G. Functional Limitations, ADL IADL, Helpers

Module G. Functional Limitations, ADL IADL, Helpers of HRS 2018

item label type description
G001 Question Because of a health problem do you have any difficulty with walking several blocks?
G002 Question (Because of a health problem do you have any difficulty) with running or jogging about a mile?
G003 Question (Because of a health problem do you have any difficulty) with walking one block?
G004 Question (Because of a health problem do you have any difficulty) with sitting for about two hours?
G005 Question (Because of a health problem do you have any difficulty) with getting up from a chair after sitting for long periods?
G006 Question (Because of a health problem do you have any difficulty) with climbing several flights of stairs without resting?
G007 Question (Because of a health problem do you have any difficulty) with climbing one flight of stairs without resting?
G008 Question (Because of a health problem do you have any difficulty) with stooping, kneeling, or crouching?
G009 Question (Because of a health problem do you have any difficulty) with reaching or extending your arms above shoulder level?
G010 Question (Because of a health problem do you have any difficulty) with pulling or pushing large objects like a living room chair?
G011 Question (Because of a health problem do you have any difficulty) with lifting or carrying weights over 10 pounds, like a heavy bag of groceries?
G012 Question (Because of a health problem do you have any difficulty) with picking up a dime from a table?
G129 Question About how many days did [he/she] stay in bed more than half the day because of illness or injury during the last three months before [his/her] death?
G014 Question Because of a health or memory problem do you have any difficulty with dressing, including putting on shoes and socks?
G015 Question Does anyone ever help you dress?
G130 Question How long had [he/she] needed help with dressing?
G131 Question YEARS ________
G132 Question SINCE AGE __________
G133 Question SINCE YEAR ___________
G016 Question Because of a health or memory problem do you have any difficulty with walking across a room?
G017 Question Do you ever use equipment or devices such as a cane, walker or wheelchair when crossing a room?
G019 Question What equipment is that?
G020 Question Does anyone ever help you get across a room? Because of a health or memory problem did anyone help [him/her] get across a room (in the last three months of [his/her] life)?
G134 Question How long had [he/she] needed help with walking?
G021 Question (Because of a health or memory problem do you have any difficulty with) bathing or showering?
G022 Question Does anyone ever help you bathe? (Because of a health or memory problem) Did anyone help [him/her] with bathing or showering (in the last three months of [his/her] life)?
G138 Question How long had [he/she] needed help with bathing or showering?
G023 Question (Because of a health or memory problem do you have any difficulty with) eating, such as cutting up your food?
G024 Question Does anyone ever help you eat? (Because of a health or memory problem) Did anyone help [him/her] with eating, such as cutting up [his/her] food (in the last three months of [his/her] life)?
G142 Question How long had [he/she] needed help with eating?
G025 Question (Because of a health or memory problem do you have any difficulty with) getting in or out of bed?
G026 Question Do you ever use equipment or devices such as a cane, walker or railing when getting in or out of bed?
G028 Question What equipment is that?
G029 Question Does anyone ever help you get in or out of bed? (Because of a health or memory problem) Did anyone help [him/her] with getting in or out of bed in the last three months of [his/her] life?
G145 Question How long had [he/she] needed help getting in or out of bed?
G030 Question (Because of a health or memory problem do you have) any difficulty with using the toilet, including getting up and down?
G031 Question Does anyone ever help you use the toilet? (Because of a health or memory problem) Did anyone help [him/her] with using the toilet, including getting up and down in the last three months of [his/her] life?
G149 Question How long had [he/she] needed help with using the toilet?
G032 Question Who was that? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES]
G033 Question What was that person's relationship to [R's NAME]?
G034 Question [Banner: Primary Helper/Other Helper]What is the (first) name of that [organization/grandchild/relative/ individual/child/person/spouse or partner of grandchild]? NAME _______
G035 Question Did anyone else help [him/her] with (this activity/these activities)?
G036 Question When you ride in a car, how often do you wear your seatbelt? Is it all of the time, most of the time, sometimes, rarely, or never?
G037 Question Are you able to drive?
G207 Question Have you driven a car in the past month?
G038 Question Do you have a car available to use when you need one?
G039 Question Do you limit your driving to nearby places, or do you also drive on longer trips?
G040 Question Because of a health or memory problem, do you have any difficulty using a map to figure out how to get around in a strange place?
G041 Question (Because of a health or memory problem do you have) any difficulty preparing a hot meal?
G042 Question Is that because of a health or memory problem?
G043 Question Does anyone help you prepare hot meals?(Because of a health or memory problem,) Did anyone help [him/her] prepare hot meals in the last three months of [his/her] life?
G171 Question Was that because of a health or memory problem?
G153 Question How long had [he/she] needed help with preparing hot meals?
G044 Question (Because of a health or memory problem do you have) any difficulty with shopping for groceries?
G045 Question Is that because of a health or memory problem?
G046 Question Does anyone help you shop for groceries? (Because of a health or memory problem,) Did anyone help [him/her] shop for groceries in the last three months of [his/her] life?
G173 Question Was that because of a health or memory problem?
G157 Question How long had [he/she] needed help with shopping for groceries?
G047 Question (Because of a health or memory problem do you have) any difficulty with making phone calls?
G048 Question Is that because of a health or memory problem?
G049 Question Does anyone help you make telephone calls? (Because of a health or memory problem,) Did anyone help [him/her] make phone calls in the last three months of [his/her] life?
G161 Question Was that because of a health or memory problem?
G162 Question How long had [he/she] needed help making telephone calls?
G050 Question (Because of a health or memory problem do you have) any difficulty taking medications?
G051 Question Do you think you would have any difficulty taking medications if you needed to do so?
G052 Question Is that because of a health or memory problem?
G053 Question Does anyone help you with taking medications? (Because of a health or memory problem,) Did anyone help [him/her] with taking medications in the last three months of [his/her] life?
G174 Question Was that because of a health or memory problem?
G166 Question How long had [he/she] needed help taking medications?
G054 Question Who is that?
G055 Question What is that person's relationship to you, or are they an employee of the place you live?
G056 Question [Banner: Primary Helper/Other Helper]What is the (first) name of that [grandchild/relative/individual/ child/former step-child/organization/spouse or partner of grandchild]?
G057 Question Does anyone else help you [prepare meals,/shop for groceries,/make telephone calls,/take medications]?
G058 Question (Besides any help you have told us about,) do you get any help with work around the house or yard because of a health problem?
G059 Question (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses?
G061 Question Does anyone ever help you manage your money?
G060 Question Was that because of a health or memory problem?
G062 Question Who most often helps you manage your money?
G063 Question What is that person's relationship to you, or are they an employee of the place you live?
G064 Question What is the (first) name of that [organization/grandchild/relative/ individual/child/person/spouse or partner of grandchild]?
G065 Question Does anyone else help you manage your money? Did anyone else help [him/her] manage [his/her] money in the last three months of [his/her] life?
G070A Question In a typical month, on about how many days did [HELPERn NAME/you/[his/her] [husband/wife/partner]] help [him/her]?
G072A Question EVERY DAY ___________
G073A Question On the days [HELPERn NAME/your [husband/wife/partner]] helps you, about how many hours per day is that?
G074A Question IS HELPERn NAME (per G068) MALE OR FEMALE?
G075 Question (Which of your children is the parent of that grandchild?)
G076A Question Is HELPERn NAME paid to help you? Was HELPERn NAME paid to help [him/her]?
G077A Question Does ([Medicare,] Medicaid/[STATE NAME FOR MEDICAID]) or insurance help pay HELPERn NAME?
G078A Question (Not counting expenses paid by ([Medicare,] Medicaid/[ STATE NAME FOR MEDICAID]) or insurance,) about how much did you (and your [husband/wife/partner]) end up paying HELPERn NAME for the last month?
G079A Question PER:
G080A Question Did it amount to less than $100 per month, more than $100 per month, or what?
G081A Question Does any other person help you (and your [husband/wife/partner]) pay this cost?
G082A Question Is that a (child or other) relative of yours (and your [husband/wife/ partner]), or is that someone else?
G083 Question (Which child is that?)
G208 Question How would you rate your hand strength?
G209 Question How often do you become short of breath while awake? Would you say often, sometimes, rarely, or never?
G210 Question How often do you have difficulty with balance? Would you say often, sometimes, rarely, or never?
G086 Question Have you spent any time in the past 12 months doing volunteer work for religious, educational, health-related or other charitable organizations?
G195 Question Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what?
G196 Question Would it be less than 200 hours, more than 200 hours, or what?
G197 Question Would it be less than 50 hours, more than 50 hours, or what?
G198 Question Have you spent any time in the past 12 months helping friends, neighbors, or relatives who did not live with you and did not pay you for the help?
G199 Question Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what?
G200 Question Would it be less than 200 hours, more than 200 hours, or what?
G201 Question Would it be less than 50 hours, more than 50 hours, or what?
G097 Question Do you have relatives or friends [besides [your ] [partner|husband|wife]] who would be willing and able to help you over a long period of time?
G098M Question What is the relationship to you of that person or persons?
G099 Question (Which (child is that/children are those)?)
G100 Question (You mentioned that your grandchild would be willing to help you with future personal care activities. Which of your children is the parent of that grandchild?)
G103A Question (Because of a health or memory problem,) in the last three months of R's FIRST NAME‚s life did anyone help by supervising [him/her] to ensure safety, provide reassurance, or to make sure that nothing went wrong?
G101 Question [INSTR: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION G - FUNCTIONAL LIMITATIONS AND HELPERS?]
Start of G. Functional Limitations, ADL IADL, Helpers
 
G001

Because of a health problem do you have any difficulty with walking several blocks?

BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY WITH WALKING SEVERAL BLOCKS?

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If Because of a health problem do you have any difficulty with walking several blocks? = 5 »
 
   
 
G002

(Because of a health problem do you have any difficulty) with running or jogging about a mile?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH RUNNING OR JOGGING ABOUT A MILE?

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Else
 
   
 
G003

(Because of a health problem do you have any difficulty) with walking one block?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH WALKING ONE BLOCK?

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G004

(Because of a health problem do you have any difficulty) with sitting for about two hours?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH SITTING FOR ABOUT TWO HOURS?

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G005

(Because of a health problem do you have any difficulty) with getting up from a chair after sitting for long periods?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH GETTING UP FROM A CHAIR AFTER SITTING FOR LONG PERIODS?

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G006

(Because of a health problem do you have any difficulty) with climbing several flights of stairs without resting?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH CLIMBING SEVERAL FLIGHTS OF STAIRS WITHOUT RESTING?

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If (Because of a health problem do you have any difficulty) with climbing several flights of stairs without resting? != 5 »
 
   
 
G007

(Because of a health problem do you have any difficulty) with climbing one flight of stairs without resting?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH CLIMBING ONE FLIGHT OF STAIRS WITHOUT RESTING?

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G008

(Because of a health problem do you have any difficulty) with stooping, kneeling, or crouching?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH STOOPING, KNEELING, OR CROUCHING?

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G009

(Because of a health problem do you have any difficulty) with reaching or extending your arms above shoulder level?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH REACHING OR EXTENDING YOUR ARMS ABOVE SHOULDER LEVEL?

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G010

(Because of a health problem do you have any difficulty) with pulling or pushing large objects like a living room chair?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH PULLING OR PUSHING LARGE OBJECTS LIKE A LIVING ROOM CHAIR?

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G011

(Because of a health problem do you have any difficulty) with lifting or carrying weights over 10 pounds, like a heavy bag of groceries?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH LIFTING OR CARRYING WEIGHTS OVER 10 POUNDS, LIKE A HEAVY BAG OF GROCERIES?

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G012

(Because of a health problem do you have any difficulty) with picking up a dime from a table?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH PICKING UP A DIME FROM A TABLE?

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If G013 > 0 »
 
   
 
G014

Because of a health or memory problem do you have any difficulty with dressing, including putting on shoes and socks?

BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH DRESSING, INCLUDING PUTTING ON SHOES AND SOCKS?

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If Because of a health or memory problem do you have any difficulty with dressing, including putting on shoes and socks? != 5 »
 
     
   
G015

Does anyone ever help you dress?

DOES ANYONE EVER HELP YOU DRESS?

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If G013 > 1 or Because of a health or memory problem do you have any difficulty with dressing, including putting on shoes and socks? != 5 »
 
     
   
G016

Because of a health or memory problem do you have any difficulty with walking across a room?

BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH WALKING ACROSS A ROOM?

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G017

Do you ever use equipment or devices such as a cane, walker or wheelchair when crossing a room?

DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR WHEELCHAIR WHEN CROSSING A ROOM?

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If Do you ever use equipment or devices such as a cane, walker or wheelchair when crossing a room? = 1 YES 5 NO  »
 
       
     
G018M
       
   
If Because of a health or memory problem do you have any difficulty with walking across a room? != 5 »
 
       
     
G020

Does anyone ever help you get across a room? Because of a health or memory problem did anyone help [him/her] get across a room (in the last three months of [his/her] life)?

DOES ANYONE EVER HELP YOU GET ACROSS A ROOM? BECAUSE OF A HEALTH OR MEMORY PROBLEM DID ANYONE HELP [HIM/HER] GET ACROSS A ROOM (IN THE LAST THREE MONTHS OF [HIS/HER] LIFE)?

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G021

(Because of a health or memory problem do you have any difficulty with) bathing or showering?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH) BATHING OR SHOWERING?

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If (Because of a health or memory problem do you have any difficulty with) bathing or showering? != 5 »
 
       
     
G022

Does anyone ever help you bathe? (Because of a health or memory problem) Did anyone help [him/her] with bathing or showering (in the last three months of [his/her] life)?

DOES ANYONE EVER HELP YOU BATHE? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH BATHING OR SHOWERING (IN THE LAST THREE MONTHS OF [HIS/HER] LIFE)?

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G023

(Because of a health or memory problem do you have any difficulty with) eating, such as cutting up your food?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH) EATING, SUCH AS CUTTING UP YOUR FOOD?

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If (Because of a health or memory problem do you have any difficulty with) eating, such as cutting up your food? != 5 »
 
       
     
G024

Does anyone ever help you eat? (Because of a health or memory problem) Did anyone help [him/her] with eating, such as cutting up [his/her] food (in the last three months of [his/her] life)?

DOES ANYONE EVER HELP YOU EAT? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH EATING, SUCH AS CUTTING UP [HIS/HER] FOOD (IN THE LAST THREE MONTHS OF [HIS/HER] LIFE)?

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G025

(Because of a health or memory problem do you have any difficulty with) getting in or out of bed?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH) GETTING IN OR OUT OF BED?

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G026

Do you ever use equipment or devices such as a cane, walker or railing when getting in or out of bed?

DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR RAILING WHEN GETTING IN OR OUT OF BED?

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If Do you ever use equipment or devices such as a cane, walker or railing when getting in or out of bed? = 1 YES 5 NO  »
 
       
     
G027MEQPMBED
       
   
If (Because of a health or memory problem do you have any difficulty with) getting in or out of bed? != 5 »
 
       
     
G029

Does anyone ever help you get in or out of bed? (Because of a health or memory problem) Did anyone help [him/her] with getting in or out of bed in the last three months of [his/her] life?

DOES ANYONE EVER HELP YOU GET IN OR OUT OF BED? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH GETTING IN OR OUT OF BED IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

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G030

(Because of a health or memory problem do you have) any difficulty with using the toilet, including getting up and down?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH USING THE TOILET, INCLUDING GETTING UP AND DOWN?

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If (Because of a health or memory problem do you have) any difficulty with using the toilet, including getting up and down? != 5 »
 
       
     
G031

Does anyone ever help you use the toilet? (Because of a health or memory problem) Did anyone help [him/her] with using the toilet, including getting up and down in the last three months of [his/her] life?

DOES ANYONE EVER HELP YOU USE THE TOILET? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH USING THE TOILET, INCLUDING GETTING UP AND DOWN IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

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If Does anyone ever help you dress? != 5 or Does anyone ever help you get across a room? Because of a health or memory problem did anyone help [him/her] get across a room (in the last three months of [his/her] life)? != 5 or Does anyone ever help you bathe? (Because of a health or memory problem) Did anyone help [him/her] with bathing or showering (in the last three months of [his/her] life)? != 5 or Does anyone ever help you eat? (Because of a health or memory problem) Did anyone help [him/her] with eating, such as cutting up [his/her] food (in the last three months of [his/her] life)? != 5 or Does anyone ever help you get in or out of bed? (Because of a health or memory problem) Did anyone help [him/her] with getting in or out of bed in the last three months of [his/her] life? != 5 or Does anyone ever help you use the toilet? (Because of a health or memory problem) Did anyone help [him/her] with using the toilet, including getting up and down in the last three months of [his/her] life? != 5 »
 
       
     
G032

Who was that? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES]

WHO WAS THAT? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES]

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If Who was that? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES] was answered »
 
         
       
G033

What was that person's relationship to [R's NAME]?

WHAT WAS THAT PERSON'S RELATIONSHIP TO [R'S NAME]?

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If A019 >= 65 or OZ076 = NEW INTERVIEW »
 
   
 
G036

When you ride in a car, how often do you wear your seatbelt? Is it all of the time, most of the time, sometimes, rarely, or never?

WHEN YOU RIDE IN A CAR, HOW OFTEN DO YOU WEAR YOUR SEATBELT? IS IT ALL OF THE TIME, MOST OF THE TIME, SOMETIMES, RARELY, OR NEVER?

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If A019 >= 65 »
 
   
 
G037

Are you able to drive?

ARE YOU ABLE TO DRIVE?

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If Are you able to drive? = 1 YES 5 NO 6 [VOL] NEVER DROVE  »
 
     
   
G207

Have you driven a car in the past month?

HAVE YOU DRIVEN A CAR IN THE PAST MONTH?

     
   
G038

Do you have a car available to use when you need one?

DO YOU HAVE A CAR AVAILABLE TO USE WHEN YOU NEED ONE?

     
   
If Have you driven a car in the past month? = 1 »
 
       
     
G039

Do you limit your driving to nearby places, or do you also drive on longer trips?

DO YOU LIMIT YOUR DRIVING TO NEARBY PLACES, OR DO YOU ALSO DRIVE ON LONGER TRIPS?

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G040

Because of a health or memory problem, do you have any difficulty using a map to figure out how to get around in a strange place?

BECAUSE OF A HEALTH OR MEMORY PROBLEM, DO YOU HAVE ANY DIFFICULTY USING A MAP TO FIGURE OUT HOW TO GET AROUND IN A STRANGE PLACE?

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G041

(Because of a health or memory problem do you have) any difficulty preparing a hot meal?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY PREPARING A HOT MEAL?

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If (Because of a health or memory problem do you have) any difficulty preparing a hot meal? = 6 or (Because of a health or memory problem do you have) any difficulty preparing a hot meal? = 7 »
 
   
 
G042

Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

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If (Because of a health or memory problem do you have) any difficulty preparing a hot meal? != 5 and Is that because of a health or memory problem? != 5 and A028 != YES »
 
     
   
G043

Does anyone help you prepare hot meals?(Because of a health or memory problem,) Did anyone help [him/her] prepare hot meals in the last three months of [his/her] life?

DOES ANYONE HELP YOU PREPARE HOT MEALS?(BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] PREPARE HOT MEALS IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

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G044

(Because of a health or memory problem do you have) any difficulty with shopping for groceries?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH SHOPPING FOR GROCERIES?

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If (Because of a health or memory problem do you have) any difficulty with shopping for groceries? = 6 or (Because of a health or memory problem do you have) any difficulty with shopping for groceries? = 7 »
 
   
 
G045

Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

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If (Because of a health or memory problem do you have) any difficulty with shopping for groceries? != 5 and Is that because of a health or memory problem? != 5 and A028 != YES »
 
     
   
G046

Does anyone help you shop for groceries? (Because of a health or memory problem,) Did anyone help [him/her] shop for groceries in the last three months of [his/her] life?

DOES ANYONE HELP YOU SHOP FOR GROCERIES? (BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] SHOP FOR GROCERIES IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

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G047

(Because of a health or memory problem do you have) any difficulty with making phone calls?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH MAKING PHONE CALLS?

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If (Because of a health or memory problem do you have) any difficulty with making phone calls? = 6 or (Because of a health or memory problem do you have) any difficulty with making phone calls? = 7 »
 
   
 
G048

Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

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If (Because of a health or memory problem do you have) any difficulty with making phone calls? != 5 and Is that because of a health or memory problem? != 5 »
 
     
   
G049

Does anyone help you make telephone calls? (Because of a health or memory problem,) Did anyone help [him/her] make phone calls in the last three months of [his/her] life?

DOES ANYONE HELP YOU MAKE TELEPHONE CALLS? (BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] MAKE PHONE CALLS IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

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G050

(Because of a health or memory problem do you have) any difficulty taking medications?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY TAKING MEDICATIONS?

expand
 
If (Because of a health or memory problem do you have) any difficulty taking medications? = 7 »
 
   
 
G051

Do you think you would have any difficulty taking medications if you needed to do so?

DO YOU THINK YOU WOULD HAVE ANY DIFFICULTY TAKING MEDICATIONS IF YOU NEEDED TO DO SO?

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If ((Because of a health or memory problem do you have) any difficulty taking medications? = 6 or (Because of a health or memory problem do you have) any difficulty taking medications? = 7) and Do you think you would have any difficulty taking medications if you needed to do so? != 5 and Do you think you would have any difficulty taking medications if you needed to do so? was answered »
 
   
 
G052

Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

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If Do you think you would have any difficulty taking medications if you needed to do so? != 5 and (Because of a health or memory problem do you have) any difficulty taking medications? != 5 and Is that because of a health or memory problem? != 5 and A028 != YES and (Because of a health or memory problem do you have) any difficulty taking medications? != 6 »
 
     
   
G053

Does anyone help you with taking medications? (Because of a health or memory problem,) Did anyone help [him/her] with taking medications in the last three months of [his/her] life?

DOES ANYONE HELP YOU WITH TAKING MEDICATIONS? (BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] WITH TAKING MEDICATIONS IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

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If Does anyone help you with taking medications? (Because of a health or memory problem,) Did anyone help [him/her] with taking medications in the last three months of [his/her] life? = 1 YES 5 NO 6 [VOL] COULDN'T DO 7 [VOL] DIDN'T DO  »
 
       
     
G054

Who is that?

WHO IS THAT?

expand
       
     
G055

What is that person's relationship to you, or are they an employee of the place you live?

WHAT IS THAT PERSON'S RELATIONSHIP TO YOU, OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE?

expand
       
If A028 != YES »
 
   
 
G058

(Besides any help you have told us about,) do you get any help with work around the house or yard because of a health problem?

(BESIDES ANY HELP YOU HAVE TOLD US ABOUT,) DO YOU GET ANY HELP WITH WORK AROUND THE HOUSE OR YARD BECAUSE OF A HEALTH PROBLEM?

expand
   
G059

(Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM) DO YOU HAVE ANY DIFFICULTY WITH MANAGING YOUR MONEY -- SUCH AS PAYING YOUR BILLS AND KEEPING TRACK OF EXPENSES?

expand
 
If (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? = 6 or (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? = 7 »
 
   
 
G060

Was that because of a health or memory problem?

WAS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

expand
   
If (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? = 1 YES 5 NO 6 [VOL] CAN'T DO 7 [VOL] DON'T DO or (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? = 8 or (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? = 9 or Was that because of a health or memory problem? = 1 YES 5 NO or Was that because of a health or memory problem? = 8 or Was that because of a health or memory problem? = 9 »
 
   
 
G061

Does anyone ever help you manage your money?

DOES ANYONE EVER HELP YOU MANAGE YOUR MONEY?

expand
   
 
If Does anyone ever help you manage your money? = 1 YES 5 NO  »
 
     
   
G062

Who most often helps you manage your money?

WHO MOST OFTEN HELPS YOU MANAGE YOUR MONEY?

expand
     
   
If Who most often helps you manage your money? was answered »
 
       
     
G063

What is that person's relationship to you, or are they an employee of the place you live?

WHAT IS THAT PERSON'S RELATIONSHIP TO YOU, OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE?

expand
       
G208

How would you rate your hand strength?

HOW WOULD YOU RATE YOUR HAND STRENGTH?

 
G209

How often do you become short of breath while awake? Would you say often, sometimes, rarely, or never?

HOW OFTEN DO YOU BECOME SHORT OF BREATH WHILE AWAKE? WOULD YOU SAY OFTEN, SOMETIMES, RARELY, OR NEVER?

expand
 
G210

How often do you have difficulty with balance? Would you say often, sometimes, rarely, or never?

HOW OFTEN DO YOU HAVE DIFFICULTY WITH BALANCE? WOULD YOU SAY OFTEN, SOMETIMES, RARELY, OR NEVER?

expand
 
G086

Have you spent any time in the past 12 months doing volunteer work for religious, educational, health-related or other charitable organizations?

HAVE YOU SPENT ANY TIME IN THE PAST 12 MONTHS DOING VOLUNTEER WORK FOR RELIGIOUS, EDUCATIONAL, HEALTH-RELATED OR OTHER CHARITABLE ORGANIZATIONS?

expand
 
If Have you spent any time in the past 12 months doing volunteer work for religious, educational, health-related or other charitable organizations? = 1 YES 5 NO  »
 
   
 
G195

Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what?

ALTOGETHER, WOULD YOU SAY THE TIME AMOUNTED TO LESS THAN 100 HOURS, MORE THAN 100 HOURS, OR WHAT?

expand
   
 
If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? = 5 »
 
     
   
G196

Would it be less than 200 hours, more than 200 hours, or what?

WOULD IT BE LESS THAN 200 HOURS, MORE THAN 200 HOURS, OR WHAT?

expand
     
 
If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? = 1 LESS THAN 100 3 ABOUT 100 5 MORE THAN 100  »
 
     
   
G197

Would it be less than 50 hours, more than 50 hours, or what?

WOULD IT BE LESS THAN 50 HOURS, MORE THAN 50 HOURS, OR WHAT?

expand
     
G198

Have you spent any time in the past 12 months helping friends, neighbors, or relatives who did not live with you and did not pay you for the help?

HAVE YOU SPENT ANY TIME IN THE PAST 12 MONTHS HELPING FRIENDS, NEIGHBORS, OR RELATIVES WHO DID NOT LIVE WITH YOU AND DID NOT PAY YOU FOR THE HELP?

expand
 
If Have you spent any time in the past 12 months helping friends, neighbors, or relatives who did not live with you and did not pay you for the help? = 1 YES 5 NO  »
 
   
 
G199

Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what?

ALTOGETHER, WOULD YOU SAY THE TIME AMOUNTED TO LESS THAN 100 HOURS, MORE THAN 100 HOURS, OR WHAT?

expand
   
 
If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? = 5 »
 
     
   
G200

Would it be less than 200 hours, more than 200 hours, or what?

WOULD IT BE LESS THAN 200 HOURS, MORE THAN 200 HOURS, OR WHAT?

expand
     
 
If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? = 1 LESS THAN 100 3 ABOUT 100 5 MORE THAN 100  »
 
     
   
G201

Would it be less than 50 hours, more than 50 hours, or what?

WOULD IT BE LESS THAN 50 HOURS, MORE THAN 50 HOURS, OR WHAT?

expand
     
If A028 != 1 and Who was that? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES] was not answered and Who is that? was not answered and Who most often helps you manage your money? was not answered »
 
   
 
G097

Do you have relatives or friends [besides [your ] [partner|husband|wife]] who would be willing and able to help you over a long period of time?

DO YOU HAVE RELATIVES OR FRIENDS [BESIDES [YOUR ] [PARTNER|HUSBAND|WIFE]] WHO WOULD BE WILLING AND ABLE TO HELP YOU OVER A LONG PERIOD OF TIME?

expand
   
 
If Do you have relatives or friends [besides [your ] [partner|husband|wife]] who would be willing and able to help you over a long period of time? = 1 YES 5 NO  »
 
     
   
G098M1
     
   
If G098M1 = 1 »
 
       
     
G099M1
       
   
If G098M1 = 2 »
 
       
     
G100M1
       
End of G. Functional Limitations, ADL IADL, Helpers
Start of G. Functional Limitations, ADL IADL, Helpers

========================================================================
G001
Because of a health problem do you have any difficulty with walking several blocks?

BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY WITH WALKING SEVERAL BLOCKS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If Because of a health problem do you have any difficulty with walking several blocks? (G001) = 5 »

|  ========================================================================
G002
(Because of a health problem do you have any difficulty) with running or jogging about a mile?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH RUNNING OR JOGGING ABOUT A MILE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


Else

|  ========================================================================
G003
(Because of a health problem do you have any difficulty) with walking one block?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH WALKING ONE BLOCK?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G004
(Because of a health problem do you have any difficulty) with sitting for about two hours?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH SITTING FOR ABOUT TWO HOURS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G005
(Because of a health problem do you have any difficulty) with getting up from a chair after sitting for long periods?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH GETTING UP FROM A CHAIR AFTER SITTING FOR LONG PERIODS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G006
(Because of a health problem do you have any difficulty) with climbing several flights of stairs without resting?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH CLIMBING SEVERAL FLIGHTS OF STAIRS WITHOUT RESTING?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If (Because of a health problem do you have any difficulty) with climbing several flights of stairs without resting? (G006) != 5 »

|  ========================================================================
G007
(Because of a health problem do you have any difficulty) with climbing one flight of stairs without resting?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH CLIMBING ONE FLIGHT OF STAIRS WITHOUT RESTING?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G008
(Because of a health problem do you have any difficulty) with stooping, kneeling, or crouching?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH STOOPING, KNEELING, OR CROUCHING?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G009
(Because of a health problem do you have any difficulty) with reaching or extending your arms above shoulder level?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH REACHING OR EXTENDING YOUR ARMS ABOVE SHOULDER LEVEL?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G010
(Because of a health problem do you have any difficulty) with pulling or pushing large objects like a living room chair?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH PULLING OR PUSHING LARGE OBJECTS LIKE A LIVING ROOM CHAIR?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G011
(Because of a health problem do you have any difficulty) with lifting or carrying weights over 10 pounds, like a heavy bag of groceries?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH LIFTING OR CARRYING WEIGHTS OVER 10 POUNDS, LIKE A HEAVY BAG OF GROCERIES?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G012
(Because of a health problem do you have any difficulty) with picking up a dime from a table?

(BECAUSE OF A HEALTH PROBLEM DO YOU HAVE ANY DIFFICULTY) WITH PICKING UP A DIME FROM A TABLE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If G013 > 0 »

|  ========================================================================
G014
Because of a health or memory problem do you have any difficulty with dressing, including putting on shoes and socks?

BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH DRESSING, INCLUDING PUTTING ON SHOES AND SOCKS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If Because of a health or memory problem do you have any difficulty with dressing, including putting on shoes and socks? (G014) != 5 »

| |  ========================================================================
| | 
G015
Does anyone ever help you dress?

DOES ANYONE EVER HELP YOU DRESS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If G013 > 1 or Because of a health or memory problem do you have any difficulty with dressing, including putting on shoes and socks? (G014) != 5 »

| |  ========================================================================
| | 
G016
Because of a health or memory problem do you have any difficulty with walking across a room?

BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH WALKING ACROSS A ROOM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


| |  ========================================================================
| | 
G017
Do you ever use equipment or devices such as a cane, walker or wheelchair when crossing a room?

DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR WHEELCHAIR WHEN CROSSING A ROOM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| |  If Do you ever use equipment or devices such as a cane, walker or wheelchair when crossing a room? (G017) = 1 YES 5 NO  »

| | |  ========================================================================
| | | 
G018M
G018M

| |  If Because of a health or memory problem do you have any difficulty with walking across a room? (G016) != 5 »

| | |  ========================================================================
| | | 
G020
Does anyone ever help you get across a room? Because of a health or memory problem did anyone help [him/her] get across a room (in the last three months of [his/her] life)?

DOES ANYONE EVER HELP YOU GET ACROSS A ROOM? BECAUSE OF A HEALTH OR MEMORY PROBLEM DID ANYONE HELP [HIM/HER] GET ACROSS A ROOM (IN THE LAST THREE MONTHS OF [HIS/HER] LIFE)?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


| |  ========================================================================
| | 
G021
(Because of a health or memory problem do you have any difficulty with) bathing or showering?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH) BATHING OR SHOWERING?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


| |  If (Because of a health or memory problem do you have any difficulty with) bathing or showering? (G021) != 5 »

| | |  ========================================================================
| | | 
G022
Does anyone ever help you bathe? (Because of a health or memory problem) Did anyone help [him/her] with bathing or showering (in the last three months of [his/her] life)?

DOES ANYONE EVER HELP YOU BATHE? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH BATHING OR SHOWERING (IN THE LAST THREE MONTHS OF [HIS/HER] LIFE)?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


| |  ========================================================================
| | 
G023
(Because of a health or memory problem do you have any difficulty with) eating, such as cutting up your food?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH) EATING, SUCH AS CUTTING UP YOUR FOOD?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


| |  If (Because of a health or memory problem do you have any difficulty with) eating, such as cutting up your food? (G023) != 5 »

| | |  ========================================================================
| | | 
G024
Does anyone ever help you eat? (Because of a health or memory problem) Did anyone help [him/her] with eating, such as cutting up [his/her] food (in the last three months of [his/her] life)?

DOES ANYONE EVER HELP YOU EAT? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH EATING, SUCH AS CUTTING UP [HIS/HER] FOOD (IN THE LAST THREE MONTHS OF [HIS/HER] LIFE)?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


| |  ========================================================================
| | 
G025
(Because of a health or memory problem do you have any difficulty with) getting in or out of bed?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE ANY DIFFICULTY WITH) GETTING IN OR OUT OF BED?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


| |  ========================================================================
| | 
G026
Do you ever use equipment or devices such as a cane, walker or railing when getting in or out of bed?

DO YOU EVER USE EQUIPMENT OR DEVICES SUCH AS A CANE, WALKER OR RAILING WHEN GETTING IN OR OUT OF BED?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


| |  If Do you ever use equipment or devices such as a cane, walker or railing when getting in or out of bed? (G026) = 1 YES 5 NO  »

| | |  ========================================================================
| | | 
G027MEQPMBED
G027MEQPMBED

| |  If (Because of a health or memory problem do you have any difficulty with) getting in or out of bed? (G025) != 5 »

| | |  ========================================================================
| | | 
G029
Does anyone ever help you get in or out of bed? (Because of a health or memory problem) Did anyone help [him/her] with getting in or out of bed in the last three months of [his/her] life?

DOES ANYONE EVER HELP YOU GET IN OR OUT OF BED? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH GETTING IN OR OUT OF BED IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


| |  ========================================================================
| | 
G030
(Because of a health or memory problem do you have) any difficulty with using the toilet, including getting up and down?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH USING THE TOILET, INCLUDING GETTING UP AND DOWN?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


| |  If (Because of a health or memory problem do you have) any difficulty with using the toilet, including getting up and down? (G030) != 5 »

| | |  ========================================================================
| | | 
G031
Does anyone ever help you use the toilet? (Because of a health or memory problem) Did anyone help [him/her] with using the toilet, including getting up and down in the last three months of [his/her] life?

DOES ANYONE EVER HELP YOU USE THE TOILET? (BECAUSE OF A HEALTH OR MEMORY PROBLEM) DID ANYONE HELP [HIM/HER] WITH USING THE TOILET, INCLUDING GETTING UP AND DOWN IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


| |  If Does anyone ever help you dress? (G015) != 5 or Does anyone ever help you get across a room? Because of a health or memory problem did anyone help [him/her] get across a room (in the last three months of [his/her] life)? (G020) != 5 or Does anyone ever help you bathe? (Because of a health or memory problem) Did anyone help [him/her] with bathing or showering (in the last three months of [his/her] life)? (G022) != 5 or Does anyone ever help you eat? (Because of a health or memory problem) Did anyone help [him/her] with eating, such as cutting up [his/her] food (in the last three months of [his/her] life)? (G024) != 5 or Does anyone ever help you get in or out of bed? (Because of a health or memory problem) Did anyone help [him/her] with getting in or out of bed in the last three months of [his/her] life? (G029) != 5 or Does anyone ever help you use the toilet? (Because of a health or memory problem) Did anyone help [him/her] with using the toilet, including getting up and down in the last three months of [his/her] life? (G031) != 5 »

| | |  ========================================================================
| | | 
G032
Who was that? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES]

WHO WAS THAT? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES]

- - - - - - - - - - - - - - - - - - - - - - - - -
2 R's SPOUSE OR PARTNER NAME
3 THROUGH 72 HELPER NAME(S) (per X058) - RELATIONSHIP (per X061)
96 EMPLOYEE(S) OF FACILITY
97 OTHER - NOT ON LIST


| | |  If Who was that? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES] (G032) was answered »

| | | |  ========================================================================
| | | | 
G033
What was that person's relationship to [R's NAME]?

WHAT WAS THAT PERSON'S RELATIONSHIP TO [R'S NAME]?

- - - - - - - - - - - - - - - - - - - - - - - - -
2 SPOUSE OR PARTNER
3 SON
4 STEPSON
5 SPOUSE OR PARTNER OF DAUGHTER (CHILD-IN-LAW)
6 DAUGHTER
7 STEPDAUGHTER
8 SPOUSE OR PARTNER OF SON (CHILD-IN-LAW)
9 GRANDCHILD
10 FATHER
11 FATHER-IN-LAW
12 MOTHER
13 MOTHER-IN-LAW
15 BROTHER
16 BROTHER OF SPOUSE OR PARTNER (BROTHER-IN-LAW)
17 SISTER
18 SISTER OF SPOUSE OR PARTNER (SISTER-IN-LAW)
19 OTHER RELATIVE
20 OTHER INDIVIDUAL
21 ORGANIZATION
22 EMPLOYEE OF FACILITY, GO BACK TO G054 & ASSIGN 96: EMPLOYEE(S) OF FACILITY
23 PAID HELPER
27 EX-SPOUSE OR PARTNER
31 FORMER CHILD-IN-LAW
33 GRANDCHILD'S SPOUSE OR PARTNER LIVING IN A NURSING HOME OR WHO WAS LIVING IN A NURSING HOME OR HOSPICE WHEN S/HE DIED.


If A019 >= 65 or OZ076 = NEW INTERVIEW »

|  ========================================================================
G036
When you ride in a car, how often do you wear your seatbelt? Is it all of the time, most of the time, sometimes, rarely, or never?

WHEN YOU RIDE IN A CAR, HOW OFTEN DO YOU WEAR YOUR SEATBELT? IS IT ALL OF THE TIME, MOST OF THE TIME, SOMETIMES, RARELY, OR NEVER?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 ALL OF THE TIME
2 MOST OF THE TIME
3 SOMETIMES
4 RARELY
5 NEVER


If A019 >= 65 »

|  ========================================================================
G037
Are you able to drive?

ARE YOU ABLE TO DRIVE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] NEVER DROVE


If Are you able to drive? (G037) = 1 YES 5 NO 6 [VOL] NEVER DROVE  »

| |  ========================================================================
| | 
G207
Have you driven a car in the past month?

HAVE YOU DRIVEN A CAR IN THE PAST MONTH?


| |  ========================================================================
| | 
G038
Do you have a car available to use when you need one?

DO YOU HAVE A CAR AVAILABLE TO USE WHEN YOU NEED ONE?


| |  If Have you driven a car in the past month? (G207) = 1 »

| | |  ========================================================================
| | | 
G039
Do you limit your driving to nearby places, or do you also drive on longer trips?

DO YOU LIMIT YOUR DRIVING TO NEARBY PLACES, OR DO YOU ALSO DRIVE ON LONGER TRIPS?

- - - - - - - - - - - - - - - - - - - - - - - - -
7 [VOL] NA: R DOES NOT DRIVE
1 LIMIT TO NEARBY
2 DRIVE LONG TRIPS


========================================================================
G040
Because of a health or memory problem, do you have any difficulty using a map to figure out how to get around in a strange place?

BECAUSE OF A HEALTH OR MEMORY PROBLEM, DO YOU HAVE ANY DIFFICULTY USING A MAP TO FIGURE OUT HOW TO GET AROUND IN A STRANGE PLACE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


========================================================================
G041
(Because of a health or memory problem do you have) any difficulty preparing a hot meal?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY PREPARING A HOT MEAL?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If (Because of a health or memory problem do you have) any difficulty preparing a hot meal? (G041) = 6 or (Because of a health or memory problem do you have) any difficulty preparing a hot meal? (G041) = 7 »

|  ========================================================================
G042
Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If (Because of a health or memory problem do you have) any difficulty preparing a hot meal? (G041) != 5 and Is that because of a health or memory problem? (G042) != 5 and A028 != YES »

| |  ========================================================================
| | 
G043
Does anyone help you prepare hot meals?(Because of a health or memory problem,) Did anyone help [him/her] prepare hot meals in the last three months of [his/her] life?

DOES ANYONE HELP YOU PREPARE HOT MEALS?(BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] PREPARE HOT MEALS IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


========================================================================
G044
(Because of a health or memory problem do you have) any difficulty with shopping for groceries?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH SHOPPING FOR GROCERIES?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If (Because of a health or memory problem do you have) any difficulty with shopping for groceries? (G044) = 6 or (Because of a health or memory problem do you have) any difficulty with shopping for groceries? (G044) = 7 »

|  ========================================================================
G045
Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If (Because of a health or memory problem do you have) any difficulty with shopping for groceries? (G044) != 5 and Is that because of a health or memory problem? (G045) != 5 and A028 != YES »

| |  ========================================================================
| | 
G046
Does anyone help you shop for groceries? (Because of a health or memory problem,) Did anyone help [him/her] shop for groceries in the last three months of [his/her] life?

DOES ANYONE HELP YOU SHOP FOR GROCERIES? (BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] SHOP FOR GROCERIES IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


========================================================================
G047
(Because of a health or memory problem do you have) any difficulty with making phone calls?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY WITH MAKING PHONE CALLS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If (Because of a health or memory problem do you have) any difficulty with making phone calls? (G047) = 6 or (Because of a health or memory problem do you have) any difficulty with making phone calls? (G047) = 7 »

|  ========================================================================
G048
Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If (Because of a health or memory problem do you have) any difficulty with making phone calls? (G047) != 5 and Is that because of a health or memory problem? (G048) != 5 »

| |  ========================================================================
| | 
G049
Does anyone help you make telephone calls? (Because of a health or memory problem,) Did anyone help [him/her] make phone calls in the last three months of [his/her] life?

DOES ANYONE HELP YOU MAKE TELEPHONE CALLS? (BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] MAKE PHONE CALLS IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


========================================================================
G050
(Because of a health or memory problem do you have) any difficulty taking medications?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM DO YOU HAVE) ANY DIFFICULTY TAKING MEDICATIONS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If (Because of a health or memory problem do you have) any difficulty taking medications? (G050) = 7 »

|  ========================================================================
G051
Do you think you would have any difficulty taking medications if you needed to do so?

DO YOU THINK YOU WOULD HAVE ANY DIFFICULTY TAKING MEDICATIONS IF YOU NEEDED TO DO SO?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If ((Because of a health or memory problem do you have) any difficulty taking medications? (G050) = 6 or (Because of a health or memory problem do you have) any difficulty taking medications? (G050) = 7) and Do you think you would have any difficulty taking medications if you needed to do so? (G051) != 5 and Do you think you would have any difficulty taking medications if you needed to do so? (G051) was answered »

|  ========================================================================
G052
Is that because of a health or memory problem?

IS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If Do you think you would have any difficulty taking medications if you needed to do so? (G051) != 5 and (Because of a health or memory problem do you have) any difficulty taking medications? (G050) != 5 and Is that because of a health or memory problem? (G052) != 5 and A028 != YES and (Because of a health or memory problem do you have) any difficulty taking medications? (G050) != 6 »

| |  ========================================================================
| | 
G053
Does anyone help you with taking medications? (Because of a health or memory problem,) Did anyone help [him/her] with taking medications in the last three months of [his/her] life?

DOES ANYONE HELP YOU WITH TAKING MEDICATIONS? (BECAUSE OF A HEALTH OR MEMORY PROBLEM,) DID ANYONE HELP [HIM/HER] WITH TAKING MEDICATIONS IN THE LAST THREE MONTHS OF [HIS/HER] LIFE?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] COULDN'T DO
7 [VOL] DIDN'T DO


| |  If Does anyone help you with taking medications? (Because of a health or memory problem,) Did anyone help [him/her] with taking medications in the last three months of [his/her] life? (G053) = 1 YES 5 NO 6 [VOL] COULDN'T DO 7 [VOL] DIDN'T DO  »

| | |  ========================================================================
| | | 
G054
Who is that?

WHO IS THAT?

- - - - - - - - - - - - - - - - - - - - - - - - -
2 R's SPOUSE OR PARTNER NAME
3 THROUGH 72 HELPER NAME(S) (per X058) - RELATIONSHIP (per X061)
96 EMPLOYEE(S) OF FACILITY
97 OTHER - NOT ON LIST


| | |  ========================================================================
| | | 
G055
What is that person's relationship to you, or are they an employee of the place you live?

WHAT IS THAT PERSON'S RELATIONSHIP TO YOU, OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE?

- - - - - - - - - - - - - - - - - - - - - - - - -
2 SPOUSE OR PARTNER
3 SON
4 STEPSON
5 SPOUSE OR PARTNER OF DAUGHTER (CHILD-IN-LAW)
6 DAUGHTER
7 STEPDAUGHTER
8 SPOUSE OR PARTNER OF SON (CHILD-IN-LAW)
9 GRANDCHILD
10 FATHER
11 FATHER-IN-LAW
12 MOTHER
13 MOTHER-IN-LAW
15 BROTHER
16 BROTHER OF SPOUSE OR PARTNER (BROTHER-IN-LAW)
17 SISTER
18 SISTER OF SPOUSE OR PARTNER (SISTER-IN-LAW)
19 OTHER RELATIVE
20 OTHER INDIVIDUAL
21 ORGANIZATION
22 EMPLOYEE OF FACILITY, GO BACK TO G054 & ASSIGN 96: EMPLOYEE(S) OF FACILITY
23 PAID HELPER
27 EX-SPOUSE OR PARTNER
31 FORMER CHILD-IN-LAW
33 GRANDCHILD'S SPOUSE OR PARTNER CURRENTLY LIVING IN A NURSING HOME OR WHO WAS LIVING IN A NURSING HOME OR HOSPICE WHEN S/HE DIED


If A028 != YES »

|  ========================================================================
G058
(Besides any help you have told us about,) do you get any help with work around the house or yard because of a health problem?

(BESIDES ANY HELP YOU HAVE TOLD US ABOUT,) DO YOU GET ANY HELP WITH WORK AROUND THE HOUSE OR YARD BECAUSE OF A HEALTH PROBLEM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


========================================================================
G059
(Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses?

(BECAUSE OF A HEALTH OR MEMORY PROBLEM) DO YOU HAVE ANY DIFFICULTY WITH MANAGING YOUR MONEY -- SUCH AS PAYING YOUR BILLS AND KEEPING TRACK OF EXPENSES?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
6 [VOL] CAN'T DO
7 [VOL] DON'T DO


If (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? (G059) = 6 or (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? (G059) = 7 »

|  ========================================================================
G060
Was that because of a health or memory problem?

WAS THAT BECAUSE OF A HEALTH OR MEMORY PROBLEM?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? (G059) = 1 YES 5 NO 6 [VOL] CAN'T DO 7 [VOL] DON'T DO or (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? (G059) = 8 or (Because of a health or memory problem) do you have any difficulty with managing your money -- such as paying your bills and keeping track of expenses? (G059) = 9 or Was that because of a health or memory problem? (G060) = 1 YES 5 NO or Was that because of a health or memory problem? (G060) = 8 or Was that because of a health or memory problem? (G060) = 9 »

|  ========================================================================
G061
Does anyone ever help you manage your money?

DOES ANYONE EVER HELP YOU MANAGE YOUR MONEY?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If Does anyone ever help you manage your money? (G061) = 1 YES 5 NO  »

| |  ========================================================================
| | 
G062
Who most often helps you manage your money?

WHO MOST OFTEN HELPS YOU MANAGE YOUR MONEY?

- - - - - - - - - - - - - - - - - - - - - - - - -
2 R's SPOUSE OR PARTNER NAME
3 THROUGH 72
96 EMPLOYEE(S) OF FACILITY
97 OTHER -- NOT ON LIST


| |  If Who most often helps you manage your money? (G062) was answered »

| | |  ========================================================================
| | | 
G063
What is that person's relationship to you, or are they an employee of the place you live?

WHAT IS THAT PERSON'S RELATIONSHIP TO YOU, OR ARE THEY AN EMPLOYEE OF THE PLACE YOU LIVE?

- - - - - - - - - - - - - - - - - - - - - - - - -
2 SPOUSE OR PARTNER
3 SON
4 STEPSON
5 SPOUSE OR PARTNER OF DAUGHTER (CHILD-IN-LAW)
6 DAUGHTER
7 STEPDAUGHTER
8 SPOUSE OR PARTNER OF SON (CHILD-IN-LAW)
9 GRANDCHILD
10 FATHER
11 FATHER-IN-LAW
12 MOTHER
13 MOTHER-IN-LAW
15 BROTHER
16 BROTHER OF SPOUSE OR PARTNER (BROTHER-IN-LAW)
17 SISTER
18 SISTER OF SPOUSE OR PARTNER (SISTER-IN-LAW)
19 OTHER RELATIVE
20 OTHER INDIVIDUAL
21 ORGANIZATION
22 EMPLOYEE OF FACILITY, GO BACK TO G054 & ASSIGN 96: EMPLOYEE(S) OF FACILITY
23 PAID HELPER
27 EX-SPOUSE OR PARTNER
31 FORMER CHILD-IN-LAW
33 GRANDCHILD'S SPOUSE OR PARTNER CURRENTLY LIVING IN A NURSING HOME OR WHO WAS LIVING IN A NURSING HOME OR HOSPICE WHEN S/HE DIED


========================================================================
G208
How would you rate your hand strength?

HOW WOULD YOU RATE YOUR HAND STRENGTH?


========================================================================
G209
How often do you become short of breath while awake? Would you say often, sometimes, rarely, or never?

HOW OFTEN DO YOU BECOME SHORT OF BREATH WHILE AWAKE? WOULD YOU SAY OFTEN, SOMETIMES, RARELY, OR NEVER?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 OFTEN
2 SOMETIMES
3 RARELY
4 NEVER


========================================================================
G210
How often do you have difficulty with balance? Would you say often, sometimes, rarely, or never?

HOW OFTEN DO YOU HAVE DIFFICULTY WITH BALANCE? WOULD YOU SAY OFTEN, SOMETIMES, RARELY, OR NEVER?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 OFTEN
2 SOMETIMES
3 RARELY
4 NEVER


========================================================================
G086
Have you spent any time in the past 12 months doing volunteer work for religious, educational, health-related or other charitable organizations?

HAVE YOU SPENT ANY TIME IN THE PAST 12 MONTHS DOING VOLUNTEER WORK FOR RELIGIOUS, EDUCATIONAL, HEALTH-RELATED OR OTHER CHARITABLE ORGANIZATIONS?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If Have you spent any time in the past 12 months doing volunteer work for religious, educational, health-related or other charitable organizations? (G086) = 1 YES 5 NO  »

|  ========================================================================
G195
Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what?

ALTOGETHER, WOULD YOU SAY THE TIME AMOUNTED TO LESS THAN 100 HOURS, MORE THAN 100 HOURS, OR WHAT?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 LESS THAN 100
3 ABOUT 100
5 MORE THAN 100


If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? (G195) = 5 »

| |  ========================================================================
| | 
G196
Would it be less than 200 hours, more than 200 hours, or what?

WOULD IT BE LESS THAN 200 HOURS, MORE THAN 200 HOURS, OR WHAT?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 LESS THAN 200
3 ABOUT 200
5 MORE THAN 200


If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? (G195) = 1 LESS THAN 100 3 ABOUT 100 5 MORE THAN 100  »

| |  ========================================================================
| | 
G197
Would it be less than 50 hours, more than 50 hours, or what?

WOULD IT BE LESS THAN 50 HOURS, MORE THAN 50 HOURS, OR WHAT?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 LESS THAN 50
3 ABOUT 50
5 MORE THAN 50


========================================================================
G198
Have you spent any time in the past 12 months helping friends, neighbors, or relatives who did not live with you and did not pay you for the help?

HAVE YOU SPENT ANY TIME IN THE PAST 12 MONTHS HELPING FRIENDS, NEIGHBORS, OR RELATIVES WHO DID NOT LIVE WITH YOU AND DID NOT PAY YOU FOR THE HELP?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If Have you spent any time in the past 12 months helping friends, neighbors, or relatives who did not live with you and did not pay you for the help? (G198) = 1 YES 5 NO  »

|  ========================================================================
G199
Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what?

ALTOGETHER, WOULD YOU SAY THE TIME AMOUNTED TO LESS THAN 100 HOURS, MORE THAN 100 HOURS, OR WHAT?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 LESS THAN 100
3 ABOUT 100
5 MORE THAN 100


If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? (G199) = 5 »

| |  ========================================================================
| | 
G200
Would it be less than 200 hours, more than 200 hours, or what?

WOULD IT BE LESS THAN 200 HOURS, MORE THAN 200 HOURS, OR WHAT?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 LESS THAN 200
3 ABOUT 200
5 MORE THAN 200


If Altogether, would you say the time amounted to less than 100 hours, more than 100 hours, or what? (G199) = 1 LESS THAN 100 3 ABOUT 100 5 MORE THAN 100  »

| |  ========================================================================
| | 
G201
Would it be less than 50 hours, more than 50 hours, or what?

WOULD IT BE LESS THAN 50 HOURS, MORE THAN 50 HOURS, OR WHAT?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 LESS THAN 50
3 ABOUT 50
5 MORE THAN 50


If A028 != 1 and Who was that? HELPER NAME(S) [DISPLAYED BY BLAISE FROM PREVIOUS RESPONSES] (G032) was not answered and Who is that? (G054) was not answered and Who most often helps you manage your money? (G062) was not answered »

|  ========================================================================
G097
Do you have relatives or friends [besides [your ] [partner|husband|wife]] who would be willing and able to help you over a long period of time?

DO YOU HAVE RELATIVES OR FRIENDS [BESIDES [YOUR ] [PARTNER|HUSBAND|WIFE]] WHO WOULD BE WILLING AND ABLE TO HELP YOU OVER A LONG PERIOD OF TIME?

- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO


If Do you have relatives or friends [besides [your ] [partner|husband|wife]] who would be willing and able to help you over a long period of time? (G097) = 1 YES 5 NO  »

| |  ========================================================================
| | 
G098M1
G098M1

| |  If G098M1 = 1 »

| | |  ========================================================================
| | | 
G099M1
G099M1

| |  If G098M1 = 2 »

| | |  ========================================================================
| | | 
G100M1
G100M1

End of G. Functional Limitations, ADL IADL, Helpers