HHID HOUSEHOLD IDENTIFIER
Section: E Level: Respondent CAI Reference: Q9001
Type: Character Width: 6 Decimals: 0
................................................................................
775 200000-209999. HOUSEHOLD IDENTIFICATION NUMBER
PN RESPONDENT PERSON NUMBER
Section: E Level: Respondent CAI Reference: Q9002
Type: Character Width: 3 Decimals: 0
User Note: The range 010-040 is reserved for respondent person numbers.
Respondent person numbers ending in zero are generally original sample
members, while respondent person numbers ending in one are generally new
spouses added after the original sample.
................................................................................
607 010. RESPONDENT PERSON NUMBER
168 020. RESPONDENT PERSON NUMBER
NSUBHH 1995 SUB-HOUSEHOLD IDENTIFIER
Section: E Level: Respondent CAI Reference: Q9003
Type: Character Width: 1 Decimals: 0
................................................................................
754 3. Deceased respondent household
21 4. 2ND Deceased respondent household
BSUBHH 1993 SUB-HOUSEHOLD IDENTIFIER
Section: E Level: Respondent CAI Reference: Q9004
Type: Character Width: 1 Decimals: 0
................................................................................
775 0. Original Sample Household - No Split From Divorce or Separation
of Spouses or Partners
NPN_SP SPOUSE / PARTNER PERSON NUMBER
Section: E Level: Respondent CAI Reference: Q9005
Type: Character Width: 3 Decimals: 0
User Note: New Spouses of deceased respondents are not considered
respondents, thus are not assigned a person number.
................................................................................
163 010. Person Number
9 011. Person Number
216 020. Person Number
387 Blank. No Spouse
N1658M1 Ex2.WHY ADMITTED - FINAL
Section: E Level: Respondent CAI Reference: Q1658
Type: Numeric Width: 1 Decimals: 0
Ex2.
Why had (he/she) been admitted to the hospital?
Was it to have surgery, receive other treatments, relieve
(his/her) symptoms, or what?
CHOOSE ALL THAT APPLY
User Note: Up to three mentions were allowed, maximum used was three.
................................................................................
35 1. SURGERY
48 2. OTHER TREATMENTS
170 3. RELIEVE SYMPTOMS
120 7. OTHER (SPECIFY)
8. DK
9. RF
402 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 1) Or Partial Interview
N1658M2 Ex2.WHY ADMITTED - FINAL
Section: E Level: Respondent CAI Reference: Q1658
Type: Numeric Width: 1 Decimals: 0
Ex2.
Why had (he/she) been admitted to the hospital?
Was it to have surgery, receive other treatments, relieve
(his/her) symptoms, or what?
CHOOSE ALL THAT APPLY
User Note: Up to three mentions were allowed, maximum used was three.
................................................................................
1 1. SURGERY
6 2. OTHER TREATMENTS
8 3. RELIEVE SYMPTOMS
6 7. OTHER (SPECIFY)
8. DK
9. RF
754 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 1) Or Partial Interview
N1658M3 Ex2.WHY ADMITTED - FINAL
Section: E Level: Respondent CAI Reference: Q1658
Type: Numeric Width: 1 Decimals: 0
Ex2.
Why had (he/she) been admitted to the hospital?
Was it to have surgery, receive other treatments, relieve
(his/her) symptoms, or what?
CHOOSE ALL THAT APPLY
User Note: Up to three mentions were allowed, maximum used was three.
................................................................................
1. SURGERY
2. OTHER TREATMENTS
3 3. RELIEVE SYMPTOMS
7. OTHER (SPECIFY)
8. DK
9. RF
772 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 1) Or Partial Interview
N1664 E1.HOSPITAL-YR
Section: E Level: Respondent CAI Reference: Q1664
Type: Numeric Width: 1 Decimals: 0
E1.
IF Q226 IS (1)
In addition to that hospital stay,
END
(Since last interview month/year/In the last two years before
(he/she) died), had
[Q371-R FIRST NAME]
been a patient in a hospital overnight?
................................................................................
459 1. YES
309 5. NO
6 8. DK
9. RF
1 Blank. INAP
N1665 E2.HOSPITAL TIMES
Section: E Level: Respondent CAI Reference: Q1665
Type: Numeric Width: 2 Decimals: 0
E2.
IF Q226 IS (1)
Including (his/her) final hospitalization,
END
How many different times was (he/she) a patient in a hospital
overnight (since last interview month/year/in the last two years
before (he/she) died)?
................................................................................
444 1-30. Range of Values
3 98. DK
99. RF
328 Blank. INAP(inapplicable): [Q226:CS2cx] IS (1) AND
[Q1664:E1] IS (5 OR DK OR RF); [Q1664:E1] IS (5 OR DK
OR RF) Or Partial Interview
N1666 E3.HOSP-1 #NIGHTS
Section: E Level: Respondent CAI Reference: Q1666
Type: Numeric Width: 3 Decimals: 0
E3.
(Altogether) How many nights was (he/she) a patient in the
hospital (since last interview month/year/in the last two years
before (he/she) died)?
................................................................................
588 0-996. Range of Values
45 998. DK
999. RF
142 Blank. INAP(inapplicable): [Q1664:E1] IS (5 OR DK OR RF) Or
Partial Interview
N1668 E3ax.HOSP - INTENSIVE CARE
Section: E Level: Respondent CAI Reference: Q1668
Type: Numeric Width: 1 Decimals: 0
E3ax.
IF Q1665 IS (GT1)
During any of those hospital stays
ELSE
During (his/her) hospital stay
END
did
[Q371-R FIRST NAME] spend any time in an
intensive care unit?
................................................................................
318 1. YES
313 5. NO
3 8. DK
9. RF
141 Blank. INAP(inapplicable): [Q1664:E1] IS (5 OR DK OR RF) Or Partial
Interview
N1669 E3bx.HOSP - LIFE SUPPORT
Section: E Level: Respondent CAI Reference: Q1669
Type: Numeric Width: 1 Decimals: 0
E3bx.
IF Q1665 IS (GT1)
(During any of those hospital stays)
ELSE
(During (his/her) hospital stay)
END
did (he/she) use life support equipment, such as a respirator?
................................................................................
184 1. YES
444 5. NO
6 8. DK
9. RF
141 Blank. INAP(inapplicable): [Q1664:E1] IS (5 OR DK OR RF) Or Partial
Interview
N1670 E3cx.HOSP - DIALYSIS
Section: E Level: Respondent CAI Reference: Q1670
Type: Numeric Width: 1 Decimals: 0
E3cx.
IF Q1665 IS (GT1)
(During any of those hospital stays)
ELSE
(During (his/her) hospital stay)
END
did (he/she) use kidney dialysis services?
................................................................................
42 1. YES
581 5. NO
11 8. DK
9. RF
141 Blank. INAP(inapplicable): [Q1664:E1] IS (5 OR DK OR RF) Or Partial
Interview
N1671 E3dx.HOSP - ANTIBIOTICS
Section: E Level: Respondent CAI Reference: Q1671
Type: Numeric Width: 1 Decimals: 0
E3dx.
IF Q1665 IS (GT1)
(During any of those hospital stays)
ELSE
(During (his/her) hospital stay)
END
did (he/she) receive antibiotics to treat pneumonia
or other infection?
................................................................................
347 1. YES
247 5. NO
40 8. DK
9. RF
141 Blank. INAP(inapplicable): [Q1664:E1] IS (5 OR DK OR RF) Or Partial
Interview
N1672 E4.HOSP $ NOT COV
Section: E Level: Respondent CAI Reference: Q1672
Type: Numeric Width: 1 Decimals: 0
E4.
Were the costs for (his/her) hospital stay(s) completely covered by
IF Q373 IS (LE1931)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
429 1. FULLY COVERED
189 3. PARTLY COVERED
1 5. NOT COVERED AT ALL
9 7. COSTS NOT SETTLED YET
6 8. DK
9. RF
141 Blank. INAP(inapplicable): [Q1664:E1] IS (5 OR DK OR RF) Or Partial
Interview
N1674 E4x.NURSING HOME # NIGHTS - FINAL
Section: E Level: Respondent CAI Reference: Q1674
Type: Numeric Width: 3 Decimals: 0
E4x.
IF Q249 IS (1)
Earlier you told me that
[Q371-R FIRST NAME] died while in a nursing home.
END
How long had (he/she) been a patient in that nursing home
before (his/her) death?
DAYS:
MONTHS:
DATE: //
................................................................................
53 0-996. Range of Values
998. DK
999. RF
722 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 2) Or Partial
Interview
N1675 E4xax.MONTHS
Section: E Level: Respondent CAI Reference: Q1675
Type: Numeric Width: 2 Decimals: 0
................................................................................
64 0-96. Range of Values
98. DK
99. RF
711 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 2);
[Q1674:E4x] IS (1-996 OR Over Limit) Or Partial
Interview
N1676 E4xbx.DATE-MONTH
Section: E Level: Respondent CAI Reference: Q1676
Type: Numeric Width: 2 Decimals: 0
................................................................................
7 1-12. Range of Values
98. DK
99. RF
768 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 2);
[Q1674:E4x] IS (1-996 OR Over Limit); [Q1675:E4xax]
IS (1-96 OR Over Limit) Or Partial Interview
N1678 E4xdx.DATE-YEAR
Section: E Level: Respondent CAI Reference: Q1678
Type: Numeric Width: 4 Decimals: 0
................................................................................
4 1900-1996. Range of Values
2 9998. DK
769 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 2);
[Q1674:E4x] IS (1-996 OR Over Limit); [Q1675:E4xax]
IS (1-96 OR Over Limit) Or Partial Interview
N1681 E5.NURSING HOME-YR
Section: E Level: Respondent CAI Reference: Q1681
Type: Numeric Width: 1 Decimals: 0
E5.
IF Q226 IS (2)
In addition to that nursing home stay,
END
(Since last interview month/year/In the last two years before
(he/she) died), had
[Q371-R FIRST NAME] been
a patient overnight in a nursing home, convalescent home,
or other long-term health care facility?
................................................................................
45 1. YES
542 5. NO
8. DK
9. RF
188 Blank. INAP(inapplicable): [Q249:CS11] IS (1) Or Partial Interview
N1682 E6.NURHM # TIMES
Section: E Level: Respondent CAI Reference: Q1682
Type: Numeric Width: 2 Decimals: 0
E6.
IF Q226 IS (2)
Including (his/her) final stay,
END
How many different times was (he/she) a patient in
a nursing home or other long-term care facility
(since last interview month/year/in the last two years before
(he/she) died)?
User Note: If Q249 (CS11.R-WHERE LIVE) equals 1 then Q1682 (R-WHERE LIVE)
through Q1693 (E10e. NURHM OR HOSP DK-5) were asked. Consequently, Q1682 -
Q1693 may contain R's who were never in a nursing home (but were in some
"other health care facility").
................................................................................
227 1-20. Range of Values
2 98. DK
99. RF
546 Blank. INAP(inapplicable): [Q226:CS2cx] IS (2) AND
[Q1681:E5] IS (5 OR DK OR RF); [Q1681:E5] IS (5 OR DK
OR RF) Or Partial Interview
N1683 E7.NURHM-1 NIGHTS
Section: E Level: Respondent CAI Reference: Q1683
Type: Numeric Width: 3 Decimals: 0
E7.
(Altogether) How many nights was (he/she) a patient
in a nursing home (since last interview month/year/in the last two
years before (he/she) died)?
USE 996 FOR CONTINUOUS SINCE ENTERED
NIGHTS:
OR
MONTHS:
................................................................................
125 0-995. Range of Values
36 996. CONTINUOUS SINCE ENTERED
2 998. DK
999. RF
612 Blank. INAP(inapplicable): [Q226:CS2cx] IS (2) AND
[Q1681:E5] IS (5 OR DK OR RF); [Q1681:E5] IS (5 OR DK
OR RF) Or Partial Interview
N1684 E7a.NURHM-1 MONTHS
Section: E Level: Respondent CAI Reference: Q1684
Type: Numeric Width: 2 Decimals: 0
................................................................................
68 1-48. Range of Values
3 98. DK
99. RF
704 Blank. INAP(inapplicable): [Q226:CS2cx] IS (2) AND
[Q1681:E5] IS (5 OR DK OR RF); [Q1681:E5] IS (5 OR DK
OR RF); [Q1683:E7] IS (1-996) Or Partial Interview
N1686 E8.NURHM NOT COV
Section: E Level: Respondent CAI Reference: Q1686
Type: Numeric Width: 1 Decimals: 0
E8.
Were the costs for (his/her) nursing home stay(s) completely covered by
IF Q373 IS (LE1931)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
120 1. FULLY COVERED
69 3. PARTLY COVERED
35 5. NOT COVERED AT ALL
7 7. COSTS NOT SETTLED YET
5 8. DK
9. RF
539 Blank. INAP(inapplicable): [Q1681:E5] IS (5 OR DK OR RF) Or Partial
Interview
N1688 E10.NURHM OR HOSP R PAY $
Section: E Level: Respondent CAI Reference: Q1688
Type: Numeric Width: 6 Decimals: 0
E10.
About how much did (he/she) ((or his/her husband)/(or his/her
wife)/(or his/her partner)/...)
pay out-of-pocket for (nursing home/, hospital) bills
(since last interview month/year/in the last two years before
(he/she) died)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
156 0-999996. None; Includes Cost not Settled Yet
102 999998. DK
999999. RF
517 Blank. INAP(inapplicable): [Q1686:E8] IS (NE 3-7) AND
[Q1672:E4] IS (NE 3-7) Or Partial Interview
N1689 E10a.NURHM OR HOSP DK-1
Section: E Level: Respondent CAI Reference: Q1689
Type: Numeric Width: 1 Decimals: 0
E10a.
Was it more than $10,000?
................................................................................
23 1. YES
71 5. NO
13 8. DK
1 9. RF
667 Blank. INAP(inapplicable): [Q1686:E8] IS (NE 3-7) AND [Q1672:E4] IS
(NE 3-7); [Q1688:E10] IS (NE DK AND NE RF) Or Partial Interview
N1690 E10b.NURHM OR HOSP DK-2
Section: E Level: Respondent CAI Reference: Q1690
Type: Numeric Width: 1 Decimals: 0
E10b.
Was it more than $20,000?
................................................................................
10 1. YES
11 5. NO
2 8. DK
9. RF
752 Blank. INAP(inapplicable): [Q1686:E8] IS (NE 3-7) AND [Q1672:E4] IS
(NE 3-7); [Q1688:E10] IS (NE DK AND NE RF); [Q1689:E10a] IS (DK
OR RF); [Q1689:E10a] IS (5) Or Partial Interview
N1691 E10c.NURHM OR HOSP DK-3
Section: E Level: Respondent CAI Reference: Q1691
Type: Numeric Width: 1 Decimals: 0
E10c.
Was it more than $50,000?
................................................................................
5 1. YES
5 5. NO
8. DK
9. RF
765 Blank. INAP(inapplicable): [Q1686:E8] IS (NE 3-7) AND [Q1672:E4] IS
(NE 3-7); [Q1688:E10] IS (NE DK AND NE RF); [Q1689:E10a] IS (DK
OR RF); [Q1689:E10a] IS (5); [Q1690:E10b] IS (5 OR DK OR RF) Or
Partial Interview
N1692 E10d.NURHM OR HOSP DK-4
Section: E Level: Respondent CAI Reference: Q1692
Type: Numeric Width: 1 Decimals: 0
E10d.
Was it more than $5,000?
................................................................................
14 1. YES
51 5. NO
6 8. DK
9. RF
704 Blank. INAP(inapplicable): [Q1686:E8] IS (NE 3-7) AND [Q1672:E4] IS
(NE 3-7); [Q1688:E10] IS (NE DK AND NE RF); [Q1689:E10a] IS (DK
OR RF); [Q1690:E10b] IS (5 OR DK OR RF); [Q1691:E10c] IS (A) Or
Partial Interview
N1693 E10e.NURHM OR HOSP DK-5
Section: E Level: Respondent CAI Reference: Q1693
Type: Numeric Width: 1 Decimals: 0
E10e.
Was it more than $500?
................................................................................
37 1. YES
12 5. NO
2 8. DK
9. RF
724 Blank. INAP(inapplicable): [Q1686:E8] IS (NE 3-7) AND [Q1672:E4] IS
(NE 3-7); [Q1688:E10] IS (NE DK AND NE RF); [Q1689:E10a] IS (DK
OR RF); [Q1690:E10b] IS (5 OR DK OR RF); [Q1691:E10c] IS (A);
[Q1692:E10d] IS (1 OR DK OR RF) Or Partial Interview
N1694 Ex10f.HOSPICE # NIGHTS - FINAL
Section: E Level: Respondent CAI Reference: Q1694
Type: Numeric Width: 2 Decimals: 0
Ex10f.
Earlier you told me that
[Q371-R FIRST NAME] died while in a hospice.
How long had (he/she) been a patient in that hospice
before (his/her) death?
DAYS:
MONTHS:
SINCE DATE:
(IWER: USE THE '/' TO MOVE BETWEEN MONTH/DAY/YEAR
IN THE DATE FIELD ONLY.) IF PROXY DK DAY IN DATE
FIELD, ENTER "15"
................................................................................
16 0-96. Range of Values
98. DK
99. RF
759 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 4) Or Partial
Interview
N1695 Ex10fa.MONTHS
Section: E Level: Respondent CAI Reference: Q1695
Type: Numeric Width: 2 Decimals: 0
................................................................................
2 0-96. Range of Values
98. DK
99. RF
773 Blank. INAP(inapplicable): [Q226:CS2cx] IS (NE 4);
[Q1694:Ex10f] IS (1-96 OR Over Limit) Or Partial
Interview
N1699 Ex10g.HOSPICE-YR
Section: E Level: Respondent CAI Reference: Q1699
Type: Numeric Width: 1 Decimals: 0
Ex10g.
IF Q226 IS (4)
In addition to that hospice stay,
END
(Since last interview month/year/In the last two years before
(he/she) died) had
[Q371-R FIRST NAME]
been a patient overnight in a hospice?
................................................................................
11 1. YES
762 5. NO
1 8. DK
9. RF
1 Blank. INAP
N1700 Ex10h.HOSPICE # TIMES
Section: E Level: Respondent CAI Reference: Q1700
Type: Numeric Width: 2 Decimals: 0
Ex10h.
IF Q226 IS (4)
Including (his/her) final stay,
END
How many different times was (he/she) a patient
in a hospice (since last interview month/year/in the last two years
before (he/she) died)?
................................................................................
11 1-20. Range of Values
98. DK
99. RF
764 Blank. INAP(inapplicable): [Q226:CS2cx] IS (4) AND
[Q1699:Ex10g] IS (5 OR DK OR RF); [Q1699:Ex10g] IS (5
OR DK OR RF) Or Partial Interview
N1701 Ex10j.HOSPICE-1 NIGHTS
Section: E Level: Respondent CAI Reference: Q1701
Type: Numeric Width: 3 Decimals: 0
Ex10j.
(Altogether) How many nights was (he/she) a patient in
a hospice (since last interview month/year/in the last two years
before (he/she) died)?
................................................................................
11 0-996. Range of Values
998. DK
999. RF
764 Blank. INAP(inapplicable): [Q226:CS2cx] IS (4) AND
[Q1699:Ex10g] IS (5 OR DK OR RF); [Q1699:Ex10g] IS (5
OR DK OR RF) Or Partial Interview
N1702 Ex10k.HOSPICE NOT COV
Section: E Level: Respondent CAI Reference: Q1702
Type: Numeric Width: 1 Decimals: 0
Ex10k.
Were the costs for (his/her) hospice stay(s) completely covered by
IF Q373 IS (LE1931)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at all
by insurance?
................................................................................
19 1. FULLY COVERED
5 3. PARTLY COVERED
1 5. NOT COVERED AT ALL
7. COSTS NOT SETTLED YET
1 8. DK
9. RF
749 Blank. INAP(inapplicable): [Q1699:Ex10g] IS (5 OR DK OR RF) Or Partial
Interview
N1703 Ex10m.HOSPICE R PAY $
Section: E Level: Respondent CAI Reference: Q1703
Type: Numeric Width: 4 Decimals: 0
Ex10m.
About how much did (he/she) ((or his/her husband)/(or his/her
wife)/(or his/her partner)/...)
pay out-of-pocket for hospice care (since last interview
month/year/in the last two years before (he/she) died)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
5 0-9996. Range of Values
2 9998. DK
9999. RF
768 Blank. INAP(inapplicable): [Q1699:Ex10g] IS (5 OR DK OR RF);
[Q1702:Ex10k] IS (1 OR NE A) Or Partial Interview
N1704 Ex10n.HOSPICE DK-1
Section: E Level: Respondent CAI Reference: Q1704
Type: Numeric Width: 1 Decimals: 0
Ex10n.
Was it more than $10,000?
................................................................................
1. YES
1 5. NO
1 8. DK
9. RF
773 Blank. INAP(inapplicable): [Q1699:Ex10g] IS (5 OR DK OR RF);
[Q1702:Ex10k] IS (1 OR NE A); [Q1703:Ex10m] IS (NE DK AND NE
RF) Or Partial Interview
N1705 Ex10p.HOSPICE DK-2
Section: E Level: Respondent CAI Reference: Q1705
Type: Numeric Width: 1 Decimals: 0
Ex10p.
Was it more than $20,000?
................................................................................
1. YES
5. NO
8. DK
9. RF
775 Blank. INAP(inapplicable): [Q1699:Ex10g] IS (5 OR DK OR RF);
[Q1702:Ex10k] IS (1 OR NE A); [Q1703:Ex10m] IS (NE DK AND NE
RF); [Q1704:Ex10n] IS (DK OR RF); [Q1704:Ex10n] IS (5) Or
Partial Interview
N1706 Ex10q.HOSPICE DK-3
Section: E Level: Respondent CAI Reference: Q1706
Type: Numeric Width: 1 Decimals: 0
Ex10q.
Was it more than $50,000?
................................................................................
1. YES
5. NO
8. DK
9. RF
775 Blank. INAP(inapplicable): [Q1699:Ex10g] IS (5 OR DK OR RF);
[Q1702:Ex10k] IS (1 OR NE A); [Q1703:Ex10m] IS (NE DK AND NE
RF); [Q1704:Ex10n] IS (DK OR RF); [Q1704:Ex10n] IS (5);
[Q1705:Ex10p] IS (5 OR DK OR RF) Or Partial Interview
N1707 Ex10r.HOSPICE DK-4
Section: E Level: Respondent CAI Reference: Q1707
Type: Numeric Width: 1 Decimals: 0
Ex10r.
Was it more than $5,000?
................................................................................
1 1. YES
5. NO
8. DK
9. RF
774 Blank. INAP(inapplicable): [Q1699:Ex10g] IS (5 OR DK OR RF);
[Q1702:Ex10k] IS (1 OR NE A); [Q1703:Ex10m] IS (NE DK AND NE
RF); [Q1704:Ex10n] IS (DK OR RF); [Q1705:Ex10p] IS (5 OR DK OR
RF); [Q1706:Ex10q] IS (A) Or Partial Interview
N1708 Ex10s.HOSPICE DK-5
Section: E Level: Respondent CAI Reference: Q1708
Type: Numeric Width: 1 Decimals: 0
Ex10s.
Was it more than $500?
................................................................................
1. YES
5. NO
8. DK
9. RF
775 Blank. INAP(inapplicable): [Q1699:Ex10g] IS (5 OR DK OR RF);
[Q1702:Ex10k] IS (1 OR NE A); [Q1703:Ex10m] IS (NE DK AND NE
RF); [Q1704:Ex10n] IS (DK OR RF); [Q1705:Ex10p] IS (5 OR DK OR
RF); [Q1706:Ex10q] IS (A); [Q1707:Ex10r] IS (1 OR DK OR RF) Or
Partial Interview
N1709 E11.DR TIMES
Section: E Level: Respondent CAI Reference: Q1709
Type: Numeric Width: 2 Decimals: 0
E11.
IF Q1664 IS (1)
Aside from any hospital stays,
END
How many times did
[Q371-R FIRST NAME] see or talk to a medical doctor
about (his/her) health, including emergency room or clinic
visits (since last interview month/year/in the last two years before
(he/she) died)?
USE ZERO FOR NONE
................................................................................
688 0-50. Range of Values
86 98. DK
99. RF
1 Blank. INAP
N1712 E13.DR, NOT COV
Section: E Level: Respondent CAI Reference: Q1712
Type: Numeric Width: 1 Decimals: 0
E13.
Were the costs for (his/her) doctor visit(s) completely covered by
IF Q373 IS (LE1931)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
382 1. FULLY COVERED
236 3. PARTLY COVERED
8 5. NOT COVERED AT ALL
1 7. COSTS NOT SETTLED YET
7 8. DK
9. RF
141 Blank. INAP(inapplicable): [Q1709:E11] IS (0 OR DK OR RF) Or Partial
Interview
N1732 E18a.DOCTOR/OUT/DENTAL R PAY $
Section: E Level: Respondent CAI Reference: Q1732
Type: Numeric Width: 5 Decimals: 0
E18a.
About how much did (he/she) (or (his/her)
(husband/wife/partner/...))
pay out-of-pocket for doctor bills
(since last interview month/year/in the last two years before
(he/she) died)?
(Except any payments you told me about.)
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
118 0-99996. Range of Values
126 99998. DK
99999. RF
531 Blank. INAP(inapplicable): [Q1712:E13] IS (NE 3-7) Or
Partial Interview
N1733 E18b.DK-1
Section: E Level: Respondent CAI Reference: Q1733
Type: Numeric Width: 1 Decimals: 0
E18b.
Was it more than $1,000?
................................................................................
46 1. YES
72 5. NO
8 8. DK
9. RF
649 Blank. INAP(inapplicable): [Q1712:E13] IS (NE 3-7); [Q1732:E18a] IS
(NE DK AND NE RF) Or Partial Interview
N1734 E18c.DK-2
Section: E Level: Respondent CAI Reference: Q1734
Type: Numeric Width: 1 Decimals: 0
E18c.
Was it more than $5,000?
................................................................................
6 1. YES
35 5. NO
5 8. DK
9. RF
729 Blank. INAP(inapplicable): [Q1712:E13] IS (NE 3-7); [Q1732:E18a] IS
(NE DK AND NE RF); [Q1733:E18b] IS (DK OR RF); [Q1733:E18b] IS
(5) Or Partial Interview
N1735 E18d.DK-3
Section: E Level: Respondent CAI Reference: Q1735
Type: Numeric Width: 1 Decimals: 0
E18d.
Was it more than $20,000?
................................................................................
1. YES
6 5. NO
8. DK
9. RF
769 Blank. INAP(inapplicable): [Q1712:E13] IS (NE 3-7); [Q1732:E18a] IS
(NE DK AND NE RF); [Q1733:E18b] IS (DK OR RF); [Q1733:E18b] IS
(5); [Q1734:E18c] IS (5 OR DK OR RF) Or Partial Interview
N1736 E18e.DK-4
Section: E Level: Respondent CAI Reference: Q1736
Type: Numeric Width: 1 Decimals: 0
E18e.
Was it more than $500?
................................................................................
31 1. YES
38 5. NO
3 8. DK
9. RF
703 Blank. INAP(inapplicable): [Q1712:E13] IS (NE 3-7); [Q1732:E18a] IS
(NE DK AND NE RF); [Q1733:E18b] IS (DK OR RF); [Q1734:E18c] IS
(5 OR DK OR RF); [Q1735:E18d] IS (A) Or Partial Interview
N1737 E18f.DK-5
Section: E Level: Respondent CAI Reference: Q1737
Type: Numeric Width: 1 Decimals: 0
E18f.
Was it more than $200?
................................................................................
22 1. YES
15 5. NO
1 8. DK
9. RF
737 Blank. INAP(inapplicable): [Q1712:E13] IS (NE 3-7); [Q1732:E18a] IS
(NE DK AND NE RF); [Q1733:E18b] IS (DK OR RF); [Q1734:E18c] IS
(5 OR DK OR RF); [Q1735:E18d] IS (A); [Q1736:E18e] IS (1 OR DK
OR RF) Or Partial Interview
N1744 E20.DRUGS-YR
Section: E Level: Respondent CAI Reference: Q1744
Type: Numeric Width: 1 Decimals: 0
E20.
Did (he/she) regularly take prescription medications
(since last interview month/year/in the last two years before
(he/she) died)?
................................................................................
663 1. YES
108 5. NO
3 8. DK
9. RF
1 Blank. INAP
N1748 E21.DRUGS, NOT COV
Section: E Level: Respondent CAI Reference: Q1748
Type: Numeric Width: 1 Decimals: 0
E21.
Were the costs of (his/her) prescription medications completely
covered by
IF Q373 IS (LE 1930)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered
at all by health insurance?
................................................................................
174 1. FULLY COVERED
254 3. PARTLY COVERED
215 5. NOT COVERED AT ALL
7. COSTS NOT SETTLED YET
20 8. DK
9. RF
112 Blank. INAP(inapplicable): [Q1744:E20] IS (5 OR DK OR RF) Or Partial
Interview
N1749 E21a.PRESCR R PAY $
Section: E Level: Respondent CAI Reference: Q1749
Type: Numeric Width: 5 Decimals: 0
E21a.
On the average, about how much did (he/she)
((or his/her husband)/(or his/her wife)/(or his/her partner)/...)
pay out-of-pocket per
month for these prescriptions
(since last interview month/year/in the last two years before
(he/she) died)?
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
................................................................................
308 0-99996. Range of Values
160 99998. DK
99999. RF
307 Blank. INAP(inapplicable): [Q1744:E20] IS (5 OR DK OR RF);
[Q1748:E21] IS (1 OR DK OR RF) Or Partial Interview
N1750 E21b.PRESCR DK-1
Section: E Level: Respondent CAI Reference: Q1750
Type: Numeric Width: 1 Decimals: 0
E21b.
Was it more than $20 per month?
................................................................................
116 1. YES
32 5. NO
16 8. DK
9. RF
611 Blank. INAP(inapplicable): [Q1744:E20] IS (5 OR DK OR RF); [Q1748:E21]
IS (1 OR DK OR RF); [Q1749:E21a] IS (NE DK AND NE RF) Or
Partial Interview
N1751 E21c.PRESCR DK-2
Section: E Level: Respondent CAI Reference: Q1751
Type: Numeric Width: 1 Decimals: 0
E21c.
Was it more than $100 per month?
................................................................................
57 1. YES
56 5. NO
3 8. DK
9. RF
659 Blank. INAP(inapplicable): [Q1744:E20] IS (5 OR DK OR RF); [Q1748:E21]
IS (1 OR DK OR RF); [Q1749:E21a] IS (NE DK AND NE RF);
[Q1750:E21b] IS (DK OR RF); [Q1750:E21b] IS (5) Or Partial
Interview
N1752 E21d.PRESCR DK-3
Section: E Level: Respondent CAI Reference: Q1752
Type: Numeric Width: 1 Decimals: 0
E21d.
Was it more than $500 per month?
................................................................................
1 1. YES
55 5. NO
1 8. DK
9. RF
718 Blank. INAP(inapplicable): [Q1744:E20] IS (5 OR DK OR RF); [Q1748:E21]
IS (1 OR DK OR RF); [Q1749:E21a] IS (NE DK AND NE RF);
[Q1750:E21b] IS (DK OR RF); [Q1750:E21b] IS (5); [Q1751:E21c]
IS (5 OR DK OR RF) Or Partial Interview
N1753 E21e.PRESCR DK-4
Section: E Level: Respondent CAI Reference: Q1753
Type: Numeric Width: 1 Decimals: 0
E21e.
Was it more than $10 per month?
................................................................................
22 1. YES
8 5. NO
2 8. DK
9. RF
743 Blank. INAP(inapplicable): [Q1744:E20] IS (5 OR DK OR RF); [Q1748:E21]
IS (1 OR DK OR RF); [Q1749:E21a] IS (NE DK AND NE RF);
[Q1750:E21b] IS (DK OR RF); [Q1751:E21c] IS (5 OR DK OR RF);
[Q1752:E21d] IS (A) Or Partial Interview
N1754 E21f.PRESCR DK-5
Section: E Level: Respondent CAI Reference: Q1754
Type: Numeric Width: 1 Decimals: 0
E21f.
Was it more than $5 per month?
................................................................................
3 1. YES
5 5. NO
8. DK
9. RF
767 Blank. INAP(inapplicable): [Q1744:E20] IS (5 OR DK OR RF); [Q1748:E21]
IS (1 OR DK OR RF); [Q1749:E21a] IS (NE DK AND NE RF);
[Q1750:E21b] IS (DK OR RF); [Q1751:E21c] IS (5 OR DK OR RF);
[Q1752:E21d] IS (A); [Q1753:E21e] IS (1 OR DK OR RF) Or Partial
Interview
N1760 E22.IN-HOME SERV
Section: E Level: Respondent CAI Reference: Q1760
Type: Numeric Width: 1 Decimals: 0
E22.
(Since last interview month/year/In the last two years before
(he/she) died) did any medically-trained person
come to (his/her) home to help (him/her)?
................................................................................
288 1. YES
295 5. NO
4 8. DK
9. RF
188 Blank. INAP(inapplicable): [Q249:CS11] IS (1) Or Partial Interview
N1762 E23.IN-HOME R PAY $
Section: E Level: Respondent CAI Reference: Q1762
Type: Numeric Width: 1 Decimals: 0
E23.
Were the costs of (his/her) home medical care completely covered by
IF Q373 IS (LE 1931)
Medicare, Medicaid, or other
END
health insurance, partly covered by insurance, or not covered at
all by insurance?
................................................................................
233 1. FULLY COVERED
30 3. PARTLY COVERED
20 5. NOT COVERED AT ALL
1 7. [VOL] COSTS NOT SETTLED YET
6 8. DK
9. RF
485 Blank. INAP(inapplicable): [Q249:CS11] IS (1); [Q1760:E22] IS (5 OR DK
OR RF) Or Partial Interview
N1774 E24.R USE SERVICE
Section: E Level: Respondent CAI Reference: Q1774
Type: Numeric Width: 1 Decimals: 0
E24.
READ SLOWLY
(Since last interview month/year/In the last two years before
(he/she) died), did (he/she)
use any special facility or service which we haven't
talked about, such as:
an adult care center, a social worker, an outpatient
rehabilitation program, or transportation or meals for the
elderly or disabled?
................................................................................
99 1. YES
485 5. NO
3 8. DK
9. RF
188 Blank. INAP(inapplicable): [Q249:CS11] IS (1) Or Partial Interview
N1781 E24a.SPECIAL R PAY $
Section: E Level: Respondent CAI Reference: Q1781
Type: Numeric Width: 5 Decimals: 0
E24a.
About how much did (he/she) ((or his/her husband)/(or his/her
wife)/(or his/her partner)/...)
pay out-of-pocket for (in-home medical care/, special facilities or
services)
(since last interview month/year/in the last two years before
(he/she) died)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
93 0-99996. Range of Values
43 99998. DK
99999. RF
639 Blank. INAP(inapplicable): [Q249:CS11] IS (1); [Q1762:E23]
IS (NE 3-7) AND [Q1774:E24] IS (5 OR DK OR RF) Or
Partial Interview
N1782 E24b.SPECIAL DK-1
Section: E Level: Respondent CAI Reference: Q1782
Type: Numeric Width: 1 Decimals: 0
E24b.
Was it more than $5,000?
................................................................................
7 1. YES
29 5. NO
8 8. DK
9. RF
731 Blank. INAP(inapplicable): [Q249:CS11] IS (1); [Q1762:E23] IS (NE 3-7)
AND [Q1774:E24] IS (5 OR DK OR RF); [Q1781:E24a] IS (NE DK AND
NE RF) Or Partial Interview
N1783 E24c.SPECIAL DK-2
Section: E Level: Respondent CAI Reference: Q1783
Type: Numeric Width: 1 Decimals: 0
E24c.
Was it more than $10,000?
................................................................................
3 1. YES
3 5. NO
1 8. DK
9. RF
768 Blank. INAP(inapplicable): [Q249:CS11] IS (1); [Q1762:E23] IS (NE 3-7)
AND [Q1774:E24] IS (5 OR DK OR RF); [Q1781:E24a] IS (NE DK AND
NE RF); [Q1782:E24b] IS (DK OR RF); [Q1782:E24b] IS (5) Or
Partial Interview
N1784 E24d.SPECIAL DK-3
Section: E Level: Respondent CAI Reference: Q1784
Type: Numeric Width: 1 Decimals: 0
E24d.
Was it more than $20,000?
................................................................................
1 1. YES
1 5. NO
1 8. DK
9. RF
772 Blank. INAP(inapplicable): [Q249:CS11] IS (1); [Q1762:E23] IS (NE 3-7)
AND [Q1774:E24] IS (5 OR DK OR RF); [Q1781:E24a] IS (NE DK AND
NE RF); [Q1782:E24b] IS (DK OR RF); [Q1782:E24b] IS (5);
[Q1783:E24c] IS (5 OR DK OR RF) Or Partial Interview
N1785 E24e.SPECIAL DK-4
Section: E Level: Respondent CAI Reference: Q1785
Type: Numeric Width: 1 Decimals: 0
E24e.
Was it more than $1,000?
................................................................................
7 1. YES
20 5. NO
2 8. DK
9. RF
746 Blank. INAP(inapplicable): [Q249:CS11] IS (1); [Q1762:E23] IS (NE 3-7)
AND [Q1774:E24] IS (5 OR DK OR RF); [Q1781:E24a] IS (NE DK AND
NE RF); [Q1782:E24b] IS (DK OR RF); [Q1783:E24c] IS (5 OR DK OR
RF); [Q1784:E24d] IS (A) Or Partial Interview
N1786 E24f.SPECIAL DK-5
Section: E Level: Respondent CAI Reference: Q1786
Type: Numeric Width: 1 Decimals: 0
E24f.
Was it more than $500?
................................................................................
7 1. YES
13 5. NO
8. DK
9. RF
755 Blank. INAP(inapplicable): [Q249:CS11] IS (1); [Q1762:E23] IS (NE 3-7)
AND [Q1774:E24] IS (5 OR DK OR RF); [Q1781:E24a] IS (NE DK AND
NE RF); [Q1782:E24b] IS (DK OR RF); [Q1783:E24c] IS (5 OR DK OR
RF); [Q1784:E24d] IS (A); [Q1785:E24e] IS (1 OR DK OR RF) Or
Partial Interview
N1791 E25x.OTHER OUT-OF-POCKET
Section: E Level: Respondent CAI Reference: Q1791
Type: Numeric Width: 1 Decimals: 0
E25x.
Aside from the medical expenses we already mentioned,
did
[Q371-R FIRST NAME] have any other out-of-pocket medical expenses,
that is, expenses not covered by insurance, such as
medications, special food, equipment such as a special
bed or chair, visits by doctors or other health professionals,
or other costs?
................................................................................
97 1. YES
224 5. NO
2 8. DK
9. RF
452 Blank. INAP(inapplicable): [Q1762:E23] IS (NE 3-7) AND [Q1774:E24] IS
(5 OR DK OR RF) Or Partial Interview
N1792 E25ax.OTHER R PAY $
Section: E Level: Respondent CAI Reference: Q1792
Type: Numeric Width: 5 Decimals: 0
E25ax.
About how much did (he/she) ((or his/her husband)/(or his/her
wife)/(or his/her partner)/...)
pay out-of-pocket for those other expenses
(since last interview month/year/in the last two years before
(he/she) died)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
63 0-99996. Range of Values
33 99998. DK
1 99999. RF
678 Blank. INAP(inapplicable): [Q1791:E25x] IS (NE 1) Or Partial
Interview
N1793 E25bx.OTHER DK-1
Section: E Level: Respondent CAI Reference: Q1793
Type: Numeric Width: 1 Decimals: 0
E25bx.
Was it more than $5,000?
................................................................................
6 1. YES
22 5. NO
6 8. DK
9. RF
741 Blank. INAP(inapplicable): [Q1791:E25x] IS (NE 1); [Q1792:E25ax] IS
(NE DK AND NE RF) Or Partial Interview
N1794 E25cx.OTHER DK-2
Section: E Level: Respondent CAI Reference: Q1794
Type: Numeric Width: 1 Decimals: 0
E25cx.
Was it more than $10,000?
................................................................................
2 1. YES
3 5. NO
1 8. DK
9. RF
769 Blank. INAP(inapplicable): [Q1791:E25x] IS (NE 1); [Q1792:E25ax] IS
(NE DK AND NE RF); [Q1793:E25bx] IS (DK OR RF); [Q1793:E25bx]
IS (5) Or Partial Interview
N1795 E25dx.OTHER DK-3
Section: E Level: Respondent CAI Reference: Q1795
Type: Numeric Width: 1 Decimals: 0
E25dx.
Was it more than $20,000?
................................................................................
1. YES
1 5. NO
1 8. DK
9. RF
773 Blank. INAP(inapplicable): [Q1791:E25x] IS (NE 1); [Q1792:E25ax] IS
(NE DK AND NE RF); [Q1793:E25bx] IS (DK OR RF); [Q1793:E25bx]
IS (5); [Q1794:E25cx] IS (5 OR DK OR RF) Or Partial Interview
N1796 E25ex.OTHER DK-4
Section: E Level: Respondent CAI Reference: Q1796
Type: Numeric Width: 1 Decimals: 0
E25ex.
Was it more than $1,000?
................................................................................
9 1. YES
11 5. NO
2 8. DK
9. RF
753 Blank. INAP(inapplicable): [Q1791:E25x] IS (NE 1); [Q1792:E25ax] IS
(NE DK AND NE RF); [Q1793:E25bx] IS (DK OR RF); [Q1794:E25cx]
IS (5 OR DK OR RF); [Q1795:E25dx] IS (A) Or Partial Interview
N1797 E25fx.OTHER DK-5
Section: E Level: Respondent CAI Reference: Q1797
Type: Numeric Width: 1 Decimals: 0
E25fx.
Was it more than $500?
................................................................................
5 1. YES
6 5. NO
8. DK
9. RF
764 Blank. INAP(inapplicable): [Q1791:E25x] IS (NE 1); [Q1792:E25ax] IS
(NE DK AND NE RF); [Q1793:E25bx] IS (DK OR RF); [Q1794:E25cx]
IS (5 OR DK OR RF); [Q1795:E25dx] IS (A); [Q1796:E25ex] IS (1
OR DK OR RF) Or Partial Interview
N1799 E26x.TOTAL COST MEDICAL
Section: E Level: Respondent CAI Reference: Q1799
Type: Numeric Width: 1 Decimals: 0
E26.
I would like to get a rough idea of the total cost of (his/her)
IF Q1664 IS (1)
hospital stays
END
IF Q1681 IS (1) OR Q249 IS (1)
nursing home stays
END
IF Q1709 IS (GE1)
doctor and clinic visits
END
IF Q1713 IS (1)
outpatient surgery
END
IF Q1728 IS (1)
dental visits
END
IF Q1744 IS (1)
prescriptions
END
IF Q1760 IS (1)
in-home-medical care
END
(and) all other medical costs for (him/her)
(since last interview month/year/in the last two years before
(he/she) died), including costs covered by
IF Q373 IS (LE1931)
Medicare, Medicaid, or other
END
health insurance. Do you think the total costs were more
than $5,000?
................................................................................
616 1. YES
113 5. NO
34 8. DK
3 9. RF
9 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1) Or Partial Interview
N1800 E26a.TOTAL MEDICAL DK-1
Section: E Level: Respondent CAI Reference: Q1800
Type: Numeric Width: 1 Decimals: 0
E26a.
Was it more than $1,000?
................................................................................
69 1. YES
41 5. NO
3 8. DK
9. RF
662 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1799:E26x] IS (DK OR RF OR Over
Limit); [Q1799:E26x] IS (1) Or Partial Interview
N1801 E26b.TOTAL MEDICAL DK-2
Section: E Level: Respondent CAI Reference: Q1801
Type: Numeric Width: 1 Decimals: 0
E26b.
Was it more than $25,000?
................................................................................
325 1. YES
252 5. NO
38 8. DK
1 9. RF
159 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1799:E26x] IS (DK OR RF OR Over
Limit); [Q1800:E26a] IS (A) Or Partial Interview
N1802 E26c.TOTAL MEDICAL DK-3
Section: E Level: Respondent CAI Reference: Q1802
Type: Numeric Width: 1 Decimals: 0
E26c.
Was it more than $100,000?
................................................................................
76 1. YES
231 5. NO
17 8. DK
1 9. RF
450 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1799:E26x] IS (DK OR RF OR Over
Limit); [Q1800:E26a] IS (A); [Q1801:E26b] IS (NE 1) Or Partial
Interview
N1803 E26d.TOTAL MEDICAL DK-4
Section: E Level: Respondent CAI Reference: Q1803
Type: Numeric Width: 1 Decimals: 0
E26d.
Was it more than $500,000?
................................................................................
4 1. YES
72 5. NO
8. DK
9. RF
699 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1799:E26x] IS (DK OR RF OR Over
Limit); [Q1800:E26a] IS (A); [Q1801:E26b] IS (NE 1);
[Q1802:E26c] IS (NE 1) Or Partial Interview
N1804 E26dx.NON-MEDICAL EXPENSES
Section: E Level: Respondent CAI Reference: Q1804
Type: Numeric Width: 1 Decimals: 0
E26dx.
In addition to medical expenses, persons with serious
illnesses often have non-medical expenses. Did
[Q371-R FIRST NAME]
have other out-of-pocket non-medical expenses such as
modifying the house with ramps or lifts, hiring help
for housekeeping or other household chores or for
assisting with personal needs?
................................................................................
157 1. YES
605 5. NO
3 8. DK
1 9. RF
9 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1) Or Partial Interview
N1805 E26dax.NON-MEDICAL R PAY $
Section: E Level: Respondent CAI Reference: Q1805
Type: Numeric Width: 5 Decimals: 0
E26dax.
About how much did (he/she) ((or his/her husband)/(or his/her
wife)/(or his/her partner)/...)
pay out-of-pocket for non-medical expenses
(since last interview month/year/in the last two years before
(he/she) died)?
DO NOT PROBE DK/RF
AMOUNT:
................................................................................
105 0-99996. Range of Values
52 99998. DK
99999. RF
618 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND
[Q1681:E5] IS (NE 1) AND [Q1709:E11] IS (0 OR DK OR
RF) AND [Q1744:E20] IS (NE 1) AND [Q1760:E22] IS (NE
1) AND [Q1774:E24] IS (NE 1) AND [Q249:CS11] IS (NE
1); [Q1804:E26dx] IS (NE 1) Or Partial Interview
N1806 E26dbx.NON-MEDICAL DK-1
Section: E Level: Respondent CAI Reference: Q1806
Type: Numeric Width: 1 Decimals: 0
E26dbx.
Was it more than $5,000?
................................................................................
9 1. YES
41 5. NO
4 8. DK
9. RF
721 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1804:E26dx] IS (NE 1); [Q1805:E26dax]
IS (NE DK AND NE RF) Or Partial Interview
N1807 E26dcx.NON-MEDICAL DK-2
Section: E Level: Respondent CAI Reference: Q1807
Type: Numeric Width: 1 Decimals: 0
E26dcx.
Was it more than $10,000?
................................................................................
2 1. YES
7 5. NO
8. DK
9. RF
766 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1804:E26dx] IS (NE 1); [Q1805:E26dax]
IS (NE DK AND NE RF); [Q1806:E26dbx] IS (DK OR RF);
[Q1806:E26dbx] IS (5) Or Partial Interview
N1808 E26ddx.NON-MEDICAL DK-3
Section: E Level: Respondent CAI Reference: Q1808
Type: Numeric Width: 1 Decimals: 0
E26ddx.
Was it more than $20,000?
................................................................................
1 1. YES
1 5. NO
8. DK
9. RF
773 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1804:E26dx] IS (NE 1); [Q1805:E26dax]
IS (NE DK AND NE RF); [Q1806:E26dbx] IS (DK OR RF);
[Q1806:E26dbx] IS (5); [Q1807:E26dcx] IS (5 OR DK OR RF) Or
Partial Interview
N1809 E26dex.NON-MEDICAL DK-4
Section: E Level: Respondent CAI Reference: Q1809
Type: Numeric Width: 1 Decimals: 0
E26dex.
Was it more than $1,000?
................................................................................
27 1. YES
14 5. NO
8. DK
9. RF
734 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1804:E26dx] IS (NE 1); [Q1805:E26dax]
IS (NE DK AND NE RF); [Q1806:E26dbx] IS (DK OR RF);
[Q1807:E26dcx] IS (5 OR DK OR RF); [Q1808:E26ddx] IS (A) Or
Partial Interview
N1810 E26dfx.NON-MEDICAL DK-5
Section: E Level: Respondent CAI Reference: Q1810
Type: Numeric Width: 1 Decimals: 0
E26dfx.
Was it more than $500?
................................................................................
4 1. YES
9 5. NO
1 8. DK
9. RF
761 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1804:E26dx] IS (NE 1); [Q1805:E26dax]
IS (NE DK AND NE RF); [Q1806:E26dbx] IS (DK OR RF);
[Q1807:E26dcx] IS (5 OR DK OR RF); [Q1808:E26ddx] IS (A);
[Q1809:E26dex] IS (1 OR DK OR RF) Or Partial Interview
N1812 E27.OTHERS HELP $
Section: E Level: Respondent CAI Reference: Q1812
Type: Numeric Width: 1 Decimals: 0
E27.
Did anyone help (him/her) (and his/her husband/and his/her wife/and
his/her partner/...) pay
for (his/her) health care costs
(since last interview month/year/in the last two years before
(he/she) died)?
DEF: APART FROM WHAT WAS COVERED BY INSURANCE.
................................................................................
64 1. YES
693 5. NO
8. DK
9 9. RF
9 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1) Or Partial Interview
N1813 E28.WHO HELP
Section: E Level: Respondent CAI Reference: Q1813
Type: Numeric Width: 1 Decimals: 0
E28.
Was that a (child or other/...) relative of
[Q371-R FIRST NAME] (and his/her husband's/and his/her wife's/and
his/her partner's/...), or was that someone else?
................................................................................
55 1. CHILD/CHILD-IN-LAW/GRANDCHILD
6 2. OTHER RELATIVE
3 3. SOMEONE ELSE
8. DK
9. RF
711 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1812:E27] IS (5 OR DK OR RF) Or
Partial Interview
N1814M1 E29.WHICH CHILD HELP $-1
Section: E Level: Respondent CAI Reference: Q1814
Type: Character Width: 3 Decimals: 0
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped the most?
IF GRANDCHILD:
(Which of (his/her) children is the parent of that grandchild?)
User Note: Up to ten mentions were allowed, maximum used was three.
................................................................................
1 037. DECEASED CHILD
13 038. ALL CHILDREN
41 041-995. Other Person Number
998. DK
999. RF
720 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1812:E27] IS (5 OR DK OR RF);
[Q1813:E28] IS (NE 1); Or Partial Interview
N1814M2 E29.WHICH CHILD HELP $-1
Section: E Level: Respondent CAI Reference: Q1814
Type: Character Width: 3 Decimals: 0
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped the most?
IF GRANDCHILD:
(Which of (his/her) children is the parent of that grandchild?)
User Note: Up to ten mentions were allowed, maximum used was three.
................................................................................
037. DECEASED CHILD
038. ALL CHILDREN
5 041-995. Other Person Number
998. DK
999. RF
770 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1812:E27] IS (5 OR DK OR RF);
[Q1813:E28] IS (NE 1); Or Partial Interview
N1814M3 E29.WHICH CHILD HELP $-1
Section: E Level: Respondent CAI Reference: Q1814
Type: Character Width: 3 Decimals: 0
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped the most?
IF GRANDCHILD:
(Which of (his/her) children is the parent of that grandchild?)
User Note: Up to ten mentions were allowed, maximum used was three.
................................................................................
037. DECEASED CHILD
038. ALL CHILDREN
3 041-995. Other Person Number
998. DK
999. RF
772 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1812:E27] IS (5 OR DK OR RF);
[Q1813:E28] IS (NE 1); Or Partial Interview
N1814M4 E29.WHICH CHILD HELP $-1
Section: E Level: Respondent CAI Reference: Q1814
Type: Character Width: 3 Decimals: 0
E29.
(Which child was that?)
CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped the most?
IF GRANDCHILD:
(Which of (his/her) children is the parent of that grandchild?)
User Note: Up to ten mentions were allowed, maximum used was three.
................................................................................
037. DECEASED CHILD
038. ALL CHILDREN
041-995. Other Person Number
998. DK
999. RF
775 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND [Q1681:E5] IS (NE
1) AND [Q1709:E11] IS (0 OR DK OR RF) AND [Q1744:E20] IS (NE 1)
AND [Q1760:E22] IS (NE 1) AND [Q1774:E24] IS (NE 1) AND
[Q249:CS11] IS (NE 1); [Q1812:E27] IS (5 OR DK OR RF);
[Q1813:E28] IS (NE 1); Or Partial Interview
N1816 E30.AMOUNT OF OTH HELP
Section: E Level: Respondent CAI Reference: Q1816
Type: Numeric Width: 5 Decimals: 0
E30.
Altogether, about how much money did that help amount to?
AMOUNT:
................................................................................
44 0-99996. Range of Values
19 99998. DK
1 99999. RF
711 Blank. INAP(inapplicable): [Q1664:E1] IS (NE 1) AND
[Q1681:E5] IS (NE 1) AND [Q1709:E11] IS (0 OR DK OR
RF) AND [Q1744:E20] IS (NE 1) AND [Q1760:E22] IS (NE
1) AND [Q1774:E24] IS (NE 1) AND [Q249:CS11] IS (NE
1); [Q1812:E27] IS (5 OR DK OR RF) Or Partial
Interview
N1819 E31x.DAYS IN BED
Section: E Level: Respondent CAI Reference: Q1819
Type: Numeric Width: 2 Decimals: 0
E31.
About how many days did
[Q371-R FIRST NAME] stay in bed more than half the
day because of illness or injury during the last
three months before (his/her) death?
USE 93 FOR EVERY DAY
................................................................................
531 0-92. Range of Values
202 93. EVERY DAY
41 98. DK
99. RF
1 Blank. INAP
N1877 E72fx.ADL WALK HELP
Section: E Level: Respondent CAI Reference: Q1877
Type: Numeric Width: 1 Decimals: 0
E72fx.
The next questions are about help
[Q371-R FIRST NAME] received with
various activities because of a physical, mental,
emotional, or memory problem. Please tell me whether
[Q371-R FIRST NAME] received any help doing each of the
everyday activities that I read to you.
We want to know about help that (he/she) received during
the last three months of (his/her) life.
Because of a health or memory problem did anyone
help
[Q371-R FIRST NAME] get across a room during the last three
months of (his/her) life?
................................................................................
217 1. YES
324 5. NO
17 6. COULDN`T DO
4 7. DIDN`T DO
2 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N1878 E72gx.WALK HELP WHEN
Section: E Level: Respondent CAI Reference: Q1878
Type: Numeric Width: 2 Decimals: 0
E72gx.
How long had (he/she) needed help with walking?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
164 0-96. Range of Values
5 98. DK
99. RF
606 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1877:E72fx] IS (NE 1) Or Partial Interview
N1879 E72hx.WALK YEARS
Section: E Level: Respondent CAI Reference: Q1879
Type: Numeric Width: 2 Decimals: 0
................................................................................
36 0-96. Range of Values
98. DK
99. RF
739 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1877:E72fx] IS (NE 1); [Q1878:E72gx] IS (1-96 OR DK
OR RF OR Over Limit) Or Partial Interview
N1880 E72hx.WALK SINCE AGE
Section: E Level: Respondent CAI Reference: Q1880
Type: Numeric Width: 3 Decimals: 0
................................................................................
1 0-996. Range of Values
998. DK
999. RF
774 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1877:E72fx] IS (NE 1); [Q1878:E72gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1879:E72hx] IS (1-96 OR DK OR
RF OR Over Limit) Or Partial Interview
N1881 E72hx.WALK SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1881
Type: Numeric Width: 4 Decimals: 0
................................................................................
11 1900-1996. Range of Values
9998. DK
9999. RF
764 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1877:E72fx] IS (NE 1); [Q1878:E72gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1879:E72hx] IS (1-96 OR DK OR
RF OR Over Limit); [Q1880:E72hx] IS (1-996 OR DK OR
RF OR Over Limit) Or Partial Interview
N1887 E73fx.ADL DRESS HELP
Section: E Level: Respondent CAI Reference: Q1887
Type: Numeric Width: 1 Decimals: 0
E73fx.
(Because of a health or memory problem)
Did anyone help (him/her) dress in the last
3 months of (his/her) life?
................................................................................
263 1. YES
290 5. NO
7 6. COULDN`T DO
3 7. DIDN`T DO
1 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N1888 E73gx.DRESS HELP WHEN
Section: E Level: Respondent CAI Reference: Q1888
Type: Numeric Width: 2 Decimals: 0
E73gx.
How long had (he/she) needed help with dressing?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
193 0-96. Range of Values
5 98. DK
99. RF
577 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1887:E73fx] IS (NE 1) Or Partial Interview
N1889 E72hx.DRESS YEARS
Section: E Level: Respondent CAI Reference: Q1889
Type: Numeric Width: 2 Decimals: 0
................................................................................
53 0-96. Range of Values
722 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1887:E73fx] IS (NE 1); [Q1888:E73gx] IS (1-96 OR DK
OR RF OR Over Limit) Or Partial Interview
N1890 E72hx.DRESS SINCE AGE
Section: E Level: Respondent CAI Reference: Q1890
Type: Numeric Width: 3 Decimals: 0
................................................................................
0-996. Range of Values
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1887:E73fx] IS (NE 1); [Q1888:E73gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1889:E72hx] IS (1-96 OR DK OR
RF OR Over Limit) Or Partial Interview
N1891 E72hx.DRESS SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1891
Type: Numeric Width: 4 Decimals: 0
................................................................................
12 1900-1996. Range of Values
763 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1887:E73fx] IS (NE 1); [Q1888:E73gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1889:E72hx] IS (1-96 OR DK OR
RF OR Over Limit); [Q1890:E72hx] IS (1-996 OR DK OR
RF OR Over Limit) Or Partial Interview
N1897 E74fx.ADL BATHE HELP
Section: E Level: Respondent CAI Reference: Q1897
Type: Numeric Width: 1 Decimals: 0
E74fx.
(Because of a health or memory problem)
Did anyone help (him/her) with bathing or showering
in the last 3 months of (his/her) life?
................................................................................
309 1. YES
244 5. NO
9 6. COULDN`T DO
7. DIDN`T DO
2 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N1898 E74gx.WALK HELP WHEN
Section: E Level: Respondent CAI Reference: Q1898
Type: Numeric Width: 2 Decimals: 0
E74gx.
How long had (he/she) needed help with bathing?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
215 0-96. Range of Values
4 98. DK
99. RF
556 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1897:E74fx] IS (NE 1) Or Partial Interview
N1899 E74hx.BATHE YEARS
Section: E Level: Respondent CAI Reference: Q1899
Type: Numeric Width: 2 Decimals: 0
................................................................................
71 0-96. Range of Values
98. DK
99. RF
704 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1897:E74fx] IS (NE 1); [Q1898:E74gx] IS (1-96 OR DK
OR RF OR Over Limit) Or Partial Interview
N1900 E74hx.BATHE SINCE AGE
Section: E Level: Respondent CAI Reference: Q1900
Type: Numeric Width: 3 Decimals: 0
................................................................................
0-996. Range of Values
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1897:E74fx] IS (NE 1); [Q1898:E74gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1899:E74hx] IS (1-96 OR DK OR
RF OR Over Limit) Or Partial Interview
N1901 E74hx.BATHE SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1901
Type: Numeric Width: 4 Decimals: 0
................................................................................
21 1900-1996. Range of Values
754 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1897:E74fx] IS (NE 1); [Q1898:E74gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1899:E74hx] IS (1-96 OR DK OR
RF OR Over Limit); [Q1900:E74hx] IS (1-996 OR DK OR
RF OR Over Limit) Or Partial Interview
N1907 E75fx.ADL EAT HELP
Section: E Level: Respondent CAI Reference: Q1907
Type: Numeric Width: 1 Decimals: 0
E75fx.
(Because of a health or memory problem)
Did anyone help (him/her) eat in the last 3
months of (his/her) life?
................................................................................
174 1. YES
378 5. NO
7 6. COULDN`T DO
2 7. DIDN`T DO
3 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N1908 E75gx.EAT HELP WHEN
Section: E Level: Respondent CAI Reference: Q1908
Type: Numeric Width: 2 Decimals: 0
E75gx.
How long had (he/she) needed help with eating?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
143 0-96. Range of Values
6 98. DK
99. RF
626 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1907:E75fx] IS (NE 1) Or Partial Interview
N1909 E75hx.EAT YEARS
Section: E Level: Respondent CAI Reference: Q1909
Type: Numeric Width: 2 Decimals: 0
................................................................................
21 0-96. Range of Values
754 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1907:E75fx] IS (NE 1); [Q1908:E75gx] IS (1-96 OR DK
OR RF OR Over Limit) Or Partial Interview
N1910 E75hx.EAT SINCE AGE
Section: E Level: Respondent CAI Reference: Q1910
Type: Numeric Width: 3 Decimals: 0
................................................................................
0-996. Range of Values
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1907:E75fx] IS (NE 1); [Q1908:E75gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1909:E75hx] IS (1-96 OR DK OR
RF OR Over Limit) Or Partial Interview
N1911 E75hx.EAT SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1911
Type: Numeric Width: 4 Decimals: 0
................................................................................
5 1900-1996. Range of Values
770 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1907:E75fx] IS (NE 1); [Q1908:E75gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1909:E75hx] IS (1-96 OR DK OR
RF OR Over Limit); [Q1910:E75hx] IS (1-996 OR DK OR
RF OR Over Limit) Or Partial Interview
N1920 E76fx.ADL BED HELP
Section: E Level: Respondent CAI Reference: Q1920
Type: Numeric Width: 1 Decimals: 0
E76fx.
(Because of a health or memory problem)
Did anyone help (him/her) get in or out of bed
in the last 3 months of (his/her) life?
................................................................................
235 1. YES
318 5. NO
5 6. COULDN`T DO
3 7. DIDN`T DO
3 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N1921 E76gx.BED HELP WHEN
Section: E Level: Respondent CAI Reference: Q1921
Type: Numeric Width: 2 Decimals: 0
E76gx.
How long had (he/she) needed help with getting in
or out of bed?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
193 0-96. Range of Values
1 98. DK
99. RF
581 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1920:E76fx] IS (NE 1) Or Partial Interview
N1922 E76hx.BED YEARS
Section: E Level: Respondent CAI Reference: Q1922
Type: Numeric Width: 2 Decimals: 0
................................................................................
34 0-96. Range of Values
741 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1920:E76fx] IS (NE 1); [Q1921:E76gx] IS (1-96 OR DK
OR RF OR Over Limit) Or Partial Interview
N1923 E76hx.BED SINCE AGE
Section: E Level: Respondent CAI Reference: Q1923
Type: Numeric Width: 3 Decimals: 0
................................................................................
0-996. Range of Values
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1920:E76fx] IS (NE 1); [Q1921:E76gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1922:E76hx] IS (1-96 OR DK OR
RF OR Over Limit) Or Partial Interview
N1924 E76hx.BED SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1924
Type: Numeric Width: 4 Decimals: 0
................................................................................
7 1900-1996. Range of Values
1 9997. Other
767 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1920:E76fx] IS (NE 1); [Q1921:E76gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1922:E76hx] IS (1-96 OR DK OR
RF OR Over Limit); [Q1923:E76hx] IS (1-996 OR DK OR
RF OR Over Limit) Or Partial Interview
N1930 E77fx.ADL TOILET HELP
Section: E Level: Respondent CAI Reference: Q1930
Type: Numeric Width: 1 Decimals: 0
E77fx.
(Because of a health or memory problem)
Did anyone help (him/her) use the toilet
in the last 3 months of (his/her) life?
................................................................................
221 1. YES
323 5. NO
12 6. COULDN`T DO
5 7. DIDN`T DO
3 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N1931 E77gx.TOILET HELP WHEN
Section: E Level: Respondent CAI Reference: Q1931
Type: Numeric Width: 2 Decimals: 0
E77gx.
How long had (he/she) needed help with using the toilet?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
173 0-96. Range of Values
5 98. DK
99. RF
597 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1930:E77fx] IS (NE 1) Or Partial Interview
N1932 E77hx.TOILET YEARS
Section: E Level: Respondent CAI Reference: Q1932
Type: Numeric Width: 2 Decimals: 0
................................................................................
34 0-96. Range of Values
741 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1930:E77fx] IS (NE 1); [Q1931:E77gx] IS (1-96 OR DK
OR RF OR Over Limit) Or Partial Interview
N1933 E77hx.TOILET SINCE AGE
Section: E Level: Respondent CAI Reference: Q1933
Type: Numeric Width: 3 Decimals: 0
................................................................................
0-996. Range of Values
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1930:E77fx] IS (NE 1); [Q1931:E77gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1932:E77hx] IS (1-96 OR DK OR
RF OR Over Limit) Or Partial Interview
N1934 E77hx.TOILET SINCE YEAR
Section: E Level: Respondent CAI Reference: Q1934
Type: Numeric Width: 4 Decimals: 0
................................................................................
8 1900-1996. Range of Values
1 9998. DK
766 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1930:E77fx] IS (NE 1); [Q1931:E77gx] IS (1-96 OR DK
OR RF OR Over Limit); [Q1932:E77hx] IS (1-96 OR DK OR
RF OR Over Limit); [Q1933:E77hx] IS (1-996 OR DK OR
RF OR Over Limit) Or Partial Interview
ASSIGNMENT STATEMENTS
* if [Q1877:E72fx] IS (1) OR [Q1887:E73fx] IS (1) OR [Q1897:E74fx] IS (1) OR
[Q1907:E75fx] IS (1) OR [Q1920:E76fx] IS (1) OR [Q1930:E77fx] IS (1) then
[N1937.ADLHELP.CKPT IF ANY ADL HELPERS] = 1
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [N1937.ADLHELP.CKPT IF ANY ADL
HELPERS] = 5
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N1937 ADLHELP.CKPT IF ANY ADL HELPERS
Section: E Level: Respondent CAI Reference: Q1937
Type: Numeric Width: 2 Decimals: 0
................................................................................
221 0-96. Range of Values
554 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q1930:E77fx] IS (NE 1) Or Partial Interview
N1961 E83.WHO HELP-11
Section: E Level: Respondent CAI Reference: Q1961
Type: Character Width: 3 Decimals: 0
E83.
Who most often helped (him/her) with
IF Q1877 IS (1)
getting across a room,
END
IF Q1887 IS (1)
dressing,
END
IF Q1897 IS (1)
bathing,
END
IF Q1907 IS (1)
eating,
END
IF Q1920 IS (1)
getting in and out of bed,
END
IF Q1930 IS (1)
using the toilet
END
during the last three months of (his/her) life?
................................................................................
84 002. Spouse of R
55 041-083. Other Person Number
38 061-079. Other, Not On List
101 100. EMPLOYEE OF FACILITY
69 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
N1967 E83a.TYPE HELPER-1
Section: E Level: Respondent CAI Reference: Q1967
Type: Numeric Width: 1 Decimals: 0
E83a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q1961 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
3 4. GRANDCHILD
6 5. RELATIVE-OTHER
14 6. OTHER INDIVIDUAL
14 7. ORGANIZATION
8. DK
9. RF
737 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1961:E83] IS (NE 061-097) Or Partial
Interview
ASSIGNMENT STATEMENTS
* Jump from N1968 when [Q1967:E83a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N1969 E83c.OTHER HELPERS-2
Section: E Level: Respondent CAI Reference: Q1969
Type: Numeric Width: 1 Decimals: 0
E83c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
214 1. YES
133 5. NO
8. DK
9. RF
428 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1) Or Partial Interview
N1975 E84.WHO HELP-2
Section: E Level: Respondent CAI Reference: Q1975
Type: Character Width: 3 Decimals: 0
E84.
Who was that?
................................................................................
20 002. Spouse of R
26 041-083. Other Person Number
66 061-079. Other, Not On List
17 100. EMPLOYEE OF FACILITY
85 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
561 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1) Or Partial
Interview
N1976 E84a.TYPE HELPER-2
Section: E Level: Respondent CAI Reference: Q1976
Type: Numeric Width: 1 Decimals: 0
E84a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q1975 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
11 4. GRANDCHILD
16 5. RELATIVE-OTHER
19 6. OTHER INDIVIDUAL
18 7. ORGANIZATION
8. DK
9. RF
709 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1975:E84] IS
(NE 061-097) Or Partial Interview
N1983 E84c.OTHER HELPERS-3
Section: E Level: Respondent CAI Reference: Q1983
Type: Numeric Width: 1 Decimals: 0
E84c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
109 1. YES
105 5. NO
8. DK
9. RF
561 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1) Or Partial
Interview
N1984 E85.WHO HELP-3
Section: E Level: Respondent CAI Reference: Q1984
Type: Character Width: 3 Decimals: 0
E85.
Who was that?
................................................................................
3 002. Spouse of R
7 041-083. Other Person Number
41 061-079. Other, Not On List
9 100. EMPLOYEE OF FACILITY
48 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
667 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1) Or Partial Interview
N1985 E85a.TYPE HELPER-3
Section: E Level: Respondent CAI Reference: Q1985
Type: Numeric Width: 1 Decimals: 0
E85a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q1984 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
13 4. GRANDCHILD
6 5. RELATIVE-OTHER
13 6. OTHER INDIVIDUAL
9 7. ORGANIZATION
8. DK
9. RF
734 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1984:E85] IS (NE 061-097) Or Partial Interview
ASSIGNMENT STATEMENTS
* Jump from N1986 when [Q1985:E85a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N1987 E85c.OTHER HELPERS-4
Section: E Level: Respondent CAI Reference: Q1987
Type: Numeric Width: 1 Decimals: 0
E85c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
56 1. YES
53 5. NO
8. DK
9. RF
666 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1) Or Partial Interview
N1988 E86.WHO HELP-4
Section: E Level: Respondent CAI Reference: Q1988
Type: Character Width: 3 Decimals: 0
E86.
Who was that?
................................................................................
002. Spouse of R
3 041-083. Other Person Number
20 061-079. Other, Not On List
100. EMPLOYEE OF FACILITY
27 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
725 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1) Or Partial Interview
N1989 E86a.TYPE HELPER-4
Section: E Level: Respondent CAI Reference: Q1989
Type: Numeric Width: 1 Decimals: 0
E86a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q1988 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
4 4. GRANDCHILD
5 5. RELATIVE-OTHER
5 6. OTHER INDIVIDUAL
5 7. ORGANIZATION
8. DK
9. RF
755 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1988:E86] IS (NE 061-097)
Or Partial Interview
ASSIGNMENT STATEMENTS
* Jump from N1990 when [Q1989:E86a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N1991 E86c.OTHER HELPERS-5
Section: E Level: Respondent CAI Reference: Q1991
Type: Numeric Width: 1 Decimals: 0
E86c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
27 1. YES
29 5. NO
8. DK
9. RF
719 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1) Or Partial Interview
N1992 E87.WHO HELP-5
Section: E Level: Respondent CAI Reference: Q1992
Type: Character Width: 3 Decimals: 0
E87.
Who was that?
................................................................................
002. Spouse of R
1 041-083. Other Person Number
11 061-079. Other, Not On List
1 100. EMPLOYEE OF FACILITY
14 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
748 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1) Or
Partial Interview
N1993 E87a.TYPE HELPER-5
Section: E Level: Respondent CAI Reference: Q1993
Type: Numeric Width: 1 Decimals: 0
E87a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q1992 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
4 4. GRANDCHILD
5. RELATIVE-OTHER
4 6. OTHER INDIVIDUAL
2 7. ORGANIZATION
8. DK
9. RF
765 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1);
[Q1992:E87] IS (NE 061-097) Or Partial Interview
ASSIGNMENT STATEMENTS
* Jump from N1994 when [Q1993:E87a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N1995 E87c.OTHER HELPERS-6
Section: E Level: Respondent CAI Reference: Q1995
Type: Numeric Width: 1 Decimals: 0
E87c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
12 1. YES
15 5. NO
8. DK
9. RF
748 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1) Or
Partial Interview
N1996 E88.WHO HELP-6
Section: E Level: Respondent CAI Reference: Q1996
Type: Character Width: 3 Decimals: 0
E88.
Who was that?
................................................................................
002. Spouse of R
1 041-083. Other Person Number
7 061-079. Other, Not On List
100. EMPLOYEE OF FACILITY
4 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
763 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1);
[Q1995:E87c] IS (NE 1) Or Partial Interview
N1997 E88a.TYPE HELPER-6
Section: E Level: Respondent CAI Reference: Q1997
Type: Numeric Width: 1 Decimals: 0
E88a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q1996 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
1 4. GRANDCHILD
3 5. RELATIVE-OTHER
2 6. OTHER INDIVIDUAL
1 7. ORGANIZATION
8. DK
9. RF
768 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1);
[Q1995:E87c] IS (NE 1); [Q1996:E88] IS (NE 061-097) Or Partial
Interview
ASSIGNMENT STATEMENTS
* Jump from N1998 when [Q1997:E88a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N1999 E88c.OTHER HELPERS-7
Section: E Level: Respondent CAI Reference: Q1999
Type: Numeric Width: 1 Decimals: 0
E88c.
Did anyone else help (him/her) with (this activity/these
activities)?
................................................................................
5 1. YES
7 5. NO
8. DK
9. RF
763 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1);
[Q1995:E87c] IS (NE 1) Or Partial Interview
N2000 E89.WHO HELP-7
Section: E Level: Respondent CAI Reference: Q2000
Type: Character Width: 3 Decimals: 0
E89.
Who was that?
................................................................................
002. Spouse of R
041-083. Other Person Number
2 061-079. Other, Not On List
100. EMPLOYEE OF FACILITY
3 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
770 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1);
[Q1995:E87c] IS (NE 1); [Q1999:E88c] IS (NE 1) Or Partial
Interview
N2001 E89a.TYPE HELPER-7
Section: E Level: Respondent CAI Reference: Q2001
Type: Numeric Width: 1 Decimals: 0
E89a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2000 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEE OF "INSTITUTION"
1 4. GRANDCHILD
5. RELATIVE-OTHER
1 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK
9. RF
773 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q1877:E72fx] IS
(NE 1) AND [Q1887:E73fx] IS (NE 1) AND [Q1897:E74fx] IS (NE 1)
AND [Q1907:E75fx] IS (NE 1) AND [Q1920:E76fx] IS (NE 1) AND
[Q1930:E77fx] IS (NE 1); [Q1969:E83c] IS (NE 1); [Q1983:E84c]
IS (NE 1); [Q1987:E85c] IS (NE 1); [Q1991:E86c] IS (NE 1);
[Q1995:E87c] IS (NE 1); [Q1999:E88c] IS (NE 1); [Q2000:E89] IS
(NE 061-097) Or Partial Interview
N2007 E92x.IADL TYPE INTRO
Section: E Level: Respondent CAI Reference: Q2007
Type: Character Width: 1 Decimals: 0
E92x.
Here are a few other activities which some people need
help with because of a physical, mental, emotional,
or memory problem.
Please tell me whether
[Q371-R FIRST NAME] received any help with each
activity I name. If (he/she) didn't do the activity at all,
just tell me so.
We want to know about help that (he/she) received in
the last three months of (his/her) life.
User Note: This preamble variable has been included in this data set in
order to document questionnaire flow; all data values are blanks.
................................................................................
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N2011 E95x.IADL MEALS HELP
Section: E Level: Respondent CAI Reference: Q2011
Type: Numeric Width: 1 Decimals: 0
E95x.
(Because of a health or memory problem)
Did anyone help (him/her) prepare hot meals
in the last 3 months of (his/her) life?
................................................................................
214 1. YES
190 5. NO
27 6. COULDN`T DO
132 7. DIDN`T DO
1 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N2012 E95bx.MEALS -WHY DONT
Section: E Level: Respondent CAI Reference: Q2012
Type: Numeric Width: 1 Decimals: 0
E95bx.
Was that because of a health or memory problem?
................................................................................
72 1. YES
87 5. NO
8. DK
9. RF
616 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS (5
OR DK OR RF); [Q2011:E95x] IS (1) Or Partial Interview
N2014 E95gx.MEAL HELP WHEN
Section: E Level: Respondent CAI Reference: Q2014
Type: Numeric Width: 2 Decimals: 0
E95gx.
How long had (he/she) needed help with preparing hot meals?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
165 0-96. Range of Values
6 98. DK
99. RF
604 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2011:E95x] IS (5 OR DK OR RF); [Q2012:E95bx] IS (5)
Or Partial Interview
N2015 E95hx.MEAL YEARS
Section: E Level: Respondent CAI Reference: Q2015
Type: Numeric Width: 2 Decimals: 0
................................................................................
87 0-96. Range of Values
1 98. DK
99. RF
687 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2011:E95x] IS (5 OR DK OR RF); [Q2012:E95bx] IS
(5); [Q2014:E95gx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2016 E95hx.MEAL SINCE AGE
Section: E Level: Respondent CAI Reference: Q2016
Type: Numeric Width: 3 Decimals: 0
................................................................................
1 0-996. Range of Values
1 997. Other
1 998. DK
999. RF
772 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2011:E95x] IS (5 OR DK OR RF); [Q2012:E95bx] IS
(5); [Q2014:E95gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2015:E95hx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2017 E95hx.MEAL SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2017
Type: Numeric Width: 4 Decimals: 0
................................................................................
25 1900-1996. Range of Values
750 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2011:E95x] IS (5 OR DK OR RF); [Q2012:E95bx] IS
(5); [Q2014:E95gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2015:E95hx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2016:E95hx] IS (1-996 OR DK OR RF OR Over
Limit) Or Partial Interview
N2019 E96x.IADL GROC HELP
Section: E Level: Respondent CAI Reference: Q2019
Type: Numeric Width: 1 Decimals: 0
E96x.
(Because of a health or memory problem)
Did anyone help (him/her) shop for groceries
in the last 3 months of (his/her) life?
................................................................................
205 1. YES
176 5. NO
27 6. COULDN`T DO
155 7. DIDN`T DO
1 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N2020 E96bx.SHOP -WHY DONT
Section: E Level: Respondent CAI Reference: Q2020
Type: Numeric Width: 1 Decimals: 0
E96bx.
Was that because of a health or memory problem?
................................................................................
93 1. YES
89 5. NO
8. DK
9. RF
593 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2019:E96x] IS (5
OR DK OR RF); [Q2019:E96x] IS (1) Or Partial Interview
N2022 E96gx.SHOP HELP WHEN
Section: E Level: Respondent CAI Reference: Q2022
Type: Numeric Width: 2 Decimals: 0
E96gx.
How long had (he/she) needed help with shopping for groceries?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
159 0-96. Range of Values
4 98. DK
99. RF
612 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2019:E96x] IS (5 OR DK OR RF); [Q2020:E96bx] IS (5)
Or Partial Interview
N2023 E96hx.SHOP YEARS
Section: E Level: Respondent CAI Reference: Q2023
Type: Numeric Width: 2 Decimals: 0
................................................................................
111 0-96. Range of Values
664 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2019:E96x] IS (5 OR DK OR RF); [Q2020:E96bx] IS
(5); [Q2022:E96gx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2024 E96hx.SHOP SINCE AGE
Section: E Level: Respondent CAI Reference: Q2024
Type: Numeric Width: 3 Decimals: 0
................................................................................
1 0-996. Range of Values
774 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2019:E96x] IS (5 OR DK OR RF); [Q2020:E96bx] IS
(5); [Q2022:E96gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2023:E96hx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2025 E96hx.SHOP SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2025
Type: Numeric Width: 4 Decimals: 0
................................................................................
23 1900-1996. Range of Values
752 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2019:E96x] IS (5 OR DK OR RF); [Q2020:E96bx] IS
(5); [Q2022:E96gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2023:E96hx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2024:E96hx] IS (1-996 OR DK OR RF OR Over
Limit) Or Partial Interview
N2027 E97x.IADL PHONE HELP
Section: E Level: Respondent CAI Reference: Q2027
Type: Numeric Width: 1 Decimals: 0
E97x.
(Because of a health or memory problem)
Did anyone help (him/her) make telephone calls
in the last 3 months of (his/her) life?
................................................................................
93 1. YES
396 5. NO
25 6. COULDN`T DO
49 7. DIDN`T DO
1 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N2028 E97bx.TELEPHONE -WHY DONT
Section: E Level: Respondent CAI Reference: Q2028
Type: Numeric Width: 1 Decimals: 0
E97bx.
Was that because of a health or memory problem?
................................................................................
55 1. YES
19 5. NO
8. DK
9. RF
701 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2027:E97x] IS (5
OR DK OR RF); [Q2027:E97x] IS (1) Or Partial Interview
N2030 E97gx.PHONE HELP WHEN
Section: E Level: Respondent CAI Reference: Q2030
Type: Numeric Width: 2 Decimals: 0
E97gx.
How long had (he/she) needed help making telephone calls?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
92 0-96. Range of Values
1 98. DK
99. RF
682 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2027:E97x] IS (5 OR DK OR RF); [Q2028:E97bx] IS (5)
Or Partial Interview
N2031 E97hx.PHONE YEARS
Section: E Level: Respondent CAI Reference: Q2031
Type: Numeric Width: 2 Decimals: 0
................................................................................
45 0-96. Range of Values
730 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2027:E97x] IS (5 OR DK OR RF); [Q2028:E97bx] IS
(5); [Q2030:E97gx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2032 E97hx.PHONE SINCE AGE
Section: E Level: Respondent CAI Reference: Q2032
Type: Numeric Width: 3 Decimals: 0
................................................................................
0-996. Range of Values
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2027:E97x] IS (5 OR DK OR RF); [Q2028:E97bx] IS
(5); [Q2030:E97gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2031:E97hx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2033 E97hx.PHONE SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2033
Type: Numeric Width: 4 Decimals: 0
................................................................................
10 1900-1996. Range of Values
765 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2027:E97x] IS (5 OR DK OR RF); [Q2028:E97bx] IS
(5); [Q2030:E97gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2031:E97hx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2032:E97hx] IS (1-996 OR DK OR RF OR Over
Limit) Or Partial Interview
N2035 E98x.IADL MED HELP
Section: E Level: Respondent CAI Reference: Q2035
Type: Numeric Width: 1 Decimals: 0
E98x.
(Because of a health or memory problem)
Did anyone help (him/her) with taking medication
in the last 3 months of (his/her) life?
................................................................................
264 1. YES
273 5. NO
10 6. COULDN`T DO
15 7. DIDN`T DO
2 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N2036 E98bx.MED -WHY DON`T
Section: E Level: Respondent CAI Reference: Q2036
Type: Numeric Width: 1 Decimals: 0
E98bx.
Was that because of a health or memory problem?
................................................................................
11 1. YES
14 5. NO
8. DK
9. RF
750 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2035:E98x] IS (5
OR DK OR RF); [Q2035:E98x] IS (1) Or Partial Interview
N2038 E98gx.MEDICATION HELP WHEN
Section: E Level: Respondent CAI Reference: Q2038
Type: Numeric Width: 2 Decimals: 0
E98gx.
How long had (he/she) needed help with taking medications?
RECORD MONTHS OR YEARS, OR SINCE AGE, OR SINCE YEAR
MONTHS:
YEARS:
SINCE AGE:
SINCE YEAR:
................................................................................
180 0-96. Range of Values
4 98. DK
99. RF
591 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2035:E98x] IS (5 OR DK OR RF); [Q2036:E98bx] IS (5)
Or Partial Interview
N2039 E98hx.MEDICATION YEARS
Section: E Level: Respondent CAI Reference: Q2039
Type: Numeric Width: 2 Decimals: 0
................................................................................
76 0-96. Range of Values
699 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2035:E98x] IS (5 OR DK OR RF); [Q2036:E98bx] IS
(5); [Q2038:E98gx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2040 E98hx.MEDICATION SINCE AGE
Section: E Level: Respondent CAI Reference: Q2040
Type: Numeric Width: 3 Decimals: 0
................................................................................
0-996. Range of Values
775 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2035:E98x] IS (5 OR DK OR RF); [Q2036:E98bx] IS
(5); [Q2038:E98gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2039:E98hx] IS (1-96 OR DK OR RF OR Over
Limit) Or Partial Interview
N2041 E98hx.MEDICATION SINCE YEAR
Section: E Level: Respondent CAI Reference: Q2041
Type: Numeric Width: 4 Decimals: 0
................................................................................
15 1900-1996. Range of Values
760 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85);
[Q2035:E98x] IS (5 OR DK OR RF); [Q2036:E98bx] IS
(5); [Q2038:E98gx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2039:E98hx] IS (1-96 OR DK OR RF OR Over
Limit); [Q2040:E98hx] IS (1-996 OR DK OR RF OR Over
Limit) Or Partial Interview
N2043 E99.IADLS-WHO HELP,1
Section: E Level: Respondent CAI Reference: Q2043
Type: Character Width: 3 Decimals: 0
E99.
Who most often helped (him/her)
IF Q2011 IS (1) OR Q2012 IS (1)
prepare meals,
END
IF Q2019 IS (1) OR Q2020 IS (1)
shop for groceries
END
IF Q2027 IS (1) OR Q2028 IS (1)
make telephone calls
END
IF Q2035 IS (1) OR Q2036 IS (1)
take medications?
END
................................................................................
99 002. Spouse of R
62 041-083. Other Person Number
60 061-079. Other, Not On List
75 100. EMPLOYEE OF FACILITY
97 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
382 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1) Or Partial Interview
N2044 E99a.TYPE IADL HELPER-1
Section: E Level: Respondent CAI Reference: Q2044
Type: Numeric Width: 1 Decimals: 0
E99a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2043 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
1 3. EMPLOYEES OF "INSTITUTION"
2 4. GRANDCHILD
7 5. RELATIVE-OTHER
21 6. OTHER INDIVIDUAL
2 7. ORGANIZATION
8. DK
9. RF
742 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2043:E99] IS (NE 061-097) Or
Partial Interview
ASSIGNMENT STATEMENTS
* Jump from N2045 when [Q2044:E99a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N2046 E99c.OTH IADL HELP-2
Section: E Level: Respondent CAI Reference: Q2046
Type: Numeric Width: 1 Decimals: 0
E99c.
Did anyone else help (him/her)
IF Q2011 IS (1) OR Q2012 IS (1)
prepare meals,
END
IF Q2019 IS (1) OR Q2020 IS (1)
shop for groceries
END
IF Q2027 IS (1) OR Q2028 IS (1)
make telephone calls
END
IF Q2035 IS (1) OR Q2036 IS (1)
take medications?
END
................................................................................
174 1. YES
219 5. NO
8. DK
9. RF
382 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1) Or Partial Interview
N2050 E100.IADLS-WHO HELP,2
Section: E Level: Respondent CAI Reference: Q2050
Type: Character Width: 3 Decimals: 0
E100.
Who else helped (him/her)?
................................................................................
11 002. Spouse of R
22 041-083. Other Person Number
52 061-079. Other, Not On List
18 100. EMPLOYEE OF FACILITY
70 101-995. Other Person Number
1 998. DK (don't know); NA (not ascertained)
999. RF (refused)
601 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1) Or Partial
Interview
N2051 E100a.TYPE IADL HELPER-2
Section: E Level: Respondent CAI Reference: Q2051
Type: Numeric Width: 1 Decimals: 0
E100a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2050 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
5 4. GRANDCHILD
8 5. RELATIVE-OTHER
16 6. OTHER INDIVIDUAL
3 7. ORGANIZATION
8. DK
9. RF
743 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2050:E100]
IS (NE 061-097) Or Partial Interview
ASSIGNMENT STATEMENTS
* Jump from N2052 when [Q2051:E100a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N2053 E100c.IADL OTH HELP-3
Section: E Level: Respondent CAI Reference: Q2053
Type: Numeric Width: 1 Decimals: 0
E100c.
Did anyone else help (him/her) with these activities?
................................................................................
66 1. YES
108 5. NO
8. DK
9. RF
601 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1) Or Partial
Interview
N2055 E101.IADLS-WHO HELP,3
Section: E Level: Respondent CAI Reference: Q2055
Type: Character Width: 3 Decimals: 0
E101.
Who else helped (him/her)?
................................................................................
1 002. Spouse of R
8 041-083. Other Person Number
25 061-079. Other, Not On List
6 100. EMPLOYEE OF FACILITY
26 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
709 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1) Or Partial Interview
N2056 E101a.TYPE IADL HELPER-3
Section: E Level: Respondent CAI Reference: Q2056
Type: Numeric Width: 1 Decimals: 0
E101a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2055 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
3 4. GRANDCHILD
4 5. RELATIVE-OTHER
5 6. OTHER INDIVIDUAL
4 7. ORGANIZATION
8. DK
9. RF
758 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2055:E101] IS (NE 061-097) Or Partial Interview
N2059 E101c.IADL OTH HELP-4
Section: E Level: Respondent CAI Reference: Q2059
Type: Numeric Width: 1 Decimals: 0
E101c.
Did anyone else help (him/her) with these activities?
................................................................................
24 1. YES
42 5. NO
8. DK
9. RF
709 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1) Or Partial Interview
N2061 E102.IADLS-WHO HELP,4
Section: E Level: Respondent CAI Reference: Q2061
Type: Character Width: 3 Decimals: 0
E102.
Who else helped (him/her)?
................................................................................
002. Spouse of R
4 041-083. Other Person Number
10 061-079. Other, Not On List
1 100. EMPLOYEE OF FACILITY
9 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
751 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1) Or Partial Interview
N2062 E102a.TYPE IADL HELPER-4
Section: E Level: Respondent CAI Reference: Q2062
Type: Numeric Width: 1 Decimals: 0
E102a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2061 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
4. GRANDCHILD
2 5. RELATIVE-OTHER
2 6. OTHER INDIVIDUAL
1 7. ORGANIZATION
8. DK
9. RF
770 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1); [Q2061:E102] IS (NE 061-
097) Or Partial Interview
N2065 E102c.IADL OTH HELP-5
Section: E Level: Respondent CAI Reference: Q2065
Type: Numeric Width: 1 Decimals: 0
E102c.
Did anyone else help (him/her) with these activities?
................................................................................
11 1. YES
13 5. NO
8. DK
9. RF
751 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1) Or Partial Interview
N2067 E103.IADLS-WHO HELP,5
Section: E Level: Respondent CAI Reference: Q2067
Type: Character Width: 3 Decimals: 0
E103.
Who else helped (him/her)?
................................................................................
002. Spouse of R
1 041-083. Other Person Number
5 061-079. Other, Not On List
100. EMPLOYEE OF FACILITY
5 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
764 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1); [Q2065:E102c] IS (NE 1) Or
Partial Interview
N2068 E103a.TYPE IADL HELPER-5
Section: E Level: Respondent CAI Reference: Q2068
Type: Numeric Width: 1 Decimals: 0
E103a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2067 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
2 4. GRANDCHILD
5. RELATIVE-OTHER
2 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK
9. RF
771 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1); [Q2065:E102c] IS (NE 1);
[Q2067:E103] IS (NE 061-097) Or Partial Interview
ASSIGNMENT STATEMENTS
* Jump from N2069 when [Q2068:E103a] IS (3)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
N2072 E103c.IADL OTH HELP-6
Section: E Level: Respondent CAI Reference: Q2072
Type: Numeric Width: 1 Decimals: 0
E103c.
Did anyone else help (him/her) with these activities?
................................................................................
2 1. YES
2 5. NO
8. DK
9. RF
771 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1); [Q2065:E102c] IS (NE 1);
[Q2067:E103] IS (NE 061-097) Or Partial Interview
N2073 E104.IADLS-WHO HELP,6
Section: E Level: Respondent CAI Reference: Q2073
Type: Character Width: 3 Decimals: 0
E104.
Who else helped (him/her)?
................................................................................
002. Spouse of R
041-083. Other Person Number
1 061-079. Other, Not On List
100. EMPLOYEE OF FACILITY
1 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
773 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1); [Q2065:E102c] IS (NE 1);
[Q2067:E103] IS (NE 061-097); [Q2072:E103c] IS (NE 1) Or
Partial Interview
N2074 E104a.TYPE IADL HELPER-6
Section: E Level: Respondent CAI Reference: Q2074
Type: Numeric Width: 1 Decimals: 0
E104a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2073 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
4. GRANDCHILD
5. RELATIVE-OTHER
1 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK
9. RF
774 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2011:E95x] IS
(NE 1) AND [Q2012:E95bx] IS (NE 1) AND [Q2019:E96x] IS (NE 1)
AND [Q2020:E96bx] IS (NE 1) AND [Q2027:E97x] IS (NE 1) AND
[Q2028:E97bx] IS (NE 1) AND [Q2035:E98x] IS (NE 1) AND
[Q2036:E98bx] IS (NE 1); [Q2046:E99c] IS (NE 1); [Q2053:E100c]
IS (NE 1); [Q2059:E101c] IS (NE 1); [Q2065:E102c] IS (NE 1);
[Q2067:E103] IS (NE 061-097); [Q2072:E103c] IS (NE 1);
[Q2073:E104] IS (NE 061-097) Or Partial Interview
N2102 E106cx.IADL MONEY WHO HELP,1
Section: E Level: Respondent CAI Reference: Q2102
Type: Numeric Width: 1 Decimals: 0
E106cx.
(Because of a health or memory problem)
Did anyone help (him/her) manage (his/her) money
in the last 3 months of (his/her) life?
................................................................................
232 1. YES
281 5. NO
13 6. COULDN`T DO
36 7. DIDN`T DO
2 8. DK
9. RF
211 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85) Or Partial
Interview
N2103 E106dx.MONEY -WHY DONT
Section: E Level: Respondent CAI Reference: Q2103
Type: Numeric Width: 1 Decimals: 0
E106dx.
Was that because of a health or memory problem?
................................................................................
27 1. YES
22 5. NO
8. DK
9. RF
726 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2102:E106cx] IS
(5 OR DK OR RF); [Q2102:E106cx] IS (1) Or Partial Interview
N2107 E107.MONEY HELP-1
Section: E Level: Respondent CAI Reference: Q2107
Type: Character Width: 3 Decimals: 0
E107.
Who most often helped (him/her) manage (his/her) money?
................................................................................
58 002. Spouse of R
48 041-083. Other Person Number
38 061-079. Other, Not On List
6 100. EMPLOYEE OF FACILITY
108 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
1 999. RF (refused)
516 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2102:E106cx] IS
(5 OR DK OR RF); [Q2103:E106dx] IS (5) Or Partial Interview
N2108 E107a.TYPE MONEY HELPER-1
Section: E Level: Respondent CAI Reference: Q2108
Type: Numeric Width: 1 Decimals: 0
E107a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2107 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
1 2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
3 4. GRANDCHILD
8 5. RELATIVE-OTHER
7 6. OTHER INDIVIDUAL
1 7. ORGANIZATION
8. DK
9. RF
755 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2102:E106cx] IS
(5 OR DK OR RF); [Q2103:E106dx] IS (5); [Q2107:E107] IS (NE
061-097) Or Partial Interview
N2115 E107c.IADL MONEY WHO HELP,2
Section: E Level: Respondent CAI Reference: Q2115
Type: Numeric Width: 1 Decimals: 0
E107c.
Did anyone else help (him/her) manage (his/her) money
in the last 3 months of (his/her) life?
................................................................................
49 1. YES
210 5. NO
8. DK
9. RF
516 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2102:E106cx] IS
(5 OR DK OR RF); [Q2103:E106dx] IS (5) Or Partial Interview
N2121 E108.MONEY HELPER-2
Section: E Level: Respondent CAI Reference: Q2121
Type: Character Width: 3 Decimals: 0
E108.
Who was that?
................................................................................
7 002. Spouse of R
2 041-083. Other Person Number
11 061-079. Other, Not On List
2 100. EMPLOYEE OF FACILITY
27 101-995. Other Person Number
998. DK (don't know); NA (not ascertained)
999. RF (refused)
726 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2102:E106cx] IS
(5 OR DK OR RF); [Q2103:E106dx] IS (5); [Q2115:E107c] IS (NE 1)
Or Partial Interview
N2122 E108a.TYPE MONEY HELPER-2
Section: E Level: Respondent CAI Reference: Q2122
Type: Numeric Width: 1 Decimals: 0
E108a.
What was that person's relationship to
[Q371-R FIRST NAME] ?
IF Q249 IS (1) AND Q2121 IS (97)
or were they an employee of the place (he/she) lived?
END
................................................................................
2. UNLISTED CHILD OR CHILD-IN-LAW
3. EMPLOYEES OF "INSTITUTION"
2 4. GRANDCHILD
2 5. RELATIVE-OTHER
2 6. OTHER INDIVIDUAL
7. ORGANIZATION
8. DK
9. RF
769 Blank. INAP(inapplicable): [Q1819:E31x] IS (GT 85); [Q2102:E106cx] IS
(5 OR DK OR RF); [Q2103:E106dx] IS (5); [Q2115:E107c] IS (NE
1); [Q2121:E108] IS (NE 061-097) Or Partial Interview
NQNR SURVEYCRAFT CASE NUMBER
Section: E Level: Respondent CAI Reference: Q9008
Type: Numeric Width: 4 Decimals: 0
User Note: NQNR is not an analysis variable. It is intended for internal
use by the HRS staff. The range is not continuous.
................................................................................
775 5057-7800. SURVEYCRAFT CASE NUMBER
NVERSION 1995 EXIT RELEASE VERSION NUMBER
Section: E Level: Respondent CAI Reference: Q9012
Type: Numeric Width: 1 Decimals: 0
................................................................................
775 2. Release 2 - June 2003
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