|
OM049
|
 |
M049 WRKR COMP-PARTIAL TEMP NUMBER YRS |
|
OW200
|
|
Before your health began to limit your ability to work, were you working for someone else, were you self-employed, or what? |
|
OM048
|
|
M048 WORKERS COMP-PARTIAL TEMP PERCENT |
|
OW202
|
|
What kind of business or industry did you work in - that is, what did they make or do at the place where you worked? |
|
OM041
|
|
M041 SSI 1ST APPLICATION ACCEPTED |
|
OW201
|
|
What sort of work did you do on that job? Tell me a little more about what you did. |
|
OM040
|
|
M040 SSDI 1ST APPLICATION ACCEPTED |
|
OW203
|
|
About how many employees work for that company or organization at all locations? |
|
OM043
|
|
M043 WORKERS COMP APPLICATION ACCEPTED |
|
OW204
|
|
Is it fewer than 5, 5 to 14, 15 to 24, 25 to 99, 100 to 499, or 500 or more? |
|
OM045
|
|
M045 WRKR COMP-DISABILITY RATING-SPECIFY |
|
OW205
|
|
What were you earning, before deductions, when you [left that employer/stopped working for that business]? |
|
OM044
|
|
M044 WORKERS COMP-DISABILITY RATING |
|
OW206
|
|
Was that per hour, week, month, or year? PER: |
|
OM047
|
|
M047 WORKERS COMP-FULL TEMP # YRS |
|
OW208
|
|
How many hours a week did you usually work for that [employer/business]? |
|
OM014
|
|
M014 IMPAIRMNT BEGIN INTERFER WORK-YR |
|
OW209
|
|
[IWER: READ SLOWLY:] Counting paid vacations as weeks of work, how many weeks per year did you usually work for this [employer/business]? |
|
OW250
|
|
FIRST APPLY FOR BENEFITS - YEAR |
|
OW210
|
|
Were you covered by a union or employee-association contract? |
|
OW786
|
|
PRIOR MONTHS |
|
OW211
|
|
Did your employer get someone to help you? |
|
OM015
|
|
M015 HEALTH PROB INTERFERE-MO |
|
OW214
|
|
Did your employer shorten your work days? |
|
OM016
|
|
M016 HEALTH PROB PREVENT WRK-YR |
|
OW217
|
|
Did your employer allow you to change the time you came to and left work? |
|
OM017
|
|
M017 HEALTH PROB PREVENT WRK-MO |
|
OW220
|
|
(Did your employer) allow you more breaks and rest periods? |
|
OM012
|
|
M012 ABLE TO WRK REGULARLY/OCCASIONALLY |
|
OW223
|
|
(Did your employer) arrange for special transportation? |
|
OM013
|
|
M013 SAME WRK AS BEFORE HEALTH PROB |
|
OW226
|
|
(Did your employer) change(d) the job to something you could do? |
|
OM010
|
|
M010 HEALTH PROBLEM FIRST BOTHER-MO |
|
OW227
|
|
(Did your employer) help(ed) you learn new job skills? |
|
OM011
|
|
M011 ABLE TO WRK FULL OR PART TIME |
|
OW228
|
|
(Did your employer) get you special equipment for the job? |
|
OM046
|
|
M046 WRKR COMP-PARTIAL PERM PCNT RECEIVD |
|
OW229
|
|
(Did your employer) assist you in receiving rehabilitative services from an external provider? |
|
OM018
|
|
M018 EXPECT HEALTH PROB IMPROVE |
|
OW230
|
|
Did your employer do any other things to help you out? |
|
OM019
|
|
M019 EXPECT HEALTH PROB GET WORSE |
|
OW231
|
|
What other things? |
|
OW249
|
|
FIRST APPLY FOR BENEFITS - MONTH |
|
OW238
|
|
Are you still receiving benefits from [Social Security Disability/Social Security]? [IWER: IF R MENTIONS THAT SSDI HAS NOW BEEN CONVERTED TO SOCIAL SECURITY, BACK UP TO M030 AND CHANGE ANSWER TO CODE 6] |
|
OM008
|
|
M008 KEEP FROM WRKG |
|
OW256
|
|
Why are you no longer receiving those benefits? Did your household resources increase, did you return to work, are you not working but able to work, or what? |
|
OM042
|
|
M042 VA APPLICATION ACCEPTED |
|
OW239
|
|
IF R IS STILL RECEIVING SSDI BENEFITS (OW.238_1=1): How much did you receive (from the [Social Security Disability/SocialSecurity] program last month? OTHERWISE: How much did you receive from the [Social Security Disability/Social Security] program the last month you received this benefit? (Do not count benefits paid to your spouse or children.) [IWER: DO NOT PROBE DK/RF] |
|
OM058
|
|
WHICH PROGRAM APPLY-SSI AND-OR SSDI |
|
OW240
|
|
Did it amount to a total of less than $____ per month, more than $____ per month, or what? PROCEDURE: 2Up1Down BREAKPOINTS: $400, $650, $900, $1,100 ENTRY POINT: $650 |
|
OM052
|
|
M052 NUMBER OF TIMES INJURED |
|
OW244
|
|
In what year did the benefits stop? |
|
OM053
|
|
M053 MONTH INJURED |
|
OW243
|
|
What month was that? |
|
OM050
|
|
M050 OTHER PROGRAM-APPLICATION ACCEPTED |
|
OW245
|
|
Did you appeal or apply again later? |
|
OM051
|
|
M051 INJURE AT WRK |
|
OW247
|
|
In what year did you last appeal or apply for benefits? |
|
OM056
|
|
ASSIST SECTION M1 |
|
OW246
|
|
What month was that? |
|
OM057
|
|
M1 TIME END |
|
OW248
|
|
Was your application eventually accepted, rejected, or is it still being considered? |
|
OM054
|
|
M054 DAY INJURED |
|
OW234
|
|
In what year did you start receiving Social Security Disability benefits? |
|
OM055
|
|
M055 YEAR INJURED |
|
OW233
|
|
What month was that? |
|
OM005
|
|
M005 HAD TEMP COND BEFORE |
|
OW235
|
|
Were you offered rehabilitative services? |
|
OM004
|
|
M004 TEMPORARY CONDITION - LT 3 MOS |
|
OW237
|
|
In what year were you offered rehabilitative services? |
|
OM007
|
|
M007 LIMIT IN ANYWAY |
|
OW236
|
|
What month was that? |
|
OM009
|
|
WHEN IMPAIRMENT 1ST BOTHER - YR |
|
OM023
|
|
M023 HEALTH PROB CAUSED BY WRK |
|
OM021
|
|
M021 ACCIDENT WHERE |
|
OM020
|
|
M020 HEALTH PROB RESULT OF ACCIDENT |
|
OM027
|
|
M027 WHICH COMPANY/ORG - SPECIFY |
|
OM026
|
|
M026 WHICH COMPANY/ORG |
|
OM025
|
|
M025 DETAILS OF JOB WHEN LIMITATN BEGAN |
|
OM024
|
|
M024 EMPLOYED AT TIME OF HLTH PROB |
|
OM038
|
|
M038 WHICH DISABILITY PROGRAMS - SPECIFY |
|
OM029
|
|
M029 EMP CURRENTLY DO ANYTHING |
|
OM028
|
|
M028 EMPLOYER HELP OUT AT BEGINNING |
|
OW252
|
|
APPLY SINCE PREV WAVE - YEAR |
|
OW251
|
|
APPLY SINCE PREV WAVE - MONTH |
|
OW777
|
|
^yearLoop |
|
OW778
|
|
^yearLoop |
|
OM037M
|
|
M037 WHICH DISABILITY PROGRAMS APPLY TO |
|
OM039
|
|
APPLY SSD/SSI/BOTH |
|
OM034
|
|
M034 PRIOR WAVE APPLIED FOR VA BENEFITS |
|
OM035
|
|
M035 PRIOR WAVE APPLIED FOR WC BENEFITS |
|
OM036
|
|
M036 APPLY FOR OTHER DISABILITY |
|
OM030
|
|
M030 RECEIVED SSDI/SSI/BOTH |
|
OM031
|
|
M031 PRIOR WAVE APPLIED FOR SSDI/SSI |
|
OM032
|
|
M032 SSDI APPLICATION APPROVED |
|
OM033
|
|
M033 SSI APPLICATION APPROVED |
|
OM006
|
|
M006 LIMIT HOUSEWRK |
|
OM001
|
|
M1 TIME BEGIN |
|
OM003
|
|
M003 HEALTH CONDITION- CAUSE PROBLEM |
|
OM002
|
|
M002 HEALTH PROB AFFECTING PAID WORK |
|
OW232
|
|
What disability rating did you receive? |