The Changing Lives of Older Couples Study

Wave II Control Follow-up survey

CODEBOOK

 

                                   Facesheet

                                      

 

VAR #

 

 4001       FS.    Seq.#/CASE ID                                          

 

 

 

 4002       FS.    Respondent # -- 1st 4 digits (CLOC ID#)                

 

 

 

 4003       FS.    Respondent # -- last 2 digits, preprinted              

 

 

 

[V4004:  BUILD 6-digit Respondent ID# (V4002+V4003)]

 

 

                                                              Rev. 10/24/91

 4005       FS.    Result Code                                            

 

01.  Complete I'v

03.  Complete Telephone I'v

05.  Partial I'v

07.  Partial Telephone I'v

 

 

 

 4006       FS.    Respondent "history":  2 digits                        

 

Code 1st 2-digit # precoded on Facesheet

 

 

 

 4007       FS.    ID# of person to whom R is matched                     

 

Code 1st 4 digits of ID# precoded on Facesheet

 

 

 

 4008       FS.    ID# of person to whom R is matched                     

 

Code last 2 digits of ID# precoded on Facesheet

 

 

 

[V4009:  BUILD 6-digit ID# (V4007+V4008)]

 


 4010       FS.    "History" of person to whom R is matched:  2 digits    

 

Code last 2-digit # precoded on Facesheet

 

 

 

 4011       FS1.   INTERVIEWER's ID# (4 digits from label)                

 

 

 

 4012       FS2.   Interview No.: (2 digits from box)                     

 

99.  NA

 

 

 

 4013       FS3.   Date of Interview--MONTH                               

 

Code MONTH (01-12)

 

 

 

 4014       FS3.   Date of Interview--DAY                                 

 

Code DAY (01-31)

 

 

 

 4015       FS3.   Date of Interview--YEAR                                

 

Code 4-digit YEAR (1988-1995)

 

 

 

 4016       FS4.   Length of Interview                                    

 

Code # of MINS (001-240)

 

 


 

SECTION A:  HOUSEHOLD LISTING

 

 

A1.    First, I need to list all the people who live here.  I don't need names, just the age, sex and relationship to you for each person.  Let's start with you.  How old are you?

 

Now I need the age, sex and relationship to you of any other adults and children who live here.

 

4101        A1.    SUMMARY # Persons in HOUSEHOLD                         

┌──────────────┐

0 in 4105-4131├─────01.  One            ┌──────────────┐

└──────────────┘                                            Code # persons

┌──────────────┐                                            listed in grid

0 in 4108-4131├─────02.  Two                               (01-20).      

└──────────────┘                                                      └──────────────┘

┌──────────────┐

0 in 4111-4131├─────03.  Three

└──────────────┘

┌──────────────┐

0 in 4114-4131├─────04.  Four

└──────────────┘

┌──────────────┐

0 in 4117-4131├─────05.  Five

└──────────────┘

┌──────────────┐

0 in 4120-4131├─────06.  Six

└──────────────┘

┌──────────────┐

0 in 4123-4131├─────07.  Seven

└──────────────┘

┌──────────────┐

0 in 4126-4131├─────08.  Eight

└──────────────┘

┌──────────────┐

0 in 4129-4131├─────09.  Nine

└──────────────┘

  10.  Ten

    .

    .

    .

  20.  Twenty

 

  99.  NA


4102(#1)    A1(a). MEMBERS OF THE HOUSEHOLD BY RELATIONSHIP TO RESPONDENT 

4105(#2)

4108(#3)           Partner/Spouse

4111(#4)          

4114(#5)           01.   RESPONDENT

4117(#6)           02.   Spouse of R

4120(#7)           03.   Partner of R

4123(#8)

4126(#9)           Child

4129(#10)

10.   Child(ren), NA sex (incl. foster child/stepchild)

11.   Son (incl. adopted)

12.   Daughter (incl. adopted)

13.   Stepson (incl. partner's son)

14.   Stepdaughter (incl. partner's daughter)

15.   Son-in-law (incl. daughter's partner)

16.   Daughter-in-law (incl. son's partner)

17.   Foster son

18.   Foster daughter

 

Parent/Grandparent

 

20.   Parent, NA sex ("parents" code 21, 22)

21.   Father (incl. adoptive father)

22.   Mother (incl. adoptive mother)

23.   Stepfather

24.   Stepmother

25.   Father-in-law (incl. partner's father); ("my in-laws" code 25 and 26)

26.   Mother-in-law (incl. partner's mother)

27.   Grandparent; great-grandparent, NA sex

28.   Grandfather; great-grandfather

29.   Grandmother; great-grandmother

 

Sibling/Sibling-in-law

 

31.   Brother

32.   Sister

33.   Stepbrother

34.   Stepsister

35.   Brother-in-law

36.   Sister-in-law


4102(#1)    A1(a). Continued                                              

4105(#2)

4108(#3)           Other Relatives

4111(#4)          

4114(#5)           40.   Grandchild/great grandchild, NA sex

4117(#6)           41.   Grandson; great grandson

4120(#7)           42.   Granddaughter; great granddaughter

4123(#8)           43.   Nephew

4126(#9)           44.   Niece

4129(#10)          45.   Uncle; great-uncle

46.   Aunt; great-aunt

47.   Cousin

48.   Other "in-laws"

┌─────────┐

Make Card├────────49.   Other relative

└─────────┘

 

 

Unrelated Persons

 

62.   Housemate/roommate

63.   Household employee; live-in sitter; housekeeper

64.   Friend

66.   Person related to R's partner (exc. child or parent)

67.   Roomer; boarder

 

 

 

 

 

 

 

┌─────────┐

Make Card├────────97.   Other unrelated person

└─────────┘

98.   DK

99.   NA

 

00.   Inap, no further persons in HU

 

 

 

4103(#1)    A1(b). SEX                                                    

4106(#2)

4109(#3)           1.  Male

4112(#4)           2.  Female

4115(#5)

4118(#6)           9.  NA

4121(#7)

4124(#8)           0.  Inap, no further persons listed

4127(#9)

4130(#10)

 

 

 

 

 

 

 


4104(#1)    A1(c). AGE                                                    

4107(#2)

4110(#3)           Code AGE (01-97)

4113(#4)

4116(#5)           01.  One year or less

4119(#6)

4122(#7)           97.  97 years or more

4125(#8)

4128(#9)           98.  DK

4131(#10)          99.  NA

 

 

 

[V4132-V4133:  BUILD = 0]

 


 

 

SECTION C:  PARENTING

 

 

VAR #

 

The next questions are about children.

 

4501        C1.    Do you have any children who are not living here with you at the present time?  Please include adopted children or

stepsons and stepdaughters not living here.            

 

 1.  YES

┌─────────┐

0 in 4502├─────────5.  NO, NO CHILDREN ELSEWHERE

└─────────┤

          └─────────9.  NA

        

 

 

4502        C1a.   How many do not live with you?          

 

Code NUMBER (01-20)

 

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 4501

 

 

 

4503        C2.    Altogether, how many living children do you have?  Again, please include any adopted children or stepsons and

stepdaughters you may have.                            

 

  Code NUMBER (01-20), except:

 

  98.  DK

  99.  NA

┌──────────────┐

0 in 4504-4525├─────00.  NONE

└──────────────┘

 

 

 

4504        C2a.   INTERVIEWER CHECKPOINT                                 

 

 1.  R ONLY HAS ONE CHILD             

┌─────────┐

0 in 4505├─────────2.  ALL OTHERS

└─────────┘

 0.  Inap, 00 in 4503

 

 

 

 

 


 

4505        C2b.   Is this a son or daughter?                             

 

1.  SON

2.  DAUGHTER

 

9.  NA

 

0.  Inap, 00 in 4503; 2 in 4504

 

 

 

4506        C3.    INTERVIEWER CHECKPOINT                  

┌──────────────┐

0 in 4507-4510├─────1.  R HAS NO CHILDREN LIVING ELSEWHERE

└──────────────┘

  2.  R HAS ONLY ONE CHILD LIVING ELSEWHERE

  3.  R HAS MORE THAN ONE CHILD LIVING ELSEWHERE

 

  9.  NA

 

  0.  Inap, 00 in 4503

 

 

 

4507        C4/C5. Think about your (son/daughter/children) who (does/do) not live with you.  Does (he/she/how many of your children)

live within an hour's drive of here?                   

01.  YES (to C4); One (to C5)

 

02-20.

 

96.  NO (to C4); NONE (to C5)

 

98.  DK

99.  NA

 

00.  Inap, 00 in 4503; 1 in 4506

 

 

 

4508        C4a/C5a.  (RB, P. 1) In the past 12 months, how often did you have

contact with your (son/daughter/at least one of your children) who (doesn't/do not) live with you, either in person, by phone or by mail.  Would you say more than once a week, about once a week, 1 to 3 times a month, less than

once a month or never?                                 

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK

3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH

5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503; 1 in 4506


[V4509-V4510:  BUILD = 0]

 

 

 

4511        C6.    INTERVIEWER CHECKPOINT                  

 

1.  R HAS ONLY ONE CHILD

2.  R HAS TWO OR MORE CHILDREN

 

0.  Inap, 00 in 4503

 

 

 

4512        C7/C16.  (RB, P. 2)  How much do your children make you feel loved

and cared for?  Would you say a great deal, quite a bit,

some, a little, or not at all?                         

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

 

4513        C8/C17.  (RB, STILL ON P. 2) How much do you feel they make too

many demands on you?  (Would you say a great deal, quite a

bit, some, a little, or not at all?)                   

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

 

4514        C9/C18.  (RB, STILL ON P. 2) How much do you feel you make too

many demands on your children?  (Would you say a great

deal, quite a bit, some, a little, or not at all?)     

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK


9.  NA

 

0.  Inap, 00 in 4503

 

 

4515        C10/C19. (RB, STILL ON P. 2) How much are they willing to listen

when you need to talk about your worries or problems(--a

great deal, quite a bit, some, a little, or not at all)?      

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

 

4516        C11/C20. (RB, STILL ON P. 2) How much are they critical of you or

what you do?  (Would you say a great deal, quite a bit,

some, a little, or not at all?)                        

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

 

4517        C12/C21. (RB, P. 3) At this point in your life, how satisfied are

you with being a parent--are you completely, very,

somewhat, not very, or not at all satisfied?           

 

1.  COMPLETELY SATISFIED

2.  VERY SATISFIED

3.  SOMEWHAT SATISFIED

4.  NOT VERY SATISFIED

5.  NOT AT ALL SATISFIED

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

 

 

 


 

 

 

 

 

 

4518        C13/C22. Not using the booklet--How often do you feel bothered or

upset as a parent--almost always, often, sometimes,

rarely, or never?                                      

 

1.  ALMOST ALWAYS

2.  OFTEN

3.  SOMETIMES

4.  RARELY

5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

 

4519        C14a/C23a. (RB, P. 4) How much do your children depend on you for

emotional support?  Would you say a lot, some, a little or

not at all?                                            

 

1.  A LOT            ┌───────────────┐

2.  SOME                                 USE SAME CODE 

3.  A LITTLE                             FOR V4520-4524

4.  NOT AT ALL            └───────────────┘

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

 

4520        C14b/C23b. How much do they depend on you for help or advice with

financial and legal matters?                           

 

 

4521        C14c/C23c. How much do they depend on you for help with errands,

babysitting or other chores?                           

 

 

4522        C14d/C23d. How much do you depend on your children for emotional

support?                                               

 

 

4523        C14e/C23e. How much do you depend on them for help or advice with

financial and legal matters?                           

 

 


4524        C14f/C23f. How much do you depend on them for help with errands or

other chores?                                          

 

 

 


4525        C15/C24. (RB, P. 5) At this point in your life, how often do you

and any of your children have unpleasant conflicts or disagreements?  Would you say more than once a week, about once a week, 1 to 3 times a month, less than once a month,

or never?                                              

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK

3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH

5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4503

 

 

                                                               Rev. 11/2/90

4526        C25.   How many grandchildren do you have, if any?

 

 01.  ONE

 

 02-60.

 

 98.  DK

 99.  NA

┌─────────┐

0 in 4527├─────────00.  NONE

└─────────┘

 

 

4527        C25a/C25b. (RB,[STILL ON]P. 5) How often do you see your

(grandchild/grandchildren)?  (Would you say more than once a week, about once a week, 1 to 3 times a month, less than

once a month, or never?)                               

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK

3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH

5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 00 in 4526

 

 

 

Now I would like to ask you some questions about your relationships with your relatives and friends.  Please think of all your close family members, (including children,) as well as other friends and relatives.

 

 

 

 

 


 

SECTION D:  SOCIAL SUPPORT

 

 

4528        D1.    Is there anyone in your life with whom you can really

share your very private feelings and concerns?         

 

  1.  YES

┌──────────────┐

0 in 4529-4540├─────5.  NO

└──────────────┤

               ├─────8.  DK

               └─────9.  NA

 

 

 

4529        D1a.   How many such people are there?                        

 

Code NUMBER (01-95)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 4528

 

 

 

[V4530-V4540:  BUILD = 0]

 

 

 

4541        D7.    (RB, P. 6)  The next questions are about friends and relatives other than your (husband/wife) or your children.  On the whole, how much do your friends and relatives make you feel loved and cared for?  Would you say a great deal,

quite a bit, some, a little, or not at all?            

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

4542        D8.    (RB, STILL ON P. 6) How much do you feel your friends and relatives make too many demands on you?  (Would you say a

great deal, quite a bit, some, a little, or not at all?)      

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL


8.  DK

9.  NA

 

 

 

4543        D9.    (RB, STILL ON P. 6) How much are your friends and relatives willing to listen when you need to talk about your worries or problems(--a great deal, quite a bit,

some, a little, or not at all)?                        

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

4544        D10.   (RB, STILL ON P. 6) How much are they critical of you or what you do?  (Would you say a great deal, quite a bit,

some, a little, or not at all?)                        

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 


 

 

SECTION G:  MARRIAGE

 

VAR #

 

[V801-V812:  BUILD = 0]

 

 

 

4813        G1.    Next, I have some questions about your marriage and your relationship with your (husband/wife).  In what year did you and your (husband/wife) get married?  (IF DK: How long

have you been married?)--YEAR WHEN MARRIED             

 

Code YEAR WHEN MARRIED (1930-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, YEAR not given

 

 

 

4814        G1.    In what year did you and your (husband/wife) get married?

--# YEARS OF MARRIAGE                                  

 

Code # YEARS OF MARRIAGE (01-65)

 

98.  DK

99.  NA

 

00.  Inap, # YEARS not given

 

 

 

4815        G2.    (RB, P. 6)  How much does your (husband/wife) make you feel loved and cared for?  Would you say a great deal, quite a bit, some, a little, or not at all?  Just give me

the number from the booklet.                           

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

 

 

 

 

 

 


 

4816        G3.    (RB, STILL ON P. 6) How much do you feel (he/she) makes too many demands on you?  (Would you say a great deal,

quite a bit, some, a little, or not at all?)           

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

4817        G4.    (RB, STILL ON P. 6) How much is (he/she) willing to listen when you need to talk about your worries or problems--(a

great deal, quite a bit, some, a little, or not at all)?      

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

4818        G5.    (RB, STILL ON P. 6) How much is (he/she) critical of you or what you do?  (Would you say a great deal, quite a bit,

some, a little, or not at all)?                        

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

4819        G6.    (RB, STILL ON P. 6) How much do you think you make your (husband/wife) feel loved and cared for?--(a great deal,

quite a bit, some, a little, or not at all)?           

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK


9.  NA

 

 

 

4820        G7.    (RB, STILL ON P. 6) How much are you willing to listen when your (husband/wife) needs to talk about (his/her) worries or problems--(a great deal, quite a bit, some, a

little, or not at all)?                                

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

4821        G8.    (RB, STILL ON P. 6) How much are you critical of (him/her) or what (he/she) does--(a great deal, quite a bit, some, a

little, or not at all)?                                

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

G9.    (SAB, P. 1)  Please look at Page 1 of the large pink booklet.  For each statement, please mark an "X" in the answer category that best describes how true the statement is as it applies to your marriage.  (If you prefer, I can read the statements to you.)

 

4822        G9a.   The idea of losing my (husband/wife) is terrifying to me.  Is this very true for you, somewhat true, a little true,

or not true at all?                                    

 

1.  VERY TRUE            ┌───────────────┐

2.  SOMEWHAT TRUE                        USE SAME CODE 

3.  A LITTLE TRUE                        FOR V4823-4829

4.  NOT TRUE AT ALL            └───────────────┘

 

8.  DK

9.  NA

 

 

4823        G9b.   There are some serious difficulties in our marriage.

 

 


4824        G9c.   No one could ever take the place of my (husband/wife). 

 

 

4825        G9d.   Although my marriage is important to me, I have a lot of

outside interests and friends of my own.

 

 

4826        G9e.   If my (husband/wife) died, it would be the worst thing

that could happen to me.                               

 

 

4827        G9f.   I would feel completely lost if I didn't have my

(husband/wife).                                        

 

 

4828        G9g.   My (husband/wife) doesn't treat me as well as I deserve to

be treated.                                            

 

 

 

4829        G9h.   I do not treat my (husband/wife) as well as (he/she)

deserves to be treated.                                

 

 

 

4830        G10.   (RB, P. 7)  How often would you say you and your (husband/wife) typically have unpleasant disagreements or conflicts?  Would you say more than once a week, about once a week, 1 to 3 times a month, less than once a month,

or never?                                              

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK

3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH

5.  NEVER

 

8.  DK

9.  NA

 

 

 

4831        G11.   (READ SLOWLY)  Not using the booklet--In some marriages there are times when you feel very close, but other times when you can get more upset with that person than with anyone else.  How much does this sound like the relationship you have with you (husband/wife)?  Would you

say a lot, some, a little, or not at all?              

 

1.  A LOT

2.  SOME

3.  A LITTLE

4.  NOT AT ALL

 

8.  DK


9.  NA

 

 

 

4832        G12.   INTERVIEWER CHECKPOINT                                 

 

1.  R'S SPOUSE LIVES AT HOME WITH R

 

2.  ALL OTHERS

 

 

 

G13.   (RB, P. 8) Suppose your (husband/wife) were away visiting relatives or friends for a couple of weeks.  Thinking about this situation, please tell me how true each statement is as it applies to you.

G14.   (RB, P. 8) Please tell me how true each of the following statements is as it applies to you.

 

 

 

4833        G13a/G14a.  I would not know what to do with myself is my

(husband/wife were away.  Is this very true, somewhat true, a little true, or not true at all as it applies to

you?                                                   

 

1.  VERY TRUE            ┌───────────────┐

2.  SOMEWHAT TRUE                        USE SAME CODE 

3.  A LITTLE TRUE                        FOR V4834-4835

4.  NOT TRUE AT ALL            └───────────────┘

 

8.  DK

9.  NA

 

 

 

4834        G13b/G14b.  If I couldn't talk to my (husband/wife) every day, it

would really bother me.                                

 

 

4835        G13c/G14c.  I hate being home alone by myself.                


4836        G15.   (RB, P. 9)  Thinking about your marriage as a whole, how often do you feel happy about it?  Would you say almost

always, often, sometimes, rarely, or never?            

 

1.  ALMOST ALWAYS

2.  OFTEN

3.  SOMETIMES

4.  RARELY

5.  NEVER

 

8.  DK

9.  NA

 

 

 

4837        G16.   (RB, P. 9)  How often do you feel bothered or upset by your marriage?  (Would you say almost always, often,

sometimes, rarely, or never?)                          

 

1.  ALMOST ALWAYS

2.  OFTEN

3.  SOMETIMES

4.  RARELY

5.  NEVER

 

8.  DK

9.  NA

 

 

 

4838        G17.   (RB, P. 10)  Taking all things together, how satisfied are you with your marriage--completely, very, somewhat, not

very or not at all satisfied?                          

 

1.  COMPLETELY SATISFIED

2.  VERY SATISFIED

3.  SOMEWHAT SATISFIED

4.  NOT VERY SATISFIED

5.  NOT AT ALL SATISFIED

 

8.  DK

9.  NA

 

 

 

4839        G18.   INTERVIEWER CHECKPOINT

DURING THE ADMINISTRATION OF QUESTIONS G1-G17, R'S SPOUSE

OVERHEARD/PROBABLY OVERHEARD QUESTIONS AND R'S ANSWERS:

 

1.  ALL THE TIME

2.  MOST OF THE TIME (HALF OR MORE)

3.  SOME OF THE TIME (LESS THAN HALF)

4.  NEVER/PROBABLY DIDN'T OVERHEAR

5.  CAN'T TELL/DON'T KNOW IF SPOUSE OVERHEARD QUESTIONS

    AND ANSWERS

 

9.  NA



 

 

SECTION H:  SELF DESCRIPTION

 

 

VAR #

 

H1.    (RB, P. 11) Please tell me how true the following statements are as they apply to you now.

 

4901        H1.    On the whole I am satisfied with myself. (Is this very true, somewhat, a little, or not true at all as it applies

to you?)                                               

 

1.  VERY TRUE            ┌───────────────┐

2.  SOMEWHAT TRUE                        USE SAME CODE 

3.  A LITTLE TRUE                        FOR V4902-4908

4.  NOT TRUE AT ALL             └───────────────┘

 

8.  DK

9.  NA

 

 

4902        H2.    At times I think I am no good at all.                  

 

 

4903        H3.    I wish I could have more respect for myself.           

 

 

4904        H4.    All in all, I am inclined to feel that I am a failure. 

 

 

4905        H5.    I feel I am a person of worth, at least equal with others.    

 

 

4906        H6.    I have never worried about having a painful disease.   

 

 

4907        H7.    Funerals sometimes upset me.                           

 

 

4908        H8.    I am afraid of dying of cancer.                        


H10.   (SAB, P. 2)  Please look at page 2 of the large blue booklet where you will find a number of statements.  After each statement, put an "X" in the answer category that indicates how strongly you agree or disagree with the statement as it applies to you.  The best answer is usually the one that comes to your mind first, so try not to spend too much time on any one statement.  Continue until you see a STOP sign at the bottom of page 5.  (If you prefer, I can read the statements to you.)

         ┌───────────────────────────────────────────────────────────────┐

         NOTE:  ITEMS H11 - H54 are reproduced by special permission of

         the publisher, Psychological Assessment Resources, Inc.,      

         16102 North Florida Avenue, Lutz, Florida, 33549, from the NEO

         Personality Inventory, by Paul Costa, and Robert McCrae,      

         Copyright 1978, 1985.  Further reproduction is prohibited     

         without permission of PAR, Inc.                                

         └───────────────────────────────────────────────────────────────┘

 

 

4909        H11.   I have a very active imagination.   Do you strongly agree,

agree, feel neutral, disagree or strongly disagree?    

 

1.  STRONGLY AGREE            ┌───────────────┐

2.  AGREE                                USE SAME CODE 

3.  NEUTRAL                              FOR V4910-4952

4.  DISAGREE            └───────────────┘                              

5.  STRONGLY DISAGREE

 

8.  DK

9.  NA

 

 

4910        H12.   I keep my belongings neat and clean.                   

 

 

4911        H13.   I'm an even-tempered person.                           

 

 

4912        H14.   I am dominant, forceful, and assertive.                

 

 

4913        H15.   I'm pretty good about pacing myself so as to get things

done on time.                                          

 

 

4914        H16.   I don't get much pleasure from chatting with people.   

 

 

4915        H17.   I like to have a lot of people around me.              

 

 

4916        H18.   I am sometimes completely absorbed in music I am listening


to.                                                    

 

 

4917        H19.   I have a clear set of goals and work toward them in an

orderly fashion.                                       

 

 

4918        H20.   I rarely experience strong emotions.                   

 

 

4919        H21.   I work hard to accomplish my goals.                    

 

 

4920        H22.   I am easily frightened.                                

 

 

4921        H23.   I tend to blame myself when anything goes wrong.       

 

 

4922        H24.   I waste a lot of time before settling down to work.    

 

 

4923        H25.   I often worry about things that might go wrong.        

 

 

4924        H26.   Sometimes I'm not as dependable or reliable as I should

be.                                                    

 

 

4925        H27.   Poetry has little or no effect on me.                  

 

 

4926        H28.   It takes a lot to get me mad.                          

 

 

4927        H29.   I experience a wide range of emotions or feelings.     

 

 

4928        H30.   I have strong emotional attachments to my friends.

 

 

4929        H31.   I never seem to be able to get organized.              

 

 

4930        H32.   I prefer jobs that let me work alone without being

bothered by other people.                              

 

 


4931        H33.   I strive for excellence in everything I do.            

 

 

4932        H34.   I am seldom sad or depressed.                          

 

 

4933        H35.   I'm pretty set in my ways.                             

 

 

4934        H36.   I have trouble resisting my cravings.                  

 

 

4935        H37.   I have sometimes done things just for "kicks" or

"thrills".                                             

 

 

4936        H38.   I enjoy solving problems or puzzles.                   

 

4937        H39.   It would not bother me if I had to punish a child or pet.       

 

 

4938        H40.   Once I find the right way to do something, I stick to it.        

 

 

4939        H41.   At times I have been so ashamed I just wanted to hide. 

 

 

4940        H42.   Some people think I'm selfish and egotistical.         

 

 

4941        H43.   I tend to be cynical and skeptical of others' intentions.

 

 

4942        H44.   I often feel inferior to others.                       

 

 

4943        H45.   I would rather cooperate with others than compete with

them.                                                  

 

 

4944        H46.   I believe that most people will take advantage of you if

you let them.                                          

 

 

4945        H47.   Some people think of me as cold and calculating.       

 


4946        H48.   I am a cheerful, high-spirited person.                 

 

 

4947        H49.   I consider myself broad-minded and tolerant of other

people's lifestyles.                                   

 

 

4948        H50.   I'm hard-headed and tough-minded in my attitudes.      

 

 

4949        H51.   I generally try to be thoughtful and considerate.      

 

 

4950        H52.   When everything seems to be going wrong, I can still make

good decisions.                                        

 

 

4951        H53.   I am a very active person.                             

 

 

4952        H54.   I have a wide range of intellectual interests.         


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

 

VAR #

 

 

5001        J1.    The next questions are about your health.  In general, how satisfied are you with  your health‑‑completely, very,

somewhat, not very, or not at all satisfied?           

 

1.  COMPLETELY SATISFIED

2.  VERY SATISFIED

3.  SOMEWHAT SATISFIED

4.  NOT VERY SATISFIED

5.  NOT AT ALL SATISFIED

 

8.  DK

9.  NA

 

 

 

J2.    We'd like to know if you have experienced any of the following health problems during the last 6 months.

 

5002        J2a.   Have you had arthritis or rheumatism?   

 

1.  YES            ┌──────────────┐

5.  NO                                   USE SAME CODE

                                         FOR V5003-5009

8.  DK            └──────────────┘

9.  NA

 

 

5003        J2b.   During the last 6 months, have you had a lung disease? 

 

 

5004        J2c.   Have you had hypertension, sometimes called high blood

pressure, or have you taken medication for it?         

 

 

5005        J2d.   Have you had a heart attack or other heart trouble during

the last 6 months?                                     

 

 

5006        J2e.   Have you had diabetes or high blood sugar, or have you

taken medication for it?                               

 

 

5007        J2f.   Have you had a stroke during the last 6 months?        

 

 

5008        J2g.   Have you had any broken or fractured bones?            


 

5009        J2h.   Have you lost any amount of urine beyond your control

during the last 6 months?                              

 


5010        J3.    Have you had cancer or a malignant tumor of any kind, or

have you been treated for it in the past 6 months?     

 

1.  YES

┌──────────────┐

0 in 5011-5013├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

5011        J3a.   What kind of cancer or malignant tumor did you have? (In

5012               what part of your body did it start?)                  

5013

01.  "Abdomen"--NFS          33.  Melanoma

02.  Adrenal gland           95.  Metastasized; "all over"

03.  "Arm"--NFS              34.  Mouth; oral

04.  "Back"--NFS             08.  Myeloma (multiple)

05.  Bladder                 35.  "Neck"--NFS

06.  "Blood"--NFS            36.  Nose; nasal

07.  Bone; cartilage         37.  Ovary

08.  Bone marrow             38.  Pancreas; ampulla of

09.  Brain; astrocytoma           Vater

10.  Breast                  39.  "Pelvis"--NFS

11.  Bronchia; bronchus      40.  Penis

12.  Bowel                   41.  Prostate

12.  Rectum

13.  Cervix                  33.  Skin--melanoma; black

12.  Colon                        mole

14.  Ear                     42.  Skin--basal cell

15.  Endometrium             43.  Skin (other or NA which)

16.  Esophagus                    incl. any body part with

17.  "Extremities"--NFS           skin cancer

18.  Eye                     44.  Spine

19.  "Face"--NFS             45.  Spleen

20.  "Female organs"--NFS    46.  Stomach

21.  Gallbladder

22.  Gastrointestinal        47.  Testicles

48.  Throat

23.  "Head"--NFS             49.  Thyroid; goiter on neck

24.  Hip                     50.  Tongue

25.  Hodgkins                51.  Trachea

26.  Jaw                     52.  Urethra/ureter

27.  Kidney; renal           15.  Uterus/womb

28.  Larynx; vocal cords     53.  Vagina

29.  "Leg"--NFS              54.  Vulva; labia

06.  Leukemia    ┌─────────┐

30.  Lip         Make Card├─97.  Other

31.  Liver       └─────────┘

11.  Lung; "chest"--NFS      98.  DK

32.  Lymph nodes/glands;     99.  NA

     "glands behind the

     ear"; "nodes";          00.  Inap, 5, 8-9 in 5010;

     lymphoma (exc. 25)           no further mentions


5014        J4.    In the past 6 months, have you had any major health

problems that I haven't asked you about?

 

1.  YES

┌──────────────┐

0 in 5015-5017├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

5015        J4a.  What are they?                                          

5016

5017               Use HEALTH CONDITION MASTER CODE

 

000.  Inap, 5, 8-9 in 5014; no further mention

 

 

 

5018        J5.    INTERVIEWER CHECKPOINT                  

┌──────────────┐

0 in 5201-5255├───1.  R ANSWERS "NO" TO ALL QUESTIONS IN J2a-h,J3 AND J4

└──────────────┘

2.  ALL OTHERS


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

 

VAR #

 

MARK THE BOX NEXT TO ALL PREPRINTED CONDITIONS IN THE GRID TO WHICH R ANSWERED "YES" IN J2a-h,J3 AND J4. IF MORE THAN 5, ASK J6-9a ONLY FOR FIRST 5 CONDITIONS.

 

5201        J5.    SUMMARY                                                

 

Code # of columns filled in for J2a-h, J3a and J4a, including supplement pages, if any (01-14).

┌──────────────┐

0 in 5211-5255├───01.  One

└──────────────┘

┌──────────────┐

0 in 5220-5255├───02.  Two

└──────────────┘

┌──────────────┐

0 in 5229-5255├───03.  Three

└──────────────┘

┌──────────────┐

0 in 5238-5255├───04.  Four

└──────────────┘

┌──────────────┐

0 in 5247-5255├───05.  Five

└──────────────┘

06.  Six

  .

  .

  .

14.  Fourteen

 

99.  NA (see Supervisor before using)

 

00.  Inap, 1 in 5018


┌────────────────────────────────────────────────────────────┐

NOTE:  The name of a "SPECIFY" condition must be matched to

its order of mention at J4a (p.26).  E.g., if "gout" was the

3rd condition coded at J4a, and it appears as a "SPECIFY" on

a supplement page, the code for condition type is 13.      

└────────────────────────────────────────────────────────────┘

 

5202(#1)           CONDITION TYPE (from top of column)                    

5211(#2)

5220(#3)           01.   (J2a) ARTHRITIS/RHEUMATISM

5229(#4)           02.   (J2b) LUNG DISEASE

5238(#5)           03.   (J2c) HYPERTENSION/HIGH BLOOD PRESSURE

5247(#6)           04.   (J2d) HEART TROUBLE

05.   (J2e) DIABETES/HIGH BLOOD SUGAR

06.   (J2f) STROKE

07.   (J2g) BROKEN OR FRACTURED BONES

08.   (J2h) LOSS OF URINE BEYOND CONTROL

09.   (J3a) CANCER

 

11.   (J4a) SPECIFY--1st mention at J4a, p.26

12.   (J4b) SPECIFY--2nd mention at J4a, p.26

13.   (J4c) SPECIFY--3rd mention at J4a, p.26

 

 

00.   Inap, 1 in 5018; no further conditions

 

 

 

5203(#1)    J6.    Were you hospitalized during the last 6 months for

5212(#2)           (CONDITION)?                                           

5221(#3)

5230(#4)           1.  YES

5239(#5)           5.  NO

5248(#6)

8.  DK

9.  NA

 

0.  Inap, 1 in 5018; no further conditions

 


5204(#1)    J7.    Did (CONDITION) start in the last 6 months or was it going

5213(#2)           on before that?                                        

5222(#3)  ┌─────────┐

5231(#4)  0 in     ├───1.  STARTED IN LAST 6 MONTHS

5240(#5)  J8-J9a  

5249(#6)  for this

          condition

          └─────────┘

          ┌─────────┐

          0 in next├───2.  GOING ON BEFORE

          2 vars  

          └─────────┼───8.  DK

                    └───9.  NA

 

     0.  Inap, 1 in 5018; no further conditions

 

 

 

5205(#1)    J7a.   In what month did it start? (RECORD YEAR, ALSO.)--MONTH

5214(#2)

5223(#3)           Code MONTH (01-12)

5232(#4)

5241(#5)           98.  DK

5250(#6)           99.  NA

 

00.  Inap, 1 in 5018; 2, 8-9 in J7 for this condition;

     no further conditions

 

 

 

5206(#1)    J7a.   In what month did it start? (RECORD YEAR, ALSO.)--YEAR 

5215(#2)

5224(#3)           Code YEAR (1987-1995)

5233(#4)

5242(#5)           9998.  DK

5251(#6)           9999.  NA

 

0000.  Inap, 1 in 5018; 2, 8-9 in J7 for this condition;

       no further conditions

 

 

 

5207(#1)    J8.    In the past 6 months, has your (CONDITION) become better,

5216(#2)           stayed about the same, or become worse?                

5225(#3)

5234(#4)           1.  BETTER

5243(#5)           2.  SAME

5252(#6)           3.  WORSE

 

8.  DK

9.  NA

 

0.  Inap, 1 in 5018; 1 in J7 for this condition;

    no further conditions

 

 

 


 

 

5208(#1)    J9.    Did your (CONDITION) start before or after you were

5217(#2)           widowed?                                               

5226(#3)  ┌──────┐

5235(#4)  0 in  ├─1.  BEFORE

5244(#5)  next  

5253(#6)  2 vars

          └──────┘

2.  AFTER

 

8.  DK

9.  NA

 

0.  Inap, 1 in 5018; 1 in J7 for this condition;

    no further conditions

 

 

 

5209(#1)    J9a.   In about what month and year did it start?--MONTH      

5218(#2)

5227(#3)           Code MONTH (01-12)

5236(#4)

5245(#5)           98.  DK

5254(#6)           99.  NA

 

00.  Inap, 1 in 5018; 1 in J7 or J9 for this condition;

     no further conditions

 

 

 

5210(#1)    J9a.   In about what month and year did it start?--YEAR       

5219(#2)

5228(#3)           Code YEAR (1987-1995)

5237(#4)

5246(#5)           9998.  DK

5255(#6)           9999.  NA

 

0000.  Inap, 1 in 5018; 1 in J7 or J9 for this condition;

       no further conditions


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

 

VAR #

 

 

5301        J10.   Are you currently in bed or in a chair for most or all of

the day because of your health?                        

 

1.  YES

5.  NO

 

9.  NA

 

 

 

5302        J11.   Do you currently have any difficulty bathing by yourself?

 

1.  YES

┌─────────┐

0 in 5303├────────5.  NO

└─────────┤

          └────────9.  NA

          

 

 

5303        J11a.  How much difficulty do you have bathing by yourself--a

little, some, a lot, or can't you do this on your own? 

 

1.  A LITTLE

2.  SOME

┌──────────────┐

0 in 5304-5311├───3.  A LOT

└──────────────┴───4.  CANNOT DO

 

8.  DK

9.  NA

 

0.  Inap, 5 or 9 in 5302

 

 

 

5304        J12.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 5305-5311├───1.  R ANSWERED "YES" (BOX WITH DOUBLE LINE) TO J10

└──────────────┘

                   2.  ALL OTHERS

 

0.  Inap, 3-4 in 5303

 

 

 

 

 

 

 


 

5305        J13.   Do you currently have any difficulty climbing a few

flights of stairs because of your health?              

 

1.  YES

3.  VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

0 in 5306├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 5303; 1 in 5304

 

 

 

5306        J13a.  How much difficulty do you have--a little, some, a lot, or

can't you do this at all?                              

 

1.  A LITTLE

2.  SOME

3.  A LOT

4.  CANNOT DO

 

8.  DK

9.  NA

 

0.  Inap, 3-4 in 5303; 1 in 5304; 5, 8-9 in 5305

 

 

 

5307        J14.   Do you currently have any difficulty walking several

blocks because of your health?                         

 

1.  YES

3.  VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

0 in 5308├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 5303; 1 in 5304

 

 

 

5308        J14a.  How much difficulty do you have--a little, some, a lot, or

can't you do this at all?                              

 

1.  A LITTLE

2.  SOME

3.  A LOT

4.  CANNOT DO

 

8.  DK

9.  NA

 


0.  Inap, 3-4 in 5303; 1 in 5304; 5, 8-9 in 5307

 

 

 

5309        J15.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 5310-5311├───1.  R ANSWERED "A LOT" OR "CANNOT DO" (BOXES WITH DOUBLE

└──────────────┘       LINES) TO EITHER J13a OR J14a

 

2.  ALL OTHERS

 

0.  Inap, 3-4 in 5303; 1 in 5304

 

 

 

5310        J16.   Would you currently have any difficulty doing heavy work around the house such as shoveling snow or washing walls,

because of your health?                                

 

1.  YES

3.  VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

0 in 5311├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 5303; 1 in 5304 or 5309

 

 

 

5311        J16a.  How much difficulty would you have--a little, some, a lot,

or couldn't you do this at all?                        

 

1.  A LITTLE

2.  SOME

3.  A LOT

4.  COULD NOT DO

 

8.  DK

9.  NA

 

0.  Inap, 3-4 in 5303; 1 in 5304 or 5309; 5, 8-9 in 5310

 

 

 

5312        J17.   How would you rate your health at the present time?  Would

you say it is excellent, very good, good, fair, or poor?      

 

1.  EXCELLENT

2.  VERY GOOD

3.  GOOD

4.  FAIR

5.  POOR

 

8.  DK

9.  NA


 

 

 

 

 

 

5313        J18.   How much are your daily activities limited in any way by your health or health-related problems--a great deal,

quite a bit, some, a little, or not at all?            

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

5314        J19.   On how many days out of the past 30 did you take

medication to help you sleep?                          

 

Code DAYS (01-30), except:

 

98.  DK

99.  NA

 

00.  NONE

 

 

 

[V5315:  BUILD = 0]

 

 

 

5316        J21.   (Not counting medication to help you sleep,) On how many days out of the past 30 did you take any medication to

make you feel more relaxed and calm?                   

 

Code DAYS (01-30), except:

 

98.  DK

99.  NA

 

00.  NONE

 

 

[V5317:  BUILD = 0]

 

 

 

5318        J23.   How many hours of sleep do you usually get in a 24-hour

period, including naps?                                

 

Code number of HOURS (01-16)


98.  DK

99.  NA

 

 

 

 

 

 

5319        J24.   About how much do you weigh?            

 

Code number of POUNDS (060-399)

 

998.  DK

999.  NA

 

 

 

5320        J25.   Do you smoke cigarettes now?                           

 

1.  YES

┌─────────┐

0 in 5321├────────5.  NO

└─────────┤

          └────────9.  NA

 

 

 

5321        J25a.  On the average, how many cigarettes or packs do you

usually smoke in a day?                                

 

Code number of CIGARETTES (01-95)            ┌───────────────┐

                                         Convert #     

95.  95 or more                          packs: 1 pack 

                                         = 20 cigarettes

98.  DK            └───────────────┘

99.  NA

 

00.  Inap, 5 or 9 in 5320

 

 

 

5322        J26.   Do you ever drink beer, wine, or liquor?

 

1.  YES

┌──────────────┐

0 in 5323-5324├───5.  NO

└──────────────┤

               └───9.  NA

               

 

 

5323        J26a.  During the last 30 days, on how many days did you drink

beer, wine or liquor?                                  

 

Code number of DAYS PER MONTH (01-30)   

┌─────────┐

0 in 5324├────────96.  NONE

└─────────┘


98.  DK            ┌────────────────┐

99.  NA                                  Convert to days/

                                         month: 1 day/wk

00.  Inap, 5 or 9 in 5322                = 4.3 days/month

                    └────────────────┘

 

 

 

 

 

5324        J26b.  On days that you drink, how many cans of beer, glasses of

wine, or drinks of liquor do you usually have?         

 

Code NUMBER of DRINKS (01-20)            ┌───────────────┐

                                         Hard liquor   

98.  DK                                  only:         

99.  NA                                  Pint=12 drinks

                                         Fifth=17 drinks

00.  Inap, 5 or 9 in 5322; 96 in 5323    Quart=21 drinks

                   └───────────────┘

 

 

 

5325        J27.   (RB, P. 12)  How often does someone remind or tell you to do things to protect your health?  Would you say often,

sometimes, rarely or never?                            

 

1.  OFTEN

2.  SOMETIMES

3.  RARELY

┌──────────────┐

0 in 5326-5331├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

J27a.  Who reminds you?  (CHECK ALL THAT APPLY)

5326        J27a.  A. CHILD                                               

 

1.  Checked            ┌──────────────┐

5.  Not checked                          USE SAME CODE

                                         FOR V5327-5331

9.  NA to entire question             └──────────────┘

 

0.  Inap, 4, 8-9 in 5325

 

 

 

5327        J27a.  B. OTHER RELATIVE                                      

 

5328        J27a.  C. FRIEND OR NEIGHBOR                                  

 

5329        J27a.  D. PROFESSIONAL                                        


5330        J27a.  E. OTHER(S)                                            

 

5331        J27a.  F. SPOUSE                                              

 

 

 

 

 

 

 

 

 

 

 

5332        J28.   (RB, STILL ON P. 12)  How often do you take walks for exercise or pleasure?  (Would you say often, sometimes,

rarely or never?)                                      

 

1.  OFTEN

2.  SOMETIMES

3.  RARELY

┌──────────────┐

0 in 5333-5339├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

5333        J29.   (RB, STILL ON P. 12)  How often do you take walks or get any kind of exercise with a pet or with someone you know

--(often, sometimes, rarely or never)?                 

 

1.  OFTEN

2.  SOMETIMES

3.  RARELY

┌──────────────┐

0 in 5334-5339├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 4, 8-9 in 5332

 

 

 

J29a.  Who do you take walks or exercise with?  (CHECK ALL THAT APPLY)

5334        J29a.  A. CHILD                                               

 

1.  Checked            ┌──────────────┐

5.  Not checked                          USE SAME CODE

                                         FOR V5335-5339

9.  NA to entire question             └──────────────┘

 

0.  Inap, 4, 8-9 in 1332 or 1333


 

 

5335        J29a.  B. OTHER RELATIVE                                      

 

5336        J29a.  C. FRIEND OR NEIGHBOR                                  

 

5337        J29a.  D. PET                                                 

 

5338        J29a.  E. OTHER(S)                                            

 

5339        J29a.  F. SPOUSE                                              

 

 

 

 

 

 

 

5340        J30.   (RB, STILL ON P. 12)  How often do you participate in active sports or exercise--(often, sometimes, rarely or

never)?                                                

 

1.  OFTEN

2.  SOMETIMES

3.  RARELY

4.  NEVER

 

8.  DK

9.  NA

 

 

 

5341        J31.   Do you have to take medications regularly, eat a special diet for health reasons, or use other health care

treatments at home on a regular basis?                 

 

1.  YES

┌──────────────┐

0 in 5342-5348├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

5342        J31a.  (RB, STILL ON P. 12) How often does someone else help you do this?  (Would you say often, sometimes, rarely, or

never?)                                                

 

1.  OFTEN

2.  SOMETIMES

3.  RARELY

┌──────────────┐


0 in 5343-5348├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5, 8-9 in 5341

 

 

 

J31b.  Who helps you do this?   (CHECK ALL THAT APPLY)

5343        J31b.  A. CHILD                                               

 

1.  Checked            ┌──────────────┐

5.  Not checked                          USE SAME CODE

                                         FOR V5344-5348

9.  NA to entire question             └──────────────┘

 

0.  Inap, 5, 8-9 in 5341; 4, 8-9 in 5342

 

 

 

 

 

 

 

 

5344        J31b.  B. OTHER RELATIVE                                      

 

5345        J31b.  C. FRIEND OR NEIGHBOR                                  

 

5346        J31b.  D. VOLUNTEER AGENCY                                    

 

5347        J31b.  E. OTHER(S)                                            

 

5348        J31b.  F. SPOUSE                                              

 


 

 

SECTION K:  WELL-BEING

 

VAR #

K1.    (RB, P. 13)  Please tell me how often the following things happened to you during the past week.

 

5401        K1a.   During the past week, I felt depressed. Did you feel this

way hardly ever, some of the time, or most of the time?

 

1.  HARDLY EVER            ┌──────────────┐

2.  SOME OF THE TIME                     USE SAME CODE

3.  MOST OF THE TIME                     FOR V5402-5411

                   └──────────────┘

8.  DK

9.  NA

 

 

5402        K1b.   During the past week, I felt that everything I did was an

effort.                                                

 

 

5403        K1c.   My sleep was restless.                                 

 

 

5404        K1d.   During the past week, I was happy.                     

 

 

5405        K1e.   I felt lonely.                                         

 

 

5406        K1f.   During the past week, people were unfriendly.          

 

 

5407        K1g.   I enjoyed life.                                        

 

 

5408        K1h.   During the past week, I did not feel like eating.  My

appetite was poor.                                     

 

 

5409        K1j.   I felt sad.                                            

 

 

5410        K1k.   During the past week, I felt that people disliked me.  

 

 

5411        K1m.   I could not get "going".                               

 


 

 

 

 

 

 

 

 

 

K2.    (RB, P. 14)  Now for a different kind of question.  Please tell me how much you have been bothered during the past seven days by feelings like the ones I'm about to read.

 

5412        K2a.   First, nervousness or shakiness inside.  How much have you been bothered by this feeling during the past seven days--not at all, a little bit, moderately, quite a bit, or

extremely?                                             

 

1.  NOT AT ALL            ┌──────────────┐

2.  A LITTLE BIT                         USE SAME CODE

3.  MODERATELY                           FOR V5413-5421

4.  QUITE A BIT            └──────────────┘

5.  EXTREMELY

 

8.  DK

9.  NA

 

 

5413        K2b.   Trembling?                                             

 

 

5414        K2c.   Feeling suddenly scared for no reason?                 

 

 

5415        K2d.   Feeling fearful?                                       

 

 

5416        K2e.   Heart pounding or racing?                              

 

 

5417        K2f.   How much have you been bothered by feeling tense and keyed

up in the past seven days?                             

 

 

5418        K2g.   Spells of terror and panic?                            

 

 

5419        K2h.   Feeling so restless you couldn't sit still?            

 

 

5420        K2j.   Feeling that something bad is going to happen to you?  

 


5421        K2k.   Thoughts and images of a frightening nature?           

 

 


K3.    (RB, P. 15) Please tell me how often you have had the following feelings during the past week.

 

5422        K3a.   Feeling particularly excited or interested in something.  Did you feel this way always, often, sometimes, rarely, or

never?                                                 

 

1.  ALWAYS            ┌──────────────┐

2.  OFTEN                                USE SAME CODE

3.  SOMETIMES                            FOR V5423-5426

4.  RARELY             └──────────────┘

5.  NEVER

 

8.  DK

9.  NA

 

 

5423        K3b.   Feeling pleased about having accomplished something.   

 

 

5424        K3c.   Feeling that things were going your way.

 

 

5425        K3d.   Feeling proud because someone complimented you on

something you had done.                                

 

 

5426        K3e.   Feeling on top of the world.                           


 

 

SECTION L:  EMPLOYMENT

 

 

VAR #

 

L1.    We would like to know more about what you do.  (READ SLOWLY) Are you working now for pay at a regular job, on temporary leave or laid off,  looking for work, retired from a paid job, keeping house, permanently disabled or something else?  (CHECK ALL THAT APPLY)

5501        L1A.   WORKING NOW FOR PAY                                    

┌─────────┐

0 in 5508├────────1.  Checked

└─────────┘

5.  Not checked

 

9.  NA to entire question L1

 

 

 

5502        L1B.   ONLY TEMPORARILY LAID OFF; SICK LEAVE                  

┌─────────┐

0 in 5508├────────1.  Checked

└─────────┘

5.  Not checked

 

9.  NA to entire question L1

 

 

 

5503        L1C.   LOOKING FOR WORK, UNEMPLOYED                           

 

1.  Checked            ┌──────────────┐

                                         USE SAME CODE

5.  Not checked                          FOR V5504-5507

                   └──────────────┘

9.  NA to entire question L1

 

 

 

5504        L1D.   RETIRED FROM A PAID JOB                                

 

5505        L1E.   PERMANENTLY DISABLED                                   

 

5506        L1F.   KEEPING HOUSE/STAYING HOME                             

 

5507        L1G.   OTHER (SPECIFY)                                        

 

 

 

 

 


 

 

 

 

 

5508        L2.    Are you doing any work for pay at the present time?    

 

1.  YES

┌──────────────┐

0 in 5509-5523├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 1 in 5501 or 5502

 

 

 

5509        L3.    Including paid vacations and sick leave, how many weeks

altogether were you employed during the past 6 months? 

 

Code number of WEEKS IN LAST 6 MONTHS (01-26)

                   ┌──────────────────────────────┐

98.  DK                   NOTE: Ignore preprinted code 

99.  NA                   52 in box.  For "FROM-TO"    

                          responses, if only months/   

00.  Inap, 5, 8-9         years given but no day (e.g.,

           in 5508        July '88-April '89), assume  

                          mid-month to mid-month and   

                          calculate weeks with calendar.

                          If days given, calculate     

                          actual weeks with calendar.  

                          Month = 4.3 weeks.           

                   └──────────────────────────────┘

 

 

 

5510        L3a.   How long have you worked at your present job or position?

 

Code # (01-52)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 5508

 

 

 

5511        L3a.   TIME UNIT                                              

 

1.  WEEKS

2.  MONTHS

3.  YEARS

 

9.  NA

 

0.  Inap, 5, 8-9 in 5508

 


 

 

 

 

 

 

5512        L3b.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 5513-5515├───1.  R EMPLOYED AT PRESENT JOB/POSITION BEFORE DATE OF LAST

└──────────────┘       INTERVIEW

 

2.  ALL OTHERS

 

0.  Inap, 5, 8-9 in 5508

 

 

 

5513        L4.    What is your occupation on your main job?

L5.    What kind of work do you do?  What are your most important

activities or duties?                                  

 

Code 3-digit 1970 Census OCC precoded in green

 

999.  NA

 

000.  Inap, 5, 8-9 in 5508; 1 in 5512

 

 

 

5514        L6.    What kind of business or industry is that in?  What do

they make or do where you work?                        

 

Code 3-digit 1970 Census IND precoded in green

 

999.  NA

 

000.  Inap, 5, 8-9 in 5508; 1 in 5512

 

 

 

5515        L7.    Are you self-employed, or do you work for a private employer or a municipal, county, state or federal

government?                                            

 

1.  SELF-EMPLOYED

2.  PRIVATE EMPLOYER

3.  GOVERNMENT EMPLOYER

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 5508; 1 in 5512

 

 

 

5516        L8.    On the average how many hours a week do you work on this


job, including paid and unpaid overtime?

 

Code number of HOURS PER WEEK (01-95)

 

95.  95 or more

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 5508

 

5517        L9.    How much do you earn now from this job?--DOLLARS

 

Code number of WHOLE DOLLARS (000 001 - 999 995)

 

999 995.  $999,995 or more

 

999 996.  Nothing; unpaid family worker

 

999 998.  DK

999 999.  NA

 

000 000.  Inap, 5, 8-9 in 5508

 

 

 

5518        L9.    How much do you earn now from this job?--CENTS

 

Code number of CENTS (00 - 95)

 

95.  95-99 cents

 

98.  DK

99.  NA (incl. "nothing" to L9)

 

00.  Inap, 5, 8-9 in 1508

 

 

 

5519        L9.    How much do you earn now from this job?--PER (time period)

 

1.  Hour

2.  Day

3.  Week

4.  Bi-weekly; 2 weeks; semi-monthly

5.  Month

6.  Year

┌─────────┐

Make Card├────────7.  Other; piecework; by job

└─────────┘

8.  DK

9.  NA (incl. "nothing" to L9)

 

0.  Inap, 5, 8-9 in 5508

 

 

5520        L10.   How much do you enjoy doing that kind of work--do you enjoy it a great deal, quite a bit, some, a little, or

not at all?                                            

 


1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 5508

 

 

 

5521        L11.   How satisfied are you with your job--completely, very,

somewhat, not very or not at all satisfied?            

 

1.  COMPLETELY SATISFIED

2.  VERY SATISFIED

3.  SOMEWHAT SATISFIED

4.  NOT VERY SATISFIED

5.  NOT AT ALL SATISFIED

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 5508

 

 

 

5522        L12.   In general, how often do you feel bothered or upset in your work--almost always, often, sometimes, rarely, or

never?                                                 

 

1.  ALMOST ALWAYS

2.  OFTEN

3.  SOMETIMES

4.  RARELY

5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 5508

 

 

 

5523        L13.   INTERVIEWER CHECKPOINT                                 

 

1.  R IS ALSO RETIRED

┌──────────────┐

0 in 5524-5532├───2.  ALL OTHERS

└──────────────┘

0.  Inap, 5, 8-9 in 5508

 

 

 

 


5524        L14.   INTERVIEWER CHECKPOINT                                 

┌─────────┐

0 in 5525├────────1.  "RETIRED" IS CHECKED AT L1

└─────────┘

2.  ALL OTHERS

 

0.  Inap, 2 in 5523

 

 

 

 

 

 

 

 

5525        L15.   Have you ever held a regular job for pay?              

 

1.  YES

┌──────────────┐

0 in 5526-5548├───5.  NO

└──────────────┤

               └───9.  NA

               

0.  Inap, 2 in 5523; 1 in 5524

 

 

 

5526        L16.   In what month and year did you (retire/stop working)?--

MONTH                                                  

 

Code MONTH (01-12)

 

98.  DK

99.  NA

 

00.  Inap, 2 in 5523; 5 or 9 in 5525

 

 

                                                                Rev. 6/4/93

5527        L16.   In what month and year did you (retire/stop working)?--

YEAR                                                   

 

Code YEAR (1930-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 2 in 5523; 5 or 9 in 5525

 

 

 

                                                                Rev. 6/4/93

5528        L17.   INTERVIEWER CHECKPOINT                                 

 

1.    R (RETIRED/STOPPED WORKING) SINCE DATE OF LAST INTERVIEW

┌──────────────┐


0 in 5529-5548├───2.    ALL OTHERS

└──────────────┘

0.    Inap, 2 in 5523; 5 or 9 in 5525

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5529        L18.   People (retire/leave a paid job) for many reasons.  What

5530               are the reasons you (retired/left your last job)?  (PROBE:            Were there any other reasons?)                         

 

FAMILY RELATED

 

11.   Marriage; got married

12.   Pregnancy or childbirth

13.   Spouse doesn't want R to work

14.   Time with family: childcare responsibilities; to take care of/spend more time with spouse/children/ family (exc. health mentions); spouse retired-- n.e.c.

15.   Health or illness of family member (R's health, code 41): spouse ill/disabled; children sick

 

 

 

FINANCIAL REASONS

 

21.   Low pay; not enough/no benefits

22.   Don't need to work; don't need money; spouse has (new/good) job; have enough savings; could afford to quit/retire; able to get Social Security/pension

23.   Offered financial incentive by employer to retire (early)

 

 

 

JOB RELATED

 

31.   Disliked job or aspects of job; disliked hours, location, type of work, responsibility

32.   Job ended; fired; laid off; company closed/will close

33.   Forced retirement; had reached mandatory retirement age

34.   Interpersonal problems on job--any mention

35.   Start own business/be self-employed

36.   Transportation problems


5529        L18.   Continued                                              

5530

PERSONAL REASONS

 

41.   R's health/disability/illness; "my health is bad"; "got sick and had to quit/retire"

42.   Age; too old to work; reached retirement age; "I was 65" (mandatory retirement, code 33)

43.   To go to school

44.   To spend time on other activities; to travel, enjoy life, have time for leisure activities/hobbies

45.   Residence change; moved/will move; spouse got transferred (requiring move); to live with children

 

 

49.   Don't want to work (any longer) (incl. retirement)-- general: tired of working; worked long enough/put in enough time; wanted to retire--NFS

 

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.   Inap, 2 in 5523; 5 or 9 in 5525; 2 in 5528; no

      further mention

 

 

 

5531        L19.   Did you leave this job earlier, just about the time you

wanted to, or later than you wanted to?                

 

1.  EARLIER

2.  JUST ABOUT TIME

3.  LATER

 

7.  OTHER (SPECIFY)

 

8.  DK

9.  NA

 

0.  Inap, 2 in 5523; 5 or 9 in 5525; 2 in 5528

 

 

5532        L20.   Have the changes brought about by your (retirement/stopping work) been entirely good, mostly

good, mostly bad, or entirely bad for you?             

 

1.  ENTIRELY GOOD

2.  MOSTLY GOOD

3.  MOSTLY BAD

4.  ENTIRELY BAD

 

8.  DK

9.  NA

 

0.  Inap, 2 in 5523; 5 or 9 in 5525; 2 in 5528


 

                                                                Rev. 6/4/93

5533        L21.   INTERVIEWER CHECKPOINT                  

 

1.  R IS CURRENTLY WORKING FOR PAY

┌──────────────┐

0 in 5534-5548├───2.  ALL OTHERS

└──────────────┘

0.  Inap, 5 or 9 in 5525; 2 in 5528

 

 

                                                                Rev. 6/4/93

5534        L22.   In the past 6 months, were there any changes in your work patterns?  Like starting or stopping a job, or changes in

the number of hours you worked?                        

 

1.  YES

┌──────────────┐

0 in 5535-5548├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533

 

 

                                                                Rev. 6/4/93

5535        L22a.  What was this change?  (IF MORE THAN ONE, PROBE FOR MOST

IMPORTANT CHANGE.)                                     

 

01.  FIRED

02.  QUIT WORKING

03.  LAID OFF PERMANENTLY

04.  LAID OFF TEMPORARILY     

05.  CHANGED JOBS

06.  STARTED TO WORK FOR THE FIRST TIME

07.  RETURNED TO WORK

08.  PROMOTED

09.  DEMOTED

10.  FULL-TIME TO PART-TIME

11.  PART-TIME TO FULL-TIME

 

 

┌──────────────┐

0 in 5536-5548├───95.  RETIRED

└──────────────┘

┌─────────┐

Make Card├────────97.  OTHER, SPECIFY

└─────────┘

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

     5534

 

 

 

 

 


 

                                                                Rev. 6/4/93

5536        L22b.  In what month did this change in your work pattern happen?

(IF DK MONTH, PROBE FOR SEASON)--MONTH                 

 

01.  January; "Winter"

02.  February

03.  March

04.  April; "Spring"

05.  May

06.  June

07.  July; "Summer"

08.  August

09.  September

10.  October; "Fall"

11.  November

12.  December

 

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

     5534; 95 in 5535

 

 

 

                                                                Rev. 6/4/93

5537        L22b.  In what month did this change in your work pattern happen?

(IF DK MONTH, PROBE FOR SEASON)--YEAR                  

 

Code YEAR (1988-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

       5534; 95 in 5535

 

 

 

                                                                Rev. 6/4/93

5538        L22c.  People change their work patterns for many reasons.  What

5539               are the main reasons you changed your work pattern?

(PROBE: Were there any other reasons?)                 

 

11.   Care of spouse


5538        L22c.  Continued                                              

5539

 

 

 

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

     5534; 95 in 1535; no further mention

 

 

 

                                                                Rev. 6/4/93

5540        L22d.  Were the changes brought about by the change in your work   pattern entirely good, mostly good, mostly bad or entirely

bad?                                                   

 

1.  ENTIRELY GOOD

2.  MOSTLY GOOD

3.  MOSTLY BAD

4.  ENTIRELY BAD

 

8.  DK

9.  NA

 

00.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

     5534; 95 in 5535

 

 

[V5541:  BUILD = 0]

 

 

                                                                Rev. 6/4/93

5542        L23.   You have told me about the past 6 months.  Now please think about the time between when we interviewed you last and 6 months ago.  That would be between (MONTH, YEAR [SEE COVERSHEET]) and (MONTH, YEAR [6 MONTHS AGO]).  During that time, were there any changes in your work patterns?  For example, starting or stopping a job or changes in the

number of hours you worked?                            

 

1.  YES

┌──────────────┐

0 in 5543-5548├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

    5534; 95 in 5535

 

 

 

 


 

                                                                Rev. 6/4/93

5543        L23a.  What was this change?  (IF MORE THAN ONE, PROBE FOR MOST

IMPORTANT CHANGE.)                                     

 

Use same code as 1535, except:

┌──────────────┐

0 in 5544-5548├───95.  RETIRED

└──────────────┘

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 95 in 5535;

     5, 8-9 in 5534 or 5542

 

 

 

                                                                Rev. 6/4/93

5544        L23b.  In what month and year did this change in your work

pattern happen?  (IF DK MONTH, PROBE FOR SEASON)--MONTH

 

01.  January; "Winter"

02.  February

03.  March

04.  April; "Spring"

05.  May

06.  June

07.  July; "Summer"

08.  August

09.  September

10.  October; "Fall"

11.  November

12.  December

 

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 1525; 2 in 5528 or 5533; 5, 8-9 in

     5534 or 5542; 95 in 5535 or 5543

 

 

 

                                                                Rev. 6/4/93

5545        L23b.  In what month did this change in your work pattern happen?

(IF DK MONTH, PROBE FOR SEASON)--YEAR                  

 

Code YEAR (1987-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

       5534 or 5542; 95 in 5535 or 5543

 

 

 

 

 


 

 

                                                                Rev. 6/4/93

5546        L23c.  People change their work patterns for many reasons.  What

5547               were the main reasons you changed your work pattern?

(PROBE: Were there any other reasons?)                 

 

Use same code as V1538-1539, except:

 

00.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

     5534 or 5542; 95 in 5535 or 5543; no further

     mention

 

 

 

                                                                Rev. 6/4/93

5548        L23d.  Were the changes brought about by the change in your work   pattern entirely good, mostly good, mostly bad or entirely

bad?                                                   

 

1.  ENTIRELY GOOD

2.  MOSTLY GOOD

3.  MOSTLY BAD

4.  ENTIRELY BAD

 

8.  DK

9.  NA

 

0.  Inap, 5 or 9 in 5525; 2 in 5528 or 5533; 5, 8-9 in

    5534 or 5542; 95 in 5535 or 5543

 


 

SECTION M:  FINANCIAL SITUATION

                                      

 

VAR #

 

Now a few questions about your financial situation at this time.

 

5601        M1.    How difficult is it for you to meet the monthly payments on your bills?  Is it extremely difficult, very, somewhat,

slightly, or not at all difficult?                     

 

1.  EXTREMELY DIFFICULT

2.  VERY DIFFICULT

3.  SOMEWHAT DIFFICULT

4.  SLIGHTLY DIFFICULT

5.  NOT AT ALL DIFFICULT

 

8.  DK

9.  NA

 

 

 

5602        M2.    In general, how do your finances usually work out at the end of the month--do you find that you usually end up with some money left over, just enough money to make ends meet,

or not enough money to make ends meet?                 

 

1.  SOME MONEY LEFT OVER

2.  JUST ENOUGH MONEY

3.  NOT ENOUGH MONEY

 

8.  DK

9.  NA

 

 

 

5603        M3.    How often do you feel bothered by your financial situation?  Would you say almost always, often, sometimes,

rarely, or never?                                      

 

1.  ALMOST ALWAYS

2.  OFTEN

3.  SOMETIMES

4.  RARELY

5.  NEVER

 

8.  DK

9.  NA

 

 

 

 

 

 

 

 

 


 

5604        M4.    How satisfied are you with your present financial situation--completely, very, somewhat, not very or not at

all satisfied?                                         

 

1.  COMPLETELY SATISFIED

2.  VERY SATISFIED

3.  SOMEWHAT SATISFIED

4.  NOT VERY SATISFIED

5.  NOT AT ALL SATISFIED

 

8.  DK

9.  NA

 

 

 

M5.    (SAB, P. 3)  Now, please look at page 6 of the large pink booklet.  After each statement, put an "X" in the box that best describes how true you think the statement is.  Again, the best answer is usually the one that comes to mind first, so don't spend too much time on any one question.  There are more questions on page 6.  (If you prefer, I can read the statements to you.)

 

5605        M5a.   In the long run, good people will be rewarded for the good things they have done.  Is this very true, somewhat true,

a little true, or not at all true?                     

 

1.  VERY TRUE            ┌──────────────┐

2.  SOMEWHAT TRUE                        USE SAME CODE

3.  A LITTLE TRUE                        FOR V5606-5627

4.  NOT TRUE AT ALL            └──────────────┘

 

8.  DK

9.  NA

 

 

 

5606        M6.    By and large, people deserve what they get.            

 

 

5607        M7.    Death is simply part of the process of life.           

 

 

5608        M8.    People who meet with misfortune have often brought it on

themselves.                                            

 

 

5609        M9.    I don't see any point in worrying about death.         

 

 

5610        M10.   Eventually, everybody gets what is coming to them.     

 

 


5611        M11.   When I look back on what has happened to me, I feel

cheated.                                               

 

 

5612        M12.   I don't seem to get what should be coming to me.       

 

5613        M13.   In the long run, people get the respect they deserve.  

 

 

5614        M14.   I would neither fear death nor welcome it.             

 

 

5615        M15.   It is only a matter of time before the bad people will be

punished for the bad things they have done.            

 

 

5616        M16.   Other people always seem to get the breaks.            

 

 

5617        M17.   I am certain something bad could happen to me at any time.      

 

 

5618        M18.   I am certain something bad could happen to one of my loved

ones at any time.                                      

 

 

5619        M19.   Getting too attached to people is unwise.              

 

 

5620        M20.   I am resigned to the fact that we all have to die.     

 

 

5621        M21.   Bad things can happen to anyone at any time.           

 

 

5622        M22.   People who think catastrophes cannot happen to them are

kidding themselves.                                    

 

 

5623        M23.   People die when it is their time to die, and nothing can

change that.                                           

 

 

5624        M24.   Everything that happens is a part of God's plan.       

 

 


5625        M25.   If bad things happen, it is because they were meant to be.        

 

 

5626        M26.   Everything that happens has a purpose.                 

 

 

5627        M27.   The good and bad things that have happened to me were

destined to happen.                                    

 


 

 

SECTION N:  HOUSEHOLD RESPONSIBILITIES AND VOLUNTARY ACTIVITIES

 

 

5628        N1.    Now let's talk about work you do around your home.  How many hours do you spend preparing food and doing housework

in an average week?                                    

 

Code HOURS (01-95), except:

 

98.  DK

99.  NA

┌─────────┐

0 in 5629├────────00.  NONE

└─────────┘

 

 

5629        N1a.   How much do you enjoy doing housework--do you enjoy it

a great deal, some, a little, or not at all?           

 

1.  A GREAT DEAL

2.  SOME

3.  A LITTLE

4.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 5628

 

 

 

5630        N2.    (RB, P. 16)  Altogether, how many hours did you yourself spend doing home maintenance and minor repairs during the last 12 months?  Would you say less than 20 hours, 20 to 39 hours, 40 to 79 hours, 80 to 159 hours, or 160 hours or

more?                                                  

 

1.  LESS THAN 20 HOURS

2.  20-39 HRS

3.  40-79 HRS

4.  80-159 HRS

5.  160 HOURS OR MORE

 

8.  DK

9.  NA

 

 

 

 

 

 

 

 

 

 

 


 

5631        N3.    (RB, P. 17)  If you needed extra help with general housework or home maintenance, how much could you count on friends or family members to help you?  Would you say

a great deal, some, a little, or not at all?           

 

1.  A GREAT DEAL

2.  SOME

3.  A LITTLE

4.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

5632        N4.    (RB, STILL ON P. 17)  If you needed extra money, how much could you count on someone, other than a lending institution, to lend or give you money--(a great deal,

some, a little, or not at all)?                        

 

1.  A GREAT DEAL

2.  SOME

3.  A LITTLE

4.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

5633        N5.    (RB, STILL ON P. 17)  If you were ill, how much could you count on someone to make sure you are taken care of--

(a great deal, some, a little, or not at all)?         

 

1.  A GREAT DEAL

2.  SOME

3.  A LITTLE

4.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

5634        N6.    Now I have some questions about volunteer work.  (READ SLOWLY)  During the last 6 months, did you do volunteer work for a church or other religious organization, for a political group, a senior citizens' group, or for any

other type of organization?                            

 

1.  YES

┌──────────────┐

0 in 5635-5636├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA


 

 

 

5635        N7.    (RB, P. 18) About how many hours did you spend on volunteer work of these kinds during the last 6 months?  (Would you say less than 20 hours, 20 to 39 hours, 40 to

79 hours, 80 to 159 hours, or 160 hours or more?       

 

1.  LESS THAN 20 HOURS

2.  20-39 HRS

3.  40-79 HRS

4.  80-159 HRS

5.  160 HOURS OR MORE

 

8.  DK

9.  NA

 

0. Inap, 5, 8-9 in 5634

 

 

 

5636        N8.    Not using the booklet--How much did you enjoy doing that volunteer work--did you enjoy it a great deal, quite a

bit, some, a little, or not at all?                    

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 5634

 

 

 

N9.    Now let's talk about help you may have given in the last six months to friends, neighbors, or relatives who did not live with you.  We are interested in help you provided during the last 6 months for which you did not receive pay.

 

5637        N9a.   During the last 6 months, did you provide transportation, shop or run errands for friends, neighbors or relatives

who did not live with you?                             

 

1.  YES            ┌──────────────┐

5.  NO                                   USE SAME CODE

                                         FOR V5638-5640

8.  DK            └──────────────┘

9.  NA

 

 

 

5638        N9b.   Did you help others with their housework or with the


upkeep of their house, car or other things?            

 

 

 

5639        N9c.   Did you do childcare without pay for persons not living in

your household?                                        

 

 

5640        N9d.   Did you do any other things in the last 6 months to help

neighbors, friends or relatives who did not live with you?       

 

 

 

5641        N10.   INTERVIEWER CHECKPOINT                                 

 

1.    RESPONDENT GAVE HELP TO RELATIVES, FRIENDS OR NEIGHBORS (ONE OR MORE "YES" TO N9a-N9d)

┌──────────────┐

0 in 5642-5643├───2.    ALL OTHERS

└──────────────┘

 

 

 

5642        N11.   (RB, STILL ON P. 18) About how many hours did you spend doing these things during the last 6 months?  (Would you say less than 20 hours, 20 to 39 hours, 40 to 79 hours, 80

to 159 hours, or 160 hours or more?                    

 

1.  LESS THAN 20 HOURS

2.  20-39 HRS

3.  40-79 HRS

4.  80-159 HRS

5.  160 HOURS OR MORE

 

8.  DK

9.  NA

 

0.  Inap, 2 in 5641

 

 

 

5643        N12.   Not using the booklet--How much did you enjoy helping friends, neighbors and relatives--a great deal, quite a

bit, some, a little, or not at all?                    

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 2 in 5641

 


 

 

 

 

 

 

 

 

 

 

 

5644        N13.   Now please think about friends and relatives who have trouble taking care of themselves because of physical or mental illness, disability, or for some other reason.  Are you currently involved in helping someone like this by caring for them directly or arranging for their care by

others?                                                

 

1.  YES

┌─────────┐

0 in 5645├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

 

 

5645        N13a.  About how many hours do you spend doing this in a usual

week?                                                  

 

Code HOURS (01-95)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 5644

 


 

 

SECTION P:  DEPRESSION

 

VAR #

 

5701        P1.    During the past 6 months (that is, since [MONTH, YEAR]), have you had any period of two weeks or more when you have been feeling sad, blue or depressed most of the time, or have lost all interest and pleasure in the things you

usually care about or enjoy?                           

┌─────────┐

0 in 5702├────────1.  YES

└─────────┘

5.  NO

 

8.  DK

9.  NA

 

 

 

5702        P1a.   During the past 6 months, has there been a time lasting two weeks or more when you felt irritable, easily annoyed

and really down in the dumps?                          

 

1.  YES

┌──────────────┐

0 in 5703-5738├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 1 in 5701

 

 

 

5703        P2.    How many periods or spells like that have you had in the last 6 months that lasted two weeks or longer?  If you are

having one now, please include it also.                

 

Code NUMBER (01-13), except:

 

13.  Thirteen or more

┌─────────┐

0 in 5704├────────97.  ALL THE TIME

└─────────┘

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 5702

 

 

 

1704        P3.    INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 5735-5738├───1.  R HAS HAD ONLY ONE SPELL

└──────────────┘


2.  ALL OTHERS

 

0.  Inap, 5, 8-9 in 5702; 97 in 5703

                                                                          

5705        P4/P10. Basically, what made you become depressed?  (OBTAIN

5706               COMPLETE DESCRIPTION OF SITUATION AND PROBE IF NECESSARY:

5707               What about the situation made you feel depressed?)  IF R

5708               SAYS "A COMBINATION OF THINGS," PROBE FOR MOST DIFFICULT

5709               ASPECT OF EACH.                                        

5710

01.   Death of spouse, R

02.   Health  of R

03.   Interpersonal problems of R: divorce, disagreements, problems with children, etc.

04.   Other specified problems of R: financial or legal problems; references to work/employment; other specified problems, n.e.c.

 

 

 

5705        P4/P10.  Continued                                            

5706

5707               11.   Death of other relative or friend

5708               12.   Other problems of other relative or friend:  e.g.,

5709                     "my friend's daughter got pregnant"; "my son went

5710                     bankrupt"

 

 

 

96.   NOTHING CAUSED DEPRESSION

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.   Inap, 5, 8-9 in 5702; no further mention

 

 

 

5711        P5/P11. In what month and year did the period or spell start?--

MONTH                                                  

 

Code MONTH (01-12)

 

96.   No time period given but R indicates chronic/ intermittent problem, e.g., "all my life," "since I was 15"

 

98.   DK

99.   NA

 

00.   Inap, 5, 8-9 in 5702

 

 

 

 

 


 

 

 

 

5712        P5/P11. In what month and year did the period or spell start?--

YEAR                                                   

 

Code YEAR (1910-1995)

 

9996. No time period given but R indicates chronic/ intermittent problem, e.g., "all my life," "since I was 15"

 

9998. DK

9999. NA

 

0000. Inap, 5, 8-9 in 5702

 

 

 

5713        P6/P12. How long did the period or spell last or is it still going

on?--# WEEKS                                           

 

Code number of WEEKS (01-52)

 

96.   No time period given but R indicates chronic/ intermittent problem, e.g., "all my life," "since I was 15"

┌───────────┐

97 in 5714,├──────97.   STILL GOING ON

97 in 5715

└───────────┘      98.   DK

99.   NA

 

00.   R answered in months or years; Inap, 5, 8-9 in 5702

 

 

 

5714        P6/P12. How long did the period or spell last or is it still going

on?--# MONTHS                                          

 

Code number of MONTHS (01-60)

 

96.   No time period given but R indicates chronic/ intermittent problem, e.g., "all my life," "since I was 15"

 

97.   STILL GOING ON

 

98.   DK

99.   NA

 

00.   R answered in weeks or years; Inap, 5, 8-9 in 5702

 

 

 

 

 


 

 

 

 

 

5715        P6/P12. How long did the period or spell last or is it still going

on?--# YEARS                                           

 

Code number of YEARS (01-80)

 

96.   No time period given but R indicates chronic/ intermittent problem, e.g., "all my life," "since I was 15"

┌──────────────┐

0 in 5717-5719├───97.   STILL GOING ON

└──────────────┘

98.   DK

99.   NA

 

00.   R answered in weeks or months; Inap, 5, 8-9 in 5702

 

 

 

5716        P7-P7a/   INTERVIEWER QUESTION

P13-P13a. DID R SPECIFY "OFF AND ON" OR USE OTHER WORDS INDICATING          THAT FEELING WAS INTERMITTENT?                       

 

1.  YES

5.  NO

 

9.  NA

 

0.  Inap, 5, 8-9 in 5702

 

 

 

                                                               Rev. 11/2/90

5717        P8/P14. What happened to make the depression go away?  (OBTAIN

5718               COMPLETE DESCRIPTION OF SITUATION AND PROBE IF NECESSARY:

5719               What was it about the situation that helped end the

depression?)                                           

 

02.   R's health improved/resolved

03.   R's interpersonal situation improved/resolved

04.   Other specified problem of R improved/resolved--n.e.c.

05.   Got counseling, therapy

 

 

 

 

12.   Problems of other relative/friend resolved/improved

 

 

 

 

 

 


 

 

 

 

 

 

5717        P8/P14.  Continued                                            

5718

5719               21.   (Another) bad event displaced depression or put things in perspective; other problems diverted R's attention/made R realize (cause of) depression not so serious

22.   Kept busy; went to work; visited (with) relatives, friends

 

 

 

31.   Acceptance/resignation; learned to live/deal with situation; "it was meant to be"

32.   Prayer; asked God for help

 

 

 

 

 

41.   Positive view of spouse's death; death seen as end to suffering; other positive outcomes (e.g., R has more time, less work, etc.)

 

 

 

 

 

 

96.   NOTHING HAPPENED; WENT AWAY WITH TIME

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.   Inap, 5, 8-9 in 5702; 97 in 5715; no further mention

 

 

 

P9/P15. Now I have some questions about things that may have

happened during (this/that) period or spell.  Did you...

 

5720        P9a/P15a.  ...lose your appetite?                             

 

1.  YES            ┌──────────────┐

5.  NO                                   USE SAME CODE

                                         FOR V5721-5732

8.  DK            └──────────────┘

9.  NA

 

0.  Inap, 5, 8-9 in 5702

 

 


 

 

 

 

 

 

5721        P9b/P15b. Did you lose or gain weight without trying to--as much

as two pounds a week for several weeks, or as much as ten

pounds altogether?                                     

 

 

5722        P9c/P15c. Did you have trouble falling asleep, staying asleep, or

with waking up too early?                              

 

 

5723        P9d/P15d. Did you talk or move more slowly than is normal for you?

 

 

5724        P9e/P15e. Did you have to be moving all the time; that is, you

couldn't sit still or paced up and down?

 

 

5725        P9f/P15f. Were you less interested in the things that normally

interest you?                                          

 

 

5726        P9g/P15g. Did you feel worthless, sinful or guilty?           

 

 

5727        P9h/P15h. Did you have a lot more trouble concentrating than is

normal for you?                                        

 

 

5728        P9j/P15j. Did your thoughts come more slowly than usual or seem

mixed up?                                              

 

 

5729        P9k/P15k. Were you sleeping too much?                         

 

 

5730        P9m/P15m. Did you feel tired out all the time?                

 

 

5731        P9n/P15n. Did you think a lot about death--either your own,

someone else's, or death in general?                   

 

 

5732        P9p/P15p. Did you feel like you wanted to die?                

 

 


5733        P9q/P15q. Did you attempt suicide?                            

┌─────────┐

0 in 5734├────────1.  YES

└─────────┘

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 5702

 

 

 

 

 

 

5734        P9r/P15r. [IF NO TO P9q/P15q] Did you feel so low you thought

about committing suicide?                              

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 5702; 1 in 5733

 

 

 

5735        P16.   You told me that you have had (another spell/other spells)

5736               during the last 6 months.  In what month(s) did (it/they)

5737               start?  (PROBE FOR OTHER SPELLS)                       

5738

Code up to 4 mentions of MONTH (01-12), except:

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 5702; 1 in 5704; no further MONTH

     given

 

 


 

 

SECTION P:  DEPRESSION

 

VAR #

 

 

5801        P17.   (READ SLOWLY)  I have already asked you about the past 6 months.  Now, please think about the time between when we interviewed you last and 6 months ago.  That would be between (MONTH, YEAR [SEE COVERSHEET]) and (MONTH, YEAR [6 MONTHS AGO]).  During that time, did you have any period of two weeks or more when you felt sad, blue or depressed most of the time, or lost all interest and pleasure in the

things you usually care about or enjoy?                

┌─────────┐

0 in 5802├────────1.  YES

└─────────┘

5.  NO

 

8.  DK

9.  NA

 

 

 

5802        P17a.  During that time period, was there a time lasting two weeks or more when you felt irritable, easily annoyed and

really down in the dumps?                              

 

1.  YES

┌──────────────┐

0 in 5803-5843├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 1 in 5801

 

 

 

5803        P18.   How many periods or spells like that did you have between when we interviewed you last and 6 months ago (that is, between [MONTH, YEAR ON COVERSHEET] and [MONTH, YEAR])

that lasted two weeks or longer?                       

 

Code NUMBER (01-30), except:

┌──────────────┐

0 in 5804-5811├───97.  ALL THE TIME

└──────────────┘

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 5802

 

 

 

 

 


 

5804(MO)    P19.   Could you tell me about when (that spell/those spells)

5805(YR)           started?  That is, in what month and year?  (PROBE FOR

OTHER SPELLS)                                          

5806(MO)

5807(YR)           Code up to 4 mentions of MONTH and YEAR using following

codes:

5808(MO)           ┌──────────────────────────────────────────────────┐

5809(YR)           NOTE:  For multiple mentions, code in order from 

earliest to most recent period.                  

5810(MO)           00 in the first unused MONTH field will pad 0's in

5811(YR)           the remainder of question.                       

└──────────────────────────────────────────────────┘

 

Code MONTH (01-12)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 5802; 97 in 5803; no further mention

 

 

 

Code YEAR (1910-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 5, 8-9 in 5802; 97 in 5803; 00 in 5806, 5808

       or 5810; no further mention

 

 

 

5812        P20.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 5813-5843├───1.  R HAD ONE OR MORE DEPRESSIONS IN LAST 6 MONTHS

└──────────────┘

2.  ALL OTHERS

 

0.  Inap, 5, 8-9 in 5802

 

 

 

5813        P20a.  INTERVIEWER CHECKPOINT                                 

┌─────────┐

0 in     ├────────1.  R HAD ONLY ONE SPELL BETWEEN LAST INTERVIEW AND 6

                     MONTHS AGO