==========================================================================================
Section AC: CLINICAL HISTORY - INITIAL VISIT (Respondent)
==========================================================================================
HHID HRS HOUSEHOLD IDENTIFIER
Section: AC Level: Respondent Type: Character Width: 6 Decimals: 0
This variable uniquely identifies an original HRS household across waves.
.................................................................................
856 010059-213468. Household Identification Number
Blank. Inap
==========================================================================================
PN HRS PERSON NUMBER
Section: AC Level: Respondent Type: Character Width: 3 Decimals: 0
Each HRS respondent has a Person Number, PN, unique within an original
household. In combination, HHID and PN uniquely identify a respondent across
all waves of the study.
.................................................................................
584 010. Person Number
11 011. Person Number
187 020. Person Number
1 021. Person Number
33 030. Person Number
39 040. Person Number
1 041. Person Number
Blank. Inap
==========================================================================================
ADAMSSID ADAMS SUBJECT IDENTIFIER
Section: AC Level: Respondent Type: Character Width: 5 Decimals: 0
This variable identifies an ADAMS subject in the ADAMS data files.
.................................................................................
856 00021-21311. ADAMS Subject Identification Number
Blank. Inap
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ACDONE WHETHER CLINICAL HISTORY COMPLETED
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CHDONE
CLINICAL HISTORY SECTION COMPLETED?
.................................................................................
853 1. YES
3 2. NO
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==========================================================================================
ACRELATC INFORMANT RELATIONSHIP TO R - CLIN HX
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: RELATC
A1. What is your relationship to (NAME)?
.................................................................................
298 1. SPOUSE
319 2. CHILD
33 3. SIBLING
4. PARENT
59 5. FRIEND
6. GUARDIAN
6 7. NEIGHBOR
141 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
Blank. Inap
==========================================================================================
ACKNOWNC HOW LONG INFORMANT HAS KNOWN R -CLIN HX
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWNC
A2. How long have you known (NAME)?
.................................................................................
91 1-19. YEARS
42 20-29. YEARS
72 30-39. YEARS
144 40-49. YEARS
278 50-59. YEARS
166 60-69. YEARS
49 70-79. YEARS
11 80-89. YEARS
90-99. YEARS
3 998. DON'T KNOW
Blank. Inap
==========================================================================================
ACSEEC HOW OFTEN INFORM SAW R LAST YR-CLINHX
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEEC
A3. On the average, in the past year, how often did you see (NAME)?
.................................................................................
429 1. LIVES WITH SUBJECT
118 2. DAILY
156 3. SEVERAL TIMES/WEEK
77 4. ONCE A WEEK
51 5. ONE-THREE TIMES A MONTH
17 6. LESS THAN ONCE A MONTH
7. NEVER
8 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
Blank. Inap
==========================================================================================
ACRELAT2C RELATIONSHIP OF 2ND INFORM TO R -CLINHX
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: RELAT2C
A1. What is your relationship to (NAME)? RELATIONSHIP #2 FIELDS ARE PRESENT IF
MORE THAN ONE INFORMANT INVOLVED IN VISIT.
.................................................................................
1 1. SPOUSE
12 2. CHILD
3. SIBLING
4. PARENT
5. FRIEND
6. GUARDIAN
7. NEIGHBOR
20 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
823 Blank. Inap
==========================================================================================
ACKNOWN2C HOW LONG 2ND INFORM HAS KNOWN R -CLINHX
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWN2C
A2. How long have you known (NAME)?
.................................................................................
3 1-19. YEARS
4 20-29. YEARS
7 30-39. YEARS
6 40-49. YEARS
5 50-59. YEARS
1 60-69. YEARS
6 70-79. YEARS
80-89. YEARS
1 90-99. YEARS
998. DON'T KNOW
823 Blank. Inap
==========================================================================================
ACSEE2C HOW OFTEN 2ND INFORM SAW R LAST YR-CLINHX
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEE2C
A3. On the average, in the past year, how often did you see (NAME)?
.................................................................................
11 1. LIVES WITH SUBJECT
7 2. DAILY
2 3. SEVERAL TIMES/WEEK
3 4. ONCE A WEEK
2 5. ONE-THREE TIMES A MONTH
1 6. LESS THAN ONCE A MONTH
7. NEVER
7 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
823 Blank. Inap
==========================================================================================
AC1 MORE DIFFICULTY WITH MEMORY OR THINKING
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH1
1. Have you noticed that (s/he) has had more difficulty with memory or thinking
than in the past?
.................................................................................
578 1. YES
274 2. NO (GO TO 3)
7. RF (GO TO 3)
1 8. DK (GO TO 3)
3 Blank. Inap
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AC2 IS C1 A CONSISTENT PROBLEM
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH2
2. Is this a consistent problem?
.................................................................................
376 1. YES
200 2. NO
7. RF
2 8. DK
9. (SKIP ERROR OR N/A)
278 Blank. Inap
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AC3 CAN RECALL RECENT EVENTS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH3
3. Let(s talk about her/his memory for day to day happenings and events that
happened recently. Can (s/he) recall recent events?
.................................................................................
527 1. USUALLY
191 2. SOMETIMES
133 3. RARELY
7. RF
2 8. DK
9. (SKIP ERROR OR N/A)
3 Blank. Inap
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AC4 CAN RECALL DAY TO DAY EVENTS AT HOME
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH4
4. Can (s/he) recall day to day happenings around the house?
.................................................................................
423 1. USUALLY
289 2. SOMETIMES
140 3. RARELY
7. RF
1 8. DK
9. (SKIP ERROR OR N/A)
3 Blank. Inap
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AC5 CAN REMEMBER SHORT LIST OF ITEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH5
5. Can (s/he) remember a short list of items (shopping or things (s/he) needs to
do)?
.................................................................................
491 1. USUALLY
164 2. SOMETIMES
181 3. RARELY
7. RF
16 8. DK
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
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AC7MO MONTH NOTICED CHANGES IN SHORT TERM MEM
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH7MO
7. When did you first notice these changes in her/his memory for day to day
happenings [or her/his ability to remember a short list of items]
.................................................................................
36 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
5 98. DON'T KNOW
815 Blank. Inap
==========================================================================================
AC7YR YEAR NOTICED CHANGES IN SHORT TERM MEM
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH7YR
7. When did you first notice these changes in her/his memory for day to day
happenings [or her/his ability to remember a short list of items]
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
2 1980-1989. YEAR
11 1990-1999. YEAR
27 2000-2009. YEAR
1 9998. DON'T KNOW
815 Blank. Inap
==========================================================================================
AC7AGE AGE NOTICED CHANGES IN SHORT TERM MEMORY
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH7AGE
7. When did you first notice these changes in her/his memory for day to day
happenings [or her/his ability to remember a short list of items]
.................................................................................
20-29. AGE
1 30-39. AGE
2 40-49. AGE
7 50-59. AGE
60 60-69. AGE
224 70-79. AGE
194 80-89. AGE
37 90-99. AGE
5 100-109. AGE
110-119. AGE
30 998. DON'T KNOW
296 Blank. Inap
==========================================================================================
AC8 MEMORY FOR PAST MAJOR EVENTS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH8
8. Now how about her/his memory for events that happened a while ago. Does
(s/he) completely forget a major event (e.g. a trip, party, family wedding)
within a few weeks of the event?
.................................................................................
137 1. USUALLY
102 2. SOMETIMES
603 3. RARELY
7. REFUSED
11 8. DON'T KNOW
3 Blank. Inap
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AC9 FORGET PERTINENT DETAILS OF MAJOR EVENTS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH9
9. Does (s/he) forget pertinent details of the major event?
.................................................................................
162 1. USUALLY
165 2. SOMETIMES
514 3. RARELY
7. REFUSED
12 8. DON'T KNOW
3 Blank. Inap
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AC10 FORGET IMPORTANT INFO OF DISTANT PAST
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH10
10. Does (s/he) completely forget important information of the distant past
about (him/herself) or family and friends (e.g. birth date, wedding date,
employment, historical events, things that happened to (her/him) when young?
.................................................................................
107 1. USUALLY
114 2. SOMETIMES
624 3. RARELY
7. REFUSED
8 8. DON'T KNOW
3 Blank. Inap
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AC11 CAN REMEMBER OWN PHONE NUMBER
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH11
11. Can (s/he) remember her/his phone number?
.................................................................................
574 1. USUALLY
34 2. SOMETIMES
191 3. RARELY
7. REFUSED
52 8. DON'T KNOW
2 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC12MO MONTH NOTICED CHANGES IN LONG TERM MEM
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH13MO
13. When did you first notice these changes in memory for events that happened a
while ago or information (s/he) learned some time ago?
.................................................................................
25 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
827 Blank. Inap
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AC12YR YEAR NOTICED CHANGES IN LONG TERM MEM
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH13YR
13. When did you first notice these changes in memory for events that happened a
while ago or information (s/he) learned some time ago?
.................................................................................
1 1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
6 1990-1999. YEAR
22 2000-2009. YEAR
9998. DON'T KNOW
827 Blank. Inap
==========================================================================================
AC12AGE AGE NOTICED CHANGES IN LONG TERM MEMORY
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH13AGE
13. When did you first notice these changes in memory for events that happened a
while ago or information (s/he) learned some time ago?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
5 50-59. AGE
32 60-69. AGE
131 70-79. AGE
134 80-89. AGE
25 90-99. AGE
5 100-109. AGE
110-119. AGE
24 998. DON'T KNOW
500 Blank. Inap
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AC13 MORE DIFFICULTY REMEMBERING NAMES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH14
14. How about her/his memory for people(s names. Does (s/he) have more
difficulty now than in the past remembering people(s names?
.................................................................................
388 1. YES
457 2. NO
7. REFUSED
8 8. DON'T KNOW
3 Blank. Inap
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AC14 CAN REMEMBER NAMES OF FAMILY AND FRIENDS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH15
15. Can (s/he) remember the names of family and friends?
.................................................................................
684 1. USUALLY
106 2. SOMETIMES
58 3. RARELY
7. REFUSED
5 8. DON'T KNOW
3 Blank. Inap
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AC15 CAN RECALL NAMES OF DISTANT ACQUAINTANCES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH16
16. Can (s/he) remember the names of more distant acquaintances?
.................................................................................
426 1. USUALLY
265 2. SOMETIMES
146 3. RARELY
1 7. REFUSED
15 8. DON'T KNOW
3 Blank. Inap
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AC17MO MONTH NOTICED CHANGES REMEMBERING NAMES
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH18MO
18. When did you first notice changes in remembering people(s names?
.................................................................................
19 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
3 98. DON'T KNOW
834 Blank. Inap
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AC17YR YEAR NOTICED CHANGES REMEMBERING NAMES
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH18YR
18. When did you first notice changes in remembering people(s names?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1 1970-1979. YEAR
1980-1989. YEAR
5 1990-1999. YEAR
15 2000-2009. YEAR
1 9998. DON'T KNOW
834 Blank. Inap
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AC17AGE AGE NOTICED CHANGES REMEMBERING NAMES
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH18AGE
18. When did you first notice changes in remembering people(s names?
.................................................................................
20-29. AGE
1 30-39. AGE
1 40-49. AGE
5 50-59. AGE
34 60-69. AGE
146 70-79. AGE
157 80-89. AGE
27 90-99. AGE
3 100-109. AGE
110-119. AGE
48 998. DON'T KNOW
434 Blank. Inap
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AC18 MORE DIFFICULTY RECOGNIZING FACES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH19
19. And how about memory for people(s faces. Does (s/he) have more difficulty
than in the past recognizing familiar faces?
.................................................................................
187 1. YES
642 2. NO
7. REFUSED
24 8. DON'T KNOW
3 Blank. Inap
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AC20MO MONTH NOTICED CHANGES RECOGNIZING FACES
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH21MO
21. When did you first notice changes in recognizing people(s faces?
.................................................................................
9 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
1 98. DON'T KNOW
846 Blank. Inap
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AC20YR YEAR NOTICED CHANGES RECOGNIZING FACES
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH21YR
21. When did you first notice changes in recognizing people(s faces?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
4 1990-1999. YEAR
6 2000-2009. YEAR
9998. DON'T KNOW
846 Blank. Inap
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AC20AGE AGE NOTICED CHANGES RECOGNIZING FACES
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH21AGE
21. When did you first notice changes in recognizing people(s faces?
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
2 50-59. AGE
10 60-69. AGE
53 70-79. AGE
72 80-89. AGE
20 90-99. AGE
4 100-109. AGE
110-119. AGE
15 998. DON'T KNOW
679 Blank. Inap
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AC21 MEMORY PROBLEMS BEGIN SUDDENLY/SLOWLY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH22
22. Did [all of] these memory problems we talked about begin suddenly or slowly?
.................................................................................
528 1. SLOWLY
98 2. SUDDENLY
7. REFUSED
16 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
213 Blank. Inap
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AC23 MEMORY PROBLEMS PROGRESSED OR STABLE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH24
24. Have these memory problems progressed or stayed stable over time?
.................................................................................
322 1. PROGRESSED
310 2. STABLE
7. REFUSED
10 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
213 Blank. Inap
==========================================================================================
AC25 MEM PROBLEMS INTERFERE WITH DAILY LIFE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH25
25. Do these memory problems interfere with her/his activities of daily life?
For example, have they caused (her/him) to change daily activities, caused
difficulty in social activities, or in the way (s/he) relates to other people?
.................................................................................
54 1. LITTLE
74 2. SOME
161 3. MUCH
351 4. NO (Go to 28)
1 7. REFUSED
2 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
212 Blank. Inap
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AC26MO MONTH BEGAN TO INTERFERE WITH DAILY LIFE
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH26MO
26. When did they begin to interfere with her/his daily life?
.................................................................................
27 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
3 98. DON'T KNOW
826 Blank. Inap
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AC26YR YEAR BEGAN TO INTERFERE WITH DAILY LIFE
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH26YR
26. When did they begin to interfere with her/his daily life?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
7 1990-1999. YEAR
21 2000-2009. YEAR
1 9998. DON'T KNOW
826 Blank. Inap
==========================================================================================
AC26AGE AGE BEGANE TO INTERFERE WITH DAILY LIFE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH26AGE
26. When did they begin to interfere with her/his daily life?
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
4 50-59. AGE
16 60-69. AGE
95 70-79. AGE
113 80-89. AGE
20 90-99. AGE
3 100-109. AGE
110-119. AGE
7 998. DON'T KNOW
597 Blank. Inap
==========================================================================================
AC28 MORE DIFFICULTY WITH AWARENESS OF DATE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH28
28. Have you noticed that (s/he) has more difficulty than in the past with
[awareness of what the date is]
.................................................................................
355 1. YES
483 2. NO
7. REFUSED
15 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC29 HOW OFTEN KNOWS EXACT DATE OF MONTH
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH29
29. How often does (s/he) know the exact date of the month?
.................................................................................
483 1. USUALLY
129 2. SOMETIMES
216 3. RARELY
7. REFUSED
25 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC30 HOW OFTEN KNOWS EXACT MONTH
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH30
30. How often does (s/he) know the exact month?
.................................................................................
613 1. USUALLY
59 2. SOMETIMES
167 3. RARELY
7. REFUSED
14 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC31 HOW OFTEN KNOWS EXACT YEAR
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH31
31. How often does (s/he) know the day of the week?
.................................................................................
626 1. USUALLY
46 2. SOMETIMES
158 3. RARELY
7. REFUSED
23 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC32 HOW OFTEN KNOWS DAY OF THE WEEK
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH32
32. How often does (s/he) know the day of the week?
.................................................................................
543 1. USUALLY
117 2. SOMETIMES
182 3. RARELY
7. REFUSED
11 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC33 DIFFICULTY WITH AWARENESS OF TIME
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH33
33. Does (s/he) have difficulty with time relationships (when events happened in
relation to each other)?
.................................................................................
150 1. USUALLY
119 2. SOMETIMES
556 3. RARELY
7. REFUSED
28 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC35MO MONTH NOTICED CHANGES IN KNOWING DATE
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH35MO
35. When did you first notice these changes in knowing what the date is?
.................................................................................
32 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
3 98. DON'T KNOW
821 Blank. Inap
==========================================================================================
AC35YR YEAR NOTICED CHANGES IN KNOWING DATE
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH35YR
35. When did you first notice these changes in knowing what the date is?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
7 1990-1999. YEAR
28 2000-2009. YEAR
9998. DON'T KNOW
821 Blank. Inap
==========================================================================================
AC35AGE AGE NOTICED CHANGES IN KNOWING DATE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH35AGE
35. When did you first notice these changes in knowing what the date is?
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
4 50-59. AGE
34 60-69. AGE
114 70-79. AGE
143 80-89. AGE
24 90-99. AGE
3 100-109. AGE
1 110-119. AGE
47 998. DON'T KNOW
485 Blank. Inap
==========================================================================================
AC36 MORE DIFFICULTY FINDING WAY AROUND
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH36
36. Let(s talk about her/his ability to find her/his way around places. Does
(s/he) have more difficulty than in the past with finding his/her way around
familiar streets outside the neighborhood?
.................................................................................
288 1. YES
535 2. NO (go to 38)
7. REFUSED
26 8. DON'T KNOW
4 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC37 PROB FINDING WAY AROUND FAMILIAR STREETS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH37
37. How often does (s/he) have problems finding her/his way around familiar
streets outside his/her neighborhood?
.................................................................................
197 1. USUALLY
71 2. SOMETIMES
9 3. RARELY
7. REFUSED
10 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
568 Blank. Inap
==========================================================================================
AC38 PROB GETTING TO A PLACE IN NEIGHBORHOOD
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH38
38. Does (s/he) have trouble getting from one place to another in her/his
neighborhood?
.................................................................................
215 1. YES
617 2. NO
7. REFUSED
19 8. DON'T KNOW
2 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC39 HOW OFTEN TROUBLE GETTING PLACE TO PLACE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH39
39. How often does (s/he) have trouble getting from one place in her/his
neighborhood?
.................................................................................
171 1. USUALLY
34 2. SOMETIMES
6 3. RARELY
7. REFUSED
3 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
641 Blank. Inap
==========================================================================================
AC41MO MONTH NOTICED CHANGE FINDING WAY OUTDOORS
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH41MO
41. When did you first notice this change in her/his ability to find her/his way
around places outdoors?
.................................................................................
19 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
833 Blank. Inap
==========================================================================================
AC41YR YEAR NOTICED CHANGE FINDING WAY OUTDOORS
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH41YR
41. When did you first notice this change in her/his ability to find her/his way
around places outdoors?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
9 1990-1999. YEAR
14 2000-2009. YEAR
9998. DON'T KNOW
833 Blank. Inap
==========================================================================================
AC41AGE AGE NOTICED CHANGE FINDING WAY OUTDOORS
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH41AGE
41. When did you first notice this change in her/his ability to find her/his way
around places outdoors?
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
50-59. AGE
18 60-69. AGE
89 70-79. AGE
124 80-89. AGE
25 90-99. AGE
1 100-109. AGE
110-119. AGE
17 998. DON'T KNOW
581 Blank. Inap
==========================================================================================
AC42 MORE DIFFICULTY FINDING WAY INDOORS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH42
42. And now how about her/his ability to find her/his way around places indoors.
Does (s/he) have more difficulty now than in the past finding her/his way about
indoors, such as at the mall, in stores, or in her/his home?
.................................................................................
174 1. YES
669 2. NO
7. REFUSED
10 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC43 HOW OFTEN FIND WAY ABOUT INDOORS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH43
43. How often can (s/he) find her/his way about indoors? (Code for most impaired
environment)
.................................................................................
13 1. USUALLY
63 2. SOMETIMES
97 3. RARELY
7. REFUSED
1 8. DON'T KNOW
682 Blank. Inap
==========================================================================================
AC45MO MONTH NOTICED CHANGE FINDING WAY INDOORS
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH45MO
45. When did you first notice this change in her/his ability to find her/his way
around indoors?
.................................................................................
16 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
2 98. DON'T KNOW
838 Blank. Inap
==========================================================================================
AC45YR YEAR NOTICED CHANGE FINDING WAY INDOORS
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH45YR
45. When did you first notice this change in her/his ability to find her/his way
around indoors?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
5 1990-1999. YEAR
13 2000-2009. YEAR
9998. DON'T KNOW
838 Blank. Inap
==========================================================================================
AC45AGE AGE NOTICED CHANGE FINDING WAY INDOORS
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH45AGE
45. When did you first notice this change in her/his ability to find her/his way
around indoors?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
5 60-69. AGE
49 70-79. AGE
65 80-89. AGE
24 90-99. AGE
1 100-109. AGE
110-119. AGE
12 998. DON'T KNOW
700 Blank. Inap
==========================================================================================
AC46 PROBLEM WITH DATE/FINDING WAY PROGRESSED
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH46
46. Have these problems with knowing the date or finding (her/his) way outdoors
or indoors gotten worse over time? (Or if problems have recently started ask
(Have these problems gotten worse in the past year?()
.................................................................................
271 1. YES
145 2. NO
1 7. REFUSED
23 8. DON'T KNOW
4 9. (SKIP ERROR OR N/A)
412 Blank. Inap
==========================================================================================
AC48 PROB WITH DATE/FINDING WAY INTERFERE DAILY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH47
47. Do these problems interfere with her/his activities of daily life? For
example, have they caused (her/him) to change their daily activities, caused
difficulty in social activities, or in the way they relate to other people?
.................................................................................
31 1. LITTLE
54 2. SOME
163 3. MUCH
181 4. NO (go to 50)
1 7. REFUSED
10 8. DON'T KNOW
4 9. (SKIP ERROR OR N/A)
412 Blank. Inap
==========================================================================================
AC49MO MONTH DATE/FINDING WAY BEGAN TO INTERFERE
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH48MO
48. When did these problems begin to interfere with her/his daily life?
.................................................................................
21 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
831 Blank. Inap
==========================================================================================
AC49YR YEAR DATE/FINDING WAY BEGAN TO INTERFERE
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH48YR
48. When did these problems begin to interfere with her/his daily life?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
8 1990-1999. YEAR
16 2000-2009. YEAR
1 9998. DON'T KNOW
831 Blank. Inap
==========================================================================================
AC49AGE AGE DATE/FINDING WAY BEGAN TO INTERFERE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH48AGE
48. When did these problems begin to interfere with her/his daily life?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
13 60-69. AGE
70 70-79. AGE
106 80-89. AGE
25 90-99. AGE
2 100-109. AGE
110-119. AGE
6 998. DON'T KNOW
633 Blank. Inap
==========================================================================================
AC51 MORE TROUBLE FINDING WORDS/EXPRESSION
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH50
50. Let(s now talk about her/his language and her/his ability to understand what
(s/he) hears and sees. Does (s/he) have more trouble than in the past finding
the right word or expressing himself clearly?
.................................................................................
265 1. YES
587 2. NO
7. REFUSED
1 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC52 TALKS LESS THAN BEFORE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH51
51. Have you noticed that (s/he) talks less than before?
.................................................................................
125 1. LITTLE LESS
134 2. MUCH LESS
589 3. NO
7. REFUSED
5 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC53 MORE OFTEN SUBSTITUTES OR MAKES UP WORDS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH52
52. Compared to the past, does (s/he) more often substitute words or make up
words as (s/he) talks?
.................................................................................
129 1. YES
712 2. NO
7. REFUSED
11 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC54 STUTTER/BREAK OFF/LOSE TRAIN OF THOUGHT
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH53
53. Does (s/he) stutter, break off in the middle of a sentence, or show other
signs of losing her/his train of thought?
.................................................................................
257 1. YES
590 2. NO
7. REFUSED
5 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC55 HOW OFTEN LOSE TRAIN OF THOUGHT
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH54
54. If yes, how often does (s/he) show signs of losing her/his train of thought?
.................................................................................
96 1. USUALLY
147 2. SOMETIMES
13 3. RARELY
1 7. REFUSED
8. DON'T KNOW
599 Blank. Inap
==========================================================================================
AC57MO MONTH NOTICED CHANGES IN SPEECH/LANGUAGE
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH56MO
56. When did you first notice these changes in her/his speech and language?
.................................................................................
31 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
821 Blank. Inap
==========================================================================================
AC57YR YEAR NOTICED CHANGES IN SPEECH/LANGUAGE
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH56YR
56. When did you first notice these changes in her/his speech and language?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
8 1990-1999. YEAR
27 2000-2009. YEAR
9998. DON'T KNOW
821 Blank. Inap
==========================================================================================
AC57AGE AGE NOTICED CHANGES IN SPEECH/LANGUAGE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH56AGE
56. When did you first notice these changes in her/his speech and language?
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
7 50-59. AGE
20 60-69. AGE
140 70-79. AGE
146 80-89. AGE
28 90-99. AGE
4 100-109. AGE
110-119. AGE
26 998. DON'T KNOW
484 Blank. Inap
==========================================================================================
AC58 EVER LEARN TO READ IN HIS/HER LIFE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH57A
57A. Did (s/he) learn to read during his/her life? This question was added to
the interview in late 2002. For Respondents assessed prior to the addition of
these questions, these variables were coded '9'.
.................................................................................
388 1. YES
24 2. NO
1 7. REFUSED
2 8. DON'T KNOW
438 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC59 ABLE TO READ BOOKS OR NEWSPAPERS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH57B
57B. Has (s/he) been able to read newspapers, books, or magazines, either now or
at any earlier time? Note: This question was added to the interview in late
2002. For Respondents assessed prior to the addition of these questions, these
variables were coded '9'.
.................................................................................
383 1. YES
28 2. NO
1 7. REFUSED
3 8. DON'T KNOW
438 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC60 ABLE TO READ ENOUGH TO COMPLETE FORMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH57C
57C. Has (s/he) been able to read well enough to fill out forms such as a job
application, insurance form or taxes either now or at an earlier time? Note:
This question was added to the interview in late 2002. For Respondents assessed
prior to the addition of these questions, these variables were coded '9'.
.................................................................................
359 1. YES
47 2. NO
1 7. REFUSED
6 8. DON'T KNOW
440 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC61 READ LESS OFTEN THAN BEFORE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH57
57. Now let(s talk about how well (s/he) understands language. Does (s/he) read
books, magazines, or the newspaper less than (s/he) used to?
.................................................................................
92 1. LITTLE LESS
208 2. MUCH LESS
524 3. NO
1 7. REFUSED
21 8. DON'T KNOW
7 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC62 LESS ABLE TO UNDERSTAND WHAT IS READ
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH58
58. Does (s/he) seem less able to understand what (s/he) reads?
.................................................................................
59 1. LITTLE LESS
126 2. MUCH LESS
599 3. NO
1 7. REFUSED
59 8. DON'T KNOW
9 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC63 LESS ABLE TO UNDERSTAND TV
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH59
59. Does (s/he) seem less able to understand what (s/he) sees on TV?
.................................................................................
89 1. LITTLE LESS
116 2. MUCH LESS
610 3. NO
2 7. REFUSED
35 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC64 MORE PROB FOLLOWING SPOKEN INSTRUCTION
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH60
60. Does (s/he) have more difficulty than in the past understanding or following
spoken instructions?
.................................................................................
152 1. LITTLE MORE
121 2. MUCH MORE
575 3. NO
1 7. REFUSED
4 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC66MO MONTH NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH62MO
62. When did you first notice these changes in her/his ability to understand
language?
.................................................................................
20 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
832 Blank. Inap
==========================================================================================
AC66YR YEAR NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH62YR
62. When did you first notice these changes in her/his ability to understand
language?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
7 1990-1999. YEAR
16 2000-2009. YEAR
1 9998. DON'T KNOW
832 Blank. Inap
==========================================================================================
AC66AGE AGE NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH62AGE
62. When did you first notice these changes in her/his ability to understand
language?
.................................................................................
1 20-29. AGE
30-39. AGE
1 40-49. AGE
7 50-59. AGE
23 60-69. AGE
93 70-79. AGE
141 80-89. AGE
21 90-99. AGE
3 100-109. AGE
110-119. AGE
23 998. DON'T KNOW
543 Blank. Inap
==========================================================================================
AC67 HAVE VISION PROBLEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH63
63. Does (s/he) have any problems with vision?
.................................................................................
197 1. SOME
162 2. MUCH
488 3. NO (or adequately corrected)
1 7. REFUSED
5 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC68 DEGREE VISION PROB AFFECT LANGUAGE PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH64
64. How much are her/his problems with understanding what (s/he) reads and sees
due to problems with vision?
.................................................................................
73 1. SOME
47 2. MUCH
49 3. NOT AT ALL
7. REFUSED
14 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
672 Blank. Inap
==========================================================================================
AC69 HAVE HEARING PROBLEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH65
65. Does (s/he) have any problems with his/her hearing?
.................................................................................
55 1. YES, but hearing aids correct
232 2. SOME
142 3. MUCH
421 4. NO
1 7. REFUSED
2 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC70 DEGREE HEARING PROB AFFECT LANGUAGE PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH66
66. How much are her/his problems with language and understanding what (s/he)
hears due to problems with hearing?
.................................................................................
79 1. SOME
67 2. MUCH
31 3. NOT AT ALL
7. REFUSED
8 8. DON'T KNOW
671 Blank. Inap
==========================================================================================
AC71 LANGUAGE/COMP PROB BEGIN SUDDENLY/SLOWLY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH67
67. Did these problems with language and comprehension begin suddenly or slowly?
.................................................................................
63 1. SUDDENLY
261 2. SLOWLY
7. REFUSED
13 8. DON'T KNOW
519 Blank. Inap
==========================================================================================
AC72 LANGUAGE/COMP PROB PROGRESSED OR STABLE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH68
68. Have they gotten worse over time? Or if problems have recently started ask
(Have these problems gotten worse in the past year?(
.................................................................................
259 1. YES
71 2. NO
1 7. REFUSED
6 8. DON'T KNOW
519 Blank. Inap
==========================================================================================
AC75 LANGUAGE/COMP PROB INTERFERE DAILY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH70
70. Do these problems with language and comprehension interfere with her/his
daily life? For example, have they caused (her/him) to change her/his daily
activities, caused difficulty in social activities or in the way (s/he) relates
to other people?
.................................................................................
46 1. LITTLE
56 2. SOME
133 3. MUCH
98 4. NO (go to 73)
1 7. REFUSED
3 8. DON'T KNOW
519 Blank. Inap
==========================================================================================
AC76MO MONTH LANG/COMP PROB BEGAN TO INTERFERE
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH71MO
71. When did they begin to interfere with her/his daily activities?
.................................................................................
16 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
836 Blank. Inap
==========================================================================================
AC76YR YEAR LANG/COMP PROB BEGAN TO INTERFERE
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH71YR
71. When did they begin to interfere with her/his daily activities?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
7 1990-1999. YEAR
12 2000-2009. YEAR
1 9998. DON'T KNOW
836 Blank. Inap
==========================================================================================
AC76AGE AGE LANGUAGE/COMP PROB BEGAN TO INTERFERE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH71AGE
71. When did they begin to interfere with her/his daily activities?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
3 50-59. AGE
11 60-69. AGE
70 70-79. AGE
102 80-89. AGE
20 90-99. AGE
2 100-109. AGE
110-119. AGE
7 998. DON'T KNOW
641 Blank. Inap
==========================================================================================
AC78 MORE DIFFICULTY WITH HOUSEHOLD TASKS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH73
73. These next questions are about daily activities. First, does (s/he) have
more difficulty than in the past carrying out routine household tasks, such as
cooking, cleaning, laundry, taking out garbage, yard work, simple maintenance
and home repair?
.................................................................................
102 1. LITTLE
99 2. SOME
289 3. MUCH
359 4. NO
1 7. REFUSED
3 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC78A GIVEN UP PREVIOUS TASKS/RESPONSIBILITIES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH75
75. If changes in abilities reported, ask (Has (s/he) given up previous tasks or
responsibilities?
.................................................................................
420 1. YES
70 2. NO
7. REFUSED
8. DON'T KNOW
366 Blank. Inap
==========================================================================================
AC93 MORE DIFFICULTY USING FAMILIAR APPLIANCES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH77
Does (s/he) have more difficulty than in the past using familiar gadgets and
appliances such as the VCR, microwave or tools?
.................................................................................
42 1. LITTLE
43 2. SOME
193 3. MUCH
551 4. NO
1 7. REFUSED
22 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC94 MORE DIFFICULTY LEARNING NEW APPLIANCES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH78
78. Does (s/he) have more difficulty than in the past figuring out how to use
new appliances or gadgets?
.................................................................................
67 1. LITTLE
50 2. SOME
225 3. MUCH
453 4. NO
1 7. REFUSED
56 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC95 DAILY LIVING PROB DUE TO COG OR PHYS PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH79
79. Are these changes due to problems with thinking and memory or to physical
health problems?
.................................................................................
170 1. THINKING AND MEMORY
207 2. PHYSICAL HEALTH (specify)
159 3. BOTH (specify)
10 4. NEITHER
7. REFUSED
4 8. DON'T KNOW
306 Blank. Inap
==========================================================================================
AC96MO MONTH NOTICED CHANGES IN HOUSEHOLD TASKS
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH80MO
80. When did you first notice these changes in her/his ability to do household
tasks?
.................................................................................
25 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
827 Blank. Inap
==========================================================================================
AC96YR YEAR NOTICED CHANGES IN HOUSEHOLD TASKS
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH80YR
80. When did you first notice these changes in her/his ability to do household
tasks?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
6 1990-1999. YEAR
22 2000-2009. YEAR
1 9998. DON'T KNOW
827 Blank. Inap
==========================================================================================
AC96AGE AGE NOTICED CHANGES IN HOUSEHOLD TASKS
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH80AGE
80. When did you first notice these changes in her/his ability to do household
tasks?
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
11 50-59. AGE
45 60-69. AGE
192 70-79. AGE
211 80-89. AGE
34 90-99. AGE
5 100-109. AGE
110-119. AGE
22 998. DON'T KNOW
335 Blank. Inap
==========================================================================================
AC99 MORE DIFFICULTY PERFORMING HOBBIES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH81
81. Now I have a few questions about her/his hobbies. Does (s/he) have more
difficulty than in the past performing her/his hobbies? Hobbies may include
things like sewing, painting, handicrafts, reading, entertaining, photography,
gardening, going to theater or symphony, woodworking, participating in sports.
.................................................................................
118 1. LITTLE
96 2. SOME
263 3. MUCH
372 4. NO
1 7. REFUSED
3 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC102 CHANGES IN HOBBIES DUE TO COG OR PHYS PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH84
84. Are these changes due to problems with thinking and memory or physical
health problems?
.................................................................................
124 1. THINKING AND MEMORY
225 2. PHYSICAL HEALTH (specify)
116 3. BOTH (specify)
9 4. NEITHER
7. REFUSED
3 8. DON'T KNOW
379 Blank. Inap
==========================================================================================
AC103MO MONTH FIRST NOTICED CHANGES IN HOBBIES
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH85MO
85. When did you first notice these changes in her/his hobbies?
.................................................................................
26 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
826 Blank. Inap
==========================================================================================
AC103YR YEAR FIRST NOTICED CHANGES IN HOBBIES
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH85YR
85. When did you first notice these changes in her/his hobbies?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1 1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
9 1990-1999. YEAR
20 2000-2009. YEAR
9998. DON'T KNOW
826 Blank. Inap
==========================================================================================
AC103AGE AGE NOTICED CHANGES IN HOBBIES
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH85AGE
85. When did you first notice these changes in her/his hobbies?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
7 50-59. AGE
44 60-69. AGE
181 70-79. AGE
166 80-89. AGE
26 90-99. AGE
5 100-109. AGE
110-119. AGE
18 998. DON'T KNOW
409 Blank. Inap
==========================================================================================
AC104 EVER DRIVE A CAR
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH86
86. I am now going to ask you about some activities outside the home. Did
(s/he) ever drive a car?
.................................................................................
696 1. YES
151 2. NO
1 7. REFUSED
5 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC105 DRIVE A CAR NOW
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH87
87. Does (s/he) drive a car now?
.................................................................................
374 1. YES
322 2. NO
7. REFUSED
8. DON'T KNOW
160 Blank. Inap
==========================================================================================
AC106MO MONTH WHEN STOPPED DRIVING
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH88MO
88. When did (s/he) stop driving?
.................................................................................
15 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
837 Blank. Inap
==========================================================================================
AC106YR YEAR WHEN STOPPED DRIVING
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH88YR
88. When did (s/he) stop driving?
.................................................................................
1 1930-1939. YEAR
1940-1949. YEAR
1 1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
6 1990-1999. YEAR
10 2000-2009. YEAR
1 9998. DON'T KNOW
837 Blank. Inap
==========================================================================================
AC106AGE AGE WHEN STOPPED DRIVING
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH88AGE
88. When did (s/he) stop driving?
.................................................................................
1 20-29. AGE
2 30-39. AGE
8 40-49. AGE
8 50-59. AGE
35 60-69. AGE
110 70-79. AGE
115 80-89. AGE
13 90-99. AGE
100-109. AGE
110-119. AGE
11 998. DON'T KNOW
553 Blank. Inap
==========================================================================================
AC107 STOP DRIVING DUE TO MEM OR THINKING PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH89
89. Did (s/he) stop because of memory or thinking problems?
.................................................................................
111 1. YES
202 2. NO
7. REFUSED
9 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
533 Blank. Inap
==========================================================================================
AC108 HAVE DIFFICULTY DRIVING DUE TO MEM PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH90
90. Does (s/he) have difficulty driving or take risks driving because of
difficulties with memory or thinking?
.................................................................................
49 1. YES
317 2. NO
7. REFUSED
6 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
483 Blank. Inap
==========================================================================================
AC112 ABLE TO SHOP INDEPENDENTLY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH92
92. Is (s/he) able to independently shop for her/his needs?
.................................................................................
518 1. USUALLY
51 2. SOMETIMES (Shops for limited number of items, buys duplicate
items or forgets needed items)
279 3. RARELY (Needs to be accompanied on any shopping trip)
1 7. REFUSED
4 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC114MO MONTH NOTICED CHANGES IN ABILITY TO SHOP
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH94MO
94. When did you first notice changes in her/his ability to shop independently?
.................................................................................
16 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
6 98. DON'T KNOW
834 Blank. Inap
==========================================================================================
AC114YR YEAR NOTICED CHANGES IN ABILITY TO SHOP
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH94YR
94. When did you first notice changes in her/his ability to shop independently?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1 1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
7 1990-1999. YEAR
13 2000-2009. YEAR
9998. DON'T KNOW
834 Blank. Inap
==========================================================================================
AC114AGE AGE NOTICED CHANGES IN ABILITY TO SHOP
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH94AGE
94. When did you first notice changes in her/his ability to shop independently?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
4 50-59. AGE
26 60-69. AGE
99 70-79. AGE
136 80-89. AGE
23 90-99. AGE
3 100-109. AGE
110-119. AGE
17 998. DON'T KNOW
548 Blank. Inap
==========================================================================================
AC115 CAN CARRY OUT SOCIAL ACTIVITIES OUTSIDE HOME
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH95
95. Can (s/he) independently carry out social activities outside her/his home,
such as going to church, visiting with friends or family, political activities,
professional organizations, social clubs, service organizations, educational
programs?
.................................................................................
516 1. USUALLY (meaningful participation in activities, e.g.
voting)
94 2. SOMETIMES (limited and/or routine, e.g. superficial
participation in church or meetings, trips to beauty parlor)
239 3. RARELY OR NEVER (generally unable to perform activities
without help)
1 7. REFUSED
3 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC117MO MONTH NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH97MO
97. When did you first notice these changes in her/his ability to independently
do social activities?
.................................................................................
13 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
6 98. DON'T KNOW
837 Blank. Inap
==========================================================================================
AC117YR YEAR NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH97YR
97. When did you first notice these changes in her/his ability to independently
do social activities?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1 1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
6 1990-1999. YEAR
11 2000-2009. YEAR
9998. DON'T KNOW
837 Blank. Inap
==========================================================================================
AC117AGE AGE NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH97AGE
97. When did you first notice these changes in her/his ability to independently
do social activities?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
4 50-59. AGE
23 60-69. AGE
107 70-79. AGE
140 80-89. AGE
21 90-99. AGE
3 100-109. AGE
110-119. AGE
16 998. DON'T KNOW
542 Blank. Inap
==========================================================================================
AC118 CHANGES IN SOC ACTIVITIES DUE TO MEM/PHYS PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH98
98. Are these changes due to problems with thinking and memory or physical
health problems?
.................................................................................
122 1. THINKING AND MEMORY
106 2. PHYSICAL HEALTH (specify)
97 3. BOTH (specify)
6 4. NEITHER
7. REFUSED
2 8. DON'T KNOW
523 Blank. Inap
==========================================================================================
AC119 TAKEN TO SOCIAL FUNCTIONS OUTSIDE HOME
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH99
99. (If significantly impaired) Is (s/he) taken to social functions outside the
home?
.................................................................................
115 1. YES
88 2. NO
7. REFUSED
1 8. DON'T KNOW
16 9. (SKIP ERROR OR N/A)
636 Blank. Inap
==========================================================================================
AC121 WOULD CASUAL OBSERVER THINK SUBJ IS ILL
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH101
101. (Ask only when answer not evident) Would a casual observer think that
(NAME) was ill?
.................................................................................
115 1. YES
90 2. NO
7. REFUSED
6 8. DON'T KNOW
9 9. (SKIP ERROR OR N/A)
636 Blank. Inap
==========================================================================================
AC122 IF NH, PARTICIPATE WELL IN SOC FUNCTIONS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH102
102. (If in nursing home) Does (s/he) participate well in social functions?
.................................................................................
47 1. YES
61 2. NO
7. REFUSED
2 8. DON'T KNOW
110 9. (SKIP ERROR OR N/A)
636 Blank. Inap
==========================================================================================
AC122A IWER RATING, HOUSEHOLD CHORES
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH103
103.(Interviewer rating - no need to ask informant) At which of the levels
below is (s/he) able to perform household chores?
.................................................................................
303 1. Normal function in usual activities
215 2. Functions in usual activities but not at usual level
77 3. Functions independently in some activities
89 4. (operates appliances, such as vacuum, prepares simple meals)
Functions in limited activities only
166 5. (with some supervision washes dishes with acceptable
cleanliness, sets table) No meaningful function
6. (performs simple activities such as making a bed, only with
much supervision)
1 7. Refused
1 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC123 MORE DIFFICULTY WITH FINANCIAL TASKS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH104
104. Does (s/he) have more difficulty than in the past taking care of financial
tasks such as paying bills?
.................................................................................
323 1. YES
512 2. NO
1 7. REFUSED
16 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC124 ABILITY WITH COMPLICATED FINANCIAL TASKS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH105
105. Rate her/his ability to handle complicated financial or business
transactions (e.g. balancing a checkbook, paying bills, doing banking, handling
investments)?
.................................................................................
477 1. NO LOSS
126 2. SOME LOSS
221 3. SEVERE LOSS
1 7. REFUSED
27 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC125 WHO HANDLES BILLS NOW IN HOME
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH106
106. Who handles the bills now in (his/her) house?
.................................................................................
341 1. RESPONDENT
376 2. INORMANT
78 3. OTHER RELATIVE
52 4. OTHER (specify)
1 7. REFUSED
5 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC126 IS WHO HANDLES BILLS A CHANGE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH107
107. Is this a change and, if so, why was the change made?
.................................................................................
343 1. R NO CHANGE
240 2. OTHER NO CHANGE
263 3. CHANGE FROM R (specify)
1 7. REFUSED
6 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC127MO MONTH BILL CHANGE WAS MADE
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH108MO
108. (If change from R) When did this change occur?
.................................................................................
14 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
3 98. DON'T KNOW
839 Blank. Inap
==========================================================================================
AC127YR YEAR BILL CHANGE WAS MADE
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH108YR
108. (If change from R) When did this change occur?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
6 1990-1999. YEAR
10 2000-2009. YEAR
9998. DON'T KNOW
839 Blank. Inap
==========================================================================================
AC127AGE AGE BILL CHANGE WAS MADE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH108AGE
108. (If change from R) When did this change occur?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
17 60-69. AGE
78 70-79. AGE
123 80-89. AGE
21 90-99. AGE
2 100-109. AGE
110-119. AGE
8 998. DON'T KNOW
607 Blank. Inap
==========================================================================================
AC128 RATE ABILITY WITH SMALL SUMS OF MONEY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH109
109. Rate her/his ability to handle small sums of money (e.g. making change,
leaving a small tip, shopping)
.................................................................................
642 1. NO LOSS
52 2. SOME LOSS
143 3. SEVERE LOSS
1 7. REFUSED
15 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC130MO MONTH NOTICED CHANGES IN HANDLING MONEY
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH111MO
111. When did you first notice changes in her/his ability to handle money?
.................................................................................
19 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
6 98. DON'T KNOW
831 Blank. Inap
==========================================================================================
AC130YR YEAR NOTICED CHANGES IN HANDLING MONEY
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH111YR
111. When did you first notice changes in her/his ability to handle money?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
7 1990-1999. YEAR
16 2000-2009. YEAR
1 9998. DON'T KNOW
831 Blank. Inap
==========================================================================================
AC130AGE AGE NOTICED CHANGES IN HANDLING MONEY
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH111AGE
111. When did you first notice changes in her/his ability to handle money?
.................................................................................
20-29. AGE
1 30-39. AGE
1 40-49. AGE
3 50-59. AGE
21 60-69. AGE
99 70-79. AGE
144 80-89. AGE
28 90-99. AGE
3 100-109. AGE
110-119. AGE
44 998. DON'T KNOW
512 Blank. Inap
==========================================================================================
AC133 RATE ABILITY TO PRESENTLY SOLVE PROBLEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH112
112. In general, if you had to rate her/his abilities to solve problems at the
present time, would you consider them
.................................................................................
341 1. AS GOOD AS THEY HAVE EVER BEEN
205 2. GOOD, BUT NOT AS GOOD AS BEFORE
118 3. FAIR
77 4. POOR
105 5. NO ABILITY AT ALL
1 7. REFUSED
6 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC134 IDEAS SEEM LESS LOGICAL/MAKE LESS SENSE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH113
113. Do her/his ideas seem to be less logical, or does (s/he) make less sense
then (s/he) used to?
.................................................................................
161 1. SOME LESS
137 2. MUCH LESS
547 3. NO
1 7. REFUSED
7 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC135 MORE DIFFICULTY MAKING DAILY DECISIONS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH114
114. Does (she) have more difficulty than in the past making decisions on
everyday matters? Using her/his intelligence to understand what(s going on and
to reason things through? (e.g. knowing how much food to buy or making
decisions about car maintenance)?
.................................................................................
122 1. SOME MORE
163 2. MUCH MORE
556 3. NO
1 7. REFUSED
11 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC136 MORE TROUBLE TRUSTING SUBJ JUDGEMENT
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH115
115. Do you have more trouble than in the past trusting her/his judgment?
Trusting her/his ability to make sound decisions about personal safety, family
or financial matters?
.................................................................................
151 1. SOME TROUBLE
192 2. MUCH TROUBLE
504 3. NO TROUBLE
1 7. REFUSED
5 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC138MO MONTH NOTICED CHANGE IN TRUST
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH117MO
117. When did you first notice these changes?
.................................................................................
21 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
5 98. DON'T KNOW
830 Blank. Inap
==========================================================================================
AC138YR YEAR NOTICED CHANGE IN TRUST
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH117YR
117. When did you first notice these changes?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
8 1990-1999. YEAR
17 2000-2009. YEAR
9998. DON'T KNOW
830 Blank. Inap
==========================================================================================
AC138AGE AGE NOTICED CHANGE IN TRUST
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH117AGE
117. When did you first notice these changes?
.................................................................................
20-29. AGE
1 30-39. AGE
1 40-49. AGE
3 50-59. AGE
30 60-69. AGE
146 70-79. AGE
137 80-89. AGE
26 90-99. AGE
5 100-109. AGE
110-119. AGE
28 998. DON'T KNOW
479 Blank. Inap
==========================================================================================
AC140 CAN HANDLE A HOUSEHOLD EMERGENCY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH118
118. Can (s/he) handle a household emergency (e.g. small fire, plumbing leak)?
Do they know how to handle the situation - not can they fix it themselves.
.................................................................................
563 1. AS WELL AS BEFORE
197 2. WORSE THAN BEFORE BECAUSE OF TROUBLE TNINKING
81 3. WORSE THAN BEFORE, ANOTHER REASON WHY
2 7. REFUSED
10 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC142MO MONTH NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH120MO
120. When did you first notice changes in her/his ability to handle household
emergencies?
.................................................................................
16 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
3 98. DON'T KNOW
837 Blank. Inap
==========================================================================================
AC142YR YEAR NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH120YR
120. When did you first notice changes in her/his ability to handle household
emergencies?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
5 1990-1999. YEAR
13 2000-2009. YEAR
9998. DON'T KNOW
837 Blank. Inap
==========================================================================================
AC142AGE AGE NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH120AGE
120. When did you first notice changes in her/his ability to handle household
emergencies?
.................................................................................
20-29. AGE
1 30-39. AGE
40-49. AGE
2 50-59. AGE
17 60-69. AGE
87 70-79. AGE
109 80-89. AGE
23 90-99. AGE
4 100-109. AGE
110-119. AGE
16 998. DON'T KNOW
597 Blank. Inap
==========================================================================================
AC143 CAN UNDERSTAND SITUATIONS/EXPLANATIONS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH121
122. Can (s/he) understand situations or explanations? (Does (s/he) understand
what is going on around them?)
.................................................................................
666 1. USUALLY
117 2. SOMETIMES
65 3. RARELY
2 7. REFUSED
3 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC145MO MONTH NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH123MO
123 When did you first notice changes in her/his ability to understand
situations or explanations?
.................................................................................
6 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
1 98. DON'T KNOW
849 Blank. Inap
==========================================================================================
AC145YR YEAR NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH123YR
123 When did you first notice changes in her/his ability to understand
situations or explanations?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
3 1990-1999. YEAR
4 2000-2009. YEAR
9998. DON'T KNOW
849 Blank. Inap
==========================================================================================
AC145AGE AGE NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH123AGE
123 When did you first notice changes in her/his ability to understand
situations or explanations?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
11 60-69. AGE
60 70-79. AGE
72 80-89. AGE
18 90-99. AGE
3 100-109. AGE
110-119. AGE
10 998. DON'T KNOW
681 Blank. Inap
==========================================================================================
AC147 BEHAVE APPROPRIATELY SOCIAL SITUATIONS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH124
124. Does (s/he) behave appropriately (i.e. the way (s/he) has always behaved
during her/his adult life) in social situations and interactions with people?
.................................................................................
715 1. USUALLY
88 2. SOMETIMES
45 3. RARELY
1 7. REFUSED
3 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC149MO MONTH NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH126MO
126. When did you first notice these changes?
.................................................................................
7 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
2 98. DON'T KNOW
847 Blank. Inap
==========================================================================================
AC149YR YEAR NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH126YR
126. When did you first notice these changes?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
3 1990-1999. YEAR
6 2000-2009. YEAR
9998. DON'T KNOW
847 Blank. Inap
==========================================================================================
AC149AGE AGE NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH126AGE
126. When did you first notice these changes?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
2 50-59. AGE
8 60-69. AGE
43 70-79. AGE
52 80-89. AGE
11 90-99. AGE
1 100-109. AGE
110-119. AGE
8 998. DON'T KNOW
731 Blank. Inap
==========================================================================================
ACINFPHONE INFORM. QUESTIONS ANSWERED VIA PHONE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: INFPHONE
CLINICAL HISTORY INFORMATION OBTAINED VIA TELEPHONE
.................................................................................
51 1. YES, TELEPHONE INTERVIEW
805 Blank. Inap
==========================================================================================
AC150 DIFFICULTY DRESSING SELF
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH127
127. Does (s/he) have difficulty with dressing himself/herself?
.................................................................................
250 1. YES
602 2. NO
1 7. REFUSED
8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC152 DRESSING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH129
129. Is this due to physical/health problems or memory/thinking problems?
.................................................................................
75 1. THINKING AND MEMORY
100 2. PHYSICAL HEALTH (specify)
75 3. BOTH (specify)
4. NEITHER
7. REFUSED
8. DON'T KNOW
606 Blank. Inap
==========================================================================================
AC153 DIFFICULTY FEEDING SELF
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH130
130. Does (s/he) have difficulty with feeding her/himself?
.................................................................................
114 1. YES
737 2. NO
1 7. REFUSED
1 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC155 FEEDING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH132
132. Is this due to physical/health problems or memory/thinking problems?
.................................................................................
41 1. THINKING AND MEMORY
34 2. PHYSICAL HEALTH (specify)
37 3. BOTH (specify)
4. NEITHER
7. REFUSED
2 8. DON'T KNOW
742 Blank. Inap
==========================================================================================
AC156 DIFFICULTY BATHING OR WASHING
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH133
133. Does (s/he) have difficulty with bathing or washing?
.................................................................................
256 1. YES
593 2. NO
1 7. REFUSED
3 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC158 BATHING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH135
135. Is this due to physical/health problems or memory/thinking problems?
.................................................................................
60 1. THINKING AND MEMORY
122 2. PHYSICAL HEALTH (specify)
74 3. BOTH (specify)
4. NEITHER
7. REFUSED
8. DON'T KNOW
600 Blank. Inap
==========================================================================================
AC159 NEED PROMPTING FOR HYGIENE TASKS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH136
136. Does (s/he) need prompting to get dressed, to wash or do other hygiene
tasks?
.................................................................................
202 1. YES
639 2. NO
1 7. REFUSED
8 8. DON'T KNOW
3 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC160 DIFFICULTY PERFORMING WELL LEARNED TASKS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH137
137. Does (s/he) have difficulty performing well-learned tasks such as tying
shoes, tying a tie, putting on clothes in the correct order or brushing teeth?
.................................................................................
162 1. YES
679 2. NO
1 7. REFUSED
11 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC161AMO MONTH PROBLEMS WITH DRESSING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138AMO
138. When did these [DRESSING] difficulties begin?
.................................................................................
20 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
4 98. DON'T KNOW
832 Blank. Inap
==========================================================================================
AC161AYR YEAR PROBLEMS WITH DRESSING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH138AYR
138. When did these [DRESSING] difficulties begin?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
6 1990-1999. YEAR
18 2000-2009. YEAR
9998. DON'T KNOW
832 Blank. Inap
==========================================================================================
AC161AAGE AGE PROBLEMS WITH DRESSING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH138AAGE
138. When did these [DRESSING] difficulties begin?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
2 50-59. AGE
10 60-69. AGE
69 70-79. AGE
104 80-89. AGE
29 90-99. AGE
4 100-109. AGE
110-119. AGE
8 998. DON'T KNOW
630 Blank. Inap
==========================================================================================
AC161BMO MONTH PROBLEMS WITH FEEDING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138BMO
138. When did these [FEEDING] difficulties begin?
.................................................................................
4 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
2 98. DON'T KNOW
850 Blank. Inap
==========================================================================================
AC161BYR YEAR PROBLEMS WITH FEEDING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH138BYR
138. When did these [FEEDING] difficulties begin?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
2 1990-1999. YEAR
4 2000-2009. YEAR
9998. DON'T KNOW
850 Blank. Inap
==========================================================================================
AC161BAGE AGE PROBLEMS WITH FEEDING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH138BAGE
138. When did these [FEEDING] difficulties begin?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
6 60-69. AGE
30 70-79. AGE
45 80-89. AGE
17 90-99. AGE
4 100-109. AGE
110-119. AGE
5 998. DON'T KNOW
748 Blank. Inap
==========================================================================================
AC161CMO MONTH PROBLEMS WITH BATHING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138CMO
138. When did these [BATHING] difficulties begin?
.................................................................................
23 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
3 98. DON'T KNOW
830 Blank. Inap
==========================================================================================
AC161CYR YEAR PROBLEMS WITH BATHING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH138CYR
138. When did these [BATHING] difficulties begin?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
7 1990-1999. YEAR
19 2000-2009. YEAR
9998. DON'T KNOW
830 Blank. Inap
==========================================================================================
AC161CAGE AGE PROBLEMS WITH BATHING BEGAN
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH138CAGE
138. When did these [BATHING] difficulties begin?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
11 60-69. AGE
61 70-79. AGE
114 80-89. AGE
30 90-99. AGE
5 100-109. AGE
110-119. AGE
8 998. DON'T KNOW
999. NA
626 Blank. Inap
==========================================================================================
AC161DMO MONTH PROB WITH WELL LEARNED TASKS BEGAN
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138DMO
138. When did these [WELL LEARNED TASKS] difficulties begin?
.................................................................................
15 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
3 98. DON'T KNOW
838 Blank. Inap
==========================================================================================
AC161DYR YEAR PROB WITH WELL LEARNED TASKS BEGAN
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH138DYR
138. When did these [WELL LEARNED TASKS] difficulties begin?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
5 1990-1999. YEAR
13 2000-2009. YEAR
9998. DON'T KNOW
838 Blank. Inap
==========================================================================================
AC161DAGE AGE PROB WITH WELL LEARNED TASKS BEGAN
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH138DAGE
138. When did these [WELL LEARNED TASKS] difficulties begin?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
5 60-69. AGE
47 70-79. AGE
53 80-89. AGE
17 90-99. AGE
2 100-109. AGE
110-119. AGE
18 998. DON'T KNOW
1 999. NA
712 Blank. Inap
==========================================================================================
AC162 DIFFICULTY CONTROLLING BLADDER
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH139
139. Does (s/he) have difficulties controlling her/his bladder?
.................................................................................
298 1. YES
544 2. NO
2 7. REFUSED
9 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC163 FREQUENCY OF BLADDER CONTROL PROBLEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH140
140. How frequently does (s/he) have problems?
.................................................................................
180 1. DAILY
63 2. ONCE A WEEK
20 3. 1-3 TIMES/MONTH
20 4. LESS THAN 1 TIME/MONTH
7. REFUSED
15 8. DON'T KNOW
558 Blank. Inap
==========================================================================================
AC164MO MONTH NOTICED PROB CONTROLLING BLADDER
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH141MO
141. When did you first notice this difficulty with controlling her/his bladder?
.................................................................................
19 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
2 98. DON'T KNOW
835 Blank. Inap
==========================================================================================
AC164YR YEAR NOTICED PROB CONTROLLING BLADER
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH141YR
141. When did you first notice this difficulty with controlling her/his bladder?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
4 1990-1999. YEAR
17 2000-2009. YEAR
9998. DON'T KNOW
835 Blank. Inap
==========================================================================================
AC164AGE AGE NOTICED PROB CONTROLLING BLADDER
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH141AGE
141. When did you first notice this difficulty with controlling her/his bladder?
.................................................................................
20-29. AGE
30-39. AGE
3 40-49. AGE
3 50-59. AGE
15 60-69. AGE
84 70-79. AGE
116 80-89. AGE
35 90-99. AGE
4 100-109. AGE
110-119. AGE
17 998. DON'T KNOW
579 Blank. Inap
==========================================================================================
AC165 BLADDER DIFFICULTY DUE TO PHY OR COG PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH142
142. Do you think this difficulty is due to physical/health reasons or due to
problems with memory and thinking?
.................................................................................
48 1. THINKING/MEMORY
191 2. PHYSICAL HEALTH (specify)
43 3. BOTH (specify)
1 4. NEITHER
7. REFUSED
14 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
558 Blank. Inap
==========================================================================================
AC166 DIFFICULTY CONTROLLING BOWELS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH143
143. Does (s/he) have difficulties controlling her/his bowels?
.................................................................................
157 1. YES
680 2. NO
2 7. REFUSED
14 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC167 FREQUENCY OF BOWEL CONTROL PROBLEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH144
144. How frequently does (s/he) have problems?
.................................................................................
157 1. DAILY
2. ONCE A WEEK
3. 1-3 TIMES/MONTH
4. LESS THAN 1 TIME/MONTH
7. REFUSED
8. DON'T KNOW
699 Blank. Inap
==========================================================================================
AC168MO MONTH NOTICED PROBLEM CONTROLLING BOWELS
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH145MO
145. When did you first notice this difficulty with controlling her/his bowels?
.................................................................................
8 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
1 98. DON'T KNOW
847 Blank. Inap
==========================================================================================
AC168YR YEAR NOTICED PROBLEM CONTROLLING BOWELS
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH145YR
145. When did you first notice this difficulty with controlling her/his bowels?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
1 1990-1999. YEAR
7 2000-2009. YEAR
1 9998. DON'T KNOW
847 Blank. Inap
==========================================================================================
AC168AGE AGE NOTICED PROBLEM CONTROLLING BOWELS
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH145AGE
145. When did you first notice this difficulty with controlling her/his bowels?
.................................................................................
1 20-29. AGE
30-39. AGE
1 40-49. AGE
1 50-59. AGE
5 60-69. AGE
37 70-79. AGE
65 80-89. AGE
26 90-99. AGE
3 100-109. AGE
110-119. AGE
9 998. DON'T KNOW
708 Blank. Inap
==========================================================================================
AC169 BOWEL PROBLEM DUE TO PHY OR COG PROBLEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH146
146. Do you think this problem is due to physical/health reasons or due to
problems with memory and thinking?
.................................................................................
40 1. THINKING/MEMORY
73 2. PHYSICAL HEALTH (specify)
39 3. BOTH (specify)
4. NEITHER
7. REFUSED
5 8. DON'T KNOW
699 Blank. Inap
==========================================================================================
AC170 NOTICED CHANGES IN PERSONALITY/BEHAVIOR
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH147
147. In addition to the changes we have already discussed, have you noticed any
changes in (NAMES) personality or behavior over time? For example, has (s/he)
been less conscientious, considerate, sociable, flexible, more irritable, more
suspicious or argumentative?
.................................................................................
235 1. A LITTLE CHANGE
143 2. A BIG CHANGE
472 3. NO CHANGE
1 7. REFUSED
2 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC173MO MONTH NOTICED CHANGES IN PERSONALITY
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH149MO
149. When did you first notice changes in her/his personality or behavior?
.................................................................................
21 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
6 98. DON'T KNOW
829 Blank. Inap
==========================================================================================
AC173YR YEAR NOTICED CHANGES IN PERSONALITY
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH149YR
149. When did you first notice changes in her/his personality or behavior?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
8 1990-1999. YEAR
18 2000-2009. YEAR
9998. DON'T KNOW
829 Blank. Inap
==========================================================================================
AC173AGE AGE NOTICED CHANGES IN PERSONALITY
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH149AGE
149. When did you first notice changes in her/his personality or behavior?
.................................................................................
20-29. AGE
30-39. AGE
2 40-49. AGE
5 50-59. AGE
35 60-69. AGE
143 70-79. AGE
138 80-89. AGE
19 90-99. AGE
100-109. AGE
110-119. AGE
9 998. DON'T KNOW
505 Blank. Inap
==========================================================================================
AC174 BECOME MORE DEPENDENT ON INFORMANT
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH150
150. Has (s/he) become more dependent on you?
.................................................................................
220 1. A LITTLE MORE
302 2. A LOT MORE
326 3. NO
1 7. REFUSED
2 8. DON'T KNOW
2 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC176 DOES INFORM DO MORE FOR SUB THAN IN PAST
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH152
152. Do you do more for (her/him) than you used to do?
.................................................................................
219 1. A LITTLE MORE
291 2. A LOT MORE
338 3. NO
1 7. REFUSED
2 8. DON'T KNOW
2 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
AC177 DO MORE BECAUSE OF SUB PHY OR COG HEALTH
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH153
153. Do you do more for her/him now than you used to because of:
.................................................................................
107 1. THINKING/MEMORY
168 2. PHYSICAL HEALTH (specify)
188 3. BOTH (specify)
44 4. NEITHER
7. REFUSED
2 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
346 Blank. Inap
==========================================================================================
AC179 MORE NERVOUS/FRUSTRATED WITH MEM TROUBLE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH155
155. When (s/he) seems to be having trouble with her/his memory or other
problems does it make (her/him) more nervous or frustrated than in the past?
.................................................................................
199 1. A LITTLE MORE
110 2. A LOT MORE
292 3. NO
1 7. REFUSED
9 8. DON'T KNOW
19 9. (SKIP ERROR OR N/A)
226 Blank. Inap
==========================================================================================
AC181 FIRST PERSON TO NOTICE R MEM PROBLEMS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH157
157. Were you the first person to notice (NAMEs) problems with memory and
thinking?
.................................................................................
398 1. YES
166 2. NO
1 7. REFUSED
44 8. DON'T KNOW
21 9. (SKIP ERROR OR N/A)
226 Blank. Inap
==========================================================================================
AC183 RELATIONSHIP TO SUBJECT
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH159
159. Relationship to Respondent
.................................................................................
26 1. SPOUSE
72 2. CHILD
7 3. SIBLING
4. PARENT
9 5. FRIEND
6. GUARDIAN
5 7. NEIGHBOR
40 8. OTHER (SPECIFY)
97. REFUSED
10 98. DON'T KNOW
687 Blank. Inap
==========================================================================================
AC184 MEMORY PROBLEMS FLUCTUATE DAY TO DAY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH160
160. Do the memory (language) problems fluctuate from day-to-day to such an
extent that some days (s/he) seems normal and other days (s/he) has very marked
problems?
.................................................................................
133 1. YES
321 2. NO
1 7. REFUSED
10 8. DON'T KNOW
7 9. (SKIP ERROR OR N/A)
384 Blank. Inap
==========================================================================================
AC186 LEVEL OF ALERTNESS FLUCTUATE DAY TO DAY
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH162
162. Does (her/his) level of alertness fluctuate day-to-day to the extent that
some days (s/he) can barely stay awake and some days (s/he) is quite awake and
alert?
.................................................................................
151 1. YES
308 2. NO
1 7. REFUSED
8 8. DON'T KNOW
7 9. (SKIP ERROR OR N/A)
381 Blank. Inap
==========================================================================================
AC189 IS SUBJECT CURRENTLY EMPLOYED
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH164
164. Is (Name) currently employed?
.................................................................................
54 1. YES
722 2. NO
75 3. NA (never worked outside the home)
1 7. REFUSED
1 8. DON'T KNOW
3 Blank. Inap
==========================================================================================
AC191 WORK TROUBLE DUE TO MEMORY/THINKING PROB
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH166
166. Is (s/he) having significant trouble at work because of memory or thinking
problems? (e.g. missed promotions, poorer evaluations, or anything that might
indicate (s/he) is not working as well as in the past).
.................................................................................
1. USUALLY
3 2. SOMETIMES
50 3. RARELY OR NEVER
1 7. REFUSED
1 8. DON'T KNOW
801 Blank. Inap
==========================================================================================
AC192 AT WHAT AGE DID SUBJECT RETIRE
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH167
167. At what age did (s/he) retire?
.................................................................................
7 20-29. AGE
11 30-39. AGE
16 40-49. AGE
82 50-59. AGE
426 60-69. AGE
86 70-79. AGE
20 80-89. AGE
90-99. AGE
100-109. AGE
110-119. AGE
74 998. DON'T KNOW
134 Blank. Inap
==========================================================================================
AC195 MEM PROB CONTRIBUTE TO DECISION TO RETIRE
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH170
170. Did memory or thinking problems contribute to her/his decision to retire?
.................................................................................
18 1. YES
684 2. NO
7. REFUSED
18 8. DON'T KNOW
136 Blank. Inap
==========================================================================================
AC196MO MONTH MEMORY/THINKING PROBLEMS BEGAN
Section: AC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171MO
171. When did these problems begin?
.................................................................................
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
2 98. DON'T KNOW
854 Blank. Inap
==========================================================================================
AC196YR YEAR MEMORY/THINKING PROBLEMS BEGAN
Section: AC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH171YR
171. When did these problems begin?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
1 1990-1999. YEAR
2000-2009. YEAR
9998. DON'T KNOW
854 Blank. Inap
==========================================================================================
AC196AGE AGE MEMORY/THINKING PROBLEMS BEGAN
Section: AC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH171AGE
171. When did these problems begin?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
4 50-59. AGE
7 60-69. AGE
3 70-79. AGE
2 80-89. AGE
90-99. AGE
100-109. AGE
110-119. AGE
3 998. DON'T KNOW
837 Blank. Inap
==========================================================================================
AC199 ANY MAJOR CHANGE IN ACTIVITIES/INTERESTS
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH174
174. Have there been any major change in her/his activities or interests?
.................................................................................
308 1. YES
537 2. NO
1 7. REFUSED
5 8. DON'T KNOW
2 9. (SKIP ERROR OR N/A)
3 Blank. Inap
==========================================================================================
ACSPANVIS CLINICAL HISTORY SECTION DONE IN SPANISH
Section: AC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SPANVIS
SPANISH VERSION OF CLINICAL HISTORY FORM USED
.................................................................................
54 1. SPANISH VERSION OF FORM
802 Blank. Inap
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