==========================================================================================
Section DC: CLINICAL HISTORY - FOLLOW-UP (Respondent)
==========================================================================================
HHID HRS HOUSEHOLD IDENTIFIER
Section: DC Level: Respondent Type: Character Width: 6 Decimals: 0
This variable uniquely identifies an original HRS household across waves.
.................................................................................
217 010059-213467. Household Identification Number
==========================================================================================
PN HRS PERSON NUMBER IDENTIFIER
Section: DC 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.
.................................................................................
131 010. Person Number
4 011. Person Number
55 020. Person Number
16 030. Person Number
11 040. Person Number
041. Person Number
==========================================================================================
ADAMSSID ADAMS SUBJECT IDENTIFIER
Section: DC Level: Respondent Type: Character Width: 5 Decimals: 0
This variable identifies an ADAMS subject in the ADAMS data files.
.................................................................................
217 00111-21271. ADAMS Subject Identification Number
==========================================================================================
DCDONE WHETHER CLINICAL HISTORY COMPLETED
Section: DC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: CHDONE
Clinical history completed
.................................................................................
216 1. Yes
1 5. No
==========================================================================================
DCSPANVIS CLINICAL HISTORY SECTION DONE IN SPANISH
Section: DC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SPANVIS
Spanish version of clinical history
.................................................................................
1. Yes
217 Blank. Inap
==========================================================================================
DCRELATC INFORMANT RELATIONSHIP TO R - CLIN HX
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: RELATC
What is your relationship to (NAME)?
.................................................................................
81 1. Spouse
69 2. Child
10 3. Sibling
4. Parent
23 5. Friend
6. Guardian
4 7. Neighbor
29 8. Other (Specify)
97. NA
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DCKNOWNC HOW LONG INFORMANT HAS KNOWN R -CLIN HX
Section: DC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWNC
How long have you known (NAME)?
.................................................................................
0. LESS THAN ONE YEAR
14 1-9. YEARS
8 10-19. YEARS
12 20-29. YEARS
10 30-39. YEARS
20 40-49. YEARS
78 50-59. YEARS
51 60-69. YEARS
16 70-79. YEARS
6 80-89. YEARS
1 90-99. YEARS
998. DK (Don't Know)
1 Blank. Inap
==========================================================================================
DCSEEC HOW OFTEN INFORM SAW R LAST YR-CLINHX
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEEC
On the average, in the past year, how often did you see (NAME)?
.................................................................................
110 1. Lives With Subject
28 2. Daily
37 3. Several Times/Week
12 4. Once a Week
19 5. One-Three Times a Month
6 6. Less Than Once a Month
7. Never
4 8. Other (Specify)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DCSUBRES SUBJECT RESIDENCE
Section: DC Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SUBRES
Subject Residence
.................................................................................
201 1. Home/Family home
9 2. Assisted Living
5 3. Nursing/Convalescent Home (permanent)
4. Hospital/Medical/Rehabilitation Center (temporary)
1 5. Other (Specify)
1 Blank. Inap
==========================================================================================
DCRELAT2C RELATIONSHIP OF 2ND INFORM TO R -CLINHX
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: RELAT2C
What is your relationship to (NAME)?
.................................................................................
1. Spouse
2. Child
3. Sibling
4. Parent
5. Friend
6. Guardian
7. Neighbor
2 8. Other (Specify)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
215 Blank. Inap
==========================================================================================
DCKNOWN2C HOW LONG 2ND INFORM HAS KNOWN R -CLINHX
Section: DC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: KNOWN2C
How long have you known (NAME)?
.................................................................................
0. LESS THAN ONE YEAR
1-9. YEARS
1 10-19. YEARS
20-29. YEARS
30-39. YEARS
40-49. YEARS
50-59. YEARS
60-69. YEARS
70-79. YEARS
80-89. YEARS
90-99. YEARS
1 998. DK (Don't Know)
215 Blank. Inap
==========================================================================================
DCSEE2C HOW OFTEN 2ND INFORM SAW R LAST YR-CLINHX
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SEE2C
On the average, in the past year, how often did you see (NAME)?
.................................................................................
1 1. Lives With Subject
2. Daily
1 3. Several Times/Week
4. Once a Week
5. One-Three Times a Month
6. Less Than Once a Month
7. Never
8. Other (Specify)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
215 Blank. Inap
==========================================================================================
DC1 MORE DIFFICULTY WITH MEMORY OR THINKING
Section: DC 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?
.................................................................................
98 1. Yes
117 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC2 IS DC1 A CONSISTENT PROBLEM
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH2
Is this a consistent problem?
.................................................................................
31 1. Yes
66 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
119 Blank. Inap
==========================================================================================
DC3 CAN RECALL RECENT EVENTS
Section: DC 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.
.................................................................................
153 1. Usually
55 2. Sometimes
6 3. Rarely
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC4 CAN RECALL DAY TO DAY EVENTS AT HOME
Section: DC 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]:
.................................................................................
100 1. Usually
103 2. Sometimes
12 3. Rarely
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC5 CAN REMEMBER SHORT LIST OF ITEMS
Section: DC 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)?
.................................................................................
163 1. Usually
35 2. Sometimes
13 3. Rarely
97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC7MO MONTH NOTICED CHANGES IN SHORT TERM MEM
Section: DC 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. 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)
217 Blank. Inap
==========================================================================================
DC7YR YEAR NOTICED CHANGES IN SHORT TERM MEM
Section: DC 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
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC7AGE AGE NOTICED CHANGES IN SHORT TERM MEMORY
Section: DC 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
42 70-79. AGE
62 80-89. AGE
11 90-99. AGE
100-109. AGE
10 998. DK (Don't Know)
88 Blank. Inap
==========================================================================================
DC8 MEMORY FOR PAST MAJOR EVENTS
Section: DC 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?
.................................................................................
6 1. Usually
10 2. Sometimes
199 3. Rarely
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC9 FORGET PERTINENT DETAILS OF MAJOR EVENTS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH9
Does (s/he) forget pertinent details of the major event?
.................................................................................
5 1. Usually
25 2. Sometimes
184 3. Rarely
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC10 FORGET IMPORTANT INFO OF DISTANT PAST
Section: DC 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?
.................................................................................
2 1. Usually
14 2. Sometimes
197 3. Rarely
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC12MO MONTH NOTICED CHANGES IN LONG TERM MEM
Section: DC 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. 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)
217 Blank. Inap
==========================================================================================
DC12YR YEAR NOTICED CHANGES IN LONG TERM MEM
Section: DC 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
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC12AGE AGE NOTICED CHANGES IN LONG TERM MEMORY
Section: DC 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
7 70-79. AGE
19 80-89. AGE
3 90-99. AGE
100-109. AGE
7 998. DK (Don't Know)
180 Blank. Inap
==========================================================================================
DC13 MORE DIFFICULTY REMEMBERING NAMES
Section: DC 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?
.................................................................................
71 1. Yes
142 5. No
1 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC14 CAN REMEMBER NAMES OF FAMILY AND FRIENDS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH14
Can (s/he) remember the names of family and friends?
.................................................................................
185 1. Usually
29 2. Sometimes
1 3. Rarely
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC15 CAN RECALL NAMES OF DISTANT ACQUAINTANCES
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH15
Can (s/he) remember the names of more distant acquaintances?
.................................................................................
116 1. Usually
89 2. Sometimes
10 3. Rarely
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC17MO MONTH NOTICED CHANGES REMEMBERING NAMES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC17YR YEAR NOTICED CHANGES REMEMBERING NAMES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC17AGE AGE NOTICED CHANGES REMEMBERING NAMES
Section: DC 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
30-39. AGE
40-49. AGE
50-59. AGE
2 60-69. AGE
31 70-79. AGE
43 80-89. AGE
6 90-99. AGE
100-109. AGE
19 998. DK (Don't Know)
116 Blank. Inap
==========================================================================================
DC18 MORE DIFFICULTY RECOGNIZING FACES
Section: DC 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?
.................................................................................
14 1. Yes
200 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC20MO MONTH NOTICED CHANGES RECOGNIZING FACES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC20YR YEAR NOTICED CHANGES RECOGNIZING FACES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC20AGE AGE NOTICED CHANGES RECOGNIZING FACES
Section: DC 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
60-69. AGE
2 70-79. AGE
8 80-89. AGE
2 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
203 Blank. Inap
==========================================================================================
DC21 MEMORY PROBLEMS BEGIN SUDDENLY/SLOWLY
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH21
Did [all of] these memory problems we talked about begin suddenly or slowly?
.................................................................................
136 1. Slowly
14 2. Suddenly
1 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
63 Blank. Inap
==========================================================================================
DC23 MEMORY PROBLEMS PROGRESSED OR STABLE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH23
Have these memory problems progressed or stayed stable over time?
.................................................................................
65 1. Progressed
88 2. Stable
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
63 Blank. Inap
==========================================================================================
DC24 MEMORY PROBLEMS WORSE SINCE LAST VISIT
Section: DC 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)?
.................................................................................
19 1. Yes
4 5. No
33 96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
160 Blank. Inap
==========================================================================================
DC25 MEM PROBLEMS INTERFERE WITH DAILY LIFE
Section: DC 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?
.................................................................................
4 1. Little
7 2. Some
7 3. Much
136 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
63 Blank. Inap
==========================================================================================
DC26MO MONTH BEGAN TO INTERFERE WITH DAILY LIFE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC26YR YEAR BEGAN TO INTERFERE WITH DAILY LIFE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC26AGE AGE BEGANE TO INTERFERE WITH DAILY LIFE
Section: DC 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
5 70-79. AGE
10 80-89. AGE
2 90-99. AGE
100-109. AGE
1 998. DK (Don't Know)
199 Blank. Inap
==========================================================================================
DC28 MORE DIFFICULTY WITH AWARENESS OF DATE
Section: DC 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?
.................................................................................
62 1. Yes
152 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC29 HOW OFTEN KNOWS EXACT DATE OF MONTH
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH29
How often does (s/he) know the exact date of the month?
.................................................................................
154 1. Usually
49 2. Sometimes
10 3. Rarely
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC30 HOW OFTEN KNOWS EXACT MONTH
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH30
How often does (s/he) know the exact month?
.................................................................................
193 1. Usually
17 2. Sometimes
4 3. Rarely
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC31 HOW OFTEN KNOWS EXACT YEAR
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH31
How often does (s/he) know the exact year?
.................................................................................
201 1. Usually
9 2. Sometimes
3 3. Rarely
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC32 HOW OFTEN KNOWS DAY OF THE WEEK
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH32
How often does (s/he) know the day of the week?
.................................................................................
174 1. Usually
33 2. Sometimes
7 3. Rarely
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC33 DIFFICULTY WITH AWARENESS OF TIME
Section: DC 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)?
.................................................................................
4 1. Usually
17 2. Sometimes
193 3. Rarely
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC35MO MONTH NOTICED CHANGES IN KNOWING DATE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC35YR YEAR NOTICED CHANGES IN KNOWING DATE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC35AGE AGE NOTICED CHANGES IN KNOWING DATE
Section: DC 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
23 70-79. AGE
37 80-89. AGE
6 90-99. AGE
100-109. AGE
5 998. DK (Don't Know)
143 Blank. Inap
==========================================================================================
DC36 MORE DIFFICULTY FINDING WAY AROUND
Section: DC 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?
.................................................................................
19 1. Yes
192 5. No
97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC37 PROB FINDING WAY AROUND FAMILIAR STREETS
Section: DC 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?
.................................................................................
10 1. Usually
8 2. Sometimes
1 3. Rarely
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
198 Blank. Inap
==========================================================================================
DC38 PROB GETTING TO A PLACE IN NEIGHBORHOOD
Section: DC 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?
.................................................................................
9 1. Yes
202 5. No
97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC39 HOW OFTEN TROUBLE GETTING PLACE TO PLACE
Section: DC 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?
.................................................................................
8 1. Usually
1 2. Sometimes
3. Rarely
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
208 Blank. Inap
==========================================================================================
DC41MO MONTH NOTICED CHANGE FINDING WAY OUTDOORS
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC41YR YEAR NOTICED CHANGE FINDING WAY OUTDOORS
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC41AGE AGE NOTICED CHANGE FINDING WAY OUTDOORS
Section: DC 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
60-69. AGE
4 70-79. AGE
9 80-89. AGE
4 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
198 Blank. Inap
==========================================================================================
DC42 MORE DIFFICULTY FINDING WAY INDOORS
Section: DC 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?
.................................................................................
8 1. Yes
203 5. No
97. Not Asked/Not Assessed
5 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC43 HOW OFTEN FIND WAY ABOUT INDOORS
Section: DC 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)
.................................................................................
1 1. Usually
6 2. Sometimes
1 3. Rarely
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
209 Blank. Inap
==========================================================================================
DC45MO MONTH NOTICED CHANGE FINDING WAY INDOORS
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC45YR YEAR NOTICED CHANGE FINDING WAY INDOORS
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC45AGE AGE NOTICED CHANGE FINDING WAY INDOORS
Section: DC 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
2 70-79. AGE
4 80-89. AGE
2 90-99. AGE
100-109. AGE
998. DK (Don't Know)
209 Blank. Inap
==========================================================================================
DC46 PROBLEM WITH DATE/FINDING WAY PROGRESSED
Section: DC 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?')
.................................................................................
45 1. Yes
30 5. No
5 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
137 Blank. Inap
==========================================================================================
DC47 PROB FINDING WAY WORSE SINCE LAST VISIT
Section: DC 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)?
.................................................................................
11 1. Yes
3 5. No
17 96. Skipped, Not Applicable
2 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
184 Blank. Inap
==========================================================================================
DC48 PROB WITH DATE/FINDING WAY INTERFERE DAILY
Section: DC 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?
.................................................................................
4 1. Usually
2 2. Sometimes
7 3. Rarely
65 5. No
2 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
137 Blank. Inap
==========================================================================================
DC49MO MONTH DATE/FINDING WAY BEGAN TO INTERFERE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC49YR YEAR DATE/FINDING WAY BEGAN TO INTERFERE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC49AGE AGE DATE/FINDING WAY BEGAN TO INTERFERE
Section: DC 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
60-69. AGE
3 70-79. AGE
6 80-89. AGE
3 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
203 Blank. Inap
==========================================================================================
DC51 MORE TROUBLE FINDING WORDS/EXPRESSION
Section: DC 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?
.................................................................................
50 1. Yes
166 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC52 TALKS LESS THAN BEFORE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH52
Have you noticed that (s/he) talks less than before?
.................................................................................
15 1. Little Less
9 2. Much Less
191 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC53 MORE OFTEN SUBSTITUTES OR MAKES UP WORDS
Section: DC 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?
.................................................................................
18 1. Yes
198 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC54 STUTTER/BREAK OFF/LOSE TRAIN OF THOUGHT
Section: DC 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?
.................................................................................
52 1. Yes
164 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC55 HOW OFTEN LOSE TRAIN OF THOUGHT
Section: DC 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?
.................................................................................
6 1. Usually
45 2. Sometimes
1 3. Rarely
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
165 Blank. Inap
==========================================================================================
DC57MO MONTH NOTICED CHANGES IN SPEECH/LANGUAGE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC57YR YEAR NOTICED CHANGES IN SPEECH/LANGUAGE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC57AGE AGE NOTICED CHANGES IN SPEECH/LANGUAGE
Section: DC 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
50-59. AGE
60-69. AGE
26 70-79. AGE
34 80-89. AGE
6 90-99. AGE
100-109. AGE
6 998. DK (Don't Know)
145 Blank. Inap
==========================================================================================
DC58 EVER LEARN TO READ IN HIS/HER LIFE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH58
Did (s/he) learn to read during her/his life?
.................................................................................
200 1. Yes
16 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC59 ABLE TO READ BOOKS OR NEWSPAPERS
Section: DC 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?
.................................................................................
198 1. Yes
17 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC60 ABLE TO READ ENOUGH TO COMPLETE FORMS
Section: DC 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?
.................................................................................
182 1. Yes
32 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC61 READ LESS OFTEN THAN BEFORE
Section: DC 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?
.................................................................................
29 1. Little Less
27 2. Much Less
156 5. No
2 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC62 LESS ABLE TO UNDERSTAND WHAT IS READ
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH62
Does (s/he) seem less able to understand what (s/he) reads?
.................................................................................
5 1. Little Less
1 2. Much Less
197 5. No
6 97. Not Asked/Not Assessed
7 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC63 LESS ABLE TO UNDERSTAND TV
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH63
Does (s/he) seem less able to understand what (s/he) sees on TV?
.................................................................................
11 1. Little Less
3 2. Much Less
200 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC64 MORE PROB FOLLOWING SPOKEN INSTRUCTION
Section: DC 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?
.................................................................................
15 1. Little More
9 2. Much More
190 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC66MO MONTH NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC66YR YEAR NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC66AGE AGE NOTICED CHANGES UNDERSTANDING LANGUAGE
Section: DC 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
50-59. AGE
60-69. AGE
9 70-79. AGE
18 80-89. AGE
3 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
185 Blank. Inap
==========================================================================================
DC67 HAVE VISION PROBLEMS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH67
Does (she) have any problems with (her/his) vision?
.................................................................................
29 1. Some
35 2. Much
151 5. No (Or Adequately Corrected)
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC68 DEGREE VISION PROB AFFECT LANGUAGE PROB
Section: DC 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?
.................................................................................
2 1. Some
5 2. Much
7 3. Not At All
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
203 Blank. Inap
==========================================================================================
DC69 HAVE HEARING PROBLEMS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH69
Does (s/he) have any problems with (her/his) hearing?
.................................................................................
15 1. Yes, But Hearing Aids Correct
53 2. Some
54 3. Much
94 5. No (Or Adequately Corrected)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC70 DEGREE HEARING PROB AFFECT LANGUAGE PROB
Section: DC 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?
.................................................................................
3 1. Some
7 2. Much
14 3. Not At All
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
DC71 LANGUAGE/COMP PROB BEGIN SUDDENLY/SLOWLY
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH71
Did these problems with language and comprehension begin suddenly or slowly?
.................................................................................
7 1. Suddenly
24 2. Slowly
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
185 Blank. Inap
==========================================================================================
DC72 LANGUAGE/COMP PROB PROGRESSED OR STABLE
Section: DC 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?")"
.................................................................................
27 1. Yes
5 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
185 Blank. Inap
==========================================================================================
DC73 LANGUAGE PROB WORSE SINCE LAST VISIT
Section: DC 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)?
.................................................................................
7 1. Yes
1 5. No
11 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
198 Blank. Inap
==========================================================================================
DC75 LANGUAGE/COMP PROB INTERFERE DAILY
Section: DC 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?
.................................................................................
2 1. Little
6 2. Some
3 3. Much
20 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
185 Blank. Inap
==========================================================================================
DC76MO MONTH LANG/COMP PROB BEGAN TO INTERFERE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC76YR YEAR LANG/COMP PROB BEGAN TO INTERFERE
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC76AGE AGE LANGUAGE/COMP PROB BEGAN TO INTERFERE
Section: DC 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
50-59. AGE
60-69. AGE
2 70-79. AGE
8 80-89. AGE
1 90-99. AGE
100-109. AGE
998. DK (Don't Know)
206 Blank. Inap
==========================================================================================
DC78 MORE DIFFICULTY WITH HOUSEHOLD TASKS
Section: DC 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?
.................................................................................
9 1. Little
35 2. Some
23 3. Much
147 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC79 DIFFICULTY USING TELEPHONE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH79
What household tasks does s/he have more difficulty with? Use telephone?
.................................................................................
42 1. No Difficulty
12 2. Some Difficulty
13 3. Much Difficulty
96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
150 Blank. Inap
==========================================================================================
DC80 USE TELEPHONE - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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?
.................................................................................
6 1. Thinking And Memory
15 2. Physical Health (Specify)
4 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
192 Blank. Inap
==========================================================================================
DC81 DIFFICULTY PREPARING MEALS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH81
Preparing meals?
.................................................................................
29 1. No Difficulty
20 2. Some Difficulty
16 3. Much Difficulty
2 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
150 Blank. Inap
==========================================================================================
DC82 PREPARE MEALS - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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?
.................................................................................
4 1. Thinking And Memory
28 2. Physical Health (Specify)
4 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
181 Blank. Inap
==========================================================================================
DC83 DIFFULTY HOUSEWORK CLEANING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH83
Housework/cleaning?
.................................................................................
13 1. No Difficulty
31 2. Some Difficulty
19 3. Much Difficulty
4 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
150 Blank. Inap
==========================================================================================
DC84 HOUSEWORK - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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
46 2. Physical Health (Specify)
1 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
167 Blank. Inap
==========================================================================================
DC85 DIFFICULTY DOING LAUNDRY
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH85
Laundry?
.................................................................................
22 1. No Difficulty
21 2. Some Difficulty
18 3. Much Difficulty
6 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
150 Blank. Inap
==========================================================================================
DC86 DO LAUNDRY - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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?
.................................................................................
3 1. Thinking And Memory
34 2. Physical Health (Specify)
2 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
178 Blank. Inap
==========================================================================================
DC87 DIFFICULTY TAKING OUT GARBAGE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH87
Taking out garbage?
.................................................................................
24 1. No Difficulty
19 2. Some Difficulty
18 3. Much Difficulty
6 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
150 Blank. Inap
==========================================================================================
DC88 TAKE OUT GARBAGE - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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?
.................................................................................
3 1. Thinking And Memory
33 2. Physical Health (Specify)
1 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
180 Blank. Inap
==========================================================================================
DC89 DIFFICULTY DOING YARD WORK
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH89
Yard work?
.................................................................................
11 1. No Difficulty
20 2. Some Difficulty
22 3. Much Difficulty
13 96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
150 Blank. Inap
==========================================================================================
DC90 DO YARD WORK - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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?
.................................................................................
3 1. Thinking And Memory
39 2. Physical Health (Specify)
3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
175 Blank. Inap
==========================================================================================
DC91 DIFFICULTY SIMPLE HOME MAINTENANCE AND REPAIR
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH91
Simple home maintenance and repair?
.................................................................................
22 1. No Difficulty
18 2. Some Difficulty
21 3. Much Difficulty
6 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
150 Blank. Inap
==========================================================================================
DC92 HOME MAINTENANCE - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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
29 2. Physical Health (Specify)
4 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
178 Blank. Inap
==========================================================================================
DC93 MORE DIFFICULTY USING FAMILIAR APPLIANCES
Section: DC 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?
.................................................................................
3 1. Little
11 2. Some
8 3. Much
193 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC94 MORE DIFFICULTY LEARNING NEW APPLIANCES
Section: DC 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?
.................................................................................
11 1. Little
13 2. Some
18 3. Much
168 5. No
97. Not Asked/Not Assessed
6 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC95 DAILY LIVING PROB DUE TO COG OR PHYS PROB
Section: DC 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?
.................................................................................
21 1. Thinking And Memory
9 2. Physical Health (Specify)
10 3. Both (Specify)
7 4. Neither
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
169 Blank. Inap
==========================================================================================
DC96MO MONTH NOTICED CHANGES IN HOUSEHOLD TASKS
Section: DC 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. 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)
217 Blank. Inap
==========================================================================================
DC96YR YEAR NOTICED CHANGES IN HOUSEHOLD TASKS
Section: DC 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
.................................................................................
2000-2009. YEAR
9997. Not Asked/Not Assessed
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC96AGE AGE NOTICED CHANGES IN HOUSEHOLD TASKS
Section: DC 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
50-59. AGE
2 60-69. AGE
18 70-79. AGE
41 80-89. AGE
12 90-99. AGE
100-109. AGE
997. Not Asked/Not Assessed
13 998. DK (Don't Know)
131 Blank. Inap
==========================================================================================
DC97 ONSET BEFORE INITIAL VISIT
Section: DC 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)?
.................................................................................
20 1. Yes
10 5. No
21 96. Skipped, Not Applicable
4 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
162 Blank. Inap
==========================================================================================
DC98 IWER RATING - HOUSEHOLD CHORES
Section: DC 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?
.................................................................................
134 1. Normal Function In Usual Activities
64 2. Functions In Usual Activities But Not A Usual Level
7 3. Functions Independently In Some Activities (Operates
Appliances, Such As A Vacuum Cleaner; Prepares Simple Meals)
6 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)
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC99 MORE DIFFICULTY PERFORMING HOBBIES
Section: DC 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.
.................................................................................
6 1. Little
15 2. Some
12 3. Much
182 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC100_1 PROB WORSE SINCE LAST VISIT - TV
Section: DC 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)
.................................................................................
2 1. Mentioned
215 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_2 PROB WORSE SINCE LAST VISIT - GARDENING
Section: DC 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)
.................................................................................
9 1. Mentioned
208 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_3 PROB WORSE SINCE LAST VISIT - READS
Section: DC 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)
.................................................................................
9 1. Mentioned
208 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_4 PROB WORSE SINCE LAST VISIT - SEWING
Section: DC 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)
.................................................................................
10 1. Mentioned
207 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_5 PROB WORSE SINCE LAST VISIT - TRAVELS
Section: DC 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)
.................................................................................
4 1. Mentioned
213 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_6 PROB WORSE SINCE LAST VISIT - HUNTING
Section: DC 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)
.................................................................................
6 1. Mentioned
211 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_7 PROB WORSE SINCE LAST VISIT - GAMES
Section: DC 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)
.................................................................................
3 1. Mentioned
214 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_8 PROB WORSE SINCE LAST VISIT - VISITS
Section: DC 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)
.................................................................................
6 1. Mentioned
211 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_9 PROB WORSE SINCE LAST VISIT - EXERCISES
Section: DC 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)
.................................................................................
1 1. Mentioned
216 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_10 PROB WORSE SINCE LAST VISIT - COOKING
Section: DC 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)
.................................................................................
4 1. Mentioned
213 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_11 PROB WORSE SINCE LAST VISIT - GOLF
Section: DC 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)
.................................................................................
5 1. Mentioned
212 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_12 PROB WORSE SINCE LAST VISIT - MOVIES
Section: DC 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)
.................................................................................
1 1. Mentioned
216 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC100_13 PROB WORSE SINCE LAST VISIT - OTHER
Section: DC 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)
.................................................................................
12 1. Mentioned
205 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_1 WHICH HOBBIES STILL DONE WELL - TV
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_1
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
19 1. Mentioned
198 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_2 WHICH HOBBIES STILL DONE WELL - GARDENING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_2
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
4 1. Mentioned
213 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_3 WHICH HOBBIES STILL DONE WELL - READS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_3
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
13 1. Mentioned
204 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_4 WHICH HOBBIES STILL DONE WELL - SEWING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_4
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
2 1. Mentioned
215 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_5 WHICH HOBBIES STILL DONE WELL - TRAVELS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_5
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
3 1. Mentioned
214 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_6 WHICH HOBBIES STILL DONE WELL - HUNTING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_6
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
1. Mentioned
217 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_7 WHICH HOBBIES STILL DONE WELL - GAMES
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_7
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
5 1. Mentioned
212 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_8 WHICH HOBBIES STILL DONE WELL - VISITS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_8
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
16 1. Mentioned
201 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_9 WHICH HOBBIES STILL DONE WELL - EXERCISES
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_9
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
2 1. Mentioned
215 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_10 WHICH HOBBIES STILL DONE WELL - COOKING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_10
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
3 1. Mentioned
214 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_11 WHICH HOBBIES STILL DONE WELL - GOLF
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_11
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
3 1. Mentioned
214 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_12 WHICH HOBBIES STILL DONE WELL - MOVIES
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_12
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
1. Mentioned
217 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC101_13 WHICH HOBBIES STILL DONE WELL - OTHER
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH101_13
What hobbies can (s/he) still do well (Mark as many as applicable)?
.................................................................................
10 1. Mentioned
207 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC102 CHANGES IN HOBBIES DUE TO COG OR PHYS PROB
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH102
Are these changes due to problems with thinking and memory or physical health
problems?
.................................................................................
2 1. Thinking And Memory
23 2. Physical Health (Specify)
4 3. Both (Specify)
4 4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
184 Blank. Inap
==========================================================================================
DC103MO MONTH FIRST NOTICED CHANGES IN HOBBIES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC103YR YEAR FIRST NOTICED CHANGES IN HOBBIES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC103AGE AGE NOTICED CHANGES IN HOBBIES
Section: DC 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
1 60-69. AGE
9 70-79. AGE
19 80-89. AGE
4 90-99. AGE
100-109. AGE
998. DK (Don't Know)
184 Blank. Inap
==========================================================================================
DC104 EVER DRIVE A CAR
Section: DC 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?
.................................................................................
195 1. Yes
20 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC105 DRIVE A CAR NOW
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH105
Does (s/he) drive a car now?
.................................................................................
148 1. Yes
47 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
22 Blank. Inap
==========================================================================================
DC106MO MONTH WHEN STOPPED DRIVING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH106MO
When did (s/he) stop driving? 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)
217 Blank. Inap
==========================================================================================
DC106YR YEAR WHEN STOPPED DRIVING
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH106YR
When did (s/he) stop driving? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC106AGE AGE WHEN STOPPED DRIVING
Section: DC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH106AGE
When did (s/he) stop driving? AGE
.................................................................................
20-29. AGE
1 30-39. AGE
40-49. AGE
50-59. AGE
4 60-69. AGE
14 70-79. AGE
21 80-89. AGE
5 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
170 Blank. Inap
==========================================================================================
DC107 STOP DRIVING DUE TO MEM OR THINKING PROB
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH107
Did (s/he) stop because of memory or thinking problems?
.................................................................................
7 1. Yes
40 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
170 Blank. Inap
==========================================================================================
DC108 HAVE DIFFICULTY DRIVING DUE TO MEM PROB
Section: DC 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?
.................................................................................
2 1. Yes
143 5. No
1 97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
69 Blank. Inap
==========================================================================================
DC110 ABILITY TO TRAVEL
Section: DC 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:
.................................................................................
177 1. Able To Drive Own Car Or To Travel Alone On Buses Or In Taxi
36 2. Able To Travel, But Needs Someone To Travel With
3 3. Unable To Travel
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC111 TRAVEL - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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?
.................................................................................
5 1. Thinking And Memory
25 2. Physical Health (Specify)
8 3. Both (Specify)
1 4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
178 Blank. Inap
==========================================================================================
DC112 ABLE TO SHOP INDEPENDENTLY IF TRANS PROVIDED
Section: DC 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?
.................................................................................
194 1. Usually
9 2. Sometimes (shops for limited number of items, buys duplicate
items or forgets needed items)
13 3. Rarely (needs to be accompanied on any shopping trip)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC114MO MONTH NOTICED CHANGES IN ABILITY TO SHOP
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC114YR YEAR NOTICED CHANGES IN ABILITY TO SHOP
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC114AGE AGE NOTICED CHANGES IN ABILITY TO SHOP
Section: DC 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
6 70-79. AGE
9 80-89. AGE
5 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
195 Blank. Inap
==========================================================================================
DC115 CAN CARRY OUT SOCIAL ACTIVITIES OUTSIDE HOME
Section: DC 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?
.................................................................................
195 1. Usually (Meaningful participation in activities, e.g.
voting)
8 2. Sometimes (Limited and/or routine, e.g. superficial
participation in church or meetings, trips to beauty parlor)
13 3. Rarely (Generally unable to perform activities without help)
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC117MO MONTH NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC117YR YEAR NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC117AGE AGE NOTICED CHANGES IN SOCIAL ACTIVITIES
Section: DC 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
50-59. AGE
60-69. AGE
7 70-79. AGE
6 80-89. AGE
5 90-99. AGE
100-109. AGE
3 998. DK (Don't Know)
196 Blank. Inap
==========================================================================================
DC118 CHANGES IN SOC ACTIVITIES DUE TO MEM/PHYS PROB
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH118
Are these changes due to problems with thinking and memory or physical health
problems?
.................................................................................
2 1. Thinking And Memory
9 2. Physical Health (Specify)
9 3. Both (Specify)
4. Neither
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
196 Blank. Inap
==========================================================================================
DC119 TAKEN TO SOCIAL FUNCTIONS OUTSIDE HOME
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH119
(If significantly impaired) 'Is (s/he) taken to social functions outside the
home?’
.................................................................................
2 1. Yes
3 5. No
4 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
208 Blank. Inap
==========================================================================================
DC121 WOULD CASUAL OBSERVER THINK SUBJ IS ILL
Section: DC 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?
.................................................................................
2 1. Yes
6 5. No
3 96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
205 Blank. Inap
==========================================================================================
DC122 IF NH, PARTICIPATE WELL IN SOC FUNCTIONS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH122
(If in nursing home) Does (s/he) participate well in social functions?
.................................................................................
2 1. Yes
1 5. No
3 96. Skipped, Not Applicable
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
210 Blank. Inap
==========================================================================================
DC123 MORE DIFFICULTY WITH FINANCIAL TASKS
Section: DC 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?
.................................................................................
29 1. Yes
185 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC124 ABILITY WITH COMPLICATED FINANCIAL TASKS
Section: DC 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)?
.................................................................................
182 1. No Loss
18 2. Some Loss
13 3. Severe Loss
97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC125 WHO HANDLES BILLS NOW IN HOME
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH125
Who handles the bills now in [her/his] home?
.................................................................................
135 1. Respondent
68 2. Informant
9 3. Other Relative
3 4. Other (Specify)
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC126 IS WHO HANDLES BILLS A CHANGE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH126
Is this a change and, if so, why was this change made?
.................................................................................
133 1. R No Change
68 2. Other No Change
14 3. Change From R (Specify)
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC127MO MONTH BILL CHANGE WAS MADE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH127MO
(If change from R) When did this change occur? 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)
217 Blank. Inap
==========================================================================================
DC127YR YEAR BILL CHANGE WAS MADE
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH127YR
(If change from R) When did this change occur? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC127AGE AGE BILL CHANGE WAS MADE
Section: DC 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
60-69. AGE
70-79. AGE
11 80-89. AGE
5 90-99. AGE
100-109. AGE
1 998. DK (Don't Know)
200 Blank. Inap
==========================================================================================
DC128 RATE ABILITY WITH SMALL SUMS OF MONEY
Section: DC 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):
.................................................................................
211 1. No Loss
2 2. Some Loss
2 3. Severe Loss
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC130MO MONTH NOTICED CHANGES IN HANDLING MONEY
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC130YR YEAR NOTICED CHANGES IN HANDLING MONEY
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC130AGE AGE NOTICED CHANGES IN HANDLING MONEY
Section: DC 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
7 70-79. AGE
13 80-89. AGE
3 90-99. AGE
100-109. AGE
3 998. DK (Don't Know)
191 Blank. Inap
==========================================================================================
DC131 ABLE TO TAKE MEDICINES
Section: DC 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:
.................................................................................
178 1. Able To Prepare And Take Medications In The Right Dose At
The Right Time
32 2. Able To Take Medications, But Needs Reminding Or Someone To
Prepare Them
3 3. Unable To Take Medications
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC132 TAKE MEDICINES - PROB DUE TO THINKING/MEMORY OR PHYS HEALTH PROB
Section: DC 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?
.................................................................................
13 1. Thinking And Memory
14 2. Physical Health (Specify)
1 3. Both (Specify)
6 4. Neither
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
180 Blank. Inap
==========================================================================================
DC133 RATE ABILITY TO PRESENTLY SOLVE PROBLEMS
Section: DC 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:
.................................................................................
131 1. As Good As They Have Ever Been
56 2. Good, But Not As Good As Before
15 3. Fair
8 4. Poor
5 5. No Ability At All
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC134 IDEAS SEEM LESS LOGICAL/MAKE LESS SENSE
Section: DC 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?
.................................................................................
17 1. Some Less
5 2. Much Less
191 5. No
2 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC135 MORE DIFFICULTY MAKING DAILY DECISIONS
Section: DC 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)?
.................................................................................
20 1. Some More
12 2. Much More
182 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC136 MORE TROUBLE TRUSTING SUBJ JUDGEMENT
Section: DC 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?
.................................................................................
23 1. Some Trouble
14 2. Much Trouble
175 3. No Trouble
3 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC138MO MONTH NOTICED CHANGE IN TRUST
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC138YR YEAR NOTICED CHANGE IN TRUST
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC138AGE AGE NOTICED CHANGE IN TRUST
Section: DC 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
60-69. AGE
20 70-79. AGE
26 80-89. AGE
8 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
161 Blank. Inap
==========================================================================================
DC139 ONSET BEFORE INITIAL VISIT
Section: DC 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)?
.................................................................................
6 1. Yes
7 5. No
43 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
161 Blank. Inap
==========================================================================================
DC140 CAN HANDLE A HOUSEHOLD EMERGENCY
Section: DC 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)?
.................................................................................
203 1. As Well As Before
7 2. Worse Than Before Because of Trouble Thinking
5 3. Worse Than Before, Another Reason Why (Specify)
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC142MO MONTH NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC142YR YEAR NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC142AGE AGE NOTICED CHANGES HOUSEHOLD EMERGENCIES
Section: DC 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
2 70-79. AGE
6 80-89. AGE
2 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
205 Blank. Inap
==========================================================================================
DC143 CAN UNDERSTAND SITUATIONS/EXPLANATIONS
Section: DC 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)?)
.................................................................................
206 1. Usually
8 2. Sometimes
1 3. Rarely
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC145MO MONTH NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC145YR YEAR NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC145AGE AGE NOTICED CHANGE UNDERSTANDING SITUATIONS
Section: DC 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
1 70-79. AGE
6 80-89. AGE
2 90-99. AGE
100-109. AGE
998. DK (Don't Know)
208 Blank. Inap
==========================================================================================
DC146 ONSET BEFORE INITIAL VISIT
Section: DC 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)?
.................................................................................
3 1. Yes
2 5. No
8 96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
204 Blank. Inap
==========================================================================================
DC147 BEHAVE APPROPRIATELY SOCIAL SITUATIONS
Section: DC 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?
.................................................................................
205 1. Usually
6 2. Sometimes
3 3. Rarely
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC149MO MONTH NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC149YR YEAR NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC149AGE AGE NOTICED CHANGES IN APPROPRIATE BEHAVIOR
Section: DC 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
2 70-79. AGE
5 80-89. AGE
1 90-99. AGE
100-109. AGE
1 998. DK (Don't Know)
208 Blank. Inap
==========================================================================================
DC150 DIFFICULTY DRESSING SELF
Section: DC 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?
.................................................................................
37 1. Yes
178 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC152 DRESSING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH152
Is this due to physical/health problems or memory/thinking problems?
.................................................................................
2 1. Thinking And Memory
33 2. Physical Health (Specify)
2 3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
180 Blank. Inap
==========================================================================================
DC153 DIFFICULTY FEEDING SELF
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH153
Does (s/he) have difficulty feeding her/himself?
.................................................................................
5 1. Yes
210 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC155 FEEDING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH155
Is this due to physical/health problems or memory/thinking problems?
.................................................................................
1. Thinking & Memory
4 2. Physical Health (Specify)
1 3. Both (Specify)
4. Neither
96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
212 Blank. Inap
==========================================================================================
DC156 DIFFICULTY BATHING OR WASHING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH156
Does (s/he) have difficulty bathing or washing?
.................................................................................
24 1. Yes
4. Neither
190 5. No
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC158 BATHING PROB DUE TO COGNITIVE/PHYSICAL PROB
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH158
Is this due to physical/health problems or memory/thinking problems?
.................................................................................
1. Thinking And Memory
24 2. Physical Health (Specify)
3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
193 Blank. Inap
==========================================================================================
DC159 NEED PROMPTING FOR HYGIENE TASKS
Section: DC 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?
.................................................................................
16 1. Yes
199 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC160 DIFFICULTY PERFORMING WELL LEARNED TASKS
Section: DC 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?
.................................................................................
9 1. Yes
206 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC161AMO MONTH PROBLEMS WITH DRESSING BEGAN
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH161AMO
Dressing 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)
217 Blank. Inap
==========================================================================================
DC161AYR YEAR PROBLEMS WITH DRESSING BEGAN
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161AYR
Dressing Difficulties Begin Year
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC161AAGE AGE PROBLEMS WITH DRESSING BEGAN
Section: DC Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: CH161AAGE
Dressing Difficulties Begin AGE
.................................................................................
20-29. AGE
30-39. AGE
1 40-49. AGE
50-59. AGE
1 60-69. AGE
9 70-79. AGE
17 80-89. AGE
7 90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
180 Blank. Inap
==========================================================================================
DC161BMO MONTH PROBLEMS WITH FEEDING BEGAN
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC161BYR YEAR PROBLEMS WITH FEEDING BEGAN
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161BYR
Feeding Difficulties Begin Year
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC161BAGE AGE PROBLEMS WITH FEEDING BEGAN
Section: DC 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
1 70-79. AGE
1 80-89. AGE
2 90-99. AGE
100-109. AGE
1 998. DK (Don't Know)
212 Blank. Inap
==========================================================================================
DC161CMO MONTH PROBLEMS WITH BATHING BEGAN
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH161CMO
Bathing 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)
217 Blank. Inap
==========================================================================================
DC161CYR YEAR PROBLEMS WITH BATHING BEGAN
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161CYR
Bathing Difficulties Begin Year
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC161CAGE AGE PROBLEMS WITH BATHING BEGAN
Section: DC 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
5 70-79. AGE
12 80-89. AGE
6 90-99. AGE
100-109. AGE
1 998. DK (Don't Know)
193 Blank. Inap
==========================================================================================
DC161DMO MONTH PROB WITH WELL LEARNED TASKS BEGAN
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC161DYR YEAR PROB WITH WELL LEARNED TASKS BEGAN
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH161DYR
Difficulties with Well-Learned Tasks Year
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC161DAGE AGE PROB WITH WELL LEARNED TASKS BEGAN
Section: DC 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
1 60-69. AGE
3 70-79. AGE
4 80-89. AGE
1 90-99. AGE
100-109. AGE
998. DK (Don't Know)
208 Blank. Inap
==========================================================================================
DC162 DIFFICULTY CONTROLLING BLADDER
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH162
Does (s/he) have difficulties controlling (her/his) bladder at least once a
month?
.................................................................................
43 1. Yes
167 5. No
97. Not Asked/Not Assessed
6 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC163 FREQUENCY OF BLADDER CONTROL PROBLEMS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH163
How frequently does (s/he) have problems?
.................................................................................
20 1. Daily
5 2. Once A Week
12 3. 1-3 Times/Month
97. Not Asked/Not Assessed
6 98. DK (Don't Know)
99. RF (Refused)
174 Blank. Inap
==========================================================================================
DC164MO MONTH NOTICED PROB CONTROLLING BLADDER
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC164YR YEAR NOTICED PROB CONTROLLING BLADER
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC164AGE AGE NOTICED PROB CONTROLLING BLADDER
Section: DC 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
30-39. AGE
40-49. AGE
50-59. AGE
3 60-69. AGE
17 70-79. AGE
10 80-89. AGE
6 90-99. AGE
100-109. AGE
7 998. DK (Don't Know)
174 Blank. Inap
==========================================================================================
DC165 BLADDER DIFFICULTY DUE TO PHY OR COG PROB
Section: DC 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?
.................................................................................
1. Thinking And Memory
37 2. Physical Health (Specify)
3 3. Both (Specify)
1 4. Neither
97. Not Asked/Not Assessed
2 98. DK (Don't Know)
99. RF (Refused)
174 Blank. Inap
==========================================================================================
DC166 DIFFICULTY CONTROLLING BOWELS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH166
Does (s/he) have difficulties controlling (her/his) bowels at least once a
month?
.................................................................................
11 1. Yes
198 5. No
97. Not Asked/Not Assessed
7 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC167 FREQUENCY OF BOWEL CONTROL PROBLEMS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH167
How frequently does (s/he) have problems?
.................................................................................
3 1. Daily
4 2. Once a Week
3 3. 1-3 Times/Month
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
206 Blank. Inap
==========================================================================================
DC168MO MONTH NOTICED PROBLEM CONTROLLING BOWELS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH168MO
When did you first notice this difficulty with controlling (her/his) bowels?
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)
217 Blank. Inap
==========================================================================================
DC168YR YEAR NOTICED PROBLEM CONTROLLING BOWELS
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH168YR
When did you first notice this difficulty with controlling (her/his) bowels?
YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC168AGE AGE NOTICED PROBLEM CONTROLLING BOWELS
Section: DC 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
30-39. AGE
40-49. AGE
50-59. AGE
1 60-69. AGE
4 70-79. AGE
3 80-89. AGE
90-99. AGE
100-109. AGE
3 998. DK (Don't Know)
206 Blank. Inap
==========================================================================================
DC169 BOWEL PROBLEM DUE TO PHY OR COG PROBLEMS
Section: DC 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. Thinking And Memory
10 2. Physical Health (Specify)
3. Both (Specify)
4. Neither
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
206 Blank. Inap
==========================================================================================
DC170 NOTICED CHANGES IN PERSONALITY/BEHAVIOR
Section: DC 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?
.................................................................................
34 1. A Little Change
16 2. A Big Change
166 3. No Change
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC171_1 BEHAVIOR CHANGE - LESS CONSCIENTIOUS/CONSIDERATE
Section: DC 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)?
.................................................................................
10 1. Mentioned
207 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_2 BEHAVIOR CHANGE - LESS SOCIABLE
Section: DC 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)?
.................................................................................
12 1. Mentioned
205 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_3 BEHAVIOR CHANGE - LESS FLEXIBLE
Section: DC 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)?
.................................................................................
10 1. Mentioned
207 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_4 BEHAVIOR CHANGE - MORE IRRITABLE
Section: DC 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)?
.................................................................................
28 1. Mentioned
189 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_5 BEHAVIOR CHANGE - MORE SUSPICIOUS
Section: DC 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)?
.................................................................................
15 1. Mentioned
202 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_6 BEHAVIOR CHANGE - MORE ARGUMENTATIVE
Section: DC 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)?
.................................................................................
17 1. Mentioned
200 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_7 BEHAVIOR CHANGE - MAKES INAPPROPRIATE COMMENTS
Section: DC 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)?
.................................................................................
11 1. Mentioned
206 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_8 BEHAVIOR CHANGE - BEHAVES INAPPROPRIATELY
Section: DC 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)?
.................................................................................
4 1. Mentioned
213 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC171_9 BEHAVIOR CHANGE - OTHER (SPECIFY)
Section: DC 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)?
.................................................................................
20 1. Mentioned
197 2. Not mentioned
97. NOT ASKED/NOT ASSESSED
==========================================================================================
DC173MO MONTH NOTICED CHANGES IN PERSONALITY
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC173YR YEAR NOTICED CHANGES IN PERSONALITY
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC173AGE AGE NOTICED CHANGES IN PERSONALITY
Section: DC 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
60-69. AGE
20 70-79. AGE
25 80-89. AGE
5 90-99. AGE
100-109. AGE
998. DK (Don't Know)
167 Blank. Inap
==========================================================================================
DC174 BECOME MORE DEPENDENT ON INFORMANT
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH174
Has (s/he) become more dependent on you?
.................................................................................
41 1. A Little More
35 2. A Lot More
136 5. No
4 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC176 DOES INFORM DO MORE FOR SUB THAN IN PAST
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH176
Do you do more for (her/him) than you used to do?
.................................................................................
37 1. A Little More
28 2. A Lot More
147 5. No
4 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
==========================================================================================
DC177 DO MORE BECAUSE OF SUB PHY OR COG HEALTH
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH177
Do you do more for (her/him) than you used to because of :
.................................................................................
5 1. Thinking And Memory
41 2. Physical Health (Specify)
12 3. Both (Specify)
7 4. Neither
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
152 Blank. Inap
==========================================================================================
DC179 MORE NERVOUS/FRUSTRATED WITH MEM TROUBLE
Section: DC 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?
.................................................................................
42 1. A Little More
16 2. A Lot More
108 5. No
96. Skipped, Not Applicable
3 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
48 Blank. Inap
==========================================================================================
DC181 FIRST PERSON TO NOTICE R MEM PROBLEMS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH181
Were you the first person to notice (NAME’s) problems with memory and thinking?
.................................................................................
143 1. Yes
16 5. No
96. Skipped, Not Applicable
7 97. Not Asked/Not Assessed
3 98. DK (Don't Know)
99. RF (Refused)
48 Blank. Inap
==========================================================================================
DC183 RELATIONSHIP TO SUBJECT
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH183
RELATIONSHIP TO RESPONDENT:
.................................................................................
3 1. Spouse
8 2. Child
1 3. Sibling
4. Parent
1 5. Friend
6. Guardian
7. Neighbor
3 8. Other (Specify)
1 97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
199 Blank. Inap
==========================================================================================
DC184 MEMORY PROBLEMS FLUCTUATE DAY TO DAY
Section: DC 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?
.................................................................................
9 1. Yes
10 5. No
96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
198 Blank. Inap
==========================================================================================
DC186 LEVEL OF ALERTNESS FLUCTUATE DAY TO DAY
Section: DC 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?
.................................................................................
4 1. Yes
15 5. No
96. Skipped, Not Applicable
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
198 Blank. Inap
==========================================================================================
DC188 AT TIME OF LAST VISIT, RETIRED OR WORKING
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH188
Occupational History AT TIME OF LAST VISIT, RESPONDENT WAS:
.................................................................................
193 1. At Time Of Last Visit, Respondent Was Retired
22 2. At Time Of Last Visit, Respondent Was Still Working
1 96. Skipped/Not Applicable
98. DK (Don't Know)
1 Blank. Inap
==========================================================================================
DC189 IS SUBJECT CURRENTLY EMPLOYED
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH189
Is [Name] currently employed?
.................................................................................
18 1. Yes
3. N/A (Never Worked Outside The Home)
5 5. No
97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
194 Blank. Inap
==========================================================================================
DC191 WORK TROUBLE DUE TO MEMORY/THINKING PROB
Section: DC 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
13 3. Rarely
5 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
199 Blank. Inap
==========================================================================================
DC192 AT WHAT AGE DID SUBJECT RETIRE
Section: DC 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
2 70-79. AGE
1 80-89. AGE
90-99. AGE
100-109. AGE
2 998. DK (Don't Know)
212 Blank. Inap
==========================================================================================
DC194 REASON FOR RETIREMENT
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH194
Why did (s/he) retire?
.................................................................................
1 1. Reached retirement Age/Tired of Working
2 2. Health Problems
3. Position Eliminated
1 4. Other (Specify)
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
212 Blank. Inap
==========================================================================================
DC195 MEM PROB CONTRIBUTE TO DECISION TO RETIRE
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH195
Did memory or thinking problems contribute to (her/his) decision to retire?
.................................................................................
1. Yes
4 5. No
1 97. Not Asked/Not Assessed
98. DK (Don't Know)
99. RF (Refused)
212 Blank. Inap
==========================================================================================
DC196MO MONTH MEMORY/THINKING PROBLEMS BEGAN
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC196YR YEAR MEMORY/THINKING PROBLEMS BEGAN
Section: DC Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: CH196YR
When did these problems begin? YEAR
.................................................................................
2000-2009. YEAR
9998. DK (Don't Know)
217 Blank. Inap
==========================================================================================
DC196AGE AGE MEMORY/THINKING PROBLEMS BEGAN
Section: DC 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)
217 Blank. Inap
==========================================================================================
DC199 ANY MAJOR CHANGE IN ACTIVITIES/INTERESTS
Section: DC Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: CH199
Have there been any major changes in (her/his) activities or interests?
.................................................................................
16 1. Yes (specify)
199 5. No
97. Not Asked/Not Assessed
1 98. DK (Don't Know)
99. RF (Refused)
1 Blank. Inap
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