>prxyint1<
        [##type = integer]
	[define <a> <-3>]
	[define <n> <-4>]
	[define <o> <-5>]
	[define <s> <-6>]
	[define <x> <-7>]
	[define <d> <-1>] [define <r> <-2>] [missing <-1> <-2>]
       I'm calling from the University of Wisconsin on behalf of the National
       Survey of Families and Households.  We interviewed (R1) a few years
       ago and would like to talk to someone about his/her experiences
       since the time we last interviewed him/her. (R1) was part
       of an important longitudinal study of American family life for 14 years
       and we would really like to have his/her experiences recorded for this final
       interview.
       (READ IF NECESSARY: How are you related to (R1)?)

	<0>     CANCEL PROXY; RESPONDENT IS NOT DECEASED [goto 0t]
	<1>     SPOUSE/PARTNER [#goto proxy][goto prxyint3]           <9>     SISTER-IN-LAW
	<2>     SON/STEPSON               <10>    OTHER RELATIVE[specify]
	<3>     SON-IN-LAW                <11>    NEIGHBOR
	<4>     DAUGHTER/STEPDAUGHTER     <12>    FRIEND
	<5>     DAUGHTER-IN-LAW           <13>    ADMINISTRATOR OF ESTATE
	<6>     BROTHER                   <14>    HOME HEALTH AID
	<7>     BROTHER-IN-LAW            <15>    NURSING HOME/HOSPITAL STAFF
	<8>     SISTER                    
	
	 s      SOME OTHER PERSON (specify) (specify)
	 x      CALLBACK [missing] (goto T310)                 
	 y      REFUSED to be interviewed (missing)(goto T330)
	<97>    SOME OTHER PERSON (specify)
	<98>    CALLBACK [missing][goto T310]                 
	<99>    REFUSED to be interviewed [missing][goto T330]
	
	<d>     DON'T KNOW                <r>     REFUSED    @ [goto prxyint2]

>prxyint2<
        [##type = integer]
	Are you the person who would know the most about (R1) or is there
	someone else who would be more knowledgeable about his/her life?

	<1>     INFORMANT IS MOST KNOWLEDGEABLE [goto prxyint3]
	<2>     INFORMANT IS NOT MOST KNOWLEDGEABLE [goto prxyint4]

	 x      CALLBACK (missing)(goto T310)
	 y      REFUSED to be interviewed (missing)(goto T330)
	<8>     CALLBACK [missing][goto T310]
	<9>     REFUSED to be interviewed [missing][goto T330]

	<d>     DON'T KNOW      <r>     REFUSED

	@

>prxyint3<
        [##type = integer]
	We would like to ask you a few questions about (R1)'s life.
	This should only take 5-10 minutes of your time.

	<1>     READY TO START [#goto proxy][goto cnfd]

	 x      CALLBACK (missing)(goto T310)
	 y      REFUSED to be interviewed (missing)(goto T330)
	<8>     CALLBACK [missing][goto T310]
	<9>     REFUSED to be interviewed [missing][goto T330]

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto proxyout]

>prxyint4<
        [##type = integer]
	Do you know who the person is who would know the most about (R1)'s
	life?

	<1>     YES  [goto prxyint5]
	<2>     NO

	 x      CALLBACK (missing)(goto T310)
	 y      REFUSED to be interviewed (missing)(goto T330)
	<8>     CALLBACK [missing][goto T310]
	<9>     REFUSED to be interviewed [missing][goto T330]

	<d>     DON'T KNOW      <r>     REFUSED

	@  [goto prxyint7]


>prxyint5<
	[allow 20]
	(INTERVIEWER: RECORD NAME, NUMBER, AND RELATIONSHIP ON PROXY COVERSHEET.)

	What is that person's name and telephone number?

	@name

	(INTERVIEWER: DOES THE RESPONDENT KNOW THE TELEPHONE NUMBER?)

	<1>     YES
	<2>     NO

	@yn
	[if prxyint5@yn eq <1>]

	@tele
	[endif]

	[@tele] [allow 10] [input format <   -   -    >]
        [@yn]
        [##dname = prxyint5]

>prxyint6<
	[allow 2]
	What is that person's address?

	@ (ENTER RESPONSE FOLLOWED BY //)[specify] [goto pxyint5r][#goto T310]

>prxyint7<
        [##type = integer]
	Is there someone else we could contact that might know who we could
	talk to about (R1)'s experiences?

	<1>     YES  [goto prxyint8]
	<2>     NO

	 x      CALLBACK (missing)(goto T310)
	 y      REFUSED to be interviewed (missing)(goto T330)
	<8>     CALLBACK [missing][goto T310]
	<9>     REFUSED to be interviewed [missing][goto T330]

	<d>     DON'T KNOW      <r>     REFUSED

	@ [#goto proxyout][goto T190]

>prxyint8<
	[allow 20]
	(INTERVIEWER: RECORD NAME, NUMBER, AND RELATIONSHIP ON PROXY COVERSHEET.)

	What is that person's name and telephone number?

	@name

	(INTERVIEWER: DOES THE RESPONDENT KNOW THE TELEPHONE NUMBER?)

	<1>     YES
	<2>     NO

	@yn
	[if prxyint8@yn eq <1>]

	@tele
	[endif]


	[@tele] [allow 10] [input format <   -   -    >]
        [@yn]
        [##dname = prxyint8]


>prxyint9<
	[allow 1]
	What is that person's address?

	@ (ENTER RESPONSE FOLLOWED BY //)[specify]
	[@] [#goto proxyout][goto pxyint9r][#goto T310]

[#**************************************************************]

>proxy<
	[#if cid6 eq <4>]
	[#if cid7 eq <4>][#CHANGED REFERENCE FROM CID6 TO CID7 1/10/01 BBD]
	[#if M11 eq <3> or M40a eq <3>]
	[#goto qzz5]
	[#endif]
	[#endif]
	[#goto proxyout]

>qzz5<
	[##dname = ZY5]
	[##label = reason for proxy]
	[#should proxy be incorporated into spouse int only if R is deceased?]

	(INTERVIEWER: WHAT IS THE REASON FOR THE INTERVIEW?)

	<1>     R IS DECEASED
	<2>     R TOO ILL TO BE INTERVIEWED

	@

	[#delete this item dw asked above]
>qZZ6<  [goto CKPTzz7] [define <d> <-1>] [define <r> <-2>] [missing <-1> <-2>]
        [##dname = ZY6]
	[##label = relation to R]

	(INTERVIEWER: READ IF NECESSARY)

(Q1)    How are you related to (R1)?

	<1>     SPOUSE/PARTNER            <9>     SISTER-IN-LAW
	<2>     SON/STEPSON               <10>    OTHER RELATIVE[specify]
	<3>     SON-IN-LAW                <11>    NEIGHBOR
	<4>     DAUGHTER/STEPDAUGHTER     <12>    FRIEND
	<5>     DAUGHTER-IN-LAW           <13>    ADMINISTRATOR OF ESTATE
	<6>     BROTHER                   <14>    HOME HEALTH AID
	<7>     BROTHER-IN-LAW            <15>    NURSING HOME/HOSPITAL STAFF
	<8>     SISTER
	<-6>     SOME OTHER PERSON (ENTER RESPONSE FOLLOWED BY //)[specify]
	<d>     DON'T KNOW      <r>     REFUSED    @


>CKPTzz7<
	[if qzz5 eq <2> goto qZZ28]
	[goto qzz701]

>qzz701<
	[##dname = ZY701]
	[##label = month of death]

(Q2)    I have some questions about (R1)'s experiences between the
	time  we interviewed (him/her) in (last interview date)
	and (his/her) death.

	In what month and year did (he/she) die?

	<1-12> 1 TO 12

	<d>  DON'T KNOW         <r>  REFUSED

	MONTH OF DEATH @


>qZZ702<
	[##dname = ZY702]
	[##label = year of death]

	<1987-2002> 1987 TO 2002

	<d> DON'T KNOW          <r> REFUSED

	YEAR OF DEATH @


>qZZ8<
	[##dname = ZY8]
	[##label = main cause of death]
(Q3)    What was the MAIN cause of (his/her) death?

	<1>     HEART DISEASE, HEART ATTACK
	<2>     CANCER (MALIGNANCY, LEUKEMIA)
	<3>     STROKE
	<4>     ACCIDENT [goto qZZ11]
	<6>     PNEUMONIA/INFLUENZA
	<7>     HOMICIDE/MURDER  [goto qZZ11]
	<8>     SUICIDE          [goto qZZ11]
	<9>     DIABETES
	<10>    CIRRHOSIS OF LIVER
	<11>    EMPHYSEMA, CHRONIC BRONCHITIS, OR ASTHMA
	<12>    SOME OTHER CAUSE  (ENTER RESPONSE FOLLOWED BY //)   [specify]

	<d>     DON'T KNOW      <r>     REFUSED
	@




>qZZ9<
	[##dname = ZY9]
	[##label = how long ill]
 (Q4)
	How long was (he/she) ill with the
	condition that resulted in (his/her) death?

	(ENTER NUMBERS AND THEN UNITS)

	<0>     NEVER ILL, DIED SUDDENLY
	<1-99>  DAYS, WEEKS, MONTHS OR YEARS [goto qZZ10]

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ11]



>qZZ10<
	[##dname = ZY10]
	[##label = units of how long ill]

	UNITS  [no erase]

	<1>     DAYS
	<2>     WEEKS
	<3>     MONTHS
	<4>     YEARS


	@



>qZZ11<
	[##dname = ZY11]
	[##label = any other illness at time of death]
(Q5)
	In addition to the condition that resulted in (his/her) death,
	did (he/she) have any other chronic illness or condition
	at the time (he/she) died?

	<1>     YES [goto qZZ12]
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	 @ [goto qZZ13]

>qZZ12< [allow 3][#repeat up to 3 times]
	[##dname = ZY12]
	[##label = other illness at time of death]

(Q6)    What chronic illness or condition did (he/she) have? [allow 3]

	<-6>     CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify]
	<-4>     NO SPECIFIC CONDITION GIVEN

	<d>     DON'T KNOW              <r>     REFUSED

	@

[#delete qzz12b dw 1/9/00]


>qZZ13<
	[##dname = ZY13]
	[##label = weeks hosp 12 mo prior to death]
(Q7)
	In the 12 months prior to (his/her) death,
	about how many weeks was (he/she) hospitalized?

	<0>     LESS THAN ONE WEEK
	<1-52>  ONE TO 52 WEEKS

	<-4>    WAS NOT HOSPITALIZED

	<d>     DON'T KNOW      <r>     REFUSED

	@

>qZZ14<
	[##dname = ZY14]
	[##label = weeks nursing home 12 mo prior to death]
(Q8)
	In the 12 months before (he/she) died, how many
	weeks was (he/she) in a nursing home, convalescent center, or similar place?

	<0>     LESS THAN ONE WEEK
	<1-52>  ONE TO 52 WEEKS

	<-4>    WAS NOT IN NURSING HOME, CONVALESCENT CENTER, ETC.

	<d>     DON'T KNOW      <r>     REFUSED

	@

>qZZ15<
	[##dname = ZY15]
	[##label = add weeks required care 12 mo prior to death]
(Q9)
	Not counting time in a hospital or a nursing home, how many
	(additional) weeks did (he/she) require daily physical
	care during the 12 months before (his/her) death?
	By physical care we mean help eating, bathing, dressing, or 
	going to the bathroom.

	<-4>     DID NOT REQUIRE DAILY PHYSICAL CARE
	<0>     LESS THAN ONE WEEK [goto qZZ16]
	<1-52>  ONE TO 52 WEEKS [goto qZZ16]

	<96>    R WAS IN A NURSING HOME THE LAST 12 MONTHS

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ17]

>qZZ16<
	[##dname = ZY16]
	[##label = who provided most care]
(Q10)
	Who provided most of this care?

	<1>     SPOUSE/PARTNER
	<2>     SON/STEPSON
	<3>     SON-IN-LAW
	<4>     DAUGHTER/STEPDAUGHTER
	<5>     DAUGHTER-IN-LAW
	<6>     BROTHER
	<7>     BROTHER-IN-LAW
	<8>     SISTER
	<9>     SISTER-IN-LAW
	<10>    OTHER FEMALE RELATIVE (ENTER RESPONSE FOLLOWED BY //) [specify]
	<11>    OTHER MALE RELATIVE (ENTER RESPONSE FOLLOWED BY //) [specify]
	<12>    FEMALE FRIEND
	<13>    PAID HELP
	<14>    MALE FRIEND
	<15>    NEIGHBOR
	<-6>     SOME OTHER PERSON (ENTER RESPONSE FOLLOWED BY //)[specify]
	<d>     DON'T KNOW      <r>     REFUSED     @


>qZZ17<
	[##dname = ZY17]
	[##label = where living just before death]
(Q11)
	Just before (he/she) died, was (he/she) living:
	in (his/her) own house or apartment, in the home of a
	son or daughter, in a nursing home, or somewhere else?

	<1>  IN (HIS/HER) OWN HOUSE OR APARTMENT
	<2>  IN THE HOME OF A SON OR DAUGHTER
	<3>  IN A NURSING HOME
	<4>  SOMEWHERE ELSE (ENTER RESPONSE FOLLOWED BY //) [specify]

	<d>     DON'T KNOW      <r>     REFUSED

	 @  [goto qZZ18]



>qZZ18<
	[##dname = ZY18]
	[##label = since (date) live at son/daughter/relative]
(Q12)
	At any time since (last interview date), did (he/she) live in the
	household of a son, daughter, or other relative?

	<1>     YES [goto qZZ19]
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ22]

>qZZ19<
	[##dname = ZY19]
	[##label = lived with whom]
(Q13)
	With whom did (he/she) live?

	<1>     SPOUSE/PARTNER
	<2>     SON/STEPSON
	<3>     SON-IN-LAW
	<4>     DAUGHTER/STEPDAUGHTER
	<5>     DAUGHTER-IN-LAW
	<6>     BROTHER
	<7>     BROTHER-IN-LAW
	<8>     SISTER
	<9>     SISTER-IN-LAW
	<10>    OTHER FEMALE RELATIVE (ENTER RESPONSE FOLLOWED BY //) [specify]
	<11>    OTHER MALE RELATIVE (ENTER RESPONSE FOLLOWED BY //) [specify]

	<-6>  OTHER (ENTER RESPONSE FOLLWED BY //)[specify]
	<d>     DON'T KNOW      <r>     REFUSED    @


>qZZ20<
	[##dname = ZY20]
	[##label = how long at son/daugher/relative]
(Q14)
	Altogether, since (last interview date), how long did (he/she) live
	in the household of a son, daughter, or other relative?

	(ENTER NUMBERS AND THEN UNITS)

	<0>     NEVER
	<1-99>  ONE TO 99 [goto qZZ21]

	 e      R'S ENTIRE LIFE
	<-9>	R'S ENTIRE LIFE
	
	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ22]


>qZZ21<
	[##dname = ZY21]
	[##label = units at son/daughter/relative]
	UNITS OF TIME

	<0>     NEVER
	<1>     DAYS
	<2>     WEEKS
	<3>     MONTHS
	<4>     YEARS

	<d>     DON'T KNOW      <r>     REFUSED

	@

>qZZ22<
	[##dname = ZY22]
	[##label = receive pension other than ss at time of death]
(Q15)
	At the time of (his/her) death, was (he/she) receiving income from
	a pension plan based on (his/her) own employment, other than Social
	Security?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	 @


>qZZ23<
	[##dname = ZY23]
	[##label = work for pay since (date)]
(Q16)
	Did (he/she) work for pay at any time since
	(last interview date)?

	<1>     YES [goto qZZ24]
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	 @  [goto ckptzz28]


>qZZ24<
	[##dname = ZY24]
	[##label = year last worked for pay]
(Q17)
	In what year did (he/she) last work for pay?

	<1987-2002> 1987 TO 2002

	<d>     DON'T KNOW      <r>     REFUSED

	 @




>ZZ25A< [allow 2]
	[##dname = ZY25A]
	[##label = kind of work at most recent job]
(Q18)

	What kind of work did (he/she) do in (his/her) most recent job?

	(INTERVIEWER:  IF PERSON HAD MORE THAN ONE JOB, ASK ABOUT THE ONE
	AT WHICH HE/SHE USUALLY SPENT THE MOST HOURS)

	 (ENTER RESPONSE FOLLOWED BY //)

	@ [specify]




>qZZ26<
	[##dname = ZY26]
	[##label = hours per week last year working]
(Q19)
	In the last year that (he/she) was working, about how many hours
	per week did (he/she) usually work?

	<1-93>  ONE TO 93 HOURS PER WEEK
	<94>    94 HOURS OR MORE PER WEEK

	<d>     DON'T KNOW      <r>     REFUSED

	 @



>qZZ27<
	[##dname = ZY27]
	[##label = any 3+ mo not work from (date) to date stopped]
(Q20)
	Were there any periods of three months or longer between (last interview 
	date) and when (he/she) stopped working in (year) when
	(he/she) was not working?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	 @


>ckptzz28< [if qzz5 eq <1> goto qZZ58]


>qZZ28<
	[##dname = ZY28]
	[##label = where R currently lives]
(Q21)   Where is (R1) currently living?

	<1>  IN (HIS/HER) OWN HOUSE OR APARTMENT
	<2>  IN THE HOME OF A SON OR DAUGHTER
	<3>  IN THE HOME OF A GRANDCHILD
	<4>  IN THE HOME OF A SISTER OR BROTHER
	<5>  IN (HIS/HER) PARENT'S HOUSE
	<6>  WITH AN OTHER RELATIVE
	<7>  IN A ROOMING HOUSE
	<8>  IN THE HOME OF A FRIEND
	<9>  IN A NURSING HOME
	<10> IN THE HOSPITAL
	<11> IN A DRUG/ALCOHOL TREATMENT CENTER
	<12> IN A HOSPICE CENTER
	<13> IN A RETIREMENT HOME

	<-6> OTHER (ENTER RESPONSE FOLLOWED BY //)[specify]
	<d>     DON'T KNOW      <r>     REFUSED

	 @


>qZZ2901<
	[##dname = ZY2901]
	[##label = month began living there]
(Q22)
	In what month and year did (he/she) begin living (there)?


	<1-12>  1 TO 12

	<d>     DON'T KNOW      <r>     REFUSED

	MONTH   @


>qZZ2902<
	[##dname = ZY2902]
	[##label = year began living there]
	<1955-2002>   1955 TO 2002

	<d>     DON'T KNOW      <r>     REFUSED

	YEAR @


[#CKPT:ZZ30 - If R1 NOT currently living in own house or apartment or in the home of a son or daughter, GO TO ZZ32]


	[#REVISED RANGE AT qzz30, from 4 to 8 1/29/01 bbd]
>qZZ30<  [if qZZ28 eq <7> or qZZ28 eq <9> or qZZ28 eq <10>
		or qZZ28 eq <11> or qZZ28 eq <13> goto qZZ32]
	[##dname = ZY30]
	[##label = how many people live there]
(Q23)
	How many people live with (him/her) in that household?

	<0>     NONE [goto qZZ32]
	<1-7>   ONE TO SEVEN
	<8>     EIGHT OR MORE

	<d>     DON'T KNOW      <r>     REFUSED

	@

>qZZ31P01<
	[##dname = ZY31P01]

(Q24)
	How are these people related to (him/her)?

	<1>  SPOUSE/PARTNER             <12> BROTHER-IN-LAW
	<2>  SON/STEPSON                <13> SISTER-IN-LAW
	<3>  DAUGHTER/STEPDAUGHTER      <14> GRANDSON
	<4>  SON-IN-LAW                 <15> GRANDDAUGHTER
	<5>  DAUGHTER-IN-LAW            <16> MALE FRIEND
	<6>  FATHER                     <17> FEMALE FRIEND
	<7>  MOTHER                     <18> GRANDCHILD/REN
	<8>  FATHER-IN-LAW              <19> GREAT GRANDCHILD/REN
	<9>  MOTHER-IN-LAW              <20> OTHER FEMALE RELATIVE [specify]
	<10> BROTHER                    <21> OTHER MALE RELATIVE [specify]
	<11> SISTER

	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]

	<d>  DON'T KNOW      <r>     REFUSED
	 @a      [if qZZ30 gt <1>]@b    [if qZZ30 gt <2>]@c     [if qZZ30 gt <3>]@d     [if qZZ30 gt <4>]@e     [if qZZ30 gt <5>]@f     [if qZZ30 gt <6>]@g     [if qZZ30 gt <7>]@h[endif all]

        [@a]
        [##dname = ZY31P01A]
        [##label = how are they related - 1]
	[@b]
        [##dname = ZY31P01B]
        [##label = how are they related - 2]
	<1>  SPOUSE/PARTNER
	<2>  SON/STEPSON
	<3>  DAUGHTER/STEPDAUGHTER
	<4>  SON-IN-LAW
	<5>  DAUGHTER-IN-LAW
	<6>  FATHER
	<7>  MOTHER
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER
	<12> BROTHER-IN-LAW
	<13> SISTER-IN-LAW
	<14> GRANDSON
	<15> GRANDDAUGHTER
	<16> MALE FRIEND
	<17> FEMALE FRIEND
	<18> GRANDCHILD/REN
	<19> GREAT GRANDCHILD/REN
	<20> OTHER FEMALE RELATIVE [specify]
	<21> OTHER MALE RELATIVE [specify]
	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]
	<d>     DON'T KNOW
	<r>     REFUSED
	[@c]
        [##dname = ZY31P01C]
        [##label = how are they related - 3]
	<1>  SPOUSE/PARTNER
	<2>  SON/STEPSON
	<3>  DAUGHTER/STEPDAUGHTER
	<4>  SON-IN-LAW
	<5>  DAUGHTER-IN-LAW
	<6>  FATHER
	<7>  MOTHER
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER
	<12> BROTHER-IN-LAW
	<13> SISTER-IN-LAW
	<14> GRANDSON
	<15> GRANDDAUGHTER
	<16> MALE FRIEND
	<17> FEMALE FRIEND
	<18> GRANDCHILD/REN
	<19> GREAT GRANDCHILD/REN
	<20> OTHER FEMALE RELATIVE [specify]
	<21> OTHER MALE RELATIVE [specify]
	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]
	<d>     DON'T KNOW
	<r>     REFUSED
	[@d]
        [##dname = ZY31P01D]
        [##label = how are they related - 4]
	<1>  SPOUSE/PARTNER
	<2>  SON/STEPSON
	<3>  DAUGHTER/STEPDAUGHTER
	<4>  SON-IN-LAW
	<5>  DAUGHTER-IN-LAW
	<6>  FATHER
	<7>  MOTHER
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER
	<12> BROTHER-IN-LAW
	<13> SISTER-IN-LAW
	<14> GRANDSON
	<15> GRANDDAUGHTER
	<16> MALE FRIEND
	<17> FEMALE FRIEND
	<18> GRANDCHILD/REN
	<19> GREAT GRANDCHILD/REN
	<20> OTHER FEMALE RELATIVE [specify]
	<21> OTHER MALE RELATIVE [specify]
	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]
	<d>     DON'T KNOW
	<r>     REFUSED
	[@e]
        [##dname = ZY31P01E]
        [##label = how are they related - 5]
	<1>  SPOUSE/PARTNER
	<2>  SON/STEPSON
	<3>  DAUGHTER/STEPDAUGHTER
	<4>  SON-IN-LAW
	<5>  DAUGHTER-IN-LAW
	<6>  FATHER
	<7>  MOTHER
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER
	<12> BROTHER-IN-LAW
	<13> SISTER-IN-LAW
	<14> GRANDSON
	<15> GRANDDAUGHTER
	<16> MALE FRIEND
	<17> FEMALE FRIEND
	<18> GRANDCHILD/REN
	<19> GREAT GRANDCHILD/REN
	<20> OTHER FEMALE RELATIVE [specify]
	<21> OTHER MALE RELATIVE [specify]
	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]
	<d>     DON'T KNOW
	<r>     REFUSED
	[@f]
        [##dname = ZY31P01F]
        [##label = how are they related - 6]
	<1>  SPOUSE/PARTNER
	<2>  SON/STEPSON
	<3>  DAUGHTER/STEPDAUGHTER
	<4>  SON-IN-LAW
	<5>  DAUGHTER-IN-LAW
	<6>  FATHER
	<7>  MOTHER
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER
	<12> BROTHER-IN-LAW
	<13> SISTER-IN-LAW
	<14> GRANDSON
	<15> GRANDDAUGHTER
	<16> MALE FRIEND
	<17> FEMALE FRIEND
	<18> GRANDCHILD/REN
	<19> GREAT GRANDCHILD/REN
	<20> OTHER FEMALE RELATIVE [specify]
	<21> OTHER MALE RELATIVE [specify]
	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]
	<d>     DON'T KNOW
	<r>     REFUSED
	[@g]
        [##dname = ZY31P01G]
        [##label = how are they related - 7]
	<1>  SPOUSE/PARTNER
	<2>  SON/STEPSON
	<3>  DAUGHTER/STEPDAUGHTER
	<4>  SON-IN-LAW
	<5>  DAUGHTER-IN-LAW
	<6>  FATHER
	<7>  MOTHER
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER
	<12> BROTHER-IN-LAW
	<13> SISTER-IN-LAW
	<14> GRANDSON
	<15> GRANDDAUGHTER
	<16> MALE FRIEND
	<17> FEMALE FRIEND
	<18> GRANDCHILD/REN
	<19> GREAT GRANDCHILD/REN
	<20> OTHER FEMALE RELATIVE [specify]
	<21> OTHER MALE RELATIVE [specify]
	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]
	<d>     DON'T KNOW
	<r>     REFUSED
	[@h]
        [##dname = ZY31P01H]
        [##label = how are they related - 8]
	<1>  SPOUSE/PARTNER
	<2>  SON/STEPSON
	<3>  DAUGHTER/STEPDAUGHTER
	<4>  SON-IN-LAW
	<5>  DAUGHTER-IN-LAW
	<6>  FATHER
	<7>  MOTHER
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER
	<12> BROTHER-IN-LAW
	<13> SISTER-IN-LAW
	<14> GRANDSON
	<15> GRANDDAUGHTER
	<16> MALE FRIEND
	<17> FEMALE FRIEND
	<18> GRANDCHILD/REN
	<19> GREAT GRANDCHILD/REN
	<20> OTHER FEMALE RELATIVE [specify]
	<21> OTHER MALE RELATIVE [specify]
	<-6>  OTHER (ENTER RESPONSE FOLLOWED //)[specify]
	<d>     DON'T KNOW
	<r>     REFUSED

[#CKPT:ZZ30 - If fewer than 8 relationships coded and additionalhousehold members exist, GO BACK TO ZZ31]


>qZZ32< [allow 3]
        [#repeat up to 3 times]
	[##dname = ZY32T01]
	[##label = most serious condition]
(Q25)   What is the most serious condition that (he/she) has? [allow 3]


        (NOTE TO CODER: THIS ITEM WILL BE CODED OUTSIDE OF THE INSTRUMENT)

	<-6>     CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify]
	<-4>     NO SPECIFIC CONDITION GIVEN

	<d>     DON'T KNOW              <r>     REFUSED

	 @


>qc4a<
        [#removed goto l3 for n, d, & r] [allow 3]
	[##dname = ZY32T02]
	[##label = next most serious condition]
	What is the next most serious condition (he/she) has?

        (NOTE TO CODER: THIS ITEM WILL BE CODED OUTSIDE OF THE INSTRUMENT)

	<-6>     CONDITION GIVEN (ENTER RESPONSE FOLLOWED BY //)[specify]
	<-4>     NO SECOND CONDITION GIVEN

	<d>     DON'T KNOW      <r>     REFUSED

	@

[#CKPT:ZZ31 - If fewer than 3 responses coded for question ZZ30 and last response was NOT 999 ("no answer" or "no additional illnesses"), GO BACK TO ZZ32]

>qZZ33<
	[##dname = ZY33]
	[##label = need assistance with bathing/showering]
(Q26)
	Does (he/she) need assistance with bathing or showering?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	 @


>qZZ34<
	[##dname = ZY34]
	[##label = need assistance with dressing]
(Q27)
	(Does (he/she) need assistance with)

	...dressing?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@



>qZZ35<
	[##dname = ZY35]
	[##label = need assistance with eating]
(Q28)
	(Does (he/she) need assistance with)

	...eating?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@

>qZZ36<
	[##dname = ZY36]
	[##label = need assistance with getting in/out bed/chair]
(Q29)
	(Does (he/she) need assistance with)

	...getting in or out of bed or a chair?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@


>qZZ37<
(Q30)
	[##dname = ZY37]
	[##label = need assistance with using toilet]
	(Does (he/she) need assistance with)

	...using the toilet?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@


>qZZ38<
	[##dname = ZY38]
	[##label = how long needed assistance]
(Q31)
	How long has (he/she) needed assistance with these activities?

	(ENTER NUMBERS AND THEN UNITS)

	<0>     NEVER NEEDS ASSISTANCE
	<1-99>  ONE TO 99 [goto qZZ39]

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ40]

>qZZ39<
	[##dname = ZY39]
	[##label = unit of time needed assist]

	UNIT OF TIME

	<1>     DAYS
	<2>     WEEKS
	<3>     MONTHS
	<4>     YEARS

	<d>     DON'T KNOW      <r>     REFUSED

	@



>qZZ40<
	[##dname = ZY40]
	[##label = receive help past 12 mo from not living with]
(Q32)
	In the past 12 months, has (he/she) received help or assistance from
	anyone WHO WAS NOT LIVING WITH (him/her)?

	(INTERVIEWER: IF R CURRENTLY IN NURSING HOME OR SIMILAR FACILITY, ASK
	 ABOUT MONTHS WHEN R WAS NOT LIVING THERE.)

	<1>     YES [goto qZZ41]
	<2>     NO

         n      R IN NURSING HOME OR OTHER FACILITY FOR 12 MONTHS OR MORE
        <3>     R IN NURSING HOME OR OTHER FACILITY FOR 12 MONTHS OR MORE

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ45]



>qZZ41<
	[##dname = ZY41]
	[##label = who provided most help]
(Q33)
	Who provided the most help?

	<1>     SPOUSE/PARTNER
	<2>     SON/STEPSON
	<3>     SON-IN-LAW
	<4>     DAUGHTER/STEPDAUGHTER
	<5>     DAUGHTER-IN-LAW
	<6>     BROTHER
	<7>     BROTHER-IN-LAW
	<8>     SISTER
	<9>     SISTER-IN-LAW
	<10>    OTHER FEMALE RELATIVE [specify]
	<11>    OTHER MALE RELATIVE  [specify]
	<12>    FEMALE FRIEND
	<13>    PAID HELP
	<14>    MALE FRIEND
	<15>    NEIGHBOR
	<-6>     SOME OTHER PERSON (ENTER RESPONSE FOLLOWED BY //)[specify]
	<d>     DON'T KNOW      <r>     REFUSED     @



>qZZ42<
	[##dname = ZY42]
	[##label = male or female]
(Q34)
	(INTERVIEWER: ASK IF NECESSARY)  Is this a male or a female?

	<1>     MALE
	<2>     FEMALE

	<d>     DON'T KNOW      <r>     REFUSED

	@



>qZZ43<
	[##dname = ZY43]
	[##label = weeks help last 12 mo from this person]
(Q35)
	In about how many different weeks during the last 12 months did
	(he/she) receive help from this person?

	<0>    LESS THAN ONE WEEK
	<1-52>  ONE TO 52 WEEKS

	<d>     DON'T KNOW      <r>     REFUSED


	@  WEEKS




>qZZ44<
	[##dname = ZY44]
	[##label = average hours helped per week]
(Q36)
	During those weeks, about how many hours per week on the average
	did this person help?


	<0>     LESS THAN ONE HOUR PER WEEK
	<1-74>  ONE TO 74 HOUURS PER WEEK
	<75>    75 OR MORE HOURS PER WEEK

	 <d>     DON'T KNOW      <r>     REFUSED

	  @





>qZZ45<
	[##dname = ZY45]
	[##label = receive help past 12 mo from living with]
(Q37)
	At any time in the last 12 months, did (he/she) RECEIVE help with
	personal care from anyone WHO WAS LIVING WITH (him/her)?

	(INTERVIEWER: IF R CURRENTLY IN NURSING HOME OR SIMILAR FACILITY, ASK
	 ABOUT MONTHS WHEN R WAS NOT LIVING THERE.)

	<1>     YES [goto qZZ46]
	<2>     NO

         n      R IN NURSING HOME OR OTHER FACILITY FOR 12 MONTHS OR MORE
        <3>     R IN NURSING HOME OR OTHER FACILITY FOR 12 MONTHS OR MORE

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ48]




>qZZ46<
	[##dname = ZY46]
	[##label = who provided most help]
(Q38)
	Who provided (him/her) with the most help with personal care?

	<1>     SPOUSE/PARTNER
	<2>     SON/STEPSON
	<3>     SON-IN-LAW
	<4>     DAUGHTER/STEPDAUGHTER
	<5>     DAUGHTER-IN-LAW
	<6>     BROTHER
	<7>     BROTHER-IN-LAW
	<8>     SISTER
	<9>     SISTER-IN-LAW
	<10>    OTHER FEMALE RELATIVE (ENTER RESPONSE FOLLOWED BY //) [specify]
	<11>    OTHER MALE RELATIVE (ENTER RESPONSE FOLLOWED BY //) [specify]
	<12>    FEMALE FRIEND
	<13>    PAID HELP
	<14>    MALE FRIEND
	<15>    NEIGHBOR
	<-6>     SOME OTHER PERSON (ENTER RESPONSE FOLLOWED BY //)[specify]
	<d>     DON'T KNOW      <r>     REFUSED      @



>qZZ47<
	[##dname = ZY47]
	[##label = weeks help last 12 mo from this person]
(Q39)
	About how many weeks during the last 12 months did (he/she)
	receive help with personal care from this person?

	<0>    LESS THAN ONE WEEK
	<1-52> ONE TO 52 WEEKS

	<d>     DON'T KNOW      <r>     REFUSED

	 @




>qZZ48<
	[##dname = ZY48]
	[##label = receive pension other than ss]
(Q40)
	Does (he/she) receive income from a pension plan based on
	(his/her) own employment, other than Social Security?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@



>qZZ49<
	[##dname = ZY49]
	[##label = work for pay since (date)]
(Q41)
	Did (he/she) work for pay at any time since (last interview date)?

	<1>     YES [goto qZZ50]
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ54]



>qZZ50<
	[##dname = ZY50]
	[##label = year last worked]
(Q42)
	In what year did (he/she) last work?


	<1987-2002> 1987 TO 2002 [goto qZZ51A]

	<d>     DON'T KNOW      <r>     REFUSED

	 @ [goto qZZ54]



>qZZ51A<
	[##dname = ZY51A]
	[##label = kind of work]
(Q43)

	What kind of work did (he/she) do in (his/her) most recent job?

	<d>     DON'T KNOW
	<r>     REFUSED

	<-6>    (ENTER RESPONSE FOLLOWED BY //) [specify]

	 @




>qZZ52<
	[##dname = ZY52]
	[##label = hours per week last year working]
(Q44)
	In the last year that (he/she) was working, about how many hours
	per week did (he/she) usually work?

	<1-93>  ONE TO 93 HOURS PER WEEK
	<94>    94 HOURS OR MORE PER WEEK

	<d>     DON'T KNOW      <r>     REFUSED

	@



>qZZ53<
	[##dname = ZY53]
	[##label = any 3+ mo not work from (date) to date stopped]
(Q45)
	Were there any periods of three months or longer between
	(last interview date) and when (he/she) stopped working in
	(year) when (he/she) was not working?

	<1>     YES
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@



>qZZ54<
	[##dname = ZY54]
	[##label = since (date) live at son/daughter/relative]
(Q46)
	At any time since (last interview date), did (he/she) live in the
	household of a son or daughter or other relative?


	<1>     YES [goto qZZ55]
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ58]



>qZZ55<
	[##dname = ZY55]
	[##label = lived with whom]
(Q47)
	With whom did (he/she) live?

	<1>  SPOUSE/PARTNER                <12> BROTHER-IN-LAW
	<2>  SON/STEPSON                   <13> SISTER-IN-LAW
	<3>  DAUGHTER/STEPDAUGHTER         <14> GRANDSON
	<4>  SON-IN-LAW                    <15> GRANDDAUGHTER
	<5>  DAUGHTER-IN-LAW               <16> GREAT GRANDCHILD/REN
	<6>  FATHER                        <17> OTHER FEMALE RELATIVE [specify]
	<7>  MOTHER                        <18> OTHER MALE RELATIVE [specify]
	<8>  FATHER-IN-LAW
	<9>  MOTHER-IN-LAW
	<10> BROTHER
	<11> SISTER

	<-6>     OTHER (ENTER RESPONSE FOLLWED BY //)[specify]
	<d>     DON'T KNOW      <r>     REFUSED    @


>qZZ56<
	[##dname = ZY56]
	[##label = how long at son/daugher/relative]
(Q48)
	Altogether, since (last interview date), how long has (he/she)
	lived in the household of a son, daughter, or other relative?

	(ENTER NUMBERS AND THEN UNITS)

	<0>     NEVER
	<1-99>  ONE TO 99

	 <d>     DON'T KNOW      <r>     REFUSED

	 @



>qZZ57<
	[##dname = ZY57]
	[##label = units at son/daughter/relative]

	UNIT OF TIME

	<0>     NEVER
	<1>     DAYS
	<2>     WEEKS
	<3>     MONTHS
	<4>     YEARS

	<d>     DON'T KNOW      <r>     REFUSED

	@



>qZZ58<
	[##dname = ZY58]
	[##label = knowledgeable about original R]
(Q49)
	(INTERVIEWER: DID PROXY SEEM KNOWLEDGEABLE ABOUT ORIGINAL R AND
	ABLE TO PROVIDE MOST OF THE INFORMATION REQUESTED?)


	<1>     YES [goto proxyout]
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto qZZ59]

>qZZ59<
	[##dname = ZY59]
	[##label = someone else who would know more]
(Q50)
	Is there someone else who would know more about (his/her) life
	during the past five years who might be able to answer some of
	these questions better than you?


	<1>     YES  [goto prxycnc1]
	<2>     NO

	<d>     DON'T KNOW      <r>     REFUSED

	@ [goto proxyout]


>prxycnc1<
	[allow 20]
	(INTERVIEWER: RECORD NAME, NUMBER, AND RELATIONSHIP ON PROXY COVERSHEET.)

	What is that person's name and telephone number?

	@name

	(INTERVIEWER: DOES THE RESPONDENT KNOW THE TELEPHONE NUMBER?)

	<1>     YES
	<2>     NO

	@yn
	[if prxycnc1@yn eq <1>]

	@tele
	[endif]

	[@yn] [#equiv prxyint5@yn]
	[@name] [#equiv prxyint5@name]
	[@tele] [#equiv prxyint5@tele] [allow 10] [input format <   -   -    >]

>prxycnc2<
	[#equiv qZZ59 position 3]
	[allow 2]
	What is that person's address?

	@ (ENTER RESPONSE FOLLOWED BY //)[specify]
	[@] [#goto proxyout][goto pxycnc1r][#goto T190]

>proxyout<
	[#goto SE3q]
	[#store <32> in CODE]
	[#goto SKP3] [#don't ask for r's name in name sample]
        [if entry mode]
                [goto MOD7]
        [else]
                [codergoto codr]
                [goto cskp]
        [endif]