Q11-INTRO [] | Section: Health |
Now we'd like to ask you some questions about your health.
Q11-1AAA [] | Section: Health |
([total number of employers reported] >= 1)
COMMENT: Is there at least one employer listed?
If Answer = 1 Then Go To Q11-1B
[is this job current?(1)]==1
COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW WEEK?
If Answer = 1 Then Go To Q11-4
Would your health keep you from working on a job for pay now?
[Are you/Would you be] limited in the kind of work you [(could)] do on a job for pay because of your health?
[Are you/Would you be] limited in the amount of work you [(could)] do because of your health?
(([Would your health keep you from working now?]==1) || ([Limited in kind of work due to accident or injury?]==1) || ([Limited in amount of work due to accident or injury?]==1))
COMMENT: Check if R has reported a health limitation which affects work.
If Answer = 1 Then Go To Q11-7
Since what month and year have you had this limitation?
| 1 SELECT TO ENTER DATE ...(Go To Q11-8) |
| 0 IF VOLUNTEERED: 'ALL MY LIFE' |
INTERVIEWER: ENTER DATE FROM WHICH R HAS HAD THIS LIMITATION.
In the past 30 days, have you suffered from chronic pain from an illness or medical condition?
How often do you experience pain? Do you experience it...? (READ LIST)
| 6 All the time |
| 5 Daily |
| 4 Several times a week |
| 3 Approximately once a week |
| 2 Several times a month |
| 1 Approximately once a month |
| 0 Less often than once a month |
Q11-CARE-CHECK [] | Section: Health |
RECCOUNT([Final Household Roster])
COMMENT: copy all the people from the info sheet to the roster
If Answer = 0 Then Go To Q11-9
Q11-CARE-1 [] | Section: Health |
Is anyone in your household (besides you) disabled or chronically ill?
Q11-CARE-2 [] | Section: Health |
Which household member is this?
(INTERVIEWER: PROBE IF THERE IS MORE THAN ONE HOUSEHOLD MEMBER: "Is there anyone else?")
| 0 0 |
1 1 |
| 2 2 |
3 3 |
| 4 4 |
5 5 |
| 6 6 |
7 7 |
| 8 8 |
9 9 |
| 10 10 |
11 11 |
| 12 12 |
13 13 |
| 14 14 |
15 15 |
| 16 16 |
17 17 |
| 18 18 |
19 19 |
| 20 20 |
Q11-CARE-3 [] | Section: Health |
Do you regularly spend time helping or taking care of [this person/these people]?
Q11-CARE-3B [] | Section: Health |
About how many hours per week do you spend doing this?
Q11-CARE-3C [] | Section: Health |
Are you paid for helping or taking care of [this person/these people]?
Q11-CARE-3D [] | Section: Health |
Who pays you for providing this care?
| 1 CARE RECIPIENT |
| 2 ANOTHER FAMILY MEMBER |
| 3 GOVERNMENT PROGRAM |
| 4 OTHER |
Q11-CARE-3E [] | Section: Health |
Did you report this care earlier when we were asking about your jobs in the employment section?
Q11-CARE-4 [] | Section: Health |
Do you regularly spend time helping or taking care of a relative or friend who does not live in your household?
Q11-CARE-4B [] | Section: Health |
About how many hours per week do you spend doing this?
Q11-CARE-4C [] | Section: Health |
Are you paid for helping or taking care of this relative or friend?
Q11-CARE-4D [] | Section: Health |
Who pays you for providing this care?
| 1 CARE RECIPIENT |
| 2 ANOTHER FAMILY MEMBER |
| 3 GOVERNMENT PROGRAM |
| 4 OTHER |
Q11-CARE-4E [] | Section: Health |
Did you report this care earlier when we were asking about your jobs in the employment section?
How much do you weigh?
(ENTER POUNDS)
Q11-GENHLTH_RNDCHK1 [] | Section: Health |
[{ROUND}]==29
If Answer = 1 Then Go To Q11-GENHLTH-PRV1
Q11-GENHLTH_1A_1 [] | Section: Health |
How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?
| 1 MORE THAN ONCE A WEEK |
| 2 ONCE A WEEK |
| 3 ONE TO THREE TIMES A MONTH |
| 4 HARDLY EVER OR NEVER |
| 7 EVERY DAY |
| 9 UNABLE TO DO THIS ACTIVITY |
Q11-GENHLTH_2A_1A [] | Section: Health |
How often do you do light or moderate activities for at least 10 minutes that cause only light sweating or slight to moderate increase in breathing or heart rate?
| 1 MORE THAN ONCE A WEEK |
| 2 ONCE A WEEK |
| 3 ONE TO THREE TIMES A MONTH |
| 4 HARDLY EVER OR NEVER |
| 7 EVERY DAY |
| 9 UNABLE TO DO THIS ACTIVITY |
Q11-GENHLTH_3A_1A [] | Section: Health |
How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)
| 1 MORE THAN ONCE A WEEK |
| 2 ONCE A WEEK |
| 3 ONE TO THREE TIMES A MONTH |
| 4 HARDLY EVER OR NEVER |
| 7 EVERY DAY |
| 9 UNABLE TO DO THIS ACTIVITY |
Q11-GENHLTH-PRV1 [] | Section: Health |
Do you have a health care provider that you can see when you are sick or need advice about your health?
Q11-GENHLTH_4A [] | Section: Health |
About how long has it been since your last general physical exam or routine checkup by a medical doctor or other health professional? Do not include a visit about a specific problem.
Has it been...(READ CATEGORIES AS NECESSARY)?
| 0 Never |
| 1 A year ago or less |
| 2 More than 1 year but not more than 2 years |
| 3 More than 2 years but not more than 3 years |
| 4 More than 3 years but not more than 5 years |
| 5 Over 5 years ago |
Q11-COVID_1 [] | Section: Health |
Has a doctor or another healthcare professional told you that you had the coronavirus or COVID-19?
Q11-COVID_2 [] | Section: Health |
Do you suspect that you have ever had the coronavirus or COVID-19?
Q11-GENHLTH_4B [] | Section: Health |
[RESPONDENT GENDER]
If Answer = 1 Then Go To Q11-GENHLTH_4C_M
Q11-GENHLTH_4C_M [] | Section: Health |
During the past 24 months, that is since [{refdate_24mo~X}], have you had any of the following medical tests or procedures?
| - A blood test for cholesterol? |
| - A blood test for diabetes or blood sugar levels? |
| - Have you had your blood pressure measured? |
Q11-GENHLTH_4D_M [] | Section: Health |
Are you currently taking...
| - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event? |
| - ...any medications to control your blood sugar level? |
| - ...any medications to control your blood pressure? |
Q11-GENHLTH_4E_M [] | Section: Health |
During the past 24 months, that is since [{refdate_24mo~X}], have you seen or talked to either of the following types of doctors?
| - A dentist for a routine check-up or exam? |
| - An optician or opthamologist for a routine eye exam? |
Q11-GENHLTH_4C_F [] | Section: Health |
During the past 24 months, that is since [{refdate_24mo~X}], have you had any of the following medical tests or procedures?
| - A blood test for cholesterol? |
| - A blood test for diabetes or blood sugar levels? |
| - Have you had your blood pressure measured? |
Q11-GENHLTH_4D_F [] | Section: Health |
Are you currently taking..
| - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event? |
| - ...any medications to control your blood sugar level? |
| - ...any medications to control your blood pressure? |
| - ...any hormone replacement therapy or "HRT" medications? |
| - ...any prescription medication to treat or lower the risk of developing osteoporosis? |
Q11-GENHLTH_M_CHECK [] | Section: Health |
[{PREV_MENOPAUSE}]== 1
COMMENT: R has reported date of menopause
If Answer = 1 Then Go To Q11-GENHLTH_4E_F
Q11_GENHLTH_M1 [] | Section: Health |
Have you had a menstrual period in the past 12 months?
Q11-GENHLTH_M2 [] | Section: Health |
How old were you when you had your last period?
Q11-GENHLTH_M2A [] | Section: Health |
(How old were you when you had your last period?)
Q11-GENHLTH_M3 [] | Section: Health |
What is the reason that your period stopped at that age?
| 1 Menopause |
| 2 Hysterectomy (that is, surgery to remove your uterus and/or ovaries) |
| 3 Medical conditions or treatments such as estrogen blockers or chemotherapy |
| 4 OTHER (SPECIFY) |
Q11-GENHLTH_4E_F [] | Section: Health |
During the past 24 months, that is since [{refdate_24mo~X}], have you seen or talked to any of the following types of doctors?
| - An obstetrician, gynecologist or other doctor who specializes in women's health? |
| - A dentist for a routine check-up or exam? |
| - An optician or ophthalmologist for a routine eye exam? |
Q11-GENHLTH_4F [] | Section: Health |
Are you currently taking any medications to control or lower your cholesterol level?
Did you take any pain medication in the past 30 days, such as Aspirin, Ibuprofen or prescription pain medications?
Did you take a prescription medication or did you take one you can buy over-the-counter without a prescription?
Default Next: | PK_3 |
Lead-In: | PK_1 [Default] |
In the past 30 days, did you use prescribed painkillers in any way the doctor did not direct you to use them, such as for pain the doctor did not prescribe them for, in greater quantities or for longer than the doctor prescribed, or without a prescription?
Q11-GENHLTH_5A_1 [] | Section: Health |
Do you have any of your own, natural teeth?
Q11-GENHLTH_RNDCHK2 [] | Section: Health |
[{ROUND}]==29
COMMENT: this is round 29
If Answer = 1 Then Go To Q11-GENHLTH_7A_CHECK
Q11-GENHLTH_5A_2 [] | Section: Health |
During a usual week, how many times do you....
...Brush your teeth?
Q11-GENHLTH_5A_3 [] | Section: Health |
...Use dental floss?
Q11-GENHLTH_6A [] | Section: Health |
Are you now trying to lose weight, gain weight, stay about the same, or are you not trying to do anything about your weight?
| 1 Lose weight |
| 2 Gain weight |
| 3 Stay about the same |
| 4 Not trying to do anything |
Q11-GENHLTH_7A_CHECK [] | Section: Health |
[{ROUND}]==29
COMMENT: this is round 29
If Answer = 1 Then Go To Q11-HLTHPLN-INTCHK
Q11-GENHLTH_7A [] | Section: Health |
When you buy a food item for the first time, how often would you say you read the nutritional information sometimes listed on the label - would you say always, often, sometimes, rarely or never?
| 0 Don't buy food |
| 1 Always |
| 2 Often |
| 3 Sometimes |
| 4 Rarely |
| 5 Never |
Q11-GENHLTH_7B [] | Section: Health |
When you buy a food item for the first time, how often would you say you read the ingredient list on the package - (would you say always, often, sometimes, rarely or never)?
| 0 Don't buy food |
| 1 Always |
| 2 Often |
| 3 Sometimes |
| 4 Rarely |
| 5 Never |
Q11-GENHLTH_7C_1 [] | Section: Health |
In the past seven days, how many times did you...
...Eat food from a fast food restaurant such as McDonalds, Kentucky Fried Chicken, Pizza Hut, or Taco Bell?
Q11-GENHLTH_7C_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
Q11-GENHLTH_7D_1 [] | Section: Health |
(In the past seven days, how many times did you...)
...Eat a snack between meals?
Q11-GENHLTH_7D_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
Q11-GENHLTH_7E_1 [] | Section: Health |
In the past seven days, how many times did you...
...Skip a meal?
Q11-GENHLTH_7E_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
Q11-GENHLTH_7F_1 [] | Section: Health |
(In the past seven days, how many times did you...)
...Have a soft drink or soda that contained sugar? (Do not include diet soft drinks or sodas, or carbonated water.)
Q11-GENHLTH_7F_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
Q11-HLTHPLN-INTCHK [] | Section: Health |
[any spouse/partner to ask about insurance?]==1
If Answer = 1 Then Go To Q11-HLTHPLN-INTRO
Q11-HLTHPLN-INTRO [] | Section: Health |
The next questions are about health insurance. We would first like to find out about your own health insurance coverage. We will then ask about coverage of [{spintro}].
Are you covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].
Q11-80B [] | Section: Health |
(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)
What is the source of your primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, [your husband/wife/partner] a policy bought directly from a medical insurance company, a government sponsored plan, is it Medicaid or an alternative Medicaid provider, is it from Medicare, or is it from some other source?
| 1 POLICY FROM R'S CURRENT EMPLOYER |
| 2 POLICY FROM R'S PREVIOUS EMPLOYER |
| 3 POLICY FROM SPOUSE'S OR PARTNER'S CURRENT EMPLOYER |
| 4 POLICY FROM SPOUSE'S OR PARTNER'S PREVIOUS EMPLOYER |
| 5 POLICY R OR R'S SPOUSE OR PARTNER BOUGHT DIRECTLY FROM A MEDICAL INSURANCE COMPANY |
| 6 MEDICAID OR MEDICAID PROVIDER/MEDI-CAL/MEDICAL ASSIST/WELFARE/MEDICAL SERVICE |
| 8 MEDICARE |
| 9 MILITARY HEALTH CARE SUCH AS TRICARE, CHAMPUS or CHAMPVA |
| 10 OTHER STATE-SPONSORED OR GOVERNMENT PLANS SUCH AS THE AFFORDABLE CARE PLAN (ACA), OBAMA CARE, TRUMP CARE OR THE AMERICAN HEALTH CARE ACT |
| 11 IF VOLUNTEERED: BOTH MEDICARE AND MEDICAID |
| 7 OTHER (SPECIFY) |
Q11-80B-CHECK [] | Section: Health |
[spouse in hh?]==1 || [partner in hh?]==1
COMMENT: Is there a spouse listed on the household roster
If Answer = 1 Then Go To Q11-80B_1
Q11-80B_1 [] | Section: Health |
Is [Spouse/partner's name] covered by this plan?
Q11-80F [] | Section: Health |
Have you (or your employer) set up a health savings account, medical savings account, or health-related flexible savings account to help pay your health care expenses?
Q11-HLTHPLN-3CHK [] | Section: Health |
[r covered by health plan?] < 1
COMMENT: /* Respondent reports no health insurance coverage, or coverage not specified in response categories. */
If Answer = 1 Then Go To Q11-80G
Q11-80G [] | Section: Health |
There is a program called Medicaid that pays for health care for persons in need. In [RESPONDENT STATE] it is also called [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]]. Are you covered by Medicaid?
(INTERVIEWER: GENERALLY, IF R OR EMPLOYER DO NOT HAVE TO PAY, THE INSURANCE IS MEDICAID OR A MEDICAID ALTERNATIVE. PLEASE SEE HELP SCREEN FOR LIST OF MEDICAID ALTERNATIVE PROVIDERS AND PLANS FOR [RESPONDENT STATE].)
Q11-81C_1 [] | Section: Health |
Not including single service plans, about how long has it been since you last had health care coverage?
| 0 6 months or less |
| 1 More than 6 months, but less than 1 year |
| 2 More than 1 year, but not more than 3 years |
| 3 More than 3 years |
| 4 Never |
Q11-HLTHPLN-5CHK [] | Section: Health |
[r covered by health plan?]==1
COMMENT: /* Respondent reports some type of health insurance */
If Answer = 1 Then Go To Q11-81A
Q11-81A [] | Section: Health |
In the past 12 months, have you ever been without coverage?
Q11-HLTHPLN-6CHK [] | Section: Health |
([r covered by health plan?]==0 || [been without coverage in past 12 months?]==1)
COMMENT: Respondent reports no health insurance coverage or coverage not specified in response categories or some non-coverage in the last 12 months
If Answer = 1 Then Go To Q11-81G
Q11-81G [] | Section: Health |
What are the reasons you (do/did) not have health insurance?
(INTERVIEWER: SELECT ALL THAT APPLY.)
| 1 PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED EMPLOYERS |
| 2 GOT DIVORCED OR SEPARATED/DEATH OF SPOUSE OR PARTNER |
| 3 EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR COVERAGE |
| 4 COST IS TOO HIGH |
| 5 INSURANCE COMPANY REFUSED COVERAGE |
| 6 [FEMALE ONLY] MEDICAID/MEDICAL PLAN STOPPED AFETER PREGNANCY |
| 7 LOST MEDICAID/MEDICAL PLAN BECAUSE OF NEW JOB OR INCREASE IN INCOME |
| 8 LOST MEDICAID (OTHER) |
| 9 OTHER (SPECIFY) |
Q11-HLTHPLN-7CHK [] | Section: Health |
[any spouse/partner to ask about insurance?]==1
COMMENT: Respondent reported a spouse
If Answer = 1 Then Go To Q11-HLTHPLN-7CHKA
Q11-HLTHPLN-7CHKA [] | Section: Health |
VAREXIST([Q11-80B_1])
If Answer = 1 Then Go To Q11-HLTHPLN-7CHKB
Q11-HLTHPLN-7CHKB [] | Section: Health |
[{SPOPAR_COVERED}]==1
COMMENT: Spouse/partner covered by R's primary health care
If Answer = 1 Then Go To COGNITION-C1
Is [Spouse/partner's name] covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].
Q11-84B [] | Section: Health |
(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)
What is the source of [Spouse/partner's name]'s primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, [your husband/wife/partner] a policy bought directly from a medical insurance company, a government sponsored plan, is it Medicaid or an alternative Medicaid provider, or is it from some other source?
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].
| 1 POLICY FROM R'S CURRENT EMPLOYER |
| 2 POLICY FROM R'S PREVIOUS EMPLOYER |
| 3 POLICY FROM SPOUSE'S OR PARTNER'S CURRENT EMPLOYER |
| 4 POLICY FROM SPOUSE'S OR PARTNER'S PREVIOUS EMPLOYER |
| 5 POLICY R OR R'S SPOUSE OR PARTNER BOUGHT DIRECTLY FROM A MEDICAL INSURANCE COMPANY |
| 6 MEDICAID OR MEDICAID PROVIDER/MEDI-CAL/MEDICAL ASSIST/WELFARE/MEDICAL SERVICE |
| 8 MEDICARE |
| 9 MILITARY HEALTH CARE SUCH AS TRICARE, CHAMPUS or CHAMPVA |
| 10 OTHER STATE-SPONSORED OR GOVERNMENT PLANS SUCH AS THE AFFORDABLE CARE PLAN (ACA), OBAMA CARE, TRUMP CARE OR THE AMERICAN HEALTH CARE ACT |
| 11 IF VOLUNTEERED: BOTH MEDICARE AND MEDICAID |
| 7 OTHER (SPECIFY) |
COGNITION-C1 [] | Section: Health |
Part of this study is concerned with people's memory, and ability to think about things. First, how would you rate your memory at the present time? Would you say it is excellent, very good, good, fair or poor?
| 1 EXCELLENT |
| 2 VERY GOOD |
| 3 GOOD |
| 4 FAIR |
| 5 POOR |
COGNITION-C2 [] | Section: Health |
Compared to (two years ago/[year before current year]), would you say your memory is better now, about the same, or worse now than it was then?
| 1 BETTER |
| 2 ABOUT THE SAME |
| 3 WORSE |
COGNITION-3_TEST1 [] | Section: Health |
I'll read a set of 10 words and ask you to recall as many as you can. We have purposely made the list long so that it will be difficult for anyone to recall all the words. Most people recall just a few. Please listen carefully as I read the set of words because I cannot repeat them. When I finish, I will ask you to recall aloud as many of the words as you can, in any order. Is this clear?
(INTERVIEWER: PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ ITEMS ON FOLLOWING SCREEN AT A SLOW STEADY RATE, AS THEY FLASH ON THE SCREEN, APPROXIMATELY ONE WORD EVERY TWO SECONDS.
IF R REFUSES DURING OR AFTER THE INTRODUCTION AND BEFORE ANY WORDS ARE READ, SELECT "REFUSED WORD LIST" BELOW AND SELECT <NEXT> TO PROCEED.)
| 1 CONTINUE WITH WORD LIST |
| 2 REFUSED WORD LIST ...(Go To Q11-CESD) |
COG_RANDOM_TEST1 [] | Section: Health |
INT(RAND(0)*1000)
If Answer >= 1 AND Answer <= 250 Then Go To COG_LIST1A_TEST1_M1
If Answer >= 251 AND Answer <= 500 Then Go To COG_LIST2A_TEST1_M2
If Answer >= 501 AND Answer <= 750 Then Go To COG_LIST3A_TEST1_M3
If Answer >= 751 AND Answer <= 1,000 Then Go To COG_LIST4A_TEST1_M4
COG_LIST1A_TEST1_M1 [] | Section: Health |
(INTERVIEWER: READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Hotel |
| - River |
| - Tree |
| - Skin |
| - Gold |
| - Market |
| - Paper |
| - Child |
| - King |
| - Book |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-4A_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COG_LIST2A_TEST1_M2 [] | Section: Health |
(INTERVIEWER: READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Sky |
| - Ocean |
| - Flag |
| - Dollar |
| - Wife |
| - Machine |
| - Home |
| - Earth |
| - College |
| - Butter |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-4B_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COG_LIST3A_TEST1_M3 [] | Section: Health |
(INTERVIEWER: READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Woman |
| - Rock |
| - Blood |
| - Corner |
| - Shoes |
| - Letter |
| - Girl |
| - House |
| - Valley |
| - Engine |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-4C_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COG_LIST4A_TEST1_M4 [] | Section: Health |
(INTERVIEWER: READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Water |
| - Church |
| - Doctor |
| - Palace |
| - Fire |
| - Garden |
| - Sea |
| - Village |
| - Baby |
| - Table |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-4D_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COGNITION-4_CHK4 [] | Section: Health |
(INTERVIEWER: PLEASE INDICATE WHETHER ANY OF THE FOLLOWING PROBLEMS OCCURRED IN RELATION TO WORD RECALL.)
(SELECT ALL THAT APPLY.)
| 1 R HAD DIFFICULTY HEARING ANY OF THE WORDS |
| 2 INTERRUPTION OCCURRED WHILE YOU WERE READING LIST |
| 3 OTHER PROBLEM (PLEASE SPECIFY) |
| 4 NO PROBLEMS OCCURRED |
Q11-CESD [] | Section: Health |
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.
During the past week.....
| - I did not feel like eating; my appetite was poor. |
| - I felt that I could not shake off the blues, even with help from my family or friends. |
| - I had trouble keeping my mind on what I was doing. |
| - I felt depressed. |
| - I felt that everything I did was an effort. |
| - My sleep was restless. |
| - I felt lonely. |
| - I felt sad. |
| - I could not get "going". |
| 0 None at all or less than 1 day |
| 1 1-2 days |
| 2 3-4 Days |
| 3 5-7 Days |
COGNITION-6 [] | Section: Health |
For this next question, please try to count backward as quickly as you can from the number I will give you. I will tell you when to stop.
Please start with: 20
(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)
| 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6A [] | Section: Health |
INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.
R CAN CORRECTLY COUNT DOWN FROM 19 TO 10 OR FROM 20 TO 11.
| 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6C [] | Section: Health |
You may stop now. Thank you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)
| 1 CORRECT |
| 5 INCORRECT |
| 6 WANTS TO START OVER ...(Go To COGNITION-6D) |
| 97 REFUSED |
COGNITION-6D [] | Section: Health |
Let's try again.
The number to count backward from is : 20
(INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)
| 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6D_Y1 [] | Section: Health |
INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.
| 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6F [] | Section: Health |
You may stop now. Thank you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)
| 1 CORRECT |
| 5 INCORRECT |
| 97 REFUSED |
COGNITION-7A [] | Section: Health |
Now let's try some subtraction of numbers. One hundred minus 7 equals what?
(INTERVIEWER: IF R ADDS 7 INSTEAD, YOU MAY REPEAT THE QUESTION. IF DON'T KNOW OR REFUSED ANY NUMBER, SELECT <NEXT> TO PROCEED.)
COGNITION-7B [] | Section: Health |
And 7 from that?
COGNITION-7C [] | Section: Health |
And 7 from that?
COGNITION-7D [] | Section: Health |
And 7 from that?
COGNITION-7E [] | Section: Health |
And 7 from that?
COGNITION-8_CHK [] | Section: Health |
[{word_list_refused1}] == 1 || [correct word count] > 0
If Answer = 0 Then Go To COGNITION-HRS-D151
COGNITION-CHK4 [] | Section: Health |
[flag for cognitive word list assigned]
If Answer >= 1 AND Answer <= 250 Then Go To COGNITION-8A_1
If Answer >= 251 AND Answer <= 500 Then Go To COGNITION-8B_1
If Answer >= 501 AND Answer <= 750 Then Go To COGNITION-8C_1
If Answer >= 751 AND Answer <= 1,000 Then Go To COGNITION-8D_1
COGNITION-8A_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Hotel |
| - River |
| - Tree |
| - Skin |
| - Gold |
| - Market |
| - Paper |
| - Child |
| - King |
| - Book |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-8A_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COGNITION-8B_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Sky |
| - Ocean |
| - Flag |
| - Dollar |
| - Wife |
| - Machine |
| - Home |
| - Earth |
| - College |
| - Butter |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-8B_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COGNITION-8C_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Woman |
| - Rock |
| - Blood |
| - Corner |
| - Shoes |
| - Letter |
| - Girl |
| - House |
| - Valley |
| - Engine |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-8C_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COGNITION-8D_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <NEXT> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
| - Water |
| - Church |
| - Doctor |
| - Palace |
| - Fire |
| - Garden |
| - Sea |
| - Village |
| - Baby |
| - Table |
| 1 RECALLED |
| 0 NOT RECALLED |
COGNITION-8D_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD NEW ENTRY> AND TYPING THE WORD.)
COGNITION-HRS-D151 [] | Section: Health |
We're interested in how memory actually works. We find that even people with very good memories seem to forget some things from time to time. The next questions are a little different, but are often asked on studies about memory.
Please tell me today's date.
(INTERVIEWER: PROBE FOR MONTH, DAY, YEAR)
THE DATE IS [{CURDATE~X}].
DID R PROVIDE THE CORRECT MONTH?
COGNITION-HRS-D152 [] | Section: Health |
DID R PROVIDE THE CORRECT DAY OF MONTH?
COGNITION-HRS-D153 [] | Section: Health |
DID R PROVIDE THE CORRECT YEAR?
COGNITION-HRS-D154 [] | Section: Health |
What is the day of the week?
(INTERVIEWER: PROBE FOR DAY OF WEEK)
THE DAY OF THE WEEK IS [{CURDYWKTXT}].
DID R PROVIDE THE CORRECT DAY OF THE WEEK?
COGNITION-HRS-D155 [] | Section: Health |
Now I'm going to ask you for the names of some people and things. What do people usually use to cut paper?
INTERVIEWER: THE CORRECT ANSWER IS SCISSORS OR SHEARS.
DID R PROVIDE THE CORRECT ANSWER?
COGNITION-HRS-D156 [] | Section: Health |
What do you call the kind of prickly plant that grows in the desert?
INTERVIEWER: THE CORRECT ANSWER IS CACTUS OR THE NAME OF A TYPE OF CACTUS.
DID R PROVIDE THE CORRECT ANSWER?
COGNITION-HRS-D157 [] | Section: Health |
Who is the President of the United States right now?
INTERVIEWER: THE CORRECT ANSWER IS [TRUMP/TRUMP OR BIDEN/BIDEN]. PROBE FOR LAST NAME.
DID R PROVIDE THE CORRECT ANSWER?
COGNITION-HRS-D158 [] | Section: Health |
Who is the Vice President?
INTERVIEWER: THE CORRECT ANSWER IS [PENCE/PENCE OR HARRIS/HARRIS]. PROBE FOR LAST NAME.
DID R PROVIDE THE CORRECT ANSWER?
TRAINING_JUMP_IDCHK1_STOP4 [] | Section: Health |
([NORC id number] >= 522200) && ([NORC id number] < 522400) ||
([NORC id number] >= 544400) && ([NORC id number] < 544600) ||
([NORC id number] >= 566600) && ([NORC id number] < 566800)
If Answer = 1 Then Go To NIL
Q11-H60-2 [] | Section: Health |
(([{birthdate~Y}] == 1959) ||([{birthdate~Y}] == 1960))
|| (([{birthdate~Y}] <= 1958) && ([last round R completed] < 28))
If Answer = 1 Then Go To H60-DS-INTRO
H60-DS-INTRO [] | Section: Health |
Now we have a few questions about other health behaviors.
H60-CIG_CHK1 [] | Section: Health |
[r smoked 100 cigarettes in lifetime] == 1
If Answer = 1 Then Go To H60-CIG_CHK2
H60-DS-2 [] | Section: Health |
Have you smoked at least 100 cigarettes in your entire life? Please include both regular cigarettes and electronic cigarettes in your answer.
H60-CIG_CHK2 [] | Section: Health |
[r ever smoked daily] == 1
COMMENT: /* R has smoked daily */
If Answer = 1 Then Go To H60-DS-5
H60-DS-3A [] | Section: Health |
Have you ever smoked cigarettes or electronic cigarettes daily?
H60-DS-5 [] | Section: Health |
Do you now smoke cigarettes or electronic cigarettes daily, occasionally or not at all?
H60-CIG_CHK3 [] | Section: Health |
[{lastsmoke_daily_rpt}] == 1
COMMENT: /* R has reported time last smoked daily */
If Answer = 1 Then Go To H60-Q12-CHK1
H60-DS-6A [] | Section: Health |
How long has it been since you last smoked cigarettes daily?
(ENTER IN YEARS, MONTHS, OR WEEKS)
H60-DS-6B [] | Section: Health |
| 1 ANSWERED IN WEEKS |
| 2 ANSWERED IN MONTHS |
| 3 ANSWERED IN YEARS |
H60-DS-7 [] | Section: Health |
How many cigarettes do you smoke per day?
H60-Q12-CHK1 [] | Section: Health |
[type of dwelling unit] == 7
If Answer = 0 Then Go To H60-Q12-3
H60-Q12-3 [] | Section: Health |
Have you had any alcoholic beverages, including beer, wine, or liquor, during the last 30 days?
H60-Q12-5 [] | Section: Health |
During the last 30 days, on how many days did you drink any alcoholic beverages, including beer, wine, or liquor?
H60-Q12-6 [] | 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.
H60-Q12-4 [] | Section: Health |
How often have you had 6 or more drinks on one occasion during the last 30 days? Would you say it was...(READ CATEGORIES)?
| 0 Never in the last 30 days |
| 1 Less often than once a week |
| 2 1 or 2 times per week |
| 3 3 or 4 times per week |
| 4 5 or 6 times per week |
| 5 Everyday |
Q11-H60DIENER [] | Section: Health |
I will read you five statements that you may agree or disagree with. Please tell me whether you strongly agree, agree, slightly agree, neither agree nor disagree, slightly disagree, disagree, or strongly disagree with each one.
| - In most ways my life is close to my ideal. |
| - The conditions of my life are excellent. |
| - I am satisfied with my life. |
| - So far I have gotten the important things I want in life. |
| - If I could live my life over, I would change almost nothing. |
| 7 STRONGLY AGREE |
| 6 AGREE |
| 5 SLIGHTLY AGREE |
| 4 NEITHER AGREE NOR DISAGREE |
| 3 SLIGHTLY DISAGREE |
| 2 DISAGREE |
| 1 STRONGLY DISAGREE |
Q11-H60GAD-7 [] | Section: Health |
Over the last 2 weeks, how often have you been bothered by the following problems - not at all, on several days, on more than half the days, or nearly every day?
(INTERVIEWER: REPEAT CATEGORIES ONLY IF NECESSARY)
| - Feeling nervous, anxious or on edge |
| - Not being able to stop or control worrying |
| - Worrying too much about different things |
| - Trouble relaxing |
| - Being so restless that it is hard to sit still |
| - Becoming easily annoyed or irritable |
| - Feeling afraid as if something awful might happen |
| 0 NOT AT ALL |
| 1 SEVERAL DAYS |
| 2 MORE THAN HALF THE DAYS |
| 3 NEARLY EVERY DAY |
Q11-H60BPARCHK1 [] | Section: Health |
[Is bio father alive]
If Answer = 0 Then Go To Q11-H60BPARCHK2
Q11-H60BPAR-1 [] | Section: Health |
This next series of questions asks about your biological parents' health.
Is your biological father still alive?
If Answer >= -2 AND Answer <= -1 Then Go To Q11-H60BPARCHK2
Q11-H60BPAR-2 [] | Section: Health |
What caused your biological father's death?
| 1 HEART DISEASE |
| 7 STROKE |
| 3 CANCER |
| 8 DEMENTIA (e.g., ALZHEIMER'S DISEASE) |
| 11 LIVER DISEASE (e.g., CIRRHOSIS) |
| 9 PNEUMONIA/FLU |
| 5 LUNG DISEASE (e.g., COPD, EMPHYSEMA) |
| 4 OLD AGE |
| 2 ACCIDENT OR INJURY |
| 10 SUICIDE |
| 15 CORONAVIRUS/COVID-19 |
| 6 OTHER (SPECIFY) |
Q11-H60BPAR-3 [] | Section: Health |
How old was he when he died?
Q11-H60BPAR-4 [] | Section: Health |
[Did/Does] your father have any major health problems?
Q11-H60BPAR-5 [] | Section: Health |
What [{are/were_fath}] these problems?
Q11-H60BPARCHK2 [] | Section: Health |
[biological mother alive]
If Answer = 0 Then Go To Q11-H60SF12-1
Q11-H60BPAR-6 [] | Section: Health |
Is your biological mother still alive?
If Answer >= -2 AND Answer <= -1 Then Go To Q11-H60SF12-1
Q11-H60BPAR-7 [] | Section: Health |
What caused your biological mother's death?
| 1 HEART DISEASE |
| 7 STROKE |
| 3 CANCER |
| 8 DEMENTIA (e.g., ALZHEIMER'S DISEASE) |
| 11 LIVER DISEASE (e.g., CIRRHOSIS) |
| 9 PNEUMONIA/FLU |
| 5 LUNG DISEASE (e.g., COPD, EMPHYSEMA) |
| 4 OLD AGE |
| 2 ACCIDENT OR INJURY |
| 10 SUICIDE |
| 15 CORONAVIRUS/COVID-19 |
| 6 OTHER (SPECIFY) |
Q11-H60BPAR-8 [] | Section: Health |
How old was she when she died?
Q11-H60BPAR-9 [] | Section: Health |
[Did/Does] your mother have any major health problems?
Q11-H60BPAR-10 [] | Section: Health |
What [{are/were_moth}] these problems?
Q11-H60SF12-1 [] | Section: Health |
Next I will be asking you more specific questions about your health. This information will help keep track of how you feel and how well you are able to do your usual activities.
If you are unsure about how to answer, please give the best answer you can.
Q11-H60SF12-2 [] | Section: Health |
In general, would you say your health is ....
| 1 Excellent |
| 2 Very Good |
| 3 Good |
| 4 Fair |
| 5 Poor |
Q11-H60SF12-3 [] | Section: Health |
The following items are activities you might do during a typical day. Does your health limit you in these activities?
......Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf?
| 3 Yes, Limited a Lot |
| 2 Yes, Limited a Little |
| 1 No, Not Limited at All |
Q11-H60SF12-3B [] | Section: Health |
..... Climbing several flights of stairs?
| 3 Yes, Limited a Lot |
| 2 Yes, Limited a Little |
| 1 No, Not Limited at All |
Q11-H60SF12-4 [] | Section: Health |
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?
..... Accomplished less than you would like?
Q11-H60SF12-4B [] | Section: Health |
.... Were limited in the kind of work or other activities?
Q11-H60SF12-5 [] | Section: Health |
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?
.... Accomplished less than you would like?
Q11-H60SF12-5B [] | Section: Health |
.... Didn't do work or other activities as carefully as usual?
Q11-H60SF12-6 [] | Section: Health |
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside of the home and housework)?
| 1 Not at all |
| 2 A little bit |
| 3 Moderately |
| 4 Quite a bit |
| 5 Extremely |
Q11-H60SF12-7 [] | Section: Health |
Thinking only of the past 4 weeks, please give the one answer that comes closest to the way you have been feeling. How often during the past 4 weeks....
.... have you felt calm and peaceful?
| 1 All the time |
| 2 Most of the time |
| 3 A good bit of the time |
| 4 Some of the time |
| 5 A little of the time |
| 6 None of the time |
Q11-H60SF12-7B [] | Section: Health |
.... Did you have a lot of energy?
| 1 All the time |
| 2 Most of the time |
| 3 A good bit of the time |
| 4 Some of the time |
| 5 A little of the time |
| 6 None of the time |
Q11-H60SF12-7C [] | Section: Health |
.... Have you felt down-hearted and blue?
| 1 All the time |
| 2 Most of the time |
| 3 A good bit of the time |
| 4 Some of the time |
| 5 A little of the time |
| 6 None of the time |
Q11-H60SF12-8 [] | Section: Health |
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
| 1 All the time |
| 2 Most of the time |
| 3 A good bit of the time |
| 4 Some of the time |
| 5 A little of the time |
| 6 None of the time |
Q11-H60CHRC_CHK1 [] | Section: Health |
[blood pressure problems reported during 40+ Health Module]==1 || [{h50_bp_ht}]==1
COMMENT: R has previously reported high pressure
If Answer = 1 Then Go To Q11-H60CHRC-1B
Q11-H60CHRC-1 [] | Section: Health |
Has a doctor ever told you that you have high blood pressure or hypertension?
Q11-H60CHRC-1A [] | Section: Health |
In what month and year was that first diagnosed?
Q11-H60CHRC-1B [] | Section: Health |
Do you have high blood pressure or hypertension at the present time?
Q11-H60CHRC_CHK2 [] | Section: Health |
[r report diabetes/high blood sugar in 40+ Health Module]==1 || [{h50_diabetes_hbs}]==1
COMMENT: R has previously reported diabetes
If Answer = 1 Then Go To Q11-H60CHRC-2B
Q11-H60CHRC-2 [] | Section: Health |
Has a doctor ever told you that you have diabetes or high blood sugar?
Q11-H60CHRC-2A [] | Section: Health |
In what month and year was that first diagnosed?
Q11-H60CHRC-2B [] | Section: Health |
[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had skin cancer?
Q11-H60CHRC-3 [] | Section: Health |
[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you have cancer or malignant tumor of any kind except skin cancer?
Q11-H60CHRC-3A [] | Section: Health |
How many such cancers have you [Had/had since (date of 50+ Health Module)]?
If Answer >= -2 AND Answer <= 0 Then Go To Q11-H60CHRC_CHK4
Q11-H60-CHRC-3AB [] | Section: Health |
REPEAT
Q11-H60CHRC-3B [] | Section: Health |
In what month and year was [{Q11-H60-text_sub}] cancer diagnosed?
Q11-H60CHRC-3C [] | Section: Health |
In which organ or part of your body did this cancer occur?
Q11-H60CHRC-3D [] | Section: Health |
Do you currently have any such cancer?
Q11-H60CHRC-3DB-LOOP-END [] | Section: Health |
UNTIL ([{Q11-H60-LOOP3}]==[Number of cancers R reported] || [Number of cancers R reported]==0)
Q11-H60CHRC_CHK4 [] | Section: Health |
[r report non-asthma/chronic lung problems in 40+ Health Module]==1 || [{h50_nonasthma_chroniclung}]==1
COMMENT: R has previously reported chronic lung condition
If Answer = 1 Then Go To Q11-H60CHRC-5
Q11-H60CHRC-4 [] | Section: Health |
Not including asthma, has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema?
Q11-H60CHRC-4B [] | Section: Health |
In what month and year was your chronic lung disease diagnosed?
Q11-H60CHRC-5 [] | Section: Health |
[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?
Q11-H60CHRC-5A [] | Section: Health |
[Had/had since (date of 50+ Health Module)] you have a heart attack or myocardial infarction?
Q11-H60CHRC-5B [] | Section: Health |
In what month and year did you have your [last] heart attack or myocardial infarction?
Q11-H60CHRC-5C [] | Section: Health |
Do you currently have any angina or chest pains due to your heart?
Q11-H60CHRC-6 [] | Section: Health |
Has a doctor ever told you that you have congestive heart failure?
Q11-H60CHRC-6A [] | Section: Health |
In what month and year was your congestive heart failure?
Q11-H60CHRC-7 [] | Section: Health |
[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had a stroke?
Q11-H60CHRC-7A [] | Section: Health |
In what month and year did you last have a stroke?
Q11-H60CHRC-7B [] | Section: Health |
[Has/Since (date of 50+ Health Module) has] a doctor ever diagnosed you as suffering from depression?
Q11-H60CHRC-7C [] | Section: Health |
In what month and year was your depression diagnosed?
Q11-H60CHRC-7D [] | Section: Health |
During the last 12 months, have you suffered from depression?
Q11-H60CHRC-7E [] | Section: Health |
Has a doctor ever diagnosed you as suffering from anxiety?
Q11-H60CHRC-7F [] | Section: Health |
In what year and month was your anxiety diagnosed?
Q11-H60CHRC-7G [] | Section: Health |
During the last 12 months, have you suffered from anxiety?
Q11-H60CHRC_CHK6 [] | Section: Health |
[r report psychiatric problems during 40+ Health Module]==1 || [{h50_psychiatric}]==1
COMMENT: R has previously reported psychiatric problem
If Answer = 1 Then Go To Q11-H60CHRC_CHK7
Q11-H60CHRC-8 [] | Section: Health |
Has a doctor ever told you that you had emotional, nervous, or psychiatric problems other than depression or anxiety?
Q11-H60CHRC-8A [] | Section: Health |
In what month and year were your emotional, nervous or psychiatric problems diagnosed?
Q11-H60CHRC-8B [] | Section: Health |
During the last 12 months, have you had any emotional, nervous, or psychiatric problems?
Q11-H60CHRC_CHK7 [] | Section: Health |
[r report arthritis during 40+ Health Module]==1 || [{h50_arthritis}]==1
COMMENT: R has previously reported arthritis
If Answer = 1 Then Go To Q11-H60CHRC-9B
Q11-H60CHRC-9 [] | Section: Health |
Have you ever had, or has a doctor ever told you that you have, arthritis or rheumatism?
Q11-H60CHRC-9A [] | Section: Health |
In what month and year was your arthritis or rheumatism diagnosed?
Q11-H60CHRC-9AB [] | Section: Health |
(In what month and year was your arthritis or rheumatism diagnosed?)
Q11-H60CHRC-9B [] | Section: Health |
Do you sometimes have pain, stiffness, or swelling in your joints?
Q11-H60CHRC-9C [] | Section: Health |
[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had osteoporosis?
Q11-H60CHRC-9D [] | Section: Health |
In what month and year was your osteoporosis diagnosed?
Q11-H60CHRC-10 [] | Section: Health |
Has a doctor ever told you that you have Alzheimer's Disease?
Q11-H60CHRC-10A [] | Section: Health |
In what month and year was your Alzheimer's diagnosed?
Q11-H60CHRC-10B [] | Section: Health |
Are you currently taking medication for your Alzheimer's?
Q11-H60CHRC-11 [] | Section: Health |
Has a doctor ever told you that you have dementia, senility or any other serious memory impairment?
Q11-H60CHRC-11A [] | Section: Health |
In what month and year was your dementia, senility, or memory impairment diagnosed?
Q11-H60FL-1 [] | Section: Health |
Do you currently use any special equipment to aid you in your usual activities? By this we mean things such as hearing aids, wheelchairs, scooters, canes, protheses, or special telephones. Please do not include eyeglasses or false teeth.
Q11-H60FL-2A [] | Section: Health |
We are interested in how much difficulty people have with various activities because of a health or physical problem. Do you have any difficulty with...
Running about a mile?
Q11-H60FL-2B [] | Section: Health |
Do you have any difficulty with..
walking several blocks?
Q11-H60FL-2C [] | Section: Health |
Do you have any difficulty with..
Walking one block?
Q11-H60FL-2D [] | Section: Health |
Do you have any difficulty with...
Walking across a room?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60FL-2E [] | Section: Health |
Do you have any difficulty with..
Sitting for about 2 hours?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60FL-2F [] | Section: Health |
Do you have any difficulty with..
Getting up from a chair after sitting for long periods?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60FL-2G [] | Section: Health |
Do you have any difficulty with..
Climbing several flights of stairs without resting?
Q11-H60FL-2H [] | Section: Health |
Do you have any difficulty with..
Climbing one flight of stairs without resting?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60FL-2I [] | Section: Health |
Do you have any difficulty with..
Lifting or carrying weights over 10 pounds, like a heavy bag of groceries?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60-2J [] | Section: Health |
Do you have any difficulty with..
Stooping, kneeling, or crouching?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60FL-2K [] | Section: Health |
Do you have any difficulty with..
Picking up a dime from a table?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60FL-2L [] | Section: Health |
Do you have any difficulty with..
Reaching or extending your arms above shoulder level?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60FL-2M [] | Section: Health |
Do you have any difficulty with..
Pulling or pushing large objects like a living room chair?
| 1 YES |
| 0 NO |
| 6 CAN'T DO |
| 7 DON'T DO |
Q11-H60-10_A [] | Section: Health |
How tall are you?
(INTERVIEWER: IF R ANSWERS ONLY IN FEET OR ONLY IN INCHES, LEAVE OTHER FIELD BLANK.)
Q11-H60-10_B [] | Section: Health |
Q11-H60SLP-1 [] | Section: Health |
How much sleep do you usually get at night (or in your main sleep period) on weekdays or workdays?
Q11-H60SLP-1B [] | Section: Health |
Q11-H60SLP-2 [] | Section: Health |
How much sleep do you usually get at night (or in your main sleep period) on weekends or your nonworkdays?
Q11-H60SLP-2B [] | Section: Health |
Q11-H60SLP-5 [] | Section: Health |
How often do you…
| - have trouble falling asleep? |
| - wake up during the night and have trouble going back to sleep? |
| - wake up too early in the morning and be unable to get back to sleep? |
| 1 Almost always (4+ times per week) |
| 2 Often (2-3 times per week) |
| 3 Sometimes (2-4 times per month) |
| 4 Rarely or never (once a month or less) |
Q11-H60SLP-6-REV [] | Section: Health |
Have you ever been told by a doctor or other health professional that you have sleep apnea?
Q11-H60SLP-6B-REV [] | Section: Health |
In the past year, have you had any treatments for your sleep apnea?
Q11-H60OPEN-1 [] | Section: Health |
Is there anything else you want to tell us about your health?
Q11-H60OPEN-1A [] | Section: Health |
(INTERVIEWER: RECORD VERBATIM RESPONSE.)