The Changing Lives of Older Couples Study

Wave III Control Follow-up Survey

CODEBOOK

 

                                   Facesheet

 

VAR #

 

  7001      FS.    Seq.#/CASE ID                                          

 

 

 

  7002      FS.    Respondent # -- 1st 4 digits (CLOC ID#)                

 

 

 

  7003      FS.    Respondent # -- last 2 digits, preprinted as 71        

 

 

 

[V7004:  BUILD 6-digit Respondent ID# (V7002+V7003)]

 

 

 

  7005      FS.    Result Code                                            

 

01.  Complete I'v

03.  Complete Telephone I'v

 

05.  Partial I'v

07.  Partial Telephone I'v

 

 

 

  7006      FS.    Respondent "history":  2 digits                        

 

Code 1st 2-digit # precoded on Facesheet

 

 

 

  7007      FS.    Matched Control ID#--1st 4 digits                      

 

 

 

  7008      FS.    Matched Control ID#--last 2 digits, preprinted as 31   

 

 

 

[V7009:  BUILD 6-digit ID# (V7007+V7008)]

 

 

 7010       FS.    "History" of person to whom R is matched:  2 digits    

 


Code last 2-digit # precoded on Facesheet

 

 

 

 7011       FS1.   INTERVIEWER's ID# (4 digits from label)                

 

 

 

 7012       FS2.   Interview No.: (2 digits from box)                     

 

99.  NA

 

 

 

 7013       FS3.   Date of Interview--MONTH                               

 

Code MONTH (01-12)

 

 

 

 7014       FS3.   Date of Interview--DAY                                 

 

Code DAY (01-31)

 

 

 

 7015       FS3.   Date of Interview--YEAR                                

 

Code 4-digit YEAR (1992-1995)

 

 

 

 7016       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.

 

7101        A1.    SUMMARY # Persons in HOUSEHOLD                         

┌──────────────┐

│0 in 7105-7131├─────01.  One            ┌──────────────┐

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

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

│0 in 7108-7131├─────02.  Two                               │(01-20).     

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

┌──────────────┐

│0 in 7111-7131├─────03.  Three

└──────────────┘

┌──────────────┐

│0 in 7114-7131├─────04.  Four

└──────────────┘

┌──────────────┐

│0 in 7117-7131├─────05.  Five

└──────────────┘

┌──────────────┐

│0 in 7120-7131├─────06.  Six

└──────────────┘

┌──────────────┐

│0 in 7123-7131├─────07.  Seven

└──────────────┘

┌──────────────┐

│0 in 7126-7131├─────08.  Eight

└──────────────┘

┌──────────────┐

│0 in 7129-7131├─────09.  Nine

└──────────────┘

  10.  Ten

    .

    .

    .

  20.  Twenty

 

  99.  NA


7102(#1)    A1(a). MEMBERS OF THE HOUSEHOLD BY RELATIONSHIP TO RESPONDENT 

7105(#2)

7108(#3)           Partner/Spouse

7111(#4)          

7114(#5)           01.   RESPONDENT

7117(#6)           02.   Spouse of R

7120(#7)           03.   Partner of R

7123(#8)

7126(#9)           Child

7129(#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


7102(#1)    A1(a). Continued                                              

7105(#2)

7108(#3)           Other Relatives

7111(#4)          

7114(#5)           40.   Grandchild/great grandchild, NA sex

7117(#6)           41.   Grandson; great grandson

7120(#7)           42.   Granddaughter; great granddaughter

7123(#8)           43.   Nephew

7126(#9)           44.   Niece

7129(#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

 

 

 

 

7103(#1)    A1(b). SEX                                                    

7106(#2)

7109(#3)           1.  Male

7112(#4)           2.  Female

7115(#5)

7118(#6)           9.  NA

7121(#7)

7124(#8)           0.  Inap, no further persons listed

7127(#9)


7130(#10)

 

7104(#1)    A1(c). AGE                                                    

7107(#2)

7110(#3)           Code AGE (01-97)

7113(#4)

7116(#5)           01.  One year or less

7119(#6)

7122(#7)           97.  97 years or more

7125(#8)

7128(#9)           98.  DK

7131(#10)          99.  NA

 

00.  Inap, no further persons listed

 


 

 

SECTION B: PARENTING

 

 

VAR #

 

The next questions are about children.

 

7201        B1.    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 7202├─────────5.  NO, NO CHILDREN ELSEWHERE

└─────────┤

          └─────────9.  NA

        

 

 

7202        B1a.   How many do not live with you?          

 

Code NUMBER (01-20)

 

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 7201

 

 

 

7203        B2.    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 7204-7225├─────00.  NONE

└──────────────┘

 

 

7204        B2a.   INTERVIEWER CHECKPOINT                                 

 

 1.  R ONLY HAS ONE CHILD             

┌─────────┐

│0 in 7205├─────────2.  ALL OTHERS

└─────────┘

 0.  Inap, 00 in 7203

 

 

 

 

 

 


 

7205        B2b.   Is this a son or daughter?                             

 

1.  SON

2.  DAUGHTER

 

9.  NA

 

0.  Inap, 00 in 7203; 2 in 7204

 

 

 

7206        B3.    INTERVIEWER CHECKPOINT                  

┌──────────────┐

│0 in 7207-7208├─────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 7203

 

 

 

7207        B4/B5. 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 B4); One (to B5)

 

02-20.

 

96.  NO (to B4); NONE (to B5)

 

98.  DK

99.  NA

 

00.  Inap, 00 in 7203; 1 in 7206

 

 

 

7208        B4a/B5a.  (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 7203; 1 in 7206


 

[V7209-V7210:  BUILD = 0]

 

 

 

7211        B6.    INTERVIEWER CHECKPOINT                  

 

1.  R HAS ONLY ONE CHILD

2.  R HAS TWO OR MORE CHILDREN

 

0.  Inap, 00 in 7203

 

 

 

7212        B7/B16.  (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 7203

 

 

 

7213        B8/B17.  (RB, STILL ON P. 9) 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 7203

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

7214        B9/B18.  (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 7203

 

 

 

7215        B10/B19. (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 7203

 

 

 

7216        B11/B20. (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 7203

 

 

 

 

 

 

 

 

 


 

 

7217        B12/B21. (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 7203

 

 

 

7218        B13/B22. 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 7203

 

 

 

7219        B14a/B23a. (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 COD  

3.  A LITTLE                             │FOR V7220-7224 │

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

 

8.  DK

9.  NA

 

0.  Inap, 00 in 7203

 

 

 

7220        B14b/B23b. How much do they depend on you for help or advice with

financial and legal matters?                           

 

 

7221        B14c/B23c. How much do they depend on you for help with errands,


babysitting or other chores?                           

 

 

7222        B14d/B23d. How much do you depend on your children for emotional

support?                                               

 

7223        B14e/B23e. How much do you depend on them for help or advice with

financial and legal matters?                           

 

 

7224        B14f/B23f. How much do you depend on them for help with errands or

other chores?                                          

 

 

 

7225        B15/B24. (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 7203

 

 

 

7226        B25.   How many grandchildren do you have, if any?

 

 01.  ONE

 

 02-60.

 

 98.  DK

 99.  NA

┌─────────┐

│0 in 7227├─────────00.  NONE

└─────────┘

 

 

 

7227        B25a/B25b. (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 7226

 

 

 

 

 

 

SECTION C:  SOCIAL SUPPORT

 

 

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.

 

7228        C1.    Is there anyone in your life with whom you can really

share your very private feelings and concerns?         

 

1.  YES

┌─────────┐

│0 in 7229├─────────5.  NO

└─────────┤

          ├─────────8.  DK

          └─────────9.  NA

 

 

 

7229        C1a.   How many such people are there?                        

 

Code NUMBER (01-95)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 7228

 

 

 

[V7230-V7240:  not used]

 

 

 

7241        C10.   (RB, P. 6)  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

 

 

 

 

 

 

 

 

 

 

7242        C11.   (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

 

 

 

7243        C12.   (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

 

 

 

7244        C13.   (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 D:  FEELINGS AND EMOTIONS

 

 

VAR #

 

D1-D2e. ARE OMITTED.

 

 

 

D3.    (RB, P. 7) Now, I have a list of feelings and emotions that some people experience.  Please think about the past month.

 

7301        D3.    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 V7302-7305, │

4.  YES, OFTEN                           │7307, 7313-7316 │

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

8.  DK

9.  NA

 

 

7302        D4.    Have you felt extremely anxious and unsettled during the

past month?                                            

 

 

7303        D5.    During the past month, have you felt worried about how you

would manage your day-to-day affairs?                  

 

 

7304        D6.    Has life seemed empty?                  

 

 

7305        D7.    During the past month, did you feel amazed at your

strength?                                              

 

 

[V7306: Not used]

 

 

7307        D9.    During the past month, did you feel proud of how well you

were managing?                                         

 

 

[V7308-V7312: Not used]

 

 

7313        D15.   In the past month, have you felt anger toward God?     

 


7314        D16.   Have you felt empty inside, like an important part of you

is missing?                                            

 

 

7315        D17.   In the past month, have you felt that life has lost its

meaning?                                               

 

 

7316        D18.   Have you had any regrets about anything that happened

between you and your (husband/wife)?                   

 

 

[V7317-V7329: Not used]

 

 

7330        D30.   Many people experience stressful situations in their

7331               lifetime.  What is the most stressful thing that has ever

happened to you?                                       

 

01.   Relationship with spouse/partner; marriage problems; divorce/separation

02.   Worries about children; relationship with child; include caring for new baby

03.   Problem pregnancy; distress surrounding a pregnancy (exc. 30-34); pressure from loved ones to have/not have the baby

04.   Relationship with parents; worries/concerns about parents

 

 

 

Mental Health/Drug/Alcohol Problems or Suicide of R's:

 

20.   Self/Respondent

21.   Spouse/partner/ex-spouse

22.   Child

23.   Parent

24.   Other relative/friend/person close to R

 

 

Other Health Problems of R's (incl. accidental injuries):

 

30.   Self/Respondent

31.   Spouse/partner/ex-spouse

32.   Child

33.   Parent

34.   Other relative/friend/person close to R

 

 

48.   Death of relative/friend; threat of death--R or other person

49.   Death or loss of pet

 

 

 

80.   Financial problems; debts; unable to pay bills; reduced income


81.   Work/job related problems (exc. 83)--no mention of financial implications; unemployment/job loss; start own business

82.   School related problems

83.   Moving, including the related problems of separation from family or dealing with a new job or being in an unfamiliar place

 

7330        D30.   Continued                                              

7331

91.   Gulf War: mention that R or loved one actually sent to Saudi Arabia area due to the war; actually in danger/ combat zone

92.   Gulf War: worry that R/spouse/loved one will go to war/will be killed or injured; war general worry

 

95.   (To be assigned by Supervisor only) Miscellaneous less severe or trivial problems

 

 

 

 

 

┌─────────┐

│Make Card├────────97.  Other

└─────────┘

98.  DK

99.  NA

 

00.  Inap, no further mention

 


 

 

SECTION E:  DREAMS AND NIGHTMARES

 

 

VAR #

 

[V7601-V7643: Not used]

 

 

7644        E32.   (RB, P. 8) Now I have two sets of questions focusing on dreams and nightmares which many people have after their spouse's death.  First, I will ask you about dreams.  During the past 12 months, approximately how many times, if any, did you have dreams about your (husband/wife)

(-- once or twice, 3 or 4 times, about once a month,

2-3 times a month, once a week or more, or none?)      

 

 1.  1-2

 2.  3-4 TIMES

 3.  ONCE A MO.

 4.  2-3 TIMES/MO.

 5.  ONCE A WEEK OR MORE

┌─────────┐

│0 in 7645├─────────6.  NONE

└─────────┘

 8.  DK

 9.  NA

 

 

 

7645        E32a.  How do these dreams make you feel -- very sad or upset,

somewhat sad or upset, somewhat happy, or very happy?  

 

1.  VERY SAD OR UPSET

2.  SOMEWHAT SAD/UPSET

3.  SOMEWHAT HAPPY

4.  VERY HAPPY

 

8.  DK

9.  NA

 

0.  Inap, 6 in 7644

 

 

 


[V7646: Not used]

 

 

7647        E34.   (RB, STILL ON P. 8) The next questions are about nightmares.  During the past 12 months, approximately how many times, if any, did you have nightmares about your       (husband/wife) (-- once or twice, 3 or 4 times, about once a month, 2-3 times a month, once a week or more,

or none?)                                              

 

1.  1-2

2.  3-4 TIMES

3.  ONCE A MO.

4.  2-3 TIMES/MO.

5.  ONCE A WEEK OR MORE

6.  NONE

 

8.  DK

9.  NA

 

 

 

[V7648: Not used]

 

 


 

 

SECTION H:  SELF DESCRIPTION

 

 

VAR #

 

H1.    (RB, STILL ON P. 23) Please tell me how true the following statements are as they apply to you now.

 

7901        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 V7902-7905 │

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

 

8.  DK

9.  NA

 

 

7902        H2.    At times I think I am no good at all.                  

 

 

7903        H3.    I wish I could have more respect for myself.           

 

 

7904        H4.    All in all, I am inclined to feel that I am a failure. 

 

 

7905        H5.    I feel I am a person of worth, at least equal with others.    

 

 

 

[V7906-7908:  BUILD = 0]

 

 

 


H10.   (SAB, P. 1)  Please look at page 1 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 4.  (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.                               

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

 

 

7909        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 V7910-7952 │

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

5.  STRONGLY DISAGREE

 

8.  DK

9.  NA

 

 

7910        H12.   I keep my belongings neat and clean.                   

 

 

7911        H13.   I'm an even-tempered person.                           

 

 

7912        H14.   I am dominant, forceful, and assertive.                

 

 

7913        H15.   I'm pretty good about pacing myself so as to get things

done on time.                                          

 

 

7914        H16.   I don't get much pleasure from chatting with people.   

 

 

7915        H17.   I like to have a lot of people around me.              

 

7916        H18.   I am sometimes completely absorbed in music I am listening

to.                                                    

 


7917        H19.   I have a clear set of goals and work toward them in an

orderly fashion.                                       

 

 

7918        H20.   I rarely experience strong emotions.                   

 

 

7919        H21.   I work hard to accomplish my goals.                    

 

 

7920        H22.   I am easily frightened.                                

 

 

7921        H23.   I tend to blame myself when anything goes wrong.       

 

 

7922        H24.   I waste a lot of time before settling down to work.    

 

 

7923        H25.   I often worry about things that might go wrong.        

 

 

7924        H26.   Sometimes I'm not as dependable or reliable as I should

be.                                                    

 

 

7925        H27.   Poetry has little or no effect on me.                  

 

 

7926        H28.   It takes a lot to get me mad.                          

 

 

7927        H29.   I experience a wide range of emotions or feelings.     

 

 

7928        H30.   I have strong emotional attachments to my friends.

 

 

7929        H31.   I never seem to be able to get organized.              

 

 

7930        H32.   I prefer jobs that let me work alone without being

bothered by other people.                              

 

 

7931        H33.   I strive for excellence in everything I do.            

 


7932        H34.   I am seldom sad or depressed.                          

 

 

7933        H35.   I'm pretty set in my ways.                             

 

 

7934        H36.   I have trouble resisting my cravings.                  

 

 

7935        H37.   I have sometimes done things just for "kicks" or

"thrills".                                             

 

 

7936        H38.   I enjoy solving problems or puzzles.                   

 

 

7937        H39.   It would not bother me if I had to punish a child or pet.       

 

 

7938        H40.   Once I find the right way to do something, I stick to it.        

 

 

7939        H41.   At times I have been so ashamed I just wanted to hide. 

 

 

7940        H42.   Some people think I'm selfish and egotistical.         

 

 

7941        H43.   I tend to be cynical and skeptical of others' intentions.

 

 

7942        H44.   I often feel inferior to others.                       

 

 

7943        H45.   I would rather cooperate with others than compete with

them.                                                  

 

 

7944        H46.   I believe that most people will take advantage of you if

you let them.                                          

 

 

7945        H47.   Some people think of me as cold and calculating.       

 

 

7946        H48.   I am a cheerful, high-spirited person.                 


7947        H49.   I consider myself broad-minded and tolerant of other

people's lifestyles.                                   

 

 

7948        H50.   I'm hard-headed and tough-minded in my attitudes.      

 

 

7949        H51.   I generally try to be thoughtful and considerate.      

 

 

7950        H52.   When everything seems to be going wrong, I can still make

good decisions.                                        

 

 

7951        H53.   I am a very active person.                             

 

 

7952        H54.   I have a wide range of intellectual interests.         


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

 

VAR #

 

 

8001        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.

 

8002        J2a.   Have you had arthritis or rheumatism?   

 

1.  YES            ┌──────────────┐

5.  NO                                   │USE SAME CODE │

                                         │FOR V8003-8009│

8.  DK            └──────────────┘

9.  NA

 

 

8003        J2b.   During the last 6 months, have you had a lung disease? 

 

 

8004        J2c.   Have you had hypertension, sometimes called high blood

pressure, or have you taken medication for it?         

 

 

8005        J2d.   Have you had a heart attack or other heart trouble during

the last 6 months?                                     

 

 

8006        J2e.   Have you had diabetes or high blood sugar, or have you

taken medication for it?                               

 

 

8007        J2f.   Have you had a stroke during the last 6 months?        

 

 

8008        J2g.   Have you had any broken or fractured bones?            


 

8009        J2h.   Have you lost any amount of urine beyond your control

during the last 6 months?                              

 


8010        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 8011-8013├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

8011        J3a.   What kind of cancer or malignant tumor did you have? (In

8012               what part of your body did it start?)                  

8013

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 8010;

     lymphoma (exc. 25)           no further mentions


8014        J4.    In the past 6 months, have you had any major health

problems that I haven't asked you about?

 

1.  YES

┌──────────────┐

│0 in 8015-8017├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

8015        J4a.  What are they?                                          

8016

8017               Use HEALTH CONDITION MASTER CODE

 

000.  Inap, 5, 8-9 in 8014; no further mention

 

 

 

8018        J5.    INTERVIEWER CHECKPOINT                  

┌──────────────┐

│0 in 8201-8255├───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.

 

8201        J5.    SUMMARY                                                

 

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

┌──────────────┐

│0 in 8211-8255├───01.  One

└──────────────┘

┌──────────────┐

│0 in 8220-8255├───02.  Two

└──────────────┘

┌──────────────┐

│0 in 8229-8255├───03.  Three

└──────────────┘

┌──────────────┐

│0 in 8238-8255├───04.  Four

└──────────────┘

┌──────────────┐

│0 in 8247-8255├───05.  Five

└──────────────┘

06.  Six

  .

  .

  .

14.  Fourteen

 

99.  NA (see Supervisor before using)

 

00.  Inap, 1 in 8018


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

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

│its order of mention at J4a (p.43).  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.      

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

 

8202(#1)           CONDITION TYPE (from top of column)                    

8211(#2)

8220(#3)           01.   (J2a) ARTHRITIS/RHEUMATISM

8229(#4)           02.   (J2b) LUNG DISEASE

8238(#5)           03.   (J2c) HYPERTENSION/HIGH BLOOD PRESSURE

8247(#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.43

12.   (J4b) SPECIFY--2nd mention at J4a, p.43

13.   (J4c) SPECIFY--3rd mention at J4a, p.43

 

 

00.   Inap, 1 in 8018; no further conditions

 

 

 

8203(#1)    J6.    Were you hospitalized during the last 6 months for

8212(#2)           (CONDITION)?                                           

8221(#3)

8230(#4)           1.  YES

8239(#5)           5.  NO

8248(#6)

8.  DK

9.  NA

 

0.  Inap, 1 in 8018; no further conditions

 

 

 

8204(#1)    J7.    Did (CONDITION) start in the last 12 months or was it

8213(#2)           going on before that?                                  

8222(#3)  ┌─────────┐

8231(#4)  │0 in J8  ├───1.  STARTED IN LAST 6 MONTHS

8240(#5)  │for this │

8249(#6)  │condition│

          └─────────┘

          ┌─────────┐

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

          │2 vars  

          └─────────┼───8.  DK

                    └───9.  NA

 

     0.  Inap, 1 in 8018; no further conditions

 

 

 


 

8205(#1)    J7a.   In what month did it start? (RECORD YEAR, ALSO.)--MONTH

8214(#2)

8223(#3)           Code MONTH (01-12)

8232(#4)

8241(#5)           98.  DK

8250(#6)           99.  NA

 

00.  Inap, 1 in 8018; 2, 8-9 in J7 for this condition;

     no further conditions

 

 

 

8206(#1)    J7a.   In what month did it start? (RECORD YEAR, ALSO.)--YEAR 

8215(#2)

8224(#3)           Code YEAR (1987-1995)

8233(#4)

8242(#5)           9998.  DK

8251(#6)           9999.  NA

 

0000.  Inap, 1 in 8018; 2, 8-9 in J7 for this condition;

       no further conditions

 

 

8207(#1)    J8.    In the past 12 months, has your (CONDITION) become better,

8216(#2)           stayed about the same, or become worse?                

8225(#3)

8234(#4)           1.  BETTER

8243(#5)           2.  SAME

8252(#6)           3.  WORSE

 

8.  DK

9.  NA

 

0.  Inap, 1 in 8018; 1 in J7 for this condition;

    no further conditions

 

 

 

[BUILD = 0 for the following vars:  8208-8210

                       8217-8219

                       8226-8228

                       8235-8237

                       8244-8246

                       8253-8255]

 

 

 


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

 

VAR #

 

 

8301        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

 

 

 

8302        J11.   Do you currently have any difficulty bathing by yourself?

 

1.  YES

┌─────────┐

│0 in 8303├────────5.  NO

└─────────┤

          └────────9.  NA

          

 

 

8303        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 8304-8311├───3.  A LOT

└──────────────┴───4.  CANNOT DO

 

8.  DK

9.  NA

 

0.  Inap, 5 or 9 in 8302

 

 

 

8304        J12.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

│0 in 8305-8311├───1.  R ANSWERED "YES" (BOX WITH DOUBLE LINE) TO J10

└──────────────┘

                   2.  ALL OTHERS

 

0.  Inap, 3-4 in 8303

 

 

 

 

 

 

 


 

8305        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 8306├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 8303; 1 in 8304

 

 

 

8306        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 8303; 1 in 8304; 5, 8-9 in 8305

 

 

 

8307        J14.   Do you currently have any difficulty walking several

blocks because of your health?                         

 

1.  YES

3.  VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

│0 in 8308├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 8303; 1 in 8304

 

 

 

8308        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 8303; 1 in 8304; 5, 8-9 in 8307

 

 

 

8309        J15.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

│0 in 8310-8311├───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 8303; 1 in 8304

 

 

 

8310        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 8311├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 8303; 1 in 8304 or 8309

 

 

 

8311        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 8303; 1 in 8304 or 8309; 5, 8-9 in 8310

 

 

 

8312        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


 

 

 

 

 

 

8313        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

 

 

 

8314        J19.   Have you taken any non-prescription medications in the

last 30 days to help you sleep?                        

 

1.  YES

┌─────────┐

│0 in 8315├────────5.  NO

└─────────┤  

          ├────────8.  DK

          └────────9.  NA

 

 

 

8315        J19a.  On how many days out of the past 30 did you take non-

prescription medication to help you sleep?             

 

Code DAYS (01-30)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 8314

 

 

 


8316        J20.   (RB, P. 11)  The next questions are about prescription-type medications taken with or without a doctor's prescription.  Here is a list of medications people sometimes take to help them sleep or stay calm during the day.  Are you taking any of these medications now?  [LISTED IN RB:  AMYTAL, AMOBARBITAL, BARBITURATE, BUTICAP, BUTISOL, CHLORAL HYDRATE, DALMANE, DORIDEN, HALCION, MEBARAL, METHAQUALONE, NEMBUTAL, NOLUDAR, PENTOBARBITAL, PHENOBARBITAL, PLACIDYL, QUAALUDE, RESTORIL, SECOBARBITAL,

SECONAL, SOPOR, TUINAL]                                

┌─────────┐

│0 in 8318├────────1.  YES

└─────────┘

┌─────────┐

│0 in 8317├────────5.  NO

└─────────┤  

          ├────────8.  DK

          └────────9.  NA

 

 

 

8317        J20a.  (RB, STILL ON P. 11)  On how many days out of the past 30

did you take any of these medications at least once?   

 

Code DAYS (01-30)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 8316

 

 

 

8318        J20b.  (RB, STILL ON P. 11)  Have you taken any of these

medications at any time in the past 4 years?           

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 1 in 8316

 

 

 

8319        J21.   (RB, STILL ON P. 11)  Did you ever take any of these

medications earlier than four years ago?

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

 

 


 

 

8320        J22.   (RB, P. 12)  Here is a list of medications people sometimes take to help them relax their muscles or calm down.  They are sometimes called "nerve pills."  Are you taking any of these medications now?  [LISTED IN RB:  ATARAX, ATIVAN, BUSPAR, CENTRAX, DEPROL, DIAZEPAM, DURAX, EQUANIL, LIBRIUM, LIMBITROL, MENRIUM, MEPROBAMATE, MILTOWN, PAXIPAM, SERAX, SK-LYGEN, TRANXENE, VALIUM,

VISTARIL, XANAX]                                       

┌─────────┐

│0 in 8322├────────1.  YES

└─────────┘

┌─────────┐

│0 in 8321├────────5.  NO

└─────────┤  

          ├────────8.  DK

          └────────9.  NA

 

 

 

8321        J22a.  (RB, STILL ON P. 12)  On how many days out of the past 30

did you take any of these medications at least once?   

 

Code DAYS (01-30)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 8320

 

 

 

8322        J22b.  (RB, STILL ON P. 12)  Have you taken any of these

medications at any time in the past four years?        

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 1 in 8320

 

 

 

8323        J23.   (RB, STILL ON P. 12)  Did you ever take any of these

medications earlier than four years ago?

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

 

 


 

 

 

 

8324        J24.   (RB, P. 13)  Here is a list of medications people sometimes take to help them relieve feelings of depression or sadness.  Are you taking any of these medications now?

[LISTED IN RB:  PAMELOR, PROZAC, TRAZADONE]            

┌─────────┐

│0 in 8326├────────1.  YES

└─────────┘

┌─────────┐

│0 in 8325├────────5.  NO

└─────────┤  

          ├────────8.  DK

          └────────9.  NA

 

 

 

8325        J24a.  (RB, STILL ON P. 13)  On how many days out of the past 30

did you take any of these medications at least once?   

 

Code DAYS (01-30)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 8324

 

 

 

8326        J24b.  (RB, STILL ON P. 13)  Have you taken any of these

medications at any time in the past four years?        

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 1 in 8324

 

 

 

8327        J25.   (RB, STILL ON P. 13)  Did you ever take any of these

medications earlier than four years ago?

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

 

 

 


8328        J26.   The next questions are about the present.  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

 

8329        J27.   About how much do you weigh?            

 

Code number of POUNDS (060-399)

 

998.  DK

999.  NA

 

 

 

8330        J28.   Do you smoke cigarettes now?                           

 

1.  YES

┌─────────┐

│0 in 8331├────────5.  NO

└─────────┤

          └────────9.  NA

 

 

 

8331        J28a.  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 8330

 

 

 

8332        J29.   (RB, P. 14)  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 8333-8338├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

J29a.  Who reminds you?  (CHECK ALL THAT APPLY)


8333        J29a.  A. CHILD                                               

 

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

5.  Not checked                          │USE SAME CODE │

                                         │FOR V8334-8338│

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

 

0.  Inap, 4, 8-9 in 8332

 

 

 

8334        J29a.  B. OTHER RELATIVE                                      

 

8335        J29a.  C. FRIEND OR NEIGHBOR                                  

 

8336        J29a.  D. PROFESSIONAL                                        

 

8337        J29a.  E. OTHER(S)                                            

 

8338        J29a.  F. SPOUSE                                              

 

 

 

8339        J30.   (RB, STILL ON P. 14)  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 8340-8346├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

8340        J31.   (RB, STILL ON P. 14)  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 8341-8346├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 4, 8-9 in 8339

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J31a.  Who do you take walks or exercise with?  (CHECK ALL THAT APPLY)

8341        J31a.  A. CHILD                                               

 

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

5.  Not checked                          │USE SAME CODE │

                                         │FOR V8342-8346│

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

 

0.  Inap, 4, 8-9 in 8339 or 8340

 

 

 

8342        J31a.  B. OTHER RELATIVE                                      

 

8343        J31a.  C. FRIEND OR NEIGHBOR                                  

 

8344        J31a.  D. PET                                                 

 

8345        J31a.  E. OTHER(S)                                            

 

8346        J31a.  F. SPOUSE                                              

 

 

 

 

8347        J32.   (RB, STILL ON P. 14)  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


 

 

 

8348        J33.   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 8349-8355├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

 

 

 

 

 

 

8349        J33a.  (RB, STILL ON P. 14) 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 8350-8355├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5, 8-9 in 8348

 

 

 

J33b.  Who helps you do this?   (CHECK ALL THAT APPLY)

8350        J33b.  A. CHILD                                               

 

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

5.  Not checked                          │USE SAME CODE │

                                         │FOR V8351-8355│

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

 

0.  Inap, 5, 8-9 in 8348; 4, 8-9 in 8349

 

 

 

8351        J33b.  B. OTHER RELATIVE                                      

 

8352        J33b.  C. FRIEND OR NEIGHBOR                                  

 


8353        J33b.  D. VOLUNTEER AGENCY                                    

 

8354        J33b.  E. OTHER(S)                                            

 

8355        J33b.  F. SPOUSE                                              

 

 


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

 

VAR #

 

 

8401        J34.   Does anyone come into your home on a regular basis to help you with such things as bathing, getting dressed, or

eating your food?                                      

 

1.  YES

┌──────────────┐

│0 in 8402-8407├───5.  NO

└──────────────┤  

               ├───8.  DK

               └───9.  NA

 

 

 

J34a.  Who helps you?  (CHECK ALL THAT APPLY)

8402        J24a.  A. FRIEND                                              

 

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

5.  Not checked                          │USE SAME CODE │

                                         │FOR V8403-8405│

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

 

0.  Inap, 5, 8-9 in 8401

 

 

8403        J24a.  B. RELATIVE                                            

 

8404        J24a.  C. VOLUNTEER SERVICE                                   

 

8405        J24a.  D. PAID SERVICE                                        

 

 

 

8406        J34b.  How many days per week does (this person/these people)

come into your home?                                   

 

Code # of days/week (1-7) except:

 

1.  One day/week or less often

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 8401

 

 

 

 


 

 

 

 

8407        J34c.  How may hours per day do they usually stay?            

 

Code # of hours/day (01-24) except:

 

01.  One hour or less

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 8401

 

 

 

8408        J35.   [ASK IF NECESSARY, BUT MARK BOX]  Have you ever been in a

nursing home?                                          

 

1.  YES

 

3.  CURRENTLY IN NURSING HOME

┌──────────────┐

│0 in 8409-8417├───5.  NO

└──────────────┤  

               ├───8.  DK

               └───9.  NA

 

 

 

8409        J35a.  In what month and year did you enter a nursing home most

recently?--MONTH                                       

 

Code MONTH (01-12)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 8408

 

 

 

8410        J35a.  In what month and year did you enter a nursing home most

recently?--YEAR                                        

 

Code YEAR (1980-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 5, 8-9 in 8408

 

 

 

 

 


 

 

 

 

 

 

8411        J35b.  Did you enter the nursing home because of a health

condition or for some other reason? [MARK ALL THAT APPLY]     

 

1.  HEALTH CONDITION only

2.  OTHER REASON only

 

3.  Both HEALTH and OTHER REASON checked

 

9.  NA

 

0.  Inap, 5, 8-9 in 8408

 

 

 

8412        J35b.  (Which one?/What was it?)                              

8413

8414               Use HEALTH CONDITIONS Master Code and/or codes listed here

 

┌─────────────────────┐

│NOTE:  Codes 398 (DK)│

│(DK) and 399 (NA) in │

│master code not     

│available here; use 

│998, 999.           

└─────────────────────┘

 

 

 

┌─────────┐

│Make Card├────────997.  Other

└─────────┘

998.  DK

999.  NA

 

000.  Inap, 5, 8-9 in 8408; no further mention

 

 

 

8415        J35c.  INTERVIEWER CHECKPOINT                                 

 

1.  R NOT CURRENTLY IN NURSING HOME

┌──────────────┐

│0 in 8416-8417├───2.  R CURRENTLY IN NURSING HOME

└──────────────┘

0.  Inap, 5, 8-9 in 8408

 

 

 

 

8416        J35d.  For how many weeks or months did you stay in the nursing

home?--WEEKS                                           


Code WEEKS (01-95)

 

98.  DK

99.  NA

 

00.  Inap, no WEEKS given; 5, 8-9 in 8408; 2 in 8415

 

 

 

8417        J35d.  For how many weeks or months did you stay in the nursing

home?--MONTHS                                          

 

Code MONTHS (01-95)

 

98.  DK

99.  NA

 

00.  Inap, no MONTHS given; 5, 8-9 in 8408; 2 in 8415

 


 

 

SECTION K:  WELL-BEING

 

 

VAR #

K1.    (RB, P. 15)  Please tell me how often the following things happened to you during the past week.

 

8501        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 V8502-8511│

                   └──────────────┘

8.  DK

9.  NA

 

 

 

8502        K1b.   During the past week, I felt that everything I did was an

effort.                                                

 

 

8503        K1c.   My sleep was restless.                                 

 

 

8504        K1d.   During the past week, I was happy.                     

 

 

8505        K1e.   I felt lonely.                                         

 

 

8506        K1f.   During the past week, people were unfriendly.          

 

 

8507        K1g.   I enjoyed life.                                        

 

 

8508        K1h.   During the past week, I did not feel like eating.  My

appetite was poor.                                     

 

 

8509        K1j.   I felt sad.                                            

 

 

8510        K1k.   During the past week, I felt that people disliked me.  

 

 


8511        K1m.   I could not get "going".                               

 

 

 

 

 

 

 

 

 

 

K2.    (RB, P. 16)  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.

 

8512        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 V8513-8521│

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

5.  EXTREMELY

 

8.  DK

9.  NA

 

 

8513        K2b.   Trembling?                                             

 

 

8514        K2c.   Feeling suddenly scared for no reason?                 

 

 

8515        K2d.   Feeling fearful?                                       

 

 

8516        K2e.   Heart pounding or racing?                              

 

 

8517        K2f.   How much have you been bothered by feeling tense and keyed

up in the past seven days?                             

 

 

8518        K2g.   Spells of terror and panic?                            

 

 

8519        K2h.   Feeling so restless you couldn't sit still?            

 

 


8520        K2j.   Feeling that something bad is going to happen to you?  

 

 

8521        K2k.   Thoughts and images of a frightening nature?           

 

 


K3.    (RB, P. 17) Please tell me how often you have had the following feelings during the past week.

 

8522        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 V8523-8526│

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

5.  NEVER

 

8.  DK

9.  NA

 

 

8523        K3b.   Feeling pleased about having accomplished something.   

 

 

8524        K3c.   Feeling that things were going your way.

 

 

8525        K3d.   Feeling proud because someone complimented you on

something you had done.                                

 

 

8526        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)

8601        L1A.   WORKING NOW FOR PAY                                    

┌─────────┐

│0 in 8608├────────1.  Checked

└─────────┘

5.  Not checked

 

9.  NA to entire question L1

 

 

 

8602        L1B.   ONLY TEMPORARILY LAID OFF; SICK LEAVE                  

┌─────────┐

│0 in 8608├────────1.  Checked

└─────────┘

5.  Not checked

 

9.  NA to entire question L1

 

 

 

8603        L1C.   LOOKING FOR WORK, UNEMPLOYED                           

 

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

                                         │USE SAME CODE │

5.  Not checked                          │FOR V8604-8607│

                   └──────────────┘

9.  NA to entire question L1

 

 

8604        L1D.   RETIRED FROM A PAID JOB                                

 

8605        L1E.   PERMANENTLY DISABLED                                   

 

8606        L1F.   KEEPING HOUSE/STAYING HOME                             

 

8607        L1G.   OTHER (SPECIFY)                                        

 

 

 

 

 

 


 

 

 

 

 

8608        L2.    Are you doing any work for pay at the present time?    

 

1.  YES

┌──────────────┐

│0 in 8609-8623├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 1 in 8601 or 8602

 

 

 

8609        L3.    Including paid vacations and sick leave, how many weeks

altogether were you employed during the past 12 months?

 

Code number of WEEKS IN LAST 12 MONTHS (01-52)

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

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 8608        │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.           

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

 

 

 

8610        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 8608

 


8611        L3a.   TIME UNIT                                              

 

1.  WEEKS

2.  MONTHS

3.  YEARS

 

9.  NA

 

0.  Inap, 5, 8-9 in 8608

 

 

 

8612        L3b.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

│0 in 8613-8615├───1.  R EMPLOYED AT PRESENT JOB/POSITION BEFORE DATE OF LAST

└──────────────┘       INTERVIEW

 

2.  ALL OTHERS

 

0.  Inap, 5, 8-9 in 8608

 

 

 

8613        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 8608; 1 in 8612

 

 

 

8614        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 8608; 1 in 8612

 

 

 

8615        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 8608; 1 in 8612

 

 

 

8616        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 8608

 

 

 

8617        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 8608

 

 

 

8618        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 8608

 

 

 

8619        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 8608

 

 

 

8620        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 8608

 

 

 

8621        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 8608

 

 

 

8622        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 8608

 

 

 

8623        L13.   INTERVIEWER CHECKPOINT                                 

 

1.  R IS ALSO RETIRED


┌──────────────┐

│0 in 8624-8632├───2.  ALL OTHERS

└──────────────┘

0.  Inap, 5, 8-9 in 8608

 

 

 

8624        L14.   INTERVIEWER CHECKPOINT                                 

┌─────────┐

│0 in 8625├────────1.  "RETIRED" IS CHECKED AT L1

└─────────┘

2.  ALL OTHERS

 

0.  Inap, 2 in 8623

 

 

 

8625        L15.   Have you ever held a regular job for pay?              

 

1.  YES

┌──────────────┐

│0 in 8626-8640├───5.  NO

└──────────────┤

               └───9.  NA

               

0.  Inap, 2 in 8623; 1 in 8624

 

 

 

8626        L16.   In what month and year did you (retire/stop working)?--

MONTH                                                  

 

Code MONTH (01-12)

 

98.  DK

99.  NA

 

00.  Inap, 2 in 8623; 5 or 9 in 8625

 

 

 

8627        L16.   In what month and year did you (retire/stop working)?--

YEAR                                                   

 

Code YEAR (1930-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 2 in 8623; 5 or 9 in 8625

 

 

 

8628        L17.   INTERVIEWER CHECKPOINT                                 

 


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

┌──────────────┐

│0 in 8629-8632├───2.    ALL OTHERS

└──────────────┘

0.    Inap, 2 in 8623; 5 or 9 in 8625

 

 

 

 

 

 

8629        L18.   People (retire/leave a paid job) for many reasons.  What

8630               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


8629        L18.   Continued                                              

8630

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 8623; 5 or 9 in 8625; 2 in 8628; no

      further mention

 

 

 

8631        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 8623; 5 or 9 in 8625; 2 in 8628

 

 

 

8632        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 8623; 5 or 9 in 8625; 2 in 8628

 

8633        L21.   INTERVIEWER CHECKPOINT                  

 

1.  R IS CURRENTLY WORKING FOR PAY

┌──────────────┐

│0 in 8634-8640├───2.  ALL OTHERS

└──────────────┘

0.  Inap, 5 or 9 in 8625

 

 

 

8634        L22.   In the last four years, 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 8635-8640├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5 or 9 in 8625; 2 in 8633

 

 

 

8635        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 8636-8640├───95.  RETIRED

└──────────────┘

┌─────────┐

│Make Card├────────97.  OTHER, SPECIFY

└─────────┘

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 8625; 2 in 8633; 5, 8-9 in 8634

 

 

 

 

 


 

 

8636        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 8625; 2 in 8633; 5, 8-9 in 8634;

     95 in 8635

 

 

 

8637        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 8625; 2 in 8633; 5, 8-9 in 8634;

       95 in 8635

 

 

 

8638        L22c.  People change their work patterns for many reasons.  What

8639               are the main reasons you changed your work pattern?

(PROBE: Were there any other reasons?)                 

 

11.   Care of spouse


8638        L22c.  Continued                                              

8639

 

 

 

 

┌─────────┐

│Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.  Inap, 5 or 9 in 8625; 2 in 8633; 5, 8-9 in 8634;

     95 in 8635; no further mention

 

 

 

 

8640        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 8625; 2 in 8633; 5, 8-9 in 8634;

     95 in 8635

 


 

 

SECTION M:  FINANCIAL SITUATION

 

 

VAR #

 

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

 

8701        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

 

 

 

 

8702        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

 

 

 

8703        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

 

 

 

 

 

 

 


 

8704        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. 5)  Now, please look at page 5 of the large 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.)

 

8705        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 V8706-8727│

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

 

8.  DK

9.  NA

 

 

8706        M6.    By and large, people deserve what they get.            

 

 

8707        M7.    Death is simply part of the process of life.           

 

 

8708        M8.    People who meet with misfortune have often brought it on

themselves.                                            

 

 

8709        M9.    I don't see any point in worrying about death.         

 

 

8710        M10.   Eventually, everybody gets what is coming to them.     

 

 


8711        M11.   When I look back on what has happened to me, I feel

cheated.                                               

 

 

8712        M12.   I don't seem to get what should be coming to me.       

 

 

8713        M13.   In the long run, people get the respect they deserve.  

 

 

8714        M14.   I would neither fear death nor welcome it.             

 

 

8715        M15.   It is only a matter of time before the bad people will be

punished for the bad things they have done.            

 

 

8716        M16.   Other people always seem to get the breaks.            

 

 

8717        M17.   I am certain something bad could happen to me at any time.      

 

 

8718        M18.   I am certain something bad could happen to one of my loved

ones at any time.                                      

 

 

8719        M19.   Getting too attached to people is unwise.              

 

 

8720        M20.   I am resigned to the fact that we all have to die.     

 

 

8721        M21.   Bad things can happen to anyone at any time.           

 

 

8722        M22.   People who think catastrophes cannot happen to them are

kidding themselves.                                    

 

 

8723        M23.   People die when it is their time to die, and nothing can

change that.                                           

 

 

8724        M24.   Everything that happens is a part of God's plan.       

 

 


8725        M25.   If bad things happen, it is because they were meant to be.        

 

 

8726        M26.   Everything that happens has a purpose.                 

 

 

8727        M27.   The good and bad things that have happened to me were

destined to happen.                                    

 


 

 

SECTION N:  HOME, HOUSEHOLD RESPONSIBILITIES, AND VOLUNTARY ACTIVITIES

 

 

VAR #

 

8801        N1.    (RB, P. 21)  The next questions are about your home and neighborhood.  Overall, how satisfied are you with your home?  Are you  completely satisfied, 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

 

 

 

8802        N2.    (RB, STILL ON P. 21) Overall, how satisfied are you with your neighborhood?  (Are you completely satisfied, 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

 

 

 

8803        N3.    (RB, P. 22)  How safe do you think your home is from fires?  (Would you say very safe, somewhat, not very, or

not at all safe?)                                      

 

1.  VERY SAFE            ┌──────────────┐

2.  SOMEWHAT SAFE                        │USE SAME CODE │

3.  NOT VERY SAFE                        │FOR V8804-8806│

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

 

8.  DK

9.  NA

 

 

8804        N4.    (RB, STILL ON P. 22)  How safe do you think your home is

from break-ins and vandalism?                          

 

 

8805        N5.    (RB, STILL ON P. 22)  Thinking about your neighborhood, how safe do you think you are from being robbed or


physically attacked?                                   

 

 

8806        N6.    (RB, STILL ON P. 22)  How safe do you think you are from becoming ill due to exposure to pollution or other

unhealthy things in your neighborhood?                 


 

 

SECTION N:  HOME, HOUSEHOLD RESPONSIBILITIES, AND VOLUNTARY ACTIVITIES

 

 

VAR #

 

8928        N7.    Now let's talk about work you do around your home.  In an average week, how many hours do you spend preparing food

and doing housework?                                   

 

Code HOURS (01-95), except:

 

98.  DK

99.  NA

┌─────────┐

│0 in 8929├────────00.  NONE

└─────────┘

 

 

 

8929        N7a.   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 8928

 

 

 

8930        N8.    (RB, P. 23)  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

 

 

 

 

 

 

 

 


 

8931        N9.    (RB, P. 24)  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

 

 

 

8932        N10.   (RB, STILL ON P. 24)  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

 

 

 

8933        N11.   (RB, STILL ON P. 24)  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

 

 

 

8934        N12.   Now I have some questions about volunteer work.  (READ SLOWLY)  During the  last 12 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 8935-8936├───5.  NO

└──────────────┤  

               ├───8.  DK

               └───9.  NA


 

 

 

8935        N13.   (RB, P. 25) About how many hours did you spend on volunteer work of these kinds 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

 

0.  Inap, 5, 8-9 in 8934

 

 

 

8936        N14.   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 8934

 

 

 

N15.   Now let's talk about help you may have given in the last 12 months to friends, neighbors, or relatives who did not live with you.  We are interested in help you provided during the last 12 months for which you did not receive pay.

 

8937        N15a.  During the last 12 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 V8938-8940│

8.  DK            └──────────────┘

9.  NA

 

 

 

8938        N15b.  Did you help others with their housework or with the


upkeep of their house, car, or other things?           

 

 

8939        N15c.  Did you do childcare without pay for persons not living in

your household?                                        

 

 

8940        N15d.  Did you do any other things in the last 12 months to help

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

 

 

 

8941        N16.   INTERVIEWER CHECKPOINT                                 

 

1.  RESPONDENT GAVE HELP TO RELATIVES, FRIENDS, OR

    NEIGHBORS (ONE OR MORE "YES" TO N15a-N15d)

┌──────────────┐

│0 in 8942-8943├───2.  ALL OTHERS

└──────────────┘

 

 

 

8942        N17.   (RB, STILL ON P. 25) About how many hours did you spend doing these things 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

 

0.  Inap, 2 in 8941

 

 

 

8943        N18.   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

 

 

 

 

 


 

 

 

 

 

 

 

 

 

8944        N19.   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 8945├────────5.  NO

└─────────┤  

          ├────────8.  DK

          └────────9.  NA

 

 

 

8945        N19a.  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 1944

 


 

 

SECTION P:  DEPRESSION AND ANXIETY

 

 

VAR #

 

9001        P1.    During the past 12 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 9002├────────1.  YES

└─────────┘

5.  NO

 

8.  DK

9.  NA

 

 

 

9002        P1a.   During the past 12 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 9003-9042├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 1 in 9001

 

 

 

9003        P2.    How many periods or spells like that have you had in the last 12 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 9004├────────97.  ALL THE TIME

└─────────┘

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 9002

 

 

 

 

 

 

 


 

9004        P3.    INTERVIEWER CHECKPOINT                                 

┌──────────────┐

│0 in 9035-9042├───1.  R HAS HAD ONLY ONE SPELL

└──────────────┘

2.  ALL OTHERS

 

0.  Inap, 5, 8-9 in 9002; 97 in 9003

                                                                          

 

 

 

9005        P4/P10. Basically, what made you become depressed?  (OBTAIN

9006               COMPLETE DESCRIPTION OF SITUATION AND PROBE IF NECESSARY:

9007               What about the situation made you feel depressed?)  IF R

9008               SAYS "A COMBINATION OF THINGS," PROBE FOR MOST DIFFICULT

9009               ASPECT OF EACH.                                        

9010

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.


9005        P4/P10.  Continued                                            

9006

9007               11.   Death of other relative or friend

9008               12.   Other problems of other relative or friend:  e.g.,

9009                     "my friend's daughter got pregnant"; "my son went

9010                     bankrupt"

 

 

 

 

96.   NOTHING CAUSED DEPRESSION

┌─────────┐

│Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.   Inap, 5, 8-9 in 9002; no further mention

 

 

 

 

9011        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 9002

 

 

 

9012        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 9002

 

 

 

 

 

 

 


 

9013        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 9014,├──────97.   STILL GOING ON

│97 in 9015 │

└───────────┘      98.   DK

99.   NA

 

00.   R answered in months or years; Inap, 5, 8-9 in 9002

 

 

 

9014        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 9002

 

 

 

2015        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 9017-9019├───97.   STILL GOING ON

└──────────────┘

98.   DK

99.   NA

 

00.   R answered in weeks or months; Inap, 5, 8-9 in 9002

 

 

 

 

 

 


 

 

9016        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 9002

 

 

 

 

9017        P8/P14. What happened to make the depression go away?  (OBTAIN

9018               COMPLETE DESCRIPTION OF SITUATION AND PROBE IF NECESSARY:

9019               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

 


9017        P8/P14.  Continued                                            

9018

9019               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 9002; 97 in 9015; no further mention


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

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

9020        P9a/P15a.  ...lose your appetite?                             

 

1.  YES            ┌──────────────┐

5.  NO                                   │USE SAME CODE │

                                         │FOR V9021-9032│

8.  DK            └──────────────┘

9.  NA

 

0.  Inap, 5, 8-9 in 9002

 

 

 

9021        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?                                     

 

 

9022        P9c/P15c. Did you have trouble falling asleep, staying asleep, or

with waking up too early?                              

 

 

9023        P9d/P15d. Did you talk or move more slowly than is normal for you?

 

 

9024        P9e/P15e. Did you have to be moving all the time; that is, you

couldn't sit still or paced up and down?

 

 

9025        P9f/P15f. Were you less interested in the things that normally

interest you?                                          

 

 

9026        P9g/P15g. Did you feel worthless, sinful or guilty?           

 

 

9027        P9h/P15h. Did you have a lot more trouble concentrating than is

normal for you?                                        

 

 

9028        P9j/P15j. Did your thoughts come more slowly than usual or seem

mixed up?                                              

 

 

9029        P9k/P15k. Were you sleeping too much?                         

 

 

9030        P9m/P15m. Did you feel tired out all the time?                

 

 


9031        P9n/P15n. Did you think a lot about death--either your own,

someone else's, or death in general?                   

 

 

9032        P9p/P15p. Did you feel like you wanted to die?                

 

 

 

 

 

9033        P9q/P15q. Did you attempt suicide?                            

┌─────────┐

│0 in 9034├────────1.  YES

└─────────┘

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 9002

 

 

 

9034        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 9002; 1 in 9033

 

 

 

9035(MO)    P16.   You told me that you have had (another spell/other spells)

9036(YR)           during the last 12 months.  In what month(s) and year(s)

did (it/they) start?  (PROBE FOR OTHER SPELLS)         

9037(MO)

9038(YR)           Code up to 4 mentions of MONTH and YEAR using following

codes:

9039(MO)           ┌──────────────────────────────────────────────────┐

9040(YR)           │NOTE:  For multiple mentions, code in order from 

│earliest to most recent period.                  

9041(MO)           │00 in the first unused MONTH field will pad 0's in│

9042(YR)           │the remainder of question.                       

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

 

Code MONTH (01-12)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 9002; 1 in 9004; no further mention

 


Code YEAR (1910-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 5, 8-9 in 9002; 1 in 9004; no further mention

 


 

 

SECTION P:  DEPRESSION AND ANXIETY

 

 

VAR #

 

9101        P17.   [READ SLOWLY]  Now I would like to ask you some questions about panic attacks -- sudden experiences of extreme anxiety.  These attacks are often accompanied by physiological reactions such as shortness of breath, heart pounding, sweating, nausea and dizziness.  These attacks usually last minutes or, more rarely, hours.  Panic attacks are extremely frightening, and many people who have them for the first time go to hospital emergency rooms thinking they are having a heart attack.  Have you ever in your life had such a spell or attack when all of a sudden you felt frightened, anxious, or very uneasy in a

situation when most people would not be afraid or anxious?

 

1.  YES

┌──────────────┐

│0 in 9102-9114├───5.  NO

└──────────────┤  

               ├───8.  DK

               └───9.  NA

 

 

 

9102        P18.   Did this happen in situations when you were not in danger

or not the center of attention?                        

 

1.  YES

┌──────────────┐

│0 in 9103-9114├───5.  NO

└──────────────┤  

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5, 8-9 in 9101

 

 

 

9103        P19.   (RB, P. 40) When was the last time you had a spell or attack of sudden fright or uneasiness -- in the past month, past six months, past year, or more than a year

ago?                                                   

 

1.  PAST MONTH

2.  PAST SIX MONTHS

3.  PAST YEAR

 

4.  MORE THAN A YEAR AGO

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 9101 or 9102

 


 

[BUILD V9104-V9106 = 0]

 

 

                                                               Rev. 12/6/93

9107        P21.   About how many spells or attacks of suddenly feeling frightened, anxious, or very uneasy have you had in the

last four years?                                       

 

Code # OF ATTACKS (01-95)

 

96.  None

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 9101 or 9102

 

 

 

9108        P22.   About how many spells or attacks of suddenly feeling frightened, anxious, or very uneasy have you had in your

lifetime?  [PROBE FOR BEST ESTIMATE]                   

 

Code # OF ATTACKS (01-95)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 9101 or 9102

 

 

 

9109        P23.   How old were you the first time (you had a sudden spell or attack of feeling frightened, anxious, or very uneasy)?  (IF DK AGE, PROBE:  Can you tell me what year this

happened?)--AGE                                        

 

Code AGE (01-80)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 9101 or 9102; no AGE given

 

 

 

9110        P23.   How old were you the first time (you had a sudden spell or attack of feeling frightened, anxious, or very uneasy)?  (IF DK AGE, PROBE:  Can you tell me what year this

happened?)--YEAR                                       

 

Code YEAR (1920-1995)

 

9998.  DK

9999.  NA

 


0000.  Inap, 5, 8-9 in 9101 or 9102; no YEAR given

 

 

 

9111        P24.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

│0 in 9112-9114├───1.  R HAS HAD 3 OR FEWER SPELLS

└──────────────┘

2.  ALL OTHERS

 

0.  Inap, 5, 8-9 in 9101 or 9102

 

 

 

9112        P25.   Did you ever have four or more spells or attacks within a

four-week period?                                      

 

1.  YES

┌──────────────┐

│0 in 9113-9114├───5.