|
SC1
|
 |
Before passing away, would you say that the health of (NAME) was... |
|
SC3
|
|
Before passing away, did a doctor or medical personnel diagnose (NAME) with diabetes or high blood sugar? |
|
SC4
|
|
Before passing away, was (NAME) taking some oral medicine to control his/her diabetes? |
|
SC5
|
|
Before passing away, was (NAME) taking injections or using an insulin pump? |
|
SC6
|
|
Was (NAME) following a special diet to control his/her diabetes? |
|
SC7
|
|
How frequently did (NAME) measure the level of sugar in his/ her blood or urine? |
|
SC8A
|
|
Before passing away, did a doctor or medical personnel diagnose (NAME) with cancer or a malignant tumor, excluding minor skin cancer? |
|
SC8B
|
|
What type of cancer? |
|
SC9
|
|
During the last year of his/her life, what kind of treatment did (NAME) receive for his/ her cancer(s)? |
|
SC10
|
|
In what year was (NAME)'s (most recent) cancer diagnosed? |
|
SC11
|
|
Before passing away, did a doctor or medical personnel diagnose (NAME) with a respiratory illness, like asthma or emphysema? |
|
SC12A
|
|
Before passing away, was (NAME) taking medicine or some treatment to for his/her respiratory illness? |
|
SC12B
|
|
Before passing away, was (NAME) receiving oxygen for his/ her respiratory illness? |
|
SC13
|
|
Before passing away, did a doctor or medical personnel tell (NAME) that he/she had a heart attack? |
|
SC14
|
|
Before passing away, was (NAME) taking medicine for his/ her heart problems? |
|
SC15A
|
|
Before passing away, was (NAME) taking medicine for chest pain? |
|
SC15B
|
|
During the last year of his /her life, did a doctor or medical personnel tell (NAME) that he/she had: heart failure, congestive heart failure, arrhythmia, or angina? |
|
SC16
|
|
During the last year of his /her life, did a doctor or medical personnel tell (NAME) that he/she had a stroke? |
|
SC17
|
|
Before passing away, was (NAME) taking medicine due to the stroke or its complications? |
|
SC18
|
|
About in what year did (NAME) have his/her most recent stroke? |
|
SC19-1
|
|
During the last year of his/her life, did a doctor or medical personnel diagnose (NAME) with An illness that affects the memory? |
|
SC19-2
|
|
During the last year of his/her life, did a doctor or medical personnel diagnose (NAME) with Liver infection? |
|
SC19-3
|
|
During the last year of his/her life, did a doctor or medical personnel diagnose (NAME) with Kidney infection? |
|
SC19-4
|
|
During the last year of his/her life, did a doctor or medical personnel diagnose (NAME) with Shingles (Herpes Zoster)? |
|
SC19-5
|
|
During the last year of his/her life, did a doctor or medical personnel diagnose (NAME) with Tuberculosis? |
|
SC19-6
|
|
During the last year of his/her life, did a doctor or medical personnel diagnose (NAME) with Neumonia? |
|
SC20
|
|
Did (NAME) fall down in the last year of his /her life? |
|
SC21
|
|
About how many times? |
|
SC22
|
|
Did (NAME) hurt himself/herself in these falls such that he/she needed medical treatment? |
|
SC23
|
|
In the last year of his /her life, did (NAME) fracture any bones including the hip? |
|
SC24
|
|
In the last year of his /her life, did (NAME) often suffer physical pain? |
|
SC25
|
|
How was the physical pain most of the time... |
|
SC26
|
|
Did (NAME) smoke in the last year of his/her life? |
|
SC27
|
|
How often did (NAME) smoke? |
|
SC28
|
|
About how many cigarrettes or packs did (NAME) smoke in a typical day? |
|
SC29
|
|
In the last year of his /her life, about how many days a week did (NAME) have an alcoholic drink like beer, wine, liquor, or pulque (spirit made from fermented cactus pulp)? |
|
SC30a
|
|
Compared to a year before death, when (NAME) died, his/ her weight... |
|
SC30B
|
|
During the last year of his/her life did (NAME) eat less due the lack of appetite, digestive problems, or difficulties swallowing or chewing... |
|
SC31A
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Frequent swelling in feet or ankles |
|
SC31B
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Difficulty breathing while lying |
|
SC31E
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Severe fatigue or exhaustion |
|
SC31F
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Wheezing, cough or phlegm |
|
SC31H
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Stomach pain, indigestion, diarrhea |
|
SC31I
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Involuntary loss of urine |
|
SC31O
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Frequent vomiting |
|
SC31P
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Depression |
|
SC31Q
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Frequent confusion |
|
SC31R
|
|
During the last year of his/her life, did (NAME) often have any of the following problems? Out of control temper |