SA. Surviving Widow(er)

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Module SA. Surviving Widow(er) of MHAS 2012

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Start of SA. Surviving Widow(er)

SA2 Approximately how old was your spouse, (NAME) upon passing away? view item details » APPROXIMATELY HOW OLD WAS YOUR SPOUSE, (NAME) UPON PASSING AWAY? __________ YEARS 88 RF 99 DK

SA3 Interviewer: Note the sex of (NAME) view item details » INTERVIEWER: NOTE THE SEX OF (NAME) 1 Male 2 Female

SA4 (NAME) passed away in a private house or in a hospital or institution? view item details » (NAME) PASSED AWAY IN A PRIVATE HOUSE OR IN A HOSPITAL OR INSTITUTION? 1 Private house 2 Hospital o institution 3 Other 8 RF 9 DK

SA5 Where did (NAME) pass away? view item details » WHERE DID (NAME) PASS AWAY? 1 In this community 2 Other community in this state 3 Other state in Mexico 5 Other country besides the United States 8 RF 9 DK

SA6 What was the cause of (NAME'S) death? view item details » WHAT WAS THE CAUSE OF (NAME'S) DEATH? 1 Sickness 2 Accident or violence 3 Other cause 8 RF 9 DK

If SA6=1 »

	SA7 What was the primary sickness that caused the death of (NAME)? view item details » WHAT WAS THE PRIMARY SICKNESS THAT CAUSED THE DEATH OF (NAME)? 1 Cancer 2 Diabetes 3 Stroke 4 Heart 5 Other 8 RF 9 DK

SA8A When did (NAME) pass away? view item details » WHEN DID (NAME) PASS AWAY? ____________ MONTH ___________ YEAR 88/88 RF 99/99 DK

SA8B When your spouse passed away, were you and/or your spouse owners of a house, an apartment, a ranch, or a farm? view item details » WHEN YOUR SPOUSE PASSED AWAY, WERE YOU AND/OR YOUR SPOUSE OWNERS OF A HOUSE, AN APARTMENT, A RANCH, OR A FARM? 1 YES 2 NO 8 RF 9 DK

If SA8B=1 »

	SA8C What happened to the property? view item details » WHAT HAPPENED TO THE PROPERTY? 1 Still is totally or partially your property 2 It is property of children/grandchildren 3 Was inherited by someone else 4 Was sold 5 Property is not yet available to you 8 RF 9 DK

	If SA8C>=1 and SA8C<=4 »

		SA8D Who had more weight in deciding what to do with the property - you, your spouse, or another person? view item details » WHO HAD MORE WEIGHT IN DECIDING WHAT TO DO WITH THE PROPERTY - YOU, YOUR SPOUSE, OR ANOTHER PERSON? 1 Respondent 2 Spouse 3 Other person 8 RF 9 DK

		SA8E Who presently lives in that property? view item details » WHO PRESENTLY LIVES IN THAT PROPERTY? 1 Respondent lives there 2 Children/Grandchildren or other family members live there 3 Other person 4 No one 8 RF 9 DK

End of SA. Surviving Widow(er)

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SA. Surviving Widow(er)