==========================================================================================
Section C: LONG-TERM CARE (Respondent)
==========================================================================================
HCC01_11 C1. ANY LTC COVERAGE
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Not including government programs, do you have any long term care insurance
which specifically covers nursing home care for a year or more or any part of
personal or medical care in your own home?
.................................................................................
1027 1. Yes
6385 5. No (Skip to C2)
237 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC01A_11 C1A. YEAR PURCHASE LTC
Section: C Level: Respondent Type: Numeric Width: 4 Decimals: 0
In what year did you purchase this policy?
.................................................................................
716 1902-2012. Actual Value
570 9999. Answer not given
6363 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC01B_11 C1B. SOURCE PURCHASE LTC
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Did you purchase your long-term care insurance policy through a current or past
employer or spouse's employer?
.................................................................................
298 1. Yes
896 5. No
400 9. Answer not given
6055 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC02_11 C2. EVER APPLY LTC DENIED
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Have you ever applied for long term care insurance and had your application
denied? Please mark only one.
.................................................................................
207 1. Yes
7308 5. No
134 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC03_11 C3. ANYONE IN NURSING HOME
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Has a family member or close friend ever spent a year or more in a nursing home?
Please mark only one.
.................................................................................
2512 1. Yes
4983 5. No (Skip to C5)
154 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC04M1_11 C4M1. RELATIONSHIP NH RESIDENT-1
Section: C Level: Respondent Type: Numeric Width: 2 Decimals: 0
What was that person's relationship(s) to you? Please mark all that apply.
.................................................................................
119 1. Spouse/partner
1072 2. Mother/ Mother-in-law
256 3. Father/ Father-in-law
237 4. Sibling/ Sibling-in-law
342 5. Close friend
195 6. Grandparent(s)/ Grandparent(s)-in-law
255 7. Other family member
42 97. Other Specify
216 99. Answer not given
4915 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC04M2_11 C4M2. RELATIONSHIP NH RESIDENT-2
Section: C Level: Respondent Type: Numeric Width: 2 Decimals: 0
What was that person's relationship(s) to you? Please mark all that apply.
.................................................................................
1. Spouse/partner
14 2. Mother/ Mother-in-law
131 3. Father/ Father-in-law
44 4. Sibling/ Sibling-in-law
69 5. Close friend
2 6. Grandparent(s)/ Grandparent(s)-in-law
16 7. Other family member
73 97. Other Specify
99. Answer not given
7300 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC04M3_11 C4M3. RELATIONSHIP NH RESIDENT-3
Section: C Level: Respondent Type: Numeric Width: 2 Decimals: 0
What was that person's relationship(s) to you? Please mark all that apply.
.................................................................................
1. Spouse/partner
2. Mother/ Mother-in-law
4 3. Father/ Father-in-law
4 4. Sibling/ Sibling-in-law
17 5. Close friend
2 6. Grandparent(s)/ Grandparent(s)-in-law
20 7. Other family member
3 97. Other Specify
99. Answer not given
7599 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC04M4_11 C4M4. RELATIONSHIP NH RESIDENT-4
Section: C Level: Respondent Type: Numeric Width: 2 Decimals: 0
What was that person's relationship(s) to you? Please mark all that apply.
.................................................................................
1. Spouse/partner
2. Mother/ Mother-in-law
3. Father/ Father-in-law
1 4. Sibling/ Sibling-in-law
1 5. Close friend
1 6. Grandparent(s)/ Grandparent(s)-in-law
7. Other family member
97. Other Specify
99. Answer not given
7646 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC04M5_11 C4M5. RELATIONSHIP NH RESIDENT-5
Section: C Level: Respondent Type: Numeric Width: 2 Decimals: 0
What was that person's relationship(s) to you? Please mark all that apply
.................................................................................
1. Spouse/partner
2. Mother/ Mother-in-law
3. Father/ Father-in-law
4. Sibling/ Sibling-in-law
1 5. Close friend
6. Grandparent(s)/ Grandparent(s)-in-law
1 7. Other family member
97. Other Specify
99. Answer not given
7647 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC04M6_11 C4M6. RELATIONSHIP NH RESIDENT-6
Section: C Level: Respondent Type: Numeric Width: 2 Decimals: 0
What was that person's relationship(s) to you? Please mark all that apply.
.................................................................................
1. Spouse/partner
2. Mother/ Mother-in-law
3. Father/ Father-in-law
4. Sibling/ Sibling-in-law
5. Close friend
6. Grandparent(s)/ Grandparent(s)-in-law
1 7. Other family member
97. Other Specify
99. Answer not given
7648 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC04M7_11 C4M7. RELATIONSHIP NH RESIDENT-7
Section: C Level: Respondent Type: Numeric Width: 2 Decimals: 0
What was that person's relationship(s) to you? Please mark all that apply.
.................................................................................
1. Spouse/partner
2. Mother/ Mother-in-law
3. Father/ Father-in-law
4. Sibling/ Sibling-in-law
5. Close friend
6. Grandparent(s)/ Grandparent(s)-in-law
7. Other family member
97. Other Specify
99. Answer not given
7649 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC05A_11 C5A MEDICARE COVERS LTC
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please mark each of the following statements as true or false. Please mark only
one.
Medicare covers the extended use of long-term care for those age 65 or older
.................................................................................
2545 1. True
4416 2. False
688 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC05B_11 C5B MEDICAID COVERS LTC
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please mark each of the following statements as true or false. Please mark only
one.
Medicaid covers the extended use of long-term care for those who qualify on the
basis of financial resources.
.................................................................................
4536 1. True
2289 2. False
824 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC05C_11 C5C SUPPLEMENTAL COVERS LTC
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please mark each of the following statements as true or false. Please mark only
one.
Most medigap / medicare supplemental insurance policies cover long term care
needs
.................................................................................
2079 1. True
4616 2. False
954 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC06_11 C6. CHANCE SELF LIVE INDEPENDENTLY
Section: C Level: Respondent Type: Numeric Width: 3 Decimals: 0
Assuming that you live to age 85, what is the chance that your mental and
physical health will allow you to be living independently at that time, that is,
to live at home without help and to manage your own affairs? Please mark (X) a
box on the line below indicating what you think is the percent chance. Please
mark only one.
(00---10---20---30---40---50---60---70---80---90---100)
0%: Surely won't happen
100%: Surely will happen
.................................................................................
6824 0-100. Actual Value
999. Answer not given
825 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC07_11 C7. CHANCE OTHER LIVE INDEPENDENTLY
Section: C Level: Respondent Type: Numeric Width: 3 Decimals: 0
For a typical person of your age and gender who lives to age 85, what is the
chance that his/her mental and physical health will allow him/her to be living
independently at that time, that is, to live at home without help and to manage
his/her own affairs? Please mark (X) a box on the line below indicating what
you think is the percent chance. Please mark only one.
(00---10---20---30---40---50---60---70---80---90---100)
0%: Surely won't happen
100%: Surely will happen
.................................................................................
6819 0-100. Actual Value
999. Answer not given
830 Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC08_11 C8. CHANCE SELF LIVE NURSING HOME
Section: C Level: Respondent Type: Numeric Width: 3 Decimals: 0
On a scale of 0 to 100, what is the chance that you will live in a nursing home
at some point in your life? Please mark (X) a box on the line below indicating
what you think is the percent chance. Please mark only one.
(00---10---20---30---40---50---60---70---80---90---100)
0%: Surely won't happen
100%: Surely will happen
.................................................................................
7280 0-100. Actual Value
369 999. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC09_11 C9. CHANCE OTHER LIVE NURSING HOME
Section: C Level: Respondent Type: Numeric Width: 3 Decimals: 0
For a typical person of your age and gender, on a scale of 0 to 100, what is the
chance that he/she will live in a nursing home at some point in his/her life?
Please mark only one.
(00---10---20---30---40---50---60---70---80---90---100)
0%: Surely won't happen
100%: Surely will happen
.................................................................................
7365 0-100. Actual Value
284 999. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC10A_11 C10A. EXTRA MONEY FOR LTC
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Thinking about the future, would extra financial resources be more valuable to
you. Please mark only one.
.................................................................................
4614 1. when you are in poor health so that you can use the
resources to provide for any long-term care services that
you need?
2692 2. when you are in good health so that you can use the
resources to pay for goods and services that you enjoy?
343 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC10B_11 C10B. EXTRA MONEY FOR HEALTH CARE
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Thinking about the future, would extra financial resources be more valuable to
you. Please mark only one.
.................................................................................
4690 1. when you are in poor health so that you can use the
resources to provide for more or better care (assuming that
your basic medical care is already paid for)?
2590 2. when you are in good health so that you can use the
resources to pay for goods and services that you enjoy?
369 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC10C_11 C10C. EXTRA MONEY FOR GOODS/SERVICES
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Thinking about the future, would extra financial resources be more valuable to
you. Please mark only one.
.................................................................................
4591 1. when you are in poor health so that you can use the
resources to pay for goods and services that you enjoy
(assuming that your basic medical care is already paid for)?
2622 2. when you are in good health so that you can use the
resources to pay for goods and services that you enjoy?
436 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC11A_11 C11A. NURSING HOME PAY FOR CARE
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Suppose there is a 50/50 chance that one year from now you will be living in a
nursing home and a 50/50 chance that you will be healthy and living in your own
home.
Also suppose you are offered a choice of insurance policy that will either pay
you $10,000 if you are healthy and living at home in which case you can spend
the money on goods and services you enjoy, OR $10,000 if you are in a nursing
home to help pay for care, OR you can divide the $10,000 across these two
possibilities (such as $5,000 either way).
Which of the following options would you prefer? Please mark only one.
.................................................................................
2494 1. I would like to receive $10,000 if I were healthy and living
at home and $0 if I were in a nursing home
1135 2. I would like to receive $7,500 if I were healthy and living
at home and $2,500 if I were in a nursing home
1272 3. I would like to receive $2,500 if I were healthy and living
at home and $7,500 if I were in a nursing home
2338 4. I would like to receive $0 if I were healthy and living at
home and $10,000 if I were in a nursing home
410 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC11B_11 C11B. NURSING HOME MORE/BETTER CARE
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Suppose there is a 50/50 chance that one year from now you will be living in a
nursing home and a 50/50 chance that you will be healthy and living in your own
home.
Also suppose you are offered a choice of insurance policy that will either pay
you $10,000 if you are healthy and living at home in which case you can spend
the money on goods and services you enjoy, OR $10,000 if you are in a nursing
home where you can spend the money to buy more or better care, OR you can divide
the $10,000 across these two possibilities (such as $5,000 either way).
Which of the following options would you prefer? Please mark only one.
.................................................................................
2399 1. I would like to receive $10,000 if I were healthy and living
at home and $0 if I were in a nursing home
1141 2. I would like to receive $7,500 if I were healthy and living
at home and $2,500 if I were in a nursing home
1302 3. I would like to receive $2,500 if I were healthy and living
at home and $7,500 if I were in a nursing home
2258 4. I would like to receive $0 if I were healthy and living at
home and $10,000 if I were in a nursing home
549 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC11C_11 C11C. NURSING HOME BUY GOODS/SERVICES
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Suppose there is a 50/50 chance that one year from now you will be living in a
nursing home and a 50/50 chance that you will be healthy and living in your own
home.
Also suppose you are offered a choice of insurance policy that will either pay
you $10,000 if you are healthy and living at home OR $10,000 if you are in a
nursing home, OR you can divide the $10,000 across these two possibilities (such
as $5,000 either way). Assume that in either case the cost of all needed
medical care is covered and that you can use the additional money to buy goods
and services that you enjoy or that make your life more comfortable.
Which of the following options would you prefer? Please mark only one.
.................................................................................
2790 1. I would like to receive $10,000 if I were healthy and living
at home and $0 if I were in a nursing home
1428 2. I would like to receive $7,500 if I were healthy and living
at home and $2,500 if I were in a nursing home
1088 3. I would like to receive $2,500 if I were healthy and living
at home and $7,500 if I were in a nursing home
1777 4. I would like to receive $0 if I were healthy and living at
home and $10,000 if I were in a nursing home
566 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12A_11 C12A. THOUGHT ABOUT LTC
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
I have thought a lot about the possibility of needing long-term care.
.................................................................................
1149 1. Strongly agree
1988 2. Somewhat agree
2253 3. Neutral
1004 4. Somewhat disagree
1018 5. Strongly disagree
237 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12B_11 C12B. LTC FROM PROFESSIONAL
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
If I need long-term care at some point, I would prefer to receive care from a
professional aide or nurse rather than my spouse or other family member.
.................................................................................
1613 1. Strongly agree
2087 2. Somewhat agree
1563 3. Neutral
1137 4. Somewhat disagree
1014 5. Strongly disagree
235 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12C_11 C12C. LTC PAY FAMILY MEMBER
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
If a family member (other than a spouse) cares for me, I would feel obligated to
compensate that person in some way.
.................................................................................
2936 1. Strongly agree
2763 2. Somewhat agree
1039 3. Neutral
384 4. Somewhat disagree
295 5. Strongly disagree
232 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12D_11 C12D. LTC CHILD OBLIGATION
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
It is a child's obligation to help a parent with long term care needs.
.................................................................................
752 1. Strongly agree
1520 2. Somewhat agree
1892 3. Neutral
1608 4. Somewhat disagree
1654 5. Strongly disagree
223 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12E_11 C12E. IMPORTANT LEAVE BEQUEST
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
It is important to leave a bequest to one's heirs.
.................................................................................
2004 1. Strongly agree
2039 2. Somewhat agree
2048 3. Neutral
604 4. Somewhat disagree
594 5. Strongly disagree
360 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12F_11 C12F. LTC INSURANCE PRICE OKAY
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
Long term care insurance policies are appropriately priced given the cost of the
care they cover.
.................................................................................
510 1. Strongly agree
1480 2. Somewhat agree
3301 3. Neutral
1267 4. Somewhat disagree
729 5. Strongly disagree
362 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12G_11 C12G. LTC POLICY DENY CLAIMS
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
I am concerned that an insurance company might deny reasonable claims for
long-term care.
.................................................................................
1386 1. Strongly agree
2830 2. Somewhat agree
2248 3. Neutral
618 4. Somewhat disagree
270 5. Strongly disagree
297 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12H_11 C12H. LTC POLICY RAISE PREMIUMS
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
I am concerned that, once I own a long-term care insurance policy, an insurance
company might raise my premiums.
.................................................................................
2031 1. Strongly agree
2766 2. Somewhat agree
1900 3. Neutral
450 4. Somewhat disagree
223 5. Strongly disagree
279 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12I_11 C12I. LTC OUT OF BUSINESS
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
I am concerned that an insurance company may not remain in business long enough
to pay for my care.
.................................................................................
1615 1. Strongly agree
2658 2. Somewhat agree
2157 3. Neutral
626 4. Somewhat disagree
308 5. Strongly disagree
285 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12J_11 C12J. LTC POLICIES COMPLICATED
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
Long term care insurance contracts are complicated and difficult to understand.
.................................................................................
1818 1. Strongly agree
2818 2. Somewhat agree
2189 3. Neutral
407 4. Somewhat disagree
125 5. Strongly disagree
292 9. Answer not given
Blank. INAP (Inapplicable); MISSING
==========================================================================================
HCC12K_11 C12K. LTC FINANCIAL ADVISOR
Section: C Level: Respondent Type: Numeric Width: 1 Decimals: 0
Please indicate whether you agree or disagree with the following statements.
A financial advisor has suggested that I buy long-term care insurance.
.................................................................................
550 1. Strongly agree
749 2. Somewhat agree
2866 3. Neutral
743 4. Somewhat disagree
2292 5. Strongly disagree
449 9. Answer not given
Blank. INAP (Inapplicable); MISSING
|