I_BM. BIOMARKERS (BM)

Up to survey overview Start of I_BM. BIOMARKERS (BM)   BM001 [Equipment needed: Omron HEM-780N Monitor, Batteries, Stopwatch] I would like to measure your blood pressure and pulse using this monitor and cuff which I will secure around your left arm. I would like to take three blood pressure measures. I will ask you to relax and remain seated and quiet, with legs uncrossed and feet flat on the floor, during the measurements. First, I will place the cuff on your left arm. Once the cuff is placed appropriately on your arm and we are ready to begin, I will ask you to lay your arm on a flat surface, palm facing up, so that the center of your upper arm is at the same height as your heart. I will then press the start button. The cuff will inflate and deflate automatically. It will squeeze your arm a bit, but won't hurt. After we have completed all three measures, I will give you your results. Do you understand these directions and are you willing to provide this measurement? view item details » [EQUIPMENT NEEDED: OMRON HEM-780N MONITOR, BATTERIES, STOPWATCH] I WOULD LIKE TO MEASURE YOUR BLOOD PRESSURE AND PULSE USING THIS MONITOR AND CUFF WHICH I WILL SECURE AROUND YOUR LEFT ARM. I WOULD LIKE TO TAKE THREE BLOOD PRESSURE MEASURES. I WILL ASK YOU TO RELAX AND REMAIN SEATED AND QUIET, WITH LEGS UNCROSSED AND FEET FLAT ON THE FLOOR, DURING THE MEASUREMENTS. FIRST, I WILL PLACE THE CUFF ON YOUR LEFT ARM. ONCE THE CUFF IS PLACED APPROPRIATELY ON YOUR ARM AND WE ARE READY TO BEGIN, I WILL ASK YOU TO LAY YOUR ARM ON A FLAT SURFACE, PALM FACING UP, SO THAT THE CENTER OF YOUR UPPER ARM IS AT THE SAME HEIGHT AS YOUR HEART. I WILL THEN PRESS THE START BUTTON. THE CUFF WILL INFLATE AND DEFLATE AUTOMATICALLY. IT WILL SQUEEZE YOUR ARM A BIT, BUT WON'T HURT. AFTER WE HAVE COMPLETED ALL THREE MEASURES, I WILL GIVE YOU YOUR RESULTS. DO YOU UNDERSTAND THESE DIRECTIONS AND ARE YOU WILLING TO PROVIDE THIS MEASUREMENT? 1 Yes 2 No   If [Equipment needed: Omron HEM-780N Monitor, Batteries, Stopwatch] I would like to measure your blood pressure and pulse using this monitor and cuff which I will secure around your left arm. I would like to take three blood pressure measures. I will ask you to relax and remain seated and quiet, with legs uncrossed and feet flat on the floor, during the measurements. First, I will place the cuff on your left arm. Once the cuff is placed appropriately on your arm and we are ready to begin, I will ask you to lay your arm on a flat surface, palm facing up, so that the center of your upper arm is at the same height as your heart. I will then press the start button. The cuff will inflate and deflate automatically. It will squeeze your arm a bit, but won't hurt. After we have completed all three measures, I will give you your results. Do you understand these directions and are you willing to provide this measurement? view item details » = 1 Yes 2 No  »         BM002 Did you smoke, exercise, or consume alcohol or food within the 30 minutes prior the blood pressure test? view item details » DID YOU SMOKE, EXERCISE, OR CONSUME ALCOHOL OR FOOD WITHIN THE 30 MINUTES PRIOR THE BLOOD PRESSURE TEST? 1 Yes 2 No       BM003 Do you have a rash, a cast, edema (swelling) in the left arm, open sores or wounds, or a significant bruise where the blood pressure cuff will be in contact? view item details » DO YOU HAVE A RASH, A CAST, EDEMA (SWELLING) IN THE LEFT ARM, OPEN SORES OR WOUNDS, OR A SIGNIFICANT BRUISE WHERE THE BLOOD PRESSURE CUFF WILL BE IN CONTACT? 1 Yes 2 No       If Do you have a rash, a cast, edema (swelling) in the left arm, open sores or wounds, or a significant bruise where the blood pressure cuff will be in contact? view item details » = 1 Yes 2 No  »             BM004 [Ask only if BM003=1]Do you have a rash, a cast, edema (swelling) in the right arm, open sores or wounds, or a significant bruise where the blood pressure cuff will be in contact? view item details » [ASK ONLY IF BM003=1]DO YOU HAVE A RASH, A CAST, EDEMA (SWELLING) IN THE RIGHT ARM, OPEN SORES OR WOUNDS, OR A SIGNIFICANT BRUISE WHERE THE BLOOD PRESSURE CUFF WILL BE IN CONTACT? 1 Yes 2 No           If [Ask only if BM003=1]Do you have a rash, a cast, edema (swelling) in the right arm, open sores or wounds, or a significant bruise where the blood pressure cuff will be in contact? view item details » = 2 »                 BM005 Time of Reading __ __:__ __ am/pm view item details » TIME OF READING __ __:__ __ AM/PM               BM006 Systolic Reading ___ mmHg view item details » SYSTOLIC READING ___ MMHG               BM007 Diastolic Reading ___ mmHg view item details » DIASTOLIC READING ___ MMHG               BM008 Pulse ___ Beats/min view item details » PULSE ___ BEATS/MIN               BM009 Time of Reading __ __:__ __ am/pm view item details » TIME OF READING __ __:__ __ AM/PM               BM010 Systolic Reading___ mmHg view item details » SYSTOLIC READING___ MMHG               BM011 Diastolic Reading___mmHg view item details » DIASTOLIC READING___MMHG               BM012 Pulse ___ Beats/min view item details » PULSE ___ BEATS/MIN               BM013 Time of Reading __ __:__ __ am/pm view item details » TIME OF READING __ __:__ __ AM/PM               BM014 Systolic Reading___ mmHg view item details » SYSTOLIC READING___ MMHG               BM015 Diastolic Reading___mmHg view item details » DIASTOLIC READING___MMHG               BM016 Pulse ___ Beats/min view item details » PULSE ___ BEATS/MIN               BM017 Systolic Reading ___mmHg view item details » SYSTOLIC READING ___MMHG               BM018 Diastolic Reading ___mmHg view item details » DIASTOLIC READING ___MMHG               BM019 Pulse __ Beats/min view item details » PULSE __ BEATS/MIN               BM020 Which arm was used to conduct the measurements? view item details » WHICH ARM WAS USED TO CONDUCT THE MEASUREMENTS? 1 Left arm 2 Right arm               BM021 What was R's position for this test? view item details » WHAT WAS R'S POSITION FOR THIS TEST? 1 Standing 2 Sitting 3 Lying down               BM022 How compliant was R during this measurement? view item details » HOW COMPLIANT WAS R DURING THIS MEASUREMENT? 1 R was fully compliant 2 R was prevented from fully complying due to illness, pain, or other symptoms or discomfort 3 R was not fully compliant[Grip Strength/Hand Strength]         BM023 [Equipment needed: Dynamometer, Stopwatch] Now I would like to assess the strength of your hand in a gripping action. I will ask you to squeeze this handle as hard as you can, just for a couple of seconds and then let go. I will take alternately two measurements from your right and your left hand. Begin the test with the left hand. view item details » [EQUIPMENT NEEDED: DYNAMOMETER, STOPWATCH] NOW I WOULD LIKE TO ASSESS THE STRENGTH OF YOUR HAND IN A GRIPPING ACTION. I WILL ASK YOU TO SQUEEZE THIS HANDLE AS HARD AS YOU CAN, JUST FOR A COUPLE OF SECONDS AND THEN LET GO. I WILL TAKE ALTERNATELY TWO MEASUREMENTS FROM YOUR RIGHT AND YOUR LEFT HAND. BEGIN THE TEST WITH THE LEFT HAND.   BM024 Before we begin, I would like to make sure it is safe for you to do this measurement. Have you had surgery or experienced any swelling, inflammation, severe pain, or injury in one or both hands within the last 6 months? view item details » BEFORE WE BEGIN, I WOULD LIKE TO MAKE SURE IT IS SAFE FOR YOU TO DO THIS MEASUREMENT. HAVE YOU HAD SURGERY OR EXPERIENCED ANY SWELLING, INFLAMMATION, SEVERE PAIN, OR INJURY IN ONE OR BOTH HANDS WITHIN THE LAST 6 MONTHS? 1 Yes 2 No   If Before we begin, I would like to make sure it is safe for you to do this measurement. Have you had surgery or experienced any swelling, inflammation, severe pain, or injury in one or both hands within the last 6 months? view item details » = 1 Yes 2 No  »         BM025 In which hand (have you had surgery or experienced any swelling, inflammation, severe pain, or injury in the last 6 months)? view item details » IN WHICH HAND (HAVE YOU HAD SURGERY OR EXPERIENCED ANY SWELLING, INFLAMMATION, SEVERE PAIN, OR INJURY IN THE LAST 6 MONTHS)? 1 Both hands 2 Left hand only 3 Right hand only     BM026 Which is your dominant hand? view item details » WHICH IS YOUR DOMINANT HAND? 1 Right hand 2 Left hand 3 Both hands equally dominant   If (Before we begin, I would like to make sure it is safe for you to do this measurement. Have you had surgery or experienced any swelling, inflammation, severe pain, or injury in one or both hands within the last 6 months? view item details » = 1 Yes 2 No and In which hand (have you had surgery or experienced any swelling, inflammation, severe pain, or injury in the last 6 months)? view item details » = 3) or Before we begin, I would like to make sure it is safe for you to do this measurement. Have you had surgery or experienced any swelling, inflammation, severe pain, or injury in one or both hands within the last 6 months? view item details » = 2 »         BM028 1st Left hand [(Ask if BM024=1 & BM025=3) or BM024=2] ____._ kg view item details » 1ST LEFT HAND [(ASK IF BM024=1 & BM025=3) OR BM024=2] ____._ KG       BM030 2nd Left hand [(Ask if BM024=1 & BM025=3) or BM024=2] ____._ kg view item details » 2ND LEFT HAND [(ASK IF BM024=1 & BM025=3) OR BM024=2] ____._ KG     ElseIf (Before we begin, I would like to make sure it is safe for you to do this measurement. Have you had surgery or experienced any swelling, inflammation, severe pain, or injury in one or both hands within the last 6 months? view item details » = 1 Yes 2 No and In which hand (have you had surgery or experienced any swelling, inflammation, severe pain, or injury in the last 6 months)? view item details » = 2) or Before we begin, I would like to make sure it is safe for you to do this measurement. Have you had surgery or experienced any swelling, inflammation, severe pain, or injury in one or both hands within the last 6 months? view item details » = 2 »         BM029 1st Right Hand [(Ask if BM024=1 & BM025=2) or BM024=2] ____._ kg view item details » 1ST RIGHT HAND [(ASK IF BM024=1 & BM025=2) OR BM024=2] ____._ KG       BM031 2nd Right Hand [(Ask if BM024=1 & BM025=2) or BM024=2] ____._ kg view item details » 2ND RIGHT HAND [(ASK IF BM024=1 & BM025=2) OR BM024=2] ____._ KG     BM032 How much effort did R give to this test? view item details » HOW MUCH EFFORT DID R GIVE TO THIS TEST? 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   BM033 What was R's position for this test? view item details » WHAT WAS R'S POSITION FOR THIS TEST? 1 Standing 2 Sitting 3 Lying down   BM034 Did R rest their arm on a support while performing the test? view item details » DID R REST THEIR ARM ON A SUPPORT WHILE PERFORMING THE TEST? 1 Yes 2 No   BM035 [Equipment needed: Stopwatch, Show Card] I would now like you to try to stand in different positions. I will first describe and show each position to you. Then, I would like you to try to do it. If you cannot do a particular position, or if you feel it would be unsafe to try to do it, tell me and we will move on to the next one. Let me emphasize that I do not want you to try to do any activity that you feel might be unsafe. For the first one, I want you to try to stand with the side of the heel of one foot touching the big toe of the other foot for about 10 seconds. You may put either foot in front, whichever is more comfortable for you. Like this... Demonstrate the measurement. Stand and place the heel of one foot touching the big toe of the other foot. view item details » [EQUIPMENT NEEDED: STOPWATCH, SHOW CARD] I WOULD NOW LIKE YOU TO TRY TO STAND IN DIFFERENT POSITIONS. I WILL FIRST DESCRIBE AND SHOW EACH POSITION TO YOU. THEN, I WOULD LIKE YOU TO TRY TO DO IT. IF YOU CANNOT DO A PARTICULAR POSITION, OR IF YOU FEEL IT WOULD BE UNSAFE TO TRY TO DO IT, TELL ME AND WE WILL MOVE ON TO THE NEXT ONE. LET ME EMPHASIZE THAT I DO NOT WANT YOU TO TRY TO DO ANY ACTIVITY THAT YOU FEEL MIGHT BE UNSAFE. FOR THE FIRST ONE, I WANT YOU TO TRY TO STAND WITH THE SIDE OF THE HEEL OF ONE FOOT TOUCHING THE BIG TOE OF THE OTHER FOOT FOR ABOUT 10 SECONDS. YOU MAY PUT EITHER FOOT IN FRONT, WHICHEVER IS MORE COMFORTABLE FOR YOU. LIKE THIS... DEMONSTRATE THE MEASUREMENT. STAND AND PLACE THE HEEL OF ONE FOOT TOUCHING THE BIG TOE OF THE OTHER FOOT.   BM036 Before we begin, do you have any problems from recent surgery, injury or other health conditions that might prevent you from standing up from a chair and balancing? view item details » BEFORE WE BEGIN, DO YOU HAVE ANY PROBLEMS FROM RECENT SURGERY, INJURY OR OTHER HEALTH CONDITIONS THAT MIGHT PREVENT YOU FROM STANDING UP FROM A CHAIR AND BALANCING? 1 Yes 2 No   If Before we begin, do you have any problems from recent surgery, injury or other health conditions that might prevent you from standing up from a chair and balancing? view item details » = 1 Yes 2 No  »         BM037 Discuss with him/her whether s/he should attempt each measurement given his/her physical problems after describing each measurement. Do not assume a respondent is too physically limited to attempt a measurement without discussing it with him/her. Do you understand these directions and are willing to provide this measurement? view item details » DISCUSS WITH HIM/HER WHETHER S/HE SHOULD ATTEMPT EACH MEASUREMENT GIVEN HIS/HER PHYSICAL PROBLEMS AFTER DESCRIBING EACH MEASUREMENT. DO NOT ASSUME A RESPONDENT IS TOO PHYSICALLY LIMITED TO ATTEMPT A MEASUREMENT WITHOUT DISCUSSING IT WITH HIM/HER. DO YOU UNDERSTAND THESE DIRECTIONS AND ARE WILLING TO PROVIDE THIS MEASUREMENT? 1 Yes 2 No       If Discuss with him/her whether s/he should attempt each measurement given his/her physical problems after describing each measurement. Do not assume a respondent is too physically limited to attempt a measurement without discussing it with him/her. Do you understand these directions and are willing to provide this measurement? view item details » = 1 Yes 2 No  »             BM038 Did R hold semi-tandem stand for a full 10 seconds without stepping out of place or grabbing hold of anything? view item details » DID R HOLD SEMI-TANDEM STAND FOR A FULL 10 SECONDS WITHOUT STEPPING OUT OF PLACE OR GRABBING HOLD OF ANYTHING? 1 Yes 2 No (Time in seconds): BM039__[Soft check: BM039<10]       If Before we begin, do you have any problems from recent surgery, injury or other health conditions that might prevent you from standing up from a chair and balancing? view item details » = 1 Yes 2 No  »         BM038 Did R hold semi-tandem stand for a full 10 seconds without stepping out of place or grabbing hold of anything? view item details » DID R HOLD SEMI-TANDEM STAND FOR A FULL 10 SECONDS WITHOUT STEPPING OUT OF PLACE OR GRABBING HOLD OF ANYTHING? 1 Yes 2 No (Time in seconds): BM039__[Soft check: BM039<10]     BM040 Did R use any compensatory movements of his/her trunk, arms or legs to steady him/herself during semi-tandem stand? view item details » DID R USE ANY COMPENSATORY MOVEMENTS OF HIS/HER TRUNK, ARMS OR LEGS TO STEADY HIM/HERSELF DURING SEMI-TANDEM STAND? 1 Yes 2 No   BM041 [Equipment needed: Stopwatch, Show Card] Now I will show you next movement. I want you to try to stand with your feet together, side-by-side for about 10 seconds. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. Like this... Demonstrate the measurement Stand with feet together. Do you understand these directions and are you willing to do this test? view item details » [EQUIPMENT NEEDED: STOPWATCH, SHOW CARD] NOW I WILL SHOW YOU NEXT MOVEMENT. I WANT YOU TO TRY TO STAND WITH YOUR FEET TOGETHER, SIDE-BY-SIDE FOR ABOUT 10 SECONDS. YOU MAY USE YOUR ARMS, BEND YOUR KNEES, OR MOVE YOUR BODY TO MAINTAIN YOUR BALANCE, BUT TRY NOT TO MOVE YOUR FEET. TRY TO HOLD THIS POSITION UNTIL I TELL YOU TO STOP. LIKE THIS... DEMONSTRATE THE MEASUREMENT STAND WITH FEET TOGETHER. DO YOU UNDERSTAND THESE DIRECTIONS AND ARE YOU WILLING TO DO THIS TEST? 1 Yes 2 No   If [Equipment needed: Stopwatch, Show Card] Now I will show you next movement. I want you to try to stand with your feet together, side-by-side for about 10 seconds. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. Like this... Demonstrate the measurement Stand with feet together. Do you understand these directions and are you willing to do this test? view item details » = 1 Yes 2 No  »         BM042 Did R hold side-by-side stand for a full 10 seconds without stepping out of place or grabbing hold of anything? view item details » DID R HOLD SIDE-BY-SIDE STAND FOR A FULL 10 SECONDS WITHOUT STEPPING OUT OF PLACE OR GRABBING HOLD OF ANYTHING? 1 Yes 2 No (Time in seconds) BM043__ [Soft check : BM043<10]       BM044 Did R use any compensatory movements of his/her trunk, arms or legs to steady him/herself during side-by-side stand? view item details » DID R USE ANY COMPENSATORY MOVEMENTS OF HIS/HER TRUNK, ARMS OR LEGS TO STEADY HIM/HERSELF DURING SIDE-BY-SIDE STAND? 1 Yes 2 No       BM045 Record the type of floor surface that the balance measures were conducted on. view item details » RECORD THE TYPE OF FLOOR SURFACE THAT THE BALANCE MEASURES WERE CONDUCTED ON. 1 Wood/ Tile/ Linoleum 2 Concrete 3 Kutchha/ Mud       BM046 How compliant was R during the balance measurement? view item details » HOW COMPLIANT WAS R DURING THE BALANCE MEASUREMENT? 1 R was fully compliant 2 R was prevented from fully complying due to illness, pain, or other symptoms or discomforts 3 R was not fully compliant, but no obvious reason for this       BM047 [Equipment needed: Stopwatch, Show Card] Record eligible time If R's age is >=70, tandem time is 30 seconds. If R's age is <70, tandem time is 60 seconds. The full-tandem time for which R is eligible: view item details » [EQUIPMENT NEEDED: STOPWATCH, SHOW CARD] RECORD ELIGIBLE TIME IF R'S AGE IS >=70, TANDEM TIME IS 30 SECONDS. IF R'S AGE IS <70, TANDEM TIME IS 60 SECONDS. THE FULL-TANDEM TIME FOR WHICH R IS ELIGIBLE: 1 30 seconds full-tandem balance measurement 2 60 seconds full-tandem balance measurement       BM048 Now I want you to try to stand with the heel of one foot in front of and touching the toes of the other foot for about [30/60] seconds. You may put either foot in front, whichever is more comfortable for you. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. Like this.. Demonstrate the measurement. Stand and place the heel of one foot touching the toes of the other foot. Do you understand these directions and are you willing to do this test? view item details » NOW I WANT YOU TO TRY TO STAND WITH THE HEEL OF ONE FOOT IN FRONT OF AND TOUCHING THE TOES OF THE OTHER FOOT FOR ABOUT [30/60] SECONDS. YOU MAY PUT EITHER FOOT IN FRONT, WHICHEVER IS MORE COMFORTABLE FOR YOU. YOU MAY USE YOUR ARMS, BEND YOUR KNEES, OR MOVE YOUR BODY TO MAINTAIN YOUR BALANCE, BUT TRY NOT TO MOVE YOUR FEET. TRY TO HOLD THIS POSITION UNTIL I TELL YOU TO STOP. LIKE THIS.. DEMONSTRATE THE MEASUREMENT. STAND AND PLACE THE HEEL OF ONE FOOT TOUCHING THE TOES OF THE OTHER FOOT. DO YOU UNDERSTAND THESE DIRECTIONS AND ARE YOU WILLING TO DO THIS TEST? 1 Yes 2 No       If Now I want you to try to stand with the heel of one foot in front of and touching the toes of the other foot for about [30/60] seconds. You may put either foot in front, whichever is more comfortable for you. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. Like this.. Demonstrate the measurement. Stand and place the heel of one foot touching the toes of the other foot. Do you understand these directions and are you willing to do this test? view item details » = 1 Yes 2 No  »             BM052 Record the type of floor surface that the balance measures were conducted on. view item details » RECORD THE TYPE OF FLOOR SURFACE THAT THE BALANCE MEASURES WERE CONDUCTED ON. 1 Wood/ Tile/ Linoleum 2 Concrete 3 Kutchha/ Mud       BM054 Next, I would like to assess whether you can walk a very short distance comfortably (using a walking stick or other aid if necessary). First, I want to make sure it is safe to carry out the measurement. Do you have any problems from recent surgery, injury, or other health conditions that might prevent you from walking? view item details » NEXT, I WOULD LIKE TO ASSESS WHETHER YOU CAN WALK A VERY SHORT DISTANCE COMFORTABLY (USING A WALKING STICK OR OTHER AID IF NECESSARY). FIRST, I WANT TO MAKE SURE IT IS SAFE TO CARRY OUT THE MEASUREMENT. DO YOU HAVE ANY PROBLEMS FROM RECENT SURGERY, INJURY, OR OTHER HEALTH CONDITIONS THAT MIGHT PREVENT YOU FROM WALKING? 1 No apparent restriction 2 Yes, recent surgery 3 Yes, injury 4 Yes, other health condition   If Next, I would like to assess whether you can walk a very short distance comfortably (using a walking stick or other aid if necessary). First, I want to make sure it is safe to carry out the measurement. Do you have any problems from recent surgery, injury, or other health conditions that might prevent you from walking? view item details » = 1 No apparent restriction 2 Yes, recent surgery 3 Yes, injury 4 Yes, other health condition  »         BM055 Now let's find a place where we can conduct the measurement. We will need a clear space about 4 meters long in a non-carpeted area, if possible. I'm going to place the measuring tape alongside the space where the walk will take place. Set up the course (4meters) This is our walking course. I am going to time you as you walk the course. I will be asking you to walk the course two times. I will walk along side you the whole time during the measurement. Now, I would like to demonstrate how to do the measurement. You will start by lining your feet up at the starting point. Demonstrate the measurement Do you understand these directions and are you willing to do this test? view item details » NOW LET'S FIND A PLACE WHERE WE CAN CONDUCT THE MEASUREMENT. WE WILL NEED A CLEAR SPACE ABOUT 4 METERS LONG IN A NON-CARPETED AREA, IF POSSIBLE. I'M GOING TO PLACE THE MEASURING TAPE ALONGSIDE THE SPACE WHERE THE WALK WILL TAKE PLACE. SET UP THE COURSE (4METERS) THIS IS OUR WALKING COURSE. I AM GOING TO TIME YOU AS YOU WALK THE COURSE. I WILL BE ASKING YOU TO WALK THE COURSE TWO TIMES. I WILL WALK ALONG SIDE YOU THE WHOLE TIME DURING THE MEASUREMENT. NOW, I WOULD LIKE TO DEMONSTRATE HOW TO DO THE MEASUREMENT. YOU WILL START BY LINING YOUR FEET UP AT THE STARTING POINT. DEMONSTRATE THE MEASUREMENT DO YOU UNDERSTAND THESE DIRECTIONS AND ARE YOU WILLING TO DO THIS TEST? 1 Yes 2 No       If Now let's find a place where we can conduct the measurement. We will need a clear space about 4 meters long in a non-carpeted area, if possible. I'm going to place the measuring tape alongside the space where the walk will take place. Set up the course (4meters) This is our walking course. I am going to time you as you walk the course. I will be asking you to walk the course two times. I will walk along side you the whole time during the measurement. Now, I would like to demonstrate how to do the measurement. You will start by lining your feet up at the starting point. Demonstrate the measurement Do you understand these directions and are you willing to do this test? view item details » = 1 Yes 2 No  »             BM056 1st Walking Speed Time ___.__ seconds view item details » 1ST WALKING SPEED TIME ___.__ SECONDS           BM057 2nd Walking Speed Time ___.__ seconds view item details » 2ND WALKING SPEED TIME ___.__ SECONDS           BM058 Record type of aid used view item details » RECORD TYPE OF AID USED 1 None 2 Walking stick or cane 3 Elbow crutches 4 Walking frame 5 Other, please specify________________           BM059 How compliant was R during this measurement? view item details » HOW COMPLIANT WAS R DURING THIS MEASUREMENT? 1 R was fully compliant 2 R was prevented from fully complying due to illness, pain, or other symptoms or discomforts 3 R was not fully compliant, but no obvious reason for this       BM060 [Equipment needed: CAPI, Flexible steel measuring tape, Sticky tape] We are now going to test your distance vision and near vision. Can you see light and count the fingers of hand held 2 feet in front of your face with one eye open and when wearing your glasses or contacts? view item details » [EQUIPMENT NEEDED: CAPI, FLEXIBLE STEEL MEASURING TAPE, STICKY TAPE] WE ARE NOW GOING TO TEST YOUR DISTANCE VISION AND NEAR VISION. CAN YOU SEE LIGHT AND COUNT THE FINGERS OF HAND HELD 2 FEET IN FRONT OF YOUR FACE WITH ONE EYE OPEN AND WHEN WEARING YOUR GLASSES OR CONTACTS?   BM061 Distance Vision - Left Eye Distance Vision view item details » DISTANCE VISION - LEFT EYE DISTANCE VISION   BM062 Distance Vision - Right Eye Distance Vision view item details » DISTANCE VISION - RIGHT EYE DISTANCE VISION   BM063 Near Vision - Left Eye Near Vision view item details » NEAR VISION - LEFT EYE NEAR VISION   BM064 Near Vision - Right Eye Near Vision view item details » NEAR VISION - RIGHT EYE NEAR VISION   BM065 How compliant was R during this measurement? view item details » HOW COMPLIANT WAS R DURING THIS MEASUREMENT? 1 R was fully compliant 2 R was prevented from fully complying due to illness, pain, or other symptoms or discomforts 3 R was not fully compliant, but no obvious reason for this   BM066 [Equipment needed: Stadiometer] Can the respondent stand? view item details » [EQUIPMENT NEEDED: STADIOMETER] CAN THE RESPONDENT STAND? 1 Yes 2 No   BM067 Record R's height in centimetres __._ cm [Hard check: 50>=BM067>250] view item details » RECORD R’S HEIGHT IN CENTIMETRES __._ CM [HARD CHECK: 50>=BM067>250]   BM068 Was R wearing any artificial limbs or orthosis during the measurement? view item details » WAS R WEARING ANY ARTIFICIAL LIMBS OR ORTHOSIS DURING THE MEASUREMENT? 1 Yes 2 No   BM069 How compliant was R during this measurement? view item details » HOW COMPLIANT WAS R DURING THIS MEASUREMENT? 1 R was fully compliant 2 R was prevented from fully complying due to illness, pain, or other symptoms or discomforts 3 R was not fully compliant, but no obvious reason for this   BM070 [Equipment needed: Weighing Scale] Next, I would like to measure your weight. To complete this measurement, I will be asking you to remove bulky clothing and to take off your shoes during weight measurements. Stand up and look straight ahead. [Instruction for Interviewer: Demonstrate the measurement] view item details » [EQUIPMENT NEEDED: WEIGHING SCALE] NEXT, I WOULD LIKE TO MEASURE YOUR WEIGHT. TO COMPLETE THIS MEASUREMENT, I WILL BE ASKING YOU TO REMOVE BULKY CLOTHING AND TO TAKE OFF YOUR SHOES DURING WEIGHT MEASUREMENTS. STAND UP AND LOOK STRAIGHT AHEAD. [INSTRUCTION FOR INTERVIEWER: DEMONSTRATE THE MEASUREMENT]   BM071 [Instruction for Interviewer: Record measurement in kilograms in table below: Enter 993 if R tried but received an error message. Record R's weight up to 2 decimal points] ___._ _ [Soft check: 25<=BM071<=250] view item details » [INSTRUCTION FOR INTERVIEWER: RECORD MEASUREMENT IN KILOGRAMS IN TABLE BELOW: ENTER 993 IF R TRIED BUT RECEIVED AN ERROR MESSAGE. RECORD R'S WEIGHT UP TO 2 DECIMAL POINTS] ___._ _ [SOFT CHECK: 25<=BM071<=250]   BM072 Was R wearing an artificial limb or orthosis during the measurement? view item details » WAS R WEARING AN ARTIFICIAL LIMB OR ORTHOSIS DURING THE MEASUREMENT? 1 Yes, then record the weight of the artificial limb BM073 ___._ 2 No   BM074 How compliant was R during this measurement? view item details » HOW COMPLIANT WAS R DURING THIS MEASUREMENT? 1 R was fully compliant 2 R was prevented from fully complying due to illness, pain, or other symptoms or discomforts 3 R was not fully compliant, but no obvious reason for this   BM075 [Equipment needed: Soft tape measure] Next I am going to ask you to perform a simple measurement of your waist circumference. For this measurement it is important for you to be standing. I will ask you to identify where on your body your navel (belly button) is located. I will then ask you to place this soft measuring tape around your waist, over your clothing, holding it securely at the level of your navel. Once the tape measure is placed appropriately around your waist then we are ready to begin. I will ask you to take a normal breath and exhale, holding your breath at the end of the exhale. I will then record the measurement. view item details » [EQUIPMENT NEEDED: SOFT TAPE MEASURE] NEXT I AM GOING TO ASK YOU TO PERFORM A SIMPLE MEASUREMENT OF YOUR WAIST CIRCUMFERENCE. FOR THIS MEASUREMENT IT IS IMPORTANT FOR YOU TO BE STANDING. I WILL ASK YOU TO IDENTIFY WHERE ON YOUR BODY YOUR NAVEL (BELLY BUTTON) IS LOCATED. I WILL THEN ASK YOU TO PLACE THIS SOFT MEASURING TAPE AROUND YOUR WAIST, OVER YOUR CLOTHING, HOLDING IT SECURELY AT THE LEVEL OF YOUR NAVEL. ONCE THE TAPE MEASURE IS PLACED APPROPRIATELY AROUND YOUR WAIST THEN WE ARE READY TO BEGIN. I WILL ASK YOU TO TAKE A NORMAL BREATH AND EXHALE, HOLDING YOUR BREATH AT THE END OF THE EXHALE. I WILL THEN RECORD THE MEASUREMENT.   BM076 Waist Measurement ______ [Soft check: BM076 >=50 or <150] view item details » WAIST MEASUREMENT ______ [SOFT CHECK: BM076 >=50 OR <150]   BM077 Was R wearing bulky clothing during this measurement? view item details » WAS R WEARING BULKY CLOTHING DURING THIS MEASUREMENT? 1 Yes 2 No   BM078 [Equipment needed: Soft tape measure] Next I am going to ask you to perform a simple measurement of your hip circumference. For this measurement it is important for you to be standing. I will ask you to identify where the maximum circumference of your hip. I will then ask you to place this soft measuring tape around your hip, over your clothing, holding it securely. Once the tape measure is placed appropriately around your hip and parallel to floor then we are ready to begin. I will ask you to take a normal breath and exhale, holding your breath at the end of the exhale. I will then record the measurement. view item details » [EQUIPMENT NEEDED: SOFT TAPE MEASURE] NEXT I AM GOING TO ASK YOU TO PERFORM A SIMPLE MEASUREMENT OF YOUR HIP CIRCUMFERENCE. FOR THIS MEASUREMENT IT IS IMPORTANT FOR YOU TO BE STANDING. I WILL ASK YOU TO IDENTIFY WHERE THE MAXIMUM CIRCUMFERENCE OF YOUR HIP. I WILL THEN ASK YOU TO PLACE THIS SOFT MEASURING TAPE AROUND YOUR HIP, OVER YOUR CLOTHING, HOLDING IT SECURELY. ONCE THE TAPE MEASURE IS PLACED APPROPRIATELY AROUND YOUR HIP AND PARALLEL TO FLOOR THEN WE ARE READY TO BEGIN. I WILL ASK YOU TO TAKE A NORMAL BREATH AND EXHALE, HOLDING YOUR BREATH AT THE END OF THE EXHALE. I WILL THEN RECORD THE MEASUREMENT.   BM079 Record measurement in table below: Enter 999 if R chose not to do it. Record R's Hip Circumference to the nearest 0.1 cm ______ [BM079>=50 or <150] view item details » RECORD MEASUREMENT IN TABLE BELOW: ENTER 999 IF R CHOSE NOT TO DO IT. RECORD R'S HIP CIRCUMFERENCE TO THE NEAREST 0.1 CM ______ [BM079>=50 OR <150]   BM080 What difficulties occurred during this measurement? [Multiple answers are allowed][Instructions for CAPI: if BM080=a then freeze other options] view item details » WHAT DIFFICULTIES OCCURRED DURING THIS MEASUREMENT? [MULTIPLE ANSWERS ARE ALLOWED][INSTRUCTIONS FOR CAPI: IF BM080=A THEN FREEZE OTHER OPTIONS] 1 None 2 R had breathing difficulties 3 R was unable to hold breath at the end of the 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 7 Other, please specify ___________   BM081 Who conducted this measurement? view item details » WHO CONDUCTED THIS MEASUREMENT? 1 R conducted the measurement 2 IWER conducted the measurement   BM082 Do you have any of the following condition? [Instruction for CAPI: If any of questions BM082a to BM082e=1, then skip to BM088] view item details » DO YOU HAVE ANY OF THE FOLLOWING CONDITION? [INSTRUCTION FOR CAPI: IF ANY OF QUESTIONS BM082A TO BM082E=1, THEN SKIP TO BM088]   BM082A Active Tb or Upper Respiratory tract infection (cough) view item details » ACTIVE TB OR UPPER RESPIRATORY TRACT INFECTION (COUGH) 1 Yes 2 No   BM082B Eye surgery in last 3months view item details » EYE SURGERY IN LAST 3MONTHS 1 Yes 2 No   BM082C Abdominal Surgery in last 3 months view item details » ABDOMINAL SURGERY IN LAST 3 MONTHS 1 Yes 2 No   BM082D Myocardial Infarction in last 3 month view item details » MYOCARDIAL INFARCTION IN LAST 3 MONTH 1 Yes 2 No   BM082E [If DM003 =2 & DM005 < 55] Pregnancy ( any trimester) view item details » [IF DM003 =2 & DM005 < 55] PREGNANCY ( ANY TRIMESTER) 1 Yes 2 No   BM083 Have you used any Inhalers in the last 6 hours? view item details » HAVE YOU USED ANY INHALERS IN THE LAST 6 HOURS? 1 Yes 2 No   BM084 [Equipment needed: Spirometer, Disposable mouthpiece] Next I am going to ask you to perform a simple task of taking a deep breath and then blowing as long and hard as you can into a small tube attached to this machine. The machine measures how long it takes you to blow out all the air from your lungs. I would like you to perform the measurement few times. When we are ready to begin, I will ask you to sit up straight. Open your mouth and close your lips firmly around the outside of the mouthpiece. Take as deep a breath as possible and then blow as hard and as fast as you can into the mouth piece followed by deep inhalation again like this.... Demonstrate the measurement. Sit up, place lips around the outside of the mouth piece. Take a deep breath, and then blow as hard and as fast as you can. Do you understand these directions and are you willing to provide this measurement? view item details » [EQUIPMENT NEEDED: SPIROMETER, DISPOSABLE MOUTHPIECE] NEXT I AM GOING TO ASK YOU TO PERFORM A SIMPLE TASK OF TAKING A DEEP BREATH AND THEN BLOWING AS LONG AND HARD AS YOU CAN INTO A SMALL TUBE ATTACHED TO THIS MACHINE. THE MACHINE MEASURES HOW LONG IT TAKES YOU TO BLOW OUT ALL THE AIR FROM YOUR LUNGS. I WOULD LIKE YOU TO PERFORM THE MEASUREMENT FEW TIMES. WHEN WE ARE READY TO BEGIN, I WILL ASK YOU TO SIT UP STRAIGHT. OPEN YOUR MOUTH AND CLOSE YOUR LIPS FIRMLY AROUND THE OUTSIDE OF THE MOUTHPIECE. TAKE AS DEEP A BREATH AS POSSIBLE AND THEN BLOW AS HARD AND AS FAST AS YOU CAN INTO THE MOUTH PIECE FOLLOWED BY DEEP INHALATION AGAIN LIKE THIS.... DEMONSTRATE THE MEASUREMENT. SIT UP, PLACE LIPS AROUND THE OUTSIDE OF THE MOUTH PIECE. TAKE A DEEP BREATH, AND THEN BLOW AS HARD AND AS FAST AS YOU CAN. DO YOU UNDERSTAND THESE DIRECTIONS AND ARE YOU WILLING TO PROVIDE THIS MEASUREMENT? 1 Yes 2 No   If [Equipment needed: Spirometer, Disposable mouthpiece] Next I am going to ask you to perform a simple task of taking a deep breath and then blowing as long and hard as you can into a small tube attached to this machine. The machine measures how long it takes you to blow out all the air from your lungs. I would like you to perform the measurement few times. When we are ready to begin, I will ask you to sit up straight. Open your mouth and close your lips firmly around the outside of the mouthpiece. Take as deep a breath as possible and then blow as hard and as fast as you can into the mouth piece followed by deep inhalation again like this.... Demonstrate the measurement. Sit up, place lips around the outside of the mouth piece. Take a deep breath, and then blow as hard and as fast as you can. Do you understand these directions and are you willing to provide this measurement? view item details » = 1 Yes 2 No  »         BM085 [Instruction for Interviewer: CAPI should be connected with Spirometry instrument. Perform the test; and the spirometry readings will be automatically recorded in the CAPI] [Instruction for Interviewer: Step1: CAPI should be connected with Spirometry inst view item details » [INSTRUCTION FOR INTERVIEWER: CAPI SHOULD BE CONNECTED WITH SPIROMETRY INSTRUMENT. PERFORM THE TEST; AND THE SPIROMETRY READINGS WILL BE AUTOMATICALLY RECORDED IN THE CAPI] [INSTRUCTION FOR INTERVIEWER: STEP1: CAPI SHOULD BE CONNECTED WITH SPIROMETRY INSTRUMENT. STEP2: SCAN THE BARCODE ON MOUTHPIECE STEP3: ENTER THE BARCODE NUMBER TWICE: BM085_1&BM085_2 CAPI WILL CHECK BM085_1=BM085_2 IF NOT, RE-ENTER STEP4: PERFORM THE TEST; AND RECORD THE SPIROMETRY READINGS IN BM085A, BM085B & BM085C] BM085_1 BARCODE NUMBER:………………………………. BM085_2 BARCODE NUMBER:……………………………… BM085_1 & BM085_2 UP TO 14 DIGITS BM085A: FVC _____.___ ___ BM085B: FEV1_____.______ BM085C: PEF______.______       BM086 What was R's position for this test? view item details » WHAT WAS R'S POSITION FOR THIS TEST? 1 Standing 2 Sitting 3 Lying down       BM087 How much effort did R give to this test? view item details » HOW MUCH EFFORT DID R GIVE TO THIS TEST? 1 R gave full effort 2 R was prevented from giving full effort by illness, pain, or other symptoms or discomfort. 3 R did not appear to give full effort, but no obvious reason for this     BM088 I would like to collect a small sample of your blood using just a finger prick. We would be very grateful if you would agree to provide us with a sample of blood. This is an important part of the study, as the analysis of blood samples will tell us a lot about the health of the population. Before we begin, I would like to read this consent form. Longitudinal Ageing Study in India (LASI) International Institute for Population Sciences (IIPS) Additional Consent Form for Blood Sample Collection for Storage and Future Use This is in continuation with your individual consent that you have already given. Further, we would like to inform you that as a part of this longitudinal ageing study, we want to collect few drops of your blood sample using finger prick. The blood sample will be used to test anemia, diabetes, and chronic infections. Your blood sample will be extremely useful to plan special health care services for the older population in the country. The test uses new, disposable sterile instruments that are clean and completely safe in use. I will prick your finger to draw few drops of blood. These drops will be soaked on a piece of filter paper. These pieces of paper will be used to check various health conditions. The blood sample will be sent to National AIDS Research Institute (NARI), which is a premier institute devoted to health research for analysis and storage. The information you will provide will be kept strictly confidential. The results of the blood test will only be used for research and planning purposes without any personal identification. However, if you decide not to provide a blood sample, it is your right and we will respect your decision. Should you have any question about the survey please feel free to ask me or contact the concerned authority (Interviewer: Provide Card). Director / Project Coordinators International Institute for Population Sciences (IIPS) Govandi Station Road, Deonar, Mumbai-400 088. Tel: 022-42372-682/ 401/ 682/ 417/ 422, Fax: 022-42372401. Do you agree to provide consent for giving few drops of blood sample? (Circle one of the response) view item details » I WOULD LIKE TO COLLECT A SMALL SAMPLE OF YOUR BLOOD USING JUST A FINGER PRICK. WE WOULD BE VERY GRATEFUL IF YOU WOULD AGREE TO PROVIDE US WITH A SAMPLE OF BLOOD. THIS IS AN IMPORTANT PART OF THE STUDY, AS THE ANALYSIS OF BLOOD SAMPLES WILL TELL US A LOT ABOUT THE HEALTH OF THE POPULATION. BEFORE WE BEGIN, I WOULD LIKE TO READ THIS CONSENT FORM. LONGITUDINAL AGEING STUDY IN INDIA (LASI) INTERNATIONAL INSTITUTE FOR POPULATION SCIENCES (IIPS) ADDITIONAL CONSENT FORM FOR BLOOD SAMPLE COLLECTION FOR STORAGE AND FUTURE USE THIS IS IN CONTINUATION WITH YOUR INDIVIDUAL CONSENT THAT YOU HAVE ALREADY GIVEN. FURTHER, WE WOULD LIKE TO INFORM YOU THAT AS A PART OF THIS LONGITUDINAL AGEING STUDY, WE WANT TO COLLECT FEW DROPS OF YOUR BLOOD SAMPLE USING FINGER PRICK. THE BLOOD SAMPLE WILL BE USED TO TEST ANEMIA, DIABETES, AND CHRONIC INFECTIONS. YOUR BLOOD SAMPLE WILL BE EXTREMELY USEFUL TO PLAN SPECIAL HEALTH CARE SERVICES FOR THE OLDER POPULATION IN THE COUNTRY. THE TEST USES NEW, DISPOSABLE STERILE INSTRUMENTS THAT ARE CLEAN AND COMPLETELY SAFE IN USE. I WILL PRICK YOUR FINGER TO DRAW FEW DROPS OF BLOOD. THESE DROPS WILL BE SOAKED ON A PIECE OF FILTER PAPER. THESE PIECES OF PAPER WILL BE USED TO CHECK VARIOUS HEALTH CONDITIONS. THE BLOOD SAMPLE WILL BE SENT TO NATIONAL AIDS RESEARCH INSTITUTE (NARI), WHICH IS A PREMIER INSTITUTE DEVOTED TO HEALTH RESEARCH FOR ANALYSIS AND STORAGE. THE INFORMATION YOU WILL PROVIDE WILL BE KEPT STRICTLY CONFIDENTIAL. THE RESULTS OF THE BLOOD TEST WILL ONLY BE USED FOR RESEARCH AND PLANNING PURPOSES WITHOUT ANY PERSONAL IDENTIFICATION. HOWEVER, IF YOU DECIDE NOT TO PROVIDE A BLOOD SAMPLE, IT IS YOUR RIGHT AND WE WILL RESPECT YOUR DECISION. SHOULD YOU HAVE ANY QUESTION ABOUT THE SURVEY PLEASE FEEL FREE TO ASK ME OR CONTACT THE CONCERNED AUTHORITY (INTERVIEWER: PROVIDE CARD). DIRECTOR / PROJECT COORDINATORS INTERNATIONAL INSTITUTE FOR POPULATION SCIENCES (IIPS) GOVANDI STATION ROAD, DEONAR, MUMBAI-400 088. TEL: 022-42372-682/ 401/ 682/ 417/ 422, FAX: 022-42372401. DO YOU AGREE TO PROVIDE CONSENT FOR GIVING FEW DROPS OF BLOOD SAMPLE? (CIRCLE ONE OF THE RESPONSE) 1 Consent given along with signature/ thumb impression for blood sample collection 2 Consent given but without signature/thumb impression for blood sample collection 3 Consent Refused   If I would like to collect a small sample of your blood using just a finger prick. We would be very grateful if you would agree to provide us with a sample of blood. This is an important part of the study, as the analysis of blood samples will tell us a lot about the health of the population. Before we begin, I would like to read this consent form. Longitudinal Ageing Study in India (LASI) International Institute for Population Sciences (IIPS) Additional Consent Form for Blood Sample Collection for Storage and Future Use This is in continuation with your individual consent that you have already given. Further, we would like to inform you that as a part of this longitudinal ageing study, we want to collect few drops of your blood sample using finger prick. The blood sample will be used to test anemia, diabetes, and chronic infections. Your blood sample will be extremely useful to plan special health care services for the older population in the country. The test uses new, disposable sterile instruments that are clean and completely safe in use. I will prick your finger to draw few drops of blood. These drops will be soaked on a piece of filter paper. These pieces of paper will be used to check various health conditions. The blood sample will be sent to National AIDS Research Institute (NARI), which is a premier institute devoted to health research for analysis and storage. The information you will provide will be kept strictly confidential. The results of the blood test will only be used for research and planning purposes without any personal identification. However, if you decide not to provide a blood sample, it is your right and we will respect your decision. Should you have any question about the survey please feel free to ask me or contact the concerned authority (Interviewer: Provide Card). Director / Project Coordinators International Institute for Population Sciences (IIPS) Govandi Station Road, Deonar, Mumbai-400 088. Tel: 022-42372-682/ 401/ 682/ 417/ 422, Fax: 022-42372401. Do you agree to provide consent for giving few drops of blood sample? (Circle one of the response) view item details » != 3 Consent Refused »         BM089 Date ___date(dd/mm/yyyy) view item details » DATE ___DATE(DD/MM/YYYY)       BM090 Time ____:____ am/pm(12hour clock view item details » TIME ____:____ AM/PM(12HOUR CLOCK       BM091 Instructions for IWER:Step 1. Scan the barcode. Step 2. Enter the Barcode number twice: BM091a & BM091b CAPI will check BM091a=Bm091b If not, re-enter.BM091a Sample Barcode number:______BM091b Sample Barcode number:______[BM091 up to 14 digits] view item details » INSTRUCTIONS FOR IWER:STEP 1. SCAN THE BARCODE. STEP 2. ENTER THE BARCODE NUMBER TWICE: BM091A & BM091B CAPI WILL CHECK BM091A=BM091B IF NOT, RE-ENTER.BM091A SAMPLE BARCODE NUMBER:______BM091B SAMPLE BARCODE NUMBER:______[BM091 UP TO 14 DIGITS]       BM092 What, if any, problems occurred during the collection of the blood sample? [Multiple answers are allowed] [Instruction for CAPI: BM092=a then freeze other options] view item details » WHAT, IF ANY, PROBLEMS OCCURRED DURING THE COLLECTION OF THE BLOOD SAMPLE? [MULTIPLE ANSWERS ARE ALLOWED] [INSTRUCTION FOR CAPI: BM092=A THEN FREEZE OTHER OPTIONS] 1 None 2 R became light-headed, fainted, or nauseous 3 R had difficulty getting finger to stop bleeding 4 Unable to obtain enough blood 5 Problem with equipment or supplies 6 Other, please specify: ________________________       BM093 How many circles were filled on the DBS card? view item details » HOW MANY CIRCLES WERE FILLED ON THE DBS CARD? 1 0 2 1 3 2 4 3 5 4 6 5       BM094 [For the Health Investigator]DBS quality assessment by the health investigator, which is to be completed after they have collected blood spots. What is the quality of the blood spots that have been collected? view item details » [FOR THE HEALTH INVESTIGATOR]DBS QUALITY ASSESSMENT BY THE HEALTH INVESTIGATOR, WHICH IS TO BE COMPLETED AFTER THEY HAVE COLLECTED BLOOD SPOTS. WHAT IS THE QUALITY OF THE BLOOD SPOTS THAT HAVE BEEN COLLECTED? 1 Good (will yield five to six 3-mm punches per spot) 2 Fair (will yield three to four 3-mm punches per spot) 3 Poor (will yield one to two 3-mm punches per spot) 4 Spots are unusable       BM095 How many times did the R's finger need to be pricked in order to get 5 drops of blood? view item details » HOW MANY TIMES DID THE R'S FINGER NEED TO BE PRICKED IN ORDER TO GET 5 DROPS OF BLOOD? 1 One time 2 Twice 3 Twice but the R was unable to get 5 drops of blood       BM096 How compliant was R during this measurement? view item details » HOW COMPLIANT WAS R DURING THIS MEASUREMENT? 1 R was fully compliant 2 R was prevented from fully complying due to illness, pain, or other symptoms or discomforts 3 R was not fully compliant, but no obvious reason for this     BM097 Thank you for your cooperation. This concludes the physical measure and biomarkers portion of the survey. view item details » THANK YOU FOR YOUR COOPERATION. THIS CONCLUDES THE PHYSICAL MEASURE AND BIOMARKERS PORTION OF THE SURVEY.   End of I_BM. BIOMARKERS (BM)

Start of I_BM. BIOMARKERS (BM)