Questionnaire Public Report12/03/2012 02:06:02 PM
Cohort:National Longitudinal Survey of Youth 1979
Round:NLSY79 Round 16
Instrument :NLSY7994 release
  1. Health



Q11-A []Section: Health

INTERVIEWER: ENTERING SECTION 11: HEALTH.

Default Next:Q11-2


Q11-2 [R49610.]Section: Health

[[Was R working or in the military in week before survey?]]

COMMENT: MACHINE CHECK - HEALTH SECTION

If Answer >= 1 AND Answer <= 10 Then Go To
Q11-4

Default Next:Q11-3
Lead-In:Q11-A [Default]


Q11-3 [R49611.]Section: Health

Would your health keep you from working ON A JOB FOR PAY NOW?

 1   YES    ...(Go To Q11-5A)
 0   NO

Default Next:Q11-4
Lead-In:Q11-2 [Default]


Q11-4 [R49612.]Section: Health

(Are you/Would you be) limited in the KIND of work you (could) do on a job
for pay because of your health?

 1   YES
 0   NO

Default Next:Q11-5
Lead-In:Q11-2 [1:10], Q11-3 [Default]


Q11-5 [R49613.]Section: Health

(Are you/Would you be) limited in the AMOUNT of work you (could) do because
of your health?

 1   YES
 0   NO

Default Next:Q11-5A
Lead-In:Q11-4 [Default]


Q11-5A [R49614.]Section: Health

([Q11-3]=1) | ([Q11-4]=1)| ([Q11-5]=1)

COMMENT: Check if R has reported a health limitation.

If Answer = 1 Then Go To
Q11-5B

Default Next:Q11-9
Lead-In:Q11-3 [1:1], Q11-5 [Default]


Q11-5B [R49615.]Section: Health

([[Gender of the respondent]]=1)

COMMENT: Is respondent male?

If Answer = 1 Then Go To
Q11-7

Default Next:Q11-5C
Lead-In:Q11-5A [1:1]


Q11-5C [R49616.]Section: Health

([Q9-61B]=1) & ([Q9-61Ca]<=9)

COMMENT: Is R currently pregnant?

If Answer = 1 Then Go To
Q11-6

Default Next:Q11-7
Lead-In:Q11-5B [Default]


Q11-6 [R49617.]Section: Health

Is your limitation ENTIRELY due to your current pregnancy?

 1   YES    ...(Go To Q11-9)
 0   NO

Default Next:Q11-7
Lead-In:Q11-5C [1:1]


Q11-7 [R49618.]Section: Health

Since what month and year have you had this limitation (other than your
pregnancy)?

 1   SELECT TO ENTER DATE   ...(Go To Q11-8)
 0   IF VOLUNTEERED: 'ALL MY LIFE'

Default Next:Q11-9
Lead-In:Q11-5B [1:1], Q11-5C [Default], Q11-6 [Default]


Q11-8 [R49619.00]Section: Health

INTERVIEWER: ENTER DATE FROM WHICH R HAS HAD THIS LIMITATION.

Enter Date:  
MonthYear 

Default Next:Q11-9
Lead-In:Q11-7 [1:1]


Q11-9 [R49620.]Section: Health

How much do you weigh?



(ENTER POUNDS)

Enter Number: 

Default Next:Q11-10
Lead-In:Q11-6 [1:1], Q11-5A [Default], Q11-7 [Default], Q11-8 [Default]


Q11-10 [R49621.]Section: Health

[[Total number of employers reported]]

COMMENT: DID R REPORT ANY EMPLOYERS SINCE DATE OF LAST INTERVIEW?

If Answer = 0 Then Go To
Q11-78
If Answer >= 1 AND Answer <= 10 Then Go To Q11-11

Default Next:Q11-78
Lead-In:Q11-9 [Default]


Q11-11 []Section: Health

Now, I would like to ask you a few questions about any injuries and
illnesses you might have received or gotten WHILE you were working on a
job.

Default Next:Q11-11A
Lead-In:Q11-10 [1:10]


Q11-11A [R49623.]Section: Health

([[recall]]=1)

COMMENT: Is R a member of the recall sample?

If Answer = 0 Then Go To
Q11-12B

Default Next:Q11-12A
Lead-In:Q11-11 [Default]


Q11-12A [R49624.]Section: Health

First, since [date of last interview], have you had an incident at any job we
previously discussed that resulted in an injury or illness to you?
(IF NECESSARY, REMIND RESPONDENT:) Remember, we are using your interview
date on [date of last interview] here instead of your interview last year.

 1   YES    ...(Go To Q11-13)
 0   NO

Default Next:Q11-78
Lead-In:Q11-11A [Default]


Q11-12B [R49625.]Section: Health

First, since [date of last interview], have you had an incident at any job we
previously discussed that resulted in an injury or illness to you?

 1   YES    ...(Go To Q11-13)
 0   NO

Default Next:Q11-78
Lead-In:Q11-11A [0:0]


Q11-13 [R49626.]Section: Health

What is the name of the employer you were working for when the MOST RECENT
incident that resulted in an injury or illness to you occurred?
(INTERVIEWER: MOVE OR TO THE EMPLOYER R HAS NAMED AND PRESS
<ENTER>. IF THERE IS NO MATCH, ASK R WHICH EMPLOYER LISTED IS THE SAME
AS THE ONE FOR WHICH R IS REPORTING A WORK-RELATED INJURY OR ILLNESS.)

 0   NO EMPLOYER MATCH
 1   1   ...(Go To Q11-15A)
 2   2
 3   3
 4   4
 5   5
 6   6
 7   7
 8   8
 9   9
 10   10

Default Next:Q11-15
Lead-In:Q11-12A [1:1], Q11-12B [1:1]


Q11-15 []Section: Health

INTERVIEWER: YOU HAVE SELECTED THE EMPLOYER LISTED BELOW AS THE SAME ONE
R IS REPORTING A WORK-RELATED INJURY OR ILLNESS FOR. IF THIS
IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTION BY PRESSING
THE <PAGE-UP> KEY AND SELECT THE CORRECT EMPLOYER.
EMPLOYER: [Employer for whom respondent was working when most recent incident resulting in illness/injury occurred (includes those for whom no match was made with employer worked for since last interview)].

Default Next:Q11-17
Lead-In:Q11-13 [Default]


Q11-15A []Section: Health

INTERVIEWER: NO EMPLOYER MATCH WAS FOUND.
RECORD THE EMPLOYER FOR WHICH R IS REPORTING A WORK RELATED
ILLNESS.

Enter: 

Default Next:Q11-17
Lead-In:Q11-13 [1:1]


Q11-17 [R49627.01]Section: Health

In what month and year did the most recent incident occur that resulted in
an injury or illness to you?

Enter Date:  
MonthYear 

Default Next:Q11-18
Lead-In:Q11-15 [Default], Q11-15A [Default]


Q11-18 [R49628.]Section: Health

(HAND CARD AA) Which one category on this card best describes the activity
you were engaged in at the time of the incident? (CODE ONE ONLY).

 1   Employer-directed travel
 2   Employer-directed training
 3   Meal break
 4   Rest break
 5   Personal business
 6   Normal work activity
 7   Other activity (SPECIFY)

Default Next:Q11-19
Lead-In:Q11-17 [Default]


Q11-19 [R49629.]Section: Health

Did the incident result in an injury or an illness?

 1   injury
 2   illness

Default Next:Q11-20
Lead-In:Q11-18 [Default]


Q11-20 [R49630.]Section: Health

What part of the body was hurt or affected?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-21
Lead-In:Q11-19 [Default]


Q11-21 [R49631.]Section: Health

(PROBE:) What other part of the body was hurt or affected?

 1   SELECT TO ENTER VERBATIM   ...(Go To Q11-22)
 0   NO OTHER PART OF THE BODY WAS HURT OR AFFECTED

Default Next:Q11-25
Lead-In:Q11-20 [Default]


Q11-22 [R49632.]Section: Health

INTERVIEWER: ENTER BELOW THE SECOND PART OF THE BODY THAT WAS HURT OR
AFFECTED.

Enter Number: 

Default Next:Q11-23
Lead-In:Q11-21 [1:1]


Q11-23 [R49633.]Section: Health

(PROBE:) What other part of the body was hurt or affected?

 1   SELECT TO ENTER VERBATIM   ...(Go To Q11-24)
 0   NO OTHER PART OF THE BODY WAS HURT OR AFFECTED

Default Next:Q11-25
Lead-In:Q11-22 [Default]


Q11-24 [R49634.]Section: Health

INTERVIEWER: ENTER BELOW THE THIRD PART OF THE BODY THAT WAS HURT OR
AFFECTED.

Enter Number: 

Default Next:Q11-25
Lead-In:Q11-23 [1:1]


Q11-25 [R49635.]Section: Health

(INTERVIEWER: FOR ([First body part hurt or affected in most recent work-injury incident]) ASK:) What kind of [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] was it?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-26
Lead-In:Q11-21 [Default], Q11-23 [Default], Q11-24 [Default]


Q11-26 [R49636.]Section: Health

[Q11-21]=1

COMMENT: is there another part of the body to ask about?

If Answer = 1 Then Go To
Q11-27

Default Next:Q11-30
Lead-In:Q11-25 [Default]


Q11-27 [R49637.]Section: Health

(INTERVIEWER: FOR ([Second body part hurt or affected in most recent work-injury incident]) ASK:) What kind of [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] was it?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-28
Lead-In:Q11-26 [1:1]


Q11-28 [R49638.]Section: Health

[Q11-23]=1

COMMENT: is there another part of the body to ask about?

If Answer = 1 Then Go To
Q11-29

Default Next:Q11-30
Lead-In:Q11-27 [Default]


Q11-29 [R49639.]Section: Health

(INTERVIEWER: FOR ([Third body part hurt or affected in most recent work-injury incident]) ASK:) What kind of [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] was it?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-30
Lead-In:Q11-28 [1:1]


Q11-30 [R49640.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you to miss one or more scheduled days of work,
not counting the day of the incident?

 1   YES    ...(Go To Q11-31)
 0   NO

Default Next:Q11-32
Lead-In:Q11-26 [Default], Q11-28 [Default], Q11-29 [Default]


Q11-31 [R49641.]Section: Health

Not counting the day of the incident, how many days was this?

Enter Number: 

Default Next:Q11-32
Lead-In:Q11-30 [1:1]


Q11-32 [R49642.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you ...

to be assigned to another job on a temporary basis?

 1   YES
 0   NO

Default Next:Q11-33
Lead-In:Q11-30 [Default], Q11-31 [Default]


Q11-33 [R49643.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you ...

to work at your regular job less than full time?

 1   YES
 0   NO

Default Next:Q11-34
Lead-In:Q11-32 [Default]


Q11-34 [R49644.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you ...

to work at your regular job, but be unable to perform all of the
normal duties of the job?

 1   YES
 0   NO

Default Next:Q11-35
Lead-In:Q11-33 [Default]


Q11-35 [R49645.]Section: Health

([Q11-32]=1)|([Q11-33]=1)|([Q11-34]=1)

COMMENT: Check if any of the three preceeding q's contain a 'yes'

If Answer = 1 Then Go To
Q11-36

Default Next:Q11-37
Lead-In:Q11-34 [Default]


Q11-36 [R49646.]Section: Health

Not counting the day of the incident, how many days altogether was this?

Enter Number: 

Default Next:Q11-37
Lead-In:Q11-35 [1:1]


Q11-37 [R49647.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...

to be laid off?

 1   YES
 0   NO

Default Next:Q11-38
Lead-In:Q11-35 [Default], Q11-36 [Default]


Q11-38 [R49648.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...

to quit?

 1   YES
 0   NO

Default Next:Q11-39
Lead-In:Q11-37 [Default]


Q11-39 [R49649.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...

to be fired?

 1   YES
 0   NO

Default Next:Q11-40
Lead-In:Q11-38 [Default]


Q11-40 [R49650.]Section: Health

Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...

to change occupations?

 1   YES
 0   NO

Default Next:Q11-41
Lead-In:Q11-39 [Default]


Q11-41 [R49651.]Section: Health

Did you lose any wages because of the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?

 1   YES
 0   NO

Default Next:Q11-42
Lead-In:Q11-40 [Default]


Q11-42 [R49652.]Section: Health

Did you or your employer fill out a worker's compensation form for this
[Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?

 1   YES    ...(Go To Q11-43)
 0   NO

Default Next:Q11-45
Lead-In:Q11-41 [Default]


Q11-43 [R49653.]Section: Health

Have you collected any worker's compensation benefits for this [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?

 1   YES    ...(Go To Q11-45)
 0   NO

Default Next:Q11-44
Lead-In:Q11-42 [1:1]


Q11-44 [R49654.]Section: Health

Is there a worker's compensation claim pending for this [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?

 1   YES
 0   NO

Default Next:Q11-45
Lead-In:Q11-43 [Default]


Q11-45 [R49655.]Section: Health

Is the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] we've just discussed the MOST SEVERE injury or illness that
you have received or gotten since [date of last interview] while you were working at any
job we have already talked about?

 1   YES
 0   NO    ...(Go To Q11-46)

Default Next:Q11-78
Lead-In:Q11-43 [1:1], Q11-42 [Default], Q11-44 [Default]


Q11-46 [R49656.]Section: Health

What is the name of the employer you were working for when the MOST SEVERE
incident that resulted in an injury or illness to you occurred?
(INTERVIEWER: MOVE OR TO THE EMPLOYER R HAS NAMED AND PRESS
<ENTER>. IF THERE IS NO MATCH, ASK R WHICH EMPLOYER LISTED IS THE SAME
AS THE ONE FOR WHICH R IS REPORTING A WORK-RELATED INJURY OR ILLNESS.)

 0   NO EMPLOYER MATCH
 1   1   ...(Go To Q11-48A)
 2   2
 3   3
 4   4
 5   5
 6   6
 7   7
 8   8
 9   9
 10   10

Default Next:Q11-48
Lead-In:Q11-45 [0:0]


Q11-48 []Section: Health

INTERVIEWER: YOU HAVE SELECTED THE EMPLOYER LISTED BELOW AS THE SAME ONE
R IS REPORTING A WORK-RELATED INJURY OR ILLNESS FOR. IF THIS
IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTION BY PRESSING
THE <PAGE-UP> KEY AND SELECT THE CORRECT EMPLOYER.
EMPLOYER: [Employer for whom respondent was working when most severe incident resulting in illness/injury occurred (includes those for whom no match was made with employer worked for since last interview)].

Default Next:Q11-50
Lead-In:Q11-46 [Default]


Q11-48A []Section: Health

INTERVIEWER: NO EMPLOYER MATCH WAS FOUND.
RECORD THE EMPLOYER FOR WHICH R IS REPORTING A WORK RELATED
ILLNESS.

Enter: 

Default Next:Q11-50
Lead-In:Q11-46 [1:1]


Q11-50 [R49657.01]Section: Health

In what month and year did the incident occur that resulted in the most
severe injury or illness to you?

Enter Date:  
MonthYear 

Default Next:Q11-51
Lead-In:Q11-48 [Default], Q11-48A [Default]


Q11-51 [R49658.]Section: Health

(HAND CARD AA) Which one category on this card best describes the activity
you were engaged in at the time of the incident? (CODE ONE ONLY.)

 1   Employer-directed travel
 2   Employer-directed training
 3   Meal break
 4   Rest break
 5   Personal business
 6   Normal work activity
 7   Other activity (SPECIFY)

Default Next:Q11-52
Lead-In:Q11-50 [Default]


Q11-52 [R49659.]Section: Health

Did the incident result in an injury or an illness?

 1   injury
 2   illness

Default Next:Q11-53
Lead-In:Q11-51 [Default]


Q11-53 [R49660.]Section: Health

What part of the body was hurt or affected?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-54
Lead-In:Q11-52 [Default]


Q11-54 [R49661.]Section: Health

(PROBE:) What other part of the body was hurt or affected?

 1   SELECT TO ENTER VERBATIM   ...(Go To Q11-55)
 0   NO OTHER PART OF THE BODY WAS HURT OR AFFECTED

Default Next:Q11-58
Lead-In:Q11-53 [Default]


Q11-55 [R49662.]Section: Health

INTERVIEWER: ENTER BELOW THE SECOND PART OF THE BODY THAT WAS HURT OR
AFFECTED.

Enter Number: 

Default Next:Q11-56
Lead-In:Q11-54 [1:1]


Q11-56 [R49663.]Section: Health

(PROBE:) What other part of the body was hurt or affected?

 1   SELECT TO ENTER VERBATIM   ...(Go To Q11-57)
 0   NO OTHER PART OF THE BODY WAS HURT OR AFFECTED

Default Next:Q11-58
Lead-In:Q11-55 [Default]


Q11-57 []Section: Health

INTERVIEWER: ENTER BELOW THE THIRD PART OF THE BODY THAT WAS HURT OR
AFFECTED.

Enter Number: 

Default Next:Q11-58
Lead-In:Q11-56 [1:1]


Q11-58 [R49665.]Section: Health

(INTERVIEWER: FOR ([First body part hurt or affected in most severe work-injury incident]) ASK:) What kind of [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] was it?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-59
Lead-In:Q11-54 [Default], Q11-56 [Default], Q11-57 [Default]


Q11-59 [R49666.]Section: Health

([Q11-54]=1)

COMMENT: check if there is another part of the body to ask about.

If Answer = 1 Then Go To
Q11-60

Default Next:Q11-63
Lead-In:Q11-58 [Default]


Q11-60 [R49667.]Section: Health

(INTERVIEWER: FOR ([Second body part hurt or affected in most severe work-injury incident]) ASK:) What kind of [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] was it?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-61
Lead-In:Q11-59 [1:1]


Q11-61 [R49668.]Section: Health

([Q11-56]=1)

COMMENT: check if there is another part of the body to ask about.

If Answer = 1 Then Go To
Q11-62

Default Next:Q11-63
Lead-In:Q11-60 [Default]


Q11-62 []Section: Health

(INTERVIEWER: FOR ([Third body part hurt or affected in most severe work-injury incident]) ASK:) What kind of [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] was it?


(RECORD VERBATIM.)

Enter Number: 

Default Next:Q11-63
Lead-In:Q11-61 [1:1]


Q11-63 [R49670.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you to miss one or more scheduled days of work,
not counting the day of the incident?

 1   YES    ...(Go To Q11-64)
 0   NO

Default Next:Q11-65
Lead-In:Q11-59 [Default], Q11-61 [Default], Q11-62 [Default]


Q11-64 [R49671.]Section: Health

Not counting the day of the incident, how many days was this?

Enter Number: 

Default Next:Q11-65
Lead-In:Q11-63 [1:1]


Q11-65 [R49672.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you ...

to be assigned to another job on a temporary basis?

 1   YES
 0   NO

Default Next:Q11-66
Lead-In:Q11-63 [Default], Q11-64 [Default]


Q11-66 [R49673.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you ...

to work at your regular job less than full time?

 1   YES
 0   NO

Default Next:Q11-67
Lead-In:Q11-65 [Default]


Q11-67 [R49674.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you ...

to work at your regular job, but be unable to perform all of the
normal duties of the job?

 1   YES
 0   NO

Default Next:Q11-68
Lead-In:Q11-66 [Default]


Q11-68 [R49675.]Section: Health

([Q11-65]=1)|([Q11-66]=1)|([Q11-67]=1)

COMMENT: check if any of the three preceeding q's are answered 'yes'

If Answer = 1 Then Go To
Q11-69

Default Next:Q11-70
Lead-In:Q11-67 [Default]


Q11-69 [R49676.]Section: Health

Not counting the day of the incident, how many days altogether was this?

Enter Number: 

Default Next:Q11-70
Lead-In:Q11-68 [1:1]


Q11-70 [R49677.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...

to be laid off?

 1   YES
 0   NO

Default Next:Q11-71
Lead-In:Q11-68 [Default], Q11-69 [Default]


Q11-71 [R49678.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...

to quit?

 1   YES
 0   NO

Default Next:Q11-72
Lead-In:Q11-70 [Default]


Q11-72 [R49679.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...

to be fired?

 1   YES
 0   NO

Default Next:Q11-73
Lead-In:Q11-71 [Default]


Q11-73 [R49680.]Section: Health

Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...

to change occupations?

 1   YES
 0   NO

Default Next:Q11-74
Lead-In:Q11-72 [Default]


Q11-74 [R49681.]Section: Health

Did you lose any wages because of the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?

 1   YES
 0   NO

Default Next:Q11-75
Lead-In:Q11-73 [Default]


Q11-75 [R49682.]Section: Health

Did you or your employer fill out a worker's compensation form for this
[Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?

 1   YES    ...(Go To Q11-76)
 0   NO

Default Next:Q11-78
Lead-In:Q11-74 [Default]


Q11-76 [R49683.]Section: Health

Have you collected any worker's compensation benefits for this [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?

 1   YES
 0   NO    ...(Go To Q11-77)

Default Next:Q11-78
Lead-In:Q11-75 [1:1]


Q11-77 [R49684.]Section: Health

Is there a worker's compensation claim pending for this [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?

 1   YES
 0   NO

Default Next:Q11-78
Lead-In:Q11-76 [0:0]


Q11-78 []Section: Health

Now we have a few questions about health care and hospitalization plans.

Default Next:Q11-79
Lead-In:Q11-10 [0:0], Q11-10 [Default], Q11-12A [Default], Q11-12B [Default], Q11-45 [Default], Q11-75 [Default], Q11-76 [Default], Q11-77 [Default]


Q11-79 [R49686.]Section: Health

First, are you covered by any kind of private or governmental health or
hospitalization plans or health maintenance organization (HMO) plans?
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance
plans include Blue Cross, Blue Shield, (Medicaid/Medi-Cal/Medical
Assistance/Welfare/Medical Services).

 1   YES    ...(Go To Q11-80A)
 0   NO

Default Next:Q11-81C
Lead-In:Q11-78 [Default]


Q11-80A []Section: Health

(HAND CARD BB) What is the source of your health or hospitalization plan?
Is it from a policy from your current or previous employer, ...

Default Next:Q11-80B
Lead-In:Q11-79 [1:1]


Q11-80B [R49688.00]Section: Health

... [a policy from (your) [Spouse/partner's name]'s current or previous
employer], a policy bought directly from a medical insurance company, is it
(Medicaid/Medi-Cal/Medical Assistance/Welfare/Medical Services), or is it
from some other source?
(READ CATEGORIES AS NECESSARY AND CODE ALL THAT APPLY.)

 1   1. Policy from your CURRENT employer
 2   2. Policy from a PREVIOUS employer
 3   3. Policy from spouse's or partner's CURRENT employer
 4   4. Policy from spouse's or partner's PREVIOUS employer
 5   5. Policy bought directly from medical insurance company
 6   6. Medicaid/Medi-Cal/Medical Assist/Welfare/Medical Service
 7   7. Other (SPECIFY)

Default Next:Q11-81A
Lead-In:Q11-80A [Default]


Q11-81A [R49697.]Section: Health

In 1993, were there any months when you were NOT covered by health
insurance?

 1   YES    ...(Go To Q11-81B)
 0   NO

Default Next:Q11-82
Lead-In:Q11-80B [Default]


Q11-81B [R49698.09]Section: Health

Which months?

(MARK ALL THAT APPLY)

 1   JANUARY
 2   FEBRUARY
 3   MARCH
 4   APRIL
 5   MAY
 6   JUNE
 7   JULY
 8   AUGUST
 9   SEPTEMBER
 10   OCTOBER
 11   NOVEMBER
 12   DECEMBER

Default Next:Q11-82
Lead-In:Q11-81A [1:1]


Q11-81C [R49712.]Section: Health

When was the most recent time you were covered by insurance?

 1   SELECT TO ENTER DATE   ...(Go To Q11-81D)
 0   NEVER COVERED BY HEALTH INSURANCE
 2   DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP

If Answer = -2 Then Go To
Q11-81E

Default Next:Q11-82
Lead-In:Q11-79 [Default]


Q11-81D [R49713.01]Section: Health

(When was the most recent time you were covered by insurance?)

(ENTER MONTH AND YEAR)

Enter Date:  
MonthYear 

Default Next:Q11-82
Lead-In:Q11-81C [1:1]


Q11-81E [R49714.]Section: Health

Can you tell me how long ago the most recent time you were covered by
insurance was?

(ENTER AMOUNT BELOW AND TIME UNIT - "WEEKS", "MONTHS", ETC. IN NEXT
SCREEN.)

Enter Number: 

Default Next:Q11-81F
Lead-In:Q11-81C [-2:-2]


Q11-81F [R49715.]Section: Health

(Can you tell me how long ago the most recent time you were covered by
insurance was?)

(ENTER TIME UNIT BELOW)

 1   WEEKS
 2   MONTHS
 3   YEARS
 4   OTHER (SPECIFY)

Default Next:Q11-82
Lead-In:Q11-81E [Default]


Q11-82 [R49716.]Section: Health

(((([[Marital status at date of last interview (code) (with possible update during survey)]]=1) | ([[Marital status at date of last interview (code) (with possible update during survey)]]=5) | ([[Marital status at date of last interview (code) (with possible update during survey)]]=4)) & ([[Flag indicating presence/absence of spouse in household]]=1)) |
([[Flag indicating presence/absence of partner in household]]=1) | ([HH5-5]=1))

COMMENT: Is current marital status "married" or "remarried" and there is a spouse listed on the household roster or is a partner listed?

If Answer = 1 Then Go To
Q11-83

Default Next:Q11-86
Lead-In:Q11-81A [Default], Q11-81B [Default], Q11-81C [Default], Q11-81D [Default], Q11-81F [Default]


Q11-83 [R49717.]Section: Health

Is [Spouse/partner's name] covered by any kind of private or governmental health or
hospitalization plans or health maintenance organization (HMO) plans?
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance
plans include Blue Cross, Blue Shield, (Medicaid/Medi-Cal/Medical
Assistance/Welfare/Medical Services).

 1   YES    ...(Go To Q11-84A)
 0   NO

Default Next:Q11-85C
Lead-In:Q11-82 [1:1]


Q11-84A []Section: Health

(HAND CARD BB) What is the source of [Spouse/partner's name]'s health or hospitalization
plan? (READ AS NECESSARY) Is it from a policy from your current or
previous employer, ...

Default Next:Q11-84B
Lead-In:Q11-83 [1:1]


Q11-84B [R49719.06]Section: Health

... a policy from [Spouse/partner's name]'s current or previous employer, a
policy bought directly from a medical insurance company, is it (Medicaid/
Medi-Cal/Medical Assistance/Welfare/Medical Services), or is it from some
other source?
(READ CATEGORIES AS NECESSARY AND CODE ALL THAT APPLY.)

 1   1. Policy from your CURRENT employer
 2   2. Policy from a PREVIOUS employer
 3   3. Policy from spouse's or partner's CURRENT employer
 4   4. Policy from spouse's or partner's PREVIOUS employer
 5   5. Policy bought directly from medical insurance company
 6   6. Medicaid/Medi-Cal/Medical Assist/Welfare/Medical Service
 7   7. Other (SPECIFY)

Default Next:Q11-85A
Lead-In:Q11-84A [Default]


Q11-85A [R49728.]Section: Health

In 1993, were there any months when [Spouse/partner's name] was NOT covered by health
insurance?

 1   YES    ...(Go To Q11-85B)
 0   NO

Default Next:Q11-86
Lead-In:Q11-84B [Default]


Q11-85B [R49729.10]Section: Health

Which months?

(MARK ALL THAT APPLY)

 1   JANUARY
 2   FEBRUARY
 3   MARCH
 4   APRIL
 5   MAY
 6   JUNE
 7   JULY
 8   AUGUST
 9   SEPTEMBER
 10   OCTOBER
 11   NOVEMBER
 12   DECEMBER

Default Next:Q11-86
Lead-In:Q11-85A [1:1]


Q11-85C [R49743.]Section: Health

When was the most recent time [Spouse/partner's name] was covered by insurance?

 1   SELECT TO ENTER DATE   ...(Go To Q11-85D)
 0   NEVER COVERED BY HEALTH INSURANCE
 2   DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP

If Answer = -2 Then Go To
Q11-85E

Default Next:Q11-86
Lead-In:Q11-83 [Default]


Q11-85D [R49744.01]Section: Health

(When was the most recent time [Spouse/partner's name] was covered by insurance?)


(ENTER MONTH AND YEAR)

Enter Date:  
MonthYear 

Default Next:Q11-86
Lead-In:Q11-85C [1:1]


Q11-85E [R49745.]Section: Health

Can you tell me how long ago the most recent time [Spouse/partner's name] was covered by
insurance was?

(ENTER AMOUNT BELOW AND TIME UNIT - "WEEKS", "MONTHS", ETC. IN NEXT
SCREEN.)

Enter Number: 

Default Next:Q11-85F
Lead-In:Q11-85C [-2:-2]


Q11-85F [R49746.]Section: Health

(Can you tell me how long ago the most recent time [Spouse/partner's name] was covered by
insurance was?)

(ENTER TIME UNIT BELOW)

 1   WEEKS
 2   MONTHS
 3   YEARS
 4   OTHER (SPECIFY)
 5   DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP

Default Next:Q11-86
Lead-In:Q11-85E [Default]


Q11-86 [R49747.]Section: Health

([[Usual residence of biological child(1)]]=1)|([[Usual residence of biological child(2)]]=1)|
([[Usual residence of biological child(3)]]=1)|([[Usual residence of biological child(4)]]=1)|
([[Usual residence of biological child(5)]]=1)|([[Usual residence of biological child(6)]]=1)|
([[Usual residence of biological child(7)]]=1)|([[Usual residence of biological child(8)]]=1)|
([[Usual residence of biological child(9)]]=1)|([[Usual residence of biological child(10)]]=1)

If Answer = 1 Then Go To
Q11-87

Default Next:Q11-86A
Lead-In:Q11-82 [Default], Q11-85A [Default], Q11-85B [Default], Q11-85C [Default], Q11-85D [Default], Q11-85F [Default]


Q11-86A [R49748.]Section: Health

([[Usual residence of biological child(11)]]=1)|([[Usual residence of biological child(12)]]=1)|
([[Usual residence of biological child(13)]]=1)|([[Usual residence of biological child(14)]]=1)|
([[Usual residence of biological child(15)]]=1)|([[Usual residence of biological child(16)]]=1)|
([[Usual residence of biological child(17)]]=1)|([[Usual residence of biological child(18)]]=1)|
([[Usual residence of biological child(19)]]=1)|([[Usual residence of biological child(20)]]=1)

If Answer = 1 Then Go To
Q11-87

Default Next:Q11-86B
Lead-In:Q11-86 [Default]


Q11-86B [R49749.]Section: Health

([[Usual residence of biological child(1)]]=9)|([[Usual residence of biological child(2)]]=9)|
([[Usual residence of biological child(3)]]=9)|([[Usual residence of biological child(4)]]=9)|
([[Usual residence of biological child(5)]]=9)|([[Usual residence of biological child(6)]]=9)|
([[Usual residence of biological child(7)]]=9)|([[Usual residence of biological child(8)]]=9)|
([[Usual residence of biological child(9)]]=9)|([[Usual residence of biological child(10)]]=9)

If Answer = 1 Then Go To
Q11-87

Default Next:Q11-86C
Lead-In:Q11-86A [Default]


Q11-86C [R49750.]Section: Health

([[Usual residence of biological child(11)]]=9)|([[Usual residence of biological child(12)]]=9)|
([[Usual residence of biological child(13)]]=9)|([[Usual residence of biological child(14)]]=9)|
([[Usual residence of biological child(15)]]=9)|([[Usual residence of biological child(16)]]=9)|
([[Usual residence of biological child(17)]]=9)|([[Usual residence of biological child(18)]]=9)|
([[Usual residence of biological child(19)]]=9)|([[Usual residence of biological child(20)]]=9)

If Answer = 1 Then Go To
Q11-87

Default Next:Q11-86D
Lead-In:Q11-86B [Default]


Q11-86D [R49751.]Section: Health

([[Usual residence of biological child(1)]]=10)|([[Usual residence of biological child(2)]]=10)|
([[Usual residence of biological child(3)]]=10)|([[Usual residence of biological child(4)]]=10)|
([[Usual residence of biological child(5)]]=10)|([[Usual residence of biological child(6)]]=10)|
([[Usual residence of biological child(7)]]=10)|([[Usual residence of biological child(8)]]=10)|
([[Usual residence of biological child(9)]]=10)| ([[Usual residence of biological child(10)]]=10)

If Answer = 1 Then Go To
Q11-87

Default Next:Q11-86E
Lead-In:Q11-86C [Default]


Q11-86E [R49752.]Section: Health

([[Usual residence of biological child(11)]]=10)|([[Usual residence of biological child(12)]]=10)|
([[Usual residence of biological child(13)]]=10)|([[Usual residence of biological child(14)]]=10)|
([[Usual residence of biological child(15)]]=10)|([[Usual residence of biological child(16)]]=10)|
([[Usual residence of biological child(17)]]=10)|([[Usual residence of biological child(18)]]=10)|
([[Usual residence of biological child(19)]]=10)|([[Usual residence of biological child(20)]]=10)

If Answer = 1 Then Go To
Q11-87

Default Next:Q11-90A
Lead-In:Q11-86D [Default]


Q11-87 [R49753.]Section: Health

(Is/Are) your (child/children) covered by any kind of private or
governmental health or hospitalization plans or health maintenance
organization (HMO) plans? (PROBE IF NECESSARY:) Examples of health
and hospitalization insurance plans include Blue Cross, Blue Shield,
(Medicaid/Medi-Cal/Medical Assistance/Welfare/Medical Services).

 1   YES    ...(Go To Q11-88A)
 0   NO

Default Next:Q11-89C
Lead-In:Q11-86 [1:1], Q11-86A [1:1], Q11-86B [1:1], Q11-86C [1:1], Q11-86D [1:1], Q11-86E [1:1]


Q11-88A []Section: Health

(HAND CARD BB) What is the source of your (child/children)'s health or
hospitalization plan? (READ AS NECESSARY) Is it from a policy from your
current or previous employer, ...

Default Next:Q11-88B
Lead-In:Q11-87 [1:1]


Q11-88B [R49754.05]Section: Health

... [a policy from (your) [Spouse/partner's name]'s current or previous
employer], a policy bought directly from a medical insurance company, is it
(Medicaid/Medi-Cal/Medical Assistance/Welfare/Medical Services), or is it
from some other source?
(READ CATEGORIES AS NECESSARY AND CODE ALL THAT APPLY.)

 1   1. Policy from your CURRENT employer
 2   2. Policy from a PREVIOUS employer
 3   3. Policy from spouse's or partner's CURRENT employer
 4   4. Policy from spouse's or partner's PREVIOUS employer
 5   5. Policy bought directly from medical insurance company
 6   6. Medicaid/Medi-Cal/Medical Assist/Welfare/Medical Service
 7   7. Other (SPECIFY)

Default Next:Q11-89A
Lead-In:Q11-88A [Default]


Q11-89A [R49763.]Section: Health

In 1993, were there any months when (any of) your child(ren) (was/were)
NOT covered by health insurance?

 1   YES    ...(Go To Q11-89B)
 0   NO

Default Next:Q11-90A
Lead-In:Q11-88B [Default]


Q11-89B [R49764.08]Section: Health

Which months?

(MARK ALL THAT APPLY)

 1   JANUARY
 2   FEBRUARY
 3   MARCH
 4   APRIL
 5   MAY
 6   JUNE
 7   JULY
 8   AUGUST
 9   SEPTEMBER
 10   OCTOBER
 11   NOVEMBER
 12   DECEMBER

Default Next:Q11-90A
Lead-In:Q11-89A [1:1]


Q11-89C [R49778.]Section: Health

When was the most recent time your child(ren) (was/were) covered by
insurance?

 1   SELECT TO ENTER DATE   ...(Go To Q11-89D)
 0   NEVER COVERED BY HEALTH INSURANCE
 2   DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP

If Answer = -2 Then Go To
Q11-89E

Default Next:Q11-90A
Lead-In:Q11-87 [Default]


Q11-89D [R49779.01]Section: Health

(When was the most recent time your child(ren) (was/were) covered by
insurance?)

(ENTER MONTH AND YEAR)

Enter Date:  
MonthYear 

Default Next:Q11-90A
Lead-In:Q11-89C [1:1]


Q11-89E [R49780.]Section: Health

Can you tell me how long ago the most recent time your child(ren)
(was/were) covered by insurance was?

(ENTER AMOUNT BELOW AND TIME UNIT - "WEEKS", "MONTHS", ETC. IN NEXT
SCREEN.)

Enter Number: 

Default Next:Q11-89F
Lead-In:Q11-89C [-2:-2]


Q11-89F [R49781.]Section: Health

(Can you tell me how long ago the most recent time your child(ren)
(was/were) covered by insurance was?)

(ENTER TIME UNIT BELOW)

 1   WEEKS
 2   MONTHS
 3   YEARS
 4   OTHER (SPECIFY)
 5   DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP

Default Next:Q11-90A
Lead-In:Q11-89E [Default]


Q11-90A []Section: Health

(HAND CARD CC) Now I am going to read a list of the ways that you might
have felt or behaved recently. After each statement, please tell me how
often you felt this way during the past week.

Default Next:Q11-90C
Lead-In:Q11-86E [Default], Q11-89A [Default], Q11-89B [Default], Q11-89C [Default], Q11-89D [Default], Q11-89F [Default]


Q11-90C [R49783.]Section: Health

(HAND CARD CC) During the past week .... I did not feel like eating; my
appetite was poor.

(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.

 0   Rarely/None of the Time/1 Day
 1   Some/A Little of the Time/1-2 Days
 2   Occasionally/Moderate Amount of the Time/3-4 Days
 3   Most/All of the Time/5-7 Days

Default Next:Q11-90G
Lead-In:Q11-90A [Default]


Q11-90G [R49784.]Section: Health

(HAND CARD CC) During the past week .... I had trouble keeping my mind on
what I was doing.

(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.

 0   Rarely/None of the Time/1 Day
 1   Some/A Little of the Time/1-2 Days
 2   Occasionally/Moderate Amount of the Time/3-4 Days
 3   Most/All of the Time/5-7 Days

Default Next:Q11-90H
Lead-In:Q11-90C [Default]


Q11-90H [R49785.]Section: Health

(HAND CARD CC) During the past week .... I felt depressed.

(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.

 0   Rarely/None of the Time/1 Day
 1   Some/A Little of the Time/1-2 Days
 2   Occasionally/Moderate Amount of the Time/3-4 Days
 3   Most/All of the Time/5-7 Days

Default Next:Q11-90I
Lead-In:Q11-90G [Default]


Q11-90I [R49786.]Section: Health

(HAND CARD CC) During the past week .... I felt that everything I did was
an effort.

(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.

 0   Rarely/None of the Time/1 Day
 1   Some/A Little of the Time/1-2 Days
 2   Occasionally/Moderate Amount of the Time/3-4 Days
 3   Most/All of the Time/5-7 Days

Default Next:Q11-90M
Lead-In:Q11-90H [Default]


Q11-90M [R49787.]Section: Health

(HAND CARD CC) During the past week .... My sleep was restless.

(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.

 0   Rarely/None of the Time/1 Day
 1   Some/A Little of the Time/1-2 Days
 2   Occasionally/Moderate Amount of the Time/3-4 Days
 3   Most/All of the Time/5-7 Days

Default Next:Q11-90T
Lead-In:Q11-90I [Default]


Q11-90T [R49788.]Section: Health

(HAND CARD CC) During the past week .... I felt sad.

(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.

 0   Rarely/None of the Time/1 Day
 1   Some/A Little of the Time/1-2 Days
 2   Occasionally/Moderate Amount of the Time/3-4 Days
 3   Most/All of the Time/5-7 Days

Default Next:Q11-90V
Lead-In:Q11-90M [Default]


Q11-90V [R49789.]Section: Health

(HAND CARD CC) During the past week .... I could not get "going".

(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.

 0   Rarely/None of the Time/1 Day
 1   Some/A Little of the Time/1-2 Days
 2   Occasionally/Moderate Amount of the Time/3-4 Days
 3   Most/All of the Time/5-7 Days

Default Next:CES-D_SCORE_7_ITEMS
Lead-In:Q11-90T [Default]


CES-D_SCORE_7_ITEMS [R49789.10]Section: Health

ORIGINAL QUESTION NAME: *CREATED

7-item CES-D score

Enter Number: 

Default Next:Q12-A
Lead-In:Q11-90V [Default]


Q12-A []Section: Health

INTERVIEWER: ENTERING SECTION 12: ALCOHOL USE.

Default Next:Q12-B
Lead-In:CES-D_SCORE_7_ITEMS [Default]


Q12-B []Section: Health

Now, we'd like to ask you some questions about drinking alcoholic
beverages, including beer, wine and liquor. Remember, as is true with all
portions of this interview, the answers you give will remain strictly
confidential and will not be associated with your name in any way...

Default Next:Q12-C
Lead-In:Q12-A [Default]


Q12-C []Section: Health

...We also have a legal certificate of confidentiality that protects you.
Authorities cannot gain access to your replies.

Default Next:Q12-1
Lead-In:Q12-B [Default]


Q12-1 [R49790.]Section: Health

CHECK ([1989 interview date])

COMMENT: Was R interviewed in 1989?

If Answer = 1 Then Go To
Q12-2A

Default Next:Q12-2B
Lead-In:Q12-C [Default]


Q12-2A [R49791.]Section: Health

First, have you had a drink of an alcoholic beverage since [!lintdate89]?

 1   YES    ...(Go To Q12-3)
 0   NO

Default Next:Q12-8
Lead-In:Q12-1 [1:1]


Q12-2B []Section: Health

First, have you ever had a drink of an alcoholic beverage?

 1   YES    ...(Go To Q12-3)
 0   NO

Default Next:Q12-8
Lead-In:Q12-1 [Default]


Q12-3 [R49792.]Section: Health

Have you had any alcoholic beverages, including beer, wine, or liquor,
during the last 30 days?

 1   YES    ...(Go To Q12-4)
 0   NO

Default Next:Q12-8
Lead-In:Q12-2A [1:1], Q12-2B [1:1]


Q12-4 [R49793.]Section: Health

(HAND CARD DD) How often have you had 6 or more drinks on one occasion
during the last 30 days? Would you say it was....(READ CATEGORIES)?

 6   10 or more times
 5   8 or 9 times
 4   6 or 7 times
 3   4 or 5 times
 2   2 or 3 times
 1   Once
 0   Never

Default Next:Q12-5
Lead-In:Q12-3 [1:1]


Q12-5 [R49794.]Section: Health

During the last 30 days, on HOW MANY DAYS did you drink any alcoholic
beverages, including beer, wine, or liquor?

(ENTER NUMBER OF DAYS:)

Enter Number: 

Default Next:Q12-6
Lead-In:Q12-4 [Default]


Q12-6 [R49795.]Section: Health

On the days THAT YOU DRINK, about HOW MANY DRINKS do you have on the
average day? (BY A DRINK, WE MEAN THE EQUIVALENT OF A CAN OF BEER, A GLASS
OF WINE, OR A SHOT GLASS OF HARD LIQUOR.)

(ENTER NUMBER OF DRINKS:)

Enter Number: 

Default Next:Q12-7A
Lead-In:Q12-5 [Default]


Q12-7A []Section: Health

Now we would like to ask you some questions about experiences that many
people have had with drinking. (HAND CARD EE) We would like you to tell us
if any of these things have happened to you 3 or more times in the past
year, 2 times in the past year, 1 time in the past year, happened in your
lifetime other than in the past year, or never happened to you....

Default Next:Q12-7B
Lead-In:Q12-6 [Default]


Q12-7B [R49796.]Section: Health

First, how often have .... you felt depressed, irritable or nervous after
drinking, or the morning after?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7C
Lead-In:Q12-7A [Default]


Q12-7C [R49797.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....ended up drinking much more than you intended to?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7D
Lead-In:Q12-7B [Default]


Q12-7D [R49798.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....found it difficult to stop drinking once you have started?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7E
Lead-In:Q12-7C [Default]


Q12-7E [R49799.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....driven a car after having had too much to drink?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7F
Lead-In:Q12-7D [Default]


Q12-7F [R49800.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....been sick or vomited after drinking, or the morning after?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7G
Lead-In:Q12-7E [Default]


Q12-7G [R49801.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....done things when drinking that could have caused you or someone else to
be hurt?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7H
Lead-In:Q12-7F [Default]


Q12-7H [R49802.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....kept on drinking for a longer period of time than you intended to?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7I
Lead-In:Q12-7G [Default]


Q12-7I [R49803.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....found that the same amount of alcohol had less effect than before?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7J
Lead-In:Q12-7H [Default]


Q12-7J [R49804.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....had a spouse or someone you lived with threaten to leave you or
actually leave you because of your drinking?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7K
Lead-In:Q12-7I [Default]


Q12-7K [R49805.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....wanted to or actually tried to cut down or stop drinking and found you
couldn't do it?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7L
Lead-In:Q12-7J [Default]


Q12-7L [R49806.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....found yourself sweating heavily or shaking after drinking, or the
morning after?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7M
Lead-In:Q12-7K [Default]


Q12-7M [R49807.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....given up or cut down on activities or interests like sports or
associations with friends, in order to drink?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7N
Lead-In:Q12-7L [Default]


Q12-7N [R49808.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....been arrested or had trouble with the police because of your drinking?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7O
Lead-In:Q12-7M [Default]


Q12-7O [R49809.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....found that you had to drink more than you once did to get the same
effect?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7P
Lead-In:Q12-7N [Default]


Q12-7P [R49810.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....stayed away from work or gone to work late because of drinking or a
hangover?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7Q
Lead-In:Q12-7O [Default]


Q12-7Q [R49811.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....lost ties with or drifted apart from a family member or friend because
of your drinking?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7R
Lead-In:Q12-7P [Default]


Q12-7R [R49812.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....got into physical fights while drinking or after drinking?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7S
Lead-In:Q12-7Q [Default]


Q12-7S [R49813.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....continued to drink alcohol even though it was a threat to your health?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7T
Lead-In:Q12-7R [Default]


Q12-7T [R49814.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often .....)

....have your chances for promotion, raises, or better jobs been hurt by
your drinking?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7U
Lead-In:Q12-7S [Default]


Q12-7U [R49815.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....spent a lot of time drinking, or getting over the effects of drinking?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7V
Lead-In:Q12-7T [Default]


Q12-7V [R49816.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....been so hungover that it interfered with doing things you were supposed
to do?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7W
Lead-In:Q12-7U [Default]


Q12-7W [R49817.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....kept drinking even though it caused you emotional problems?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7X
Lead-In:Q12-7V [Default]


Q12-7X [R49818.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....heard or seen things that weren't really there after drinking, or the
morning after?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7Y
Lead-In:Q12-7W [Default]


Q12-7Y [R49819.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

...taken a drink to keep yourself from shaking or feeling sick either after
drinking, or the morning after?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-7Z
Lead-In:Q12-7X [Default]


Q12-7Z [R49820.]Section: Health

(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)

....kept drinking even though it caused you problems at home, work, or
school?

 1   Happened 3 or more times in the past year
 2   Happened 2 times in the past year
 3   Happened 1 time in the past year
 4   Happened in lifetime other than in past year
 5   Never happened

Default Next:Q12-8
Lead-In:Q12-7Y [Default]


Q12-8 [R49821.]Section: Health

INTERVIEWER: WAS ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 OR
UNDER) WHEN YOU ASKED THE QUESTIONS IN SECTION 12?

 1   YES
 0   NO
 2   TELEPHONE INTERVIEW

Default Next:Q13-1A
Lead-In:Q12-2A [Default], Q12-2B [Default], Q12-3 [Default], Q12-7Z [Default]