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Start of H. Function and Help
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H1
Because of a health problem, do you have difficulty walking several blocks?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY WALKING SEVERAL BLOCKS?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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If Because of a health problem, do you have difficulty walking several blocks? != 2 No »
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H3
Because of a health problem, do you have difficulty walking one block?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY WALKING ONE BLOCK?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H2
Because of a health problem, do you have difficulty running or jogging one kilometer?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY RUNNING OR JOGGING ONE KILOMETER?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H4
Because of a health problem, do you have difficulty staying seated for about 2 hours?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY STAYING SEATED FOR ABOUT 2 HOURS?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H5
Because of a health problem, do you have difficulty getting up from a chair after sitting for long periods?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY GETTING UP FROM A CHAIR AFTER SITTING FOR LONG PERIODS?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H6
Because of a health problem, do you have difficulty climbing several flights of stairs without resting?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY CLIMBING SEVERAL FLIGHTS OF STAIRS WITHOUT RESTING?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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If Because of a health problem, do you have difficulty climbing several flights of stairs without resting? != 2 No »
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H7
Because of a health problem, do you have difficulty climbing one flight of stairs without resting?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY CLIMBING ONE FLIGHT OF STAIRS WITHOUT RESTING?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H8
Because of a health problem, do you have difficulty stooping, kneeling, or crouching?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY STOOPING, KNEELING, OR CROUCHING?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H9
Because of a health problem, do you have difficulty reaching or extending your arms above shoulder level?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY REACHING OR EXTENDING YOUR ARMS ABOVE SHOULDER LEVEL?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H10
Because of a health problem, do you have difficulty pulling or pushing large objects like a living-room chair?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY PULLING OR PUSHING LARGE OBJECTS LIKE A LIVING-ROOM CHAIR?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H11
Because of a health problem, do you have difficulty lifting or carrying objects that weigh more than 5 kg, like a heavy bag of groceries?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY LIFTING OR CARRYING OBJECTS THAT WEIGH MORE THAN 5 KG, LIKE A HEAVY BAG OF GROCERIES?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H12
Because of a health problem, do you have difficulty picking up a 1-peso coin from the table?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY PICKING UP A 1-PESO COIN FROM THE TABLE?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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H13
Because of a health problem, do you have difficulty dressing, including putting on shoes and socks?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY DRESSING, INCLUDING PUTTING ON SHOES AND SOCKS?
1 Yes
2 No
3 Can't do
4 Doesn't do
8 RF
9 DK
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If Because of a health problem, do you have difficulty dressing, including putting on shoes and socks? != 2 No »
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If Because of a health problem, do you have difficulty dressing, including putting on shoes and socks? >= 1 Yes and Because of a health problem, do you have difficulty dressing, including putting on shoes and socks? <= 4 Doesn't do »
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H14
Does anyone ever help you get dressed?
DOES ANYONE EVER HELP YOU GET DRESSED?
1 Yes
2 No
8 RF
9 DK
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If [INTERVIEWER: TAKE A LOOK TO THE LAST TABLE, EXCLUDING THE DARKENED ROWS OF H2 and H6, THE RESPONDENT DID NOT INDICATE (2)] »
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H15A
Because of a health problem, do you have any difficulty walking across a room?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE ANY DIFFICULTY WALKING ACROSS A ROOM?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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H15B
Do you ever use equipment or devices such as a cane, walker or wheelchair to walk across a room?
DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR WHEELCHAIR TO WALK ACROSS A ROOM?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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If Do you ever use equipment or devices such as a cane, walker or wheelchair to walk across a room? = 1 Yes »
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H15C
What equipment do you use?
WHAT EQUIPMENT DO YOU USE?
1 Guardrail
2 Walker
3 Staff
4 Crutches
5 Orthopedic shoes
6 Brace
7 Prothesis
8 Oxygen/Respirator
9 Furniture/Walls
10 Wheelchair/Cart
11 Other
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H15D
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H16A
Because of a health problem, do you have difficulty bathing or showering?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY BATHING OR SHOWERING?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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H16D
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H17A
Because of a health problem, do you have difficulty eating or cutting food?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY EATING OR CUTTING FOOD?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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H17D
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H18A
Because of a health problem, do you have difficulty getting into or out of bed?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY GETTING INTO OR OUT OF BED?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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H18B
Do you ever use equipment or devices such as a cane, walker or wheelchair to get into or out of bed?
DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR WHEELCHAIR TO GET INTO OR OUT OF BED?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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If Do you ever use equipment or devices such as a cane, walker or wheelchair to get into or out of bed? = 1 Yes »
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H18C
What equipment do you use?
WHAT EQUIPMENT DO YOU USE?
1 Guardrail
2 Walker
3 Staff
4 Crutches
5 Orthopedic shoes
6 Brace
7 Prothesis
8 Oxygen/Respirator
9 Furniture/Walls
10 Wheelchair/Cart
11 Other
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H18D
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H19A
Because of a health problem, do you have difficulty going to the bathroom?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY GOING TO THE BATHROOM?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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H19D
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H21
Please tell me who helps you the most with these activities. Enter name
PLEASE TELL ME WHO HELPS YOU THE MOST WITH THESE ACTIVITIES. ENTER NAME
______ Name
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H23
If the person is on any registration roster, enter the roster number. In previous month, how many days did (NAME) help you?
IF THE PERSON IS ON ANY REGISTRATION ROSTER, ENTER THE ROSTER NUMBER. IN PREVIOUS MONTH, HOW MANY DAYS DID (NAME) HELP YOU?
______ Registration number
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H22
What relationship does (NAME OF PERSON WHO HELPS) have with this respondent?
WHAT RELATIONSHIP DOES (NAME OF PERSON WHO HELPS) HAVE WITH THIS RESPONDENT?
01 Spouse
02 Child
03 Child-in-law
04 Grandchild
05 Parent
06 Other relative
07 Other person
08 Paid person
88 RF
99 DK
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H24
If the person is on any registration roster, enter the roster number. In previous month, how many days did (NAME) help you?
IF THE PERSON IS ON ANY REGISTRATION ROSTER, ENTER THE ROSTER NUMBER. IN PREVIOUS MONTH, HOW MANY DAYS DID (NAME) HELP YOU?
______ Days
30 Every day
88 RF
99 DK
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H25
On those days that (NAME) helps you, about how many hours does he/she help you?
ON THOSE DAYS THAT (NAME) HELPS YOU, ABOUT HOW MANY HOURS DOES HE/SHE HELP YOU?
______ Hours per day
01 Less than 1 hour
88 RF
99 DK
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H26A
Because of a health problem, do you have difficulty preparing a hot meal?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY PREPARING A HOT MEAL?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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If Because of a health problem, do you have difficulty preparing a hot meal? = 6 Can't do or Because of a health problem, do you have difficulty preparing a hot meal? = 7 Doesn't do »
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H26B
Is this because of a health problem?
IS THIS BECAUSE OF A HEALTH PROBLEM?
1 Yes
2 No
8 RF
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Else If Because of a health problem, do you have difficulty preparing a hot meal? = 1 Yes »
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H26C
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H27A
Because of a health problem, do you have difficulty shopping?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY SHOPPING?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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If Because of a health problem, do you have difficulty shopping? = 6 Can't do or Because of a health problem, do you have difficulty shopping? = 7 Doesn't do »
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H27B
Is this because of a health problem?
IS THIS BECAUSE OF A HEALTH PROBLEM?
1 Yes
2 No
8 RF
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Else If Because of a health problem, do you have difficulty shopping? = 1 Yes »
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H27C
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H28A
Because of a health problem, do you have difficulty taking medicine?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY TAKING MEDICINE?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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If Because of a health problem, do you have difficulty taking medicine? = 6 Can't do or Because of a health problem, do you have difficulty taking medicine? = 7 Doesn't do »
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H28B
Is this because of a health problem?
IS THIS BECAUSE OF A HEALTH PROBLEM?
1 Yes
2 No
8 RF
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Else If Because of a health problem, do you have difficulty taking medicine? = 1 Yes »
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H28C
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H29A
Because of a health problem, do you have difficulty managing money?
BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY MANAGING MONEY?
1 Yes
2 No
6 Can't do
7 Doesn't do
8 RF
9 DK
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If Because of a health problem, do you have difficulty managing money? = 6 Can't do or Because of a health problem, do you have difficulty managing money? = 7 Doesn't do »
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H29B
Is this because of a health problem?
IS THIS BECAUSE OF A HEALTH PROBLEM?
1 Yes
2 No
8 RF
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Else If Because of a health problem, do you have difficulty preparing a hot meal? = 1 Yes »
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H29C
Does someone help you?
DOES SOMEONE HELP YOU?
1 Yes
2 No
8 RF
9 DK
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H32
What relationship does (NAME OF PERSON WHO HELPS) have with this respondent?
WHAT RELATIONSHIP DOES (NAME OF PERSON WHO HELPS) HAVE WITH THIS RESPONDENT?
01 Spouse
02 Child
03 Child-in-law
04 Grandchild
05 Parent
06 Other relative
07 Other person
08 Paid person
88 RF
99 DK
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H33
If the person is on any registration roster, enter the roster number. If child- in-law/grandchild, enter the registration number of the child to whom he/she is related. If person is not on any roster, enter 666.
IF THE PERSON IS ON ANY REGISTRATION ROSTER, ENTER THE ROSTER NUMBER. IF CHILD- IN-LAW/GRANDCHILD, ENTER THE REGISTRATION NUMBER OF THE CHILD TO WHOM HE/SHE IS RELATED. IF PERSON IS NOT ON ANY ROSTER, ENTER 666.
______ Registration number
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H34
During the last month, about how many days did (NAME) help you?
DURING THE LAST MONTH, ABOUT HOW MANY DAYS DID (NAME) HELP YOU?
______ Days
99 Everyday
88 RF
99 DK
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H35
On those days that (NAME) helps you, about how many hours does he/she help you?
ON THOSE DAYS THAT (NAME) HELPS YOU, ABOUT HOW MANY HOURS DOES HE/SHE HELP YOU?
01 Less than 1 hour
88 RF
99 DK
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H36
INTERVIEWER: How frequently did the respondent need help to answer Section H. Functionality and Help?
INTERVIEWER: HOW FREQUENTLY DID THE RESPONDENT NEED HELP TO ANSWER SECTION H. FUNCTIONALITY AND HELP?
1 Never
2 A few times
3 Most or all of the time
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End of H. Function and Help
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