([total number of employers reported] >= 1)

COMMENT: Is there at least one employer listed?

[is this job current?(1)]==1

COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW WEEK?

(INTERVIEWER: ENTERING HEALTH SECTION)

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.

Since what month and year have you had this limitation?

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)

RECCOUNT([Final Household Roster])

COMMENT: copy all the people from the info sheet to the roster

Is anyone in your household (besides you) disabled or chronically ill?

Which household member is this?

(INTERVIEWER: PROBE IF THERE IS MORE THAN ONE HOUSEHOLD MEMBER: "Is there anyone else?")

Do you regularly spend time helping or taking care of [this person/these people]?

About how many hours per week do you spend doing this?

Do you regularly spend time helping or taking care of a relative or friend who does not live in your household?

About how many hours per week do you spend doing this?

How much do you weigh?

(ENTER POUNDS)

How tall are you?

(INTERVIEWER: IF R ANSWERS ONLY IN FEET OR ONLY IN INCHES, LEAVE OTHER FIELD BLANK.)

How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?

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?

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.)

Do you have a health care provider that you can see when you are sick or need advice about your health?

What kind of place do you go to most often for this care—is it a clinic, doctor's office, emergency room, or some other place?

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)?

[RESPONDENT GENDER]

During the past 24 months, that is since [{refdate_24mo~X}], have you had any of the following medical tests or procedures?

Are you currently taking...

During the past 24 months, that is since [{refdate_24mo~X}], have you seen or talked to either of the following types of doctors?

During the past 24 months, that is since [{refdate_24mo~X}], have you had any of the following medical tests or procedures?

Are you currently taking..

[{PREV_MENOPAUSE}]== 1

COMMENT: R has reported date of menopause

Have you had a menstrual period in the past 12 months?

[Q11-GENHLTH_4D_F~4]== 1

COMMENT: R is currently taking hormone replacement therapy

How old were you when you had your last period?

(How old were you when you had your last period?)

What is the reason that your period stopped at that age?

Did your hysterectomy involve removal of both ovaries, one ovary, or just your uterus?

Prior to taking hormone replacement therapy or "HRT" medications, had you had a menstrual period in the past 12 months?

How old were you when you had your last period prior to starting HRT?

(How old were you when you had your last period prior to starting HRT?)

During the past 24 months, that is since [{refdate_24mo~X}], have you seen or talked to any of the following types of doctors?

Are you currently taking any medications to control or lower your cholesterol level?

Are any of those medications known as "statins"?

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?

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?

Do you have any of your own, natural teeth?

During a usual week, how many times do you....

...Brush your teeth?

...Use dental floss?

Are you now trying to lose weight, gain weight, stay about the same, or are you not trying to do anything about your weight?

[{ROUND}]==28

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?

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)?

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?

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

(In the past seven days, how many times did you...)

...Eat a snack between meals?

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

(In the past seven days, how many times did you...)

...Skip a meal?

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

(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.)

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

[any spouse/partner to ask about insurance?]==1

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]].

(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?

[spouse in hh?]==1 || [partner in hh?]==1

COMMENT: Is there a spouse listed on the household roster

Is [Spouse/partner's name] covered by this plan?

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?

[r covered by health plan?]==0 || [r has no health care coverage?]==1

COMMENT: /* Respondent reports no health insurance coverage, or coverage not specified in response categories. */

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].)

Not including single service plans, about how long has it been since you last had health care coverage?

[r has no health care coverage?]==1

COMMENT: /* Respondent reports some type of health insurance */

In the past 12 months, have you ever been without coverage?

About how many months were you without coverage?

[r covered by health plan?]==0 || [r has no health care coverage?]==1 || [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

Which of these are the reasons you (do/did) not have health insurance?

(INTERVIEWER: SELECT ALL THAT APPLY.)

[any spouse/partner to ask about insurance?]==1

COMMENT: Respondent reported a spouse

VAREXIST([Q11-80B_1])

[{SPOPAR_COVERED}]==1

COMMENT: Spouse/partner covered by R's primary health care

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]].

(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]].

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?

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?

Now I am going to name a category and you will name things that belong in that category. Let's practice with the category "fruit." Can you think of any fruits?

INTERVIEWER: IF RESPONDENT DOES NOT IMMEDIATELY START NAMING FRUITS, PROVIDE A COUPLE OF EXAMPLES SUCH AS APPLES OR PEARS.

WAIT FOR TWO CORRECT ITEMS AND THEN SELECT <NEXT> TO CONTINUE.

In a moment I will give you another category. When I say begin, you will name all the things from this new category you can think of, as fast as you can. You will have one minute to do this. I will let you know when your time is up. The new category is animals.

Do you have any questions?

Ready?

Begin.

SELECT <NEXT> TO CONTINUE.

INTERVIEWER: COUNT NUMBER OF ANIMALS RESPONDENT LISTS. ENTER NUMBER OF ANIMALS.

TIME FOR ONE MINUTE. IF PERSON STOPS BEFORE 1 MINUTE IS UP, SAY

"There's still more time, can you think of any more?"

IF PERSON ASKS WHETHER BIRDS, FISH, INSECTS, REPTILES, ETC. ARE ACCEPTABLE, SAY "Yes."

[{birthdate~Y}] <= 1958

([{hlth50_mod}]==0) && ([{birthdate~Y}] >= 1963)

COMMENT: R has not yet received age 50 health module and was born later than 1962

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.

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.....

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)

After each statement, please tell me whether you strongly agree, slightly agree, neither agree nor disagree, slightly disagree, or strongly disagree with each one.

[Is bio father alive]

COMMENT: R's biological father is alive

This next series of questions asks about your biological parents' health.

Is your biological father still alive?

What caused your biological father's death?

How old was he when he died?

[Did/Does] your father have any major health problems?

What [{are/were_fath}] these problems?

[biological mother alive]

Is your biological mother still alive?

What caused your biological mother's death?

How old was she when she died?

[Did/Does] your mother have any major health problems?

What [{are/were_moth}] these problems?

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.

In general, would you say your health is ....

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?

..... Climbing several flights of stairs?

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?

.... Were limited in the kind of work or other activities?

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?

.... Didn't do work or other activities as carefully as usual?

During the past 4 weeks, how much did pain interfere with your normal work (including both work outside of the home and housework)?

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?

.... Did you have a lot of energy?

.... Have you felt down-hearted and blue?

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.)?

[blood pressure problems reported during 40+ Health Module]==1 || [{h50_bp_ht}]==1

COMMENT: R has previously reported high pressure

Has a doctor ever told you that you have high blood pressure or hypertension?

In what month and year was that first diagnosed?

Do you have high blood pressure or hypertension at the present time?

[r report diabetes/high blood sugar in 40+ Health Module]==1 || [{h50_diabetes_hbs}]==1

COMMENT: R has previously reported diabetes

Has a doctor ever told you that you have diabetes or high blood sugar?

In what month and year was that first diagnosed?

[{h60_skincancer_text1}] a doctor ever told you that you had skin cancer?

[{h60_cancer_text1}] a doctor ever told you that you have cancer or malignant tumor of any kind except skin cancer?

How many such cancers have you [{h60_cancer_text2}]?

REPEAT

In what month and year was [{Q11-H60-text_sub}] cancer diagnosed?

In which organ or part of your body did this cancer occur?

Do you currently have any such cancer?

UNTIL ([{Q11-H60-LOOP3}]==[Number of cancers R reported] || [Number of cancers R reported]==0)

[r report non-asthma/chronic lung problems in 40+ Health Module]==1 || [{h50_nonasthma_chroniclung}]==1

COMMENT: R has previously reported chronic lung condition

Not including asthma, has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema?

In what month and year was your chronic lung disease diagnosed?

[{h60_heart_text1}] a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?

[{h60_heart_text2}] you have a heart attack or myocardial infarction?

In what month and year did you have your [{h60_heart_text3}] heart attack or myocardial infarction?

Do you currently have any angina or chest pains due to your heart?

Has a doctor ever told you that you have congestive heart failure?

In what month and year was your congestive heart failure?

[{h60_stroke_text1}] a doctor ever told you that you had a stroke?

In what month and year did you last have a stroke?

[{h60_depression_text1}] a doctor ever diagnosed you as suffering from depression?

In what month and year was your depression diagnosed?

During the last 12 months, have you suffered from depression?

Has a doctor ever diagnosed you as suffering from anxiety?

In what year and month was your anxiety diagnosed?

During the last 12 months, have you suffered from anxiety?

[r report psychiatric problems during 40+ Health Module]==1 || [{h50_psychiatric}]==1

COMMENT: R has previously reported psychiatric problem

Has a doctor ever told you that you had emotional, nervous, or psychiatric problems other than depression or anxiety?

In what month and year were your emotional, nervous or psychiatric problems diagnosed?

During the last 12 months, have you had any emotional, nervous, or psychiatric problems?

[r report arthritis during 40+ Health Module]==1 || [{h50_arthritis}]==1

COMMENT: R has previously reported arthritis

Have you ever had, or has a doctor ever told you that you have, arthritis or rheumatism?

In what month and year was your arthritis or rheumatism diagnosed?

(In what month and year was your arthritis or rheumatism diagnosed?)

Do you sometimes have pain, stiffness, or swelling in your joints?

[{h60_osteoporosis_text1}] a doctor ever told you that you had osteoporosis?

In what month and year was your osteoporosis diagnosed?

Has a doctor ever told you that you have Alzheimer's Disease?

In what month and year was your Alzheimer's diagnosed?

Are you currently taking medication for your Alzheimer's?

Has a doctor ever told you that you have dementia, senility or any other serious memory impairment?

In what month and year was your dementia, senility, or memory impairment diagnosed?

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.

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?

Do you have any difficulty with..

walking several blocks?

Do you have any difficulty with..

Walking one block?

Do you have any difficulty with...

Walking across a room?

Do you have any difficulty with..

Sitting for about 2 hours?

Do you have any difficulty with..

Getting up from a chair after sitting for long periods?

Do you have any difficulty with..

Climbing several flights of stairs without resting?

Do you have any difficulty with..

Climbing one flight of stairs without resting?

Do you have any difficulty with..

Lifting or carrying weights over 10 pounds, like a heavy bag of groceries?

Do you have any difficulty with..

Stooping, kneeling, or crouching?

Do you have any difficulty with..

Picking up a dime from a table?

Do you have any difficulty with..

Reaching or extending your arms above shoulder level?

Do you have any difficulty with..

Pulling or pushing large objects like a living room chair?

How much sleep do you usually get at night (or in your main sleep period) on weekdays or workdays?

How much sleep do you usually get at night (or in your main sleep period) on weekends or your nonworkdays?

How long does it usually take you to fall asleep at bedtime?

During a usual week, how many times do you nap for 5 minutes or more?

How often do you…

Have you ever been told by a doctor or other health professional that you have a sleep disorder?

What was the sleep disorder?

(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)

In the past year, have you had any treatments for your sleeping or snoring problem?

What treatments have you had?

(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)

Is there anything else you want to tell us about your health?

(INTERVIEWER: RECORD VERBATIM RESPONSE.)

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.....

[Is bio father alive]

This next series of questions asks about your biological parent's health.

Is your biological father still alive?

What caused your biological father's death?

How old was he when he died?

[Did/Does] your father have any major health problems?

What [{are/were_fath}] these problems?

[biological mother alive]

Is your biological mother still alive?

What caused your biological mother's death?

How old was she when she died?

[Did/Does] your mother have any major health problems?

What [{are/were_moth}] these problems?

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.

In general, would you say your health is ....

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?

..... Climbing several flights of stairs?

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?

.... Were limited in the kind of work or other activities?

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?

.... Didn't do work or other activities as carefully as usual?

During the past 4 weeks, how much did pain interfere with your normal work (including both work outside of the home and housework)?

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?

.... Did you have a lot of energy?