SH. FUNCIONALITY AND HELP

SH. FUNCIONALITY AND HELP for MHAS 2015 Exit

Start of SH. FUNCIONALITY AND HELP
 
SH1

Due to health problems, did someone used to help (NAME) with at least one activity such as walking across a room, bathing or showering, eating, such as cutting his/her food, getting in or out of bed, using the toilet, including getting on and off the toil

DUE TO HEALTH PROBLEMS, DID SOMEONE USED TO HELP (NAME) WITH AT LEAST ONE ACTIVITY SUCH AS WALKING ACROSS A ROOM, BATHING OR SHOWERING, EATING, SUCH AS CUTTING HIS/HER FOOD, GETTING IN OR OUT OF BED, USING THE TOILET, INCLUDING GETTING ON AND OFF THE TOILET OR SQUATTING?

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If Due to health problems, did someone used to help (NAME) with at least one activity such as walking across a room, bathing or showering, eating, such as cutting his/her food, getting in or out of bed, using the toilet, including getting on and off the toil = 1 Yes or Due to health problems, did someone used to help (NAME) with at least one activity such as walking across a room, bathing or showering, eating, such as cutting his/her food, getting in or out of bed, using the toilet, including getting on and off the toil = 3 Couldn't do those activities or Due to health problems, did someone used to help (NAME) with at least one activity such as walking across a room, bathing or showering, eating, such as cutting his/her food, getting in or out of bed, using the toilet, including getting on and off the toil = 4 Didn't do those activities »
 
   
 
SH2

Please tell me who helped (NAME) with these activities.

PLEASE TELL ME WHO HELPED (NAME) WITH THESE ACTIVITIES.
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SH3

If the person is included in any roster, note the corresponding registration number. If it's a child in law or a grandchild, note the registration number to whom he/she is related. If person is not in any roster, record 666

IF THE PERSON IS INCLUDED IN ANY ROSTER, NOTE THE CORRESPONDING REGISTRATION NUMBER. IF IT'S A CHILD IN LAW OR A GRANDCHILD, NOTE THE REGISTRATION NUMBER TO WHOM HE/SHE IS RELATED. IF PERSON IS NOT IN ANY ROSTER, RECORD 666
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SH4

What relationship did (NAME OF PERSON WHO HELPED) have to (NAME)?

WHAT RELATIONSHIP DID (NAME OF PERSON WHO HELPED) HAVE TO (NAME)?
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SH5

During the last month of his/her life, about how many days did he/she help (NAME)?

DURING THE LAST MONTH OF HIS/HER LIFE, ABOUT HOW MANY DAYS DID HE/SHE HELP (NAME)?
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SH6

On those days that he/she helped (NAME), about how many hours per day did he/ she help?

ON THOSE DAYS THAT HE/SHE HELPED (NAME), ABOUT HOW MANY HOURS PER DAY DID HE/ SHE HELP?
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SH7

Now I will mention other activities with which people may have problems due to a physical, mental, emotional or memory related problem. Please tell me about the help that (NAME) received in the LAST THREE MONTHS BEFORE HIS/HER DEATH. Due to a health probl

NOW I WILL MENTION OTHER ACTIVITIES WITH WHICH PEOPLE MAY HAVE PROBLEMS DUE TO A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY RELATED PROBLEM. PLEASE TELL ME ABOUT THE HELP THAT (NAME) RECEIVED IN THE LAST THREE MONTHS BEFORE HIS/HER DEATH. DUE TO A HEALTH PROBLEM, DID SOMEONE HELP (NAME) WITH AT LEAST ONE ACTIVITY SUCH AS PREPARING A HOT MEAL, MAKING PURCHASES/SHOPPING, TAKING HIS/HER MEDICATIONS (IF SOME ARE TAKEN), MANAGING HIS/HER MONEY
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If Now I will mention other activities with which people may have problems due to a physical, mental, emotional or memory related problem. Please tell me about the help that (NAME) received in the LAST THREE MONTHS BEFORE HIS/HER DEATH. Due to a health probl = 1 Yes or Now I will mention other activities with which people may have problems due to a physical, mental, emotional or memory related problem. Please tell me about the help that (NAME) received in the LAST THREE MONTHS BEFORE HIS/HER DEATH. Due to a health probl = 3 Couldn't do those activities or Now I will mention other activities with which people may have problems due to a physical, mental, emotional or memory related problem. Please tell me about the help that (NAME) received in the LAST THREE MONTHS BEFORE HIS/HER DEATH. Due to a health probl = 4 Didn't do those activities »
 
   
 
SH8

Please tell me who helped (NAME) with these activities.

PLEASE TELL ME WHO HELPED (NAME) WITH THESE ACTIVITIES.
   
 
SH9

If the person is included in any roster, note the registration number If it's a child in law or a grandchild, note the registration number to whom he/she is related. If person is not in any roster, record 666

IF THE PERSON IS INCLUDED IN ANY ROSTER, NOTE THE REGISTRATION NUMBER IF IT'S A CHILD IN LAW OR A GRANDCHILD, NOTE THE REGISTRATION NUMBER TO WHOM HE/SHE IS RELATED. IF PERSON IS NOT IN ANY ROSTER, RECORD 666

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SH10

What relationship did (NAME OF PERSON WHO HELPED) have to (NAME)?

WHAT RELATIONSHIP DID (NAME OF PERSON WHO HELPED) HAVE TO (NAME)?
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SH11

During the last month of his/her life, about how many days did he/she help (NAME)?

DURING THE LAST MONTH OF HIS/HER LIFE, ABOUT HOW MANY DAYS DID HE/SHE HELP (NAME)?
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SH12

On those days that he/she helped (NAME), about how many hours per day did he/ she help?

ON THOSE DAYS THAT HE/SHE HELPED (NAME), ABOUT HOW MANY HOURS PER DAY DID HE/ SHE HELP?
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End of SH. FUNCIONALITY AND HELP