The Changing Lives of Older
Couples Study
Wave II Widow 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.
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 AND CIRCUMSTANCES OF THE
DEATH
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
00. Inap, no further persons listed
4132 A1a. INTERVIEWER
CHECKPOINT
┌────────────────┐
│0 in 4133, │────1. R WAS INTERVIEWED AT WAVE I
│4201-4241, 4301-│
│4344, 4401-4406 │ 2. ALL OTHERS
└────────────────┘
4133 A2. I'd
like to begin by asking you about the circumstances of your (husband's/wife's)
death. How old was your (husband/
wife) when (he/she) died?
Code YEARS (40-97)
97. 97 years or more
98. DK
99. NA
00. Inap, 1 in 4132
SECTION A: HOUSEHOLD LISTING AND CIRCUMSTANCES OF THE
DEATH
VAR #
4201 A3. What
was the cause of (his/her) death? (IF
ACCIDENT,
4202 PROBE: What kind of accident? AND OBTAIN BRIEF
4203 DESCRIPTION
OF CIRCUMSTANCES)
Use HEALTH CONDITION
MASTER CODE
000. Inap, 1 in 4132; no further mention
4204 A4. INTERVIEWER
CHECKPOINT
┌──────────────┐
│0 in 4205-4241├─────1. CAUSE OF DEATH WAS ACCIDENT, MURDER OR
SUICIDE
└──────────────┘
┌──────────────┐
│0 in 4301-4344├─────2. ALL OTHERS
└──────────────┘
0.
Inap, 1 in 4132
4205 A5. How
long before your (husband's/wife's) death did you realize that (he/she) was
going to die? (RECORD NUMBER OR
MARK BOX)
Code # (01-60), except:
┌──────────────┐
│0 in 4206-4207├─────96. NO WARNING/MINUTES
└──────────────┘
98. DK
99. NA
00. Inap, 1 in 4132 or 4204
4206 A5. TIME
UNIT
1. HOURS
2. DAYS
3. WEEKS
4. MONTHS
5. YEARS
9. NA
0. Inap, 1 in 4132 or 4204; 96 in 4205
4207 A6. Was
the cause of (his/her) death an ongoing condition that you knew about before,
or did you only learn about it for
the first time shortly
before (he/she) died?
┌─────────┐
│0 in 4208├─────────1. ONGOING
└─────────┘
2.
FIRST TIME
8. DK
9. NA
0.
Inap, 1 in 4132 or 4204; 96 in 4205
4208 A7. Did
(he/she) have any serious ongoing health problems?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 1 in 4207
4209 A8. Was
your (husband/wife) aware that (he/she) was dying?
1. YES
┌──────────────┐
│0 in 4210-4212├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132 or 4204
4210 A9. Did
(he/she) seem to be at peace with the idea of dying?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 5, 8-9 in 4209
4211 A10. Did
you and your (husband/wife) talk about the fact that
(he/she) might die?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 5, 8-9 in 4209
4212 A11. Did
you and (he/she) talk about how you would deal with
being on your own once
(he/she) was gone?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 5, 8-9 in 4209
4213 A12. INTERVIEWER
CHECKPOINT
1.
SPOUSE HAD (SERIOUS) ONGOING CONDITION
┌──────────────┐
│0 in 4214-4224├─────2. ALL OTHERS
└──────────────┘
0.
Inap, 1 in 4132 or 4204
4214 A13. Did
you yourself have to provide physical care to your
(husband/wife) in the 6
months before (he/she) died?
1. YES
┌──────────────┐
│0 in 4215-4224├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132 or 4204; 2 in 4213
4215 A13a. During
the last 6 months of (his/her) life, about how many hours a week did you
spend providing physical care for
your (husband/wife)?
Code HOURS (01-95)
95. 95 hours or more
98. DK
99. NA
00. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in
4214
4216 A13b. For
how many weeks, months, or years did you provide such
care?--WEEKS
Code WEEKS (00-95)
98. DK
99. NA
00. WEEKS not given; Inap, 1 in 4132 or 4204; 2
in 4213;
5,
8-9 in 4214
4217 A13b. For
how many weeks, months, or years did you provide such
care?--MONTHS
Code MONTHS (00-60)
98. DK
99. NA
00. MONTHS not given; Inap, 1 in 4132 or 4204; 2
in 4213; 5, 8-9 in 4214
4218 A13b. For
how many weeks, months, or years did you provide such
care?--YEARS
Code YEARS (00-20)
98. DK
99. NA
00. YEARS not given; Inap, 1 in 4132 or 4204; 2
in 4213;
5,
8-9 in 4214
4219 A13c. What
kind of physical care did you provide?
4220
4221 MEDICAL
11. Medical care; gave medication/shots;
changed dressings/tubes/bags; monitored machines
PERSONAL NEEDS (exc. 11)
21. Elimination; helped with/took to
bathroom; cleaned up after
22. Bathing; gave baths; helped with
bathing
23. Feeding; fed spouse, prepared meals,
etc.
24. Help move around house; lifting;
exercise/walking
25. Getting dressed
29. Other personal needs care: brushing hair (or
teeth); giving rubdowns, shaving, etc.
4219 A13c. Continued
4220
4221 31. Transportation; took spouse to doctor or other appointment;
"drove him everywhere"
┌────────────┐
│Low Priority├─────95. "Everything"; "complete
care"
└────────────┘
┌─────────┐
│Make Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in
4214;
no further mention
4222 A14. (RB,
P. 1) During the 6 months before
(he/she) died, how stressful was it for you to care for (him/her) or to arrange
for (his/her) care? Was it very
stressful, quite stressful, somewhat stressful, not too
stressful, or not
at all stressful?
1. VERY STRESSFUL
2. QUITE STRESSFUL
3. SOMEWHAT STRESSFUL
4. NOT TOO STRESSFUL
5. NOT AT ALL STRESSFUL
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in
4214
4223 A15. How
much did caring for your (husband/wife) while (he/she) was ill keep you from
carrying out other responsibilities in your life? Would you say a great deal, somewhat,
a
little, or not at all?
1. A GREAT DEAL
2. SOMEWHAT
3. A LITTLE
4. NOT AT ALL
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in
4214
4224 A16. (RB,
P. 2) Please tell me how true the
following statement is. My
(husband's/wife's) illness was physically painful for (him/her). Is this very true,
somewhat, a little, or
not true at all?
1. VERY TRUE
2. SOMEWHAT TRUE
3. A LITTLE TRUE
4. NOT TRUE AT ALL
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in
4214
A17. (RB, [STILL ON] P. 2) Please tell me how true each of the following
statements is in the case of your (husband/wife).
4225 A17a. In
the weeks before (his/her) death, things between my (husband/wife) and me were going
well. Is this very true,
somewhat, a little, or
not true at all?
1. VERY TRUE ┌───────────────┐
2. SOMEWHAT TRUE │USE SAME CODE │
3. A LITTLE TRUE │FOR V4226-4228 │
4. NOT TRUE AT ALL └───────────────┘
8. DK
9. NA
0. Inap, 1 in 4132 or 4204
4226 A17b. My
(husband/wife) lived a full life.
4227 A17c. During
(his/her) lifetime my (husband/wife) was able to
achieve just about
everything (he/she) hoped to achieve.
4228 A17d. I
believe that my (husband/wife) is now in a better place
than (he/she) was on this
earth.
4229 A18. Were
you there with your (husband/wife) at the moment when
(he/she) died?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132 or 4204
4230 A19. (RB,
P. 3) Do you feel that your (husband/wife) did things that may have contributed
to (his/her) death? Would you say no,
not at all; yes, a little; yes, somewhat; or yes,
a great deal?
┌──────────────┐
│0 in 4231-4232├─────1. NO, NOT AT ALL
└──────────────┤
│ 2. YES, A LITTLE
│ 3. YES, SOMEWHAT
│ 4. YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132 or 4204
Rev.
11/2/90
4231 A19a. What
did (he/she) do that may have contributed to
4232 (his/her)
death?
11. Smoking
12. Alcohol/drug use
13. Improper eating habits; wouldn't eat
right foods/ follow diet
14. Lack of exercise; just sat around
19. Put off/refused medical care;
"wouldn't follow doctor's orders"--n.e.c.
21. Emotional stress (self-induced or
caused by others)
22. Physical stress/overwork; worked too
hard; "pushed himself too much"
23. Employment situation--n.e.c.;
dangerous/unhealthy working conditions
┌─────────┐
│Make Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 4132 or 4204; 1, 8-9 in 4230; no
further
mention
4233 A20. (RB,
STILL ON P. 3) Do you feel that anyone else did things that may have
contributed to your (husband's/ wife's) death?
(Would you say no, not at all; yes, a
little; yes, somewhat; or
yes, a great deal?)
┌──────────────┐
│0 in 4234-4241├─────1. NO, NOT AT ALL
└──────────────┤
│ 2. YES, A LITTLE
│ 3. YES, SOMEWHAT
│ 4. YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132 or 4204
4234(#1) A20a. Who
do you feel may have contributed to the death?
4238(#2)
Use RELATIONSHIP MASTER
CODE, except:
┌──────────────┐
│0 in 4239-4241├─────00. No person #2 listed; Inap, 1 in 4132 or 4204;
1, 8-9
└──────────────┘ in 4233
Rev.
11/2/90
4235(#1) A20b. What
did (PERSON #1) do?
4236(#1) A20d.
What did (PERSON #2) do?
4239(#2)
4240(#2)
21. Caused emotional stress (exc. 41); son
took drugs, was in jail; conflicts with (person at A20a)
23. Employment situation; dangerous/unhealthy
working conditions
41. Doctor/hospital incompetent/negligent/unhelpful
91. Person shot/assaulted spouse (incl. in war)
┌─────────┐
│Make Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 4132 or 4204; 1, 8-9 in 4233; 00
in 4238;
no further mention
4237(#1) A20c. (RB,
STILL ON P. 3) Do you blame (PERSON #1) for your
4241(#2) (husband's/wife's) death?
A20e. (RB, STILL ON P. 3) Do you blame (PERSON #2)
for your
(husband's/wife's) death?
(Would you say no, not
at all; yes, a little; yes,
somewhat; or yes, a great
deal?)
1. NO, NOT AT ALL
2. YES, A LITTLE
3. YES, SOMEWHAT
4. YES, A GREAT DEAL
8. DK
9. NA
0. Inap, 1 in 4132 or 4204; 1, 8-9 in 4233; 00
in 4238
SECTION A: HOUSEHOLD
LISTING AND CIRCUMSTANCES OF THE DEATH
VAR #
┌─────────────────────────────────────────┐
│SPOUSE DIED BY ACCIDENT/
MURDER/ SUICIDE │
└─────────────────────────────────────────┘
4301 A21. On
what month, day and year did the (accident/murder/
suicide) happen?--MONTH
Code MONTH (01-12)
98. DK
99. NA
00. Inap, 1 in 4132; 2 in 4204
4302 A21. On
what month, day and year did the (accident/murder/
suicide) happen?--DAY
Code DAY (01-31)
98. DK
99. NA
00. Inap, 1 in 4132; 2 in 4204
4303 A21. On
what month, day and year did the (accident/murder/
suicide) happen?--YEAR
Code YEAR (1987-1995)
9998. DK
9999. NA
0000. Inap, 1 in 4132; 2 in 4204
4304 A22. INTERVIEWER
CHECKPOINT
1.
CAUSE WAS ACCIDENT
┌──────────────┐
│0 in 4305-4307├─────2. ALL OTHERS
└──────────────┘
0.
Inap, 1 in 4132; 2 in 4204
4305 A22a. Was
anyone else involved in the accident?
1. YES
┌──────────────┐
│0 in 4306-4307├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132; 2 in 4204 or 4304
4306 A22b. Who
was that? I don't need a specific name.
4307
Use RELATIONSHIP MASTER
CODE
00. Inap, 1 in 4132; 2 in 4204 or 4304; 5, 8-9 in
4305; no further
mention
4308 A23. Was
(he/she) still alive when you first heard about the
incident?
1. YES
┌──────────────┐
│0 in 4309-4314├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132; 2 in 4204
4309 A23a. How
long after that did (he/she) die?
Code # (01-60), except:
98. DK
99. NA
00. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308
4310 A23a. TIME
UNIT
1. HOURS
2. DAYS
3. WEEKS
4. MONTHS
9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308
4311 A24. Was
your (husband/wife) aware that (he/she) was dying?
1. YES
┌──────────────┐
│0 in 4312-4314├─────5. NO
└──────────────┤
├─────8. DON'T KNOW
└─────9. NA
0.
Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308
4312 A25. Did
(he/she) seem to be at peace with dying?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308 or
4311
4313 A26. Did
you and your (husband/wife) talk about the fact that
(he/she) might die?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308 or
4311
4314 A27. Did
you and (he/she) talk about how you would deal with
being on your own once
(he/she) was gone?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308 or
4311
4315 A28. Before
the (accident/murder/suicide) did your (husband/
wife) have any serious
ongoing health problems?
1. YES
┌──────────────┐
│0 in 4316-4326├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132; 2 in 4204
4316 A29. In
the six months before (he/she) died, did you yourself have to provide physical
care to (him/her) because of a
serious ongoing health
problem?
1. YES
┌──────────────┐
│0 in 4317-4326├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315
4317 A29a. About
how many hours a week did you spend providing physical care for
(him/her) during the last six months of
(his/her) life?
Code HOURS (01-95)
95. 95 hours or more
98. DK
99. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or
4316
4318 A29b. For
how many weeks, months, or years did you provide such
care?--WEEKS
Code WEEKS (00-95)
98. DK
99. NA
00. WEEKS not given; Inap, 1 in 4132; 2 in 4204;
5, 8-9
in 4315 or 4316
4319 A29b. For
how many weeks, months, or years did you provide such
care?--MONTHS
Code MONTHS (00-60)
98. DK
99. NA
00. MONTHS not given; Inap, 1 in 4132; 2 in 4204;
5, 8-9
in 4315 or 4316
4320 A29b. For
how many weeks, months, or years did you provide such
care?--YEARS
Code YEARS (00-20)
98. DK
99. NA
00. YEARS not given; Inap, 1 in 4132; 2 in 4204;
5, 8-9
in 4315 or 4316
4321 A29c. What
kind of physical care did you provide?
4322
4323 MEDICAL
11. Medical care; gave medication/shots; changed
dressings/tubes/bags; monitored machines
PERSONAL NEEDS (exc. 11)
21. Elimination; helped with/took to
bathroom; cleaned up after
22. Bathing; gave baths; helped with
bathing
23. Feeding; fed spouse, prepared meals,
etc.
24. Help move around house; lifting;
exercise/walking
25. Getting dressed
29. Other personal needs care: brushing hair (or
teeth); giving rubdowns, shaving, etc.
4321 A29c. Continued
4322
4323 31. Transportation; took spouse to doctor or other appointment;
"drove him everywhere"
┌────────────┐
│Low Priority├─────95. "Everything"; "complete
care"
└────────────┘
┌─────────┐
│Make Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or
4316; no further
mention
4324 A30. (RB,
P. 4) During the 6 months before
(he/she) died, how stressful was it for you to care for (him/her) or to arrange
for (his/her) care? Was it very
stressful, quite stressful, somewhat stressful, not too
stressful, or not
at all stressful?
1. VERY STRESSFUL
2. QUITE STRESSFUL
3. SOMEWHAT STRESSFUL
4. NOT TOO STRESSFUL
5. NOT AT ALL STRESSFUL
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or
4316
4325 A31. How
much did caring for your (husband/wife) during the 6 months before (he/she)
died keep you from carrying out other responsibilities in your life? Would you say
a great deal, somewhat, a
little, or not at all?
1. A GREAT DEAL
2. SOMEWHAT
3. A LITTLE
4. NOT AT ALL
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or
4316
4326 A32. (RB,
P. 5) Please tell me how true the
following statement is. My
(husband's/wife's) condition was physically painful for (him/her). Is this very true,
somewhat, a little, or
not true at all?
1. VERY TRUE
2. SOMEWHAT TRUE
3. A LITTLE TRUE
4. NOT TRUE AT ALL
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or
4316
A33. (RB, [STILL ON] P. 5) Please tell me how true each of the following
statements is in the case of your (husband/wife).
4327 A33a. In
the weeks before (his/her) death, things between my (husband/wife) and me were going
well. Is this very true,
somewhat, a little, or
not true at all?
1. VERY TRUE ┌───────────────┐
2. SOMEWHAT TRUE │USE SAME CODE │
3. A LITTLE TRUE │FOR V4328-4330 │
4. NOT TRUE AT ALL └───────────────┘
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204
4328 A33b. My
(husband/wife) lived a full life.
4329 A33c. During
(his/her) lifetime my (husband/wife) was able to
achieve just about
everything (he/she) hoped to achieve.
4330 A33d. I
believe that my (husband/wife) is now in a better place
than (he/she) was on this
earth.
4331 A34. INTERVIEWER
CHECKPOINT
1. CAUSE OF DEATH WAS ACCIDENT OR MURDER
┌──────────────┐
│0 in 4332-4334├─────2. CAUSE WAS SUICIDE
└──────────────┘
0. Inap, 1 in 4132; 2 in 4204
4332 A35. (RB,
P. 6) Do you feel that your (husband/wife) did things that may have contributed
to (his/her) death? Would you say no,
not at all; yes, a little; yes, somewhat; or yes,
a great deal?
┌──────────────┐
│0 in 4333-4334├─────1. NO, NOT AT ALL
└──────────────┤
│ 2. YES, A LITTLE
│ 3. YES, SOMEWHAT
│ 4. YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132; 2 in 4204 or 4331
4333 A35a. What
did (he/she) do that contributed to (his/her) death?
4334
11. Smoking
12. Alcohol/drug use
13. Improper eating habits; wouldn't eat
right foods/ follow diet
19. Put off/refused medical care;
"wouldn't follow doctor's orders"--n.e.c.
21. Emotional stress (self-induced or
caused by others)
22. Physical stress/overwork; worked too
hard; "pushed himself too much"
23. Employment situation--n.e.c.;
dangerous/unhealthy working conditions
┌─────────┐
│Make Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 4132; 2 in 4204 or 4331; 1, 8-9 in
4332; no further
mention
4335 A36. INTERVIEWER
CHECKPOINT
1. CAUSE OF DEATH WAS ACCIDENT OR SUICIDE
┌──────────────┐
│0 in 4336-4344├─────2. CAUSE OF DEATH WAS MURDER
└──────────────┘
0. Inap, 1 in 4132; 2 in 4204
4336 A37. (RB,
STILL ON P. 6) Do you feel that anyone else did things that may have
contributed to your (husband's/ wife's) death?
(Would you say no, not at all; yes, a
little; yes, somewhat; or
yes, a great deal?)
┌──────────────┐
│0 in 4337-4344├─────1. NO, NOT AT ALL
└──────────────┤
│ 2. YES, A LITTLE
│ 3. YES, SOMEWHAT
│ 4. YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0.
Inap, 1 in 4132; 2 in 4204 or 4335
4337(#1) A37a. Who
do you feel may have contributed to the death?
4341(#2)
Use RELATIONSHIP MASTER CODE, except:
┌──────────────┐
│0 in 4342-4344├─────00. No person #2 listed; Inap, 1 in 4132; 2 in
4204 or
└──────────────┘ 4335;1, 8-9 in 4336
Rev.
11/2/90
4338(#1) A37b. What
did (PERSON #1) do?
4339(#1) A37d.
What did (PERSON #2) do?
4342(#2)
4343(#2) 21. Caused
emotional stress (exc. 41); son took drugs, was in jail; conflicts with
(person at A20a)
23. Employment situation; dangerous/unhealthy
working conditions
41. Doctor/hospital incompetent/negligent/unhelpful
91. Person shot/assaulted spouse (incl. in war)
┌─────────┐
│Make Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 4132; 2 in 4204 or 4335; 1, 8-9 in
4336;
00 in 4341; no further mention
4340(#1) A37c. (RB,
STILL ON P. 6) Do you blame (PERSON #1) for your
4344(#2) (husband's/wife's) death?
A37e. (RB, STILL ON P. 6) Do you blame (PERSON #2)
for your
(husband's/wife's) death?
(Would you say no, not
at all; yes, a little; yes,
somewhat; or yes, a great
deal?)
1. NO, NOT AT ALL
2. YES, A LITTLE
3. YES, SOMEWHAT
4. YES, A GREAT DEAL
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4204 or 4335; 1, 8-9 in
4336;
00 in 4341
SECTION B: GRIEF
VAR #
4401 B1. INTERVIEWER
CHECKPOINT
1.
SPOUSE HAD SERIOUS ONGOING CONDITION BEFORE (HE/SHE)
DIED
┌──────────────┐
│0 in 4402-4406├─────2. ALL OTHERS
└──────────────┘
0.
Inap, 1 in 4132
B2. (RB, P. 7) For the next questions, please
think about the time when your (husband/wife) was alive but in poor health.
4402 B2a. At
any time while your (husband/wife) was still alive, did you ever find that you
couldn't get thoughts of (him/her) or (his/her) condition out of your mind even
when you wanted to? Would you say no,
never; yes, but rarely; yes,
sometimes; or yes, often?
1. NO, NEVER ┌───────────────┐
2. YES, BUT RARELY │USE SAME CODE │
3. YES, SOMETIMES │FOR V4403-4406 │
4. YES, OFTEN └───────────────┘
8. DK
9. NA
0. Inap, 1 in 4132; 2 in 4401
4403 B2b. Did
you ever find yourself going over and over what was
happening?
4404 B2c. While
(he/she) was still living, did you ever find yourself searching to make sense
or find some meaning in
your (husband's/wife's)
situation?
4405 B2d. While
(he/she) was still alive, did you ever have feelings of grief or sadness over
the thought of losing your
(husband/wife)?
4406 B2e. Did
you ever cry about what was happening to (him/her)?
B3. (RB, [STILL ON] P. 7) Now, I have a list of feelings and emotions
that some people still experience many months after the loss of their
husband or wife. Please think about the
past month.
4407 B3. During
the past month, have you felt afraid of what lies ahead for you? (Would you
say no, never; yes, but rarely;
yes, sometimes; or yes,
often)?
1. NO, NEVER ┌───────────────┐
2. YES, BUT RARELY │USE SAME CODE │
3. YES, SOMETIMES │FOR V4408-4429 │
4. YES, OFTEN └───────────────┘
8. DK
9. NA
4408 B4. Have
you felt extremely anxious and unsettled during the
past month?
4409 B5. During
the past month, have you felt worried about how you
would manage your
day-to-day affairs?
4410 B6. Has
life seemed empty?
4411 B7. During
the past month, did you feel amazed at your
strength?
4412 B8. Did
you feel you were coping well with the loss of your
(husband/wife)?
4413 B9. During
the past month, did you feel proud of how well you
were managing?
4414 B10. Have
you felt as though you were in a state of shock?
4415 B11. During
the past month, have you felt as though you
couldn't believe what was
happening?
4416 B12. Have
you felt emotionally numb?
4417 B13. During
the past month, have you felt resentful or bitter
about your
(husband's/wife's) death?
4418 B14. Have
you felt that the death of your (husband/wife) was
unfair?
4419 B15. In
the past month, have you felt anger toward God?
4420 B16. Have
you felt empty inside, like an important part of you
is missing?
4421 B17. In
the past month, have you felt that life has lost its
meaning?
4422 B18. In
the last month, have you had any regrets about anything that happened between
you and your (husband/wife) while
(he/she) was still alive?
4423 B19. Have
you felt as though you did all you could have done
for your (husband/wife)
before (his/her) death?
4424 B20. During
the past month, have you had any regrets about
things you did or failed
to do while (he/she) was alive?
4425 B21. In
the past month, have you heard a sound that you thought
might be (him/her)?
4426 B22. In
the past month, have you sensed the presence of your
(husband/wife?)
4427 B23. To
help you make decisions, have you thought about what
your (husband/wife) would
have done?
4428 B24. During
the past month, have you felt drawn to places and
things that make you feel
close to your (husband/wife)?
4429 B25. Have
you found yourself longing to have (him/her) with
you?
4430 B26. (RB,
STILL ON P. 7) People have different
reactions to the death of a husband or wife.
During the past month, have you had painful waves of missing your
(husband/wife)? (Would you say no,
never; yes, but rarely; yes, sometimes;
or yes, often)?
1. NO,
NEVER
┌──────────────┐
│0 in 4431-4432├─────2. YES, BUT RARELY
└──────────────┼─────3. YES, SOMETIMES
├─────4. YES, OFTEN
│
├─────8. DK
└─────9. NA
4431 B26a. (RB,
STILL ON P. 7) Has it happened in the
last 6 months?--(no, never; yes, but rarely; yes,
sometimes; or
yes, often)?
1. NO,
NEVER
┌─────────┐
│0 in 4432├─────────2. YES, BUT RARELY
└─────────┼─────────3. YES, SOMETIMES
├─────────4. YES, OFTEN
│
├─────────8. DK
└─────────9. NA
0. Inap, 2-4, 8-9 in 4430
4432 B26b. (RB,
STILL ON P. 7) At any time since
(he/she) died, did you ever have painful waves of missing (him/her)--(no,
never; yes, but rarely;
yes, sometimes; or yes, often)?
1. NO, NEVER
2. YES, BUT RARELY
3. YES, SOMETIMES
4. YES, OFTEN
8. DK
9. NA
0. Inap, 2-4, 8-9 in 4430 or 4431
4433 B27. (RB,
STILL ON P. 7) During the past month,
have you experienced feelings of intense pain or grief over the loss of your
(husband/wife)--(no, never; yes, but rarely;
yes, sometimes; or yes,
often)?
1. NO,
NEVER
┌──────────────┐
│0 in 4434-4435├─────2. YES, BUT RARELY
└──────────────┼─────3. YES, SOMETIMES
├─────4. YES, OFTEN
│
├─────8. DK
└─────9. NA
4434 B27a. (RB,
STILL ON P. 7) Has it happened in the
last 6 months?--(no, never; yes, but rarely; yes,
sometimes; or
yes, often)?
1. NO,
NEVER
┌─────────┐
│0 in 4435├─────────2. YES, BUT RARELY
└─────────┼─────────3. YES, SOMETIMES
├─────────4. YES, OFTEN
│
├─────────8. DK
└─────────9. NA
0. Inap, 2-4, 8-9 in 4433
4435 B27b. (RB,
STILL ON P. 7) At any time since
(he/she) died, did you ever experience feelings of intense pain or grief
over (his/her) loss--(no,never; yes, but rarely; yes,
sometimes; or yes,often)?
1. NO, NEVER
2. YES, BUT RARELY
3. YES, SOMETIMES
4. YES, OFTEN
8. DK
9. NA
0. Inap, 2-4, 8-9 in 4433 or 4434
4436 B28. Since
your (husband's/wife's) death, have you experienced feelings of grief in
response to another loss -- for example, the loss of a friend, a distant
relative or a pet
-- that were more intense
than you might have expected?
1. YES
┌──────────────┐
│0 in 4437-4438├─────5. NO
└──────────────┤
├─────8. IF VOLUNTEERED: NOT SURE