how people respond when the questions are changed just a little.
ALTHOUGH WE HAVE FINISHED THE INTERVIEW, WE WOULD LIKE TO ASK YOU A FEW ADDITIONAL EXPERIMENTAL QUESTIONS. THEY ARE VERY SIMILAR TO QUESTIONS WE HAVE ALREADY ASKED YOU, BUT RESEARCHERS ARE INTERESTED IN HOW PEOPLE RESPOND WHEN THE QUESTIONS ARE CHANGED JUST A LITTLE.
1 DO MODULE
9 REFUSED
|
| |
D5488
These questions are about how well you are able to do certain activities--by yourself and without using special equipment.
THESE QUESTIONS ARE ABOUT HOW WELL YOU ARE ABLE TO DO CERTAIN ACTIVITIES--BY YOURSELF AND WITHOUT USING SPECIAL EQUIPMENT.
|
| |
D5489
Because of a health or physical problem, do you have any difficulty bathing or showering?
BECAUSE OF A HEALTH OR PHYSICAL PROBLEM, DO YOU HAVE ANY DIFFICULTY BATHING OR SHOWERING?
1 YES
5 NO
8 DK
9 RF
|
| |
D5490
Is this because of a health or physical problem?
IS THIS BECAUSE OF A HEALTH OR PHYSICAL PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D5491
Because of a health or physical problem, do you have any difficulty dressing?
BECAUSE OF A HEALTH OR PHYSICAL PROBLEM, DO YOU HAVE ANY DIFFICULTY DRESSING?
1 YES
5 NO
8 DK
9 RF
|
| |
D5492
Is this because of a health or physical problem?
IS THIS BECAUSE OF A HEALTH OR PHYSICAL PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D5493
(Because of a health or physical problem, do you have any difficulty) eating?
(BECAUSE OF A HEALTH OR PHYSICAL PROBLEM, DO YOU HAVE ANY DIFFICULTY) EATING?
1 YES
5 NO
8 DK
9 RF
|
| |
D5494
Is this because of a health or physical problem?
IS THIS BECAUSE OF A HEALTH OR PHYSICAL PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D5495
(Because of a health or physical problem, do you have any difficulty) getting in and out of bed or chairs?
(BECAUSE OF A HEALTH OR PHYSICAL PROBLEM, DO YOU HAVE ANY DIFFICULTY) GETTING IN AND OUT OF BED OR CHAIRS?
1 YES
5 NO
8 DK
9 RF
|
| |
D5496
Is this because of a health or physical problem?
IS THIS BECAUSE OF A HEALTH OR PHYSICAL PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D5497
Because of a health or physical problem, do you have any difficulty walking?
BECAUSE OF A HEALTH OR PHYSICAL PROBLEM, DO YOU HAVE ANY DIFFICULTY WALKING?
1 YES
5 NO
8 DK
9 RF
|
| |
D5498
Is this because of a health or physical problem?
IS THIS BECAUSE OF A HEALTH OR PHYSICAL PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
D5499
(Because of a health or physical problem, do you have any difficulty) using the toilet, including getting to the toilet?
(BECAUSE OF A HEALTH OR PHYSICAL PROBLEM, DO YOU HAVE ANY DIFFICULTY) USING THE TOILET, INCLUDING GETTING TO THE TOILET?
1 YES
5 NO
8 DK
9 RF
|
| |
D5500
Is this because of a health or physical problem?
IS THIS BECAUSE OF A HEALTH OR PHYSICAL PROBLEM?
1 YES
5 NO
8 DK
9 RF
|
| |
If Because of a health or physical problem, do you have any difficulty bathing or showering? != (5 or DK or RF) and (D5489 != 6 or D5490 != (5 or DK or RF)) »
|
|
| |
|
| |
D5505
By yourself and without using special equipment, how much difficulty do you have bathing or showering--some, a lot, or are you unable to do it?
BY YOURSELF AND WITHOUT USING SPECIAL EQUIPMENT, HOW MUCH DIFFICULTY DO YOU HAVE BATHING OR SHOWERING--SOME, A LOT, OR ARE YOU UNABLE TO DO IT?
1 SOME
2 A LOT
3 UNABLE TO DO
8 DK
9 RF
|
| |
|
| |
D5506
When you do not have help or use special equipment, is bathing or showering by yourself very tiring?
WHEN YOU DO NOT HAVE HELP OR USE SPECIAL EQUIPMENT, IS BATHING OR SHOWERING BY YOURSELF VERY TIRING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5507
(When you do not have help or use special equipment,) does bathing or showering take a long time?
(WHEN YOU DO NOT HAVE HELP OR USE SPECIAL EQUIPMENT,) DOES BATHING OR SHOWERING TAKE A LONG TIME?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5508
Is bathing or showering very painful?
IS BATHING OR SHOWERING VERY PAINFUL?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5509
Do you receive help from another person in bathing or showering?
DO YOU RECEIVE HELP FROM ANOTHER PERSON IN BATHING OR SHOWERING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D5510
By yourself and without using special equipment, how much difficulty do you have dressing--some, a lot, or are you unable to do it?
BY YOURSELF AND WITHOUT USING SPECIAL EQUIPMENT, HOW MUCH DIFFICULTY DO YOU HAVE DRESSING--SOME, A LOT, OR ARE YOU UNABLE TO DO IT?
1 SOME
2 A LOT
3 UNABLE TO DO
8 DK
9 RF
|
| |
D5511
When you do not have help or use special equipment, is dressing by yourself very tiring?
WHEN YOU DO NOT HAVE HELP OR USE SPECIAL EQUIPMENT, IS DRESSING BY YOURSELF VERY TIRING?
1 YES
5 NO
8 DK
9 RF
|
| |
D5512
Does dressing take a long time?
DOES DRESSING TAKE A LONG TIME?
1 YES
5 NO
8 DK
9 RF
|
| |
D5513
Is dressing very painful?
IS DRESSING VERY PAINFUL?
1 YES
5 NO
8 DK
9 RF
|
| |
D5514
Do you receive help from another person in dressing?
DO YOU RECEIVE HELP FROM ANOTHER PERSON IN DRESSING?
1 YES
5 NO
8 DK
9 RF
|
| |
If (Because of a health or physical problem, do you have any difficulty) eating? != (5 or DK or RF) and (D5493 != 6 or D5494 != (5 or DK or RF)) »
|
|
| |
|
| |
D5516
By yourself and without using special equipment, how much difficulty do you have eating--some, a lot, or are you unable to do it?
BY YOURSELF AND WITHOUT USING SPECIAL EQUIPMENT, HOW MUCH DIFFICULTY DO YOU HAVE EATING--SOME, A LOT, OR ARE YOU UNABLE TO DO IT?
1 SOME
2 A LOT
3 UNABLE TO DO
8 DK
9 RF
|
| |
|
| |
D5517
When you do not have help or use special equipment, is eating by yourself very tiring?
WHEN YOU DO NOT HAVE HELP OR USE SPECIAL EQUIPMENT, IS EATING BY YOURSELF VERY TIRING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5518
Does eating take a long time?
DOES EATING TAKE A LONG TIME?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5519
Is eating very painful?
IS EATING VERY PAINFUL?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5520
Do you receive help from another person in eating?
DO YOU RECEIVE HELP FROM ANOTHER PERSON IN EATING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
If (Because of a health or physical problem, do you have any difficulty) getting in and out of bed or chairs? != (5 or DK or RF) and (D5495 != 6 or D5496 != (5 or DK or RF)) »
|
|
| |
|
| |
D5521
By yourself and without using special equipment, how much difficulty do you have getting in or out of bed or chairs--some, a lot, or are you unable to do it?
BY YOURSELF AND WITHOUT USING SPECIAL EQUIPMENT, HOW MUCH DIFFICULTY DO YOU HAVE GETTING IN OR OUT OF BED OR CHAIRS--SOME, A LOT, OR ARE YOU UNABLE TO DO IT?
1 SOME
2 A LOT
3 UNABLE TO DO
8 DK
9 RF
|
| |
|
| |
D5522
When you do not have help or use special equipment, is getting in and out of bed or chairs by yourself very tiring?
WHEN YOU DO NOT HAVE HELP OR USE SPECIAL EQUIPMENT, IS GETTING IN AND OUT OF BED OR CHAIRS BY YOURSELF VERY TIRING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5523
Does getting in and out of bed or chairs take a long time?
DOES GETTING IN AND OUT OF BED OR CHAIRS TAKE A LONG TIME?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5524
Is getting in and out of bed or chairs very painful?
IS GETTING IN AND OUT OF BED OR CHAIRS VERY PAINFUL?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5525
Do you receive help from another person in getting in and out of bed or chairs?
DO YOU RECEIVE HELP FROM ANOTHER PERSON IN GETTING IN AND OUT OF BED OR CHAIRS?
1 YES
5 NO
8 DK
9 RF
|
| |
|
If Because of a health or physical problem, do you have any difficulty walking? != (5 or DK or RF) and (D5497 != 6 or D5498 != (5 or DK or RF)) »
|
|
| |
|
| |
D5526
By yourself and without using special equipment, how much difficulty do you have walking--some, a lot, or are you unable to do it?
BY YOURSELF AND WITHOUT USING SPECIAL EQUIPMENT, HOW MUCH DIFFICULTY DO YOU HAVE WALKING--SOME, A LOT, OR ARE YOU UNABLE TO DO IT?
1 SOME
2 A LOT
3 UNABLE TO DO
8 DK
9 RF
|
| |
|
| |
D5527
When you do not have help or use special equipment, is walking by yourself very tiring?
WHEN YOU DO NOT HAVE HELP OR USE SPECIAL EQUIPMENT, IS WALKING BY YOURSELF VERY TIRING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5528
Does walking take a long time?
DOES WALKING TAKE A LONG TIME?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5529
Is walking very painful?
IS WALKING VERY PAINFUL?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5530
Do you receive help from another person in walking?
DO YOU RECEIVE HELP FROM ANOTHER PERSON IN WALKING?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D5531
By yourself and without using special equipment, how much difficulty do you have using the toilet--some, a lot, or are you unable to do it?
BY YOURSELF AND WITHOUT USING SPECIAL EQUIPMENT, HOW MUCH DIFFICULTY DO YOU HAVE USING THE TOILET--SOME, A LOT, OR ARE YOU UNABLE TO DO IT?
1 SOME
2 A LOT
3 UNABLE TO DO
8 DK
9 RF
|
| |
D5532
When you do not have help or use special equipment, is using the toilet, including getting to the toilet by yourself very tiring?
WHEN YOU DO NOT HAVE HELP OR USE SPECIAL EQUIPMENT, IS USING THE TOILET, INCLUDING GETTING TO THE TOILET BY YOURSELF VERY TIRING?
1 YES
5 NO
8 DK
9 RF
|
| |
D5533
Does using the toilet, including getting to the toilet by yourself take a long time?
DOES USING THE TOILET, INCLUDING GETTING TO THE TOILET BY YOURSELF TAKE A LONG TIME?
1 YES
5 NO
8 DK
9 RF
|
| |
D5534
Is it very painful?
IS IT VERY PAINFUL?
1 YES
5 NO
8 DK
9 RF
|
| |
D5535
Do you receive help from another person in using the toilet, including getting to the toilet?
DO YOU RECEIVE HELP FROM ANOTHER PERSON IN USING THE TOILET, INCLUDING GETTING TO THE TOILET?
1 YES
5 NO
8 DK
9 RF
|
| |
D5540
I have just a few more questions about how people are getting along financially these days. First, do you have any money in savings accounts? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
I HAVE JUST A FEW MORE QUESTIONS ABOUT HOW PEOPLE ARE GETTING ALONG FINANCIALLY THESE DAYS. FIRST, DO YOU HAVE ANY MONEY IN SAVINGS ACCOUNTS? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
1 YES
5 NO
8 DK
9 RF
|
| |
D5541
If you added up all such accounts, would the total right now amount to $5,000 or more?
IF YOU ADDED UP ALL SUCH ACCOUNTS, WOULD THE TOTAL RIGHT NOW AMOUNT TO $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
If If you added up all such accounts, would the total right now amount to $5,000 or more? != (DK or RF) »
|
|
| |
|
| |
D5542
Would it amount to $1,000 or more?
WOULD IT AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5543
Would it amount to $2,000 or more?
WOULD IT AMOUNT TO $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5544
Would it amount to $50,000 or more?
WOULD IT AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
If Would it amount to $50,000 or more? != (DK or RF) »
|
|
| |
|
|
| |
|
D5545
Would it amount to $10,000 or more?
WOULD IT AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5546
Would it amount to $20,000 or more?
WOULD IT AMOUNT TO $20,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5547
Would it amount to $200,000 or more?
WOULD IT AMOUNT TO $200,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
D5548
Think about how much you and your household spent on everything in the past month. Please think about all bills such as rent, mortgage loan payments, utility and other bills, as well as all expenses such as food, clothing, transportation, entertainment and any other expenses you and your household may have. Would the total amount be $1,000 or more in the past month?
THINK ABOUT HOW MUCH YOU AND YOUR HOUSEHOLD SPENT ON EVERYTHING IN THE PAST MONTH. PLEASE THINK ABOUT ALL BILLS SUCH AS RENT, MORTGAGE LOAN PAYMENTS, UTILITY AND OTHER BILLS, AS WELL AS ALL EXPENSES SUCH AS FOOD, CLOTHING, TRANSPORTATION, ENTERTAINMENT AND ANY OTHER EXPENSES YOU AND YOUR HOUSEHOLD MAY HAVE. WOULD THE TOTAL AMOUNT BE $1,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5549
Would the total amount be $2,000 or more in the past month?
WOULD THE TOTAL AMOUNT BE $2,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5550
Was it $5,000 or more?
WAS IT $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5551
Was it $500 or more?
WAS IT $500 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5563
Although we have finished the interview, we would like to ask you a few additional experimental questions. These questions are about how safe you feel in your community. IWER: IF R IS IN NURSING HOME/HEALTH CARE FACILITY, THESE QUESTIONS REFER TO THAT FACILITY.
ALTHOUGH WE HAVE FINISHED THE INTERVIEW, WE WOULD LIKE TO ASK YOU A FEW ADDITIONAL EXPERIMENTAL QUESTIONS. THESE QUESTIONS ARE ABOUT HOW SAFE YOU FEEL IN YOUR COMMUNITY. IWER: IF R IS IN NURSING HOME/HEALTH CARE FACILITY, THESE QUESTIONS REFER TO THAT FACILITY.
1 DO MODULE
9 REFUSED
|
| |
D5564
How safe do you think your neighborhood is from crime and criminals-- would you say, very safe, reasonably safe, somewhat unsafe or very unsafe?
HOW SAFE DO YOU THINK YOUR NEIGHBORHOOD IS FROM CRIME AND CRIMINALS-- WOULD YOU SAY, VERY SAFE, REASONABLY SAFE, SOMEWHAT UNSAFE OR VERY UNSAFE?
2 REASONABLY SAFE
3 SOMEWHAT UNSAFE
4 VERY UNSAFE
8 DK
9 RF
|
| |
D5565
How safe would you feel if you were out alone in your neighborhood during the day -- very safe, reasonably safe, somewhat unsafe, or very unsafe?
HOW SAFE WOULD YOU FEEL IF YOU WERE OUT ALONE IN YOUR NEIGHBORHOOD DURING THE DAY -- VERY SAFE, REASONABLY SAFE, SOMEWHAT UNSAFE, OR VERY UNSAFE?
1 VERY SAFE
2 REASONABLY SAFE
3 SOMEWHAT UNSAFE
4 VERY UNSAFE
8 DK
9 RF
|
| |
D5567
How about in (your home/the nursing home/the health care facility) at night - do you feel safe and secure or not?
HOW ABOUT IN (YOUR HOME/THE NURSING HOME/THE HEALTH CARE FACILITY) AT NIGHT - DO YOU FEEL SAFE AND SECURE OR NOT?
1 YES
5 NO
8 DK
9 RF
|
| |
D5568
In general, have you changed where you go or what you do outside (your home/the nursing home/the health care facility) in the last two years because of concern about crime?
IN GENERAL, HAVE YOU CHANGED WHERE YOU GO OR WHAT YOU DO OUTSIDE (YOUR HOME/THE NURSING HOME/THE HEALTH CARE FACILITY) IN THE LAST TWO YEARS BECAUSE OF CONCERN ABOUT CRIME?
1 YES
5 NO
8 DK
9 RF
|
| |
D5569
Next I have some questions about how likely you think various events might be. When I ask a question I'd like for you to give me a number from 0 to 100, where "0" means that there is absolutely no chance, and "100" means that you think the event is absolutely sure to happen.
NEXT I HAVE SOME QUESTIONS ABOUT HOW LIKELY YOU THINK VARIOUS EVENTS MIGHT BE. WHEN I ASK A QUESTION I'D LIKE FOR YOU TO GIVE ME A NUMBER FROM 0 TO 100, WHERE "0" MEANS THAT THERE IS ABSOLUTELY NO CHANCE, AND "100" MEANS THAT YOU THINK THE EVENT IS ABSOLUTELY SURE TO HAPPEN.
|
| |
D5570
What do you think are the chances that someone will physically attack you or threaten and try to hurt you during the next year? absolutely no chance 0----10----20----30----40----50----60----70----80----90----100 absolutely certain
WHAT DO YOU THINK ARE THE CHANCES THAT SOMEONE WILL PHYSICALLY ATTACK YOU OR THREATEN AND TRY TO HURT YOU DURING THE NEXT YEAR?
ABSOLUTELY NO CHANCE 0----10----20----30----40----50----60----70----80----90----100 ABSOLUTELY CERTAIN
|
| |
D5571
What do you think are the chances that someone will break in or somehow illegally enter and steal something of yours during the next year? absolutely no chance 0----10----20----30----40----50----60----70----80----90----100 absolutely certain
WHAT DO YOU THINK ARE THE CHANCES THAT SOMEONE WILL BREAK IN OR SOMEHOW ILLEGALLY ENTER AND STEAL SOMETHING OF YOURS DURING THE NEXT YEAR?
ABSOLUTELY NO CHANCE 0----10----20----30----40----50----60----70----80----90----100 ABSOLUTELY CERTAIN
|
| |
D5572
What are the chances that you might move out of this (neighborhood/nursing home/health care facility) within the next 2 years because of concern about crime? absolutely no chance 0----10----20----30----40----50----60----70----80----90----100 absolutely certain
WHAT ARE THE CHANCES THAT YOU MIGHT MOVE OUT OF THIS (NEIGHBORHOOD/NURSING HOME/HEALTH CARE FACILITY) WITHIN THE NEXT 2 YEARS BECAUSE OF CONCERN ABOUT CRIME?
ABSOLUTELY NO CHANCE 0----10----20----30----40----50----60----70----80----90----100 ABSOLUTELY CERTAIN
|
| |
If NOT includes NURSING HOME
|
|
| |
|
| |
D5573
We're interested in learning how many people do something in particular to keep out thieves or intruders. Have you added to your home any special devices such as dead bolt locks, electronic timers for lights, or an alarm system?
WE'RE INTERESTED IN LEARNING HOW MANY PEOPLE DO SOMETHING IN PARTICULAR TO KEEP OUT THIEVES OR INTRUDERS. HAVE YOU ADDED TO YOUR HOME ANY SPECIAL DEVICES SUCH AS DEAD BOLT LOCKS, ELECTRONIC TIMERS FOR LIGHTS, OR AN ALARM SYSTEM?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D5574
During the past two years, have you (or anyone in your family living here) been the victim of a crime against you or your property?
DURING THE PAST TWO YEARS, HAVE YOU (OR ANYONE IN YOUR FAMILY LIVING HERE) BEEN THE VICTIM OF A CRIME AGAINST YOU OR YOUR PROPERTY?
1 YES
5 NO
8 DK
9 RF
|
| |
D5575
I have just a few more questions about how people are getting along financially these days. First, do you have any money in savings accounts? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
I HAVE JUST A FEW MORE QUESTIONS ABOUT HOW PEOPLE ARE GETTING ALONG FINANCIALLY THESE DAYS. FIRST, DO YOU HAVE ANY MONEY IN SAVINGS ACCOUNTS? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
1 YES
5 NO
8 DK
9 RF
|
| |
D5576
If you added up all such accounts, would the total right now amount to $10,000 or more?
IF YOU ADDED UP ALL SUCH ACCOUNTS, WOULD THE TOTAL RIGHT NOW AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
If If you added up all such accounts, would the total right now amount to $10,000 or more? != (DK or RF) »
|
|
| |
|
| |
D5577
Would it amount to $2,000 or more?
WOULD IT AMOUNT TO $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
If Would it amount to $2,000 or more? != (DK RF) »
|
|
| |
|
|
| |
|
D5578
Would it amount to $1,000 or more?
WOULD IT AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5579
Would it amount to $5,000 or more?
WOULD IT AMOUNT TO $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5580
Would it amount to $50,000 or more?
WOULD IT AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
If Would it amount to $50,000 or more? != (DK or RF) »
|
|
| |
|
|
|
| |
|
|
D5581
Would it amount to $20,000 or more?
WOULD IT AMOUNT TO $20,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
|
| |
|
|
D5582
Would it amount to $200,000 or more?
WOULD IT AMOUNT TO $200,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
|
D5583
Think about how much you and your household spent on everything in the past month. Please think about all bills such as rent, mortgage loan payments, utility and other bills, as well as all expenses such as food, clothing, transportation, entertainment and any other expenses you and your household may have. Would the total amount be $5,000 or more in the past month?
THINK ABOUT HOW MUCH YOU AND YOUR HOUSEHOLD SPENT ON EVERYTHING IN THE PAST MONTH. PLEASE THINK ABOUT ALL BILLS SUCH AS RENT, MORTGAGE LOAN PAYMENTS, UTILITY AND OTHER BILLS, AS WELL AS ALL EXPENSES SUCH AS FOOD, CLOTHING, TRANSPORTATION, ENTERTAINMENT AND ANY OTHER EXPENSES YOU AND YOUR HOUSEHOLD MAY HAVE. WOULD THE TOTAL AMOUNT BE $5,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5584
Would the total amount be $2,000 or more in the past month?
WOULD THE TOTAL AMOUNT BE $2,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5585
Was it $1,000 or more?
WAS IT $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5586
Was it $500 or more?
WAS IT $500 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5598
Although we have finished the interview, we would like to ask you a few additional experimental questions.
ALTHOUGH WE HAVE FINISHED THE INTERVIEW, WE WOULD LIKE TO ASK YOU A FEW ADDITIONAL EXPERIMENTAL QUESTIONS.
1 DO MODULE
9 REFUSED
|
| |
D5599
I have just a few more questions about how people are getting along financially these days. First, do you have any money in savings accounts? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
I HAVE JUST A FEW MORE QUESTIONS ABOUT HOW PEOPLE ARE GETTING ALONG FINANCIALLY THESE DAYS. FIRST, DO YOU HAVE ANY MONEY IN SAVINGS ACCOUNTS? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
D5601
How often do you have trouble with waking up during the night? Would you say most of the time, sometimes, or rarely or never?
HOW OFTEN DO YOU HAVE TROUBLE WITH WAKING UP DURING THE NIGHT? WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 MOST OF THE TIME
3 SOMETIMES
5 NEVER
8 DK
9 RF
|
| |
|
|
| |
D5603
How often do you feel really rested when you wake up in the morning? Would you say most of the time, sometimes, or rarely or never?
HOW OFTEN DO YOU FEEL REALLY RESTED WHEN YOU WAKE UP IN THE MORNING? WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 MOST OF THE TIME
3 SOMETIMES
5 NEVER
8 DK
9 RF
|
| |
D5604
How often do you have trouble with waking up too early and not being able to fall asleep again? Would you say most of the time, sometimes, or rarely or never?
HOW OFTEN DO YOU HAVE TROUBLE WITH WAKING UP TOO EARLY AND NOT BEING ABLE TO FALL ASLEEP AGAIN? WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 MOST OF THE TIME
3 SOMETIMES
5 NEVER
8 DK
9 RF
|
| |
D5605
How often are you so sleepy during the day that you fall asleep unintentionally? Would you say most of the time, sometimes, or rarely or never?
HOW OFTEN ARE YOU SO SLEEPY DURING THE DAY THAT YOU FALL ASLEEP UNINTENTIONALLY? WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 MOST OF THE TIME
3 SOMETIMES
5 NEVER
8 DK
9 RF
|
| |
D5606
When you are sleeping, how often do you snore loudly or has someone told you that you snore loudly? Would you say most of the time, sometimes, or rarely or never?
WHEN YOU ARE SLEEPING, HOW OFTEN DO YOU SNORE LOUDLY OR HAS SOMEONE TOLD YOU THAT YOU SNORE LOUDLY? WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 MOST OF THE TIME
3 SOMETIMES
5 NEVER
8 DK
9 RF
|
| |
D5607
How frequently do you take any medication to help you sleep? Would you say most of the time, sometimes, or rarely or never?
HOW FREQUENTLY DO YOU TAKE ANY MEDICATION TO HELP YOU SLEEP? WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 MOST OF THE TIME
3 SOMETIMES
5 NEVER
8 DK
9 RF
1 MOST OF THE TIME
2 SOME OF THE TIME
3 HARDLY EVER
8 DK
9 RF
1 MOST OF THE TIME
2 SOME OF THE TIME
3 HARDLY EVER
8 DK
9 RF
1 MOST OF THE TIME
2 SOME OF THE TIME
3 HARDLY EVER
8 DK
9 RF
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
D5614
If you added up all such accounts, would the total right now amount to $20,000 or more?
IF YOU ADDED UP ALL SUCH ACCOUNTS, WOULD THE TOTAL RIGHT NOW AMOUNT TO $20,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
If If you added up all such accounts, would the total right now amount to $20,000 or more? != (DK or RF) »
|
|
| |
|
| |
D5615
Would it amount to $5,000 or more?
WOULD IT AMOUNT TO $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5616
Would it amount to $1,000 or more?
WOULD IT AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5617
Would it amount to $2,000 or more?
WOULD IT AMOUNT TO $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5618
Would it amount to $10,000 or more?
WOULD IT AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5619
Would it amount to $50,000 or more?
WOULD IT AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5620
Would it amount to $200,000 or more?
WOULD IT AMOUNT TO $200,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D5621
Think about how much you and your household spent on everything in the past month. Please think about all bills such as rent, mortgage loan payments, utility and other bills, as well as all expenses such as food, clothing, transportation, entertainment and any other expenses you and your household may have. Would the total amount be $500 or more in the past month?
THINK ABOUT HOW MUCH YOU AND YOUR HOUSEHOLD SPENT ON EVERYTHING IN THE PAST MONTH. PLEASE THINK ABOUT ALL BILLS SUCH AS RENT, MORTGAGE LOAN PAYMENTS, UTILITY AND OTHER BILLS, AS WELL AS ALL EXPENSES SUCH AS FOOD, CLOTHING, TRANSPORTATION, ENTERTAINMENT AND ANY OTHER EXPENSES YOU AND YOUR HOUSEHOLD MAY HAVE. WOULD THE TOTAL AMOUNT BE $500 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5622
Would the total amount be $1,000 or more in the past month?
WOULD THE TOTAL AMOUNT BE $1,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5623
Was it $2,000 or more?
WAS IT $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5624
Was it $5,000 or more?
WAS IT $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
D5636
Although we have finished the interview, the computer has chosen a few additional experimental questions for each respondent. These questions are about health care decisions in a situation where a person is unable to make those decisions themselves.
ALTHOUGH WE HAVE FINISHED THE INTERVIEW, THE COMPUTER HAS CHOSEN A FEW ADDITIONAL EXPERIMENTAL QUESTIONS FOR EACH RESPONDENT. THESE QUESTIONS ARE ABOUT HEALTH CARE DECISIONS IN A SITUATION WHERE A PERSON IS UNABLE TO MAKE THOSE DECISIONS THEMSELVES.
1 DO MODULE
9 REFUSED
|
| |
D5637
Is there someone that you would trust to make health care decisions for you if you could not make them for yourself?
IS THERE SOMEONE THAT YOU WOULD TRUST TO MAKE HEALTH CARE DECISIONS FOR YOU IF YOU COULD NOT MAKE THEM FOR YOURSELF?
1 YES
5 NO
8 DK
9 RF
|
| |
D5638M4
Who would that be? (What is this person's relationship to you?) CHOOSE ALL THAT APPLY
WHO WOULD THAT BE? (WHAT IS THIS PERSON'S RELATIONSHIP TO YOU?) CHOOSE ALL THAT APPLY
01 SPOUSE
02 CHILD/CHILD-IN-LAW/GRANDCHILD
03 OTHER RELATIVE
04 FRIEND
05 PHYSICIAN/HEALTHCARE PROFESSIONAL
06 MINISTER/RABBI/PRIEST/RELIGIOUS ADVISOR
07 ATTORNEY
08 SOCIAL WORKER
97 OTHER (SPECIFY)
98 DK
99 RF
|
| |
|
|
| |
D5641
Have you talked with (this person/these persons) about what type of care you would want if you couldn't make decisions for yourself?
HAVE YOU TALKED WITH (THIS PERSON/THESE PERSONS) ABOUT WHAT TYPE OF CARE YOU WOULD WANT IF YOU COULDN'T MAKE DECISIONS FOR YOURSELF?
1 YES
5 NO
8 DK
9 RF
|
| |
D5642
Is there anyone else you have talked with about this? THE TYPE OF CARE R WANTS
IS THERE ANYONE ELSE YOU HAVE TALKED WITH ABOUT THIS? THE TYPE OF CARE R WANTS
1 YES
5 NO
8 DK
9 RF
|
| |
If Is there someone that you would trust to make health care decisions for you if you could not make them for yourself? != 1 YES »
|
|
| |
|
| |
D5643
Is there anyone you have talked with about what type of care you would want if you couldn't make decisions for yourself?
IS THERE ANYONE YOU HAVE TALKED WITH ABOUT WHAT TYPE OF CARE YOU WOULD WANT IF YOU COULDN'T MAKE DECISIONS FOR YOURSELF?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5644
What is that person's relationship to you?
WHAT IS THAT PERSON'S RELATIONSHIP TO YOU?
01 SPOUSE
02 CHILD/CHILD-IN-LAW/GRANDCHILD
03 OTHER RELATIVE
04 FRIEND
05 PHYSICIAN/HEALTHCARE PROFESSIONAL
06 MINISTER/RABBI/PRIEST/RELIGIOUS ADVISOR
07 ATTORNEY
08 SOCIAL WORKER
97 OTHER (SPECIFY)
98 DK
99 RF
|
| |
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
D5646M1
(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?)
|
| |
|
D5647
Have you made any legal arrangements for someone to make decisions about your care or medical treatment if you become unable to make those decisions yourself? This is sometimes called a Durable Power of Attorney for Health Care.
HAVE YOU MADE ANY LEGAL ARRANGEMENTS FOR SOMEONE TO MAKE DECISIONS ABOUT YOUR CARE OR MEDICAL TREATMENT IF YOU BECOME UNABLE TO MAKE THOSE DECISIONS YOURSELF? THIS IS SOMETIMES CALLED A DURABLE POWER OF ATTORNEY FOR HEALTH CARE.
1 YES
5 NO
8 DK
9 RF
|
| |
D5648
Who has that authority? (What is this person's relationship to you?)
WHO HAS THAT AUTHORITY? (WHAT IS THIS PERSON'S RELATIONSHIP TO YOU?)
01 SPOUSE
02 CHILD/CHILD-IN-LAW/GRANDCHILD
03 OTHER RELATIVE
04 FRIEND
05 PHYSICIAN/HEALTHCARE PROFESSIONAL
06 MINISTER/RABBI/PRIEST/RELIGIOUS ADVISOR
07 ATTORNEY
08 SOCIAL WORKER
97 OTHER (SPECIFY)
98 DK
99 RF
|
| |
|
|
|
| |
|
| |
|
| |
|
If D5649 NOT ANSWERED and NOT ANSWERED »
|
|
| |
|
| |
D5650M1
(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?)
|
| |
|
| |
|
|
| |
|
|
| |
|
D5651
Who do you think is most likely to make decisions about your health care if you are unable to do so? (What is that person's relationship to you?)
WHO DO YOU THINK IS MOST LIKELY TO MAKE DECISIONS ABOUT YOUR HEALTH CARE IF YOU ARE UNABLE TO DO SO? (WHAT IS THAT PERSON'S RELATIONSHIP TO YOU?)
01 SPOUSE
02 CHILD/CHILD-IN-LAW/GRANDCHILD
03 OTHER RELATIVE
04 FRIEND
05 PHYSICIAN/HEALTHCARE PROFESSIONAL
06 MINISTER/RABBI/PRIEST/RELIGIOUS ADVISOR
07 ATTORNEY
08 SOCIAL WORKER
97 OTHER (SPECIFY)
98 DK
99 RF
|
| |
|
|
| |
D5653M2
(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?)
|
| |
|
D5654
Do you have written instructions about the type of medical treatment you would want to receive if you were unconcious or somehow unable to communicate?
DO YOU HAVE WRITTEN INSTRUCTIONS ABOUT THE TYPE OF MEDICAL TREATMENT YOU WOULD WANT TO RECEIVE IF YOU WERE UNCONCIOUS OR SOMEHOW UNABLE TO COMMUNICATE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5655
Do you think your family or friends would have any problem in following your wishes?
DO YOU THINK YOUR FAMILY OR FRIENDS WOULD HAVE ANY PROBLEM IN FOLLOWING YOUR WISHES?
1 YES
5 NO
8 DK
9 RF
|
| |
D5656
Do you think your personal physician would have any problem in following your wishes?
DO YOU THINK YOUR PERSONAL PHYSICIAN WOULD HAVE ANY PROBLEM IN FOLLOWING YOUR WISHES?
1 YES
5 NO
8 DK
9 RF
|
| |
D5657
Now I'd like to describe a specific situation and get your opinion about it. Here is the situation: A married woman in her 80s is told by her doctor that she has a life-threatening form of cancer.
NOW I'D LIKE TO DESCRIBE A SPECIFIC SITUATION AND GET YOUR OPINION ABOUT IT. HERE IS THE SITUATION: A MARRIED WOMAN IN HER 80S IS TOLD BY HER DOCTOR THAT SHE HAS A LIFE-THREATENING FORM OF CANCER.
|
| |
D5658
The doctor tells her that without any treatment she is likely to die within the next few months. He describes a 4-month treatment plan aimed at delaying the spread of the cancer. The treatment itself would make her fairly uncomfortable, and she would have to rely on others for personal care during the treatment. The treatment costs are fairly high ~IF 5634(1) but Medicare will pay most of the costs. ~Else and the woman and her husband will have to pay most of the costs. They could afford to do so but it would it would take almost all of their savings. The doctor tells her that, with the treatment, she stands a (20% / 60%) chance of living 2 or 3 good years after completing the treatment. Do you think she should agree to the treatment?
THE DOCTOR TELLS HER THAT WITHOUT ANY TREATMENT SHE IS LIKELY TO DIE WITHIN THE NEXT FEW MONTHS. HE DESCRIBES A 4-MONTH TREATMENT PLAN AIMED AT DELAYING THE SPREAD OF THE CANCER. THE TREATMENT ITSELF WOULD MAKE HER FAIRLY UNCOMFORTABLE, AND SHE WOULD HAVE TO RELY ON OTHERS FOR PERSONAL CARE DURING THE TREATMENT. THE TREATMENT COSTS ARE FAIRLY HIGH ~IF 5634(1) BUT MEDICARE WILL PAY MOST OF THE COSTS. ~ELSE AND THE WOMAN AND HER HUSBAND WILL HAVE TO PAY MOST OF THE COSTS. THEY COULD AFFORD TO DO SO BUT IT WOULD IT WOULD TAKE ALMOST ALL OF THEIR SAVINGS. THE DOCTOR TELLS HER THAT, WITH THE TREATMENT, SHE STANDS A (20% / 60%) CHANCE OF LIVING 2 OR 3 GOOD YEARS AFTER COMPLETING THE TREATMENT. DO YOU THINK SHE SHOULD AGREE TO THE TREATMENT?
1 YES
5 NO
7 DEPENDS (SPECIFY)
8 DK
9 RF
|
| |
If The doctor tells her that without any treatment she is likely to die within the next few months. He describes a 4-month treatment plan aimed at delaying the spread of the cancer. The treatment itself would make her fairly uncomfortable, and she would have to rely on others for personal care during the treatment. The treatment costs are fairly high ~IF 5634(1) but Medicare will pay most of the costs. ~Else and the woman and her husband will have to pay most of the costs. They could afford to do so but it would it would take almost all of their savings. The doctor tells her that, with the treatment, she stands a (20% / 60%) chance of living 2 or 3 good years after completing the treatment. Do you think she should agree to the treatment? != 1 YES or D5635 != 1 »
|
|
| |
|
| |
If The doctor tells her that without any treatment she is likely to die within the next few months. He describes a 4-month treatment plan aimed at delaying the spread of the cancer. The treatment itself would make her fairly uncomfortable, and she would have to rely on others for personal care during the treatment. The treatment costs are fairly high ~IF 5634(1) but Medicare will pay most of the costs. ~Else and the woman and her husband will have to pay most of the costs. They could afford to do so but it would it would take almost all of their savings. The doctor tells her that, with the treatment, she stands a (20% / 60%) chance of living 2 or 3 good years after completing the treatment. Do you think she should agree to the treatment? != 5 NO or D5635 = 1 »
|
|
| |
|
|
| |
|
D5659
What if the doctor had, instead, told her that with the treatment, she stood a (60% / 20%) chance of living 2 or 3 good years? Do you think she should agree to the treatment then?
WHAT IF THE DOCTOR HAD, INSTEAD, TOLD HER THAT WITH THE TREATMENT, SHE STOOD A (60% / 20%) CHANCE OF LIVING 2 OR 3 GOOD YEARS? DO YOU THINK SHE SHOULD AGREE TO THE TREATMENT THEN?
1 YES
5 NO
7 DEPENDS (SPECIFY)
8 DK
9 RF
|
| |
|
|
D5660
The doctor tells her that, with the treatment, she stands a (20% / 60%) chance of living 2 or 3 good years after completing the treatment. Do you think she should agree to the treatment?
THE DOCTOR TELLS HER THAT, WITH THE TREATMENT, SHE STANDS A (20% / 60%) CHANCE OF LIVING 2 OR 3 GOOD YEARS AFTER COMPLETING THE TREATMENT. DO YOU THINK SHE SHOULD AGREE TO THE TREATMENT?
1 YES
5 NO
7 DEPENDS (SPECIFY)
8 DK
9 RF
|
| |
If The doctor tells her that, with the treatment, she stands a (20% / 60%) chance of living 2 or 3 good years after completing the treatment. Do you think she should agree to the treatment? != 1 YES or D5635 != 1 »
|
|
| |
|
| |
D5661
What if the doctor had, instead, told her that with the treatment, she stood a (60% / 20%) chance of living 2 or 3 good years? Do you think she should agree to the treatment then?
WHAT IF THE DOCTOR HAD, INSTEAD, TOLD HER THAT WITH THE TREATMENT, SHE STOOD A (60% / 20%) CHANCE OF LIVING 2 OR 3 GOOD YEARS? DO YOU THINK SHE SHOULD AGREE TO THE TREATMENT THEN?
1 YES
5 NO
7 DEPENDS (SPECIFY)
8 DK
9 RF
|
| |
|
D5662
I have just a few more questions about how people are getting along financially these days. First, do you have any money in savings accounts? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
I HAVE JUST A FEW MORE QUESTIONS ABOUT HOW PEOPLE ARE GETTING ALONG FINANCIALLY THESE DAYS. FIRST, DO YOU HAVE ANY MONEY IN SAVINGS ACCOUNTS? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
1 YES
5 NO
8 DK
9 RF
|
| |
D5663
If you added up all such accounts, would the total right now amount to $50,000 or more?
IF YOU ADDED UP ALL SUCH ACCOUNTS, WOULD THE TOTAL RIGHT NOW AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
If If you added up all such accounts, would the total right now amount to $50,000 or more? != (8 or 9) »
|
|
| |
|
| |
D5664
Would it amount to $200,000 or more?
WOULD IT AMOUNT TO $200,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5665
Would it amount to $10,000 or more?
WOULD IT AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5666
Would it amount to $2,000 or more?
WOULD IT AMOUNT TO $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
If Would it amount to $10,000 or more? != (DK or RF) »
|
|
| |
|
|
| |
|
D5667
Would it amount to $1,000 or more?
WOULD IT AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5668
Would it amount to $5,000 or more?
WOULD IT AMOUNT TO $5,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
|
D5669
Would it amount to $20,000 or more?
WOULD IT AMOUNT TO $20,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
D5670
Think about how much you and your household spent on everything in the past month. Please think about all bills such as rent, mortgage loan payments, utility and other bills, as well as all expenses such as food, clothing, transportation, entertainment and any other expenses you and your household may have. Would the total amount be $2,000 or more in the past month?
THINK ABOUT HOW MUCH YOU AND YOUR HOUSEHOLD SPENT ON EVERYTHING IN THE PAST MONTH. PLEASE THINK ABOUT ALL BILLS SUCH AS RENT, MORTGAGE LOAN PAYMENTS, UTILITY AND OTHER BILLS, AS WELL AS ALL EXPENSES SUCH AS FOOD, CLOTHING, TRANSPORTATION, ENTERTAINMENT AND ANY OTHER EXPENSES YOU AND YOUR HOUSEHOLD MAY HAVE. WOULD THE TOTAL AMOUNT BE $2,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5671
Would the total amount be $5,000 or more in the past month?
WOULD THE TOTAL AMOUNT BE $5,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
D5672
Was it $1,000 or more?
WAS IT $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5673
Was it $500 or more?
WAS IT $500 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5680
Although we have finished the interview, we would like to ask you a few additional experimental questions. They are very similar to questions we have already asked you, but researchers are interested in how people respond when the questions are changed just a little. These questions are about how you do certain activities of daily living.
ALTHOUGH WE HAVE FINISHED THE INTERVIEW, WE WOULD LIKE TO ASK YOU A FEW ADDITIONAL EXPERIMENTAL QUESTIONS. THEY ARE VERY SIMILAR TO QUESTIONS WE HAVE ALREADY ASKED YOU, BUT RESEARCHERS ARE INTERESTED IN HOW PEOPLE RESPOND WHEN THE QUESTIONS ARE CHANGED JUST A LITTLE. THESE QUESTIONS ARE ABOUT HOW YOU DO CERTAIN ACTIVITIES OF DAILY LIVING.
1 DO MODULE
9 REFUSED
|
| |
D5681
Do you usually take a bath, a shower, or do you wash yourself in another way?
DO YOU USUALLY TAKE A BATH, A SHOWER, OR DO YOU WASH YOURSELF IN ANOTHER WAY?
1 BATH
2 SHOWER
7 OTHER
8 DK
9 RF
|
| |
If Do you usually take a bath, a shower, or do you wash yourself in another way? != (DK or RF) »
|
|
| |
|
| |
D5682
Is your shower in the bathtub or do you have a walk-in shower (shower stall)?
IS YOUR SHOWER IN THE BATHTUB OR DO YOU HAVE A WALK-IN SHOWER (SHOWER STALL)?
1 BATHTUB
2 WALK-IN/STALL
8 DK
9 RF
|
| |
|
| |
D5683
Do you ever use a grab bar when you take a bath or shower?
DO YOU EVER USE A GRAB BAR WHEN YOU TAKE A BATH OR SHOWER?
1 YES
5 NO
8 DK
9 RF
1 MOST OF TIME
2 SOME OF TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
|
| |
|
| |
|
| |
D5685
Do you ever sit on a seat or stool when you take a bath or shower?
DO YOU EVER SIT ON A SEAT OR STOOL WHEN YOU TAKE A BATH OR SHOWER?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5686
How often do you use a seat or stool; is it most of the time, some of the time or only occasionally?
HOW OFTEN DO YOU USE A SEAT OR STOOL; IS IT MOST OF THE TIME, SOME OF THE TIME OR ONLY OCCASIONALLY?
1 MOST OF TIME
2 SOME OF TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
|
| |
D5687
Is there anything (else) you use to help you when taking a bath or shower?
IS THERE ANYTHING (ELSE) YOU USE TO HELP YOU WHEN TAKING A BATH OR SHOWER?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5689
How often do you use that; is it most of the time, some of the time or only occasionally?
HOW OFTEN DO YOU USE THAT; IS IT MOST OF THE TIME, SOME OF THE TIME OR ONLY OCCASIONALLY?
1 MOST OF TIME
2 SOME OF TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
|
| |
D5690
Does anyone ever help you get in or out of the bath or shower?
DOES ANYONE EVER HELP YOU GET IN OR OUT OF THE BATH OR SHOWER?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5691
How often does someone help you; is it most of the time, some of the time or only occasionally?
HOW OFTEN DOES SOMEONE HELP YOU; IS IT MOST OF THE TIME, SOME OF THE TIME OR ONLY OCCASIONALLY?
1 MOST OF TIME
2 SOME OF TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
|
| |
D5692
Does anyone ever help you to wash or dry off?
DOES ANYONE EVER HELP YOU TO WASH OR DRY OFF?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5693
How often does someone help you; is it most of the time, some of the time or only occasionally?
HOW OFTEN DOES SOMEONE HELP YOU; IS IT MOST OF THE TIME, SOME OF THE TIME OR ONLY OCCASIONALLY?
1 MOST OF TIME
2 SOME OF TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
|
| |
D5694
Do you try to have someone home with you when you bathe?
DO YOU TRY TO HAVE SOMEONE HOME WITH YOU WHEN YOU BATHE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5695
How often do you have someone home; is it most of the time, some of the time or only occasionally?
HOW OFTEN DO YOU HAVE SOMEONE HOME; IS IT MOST OF THE TIME, SOME OF THE TIME OR ONLY OCCASIONALLY?
1 MOST OF TIME
2 SOME OF TIME
3 OCCASIONALLY
8 DK
9 RF
|
| |
|
| |
D5696
How often do you bathe or shower; once or more each day, almost every day, 1-2 times a week, or less than once a week?
HOW OFTEN DO YOU BATHE OR SHOWER; ONCE OR MORE EACH DAY, ALMOST EVERY DAY, 1-2 TIMES A WEEK, OR LESS THAN ONCE A WEEK?
1 ONCE A DAY (OR MORE)
2 ALMOST EVERY DAY
3 1-2 TIMES A WEEK
4 LESS THAN ONCE A WEEK
8 DK
9 RF
|
| |
|
| |
D5697
About how much time does it usually take you for a bath or shower? Think of the time from when you start to bathe or shower until you are finished and dried off. Is is 5 minutes or less, 6-10 minutes, 11-15 minutes, 16-30 minutes, or more than a half hour?
ABOUT HOW MUCH TIME DOES IT USUALLY TAKE YOU FOR A BATH OR SHOWER? THINK OF THE TIME FROM WHEN YOU START TO BATHE OR SHOWER UNTIL YOU ARE FINISHED AND DRIED OFF. IS IS 5 MINUTES OR LESS, 6-10 MINUTES, 11-15 MINUTES, 16-30 MINUTES, OR MORE THAN A HALF HOUR?
1 5 MINUTES OR LESS
2 6-10 MINUTES
3 11-15 MINUTES
4 16-30 MINUTES
5 MORE THAN HALF HOUR
8 DK
9 RF
|
| |
|
D5702
Do you (or your Husband/Wife/Partner) take care of your day-to-day financial affairs like paying bills, or does someone help you do that?
DO YOU (OR YOUR HUSBAND/WIFE/PARTNER) TAKE CARE OF YOUR DAY-TO-DAY FINANCIAL AFFAIRS LIKE PAYING BILLS, OR DOES SOMEONE HELP YOU DO THAT?
1 R AND/OR SPOUSE DOES
2 SOMEONE ELSE HELPS
3 SOMEONE ELSE DOES IT
8 DK
9 RF
|
| |
D5703
Who helps you (or your Husband/Wife/Partner) with that?
WHO HELPS YOU (OR YOUR HUSBAND/WIFE/PARTNER) WITH THAT?
1 CHILD/CHILD-IN-LAW/GRANDCHILD
2 OTHER RELATIVE
3 OTHER PERSON
8 DK
9 RF
|
| |
|
|
|
| |
|
| |
|
| |
|
D5706
Do you (or your Husband/Wife/Partner) manage your savings and investments (yourself/yourselves), or does someone help you with that?
DO YOU (OR YOUR HUSBAND/WIFE/PARTNER) MANAGE YOUR SAVINGS AND INVESTMENTS (YOURSELF/YOURSELVES), OR DOES SOMEONE HELP YOU WITH THAT?
1 R AND/OR SPOUSE MANAGES
2 SOMEONE ELSE HELPS
3 SOMEONE ELSE MANAGES
8 DK
9 RF
|
| |
D5707
Who helps you (or your Husband/Wife/Partner) with that?
WHO HELPS YOU (OR YOUR HUSBAND/WIFE/PARTNER) WITH THAT?
1 CHILD/CHILD-IN-LAW/GRANDCHILD
2 OTHER RELATIVE
3 OTHER
8 DK
9 RF
|
| |
|
|
|
| |
|
| |
|
| |
|
D5709M1
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?)
|
| |
D5710
Suppose you were trying to decide whether to take out additional health insurance, or whether to move, or to make some large purchase like a car or vacation trip: Would you (or your Husband/Wife/Partner) decide (yourself/yourselves), ask someone else for advice, or what?
SUPPOSE YOU WERE TRYING TO DECIDE WHETHER TO TAKE OUT ADDITIONAL HEALTH INSURANCE, OR WHETHER TO MOVE, OR TO MAKE SOME LARGE PURCHASE LIKE A CAR OR VACATION TRIP: WOULD YOU (OR YOUR HUSBAND/WIFE/PARTNER) DECIDE (YOURSELF/YOURSELVES), ASK SOMEONE ELSE FOR ADVICE, OR WHAT?
1 R AND/OR SPOUSE DECIDE
2 ASK FOR ADVICE
8 DK
9 RF
|
| |
D5711
Who would you (or your Husband/Wife/Partner) ask for advice?
WHO WOULD YOU (OR YOUR HUSBAND/WIFE/PARTNER) ASK FOR ADVICE?
1 CHILD/CHILD-IN-LAW/GRANDCHILD
2 OTHER RELATIVE
3 OTHER PERSON
8 DK
9 RF
|
| |
|
|
|
| |
|
| |
|
| |
|
D5713M1
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?)
|
| |
D5720
I have just a few more questions about how people are getting along financially these days. First, do you have any money in savings accounts? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
I HAVE JUST A FEW MORE QUESTIONS ABOUT HOW PEOPLE ARE GETTING ALONG FINANCIALLY THESE DAYS. FIRST, DO YOU HAVE ANY MONEY IN SAVINGS ACCOUNTS? IWER: EXCLUDE CHECKING ACCOUNTS, MONEY MARKETS, MUTUAL FUNDS, ETC.
1 YES
5 NO
8 DK
9 RF
|
| |
D5721
If you added up all such accounts, would the total right now amount to $200,000 or more?
IF YOU ADDED UP ALL SUCH ACCOUNTS, WOULD THE TOTAL RIGHT NOW AMOUNT TO $200,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
D5722
Would it amount to $20,000 or more?
WOULD IT AMOUNT TO $20,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
If Would it amount to $5,000 or more? != (DK or RF) »
|
|
| |
|
| |
D5724
Would it amount to $1,000 or more?
WOULD IT AMOUNT TO $1,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5725
Would it amount to $2,000 or more?
WOULD IT AMOUNT TO $2,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5726
Would it amount to $10,000 or more?
WOULD IT AMOUNT TO $10,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
| |
D5727
Would it amount to $50,000 or more?
WOULD IT AMOUNT TO $50,000 OR MORE?
1 YES
5 NO
8 DK
9 RF
|
| |
|
D5728
About how much did you and your household spend on everything in the past month? Please think about all bills such as rent, mortgage loan payments, utility and other bills, as well as all expenses such as food, clothing, transportation, entertainment and any other expenses you and your household may have. DO NOT PROBE DK OR RF AMOUNT:
ABOUT HOW MUCH DID YOU AND YOUR HOUSEHOLD SPEND ON EVERYTHING IN THE PAST MONTH? PLEASE THINK ABOUT ALL BILLS SUCH AS RENT, MORTGAGE LOAN PAYMENTS, UTILITY AND OTHER BILLS, AS WELL AS ALL EXPENSES SUCH AS FOOD, CLOTHING, TRANSPORTATION, ENTERTAINMENT AND ANY OTHER EXPENSES YOU AND YOUR HOUSEHOLD MAY HAVE. DO NOT PROBE DK OR RF AMOUNT:
|
| |
|
|
| |
|
|
| |
|
|
| |
D5732
Would the total amount be $1,000 or more in the past month?
WOULD THE TOTAL AMOUNT BE $1,000 OR MORE IN THE PAST MONTH?
1 YES
5 NO
8 DK
9 RF
|
| |
|
|
| |
D5738
May I speak to (NAME) and ask just a few questions?
MAY I SPEAK TO (NAME) AND ASK JUST A FEW QUESTIONS?
1 R WILL TRY MODULE
9 REFUSED BY R OR PROXY
|
| |
|
|
| |
D5740
How often do you visit with family or friends, either in person or on the phone? (Is it often, sometimes or never?)
HOW OFTEN DO YOU VISIT WITH FAMILY OR FRIENDS, EITHER IN PERSON OR ON THE PHONE? (IS IT OFTEN, SOMETIMES OR NEVER?)
1 OFTEN
2 SOMETIMES
3 NEVER
8 DK
9 RF
|
| |
D5741
How often do you read books or magazines for pleasure? (Is it often, sometimes, or never?)
HOW OFTEN DO YOU READ BOOKS OR MAGAZINES FOR PLEASURE? (IS IT OFTEN, SOMETIMES, OR NEVER?)
1 OFTEN
2 SOMETIMES
3 NEVER
8 DK
9 RF
|
| |
D5743
How often do you do that? Is it often, sometimes, or never? USE ALT-D IF R DOESN'T HAVE FAVORITE ACTIVITY
HOW OFTEN DO YOU DO THAT? IS IT OFTEN, SOMETIMES, OR NEVER? USE ALT-D IF R DOESN'T HAVE FAVORITE ACTIVITY
1 OFTEN
2 SOMETIMES
3 NEVER
8 DK
9 RF
|
| |
D5745
Part of this study is concerned with people's memory, and ability to think about things. First, how would you rate your memory at the present time? Would you say it is excellent, very good, good, fair or poor?
PART OF THIS STUDY IS CONCERNED WITH PEOPLE'S MEMORY, AND ABILITY TO THINK ABOUT THINGS. FIRST, HOW WOULD YOU RATE YOUR MEMORY AT THE PRESENT TIME? WOULD YOU SAY IT IS EXCELLENT, VERY GOOD, GOOD, FAIR OR POOR?
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
|
| |
D5746
Compared to (Wave 1 Date/Two years ago), would you say your memory is better now, about the same, or worse now than it was then?
COMPARED TO (WAVE 1 DATE/TWO YEARS AGO), WOULD YOU SAY YOUR MEMORY IS BETTER NOW, ABOUT THE SAME, OR WORSE NOW THAN IT WAS THEN?
1 BETTER
2 SAME
3 WORSE
8 DK
9 RF
|
| |
D5752
I'll read a set of 10 words and ask you to recall as many as you can. We have purposely made the list long so that it will be difficult for anyone to recall all the words -- most people recall just a few. Please listen carefully as I read the set of words. When I finish, I will ask you to recall aloud as many of the words as you can, in any order. Do you have any questions? PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ THE ITEMS AT A SLOW, STEADY RATE AS THEY COME UP ON THE SCREEN, APPROXIMATELY ONE WORD EVERY TWO SECONDS
I'LL READ A SET OF 10 WORDS AND ASK YOU TO RECALL AS MANY AS YOU CAN. WE HAVE PURPOSELY MADE THE LIST LONG SO THAT IT WILL BE DIFFICULT FOR ANYONE TO RECALL ALL THE WORDS -- MOST PEOPLE RECALL JUST A FEW. PLEASE LISTEN CAREFULLY AS I READ THE SET OF WORDS. WHEN I FINISH, I WILL ASK YOU TO RECALL ALOUD AS MANY OF THE WORDS AS YOU CAN, IN ANY ORDER. DO YOU HAVE ANY QUESTIONS? PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ THE ITEMS AT A SLOW, STEADY RATE AS THEY COME UP ON THE SCREEN, APPROXIMATELY ONE WORD EVERY TWO SECONDS
|
| |
If I'll read a set of 10 words and ask you to recall as many as you can. We have purposely made the list long so that it will be difficult for anyone to recall all the words -- most people recall just a few. Please listen carefully as I read the set of words. When I finish, I will ask you to recall aloud as many of the words as you can, in any order. Do you have any questions? PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ THE ITEMS AT A SLOW, STEADY RATE AS THEY COME UP ON THE SCREEN, APPROXIMATELY ONE WORD EVERY TWO SECONDS !was refused »
|
|
| |
|
| |
|
| |
|
| |
D5758M10
Now please tell me the words you can recall. PERMIT AS MUCH TIME AS R WISHES -- UP TO ABOUT 2 MINUTES.
NOW PLEASE TELL ME THE WORDS YOU CAN RECALL. PERMIT AS MUCH TIME AS R WISHES -- UP TO ABOUT 2 MINUTES.
01 BOOK
02 CHILD
03 GOLD
04 HOTEL
05 KING
06 MARKET
07 PAPER
08 RIVER
09 SKIN
10 TREE
11 BUTTER
12 COLLEGE
13 DOLLAR
14 EARTH
15 FLAG
16 HOME
17 MACHINE
18 OCEAN
19 SKY
20 WIFE
21 BLOOD
22 CORNER
23 ENGINE
24 GIRL
25 HOUSE
26 LETTER
27 ROCK
28 SHOES
29 VALLEY
30 WOMAN
31 BABY
32 CHURCH
33 DOCTOR
34 FIRE
35 GARDEN
36 PALACE
37 SEA
38 TABLE
39 VILLAGE
40 WATER
51 X WRONG
52 Y WRONG
53 Z WRONG
96 NONE REMEMBERED, TRIED, DK
98 DK
99 RF
|
| |
|
D5762
We're interested in how memory actually works. We find that ven people with very good memories seem to forget some things from time to time. The next questions are a little different, but are often asked on studies about memory. IWER: DO NOT PROBE DK/RF IN SECTION C (COGNITION)
WE'RE INTERESTED IN HOW MEMORY ACTUALLY WORKS. WE FIND THAT VEN PEOPLE WITH VERY GOOD MEMORIES SEEM TO FORGET SOME THINGS FROM TIME TO TIME. THE NEXT QUESTIONS ARE A LITTLE DIFFERENT, BUT ARE OFTEN ASKED ON STUDIES ABOUT MEMORY. IWER: DO NOT PROBE DK/RF IN SECTION C (COGNITION)
|
| |
D5763
Please tell me today's date. PROBE MONTH, DAY, YEAR, DAY OF WEEK. THE DATE IS (391)/(392)/(393) THE DAY IS (390) MONTH:
PLEASE TELL ME TODAY'S DATE. PROBE MONTH, DAY, YEAR, DAY OF WEEK. THE DATE IS (391)/(392)/(393) THE DAY IS (390) MONTH:
1 MONTH OK
5 MONTH NOT OK
8 DK
9 RF
|
| |
D5764
DAY:
DAY:
1 DATE OK
5 DATE NOT OK
8 DK
9 RF
|
| |
D5765
YEAR:
YEAR:
1 YEAR OK
5 YEAR NOT OK
8 DK
9 RF
|
| |
D5766
DAY OF WEEK:
DAY OF WEEK:
1 DAY OK
5 DAY NOT OK
8 DK
9 RF
|
| |
|
|
| |
If D5767 !was answered Don't know »
|
|
| |
|
| |
|
| |
|
| |
If D5769 !was answered Don't know »
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
If D5771 !was answered Don't know »
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
If D5773 !was answered Don't know »
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
If D5775 !was answered Don't know »
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
