==========================================================================================
Section BC: CLINICAL HISTORY - FOLLOW-UP VISIT (Respondent)
==========================================================================================
HHID HRS HOUSEHOLD IDENTIFIER
Section: BC Level: Respondent Type: Character Width: 6 Decimals: 0
This variable uniquely identifies an original HRS household across waves.
.................................................................................
252 010059-213468. Household Identification Number
Blank. Inap
==========================================================================================
PN HRS PERSON NUMBER
Section: BC 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.
.................................................................................
160 010. Person Number
6 011. Person Number
56 020. Person Number
1 021. Person Number
11 030. Person Number
17 040. Person Number
1 041. Person Number
Blank. Inap
==========================================================================================
ADAMSSID ADAMS SUBJECT IDENTIFIER
Section: BC Level: Respondent Type: Character Width: 5 Decimals: 0
This variable identifies an ADAMS subject in the ADAMS data files.
.................................................................................
252 00021-21311. ADAMS Subject Identification Number
Blank. Inap
==========================================================================================
BCDONE WHETHER CLINICAL HISTORY COMPLETED
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CHDONE
CLINICAL HISTORY SECTION COMPLETED?
.................................................................................
246 1. YES
6 2. NO
Blank. Inap
==========================================================================================
BCRELATC INFORMANT RELATIONSHIP TO R - CLIN HX
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: RELATC
A1. What is your relationship to (NAME)?
.................................................................................
87 1. SPOUSE
90 2. CHILD
6 3. SIBLING
4. PARENT
12 5. FRIEND
6. GUARDIAN
1 7. NEIGHBOR
52 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
4 Blank. Inap
==========================================================================================
BCKNOWNC HOW LONG INFORMANT HAS KNOWN R -CLIN HX
Section: BC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWNC
A2. How long have you known (NAME)?
.................................................................................
23 1-19. YEARS
14 20-29. YEARS
18 30-39. YEARS
40 40-49. YEARS
90 50-59. YEARS
47 60-69. YEARS
13 70-79. YEARS
3 80-89. YEARS
90-99. YEARS
998. DON'T KNOW
4 Blank. Inap
==========================================================================================
BCSEEC HOW OFTEN INFORM SAW R LAST YR-CLINHX
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEEC
A3. On the average, in the past year, how often did you see (NAME)?
.................................................................................
126 1. LIVES WITH SUBJECT
36 2. DAILY
45 3. SEVERAL TIMES/WEEK
18 4. ONCE A WEEK
11 5. ONE-THREE TIMES A MONTH
6 6. LESS THAN ONCE A MONTH
1 7. NEVER
5 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
4 Blank. Inap
==========================================================================================
BCRELAT2C RELATIONSHIP OF 2ND INFORM TO R -CLINHX
Section: BC 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. SPOUSE
2. CHILD
3. SIBLING
4. PARENT
5. FRIEND
6. GUARDIAN
7. NEIGHBOR
5 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
247 Blank. Inap
==========================================================================================
BCKNOWN2C HOW LONG 2ND INFORM HAS KNOWN R -CLINHX
Section: BC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWN2C
A2. How long have you known (NAME)?
.................................................................................
3 1-19. YEARS
20-29. YEARS
1 30-39. YEARS
40-49. YEARS
50-59. YEARS
60-69. YEARS
70-79. YEARS
80-89. YEARS
1 90-99. YEARS
998. DON'T KNOW
247 Blank. Inap
==========================================================================================
BCSEE2C HOW OFTEN 2ND INFORM SAW R LAST YR-CLINHX
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEE2C
A3. On the average, in the past year, how often did you see (NAME)?
.................................................................................
1 1. LIVES WITH SUBJECT
2 2. DAILY
3. SEVERAL TIMES/WEEK
4. ONCE A WEEK
1 5. ONE-THREE TIMES A MONTH
6. LESS THAN ONCE A MONTH
7. NEVER
1 8. OTHER (SPECIFY)
97. REFUSED
98. DON'T KNOW
247 Blank. Inap
==========================================================================================
BC1 MORE DIFFICULTY WITH MEMORY OR THINKING
Section: BC 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?
.................................................................................
185 1. YES
57 2. NO (GO TO 3)
7. RF (GO TO 3)
4 8. DK (GO TO 3)
6 Blank. Inap
==========================================================================================
BC2 IS C1 A CONSISTENT PROBLEM
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH2
2. Is this a consistent problem?
.................................................................................
91 1. YES
91 2. NO
7. RF
3 8. DK
9. (SKIP ERROR OR N/A)
67 Blank. Inap
==========================================================================================
BC3 CAN RECALL RECENT EVENTS
Section: BC 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?
.................................................................................
136 1. USUALLY
99 2. SOMETIMES
9 3. RARELY
7. RF
2 8. DK
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC4 CAN RECALL DAY TO DAY EVENTS AT HOME
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH4
4. Can (s/he) recall day to day happenings around the house?
.................................................................................
96 1. USUALLY
134 2. SOMETIMES
15 3. RARELY
7. RF
1 8. DK
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC5 CAN REMEMBER SHORT LIST OF ITEMS
Section: BC 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)?
.................................................................................
113 1. USUALLY
99 2. SOMETIMES
26 3. RARELY
7. RF
8 8. DK
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC7MO MONTH NOTICED CHANGES IN SHORT TERM MEM
Section: BC 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]
.................................................................................
40 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
211 Blank. Inap
==========================================================================================
BC7YR YEAR NOTICED CHANGES IN SHORT TERM MEM
Section: BC 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
1 1980-1989. YEAR
4 1990-1999. YEAR
36 2000-2009. YEAR
9998. DON'T KNOW
211 Blank. Inap
==========================================================================================
BC7AGE AGE NOTICED CHANGES IN SHORT TERM MEMORY
Section: BC 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
30-39. AGE
2 40-49. AGE
2 50-59. AGE
14 60-69. AGE
72 70-79. AGE
42 80-89. AGE
14 90-99. AGE
100-109. AGE
110-119. AGE
15 998. DON'T KNOW
91 Blank. Inap
==========================================================================================
BC8 MEMORY FOR PAST MAJOR EVENTS
Section: BC 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?
.................................................................................
6 1. USUALLY
25 2. SOMETIMES
211 3. RARELY
7. REFUSED
4 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC9 FORGET PERTINENT DETAILS OF MAJOR EVENTS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH9
9. Does (s/he) forget pertinent details of the major event?
.................................................................................
24 1. USUALLY
71 2. SOMETIMES
135 3. RARELY
7. REFUSED
16 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC10 FORGET IMPORTANT INFO OF DISTANT PAST
Section: BC 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?
.................................................................................
12 1. USUALLY
37 2. SOMETIMES
193 3. RARELY
7. REFUSED
4 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC11 CAN REMEMBER OWN PHONE NUMBER
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH11
11. Can (s/he) remember her/his phone number?
.................................................................................
183 1. USUALLY
15 2. SOMETIMES
26 3. RARELY
1 7. REFUSED
21 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC12MO MONTH NOTICED CHANGES IN LONG TERM MEM
Section: BC 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?
.................................................................................
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
1 98. DON'T KNOW
230 Blank. Inap
==========================================================================================
BC12YR YEAR NOTICED CHANGES IN LONG TERM MEM
Section: BC 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?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1 1980-1989. YEAR
2 1990-1999. YEAR
19 2000-2009. YEAR
9998. DON'T KNOW
230 Blank. Inap
==========================================================================================
BC12AGE AGE NOTICED CHANGES IN LONG TERM MEMORY
Section: BC 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
1 40-49. AGE
1 50-59. AGE
6 60-69. AGE
34 70-79. AGE
25 80-89. AGE
11 90-99. AGE
100-109. AGE
110-119. AGE
18 998. DON'T KNOW
156 Blank. Inap
==========================================================================================
BC13 MORE DIFFICULTY REMEMBERING NAMES
Section: BC 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?
.................................................................................
102 1. YES
139 2. NO
7. REFUSED
5 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC14 CAN REMEMBER NAMES OF FAMILY AND FRIENDS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH15
15. Can (s/he) remember the names of family and friends?
.................................................................................
227 1. USUALLY
18 2. SOMETIMES
1 3. RARELY
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC15 CAN RECALL NAMES OF DISTANT ACQUAINTANCES
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH16
16. Can (s/he) remember the names of more distant acquaintances?
.................................................................................
119 1. USUALLY
98 2. SOMETIMES
20 3. RARELY
7. REFUSED
9 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC17MO MONTH NOTICED CHANGES REMEMBERING NAMES
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH18MO
18. When did you first notice changes in remembering people(s names?
.................................................................................
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
1 98. DON'T KNOW
224 Blank. Inap
==========================================================================================
BC17YR YEAR NOTICED CHANGES REMEMBERING NAMES
Section: BC 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
1970-1979. YEAR
1 1980-1989. YEAR
2 1990-1999. YEAR
25 2000-2009. YEAR
9998. DON'T KNOW
224 Blank. Inap
==========================================================================================
BC17AGE AGE NOTICED CHANGES REMEMBERING NAMES
Section: BC 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
30-39. AGE
1 40-49. AGE
1 50-59. AGE
4 60-69. AGE
36 70-79. AGE
27 80-89. AGE
10 90-99. AGE
100-109. AGE
110-119. AGE
21 998. DON'T KNOW
152 Blank. Inap
==========================================================================================
BC18 MORE DIFFICULTY RECOGNIZING FACES
Section: BC 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?
.................................................................................
30 1. YES
204 2. NO
7. REFUSED
12 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC20MO MONTH NOTICED CHANGES RECOGNIZING FACES
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH21MO
21. When did you first notice changes in recognizing people(s faces?
.................................................................................
2 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
98. DON'T KNOW
250 Blank. Inap
==========================================================================================
BC20YR YEAR NOTICED CHANGES RECOGNIZING FACES
Section: BC 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
1990-1999. YEAR
2 2000-2009. YEAR
9998. DON'T KNOW
250 Blank. Inap
==========================================================================================
BC20AGE AGE NOTICED CHANGES RECOGNIZING FACES
Section: BC 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
40-49. AGE
50-59. AGE
1 60-69. AGE
10 70-79. AGE
13 80-89. AGE
1 90-99. AGE
100-109. AGE
110-119. AGE
3 998. DON'T KNOW
224 Blank. Inap
==========================================================================================
BC21 MEMORY PROBLEMS BEGIN SUDDENLY/SLOWLY
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH22
22. Did [all of] these memory problems we talked about begin suddenly or slowly?
.................................................................................
177 1. SLOWLY
22 2. SUDDENLY
7. REFUSED
8 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
44 Blank. Inap
==========================================================================================
BC23 MEMORY PROBLEMS PROGRESSED OR STABLE
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH24
24. Have these memory problems progressed or stayed stable over time?
.................................................................................
103 1. PROGRESSED
102 2. STABLE
7. REFUSED
3 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
44 Blank. Inap
==========================================================================================
BC24 MEMORY PROBLEMS WORSE SINCE LAST VISIT
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH24A
24. Have these memory problems gotten worse since we last visited?
.................................................................................
74 1. YES
22 2. NO
7. REFUSED
1 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
154 Blank. Inap
==========================================================================================
BC25 MEM PROBLEMS INTERFERE WITH DAILY LIFE
Section: BC 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?
.................................................................................
17 1. LITTLE
29 2. SOME
11 3. MUCH
150 4. NO (Go to 28)
7. REFUSED
1 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
44 Blank. Inap
==========================================================================================
BC26MO MONTH BEGAN TO INTERFERE WITH DAILY LIFE
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH26MO
26. When did they begin to interfere with her/his daily life?
.................................................................................
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
1 98. DON'T KNOW
235 Blank. Inap
==========================================================================================
BC26YR YEAR BEGAN TO INTERFERE WITH DAILY LIFE
Section: BC 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
1990-1999. YEAR
16 2000-2009. YEAR
9998. DON'T KNOW
235 Blank. Inap
==========================================================================================
BC26AGE AGE BEGANE TO INTERFERE WITH DAILY LIFE
Section: BC 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
40-49. AGE
1 50-59. AGE
1 60-69. AGE
13 70-79. AGE
16 80-89. AGE
6 90-99. AGE
1 100-109. AGE
110-119. AGE
2 998. DON'T KNOW
212 Blank. Inap
==========================================================================================
BC28 MORE DIFFICULTY WITH AWARENESS OF DATE
Section: BC 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]
.................................................................................
92 1. YES
146 2. NO
7. REFUSED
8 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC29 HOW OFTEN KNOWS EXACT DATE OF MONTH
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH29
29. How often does (s/he) know the exact date of the month?
.................................................................................
130 1. USUALLY
61 2. SOMETIMES
31 3. RARELY
7. REFUSED
24 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC30 HOW OFTEN KNOWS EXACT MONTH
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH30
30. How often does (s/he) know the exact month?
.................................................................................
208 1. USUALLY
17 2. SOMETIMES
15 3. RARELY
7. REFUSED
6 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC31 HOW OFTEN KNOWS EXACT YEAR
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH31
31. How often does (s/he) know the day of the week?
.................................................................................
212 1. USUALLY
10 2. SOMETIMES
14 3. RARELY
7. REFUSED
10 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC32 HOW OFTEN KNOWS DAY OF THE WEEK
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH32
32. How often does (s/he) know the day of the week?
.................................................................................
167 1. USUALLY
50 2. SOMETIMES
17 3. RARELY
7. REFUSED
12 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC33 DIFFICULTY WITH AWARENESS OF TIME
Section: BC 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)?
.................................................................................
19 1. USUALLY
59 2. SOMETIMES
157 3. RARELY
7. REFUSED
10 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC35MO MONTH NOTICED CHANGES IN KNOWING DATE
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH35MO
35. When did you first notice these changes in knowing what the date is?
.................................................................................
33 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
98. DON'T KNOW
219 Blank. Inap
==========================================================================================
BC35YR YEAR NOTICED CHANGES IN KNOWING DATE
Section: BC 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
1 1990-1999. YEAR
32 2000-2009. YEAR
9998. DON'T KNOW
219 Blank. Inap
==========================================================================================
BC35AGE AGE NOTICED CHANGES IN KNOWING DATE
Section: BC 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
1 50-59. AGE
9 60-69. AGE
24 70-79. AGE
32 80-89. AGE
11 90-99. AGE
100-109. AGE
110-119. AGE
14 998. DON'T KNOW
160 Blank. Inap
==========================================================================================
BC36 MORE DIFFICULTY FINDING WAY AROUND
Section: BC 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?
.................................................................................
66 1. YES
163 2. NO (go to 38)
7. REFUSED
17 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC37 PROB FINDING WAY AROUND FAMILIAR STREETS
Section: BC 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?
.................................................................................
31 1. USUALLY
29 2. SOMETIMES
4 3. RARELY
7. REFUSED
2 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
186 Blank. Inap
==========================================================================================
BC38 PROB GETTING TO A PLACE IN NEIGHBORHOOD
Section: BC 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?
.................................................................................
38 1. YES
205 2. NO
7. REFUSED
3 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC39 HOW OFTEN TROUBLE GETTING PLACE TO PLACE
Section: BC 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?
.................................................................................
22 1. USUALLY
14 2. SOMETIMES
3. RARELY
7. REFUSED
2 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
214 Blank. Inap
==========================================================================================
BC41MO MONTH NOTICED CHANGE FINDING WAY OUTDOORS
Section: BC 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?
.................................................................................
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
98. DON'T KNOW
236 Blank. Inap
==========================================================================================
BC41YR YEAR NOTICED CHANGE FINDING WAY OUTDOORS
Section: BC 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
1990-1999. YEAR
16 2000-2009. YEAR
9998. DON'T KNOW
236 Blank. Inap
==========================================================================================
BC41AGE AGE NOTICED CHANGE FINDING WAY OUTDOORS
Section: BC 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
40-49. AGE
1 50-59. AGE
2 60-69. AGE
24 70-79. AGE
17 80-89. AGE
6 90-99. AGE
1 100-109. AGE
110-119. AGE
5 998. DON'T KNOW
196 Blank. Inap
==========================================================================================
BC42 MORE DIFFICULTY FINDING WAY INDOORS
Section: BC 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?
.................................................................................
31 1. YES
210 2. NO
7. REFUSED
5 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC43 HOW OFTEN FIND WAY ABOUT INDOORS
Section: BC 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)
.................................................................................
2 1. USUALLY
19 2. SOMETIMES
9 3. RARELY
7. REFUSED
1 8. DON'T KNOW
221 Blank. Inap
==========================================================================================
BC45MO MONTH NOTICED CHANGE FINDING WAY INDOORS
Section: BC 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?
.................................................................................
11 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
98. DON'T KNOW
241 Blank. Inap
==========================================================================================
BC45YR YEAR NOTICED CHANGE FINDING WAY INDOORS
Section: BC 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
1990-1999. YEAR
11 2000-2009. YEAR
9998. DON'T KNOW
241 Blank. Inap
==========================================================================================
BC45AGE AGE NOTICED CHANGE FINDING WAY INDOORS
Section: BC 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
1 50-59. AGE
1 60-69. AGE
5 70-79. AGE
7 80-89. AGE
5 90-99. AGE
100-109. AGE
110-119. AGE
1 998. DON'T KNOW
232 Blank. Inap
==========================================================================================
BC46 PROBLEM WITH DATE/FINDING WAY PROGRESSED
Section: BC 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?()
.................................................................................
70 1. YES
66 2. NO
7. REFUSED
5 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
111 Blank. Inap
==========================================================================================
BC47 PROB FINDING WAY WORSE SINCE LAST VISIT
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH46A
24. Have these problems with knowing the date or finding (her/his) way outdoors
or indoors gotten worse since we last visited?
.................................................................................
52 1. YES
6 2. NO
7. REFUSED
2 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
191 Blank. Inap
==========================================================================================
BC48 PROB WITH DATE/FINDING WAY INTERFERE DAILY
Section: BC 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?
.................................................................................
10 1. LITTLE
19 2. SOME
12 3. MUCH
98 4. NO (go to 50)
7. REFUSED
2 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
111 Blank. Inap
==========================================================================================
BC49MO MONTH DATE/FINDING WAY BEGAN TO INTERFERE
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH48MO
48. When did these problems begin to interfere with her/his daily life?
.................................................................................
12 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
98. DON'T KNOW
240 Blank. Inap
==========================================================================================
BC49YR YEAR DATE/FINDING WAY BEGAN TO INTERFERE
Section: BC 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
1990-1999. YEAR
12 2000-2009. YEAR
9998. DON'T KNOW
240 Blank. Inap
==========================================================================================
BC49AGE AGE DATE/FINDING WAY BEGAN TO INTERFERE
Section: BC 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
50-59. AGE
2 60-69. AGE
9 70-79. AGE
12 80-89. AGE
6 90-99. AGE
100-109. AGE
110-119. AGE
998. DON'T KNOW
223 Blank. Inap
==========================================================================================
BC51 MORE TROUBLE FINDING WORDS/EXPRESSION
Section: BC 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?
.................................................................................
66 1. YES
180 2. NO
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC52 TALKS LESS THAN BEFORE
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH51
51. Have you noticed that (s/he) talks less than before?
.................................................................................
40 1. LITTLE LESS
19 2. MUCH LESS
187 3. NO
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC53 MORE OFTEN SUBSTITUTES OR MAKES UP WORDS
Section: BC 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?
.................................................................................
40 1. YES
204 2. NO
7. REFUSED
2 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC54 STUTTER/BREAK OFF/LOSE TRAIN OF THOUGHT
Section: BC 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?
.................................................................................
75 1. YES
170 2. NO
7. REFUSED
1 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC55 HOW OFTEN LOSE TRAIN OF THOUGHT
Section: BC 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?
.................................................................................
12 1. USUALLY
54 2. SOMETIMES
9 3. RARELY
7. REFUSED
8. DON'T KNOW
177 Blank. Inap
==========================================================================================
BC57MO MONTH NOTICED CHANGES IN SPEECH/LANGUAGE
Section: BC 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
1 98. DON'T KNOW
220 Blank. Inap
==========================================================================================
BC57YR YEAR NOTICED CHANGES IN SPEECH/LANGUAGE
Section: BC 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
1 1980-1989. YEAR
1 1990-1999. YEAR
30 2000-2009. YEAR
9998. DON'T KNOW
220 Blank. Inap
==========================================================================================
BC57AGE AGE NOTICED CHANGES IN SPEECH/LANGUAGE
Section: BC 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
40-49. AGE
2 50-59. AGE
6 60-69. AGE
23 70-79. AGE
38 80-89. AGE
11 90-99. AGE
100-109. AGE
110-119. AGE
2 998. DON'T KNOW
170 Blank. Inap
==========================================================================================
BC58 EVER LEARN TO READ IN HIS/HER LIFE
Section: BC 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'.
.................................................................................
214 1. YES
25 2. NO
7. REFUSED
8. DON'T KNOW
7 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC59 ABLE TO READ BOOKS OR NEWSPAPERS
Section: BC 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'.
.................................................................................
207 1. YES
30 2. NO
7. REFUSED
2 8. DON'T KNOW
7 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC60 ABLE TO READ ENOUGH TO COMPLETE FORMS
Section: BC 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'.
.................................................................................
185 1. YES
43 2. NO
7. REFUSED
11 8. DON'T KNOW
7 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC61 READ LESS OFTEN THAN BEFORE
Section: BC 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?
.................................................................................
38 1. LITTLE LESS
45 2. MUCH LESS
156 3. NO
7. REFUSED
6 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC62 LESS ABLE TO UNDERSTAND WHAT IS READ
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH58
58. Does (s/he) seem less able to understand what (s/he) reads?
.................................................................................
24 1. LITTLE LESS
12 2. MUCH LESS
186 3. NO
1 7. REFUSED
21 8. DON'T KNOW
2 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC63 LESS ABLE TO UNDERSTAND TV
Section: BC 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?
.................................................................................
28 1. LITTLE LESS
10 2. MUCH LESS
200 3. NO
7. REFUSED
7 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC64 MORE PROB FOLLOWING SPOKEN INSTRUCTION
Section: BC 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?
.................................................................................
52 1. LITTLE MORE
19 2. MUCH MORE
174 3. NO
7. REFUSED
1 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC66MO MONTH NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: BC 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?
.................................................................................
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
226 Blank. Inap
==========================================================================================
BC66YR YEAR NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: BC 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
1 1980-1989. YEAR
1 1990-1999. YEAR
24 2000-2009. YEAR
9998. DON'T KNOW
226 Blank. Inap
==========================================================================================
BC66AGE AGE NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: BC 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
40-49. AGE
1 50-59. AGE
3 60-69. AGE
15 70-79. AGE
31 80-89. AGE
6 90-99. AGE
1 100-109. AGE
110-119. AGE
4 998. DON'T KNOW
190 Blank. Inap
==========================================================================================
BC67 HAVE VISION PROBLEMS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH63
63. Does (s/he) have any problems with vision?
.................................................................................
48 1. SOME
59 2. MUCH
137 3. NO (or adequately corrected)
7. REFUSED
2 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC68 DEGREE VISION PROB AFFECT LANGUAGE PROB
Section: BC 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?
.................................................................................
19 1. SOME
12 2. MUCH
10 3. NOT AT ALL
7. REFUSED
1 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
210 Blank. Inap
==========================================================================================
BC69 HAVE HEARING PROBLEMS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH65
65. Does (s/he) have any problems with his/her hearing?
.................................................................................
15 1. YES, but hearing aids correct
65 2. SOME
49 3. MUCH
116 4. NO
7. REFUSED
1 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC70 DEGREE HEARING PROB AFFECT LANGUAGE PROB
Section: BC 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?
.................................................................................
19 1. SOME
22 2. MUCH
13 3. NOT AT ALL
7. REFUSED
3 8. DON'T KNOW
195 Blank. Inap
==========================================================================================
BC71 LANGUAGE/COMP PROB BEGIN SUDDENLY/SLOWLY
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH67
67. Did these problems with language and comprehension begin suddenly or slowly?
.................................................................................
10 1. SUDDENLY
81 2. SLOWLY
7. REFUSED
1 8. DON'T KNOW
160 Blank. Inap
==========================================================================================
BC72 LANGUAGE/COMP PROB PROGRESSED OR STABLE
Section: BC 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?(
.................................................................................
69 1. YES
23 2. NO
7. REFUSED
8. DON'T KNOW
160 Blank. Inap
==========================================================================================
BC73 LANGUAGE PROB WORSE SINCE LAST VISIT
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH68A
24. Have these problems with language and comprehension gotten worse since we
last visited?
.................................................................................
47 1. YES
4 2. NO
7. REFUSED
8. DON'T KNOW
9. (SKIP ERROR OR N/A)
201 Blank. Inap
==========================================================================================
BC75 LANGUAGE/COMP PROB INTERFERE DAILY
Section: BC 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?
.................................................................................
17 1. LITTLE
15 2. SOME
13 3. MUCH
47 4. NO (go to 73)
7. REFUSED
8. DON'T KNOW
160 Blank. Inap
==========================================================================================
BC76MO MONTH LANG/COMP PROB BEGAN TO INTERFERE
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH71MO
71. When did they begin to interfere with her/his daily activities?
.................................................................................
12 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
239 Blank. Inap
==========================================================================================
BC76YR YEAR LANG/COMP PROB BEGAN TO INTERFERE
Section: BC 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
1 1990-1999. YEAR
12 2000-2009. YEAR
9998. DON'T KNOW
239 Blank. Inap
==========================================================================================
BC76AGE AGE LANGUAGE/COMP PROB BEGAN TO INTERFERE
Section: BC 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
50-59. AGE
1 60-69. AGE
9 70-79. AGE
15 80-89. AGE
6 90-99. AGE
1 100-109. AGE
110-119. AGE
998. DON'T KNOW
220 Blank. Inap
==========================================================================================
BC78 MORE DIFFICULTY WITH HOUSEHOLD TASKS
Section: BC 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?
.................................................................................
36 1. LITTLE
41 2. SOME
62 3. MUCH
106 4. NO
7. REFUSED
1 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC78A GIVEN UP PREVIOUS TASKS/RESPONSIBILITIES
Section: BC 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?
.................................................................................
101 1. YES
38 2. NO
7. REFUSED
8. DON'T KNOW
113 Blank. Inap
==========================================================================================
BC93 MORE DIFFICULTY USING FAMILIAR APPLIANCES
Section: BC 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?
.................................................................................
23 1. LITTLE
19 2. SOME
16 3. MUCH
181 4. NO
7. REFUSED
7 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC94 MORE DIFFICULTY LEARNING NEW APPLIANCES
Section: BC 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?
.................................................................................
30 1. LITTLE
18 2. SOME
40 3. MUCH
122 4. NO
7. REFUSED
36 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC95 DAILY LIVING PROB DUE TO COG OR PHYS PROB
Section: BC 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?
.................................................................................
29 1. THINKING AND MEMORY
70 2. PHYSICAL HEALTH (specify)
57 3. BOTH (specify)
8 4. NEITHER
7. REFUSED
8. DON'T KNOW
88 Blank. Inap
==========================================================================================
BC96MO MONTH NOTICED CHANGES IN HOUSEHOLD TASKS
Section: BC 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?
.................................................................................
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
1 98. DON'T KNOW
219 Blank. Inap
==========================================================================================
BC96YR YEAR NOTICED CHANGES IN HOUSEHOLD TASKS
Section: BC 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
1 1980-1989. YEAR
1 1990-1999. YEAR
31 2000-2009. YEAR
9998. DON'T KNOW
219 Blank. Inap
==========================================================================================
BC96AGE AGE NOTICED CHANGES IN HOUSEHOLD TASKS
Section: BC 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
40-49. AGE
50-59. AGE
14 60-69. AGE
45 70-79. AGE
52 80-89. AGE
8 90-99. AGE
1 100-109. AGE
110-119. AGE
9 998. DON'T KNOW
123 Blank. Inap
==========================================================================================
BC97 ONSET BEFORE INITIAL VISIT
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH80A
80. Have these problems gotten worse since we last visited? (The variable only
applies to follow up visits)
.................................................................................
67 1. YES
67 2. NO
7. REFUSED
3 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
115 Blank. Inap
==========================================================================================
BC99 MORE DIFFICULTY PERFORMING HOBBIES
Section: BC 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.
.................................................................................
38 1. LITTLE
36 2. SOME
48 3. MUCH
119 4. NO
7. REFUSED
5 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC102 CHANGES IN HOBBIES DUE TO COG OR PHYS PROB
Section: BC 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?
.................................................................................
20 1. THINKING AND MEMORY
71 2. PHYSICAL HEALTH (specify)
28 3. BOTH (specify)
1 4. NEITHER
7. REFUSED
2 8. DON'T KNOW
130 Blank. Inap
==========================================================================================
BC103MO MONTH FIRST NOTICED CHANGES IN HOBBIES
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH85MO
85. When did you first notice these changes in her/his hobbies?
.................................................................................
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
98. DON'T KNOW
227 Blank. Inap
==========================================================================================
BC103YR YEAR FIRST NOTICED CHANGES IN HOBBIES
Section: BC 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
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
3 1990-1999. YEAR
22 2000-2009. YEAR
9998. DON'T KNOW
227 Blank. Inap
==========================================================================================
BC103AGE AGE NOTICED CHANGES IN HOBBIES
Section: BC 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
1 50-59. AGE
8 60-69. AGE
35 70-79. AGE
42 80-89. AGE
7 90-99. AGE
1 100-109. AGE
110-119. AGE
3 998. DON'T KNOW
155 Blank. Inap
==========================================================================================
BC104 EVER DRIVE A CAR
Section: BC 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?
.................................................................................
201 1. YES
40 2. NO
7. REFUSED
5 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC105 DRIVE A CAR NOW
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH87
87. Does (s/he) drive a car now?
.................................................................................
110 1. YES
90 2. NO
7. REFUSED
1 8. DON'T KNOW
51 Blank. Inap
==========================================================================================
BC106MO MONTH WHEN STOPPED DRIVING
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH88MO
88. When did (s/he) stop driving?
.................................................................................
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
242 Blank. Inap
==========================================================================================
BC106YR YEAR WHEN STOPPED DRIVING
Section: BC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH88YR
88. When did (s/he) stop driving?
.................................................................................
1930-1939. YEAR
1940-1949. YEAR
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
2 1990-1999. YEAR
8 2000-2009. YEAR
9998. DON'T KNOW
242 Blank. Inap
==========================================================================================
BC106AGE AGE WHEN STOPPED DRIVING
Section: BC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH88AGE
88. When did (s/he) stop driving?
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
5 50-59. AGE
9 60-69. AGE
29 70-79. AGE
27 80-89. AGE
5 90-99. AGE
100-109. AGE
110-119. AGE
5 998. DON'T KNOW
171 Blank. Inap
==========================================================================================
BC107 STOP DRIVING DUE TO MEM OR THINKING PROB
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH89
89. Did (s/he) stop because of memory or thinking problems?
.................................................................................
16 1. YES
69 2. NO
7. REFUSED
6 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
161 Blank. Inap
==========================================================================================
BC108 HAVE DIFFICULTY DRIVING DUE TO MEM PROB
Section: BC 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?
.................................................................................
20 1. YES
88 2. NO
7. REFUSED
1 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
143 Blank. Inap
==========================================================================================
BC112 ABLE TO SHOP INDEPENDENTLY
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH92
92. Is (s/he) able to independently shop for her/his needs?
.................................................................................
177 1. USUALLY
20 2. SOMETIMES (Shops for limited number of items, buys duplicate
items or forgets needed items)
45 3. RARELY (Needs to be accompanied on any shopping trip)
7. REFUSED
4 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC114MO MONTH NOTICED CHANGES IN ABILITY TO SHOP
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH94MO
94. When did you first notice changes in her/his ability to shop independently?
.................................................................................
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
242 Blank. Inap
==========================================================================================
BC114YR YEAR NOTICED CHANGES IN ABILITY TO SHOP
Section: BC 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
1980-1989. YEAR
1 1990-1999. YEAR
8 2000-2009. YEAR
9998. DON'T KNOW
242 Blank. Inap
==========================================================================================
BC114AGE AGE NOTICED CHANGES IN ABILITY TO SHOP
Section: BC 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
50-59. AGE
3 60-69. AGE
19 70-79. AGE
17 80-89. AGE
7 90-99. AGE
100-109. AGE
110-119. AGE
9 998. DON'T KNOW
197 Blank. Inap
==========================================================================================
BC115 CAN CARRY OUT SOCIAL ACTIVITIES OUTSIDE HOME
Section: BC 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?
.................................................................................
190 1. USUALLY (meaningful participation in activities, e.g.
voting)
31 2. SOMETIMES (limited and/or routine, e.g. superficial
participation in church or meetings, trips to beauty parlor)
22 3. RARELY OR NEVER (generally unable to perform activities
without help)
7. REFUSED
3 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC117MO MONTH NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: BC 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?
.................................................................................
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
2 98. DON'T KNOW
241 Blank. Inap
==========================================================================================
BC117YR YEAR NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: BC 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
1950-1959. YEAR
1960-1969. YEAR
1970-1979. YEAR
1980-1989. YEAR
2 1990-1999. YEAR
8 2000-2009. YEAR
1 9998. DON'T KNOW
241 Blank. Inap
==========================================================================================
BC117AGE AGE NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: BC 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
50-59. AGE
3 60-69. AGE
13 70-79. AGE
17 80-89. AGE
4 90-99. AGE
100-109. AGE
110-119. AGE
5 998. DON'T KNOW
210 Blank. Inap
==========================================================================================
BC118 CHANGES IN SOC ACTIVITIES DUE TO MEM/PHYS PROB
Section: BC 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?
.................................................................................
14 1. THINKING AND MEMORY
15 2. PHYSICAL HEALTH (specify)
19 3. BOTH (specify)
2 4. NEITHER
7. REFUSED
3 8. DON'T KNOW
199 Blank. Inap
==========================================================================================
BC119 TAKEN TO SOCIAL FUNCTIONS OUTSIDE HOME
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH99
99. (If significantly impaired) Is (s/he) taken to social functions outside the
home?
.................................................................................
17 1. YES
5 2. NO
7. REFUSED
8. DON'T KNOW
12 9. (SKIP ERROR OR N/A)
218 Blank. Inap
==========================================================================================
BC121 WOULD CASUAL OBSERVER THINK SUBJ IS ILL
Section: BC 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?
.................................................................................
4 1. YES
12 2. NO
7. REFUSED
1 8. DON'T KNOW
15 9. (SKIP ERROR OR N/A)
220 Blank. Inap
==========================================================================================
BC122 IF NH, PARTICIPATE WELL IN SOC FUNCTIONS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH102
102. (If in nursing home) Does (s/he) participate well in social functions?
.................................................................................
2 1. YES
5 2. NO
7. REFUSED
8. DON'T KNOW
22 9. (SKIP ERROR OR N/A)
223 Blank. Inap
==========================================================================================
BC122A IWER RATING, HOUSEHOLD CHORES
Section: BC 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?
.................................................................................
55 1. Normal function in usual activities
127 2. Functions in usual activities but not at usual level
35 3. Functions independently in some activities
16 4. (operates appliances, such as vacuum, prepares simple meals)
Functions in limited activities only
12 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)
7. Refused
1 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC123 MORE DIFFICULTY WITH FINANCIAL TASKS
Section: BC 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?
.................................................................................
70 1. YES
165 2. NO
7. REFUSED
11 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC124 ABILITY WITH COMPLICATED FINANCIAL TASKS
Section: BC 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)?
.................................................................................
148 1. NO LOSS
45 2. SOME LOSS
30 3. SEVERE LOSS
1 7. REFUSED
22 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC125 WHO HANDLES BILLS NOW IN HOME
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH106
106. Who handles the bills now in (his/her) house?
.................................................................................
94 1. RESPONDENT
103 2. INORMANT
27 3. OTHER RELATIVE
20 4. OTHER (specify)
7. REFUSED
2 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC126 IS WHO HANDLES BILLS A CHANGE
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH107
107. Is this a change and, if so, why was the change made?
.................................................................................
93 1. R NO CHANGE
85 2. OTHER NO CHANGE
64 3. CHANGE FROM R (specify)
1 7. REFUSED
2 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC127MO MONTH BILL CHANGE WAS MADE
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH108MO
108. (If change from R) When did this change occur?
.................................................................................
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
98. DON'T KNOW
237 Blank. Inap
==========================================================================================
BC127YR YEAR BILL CHANGE WAS MADE
Section: BC 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
1980-1989. YEAR
1 1990-1999. YEAR
14 2000-2009. YEAR
9998. DON'T KNOW
237 Blank. Inap
==========================================================================================
BC127AGE AGE BILL CHANGE WAS MADE
Section: BC 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
1 60-69. AGE
13 70-79. AGE
25 80-89. AGE
5 90-99. AGE
1 100-109. AGE
110-119. AGE
5 998. DON'T KNOW
202 Blank. Inap
==========================================================================================
BC128 RATE ABILITY WITH SMALL SUMS OF MONEY
Section: BC 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)
.................................................................................
215 1. NO LOSS
15 2. SOME LOSS
11 3. SEVERE LOSS
7. REFUSED
5 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC130MO MONTH NOTICED CHANGES IN HANDLING MONEY
Section: BC 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
98. DON'T KNOW
233 Blank. Inap
==========================================================================================
BC130YR YEAR NOTICED CHANGES IN HANDLING MONEY
Section: BC 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
1980-1989. YEAR
1 1990-1999. YEAR
18 2000-2009. YEAR
9998. DON'T KNOW
233 Blank. Inap
==========================================================================================
BC130AGE AGE NOTICED CHANGES IN HANDLING MONEY
Section: BC 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
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
18 70-79. AGE
33 80-89. AGE
8 90-99. AGE
100-109. AGE
110-119. AGE
4 998. DON'T KNOW
188 Blank. Inap
==========================================================================================
BC133 RATE ABILITY TO PRESENTLY SOLVE PROBLEMS
Section: BC 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
.................................................................................
73 1. AS GOOD AS THEY HAVE EVER BEEN
111 2. GOOD, BUT NOT AS GOOD AS BEFORE
40 3. FAIR
16 4. POOR
3 5. NO ABILITY AT ALL
7. REFUSED
2 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC134 IDEAS SEEM LESS LOGICAL/MAKE LESS SENSE
Section: BC 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?
.................................................................................
59 1. SOME LESS
9 2. MUCH LESS
176 3. NO
7. REFUSED
1 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC135 MORE DIFFICULTY MAKING DAILY DECISIONS
Section: BC 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)?
.................................................................................
44 1. SOME MORE
18 2. MUCH MORE
178 3. NO
7. REFUSED
6 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC136 MORE TROUBLE TRUSTING SUBJ JUDGEMENT
Section: BC 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?
.................................................................................
67 1. SOME TROUBLE
27 2. MUCH TROUBLE
150 3. NO TROUBLE
7. REFUSED
1 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC138MO MONTH NOTICED CHANGE IN TRUST
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH117MO
117. When did you first notice these changes?
.................................................................................
29 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
222 Blank. Inap
==========================================================================================
BC138YR YEAR NOTICED CHANGE IN TRUST
Section: BC 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
1980-1989. YEAR
2 1990-1999. YEAR
28 2000-2009. YEAR
9998. DON'T KNOW
222 Blank. Inap
==========================================================================================
BC138AGE AGE NOTICED CHANGE IN TRUST
Section: BC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH117AGE
117. When did you first notice these changes?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
2 50-59. AGE
4 60-69. AGE
25 70-79. AGE
40 80-89. AGE
7 90-99. AGE
1 100-109. AGE
110-119. AGE
11 998. DON'T KNOW
162 Blank. Inap
==========================================================================================
BC139 ONSET BEFORE INITIAL VISIT
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH117A
117. Have these problems gotten worse since we last visited? (The variable only
applies to follow up visits)
.................................................................................
58 1. YES
39 2. NO
7. REFUSED
1 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
153 Blank. Inap
==========================================================================================
BC140 CAN HANDLE A HOUSEHOLD EMERGENCY
Section: BC 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.
.................................................................................
175 1. AS WELL AS BEFORE
24 2. WORSE THAN BEFORE BECAUSE OF TROUBLE TNINKING
37 3. WORSE THAN BEFORE, ANOTHER REASON WHY
7. REFUSED
10 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC142MO MONTH NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: BC 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?
.................................................................................
18 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
98. DON'T KNOW
234 Blank. Inap
==========================================================================================
BC142YR YEAR NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: BC 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
1980-1989. YEAR
2 1990-1999. YEAR
16 2000-2009. YEAR
9998. DON'T KNOW
234 Blank. Inap
==========================================================================================
BC142AGE AGE NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: BC 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
30-39. AGE
40-49. AGE
1 50-59. AGE
1 60-69. AGE
10 70-79. AGE
22 80-89. AGE
3 90-99. AGE
1 100-109. AGE
110-119. AGE
5 998. DON'T KNOW
209 Blank. Inap
==========================================================================================
BC143 CAN UNDERSTAND SITUATIONS/EXPLANATIONS
Section: BC 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?)
.................................................................................
219 1. USUALLY
26 2. SOMETIMES
1 3. RARELY
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC145MO MONTH NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: BC 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?
.................................................................................
3 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
248 Blank. Inap
==========================================================================================
BC145YR YEAR NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: BC 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
1990-1999. YEAR
3 2000-2009. YEAR
1 9998. DON'T KNOW
248 Blank. Inap
==========================================================================================
BC145AGE AGE NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: BC 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
60-69. AGE
9 70-79. AGE
8 80-89. AGE
1 90-99. AGE
100-109. AGE
110-119. AGE
4 998. DON'T KNOW
229 Blank. Inap
==========================================================================================
BC146 ONSET BEFORE INITIAL VISIT
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH123A
24. Have these problems gotten worse since we last visited?
.................................................................................
20 1. YES
4 2. NO
7. REFUSED
1 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
227 Blank. Inap
==========================================================================================
BC147 BEHAVE APPROPRIATELY SOCIAL SITUATIONS
Section: BC 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?
.................................................................................
223 1. USUALLY
20 2. SOMETIMES
2 3. RARELY
7. REFUSED
8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC149MO MONTH NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH126MO
126. When did you first notice these changes?
.................................................................................
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
98. DON'T KNOW
248 Blank. Inap
==========================================================================================
BC149YR YEAR NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: BC 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
1990-1999. YEAR
4 2000-2009. YEAR
9998. DON'T KNOW
248 Blank. Inap
==========================================================================================
BC149AGE AGE NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: BC 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
50-59. AGE
1 60-69. AGE
6 70-79. AGE
8 80-89. AGE
3 90-99. AGE
100-109. AGE
110-119. AGE
998. DON'T KNOW
234 Blank. Inap
==========================================================================================
BCINFPHONE INFORM. QUESTIONS ANSWERED VIA PHONE
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: INFPHONE
CLINICAL HISTORY INFORMATION OBTAINED VIA TELEPHONE
.................................................................................
28 1. YES, TELEPHONE INTERVIEW
224 Blank. Inap
==========================================================================================
BC150 DIFFICULTY DRESSING SELF
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH127
127. Does (s/he) have difficulty with dressing himself/herself?
.................................................................................
48 1. YES
198 2. NO
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC152 DRESSING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH129
129. Is this due to physical/health problems or memory/thinking problems?
.................................................................................
4 1. THINKING AND MEMORY
37 2. PHYSICAL HEALTH (specify)
7 3. BOTH (specify)
4. NEITHER
7. REFUSED
8. DON'T KNOW
204 Blank. Inap
==========================================================================================
BC153 DIFFICULTY FEEDING SELF
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH130
130. Does (s/he) have difficulty with feeding her/himself?
.................................................................................
11 1. YES
235 2. NO
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC155 FEEDING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH132
132. Is this due to physical/health problems or memory/thinking problems?
.................................................................................
1. THINKING AND MEMORY
11 2. PHYSICAL HEALTH (specify)
3. BOTH (specify)
4. NEITHER
7. REFUSED
8. DON'T KNOW
241 Blank. Inap
==========================================================================================
BC156 DIFFICULTY BATHING OR WASHING
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH133
133. Does (s/he) have difficulty with bathing or washing?
.................................................................................
52 1. YES
194 2. NO
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC158 BATHING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH135
135. Is this due to physical/health problems or memory/thinking problems?
.................................................................................
2 1. THINKING AND MEMORY
45 2. PHYSICAL HEALTH (specify)
5 3. BOTH (specify)
4. NEITHER
7. REFUSED
8. DON'T KNOW
200 Blank. Inap
==========================================================================================
BC159 NEED PROMPTING FOR HYGIENE TASKS
Section: BC 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?
.................................................................................
34 1. YES
210 2. NO
7. REFUSED
1 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC160 DIFFICULTY PERFORMING WELL LEARNED TASKS
Section: BC 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?
.................................................................................
14 1. YES
232 2. NO
7. REFUSED
8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC161AMO MONTH PROBLEMS WITH DRESSING BEGAN
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138AMO
138. When did these [DRESSING] difficulties begin?
.................................................................................
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
98. DON'T KNOW
243 Blank. Inap
==========================================================================================
BC161AYR YEAR PROBLEMS WITH DRESSING BEGAN
Section: BC 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
1 1990-1999. YEAR
8 2000-2009. YEAR
9998. DON'T KNOW
243 Blank. Inap
==========================================================================================
BC161AAGE AGE PROBLEMS WITH DRESSING BEGAN
Section: BC 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
50-59. AGE
1 60-69. AGE
11 70-79. AGE
17 80-89. AGE
4 90-99. AGE
1 100-109. AGE
110-119. AGE
5 998. DON'T KNOW
213 Blank. Inap
==========================================================================================
BC161BMO MONTH PROBLEMS WITH FEEDING BEGAN
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138BMO
138. When did these [FEEDING] difficulties begin?
.................................................................................
3 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
98. DON'T KNOW
249 Blank. Inap
==========================================================================================
BC161BYR YEAR PROBLEMS WITH FEEDING BEGAN
Section: BC 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
1 1990-1999. YEAR
2 2000-2009. YEAR
9998. DON'T KNOW
249 Blank. Inap
==========================================================================================
BC161BAGE AGE PROBLEMS WITH FEEDING BEGAN
Section: BC 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
50-59. AGE
60-69. AGE
3 70-79. AGE
3 80-89. AGE
90-99. AGE
100-109. AGE
110-119. AGE
2 998. DON'T KNOW
244 Blank. Inap
==========================================================================================
BC161CMO MONTH PROBLEMS WITH BATHING BEGAN
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138CMO
138. When did these [BATHING] difficulties begin?
.................................................................................
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
98. DON'T KNOW
245 Blank. Inap
==========================================================================================
BC161CYR YEAR PROBLEMS WITH BATHING BEGAN
Section: BC 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
2 1990-1999. YEAR
5 2000-2009. YEAR
9998. DON'T KNOW
245 Blank. Inap
==========================================================================================
BC161CAGE AGE PROBLEMS WITH BATHING BEGAN
Section: BC 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
50-59. AGE
1 60-69. AGE
11 70-79. AGE
22 80-89. AGE
4 90-99. AGE
1 100-109. AGE
110-119. AGE
5 998. DON'T KNOW
1 999. NA
207 Blank. Inap
==========================================================================================
BC161DMO MONTH PROB WITH WELL LEARNED TASKS BEGAN
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138DMO
138. When did these [WELL LEARNED TASKS] difficulties begin?
.................................................................................
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
98. DON'T KNOW
246 Blank. Inap
==========================================================================================
BC161DYR YEAR PROB WITH WELL LEARNED TASKS BEGAN
Section: BC 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
1 1990-1999. YEAR
5 2000-2009. YEAR
9998. DON'T KNOW
246 Blank. Inap
==========================================================================================
BC161DAGE AGE PROB WITH WELL LEARNED TASKS BEGAN
Section: BC 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
50-59. AGE
1 60-69. AGE
2 70-79. AGE
2 80-89. AGE
1 90-99. AGE
100-109. AGE
110-119. AGE
2 998. DON'T KNOW
999. NA
244 Blank. Inap
==========================================================================================
BC162 DIFFICULTY CONTROLLING BLADDER
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH139
139. Does (s/he) have difficulties controlling her/his bladder?
.................................................................................
83 1. YES
157 2. NO
7. REFUSED
6 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC163 FREQUENCY OF BLADDER CONTROL PROBLEMS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH140
140. How frequently does (s/he) have problems?
.................................................................................
38 1. DAILY
19 2. ONCE A WEEK
8 3. 1-3 TIMES/MONTH
6 4. LESS THAN 1 TIME/MONTH
7. REFUSED
12 8. DON'T KNOW
169 Blank. Inap
==========================================================================================
BC164MO MONTH NOTICED PROB CONTROLLING BLADDER
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH141MO
141. When did you first notice this difficulty with controlling her/his bladder?
.................................................................................
17 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
234 Blank. Inap
==========================================================================================
BC164YR YEAR NOTICED PROB CONTROLLING BLADER
Section: BC 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
2 1990-1999. YEAR
15 2000-2009. YEAR
1 9998. DON'T KNOW
234 Blank. Inap
==========================================================================================
BC164AGE AGE NOTICED PROB CONTROLLING BLADDER
Section: BC 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
1 40-49. AGE
1 50-59. AGE
2 60-69. AGE
19 70-79. AGE
25 80-89. AGE
4 90-99. AGE
1 100-109. AGE
110-119. AGE
12 998. DON'T KNOW
187 Blank. Inap
==========================================================================================
BC165 BLADDER DIFFICULTY DUE TO PHY OR COG PROB
Section: BC 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?
.................................................................................
1 1. THINKING/MEMORY
72 2. PHYSICAL HEALTH (specify)
3 3. BOTH (specify)
4. NEITHER
7. REFUSED
7 8. DON'T KNOW
9. (SKIP ERROR OR N/A)
169 Blank. Inap
==========================================================================================
BC166 DIFFICULTY CONTROLLING BOWELS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH143
143. Does (s/he) have difficulties controlling her/his bowels?
.................................................................................
30 1. YES
214 2. NO
7. REFUSED
2 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC167 FREQUENCY OF BOWEL CONTROL PROBLEMS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH144
144. How frequently does (s/he) have problems?
.................................................................................
30 1. DAILY
2. ONCE A WEEK
3. 1-3 TIMES/MONTH
4. LESS THAN 1 TIME/MONTH
7. REFUSED
8. DON'T KNOW
222 Blank. Inap
==========================================================================================
BC168MO MONTH NOTICED PROBLEM CONTROLLING BOWELS
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH145MO
145. When did you first notice this difficulty with controlling her/his bowels?
.................................................................................
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
98. DON'T KNOW
243 Blank. Inap
==========================================================================================
BC168YR YEAR NOTICED PROBLEM CONTROLLING BOWELS
Section: BC 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
2 1990-1999. YEAR
7 2000-2009. YEAR
9998. DON'T KNOW
243 Blank. Inap
==========================================================================================
BC168AGE AGE NOTICED PROBLEM CONTROLLING BOWELS
Section: BC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH145AGE
145. When did you first notice this difficulty with controlling her/his bowels?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
3 70-79. AGE
10 80-89. AGE
6 90-99. AGE
100-109. AGE
110-119. AGE
2 998. DON'T KNOW
231 Blank. Inap
==========================================================================================
BC169 BOWEL PROBLEM DUE TO PHY OR COG PROBLEMS
Section: BC 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?
.................................................................................
1 1. THINKING/MEMORY
22 2. PHYSICAL HEALTH (specify)
2 3. BOTH (specify)
1 4. NEITHER
7. REFUSED
4 8. DON'T KNOW
222 Blank. Inap
==========================================================================================
BC170 NOTICED CHANGES IN PERSONALITY/BEHAVIOR
Section: BC 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?
.................................................................................
63 1. A LITTLE CHANGE
32 2. A BIG CHANGE
150 3. NO CHANGE
7. REFUSED
1 8. DON'T KNOW
6 Blank. Inap
==========================================================================================
BC173MO MONTH NOTICED CHANGES IN PERSONALITY
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH149MO
149. When did you first notice changes in her/his personality or behavior?
.................................................................................
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
98. DON'T KNOW
227 Blank. Inap
==========================================================================================
BC173YR YEAR NOTICED CHANGES IN PERSONALITY
Section: BC 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
1980-1989. YEAR
1 1990-1999. YEAR
24 2000-2009. YEAR
9998. DON'T KNOW
227 Blank. Inap
==========================================================================================
BC173AGE AGE NOTICED CHANGES IN PERSONALITY
Section: BC 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
40-49. AGE
50-59. AGE
4 60-69. AGE
22 70-79. AGE
34 80-89. AGE
7 90-99. AGE
100-109. AGE
110-119. AGE
3 998. DON'T KNOW
182 Blank. Inap
==========================================================================================
BC174 BECOME MORE DEPENDENT ON INFORMANT
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH150
150. Has (s/he) become more dependent on you?
.................................................................................
59 1. A LITTLE MORE
70 2. A LOT MORE
116 3. NO
7. REFUSED
8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC176 DOES INFORM DO MORE FOR SUB THAN IN PAST
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH152
152. Do you do more for (her/him) than you used to do?
.................................................................................
64 1. A LITTLE MORE
66 2. A LOT MORE
115 3. NO
7. REFUSED
8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC177 DO MORE BECAUSE OF SUB PHY OR COG HEALTH
Section: BC 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:
.................................................................................
16 1. THINKING/MEMORY
51 2. PHYSICAL HEALTH (specify)
48 3. BOTH (specify)
13 4. NEITHER
7. REFUSED
1 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
122 Blank. Inap
==========================================================================================
BC179 MORE NERVOUS/FRUSTRATED WITH MEM TROUBLE
Section: BC 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?
.................................................................................
54 1. A LITTLE MORE
31 2. A LOT MORE
109 3. NO
7. REFUSED
3 8. DON'T KNOW
10 9. (SKIP ERROR OR N/A)
45 Blank. Inap
==========================================================================================
BC181 FIRST PERSON TO NOTICE R MEM PROBLEMS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH157
157. Were you the first person to notice (NAMEs) problems with memory and
thinking?
.................................................................................
145 1. YES
35 2. NO
7. REFUSED
19 8. DON'T KNOW
8 9. (SKIP ERROR OR N/A)
45 Blank. Inap
==========================================================================================
BC183 RELATIONSHIP TO SUBJECT
Section: BC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH159
159. Relationship to Respondent
.................................................................................
5 1. SPOUSE
19 2. CHILD
2 3. SIBLING
4. PARENT
5. FRIEND
6. GUARDIAN
1 7. NEIGHBOR
8 8. OTHER (SPECIFY)
97. REFUSED
3 98. DON'T KNOW
214 Blank. Inap
==========================================================================================
BC184 MEMORY PROBLEMS FLUCTUATE DAY TO DAY
Section: BC 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?
.................................................................................
44 1. YES
133 2. NO
7. REFUSED
1 8. DON'T KNOW
3 9. (SKIP ERROR OR N/A)
71 Blank. Inap
==========================================================================================
BC186 LEVEL OF ALERTNESS FLUCTUATE DAY TO DAY
Section: BC 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?
.................................................................................
45 1. YES
133 2. NO
7. REFUSED
1 8. DON'T KNOW
2 9. (SKIP ERROR OR N/A)
71 Blank. Inap
==========================================================================================
BC188 AT TIME OF LAST VISIT, RETIRED OR WORKING
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH163A
24. AT time of last visit respondent was
.................................................................................
240 1. RETIRED
6 2. STILL WORKING
7. REFUSED
8. DON'T KNOW
9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BC189 IS SUBJECT CURRENTLY EMPLOYED
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH164
164. Is (Name) currently employed?
.................................................................................
5 1. YES
1 2. NO
3. NA (never worked outside the home)
7. REFUSED
8. DON'T KNOW
246 Blank. Inap
==========================================================================================
BC191 WORK TROUBLE DUE TO MEMORY/THINKING PROB
Section: BC 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
1 2. SOMETIMES
4 3. RARELY OR NEVER
7. REFUSED
8. DON'T KNOW
247 Blank. Inap
==========================================================================================
BC192 AT WHAT AGE DID SUBJECT RETIRE
Section: BC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH167
167. At what age did (s/he) retire?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
70-79. AGE
80-89. AGE
90-99. AGE
100-109. AGE
110-119. AGE
998. DON'T KNOW
251 Blank. Inap
==========================================================================================
BC195 MEM PROB CONTRIBUTE TO DECISION TO RETIRE
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH170
170. Did memory or thinking problems contribute to her/his decision to retire?
.................................................................................
1. YES
1 2. NO
7. REFUSED
8. DON'T KNOW
251 Blank. Inap
==========================================================================================
BC196MO MONTH MEMORY/THINKING PROBLEMS BEGAN
Section: BC 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
98. DON'T KNOW
252 Blank. Inap
==========================================================================================
BC196YR YEAR MEMORY/THINKING PROBLEMS BEGAN
Section: BC 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
1980-1989. YEAR
1990-1999. YEAR
2000-2009. YEAR
9998. DON'T KNOW
252 Blank. Inap
==========================================================================================
BC196AGE AGE MEMORY/THINKING PROBLEMS BEGAN
Section: BC 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
50-59. AGE
60-69. AGE
1 70-79. AGE
80-89. AGE
90-99. AGE
100-109. AGE
110-119. AGE
998. DON'T KNOW
251 Blank. Inap
==========================================================================================
BC199 ANY MAJOR CHANGE IN ACTIVITIES/INTERESTS
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CH174
174. Have there been any major change in her/his activities or interests?
.................................................................................
60 1. YES
183 2. NO
7. REFUSED
2 8. DON'T KNOW
1 9. (SKIP ERROR OR N/A)
6 Blank. Inap
==========================================================================================
BCSPANVIS CLINICAL HISTORY SECTION DONE IN SPANISH
Section: BC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SPANVIS
SPANISH VERSION OF CLINICAL HISTORY FORM USED
.................................................................................
15 1. SPANISH VERSION OF FORM
237 Blank. Inap
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