I. Physical Measures

Module I. Physical Measures of HRS 2016

item label type description
PI800 Question PHYSICAL MEASURES FTF IW
PI846 Question PHYSICAL MEASURES INTRO
PI802 Question PHYSICAL MEASURES CONSENT
PI803 Question LIST OF MEASURES R IS ASKED TO COMPLETE
PI662 Question BP SCREENING QUESTION, LEFT ARM
PI663 Question BP SCREENING QUESTION, RIGHT ARM
PI961 Question R UNDERSTANDING OF BP PROCEDURE & SAFETY
PI857 Question BLOODPRESSURE TIMEActual Value
PI859 Question BLOODPRESSURE 1 SYSTOLIC
PI860 Question BLOODPRESSURE 1 DIASTOLIC
PI861 Question BLOODPRESSURE 1 PULSE
PI862 Question BLOOD PRESSURE 2 TIMEActual Value
PI864 Question BLOODPRESSURE 2 SYSTOLIC
PI865 Question BLOODPRESSURE 2 DIASTOLIC
PI866 Question BLOODPRESSURE 2 PULSE
PI867 Question BLOODPRESSURE 3 TIMEActual Value
PI869 Question BLOODPRESSURE 3 SYSTOLIC
PI870 Question BLOODPRESSURE 3 DIASTOLIC
PI871 Question BLOODPRESSURE 3 PULSE
PI668 Question SEVERELY HIGH BLOOD PRESSURE IW ACTION
PI854 Question BLOOD PRESSURE COMPLETE
PI872 Question BLOODPRESSURE ARM
PI874 Question BLOODPRESSURE POSITION
PI669 Question SUSPEND INTERVIEW DUE TO BLOOD PRESSURE
PI855M1 Question BLOOD PRESSURE NOT COMPLETE-1
PI855M2 Question BLOOD PRESSURE NOT COMPLETE-2
PI855M3 Question BLOOD PRESSURE NOT COMPLETE-3
PI855M4 Question BLOOD PRESSURE NOT COMPLETE-4
PI855M5 Question BLOOD PRESSURE NOT COMPLETE-5
PI672 Question HAVE COCHLEAR IMPLANT
PI673 Question HAVE EAR INFECTION
PI946 Question CURRENTLY WEARING HEARING AID
PI674 Question WILLING TO REMOVE AID FOR HEARING TEST
PI675 Question R FELT SAFE TO DO HEARING TEST
PI678 Question HEARING TEST 1 - LEFT EAR
PI679 Question HEARING TEST 2 - LEFT EAR
PI680 Question HEARING TEST 1 - RIGHT EAR
PI681 Question HEARING TEST 2 - RIGHT EAR
PI682 Question COMPLETED AT LEAST ONE HEARING TEST
PI683M1 Question HEARING TEST PROBLEMS - 1
PI683M2 Question HEARING TEST PROBLEMS - 2
PI683M3 Question HEARING TEST PROBLEMS - 3
PI683M4 Question HEARING TEST PROBLEMS - 4
PI683M5 Question HEARING TEST PROBLEMS - 5
PI685M1 Question WHY HEARING TEST NOT COMPLETE - 1
PI685M2 Question WHY HEARING TEST NOT COMPLETE - 2
PI685M3 Question WHY HEARING TEST NOT COMPLETE - 3
PI685M4 Question WHY HEARING TEST NOT COMPLETE - 4
PI964 Question BREATHING TEST SAFETY QUESTION
PI807 Question PUFF TEST 1
PI808 Question PUFF TEST 2
PI809 Question PUFF TEST 3
PI804 Question BREATH COMPLETE AT LEAST ONE TRIAL
PI810 Question R BREATHING TEST EFFORT
PI811 Question BREATHING TEST R POSITION
PI805M1 Question BREATH TEST REASON NOT COMPLETE -1
PI805M2 Question BREATH TEST REASON NOT COMPLETE -2
PI805M3 Question BREATH TEST REASON NOT COMPLETE -3
PI805M4 Question BREATH TEST REASON NOT COMPLETE -4
PI966 Question INJURY, PAIN OR SURGERY ON HAND(S)
PI967 Question AFFECTED HAND(S)
PI968 Question HAND-STRENGTH SAFETY QUESTION
PI815 Question GRIP DOMINANT HAND
PI816 Question LEFT HAND FIRST
PI851 Question RIGHT HAND FIRST
PI852 Question LEFT HAND SECOND
PI853 Question RIGHT HAND SECOND
PI812 Question HAND STRENGTH COMPLETE AT LEAST ONE TRIAL
PI817 Question GRIP R EFFORT
PI818 Question HAND STRENGTH TEST R POSITION
PI819 Question HAND STRENGTH REST ARM
PI813M1 Question HAND STRENGTH TEST REASON NOT COMPLETE -1
PI813M2 Question HAND STRENGTH TEST REASON NOT COMPLETE -2
PI813M3 Question HAND STRENGTH TEST REASON NOT COMPLETE -3
PI813M4 Question HAND STRENGTH TEST REASON NOT COMPLETE -4
PI813M5 Question HAND STRENGTH TEST REASON NOT COMPLETE -5
PI970 Question SEMI-TANDEM SCREENING QUESTION
PI616 Question R INJURY/DISCOMFORT DISCUSSION
PI971 Question SEMI-TANDEM SAFETY QUESTION
PI879 Question BALANCE TEST SEMI-TANDEM HOLD FULL TIME
PI876 Question BALANCE TEST - SEMI-TANDEM STAND
PI880 Question BALANCE TEST SEMI-TANDEM TIME
PI881 Question BALANCE TEST SEMI-TANDEM COMPENSATORY
PI877M1 Question BALANCE SEMI-TANDEM REASON NOT COMP-1
PI877M2 Question BALANCE SEMI-TANDEM REASON NOT COMP-2
PI877M3 Question BALANCE SEMI-TANDEM REASON NOT COMP-3
PI877M4 Question BALANCE SEMI-TANDEM REASON NOT COMP-4
PI877M5 Question BALANCE SEMI-TANDEM REASON NOT COMP-5
PI973 Question SIDE-BY-SIDE SAFETY QUESTION
PI886 Question BALANCE TEST S-B-S HOLD FULL TIME
PI883 Question BALANCE TEST S-B-S COMPLETE
PI887 Question BALANCE TEST SIDE-BY-SIDE TIME
PI888 Question BALANCE TEST SIDE-BY-SIDE COMPENSATORY
PI884M1 Question BALANCE TEST SBS STAND REASON NOT COMP-1
PI884M2 Question BALANCE TEST SBS STAND REASON NOT COMP-2
PI884M3 Question BALANCE TEST SBS STAND REASON NOT COMP-3
PI884M4 Question BALANCE TEST SBS STAND REASON NOT COMP-4
PI884M5 Question BALANCE TEST SBS STAND REASON NOT COMP-5
PI896 Question BALANCE TEST FULL TANDEM HOLD FULL TIME
PI893 Question BALANCE TEST FULL TANDEM COMPLETE
PI897 Question BALANCE TEST FULL TANDEM TIME
PI898 Question BALANCE TEST FULL TANDEM COMPENSATORY
PI894M1 Question BALANCE FULL TANDEM STAND-NOT COMPLETE-1
PI894M2 Question BALANCE FULL TANDEM STAND-NOT COMPLETE-2
PI894M3 Question BALANCE FULL TANDEM STAND-NOT COMPLETE-3
PI894M4 Question BALANCE FULL TANDEM STAND-NOT COMPLETE-4
PI894M5 Question BALANCE FULL TANDEM STAND-NOT COMPLETE-5
PI977 Question WALKING SPEED SCREENING QUESTION
PI978 Question R UNDERSTANDING OF WALKING SPEED PROCEDURE
PI823 Question WALKING TEST 1ST TRIAL TIME
PI824 Question WALKING TEST 2ND TRIAL TIME
PI820 Question WALKING TEST COMPLETE AT LEAST ONE TRIAL
PI828 Question WALKING AID TYPE
PI660 Question COMPLETED WALKING SPEED AS DIRECTED
PI821M1 Question WALKING TEST REASON NOT COMPLETE -1
PI821M2 Question WALKING TEST REASON NOT COMPLETE -2
PI821M3 Question WALKING TEST REASON NOT COMPLETE -3
PI821M4 Question WALKING TEST REASON NOT COMPLETE -4
PI821M5 Question WALKING TEST REASON NOT COMPLETE -5
PI821M6 Question WALKING TEST REASON NOT COMPLETE -6
PI980 Question HEIGHT SAFETY QUESTION
PI687M1 Question R FELT SAFE TO DO OTHER PHYS MEASURES - 1
PI687M2 Question R FELT SAFE TO DO OTHER PHYS MEASURES - 2
PI687M3 Question R FELT SAFE TO DO OTHER PHYS MEASURES - 3
PI687M4 Question R FELT SAFE TO DO OTHER PHYS MEASURES - 4
PI985 Question R UNDERSTANDING OF WAIST MEASUREMENT PROCEDURE
PI982 Question R FELT SAFE TO DO WAIST MEASUREMENT
PI954M1 Question WHY NO CONSENT PHYSICAL MEASURES -1
PI954M2 Question WHY NO CONSENT PHYSICAL MEASURES -2
PI954M3 Question WHY NO CONSENT PHYSICAL MEASURES -3
PI954M4 Question WHY NO CONSENT PHYSICAL MEASURES -4
PI954M5 Question WHY NO CONSENT PHYSICAL MEASURES -5
PI954M6 Question WHY NO CONSENT PHYSICAL MEASURES -6
PI913 Question SALIVA CONSENT
PI987 Question R UNDERSTANDING OF SALIVA PROCEDURE
PI914 Question SALIVA SAMPLE EAT DRINK ETC
PI639 Question SALIVA TIPS FOR RESPONDENT
PI941M1 Question WHY NO CONSENT SALIVA-1
PI941M2 Question WHY NO CONSENT SALIVA-2
PI941M3 Question WHY NO CONSENT SALIVA-3
PI941M4 Question WHY NO CONSENT SALIVA-4
PI916M1 Question SALIVA WHY NOT COMPLETE-1
PI916M2 Question SALIVA WHY NOT COMPLETE-2
PI918 Question SALIVA FILL VIAL
PI915 Question SALIVA SAMPLE COMPLETE
PI919M1 Question SALIVA PROBLEMS-1
PI919M2 Question SALIVA PROBLEMS-2
PI919M3 Question SALIVA PROBLEMS-3
PI922 Question BLOOD SAMPLE CONSENT
PI943M1 Question WHY NO CONSENT BLOOD-1
PI943M2 Question WHY NO CONSENT BLOOD-2
PI943M3 Question WHY NO CONSENT BLOOD-3
PI943M4 Question WHY NO CONSENT BLOOD-4
PI943M5 Question WHY NO CONSENT BLOOD-5
PI943M6 Question WHY NO CONSENT BLOOD-6
PI989 Question R UNDERSTANDING OF BLOOD-COLLECTION PROCEDURE
PI929 Question AMOUNT OF BLOOD ON FIRST CARD
PI945 Question AMOUNT OF BLOOD ON STORAGE CARD
PI923 Question BLOOD SAMPLE COMPLETE
PI926M1 Question BLOOD SAMPLE WHAT PROBLEMS-1
PI926M2 Question BLOOD SAMPLE WHAT PROBLEMS-2
PI926M3 Question BLOOD SAMPLE WHAT PROBLEMS-3
PI924M1 Question WHY BLOOD SAMPLE NOT COMPLETE-1
PI924M2 Question WHY BLOOD SAMPLE NOT COMPLETE-2
PI924M3 Question WHY BLOOD SAMPLE NOT COMPLETE-3
PI831 Question MEASURE R HEIGHT
PI834 Question HEIGHT MEASURMENT
PI837 Question HEIGHT WEARING SHOES
PI832M1 Question HEIGHT REASON NOT COMPLETE -1
PI832M2 Question HEIGHT REASON NOT COMPLETE -2
PI832M3 Question HEIGHT REASON NOT COMPLETE -3
PI832M4 Question HEIGHT REASON NOT COMPLETE -4
PI832M5 Question HEIGHT REASON NOT COMPLETE -5
PI838 Question WEIGHT ABLE TO MEASURE
PI841 Question WEIGHT POUNDS MEASURMENT
PI842 Question WEIGHT FLOOR SURFACE
PI666 Question SCALE-SUPPORT TILE USED=
PI844 Question WEIGHT WEARING SHOES
PI839M1 Question WEIGHT REASON NOT COMPLETE -1
PI839M2 Question WEIGHT REASON NOT COMPLETE -2
PI839M3 Question WEIGHT REASON NOT COMPLETE -3
PI839M4 Question WEIGHT REASON NOT COMPLETE -4
PI904 Question WAIST COMPLETE
PI907 Question WAIST MEASURMENT
PI908M1 Question WAIST DIFFICULTIES -1
PI908M2 Question WAIST DIFFICULTIES -2
PI908M3 Question WAIST DIFFICULTIES -3
PI911 Question WAIST WHO MEASURED
PI912 Question WAIST BULKY CLOTHES
PI905M1 Question WAIST WHY NOT COMPLETE-1
PI905M2 Question WAIST WHY NOT COMPLETE-2
PI905M3 Question WAIST WHY NOT COMPLETE-3
PI905M4 Question WAIST WHY NOT COMPLETE-4
PI905M5 Question WAIST WHY NOT COMPLETE-5
PI936 Question FINISH PHY MEASURES
Start of I. Physical Measures
 
PI800

PHYSICAL MEASURES FTF IW

PHYSICAL MEASURES FTF IW
expand
 
If OX090_R = ENHANCEDFTF »
 
   
 
If PHYSICAL MEASURES FTF IW = 2 and OA028 = NO and LANGUAGE = SPANISH or ENGLISH »
 
     
   
PI802

PHYSICAL MEASURES CONSENT

PHYSICAL MEASURES CONSENT
expand
     
   
If PHYSICAL MEASURES CONSENT = 1 YES 5 NO  »
 
       
     
PI854

BLOOD PRESSURE COMPLETE

BLOOD PRESSURE COMPLETE
expand
       
     
If BLOOD PRESSURE COMPLETE = 5 »
 
         
       
PI855M1

BLOOD PRESSURE NOT COMPLETE-1

BLOOD PRESSURE NOT COMPLETE-1
expand
         
     
ElseIf BLOOD PRESSURE COMPLETE = 1 YES 5 NO  »
 
         
       
PI857

BLOODPRESSURE TIMEActual Value

BLOODPRESSURE TIMEACTUAL VALUE
expand
         
       
PI859

BLOODPRESSURE 1 SYSTOLIC

BLOODPRESSURE 1 SYSTOLIC
expand
         
       
If BLOODPRESSURE 1 SYSTOLIC != 9993 and BLOODPRESSURE 1 SYSTOLIC != 999 »
 
           
         
PI860

BLOODPRESSURE 1 DIASTOLIC

BLOODPRESSURE 1 DIASTOLIC
expand
           
         
PI861

BLOODPRESSURE 1 PULSE

BLOODPRESSURE 1 PULSE
expand
           
         
PI862

BLOOD PRESSURE 2 TIMEActual Value

BLOOD PRESSURE 2 TIMEACTUAL VALUE
expand
           
         
PI864

BLOODPRESSURE 2 SYSTOLIC

BLOODPRESSURE 2 SYSTOLIC
expand
           
         
If BLOODPRESSURE 2 SYSTOLIC != 9993 and BLOODPRESSURE 2 SYSTOLIC != 999 »
 
             
           
PI865

BLOODPRESSURE 2 DIASTOLIC

BLOODPRESSURE 2 DIASTOLIC
expand
             
           
PI866

BLOODPRESSURE 2 PULSE

BLOODPRESSURE 2 PULSE
             
           
PI867

BLOODPRESSURE 3 TIMEActual Value

BLOODPRESSURE 3 TIMEACTUAL VALUE
expand
             
           
PI869

BLOODPRESSURE 3 SYSTOLIC

BLOODPRESSURE 3 SYSTOLIC
expand
             
           
If BLOODPRESSURE 3 SYSTOLIC != 9993 and BLOODPRESSURE 3 SYSTOLIC != 999 »
 
               
             
PI870

BLOODPRESSURE 3 DIASTOLIC

BLOODPRESSURE 3 DIASTOLIC
               
             
PI871

BLOODPRESSURE 3 PULSE

BLOODPRESSURE 3 PULSE
               
         
PI872

BLOODPRESSURE ARM

BLOODPRESSURE ARM
expand
           
         
PI874

BLOODPRESSURE POSITION

BLOODPRESSURE POSITION
expand
           
     
PI804

BREATH COMPLETE AT LEAST ONE TRIAL

BREATH COMPLETE AT LEAST ONE TRIAL
expand
       
     
If BREATH COMPLETE AT LEAST ONE TRIAL != 1 YES 5 NO  »
 
         
       
PI805M1

BREATH TEST REASON NOT COMPLETE -1

BREATH TEST REASON NOT COMPLETE -1
expand
         
     
If BREATH COMPLETE AT LEAST ONE TRIAL = 1 YES 5 NO  »
 
         
       
PI807

PUFF TEST 1

PUFF TEST 1
         
       
PI808

PUFF TEST 2

PUFF TEST 2
         
       
PI809

PUFF TEST 3

PUFF TEST 3
         
       
PI810

R BREATHING TEST EFFORT

R BREATHING TEST EFFORT
expand
         
       
PI811

BREATHING TEST R POSITION

BREATHING TEST R POSITION
expand
         
     
PI812

HAND STRENGTH COMPLETE AT LEAST ONE TRIAL

HAND STRENGTH COMPLETE AT LEAST ONE TRIAL
expand
       
     
If HAND STRENGTH COMPLETE AT LEAST ONE TRIAL != 1 YES 5 NO  »
 
         
       
PI813M1

HAND STRENGTH TEST REASON NOT COMPLETE -1

HAND STRENGTH TEST REASON NOT COMPLETE -1
expand
         
     
Else If HAND STRENGTH COMPLETE AT LEAST ONE TRIAL = 1 YES 5 NO  »
 
         
       
PI815

GRIP DOMINANT HAND

GRIP DOMINANT HAND
expand
         
       
PI816

LEFT HAND FIRST

LEFT HAND FIRST
         
       
PI851

RIGHT HAND FIRST

RIGHT HAND FIRST
         
       
PI852

LEFT HAND SECOND

LEFT HAND SECOND
         
       
PI853

RIGHT HAND SECOND

RIGHT HAND SECOND
         
       
PI817

GRIP R EFFORT

GRIP R EFFORT
expand
         
       
PI818

HAND STRENGTH TEST R POSITION

HAND STRENGTH TEST R POSITION
expand
         
       
PI819

HAND STRENGTH REST ARM

HAND STRENGTH REST ARM
expand
         
     
PI876

BALANCE TEST - SEMI-TANDEM STAND

BALANCE TEST - SEMI-TANDEM STAND
expand
       
     
If BALANCE TEST - SEMI-TANDEM STAND != 1 YES 5 NO  »
 
         
       
PI877
         
     
ElseIf BALANCE TEST - SEMI-TANDEM STAND = 1 YES 5 NO  »
 
         
       
PI879

BALANCE TEST SEMI-TANDEM HOLD FULL TIME

BALANCE TEST SEMI-TANDEM HOLD FULL TIME
expand
         
       
If BALANCE TEST SEMI-TANDEM HOLD FULL TIME = 1 YES 5 NO  »
 
           
         
PI880

BALANCE TEST SEMI-TANDEM TIME

BALANCE TEST SEMI-TANDEM TIME
           
       
If BALANCE TEST SEMI-TANDEM HOLD FULL TIME != 999 and BALANCE TEST SEMI-TANDEM HOLD FULL TIME != 993 »
 
           
         
PI881

BALANCE TEST SEMI-TANDEM COMPENSATORY

BALANCE TEST SEMI-TANDEM COMPENSATORY
expand
           
     
If BALANCE TEST - SEMI-TANDEM STAND = 5 or BALANCE TEST SEMI-TANDEM HOLD FULL TIME != 1 YES 5 NO  »
 
         
       
PI883

BALANCE TEST S-B-S COMPLETE

BALANCE TEST S-B-S COMPLETE
expand
         
       
If BALANCE TEST S-B-S COMPLETE != 1 YES 5 NO  »
 
           
         
PI884M1

BALANCE TEST SBS STAND REASON NOT COMP-1

BALANCE TEST SBS STAND REASON NOT COMP-1
expand
           
       
ElseIf BALANCE TEST S-B-S COMPLETE = 1 YES 5 NO  »
 
           
         
PI886

BALANCE TEST S-B-S HOLD FULL TIME

BALANCE TEST S-B-S HOLD FULL TIME
expand
           
         
If BALANCE TEST S-B-S HOLD FULL TIME = 1 YES 5 NO  »
 
             
           
PI887

BALANCE TEST SIDE-BY-SIDE TIME

BALANCE TEST SIDE-BY-SIDE TIME
expand
             
         
If BALANCE TEST S-B-S HOLD FULL TIME != 993 and BALANCE TEST S-B-S HOLD FULL TIME != 999 »
 
             
           
PI888

BALANCE TEST SIDE-BY-SIDE COMPENSATORY

BALANCE TEST SIDE-BY-SIDE COMPENSATORY
expand
             
     
Else
 
         
       
PI893

BALANCE TEST FULL TANDEM COMPLETE

BALANCE TEST FULL TANDEM COMPLETE
expand
         
       
If BALANCE TEST FULL TANDEM COMPLETE != 1 YES 5 NO  »
 
           
         
PI894M1

BALANCE FULL TANDEM STAND-NOT COMPLETE-1

BALANCE FULL TANDEM STAND-NOT COMPLETE-1
expand
           
       
Else
 
           
         
PI896

BALANCE TEST FULL TANDEM HOLD FULL TIME

BALANCE TEST FULL TANDEM HOLD FULL TIME
expand
           
         
If BALANCE TEST FULL TANDEM HOLD FULL TIME = 1 YES 5 NO and OA019 > 70 »
 
             
           
PI897

BALANCE TEST FULL TANDEM TIME

BALANCE TEST FULL TANDEM TIME
expand
             
         
If BALANCE TEST FULL TANDEM HOLD FULL TIME != 993 and BALANCE TEST FULL TANDEM HOLD FULL TIME != 999 »
 
             
           
PI898

BALANCE TEST FULL TANDEM COMPENSATORY

BALANCE TEST FULL TANDEM COMPENSATORY
expand
             
     
If OA019 > 64 »
 
         
       
PI820

WALKING TEST COMPLETE AT LEAST ONE TRIAL

WALKING TEST COMPLETE AT LEAST ONE TRIAL
expand
         
       
If WALKING TEST COMPLETE AT LEAST ONE TRIAL != 1 YES 5 NO  »
 
           
         
PI821M1

WALKING TEST REASON NOT COMPLETE -1

WALKING TEST REASON NOT COMPLETE -1
expand
           
       
Else
 
           
         
PI823

WALKING TEST 1ST TRIAL TIME

WALKING TEST 1ST TRIAL TIME
           
         
If WALKING TEST 1ST TRIAL TIME != 993 and WALKING TEST 1ST TRIAL TIME != 999 »
 
             
           
PI824

WALKING TEST 2ND TRIAL TIME

WALKING TEST 2ND TRIAL TIME
             
           
PI828

WALKING AID TYPE

WALKING AID TYPE
expand
             
     
PI831

MEASURE R HEIGHT

MEASURE R HEIGHT
expand
       
     
If MEASURE R HEIGHT != 1 YES 5 NO  »
 
         
       
PI832
         
     
Else
 
         
       
PI834

HEIGHT MEASURMENT

HEIGHT MEASURMENT
expand
         
       
PI837

HEIGHT WEARING SHOES

HEIGHT WEARING SHOES
expand
         
     
If OC139 < 300 »
 
         
       
PI838

WEIGHT ABLE TO MEASURE

WEIGHT ABLE TO MEASURE
expand
         
       
If WEIGHT ABLE TO MEASURE != 1 YES 5 NO  »
 
           
         
PI839
           
       
Else
 
           
         
PI841

WEIGHT POUNDS MEASURMENT

WEIGHT POUNDS MEASURMENT
           
         
PI842

WEIGHT FLOOR SURFACE

WEIGHT FLOOR SURFACE
expand
           
         
PI844

WEIGHT WEARING SHOES

WEIGHT WEARING SHOES
expand
           
     
PI904

WAIST COMPLETE

WAIST COMPLETE
expand
       
     
If WAIST COMPLETE != 1 YES 5 NO  »
 
         
       
PI905M1

WAIST WHY NOT COMPLETE-1

WAIST WHY NOT COMPLETE-1
expand
         
     
Else
 
         
       
PI907

WAIST MEASURMENT

WAIST MEASURMENT
         
       
If WAIST MEASURMENT != 993 and WAIST MEASURMENT != 999 »
 
           
         
PI908M1

WAIST DIFFICULTIES -1

WAIST DIFFICULTIES -1
expand
           
         
PI911

WAIST WHO MEASURED

WAIST WHO MEASURED
expand
           
         
PI912

WAIST BULKY CLOTHES

WAIST BULKY CLOTHES
expand
           
   
PI913

SALIVA CONSENT

SALIVA CONSENT
expand
     
   
If SALIVA CONSENT = 5 »
 
       
     
PI941
       
   
Else
 
       
     
PI915

SALIVA SAMPLE COMPLETE

SALIVA SAMPLE COMPLETE
expand
       
     
If SALIVA SAMPLE COMPLETE != 1 YES 5 NO  »
 
         
       
PI916M1

SALIVA WHY NOT COMPLETE-1

SALIVA WHY NOT COMPLETE-1
expand
         
     
Else
 
         
       
PI918

SALIVA FILL VIAL

SALIVA FILL VIAL
expand
         
       
PI919
         
   
PI922

BLOOD SAMPLE CONSENT

BLOOD SAMPLE CONSENT
expand
     
   
If BLOOD SAMPLE CONSENT = 5 »
 
       
     
PI943M1

WHY NO CONSENT BLOOD-1

WHY NO CONSENT BLOOD-1
expand
       
   
Else
 
       
     
PI923

BLOOD SAMPLE COMPLETE

BLOOD SAMPLE COMPLETE
expand
       
     
If BLOOD SAMPLE COMPLETE != 1 YES 5 NO  »
 
         
       
PI924M1

WHY BLOOD SAMPLE NOT COMPLETE-1

WHY BLOOD SAMPLE NOT COMPLETE-1
expand
         
     
Else
 
         
       
PI926M1

BLOOD SAMPLE WHAT PROBLEMS-1

BLOOD SAMPLE WHAT PROBLEMS-1
expand
         
       
PI929

AMOUNT OF BLOOD ON FIRST CARD

AMOUNT OF BLOOD ON FIRST CARD
expand
         
       
PI945

AMOUNT OF BLOOD ON STORAGE CARD

AMOUNT OF BLOOD ON STORAGE CARD
expand
         
End of I. Physical Measures
Start of I. Physical Measures

========================================================================
PI800
PHYSICAL MEASURES FTF IW

PHYSICAL MEASURES FTF IW
- - - - - - - - - - - - - - - - - - - - - - - - -
1 PHONE
2 F-T-F


If OX090_R = ENHANCEDFTF »

If PHYSICAL MEASURES FTF IW (PI800) = 2 and OA028 = NO and LANGUAGE = SPANISH or ENGLISH »

| |  ========================================================================
| | 
PI802
PHYSICAL MEASURES CONSENT

PHYSICAL MEASURES CONSENT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| |  If PHYSICAL MEASURES CONSENT (PI802) = 1 YES 5 NO  »

| | |  ========================================================================
| | | 
PI854
BLOOD PRESSURE COMPLETE

BLOOD PRESSURE COMPLETE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If BLOOD PRESSURE COMPLETE (PI854) = 5 »

| | | |  ========================================================================
| | | | 
PI855M1
BLOOD PRESSURE NOT COMPLETE-1

BLOOD PRESSURE NOT COMPLETE-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE TEST
4 R TRIED BUT WAS UNABLE TO COMPLETE TEST
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R HAD A RASH, A CAST, EDEMA, OPEN SORES OR WOUNDS, OR SIGNIFICANT BRUISE WHERE THE BLOOD CUFF WOULD CONTACT R' ARM
7 NO SUITABLE SPACE
8 PROBLEM WITH EQUIPMENT OR SUPPLIES
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | |  ElseIf BLOOD PRESSURE COMPLETE (PI854) = 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI857
BLOODPRESSURE TIMEActual Value

BLOODPRESSURE TIMEACTUAL VALUE
- - - - - - - - - - - - - - - - - - - - - - - - -
99999998 DK (Don't Know)NA (Not Ascertained)
99999999 RF (Refused)


| | | |  ========================================================================
| | | | 
PI859
BLOODPRESSURE 1 SYSTOLIC

BLOODPRESSURE 1 SYSTOLIC
- - - - - - - - - - - - - - - - - - - - - - - - -
993 R WAS UNABLE TO DO IT
998 DK (Don't Know)NA (Not Ascertained)
999 R CHOSE NOT TO DO IT


| | | |  If BLOODPRESSURE 1 SYSTOLIC (PI859) != 9993 and BLOODPRESSURE 1 SYSTOLIC (PI859) != 999 »

| | | | |  ========================================================================
| | | | | 
PI860
BLOODPRESSURE 1 DIASTOLIC

BLOODPRESSURE 1 DIASTOLIC
- - - - - - - - - - - - - - - - - - - - - - - - -
998 DK (Don't Know)NA (Not Ascertained)
999 RF (Refused)


| | | | |  ========================================================================
| | | | | 
PI861
BLOODPRESSURE 1 PULSE

BLOODPRESSURE 1 PULSE
- - - - - - - - - - - - - - - - - - - - - - - - -
993 Out of range
998 DK (Don't Know)NA (Not Ascertained)
999 RF (Refused)


| | | | |  ========================================================================
| | | | | 
PI862
BLOOD PRESSURE 2 TIMEActual Value

BLOOD PRESSURE 2 TIMEACTUAL VALUE
- - - - - - - - - - - - - - - - - - - - - - - - -
99999998 DK (Don't Know)NA (Not Ascertained)
99999999 RF (Refused)


| | | | |  ========================================================================
| | | | | 
PI864
BLOODPRESSURE 2 SYSTOLIC

BLOODPRESSURE 2 SYSTOLIC
- - - - - - - - - - - - - - - - - - - - - - - - -
993 R TRIED BUT WAS UNABLE TO DO IT
998 DK (Don't Know)NA (Not Ascertained)
999 R CHOSE NOT TO DO IT


| | | | |  If BLOODPRESSURE 2 SYSTOLIC (PI864) != 9993 and BLOODPRESSURE 2 SYSTOLIC (PI864) != 999 »

| | | | | |  ========================================================================
| | | | | | 
PI865
BLOODPRESSURE 2 DIASTOLIC

BLOODPRESSURE 2 DIASTOLIC
- - - - - - - - - - - - - - - - - - - - - - - - -
998 DK (Don't Know)NA (Not Ascertained)
999 RF (Refused)


| | | | | |  ========================================================================
| | | | | | 
PI866
BLOODPRESSURE 2 PULSE

BLOODPRESSURE 2 PULSE

| | | | | |  ========================================================================
| | | | | | 
PI867
BLOODPRESSURE 3 TIMEActual Value

BLOODPRESSURE 3 TIMEACTUAL VALUE
- - - - - - - - - - - - - - - - - - - - - - - - -
99999998 DK (Don't Know)NA (Not Ascertained)
99999999 RF (Refused)


| | | | | |  ========================================================================
| | | | | | 
PI869
BLOODPRESSURE 3 SYSTOLIC

BLOODPRESSURE 3 SYSTOLIC
- - - - - - - - - - - - - - - - - - - - - - - - -
993 R TRIED BUT WAS UNABLE TO DO IT
998 DK (Don't Know)NA (Not Ascertained)
999 R CHOSE NOT TO DO IT


| | | | | |  If BLOODPRESSURE 3 SYSTOLIC (PI869) != 9993 and BLOODPRESSURE 3 SYSTOLIC (PI869) != 999 »

| | | | | | |  ========================================================================
| | | | | | | 
PI870
BLOODPRESSURE 3 DIASTOLIC

BLOODPRESSURE 3 DIASTOLIC

| | | | | | |  ========================================================================
| | | | | | | 
PI871
BLOODPRESSURE 3 PULSE

BLOODPRESSURE 3 PULSE

| | | | |  ========================================================================
| | | | | 
PI872
BLOODPRESSURE ARM

BLOODPRESSURE ARM
- - - - - - - - - - - - - - - - - - - - - - - - -
1 LEFT ARM
2 RIGHT ARM
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | | | |  ========================================================================
| | | | | 
PI874
BLOODPRESSURE POSITION

BLOODPRESSURE POSITION
- - - - - - - - - - - - - - - - - - - - - - - - -
1 STANDING
2 SITTING
3 LYING DOWN
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | |  ========================================================================
| | | 
PI804
BREATH COMPLETE AT LEAST ONE TRIAL

BREATH COMPLETE AT LEAST ONE TRIAL
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If BREATH COMPLETE AT LEAST ONE TRIAL (PI804) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI805M1
BREATH TEST REASON NOT COMPLETE -1

BREATH TEST REASON NOT COMPLETE -1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE TEST
4 R TRIED BUT WAS UNABLE TO COMPLETE TEST
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | |  If BREATH COMPLETE AT LEAST ONE TRIAL (PI804) = 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI807
PUFF TEST 1

PUFF TEST 1

| | | |  ========================================================================
| | | | 
PI808
PUFF TEST 2

PUFF TEST 2

| | | |  ========================================================================
| | | | 
PI809
PUFF TEST 3

PUFF TEST 3

| | | |  ========================================================================
| | | | 
PI810
R BREATHING TEST EFFORT

R BREATHING TEST EFFORT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R GAVE FULL EFFORT
2 R WAS PREVENTED FROM GIVING FULL EFFORT BY ILLNESS, PAIN, OR
3 R DID NOT APPEAR TO GIVE FULL EFFORT, BUT NO OBVIOUS REASON
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | | |  ========================================================================
| | | | 
PI811
BREATHING TEST R POSITION

BREATHING TEST R POSITION
- - - - - - - - - - - - - - - - - - - - - - - - -
1 STANDING
2 SITTING
3 LYING DOWN
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | |  ========================================================================
| | | 
PI812
HAND STRENGTH COMPLETE AT LEAST ONE TRIAL

HAND STRENGTH COMPLETE AT LEAST ONE TRIAL
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If HAND STRENGTH COMPLETE AT LEAST ONE TRIAL (PI812) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI813M1
HAND STRENGTH TEST REASON NOT COMPLETE -1

HAND STRENGTH TEST REASON NOT COMPLETE -1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE TEST
4 R TRIED BUT WAS UNABLE TO COMPLETE TEST
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R HAD SURGERY, INJURY, SWELLING, ETC. ON BOTH HANDS
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | |  Else If HAND STRENGTH COMPLETE AT LEAST ONE TRIAL (PI812) = 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI815
GRIP DOMINANT HAND

GRIP DOMINANT HAND
- - - - - - - - - - - - - - - - - - - - - - - - -
1 RIGHT HAND
2 LEFT HAND
3 BOTH HANDS EQUALLY DOMINANT


| | | |  ========================================================================
| | | | 
PI816
LEFT HAND FIRST

LEFT HAND FIRST

| | | |  ========================================================================
| | | | 
PI851
RIGHT HAND FIRST

RIGHT HAND FIRST

| | | |  ========================================================================
| | | | 
PI852
LEFT HAND SECOND

LEFT HAND SECOND

| | | |  ========================================================================
| | | | 
PI853
RIGHT HAND SECOND

RIGHT HAND SECOND

| | | |  ========================================================================
| | | | 
PI817
GRIP R EFFORT

GRIP R EFFORT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R GAVE FULL EFFORT
2 R WAS PREVENTED FROM GIVING FULL EFFORT BY ILLNESS, PAIN, OR OTHER SYMPTOMS OR DISCOMFORTS
3 R DID NOT APPEAR TO GIVE FULL EFFORT, BUT NO OBVIOUS REASON FOR THIS


| | | |  ========================================================================
| | | | 
PI818
HAND STRENGTH TEST R POSITION

HAND STRENGTH TEST R POSITION
- - - - - - - - - - - - - - - - - - - - - - - - -
1 STANDING
2 SITTING
3 LYING DOWN
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | | |  ========================================================================
| | | | 
PI819
HAND STRENGTH REST ARM

HAND STRENGTH REST ARM
- - - - - - - - - - - - - - - - - - - - - - - - -
1 BOTH HANDS
2 LEFT HAND ONLY
3 RIGHT HAND ONLY
5 NO
8 DK (Don't Know)NA (Not Ascertained)


| | |  ========================================================================
| | | 
PI876
BALANCE TEST - SEMI-TANDEM STAND

BALANCE TEST - SEMI-TANDEM STAND
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If BALANCE TEST - SEMI-TANDEM STAND (PI876) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI877
PI877

| | |  ElseIf BALANCE TEST - SEMI-TANDEM STAND (PI876) = 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI879
BALANCE TEST SEMI-TANDEM HOLD FULL TIME

BALANCE TEST SEMI-TANDEM HOLD FULL TIME
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | |  If BALANCE TEST SEMI-TANDEM HOLD FULL TIME (PI879) = 1 YES 5 NO  »

| | | | |  ========================================================================
| | | | | 
PI880
BALANCE TEST SEMI-TANDEM TIME

BALANCE TEST SEMI-TANDEM TIME

| | | |  If BALANCE TEST SEMI-TANDEM HOLD FULL TIME (PI879) != 999 and BALANCE TEST SEMI-TANDEM HOLD FULL TIME (PI879) != 993 »

| | | | |  ========================================================================
| | | | | 
PI881
BALANCE TEST SEMI-TANDEM COMPENSATORY

BALANCE TEST SEMI-TANDEM COMPENSATORY
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK (Don't Know)NA (Not Ascertained)


| | |  If BALANCE TEST - SEMI-TANDEM STAND (PI876) = 5 or BALANCE TEST SEMI-TANDEM HOLD FULL TIME (PI879) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI883
BALANCE TEST S-B-S COMPLETE

BALANCE TEST S-B-S COMPLETE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | |  If BALANCE TEST S-B-S COMPLETE (PI883) != 1 YES 5 NO  »

| | | | |  ========================================================================
| | | | | 
PI884M1
BALANCE TEST SBS STAND REASON NOT COMP-1

BALANCE TEST SBS STAND REASON NOT COMP-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE TEST
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R HAS SURGERY, INJURY, OR OTHER HEALTH CONDITION THAT PREVENTED R FROM STANDING
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | | |  ElseIf BALANCE TEST S-B-S COMPLETE (PI883) = 1 YES 5 NO  »

| | | | |  ========================================================================
| | | | | 
PI886
BALANCE TEST S-B-S HOLD FULL TIME

BALANCE TEST S-B-S HOLD FULL TIME
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | | |  If BALANCE TEST S-B-S HOLD FULL TIME (PI886) = 1 YES 5 NO  »

| | | | | |  ========================================================================
| | | | | | 
PI887
BALANCE TEST SIDE-BY-SIDE TIME

BALANCE TEST SIDE-BY-SIDE TIME
- - - - - - - - - - - - - - - - - - - - - - - - -
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | | | |  If BALANCE TEST S-B-S HOLD FULL TIME (PI886) != 993 and BALANCE TEST S-B-S HOLD FULL TIME (PI886) != 999 »

| | | | | |  ========================================================================
| | | | | | 
PI888
BALANCE TEST SIDE-BY-SIDE COMPENSATORY

BALANCE TEST SIDE-BY-SIDE COMPENSATORY
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK (Don't Know)NA (Not Ascertained)


| | |  Else

| | | |  ========================================================================
| | | | 
PI893
BALANCE TEST FULL TANDEM COMPLETE

BALANCE TEST FULL TANDEM COMPLETE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | |  If BALANCE TEST FULL TANDEM COMPLETE (PI893) != 1 YES 5 NO  »

| | | | |  ========================================================================
| | | | | 
PI894M1
BALANCE FULL TANDEM STAND-NOT COMPLETE-1

BALANCE FULL TANDEM STAND-NOT COMPLETE-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE TEST
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R HAD SURGERY, INJURY OR OTHER HEALTH CONDITION THAT PREVENTED R FROM STANDING
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | | |  Else

| | | | |  ========================================================================
| | | | | 
PI896
BALANCE TEST FULL TANDEM HOLD FULL TIME

BALANCE TEST FULL TANDEM HOLD FULL TIME
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | | |  If BALANCE TEST FULL TANDEM HOLD FULL TIME (PI896) = 1 YES 5 NO and OA019 > 70 »

| | | | | |  ========================================================================
| | | | | | 
PI897
BALANCE TEST FULL TANDEM TIME

BALANCE TEST FULL TANDEM TIME
- - - - - - - - - - - - - - - - - - - - - - - - -
998 DK (Don't Know)NA (Not Ascertained)
999 RF (Refused)


| | | | |  If BALANCE TEST FULL TANDEM HOLD FULL TIME (PI896) != 993 and BALANCE TEST FULL TANDEM HOLD FULL TIME (PI896) != 999 »

| | | | | |  ========================================================================
| | | | | | 
PI898
BALANCE TEST FULL TANDEM COMPENSATORY

BALANCE TEST FULL TANDEM COMPENSATORY
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK (Don't Know)NA (Not Ascertained)


| | |  If OA019 > 64 »

| | | |  ========================================================================
| | | | 
PI820
WALKING TEST COMPLETE AT LEAST ONE TRIAL

WALKING TEST COMPLETE AT LEAST ONE TRIAL
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | |  If WALKING TEST COMPLETE AT LEAST ONE TRIAL (PI820) != 1 YES 5 NO  »

| | | | |  ========================================================================
| | | | | 
PI821M1
WALKING TEST REASON NOT COMPLETE -1

WALKING TEST REASON NOT COMPLETE -1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE TEST
4 R TRIED BUT WAS UNABLE TO COMPLETE TEST
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R HAD SURGERY, INJURY, OR OTHER HEALTH CONDITION THAT PREVENTED R FROM WALKING
7 NO SUITABLE SPACE AVAILABLE
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | | |  Else

| | | | |  ========================================================================
| | | | | 
PI823
WALKING TEST 1ST TRIAL TIME

WALKING TEST 1ST TRIAL TIME

| | | | |  If WALKING TEST 1ST TRIAL TIME (PI823) != 993 and WALKING TEST 1ST TRIAL TIME (PI823) != 999 »

| | | | | |  ========================================================================
| | | | | | 
PI824
WALKING TEST 2ND TRIAL TIME

WALKING TEST 2ND TRIAL TIME

| | | | | |  ========================================================================
| | | | | | 
PI828
WALKING AID TYPE

WALKING AID TYPE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 NONE
2 WALKING STICK OR CANE
3 ELBOW CRUTCHES
4 WALKING FRAME
7 OTHER (SPECIFY)
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | |  ========================================================================
| | | 
PI831
MEASURE R HEIGHT

MEASURE R HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If MEASURE R HEIGHT (PI831) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI832
PI832

| | |  Else

| | | |  ========================================================================
| | | | 
PI834
HEIGHT MEASURMENT

HEIGHT MEASURMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | | |  ========================================================================
| | | | 
PI837
HEIGHT WEARING SHOES

HEIGHT WEARING SHOES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | |  If OC139 < 300 »

| | | |  ========================================================================
| | | | 
PI838
WEIGHT ABLE TO MEASURE

WEIGHT ABLE TO MEASURE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | |  If WEIGHT ABLE TO MEASURE (PI838) != 1 YES 5 NO  »

| | | | |  ========================================================================
| | | | | 
PI839
PI839

| | | |  Else

| | | | |  ========================================================================
| | | | | 
PI841
WEIGHT POUNDS MEASURMENT

WEIGHT POUNDS MEASURMENT

| | | | |  ========================================================================
| | | | | 
PI842
WEIGHT FLOOR SURFACE

WEIGHT FLOOR SURFACE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 LINOLEUM/TILE/WOOD
2 LOW-PILE CARPET
3 HIGH-PILE CARPET
4 CONCRETE/brick
5 NOT SURE
7 OTHER (SPECIFY)


| | | | |  ========================================================================
| | | | | 
PI844
WEIGHT WEARING SHOES

WEIGHT WEARING SHOES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | |  ========================================================================
| | | 
PI904
WAIST COMPLETE

WAIST COMPLETE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If WAIST COMPLETE (PI904) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI905M1
WAIST WHY NOT COMPLETE-1

WAIST WHY NOT COMPLETE-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE MEASUREMENT
4 R TRIED BUT WAS UNABLE TO COMPLETE MEASUREMENT
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R IS NOT ABLE TO STAND
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | |  Else

| | | |  ========================================================================
| | | | 
PI907
WAIST MEASURMENT

WAIST MEASURMENT

| | | |  If WAIST MEASURMENT (PI907) != 993 and WAIST MEASURMENT (PI907) != 999 »

| | | | |  ========================================================================
| | | | | 
PI908M1
WAIST DIFFICULTIES -1

WAIST DIFFICULTIES -1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 NONE
2 R HAD BREATHING DIFFICULTIES
3 R WAS UNABLE TO HOLD BREATH AT END OF EXHALE
4 R WAS PREVENTED FROM GIVING FULL EFFORT BY ILLNESS, PAIN, OR OTHER SYMPTOMS OR DISCOMFORTS
5 R DID NOT APPEAR TO GIVE FULL EFFORT, BUT NO OBVIOUS REASON FOR THIS.
6 HAD DIFFICULTY OR UNABLE TO LOCATE NAVEL
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | | | |  ========================================================================
| | | | | 
PI911
WAIST WHO MEASURED

WAIST WHO MEASURED
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R COMPLETED THE MEASUREMENT
2 IWER COMPLETED THE MEASUREMENT
8 DK (Don't Know)NA (Not Ascertained)


| | | | |  ========================================================================
| | | | | 
PI912
WAIST BULKY CLOTHES

WAIST BULKY CLOTHES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK (Don't Know)NA (Not Ascertained)


| |  ========================================================================
| | 
PI913
SALIVA CONSENT

SALIVA CONSENT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| |  If SALIVA CONSENT (PI913) = 5 »

| | |  ========================================================================
| | | 
PI941
PI941

| |  Else

| | |  ========================================================================
| | | 
PI915
SALIVA SAMPLE COMPLETE

SALIVA SAMPLE COMPLETE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If SALIVA SAMPLE COMPLETE (PI915) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI916M1
SALIVA WHY NOT COMPLETE-1

SALIVA WHY NOT COMPLETE-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE MEASUREMENT
4 R tried but was unable to complete measurement
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
8 PROBLEM WITH EQUIPMENT OR SUPPLIES
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | |  Else

| | | |  ========================================================================
| | | | 
PI918
SALIVA FILL VIAL

SALIVA FILL VIAL
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | | |  ========================================================================
| | | | 
PI919
PI919

| |  ========================================================================
| | 
PI922
BLOOD SAMPLE CONSENT

BLOOD SAMPLE CONSENT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| |  If BLOOD SAMPLE CONSENT (PI922) = 5 »

| | |  ========================================================================
| | | 
PI943M1
WHY NO CONSENT BLOOD-1

WHY NO CONSENT BLOOD-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE MEASUREMENT
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R HAS HEMOPHILIA OR IS ON MEDICATION THAT THINS THE BLOOD
7 NO SUITABLE SPACE
9 PROBLEM WITH EQUIPMENT OR SUPPLIES
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| |  Else

| | |  ========================================================================
| | | 
PI923
BLOOD SAMPLE COMPLETE

BLOOD SAMPLE COMPLETE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| | |  If BLOOD SAMPLE COMPLETE (PI923) != 1 YES 5 NO  »

| | | |  ========================================================================
| | | | 
PI924M1
WHY BLOOD SAMPLE NOT COMPLETE-1

WHY BLOOD SAMPLE NOT COMPLETE-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R FELT IT WOULD NOT BE SAFE
2 IWER FELT IT WOULD NOT BE SAFE
3 R REFUSED OR WAS NOT WILLING TO COMPLETE THE MEASUREMENT
4 R tried but was unable to complete test
5 R DID NOT UNDERSTAND THE INSTRUCTIONS
6 R HAS HEMOPHILIA OR IS ON MEDICATION THAT THINS THE BLOOD
8 PROBLEM WITH EQUIPMENT OR SUPPLIES
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)


| | |  Else

| | | |  ========================================================================
| | | | 
PI926M1
BLOOD SAMPLE WHAT PROBLEMS-1

BLOOD SAMPLE WHAT PROBLEMS-1
- - - - - - - - - - - - - - - - - - - - - - - - -
1 NONE
2 R BECAME LIGHTHEADED, FAINTED, OR BECAME NAUSEOUS
3 R HAD DIFFICULTY GETTING FINGER TO STOP BLEEDING
97 OTHER (SPECIFY)
98 DK (Don't Know)NA (Not Ascertained)
99 RF (Refused)


| | | |  ========================================================================
| | | | 
PI929
AMOUNT OF BLOOD ON FIRST CARD

AMOUNT OF BLOOD ON FIRST CARD
- - - - - - - - - - - - - - - - - - - - - - - - -
0 ZERO
1 ONE
2 TWO
3 THREE
4 FOUR
5 FIVE
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


| | | |  ========================================================================
| | | | 
PI945
AMOUNT OF BLOOD ON STORAGE CARD

AMOUNT OF BLOOD ON STORAGE CARD
- - - - - - - - - - - - - - - - - - - - - - - - -
0 ZERO
1 ONE
2 TWO
3 THREE
4 FOUR
5 FIVE
8 DK (Don't Know)NA (Not Ascertained)
9 RF (Refused)


End of I. Physical Measures