==========================================================================================
Section CC: CLINICAL HISTORY - FOLLOW-UP VISIT (Respondent)
==========================================================================================
HHID HRS HOUSEHOLD IDENTIFIER
Section: CC Level: Respondent Type: Character Width: 6 Decimals: 0
This variable uniquely identifies an original HRS household across waves.
.................................................................................
315 010059-213467. Household Identification Number
==========================================================================================
PN HRS PERSON NUMBER IDENTIFIER
Section: CC 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.
.................................................................................
195 010. Person Number
6 011. Person Number
78 020. Person Number
17 030. Person Number
18 040. Person Number
1 041. Person Number
==========================================================================================
ADAMSSID ADAMS SUBJECT IDENTIFIER
Section: CC Level: Respondent Type: Character Width: 5 Decimals: 0
This variable uniquely identifies an ADAMS subject in the ADAMS data files.
.................................................................................
315 00021-21271. ADAMS Subject Identification Number
==========================================================================================
CCDONE WHETHER CLINICAL HISTORY COMPLETED
Section: CC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CHDONE
Clinical history completed
.................................................................................
305 1. Yes
10 5. No
==========================================================================================
CCSPANVIS CLINICAL HISTORY SECTION DONE IN SPANISH
Section: CC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SPANVIS
Spanish version of clinical history
.................................................................................
3 1. Yes
312 Blank. Inap
==========================================================================================
CCRELATC INFORMANT RELATIONSHIP TO R - CLIN HX
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: RELATC
What is your relationship to (NAME)?
.................................................................................
114 1. Spouse
107 2. Child
11 3. Sibling
4. Parent
29 5. Friend
6. Guardian
4 7. Neighbor
40 8. Other (Specify)
97. NA
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CCKNOWNC HOW LONG INFORMANT HAS KNOWN R -CLIN HX
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWNC
How long have you known (NAME)?
.................................................................................
1 0. LESS THAN ONE YEAR
16 1-9. YEARS
15 10-19. YEARS
17 20-29. YEARS
21 30-39. YEARS
39 40-49. YEARS
102 50-59. YEARS
71 60-69. YEARS
20 70-79. YEARS
3 80-89. YEARS
90-99. YEARS
998. DK (Don't Know)
10 Blank. Inap
==========================================================================================
CCSEEC HOW OFTEN INFORM SAW R LAST YR-CLINHX
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEEC
On the average, in the past year, how often did you see (NAME)?
.................................................................................
159 1. Lives With Subject
34 2. Daily
57 3. Several Times/Week
28 4. Once a Week
13 5. One-Three Times a Month
11 6. Less Than Once a Month
7. Never
3 8. Other (Specify)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CCSUBRES SUBJECT RESIDENCE
Section: CC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SUBRES
Subject Residence
.................................................................................
276 1. Home/Family home
14 2. Assisted Living
13 3. Nursing/Convalescent Home (permanent)
4. Hospital/Medical/Rehabilitation Center (temporary)
1 5. Other (Specify)
11 Blank. Inap
==========================================================================================
CCRELAT2C RELATIONSHIP OF 2ND INFORM TO R -CLINHX
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: RELAT2C
What is your relationship to (NAME)?
.................................................................................
1. Spouse
2 2. Child
1 3. Sibling
4. Parent
5. Friend
6. Guardian
7. Neighbor
8. Other (Specify)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
312 Blank. Inap
==========================================================================================
CCKNOWN2C HOW LONG 2ND INFORM HAS KNOWN R -CLINHX
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWN2C
How long have you known (NAME)?
.................................................................................
0. LESS THAN ONE YEAR
1-9. YEARS
10-19. YEARS
20-29. YEARS
30-39. YEARS
1 40-49. YEARS
1 50-59. YEARS
60-69. YEARS
70-79. YEARS
80-89. YEARS
1 90-99. YEARS
998. DK (Don't Know)
312 Blank. Inap
==========================================================================================
CCSEE2C HOW OFTEN 2ND INFORM SAW R LAST YR-CLINHX
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEE2C
On the average, in the past year, how often did you see (NAME)?
.................................................................................
1. Lives With Subject
2. Daily
1 3. Several Times/Week
4. Once a Week
1 5. One-Three Times a Month
1 6. Less Than Once a Month
7. Never
8. Other (Specify)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
312 Blank. Inap
==========================================================================================
CC1 MORE DIFFICULTY WITH MEMORY OR THINKING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH1
Have you noticed that (s/he) has had more difficulty with memory or thinking
than in the past?
.................................................................................
174 1. Yes
130 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC2 IS C1 A CONSISTENT PROBLEM
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH2
Is this a consistent problem?
.................................................................................
79 1. Yes
93 5. No
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
141 Blank. Inap
==========================================================================================
CC3 CAN RECALL RECENT EVENTS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH3
Let’s talk about (her/his) memory for day to day happenings and events that
happened recently.
.................................................................................
221 1. Usually
75 2. Sometimes
8 3. Rarely
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC4 CAN RECALL DAY TO DAY EVENTS AT HOME
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH4
Can (s/he) recall day to day happenings around the house? [code the most
impaired task]:
.................................................................................
166 1. Usually
129 2. Sometimes
10 3. Rarely
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC5 CAN REMEMBER SHORT LIST OF ITEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH5
Can (s/he) remember a short list of items (shopping or things (s/he) needs to
do)?
.................................................................................
199 1. Usually
67 2. Sometimes
19 3. Rarely
1 97. Not Asked/Not Assessed
19 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC7MO MONTH NOTICED CHANGES IN SHORT TERM MEM
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH7MO
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]? MONTH FIRST
NOTICED CHGS
.................................................................................
1 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. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC7YR YEAR NOTICED CHANGES IN SHORT TERM MEM
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH7YR
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]? YEAR FIRST
NOTICED CHGS
.................................................................................
1 2000-2009. YEAR
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC7AGE AGE NOTICED CHANGES IN SHORT TERM MEMORY
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH7AGE
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]? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
4 60-69. AGE
78 70-79. AGE
79 80-89. AGE
9 90-99. AGE
100-109. AGE
26 998. DK (Don't Know)
119 Blank. Inap
==========================================================================================
CC8 MEMORY FOR PAST MAJOR EVENTS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH8
Now how about (her/his) memory for events that happened a while ago. Does
(s/he) completely forget a major event (e.g. trip, party, family wedding)
within a few weeks of the event?
.................................................................................
13 1. Usually
24 2. Sometimes
264 3. Rarely
97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC9 FORGET PERTINENT DETAILS OF MAJOR EVENTS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH9
Does (s/he) forget pertinent details of the major event?
.................................................................................
17 1. Usually
52 2. Sometimes
226 3. Rarely
1 97. Not Asked/Not Assessed
9 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC10 FORGET IMPORTANT INFO OF DISTANT PAST
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH10
Does (s/he) completely forget important information of the distant past about
(herself/or himself) or family and friends (e.g. birth date, wedding date,
place of employment, historical events, things that happened to (her/him) when
(s/he) was young?
.................................................................................
10 1. Usually
22 2. Sometimes
269 3. Rarely
97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC12MO MONTH NOTICED CHANGES IN LONG TERM MEM
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH12MO
When did you first notice these changes in memory for events that happened a
while ago or information (s/he) learned some time ago? MONTH
.................................................................................
1 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. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC12YR YEAR NOTICED CHANGES IN LONG TERM MEM
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH12YR
When did you first notice these changes in memory for events that happened a
while ago or information (s/he) learned some time ago? YEAR
.................................................................................
1 2000-2009. YEAR
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC12AGE AGE NOTICED CHANGES IN LONG TERM MEMORY
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH12AGE
When did you first notice these changes in memory for events that happened a
while ago or information (s/he) learned some time ago? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
27 70-79. AGE
26 80-89. AGE
4 90-99. AGE
100-109. AGE
19 998. DK (Don't Know)
238 Blank. Inap
==========================================================================================
CC13 MORE DIFFICULTY REMEMBERING NAMES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH13
How about (her/his) memory for people’s names. Does (s/he) have more difficulty
now than in the past remembering people’s names?
.................................................................................
124 1. Yes
176 5. No
97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC14 CAN REMEMBER NAMES OF FAMILY AND FRIENDS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH14
Can (s/he) remember the names of family and friends?
.................................................................................
280 1. Usually
20 2. Sometimes
3 3. Rarely
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC15 CAN RECALL NAMES OF DISTANT ACQUAINTANCES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH15
Can (s/he) remember the names of more distant acquaintances?
.................................................................................
159 1. Usually
113 2. Sometimes
19 3. Rarely
97. Not Asked/Not Assessed
14 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC17MO MONTH NOTICED CHANGES REMEMBERING NAMES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH17MO
When did you first notice changes in remembering people's names? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC17YR YEAR NOTICED CHANGES REMEMBERING NAMES
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH17YR
When did you first notice changes in remembering people's names? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC17AGE AGE NOTICED CHANGES REMEMBERING NAMES
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH17AGE
When did you first notice changes in remembering people's names? AGE
.................................................................................
20-29. AGE
1 30-39. AGE
40-49. AGE
1 50-59. AGE
3 60-69. AGE
48 70-79. AGE
59 80-89. AGE
8 90-99. AGE
100-109. AGE
27 998. DK (Don't Know)
168 Blank. Inap
==========================================================================================
CC18 MORE DIFFICULTY RECOGNIZING FACES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH18
And how about memory for people’s faces. Does (s/he) have more difficulty than
in the past recognizing familiar faces?
.................................................................................
27 1. Yes
264 5. No
2 97. Not Asked/Not Assessed
12 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC20MO MONTH NOTICED CHANGES RECOGNIZING FACES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH20MO
When did you first notice changes in recognizing people’s faces? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC20YR YEAR NOTICED CHANGES RECOGNIZING FACES
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH20YR
When did you first notice changes in recognizing people’s faces? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC20AGE AGE NOTICED CHANGES RECOGNIZING FACES
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH20AGE
When did you first notice changes in recognizing people’s faces? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
8 70-79. AGE
11 80-89. AGE
1 90-99. AGE
100-109. AGE
6 998. DK (Don't Know)
288 Blank. Inap
==========================================================================================
CC21 MEMORY PROBLEMS BEGIN SUDDENLY/SLOWLY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH21
Did [all of] these memory problems we talked about begin suddenly or slowly?
.................................................................................
171 1. Slowly
32 2. Suddenly
5 97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
103 Blank. Inap
==========================================================================================
CC23 MEMORY PROBLEMS PROGRESSED OR STABLE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH23
Have these memory problems progressed or stayed stable over time?
.................................................................................
89 1. Progressed
116 2. Stable
4 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
103 Blank. Inap
==========================================================================================
CC24 MEMORY PROBLEMS WORSE SINCE LAST VISIT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH24
[IF ONSET BEFORE MOST RECENT VISIT, ASK] Have these [memory] problems gotten
worse since we last visited (him/her)?
.................................................................................
39 1. Yes
5. No
11 96. Skipped, Not Applicable
5 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
258 Blank. Inap
==========================================================================================
CC25 MEM PROBLEMS INTERFERE WITH DAILY LIFE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH25
Do these memory problems interfere with (her/his) activities of daily life [or
would they have interfered with his/her activities of daily life a few years ago
(or pre-retirement activities)]? 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?
.................................................................................
10 1. Little
14 2. Some
12 3. Much
170 5. No
5 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
103 Blank. Inap
==========================================================================================
CC26MO MONTH BEGAN TO INTERFERE WITH DAILY LIFE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH26MO
When did they begin to interfere with (her/his) daily life? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC26YR YEAR BEGAN TO INTERFERE WITH DAILY LIFE
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH26YR
When did they begin to interfere with (her/his) daily life? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC26AGE AGE BEGANE TO INTERFERE WITH DAILY LIFE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH26AGE
When did they begin to interfere with (her/his) daily life? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
13 70-79. AGE
17 80-89. AGE
2 90-99. AGE
100-109. AGE
4 998. DK (Don't Know)
279 Blank. Inap
==========================================================================================
CC28 MORE DIFFICULTY WITH AWARENESS OF DATE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH28
Let’s talk about (her/his) awareness of what the date is. Have you noticed that
(s/he) has more difficulty than in the past with this?
.................................................................................
89 1. Yes
207 5. No
97. Not Asked/Not Assessed
9 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC29 HOW OFTEN KNOWS EXACT DATE OF MONTH
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH29
How often does (s/he) know the exact date of the month?
.................................................................................
211 1. Usually
60 2. Sometimes
24 3. Rarely
1 97. Not Asked/Not Assessed
9 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC30 HOW OFTEN KNOWS EXACT MONTH
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH30
How often does (s/he) know the exact month?
.................................................................................
271 1. Usually
15 2. Sometimes
12 3. Rarely
97. Not Asked/Not Assessed
7 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC31 HOW OFTEN KNOWS EXACT YEAR
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH31
How often does (s/he) know the exact year?
.................................................................................
274 1. Usually
13 2. Sometimes
10 3. Rarely
97. Not Asked/Not Assessed
8 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC32 HOW OFTEN KNOWS DAY OF THE WEEK
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH32
How often does (s/he) know the day of the week?
.................................................................................
229 1. Usually
47 2. Sometimes
18 3. Rarely
97. Not Asked/Not Assessed
11 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC33 DIFFICULTY WITH AWARENESS OF TIME
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH33
Does (s/he) have difficulty with time relationships (when events happened in
relation to each other)?
.................................................................................
21 1. Usually
41 2. Sometimes
226 3. Rarely
6 97. Not Asked/Not Assessed
11 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC35MO MONTH NOTICED CHANGES IN KNOWING DATE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH35MO
When did you first notice these changes in knowing what the date is? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC35YR YEAR NOTICED CHANGES IN KNOWING DATE
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH35YR
When did you first notice these changes in knowing what the date is? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC35AGE AGE NOTICED CHANGES IN KNOWING DATE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH35AGE
When did you first notice these changes in knowing what the date is? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
3 60-69. AGE
45 70-79. AGE
40 80-89. AGE
12 90-99. AGE
100-109. AGE
22 998. DK (Don't Know)
193 Blank. Inap
==========================================================================================
CC36 MORE DIFFICULTY FINDING WAY AROUND
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH36
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 (her/his) way around
familiar streets outside (her/his) neighborhood?
.................................................................................
54 1. Yes
238 5. No
2 97. Not Asked/Not Assessed
11 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC37 PROB FINDING WAY AROUND FAMILIAR STREETS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH37
How often does (s/he) have problems finding (her/his) way around familiar
streets outside (her/his) neighborhood?
.................................................................................
25 1. Usually
21 2. Sometimes
4 3. Rarely
1 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
261 Blank. Inap
==========================================================================================
CC38 PROB GETTING TO A PLACE IN NEIGHBORHOOD
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH38
Does (s/he) have trouble getting from one place to another in (her/his)
neighborhood?
.................................................................................
30 1. Yes
266 5. No
2 97. Not Asked/Not Assessed
7 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC39 HOW OFTEN TROUBLE GETTING PLACE TO PLACE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH39
How often does (s/he) have trouble getting from one place to another in
(her/his) neighborhood?
.................................................................................
18 1. Usually
9 2. Sometimes
1 3. Rarely
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
285 Blank. Inap
==========================================================================================
CC41MO MONTH NOTICED CHANGE FINDING WAY OUTDOORS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH41MO
When did you first notice this change in her/his ability to find (her/his) way
around places outdoors? MONTH FIRST NOTICED CHGS
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC41YR YEAR NOTICED CHANGE FINDING WAY OUTDOORS
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH41YR
When did you first notice this change in her/his ability to find (her/his) way
around places outdoors? YEAR FIRST NOTICED CHGS
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC41AGE AGE NOTICED CHANGE FINDING WAY OUTDOORS
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH41AGE
When did you first notice this change in her/his ability to find (her/his) way
around places outdoors? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
21 70-79. AGE
20 80-89. AGE
6 90-99. AGE
100-109. AGE
7 998. DK (Don't Know)
260 Blank. Inap
==========================================================================================
CC42 MORE DIFFICULTY FINDING WAY INDOORS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH42
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?
.................................................................................
19 1. Yes
278 5. No
2 97. Not Asked/Not Assessed
6 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC43 HOW OFTEN FIND WAY ABOUT INDOORS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH43
How often can (s/he) find (her/his) way about indoors? (code for most impaired
environment)
.................................................................................
3 1. Usually
13 2. Sometimes
3 3. Rarely
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
296 Blank. Inap
==========================================================================================
CC45MO MONTH NOTICED CHANGE FINDING WAY INDOORS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH45MO
When did you first notice this change in (her/his) ability to find (her/his) way
around indoors? MONTH FIRST NOTICED CHGS
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC45YR YEAR NOTICED CHANGE FINDING WAY INDOORS
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH45YR
When did you first notice this change in (her/his) ability to find (her/his) way
around indoors? YEAR FIRST NOTICED CHGS
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC45AGE AGE NOTICED CHANGE FINDING WAY INDOORS
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH45AGE
When did you first notice this change in (her/his) ability to find (her/his) way
around indoors? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
8 70-79. AGE
7 80-89. AGE
2 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
296 Blank. Inap
==========================================================================================
CC46 PROBLEM WITH DATE/FINDING WAY PROGRESSED
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH46
Have these problems with knowing the date or finding (her/his) way around
outdoors or indoors gotten worse over time? (Or if problems have recently
started ask 'Have these problems gotten worse in the past year?')
.................................................................................
65 1. Yes
42 5. No
21 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
184 Blank. Inap
==========================================================================================
CC47 PROB FINDING WAY WORSE SINCE LAST VISIT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH47
[IF ONSET BEFORE MOST RECENT VISIT, ASK]: Have they gotten worse since we last
visited (him/her)?
.................................................................................
17 1. Yes
2 5. No
16 96. Skipped, Not Applicable
10 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
268 Blank. Inap
==========================================================================================
CC48 PROB WITH DATE/FINDING WAY INTERFERE DAILY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH48
Do these problems interfere with his/her activities of daily life [or would they
have interfered with his/her activities of daily life a few years ago (or
pre-retirement activities)]? 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?
.................................................................................
3 1. Usually
13 2. Sometimes
19 3. Rarely
80 5. No
16 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
184 Blank. Inap
==========================================================================================
CC49MO MONTH DATE/FINDING WAY BEGAN TO INTERFERE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH49MO
When did these problems begin to interfere with (her/his) daily life? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC49YR YEAR DATE/FINDING WAY BEGAN TO INTERFERE
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH49YR
When did these problems begin to interfere with (her/his) daily life? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC49AGE AGE DATE/FINDING WAY BEGAN TO INTERFERE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH49AGE
When did these problems begin to interfere with (her/his) daily life? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
20 70-79. AGE
10 80-89. AGE
2 90-99. AGE
100-109. AGE
3 998. DK (Don't Know)
279 Blank. Inap
==========================================================================================
CC51 MORE TROUBLE FINDING WORDS/EXPRESSION
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH51
Let’s now talk about (her/his) language and (her/his) ability to understand what
(s/he) hears and sees. Does (s/he) have a lot more trouble than in the past
finding the right word or expressing (herself/ or himself) clearly?
.................................................................................
60 1. Yes
243 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC52 TALKS LESS THAN BEFORE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH52
Have you noticed that (s/he) talks less than before?
.................................................................................
33 1. Little Less
12 2. Much Less
258 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC53 MORE OFTEN SUBSTITUTES OR MAKES UP WORDS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH53
Compared to the past, does (s/he) a lot more often substitute words or make up
words as (s/he) talks?
.................................................................................
31 1. Yes
270 5. No
97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC54 STUTTER/BREAK OFF/LOSE TRAIN OF THOUGHT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH54
Does (s/he) a lot more often break off in the middle of a sentence, or show
other signs of losing (her/his) train of thought?
.................................................................................
67 1. Yes
238 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC55 HOW OFTEN LOSE TRAIN OF THOUGHT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH55
If yes, how often does (s/he) show signs of losing (her/his) train of thought?
.................................................................................
11 1. Usually
52 2. Sometimes
4 3. Rarely
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
248 Blank. Inap
==========================================================================================
CC57MO MONTH NOTICED CHANGES IN SPEECH/LANGUAGE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH57MO
When did you first notice these changes in (her/his) speech and language? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC57YR YEAR NOTICED CHANGES IN SPEECH/LANGUAGE
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH57YR
When did you first notice these changes in (her/his) speech and language? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC57AGE AGE NOTICED CHANGES IN SPEECH/LANGUAGE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH57AGE
When did you first notice these changes in (her/his) speech and language? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
60-69. AGE
42 70-79. AGE
34 80-89. AGE
11 90-99. AGE
100-109. AGE
17 998. DK (Don't Know)
210 Blank. Inap
==========================================================================================
CC58 EVER LEARN TO READ IN HIS/HER LIFE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH58
Did (s/he) learn to read during her/his life?
.................................................................................
283 1. Yes
22 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC59 ABLE TO READ BOOKS OR NEWSPAPERS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH59
Has (s/he) been able to read newspapers, books, or magazines, either now or at
an earlier time?
.................................................................................
281 1. Yes
21 5. No
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC60 ABLE TO READ ENOUGH TO COMPLETE FORMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH60
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?
.................................................................................
268 1. Yes
29 5. No
2 97. Not Asked/Not Assessed
6 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC61 READ LESS OFTEN THAN BEFORE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH61
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?
.................................................................................
41 1. Little Less
35 2. Much Less
219 5. No
5 97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC62 LESS ABLE TO UNDERSTAND WHAT IS READ
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH62
Does (s/he) seem less able to understand what (s/he) reads?
.................................................................................
6 1. Little Less
8 2. Much Less
263 5. No
9 97. Not Asked/Not Assessed
19 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC63 LESS ABLE TO UNDERSTAND TV
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH63
Does (s/he) seem less able to understand what (s/he) sees on TV?
.................................................................................
13 1. Little Less
12 2. Much Less
269 5. No
1 97. Not Asked/Not Assessed
10 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC64 MORE PROB FOLLOWING SPOKEN INSTRUCTION
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH64
Does (s/he) have more difficulty than in the past understanding or following
spoken instructions?
.................................................................................
32 1. Little More
12 2. Much More
258 5. No
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC66MO MONTH NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH66MO
When did you first notice these changes in (her/his) ability to understand what
s/he reads, sees on TV or what s/he is asked to do? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC66YR YEAR NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH66YR
When did you first notice these changes in (her/his) ability to understand what
s/he reads, sees on TV or what s/he is asked to do? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC66AGE AGE NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH66AGE
When did you first notice these changes in (her/his) ability to understand what
s/he reads, sees on TV or what s/he is asked to do? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
1 60-69. AGE
23 70-79. AGE
19 80-89. AGE
5 90-99. AGE
100-109. AGE
8 998. DK (Don't Know)
258 Blank. Inap
==========================================================================================
CC67 HAVE VISION PROBLEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH67
Does (she) have any problems with (her/his) vision?
.................................................................................
64 1. Some
48 2. Much
190 5. No (Or Adequately Corrected)
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC68 DEGREE VISION PROB AFFECT LANGUAGE PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH68
How much are (her/his) problems with understanding what (s/he) reads and sees
due to (her/his) problems with vision?
.................................................................................
10 1. Some
10 2. Much
5 3. Not At All
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
288 Blank. Inap
==========================================================================================
CC69 HAVE HEARING PROBLEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH69
Does (s/he) have any problems with (her/his) hearing?
.................................................................................
37 1. Yes, But Hearing Aids Correct
86 2. Some
60 3. Much
120 5. No (Or Adequately Corrected)
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC70 DEGREE HEARING PROB AFFECT LANGUAGE PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH70
How much are (her/his) problems with language and understanding what (s/he)
hears due to problems with hearing?
.................................................................................
13 1. Some
18 2. Much
9 3. Not At All
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
274 Blank. Inap
==========================================================================================
CC71 LANGUAGE/COMP PROB BEGIN SUDDENLY/SLOWLY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH71
Did these problems with language and comprehension begin suddenly or slowly?
.................................................................................
9 1. Suddenly
45 2. Slowly
3 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
258 Blank. Inap
==========================================================================================
CC72 LANGUAGE/COMP PROB PROGRESSED OR STABLE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH72
"Have they gotten worse over time? (Or if problems have recently started ask
'Have these problems gotten worse in the past year?")"
.................................................................................
47 1. Yes
7 5. No
3 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
258 Blank. Inap
==========================================================================================
CC73 LANGUAGE PROB WORSE SINCE LAST VISIT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH73
[IF ONSET BEFORE MOST RECENT VISIT, ASK] Have these problems [with language and
comprehension] gotten worse since we last visited (him/her)?
.................................................................................
15 1. Yes
5. No
31 96. Skipped, Not Applicable
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
266 Blank. Inap
==========================================================================================
CC75 LANGUAGE/COMP PROB INTERFERE DAILY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH75
Do these problems with [language, understanding what s/he is told, sees on TV or
reads] interfere with his/her activities of daily life [or would they have
interfered with his/her activities of daily life a few years ago (or
pre-retirement activities)]? 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?
.................................................................................
1 1. Little
9 2. Some
13 3. Much
29 5. No
3 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
259 Blank. Inap
==========================================================================================
CC76MO MONTH LANG/COMP PROB BEGAN TO INTERFERE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH76MO
When did they begin to interfere with (his/her) daily activities? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC76YR YEAR LANG/COMP PROB BEGAN TO INTERFERE
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH76YR
When did they begin to interfere with (his/her) daily activities? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC76AGE AGE LANGUAGE/COMP PROB BEGAN TO INTERFERE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH76AGE
When did they begin to interfere with (his/her) daily activities? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
60-69. AGE
13 70-79. AGE
7 80-89. AGE
2 90-99. AGE
100-109. AGE
1 998. DK (Don't Know)
291 Blank. Inap
==========================================================================================
CC78 MORE DIFFICULTY WITH HOUSEHOLD TASKS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH78
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 using
the telephone, preparing meals, cleaning, laundry, taking out garbage, yard
work, simple maintenance and home repair?
.................................................................................
32 1. Little
49 2. Some
41 3. Much
182 5. No
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC79 DIFFICULTY USING TELEPHONE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH79
What household tasks does s/he have more difficulty with? Use telephone?
.................................................................................
74 1. No Difficulty
26 2. Some Difficulty
20 3. Much Difficulty
96. Skipped, Not Applicable
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
CC80 USE TELEPHONE - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH80
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
9 1. Thinking And Memory
23 2. Physical Health (Specify)
12 3. Both (Specify)
1 4. Neither
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
269 Blank. Inap
==========================================================================================
CC81 DIFFICULTY PREPARING MEALS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH81
Preparing meals?
.................................................................................
54 1. No Difficulty
29 2. Some Difficulty
28 3. Much Difficulty
6 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
CC82 PREPARE MEALS - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH82
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
8 1. Thinking And Memory
37 2. Physical Health (Specify)
8 3. Both (Specify)
1 4. Neither
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
258 Blank. Inap
==========================================================================================
CC83 DIFFULTY HOUSEWORK CLEANING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH83
Housework/cleaning?
.................................................................................
30 1. No Difficulty
49 2. Some Difficulty
36 3. Much Difficulty
7 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
CC84 HOUSEWORK - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH84
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
3 1. Thinking And Memory
74 2. Physical Health (Specify)
6 3. Both (Specify)
1 4. Neither
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
230 Blank. Inap
==========================================================================================
CC85 DIFFICULTY DOING LAUNDRY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH85
Laundry?
.................................................................................
57 1. No Difficulty
20 2. Some Difficulty
28 3. Much Difficulty
12 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
CC86 DO LAUNDRY - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH86
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
2 1. Thinking And Memory
39 2. Physical Health (Specify)
6 3. Both (Specify)
1 4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
267 Blank. Inap
==========================================================================================
CC87 DIFFICULTY TAKING OUT GARBAGE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH87
Taking out garbage?
.................................................................................
50 1. No Difficulty
26 2. Some Difficulty
30 3. Much Difficulty
15 96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
CC88 TAKE OUT GARBAGE - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH88
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
4 1. Thinking And Memory
48 2. Physical Health (Specify)
4 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
259 Blank. Inap
==========================================================================================
CC89 DIFFICULTY DOING YARD WORK
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH89
Yard work?
.................................................................................
18 1. No Difficulty
33 2. Some Difficulty
40 3. Much Difficulty
25 96. Skipped, Not Applicable
5 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
CC90 DO YARD WORK - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH90
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
2 1. Thinking And Memory
65 2. Physical Health (Specify)
4 3. Both (Specify)
1 4. Neither
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
242 Blank. Inap
==========================================================================================
CC91 DIFFICULTY SIMPLE HOME MAINTENANCE AND REPAIR
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH91
Simple home maintenance and repair?
.................................................................................
34 1. No Difficulty
33 2. Some Difficulty
36 3. Much Difficulty
14 96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
CC92 HOME MAINTENANCE - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH92
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
6 1. Thinking And Memory
49 2. Physical Health (Specify)
10 3. Both (Specify)
2 4. Neither
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
246 Blank. Inap
==========================================================================================
CC93 MORE DIFFICULTY USING FAMILIAR APPLIANCES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH93
Does (s/he) have more difficulty than in the past using familiar gadgets and
appliances such as the VCR, microwave, or tools?
.................................................................................
16 1. Little
16 2. Some
20 3. Much
245 5. No
2 97. Not Asked/Not Assessed
6 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC94 MORE DIFFICULTY LEARNING NEW APPLIANCES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH94
Does (s/he) have more difficulty than in the past figuring out how to use new
appliances or gadgets?
.................................................................................
34 1. Little
30 2. Some
32 3. Much
185 5. No
2 97. Not Asked/Not Assessed
22 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC95 DAILY LIVING PROB DUE TO COG OR PHYS PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH95
Are these difficulties due to problems with thinking and memory or to physical
health problems?
.................................................................................
36 1. Thinking And Memory
17 2. Physical Health (Specify)
25 3. Both (Specify)
15 4. Neither
6 97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
211 Blank. Inap
==========================================================================================
CC96MO MONTH NOTICED CHANGES IN HOUSEHOLD TASKS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH96MO
When did you first notice these changes in (her/his) ability to do household
tasks [Items since #78]? MONTH
.................................................................................
1 1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
97. Not Asked/Not Assessed
98. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC96YR YEAR NOTICED CHANGES IN HOUSEHOLD TASKS
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH96YR
When did you first notice these changes in (her/his) ability to do household
tasks [Items since #78]? YEAR
.................................................................................
1 2000-2009. YEAR
9997. Not Asked/Not Assessed
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC96AGE AGE NOTICED CHANGES IN HOUSEHOLD TASKS
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH96AGE
When did you first notice these changes in (her/his) ability to do household
tasks [Items since #78]? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
2 50-59. AGE
3 60-69. AGE
51 70-79. AGE
62 80-89. AGE
13 90-99. AGE
100-109. AGE
2 997. Not Asked/Not Assessed
29 998. DK (Don't Know)
153 Blank. Inap
==========================================================================================
CC97 ONSET BEFORE INITIAL VISIT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH97
[IF ONSET BEFORE MOST RECENT VISIT, ASK] Has (his/her) ability to do household
tasks gotten worse since we last visited (him/her)?
.................................................................................
26 1. Yes
20 5. No
83 96. Skipped, Not Applicable
8 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
177 Blank. Inap
==========================================================================================
CC98 IWER RATING - HOUSEHOLD CHORES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH98
(Interviewer rating. No need to ask informant.) At which of the levels below
is (s/he) able to perform household chores?
.................................................................................
142 1. Normal Function In Usual Activities
102 2. Functions In Usual Activities But Not A Usual Level
30 3. Functions Independently In Some Activities (Operates
Appliances, Such As A Vacuum Cleaner; Prepares Simple Meals)
24 4. Functions In Limited Activities Only (With Some Supervision,
Washes Dishes With Acceptable Cleanliness; Sets Table)
4 5. No Meaningful Function (Performs Simple Activities, Such As
Making A Bed, Only With Much Supervision)
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC99 MORE DIFFICULTY PERFORMING HOBBIES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH99
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,
and gardening, going to theater or symphony, woodworking, participation in
sports.
.................................................................................
39 1. Little
26 2. Some
36 3. Much
200 5. No
97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC100_1 PROB WORSE SINCE LAST VISIT - TV
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_1
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
4 1. Mentioned
310 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_2 PROB WORSE SINCE LAST VISIT - GARDENING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_2
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
47 1. Mentioned
267 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_3 PROB WORSE SINCE LAST VISIT - READS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_3
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
21 1. Mentioned
293 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_4 PROB WORSE SINCE LAST VISIT - SEWING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_4
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
28 1. Mentioned
286 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_5 PROB WORSE SINCE LAST VISIT - TRAVELS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_5
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
18 1. Mentioned
296 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_6 PROB WORSE SINCE LAST VISIT - HUNTING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_6
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
20 1. Mentioned
294 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_7 PROB WORSE SINCE LAST VISIT - GAMES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_7
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
17 1. Mentioned
297 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_8 PROB WORSE SINCE LAST VISIT - VISITS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_8
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
19 1. Mentioned
295 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_9 PROB WORSE SINCE LAST VISIT - EXERCISES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_9
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
12 1. Mentioned
302 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_10 PROB WORSE SINCE LAST VISIT - COOKING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_10
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
16 1. Mentioned
298 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_11 PROB WORSE SINCE LAST VISIT - GOLF
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_11
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
19 1. Mentioned
295 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_12 PROB WORSE SINCE LAST VISIT - MOVIES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_12
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
2 1. Mentioned
312 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC100_13 PROB WORSE SINCE LAST VISIT - OTHER
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH100_13
What hobbies does s/he have more difficulty with or has s/he given up? (mark as
many as applicable)
.................................................................................
34 1. Mentioned
280 2. Not mentioned
1 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_1 WHICH HOBBIES STILL DONE WELL - TV
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_1
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
82 1. Mentioned
231 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_2 WHICH HOBBIES STILL DONE WELL - GARDENING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_2
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
14 1. Mentioned
299 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_3 WHICH HOBBIES STILL DONE WELL - READS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_3
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
51 1. Mentioned
262 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_4 WHICH HOBBIES STILL DONE WELL - SEWING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_4
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
5 1. Mentioned
308 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_5 WHICH HOBBIES STILL DONE WELL - TRAVELS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_5
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
16 1. Mentioned
297 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_6 WHICH HOBBIES STILL DONE WELL - HUNTING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_6
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
2 1. Mentioned
311 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_7 WHICH HOBBIES STILL DONE WELL - GAMES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_7
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
30 1. Mentioned
283 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_8 WHICH HOBBIES STILL DONE WELL - VISITS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_8
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
48 1. Mentioned
265 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_9 WHICH HOBBIES STILL DONE WELL - EXERCISES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_9
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
10 1. Mentioned
303 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_10 WHICH HOBBIES STILL DONE WELL - COOKING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_10
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
16 1. Mentioned
297 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_11 WHICH HOBBIES STILL DONE WELL - GOLF
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_11
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
2 1. Mentioned
311 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_12 WHICH HOBBIES STILL DONE WELL - MOVIES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_12
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
22 1. Mentioned
291 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC101_13 WHICH HOBBIES STILL DONE WELL - OTHER
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_13
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
24 1. Mentioned
289 2. Not mentioned
2 97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC102 CHANGES IN HOBBIES DUE TO COG OR PHYS PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH102
Are these changes due to problems with thinking and memory or physical health
problems?
.................................................................................
7 1. Thinking And Memory
71 2. Physical Health (Specify)
12 3. Both (Specify)
5 4. Neither
2 97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
214 Blank. Inap
==========================================================================================
CC103MO MONTH FIRST NOTICED CHANGES IN HOBBIES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH103MO
When did you first notice these changes in (her/his) hobbies? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC103YR YEAR FIRST NOTICED CHANGES IN HOBBIES
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH103YR
When did you first notice these changes in (her/his) hobbies? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC103AGE AGE NOTICED CHANGES IN HOBBIES
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH103AGE
When did you first notice these changes in (her/his) hobbies? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
3 60-69. AGE
45 70-79. AGE
38 80-89. AGE
9 90-99. AGE
100-109. AGE
6 998. DK (Don't Know)
214 Blank. Inap
==========================================================================================
CC104 EVER DRIVE A CAR
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH104
I am now going to ask you about some activities outside the home. Did (s/he)
ever drive a car?
.................................................................................
281 1. Yes
23 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC105 DRIVE A CAR NOW
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH105
Does (s/he) drive a car now?
.................................................................................
190 1. Yes
91 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
34 Blank. Inap
==========================================================================================
CC106MO MONTH WHEN STOPPED DRIVING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH106MO
When did (s/he) stop driving? MONTH
.................................................................................
1 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. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC106YR YEAR WHEN STOPPED DRIVING
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH106YR
When did (s/he) stop driving? YEAR
.................................................................................
1 2000-2009. YEAR
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC106AGE AGE WHEN STOPPED DRIVING
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH106AGE
When did (s/he) stop driving? AGE
.................................................................................
20-29. AGE
2 30-39. AGE
1 40-49. AGE
4 50-59. AGE
6 60-69. AGE
33 70-79. AGE
31 80-89. AGE
6 90-99. AGE
100-109. AGE
7 998. DK (Don't Know)
225 Blank. Inap
==========================================================================================
CC107 STOP DRIVING DUE TO MEM OR THINKING PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH107
Did (s/he) stop because of memory or thinking problems?
.................................................................................
8 1. Yes
80 5. No
1 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
224 Blank. Inap
==========================================================================================
CC108 HAVE DIFFICULTY DRIVING DUE TO MEM PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH108
Does (s/he) have difficulty driving or take risks driving because of
difficulties with memory or thinking?
.................................................................................
14 1. Yes
173 5. No
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
125 Blank. Inap
==========================================================================================
CC110 ABILITY TO TRAVEL
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH110
Please tell me which of the following statements best describe his/her ability
to travel:
.................................................................................
217 1. Able To Drive Own Car Or To Travel Alone On Buses Or In Taxi
78 2. Able To Travel, But Needs Someone To Travel With
9 3. Unable To Travel
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC111 TRAVEL - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH111
Are these problems with traveling due to problems with thinking and memory or to
physical health problems?
.................................................................................
15 1. Thinking And Memory
44 2. Physical Health (Specify)
20 3. Both (Specify)
1 4. Neither
6 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
227 Blank. Inap
==========================================================================================
CC112 ABLE TO SHOP INDEPENDENTLY IF TRANS PROVIDED
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH112
Is (s/he) able to shop without help (independently for (her/his) needs if
transportation is provided?
.................................................................................
251 1. Usually
20 2. Sometimes (shops for limited number of items, buys duplicate
items or forgets needed items)
29 3. Rarely (needs to be accompanied on any shopping trip)
2 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC114MO MONTH NOTICED CHANGES IN ABILITY TO SHOP
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH114MO
When did you first notice changes in (her/his) ability to shop independently?
(Month)
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC114YR YEAR NOTICED CHANGES IN ABILITY TO SHOP
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH114YR
When did you first notice changes in (her/his) ability to shop independently?
YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC114AGE AGE NOTICED CHANGES IN ABILITY TO SHOP
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH114AGE
When did you first notice changes in (her/his) ability to shop independently?
(Age)
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
18 70-79. AGE
20 80-89. AGE
4 90-99. AGE
100-109. AGE
7 998. DK (Don't Know)
266 Blank. Inap
==========================================================================================
CC115 CAN CARRY OUT SOCIAL ACTIVITIES OUTSIDE HOME
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH115
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?
.................................................................................
246 1. Usually (Meaningful participation in activities, e.g.
voting)
34 2. Sometimes (Limited and/or routine, e.g. superficial
participation in church or meetings, trips to beauty parlor)
23 3. Rarely (Generally unable to perform activities without help)
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC117MO MONTH NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH117MO
When did you first notice these changes in (her/his) ability to independently do
social activities? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC117YR YEAR NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH117YR
When did you first notice these changes in (her/his) ability to independently do
social activities? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC117AGE AGE NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH117AGE
When did you first notice these changes in (her/his) ability to independently do
social activities? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
1 50-59. AGE
60-69. AGE
21 70-79. AGE
21 80-89. AGE
4 90-99. AGE
100-109. AGE
10 998. DK (Don't Know)
258 Blank. Inap
==========================================================================================
CC118 CHANGES IN SOC ACTIVITIES DUE TO MEM/PHYS PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH118
Are these changes due to problems with thinking and memory or physical health
problems?
.................................................................................
6 1. Thinking And Memory
28 2. Physical Health (Specify)
15 3. Both (Specify)
5 4. Neither
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
258 Blank. Inap
==========================================================================================
CC119 TAKEN TO SOCIAL FUNCTIONS OUTSIDE HOME
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH119
(If significantly impaired) 'Is (s/he) taken to social functions outside the
home?’
.................................................................................
12 1. Yes
3 5. No
7 96. Skipped, Not Applicable
2 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
291 Blank. Inap
==========================================================================================
CC121 WOULD CASUAL OBSERVER THINK SUBJ IS ILL
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH121
(Ask only when answer not evident) Would a casual observer think that (NAME) was
ill?
.................................................................................
7 1. Yes
11 5. No
8 96. Skipped, Not Applicable
3 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
286 Blank. Inap
==========================================================================================
CC122 IF NH, PARTICIPATE WELL IN SOC FUNCTIONS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH122
(If in nursing home) Does (s/he) participate well in social functions?
.................................................................................
3 1. Yes
4 5. No
7 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
301 Blank. Inap
==========================================================================================
CC123 MORE DIFFICULTY WITH FINANCIAL TASKS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH123
Now I am going to ask you about (NAME’s) ability to solve problems and handle
money. Does (s/he) have more difficulty than in the past taking care of
financial tasks such as paying bills?
.................................................................................
55 1. Yes
241 5. No
97. Not Asked/Not Assessed
9 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC124 ABILITY WITH COMPLICATED FINANCIAL TASKS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH124
Rate (her/his) ability to handle complicated financial or business transactions
(e.g. balancing checkbook, paying bills, doing banking, handling investments)?
.................................................................................
228 1. No Loss
37 2. Some Loss
27 3. Severe Loss
2 97. Not Asked/Not Assessed
11 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC125 WHO HANDLES BILLS NOW IN HOME
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH125
Who handles the bills now in [her/his] home?
.................................................................................
156 1. Respondent
100 2. Informant
14 3. Other Relative
33 4. Other (Specify)
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC126 IS WHO HANDLES BILLS A CHANGE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH126
Is this a change and, if so, why was this change made?
.................................................................................
161 1. R No Change
104 2. Other No Change
35 3. Change From R (Specify)
4 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC127MO MONTH BILL CHANGE WAS MADE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH127MO
(If change from R) When did this change occur? MONTH
.................................................................................
1 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. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC127YR YEAR BILL CHANGE WAS MADE
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH127YR
(If change from R) When did this change occur? YEAR
.................................................................................
1 2000-2009. YEAR
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC127AGE AGE BILL CHANGE WAS MADE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH127AGE
(If change from R) When did this change occur? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
13 70-79. AGE
11 80-89. AGE
7 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
281 Blank. Inap
==========================================================================================
CC128 RATE ABILITY WITH SMALL SUMS OF MONEY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH128
Rate (her/his) ability to handle small sums of money (e.g. making change,
leaving a small tip, shopping):
.................................................................................
275 1. No Loss
16 2. Some Loss
9 3. Severe Loss
2 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC130MO MONTH NOTICED CHANGES IN HANDLING MONEY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH130MO
When did you first notice changes in (her/his) ability to handle money? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC130YR YEAR NOTICED CHANGES IN HANDLING MONEY
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH130YR
When did you first notice changes in (her/his) ability to handle money? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC130AGE AGE NOTICED CHANGES IN HANDLING MONEY
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH130AGE
When did you first notice changes in (her/his) ability to handle money? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
25 70-79. AGE
21 80-89. AGE
9 90-99. AGE
100-109. AGE
15 998. DK (Don't Know)
245 Blank. Inap
==========================================================================================
CC131 ABLE TO TAKE MEDICINES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH131
Please tell me which of the following statements best describe his/her ability
to take his/her medicines:
.................................................................................
238 1. Able To Prepare And Take Medications In The Right Dose At
The Right Time
60 2. Able To Take Medications, But Needs Reminding Or Someone To
Prepare Them
2 3. Unable To Take Medications
1 97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC132 TAKE MEDICINES - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH132
Are these problems taking medication due to problems with thinking and memory or
to physical health problems?
.................................................................................
23 1. Thinking And Memory
17 2. Physical Health (Specify)
11 3. Both (Specify)
7 4. Neither
5 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
251 Blank. Inap
==========================================================================================
CC133 RATE ABILITY TO PRESENTLY SOLVE PROBLEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH133
In general, if you had to rate (her/his) abilities to solve problems at the
present time, would you consider them:
.................................................................................
163 1. As Good As They Have Ever Been
95 2. Good, But Not As Good As Before
28 3. Fair
13 4. Poor
3 5. No Ability At All
1 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC134 IDEAS SEEM LESS LOGICAL/MAKE LESS SENSE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH134
Do (her/his) ideas seem to be less logical, or does (s/he) make less sense then
(s/he) used to?
.................................................................................
40 1. Some Less
10 2. Much Less
253 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC135 MORE DIFFICULTY MAKING DAILY DECISIONS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH135
Does (s/he) 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)?
.................................................................................
34 1. Some More
20 2. Much More
249 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC136 MORE TROUBLE TRUSTING SUBJ JUDGEMENT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH136
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?
.................................................................................
47 1. Some Trouble
27 2. Much Trouble
228 3. No Trouble
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC138MO MONTH NOTICED CHANGE IN TRUST
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH138MO
When did you first notice these changes? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC138YR YEAR NOTICED CHANGE IN TRUST
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH138YR
When did you first notice these changes? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC138AGE AGE NOTICED CHANGE IN TRUST
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH138AGE
When did you first notice these changes? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
32 70-79. AGE
34 80-89. AGE
13 90-99. AGE
100-109. AGE
23 998. DK (Don't Know)
212 Blank. Inap
==========================================================================================
CC139 ONSET BEFORE INITIAL VISIT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH139
[IF ONSET BEFORE MOST RECENT VISIT, ASK] Have these problems with (solving
problems, handling money, trusting (his/her) judgment to make sound decisions)
gotten worse since we last visited (him/her)?
.................................................................................
17 1. Yes
6 5. No
61 96. Skipped, Not Applicable
4 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
226 Blank. Inap
==========================================================================================
CC140 CAN HANDLE A HOUSEHOLD EMERGENCY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH140
Does (s/he) know how to respond to a household emergency (e.g. small fire,
plumbing leak)?
.................................................................................
267 1. As Well As Before
14 2. Worse Than Before Because of Trouble Thinking
16 3. Worse Than Before, Another Reason Why (Specify)
97. Not Asked/Not Assessed
8 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC142MO MONTH NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH142MO
When did you first notice changes in (her/his) ability to respond to household
emergencies? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC142YR YEAR NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH142YR
When did you first notice changes in (her/his) ability to respond to household
emergencies? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC142AGE AGE NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH142AGE
When did you first notice changes in (her/his) ability to respond to household
emergencies? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
15 70-79. AGE
8 80-89. AGE
4 90-99. AGE
100-109. AGE
3 998. DK (Don't Know)
285 Blank. Inap
==========================================================================================
CC143 CAN UNDERSTAND SITUATIONS/EXPLANATIONS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH143
Can (s/he) understand situations or explanations? (Does (s/he) understand what
is going on around (her/him)?)
.................................................................................
277 1. Usually
22 2. Sometimes
2 3. Rarely
2 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC145MO MONTH NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH145MO
When did you first notice changes in (her/his) ability to understand situations
or explanations? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC145YR YEAR NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH145YR
When did you first notice changes in (her/his) ability to understand situations
or explanations? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC145AGE AGE NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH145AGE
When did you first notice changes in (her/his) ability to understand situations
or explanations? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
9 70-79. AGE
7 80-89. AGE
4 90-99. AGE
100-109. AGE
4 998. DK (Don't Know)
291 Blank. Inap
==========================================================================================
CC146 ONSET BEFORE INITIAL VISIT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH146
[IF ONSET BEFORE MOST RECENT VISIT, ASK] Have these problems with (responding to
household emergencies and understanding situations or explanations) gotten worse
since we last visited (him/her)?
.................................................................................
6 1. Yes
2 5. No
14 96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
292 Blank. Inap
==========================================================================================
CC147 BEHAVE APPROPRIATELY SOCIAL SITUATIONS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH147
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 other people?
.................................................................................
278 1. Usually
19 2. Sometimes
5 3. Rarely
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC149MO MONTH NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH149MO
When did you first notice these changes? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC149YR YEAR NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH149YR
When did you first notice these changes? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC149AGE AGE NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH149AGE
When did you first notice these changes? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
11 70-79. AGE
5 80-89. AGE
2 90-99. AGE
100-109. AGE
6 998. DK (Don't Know)
291 Blank. Inap
==========================================================================================
CC150 DIFFICULTY DRESSING SELF
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH150
Now I am going to ask you about (NAME’s) ability to take care of her/his hygiene
and do personal care tasks. Does (s/he) have difficulty dressing
himself/herself?
.................................................................................
52 1. Yes
253 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC152 DRESSING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH152
Is this due to physical/health problems or memory/thinking problems?
.................................................................................
5 1. Thinking And Memory
42 2. Physical Health (Specify)
5 3. Both (Specify)
4. Neither
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
261 Blank. Inap
==========================================================================================
CC153 DIFFICULTY FEEDING SELF
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH153
Does (s/he) have difficulty feeding her/himself?
.................................................................................
14 1. Yes
289 5. No
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC155 FEEDING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH155
Is this due to physical/health problems or memory/thinking problems?
.................................................................................
1 1. Thinking & Memory
12 2. Physical Health (Specify)
1 3. Both (Specify)
4. Neither
96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
300 Blank. Inap
==========================================================================================
CC156 DIFFICULTY BATHING OR WASHING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH156
Does (s/he) have difficulty bathing or washing?
.................................................................................
41 1. Yes
4. Neither
262 5. No
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC158 BATHING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH158
Is this due to physical/health problems or memory/thinking problems?
.................................................................................
2 1. Thinking And Memory
35 2. Physical Health (Specify)
4 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
274 Blank. Inap
==========================================================================================
CC159 NEED PROMPTING FOR HYGIENE TASKS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH159
Does (s/he) need prompting to get dressed, to wash or do other hygiene tasks?
.................................................................................
23 1. Yes
281 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC160 DIFFICULTY PERFORMING WELL LEARNED TASKS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH160
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?
.................................................................................
16 1. Yes
285 5. No
2 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC161AMO MONTH PROBLEMS WITH DRESSING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH161AMO
Dressing Difficulties Begin Month
.................................................................................
1 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. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC161AYR YEAR PROBLEMS WITH DRESSING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161AYR
Dressing Difficulties Begin Year
.................................................................................
1 2000-2009. YEAR
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC161AAGE AGE PROBLEMS WITH DRESSING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH161AAGE
Dressing Difficulties Begin AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
2 60-69. AGE
18 70-79. AGE
17 80-89. AGE
5 90-99. AGE
100-109. AGE
9 998. DK (Don't Know)
264 Blank. Inap
==========================================================================================
CC161BMO MONTH PROBLEMS WITH FEEDING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH161BMO
Feeding Difficulties Begin Month
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC161BYR YEAR PROBLEMS WITH FEEDING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161BYR
Feeding Difficulties Begin Year
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC161BAGE AGE PROBLEMS WITH FEEDING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH161BAGE
Feeding Difficulties Begin AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
6 70-79. AGE
6 80-89. AGE
90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
301 Blank. Inap
==========================================================================================
CC161CMO MONTH PROBLEMS WITH BATHING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH161CMO
Bathing Difficulties Begin Month
.................................................................................
1 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. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC161CYR YEAR PROBLEMS WITH BATHING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161CYR
Bathing Difficulties Begin Year
.................................................................................
1 2000-2009. YEAR
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC161CAGE AGE PROBLEMS WITH BATHING BEGAN
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH161CAGE
Bathing Difficulties Begin AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
13 70-79. AGE
20 80-89. AGE
3 90-99. AGE
100-109. AGE
4 998. DK (Don't Know)
275 Blank. Inap
==========================================================================================
CC161DMO MONTH PROB WITH WELL LEARNED TASKS BEGAN
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH161DMO
Difficulties with Well-Learned Tasks Begin Month
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC161DYR YEAR PROB WITH WELL LEARNED TASKS BEGAN
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161DYR
Difficulties with Well-Learned Tasks Year
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC161DAGE AGE PROB WITH WELL LEARNED TASKS BEGAN
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH161DAGE
Difficulties with Well-Learned Tasks Age
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
6 70-79. AGE
8 80-89. AGE
90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
299 Blank. Inap
==========================================================================================
CC162 DIFFICULTY CONTROLLING BLADDER
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH162
Does (s/he) have difficulties controlling (her/his) bladder at least once a
month?
.................................................................................
70 1. Yes
217 5. No
97. Not Asked/Not Assessed
18 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC163 FREQUENCY OF BLADDER CONTROL PROBLEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH163
How frequently does (s/he) have problems?
.................................................................................
35 1. Daily
11 2. Once A Week
15 3. 1-3 Times/Month
97. Not Asked/Not Assessed
9 98. DK (Don't Know)
99. RF (Refused)
245 Blank. Inap
==========================================================================================
CC164MO MONTH NOTICED PROB CONTROLLING BLADDER
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH164MO
When did you first notice this difficulty with controlling (her/his) bladder?
MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC164YR YEAR NOTICED PROB CONTROLLING BLADER
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH164YR
When did you first notice this difficulty with controlling (her/his) bladder?
YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC164AGE AGE NOTICED PROB CONTROLLING BLADDER
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH164AGE
When did you first notice this difficulty with controlling (her/his) bladder?
AGE
.................................................................................
20-29. AGE
1 30-39. AGE
40-49. AGE
50-59. AGE
4 60-69. AGE
23 70-79. AGE
24 80-89. AGE
7 90-99. AGE
100-109. AGE
11 998. DK (Don't Know)
245 Blank. Inap
==========================================================================================
CC165 BLADDER DIFFICULTY DUE TO PHY OR COG PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH165
Do you think this difficulty is due to physical/health reasons or due to
problems with memory and thinking?
.................................................................................
2 1. Thinking And Memory
54 2. Physical Health (Specify)
7 3. Both (Specify)
1 4. Neither
1 97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
246 Blank. Inap
==========================================================================================
CC166 DIFFICULTY CONTROLLING BOWELS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH166
Does (s/he) have difficulties controlling (her/his) bowels at least once a
month?
.................................................................................
28 1. Yes
256 5. No
97. Not Asked/Not Assessed
21 98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC167 FREQUENCY OF BOWEL CONTROL PROBLEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH167
How frequently does (s/he) have problems?
.................................................................................
6 1. Daily
4 2. Once a Week
14 3. 1-3 Times/Month
97. Not Asked/Not Assessed
4 98. DK (Don't Know)
99. RF (Refused)
287 Blank. Inap
==========================================================================================
CC168MO MONTH NOTICED PROBLEM CONTROLLING BOWELS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH168MO
When did you first notice this difficulty with controlling (her/his) bowels?
MONTH
.................................................................................
1 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. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC168YR YEAR NOTICED PROBLEM CONTROLLING BOWELS
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH168YR
When did you first notice this difficulty with controlling (her/his) bowels?
YEAR
.................................................................................
1 2000-2009. YEAR
9998. DK (Don't Know)
314 Blank. Inap
==========================================================================================
CC168AGE AGE NOTICED PROBLEM CONTROLLING BOWELS
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH168AGE
When did you first notice this difficulty with controlling (her/his) bowels? AGE
.................................................................................
20-29. AGE
1 30-39. AGE
40-49. AGE
50-59. AGE
2 60-69. AGE
8 70-79. AGE
10 80-89. AGE
1 90-99. AGE
100-109. AGE
5 998. DK (Don't Know)
288 Blank. Inap
==========================================================================================
CC169 BOWEL PROBLEM DUE TO PHY OR COG PROBLEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH169
Do you think this problem is due to physical/health reasons or due to problems
with memory and thinking?
.................................................................................
1 1. Thinking And Memory
20 2. Physical Health (Specify)
3 3. Both (Specify)
4. Neither
1 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
287 Blank. Inap
==========================================================================================
CC170 NOTICED CHANGES IN PERSONALITY/BEHAVIOR
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH170
In addition to the changes we have already discussed, have you noticed any
changes in (NAME’s) personality or behavior over time? For example, has (s/he)
been less conscientious, considerate, sociable, flexible, more irritable, more
suspicious, or argumentative?
.................................................................................
71 1. A Little Change
19 2. A Big Change
215 3. No Change
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
10 Blank. Inap
==========================================================================================
CC171_1 BEHAVIOR CHANGE - LESS CONSCIENTIOUS/CONSIDERATE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_1
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
18 1. Mentioned
297 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_2 BEHAVIOR CHANGE - LESS SOCIABLE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_2
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
35 1. Mentioned
280 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_3 BEHAVIOR CHANGE - LESS FLEXIBLE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_3
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
21 1. Mentioned
294 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_4 BEHAVIOR CHANGE - MORE IRRITABLE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_4
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
49 1. Mentioned
266 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_5 BEHAVIOR CHANGE - MORE SUSPICIOUS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_5
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
29 1. Mentioned
286 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_6 BEHAVIOR CHANGE - MORE ARGUMENTATIVE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_6
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
38 1. Mentioned
277 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_7 BEHAVIOR CHANGE - MAKES INAPPROPRIATE COMMENTS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_7
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
18 1. Mentioned
297 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_8 BEHAVIOR CHANGE - BEHAVES INAPPROPRIATELY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_8
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
13 1. Mentioned
302 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC171_9 BEHAVIOR CHANGE - OTHER (SPECIFY)
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH171_9
Which of these personality changes or behaviors does s/he have (MARK ALL THAT
APPLY)?
.................................................................................
19 1. Mentioned
296 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
CC173MO MONTH NOTICED CHANGES IN PERSONALITY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH173MO
When did you first notice changes in (her/his) personality or behavior? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC173YR YEAR NOTICED CHANGES IN PERSONALITY
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH173YR
When did you first notice changes in (her/his) personality or behavior? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC173AGE AGE NOTICED CHANGES IN PERSONALITY
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH173AGE
When did you first notice changes in (her/his) personality or behavior? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
2 60-69. AGE
42 70-79. AGE
25 80-89. AGE
10 90-99. AGE
100-109. AGE
11 998. DK (Don't Know)
225 Blank. Inap
==========================================================================================
CC174 BECOME MORE DEPENDENT ON INFORMANT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH174
Has (s/he) become more dependent on you?
.................................................................................
80 1. A Little More
68 2. A Lot More
152 5. No
2 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
11 Blank. Inap
==========================================================================================
CC176 DOES INFORM DO MORE FOR SUB THAN IN PAST
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH176
Do you do more for (her/him) than you used to do?
.................................................................................
77 1. A Little More
66 2. A Lot More
159 5. No
2 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
11 Blank. Inap
==========================================================================================
CC177 DO MORE BECAUSE OF SUB PHY OR COG HEALTH
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH177
Do you do more for (her/him) than you used to because of :
.................................................................................
7 1. Thinking And Memory
75 2. Physical Health (Specify)
30 3. Both (Specify)
30 4. Neither
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
172 Blank. Inap
==========================================================================================
CC179 MORE NERVOUS/FRUSTRATED WITH MEM TROUBLE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH179
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?
.................................................................................
46 1. A Little More
30 2. A Lot More
118 5. No
96. Skipped, Not Applicable
26 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
92 Blank. Inap
==========================================================================================
CC181 FIRST PERSON TO NOTICE R MEM PROBLEMS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH181
Were you the first person to notice (NAME’s) problems with memory and thinking?
.................................................................................
140 1. Yes
44 5. No
96. Skipped, Not Applicable
22 97. Not Asked/Not Assessed
17 98. DK (Don't Know)
99. RF (Refused)
92 Blank. Inap
==========================================================================================
CC183 RELATIONSHIP TO SUBJECT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH183
RELATIONSHIP TO RESPONDENT:
.................................................................................
12 1. Spouse
20 2. Child
3. Sibling
4. Parent
5. Friend
6. Guardian
7. Neighbor
11 8. Other (Specify)
12 97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
255 Blank. Inap
==========================================================================================
CC184 MEMORY PROBLEMS FLUCTUATE DAY TO DAY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH184
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?
.................................................................................
21 1. Yes
84 5. No
96. Skipped, Not Applicable
5 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
204 Blank. Inap
==========================================================================================
CC186 LEVEL OF ALERTNESS FLUCTUATE DAY TO DAY
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH186
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?
.................................................................................
18 1. Yes
88 5. No
96. Skipped, Not Applicable
3 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
204 Blank. Inap
==========================================================================================
CC188 AT TIME OF LAST VISIT, RETIRED OR WORKING
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH188
Occupational History AT TIME OF LAST VISIT, RESPONDENT WAS:
.................................................................................
267 1. At Time Of Last Visit, Respondent Was Retired
36 2. At Time Of Last Visit, Respondent Was Still Working
1 96. Skipped/Not Applicable
98. DK (Don't Know)
11 Blank. Inap
==========================================================================================
CC189 IS SUBJECT CURRENTLY EMPLOYED
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH189
Is [Name] currently employed?
.................................................................................
27 1. Yes
3. N/A (Never Worked Outside The Home)
10 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
278 Blank. Inap
==========================================================================================
CC191 WORK TROUBLE DUE TO MEMORY/THINKING PROB
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH191
Is (s/he) having significant trouble at work because of memory or thinking
problems? (e.g. missed promotion, poorer evaluations, or anything that might
indicate (s/he) is not working as well as in the past).
.................................................................................
1. Usually
2. Sometimes
24 3. Rarely
3 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
288 Blank. Inap
==========================================================================================
CC192 AT WHAT AGE DID SUBJECT RETIRE
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH192
At what age did (s/he) retire?
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
5 70-79. AGE
4 80-89. AGE
90-99. AGE
100-109. AGE
1 998. DK (Don't Know)
305 Blank. Inap
==========================================================================================
CC194 REASON FOR RETIREMENT
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH194
Why did (s/he) retire?
.................................................................................
3 1. Reached retirement Age/Tired of Working
6 2. Health Problems
3. Position Eliminated
1 4. Other (Specify)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
305 Blank. Inap
==========================================================================================
CC195 MEM PROB CONTRIBUTE TO DECISION TO RETIRE
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH195
Did memory or thinking problems contribute to (her/his) decision to retire?
.................................................................................
1. Yes
10 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
305 Blank. Inap
==========================================================================================
CC196MO MONTH MEMORY/THINKING PROBLEMS BEGAN
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH196MO
When did these problems begin? MONTH
.................................................................................
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. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC196YR YEAR MEMORY/THINKING PROBLEMS BEGAN
Section: CC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH196YR
When did these problems begin? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC196AGE AGE MEMORY/THINKING PROBLEMS BEGAN
Section: CC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH196AGE
When did these problems begin? AGE
.................................................................................
20-29. AGE
30-39. AGE
40-49. AGE
50-59. AGE
60-69. AGE
70-79. AGE
80-89. AGE
90-99. AGE
100-109. AGE
998. DK (Don't Know)
315 Blank. Inap
==========================================================================================
CC199 ANY MAJOR CHANGE IN ACTIVITIES/INTERESTS
Section: CC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH199
Have there been any major changes in (her/his) activities or interests?
.................................................................................
56 1. Yes (specify)
247 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
12 Blank. Inap
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