[# CARE.Q; [# module care.q -changed all ===> to @. bmk] >tm4< [allow 4] [##label = timestamp, start of care module] [if entry mode] [#settime tm4] [endif] [copy tm4 in tm4] [#loc 59/73] [#removed loc 5/24/00 bbd] [equiv end2 position 2] [#PLACE tm4 AFTER end2 5/30/00 bbd] >COTEMP< [goto C0] TEMPORARY SCREEN DO YOU WANT TO SKIP CARE.Q <1> YES [goto endl] <2> NO @ >C0< [# jasnote moved skips to following to before l6 [# c1 is number of hh members in addition to R >l4< [allow 2] [store c1 in l4] >l4z< [if c1 eq <>] [store <0> in l4] [endif] [# this will correct l4 for MSA-O >l4x< [if Rms eq <1>] [if mspp eq <0>] [add <1> to l4] [endif] [endif] [#changed goto C1a to goto se2q4 dw] >l4a< [if A1ma eq <1>] [subtract <1> from l4] [goto se2q4] [endif] >l5< [if A1ca eq <1>] [subtract <1> from l4] [endif] [#added this item from se2] >se2q4< [##dname = RT204] [##label = health compared to others] [#changed] [#moved] [define <-1>] [define <-2>] [missing <-1> <-2>] [#define <-3>] [#define <-4>] Now I'd like to ask you some questions about your health. Compared with other people your age, how would you describe your health? Would you say it is very poor, poor, fair, good, or excellent? <1> VERY POOR <2> POOR <3> FAIR <4> GOOD <5> EXCELLENT DON'T KNOW REFUSED @ [# C1a -changed wording, R previously given card with list on it. bmk] >C1a< [##dname = RE1] [##label = have long-term med probs] [#changed] [define <-1>] [define <-2>] [missing <-1> <-2>] Do you have any long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY which limits what you are able to do, or which is likely to limit your activities in the future? <1> YES [goto C3a] <2> NO[#PRECODE CONVERSION ITEM C1a 5 = 2] DON'T KNOW REFUSED @ [goto se2q5a] >C3a< [#removed goto l3 for n, d, & r] [##dname = RE3] [##label = most serious condition] [#moved] What is the most serious condition that you have? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SPECIFIC CONDITION GIVEN [goto se2q5a] DON'T KNOW[goto se2q5a] REFUSED[goto se2q5a] @ >C4a< [#removed goto l3 for n, d, & r] [##dname = RE4] [##label = next most serious condition] What is the next most serious condition? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SECOND CONDITION GIVEN DON'T KNOW REFUSED @ [#added from se2] >se2q5a< [##dname = RT205A] [##label = phys/mental limits personal care] [#changed] [#moved] Now I would like to ask how much physical or mental conditions may limit your ability to do each of the following activites. For each activity, please tell me if you are not limited at all, limited a little, or limited a lot by a physical or mental condition. How much do physical or mental conditions limit your ability to: ...care for personal needs, such as bathing, dressing, eating, or going to the bathroom? <1> DO NOT LIMIT AT ALL <2> LIMIT A LITTLE <3> LIMIT A LOT DON'T KNOW REFUSED @ >se2q5b< [##dname = RT205B] [##label = phys/mental limits movement] [#moved] (For each activity, please tell me if you are not limited at all, limited a little, or limited a lot by a physical or mental condition. How much do physical or mental conditions limit your ability...) ...to move about inside the house? <1> DO NOT LIMIT AT ALL <2> LIMIT A LITTLE <3> LIMIT A LOT DON'T KNOW REFUSED @ >se2q5c< [##dname = RT205C] [##label = phys/mental limits day to day tasks] [#moved] (For each activity, please tell me if you are not limited at all, limited a little, or limited a lot by a physical or mental condition. How much do physical or mental conditions limit your ability...) ...to do day-to-day household tasks? <1> DO NOT LIMIT AT ALL <2> LIMIT A LITTLE <3> LIMIT A LOT DON'T KNOW REFUSED @ >se2q5d< [##dname = RT205D] [##label = phys/mental limits climbing stairs] [#moved] (For each activity, please tell me if you are not limited at all, limited a little, or limited a lot by a physical or mental condition. How much do physical or mental conditions limit your ability...) ...to climb a flight of stairs? <1> DO NOT LIMIT AT ALL <2> LIMIT A LITTLE <3> LIMIT A LOT DON'T KNOW REFUSED @ >se2q5e< [##dname = RT205E] [##label = phys/mental limits walk six blocks] [#moved] (For each activity, please tell me if you are not limited at all, limited a little, or limited a lot by a physical or mental condition. How much do physical or mental conditions limit your ability...) ...to walk six blocks? <1> DO NOT LIMIT AT ALL <2> LIMIT A LITTLE <3> LIMIT A LOT DON'T KNOW REFUSED @ >se2q5f< [##dname = RT205F] [##label = phys/mental limits heavy work] [#moved] (For each activity, please tell me if you are not limited at all, limited a little, or limited a lot by a physical or mental condition. How much do physical or mental conditions limit your ability...) ...to do heavy work like shoveling snow or heavy housecleaning? <1> DO NOT LIMIT AT ALL <2> LIMIT A LITTLE <3> LIMIT A LOT DON'T KNOW REFUSED @ >se2q5g< [##dname = RT205G] [##label = phys/mental limits work for pay] [#moved] (For each activity, please tell me if you are not limited at all, limited a little, or limited a lot by a physical or mental condition. How much do physical or mental conditions limit your ability...) ...to work for pay, such as the amount or type of work you do? <1> DO NOT LIMIT AT ALL <2> LIMIT A LITTLE <3> LIMIT A LOT <-4> R IS RETIRED OR HAS NO INTEREST IN WORKING DON'T KNOW REFUSED @ [# wife/husb /partner] >l3< [if A1ma eq <1> goto C1b] [# jasnote: changed destination of skip below from l6] >l10< [if A1ca ne <1> goto COnew] [# C1b -changed wording, R previously given card with list. bmk] [# C1b -Suggest placing this item after C1a to shorten length. bmk] [# changed destination of skip on 2, d, r - no from l6 >C1b< [##dname = RE5] [##label = partner have disibility] [#changed] Does your (husband/wife/partner) have any long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY which limits what (he/she) is able to do, or which is likely to limit (his/her) activities in the future? <1> YES <2> NO [goto COnew][#PRECODE CONVERSION ITEM C1b 5 = 2] DON'T KNOW [goto COnew] REFUSED [goto COnew] @ [# changed destination of skip on n, d, and r from l6] >C3b< [##dname = RE6] [##label = partners most serious condition] What is the most serious condition that (he/she) has? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SPECIFIC CONDITION GIVEN [goto COnew] DON'T KNOW [goto COnew] REFUSED [goto COnew] @ >C4b< [##dname = RE7] [##label = partners next most serious condition] What is the next most serious condition? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SECOND CONDITION GIVEN DON'T KNOW REFUSED @ [# other household members] >COnew< [#if cid7 is <4> goto C40] [#mam prev spou and curr spou] [#if cid7 is <6> goto C40] [#mam new spou] [#if cid7 is <5> goto endl] [#mam ex spou] >l6< [if l4 eq <0> goto C30] [#no one else in hh] [# C1c -changed wording, R previously given card with list. bmk] [# C1c -suggest moving item after C1b to shorten length. bmk] >C1c< [##dname = RE8] [##label = other members of hh have disability] [#changed] Do any other members of your household have any long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY, which limits what they are able to do, or which is likely to limit their activities in the future? <1> YES <2> NO [goto C30][#PRECODE CONVERSION ITEM C1c 5 = 2] DON'T KNOW [goto C30] REFUSED [goto C30] @ [# C2c -mvd household member nmb lbl from intrvwr prompt to pre-code label bmk] >C2c< [##dname = RE9] [##label = which other member] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who has such a condition? <1-75> HOUSEHOLD MEMBER NUMBER DON'T KNOW [goto C30] REFUSED [goto C30] @ >C3c< [##dname = RE10] [##label = what is most serious condition of other] What is the most serious condition that (he/she) has? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SPECIFIC CONDITION GIVEN [goto l7] DON'T KNOW [goto l7] REFUSED [goto l7] @ >C4c< [##dname = RE11] [##label = next most serious condition of other] What is the next most serious condition? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SECOND CONDITION GIVEN DON'T KNOW REFUSED @ >l7< [if l4 eq <1> goto C30] [# C1d -changed wording, R previously given card with list. bmk] [# C1d -Suggest moving to after C1c to shorten length of question. bmk] >C1d< [##dname = RE12] [##label = anyone else have condition] [#changed] Does anyone else in your household have any long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY, which limits what they are able to do, or which is likely to limit their activities in the future? <1> YES <2> NO [goto C30][#PRECODE CONVERSION ITEM C1d 5 = 2] DON'T KNOW [goto C30] REFUSED [goto C30] @ [# C2d -movd hsehld member nmbr lbl from intrvwr prompt to pre-code label. bmk] >C2d< [##dname = RE13] [##label = who has condition] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who has such a condition? <1-75> HOUSEHOLD MEMBER NUMBER DON'T KNOW [goto C30] REFUSED [goto C30] @ >C3d< [##dname = RE14] [##label = what is most serious condition of third] What is the most serious condition that (he/she) has? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SPECIFIC CONDITION GIVEN [goto C30] DON'T KNOW [goto C30] REFUSED [goto C30] @ >C4d< [##dname = RE15] [##label = next most serious condition of third] What is the next most serious condition? [allow 3] <-6> CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify] <-4> NO SECOND CONDITION GIVEN DON'T KNOW [goto C30] REFUSED [goto C30] @ [# skip if no one is age 55+] >C30< [if fg55 eq <0> goto C40] >C30f< [allow 23][store <> in C30f] [if c1 gt <0>] [store in C30f] [endif] >C30z< [##dname = RE16] [##label = need help w/showering or bathing] [#changed] Because of a health or physical problem, do you (or anyone living here) need assistance with bathing or showering? <1> YES <2> NO [goto C32][#PRECODE CONVERSION ITEM C30z 5 = 2] DON'T KNOW [goto C32] REFUSED [goto C32] @ >C31s< [if aa eq <1> goto C32] [# C31a -mvd hsehld member nmbr from intrvwr prompt to pre-code label. bmk] >C31a< [##dname = RE17] [##label = who needs help with with shower etc] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who needs such assistance? <1-75> HOUSEHOLD MEMBER NUMBER DON'T KNOW [goto C32] REFUSED [goto C32] @ [# C31b - added label -household member number - to pre-code. bmk] >C31b< [##dname = RE18] [##label = who else needs help with shower etc] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who else? <1-75> HOUSEHOLD MEMBER NUMBER <-4> NO ONE ELSE [goto C32] DON'T KNOW [goto C32] REFUSED [goto C32] @ [# C32 -added ellipses to optional and question. bmk] >C32< [##dname = RE19] [##label = need help with dressing] [#changed] (Because of a health or physical problem, do you (or anyone living here) need assistance with. . .) . . .dressing? <1> YES <2> NO [goto C33][#PRECODE CONVERSION ITEM C32 5 = 2] DON'T KNOW [goto C33] REFUSED [goto C33] @ >C32s< [if aa eq <1> goto C33] [# C32a -mvd hsehld member nmbr from intrvwr prompt to pre-code label. bmk] >C32a< [##dname = RE20] [##label = who needs help with dressing] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who needs such assistance? <1-75> HOUSEHOLD MEMBER NUMBER DON'T KNOW [goto C33] REFUSED [goto C33] @ [# C32b -mvd hsehold member number label to pre-code label. bmk] >C32b< [##dname = RE21] [##label = who else needs help with dressing] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who else? <1-75> HOUSEHOLD MEMBER NUMBER <-4> NO ONE ELSE [goto C33] DON'T KNOW [goto C33] REFUSED [goto C33] @ [# C33 -added ellipses to optional and question. bmk] >C33< [##dname = RE22] [##label = need help with eating] (Because of a health or physical problem, do you (or anyone living here) need assistance with. . .) . . .eating? <1> YES <2> NO [goto C34][#PRECODE CONVERSION ITEM C33 5 = 2] DON'T KNOW [goto C34] REFUSED [goto C34] @ >C33s< [if aa eq <1> goto C34] [# moved enter hsehld member nmbr from intrvwr prompt to pre-code label. bmk] >C33a< [##dname = RE23] [##label = who needs help with eating] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who needs such assistance? <1-75> HOUSEHOLD MEMBER NUMBER DON'T KNOW [goto C34] REFUSED [goto C34] @ [# C33b -mvd hsehld member nmbr from intrvwr prompt to pre-code label. bmk] >C33b< [##dname = RE24] [##label = who else needs help with eating] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who else? <1-75> HOUSEHOLD MEMBER NUMBER <-4> NO ONE ELSE [goto C34] DON'T KNOW [goto C34] REFUSED [goto C34] @ [# C34 -added ellipses to optional and question. bmk] >C34< [##dname = RE25] [##label = need help with getting out of bed/chair] (Because of a health or physical problem, do you (or anyone living here) need assistance with. . .) . . .getting in or out of bed or a chair? <1> YES <2> NO [goto C35][#PRECODE CONVERSION ITEM C34 5 = 2] DON'T KNOW [goto C35] REFUSED [goto C35] @ >C34s< [if aa eq <1> goto C35] [# C34a -mvd hsehld member nmbr from intrvwr prompt to pre-code label. bmk] >C34a< [##dname = RE26] [##label = who needs help with getting out of bed/chair] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who needs such assistance? <1-75> HOUSEHOLD MEMBER NUMBER DON'T KNOW [goto C35] REFUSED [goto C35] @ [# C34b -mvd hsehld member nmbr from intrvwr prompt to pre-code label. bmk] >C34b< [##dname = RE27] [##label = who else needs help with getting out of bed/chair] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who else? <1-75> HOUSEHOLD MEMBER NUMBER <-4> NO ONE ELSE [goto C35] DON'T KNOW [goto C35] REFUSED [goto C35] @ [# C35 -removed interviewer prompt: repeat if necessary. bmk] [# C35 -added ellipses to optional and question. bmk] >C35< [##dname = RE28] [##label = need help using toilet] (Because of a health or physical problem, do you (or anyone living here) need assistance with. . .) . . .using the toilet? <1> YES <2> NO [goto C40][#PRECODE CONVERSION ITEM C35 5 = 2] DON'T KNOW [goto C40] REFUSED [goto C40] @ >C35s< [if aa eq <1> goto C40] [# C35a -mvd hsehld member nmbr from intrvwr prompt to pre-code label. bmk] >C35a< [##dname = RE29] [##label = who needs help using toilet] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who needs such assistance? <1-75> HOUSEHOLD MEMBER NUMBER DON'T KNOW [goto C40] REFUSED [goto C40] @ [# C35b -added household member number label to pre-code label. bmk] [# C35b -needs r. bmk] >C35b< [##dname = RE30] [##label = who else needs help using toilet] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who else? <1-75> HOUSEHOLD MEMBER NUMBER <-4> NO ONE ELSE [goto C40] DON'T KNOW [goto C40] @ [# C40 -added parentheses to interviewer instructions. bmk] >C40< [##dname = RE31] [##label = r given help to non coresident] [#changed] Sometimes because of a physical or mental condition, illness, or disability, people require the assistance of friends or relatives. During the last 12 months have you, yourself, GIVEN ANYONE NOT LIVING WITH YOU AT THE TIME any help or assistance because of their health problem or disability? (INTERVIEWER: THIS INCLUDES ONLY HELP THAT THE RESPONDENT HIM/HERSELF GAVE; NOT HELP THAT OTHER FAMILY MEMBERS MAY HAVE GIVEN. FINANCIAL ASSISTANCE AND PAID HELP ARE NOT INCLUDED HERE) <1> YES <2> NO [goto C20][#PRECODE CONVERSION ITEM C40 5 = 2] DON'T KNOW [goto C20] REFUSED [goto C20] @ [# C41 -changed wording. R previously given card with list. bmk] >C41< [##dname = RE32] [##label = who r provided most help to] [#changed] Who did you provide with the most help? <2> SON <10> BROTHER[goto l8] <3> DAUGHTER <11> SISTER[goto l8] <4> SON-IN-LAW[goto C41y] <12> BROTHER-IN-LAW [goto l8] <5> DAUGHTER-IN-LAW[goto C41y] <13> SISTER-IN-LAW[goto l8] <6> FATHER[goto l8] <14> GRANDSON[goto l8] <7> MOTHER[goto l8] <15> GRANDDAUGHTER[goto l8] <8> FATHER-IN-LAW[goto l8] <16> MALE FRIEND[goto l8] <9> MOTHER-IN-LAW[goto l8] <17> FEMALE FRIEND[goto l8] <-6> OTHER (ENTER RESPONSE FOLLOWED BY //) [specify][goto C41a] DON'T KNOW [goto C20] REFUSED [goto C20] @ >C41v< [allow 8] [if C41 eq <2>] [store in C41v] [endif] [if C41 eq <3>] [store in C41v] [endif] [# C41z -added -household member number- to pre-code label. bmk] [# C41z -item needs d, r pre-codes. bmk] [#fill b3a] [#fill b2a] [#fill b3b] [#fill b2b] [#fill b3c] [#fill b2c] [#fill b3d] [#fill b2d] [#fill b3e] [#fill b2e] [#fill b3f] [#fill b2f] [#fill b3g] [#fill b2g] [#fill b3h] [#fill b2h] [#fill b3i] [#fill b2i] [#fill b8a] [#fill b7a] [#fill b8b] [#fill b7b] [#fill b8c] [#fill b7c] [#fill b8d] [#fill b7d] [#fill b8e] [#fill b7e] [#fill b8f] [#fill b7f] [#fill b8g] [#fill b7g] [#fill b8h] [#fill b7h] [#fill b8i] [#fill b7i] [#fill b33a] [#fill b32a] [#fill b33b] [#fill b32b] [#fill b33c] [#fill b32c] [#fill b33d] [#fill b32d] [#fill b33e] [#fill b32e] [#fill b33f] [#fill b32f] [#fill b33g] [#fill b32g] [#fill b33h] [#fill b32h] [#fill b33i] [#fill b32i] >C41z< [##dname = RE33] [##label = which son/daughter] [#modified roster display to list all children by sex 9/26/0 bbd] [form template] [roster begin hhmem] [if stat ne ] [if rel le <7> and rel ge <3> and rel ne <6>] [if C41 eq <2> and sex eq <1>] PERSON [fill pnum:l] [fill name:b] [endif] [if C41 eq <3> and (sex eq <2> or sex eq <5>)] PERSON [fill pnum:l] [fill name:b] [endif] [endif] [endif] [roster end hhmem] [roster begin chaway] [if STAT ne ] [if C41 eq <2> and sex2 eq <1>] PERSON [fill pn2:l] [fill NAME:b] [endif] [if C41 eq <3> and (sex2 eq <2> or sex2 eq <2>)][#PRECODE CONVERSION ITEM sex2 5 = 2] PERSON [fill pn2:l] [fill NAME:b] [endif] [endif] [roster end chaway] [roster begin stpaway] [if Stat ne ] [if C41 eq <2> and sex3 eq <1>] PERSON [fill pn3:l] [fill Name:b] [endif] [if C41 eq <3> and (sex3 eq <2> or sex3 eq <2>)][#PRECODE CONVERSION ITEM sex3 5 = 2] PERSON [fill pn3:l] [fill Name:b] [endif] [endif] [roster end stpaway] Which (son/daughter) is that? <1-75> HOUSEHOLD MEMBER NUMBER <-6> OTHER (ENTER RESPONSE FOLLOWED BY //)[specify] @ [goto l8] >C41t< [allow 8] >C41y< [allow 7] [if C41 eq <4>] [store in C41y] [store in C41t] [endif] [if C41 eq <5>] [store in C41y] [store in C41t] [endif] [# C41u -added label "household member number" to pre-code label. bmk] [# C41u -item needs d, r pre-codes. bmk] [#fill b3a] [#fill b2a] [#fill b3b] [#fill b2b] [#fill b3c] [#fill b2c] [#fill b3d] [#fill b2d] [#fill b3e] [#fill b2e] [#fill b3f] [#fill b2f] [#fill b3g] [#fill b2g] [#fill b3h] [#fill b2h] [#fill b3i] [#fill b2i] [#fill b8a] [#fill b7a] [#fill b8b] [#fill b7b] [#fill b8c] [#fill b7c] [#fill b8d] [#fill b7d] [#fill b8e] [#fill b7e] [#fill b8f] [#fill b7f] [#fill b8g] [#fill b7g] [#fill b8h] [#fill b7h] [#fill b8i] [#fill b7i] [#fill b33a] [#fill b32a] [#fill b33b] [#fill b32b] [#fill b33c] [#fill b32c] [#fill b33d] [#fill b32d] [#fill b33e] [#fill b32e] [#fill b33f] [#fill b32f] [#fill b33g] [#fill b32g] [#fill b33h] [#fill b32h] [#fill b33i] [#fill b32i] >C41u< [##dname = RE34] [##label = which son/daughters wife/husband] [#replaced with roster templates 9/11/0 bbd] [form template] [roster begin hhmem] [if stat ne ] [if rel le <7> and rel ge <3> and rel ne <6>] [if C41 eq <5> and sex eq <1>] PERSON [fill pnum:l] [fill name:b] [endif] [if C41 eq <4> and (sex eq <2> or sex eq <5>)] PERSON [fill pnum:l] [fill name:b] [endif] [endif] [endif] [roster end hhmem] [roster begin chaway] [if STAT ne ] [if C41 eq <5> and sex2 eq <1>] PERSON [fill pn2:l] [fill NAME:b] [endif] [if C41 eq <4> and (sex2 eq <2> or sex2 eq <2>)][#PRECODE CONVERSION ITEM sex2 5 = 2] PERSON [fill pn2:l] [fill NAME:b] [endif] [endif] [roster end chaway] [roster begin stpaway] [if Stat ne ] [if C41 eq <5> and sex3 eq <1>] PERSON [fill pn3:l] [fill Name:b] [endif] [if C41 eq <4> and (sex3 eq <2> or sex3 eq <2>)][#PRECODE CONVERSION ITEM sex3 5 = 2] PERSON [fill pn3:l] [fill Name:b] [endif] [endif] [roster end stpaway] Which (son/daughter)'s (husband/wife) is that? <1-75> HOUSEHOLD MEMBER NUMBER <-6> OTHER (ENTER RESPONSE FOLLOWED BY //)[specify] @ [goto l8] [# C41a -added d pre-code. bmk] >C41a< [##dname = RE35] [##label = male or female] [#changed] Is this a male or a female? (INTERVIEWER: IF R SAYS HELP WAS GIVEN TO MORE THAN ONE PERSON - E.G., A COUPLE OR A FAMILY, RECORD SEX OF PERSON WHO HAD MOST SERIOUS ILLNESS OR DISABILITY THAT RESULTED IN THE NEED FOR HELP) <1> MALE <2> FEMALE DON'T KNOW REFUSED @ >l8< [allow 6] [store in l8] >l8p< [allow 6] [store in l8p] >l8b< [if C41 eq <3>] [store in l8] [store in l8p] [endif] >l8c< [if C41 eq <5>] [store in l8] [store in l8p] [endif] >l8d< [if C41 eq <7>] [store in l8] [store in l8p] [endif] >l8e< [if C41 eq <9>] [store in l8] [store in l8p] [endif] >l8f< [if C41 eq <11>] [store in l8] [store in l8p] [endif] >l8g< [if C41 eq <13>] [store in l8] [store in l8p] [endif] >l8j< [if C41 eq <15>] [store in l8] [store in l8p] [endif] >i8m< [if C41 eq <17>] [store in l8] [store in l8p] [endif] >l8h< [if C41a gt <1>] [store in l8] [store in l8p] [endif] >C42< [##dname = RE36] [##label = condition causing need for help] What condition, illness, or disability caused (him/her) to need help? (ENTER RESPONSE FOLLOWED BY //) [allow 3] @ [specify] [# C48 -added parentheses to interviewer directive. bmk] [# C48 -added "weeks" to pre-code label. bmk] >C48< [##dname = RE37] [##label = weeks in last yr helped] [#changed] In about how many different weeks during the last 12 months did you help (him/her)? (INTERVIEWER: INCLUDE ONLY WEEKS THAT R AND PERSON HELPED WERE NOT LIVING IN THE SAME HOUSEHOLD) <1-52> ONE TO FIFTY-TWO WEEKS DON'T KNOW REFUSED @ [# C49 -added parentheses to interviewer directive. bmk] [# C49 -added "hours" to pre-code label. bmk] >C49< [##dname = RE38] [##label = hours per week helped] [#changed] During those weeks, about how many hours per week on the average did you spend providing help? (INTERVIEWER: INCLUDE ONLY WEEKS THAT R AND PERSON HELPED WERE NOT LIVING IN THE SAME HOUSEHOLD) <0> LESS THAN ONE HOUR <1-74> ONE TO SEVENTY-FOUR HOUR(S) <75> 75 OR MORE DON'T KNOW REFUSED @ >C49z< [if C48 gt <47> goto C20] >C48a< [##dname = RE39] [##label = help last 30 days] Have you given any of this help in the last 30 days? <1> YES <2> NO[#PRECODE CONVERSION ITEM C48a 5 = 2] DON'T KNOW REFUSED @ [# C20 -added parentheses to interviewer directive. bmk] >C20< [##dname = RE40] [##label = r received help from non coresident] [#changed] Next we are interested in help or assistance that you may have RECEIVED in the last 12 months FROM FAMILY MEMBERS OR FRIENDS NOT LIVING WITH YOU AT THE TIME. Because of a health condition, illness, or disability did you receive help or assistance from anyone WHO WAS NOT LIVING WITH YOU? (INTERVIEWER: FINANCIAL ASSISTANCE IS NOT INCLUDED HERE) <1> YES <2> NO [goto C60][#PRECODE CONVERSION ITEM C20 5 = 2] DON'T KNOW [goto C60] REFUSED [goto C60] @ [# C21 -changed wording, R previously given card with list. bmk] >C21< [##dname = RE41] [##label = who helped r] [#changed] Who provided you with the most help? <2> SON <10> BROTHER[goto l9] <3> DAUGHTER <11> SISTER[goto l9] <4> SON-IN-LAW [goto C21y] <12> BROTHER-IN-LAW [goto l9] <5> DAUGHTER-IN-LAW[goto C21y] <13> SISTER-IN-LAW[goto l9] <6> FATHER[goto l9] <14> GRANDSON[goto l9] <7> MOTHER[goto l9] <15> GRANDDAUGHTER[goto l9] <8> FATHER-IN-LAW[goto l9] <16> MALE FRIEND[goto l9] <9> MOTHER-IN-LAW[goto l9] <17> FEMALE FRIEND[goto l9] <-6> OTHER (ENTER RESPONSE FOLLOWED BY //) [specify][goto C21a] DON'T KNOW [goto C60] REFUSED [goto C60] @ >C21v< [allow 8] [if C21 eq <2>] [store in C21v] [endif] [if C21 eq <3>] [store in C21v] [endif] [# C21z -added "household member number" to pre-code label. bmk] [# C21z -item needs d, r pre-codes. bmk] [#fill b3a] [#fill b2a] [#fill b3b] [#fill b2b] [#fill b3c] [#fill b2c] [#fill b3d] [#fill b2d] [#fill b3e] [#fill b2e] [#fill b3f] [#fill b2f] [#fill b3g] [#fill b2g] [#fill b3h] [#fill b2h] [#fill b3i] [#fill b2i] [#fill b8a] [#fill b7a] [#fill b8b] [#fill b7b] [#fill b8c] [#fill b7c] [#fill b8d] [#fill b7d] [#fill b8e] [#fill b7e] [#fill b8f] [#fill b7f] [#fill b8g] [#fill b7g] [#fill b8h] [#fill b7h] [#fill b8i] [#fill b7i] [#fill b33a] [#fill b32a] [#fill b33b] [#fill b32b] [#fill b33c] [#fill b32c] [#fill b33d] [#fill b32d] [#fill b33e] [#fill b32e] [#fill b33f] [#fill b32f] [#fill b33g] [#fill b32g] [#fill b33h] [#fill b32h] [#fill b33i] [#fill b32i] >C21z< [##dname = RE42] [##label = which son/daughter] [#replaced with roster templates 9/11/0 bbd] [form template] [roster begin hhmem] [if stat ne ] [if rel le <7> and rel ge <3> and rel ne <6>] [if C21 eq <2> and sex eq <1>] PERSON [fill pnum:l] [fill name:b] [endif] [if C21 eq <3> and (sex eq <2> or sex eq <5>)] PERSON [fill pnum:l] [fill name:b] [endif] [endif] [endif] [roster end hhmem] [roster begin chaway] [if STAT ne ] [if C21 eq <2> and sex2 eq <1>] PERSON [fill pn2:l] [fill NAME:b] [endif] [if C21 eq <3> and (sex2 eq <2> or sex2 eq <2>)][#PRECODE CONVERSION ITEM sex2 5 = 2] PERSON [fill pn2:l] [fill NAME:b] [endif] [endif] [roster end chaway] [roster begin stpaway] [if Stat ne ] [if C21 eq <2> and sex3 eq <1>] PERSON [fill pn3:l] [fill Name:b] [endif] [if C21 eq <3> and (sex3 eq <2> or sex3 eq <2>)][#PRECODE CONVERSION ITEM sex3 5 = 2] PERSON [fill pn3:l] [fill Name:b] [endif] [endif] [roster end stpaway] Which (son/daughter) is that? <1-75> HOUSEHOLD MEMBER NUMBER <-6> OTHER (ENTER RESPONSE FOLLOWED BY)[specify] @ [goto l9] >C21t< [allow 8] >C21y< [allow 7] [if C21 eq <4>] [store in C21y] [store in C21t] [endif] [if C21 eq <5>] [store in C21y] [store in C21t] [endif] [# C21u -added "household member number" to pre-code label. bmk] [# C21u -item needs d, r pre-codes] [#fill b3a] [#fill b2a] [#fill b3b] [#fill b2b] [#fill b3c] [#fill b2c] [#fill b3d] [#fill b2d] [#fill b3e] [#fill b2e] [#fill b3f] [#fill b2f] [#fill b3g] [#fill b2g] [#fill b3h] [#fill b2h] [#fill b3i] [#fill b2i] [#fill b8a] [#fill b7a] [#fill b8b] [#fill b7b] [#fill b8c] [#fill b7c] [#fill b8d] [#fill b7d] [#fill b8e] [#fill b7e] [#fill b8f] [#fill b7f] [#fill b8g] [#fill b7g] [#fill b8h] [#fill b7h] [#fill b8i] [#fill b7i] [#fill b33a] [#fill b32a] [#fill b33b] [#fill b32b] [#fill b33c] [#fill b32c] [#fill b33d] [#fill b32d] [#fill b33e] [#fill b32e] [#fill b33f] [#fill b32f] [#fill b33g] [#fill b32g] [#fill b33h] [#fill b32h] [#fill b33i] [#fill b32i] >C21u< [##dname = RE43] [##label = which son/daugheters wife/husband] [#replaced with roster templates 9/11/0 bbd] [form template] [roster begin hhmem] [if stat ne ] [if rel le <7> and rel ge <3> and rel ne <6>] [if C21 eq <5> and sex eq <1>] PERSON [fill pnum:l] [fill name:b] [endif] [if C21 eq <4> and (sex eq <2> or sex eq <5>)] PERSON [fill pnum:l] [fill name:b] [endif] [endif] [endif] [roster end hhmem] [roster begin chaway] [if STAT ne ] [if C21 eq <5> and sex2 eq <1>] PERSON [fill pn2:l] [fill NAME:b] [endif] [if C21 eq <4> and (sex2 eq <2> or sex2 eq <2>)][#PRECODE CONVERSION ITEM sex2 5 = 2] PERSON [fill pn2:l] [fill NAME:b] [endif] [endif] [roster end chaway] [roster begin stpaway] [if Stat ne ] [if C21 eq <5> and sex3 eq <1>] PERSON [fill pn3:l] [fill Name:b] [endif] [if C21 eq <4> and (sex3 eq <2> or sex3 eq <2>)][#PRECODE CONVERSION ITEM sex3 5 = 2] PERSON [fill pn3:l] [fill Name:b] [endif] [endif] [roster end stpaway] Which (son/daughter)'s (husband/wife) is that? <1-75> HOUSEHOLD MEMBER NUMBER <-6> OTHER (ENTER RESPONSE FOLLOWED BY //)[specify] @ [goto l9] [# C21a -added d pre-code. bmk] >C21a< [##dname = RE44] [##label = male or female] Is this a male or a female? <1> MALE <2> FEMALE <9> MORE THAN ONE PERSON - E.G., A COUPLE OR FAMILY - HELPED DON'T KNOW REFUSED @ >l9< [allow 6] [store in l9] >l9j< [allow 6] [store in l9j] >l9b< [if C21 eq <3>] [store in l9] [store in l9j] [endif] >l9c< [if C21 eq <5>] [store in l9] [store in l9j] [endif] >l9d< [if C21 eq <7>] [store in l9] [store in l9j] [endif] >l9e< [if C21 eq <9>] [store in l9] [store in l9j] [endif] >l9f< [if C21 eq <11>] [store in l9] [store in l9j] [endif] >l9i< [if C21 eq <13>] [store in l9] [store in l9j] [endif] >l9g< [if C21 eq <15>] [store in l9] [store in l9j] [endif] >l9m< [if C21 eq <17>] [store in l9] [store in l9j] [endif] >l9h< [#if C21a eq <5>][if C21a eq <2>][#REVISED PRECODE MANUALLY 10/19 bbd] [store in l9] [store in l9j] [endif] [if C21a eq <9>] [store in l9] [store in l9j] [endif] [# C26 -added parentheses around interviewer directive. bmk] >C26< [##dname = RE45] [##label = weeks received help last yr] [#changed] In about how many different weeks during the last 12 months did you receive help from (him/her/them)? (INTERVIEWER: INCLUDE ONLY WEEKS WHEN R AND PERSON HELPING WERE NOT LIVING IN THE SAME HOUSEHOLD) <1-52> 1-52 WEEKS DON'T KNOW REFUSED @ [# C27 -added parentheses around interviewer directive] [# C27 -added "hours" to pre-code label. bmk] >C27< [##dname = RE46] [##label = hours per week received help] [#changed] During those weeks, about how many hours per week on the average did (he/she/they) help you? (INTERVIEWER: INCLUDE ONLY WEEKS WHEN R AND PERSON HELPING WERE NOT LIVING IN THE SAME HOUSEHOLD) <0> LESS THAN ONE HOUR PER WEEK <1-74> ONE TO SEVENTY-FOUR HOURS <75> 75 OR MORE DON'T KNOW REFUSED @ >C27z< [if C26 gt <47> goto C60] >C28a< [##dname = RE47] [##label = received help last 30 days] Have you received any of this help in the last 30 days? <1> YES <2> NO[#PRECODE CONVERSION ITEM C28a 5 = 2] DON'T KNOW REFUSED @ [# C60 -added parentheses to interviewer directive. bmk] >C60< [##dname = RE48] [##label = helped coresident last yr] [#changed] During the last 12 months have you, yourself, GIVEN anyone who was LIVING WITH YOU AT THE TIME any help with personal care because of their long term physical or mental condition, illness, or disability? (INTERVIEWER: THIS INCLUDES ONLY HELP THAT THE RESPONDENT HIM/HERSELF GAVE; NOT HELP THAT OTHER FAMILY MEMBERS MAY HAVE GIVEN - PERSONAL CARE INCLUDES HELP WITH EATING, BATHING, GOING TO THE BATHROOM, TAKING MEDICATIONS, ETC.) <1> YES <2> NO [goto C66skip][#PRECODE CONVERSION ITEM C60 5 = 2] DON'T KNOW [goto C66skip] REFUSED [goto C66skip] @ [# C61 -added parentheses to interview directive. bmk] [# C61 -moved "person number" from intrvr directive to pre-code label. bmk] [#changed person number upper range from 55 to 75] >C61< [##dname = RE49] [##label = who r helped] [#changed] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who did you give the most personal care of this kind? (INTERVIEWER: IF THIS IS A PERSON NO LONGER LIVING WITH R, ENTER "s" AND THEN ENTER THE RELATIONSHIP OF THIS PERSON TO R.) <1-75> HOUSEHOLD MEMBER NUMBER <-6> OTHER PERSON NO LONGER LIVING WITH R [specify] (ENTER RELATIONSHIP; IF SON OR DAUGHTER, ENTER RELATIONSHIP AND NAME) DON'T KNOW REFUSED @ [# C62 -added "weeks" to pre-code label. bmk] >C62< [##dname = RE51] [##label = weeks helped last yr] About how many weeks during the last 12 months did you help this person with personal care? <0> LESS THAN ONE WEEK <1-52> ONE TO FIFTY-TWO WEEK(S) DON'T KNOW REFUSED @ >C66skip< [if C62 gt <3> goto C63] [if C48 gt <3> goto C63] [# ***is this a new question? sk] >C66< [##dname = RE50] [##label = ever given care for month or more] [#new] Have you EVER given care for a period of one month or more to a family member or friend who, because of a long term physical or mental condition, illness or disability, was not able to take care of him or herself? <1> YES <2> NO DON'T KNOW REFUSED @ [# C63 -added parentheses to interviewer directive. bmk] >C63< [##dname = RE52] [##label = receive help from coresident last yr] [#changed] At any time in the last 12 months, did you RECEIVE help with personal care from anyone WHO WAS LIVING WITH YOU, because of a health condition, illness, or disability? (INTERVIEWER: THIS INCLUDES HELP FROM PERSONS WHO WERE LIVING WITH R AT THE TIME EVEN IF THEY ARE NOT LIVING WITH R NOW. PERSONAL CARE INCLUDES HELP WITH EATING, BATHING, GOING TO THE BATHROOM, TAKING MEDICATIONS, ETC.) <1> YES <2> NO [goto endl][#PRECODE CONVERSION ITEM C63 5 = 2] DON'T KNOW [goto endl] REFUSED [goto endl] @ [# C64 -added parentheses to interviewer directive. bmk] [# C64 -added label "person number" to pre-code line. bmk] [#changed person number upper range from 55 to 75] >C64< [##dname = RE53] [##label = who helped r] [#changed] [display tem2] [#changed to roster template on 9/5/0 bbd] [#display tem2 single] Who provided you with the most help with personal care? (INTERVIEWER: IF THIS IS A PERSON NO LONGER LIVING WITH R, ENTER "s" AND THEN THE RELATIONSHIP OF THIS PERSON TO R.) <1-75> HOUSEHOLD MEMBER NUMBER <-6> OTHER PERSON NO LONGER LIVING WITH R. ENTER RELATIONSHIP; IF SON OR DAUGHTER, ENTER RELATIONSHIP AND NAME [specify] DON'T KNOW REFUSED @ >C65< [##dname = RE55] [##label = weeks r received help last yr] About how many weeks during the last 12 months did you receive help with personal care from this person? <0> LESS THAN ONE WEEK <1-52> ONE TO FIFTY-TWO WEEK(S) DON'T KNOW REFUSED @ [#converted se18q* series to use multiple input item 9/1/0 bbd] >endl< [#if A1sa lt <1> goto cmpl] [#if A1sa lt <1> goto cb] [#item cmpl exits interview in front end, replaced with callback 10/30/0 bbd]