HHID HOUSEHOLD IDENTIFIER
Section: E Level: Respondent CAI Reference: Q9002
Type: Character Width: 6 Decimals:
................................................................................
1254 010433-208897. Household ID
PN PERSON NUMBER
Section: E Level: Respondent CAI Reference: Q9003
Type: Character Width: 3 Decimals:
................................................................................
876 010. Person Number
9 011. Person Number
300 020. Person Number
33 030. Person Number
031. Person Number
36 040. Person Number
QSUBHH HRS 1998 SUB-HOUSEHOLD IDENTIFIER
Section: E Level: Respondent CAI Reference: Q9004
Type: Character Width: 1 Decimals:
................................................................................
1200 3. Deceased respondent household
54 4. 2ND Deceased respondent household
ESUBHH HRS 1996 SUB-HOUSEHOLD IDENTIFIER
Section: E Level: Respondent CAI Reference: Q9006
Type: Character Width: 1 Decimals:
................................................................................
256 0. Intact household or previous wave spouse/partner has died
3 1. Split household - first half of split couple
5 2. Split household - second half of split couple
6 3. Deceased respondent household
4. 2ND Deceased respondent household
984 Blank. AHEAD Respondent, No 1996 Subhh
DSUBHH AHD 1995 SUB-HOUSEHOLD IDENTIFIER
Section: E Level: Respondent CAI Reference: Q9005
Type: Character Width: 1 Decimals:
................................................................................
958 0. Intact household or previous wave spouse/partner has died
1. Split household - first half of split couple
1 2. Split household - second half of split couple
25 3. Deceased respondent household
4. 2ND Deceased respondent household
270 Blank. HRS Respondent, No 1995 Subhh
QPN_SP 1998 SPOUSE/PARTNER PERSON NUMBER
Section: E Level: Respondent CAI Reference: Q9007
Type: Character Width: 3 Decimals:
................................................................................
257 010. Person Number
3 011. Person Number
287 020. Person Number
021. Person Number
17 030. Person Number
1 031. Person Number
28 040. Person Number
6 210. Person Number
3 220. Person Number
652 Blank. No Spouse at Death
QQNR 1998 SURVEYCRAFT CASE NUMBER
Section: E Level: Respondent CAI Reference: Q9001
Type: Numeric Width: 4 Decimals:
................................................................................
1254 1-1255. 1998 Surveycraft Case Number
Q1722 Ex1.HOW LONG IN HOSPITAL BEFORE DEATH
Section: E Level: Respondent CAI Reference: Q1722
Type: Numeric Width: 3 Decimals:
Ex1.
Earlier you told me that
[Q685-R FIRST NAME] died while in a
hospital. How long had (he/she) been a patient in that
hospital before (his/her) death?
IWER: ENTER "1 HOUR" IF LESS THAN ONE HOUR
NUMBER:
................................................................................
496 1-365. Actual Value
1 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
756 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 1)
Q1723 EX1a.UNITS IN HOSPITAL
Section: E Level: Respondent CAI Reference: Q1723
Type: Numeric Width: 1 Decimals:
................................................................................
68 1. HOURS
245 2. DAYS
146 3. WEEKS
36 4. MONTHS
3 5. YEARS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
756 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q491:CS2cx] IS
(NE 1)
Q1724 Ex2.REASON IN HOSPITAL
Section: E Level: Respondent CAI Reference: Q1724
Type: Numeric Width: 1 Decimals:
Ex2.
Why had (he/she) been admitted to the hospital?
Was it to have surgery, receive other treatments, relieve
(his/her) symptoms, or what?
................................................................................
40 1. SURGERY
203 2. OTHER TREATMENTS
241 3. RELIEVE SYMPTOMS
13 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
756 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q491:CS2cx] IS
(NE 1)
Q1728 E1. HOSPITAL-YR
Section: E Level: Respondent CAI Reference: Q1728
Type: Numeric Width: 1 Decimals:
E1.
IF Q491 IS (1)
In addition to that hospital stay,
END
(Since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/In the last
two years), had (he/she) been a patient in a
hospital overnight?
................................................................................
805 1. YES
436 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1729 E2. HOSPITAL TIMES
Section: E Level: Respondent CAI Reference: Q1729
Type: Numeric Width: 2 Decimals:
E2.
IF Q491 IS (1)
Including (his/her) final hospitalization,
END
How many different times was (he/she) a patient in a hospital
overnight (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in
the last two years)?
................................................................................
747 1-10. Actual Value
20 11-95. Actual Value (Verified)
36 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
450 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1728:E1] IS (5 OR DK OR RF) AND [Q491:CS2cx] IS
(1); [Q1728:E1] IS (5 OR DK OR RF) AND [Q491:CS2cx]
IS (NE 1)
Q1730 E3. HOSP-1 #NIGHTS
Section: E Level: Respondent CAI Reference: Q1730
Type: Numeric Width: 3 Decimals:
E3.
(Altogether) How many nights was (he/she) a patient in the
hospital (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in
the last two years)?
................................................................................
722 0-250. Actual Value
81 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
450 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1728:E1] IS (5 OR DK OR RF) AND [Q491:CS2cx] IS
(1); [Q1728:E1] IS (5 OR DK OR RF) AND [Q491:CS2cx]
IS (NE 1)
Q1731 E3ax.HOSP - INTENSIVE CARE
Section: E Level: Respondent CAI Reference: Q1731
Type: Numeric Width: 1 Decimals:
E3ax.
IF Q1730 IS (GT1)
During any of those hospital stays
ELSE
During (his/her) hospital stay
END
did
[Q685-R FIRST NAME] spend any time in an
intensive care unit?
................................................................................
508 1. YES
489 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
242 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1728:E1] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 1)
Q1732 E3bx.HOSP - LIFE SUPPORT
Section: E Level: Respondent CAI Reference: Q1732
Type: Numeric Width: 1 Decimals:
E3bx.
IF Q1730 IS (GT1)
(During any of those hospital stays)
ELSE
(During (his/her) hospital stay)
END
did (he/she) use life support equipment, such as a respirator?
................................................................................
320 1. YES
672 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
242 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1728:E1] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 1)
Q1733 E3cx.HOSP - DIALYSIS
Section: E Level: Respondent CAI Reference: Q1733
Type: Numeric Width: 1 Decimals:
E3cx.
IF Q1730 IS (GT1)
(During any of those hospital stays)
ELSE
(During (his/her) hospital stay)
END
did (he/she) use kidney dialysis services?
................................................................................
47 1. YES
956 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
242 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1728:E1] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 1)
Q1734 E3dx.HOSP - ANTIBIOTICS
Section: E Level: Respondent CAI Reference: Q1734
Type: Numeric Width: 1 Decimals:
E3dx.
IF Q1730 IS (GT1)
(During any of those hospital stays)
ELSE
(During (his/her) hospital stay)
END
did (he/she) receive antibiotics to treat pneumonia
or other infection?
................................................................................
559 1. YES
383 5. NO
70 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
242 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1728:E1] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 1)
Q1735 E4. HOSP $ NOT COV
Section: E Level: Respondent CAI Reference: Q1735
Type: Numeric Width: 1 Decimals:
E4.
Were the costs for (his/her) hospital stay(s) completely covered by
IF Q1014 IS (GE65)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
675 1. COMPLETELY COVERED
295 3. PARTLY COVERED (OR COVERED WITH A COPAY)
10 5. NOT COVERED AT ALL
12 7. COSTS NOT SETTLED YET
19 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
242 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1728:E1] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 1)
Q1736 E4x.NURSING HOME # NIGHTS - FINAL
Section: E Level: Respondent CAI Reference: Q1736
Type: Numeric Width: 3 Decimals:
E4x.
IF Q491 IS (2)
Earlier you told me that
[Q685-R FIRST NAME] died while in a
nursing home.
ELSE Q519 IS (1)
Earlier you told me that
[Q685-R FIRST NAME] was living in a
nursing home.
END
How long had (he/she) been a patient in that nursing home
before (his/her) death?
DAYS:
MONTHS:
SINCE DATE: //
................................................................................
124 0-996. Actual Value
4 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1126 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 2) AND [Q519:CS11] IS (NE 1)
Q1737 E4xax.NUMBER OF MONTHS
Section: E Level: Respondent CAI Reference: Q1737
Type: Numeric Width: 2 Decimals:
................................................................................
201 0-96. Actual Value
1 98. DK (Don't Know); NA (Not Ascertained)
1052 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 2) AND [Q519:CS11] IS (NE 1);
[Q1736:E4x] IS (1-996)
Q1738 E4xbx.DATE-MONTH
Section: E Level: Respondent CAI Reference: Q1738
Type: Numeric Width: 2 Decimals:
................................................................................
48 1-12. Actual Value
8 98. DK (Don't Know); NA (Not Ascertained)
1198 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 2) AND [Q519:CS11] IS (NE 1);
[Q1736:E4x] IS (1-996); [Q1737:E4xax] IS (1-96)
Q1740 E4xdx.DATE-YEAR
Section: E Level: Respondent CAI Reference: Q1740
Type: Numeric Width: 4 Decimals:
................................................................................
52 1900-1996. Actual Value
4 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1198 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 2) AND [Q519:CS11] IS (NE 1);
[Q1736:E4x] IS (1-996); [Q1737:E4xax] IS (1-96)
Q1742M1M E4ax. WHY ADMITTED - 1 - MASKED
Section: E Level: Respondent CAI Reference: Q1742
Type: Numeric Width: 3 Decimals:
E4ax.
Why had (he/she) been admitted to the nursing home?
................................................................................
11 101-103. Cancers and tumors; skin conditions
5 111-119. Musculoskeletal system and connective tissue
42 121-129. Heart, circulatory and blood conditions
11 131-139. Allergies; hayfever; sinusitis; tonsillitis
3 141-149. Endocrine, metabolic and nutritional conditions
6 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
6 161-169. Neurological and sensory conditions
171-179. Reproductive system and prostate conditions
1 181-189. Emotional and psychological conditions
78 191-197. Miscellaneous
1 595-597. Other symptoms
57 701. No other care arrangements available
136 702. Deteriorating health; health condition not specified
13 703. To recover/rehab for injury/surgery
990. No text displayed
996. None
997. Other health condition
6 998. DK (Don’t Know); NA (Not Ascertained)
999. RF
878 Blank. INAP (Inapplicable)
Q1742M2M E4ax. WHY ADMITTED - 2 - MASKED
Section: E Level: Respondent CAI Reference: Q1742
Type: Numeric Width: 3 Decimals:
E4ax.
Why had (he/she) been admitted to the nursing home?
................................................................................
2 101-103. Cancers and tumors; skin conditions
3 111-119. Musculoskeletal system and connective tissue
3 121-129. Heart, circulatory and blood conditions
1 131-139. Allergies; hayfever; sinusitis; tonsillitis
3 141-149. Endocrine, metabolic and nutritional conditions
5 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
161-169. Neurological and sensory conditions
171-179. Reproductive system and prostate conditions
1 181-189. Emotional and psychological conditions
5 191-197. Miscellaneous
2 595-597. Other symptoms
33 701. No other care arrangements available
41 702. Deteriorating health; health condition not specified
18 703. To recover/rehab for injury/surgery
990. No text displayed
996. None
997. Other health condition
998. DK (Don’t Know); NA (Not Ascertained)
999. RF
1137 Blank. INAP (Inapplicable)
Q1743 E5. NURSING HOME-YR
Section: E Level: Respondent CAI Reference: Q1743
Type: Numeric Width: 1 Decimals:
E5.
IF Q491 IS (2) OR Q519 IS (1)
In addition to that nursing home stay,
END
Excluding any hospice stays,
(Since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/In the last
two years), had (he/she) been a patient overnight in
a nursing home, convalescent home, or other long-term health
care facility?
................................................................................
164 1. YES
1086 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1744 E6. NURHM # TIMES
Section: E Level: Respondent CAI Reference: Q1744
Type: Numeric Width: 2 Decimals:
E6.
IF Q491 IS (2) OR Q519 IS (1)
Including (his/her) final stay,
END
How many different times was (he/she) a patient in a nursing home
or other long-term care facility (since Q218-PREV WAVE IW MONTH /
Q219-PREV WAVE IW YEAR/in the last two years)?
................................................................................
101 1. ONE
43 2. TWO
17 3. THREE
1 4. FOUR
1 5. FIVE
1 6-95. Actual Value (Verified)
1090 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1743:E5] IS
(5 OR DK OR RF) AND ([Q491:CS2cx] IS (2) OR [Q519:CS11] IS
(1)); [Q1743:E5] IS (5 OR DK OR RF)
Q1745 E7. NURHM-1 NIGHTS
Section: E Level: Respondent CAI Reference: Q1745
Type: Numeric Width: 3 Decimals:
E7.
IF Q1744 IS (GT1)
Altogether, how many nights was (he/she) a patient
in a nursing home (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW
YEAR/in the last two years)?
ELSE
How many nights was (he/she) a patient in a
nursing home (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW
YEAR/in the last two years)?
END
USE 996 FOR CONTINUOUS SINCE ENTERED OR (since Q218-PREV WAVE IW
MONTH / Q219-PREV WAVE IW YEAR/in the last two years)
NIGHTS:
OR
MONTHS:
................................................................................
83 0-995. Actual Value
4 996. CONTINUOUS SINCE ENTERING
6 998. DK (Don't Know); NA (Not Ascertained)
1161 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1743:E5] IS (5 OR DK OR RF) AND ([Q491:CS2cx] IS
(2) OR [Q519:CS11] IS (1)); [Q1743:E5] IS (5 OR DK OR
RF); ([Q491:CS2cx] IS (2) OR [Q519:CS11] IS (1)) AND
[Q1744:E6] IS (1)
Q1746 E7a.NURHM-1 MONTHS
Section: E Level: Respondent CAI Reference: Q1746
Type: Numeric Width: 2 Decimals:
................................................................................
35 1-36. Actual Value
37-78. Actual Value (Verified)
6 98. DK (Don't Know); NA (Not Ascertained)
1213 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1743:E5] IS (5 OR DK OR RF) AND ([Q491:CS2cx] IS
(2) OR [Q519:CS11] IS (1)); [Q1743:E5] IS (5 OR DK OR
RF); ([Q491:CS2cx] IS (2) OR [Q519:CS11] IS (1)) AND
[Q1744:E6] IS (1); [Q1745:E7] IS (1-996)
Q1748 E8.NURHM NOT COV
Section: E Level: Respondent CAI Reference: Q1748
Type: Numeric Width: 1 Decimals:
E8.
Were the costs for (his/her) nursing home stay(s) completely covered by
IF Q1014 IS (GE65)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
264 1. COMPLETELY COVERED
120 3. PARTLY COVERED (OR COVERED WITH A COPAY)
63 5. NOT COVERED AT ALL
9 7. COSTS NOT SETTLED YET
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
794 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1743:E5] IS
(5 OR DK OR RF)
Q1749 E10. NURHM OR HOSP R PAY $
Section: E Level: Respondent CAI Reference: Q1749
Type: Numeric Width: 10 Decimals:
E10.
About how much did (he/she) pay out-of-pocket
for (nursing home/hospital/nursing home and hospital/...) bills
(since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the last two
years)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
234 0-50000. Actual Value
14 50001-9999996. Actual Value (Verified)
204 9999998. DK (Don't Know); NA (Not Ascertained)
4 9999999. RF (Refused)
798 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1735:E4] IS (1 OR NE A) AND [Q1748:E8] IS (1 OR NE
A)
Q1750 E10a. NURHM OR HOSP DK-1
Section: E Level: Respondent CAI Reference: Q1750
Type: Numeric Width: 1 Decimals:
E10a.
Did it amount to less than $5,000, more than $5,000,
or what?
................................................................................
42 1. LESS THAN $5,000
2 3. ABOUT $5,000
13 5. MORE THAN $5,000
11 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
1183 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS (1
OR NE A) AND [Q1748:E8] IS (1 OR NE A); [Q1749:E10] IS (NE DK
AND NE RF); [Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P
COST] IS (NE 1 AND NE 3 AND NE 4 AND NE 6); [Q125:PREV WAVE IF
USED BKTS: HOSP-NH STAY O-O-P COST] IS (3 OR 6)
Q1751 E10b. NURHM OR HOSP DK-2
Section: E Level: Respondent CAI Reference: Q1751
Type: Numeric Width: 1 Decimals:
E10b.
(Did it amount to) less than $10,000, more than
$10,000, or what?
................................................................................
54 1. LESS THAN $10,000
5 3. ABOUT $10,000
14 5. MORE THAN $10,000
15 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1165 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS (1
OR NE A) AND [Q1748:E8] IS (1 OR NE A); [Q1749:E10] IS (NE DK
AND NE RF); [Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P
COST] IS (3 OR 6); [Q1750:E10a] IS (3 OR DK OR RF);
[Q1750:E10a] IS (1)
Q1752 E10c. NURHM OR HOSP DK-3
Section: E Level: Respondent CAI Reference: Q1752
Type: Numeric Width: 1 Decimals:
E10c.
(Did it amount to) less than $20,000, more than
$20,000, or what?
................................................................................
41 1. LESS THAN $20,000
3 3. ABOUT $20,000
13 5. MORE THAN $20,000
19 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1178 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS (1
OR NE A) AND [Q1748:E8] IS (1 OR NE A); [Q1749:E10] IS (NE DK
AND NE RF); [Q1750:E10a] IS (3 OR DK OR RF); [Q1750:E10a] IS
(1); [Q1751:E10b] IS (1 OR 3 OR DK OR RF); [Q1751:E10b] IS (1)
AND [Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS
(NE 1 AND NE 3 AND NE 4 AND NE 6)
Q1753 E10b1. NURHM OR HOSP DK-4
Section: E Level: Respondent CAI Reference: Q1753
Type: Numeric Width: 1 Decimals:
E10b.
(Did it amount to) less than $50,000, more than
$50,000, or what?
................................................................................
4 1. LESS THAN $50,000
3. ABOUT $50,000
9 5. MORE THAN $50,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1241 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS (1
OR NE A) AND [Q1748:E8] IS (1 OR NE A); [Q1749:E10] IS (NE DK
AND NE RF); [Q1750:E10a] IS (3 OR DK OR RF); [Q1750:E10a] IS
(1); [Q1751:E10b] IS (1 OR 3 OR DK OR RF); [Q1751:E10b] IS (1)
AND [Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS
(NE 1 AND NE 3 AND NE 4 AND NE 6); [Q1752:E10c] IS (1) AND
[Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS (3 OR
6); [Q1752:E10c] IS (1 OR 3 OR DK OR RF)
Q1754 E10b1. NURHM OR HOSP DK-5
Section: E Level: Respondent CAI Reference: Q1754
Type: Numeric Width: 1 Decimals:
E10b.
Did it amount to less than $10,000, more than $10,000,
or what?
................................................................................
27 1. LESS THAN $10,000
4 3. ABOUT $10,000
4 5. MORE THAN $10,000
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1218 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS (1
OR NE A) AND [Q1748:E8] IS (1 OR NE A); [Q1749:E10] IS (NE DK
AND NE RF); [Q1750:E10a] IS (3 OR DK OR RF); [Q1750:E10a] IS
(1); [Q1751:E10b] IS (1 OR 3 OR DK OR RF); [Q1751:E10b] IS (1)
AND [Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS
(NE 1 AND NE 3 AND NE 4 AND NE 6); [Q1752:E10c] IS (1 OR 3 OR
DK OR RF); [Q1753:E10b1] IS (A)
Q1755 E10d. NURHM OR HOSP DK-6
Section: E Level: Respondent CAI Reference: Q1755
Type: Numeric Width: 1 Decimals:
E10d.
(Did it amount to) less than $5,000, more than
$5,000, or what?
................................................................................
48 1. LESS THAN $5,000
10 3. ABOUT $5,000
13 5. MORE THAN $5,000
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1177 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS (1
OR NE A) AND [Q1748:E8] IS (1 OR NE A); [Q1749:E10] IS (NE DK
AND NE RF); [Q1750:E10a] IS (3 OR DK OR RF); [Q1750:E10a] IS
(1); [Q1751:E10b] IS (1 OR 3 OR DK OR RF); [Q1752:E10c] IS (1
OR 3 OR DK OR RF); [Q1753:E10b1] IS (A); [Q1754:E10b1] IS (3 OR
5 OR DK OR RF)
Q1756 E10e. NURHM OR HOSP DK-7
Section: E Level: Respondent CAI Reference: Q1756
Type: Numeric Width: 1 Decimals:
E10e.
(Did it amount to) less than $500, more than
$500, or what?
................................................................................
17 1. LESS THAN $500
11 3. ABOUT $500
60 5. MORE THAN $500
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1164 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS (1
OR NE A) AND [Q1748:E8] IS (1 OR NE A); [Q1749:E10] IS (NE DK
AND NE RF); [Q1750:E10a] IS (3 OR DK OR RF); [Q1751:E10b] IS (1
OR 3 OR DK OR RF); [Q1752:E10c] IS (1 OR 3 OR DK OR RF);
[Q1753:E10b1] IS (A); [Q1754:E10b1] IS (3 OR 5 OR DK OR RF);
[Q1755:E10d] IS (3 OR 5 OR DK OR RF)
Q1757 E10xf. HOSPICE # NIGHTS - FINAL
Section: E Level: Respondent CAI Reference: Q1757
Type: Numeric Width: 3 Decimals:
E10xf.
IF Q491 IS (4)
Earlier you told me that
[Q685-R FIRST NAME] died while in a hospice.
END
How long had (he/she) been a patient in that hospice
before (his/her) death?
DAYS:
MONTHS:
DATE: //
................................................................................
20 0-996. Actual Value
998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
1233 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 4)
Q1758 E10xfa.NUMBER OF MONTHS
Section: E Level: Respondent CAI Reference: Q1758
Type: Numeric Width: 2 Decimals:
................................................................................
2 0-96. Actual Value
1252 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 4); [Q1757:E10xf] IS (1-996)
Q1759 E10xfb.DATE-MONTH
Section: E Level: Respondent CAI Reference: Q1759
Type: Numeric Width: 2 Decimals:
................................................................................
1-12. Actual Value
1 99. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 4); [Q1757:E10xf] IS (1-996);
[Q1758:E10xfa] IS (1-96)
Q1761 E10xfd.DATE-YEAR
Section: E Level: Respondent CAI Reference: Q1761
Type: Numeric Width: 4 Decimals:
................................................................................
1900-1996. Actual Value
1 9999. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q491:CS2cx] IS (NE 4); [Q1757:E10xf] IS (1-996);
[Q1758:E10xfa] IS (1-96)
Q1764 Ex10g.HOSPICE STAY - NOT FINAL
Section: E Level: Respondent CAI Reference: Q1764
Type: Numeric Width: 1 Decimals:
Ex10g.
IF Q491 IS (4)
In addition to that hospice stay,
END
(Since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/In the last
two years), had (he/she) been a patient overnight in
a hospice?
................................................................................
27 1. YES
1222 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1765 Ex10h. HOSPICE # TIMES
Section: E Level: Respondent CAI Reference: Q1765
Type: Numeric Width: 2 Decimals:
Ex10h.
IF Q491 IS (4)
Including (his/her) final stay,
END
How many different times was (he/she) a patient in a hospice
(since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the last
two years)?
................................................................................
26 1-5. Actual Value
1 6-10. Actual Value
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1227 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1764:Ex10g] IS (5 OR DK OR RF) AND [Q491:CS2cx] IS
(NE 4); [Q1764:Ex10g] IS (5 OR DK OR RF) AND
[Q491:CS2cx] IS (4)
Q1766 Ex10j. HOSPICE-1 NIGHTS
Section: E Level: Respondent CAI Reference: Q1766
Type: Numeric Width: 3 Decimals:
Ex10j.
IF Q491 IS (4) AND Q1765 IS (GT1)
Altogether, how many nights was (he/she) a patient
in a hospice (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW
YEAR/in the last two years)?
ELSE Q491 IS (4)
How many nights was (he/she) a patient in a
hospice (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in
the last two years)?
ELSE Q1765 IS (GT1)
Altogether, how many nights was (he/she) a patient
in a hospice (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW
YEAR/in the last two years)?
ELSE
How many nights was (he/she) a patient in a hospice
(since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the last
two years)?
END
USE 996 FOR CONTINUOUS SINCE ENTERED OR (since Q218-PREV WAVE IW
MONTH / Q219-PREV WAVE IW YEAR/in the last two years)
NIGHTS:
OR
MONTHS:
................................................................................
23 0-80. Actual Value
1 996. CONTINUOUS SINCE ENTERED
1 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1764:Ex10g] IS (5 OR DK OR RF) AND [Q491:CS2cx] IS
(NE 4); [Q1764:Ex10g] IS (5 OR DK OR RF) AND
[Q491:CS2cx] IS (4)
Q1767 Ex10ja.HOSPICE-1 MONTHS
Section: E Level: Respondent CAI Reference: Q1767
Type: Numeric Width: 2 Decimals:
................................................................................
3 1-36. Actual Value
37-78. Actual Value (Verified)
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1250 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1764:Ex10g] IS (5 OR DK OR RF) AND [Q491:CS2cx] IS
(NE 4); [Q1764:Ex10g] IS (5 OR DK OR RF) AND
[Q491:CS2cx] IS (4); [Q1766:Ex10j] IS (1-996)
Q1769 Ex10k.HOSPICE NOT COV
Section: E Level: Respondent CAI Reference: Q1769
Type: Numeric Width: 1 Decimals:
Ex10k.
Were the costs for (his/her) hospice stay(s) completely covered by
IF Q1014 IS (GE65)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
39 1. COMPLETELY COVERED
5 3. PARTLY COVERED (OR COVERED WITH A COPAY)
2 5. NOT COVERED AT ALL
1 7. COSTS NOT SETTLED YET
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1205 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1764:Ex10g]
IS (5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4)
Q1770 Ex10m. HOSPICE R PAY $
Section: E Level: Respondent CAI Reference: Q1770
Type: Numeric Width: 5 Decimals:
Ex10m.
About how much did (he/she) pay out-of-pocket
for hospice bills (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW
YEAR/in the last two years)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
6 0-50000. Actual Value
3 99998. DK (Don't Know); NA (Not Ascertained)
1 99999. RF (Refused)
1244 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1764:Ex10g] IS (5 OR DK OR RF) AND [Q491:CS2cx] IS
(NE 4); [Q1769:Ex10k] IS (1 OR NE A)
Q1771 Ex10n. HOSPICE DK-1
Section: E Level: Respondent CAI Reference: Q1771
Type: Numeric Width: 1 Decimals:
Ex10n.
Did it amount to less than $5,000, more than $5,000,
or what?
................................................................................
1 1. LESS THAN $5,000
3. ABOUT $5,000
5. MORE THAN $5,000
8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1252 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1764:Ex10g] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4); [Q1769:Ex10k] IS (1
OR NE A); [Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P
COST] IS (3 OR 6); [Q1770:Ex10m] IS (NE DK AND NE RF);
[Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS (NE 1
AND NE 3 AND NE 4 AND NE 6)
Q1772 Ex10p. HOSPICE DK-2
Section: E Level: Respondent CAI Reference: Q1772
Type: Numeric Width: 1 Decimals:
Ex10p.
(Did it amount to) less than $10,000, more than
$10,000, or what?
................................................................................
1. LESS THAN $10,000
3. ABOUT $10,000
5. MORE THAN $10,000
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1253 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1764:Ex10g] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4); [Q1769:Ex10k] IS (1
OR NE A); [Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P
COST] IS (3 OR 6); [Q1770:Ex10m] IS (NE DK AND NE RF);
[Q1771:Ex10n] IS (1); [Q1771:Ex10n] IS (3 OR DK OR RF)
Q1773 Ex10q. HOSPICE DK-3
Section: E Level: Respondent CAI Reference: Q1773
Type: Numeric Width: 1 Decimals:
Ex10q.
(Did it amount to) less than $20,000, more than
$20,000, or what?
................................................................................
1 1. LESS THAN $20,000
3. ABOUT $20,000
5. MORE THAN $20,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1253 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1764:Ex10g] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4); [Q1769:Ex10k] IS (1
OR NE A); [Q1770:Ex10m] IS (NE DK AND NE RF); [Q1771:Ex10n] IS
(1); [Q1771:Ex10n] IS (3 OR DK OR RF); [Q1772:Ex10p] IS (1) AND
[Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS (NE 1
AND NE 3 AND NE 4 AND NE 6); [Q1772:Ex10p] IS (1 OR 3 OR DK OR
RF)
Q1774 Ex10r. HOSPICE DK-4
Section: E Level: Respondent CAI Reference: Q1774
Type: Numeric Width: 1 Decimals:
Ex10r.
(Did it amount to) less than $50,000, more than
$50,000, or what?
................................................................................
1. LESS THAN $50,000
3. ABOUT $50,000
5. MORE THAN $50,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1254 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1764:Ex10g] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4); [Q1769:Ex10k] IS (1
OR NE A); [Q1770:Ex10m] IS (NE DK AND NE RF); [Q1771:Ex10n] IS
(1); [Q1771:Ex10n] IS (3 OR DK OR RF); [Q1772:Ex10p] IS (1) AND
[Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS (NE 1
AND NE 3 AND NE 4 AND NE 6); [Q1772:Ex10p] IS (1 OR 3 OR DK OR
RF); [Q1773:Ex10q] IS (1) AND [Q125:PREV WAVE IF USED BKTS:
HOSP-NH STAY O-O-P COST] IS (3 OR 6); [Q1773:Ex10q] IS (1 OR 3
OR DK OR RF)
Q1775 Ex10s. HOSPICE DK-5
Section: E Level: Respondent CAI Reference: Q1775
Type: Numeric Width: 1 Decimals:
Ex10s.
Did it amount to less than $10,000, more than $10,000,
or what?
................................................................................
1. LESS THAN $10,000
3. ABOUT $10,000
5. MORE THAN $10,000
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1253 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1764:Ex10g] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4); [Q1769:Ex10k] IS (1
OR NE A); [Q1770:Ex10m] IS (NE DK AND NE RF); [Q1771:Ex10n] IS
(1); [Q1771:Ex10n] IS (3 OR DK OR RF); [Q1772:Ex10p] IS (1) AND
[Q125:PREV WAVE IF USED BKTS: HOSP-NH STAY O-O-P COST] IS (NE 1
AND NE 3 AND NE 4 AND NE 6); [Q1772:Ex10p] IS (1 OR 3 OR DK OR
RF); [Q1773:Ex10q] IS (1 OR 3 OR DK OR RF); [Q1774:Ex10r] IS
(A)
Q1776 Ex10t. HOSPICE DK-6
Section: E Level: Respondent CAI Reference: Q1776
Type: Numeric Width: 1 Decimals:
Ex10t.
(Did it amount to) less than $5,000, more than
$5,000, or what?
................................................................................
1. LESS THAN $5,000
3. ABOUT $5,000
5. MORE THAN $5,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1254 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1764:Ex10g] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4); [Q1769:Ex10k] IS (1
OR NE A); [Q1770:Ex10m] IS (NE DK AND NE RF); [Q1771:Ex10n] IS
(1); [Q1771:Ex10n] IS (3 OR DK OR RF); [Q1772:Ex10p] IS (1 OR 3
OR DK OR RF); [Q1773:Ex10q] IS (1 OR 3 OR DK OR RF);
[Q1774:Ex10r] IS (A); [Q1775:Ex10s] IS (3 OR 5 OR DK OR RF)
Q1777 Ex10u. HOSPICE DK-7
Section: E Level: Respondent CAI Reference: Q1777
Type: Numeric Width: 1 Decimals:
Ex10u.
(Did it amount to) less than $500, more than
$500, or what?
................................................................................
1 1. LESS THAN $500
3. ABOUT $500
5. MORE THAN $500
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1253 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1764:Ex10g] IS
(5 OR DK OR RF) AND [Q491:CS2cx] IS (NE 4); [Q1769:Ex10k] IS (1
OR NE A); [Q1770:Ex10m] IS (NE DK AND NE RF); [Q1771:Ex10n] IS
(3 OR DK OR RF); [Q1772:Ex10p] IS (1 OR 3 OR DK OR RF);
[Q1773:Ex10q] IS (1 OR 3 OR DK OR RF); [Q1774:Ex10r] IS (A);
[Q1775:Ex10s] IS (3 OR 5 OR DK OR RF); [Q1776:Ex10t] IS (3 OR 5
OR DK OR RF)
Q1778 E11. DR TIMES
Section: E Level: Respondent CAI Reference: Q1778
Type: Numeric Width: 3 Decimals:
E11.
IF Q1728 IS (1)
Aside from any hospital stays,
END
How many times did (he/she) see or talk to a medical doctor
about (his/her) health, including emergency room or clinic visits
(since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the last
two years)?
USE ZERO FOR NONE
................................................................................
975 0-50. Actual Value
66 51-900. Actual Value (Verified)
211 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1779 E13.DR, NOT COV
Section: E Level: Respondent CAI Reference: Q1779
Type: Numeric Width: 1 Decimals:
E13.
Were the costs for (his/her) doctor visit(s) completely covered by
IF Q1014 IS (GE65)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
728 1. COMPLETELY COVERED
406 3. PARTLY COVERED (OR COVERED WITH A COPAY)
28 5. NOT COVERED AT ALL
3 7. [VOL] COSTS NOT SETTLED YET
21 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
67 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1778:E11] IS
(1-900 OR DK OR RF)
Q1784 E18a.DOCTOR R PAY $
Section: E Level: Respondent CAI Reference: Q1784
Type: Numeric Width: 6 Decimals:
E18a.
About how much did (he/she) pay out-of-pocket
for doctor bills (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW
YEAR/in the last two years)?
(...except any payments you told me about.)
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
190 0-50000. Actual Value
1 50001-999996. Actual Value (Verified)
261 999998. DK (Don't Know); NA (Not Ascertained)
7 999999. RF (Refused)
795 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1779:E13] IS (1 OR NE A)
Q1785 E18b.DR/OUT/DENTAL DK-1
Section: E Level: Respondent CAI Reference: Q1785
Type: Numeric Width: 1 Decimals:
E18b.
Did it amount to less than $500, more than
$500, or what?
................................................................................
27 1. LESS THAN $500
8 3. ABOUT $500
23 5. MORE THAN $500
25 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1169 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1779:E13] IS
(1 OR NE A); [Q126:PREV WAVE IF USED BKTS: DENTAL O-O-P COST]
IS (3 OR 6); [Q1784:E18a] IS (NE DK AND NE RF); [Q126:PREV WAVE
IF USED BKTS: DENTAL O-O-P COST] IS (NE 1 AND NE 3 AND NE 4 AND
NE 6)
Q1786 E18c.DR/OUT/DENTAL DK-2
Section: E Level: Respondent CAI Reference: Q1786
Type: Numeric Width: 1 Decimals:
E18c.
(Did it amount to) less than $1,000, more than
$1,000, or what?
................................................................................
46 1. LESS THAN $1,000
10 3. ABOUT $1,000
36 5. MORE THAN $1,000
15 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1145 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1779:E13] IS
(1 OR NE A); [Q126:PREV WAVE IF USED BKTS: DENTAL O-O-P COST]
IS (3 OR 6); [Q1784:E18a] IS (NE DK AND NE RF); [Q1785:E18b] IS
(3 OR DK OR RF); [Q1785:E18b] IS (1)
Q1787 E18d.DR/OUT/DENTAL DK-3
Section: E Level: Respondent CAI Reference: Q1787
Type: Numeric Width: 1 Decimals:
E18d.
(Did it amount to) less than $5,000, more than
$5,000, or what?
................................................................................
83 1. LESS THAN $5,000
11 3. ABOUT $5,000
14 5. MORE THAN $5,000
26 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1119 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1779:E13] IS
(1 OR NE A); [Q1784:E18a] IS (NE DK AND NE RF); [Q1785:E18b] IS
(3 OR DK OR RF); [Q1785:E18b] IS (1); [Q1786:E18c] IS (1) AND
[Q126:PREV WAVE IF USED BKTS: DENTAL O-O-P COST] IS (NE 1 AND
NE 3 AND NE 4 AND NE 6); [Q1786:E18c] IS (1 OR 3 OR DK OR RF)
Q1788 E18e.DR/OUT/DENTAL DK-4
Section: E Level: Respondent CAI Reference: Q1788
Type: Numeric Width: 1 Decimals:
E18e.
(Did it amount to) less than $20,000, more than
$20,000, or what?
................................................................................
10 1. LESS THAN $20,000
1 3. ABOUT $20,000
2 5. MORE THAN $20,000
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1240 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1779:E13] IS
(1 OR NE A); [Q1784:E18a] IS (NE DK AND NE RF); [Q1785:E18b] IS
(3 OR DK OR RF); [Q1785:E18b] IS (1); [Q1786:E18c] IS (1) AND
[Q126:PREV WAVE IF USED BKTS: DENTAL O-O-P COST] IS (NE 1 AND
NE 3 AND NE 4 AND NE 6); [Q1786:E18c] IS (1 OR 3 OR DK OR RF);
[Q1787:E18d] IS (1 OR 3 OR DK OR RF); [Q1787:E18d] IS (1) AND
[Q126:PREV WAVE IF USED BKTS: DENTAL O-O-P COST] IS (3 OR 6)
Q1789 E18c1. DR/OUT/DENTAL DK-5
Section: E Level: Respondent CAI Reference: Q1789
Type: Numeric Width: 1 Decimals:
E18c.
Did it amount to less than $1,000, more than
$1,000, or what?
................................................................................
38 1. LESS THAN $1,000
5 3. ABOUT $1,000
19 5. MORE THAN $1,000
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1190 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1779:E13] IS
(1 OR NE A); [Q1784:E18a] IS (NE DK AND NE RF); [Q1785:E18b] IS
(3 OR DK OR RF); [Q1785:E18b] IS (1); [Q1786:E18c] IS (1) AND
[Q126:PREV WAVE IF USED BKTS: DENTAL O-O-P COST] IS (NE 1 AND
NE 3 AND NE 4 AND NE 6); [Q1786:E18c] IS (1 OR 3 OR DK OR RF);
[Q1787:E18d] IS (1 OR 3 OR DK OR RF); [Q1788:E18e] IS (A)
Q1790 E18f. DR/OUT/DENTAL DK-6
Section: E Level: Respondent CAI Reference: Q1790
Type: Numeric Width: 1 Decimals:
E18f.
(Did it amount to) less than $500, more than
$500, or what?
................................................................................
36 1. LESS THAN $500
19 3. ABOUT $500
21 5. MORE THAN $500
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1176 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1779:E13] IS
(1 OR NE A); [Q1784:E18a] IS (NE DK AND NE RF); [Q1785:E18b] IS
(3 OR DK OR RF); [Q1785:E18b] IS (1); [Q1786:E18c] IS (1 OR 3
OR DK OR RF); [Q1787:E18d] IS (1 OR 3 OR DK OR RF);
[Q1788:E18e] IS (A); [Q1789:E18c1] IS (3 OR 5 OR DK OR RF)
Q1791 E18g. DR/OUT/DENTAL DK-7
Section: E Level: Respondent CAI Reference: Q1791
Type: Numeric Width: 1 Decimals:
E18g.
(Did it amount to) less than $200, more than
$200, or what?
................................................................................
23 1. LESS THAN $200
15 3. ABOUT $200
23 5. MORE THAN $200
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1191 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1779:E13] IS
(1 OR NE A); [Q1784:E18a] IS (NE DK AND NE RF); [Q1785:E18b] IS
(3 OR DK OR RF); [Q1786:E18c] IS (1 OR 3 OR DK OR RF);
[Q1787:E18d] IS (1 OR 3 OR DK OR RF); [Q1788:E18e] IS (A);
[Q1789:E18c1] IS (3 OR 5 OR DK OR RF); [Q1790:E18f] IS (3 OR 5
OR DK OR RF)
Q1792 E20. DRUGS-YR
Section: E Level: Respondent CAI Reference: Q1792
Type: Numeric Width: 1 Decimals:
E20.
Was (he/she) regularly taking any prescription medications
before (his/her) death?
................................................................................
682 1. YES
155 5. NO
412 7. MEDICATIONS KNOWN
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1793 E21. DRUGS, NOT COV
Section: E Level: Respondent CAI Reference: Q1793
Type: Numeric Width: 1 Decimals:
E21.
Were the costs of (his/her) prescription medications
completely covered by
IF Q1014 IS (GE65)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered
at all by health insurance?
................................................................................
357 1. COMPLETELY COVERED
437 3. PARTLY COVERED (OR COVERED WITH A COPAY)
261 5. NOT COVERED AT ALL
4 7. COSTS NOT SETTLED YET
33 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
160 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF)
Q1794 E21a.PRESCR R PAY $
Section: E Level: Respondent CAI Reference: Q1794
Type: Numeric Width: 5 Decimals:
E21a.
On the average, about how much did (he/she) pay
out-of-pocket per month for those prescriptions
(since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the last
two years)?
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
................................................................................
407 0-250. Actual Value
51 251-99996. Actual Value (Verified)
275 99998. DK (Don't Know); NA (Not Ascertained)
4 99999. RF (Refused)
517 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1792:E20] IS (5 OR DK OR RF); [Q1793:E21] IS (1)
Q1795 E21b.PRESCR DK-1
Section: E Level: Respondent CAI Reference: Q1795
Type: Numeric Width: 1 Decimals:
E21b.
Does it amount to less than $10 per month, more than
$10 per month, or what?
................................................................................
8 1. LESS THAN $10 PER MONTH
7 3. ABOUT $10 PER MONTH
63 5. MORE THAN $10 PER MONTH
25 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1149 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF); [Q1793:E21] IS (1); [Q127:PREV WAVE IF USED
BKTS: PERSCRIPTION O-O-P COST] IS (3 OR 6); [Q127:PREV WAVE IF
USED BKTS: PERSCRIPTION O-O-P COST] IS (NE 1 AND NE 3 AND NE 4
AND NE 6); [Q1794:E21a] IS (NE DK AND NE RF)
Q1796 E21c.PRESCR DK-2
Section: E Level: Respondent CAI Reference: Q1796
Type: Numeric Width: 1 Decimals:
E21c.
Does it amount to less than $20 per month, more than
$20 per month, or what?
................................................................................
12 1. LESS THAN $20 PER MONTH
13 3. ABOUT $20 PER MONTH
101 5. MORE THAN $20 PER MONTH
25 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1102 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF); [Q1793:E21] IS (1); [Q127:PREV WAVE IF USED
BKTS: PERSCRIPTION O-O-P COST] IS (3 OR 6); [Q1794:E21a] IS (NE
DK AND NE RF); [Q1795:E21b] IS (1); [Q1795:E21b] IS (3 OR DK OR
RF)
Q1797 E21d.PRESCR DK-3
Section: E Level: Respondent CAI Reference: Q1797
Type: Numeric Width: 1 Decimals:
E21d.
(Does it amount to) less than $100 per month, more than
$100 per month, or what?
................................................................................
88 1. LESS THAN $100 PER MONTH
22 3. ABOUT $100 PER MONTH
57 5. MORE THAN $100 PER MONTH
20 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1066 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF); [Q1793:E21] IS (1); [Q1794:E21a] IS (NE DK AND
NE RF); [Q1795:E21b] IS (1); [Q1795:E21b] IS (3 OR DK OR RF);
[Q1796:E21c] IS (1 OR 3 OR DK OR RF); [Q1796:E21c] IS (1) AND
[Q127:PREV WAVE IF USED BKTS: PERSCRIPTION O-O-P COST] IS (NE 1
AND NE 3 AND NE 4 AND NE 6)
Q1798 E21e.PRESCR DK-4
Section: E Level: Respondent CAI Reference: Q1798
Type: Numeric Width: 1 Decimals:
E21e.
Does it amount to less than $500 per month, more than
$500 per month, or what?
................................................................................
49 1. LESS THAN $500 PER MONTH
4 3. ABOUT $500 PER MONTH
4 5. MORE THAN $500 PER MONTH
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1197 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF); [Q1793:E21] IS (1); [Q1794:E21a] IS (NE DK AND
NE RF); [Q1795:E21b] IS (1); [Q1795:E21b] IS (3 OR DK OR RF);
[Q1796:E21c] IS (1 OR 3 OR DK OR RF); [Q1796:E21c] IS (1) AND
[Q127:PREV WAVE IF USED BKTS: PERSCRIPTION O-O-P COST] IS (NE 1
AND NE 3 AND NE 4 AND NE 6); [Q1797:E21d] IS (1) AND [Q127:PREV
WAVE IF USED BKTS: PERSCRIPTION O-O-P COST] IS (3 OR 6);
[Q1797:E21d] IS (1 OR 3 OR DK OR RF)
Q1799 E21b1. PRESCR DK-5
Section: E Level: Respondent CAI Reference: Q1799
Type: Numeric Width: 1 Decimals:
E21b.
Does it amount to less than $20 per month, more than
$20 per month, or what?
................................................................................
4 1. LESS THAN $20 PER MONTH
7 3. ABOUT $20 PER MONTH
21 5. MORE THAN $20 PER MONTH
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1220 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF); [Q1793:E21] IS (1); [Q1794:E21a] IS (NE DK AND
NE RF); [Q1795:E21b] IS (1); [Q1795:E21b] IS (3 OR DK OR RF);
[Q1796:E21c] IS (1 OR 3 OR DK OR RF); [Q1796:E21c] IS (1) AND
[Q127:PREV WAVE IF USED BKTS: PERSCRIPTION O-O-P COST] IS (NE 1
AND NE 3 AND NE 4 AND NE 6); [Q1797:E21d] IS (1 OR 3 OR DK OR
RF); [Q1798:E21e] IS (A)
Q1800 E21e. PRESCR DK-6
Section: E Level: Respondent CAI Reference: Q1800
Type: Numeric Width: 1 Decimals:
E21e.
(Does it amount to) less than $10 per month, more than
$10 per month, or what?
................................................................................
2 1. LESS THAN $10 PER MONTH
3 3. ABOUT $10 PER MONTH
6 5. MORE THAN $10 PER MONTH
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1243 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF); [Q1793:E21] IS (1); [Q1794:E21a] IS (NE DK AND
NE RF); [Q1795:E21b] IS (1); [Q1795:E21b] IS (3 OR DK OR RF);
[Q1796:E21c] IS (1 OR 3 OR DK OR RF); [Q1797:E21d] IS (1 OR 3
OR DK OR RF); [Q1798:E21e] IS (A); [Q1799:E21b1] IS (3 OR 5 OR
DK OR RF)
Q1801 E21f. PRESCR DK-7
Section: E Level: Respondent CAI Reference: Q1801
Type: Numeric Width: 1 Decimals:
E21f.
(Does it amount to) less than $5 per month, more than
$5 per month, or what?
................................................................................
1 1. LESS THAN $5 PER MONTH
2 3. ABOUT $5 PER MONTH
6 5. MORE THAN $5 PER MONTH
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1244 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1792:E20] IS
(5 OR DK OR RF); [Q1793:E21] IS (1); [Q1794:E21a] IS (NE DK AND
NE RF); [Q1795:E21b] IS (3 OR DK OR RF); [Q1796:E21c] IS (1 OR
3 OR DK OR RF); [Q1797:E21d] IS (1 OR 3 OR DK OR RF);
[Q1798:E21e] IS (A); [Q1799:E21b1] IS (3 OR 5 OR DK OR RF);
[Q1800:E21e] IS (3 OR 5 OR DK OR RF)
Q1804 E22.IN-HOME SERV
Section: E Level: Respondent CAI Reference: Q1804
Type: Numeric Width: 1 Decimals:
E22.
(Since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/In the last
two years), did any medically-trained person
come to (his/her) home to help (him/her)?
IWER: WE ONLY WANT TO INCLUDE HELP GIVEN TO R, NOT
HELP FOR R WHEN R WAS A CAREGIVER FOR SOMEONE ELSE.
................................................................................
455 1. YES
427 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
369 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1)
Q1806 E23. IN-HOME R PAY $
Section: E Level: Respondent CAI Reference: Q1806
Type: Numeric Width: 1 Decimals:
E23.
Were the costs of (his/her) home medical care completely covered by
IF Q1014 IS (GE65)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
350 1. COMPLETELY COVERED
57 3. PARTLY COVERED (OR COVERED WITH A COPAY)
32 5. NOT COVERED AT ALL
3 7. [VOL] COSTS NOT SETTLED YET
12 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
799 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1804:E22] IS (5 OR DK OR RF)
Q1808 E24.R USE SERVICE
Section: E Level: Respondent CAI Reference: Q1808
Type: Numeric Width: 1 Decimals:
E24.
READ SLOWLY
(Since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/In the last
two years), did (he/she) use any special facility
or service which we haven't talked about, such as:
an adult care center, a social worker, an outpatient
rehabilitation program, or transportation or meals for the
elderly or disabled?
................................................................................
156 1. YES
725 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
369 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1)
Q1811 E24a.SPECIAL R PAY $
Section: E Level: Respondent CAI Reference: Q1811
Type: Numeric Width: 6 Decimals:
E24a.
About how much did (he/she) pay out-of-pocket
for (in-home medical care/special facilities or services/in-home
medical care, special facilities or services/...)
(since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the last
two years)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
147 0-20000. Actual Value
4 20001-999996. Actual Value (Verified)
71 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1032 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1806:E23] IS (NE 3-7) AND
[Q1808:E24] IS (5 OR DK OR RF)
Q1812 E24b.SPECIAL DK-1
Section: E Level: Respondent CAI Reference: Q1812
Type: Numeric Width: 1 Decimals:
E24b.
Did it amount to less than $5,000, more than
$5,000, or what?
................................................................................
37 1. LESS THAN $5,000
2 3. ABOUT $5,000
12 5. MORE THAN $5,000
18 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1183 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1811:E24a] IS (NE DK AND NE RF)
Q1813 E24c.SPECIAL DK-2
Section: E Level: Respondent CAI Reference: Q1813
Type: Numeric Width: 1 Decimals:
E24c.
(Did it amount to) less than $10,000, more than
$10,000, or what?
................................................................................
4 1. LESS THAN $10,000
2 3. ABOUT $10,000
5 5. MORE THAN $10,000
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1242 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1811:E24a] IS (NE DK AND NE RF); [Q1812:E24b] IS (3 OR
DK OR RF); [Q1812:E24b] IS (NE 5)
Q1814 E24d.SPECIAL DK-3
Section: E Level: Respondent CAI Reference: Q1814
Type: Numeric Width: 1 Decimals:
E24d.
(Did it amount to) less than $20,000, more than
$20,000, or what?
................................................................................
4 1. LESS THAN $20,000
3. ABOUT $20,000
1 5. MORE THAN $20,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1249 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1811:E24a] IS (NE DK AND NE RF); [Q1812:E24b] IS (3 OR
DK OR RF); [Q1812:E24b] IS (NE 5); [Q1813:E24c] IS (NE 5)
Q1815 E24e.SPECIAL DK-4
Section: E Level: Respondent CAI Reference: Q1815
Type: Numeric Width: 1 Decimals:
E24e.
(Did it amount to) less than $1,000, more than
$1,000, or what?
................................................................................
28 1. LESS THAN $1,000
5 3. ABOUT $1,000
4 5. MORE THAN $1,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1217 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1811:E24a] IS (NE DK AND NE RF); [Q1812:E24b] IS (3 OR
DK OR RF); [Q1813:E24c] IS (NE 5); [Q1814:E24d] IS (A)
Q1816 E24f.SPECIAL DK-5
Section: E Level: Respondent CAI Reference: Q1816
Type: Numeric Width: 1 Decimals:
E24f.
(Did it amount to) less than $500, more than
$500, or what?
................................................................................
18 1. LESS THAN $500
2 3. ABOUT $500
4 5. MORE THAN $500
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1226 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1811:E24a] IS (NE DK AND NE RF); [Q1812:E24b] IS (3 OR
DK OR RF); [Q1813:E24c] IS (NE 5); [Q1814:E24d] IS (A);
[Q1815:E24e] IS (NE 1)
Q1817 E25x.OTHER MEDICAL EXPENSES
Section: E Level: Respondent CAI Reference: Q1817
Type: Numeric Width: 1 Decimals:
E25x.
Aside from the medical expenses we already mentioned,
did
[Q685-R FIRST NAME] have any other out-of-pocket medical expenses,
that is, expenses not covered by insurance, such as
medications, special food, equipment such as a special
bed or chair, visits by doctors or other health professionals,
or other costs?
................................................................................
77 1. YES
139 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1032 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR RF)
Q1818 E25ax.OTHER MEDICAL PAY $
Section: E Level: Respondent CAI Reference: Q1818
Type: Numeric Width: 6 Decimals:
E25ax.
About how much did (he/she) pay out-of-pocket
for these expenses (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE
IW YEAR/in the last two years)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
36 0-20000. Actual Value
20001-999996. Actual Value (Verified)
41 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1177 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1806:E23] IS (NE 3-7) AND
[Q1808:E24] IS (5 OR DK OR RF); [Q1817:E25x] IS (5 OR
DK OR RF)
Q1819 E25bx.OTHER MEDICAL DK-1
Section: E Level: Respondent CAI Reference: Q1819
Type: Numeric Width: 1 Decimals:
E25bx.
Did it amount to less than $5,000, more than
$5,000, or what?
................................................................................
34 1. LESS THAN $5,000
1 3. ABOUT $5,000
5 5. MORE THAN $5,000
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1212 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1817:E25x] IS (5 OR DK OR RF); [Q1818:E25ax] IS (NE DK
AND NE RF)
Q1820 E25cx.OTHER MEDICAL DK-2
Section: E Level: Respondent CAI Reference: Q1820
Type: Numeric Width: 1 Decimals:
E25cx.
(Did it amount to) less than $10,000, more than
$10,000, or what?
................................................................................
2 1. LESS THAN $10,000
3. ABOUT $10,000
2 5. MORE THAN $10,000
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1249 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1817:E25x] IS (5 OR DK OR RF); [Q1818:E25ax] IS (NE DK
AND NE RF); [Q1819:E25bx] IS (3 OR DK OR RF); [Q1819:E25bx] IS
(NE 5)
Q1821 E25dx.OTHER MEDICAL DK-3
Section: E Level: Respondent CAI Reference: Q1821
Type: Numeric Width: 1 Decimals:
E25dx.
(Did it amount to) less than $20,000, more than
$20,000, or what?
................................................................................
2 1. LESS THAN $20,000
3. ABOUT $20,000
5. MORE THAN $20,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1252 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1817:E25x] IS (5 OR DK OR RF); [Q1818:E25ax] IS (NE DK
AND NE RF); [Q1819:E25bx] IS (3 OR DK OR RF); [Q1819:E25bx] IS
(NE 5); [Q1820:E25cx] IS (NE 5)
Q1822 E25ex.OTHER MEDICAL DK-4
Section: E Level: Respondent CAI Reference: Q1822
Type: Numeric Width: 1 Decimals:
E25ex.
(Did it amount to) less than $1,000, more than
$1,000, or what?
................................................................................
16 1. LESS THAN $1,000
4 3. ABOUT $1,000
14 5. MORE THAN $1,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1220 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1817:E25x] IS (5 OR DK OR RF); [Q1818:E25ax] IS (NE DK
AND NE RF); [Q1819:E25bx] IS (3 OR DK OR RF); [Q1820:E25cx] IS
(NE 5); [Q1821:E25dx] IS (A)
Q1823 E25fx.OTHER MEDICAL DK-5
Section: E Level: Respondent CAI Reference: Q1823
Type: Numeric Width: 1 Decimals:
E25fx.
(Did it amount to) less than $500, more than
$500, or what?
................................................................................
9 1. LESS THAN $500
2 3. ABOUT $500
5 5. MORE THAN $500
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1238 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1806:E23] IS (NE 3-7) AND [Q1808:E24] IS (5 OR DK OR
RF); [Q1817:E25x] IS (5 OR DK OR RF); [Q1818:E25ax] IS (NE DK
AND NE RF); [Q1819:E25bx] IS (3 OR DK OR RF); [Q1820:E25cx] IS
(NE 5); [Q1821:E25dx] IS (A); [Q1822:E25ex] IS (NE 1)
Q1829 SUM-MAJOR MEDICAL EXPENSES
Section: E Level: Respondent CAI Reference: Q1829
Type: Numeric Width: 6 Decimals:
................................................................................
1253 0-150000. Actual Value
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1831 E27. OTHERS HELP $
Section: E Level: Respondent CAI Reference: Q1831
Type: Numeric Width: 1 Decimals:
E27.
Besides any costs covered by insurance, did anyone help
IF Q483 IS (NE2)
(him/her) (and (his/her) husband/and (his/her) wife/and (his/her)
partner/...) pay for (his/her) health care
ELSE
(him/her) and you pay for (his/her) health care
END
costs (since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the
last two years)?
................................................................................
78 1. YES
745 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
430 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1829:SUM-
MAJOR MEDICAL EXPENSES] IS (LE 0)
Q1832M1 E28. WHO HELP-1
Section: E Level: Respondent CAI Reference: Q1832
Type: Numeric Width: 1 Decimals:
E28.
Was that a (child or other/...) relative of
IF Q483 IS (NE2)
(his/hers) (and (his/her) husband's/and (his/her) wife's/and
(his/her) partner's/...), or was that someone else?
ELSE
(his/hers) and yours, or was that someone else?
END
................................................................................
67 1. CHILD/CHILD-IN-LAW/GRANDCHILD
7 2. OTHER RELATIVE
4 3. SOMEONE ELSE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1176 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1829:SUM-
MAJOR MEDICAL EXPENSES] IS (LE 0); [Q1831:E27] IS (5 OR DK OR
RF)
Q1832M2 E28. WHO HELP-2
Section: E Level: Respondent CAI Reference: Q1832
Type: Numeric Width: 1 Decimals:
E28.
Was that a (child or other/...) relative of
IF Q483 IS (NE2)
(his/hers) (and (his/her) husband's/and (his/her) wife's/and
(his/her) partner's/...), or was that someone else?
ELSE
(his/hers) and yours, or was that someone else?
END
................................................................................
1. CHILD/CHILD-IN-LAW/GRANDCHILD
2. OTHER RELATIVE
3. SOMEONE ELSE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1254 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1829:SUM-
MAJOR MEDICAL EXPENSES] IS (LE 0); [Q1831:E27] IS (5 OR DK OR
RF)
Q1833M1 E29. WHICH CHILD HELP $-1
Section: E Level: Respondent CAI Reference: Q1833
Type: Character Width: 3 Decimals:
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helps the most?
IF GRANDCHILD:
(Which of (his/her) children was the parent of that grandchild?)
................................................................................
037. DECEASED CHILD
12 038. ALL CHILDREN
039. ALL GRANDCHILDREN
040. ALL CHILDREN AND GRANDCHILDREN EQUALLY
53 041-995. Other Person Number
997. OTHER
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1189 Blank. INAP (Inapplicable)
Q1833M2 E29. WHICH CHILD HELP $-2
Section: E Level: Respondent CAI Reference: Q1833
Type: Character Width: 3 Decimals:
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helps the most?
IF GRANDCHILD:
(Which of (his/her) children was the parent of that grandchild?)
................................................................................
037. DECEASED CHILD
038. ALL CHILDREN
039. ALL GRANDCHILDREN
040. ALL CHILDREN AND GRANDCHILDREN EQUALLY
8 041-995. Other Person Number
997. OTHER
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1246 Blank. INAP (Inapplicable)
Q1833M3 E29. WHICH CHILD HELP $-3
Section: E Level: Respondent CAI Reference: Q1833
Type: Character Width: 3 Decimals:
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helps the most?
IF GRANDCHILD:
(Which of (his/her) children was the parent of that grandchild?)
................................................................................
037. DECEASED CHILD
038. ALL CHILDREN
039. ALL GRANDCHILDREN
040. ALL CHILDREN AND GRANDCHILDREN EQUALLY
4 041-995. Other Person Number
997. OTHER
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1250 Blank. INAP (Inapplicable)
Q1833M4 E29. WHICH CHILD HELP $-4
Section: E Level: Respondent CAI Reference: Q1833
Type: Character Width: 3 Decimals:
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helps the most?
IF GRANDCHILD:
(Which of (his/her) children was the parent of that grandchild?)
................................................................................
037. DECEASED CHILD
038. ALL CHILDREN
039. ALL GRANDCHILDREN
040. ALL CHILDREN AND GRANDCHILDREN EQUALLY
2 041-995. Other Person Number
997. OTHER
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1252 Blank. INAP (Inapplicable)
Q1833M5 E29. WHICH CHILD HELP $-5
Section: E Level: Respondent CAI Reference: Q1833
Type: Character Width: 3 Decimals:
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helps the most?
IF GRANDCHILD:
(Which of (his/her) children was the parent of that grandchild?)
................................................................................
037. DECEASED CHILD
038. ALL CHILDREN
039. ALL GRANDCHILDREN
040. ALL CHILDREN AND GRANDCHILDREN EQUALLY
041-995. Other Person Number
997. OTHER
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1254 Blank. INAP (Inapplicable)
Q1835 E30.AMOUNT OF OTH HELP
Section: E Level: Respondent CAI Reference: Q1835
Type: Numeric Width: 5 Decimals:
E30.
Altogether, about how much money did that help amount to?
AMOUNT:
................................................................................
56 0-20000. Actual Value
20 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
1176 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1829:SUM-MAJOR MEDICAL EXPENSES] IS (LE 0);
[Q1831:E27] IS (5 OR DK OR RF)
Q1836M1 E31.HOW FINANCE LARGE MEDICAL EXPENSES-1
Section: E Level: Respondent CAI Reference: Q1836
Type: Numeric Width: 1 Decimals:
E31.
IF Q1831 IS (1)
You have just told me that (he/she) had some rather large
out-of pocket medical expenditures. Apart from what (he/she)
received from others,
ELSE
You have just told me that (he/she) had some rather large
out-of-pocket medical expenditures.
END
How did (he/she) finance these -- did (he/she) pay directly from
(his/her) savings or earnings, did (he/she) take out a loan,
has (he/she) not yet paid these bills, or what?
CHOOSE ALL THAT APPLY
................................................................................
130 1. PAID USING SAVINGS/EARNINGS
1 2. TOOK OUT A LOAN
10 3. HAVE NOT YET PAID
4. Made or making payments
2 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
3 7. OTHER (SPECIFY)
3 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1104 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1829:SUM-
MAJOR MEDICAL EXPENSES] IS (LT 10000)
Q1836M2 E31.HOW FINANCE LARGE MEDICAL EXPENSES-2
Section: E Level: Respondent CAI Reference: Q1836
Type: Numeric Width: 1 Decimals:
E31.
IF Q1831 IS (1)
You have just told me that (he/she) had some rather large
out-of pocket medical expenditures. Apart from what (he/she)
received from others,
ELSE
You have just told me that (he/she) had some rather large
out-of-pocket medical expenditures.
END
How did (he/she) finance these -- did (he/she) pay directly from
(his/her) savings or earnings, did (he/she) take out a loan,
has (he/she) not yet paid these bills, or what?
CHOOSE ALL THAT APPLY
................................................................................
4 1. PAID USING SAVINGS/EARNINGS
1 2. TOOK OUT A LOAN
3. HAVE NOT YET PAID
4. Made or making payments
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1249 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1829:SUM-
MAJOR MEDICAL EXPENSES] IS (LT 10000)
Q1836M3 E31.HOW FINANCE LARGE MEDICAL EXPENSES-3
Section: E Level: Respondent CAI Reference: Q1836
Type: Numeric Width: 1 Decimals:
E31.
IF Q1831 IS (1)
You have just told me that (he/she) had some rather large
out-of pocket medical expenditures. Apart from what (he/she)
received from others,
ELSE
You have just told me that (he/she) had some rather large
out-of-pocket medical expenditures.
END
How did (he/she) finance these -- did (he/she) pay directly from
(his/her) savings or earnings, did (he/she) take out a loan,
has (he/she) not yet paid these bills, or what?
CHOOSE ALL THAT APPLY
................................................................................
1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
3. HAVE NOT YET PAID
1 4. Made or making payments
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1829:SUM-
MAJOR MEDICAL EXPENSES] IS (LT 10000)
Q1836M4 E31.HOW FINANCE LARGE MEDICAL EXPENSES-4
Section: E Level: Respondent CAI Reference: Q1836
Type: Numeric Width: 1 Decimals:
E31.
IF Q1831 IS (1)
You have just told me that (he/she) had some rather large
out-of pocket medical expenditures. Apart from what (he/she)
received from others,
ELSE
You have just told me that (he/she) had some rather large
out-of-pocket medical expenditures.
END
How did (he/she) finance these -- did (he/she) pay directly from
(his/her) savings or earnings, did (he/she) take out a loan,
has (he/she) not yet paid these bills, or what?
CHOOSE ALL THAT APPLY
................................................................................
1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
1 3. HAVE NOT YET PAID
4. Made or making payments
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1829:SUM-
MAJOR MEDICAL EXPENSES] IS (LT 10000)
Q1837 E26.TOTAL MEDICAL COSTS-1ST
Section: E Level: Respondent CAI Reference: Q1837
Type: Numeric Width: 1 Decimals:
E26.
We would like to get a very rough idea of the total cost of (his/her)
IF Q1728 IS (1) OR Q491 IS (1)
hospital stays
END
IF Q1743 IS (1) OR Q519 IS (1) OR Q491 IS (2)
nursing home stays
END
IF Q1764 IS (1) OR Q519 IS (2) OR Q491 IS (4)
hospice stays
END
IF Q1778 IS (GE1)
doctor and clinic visits
END
IF Q1780 IS (1)
outpatient surgery
END
IF Q1782 IS (1)
dental visits
END
IF Q1792 IS (1 OR 7)
prescriptions
END
IF Q1804 IS (1)
in-home-medical care
END
IF Q1808 IS (1)
special services
END
(and) all other medical costs for (him/her) (since Q218-PREV WAVE IW
MONTH / Q219-PREV WAVE IW YEAR/in the last two years),
including costs covered by
IF Q1014 IS (GE65)
Medicare, Medicaid, or other
END
health insurance. Did it amount to less than ($1,000/$5,000/$25,000),
more than
($1,000/$5,000/$25,000), or what?
................................................................................
190 1. LESS THAN ($1,000/$5,000/$25,000)
41 3. ABOUT ($1,000/$5,000/$25,000) )
884 5. MORE THAN ($1,000/$5,000/$25,000)
100 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
35 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS
(NE 1 AND NE 3 AND NE 7) AND [Q1748:E8] IS (NE 1 AND NE 3 AND
NE 7) AND [Q1779:E13] IS (NE 1 AND NE 3 AND NE 7) AND
[Q1781:E16] IS (NE 1 AND NE 3 AND NE 7) AND [Q1783:E18] IS (NE
1 AND NE 3 AND NE 7) AND [Q1793:E21] IS (NE 1 AND NE 3 AND NE
7) AND [Q1806:E23] IS (NE 1 AND NE 3 AND NE 7) AND [Q1808:E24]
IS (NE 1)
Q1838 E26a.TOTAL MEDICAL COSTS-2ND
Section: E Level: Respondent CAI Reference: Q1838
Type: Numeric Width: 1 Decimals:
E26a.
(Did it amount to) less than $5,000, more than $5,000,
or what?
................................................................................
69 1. LESS THAN $5,000
19 3. ABOUT $5,000
366 5. MORE THAN $5,000
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
788 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS
(NE 1 AND NE 3 AND NE 7) AND [Q1748:E8] IS (NE 1 AND NE 3 AND
NE 7) AND [Q1779:E13] IS (NE 1 AND NE 3 AND NE 7) AND
[Q1781:E16] IS (NE 1 AND NE 3 AND NE 7) AND [Q1783:E18] IS (NE
1 AND NE 3 AND NE 7) AND [Q1793:E21] IS (NE 1 AND NE 3 AND NE
7) AND [Q1806:E23] IS (NE 1 AND NE 3 AND NE 7) AND [Q1808:E24]
IS (NE 1); [Q122:PREV WAVE IF USED BKTS: INC CO-RES KIDS OR
KINS-IN-LAW] IS (NE 1 AND NE 3); [Q1837:E26] IS (3 OR DK OR RF)
OR ([Q1837:E26] IS (1) AND [Q122:PREV WAVE IF USED BKTS: INC
CO-RES KIDS OR KINS-IN-LAW] IS (1)); [Q1837:E26] IS (5) AND
[Q122:PREV WAVE IF USED BKTS: INC CO-RES KIDS OR KINS-IN-LAW]
IS (3)
Q1839 E26b.TOTAL MEDICAL COSTS-3RD
Section: E Level: Respondent CAI Reference: Q1839
Type: Numeric Width: 1 Decimals:
E26b.
(Did it amount to) less than ($1,000/$25,000), more than
($1,000/$25,000), or what?
................................................................................
195 1. LESS THAN ($1,000/$25,000)
73 3. ABOUT ($1,000/$25,000)
398 5. MORE THAN ($1,000/$25,000)
24 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
564 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS
(NE 1 AND NE 3 AND NE 7) AND [Q1748:E8] IS (NE 1 AND NE 3 AND
NE 7) AND [Q1779:E13] IS (NE 1 AND NE 3 AND NE 7) AND
[Q1781:E16] IS (NE 1 AND NE 3 AND NE 7) AND [Q1783:E18] IS (NE
1 AND NE 3 AND NE 7) AND [Q1793:E21] IS (NE 1 AND NE 3 AND NE
7) AND [Q1806:E23] IS (NE 1 AND NE 3 AND NE 7) AND [Q1808:E24]
IS (NE 1); [Q1837:E26] IS (3 OR DK OR RF) OR ([Q1837:E26] IS
(1) AND [Q122:PREV WAVE IF USED BKTS: INC CO-RES KIDS OR KINS-
IN-LAW] IS (1)); [Q1837:E26] IS (5) AND [Q122:PREV WAVE IF USED
BKTS: INC CO-RES KIDS OR KINS-IN-LAW] IS (3); [Q1838:E26a] IS
(3 OR DK OR RF) OR ([Q122:PREV WAVE IF USED BKTS: INC CO-RES
KIDS OR KINS-IN-LAW] IS (1) AND [Q1838:E26a] IS (1)) OR
([Q122:PREV WAVE IF USED BKTS: INC CO-RES KIDS OR KINS-IN-LAW]
IS (3) AND [Q1838:E26a] IS (5))
Q1840 E26c.TOTAL MEDICAL COSTS-4TH
Section: E Level: Respondent CAI Reference: Q1840
Type: Numeric Width: 1 Decimals:
E26c.
(Did it amount to) less than $100,000, more than $100,000,
or what?
................................................................................
329 1. LESS THAN $100,000
69 3. ABOUT $100,000
159 5. MORE THAN $100,000
22 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
675 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS
(NE 1 AND NE 3 AND NE 7) AND [Q1748:E8] IS (NE 1 AND NE 3 AND
NE 7) AND [Q1779:E13] IS (NE 1 AND NE 3 AND NE 7) AND
[Q1781:E16] IS (NE 1 AND NE 3 AND NE 7) AND [Q1783:E18] IS (NE
1 AND NE 3 AND
Q1841 E26d.TOTAL MEDICAL COSTS-5TH
Section: E Level: Respondent CAI Reference: Q1841
Type: Numeric Width: 1 Decimals:
E26d.
(Did it amount to) less than $500,000, more than $500,000,
or what?
................................................................................
127 1. LESS THAN $500,000
8 3. ABOUT $500,000
17 5. MORE THAN $500,000
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1095 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1735:E4] IS
(NE 1 AND NE 3 AND NE 7) AND [Q1748:E8] IS (NE 1 AND NE 3 AND
NE 7) AND [Q1779:E13] IS (NE 1 AND NE 3 AND NE 7) AND
[Q1781:E16] IS (NE 1 AND NE 3 AND NE 7) AND [Q1783:E18] IS (NE
1 AND NE 3 AND
Q1842 E32.(OLD E31) DAYS IN BED
Section: E Level: Respondent CAI Reference: Q1842
Type: Numeric Width: 2 Decimals:
E31x.
About how many days did (he/she) stay in bed more than half the
day because of illness or injury during the last three months
before (his/her) death?
USE ZERO FOR NONE
USE 93 FOR EVERY DAY
................................................................................
855 0-92. Actual Value
344 93. EVERY DAY
54 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1843 E26dx.NON-MEDICAL EXPENSES
Section: E Level: Respondent CAI Reference: Q1843
Type: Numeric Width: 1 Decimals:
E26dx.
In addition to medical expenses, persons
IF Q496 IS (2) AND Q500 IS (1-3)
may have other health-related
ELSE
with serious illnesses often have
END
non-medical expenses. (Since Q218-PREV WAVE IW MONTH / Q219-PREV
WAVE IW YEAR/In the last two years), did
[Q685-R FIRST NAME]
have any out-of-pocket non-medical expenses such as
modifying the house with ramps or lifts,
hiring help for housekeeping or other household chores or for
assisting with personal needs?
................................................................................
216 1. YES
1027 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q1844 E26dax.NON-MEDICAL R PAY $
Section: E Level: Respondent CAI Reference: Q1844
Type: Numeric Width: 6 Decimals:
E26dax.
IF Q483 IS (2)
About how much did (he/she) or you
ELSE
About how much did (he/she) (or (his/her) husband/or (his/her)
wife/or (his/her) partner/...)
END
pay out-of-pocket for non-medical expenses
(since Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/in the last
two years)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
127 0-20000. Actual Value
6 20001-999996. Actual Value (Verified)
83 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1038 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1843:E26dx] IS (NE 1)
Q1845 E26dbx.NON-MEDICAL DK-1
Section: E Level: Respondent CAI Reference: Q1845
Type: Numeric Width: 1 Decimals:
E26dbx.
Did it amount to less than $5,000, more than
$5,000, or what?
................................................................................
55 1. LESS THAN $5,000
4 3. ABOUT $5,000
15 5. MORE THAN $5,000
9 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1170 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1843:E26dx]
IS (NE 1); [Q1844:E26dax] IS (NE DK AND NE RF)
Q1846 E26dcx.NON-MEDICAL DK-2
Section: E Level: Respondent CAI Reference: Q1846
Type: Numeric Width: 1 Decimals:
E26dcx.
(Did it amount to) less than $10,000, more than
$10,000, or what?
................................................................................
7 1. LESS THAN $10,000
4 3. ABOUT $10,000
3 5. MORE THAN $10,000
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1239 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1843:E26dx]
IS (NE 1); [Q1844:E26dax] IS (NE DK AND NE RF); [Q1845:E26dbx]
IS (NE 5); [Q1845:E26dbx] IS (3 OR DK OR RF)
Q1847 E26ddx.NON-MEDICAL DK-3
Section: E Level: Respondent CAI Reference: Q1847
Type: Numeric Width: 1 Decimals:
E26ddx.
(Did it amount to) less than $20,000, more than
$20,000, or what?
................................................................................
2 1. LESS THAN $20,000
3. ABOUT $20,000
1 5. MORE THAN $20,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1251 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1843:E26dx]
IS (NE 1); [Q1844:E26dax] IS (NE DK AND NE RF); [Q1845:E26dbx]
IS (NE 5); [Q1845:E26dbx] IS (3 OR DK OR RF); [Q1846:E26dcx] IS
(NE 5)
Q1848 E26dex.NON-MEDICAL DK-4
Section: E Level: Respondent CAI Reference: Q1848
Type: Numeric Width: 1 Decimals:
E26dex.
(Did it amount to) less than $1,000, more than
$1,000, or what?
................................................................................
22 1. LESS THAN $1,000
8 3. ABOUT $1,000
25 5. MORE THAN $1,000
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1199 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1843:E26dx]
IS (NE 1); [Q1844:E26dax] IS (NE DK AND NE RF); [Q1845:E26dbx]
IS (3 OR DK OR RF); [Q1846:E26dcx] IS (NE 5); [Q1847:E26ddx] IS
(A)
Q1849 E26dfx.NON-MEDICAL DK-5
Section: E Level: Respondent CAI Reference: Q1849
Type: Numeric Width: 1 Decimals:
E26dfx.
(Did it amount to) less than $500, more than
$500, or what?
................................................................................
8 1. LESS THAN $500
7 3. ABOUT $500
6 5. MORE THAN $500
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1232 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1843:E26dx]
IS (NE 1); [Q1844:E26dax] IS (NE DK AND NE RF); [Q1845:E26dbx]
IS (3 OR DK OR RF); [Q1846:E26dcx] IS (NE 5); [Q1847:E26ddx] IS
(A); [Q1848:E26dex] IS (NE 1)
Q1852 E73fx.DRESS DIFF
Section: E Level: Respondent CAI Reference: Q1852
Type: Numeric Width: 1 Decimals:
E73fx.
The next questions are about help
[Q685-R FIRST NAME] received with
various activities. Please tell me if (he/she) had
received any help with these because of a
physical, mental, emotional or memory problem.
We want to know about the help that (he/she) received
during the last three months of (his/her) life.
Because of a health or memory problem did anyone
help (him/her) with dressing, including putting on shoes
and socks in the last three months of (his/her) life?
................................................................................
365 1. YES
490 5. NO
11 6. COULDN'T DO
3 7. DIDN'T DO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
382 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1842:E32] IS
(GT 85)
Q1853 E73gx.DRESS HELP WHEN
Section: E Level: Respondent CAI Reference: Q1853
Type: Numeric Width: 2 Decimals:
E73gx.
How long had (he/she) needed help with dressing?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
254 1-36. Actual Value
15 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
984 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1852:E73fx] IS (5)
Q1854 E73gx.DRESS YEARS
Section: E Level: Respondent CAI Reference: Q1854
Type: Numeric Width: 2 Decimals:
................................................................................
82 0-96. Actual Value
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1171 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1852:E73fx] IS (5);
[Q1853:E73gx] IS (1-96 OR DK OR RF)
Q1855 E73gx.DRESS SINCE AGE
Section: E Level: Respondent CAI Reference: Q1855
Type: Numeric Width: 3 Decimals:
................................................................................
1 1-996. Actual Value
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1852:E73fx] IS (5);
[Q1853:E73gx] IS (1-96 OR DK OR RF); [Q1854:E73gx] IS
(1-96 OR DK OR RF)
Q1856 E73gx.DRESS SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1856
Type: Numeric Width: 4 Decimals:
................................................................................
27 1900-1998. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1226 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1852:E73fx] IS (5);
[Q1853:E73gx] IS (1-96 OR DK OR RF); [Q1854:E73gx] IS
(1-96 OR DK OR RF); [Q1855:E73gx] IS (1-996 OR DK OR
RF)
Q1859 E72x.WALK DIFF
Section: E Level: Respondent CAI Reference: Q1859
Type: Numeric Width: 1 Decimals:
E72x.
Because of a health or memory problem did anyone help
(him/her) get across a room (in the last three months of
(his/her) life)?
................................................................................
274 1. YES
557 5. NO
31 6. COULDN'T DO
5 7. DIDN'T DO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
382 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1842:E32] IS
(GT 85)
Q1863 E72fx.WALKING HELP WHEN
Section: E Level: Respondent CAI Reference: Q1863
Type: Numeric Width: 2 Decimals:
E72fx.
How long had (he/she) needed help with walking?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
2 0. Time Not Given in Months
218 1-30. Actual Value
8 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1025 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1842:E32] IS
(GT 85); [Q1859:E72x] IS (5)
Q1864 E72fx.WALKING YEARS
Section: E Level: Respondent CAI Reference: Q1864
Type: Numeric Width: 2 Decimals:
................................................................................
58 0-96. Actual Value
1196 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1859:E72x] IS (5);
[Q1863:E72fx] IS (1-96 OR DK OR RF)
Q1865 E72fx.WALKING SINCE AGE
Section: E Level: Respondent CAI Reference: Q1865
Type: Numeric Width: 3 Decimals:
................................................................................
1 0-996. Actual Value
1 998. DK (Don't Know); NA (Not Ascertained)
1252 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1859:E72x] IS (5);
[Q1863:E72fx] IS (1-96 OR DK OR RF); [Q1864:E72fx] IS
(1-96 OR DK OR RF)
Q1866 E72fx.WALKING SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1866
Type: Numeric Width: 4 Decimals:
................................................................................
24 1900-1998. Actual Value
3 9998. DK (Don't Know); NA (Not Ascertained)
1227 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1859:E72x] IS (5);
[Q1863:E72fx] IS (1-96 OR DK OR RF); [Q1864:E72fx] IS
(1-96 OR DK OR RF); [Q1865:E72fx] IS (1-996 OR DK OR
RF)
Q1881 E74x.BATHING DIFF
Section: E Level: Respondent CAI Reference: Q1881
Type: Numeric Width: 1 Decimals:
E74x.
(Because of a health or memory problem)
Did anyone help (him/her) with) bathing or showering
(in the last three months of (his/her) life)?
................................................................................
414 1. YES
440 5. NO
9 6. COULDN'T DO
5 7. DIDN'T DO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
382 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1842:E32] IS
(GT 85)
Q1882 E74fx.BATHING HELP WHEN
Section: E Level: Respondent CAI Reference: Q1882
Type: Numeric Width: 2 Decimals:
E74fx.
How long had (he/she) needed help with bathing or showering?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
280 1-29. Actual Value
16 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
957 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1881:E74x] IS (5)
Q1883 E74fx.BATHING YEARS
Section: E Level: Respondent CAI Reference: Q1883
Type: Numeric Width: 2 Decimals:
................................................................................
100 0-96. Actual Value
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1152 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1881:E74x] IS (5);
[Q1882:E74fx] IS (1-96 OR DK OR RF)
Q1884 E74fx.BATHING SINCE AGE
Section: E Level: Respondent CAI Reference: Q1884
Type: Numeric Width: 3 Decimals:
................................................................................
1 0-996. Actual Value
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1881:E74x] IS (5);
[Q1882:E74fx] IS (1-96 OR DK OR RF); [Q1883:E74fx] IS
(1-96 OR DK OR RF)
Q1885 E74fx.BATHING SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1885
Type: Numeric Width: 4 Decimals:
................................................................................
32 1900-1998. Actual Value
1222 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1881:E74x] IS (5);
[Q1882:E74fx] IS (1-96 OR DK OR RF); [Q1883:E74fx] IS
(1-96 OR DK OR RF); [Q1884:E74fx] IS (1-996 OR DK OR
RF)
Q1896 E75x.EAT DIFF
Section: E Level: Respondent CAI Reference: Q1896
Type: Numeric Width: 1 Decimals:
E75x.
(Because of a health or memory problem)
Did anyone help (him/her) with eating, such as cutting up
(his/her) food (in the last three months of (his/her) life)?
................................................................................
244 1. YES
612 5. NO
9 6. COULDN'T DO
3 7. DIDN'T DO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
382 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1842:E32] IS
(GT 85)
Q1897 E75fx.EAT HELP WHEN
Section: E Level: Respondent CAI Reference: Q1897
Type: Numeric Width: 2 Decimals:
E75fx.
How long had (he/she) needed help with eating?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
180 1-30. Actual Value
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1066 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1896:E75x] IS (5)
Q1898 E75fx.EAT YEARS
Section: E Level: Respondent CAI Reference: Q1898
Type: Numeric Width: 2 Decimals:
................................................................................
55 0-96. Actual Value
1199 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1896:E75x] IS (5);
[Q1897:E75fx] IS (1-96 OR DK OR RF)
Q1899 E75fx.EAT SINCE AGE
Section: E Level: Respondent CAI Reference: Q1899
Type: Numeric Width: 3 Decimals:
................................................................................
1 0-996. Actual Value
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1896:E75x] IS (5);
[Q1897:E75fx] IS (1-96 OR DK OR RF); [Q1898:E75fx] IS
(1-96 OR DK OR RF)
Q1900 E75fx.EAT SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1900
Type: Numeric Width: 4 Decimals:
................................................................................
16 1900-1998. Actual Value
1238 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1896:E75x] IS (5);
[Q1897:E75fx] IS (1-96 OR DK OR RF); [Q1898:E75fx] IS
(1-96 OR DK OR RF); [Q1899:E75fx] IS (1-996 OR DK OR
RF)
Q1911 E76x.BED DIFF
Section: E Level: Respondent CAI Reference: Q1911
Type: Numeric Width: 1 Decimals:
E76x.
(Because of a health or memory problem)
Did anyone help (him/her) with getting in or out of bed
in the last three months of (his/her) life?
................................................................................
300 1. YES
549 5. NO
16 6. COULDN'T DO
2 7. DIDN'T DO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
382 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1842:E32] IS
(GT 85)
Q1917 E76fx.BED HELP WHEN
Section: E Level: Respondent CAI Reference: Q1917
Type: Numeric Width: 2 Decimals:
E76fx.
How long had (he/she) needed help getting in or out of bed?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
239 1-29. Actual Value
10 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1003 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1911:E76x] IS (5)
Q1918 E76fx.BED YEARS
Section: E Level: Respondent CAI Reference: Q1918
Type: Numeric Width: 2 Decimals:
................................................................................
49 0-96. Actual Value
1205 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1911:E76x] IS (5);
[Q1917:E76fx] IS (1-96 OR DK OR RF)
Q1919 E76fx.BED SINCE AGE
Section: E Level: Respondent CAI Reference: Q1919
Type: Numeric Width: 3 Decimals:
................................................................................
1 0-996. Actual Value
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1911:E76x] IS (5);
[Q1917:E76fx] IS (1-96 OR DK OR RF); [Q1918:E76fx] IS
(1-96 OR DK OR RF)
Q1920 E76fx.BED SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1920
Type: Numeric Width: 4 Decimals:
................................................................................
22 1900-1998. Actual Value
1232 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1911:E76x] IS (5);
[Q1917:E76fx] IS (1-96 OR DK OR RF); [Q1918:E76fx] IS
(1-96 OR DK OR RF); [Q1919:E76fx] IS (1-996 OR DK OR
RF)
Q1929 E77x.TOILET DIFF
Section: E Level: Respondent CAI Reference: Q1929
Type: Numeric Width: 1 Decimals:
E77x.
(Because of a health or memory problem)
Did anyone help (him/her) with using the toilet, including getting
up and down in the last three months of (his/her) life?
................................................................................
279 1. YES
566 5. NO
11 6. COULDN'T DO
11 7. DIDN'T DO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
382 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1842:E32] IS
(GT 85)
Q1930 E77fx.TOILET HELP WHEN
Section: E Level: Respondent CAI Reference: Q1930
Type: Numeric Width: 2 Decimals:
E77fx.
How long had (he/she) needed help with using the toilet?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
216 1-29. Actual Value
8 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1029 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1929:E77x] IS (5)
Q1931 E77fx.TOILET YEARS
Section: E Level: Respondent CAI Reference: Q1931
Type: Numeric Width: 2 Decimals:
................................................................................
59 0-96. Actual Value
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1194 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1929:E77x] IS (5);
[Q1930:E77fx] IS (1-96 OR DK OR RF)
Q1932 E77fx.TOILET SINCE AGE
Section: E Level: Respondent CAI Reference: Q1932
Type: Numeric Width: 3 Decimals:
................................................................................
0-996. Actual Value
1254 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1929:E77x] IS (5);
[Q1930:E77fx] IS (1-96 OR DK OR RF); [Q1931:E77fx] IS
(1-96 OR DK OR RF)
Q1933 E77fx.TOILET SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1933
Type: Numeric Width: 4 Decimals:
................................................................................
21 1900-1998. Actual Value
1233 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1842:E32] IS (GT 85); [Q1929:E77x] IS (5);
[Q1930:E77fx] IS (1-96 OR DK OR RF); [Q1931:E77fx] IS
(1-96 OR DK OR RF); [Q1932:E77fx] IS (1-996 OR DK OR
RF)
Q1956 E83.WHO HELP-1
Section: E Level: Respondent CAI Reference: Q1956
Type: Character Width: 3 Decimals:
E83.
IF Q1842 IS (GT85)
When
[Q685-R FIRST NAME] was (mostly) bedridden, who helped (him/her)
with doing things like doing things like bathing and dressing
ELSE
Who most often helped (him/her) with
IF Q1859 IS (NE5)
getting across a room,
END
IF Q1852 IS (NE5)
dressing,
END
IF Q1881 IS (NE5)
bathing,
END
IF Q1896 IS (NE5)
eating,
END
IF Q1911 IS (NE5)
getting in and out of bed,
END
IF Q1929 IS (NE5)
using the toilet
END
IF Q1852 IS (NEA)
doing things like bathing and eating
END
END
in the last three months of (his/her) life?
................................................................................
021. Person Named In Q1956
022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
228 036. SPOUSE/PARTNER
66 041-095. Other Person Number
253 100. EMPLOYEE OF FACILITY
172 101-995. Other Person Number
155 997. NOT ON LIST
1 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
378 Blank. INAP (Inapplicable)
Q1962 E83a.TYPE HELPER-1
Section: E Level: Respondent CAI Reference: Q1962
Type: Numeric Width: 1 Decimals:
E83a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q1956 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
4 4. GRANDCHILD
9 5. RELATIVE-OTHER
54 6. OTHER INDIVIDUAL
86 7. ORGANIZATION
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1099 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1852:E73fx]
IS (5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1956:E83] IS (NE 97)
Q1964 E83c. OTHER HELPERS-2
Section: E Level: Respondent CAI Reference: Q1964
Type: Numeric Width: 1 Decimals:
E83c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
453 1. YES
418 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
378 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1852:E73fx]
IS (5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5)
Q1970 E84.WHO HELP-2
Section: E Level: Respondent CAI Reference: Q1970
Type: Character Width: 3 Decimals:
E84.
Who was that?
................................................................................
3 021. Person Named In Q1956
022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
34 036. SPOUSE/PARTNER
40 041-095. Other Person Number
21 100. EMPLOYEE OF FACILITY
183 101-995. Other Person Number
172 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
801 Blank. INAP (Inapplicable)
Q1971 E84a.TYPE HELPER-2
Section: E Level: Respondent CAI Reference: Q1971
Type: Numeric Width: 1 Decimals:
E84a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q1970 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
2 3. EMPLOYEE OF "INSTITUTION"
14 4. GRANDCHILD
32 5. RELATIVE-OTHER
46 6. OTHER INDIVIDUAL
77 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1082 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1852:E73fx]
IS (5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1970:E84] IS (NE 97)
Q1978 E84c. OTHER HELPERS-3
Section: E Level: Respondent CAI Reference: Q1978
Type: Numeric Width: 1 Decimals:
E84c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
193 1. YES
259 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
801 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1852:E73fx]
IS (5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1)
Q1979 E85.WHO HELP-3
Section: E Level: Respondent CAI Reference: Q1979
Type: Character Width: 3 Decimals:
E85.
Who was that?
................................................................................
1 021. Person Named In Q1956
3 022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
5 036. SPOUSE/PARTNER
10 041-095. Other Person Number
8 100. EMPLOYEE OF FACILITY
85 101-995. Other Person Number
81 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1061 Blank. INAP (Inapplicable)
Q1980 E85a.TYPE HELPER-3
Section: E Level: Respondent CAI Reference: Q1980
Type: Numeric Width: 1 Decimals:
E85a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q1979 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
9 4. GRANDCHILD
22 5. RELATIVE-OTHER
21 6. OTHER INDIVIDUAL
27 7. ORGANIZATION
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1173 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1979:E85] IS (NE 97)
Q1982 E85c.OTHER HELPERS-4
Section: E Level: Respondent CAI Reference: Q1982
Type: Numeric Width: 1 Decimals:
E85c.
Did anyone else help (him/her) with these activities?
................................................................................
85 1. YES
108 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1061 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1852:E73fx]
IS (5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1)
Q1983 E86.WHO HELP-4
Section: E Level: Respondent CAI Reference: Q1983
Type: Character Width: 3 Decimals:
E86.
Who was that?
................................................................................
021. Person Named In Q1956
022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
5 036. SPOUSE/PARTNER
3 041-095. Other Person Number
1 100. EMPLOYEE OF FACILITY
48 101-995. Other Person Number
28 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1169 Blank. INAP (Inapplicable)
Q1984 E86a.TYPE HELPER-4
Section: E Level: Respondent CAI Reference: Q1984
Type: Numeric Width: 1 Decimals:
E86a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q1983 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
8 4. GRANDCHILD
5 5. RELATIVE-OTHER
12 6. OTHER INDIVIDUAL
3 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1226 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1982:E85c] IS (NE 1); [Q1983:E86] IS (NE 97)
Q1986 E86c. OTHER HELPERS-5
Section: E Level: Respondent CAI Reference: Q1986
Type: Numeric Width: 1 Decimals:
E86c.
Did anyone else help (him/her) with these activities?
................................................................................
40 1. YES
45 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1169 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1982:E85c] IS (NE 1)
Q1987 E87.WHO HELP-5
Section: E Level: Respondent CAI Reference: Q1987
Type: Character Width: 3 Decimals:
E87.
Who was that?
................................................................................
021. Person Named In Q1956
022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
1 036. SPOUSE/PARTNER
041-095. Other Person Number
2 100. EMPLOYEE OF FACILITY
19 101-995. Other Person Number
18 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1214 Blank. INAP (Inapplicable)
Q1988 E87a.TYPE HELPER-5
Section: E Level: Respondent CAI Reference: Q1988
Type: Numeric Width: 1 Decimals:
E87a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q1987 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
3 4. GRANDCHILD
5 5. RELATIVE-OTHER
5 6. OTHER INDIVIDUAL
5 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1236 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1982:E85c] IS (NE 1); [Q1986:E86c] IS (NE 1); [Q1987:E87] IS
(NE 97)
Q1990 E87c. OTHER HELPERS-6
Section: E Level: Respondent CAI Reference: Q1990
Type: Numeric Width: 1 Decimals:
E87c.
Did anyone else help (him/her) with these activities?
................................................................................
21 1. YES
19 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1214 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1982:E85c] IS (NE 1); [Q1986:E86c] IS (NE 1)
Q1991 E88.WHO HELP-6
Section: E Level: Respondent CAI Reference: Q1991
Type: Character Width: 3 Decimals:
E88.
Who was that?
................................................................................
021. Person Named In Q1956
022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
036. SPOUSE/PARTNER
1 041-095. Other Person Number
100. EMPLOYEE OF FACILITY
14 101-995. Other Person Number
6 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1233 Blank. INAP (Inapplicable)
Q1992 E88a.TYPE HELPER-6
Section: E Level: Respondent CAI Reference: Q1992
Type: Numeric Width: 1 Decimals:
E88a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q1991 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
1 4. GRANDCHILD
1 5. RELATIVE-OTHER
2 6. OTHER INDIVIDUAL
2 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1248 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1982:E85c] IS (NE 1); [Q1986:E86c] IS (NE 1); [Q1990:E87c] IS
(NE 1); [Q1991:E88] IS (NE 97)
Q1994 E88c. OTHER HELPERS-7
Section: E Level: Respondent CAI Reference: Q1994
Type: Numeric Width: 1 Decimals:
E88c.
Did anyone else help (him/her) with these activities?
................................................................................
11 1. YES
10 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1233 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1982:E85c] IS (NE 1); [Q1986:E86c] IS (NE 1); [Q1990:E87c] IS
(NE 1)
Q1995 E89.WHO HELP-7
Section: E Level: Respondent CAI Reference: Q1995
Type: Character Width: 3 Decimals:
E89.
Who was that?
................................................................................
021. Person Named In Q1956
022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
036. SPOUSE/PARTNER
1 041-095. Other Person Number
1 100. EMPLOYEE OF FACILITY
5 101-995. Other Person Number
4 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1243 Blank. INAP (Inapplicable)
Q1996 E89a.TYPE HELPER-7
Section: E Level: Respondent CAI Reference: Q1996
Type: Numeric Width: 1 Decimals:
E89a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q1995 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
1 4. GRANDCHILD
3 5. RELATIVE-OTHER
6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1250 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q1852:E73fx] IS
(5) AND [Q1859:E72x] IS (5) AND [Q1881:E74x] IS (5) AND
[Q1896:E75x] IS (5) AND [Q1911:E76x] IS (5) AND [Q1929:E77x] IS
(5); [Q1964:E83c] IS (NE 1); [Q1978:E84c] IS (NE 1);
[Q1982:E85c] IS (NE 1); [Q1986:E86c] IS (NE 1); [Q1990:E87c] IS
(NE 1); [Q1994:E88c] IS (NE 1); [Q1995:E89] IS (NE 97)
Q2000 E92x.IADL TYPE INTRO
Section: E Level: Respondent CAI Reference: Q2000
Type: Numeric Width: 1 Decimals:
E92x.
Here are a few other activities which some people have
difficulty with because of a physical, mental, emotional,
or memory problem.
Please tell me whether (he/she) received any help with each
activity I name. If (he/she) didn't do the activity at all,
just tell me so.
We want to know about help that (he/she) received in
in the last three months of (his/her) life.
................................................................................
1254 Blank. No Data Collected; [Q456:CS CONTINUE] IS (5)
Q2010 E95x.IADL MEALS DIFF
Section: E Level: Respondent CAI Reference: Q2010
Type: Numeric Width: 1 Decimals:
E95x.
(Because of a health or memory problem,)
Did anyone help (him/her) prepare a hot meals
in the last three months of (his/her) life?
................................................................................
188 1. YES
330 5. NO
29 6. COULDN'T DO
119 7. DIDN'T DO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
587 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1842:E32] IS (GT 85)
Q2012 E95bx.MEALS -WHY DONT
Section: E Level: Respondent CAI Reference: Q2012
Type: Numeric Width: 1 Decimals:
E95bx.
Was that because of a health or memory problem?
................................................................................
63 1. YES
85 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1106 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1842:E32] IS (GT 85); [Q2010:E95x] IS (1); [Q2010:E95x]
IS (5 OR DK OR RF)
Q2013 E95gx.MEALS HELP WHEN
Section: E Level: Respondent CAI Reference: Q2013
Type: Numeric Width: 2 Decimals:
E95gx.
How long had (he/she) needed help with preparing hot meals?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
1 0. Time Not Given in Months
144 1-96. Actual Value
98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1108 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1842:E32] IS (GT 85); [Q2010:E95x] IS (5 OR DK OR RF);
[Q2012:E95bx] IS (5) OR [Q519:CS11] IS (1)
Q2014 E95hx.MEALS YEARS
Section: E Level: Respondent CAI Reference: Q2014
Type: Numeric Width: 2 Decimals:
................................................................................
71 0-96. Actual Value
1183 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1842:E32] IS (GT 85);
[Q2010:E95x] IS (5 OR DK OR RF); [Q2012:E95bx] IS (5)
OR [Q519:CS11] IS (1); [Q2013:E95gx] IS (1-96 OR DK
OR RF)
Q2015 E95hx.MEALS SINCE AGE
Section: E Level: Respondent CAI Reference: Q2015
Type: Numeric Width: 3 Decimals:
................................................................................
0-996. Actual Value
1254 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1842:E32] IS (GT 85);
[Q2010:E95x] IS (5 OR DK OR RF); [Q2012:E95bx] IS (5)
OR [Q519:CS11] IS (1); [Q2013:E95gx] IS (1-96 OR DK
OR RF); [Q2014:E95hx] IS (1-96 OR DK OR RF)
Q2016 E95hx.MEALS SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2016
Type: Numeric Width: 4 Decimals:
................................................................................
27 1900-1998. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1226 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1842:E32] IS (GT 85);
[Q2010:E95x] IS (5 OR DK OR RF); [Q2012:E95bx] IS (5)
OR [Q519:CS11] IS (1); [Q2013:E95gx] IS (1-96 OR DK
OR RF); [Q2014:E95hx] IS (1-96 OR DK OR RF);
[Q2015:E95hx] IS (1-996 OR DK OR RF)
Q2020 E96x.IADL GROC DIFF
Section: E Level: Respondent CAI Reference: Q2020
Type: Numeric Width: 1 Decimals:
E96x.
(Because of a health or memory problem,)
Did anyone help (him/her) shop for groceries
in the last three months of (his/her) life?
................................................................................
209 1. YES
264 5. NO
30 6. COULDN'T DO
78 7. DIDN'T DO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
672 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1842:E32] IS (GT 85); [Q2012:E95bx] IS (5) OR
[Q519:CS11] IS (1)
Q2022 E96bx.GROC -WHY DONT
Section: E Level: Respondent CAI Reference: Q2022
Type: Numeric Width: 1 Decimals:
E96bx.
Was that because of a health or memory problem?
................................................................................
73 1. YES
35 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1146 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1842:E32] IS (GT 85); [Q2012:E95bx] IS (5) OR
[Q519:CS11] IS (1); [Q2020:E96x] IS (5 OR DK OR RF);
[Q2020:E96x] IS (1)
Q2023 E96gx.GROC HELP WHEN
Section: E Level: Respondent CAI Reference: Q2023
Type: Numeric Width: 2 Decimals:
E96gx.
How long had (he/she) needed help with shopping for groceries?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
138 1-96. Number of Months
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1108 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1842:E32] IS (GT 85);
[Q2012:E95bx] IS (5) OR [Q519:CS11] IS (1);
[Q2020:E96x] IS (5 OR DK OR RF); [Q2022:E96bx] IS (5)
OR [Q519:CS11] IS (1)
Q2024 E96hx.GROC YEARS
Section: E Level: Respondent CAI Reference: Q2024
Type: Numeric Width: 2 Decimals:
................................................................................
106 0. Time Not Given in Months
1-96. Actual Value
1148 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q1842:E32] IS (GT 85); [Q2012:E95bx] IS (5) OR
[Q519:CS11] IS (1); [Q2020:E96x] IS (5 OR DK OR RF);
[Q2022:E96bx] IS (5) OR [Q519:CS11] IS (1); [Q2023:E96gx] IS
(1-96 OR DK OR RF)
Q2025 E96hx.GROC SINCE AGE
Section: E Level: Respondent CAI Reference: Q2025
Type: Numeric Width: 3 Decimals:
................................................................................
0-996. Actual Value
1254 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1842:E32] IS (GT 85);
[Q2012:E95bx] IS (5) OR [Q519:CS11] IS (1);
[Q2020:E96x] IS (5 OR DK OR RF); [Q2022:E96bx] IS (5)
OR [Q519:CS11] IS (1); [Q2023:E96gx] IS (1-96 OR DK
OR RF); [Q2024:E96hx] IS (1-96 OR DK OR RF)
Q2026 E96hx.GROC SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2026
Type: Numeric Width: 4 Decimals:
................................................................................
29 1900-1998. Actual Value
1225 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q1842:E32] IS (GT 85);
[Q2012:E95bx] IS (5) OR [Q519:CS11] IS (1);
[Q2020:E96x] IS (5 OR DK OR RF); [Q2022:E96bx] IS (5)
OR [Q519:CS11] IS (1); [Q2023:E96gx] IS (1-96 OR DK
OR RF); [Q2024:E96hx] IS (1-96 OR DK OR RF);
[Q2025:E96hx] IS (1-996 OR DK OR RF)
Q2030 E97x.IADLS PHONE DIFF
Section: E Level: Respondent CAI Reference: Q2030
Type: Numeric Width: 1 Decimals:
E97x.
(Because of a health or memory problem,)
Did anyone help (him/her) make phone calls
in the last three months of (his/her) life?
................................................................................
248 1. YES
749 5. NO
97 6. COULDN'T DO
152 7. DIDN'T DO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2032 E97bx.PHONE -WHY DONT
Section: E Level: Respondent CAI Reference: Q2032
Type: Numeric Width: 1 Decimals:
E97bx.
Was that because of a health or memory problem?
................................................................................
195 1. YES
54 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1005 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2030:E97x] IS
(5 OR DK OR RF); [Q2030:E97x] IS (1)
Q2033 E97gx.PHONE HELP WHEN
Section: E Level: Respondent CAI Reference: Q2033
Type: Numeric Width: 2 Decimals:
E97gx.
How long had (he/she) needed help making telephone calls?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
2 0. Time Not Given in Months
247 1-36. Actual Value
17 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
987 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2030:E97x] IS
(5 OR DK OR RF); [Q2032:E97bx] IS (5)
Q2034 E97hx.PHONE YEARS
Section: E Level: Respondent CAI Reference: Q2034
Type: Numeric Width: 2 Decimals:
................................................................................
131 0-96. Actual Value
1123 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2030:E97x] IS (5 OR DK OR RF); [Q2032:E97bx] IS
(5); [Q2033:E97gx] IS (1-96 OR DK OR RF)
Q2035 E97hx.PHONE SINCE AGE
Section: E Level: Respondent CAI Reference: Q2035
Type: Numeric Width: 3 Decimals:
................................................................................
6 0-996. Actual Value
1248 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2030:E97x] IS (5 OR DK OR RF); [Q2032:E97bx] IS
(5); [Q2033:E97gx] IS (1-96 OR DK OR RF);
[Q2034:E97hx] IS (1-96 OR DK OR RF)
Q2036 E97hx.PHONE SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2036
Type: Numeric Width: 4 Decimals:
................................................................................
38 1900-1998. Actual Value
5 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1211 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2030:E97x] IS (5 OR DK OR RF); [Q2032:E97bx] IS
(5); [Q2033:E97gx] IS (1-96 OR DK OR RF);
[Q2034:E97hx] IS (1-96 OR DK OR RF); [Q2035:E97hx] IS
(1-996 OR DK OR RF)
Q2040 E98x.IADLS MEDICATION DIFF
Section: E Level: Respondent CAI Reference: Q2040
Type: Numeric Width: 1 Decimals:
E98x.
(Because of a health or memory problem,)
Did anyone help (him/her) with taking medication
in the last three months of (his/her) life?
................................................................................
363 1. YES
485 5. NO
8 6. COULDN'T DO
24 7. DIDN'T TAKE MEDICATIONS
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
369 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1)
Q2041 E98bx.MED-WHY DONT
Section: E Level: Respondent CAI Reference: Q2041
Type: Numeric Width: 1 Decimals:
E98bx.
Was that because of a health or memory problem?
................................................................................
7 1. YES
25 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1222 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q2040:E98x] IS (1); [Q2040:E98x] IS (5 OR DK OR RF)
Q2042 E98gx.MED HELP WHEN
Section: E Level: Respondent CAI Reference: Q2042
Type: Numeric Width: 2 Decimals:
E98gx.
How long had (he/she) needed help taking medications?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
1 0. Time Not Reported in Months
230 1-36. Actual Value
10 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1013 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q519:CS11] IS
(1); [Q2040:E98x] IS (5 OR DK OR RF); [Q2041:E98bx] IS (5) OR
[Q519:CS11] IS (1)
Q2043 E98hx.MED YEARS
Section: E Level: Respondent CAI Reference: Q2043
Type: Numeric Width: 2 Decimals:
................................................................................
104 0-96. Actual Value
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1149 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q2040:E98x] IS (5 OR DK OR RF);
[Q2041:E98bx] IS (5) OR [Q519:CS11] IS (1);
[Q2042:E98gx] IS (1-96 OR DK OR RF)
Q2044 E98hx.MED SINCE AGE
Section: E Level: Respondent CAI Reference: Q2044
Type: Numeric Width: 3 Decimals:
................................................................................
1 0-996. Actual Value
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q2040:E98x] IS (5 OR DK OR RF);
[Q2041:E98bx] IS (5) OR [Q519:CS11] IS (1);
[Q2042:E98gx] IS (1-96 OR DK OR RF); [Q2043:E98hx] IS
(1-96 OR DK OR RF)
Q2045 E98hx.MED SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2045
Type: Numeric Width: 4 Decimals:
................................................................................
23 1900-1998. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1230 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q519:CS11] IS (1); [Q2040:E98x] IS (5 OR DK OR RF);
[Q2041:E98bx] IS (5) OR [Q519:CS11] IS (1);
[Q2042:E98gx] IS (1-96 OR DK OR RF); [Q2043:E98hx] IS
(1-96 OR DK OR RF); [Q2044:E98hx] IS (1-996 OR DK OR
RF)
Q2049 E99.IADLS-WHO HELP,1
Section: E Level: Respondent CAI Reference: Q2049
Type: Character Width: 3 Decimals:
E99.
Who most often helped (him/her)
IF Q2010 IS (1) OR Q2012 IS (1) OR (Q1842 IS (GT85) AND Q519 IS (NE1))
prepare meals,
END
IF Q2020 IS (1) OR Q2022 IS (1) OR (Q1842 IS (GT85) AND Q519 IS (NE1))
shop for groceries
END
IF Q2030 IS (1) OR Q2032 IS (1)
make telephone calls
END
IF Q2040 IS (1) OR Q2041 IS (1)
take medications
END
in the last three months of (his/her) life?
................................................................................
57 021. Person Named In Q1956
11 022. Person Named In Q1970
3 023. Person Named In Q1979
1 024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
221 036. SPOUSE/PARTNER
73 041-095. Other Person Number
59 100. EMPLOYEE OF FACILITY
199 101-995. Other Person Number
38 997. NOT ON LIST
3 998. DK (Don't Know); NA (Not Ascertained)
2 999. RF (Refused)
587 Blank. INAP (Inapplicable)
Q2050 E99a.TYPE IADL HELPER-1
Section: E Level: Respondent CAI Reference: Q2050
Type: Numeric Width: 1 Decimals:
E99a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q2049 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
1 3. EMPLOYEES OF "INSTITUTION"
2 4. GRANDCHILD
8 5. RELATIVE-OTHER
17 6. OTHER INDIVIDUAL
9 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1216 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2049:E99] IS (NE 97)
Q2052 E99c.OTH IADL HELP-2
Section: E Level: Respondent CAI Reference: Q2052
Type: Numeric Width: 1 Decimals:
E99c.
Did anyone else help (him/her)
IF Q2010 IS (1) OR Q2012 IS (1) OR (Q1842 IS (GT85) AND Q519 IS (NE1))
prepare meals,
END
IF Q2020 IS (1) OR Q2022 IS (1) OR (Q1842 IS (GT85) AND Q519 IS (NE1))
shop for groceries
END
IF Q2030 IS (1) OR Q2032 IS (1)
make telephone calls
END
IF Q2040 IS (1) OR Q2041 IS (1)
take medications
END
in the last three months of (his/her) life?
................................................................................
271 1. YES
393 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
587 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1))
Q2058 E100.IADLS-WHO HELP,2
Section: E Level: Respondent CAI Reference: Q2058
Type: Character Width: 3 Decimals:
E100.
Who else helped (him/her)?
................................................................................
12 021. Person Named In Q1956
37 022. Person Named In Q1970
13 023. Person Named In Q1979
2 024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
2 028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
13 036. SPOUSE/PARTNER
17 041-095. Other Person Number
8 100. EMPLOYEE OF FACILITY
124 101-995. Other Person Number
43 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
983 Blank. INAP (Inapplicable)
Q2059 E100a.TYPE IADL HELPER-2
Section: E Level: Respondent CAI Reference: Q2059
Type: Numeric Width: 1 Decimals:
E100a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q2058 IS (97)
or were they an employee of the place (he/she) lived?
~EN
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
7 4. GRANDCHILD
13 5. RELATIVE-OTHER
17 6. OTHER INDIVIDUAL
5 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1211 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2058:E100] IS (NE 97)
Q2061 E100c. IADL OTH HELP-3
Section: E Level: Respondent CAI Reference: Q2061
Type: Numeric Width: 1 Decimals:
E100c.
Did anyone else help (him/her) with these activities
(in the last three months of (his/her) life)?
................................................................................
106 1. YES
164 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
983 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1)
Q2063 E101.IADLS-WHO HELP,3
Section: E Level: Respondent CAI Reference: Q2063
Type: Character Width: 3 Decimals:
E101.
Who else helped (him/her)?
................................................................................
5 021. Person Named In Q1956
3 022. Person Named In Q1970
6 023. Person Named In Q1979
024. Person Named In Q1983
4 025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
1 028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
3 036. SPOUSE/PARTNER
5 041-095. Other Person Number
100. EMPLOYEE OF FACILITY
57 101-995. Other Person Number
22 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1148 Blank. INAP (Inapplicable)
Q2064 E101a.TYPE IADL HELPER-3
Section: E Level: Respondent CAI Reference: Q2064
Type: Numeric Width: 1 Decimals:
E101a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q2063 IS (97)
or were they an employee of the place (he/she) lived?
~EN
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
3 4. GRANDCHILD
6 5. RELATIVE-OTHER
10 6. OTHER INDIVIDUAL
3 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1232 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2061:E100c] IS (NE 1);
[Q2063:E101] IS (NE 97)
Q2067 E101c. IADL OTH HELP-4
Section: E Level: Respondent CAI Reference: Q2067
Type: Numeric Width: 1 Decimals:
E101c.
Did anyone else help (him/her) with these activities
(in the last three months of (his/her) life)?
................................................................................
30 1. YES
76 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1148 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2061:E100c] IS (NE 1)
Q2069 E102.IADLS-WHO HELP,4
Section: E Level: Respondent CAI Reference: Q2069
Type: Character Width: 3 Decimals:
E102.
Who else helped (him/her)?
................................................................................
1 021. Person Named In Q1956
022. Person Named In Q1970
2 023. Person Named In Q1979
2 024. Person Named In Q1983
025. Person Named In Q1987
2 026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
1 036. SPOUSE/PARTNER
2 041-095. Other Person Number
1 100. EMPLOYEE OF FACILITY
15 101-995. Other Person Number
4 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1224 Blank. INAP (Inapplicable)
Q2070 E102a.TYPE IADL HELPER-4
Section: E Level: Respondent CAI Reference: Q2070
Type: Numeric Width: 1 Decimals:
E102a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q2069 IS (97)
or were they an employee of the place (he/she) lived?
~EN
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
2 4. GRANDCHILD
5. RELATIVE-OTHER
2 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1250 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2061:E100c] IS (NE 1);
[Q2067:E101c] IS (NE 1); [Q2069:E102] IS (NE 97)
Q2073 E102c. IADL OTH HELP-5
Section: E Level: Respondent CAI Reference: Q2073
Type: Numeric Width: 1 Decimals:
E102c.
Did anyone else help (him/her) with these activities
(in the last three months of (his/her) life)?
................................................................................
11 1. YES
19 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1224 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2061:E100c] IS (NE 1);
[Q2067:E101c] IS (NE 1)
Q2075 E103.IADLS-WHO HELP,5
Section: E Level: Respondent CAI Reference: Q2075
Type: Character Width: 3 Decimals:
E103.
Who else helped (him/her)?
................................................................................
021. Person Named In Q1956
1 022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
1 026. Person Named In Q1991
1 027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
1 036. SPOUSE/PARTNER
1 041-095. Other Person Number
100. EMPLOYEE OF FACILITY
4 101-995. Other Person Number
2 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1243 Blank. INAP (Inapplicable)
Q2076 E103a.TYPE IADL HELPER-5
Section: E Level: Respondent CAI Reference: Q2076
Type: Numeric Width: 1 Decimals:
E103a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q2075 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
1 4. GRANDCHILD
5. RELATIVE-OTHER
1 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1252 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2061:E100c] IS (NE 1);
[Q2067:E101c] IS (NE 1); [Q2073:E102c] IS (NE 1); [Q2075:E103]
IS (NE 97)
Q2080 E103c.IADL OTH HELP-6
Section: E Level: Respondent CAI Reference: Q2080
Type: Numeric Width: 1 Decimals:
E103c.
Did anyone else help (him/her) with these activities
(in the last three months of (his/her) life)?
................................................................................
5 1. YES
6 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1243 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2061:E100c] IS (NE 1);
[Q2067:E101c] IS (NE 1); [Q2073:E102c] IS (NE 1)
Q2081 E104.IADLS-WHO HELP,6
Section: E Level: Respondent CAI Reference: Q2081
Type: Character Width: 3 Decimals:
E104.
Who else helped (him/her)?
................................................................................
021. Person Named In Q1956
022. Person Named In Q1970
023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
036. SPOUSE/PARTNER
1 041-095. Other Person Number
100. EMPLOYEE OF FACILITY
2 101-995. Other Person Number
2 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1249 Blank. INAP (Inapplicable)
Q2082 E104a.TYPE IADL HELPER-6
Section: E Level: Respondent CAI Reference: Q2082
Type: Numeric Width: 1 Decimals:
E104a.
What was that person's relationship to (him/her)?
IF Q519 IS (1 OR 2) AND Q2081 IS (97)
or were they an employee of the place (he/she) lived?
~EN
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
1 4. GRANDCHILD
5. RELATIVE-OTHER
1 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1252 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2010:E95x] IS
(1) OR [Q2020:E96x] IS (1) OR [Q2030:E97x] IS (1) OR
[Q2040:E98x] IS (1) OR ([Q1842:E32] IS (GT 85) AND [Q519:CS11]
IS (NE 1)); [Q2052:E99c] IS (NE 1); [Q2061:E100c] IS (NE 1);
[Q2067:E101c] IS (NE 1); [Q2073:E102c] IS (NE 1); [Q2080:E103c]
IS (NE 1); [Q2081:E104] IS (NE 97)
Q2084 E106x.IADL MONEY DIFF
Section: E Level: Respondent CAI Reference: Q2084
Type: Numeric Width: 1 Decimals:
E106x.
Because of a health or memory problem,
did anyone help (him/her) manage (his/her) money --
such as paying (his/her) bills and keeping track of
expenses in the last three months of (his/her) life?
................................................................................
619 1. YES
475 5. NO
52 6. COULDN'T DO
104 7. DIDN'T DO
3 8. DK (Don't Know); NA (Not Ascertained)
9. NA
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2085 E106ax.MONEY HEALTH PROBLEM
Section: E Level: Respondent CAI Reference: Q2085
Type: Numeric Width: 1 Decimals:
E106ax.
Was that because of a health or memory problem?
................................................................................
95 1. YES
61 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1098 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2084:E106x]
IS (1 OR DK OR RF); [Q2084:E106x] IS (5)
Q2087 E107. MONEY HELP-1
Section: E Level: Respondent CAI Reference: Q2087
Type: Character Width: 3 Decimals:
E107.
Who most often helped (you/him/her) manage (your/his/her) money
in the last three months of (his/her) life?
................................................................................
11 021. Person Named In Q1956
15 022. Person Named In Q1970
2 023. Person Named In Q1979
024. Person Named In Q1983
025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
8 028. Person Named In Q2049
4 029. Person Named In Q2058
1 030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
208 036. SPOUSE/PARTNER
90 041-095. Other Person Number
17 100. EMPLOYEE OF FACILITY
315 101-995. Other Person Number
62 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
537 Blank. INAP (Inapplicable)
Q2088 E107a.TYPE MONEY HELPER-1
Section: E Level: Respondent CAI Reference: Q2088
Type: Numeric Width: 1 Decimals:
E107a.
What was that person's relationship to (you/him/her)?
IF Q519 IS (1 OR 2) AND Q2087 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
6 4. GRANDCHILD
37 5. RELATIVE-OTHER
14 6. OTHER INDIVIDUAL
4 7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1192 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2084:E106x]
IS (5); [Q2085:E106ax] IS (5); [Q2087:E107] IS (NE 97)
Q2090 E107c.IADL MONEY WHO HELP,2
Section: E Level: Respondent CAI Reference: Q2090
Type: Numeric Width: 1 Decimals:
E107c.
Did anyone else help (you/him/her) manage (your/his/her) money
in the last three months of (his/her) life?
................................................................................
101 1. YES
613 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
537 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2084:E106x]
IS (5); [Q2085:E106ax] IS (5)
Q2091 E108. MONEY HELPER-2
Section: E Level: Respondent CAI Reference: Q2091
Type: Character Width: 3 Decimals:
E108.
Who was that?
................................................................................
2 021. Person Named In Q1956
2 022. Person Named In Q1970
1 023. Person Named In Q1979
024. Person Named In Q1983
1 025. Person Named In Q1987
026. Person Named In Q1991
027. Person Named In Q1995
028. Person Named In Q2049
3 029. Person Named In Q2058
030. Person Named In Q2063
031. Person Named In Q2069
032. Person Named In Q2075
033. Person Named In Q2081
034. Person Named In Q2087
035. Person Named In Q2091
20 036. SPOUSE/PARTNER
11 041-095. Other Person Number
2 100. EMPLOYEE OF FACILITY
51 101-995. Other Person Number
8 997. NOT ON LIST
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1153 Blank. INAP (Inapplicable)
Q2092 E108a.TYPE MONEY HELPER-2
Section: E Level: Respondent CAI Reference: Q2092
Type: Numeric Width: 1 Decimals:
E108a.
What was that person's relationship to (you/him/her)?
IF Q519 IS (1 OR 2) AND Q2091 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
2 4. GRANDCHILD
3 5. RELATIVE-OTHER
2 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1246 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2084:E106x]
IS (5); [Q2085:E106ax] IS (5); [Q2090:E107c] IS (NE 1);
[Q2091:E108] IS (NE 97)
Q2096_1 E158S.WHO HELPED LOOP-1
Section: E Level: Respondent CAI Reference: Q2096
Type: Character Width: 3 Decimals:
................................................................................
115 021-950. Person Number
1139 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2096_2 E158S.WHO HELPED LOOP-2
Section: E Level: Respondent CAI Reference: Q2096
Type: Character Width: 3 Decimals:
................................................................................
1 021-950. Person Number
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2096_3 E158S.WHO HELPED LOOP-3
Section: E Level: Respondent CAI Reference: Q2096
Type: Character Width: 3 Decimals:
................................................................................
1 021-950. Person Number
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2096_4 E158S.WHO HELPED LOOP-4
Section: E Level: Respondent CAI Reference: Q2096
Type: Character Width: 3 Decimals:
................................................................................
021-950. Person Number
1254 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2097M1 E158S.LIST OF HELPERS-1
Section: E Level: Respondent CAI Reference: Q2097
Type: Character Width: 3 Decimals:
................................................................................
127 000. NOT FIGURED OUT
196 021-035. Unlisted Person
340 036. Spouse/Partner
109 041-083. Other Person Number
481 101-995. Other Person Number
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2097M2 E158S.LIST OF HELPERS-2
Section: E Level: Respondent CAI Reference: Q2097
Type: Character Width: 3 Decimals:
................................................................................
000. NOT FIGURED OUT
228 021-035. Unlisted Person
146 036. Spouse/Partner
34 041-083. Other Person Number
167 101-995. Other Person Number
679 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2098 E158.COUNT OF HELPERS (NON-SPOUSE)
Section: E Level: Respondent CAI Reference: Q2098
Type: Numeric Width: 1 Decimals:
................................................................................
467 0. No Helpers
786 1-8. Actual Value
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2099 E3.HELPER INTRODUCTION
Section: E Level: Respondent CAI Reference: Q2099
Type: Numeric Width: 1 Decimals:
HELPER INTRO.
Let's think for a moment about the help (he/she) received
that we just talked about.
................................................................................
1254 Blank. No Data Collected; [Q456:CS CONTINUE] IS (5); [Q2098:E158] IS
(0)
Q2158 E170x.INTRO
Section: E Level: Respondent CAI Reference: Q2158
Type: Numeric Width: 1 Decimals:
E170x INTRO.
You told me earlier that
[Q685-R FIRST NAME] had been in a nursing
home
[Q1744-E6. NURHM # TIMES] times since
[Q218-PREV WAVE IW MONTH]
[Q219.] . We are interested in
the dates and length of each of (his/her) nursing home stays.
Please tell me as best you can when (he/she) went into the
nursing home and how long each stay was.
................................................................................
1254 Blank. No Data Collected; [Q456:CS CONTINUE] IS (5); [Q1744:E6] IS (GE
2)
Q2159 E170x.NURHM MONTH ENTER
Section: E Level: Respondent CAI Reference: Q2159
Type: Numeric Width: 2 Decimals:
E170x.
IF Q519 IS (1)
We know this information for (his/her) last nursing
home stay, but thinking about the stay before that one.
ELSE
About ^685's last stay,
END
in what month and year did (he/she) enter the nursing home?
MONTH:
YEAR:
................................................................................
7 1. JAN
2 2. FEB
5 3. MAR
6 4. APR
5 5. MAY
3 6. JUN
2 7. JUL
2 8. AUG
5 9. SEP
3 10. OCT
5 11. NOV
3 12. DEC
7 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1199 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1744:E6] IS
(GE 2)
Q2160 E170ax.YEAR ENTER
Section: E Level: Respondent CAI Reference: Q2160
Type: Numeric Width: 4 Decimals:
................................................................................
49 1900-1998. Actual Value
6 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1199 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2)
Q2161 E171x.NURHM NIGHTS
Section: E Level: Respondent CAI Reference: Q2161
Type: Numeric Width: 3 Decimals:
E171x.
How many nights was (he/she) a patient
in the nursing home that time?
NIGHTS:
OR
WEEKS:
OR
MONTHS:
................................................................................
26 1-60. Actual Value
1 61-900. Actual Value (Verified)
3 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
1223 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2)
Q2162 E171ax.NURHM WEEKS
Section: E Level: Respondent CAI Reference: Q2162
Type: Numeric Width: 2 Decimals:
................................................................................
8 1-12. Actual Value
13-52. Actual Value (Verified)
1246 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2); [Q2161:E171x] IS (GT 0 OR DK OR
RF)
Q2163 E171bx.NUMBER OF MONTHS
Section: E Level: Respondent CAI Reference: Q2163
Type: Numeric Width: 2 Decimals:
................................................................................
13 1-12. Actual Value
2 13-36. Actual Value (Verified)
1 98. DK (Don't Know); NA (Not Ascertained)
1238 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2); [Q2161:E171x] IS (GT 0 OR DK OR
RF); [Q2162:E171ax] IS (GT 0 OR DK OR RF)
Q2165 E172x.NURHM MORE LESS 30 NIGHTS
Section: E Level: Respondent CAI Reference: Q2165
Type: Numeric Width: 1 Decimals:
E172x.
Was it less than 30 nights or more than 30 nights?
................................................................................
1 1. LESS THAN 30 NIGHTS
3. ABOUT 30 NIGHTS
2 5. MORE THAN 30 NIGHTS
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1249 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1744:E6] IS
(GE 2); [Q2161:E171x] IS (GT 0) OR [Q2162:E171ax] IS (GT 0) OR
[Q2163:E171bx] IS (GT 0)
Q2166 E173x.NURHM-2 MONTH ENTER
Section: E Level: Respondent CAI Reference: Q2166
Type: Numeric Width: 2 Decimals:
E173x.
And what about the stay before that one; in what month and year
did (he/she) enter the nursing home?
MONTH:
YEAR:
................................................................................
1 1. JAN
4 2. FEB
2 3. MAR
4. APR
3 5. MAY
6. JUN
1 7. JUL
3 8. AUG
9. SEP
1 10. OCT
11. NOV
3 12. DEC
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1228 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1744:E6] IS
(GE 2); [Q1744:E6] IS (LT 3) AND [Q519:CS11] IS (1)
Q2167 E173ax.YEAR-2 ENTER
Section: E Level: Respondent CAI Reference: Q2167
Type: Numeric Width: 4 Decimals:
................................................................................
22 1900-1998. Actual Value
4 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1228 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2); [Q1744:E6] IS (LT 3) AND
[Q519:CS11] IS (1)
Q2168 E174x.NURHM-2 NIGHTS
Section: E Level: Respondent CAI Reference: Q2168
Type: Numeric Width: 3 Decimals:
E174x.
How long was (he/she) in the nursing home that time?
NIGHTS:
OR
WEEKS:
OR
MONTHS:
................................................................................
14 1-60. Actual Value
61-900. Actual Value (Verified)
5 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1235 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2); [Q1744:E6] IS (LT 3) AND
[Q519:CS11] IS (1)
Q2169 E174ax.NURHM-2 WEEKS
Section: E Level: Respondent CAI Reference: Q2169
Type: Numeric Width: 2 Decimals:
................................................................................
1 1-12. Actual Value
13-52. Actual Value (Verified)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2); [Q1744:E6] IS (LT 3) AND
[Q519:CS11] IS (1); [Q2168:E174x] IS (GT 0 OR DK OR
RF)
Q2170 E174bx.NURHM-2 MONTHS
Section: E Level: Respondent CAI Reference: Q2170
Type: Numeric Width: 2 Decimals:
................................................................................
5 1-12. Actual Value
1 13-36. Actual Value (Verified)
1248 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q1744:E6] IS (GE 2); [Q1744:E6] IS (LT 3) AND
[Q519:CS11] IS (1); [Q2168:E174x] IS (GT 0 OR DK OR
RF); [Q2169:E174ax] IS (GT 0 OR DK OR RF)
Q2172 E175x.NIGHTS MORE OR LESS 30
Section: E Level: Respondent CAI Reference: Q2172
Type: Numeric Width: 1 Decimals:
E175x.
Was it less than 30 days or more than 30 days?
................................................................................
2 1. LESS THAN 30 DAYS
1 3. ABOUT 30 DAYS
5. MORE THAN 30 DAYS
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1249 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q1744:E6] IS
(GE 2); [Q1744:E6] IS (LT 3) AND [Q519:CS11] IS (1);
[Q2168:E174x] IS (GT 0) OR [Q2169:E174ax] IS (GT 0) OR
[Q2170:E174bx] IS (GT 0)
QVERSION 1998 EXIT RELEASE VERSION NUMBER
Section: E Level: Respondent CAI Reference: Q9008
Type: Numeric Width: 1 Decimals:
................................................................................
1254 1. First Final Release
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