H. Function and Help

Module H. Function and Help of MHAS 2015

item label type description
H1 Question Because of a health problem, do you have difficulty walking several blocks?
H2 Question Because of a health problem, do you have difficulty running or jogging one kilometer?
H3 Question Because of a health problem, do you have difficulty walking one block?
H4 Question Because of a health problem, do you have difficulty staying seated for about 2 hours?
H5 Question Because of a health problem, do you have difficulty getting up from a chair after sitting for long periods?
H6 Question Because of a health problem, do you have difficulty climbing several flights of stairs without resting?
H7 Question Because of a health problem, do you have difficulty climbing one flight of stairs without resting?
H8 Question Because of a health problem, do you have difficulty stooping, kneeling, or crouching?
H9 Question Because of a health problem, do you have difficulty reaching or extending your arms above shoulder level?
H10 Question Because of a health problem, do you have difficulty pulling or pushing large objects like a living-room chair?
H11 Question 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?
H12 Question Because of a health problem, do you have difficulty picking up a 1-peso coin from the table?
H13 Question Because of a health problem, do you have difficulty dressing, including putting on shoes and socks?
H14 Question Does anyone ever help you get dressed?
H15a Question Because of a health problem, do you have any difficulty walking across a room?
H15b Question Do you ever use equipment or devices such as a cane, walker or wheelchair to walk across a room?
H15c Question What equipment do you use?
H15d Question Does someone help you?
H16a Question Because of a health problem, do you have difficulty bathing or showering?
H16d Question Does someone help you?
H17a Question Because of a health problem, do you have difficulty eating or cutting food?
H17d Question Does someone help you?
H18a Question Because of a health problem, do you have difficulty getting into or out of bed?
H18b Question Do you ever use equipment or devices such as a cane, walker or wheelchair to get into or out of bed?
H18c Question What equipment do you use?
H18d Question Does someone help you?
H19a Question Because of a health problem, do you have difficulty going to the bathroom?
H19d Question Does someone help you?
H21 Question Please tell me who helps you the most with these activities. Enter name
H22 Question What relationship does (NAME OF PERSON WHO HELPS) have with this respondent?
H23 Question If the person is on any registration roster, enter the roster number. In previous month, how many days did (NAME) help you?
H24 Question If the person is on any registration roster, enter the roster number. In previous month, how many days did (NAME) help you?
H25 Question On those days that (NAME) helps you, about how many hours does he/she help you?
H26a Question Because of a health problem, do you have difficulty preparing a hot meal?
H26b Question Is this because of a health problem?
H26c Question Does someone help you?
H27a Question Because of a health problem, do you have difficulty shopping?
H27b Question Is this because of a health problem?
H27c Question Does someone help you?
H28a Question Because of a health problem, do you have difficulty taking medicine?
H28b Question Is this because of a health problem?
H28c Question Does someone help you?
H29a Question Because of a health problem, do you have difficulty managing money?
H29b Question Is this because of a health problem?
H29c Question Does someone help you?
H31 Question Enter name
H32 Question What relationship does (NAME OF PERSON WHO HELPS) have with this respondent?
H33 Question 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.
H34 Question During the last month, about how many days did (NAME) help you?
H35 Question On those days that (NAME) helps you, about how many hours does he/she help you?
H36 Question INTERVIEWER: How frequently did the respondent need help to answer Section H. Functionality and Help?
Start of H. Function and Help
 
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?
expand
 
If Because of a health problem, do you have difficulty walking several blocks? != 2 No »
 
   
 
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?
expand
   
Else
 
   
 
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?
expand
   
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?
expand
 
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?
expand
 
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?
expand
 
If Because of a health problem, do you have difficulty climbing several flights of stairs without resting? != 2 No »
 
   
 
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?
expand
   
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?
expand
 
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?
expand
 
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?
expand
 
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?
expand
 
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?
expand
 
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?
expand
 
If Because of a health problem, do you have difficulty dressing, including putting on shoes and socks? != 2 No »
 
   
 
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 »
 
     
   
H14

Does anyone ever help you get dressed?

DOES ANYONE EVER HELP YOU GET DRESSED?
expand
     
If [INTERVIEWER: TAKE A LOOK TO THE LAST TABLE, EXCLUDING THE DARKENED ROWS OF H2 and H6, THE RESPONDENT DID NOT INDICATE (2)] »
 
   
 
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?
expand
   
 
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?
expand
   
 
If Do you ever use equipment or devices such as a cane, walker or wheelchair to walk across a room? = 1 Yes »
 
     
   
H15C

What equipment do you use?

WHAT EQUIPMENT DO YOU USE?
expand
     
 
H15D

Does someone help you?

DOES SOMEONE HELP YOU?
expand
   
 
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?
expand
   
 
H16D

Does someone help you?

DOES SOMEONE HELP YOU?
expand
   
 
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?
expand
   
 
H17D

Does someone help you?

DOES SOMEONE HELP YOU?
expand
   
 
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?
expand
   
 
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?
expand
   
 
If Do you ever use equipment or devices such as a cane, walker or wheelchair to get into or out of bed? = 1 Yes »
 
     
   
H18C

What equipment do you use?

WHAT EQUIPMENT DO YOU USE?
expand
     
 
H18D

Does someone help you?

DOES SOMEONE HELP YOU?
expand
   
 
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?
expand
   
 
H19D

Does someone help you?

DOES SOMEONE HELP YOU?
expand
   
 
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
expand
   
 
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?
expand
   
 
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?
expand
   
 
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?
expand
   
 
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?
expand
   
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?
expand
 
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 »
 
   
 
H26B

Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
expand
   
Else If Because of a health problem, do you have difficulty preparing a hot meal? = 1 Yes »
 
   
 
H26C

Does someone help you?

DOES SOMEONE HELP YOU?
expand
   
Else
 
   
 
H27A

Because of a health problem, do you have difficulty shopping?

BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY SHOPPING?
expand
   
 
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 »
 
     
   
H27B

Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
expand
     
 
Else If Because of a health problem, do you have difficulty shopping? = 1 Yes »
 
     
   
H27C

Does someone help you?

DOES SOMEONE HELP YOU?
expand
     
 
Else
 
     
   
H28A

Because of a health problem, do you have difficulty taking medicine?

BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY TAKING MEDICINE?
expand
     
   
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 »
 
       
     
H28B

Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
expand
       
   
Else If Because of a health problem, do you have difficulty taking medicine? = 1 Yes »
 
       
     
H28C

Does someone help you?

DOES SOMEONE HELP YOU?
expand
       
   
Else
 
       
     
H29A

Because of a health problem, do you have difficulty managing money?

BECAUSE OF A HEALTH PROBLEM, DO YOU HAVE DIFFICULTY MANAGING MONEY?
expand
       
     
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 »
 
         
       
H29B

Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
expand
         
     
Else If Because of a health problem, do you have difficulty preparing a hot meal? = 1 Yes »
 
         
       
H29C

Does someone help you?

DOES SOMEONE HELP YOU?
expand
         
H31

Enter name

ENTER NAME
 
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?
expand
 
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.
expand
 
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?
expand
 
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?
expand
 
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?
expand
 
End of H. Function and Help
Start of H. Function and Help

========================================================================
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


If Because of a health problem, do you have difficulty walking several blocks? (H1) != 2 No »

|  ========================================================================
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


Else

|  ========================================================================
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


========================================================================
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


========================================================================
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


========================================================================
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


If Because of a health problem, do you have difficulty climbing several flights of stairs without resting? (H6) != 2 No »

|  ========================================================================
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


========================================================================
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


========================================================================
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


========================================================================
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


========================================================================
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


========================================================================
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


========================================================================
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


If Because of a health problem, do you have difficulty dressing, including putting on shoes and socks? (H13) != 2 No »

If H13 >= 1 and H13 <= 4 »

| |  ========================================================================
| | 
H14
Does anyone ever help you get dressed?

DOES ANYONE EVER HELP YOU GET DRESSED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


If [INTERVIEWER: TAKE A LOOK TO THE LAST TABLE, EXCLUDING THE DARKENED ROWS OF H2 and H6, THE RESPONDENT DID NOT INDICATE (2)] »

|  ========================================================================
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


|  ========================================================================
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


If Do you ever use equipment or devices such as a cane, walker or wheelchair to walk across a room? (H15B) = 1 Yes »

| |  ========================================================================
| | 
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


|  ========================================================================
H15D
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


|  ========================================================================
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


|  ========================================================================
H16D
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


|  ========================================================================
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


|  ========================================================================
H17D
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


|  ========================================================================
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


|  ========================================================================
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


If Do you ever use equipment or devices such as a cane, walker or wheelchair to get into or out of bed? (H18B) = 1 Yes »

| |  ========================================================================
| | 
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


|  ========================================================================
H18D
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


|  ========================================================================
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


|  ========================================================================
H19D
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


|  ========================================================================
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


|  ========================================================================
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


|  ========================================================================
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


|  ========================================================================
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


|  ========================================================================
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


========================================================================
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


If Because of a health problem, do you have difficulty preparing a hot meal? (H26A) = 6 Can't do or Because of a health problem, do you have difficulty preparing a hot meal? (H26A) = 7 Doesn't do »

|  ========================================================================
H26B
Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF


Else If Because of a health problem, do you have difficulty preparing a hot meal? (H26A) = 1 Yes »

|  ========================================================================
H26C
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


Else

|  ========================================================================
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


If Because of a health problem, do you have difficulty shopping? (H27A) = 6 Can't do or Because of a health problem, do you have difficulty shopping? (H27A) = 7 Doesn't do »

| |  ========================================================================
| | 
H27B
Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF


Else If Because of a health problem, do you have difficulty shopping? (H27A) = 1 Yes »

| |  ========================================================================
| | 
H27C
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


Else

| |  ========================================================================
| | 
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


| |  If Because of a health problem, do you have difficulty taking medicine? (H28A) = 6 Can't do or Because of a health problem, do you have difficulty taking medicine? (H28A) = 7 Doesn't do »

| | |  ========================================================================
| | | 
H28B
Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF


| |  Else If Because of a health problem, do you have difficulty taking medicine? (H28A) = 1 Yes »

| | |  ========================================================================
| | | 
H28C
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


| |  Else

| | |  ========================================================================
| | | 
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


| | |  If Because of a health problem, do you have difficulty managing money? (H29A) = 6 Can't do or Because of a health problem, do you have difficulty managing money? (H29A) = 7 Doesn't do »

| | | |  ========================================================================
| | | | 
H29B
Is this because of a health problem?

IS THIS BECAUSE OF A HEALTH PROBLEM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF


| | |  Else If Because of a health problem, do you have difficulty preparing a hot meal? (H26A) = 1 Yes »

| | | |  ========================================================================
| | | | 
H29C
Does someone help you?

DOES SOMEONE HELP YOU?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
8 RF
9 DK


========================================================================
H31
Enter name

ENTER NAME

========================================================================
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


========================================================================
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


========================================================================
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


========================================================================
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


========================================================================
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


End of H. Function and Help