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Start of C. Health
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C001 Self-report of health
NEXT I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. WOULD YOU SAY YOUR HEALTH IS VERY GOOD, GOOD, FAIR, POOR OR VERY POOR?
1) Very good 2) Good 3) Fair 4) Poor 5) Very poor
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C002 Doctor diagnosed disability
HAVE YOU EVER RECEIVED DISABILITY DIAGNOSIS FROM A DOCTOR?
1) yes 5) no
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If Doctor diagnosed disability = 1 »
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C003 Disability
WHAT WAS THE IMPAIRMENT OR HEALTH PROBLEM? PLEASE LIST ALL THAT APPLY.
1) Physically handicapped
2) Brain damage
3) Vision problem
4) Hearing problem
5) Speech impediment
6) Kidney trouble
7) Heart problem
8) Psychiatric problems
9) Autism
10) Refuse to answer
11) Don't know
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C004 Limit work due to health problem
DOES THIS IMPAIRMENT OR HEALTH PROBLEM LIMIT THE KIND OR AMOUNT OF PAID WORK YOU CAN DO?
1) Yes, very much so 2) Yes, some degree 3) No, not much 4) No, not at all
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C005 Diagnosis high blood pressure
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE HIGH BLOOD PRESSURE OR HYPERTENSION?
1) yes 5) no
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If Diagnosis high blood pressure = 1 »
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C006 Year/month high blood pressure first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR HYPERTENSION FIRST DIAGNOSED? ____________________
190000..200612
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C007 Medication and treatment for high blood pressure
IN ORDER TO LOWER YOUR BLOOD PRESSURE, ARE YOU CURRENTLY TAKING ANY MEDICATION OR OTHER TREATMENTS?
1) yes 5) no
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C008 Limit daily activities due to high blood pressure
DOES THE HIGH BLOOD PRESSURE OR HYPERTENSION LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C009 Diagnosis diabetes
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE DIABETES OR HIGH BLOOD SUGAR?
1) yes 5) no 99) Don't know
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If Diagnosis diabetes = 1 »
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C010 Year/month diabetes first diagnosed
IN WHAT YEAR AND MONTH WAS THAT FIRST DIAGNOSED? ___________
190000..200612
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C011 Medication and treatment for diabetes
ARE YOU NOW USING MEDICATION THAT YOU SWALLOW OR USING INSULIN INJECTIONS TO TREAT OR CONTROL YOUR DIABETES?
1) yes 5) no
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C012 Limit daily activities due to diabetes
DOES YOUR DIABETES LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C013 Diagnosis cancer or malignant tumor
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCERS?
1) yes 5) no
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If Diagnosis cancer or malignant tumor = 1 »
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C014 Year/month cancer or malignant tumor first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCERS, FIRST DIAGNOSED? ___________
190000..200612
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C015 Which organ or part has cancer
IN WHICH ORGAN OR PART OF YOUR BODY DO YOU HAVE CANCER?
1) Liver 2) Stomach 3) Lung 4) Colon 5) Thyroid 6) Breast 7) Cervix 8) Ovary 9) Other
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If Which organ or part has cancer = 9 »
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C016 Other (specify)
PLEASE SPECIFY OTHER'. _______________________
STRING
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C017 Medicine or treatment for cancer (symptoms mitigation)
ARE YOU NOW TAKING ANY MEDICATION TO ALLEVIATE SYMPTOMS (PAIN, NAUSEA, RASH, ETC.) OR RECEIVING TREATMENT SUCH AS CHEMOTHERAPY?
1) yes 5) no
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C018 Limit daily activities due to cancer
DOES YOUR CANCER LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C019 Diagnosis chronic lung disease
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE CHRONIC LUNG DISEASE SUCH AS CHRONIC BRONCHITIS OR EMPHYSEMA?
1) yes 5) no
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If Diagnosis chronic lung disease = 1 »
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C020 Year/month chronic lung disease first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR CHRONIC LUNG DISEASE FIRST DIAGNOSED? ___________
190000..200612
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C021 Medicine and treatment for chronic lung disease (pulmonary complaints)
ARE YOU NOW TAKING MEDICATION OR OTHER TREATMENT FOR YOUR LUNG CONDITION?
1) yes 5) no
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C022 Limit daily activities due to lung disease
DOES YOUR LUNG CONDITION LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C023 Diagnosis liver disease (fatty liver exception)
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE LIVER DISEASE? (ALL TYPES OF LIVER DISEASE EXCEPT FATTY LIVER)
1) yes 5) no 99) Don't know
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C024 Year/month liver disease first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR LIVER DISEASE FIRST DIAGNOSED? ___________
190000..200612
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C025 Medicine and treatment for liver disease
ARE YOU NOW TAKING MEDICATION OR OTHER TREATMENT FOR YOUR LIVER DISEASE?
1) yes 5) no
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C026 Limit daily activities due to liver disease
DOES YOUR LIVER CONDITION LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C027 Diagnosis heart problems (heart attack, coronary heart disease, angina, congestive heart failure)
HAS A DOCTOR EVER TOLD YOU THAT YOU HAD A HEART ATTACK, CORONARY HEART DISEASE, ANGINA, CONGESTIVE HEART FAILURE, OR OTHER HEART PROBLEMS?
1) yes 5) no
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If Diagnosis heart problems (heart attack, coronary heart disease, angina, congestive heart failure) = 1 »
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C028 Year/month heart problems first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR HEART PROBLEM FIRST DIAGNOSED? ___________
190000..200612
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C029 Medicine and treatment for heart problems
ARE YOU NOW TAKING OR CARRYING MEDICATION OR RECEIVING TREATMENT FOR YOUR HEART PROBLEM?
1) yes 5) no
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C030 Limit daily activities due to heart problems
DOES YOUR HEART CONDITION LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C031 Diagnosis stroke
IF R CURRENTLY DRINKS, GO TO
1) yes 3) (vol) Possible stroke or transient ischemic attack (TIA) 5) No
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If Diagnosis stroke != 5 »
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C032 Year/month stroke first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR STROKE FIRST DIAGNOSED? ___________
190000..200612
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C033 Medicine and treatment for stroke
ARE YOU NOW TAKING ANY MEDICATIONS BECAUSE OF YOUR STROKE OR ITS COMPLICATIONS?
1) yes 5) no
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C034 Limit daily activities due to stroke
DOES YOUR CONDITION LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C035 Diagnosis emotional, nervous, or psychiatric problems
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ANY EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS?
1) yes 5) no
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If Diagnosis emotional, nervous, or psychiatric problems = 1 »
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C036 Year/month emotional, nervous, or psychiatric problems first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS FIRST DIAGNOSED? ___________
190000..200612
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C037 Medicine and treatment for emotional, nervous, or psychiatric problems
DO YOU NOW TAKE TRANQUILIZERS, ANTIDEPRESSANTS, SEDATIVES OR SLEEPING PILLS OR GET PSYCHIATRIC OR PSYCHOLOGICAL TREATMENT FOR YOUR PROBLEMS?
1) yes 5) no
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C038 Limit daily activities due to emotional, nervous, or psychiatric problems
DOES YOUR CONDITION LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C039 Diagnosis arthritis or rheumatism
HAS A DOCTOR EVER TOLD YOU THAT YOU HAVE ARTHRITIS OR RHEUMATISM?
1) yes 5) no 99) Don't know
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If Diagnosis arthritis or rheumatism = 1 »
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C040 Year/month arthritis or rheumatism first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR ARTHRITIS OR RHEUMATISM FIRST DIAGNOSED? ___________
190000..200612
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C041 Medicine and treatment for arthritis or rheumatism
ARE YOU CURRENTLY TAKING ANY MEDICATION OR OTHER TREATMENTS FOR YOUR ARTHRITIS OR RHEUMATISM?
1) yes 5) no
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C042 Limit daily activities due to arthritis or rheumatism
DOES YOUR ARTHRITIS LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C043 Ever medical treatment due to traffic accident
HAVE YOU EVER BEEN IN A TRAFFIC ACCIDENT AND RECEIVED MEDICAL TREATMENT?
1) yes 5) no 99) Don't know
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If Ever medical treatment due to traffic accident = 1 »
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C044 Year/month recent injury caused by traffic accident
IN WHAT YEAR AND MONTH, WERE YOU INJURED BY A TRAFFIC ACCIDENT? IF YOU HAVE BEEN IN MORE THAN TWO ACCIDENTS, PLEASE TELL ME ABOUT THE MOST RECENT ONE. ____________
190000..200612
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C045 Limt daily activities due to traffic accident injury
DOES YOUR INJURY CAUSED BY THE TRAFFIC ACCIDENT LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C046 Fallen in past two years
HAVE YOU FALLEN DOWN IN THE LAST TWO YEARS?
1) yes 5) no
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C047 Number times fallen
HOW MANY TIMES DID YOU FALL IN THE LAST TWO YEARS? __________TIMES
1..100
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C048 Serious injury due to fall
IN YOUR MOST RECENT FALL, DID YOU INJURE YOURSELF SERIOUSLY ENOUGH TO NEED MEDICAL TREATMENT?
1) yes 5) no
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C049 Broken hip due to fall
HAVE YOU EVER FRACTURED YOUR HIP?
1) yes 5) no
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C050 Limit daily activities due to injury fallen
DOES YOUR INJURY OR FRACTURE DUE TO THE FALL LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C051 Worry about falling
DO YOU WORRY ABOUT FALLING DOWN?
1) Not at all 3) A little bit 5) A lot
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C052 Refrain activities due to fear of falling
ARE THERE ANY ACTIVITIES THAT YOU REFRAIN FROM DUE TO THE FEAR OF FALLING DOWN?
1) yes 5) no
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C053 Diagnosis prostate illness (prostate hyperplasia)
HAVE YOU EVER BEEN DIAGNOSED WITH A PROSTATE ILLNESS SUCH AS PROSTATE HYPERPLASIA?
1) yes 5) no 99) Don't know
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C054 Year/month prostate illness first diagnosed
IN WHAT YEAR AND MONTH WAS YOUR PROSTATE ILLNESS FIRST DIAGNOSED? _____________
190000..200612
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C055 Medicine and treatment for prostate illness
ARE YOU NOW TAKING MEDIATION OR OTHER TREATMENT FOR YOUR PROSTATE ILLNESS?
1) yes 5) no
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C056 Limit daily activities due to prostate illness
DOES YOUR PROSTATE CONDITION LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C057 Leak urine in LCY
THIS MIGHT NOT BE EASY TO TALK ABOUT, BUT DURING THE LAST 12 MONTHS, HAVE YOU LOST ANY AMOUNT OF URINE BEYOND YOUR CONTROL?
1) yes 5) no 99) Don't know
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If Leak urine in LCY = 1 »
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C058 Number days lost urine in last month
ON ABOUT HOW MANY DAYS IN THE LAST MONTH HAVE YOU LOST ANY URINE? _________ DAYS IF R DOESN'T KNOW OR REFUSES TO ANSWER TO C058, GO TO
0..31
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If Number days lost urine in last month = 99 or Number days lost urine in last month = 98 »
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C059 More than 5 days in last month
WAS THAT MORE THAN 5 DAYS?
1) yes 5) no 99) Don't know
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If More than 5 days in last month = 1 »
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C060 More than 15 days in last month
WAS THAT MORE THAN 15 DAYS?
1) yes 5) no
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C061 Use absorbent products for leaking urine
HAVE YOU EVER USED ANY ABSORBENT PRODUCTS SUCH AS PADS, SPECIAL GARMENTS, SANITARY NAPKINS, OR TOILET PAPER?
1) yes 5) no
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C062 Wear glasses or contact lenses
NOW I HAVE SOME QUESTIONS ABOUT YOUR EYESIGHT. DO YOU USUALLY WEAR GLASSES OR CORRECTIVE LENS?
1) yes 3) Legally blind 5) no
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If Wear glasses or contact lenses != 3 »
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C063 Rate eyesight
IS YOUR EYESIGHT VERY GOOD, GOOD, FAIR, POOR, OR VERY POOR (USING/NOT USING GLASSES OR CORRECTIVE LENS AS USUAL)?
1) Very good 2) Good 3) Fair 4) Poor 5) Very poor
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C064 Rate distal vision
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS AT A DISTANCE, LIKE RECOGNIZING A FRIEND ACROSS THE STREET?
1) Very good 2) Good 3) Fair 4) Poor 5) Very poor
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C065 Rate near vision
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS UP CLOSE, LIKE READING ORDINARY NEWSPAPER PRINT?
1) Very good 2) Good 3) Fair 4) Poor 5) Very poor
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C066 Cataract surgery
HAVE YOU EVER HAD CATARACT SURGERY?
1) yes 5) no
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If Cataract surgery = 1 »
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C067 Cataract surgery on one or both eyes
HAVE YOU HAD CATARACT SURGERY ON BOTH EYES OR JUST ONE?
1) One eye only 5) Both eyes
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C068 Glaucoma treatment
HAS A DOCTOR EVER TREATED YOU FOR GLAUCOMA?
1) yes 5) no
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C069 Limit daily activities due to vision
DOES YOUR EYESIGHT LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C070 Wear hearing aid
NOW I HAVE SOME QUESTIONS ABOUT YOUR HEARING. DO YOU EVER WEAR A HEARING AID?
1) yes 5) no
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C071 Rate hearing
IS YOUR HEARING VERY GOOD, GOOD, FAIR, POOR, OR VERY POOR USING A HEARING AID AS USUAL?
1) Very good 2) Good 3) Fair 4) Poor 5) Very poor
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C072 Limit daily activities due to hearing
DOES YOUR HEARING LIMIT YOUR DAILY ACTIVITIES?
1) yes 5) no
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C073 Wear dentures
NOW I HAVE SOME QUESTIONS ABOUT YOUR DENTAL HEALTH. DO YOU WEAR DENTURES?
1) yes 5) no
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C074 Rate chew for solid foods (without dentures)
HOW WELL CAN YOU CHEW SOLID FOODS SUCH AS MEAT OR APPLES WITHOUT THE HELP OF DENTURES?
1) Very well 2) Pretty well 3) Fair 4) Not well 5) Not at all
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C075 Rate chew for solid foods (with dentures)
HOW EASILY CAN YOU CHEW SOLID FOODS SUCH AS MEAT OR APPLES WEARING DENTURES?
1) Very well 2) Pretty well 3) Fair 4) Not well 5) Not at all
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C076 Types of pain
NOW I HAVE SOME QUESTIONS ABOUT BODY PAIN. ON WHAT PART OF YOUR BODY DO YOU FEEL PAIN? PLEASE LIST ALL PARTS OF BODY YOU ARE CURRENTLY FEELING PAIN.
1) Head/headache 2) Shoulder pain 3) Arm pain 4) Wrist pain 5) Fingers pain 6) Chest pain 7) Stomach (Stomachache) 8) Back pain 9) Buttocks pain 10) Leg pain 11) Knee pain 12) Ankle pain 13) Toes pain 14) No pain 15) Refuse to answer 16) Don't know
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C077 Degree pain most of time-headache
HOW BAD IS THE HEADACHE?
1) Mild 3) Moderate 5) Severe
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C078 Degree pain most of time-shoulder
HOW BAD IS THE SHOULDER PAIN?
1) Mild 3) Moderate 5) Severe
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C079 Degree pain most of time-arm
HOW BAD IS THE ARM PAIN?
1) Mild 3) Moderate 5) Severe
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C080 Degree pain most of time-wrist
HOW BAD IS THE WRIST PAIN?
1) Mild 3) Moderate 5) Severe
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C081 Degree pain most of time-finger
HOW BAD IS THE FINGER PAIN?
1) Mild 3) Moderate 5) Severe
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C082 Degree pain most of time-chest
HOW BAD IS THE CHEST PAIN?
1) Mild 3) Moderate 5) Severe
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C083 Degree pain most of time-stomachache
HOW BAD IS THE STOMACHACHE?
1) Mild 3) Moderate 5) Severe
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C084 Degree pain most of time-waist
HOW BAD IS THE BACK PAIN?
1) Mild 3) Moderate 5) Severe
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C085 Degree pain most of time-hip
HOW BAD IS THE BUTTOCKS PAIN?
1) Mild 3) Moderate 5) Severe
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C086 Degree pain most of time-leg
HOW BAD IS THE LEG PAIN?
1) Mild 3) Moderate 5) Severe
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C087 Degree pain most of time-knee
HOW BAD IS THE KNEE PAIN?
1) Mild 3) Moderate 5) Severe
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C088 Degree pain most of time-ankle
HOW BAD IS THE ANKLE PAIN?
1) Mild 3) Moderate 5) Severe
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C089 Degree pain most of time-toe
HOW BAD IS THE TOE PAIN?
1) Mild 3) Moderate 5) Severe
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C090 Limit daily activities due to pain
DOES THE PAIN MAKE IT DIFFICULT FOR YOU TO DO DAILY ACTIVITIES?
1) yes 5) no
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C091 Other medical disease or condition
ARE THERE ANY OTHER MEDICAL DISEASES OR CONDITIONS THAT ARE IMPORTANT TO YOUR HEALTH NOW THAT WE HAVE NOT TALKED ABOUT?
1) yes 5) no
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If Other medical disease or condition = 1 »
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C092 name of other ilnesses
WHAT ILLNESS IS THAT? ___________________________________________________________________________
STRING
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C093 Weight in Kilogram
ABOUT HOW MUCH DO YOU WEIGH? _______KILOGRAMS
30..200
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C094 Weight gain/loss 5 Kg in LCY
HAVE YOU GAINED OR LOST 5 OR MORE KILOGRAMS IN THE LAST YEAR?
1) Yes, I gained weight 2) Yes, I lost weight 3) Yes, I gained and lost weight 4) Yes, I lost and gained weight 5) No 99) Don't know
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C095 Height Centimeter
ABOUT HOW TALL ARE YOU? _____CENTIMETERS
70..210
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C096 Regular exercise (more than once per week)
THE NEXT FEW QUESTIONS ARE ABOUT EXERCISE. DO YOU WORK OUT MORE THAN ONCE A WEEK?
1) yes 5) no
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If Regular exercise (more than once per week) = 5 »
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C097 Reason for not exercise regularly
WHAT IS THE MAIN REASON FOR YOU NOT BEING ABLE TO EXERCISE REGULARLY?
1) Too busy 2) No space or place to work out 3) Too lazy 4) Do not like exercise 5) Never thought about doing exercise 98) Refuse to answer
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C098 Number times per week-exercise
HOW OFTEN DO YOU WORK OUT PER WEEK? ______ TIMES / PER WEEK.
1..97
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C099 Number minutes per one-exercise
FOR HOW LONG DO YOU WORK OUT PER SESSION? ______MINUTES
1..168
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C100 How long regular exercise
HOW LONG HAVE YOU BEEN WORKING OUT REGULARLY?
1) Less than 3 months 2) 4-6 months 3) 7 months-1 year 4) 1-2 years 5) 3-4 years 6) 5-6 years 7) More than 7 years
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C101 Eating Yesterday
NOW, I AM GOING TO ASK YOU ABOUT THE MEALS YOU HAD FOR THE LAST TWO DAYS. DID YOU HAVE THREE MEALS YESTERDAY? CHOOSE ALL THAT APPLY
1) Breakfast in yesterday 2) Lunch in yesterday 3) Dinner in yesterday 4) Not had three meals in yesterday 5) Refuse to answer 6) Don't know
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C102 Eating 2 days ago
DID YOU HAVE THREE MEALS THE DAY BEFORE YESTERDAY? CHOOSE ALL THAT APPLY
1) Breakfast in the day before yesterday 2) Lunch in the day before yesterday 3) Dinner in the day before yesterday 4) Not had three meals in the day before yesterday 5) Refuse to answer 6) Don't know
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C103 Ever smoke (5 packs or more than 100 cigarettes)
HAVE YOU EVER SMOKED MORE THAN 5 PACKS OF CIGARETTES (100 CIGARETTES)?
1) yes 5) no 99) Don't know
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If Ever smoke (5 packs or more than 100 cigarettes) = 1 »
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C104 Smoke cigarettes now
DO YOU SMOKE CIGARETTES NOW?
1) yes 5) no 99) Don't know
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If Smoke cigarettes now = 1 »
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C105 Number cigarettes smoked per day
ABOUT HOW MANY CIGARETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY NOW? _____ CIGARETTES/DAY
1..100
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C106 Year/month started smoking
IN WHAT YEAR AND MONTH DID YOU FIRST START SMOKING? __________________
190000..200612
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C107 Number cigarettes smoked per day-when smoked most
WHEN YOU WERE SMOKING THE MOST, ABOUT HOW MANY CIGARETTES OR PACKS DID YOU USUALLY SMOKE IN A DAY? _____ CIGARETTES/DAY
1..200
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C108 Year/month stop smoking
IN WHAT YEAR AND MONTH DID YOU STOP SMOKING? _____________________
190006..200612
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C109 Ever drink alcohol
DO YOU EVER DRINK ANY ALCOHOLIC BEVERAGES, SUCH AS BEER, WINE, OR LIQUOR?
1) yes 5) no
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If Ever drink alcohol = 5 »
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C110 Not drink originally alcohol
HAVE YOU NEVER HAD ALCOHOLIC BEVERAGES DUE TO SOME REASONS (E.G., RELIGIOUS, HEALTH- RELATED, ETC), OR YOU USED TO HAVE SOME DRINKS IN THE PAST?
1) No, I never had a drink 5) Yes, I used to drink
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If Not drink originally alcohol = 5 »
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C111 Drink alcohol now
DO YOU STILL DRINK?
1) Yes, I drink from time to time 5) No, I quit drinking
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If Drink alcohol now = 1 »
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C113 Year/month started drinking
WHEN DID YOU START DRINKING? _________________
190000..200612
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C114 How long drinking alcohol
HOW MANY YEARS HAVE YOU BEEN DRINKING ALCOHOLIC BEVERAGES ALTOGETHER? IF YOU QUIT DRINKING FOR A WHILE, PLEASE DO NOT COUNT THE YEARS THAT YOU DID NOT DRINK.
1) 1-5 years 2) 6-10 years 3) 11-20 years 4) 21-30 years 5) 31-40 years 6) More than 41 years 99) Don't know
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C115 Question about drinking frequency
NOW, I AM GOING TO ASK YOU HOW OFTEN AND HOW MUCH YOU DRINK DURING THE PAST YEAR. PLEASE TELL ME HOW OFTEN YOU DRANK PER MONTH, AND HOW MUCH YOU DRANK AT A TIME ON AVERAGE. I WILL REPEAT THE QUESTIONS FOR DIFFERENT TYPES OF ALCOHOLIC BEVERAGE.
1) CONTINUE
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C116 How often drink per month-soju
SOJU (KOREAN LIQUOR)
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day 99) Don't know
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If How often drink per month-soju != 1 »
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C117 How much drink at a time-soju
HOW MANY GLASSES OF SOJU DO YOU DRINK AT A TIME? (1BOTTLE=6.5 GLASSES, 1 GLASS=50CC) ______ GLASSES
1.0..100.9
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C118 How often drink per month-beer
BEER
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-beer != 1 »
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C119 How much drink at a time-beer
HOW MANY GLASSES OF BEER DO YOU DRINK AT A TIME? (1BOTTLE=2.5 MUGS, 1MUG=220CC) ______ GLASSES
1.0..100.9
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C120 How often drink per month-unstrained rice wine
MAKGEOLLI (RICE WINE)
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-unstrained rice wine != 1 »
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C121 How much drink at a time-unstrained rice wine
HOW MANY GLASSES OF MAKGEOLLI DO YOU DRINK AT A TIME? (1BOTTLE=7 GLASSES, 1 GLASS=240CC) ______ GLASSES
1.0..100.9
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C122 How often drink per month-whisky or liquor
WHISKY AND OTHER LIQUORS
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-whisky or liquor != 1 »
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C123 How much drink at a time-whisky or liquor
HOW MANY GLASSES OF WHISKY OR LIQUOR DO YOU DRINK AT A TIME? (1 BOTTLE=23 GLASSES, 1 GLASS=30CC) ______ GLASSES
1.0..100.9
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C124 How often drink per month-wine
WINE
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-wine != 1 »
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C125 How much drink at a time-wine
HOW MANY GLASSES OF WINE DO YOU DRINK AT A TIME? (1 BOTTLE=8 GLASSES, 1 GLASS=90CC) ______ GLASSES
1.0..100.9
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C126 Felt need to cut down drinking
HAVE YOU EVER FELT THAT YOU SHOULD QUIT DRINKING?
1) yes 5) no
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C127 Anyone criticize drinking
HAS ANYONE CRITICIZED YOUR DRINKING?
1) yes 5) no
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If Anyone criticize drinking = 1 »
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C128 Felt annoyed by criticism about drinking
HAVE PEOPLE EVER ANNOYED YOU BY CRITICIZING YOUR DRINKING?
1) yes 5) no
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C129 Felt bad or guilty about drinking
HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING?
1) yes 5) no
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C130 Ever drink in the morning
HAVE YOU EVER TAKEN A DRINK FIRST THING IN THE MORNING TO STEADY YOUR NERVES OR GET RID OF A HANGOVER?
1) yes 5) no
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C112 Year/month stop drinking
IN WHAT YEAR AND MONTH DID YOU QUIT DRINKING? _________________
190000..200612
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C113 Year/month started drinking
WHEN DID YOU START DRINKING? _________________
190000..200612
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C114 How long drinking alcohol
HOW MANY YEARS HAVE YOU BEEN DRINKING ALCOHOLIC BEVERAGES ALTOGETHER? IF YOU QUIT DRINKING FOR A WHILE, PLEASE DO NOT COUNT THE YEARS THAT YOU DID NOT DRINK.
1) 1-5 years 2) 6-10 years 3) 11-20 years 4) 21-30 years 5) 31-40 years 6) More than 41 years 99) Don't know
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C113 Year/month started drinking
WHEN DID YOU START DRINKING? _________________
190000..200612
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C114 How long drinking alcohol
HOW MANY YEARS HAVE YOU BEEN DRINKING ALCOHOLIC BEVERAGES ALTOGETHER? IF YOU QUIT DRINKING FOR A WHILE, PLEASE DO NOT COUNT THE YEARS THAT YOU DID NOT DRINK.
1) 1-5 years 2) 6-10 years 3) 11-20 years 4) 21-30 years 5) 31-40 years 6) More than 41 years 99) Don't know
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C115 Question about drinking frequency
NOW, I AM GOING TO ASK YOU HOW OFTEN AND HOW MUCH YOU DRINK DURING THE PAST YEAR. PLEASE TELL ME HOW OFTEN YOU DRANK PER MONTH, AND HOW MUCH YOU DRANK AT A TIME ON AVERAGE. I WILL REPEAT THE QUESTIONS FOR DIFFERENT TYPES OF ALCOHOLIC BEVERAGE.
1) CONTINUE
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C116 How often drink per month-soju
SOJU (KOREAN LIQUOR)
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day 99) Don't know
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If How often drink per month-soju != 1 »
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C117 How much drink at a time-soju
HOW MANY GLASSES OF SOJU DO YOU DRINK AT A TIME? (1BOTTLE=6.5 GLASSES, 1 GLASS=50CC) ______ GLASSES
1.0..100.9
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C118 How often drink per month-beer
BEER
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-beer != 1 »
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C119 How much drink at a time-beer
HOW MANY GLASSES OF BEER DO YOU DRINK AT A TIME? (1BOTTLE=2.5 MUGS, 1MUG=220CC) ______ GLASSES
1.0..100.9
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C120 How often drink per month-unstrained rice wine
MAKGEOLLI (RICE WINE)
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-unstrained rice wine != 1 »
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C121 How much drink at a time-unstrained rice wine
HOW MANY GLASSES OF MAKGEOLLI DO YOU DRINK AT A TIME? (1BOTTLE=7 GLASSES, 1 GLASS=240CC) ______ GLASSES
1.0..100.9
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C122 How often drink per month-whisky or liquor
WHISKY AND OTHER LIQUORS
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-whisky or liquor != 1 »
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C123 How much drink at a time-whisky or liquor
HOW MANY GLASSES OF WHISKY OR LIQUOR DO YOU DRINK AT A TIME? (1 BOTTLE=23 GLASSES, 1 GLASS=30CC) ______ GLASSES
1.0..100.9
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C124 How often drink per month-wine
WINE
1) None or less than once a month 2) Once a month 3) 2-3 times a month 4) Once a week 5) 2-3 times a week 6) 4-6 times a week 7) Once a day 8) More than twice a day
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If How often drink per month-wine != 1 »
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C125 How much drink at a time-wine
HOW MANY GLASSES OF WINE DO YOU DRINK AT A TIME? (1 BOTTLE=8 GLASSES, 1 GLASS=90CC) ______ GLASSES
1.0..100.9
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C126 Felt need to cut down drinking
HAVE YOU EVER FELT THAT YOU SHOULD QUIT DRINKING?
1) yes 5) no
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C127 Anyone criticize drinking
HAS ANYONE CRITICIZED YOUR DRINKING?
1) yes 5) no
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If Anyone criticize drinking = 1 »
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C128 Felt annoyed by criticism about drinking
HAVE PEOPLE EVER ANNOYED YOU BY CRITICIZING YOUR DRINKING?
1) yes 5) no
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C129 Felt bad or guilty about drinking
HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING?
1) yes 5) no
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C130 Ever drink in the morning
HAVE YOU EVER TAKEN A DRINK FIRST THING IN THE MORNING TO STEADY YOUR NERVES OR GET RID OF A HANGOVER?
1) yes 5) no
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C131 Felt depressed for two weeks or more in LCY
HAVE YOU EVER HAD FEELINGS OF BEING SAD, BLUE, OR DEPRESSED FOR TWO WEEKS OR MORE DURING THE PAST YEAR?
1) Yes 3) Did not feel depressed because I was taking anti-depressant medication 5) No
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If Felt depressed for two weeks or more in LCY != 3 »
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C132 Loss of interest in last week
NEXT I WILL ASK ABOUT HOW YOU FELT AND BEHAVED DURING THE LAST WEEK. PLEASE THINK OF HOW OFTEN YOU FELT OR BEHAVED LIKE FOLLOWINGS. DURING THE LAST WEEK, HOW OFTEN DID YOU LOSE INTEREST IN MOST THINGS?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C133 Trouble concentrating in last week
DURING THE LAST WEEK, HOW OFTEN DID YOU HAVE TROUBLE CONCENTRATING?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C134 Feeling depressed in last week
DURING THE LAST WEEK, HOW OFTEN DID YOU FEEL DEPRESSED?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C135 Feeling tired in last week
DURING THE LAST WEEK, HOW OFTEN DID YOU FEEL TIRED OUT OR LOW IN ENERGY?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C136 Feeling pretty good in last week
HOW WAS YOUR LAST WEEK? HOW OFTEN DID YOU FEEL PRETTY GOOD?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C137 Feeling fear in last week
DURING THE LAST WEEK, HOW OFTEN WERE YOU AFRAID OF SOMETHING?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C138 Trouble fall asleep in last week
DURING THE LAST WEEK, HOW OFTEN DID YOU HAVE TROUBLE FALLING ASLEEP?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days)
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C139 Feeling satisfaction in last week
HOW OFTEN DID YOU FEEL YOU WERE OVERALL SATISFIED LAST WEEK?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C140 Feeling loneliness in last week
HOW OFTEN DID YOU FEEL ALONE LAST WEEK?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C141 Feeling worthless in last week
HOW OFTEN HAVE YOU FELT DOWN ON YOURSELF, NO GOOD OR WORTHLESS LAST WEEK?
1) Very rarely (less than one day) 2) Sometimes (1-2 days) 3) Often (3-4 days) 4) Almost always (5-7 days) 99) Don't know
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C142 Self-report of health
HOW WOULD YOU RATE YOUR HEALTH STATUS? WOULD YOU SAY YOUR HEALTH IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?
1) Excellent 2) Very Good 3) Good 4) Fair 5) poor
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C143 Health section interviewer check
IWER: HOW OFTEN DID R RECEIVE ASSISTANCE ANSWERING SECTION CA-HEALTH STATUS?
1) Never
2) A few times
3) Most or all of time
4) The section was done by a proxy reporter
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If Health section interviewer check = 4 »
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C144 Health section relation between respondent and proxy respondent
WHAT IS YOUR RELATIONSHIP TO R?
1) Spouse 2) Mother 3) Father 4) Mother-in-law 5) Father-in-law 6) Sibling 7) Brother-in-law, sister-in-law 8) Child 9) Spouse of child 10) Grandchild 11) Other relative 12) Helper or other non-relative
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CB01 ADL-dressing
WE NEED TO UNDERSTAND DIFFICULTIES PEOPLE MAY HAVE WITH VARIOUS ACTIVITIES BECAUSE OF A HEALTH OR PHYSICAL PROBLEM AND HELP FROM OTHERS THEY NEED DOING THOSE ACTIVITIES. PLEASE TELL ME WHETHER YOU HAVE ANY DIFFICULTY DOING EACH OF THE EVERYDAY ACTIVITIES THAT I READ TO YOU DURING THE LAST WEEK. EXCLUDE ANY DIFFICULTIES THAT YOU EXPECT TO LAST LESS THAN THREE MONTHS. BECAUSE OF HEALTH AND MEMORY PROBLEMS, DO YOU HAVE ANY DIFFICULTY WITH DRESSING? DRESSING INCLUDES TAKING CLOTHES OUT FROM A CLOSET, PUTTING THEM ON, BUTTONING UP, AND FASTENING THE BELT.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB02 ADL-washing
DO YOU HAVE ANY DIFFICULTY WITH WASHING YOUR FACE AND HAIR AND BRUSHING YOUR TEETH?
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB03 ADL-bathing
DO YOU HAVE ANY DIFFICULTY WITH BATHING OR SHOWERING?
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB04 ADL-eating
DO YOU HAVE ANY DIFFICULTY WITH EATING, SUCH AS CUTTING UP YOUR FOOD? DEFINITION: BY EATING, WE MEAN EATING FOOD BY ONESELF WHEN IT IS READY.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB05 ADL-get in/out bed
DO YOU HAVE ANY DIFFICULTY WITH GETTING OUT OF BED AND WALKING ACROSS A ROOM? YOU MAY USE EQUIPMENT OR DEVICES TO GET OUT OF BED AND WALK ACROSS A ROOM.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB06 ADL-using toilet
DO YOU HAVE ANY DIFFICULTIES WITH USING THE TOILET, GETTING UP AND DOWN?
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB07 ADL-controlling urination and defecation
DO YOU HAVE ANY DIFFICULTIES WITH CONTROLLING URINATION AND DEFECATION? YOU MAY USE A CATHETER (CONDUIT) OR A POUCH BY YOURSELF.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB08 IADL-personal grooming
HERE ARE FEW OTHER ACTIVITIES THAT SOME PEOPLE HAVE DIFFICULT BECAUSE OF A PHYSICAL, MENTION, EMOTIONAL, OR MEMORY PROBLEM. PLEASE TELL ME WHETHER YOU HAVE ANY DIFFICULTY DOING EACH ACTIVITY I NAME. EXCLUDE ANY DIFFICULTIES THAT YOU EXPECT TO LAST LESS THAN THREE MONTHS. DO YOU HAVE ANY DIFFICULTIES WITH PERSONAL GROOMING? DEFINITION: BY PERSONAL GROOMING, WE MEAN BRUSHING HAIR, PUTTING ON MAKE-UP, SHAVING, AND CLIPPING NAILS/TOENAILS.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB09 IADL-doing household chores
DO YOU HAVE ANY DIFFICULTIES WITH DOING HOUSEHOLD CHORES? DEFINITION: BY DOING HOUSEHOLD CHORES, WE MEAN HOUSE CLEANING, DOING DISHES, MAKING THE BED, AND ARRANGING THE HOUSE.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB10 IADL-meal preparation
DO YOU NEED ANY HELP WITH PREPARING HOT MEALS? DEFINITION: BY PREPARING HOT MEALS, WE MEAN PREPARING INGREDIENTS, COOKING, AND SERVING FOOD.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB11 IADL-doing laundry
DO YOU HAVE ANY DIFFICULTY WITH DOING LAUNDRY? DEFINITION: BY DOING LAUNDRY, WE MEAN LAUNDERING EITHER USING MACHINE OR BY HAND AND DRYING.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect. 99) Don't know
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CB12 IADL-waking a walk
DO YOU HAVE ANY DIFFICULTY WITH TAKING A WALK OR GOING OUT IN A SHORT DISTANCE WITHOUT USING TRANSPORTATION (FOR EXAMPLE, GOING TO A NEIGHBORHOOD STORE ON FOOT)?
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB13 IADL-using transportation
DO YOU HAVE ANY DIFFICULTY WITH USING TRANSPORTATION, SUCH AS BUSES, SUBWAYS, TAXIES, AND CARS?
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect. 98) Refuse to answer
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CB14 IADL-shopping
DO YOU HAVE ANY DIFFICULTIES WITH SHOPPING? BY SHOPPING, WE MEAN DECIDING WHAT TO BUY AND PAYING FOR IT.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB15 IADL-managing money
DO YOU HAVE ANY DIFFICULTIES WITH MANAGING YOUR MONEY, SUCH AS PAYING YOUR BILLS, KEEPING TRACK OF EXPENSES, OR MANAGING ASSETS?
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect. 98) Refuse to answer
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CB16 IADL-making phone calls
DO YOU HAVE ANY DIFFICULTIES WITH MAKING PHONE CALLS?
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect. 98) Refuse to answer
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CB17 IADL-taking medication
DO YOU HAVE ANY DIFFICULTIES WITH TAKING MEDICATIONS? BY TAKING MEDICATIONS, WE MEAN TAKING THE RIGHT PORTION OF MEDICATION RIGHT ON TIME.
1) No, I don't need any help. 3) Yes, I need help to some extent. 5) Yes, I need help in every respect.
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CB18 Who most often help (Relationship to R)
WHO MOST OFTEN HELPS YOU WITH (DRESSING, WASHING, BATHING, EATING, GETTING OUT OF BED, USING TOILET, CONTROLLING URINATION AND DEFECATION, GROOMING, DOING THE CHORES, PREPARING HOT MEALS, DOING LAUNDRY, GOING OUT, USING TRANSPORTATIONS, SHOPPING, MANAGING MONEY, MAKING PHONE CALLS, TAKING MEDICATIONS)? (SELECT FROM THE LIST DISPLAYED BY CAPI) 02 SPOUSE 03 MOTHER 04 FATHER 05 MOTHER-IN-LAW 06 FATHER-IN-LAW 07 ~ 26 CHILDREN 27 ~ 46 SIBLING 47 BROTHER-IN-LAW, SISTER-IN-LAW 48 SPOUSE OF CHILD 49 GRANDCHILD 50 OTHER RELATIVE 55 HELPER OR OTHER NON-RELATIVE 56 NO ONE HELPED
2 (a1) ^piSname 3 (a3) ^piFLmother 4 (a4) ^piFLfather 5 (a5) Motherâ€inâ€law 6 (a6) Fatherâ€inâ€law 7 (a7) ^piFLChild[1] 8 (a8) ^piFLChild[2] 9 (a9) ^piFLChild[3] 10 (a10) ^piFLChild[4] 11 (a11) ^piFLChild[5] 12 (a12) ^piFLChild[6] 13 (a13) ^piFLChild[7] 14 (a14) ^piFLChild[8] 15 (a15) ^piFLChild[9] 16 (a16) ^piFLChild[10] 17 (a17) ^piFLChild[11] 18 (a18) ^piFLChild[12] 19 (a19) ^piFLChild[13] 20 (a20) ^piFLChild[14] 21 (a21) ^piFLChild[15] 22 (a22) ^piFLChild[16] 23 (a23) ^piFLChild[17] 24 (a24) ^piFLChild[18] 25 (a25) ^piFLChild[19] 26 (a26) ^piFLChild[20] 27 (a27) ^piFLbrother[1] 28 (a28) ^piFLbrother[2] 29 (a29) ^piFLbrother[3] 30 (a30) ^piFLbrother[4] 31 (a31) ^piFLbrother[5] 32 (a32) ^piFLbrother[6] 33 (a33) ^piFLbrother[7] 34 (a34) ^piFLbrother[8] 35 (a35) ^piFLbrother[9] 36 (a36) ^piFLbrother[10] 37 (a37) ^piFLbrother[11] 38 (a38) ^piFLbrother[12] 39 (a39) ^piFLbrother[13] 40 (a40) ^piFLbrother[14] 41 (a41) ^piFLbrother[15] 42 (a42) ^piFLbrother[16] 43 (a43) ^piFLbrother[17] 44 (a44) ^piFLbrother[18] 45 (a45) ^piFLbrother[19] 46 (a46) ^piFLbrother[20] 47 (a47) Brotherâ€inâ€law, sisterâ€inâ€law 48 (a48) Spouse of child 49 (a49) Grandchild 50 (a50) Other relative 55 (a55) Helper or other nonâ€relative 56 (a56) No one helped

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If Who most often help (Relationship to R) = 56 »
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CB19 Number days in last month
DURING THE LAST MONTH, ON ABOUT HOW MANY DAYS DID [HELPER'S NAME CHOSEN FROM CB18] HELP YOU? ______DAYS (RANGE: 1~31)
1..31
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CB20 Number hours per day
ON THE DAYS [HELPER'S NAME CHOSEN FROM CB18] HELPS YOU, ABOUT HOW MANY HOURS PER DAY IS THAT? _______ HOURS (RANGE: 1~24)
1..24
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CB21 Pay to help
IS [HELPER'S NAME CHOSEN FROM CB18] PAID TO HELP YOU?
1) yes 5) no
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CB22 Who second most often helps (Relationship to R)
WHO SECOND MOST OFTEN HELPS YOU WITH (DRESSING, WASHING, BATHING, EATING, GETTING OUT OF BED, USING TOILET, CONTROLLING URINATION AND DEFECATION, GROOMING, COOKING, DOING LAUNDRY, RUNNING ERRANDS, USING PUBLIC TRANSPORTATION, SHOPPING, MANAGING MONEY, MAKING PHONE CALLS, AND TAKING MEDICINE)? (SELECT FROM THE LIST DISPLAYED BY CAPI) 02 SPOUSE 03 MOTHER 04 FATHER 05 MOTHER-IN-LAW 06 FATHER-IN-LAW 07 ~ 26 CHILDREN 27 ~ 46 SIBLING 47 BROTHER-IN-LAW, SISTER-IN-LAW 48 SPOUSE OF CHILD 49 GRANDCHILD 50 OTHER RELATIVE 55 HELPER OR OTHER NON-RELATIVE 56 NO ONE ELSE HELPED
2 (a1) ^piSname 3 (a3) ^piFLmother 4 (a4) ^piFLfather 5 (a5) Motherâ€inâ€law 6 (a6) Fatherâ€inâ€law 7 (a7) ^piFLChild[1] 8 (a8) ^piFLChild[2] 9 (a9) ^piFLChild[3] 10 (a10) ^piFLChild[4] 11 (a11) ^piFLChild[5] 12 (a12) ^piFLChild[6] 13 (a13) ^piFLChild[7] 14 (a14) ^piFLChild[8] 15 (a15) ^piFLChild[9] 16 (a16) ^piFLChild[10] 17 (a17) ^piFLChild[11] 18 (a18) ^piFLChild[12] 19 (a19) ^piFLChild[13] 20 (a20) ^piFLChild[14] 21 (a21) ^piFLChild[15] 22 (a22) ^piFLChild[16] 23 (a23) ^piFLChild[17] 24 (a24) ^piFLChild[18] 25 (a25) ^piFLChild[19] 26 (a26) ^piFLChild[20] 27 (a27) ^piFLbrother[1] 28 (a28) ^piFLbrother[2] 29 (a29) ^piFLbrother[3] 30 (a30) ^piFLbrother[4] 31 (a31) ^piFLbrother[5] 32 (a32) ^piFLbrother[6] 33 (a33) ^piFLbrother[7] 34 (a34) ^piFLbrother[8] 35 (a35) ^piFLbrother[9] 36 (a36) ^piFLbrother[10] 37 (a37) ^piFLbrother[11] 38 (a38) ^piFLbrother[12] 39 (a39) ^piFLbrother[13] 40 (a40) ^piFLbrother[14] 41 (a41) ^piFLbrother[15] 42 (a42) ^piFLbrother[16] 43 (a43) ^piFLbrother[17] 44 (a44) ^piFLbrother[18] 45 (a45) ^piFLbrother[19] 46 (a46) ^piFLbrother[20] 47 (a47) Brotherâ€inâ€law, sisterâ€inâ€law 48 (a48) Spouse of child 49 (a49) Grandchild 50 (a50) Other relative 55 (a55) Helper or other nonâ€relative 57 (a57) No one helped

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If Who second most often helps (Relationship to R) != 57 »
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CB23 Number days in last month
DURING THE LAST MONTH, ON ABOUT HOW MANY DAYS DID [HELPER'S NAME CHOSEN FROM CB22] HELP YOU? ______ DAYS IN LAST MONTH (RANGE: 1~31)
1..31
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CB24 Number hours per day
ON THE DAYS [HELPER'S NAME CHOSEN FROM CB22] HELPS YOU, ABOUT HOW MANY HOURS PER DAY IS THAT? _______ HOURS (RANGE: 1~24) (IWER: LESS THAN AN HOUR=1)
1..24
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CB25 Pay to help
IS [HELPER'S NAME CHOSEN FROM CB22] PAID TO HELP YOU?
1) yes 5) no
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CB26 Who third most often helps (Relationship to R)
IS THERE ANY OTHER PERSON HELPED YOU? IF SO, WHO MOST OFTEN HELPS YOU NEXT? (SELECT FROM THE LIST DISPLAYED BY CAPI) 02 SPOUSE 03 MOTHER 04 FATHER 05 MOTHER-IN-LAW 06 FATHER-IN-LAW 07 ~ 26 CHILDREN 27 ~ 46 SIBLING 47 BROTHER-IN-LAW, SISTER-IN-LAW 48 SPOUSE OF CHILD 49 GRANDCHILD 50 OTHER RELATIVE 55 HELPER OR OTHER NON-RELATIVE 58 NO ONE ELSE HELPED
2 (a2) ^piSname 3 (a3) ^piFLmother 4 (a4) ^piFLfather 5 (a5) Motherâ€inâ€law 6 (a6) Fatherâ€inâ€law 7 (a7) ^piFLChild[1] 8 (a8) ^piFLChild[2] 9 (a9) ^piFLChild[3] 10 (a10) ^piFLChild[4] 11 (a11) ^piFLChild[5] 12 (a12) ^piFLChild[6] 13 (a13) ^piFLChild[7] 14 (a14) ^piFLChild[8] 15 (a15) ^piFLChild[9] 16 (a16) ^piFLChild[10] 17 (a17) ^piFLChild[11] 18 (a18) ^piFLChild[12] 19 (a19) ^piFLChild[13] 20 (a20) ^piFLChild[14] 21 (a21) ^piFLChild[15] 22 (a22) ^piFLChild[16] 23 (a23) ^piFLChild[17] 24 (a24) ^piFLChild[18] 25 (a25) ^piFLChild[19] 26 (a26) ^piFLChild[20] 27 (a27) ^piFLbrother[1] 28 (a28) ^piFLbrother[2] 29 (a29) ^piFLbrother[3] 30 (a30) ^piFLbrother[4] 31 (a31) ^piFLbrother[5] 32 (a32) ^piFLbrother[6] 33 (a33) ^piFLbrother[7] 34 (a34) ^piFLbrother[8] 35 (a35) ^piFLbrother[9] 36 (a36) ^piFLbrother[10] 37 (a37) ^piFLbrother[11] 38 (a38) ^piFLbrother[12] 39 (a39) ^piFLbrother[13] 40 (a40) ^piFLbrother[14] 41 (a41) ^piFLbrother[15] 42 (a42) ^piFLbrother[16] 43 (a43) ^piFLbrother[17] 44 (a44) ^piFLbrother[18] 45 (a45) ^piFLbrother[19] 46 (a46) ^piFLbrother[20] 47 (a47) Brotherâ€inâ€law, sisterâ€inâ€law 48 (a48) Spouse of child 49 (a49) Grandchild 50 (a50) Other relative 55 (a55) 친Helper or other nonâ€relative 58 (a58) No one else helped

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CB27 Number days in last month
DURING THE LAST MONTH, ON ABOUT HOW MANY DAYS DID [HELPER'S NAME CHOSEN FROM CB26] HELP YOU? ______DAYS (RANGE: 1~31)
1..31
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CB28 Number hours per day
ON THE DAYS [HELPER'S NAME CHOSEN FROM CB26] HELPS YOU, ABOUT HOW MANY HOURS PER DAY IS THAT? _______HOURS (RANGE: 1~24)
1..24
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CB29 Pay to help
WAS [HELPER'S NAME CHOSEN FROM CB26] PAID TO HELP YOU?
1) yes5) no
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CB30 Total monthly amount pay for the help
ABOUT HOW MUCH IN TOTAL DID YOU PAY FOR THE HELP DURING THE PAST MONTH? _______MW (10,000 KOREAN WON)
Tmoney3
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CB31 Who paid this cost most
WHO PAID THIS COST MOST? PLEASE CHOOSE ONE PERSON WHO PAID THE MOST. (SELECT FROM THE LIST DISPLAYED BY CAPI) 01 R 02 SPOUSE 03 MOTHER 04 FATHER 05 MOTHER-IN-LAW 06 FATHER-IN-LAW 07 ~ 26 CHILDREN 27 ~ 46 SIBLING 47 BROTHER-IN-LAW, SISTER-IN-LAW 48 SPOUSE OF CHILD 49 GRANDCHILD 50 OTHER RELATIVE 51 OTHER
1 (a1) ^piRname 2 (a2) ^piSname 3 (a3) ^piFLmother 4 (a4) ^piFLfather 5 (a5) Motherâ€inâ€law 6 (a6) Fatherâ€inâ€law 7 (a7) ^piFLChild[1] 8 (a8) ^piFLChild[2] 9 (a9) ^piFLChild[3] 10 (a10) ^piFLChild[4] 11 (a11) ^piFLChild[5] 12 (a12) ^piFLChild[6] 13 (a13) ^piFLChild[7] 14 (a14) ^piFLChild[8] 15 (a15) ^piFLChild[9] 16 (a16) ^piFLChild[10] 17 (a17) ^piFLChild[11] 18 (a18) ^piFLChild[12] 19 (a19) ^piFLChild[13] 20 (a20) ^piFLChild[14] 21 (a21) ^piFLChild[15] 22 (a22) ^piFLChild[16] 23 (a23) ^piFLChild[17] 24 (a24) ^piFLChild[18] 25 (a25) ^piFLChild[19] 26 (a26) ^piFLChild[20] 27 (a27) ^piFLbrother[1] 28 (a28) ^piFLbrother[2] 29 (a29) ^piFLbrother[3] 30 (a30) ^piFLbrother[4] 31 (a31) ^piFLbrother[5] 32 (a32) ^piFLbrother[6] 33 (a33) ^piFLbrother[7] 34 (a34) ^piFLbrother[8] 35 (a35) ^piFLbrother[9] 36 (a36) ^piFLbrother[10] 37 (a37) ^piFLbrother[11] 38 (a38) ^piFLbrother[12] 39 (a39) ^piFLbrother[13] 40 (a40) ^piFLbrother[14] 41 (a41) ^piFLbrother[15] 42 (a42) ^piFLbrother[16] 43 (a43) ^piFLbrother[17] 44 (a44) ^piFLbrother[18] 45 (a45) ^piFLbrother[19] 46 (a46) ^piFLbrother[20] 47 (a47) Brotherâ€inâ€law, sisterâ€inâ€law 48 (a48) Spouse of child 49 (a49) Grandchild 50 (a50) Other relative 51 (a51) Other

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CB32 Willing to help R over a long period in the future (excluding spouse & co-residing persons)
SUPPOSE IN THE FUTURE, YOU NEEDED HELP WITH BASIC DAILY ACTIVITIES LIKE EATING OR DRESSING. DO YOU HAVE RELATIVES OR FRIENDS (BESIDES YOUR SPOUSE/PARTNER) WHO WOULD BE WILLING AND ABLE TO HELP YOU OVER A LONG PERIOD OF TIME?
1) yes5) no 99) Don't know
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If Willing to help R over a long period in the future (excluding spouse & co-residing persons) = 1 »
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CB33 Helper relationship to R
WHAT IS THE RELATIONSHIP TO YOU OF THAT PERSON OR PERSONS? (SELECT FROM THE LIST DISPLAYED BY CAPI) 02 SPOUSE 03 MOTHER 04 FATHER 05 MOTHER-IN-LAW 06 FATHER-IN-LAW 07 ~ 26 CHILDREN 27 ~ 46 SIBLING 47 BROTHER-IN-LAW, SISTER-IN-LAW 48 SPOUSE OF CHILD 49 GRANDCHILD 50 OTHER RELATIVE 51 OTHER 59 VOLUNTEER OR EMPLOYEE OF FACILITY 60 PAID HELPER [CODE MAXIMUM 51 OUT OF 51 POSSIBLE RESPONSES]
3 (a3) ^piFLmother_notdwell 4 (a4) ^piFLfather_notdwell 5 (a5) Motherâ€inâ€law 6 (a6) Fatherâ€inâ€law 7 (a7) ^piFLChild_notdwell[1] 8 (a8) ^piFLChild_notdwell[2] 9 (a9) ^piFLChild_notdwell[3] 10 (a10) ^piFLChild_notdwell[4] 11 (a11) ^piFLChild_notdwell[5] 12 (a12) ^piFLChild_notdwell[6] 13 (a13) ^piFLChild_notdwell[7] 14 (a14) ^piFLChild_notdwell[8] 15 (a15) ^piFLChild_notdwell[9] 16 (a16) ^piFLChild_notdwell[10] 17 (a17) ^piFLChild_notdwell[11] 18 (a18) ^piFLChild_notdwell[12] 19 (a19) ^piFLChild_notdwell[13] 20 (a20) ^piFLChild_notdwell[14] 21 (a21) ^piFLChild_notdwell[15] 22 (a22) ^piFLChild_notdwell[16] 23 (a23) ^piFLChild_notdwell[17] 24 (a24) ^piFLChild_notdwell[18] 25 (a25) ^piFLChild_notdwell[19] 26 (a26) ^piFLChild_notdwell[20] 27 (a27) ^piFLbrother_notdwell[1] 28 (a28) ^piFLbrother_notdwell[2] 29 (a29) ^piFLbrother_notdwell[3] 30 (a30) ^piFLbrother_notdwell[4] 31 (a31) ^piFLbrother_notdwell[5] 32 (a32) ^piFLbrother_notdwell[6] 33 (a33) ^piFLbrother_notdwell[7] 34 (a34) ^piFLbrother_notdwell[8] 35 (a35) ^piFLbrother_notdwell[9] 36 (a36) ^piFLbrother_notdwell[10] 37 (a37) ^piFLbrother_notdwell[11] 38 (a38) ^piFLbrother_notdwell[12] 39 (a39) ^piFLbrother_notdwell[13] 40 (a40) ^piFLbrother_notdwell[14] 41 (a41) ^piFLbrother_notdwell[15] 42 (a42) ^piFLbrother_notdwell[16] 43 (a43) ^piFLbrother_notdwell[17] 44 (a44) ^piFLbrother_notdwell[18] 45 (a45) ^piFLbrother_notdwell[19] 46 (a46) ^piFLbrother_notdwell[20] 47 (a47) Brotherâ€inâ€law, sisterâ€inâ€law 48 (a48) Spouse of child 49 (a49) Grandchild 50 (a50) Other relative 51 (a51) Other 59 (a59) Volunteer or Employee of facility 60 (a60) Paid helper

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CB34 Limitations section interviewer check
IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION CB - FUNCTIONAL LIMITATIONS AND HELPERS?
1) Never 2) A few times 3) Most or all of time 4) The section was done by a proxy reporter
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If Limitations section interviewer check = 4 »
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CB35 Limitations section relation between respondent and proxy respondent
WHAT IS YOUR RELATIONSHIP TO R?
1) Spouse 2) Mother 3) Father 4) Mother-in-law 5) Father-in-law 6) Sibling 7) Brother-in-law, sister-in-law 8) Child 9) Spouse of child 10) Grandchild 11) Other relative 12) Helper or other non-relative
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CC01 Health insurance-National Health Insurance(NHI)/Medical aid
THE NEXT QUESTIONS ARE ABOUT HEALTH INSURANCE, BOTH PUBLIC AND PRIVATE. FIRST, IN PUBLIC INSURANCE, THERE ARE TWO TYPES OF PUBLIC HEALTH INSURANCE: NATIONAL HEALTH INSURANCE AND MEDICAL AID. NATIONAL HEALTH INSURANCE PROGRAM IS A PUBLIC HEALTH INSURANCE PROGRAM FOR ALL KOREANS RESIDING IN THE KOREAN TERRITORY. MEDICAL AID PROGRAM IS A PUBLIC HEALTH INSURANCE PROGRAM FOR THE AWARDEES OF THE NATIONAL MERIT AWARD AND OTHER HONORARY PEOPLE AS WELL AS PEOPLE WITH LOW INCOMES. ARE YOU CURRENTLY COVERED BY THE NATIONAL HEALTH INSURANCE PROGRAM OR MEDICAL AID PROGRAM?
1) National Health Insurance 5) Medical Aid Program 8) Refuse to answer 99) Don't know
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If Health insurance-National Health Insurance(NHI)/Medical aid = 1 »
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CC02 Through current employer/Through community
THERE ARE TWO WAYS TO ENROLL IN THE NATIONAL HEALTH INSURANCE PROGRAM: THROUGH CURRENT EMPLOYER OR COMMUNITY. HOW DID YOU ENROLL IN NHI, THROUGH CURRENT EMPLOYER OR COMMUNITY?
1) Through current (R's or R's family's) employer 5) Through community 99) Don't know
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If Through current employer/Through community = 1 »
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CC03 (if through current employer) Insured person/dependent family member
IF YOU ARE INSURED THROUGH YOUR EMPLOYER, ARE YOU THE INSURED PERSON OR A DEPENDENT FAMILY MEMBER?
1) Insured person 5) Dependent family member 99) Don't know
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CC04 (if through community) Household head
IF YOU ARE ENROLLED THROUGH COMMUNITY, ARE YOU THE HOUSEHOLD HEAD?
1) Household head 5) Not household head
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CC05 Who pay for health insurance
WHO IS CURRENTLY PAYING FOR YOUR HEATH INSURANCE PREMIUM?
1) R 2) Spouse 3) Child/ren 4) Son/daughter-in-law 5) Other relatives 99) Don't know
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CC06 Amount monthly average premiums
NOT INCLUDING CO-PAYS, HOW MUCH DO YOU, YOURSELF, OR THE PERSON WHO IS CURRENTLY PAYING, PAY IN PREMIUMS FOR THIS PLAN? _________ MW (10,000 KOREAN WON) (RANGE: 1~120)
1..120
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CC07 Miss payment
HAVE YOU OR THE PERSON WHO IS CURRENTLY PAYING, MISSED THE PAYMENT LAST MONTH?
1) yes 5) no 99) Don't know
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CC08 Number months missed payment
FOR HOW MANY MONTHS HAVE YOU MISSED PAYMENTS? _______ MONTHS (RANGE: 1~60)
1..203
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If Health insurance-National Health Insurance(NHI)/Medical aid = 5 »
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CC09 Medical aid program-type1 or type2
IS IT TYPE 1 MEDICAL AID PROGRAM OR TYPE 2 MEDICAL AID PROGRAM?
1) Type 1 5) Type 2 99) Don't know
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CC10 Purchase private health insurance
ARE YOU COVERED BY ANY PRIVATE HEALTH INSURANCE?
1) yes 5) no -8) Refuse to answer -9) Don't know
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CC11 How many private health insurance
HOW MANY PRIVATE HEALTH INSURANCE DO YOU HAVE? ________ (RANGE: 1~30)
1..30
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CC12 Total amount of monthly average premiums of private health insurance
WHAT IS THE TOTAL AMOUNT OF INSURANCE PREMIUM YOU PAY EACH MONTH FOR THESE PRIVATE HEALTH INSURANCE? ________ MW (10,000 KOREAN WON) (RANGE: 1~997)
0..997
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CC13 Receive basic medical checkup (covered by NHI or Medical aid)
HAVE YOU RECEIVED THE BASIC MEDICAL CHECKUP COVERED BY THE NATIONAL HEALTH INSURANCE OR MEDICAL AID PROGRAM IN THE PAST 2 YEARS ?
1) yes 5) no 99) Don't know
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If Receive basic medical checkup (covered by NHI or Medical aid) = 5 »
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CC14 Reason not receive checkup
HAVE YOU EVER RECEIVED ANY FURTHER HEALTH CHECK COVERED BY THE NATIONAL HEALTH INSURANCE OR MEDICAL AID PROGRAM DUE TO PROBLEMS FOUND IN THE BASIC MEDICAL EXAM?
1) Wanted to have a medical checkup, but unable to because I had trouble getting around 2) Didn't expect any problem, as I was fine in the previous checkup 3) Too busy, couldn't have time 4) I couldn't trust the results 5) I was afraid of the results,6) Even if an illness is detected, no adequate treatment is available 7) Didn't see a need 8) I didn't know it is free 98) Refuse to answer 99) Don't know
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CC15 Second health checkup due to having problems
WHY DID YOU NOT RECEIVE A MEDICAL CHECKUP?
1) yes 5) no
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CC16 Out-of-pocket checkup in past two years
HAVE YOU HAD ANY OTHER MEDICAL CHECKUP USING YOUR OUT-OF-POCKET MONEY IN THE PAST TWO YEARS?
1) yes 5) no
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CC17 Used overnight in hospital, nursing home, convalessenthom, or other long term health care in LCY-number times visit
THE NEXT QUESTIONS ARE ABOUT HEALTH SERVICES YOU RECEIVED IN THE PAST YEAR. HAVE YOU BEEN A PATIENT OVERNIGHT IN A HOSPITAL, NURSING HOME, CONVALESCENT HOME, OR OTHER LONG-TERM HEALTH CARE FACILITY DURING THE PAST 12 MONTHS? IF YES, HOW MANY TIMES HAVE YOU BEEN AN OVERNIGHT PATIENT LAST YEAR? ________ NUMBER OF TIMES (RANGE: 0~52)
0..52
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If Used overnight in hospital, nursing home, convalessenthom, or other long term health care in LCY-number times visit > 0 »
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CC18 What kind of facilities in the last time
PLEASE RECALL THE LAST TIME YOU WERE HOSPITALIZED LAST YEAR. WHICH KIND OF FACILITIES HAVE YOU BEEN IN?
1) Hospital 5) Long-term care hospital
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