Questionnaire Public Report11/30/2012 04:54:44 PM
Cohort:National Longitudinal Survey of Youth 1979
Round:NLSY79 Round 23
Instrument :Nlsy79 R23 release
  1. Health



Q11-1AAA [T20513.00]Section: Health

([total number of employers reported] >= 1)

COMMENT: Is there at least one employer listed?

If Answer = 1 Then Go To
Q11-1B

Default Next:Q11-4


Q11-1B [T20514.00]Section: Health

{*employer.curflag(1)*}==1

COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW WEEK?

If Answer = 1 Then Go To
Q11-4

Default Next:Q11-3
Lead-In:Q11-1AAA [1:1]


Q11-3 [T20515.00]Section: Health

(INTERVIEWER: ENTERING HEALTH SECTION)

Would your health keep you from working on a job for pay now?

 1   Yes   ...(Go To Q11-5A)
 0   No

Default Next:Q11-4
Lead-In:Q11-1B [Default]


Q11-4 [T20516.00]Section: Health

(Are you/Would you be) limited in the kind of work you (could) do on a job for pay because of your health?

 1   Yes
 0   No


Q11-5 [T20517.00]Section: Health

(Are you/Would you be) limited in the amount of work you (could) do because of your health?

 1   Yes
 0   No

Default Next:Q11-5A
Lead-In:Q11-4 [Default]


Q11-5A [T20518.00]Section: Health

(([Would your health keep you from working now?]==1) || ([Limited in kind of work due to accident or injury?]==1) || ([Limited in amount of work due to accident or injury?]==1))

COMMENT: Check if R has reported a health limitation which affects work.

If Answer = 1 Then Go To
Q11-5B

Default Next:Q11-ASTHMA-CHK1
Lead-In:Q11-3 [1:1], Q11-5 [Default]


Q11-5B [T20519.00]Section: Health

([RESPONDENT GENDER]==1)

COMMENT: Is respondent male?

If Answer = 1 Then Go To
Q11-7

Default Next:Q11-5C
Lead-In:Q11-5A [1:1]


Q11-5C [T20520.00]Section: Health

([time unit for time next child planned]==1) && ([number of months r plans to have next child]<=9)

COMMENT: Is R currently pregnant?

If Answer = 1 Then Go To
Q11-6

Default Next:Q11-7
Lead-In:Q11-5B [Default]


Q11-6 [T20521.00]Section: Health

Is your limitation entirely due to your current pregnancy?

 1   Yes   ...(Go To Q11-ASTHMA-CHK1)
 0   No

Default Next:Q11-7
Lead-In:Q11-5C [1:1]


Q11-7 [T20522.00]Section: Health

Since what month and year have you had this limitation [" "/Other than your pregnancy]?

 1   SELECT TO ENTER DATE   ...(Go To Q11-8)
 0   IF VOLUNTEERED: 'ALL MY LIFE'

Default Next:Q11-ASTHMA-CHK1
Lead-In:Q11-5B [1:1], Q11-5C [Default], Q11-6 [Default]


Q11-8 [T20523.00]Section: Health

INTERVIEWER: ENTER DATE FROM WHICH R HAS HAD THIS LIMITATION.

Enter Date:  
MonthYear 

Default Next:Q11-CARE-1
Lead-In:Q11-7 [1:1]


Q11-ASTHMA-CHK1 [T20524.00]Section: Health

{r_asthma}==1

If Answer = 1 Then Go To
Q11-ASTHMA-9_A

Default Next:Q11-CARE-1
Lead-In:Q11-6 [1:1], Q11-5A [Default], Q11-7 [Default]


Q11-ASTHMA-9_A [T20525.00]Section: Health

VAREXIST ([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER(1)])

COMMENT: Was R employed since last interview?

If Answer = 1 Then Go To
Q11-ASTHMA-9_B

Default Next:Q11-CARE-1
Lead-In:Q11-ASTHMA-CHK1 [1:1]


Q11-ASTHMA-9_B [T20526.00]Section: Health

DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER(1)]) >= DATE2DAY([12 months before reference date])

COMMENT: Has R been employed in the past 12 months?

If Answer = 0 Then Go To
Q11-CARE-1

Default Next:Q11-ASTHMA-10
Lead-In:Q11-ASTHMA-9_A [1:1]


Q11-ASTHMA-10 [T20527.00]Section: Health

When we talked to you on [lintdate~X], you reported that you had asthma.

During the past 12 months, how many days of work did you miss due to your asthma?

ENTER # OF DAYS: 

Default Next:Q11-CARE-1
Lead-In:Q11-ASTHMA-9_B [Default]


Q11-CARE-1 [T20531.00]Section: Health

Is anyone in your household (besides you) disabled or chronically ill?

 1   Yes   ...(Go To Q11-CARE-2)
 0   No

Default Next:Q11-CARE-4
Lead-In:Q11-ASTHMA-9_B [0:0], Q11-8 [Default], Q11-ASTHMA-CHK1 [Default], Q11-ASTHMA-9_A [Default], Q11-ASTHMA-10 [Default]


Q11-CARE-2 [T20532.00]Section: Health

Which household member is this?
(INTERVIEWER: PROBE IF THERE IS MORE THAN ONE HOUSEHOLD MEMBER: "Is there anyone else?")
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)

 1   Household member #1
 2   Household member #2
 3   Household member #3
 4   Household member #4
 5   Household member #5
 6   Household member #6
 7   Household member #7
 8   Household member #8
 9   Household member #9
 10   Household member #10
 11   Household member #11
 12   Household member #12
 13   Household member #13
 14   Household member #14
 15   Household member #15

Default Next:Q11-CARE-3
Lead-In:Q11-CARE-1 [1:1]


Q11-CARE-3 [T20534.00]Section: Health

Do you regularly spend time helping or taking care of [this/these_hlth]?

 1   Yes   ...(Go To Q11-CARE-3B)
 0   No

Default Next:Q11-CARE-4
Lead-In:Q11-CARE-2 [Default]


Q11-CARE-3B [T20535.00]Section: Health

About how many hours per week do you spend doing this?

ENTER # OF HOURS 

Default Next:Q11-CARE-4
Lead-In:Q11-CARE-3 [1:1]


Q11-CARE-4 [T20536.00]Section: Health

Do you regularly spend time helping or taking care of a relative or friend who does not live in your household?

 1   Yes   ...(Go To Q11-CARE-4B)
 0   No

Default Next:Q11-9
Lead-In:Q11-CARE-1 [Default], Q11-CARE-3 [Default], Q11-CARE-3B [Default]


Q11-CARE-4B [T20537.00]Section: Health

About how many hours per week do you spend doing this?

ENTER # OF HOURS 

Default Next:Q11-9
Lead-In:Q11-CARE-4 [1:1]


Q11-9 [T20538.00]Section: Health

How much do you weigh?

(ENTER POUNDS)

Enter Number: 

Default Next:Q11-10_A
Lead-In:Q11-CARE-4 [Default], Q11-CARE-4B [Default]


Q11-10_A [T20539.00]Section: Health

How tall are you?

(INTERVIEWER: IF R ANSWERS ONLY IN FEET OR ONLY IN INCHES, LEAVE OTHER FIELD BLANK.)

ENTER FEET: 


Q11-10_B [T20540.00]Section: Health

ENTER INCHES: 

Default Next:Q11-GENHLTH_1A_1
Lead-In:Q11-10_A [Default]


Q11-GENHLTH_1A_1 [T20541.00]Section: Health

How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?

(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)

FREQUENCY: 


Q11-GENHLTH_1A_2 [T20542.00]Section: Health

CHOOSE TIME UNIT:

 1   Per day
 2   Per week
 3   Per month
 4   Per year
 5   Unable to do this activity

Default Next:Q11-GENHLTH_1B
Lead-In:Q11-GENHLTH_1A_1 [Default]


Q11-GENHLTH_1B [T20543.00]Section: Health

([frequency of vigorous exercise]==0 || [frequency of vigorous exercise]==996)

COMMENT: If R is unable or never does physical activities then skip question about how long

If Answer = 1 Then Go To
Q11-GENHLTH_2A_1

Default Next:Q11-GENHLTH_1C_1
Lead-In:Q11-GENHLTH_1A_2 [Default]


Q11-GENHLTH_1C_1 [T20544.00]Section: Health

About how long do you do these vigorous activities each time?

ENTER LENGTH: 


Q11-GENHLTH_1C_2 [T20545.00]Section: Health

SELECT TIME UNIT:

 1   Minutes
 2   Hours

Default Next:Q11-GENHLTH_2A_1
Lead-In:Q11-GENHLTH_1C_1 [Default]


Q11-GENHLTH_2A_1 [T20546.00]Section: Health

How often do you do light or moderate activities for at least 10 minutes that cause only light sweating or slight to moderate increase in breathing or heart rate?

(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)

FREQUENCY: 


Q11-GENHLTH_2A_2 [T20547.00]Section: Health

SELECT TIME UNIT:

 1   Per day
 2   Per week
 3   Per month
 4   Per year
 5   Unable to do this activity

Default Next:Q11-GENHLTH_2B
Lead-In:Q11-GENHLTH_2A_1 [Default]


Q11-GENHLTH_2B [T20548.00]Section: Health

([frequency of moderate exercise]==0 || [frequency of moderate exercise]==996)

COMMENT: If R is unable or never does physical activities then skip question about how long

If Answer = 1 Then Go To
Q11-GENHLTH_3A_1

Default Next:Q11-GENHLTH_2C_1
Lead-In:Q11-GENHLTH_2A_2 [Default]


Q11-GENHLTH_2C_1 [T20549.00]Section: Health

About how long do you do these light or moderate activities each time?

LENGTH: 


Q11-GENHLTH_2C_2 [T20550.00]Section: Health

SELECT TIME UNIT:

 1   Minutes
 2   Hours

Default Next:Q11-GENHLTH_3A_1
Lead-In:Q11-GENHLTH_2C_1 [Default]


Q11-GENHLTH_3A_1 [T20551.00]Section: Health

How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)

(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)

FREQUENCY: 


Q11-GENHLTH_3A_2 [T20552.00]Section: Health

SELECT TIME UNIT:

 1   Per day
 2   Per week
 3   Per month
 4   Per year
 5   Unable to do this activity

Default Next:Q11-GENHLTH-PRV1
Lead-In:Q11-GENHLTH_3A_1 [Default]


Q11-GENHLTH-PRV1 [T20553.00]Section: Health

Do you have a health care provider that you can see when you are sick or need advice about your health?

 1   Yes   ...(Go To Q11-GENHLTH-PRV2)
 0   No

Default Next:Q11-GENHLTH_4A
Lead-In:Q11-GENHLTH_3A_2 [Default]


Q11-GENHLTH-PRV2 [T20554.00]Section: Health

What kind of place do you go to most often for this care—is it a clinic, doctor's office, emergency room, or some other place?

 1   Clinic or health center
 2   Doctor’s office or HMO
 3   Hospital emergency room
 4   Some other place
 5   Don’t go to one place most often

Default Next:Q11-GENHLTH_4A
Lead-In:Q11-GENHLTH-PRV1 [1:1]


Q11-GENHLTH_4A [T20555.00]Section: Health

About how long has it been since your last general physical exam or routine checkup by a medical doctor or other health professional? Do not include a visit about a specific problem.

Has it been...(READ CATEGORIES AS NECESSARY)?

 0   Never
 1   A year ago or less
 2   More than 1 year but not more than 2 years
 3   More than 2 years but not more than 3 years
 4   More than 3 years but not more than 5 years
 5   Over 5 years ago

Default Next:Q11-GENHLTH_4B
Lead-In:Q11-GENHLTH-PRV1 [Default], Q11-GENHLTH-PRV2 [Default]


Q11-GENHLTH_4B [T20556.00]Section: Health

{resp_gender}

COMMENT: If R is unable or never does physical activities then skip question about how long

If Answer = 1 Then Go To
Q11-GENHLTH_4C_M

Default Next:Q11-GENHLTH_4C_F
Lead-In:Q11-GENHLTH_4A [Default]


Q11-GENHLTH_4C_M [T20557.00]Section: Health

During the past 24 months, that is since [refdate_24mo~X], have you had any of the following medical tests or procedures?

 - A flu shot?
 - A blood test for cholesterol?
 - A blood test for diabetes or blood sugar levels?
 - An examination of your prostate to screen for cancer?
 - A colonoscopy or other test to screen for colorectal cancer?
 - An electrocardiogram (EKG or ECG) or stress test?
 - Have you had your blood pressure measured?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4D_M
Lead-In:Q11-GENHLTH_4B [1:1]


Q11-GENHLTH_4D_M [T20558.00]Section: Health

Are you currently taking...

 - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event?
 - ...any medications to control your blood sugar level?
 - ...any medications to control your blood pressure?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4E_M
Lead-In:Q11-GENHLTH_4C_M [Default]


Q11-GENHLTH_4E_M [T20559.00]Section: Health

During the past 24 months, that is since [refdate_24mo~X], have you seen or talked to either of the following types of doctors?

 - A dentist for a routine check-up or exam?
 - An optician or opthamologist for a routine eye exam?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4F
Lead-In:Q11-GENHLTH_4D_M [Default]


Q11-GENHLTH_4C_F [T20560.00]Section: Health

During the past 24 months, that is since [refdate_24mo~X], have you had any of the following medical tests or procedures?

 - A flu shot?
 - A blood test for cholesterol?
 - A blood test for diabetes or blood sugar levels?
 - A mammogram or x-ray of the breast to search for cancer?
 - A PAP smear?
 - A bone density test to screen for osteoporosis?
 - A colonoscopy or other test to screen for colorectal cancer?
 - An electrocardiogram (EKG or ECG) or stress test?
 - Have you had your blood pressure measured?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4D_F
Lead-In:Q11-GENHLTH_4B [Default]


Q11-GENHLTH_4D_F [T20561.00]Section: Health

Are you currently taking...

 - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event?
 - ...any medications to control your blood sugar level?
 - ...any medications to control your blood pressure?
 - ...any hormone replacement therapy or "HRT" medications?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4E_F
Lead-In:Q11-GENHLTH_4C_F [Default]


Q11-GENHLTH_4E_F [T20562.00]Section: Health

During the past 24 months, that is since [refdate_24mo~X], have you seen or talked to any of the following types of doctors?

 - An obstetrician, gynecologist or other doctor who specializes in women's health?
 - A dentist for a routine check-up or exam?
 - An optician or opthamologist for a routine eye exam?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4F
Lead-In:Q11-GENHLTH_4D_F [Default]


Q11-GENHLTH_4F [T20563.00]Section: Health

Are you currently taking any medications to control or lower your cholesterol level?

 1   Yes
 0   No   ...(Go To Q11-GENHLTH_5A_1)

Default Next:Q11-GENHLTH_4G
Lead-In:Q11-GENHLTH_4E_M [Default], Q11-GENHLTH_4E_F [Default]


Q11-GENHLTH_4G [T20564.00]Section: Health

Are any of those medications known as "statins"?

 1   Yes
 0   No

Default Next:Q11-GENHLTH_5A_1
Lead-In:Q11-GENHLTH_4F [Default]


Q11-GENHLTH_5A_1 [T20565.00]Section: Health

Do you have any of your own, natural teeth?

 1   Yes
 0   No   ...(Go To Q11-GENHLTH_6A)

Default Next:Q11-GENHLTH_5A_2
Lead-In:Q11-GENHLTH_4F [0:0], Q11-GENHLTH_4G [Default]


Q11-GENHLTH_5A_2 [T20566.00]Section: Health

During a usual week, how many times do you....

...Brush your teeth?

# OF TIMES PER WEEK: 


Q11-GENHLTH_5A_3 [T20567.00]Section: Health


...Use dental floss?

# OF TIMES PER WEEK: 

Default Next:Q11-GENHLTH_6A
Lead-In:Q11-GENHLTH_5A_2 [Default]


Q11-GENHLTH_6A [T20568.00]Section: Health

Are you now trying to lose weight, gain weight, stay about the same, or are you not trying to do anything about your weight?

 1   Lose weight
 2   Gain weight
 3   Stay about the same
 4   Not trying to do anything

Default Next:Q11-GENHLTH_7A
Lead-In:Q11-GENHLTH_5A_1 [0:0], Q11-GENHLTH_5A_3 [Default]


Q11-GENHLTH_7A [T20569.00]Section: Health

When you buy a food item for the first time, how often would you say you read the nutritional information sometimes listed on the label - would you say always, often, sometimes, rarely or never?

 0   Don't buy food
 1   Always
 2   Often
 3   Sometimes
 4   Rarely
 5   Never


Q11-GENHLTH_7B [T20570.00]Section: Health

When you buy a food item for the first time, how often would you say you read the ingredient list on the package - (would you say always, often, sometimes, rarely or never)?

 0   Don't buy food
 1   Always
 2   Often
 3   Sometimes
 4   Rarely
 5   Never

Default Next:Q11-GENHLTH_7C_1
Lead-In:Q11-GENHLTH_7A [Default]


Q11-GENHLTH_7C_1 [T20571.00]Section: Health

In the past seven days, how many times did you...

...Eat food from a fast food restaurant such as McDonalds, Kentucky Fried Chicken, Pizza Hut, or Taco Bell?

# TIMES: 


Q11-GENHLTH_7C_2 [T20572.00]Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-GENHLTH_7D_1
Lead-In:Q11-GENHLTH_7C_1 [Default]


Q11-GENHLTH_7D_1 [T20573.00]Section: Health

(In the past seven days, how many times did you...)

...Eat a snack between meals?

# TIMES: 


Q11-GENHLTH_7D_2 [T20574.00]Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-GENHLTH_7E_1
Lead-In:Q11-GENHLTH_7D_1 [Default]


Q11-GENHLTH_7E_1 [T20575.00]Section: Health

(In the past seven days, how many times did you...)

...Skip a meal?

# TIMES: 


Q11-GENHLTH_7E_2 [T20576.00]Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-GENHLTH_7F_1
Lead-In:Q11-GENHLTH_7E_1 [Default]


Q11-GENHLTH_7F_1 [T20577.00]Section: Health

(In the past seven days, how many times did you...)

...Have a soft drink or soda that contained sugar? (Do not include diet soft drinks or sodas, or carbonated water.)

# TIMES: 


Q11-GENHLTH_7F_2 [T20578.00]Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-HLTHPLN-INTCHK
Lead-In:Q11-GENHLTH_7F_1 [Default]


Q11-HLTHPLN-INTCHK []Section: Health

{haschild_ins}==1 || {hassp_ins}==1

If Answer = 1 Then Go To
Q11-HLTHPLN-INTRO

Default Next:Q11-79
Lead-In:Q11-GENHLTH_7F_2 [Default]


Q11-HLTHPLN-INTRO []Section: Health

The next questions are about health insurance. We would first like to find out about your own health insurance coverage. We will then ask about coverage of your [spintro] [hlth_and] [childins].

Default Next:Q11-79
Lead-In:Q11-HLTHPLN-INTCHK [1:1]


Q11-79 [T20582.00]Section: Health

Are you covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

 1   Yes   ...(Go To Q11-80B)
 0   No

Default Next:Q11-80F
Lead-In:Q11-HLTHPLN-INTCHK [Default], Q11-HLTHPLN-INTRO [Default]


Q11-80B [T20583.00]Section: Health

What kind of health insurance or health care coverage do you have?

(INTERVIEWER: SELECT ALL THAT APPLY.)

 1   Private health insurance through your own current or former employer
 2   [IF MARRIED] private health insurance through your spouse’s current or former employer
 3   Private health insurance through a union or professional association
 4   Private health insurance purchased directly through the insurer
 6   Medi-Gap
 7   Medicaid
 8   Military health care such as TRICARE, CHAMPUS or CHAMPVA
 9   Other state-sponsored or government plan (not Medicaid)
 10   Single service plan covering one type of service such as dental, vision, or prescription
 12   No coverage of any kind

Default Next:Q11-80F
Lead-In:Q11-79 [1:1]


Q11-80F [T20585.00]Section: Health

Have you (or your employer) set up a medical savings account (msa) to help pay your health care expenses?

 1   Yes
 0   No

Default Next:Q11-HLTHPLN-3CHK
Lead-In:Q11-79 [Default], Q11-80B [Default]


Q11-HLTHPLN-3CHK [T20586.00]Section: Health

{Q11-79}==0 || {Q11-80B}==1

COMMENT: /* Respondent reports no health insurance coverage, or coverage not specified in response categories. */

If Answer = 1 Then Go To
Q11-80G

Default Next:Q11-HLTHPLN-5CHK
Lead-In:Q11-80F [Default]


Q11-80G [T20587.00]Section: Health

There is a program called Medicaid that pays for health care for persons in need. In [RESPONDENT STATE] it is also called [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]]. Are you covered by Medicaid?

(INTERVIEWER: GENERALLY, IF R OR EMPLOYER DO NOT HAVE TO PAY, THE INSURANCE IS MEDICAID OR A MEDICAID ALTERNATIVE. PLEASE SEE HELP SCREEN FOR LIST OF MEDICAID ALTERNATIVE PROVIDERS AND PLANS FOR [RESPONDENT STATE].)

 1   Yes   ...(Go To Q11-HLTHPLN-5CHK)
 0   No

Default Next:Q11-81C_1
Lead-In:Q11-HLTHPLN-3CHK [1:1]


Q11-81C_1 [T20588.00]Section: Health

Not including single service plans, about how long has it been since you last had health care coverage?

 0   6 months or less
 1   More than 6 months, but less than 1 year
 2   More than 1 year, but not more than 3 years
 3   More than 3 years
 4   Never

Default Next:Q11-HLTHPLN-5CHK
Lead-In:Q11-80G [Default]


Q11-HLTHPLN-5CHK [T20589.00]Section: Health

{Q11-80B}==1

COMMENT: /* Respondent reports some type of health insurance */

If Answer = 1 Then Go To
Q11-HLTHPLN-6CHK

Default Next:Q11-81A
Lead-In:Q11-80G [1:1], Q11-HLTHPLN-3CHK [Default], Q11-81C_1 [Default]


Q11-81A [T20590.00]Section: Health

In the past 12 months, have you ever been without coverage?

 1   Yes
 0   No   ...(Go To Q11-HLTHPLN-6CHK)

Default Next:Q11-81B_1
Lead-In:Q11-HLTHPLN-5CHK [Default]


Q11-81B_1 [T20591.00]Section: Health

About how many months were you without coverage?

Enter Number: 

Default Next:Q11-HLTHPLN-6CHK
Lead-In:Q11-81A [Default]


Q11-HLTHPLN-6CHK [T20592.00]Section: Health

{Q11-79}==0 || {Q11-80B}==1 || {Q11-81A}==1

COMMENT: /* Respondent reports no health insurance coverage or coverage not specified in response categories or some non-coverage in the last 12 months */

If Answer = 0 Then Go To
Q11-HLTHPLN-7CHK

Default Next:Q11-81G
Lead-In:Q11-HLTHPLN-5CHK [1:1], Q11-81A [0:0], Q11-81B_1 [Default]


Q11-81G [T20593.00]Section: Health

Which of these are the reasons you do/did not have health insurance?

(INTERVIEWER: SELECT ALL THAT APPLY.)

 1   Person in family with health insurance lost job or changed employers
 2   Got divorced or separated/death of spouse or partner
 3   Employer does not offer coverage/or not eligible for coverage
 4   Cost is too high
 5   Insurance company refused coverage
 6   [FEMALE ONLY] Medicaid/Medical plan stopped after pregnancy
 7   Lost Medicaid/Medical Plan because of new job or increase in income
 8   Lost Medicaid (other)
 9   Other (specify)

Default Next:Q11-HLTHPLN-7CHK
Lead-In:Q11-HLTHPLN-6CHK [Default]


Q11-HLTHPLN-7CHK [T20594.00]Section: Health

{hassp_ins}==1

COMMENT: /* Respondent reported a spouse */

If Answer = 1 Then Go To
Q11-83

Default Next:Q11-HLTHPLN-8CHK
Lead-In:Q11-HLTHPLN-6CHK [0:0], Q11-81G [Default]


Q11-83 [T20595.00]Section: Health

Is [Spouse/partner's name] covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

 1   Yes   ...(Go To Q11-84B)
 0   No

Default Next:Q11-HLTHPLN-8CHK
Lead-In:Q11-HLTHPLN-7CHK [1:1]


Q11-84B [T20596.00]Section: Health

What kind of health insurance or health care coverage does [Spouse/partner's name] have?

(INTERVIEWER: SELECT ALL THAT APPLY.)

 1   Private health insurance through (his/her) own current or former employer
 2   Private health insurance through respondent’s current or former employer
 3   Other private health insurance
 6   Medi-Gap
 7   Medicaid
 8   Military health care such as TRICARE, CHAMPUS or CHAMPVA
 9   Other state-sponsored or government plan (not Medicaid)
 10   Single service plan covering one type of service such as dental, vision, or prescription
 12   No coverage of any kind

Default Next:Q11-HLTHPLN-8CHK
Lead-In:Q11-83 [1:1]


Q11-HLTHPLN-8CHK [T20597.00]Section: Health

{haschild_ins}==1

If Answer = 1 Then Go To
Q11-87

Default Next:Q11-RESP_AGE2
Lead-In:Q11-HLTHPLN-7CHK [Default], Q11-83 [Default], Q11-84B [Default]


Q11-87 [T20598.00]Section: Health

{childins_intro} covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, {medicaid_name}.

 1   Yes   ...(Go To Q11-88B)
 0   No

Default Next:Q11-RESP_AGE2
Lead-In:Q11-HLTHPLN-8CHK [1:1]


Q11-88B [T20599.00]Section: Health

What kind of health insurance or health care coverage [do/does_child] have?

(INTERVIEWER: SELECT ALL THAT APPLY.)

 1   Private health insurance through (his/her) own current or former employer
 2   Private health insurance through respondent’s current or former employer
 3   Other private health insurance
 4   SCHIP (CHIP/Children's Health Insurance Program)
 7   Medicaid
 8   Military health care such as TRICARE, CHAMPUS or CHAMPVA
 9   Other state-sponsored or government plan (not Medicaid)
 10   Single service plan covering one type of service such as dental, vision, or prescription
 12   No coverage of any kind

Default Next:Q11-RESP_AGE2
Lead-In:Q11-87 [1:1]


Q11-RESP_AGE2 [T20600.00]Section: Health

{birthdate~Y} >= 1959 && {birthdate~Y} <= 1960

If Answer = 1 Then Go To
COGNITION-C1

Default Next:Q11-H50-2
Lead-In:Q11-HLTHPLN-8CHK [Default], Q11-87 [Default], Q11-88B [Default]


COGNITION-C1 [T20601.00]Section: Health

Part of this study is concerned with people's memory, and ability to think about things. First, how would you rate your memory 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

Default Next:COGNITION-C2
Lead-In:Q11-RESP_AGE2 [1:1]


COGNITION-C2 [T20602.00]Section: Health

Compared to (two years ago/[year before current year]), would you say your memory is better now, about the same, or worse now than it was then?

 1   better
 2   about the same
 3   worse

Default Next:COGNITION-3_TEST1
Lead-In:COGNITION-C1 [Default]


COGNITION-3_TEST1 [T20603.00]Section: Health

I'll read a set of 10 words and ask you to recall as many as you can. We have purposely made the list long so that it will be difficult for anyone to recall all the words. Most people recall just a few. Please listen carefully as I read the set of words because I cannot repeat them. When I finish, I will ask you to recall aloud as many of the words as you can, in any order. Is this clear?

(INTERVIEWER: PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ ITEMS ON FOLLOWING SCREEN AT A SLOW STEADY RATE, AS THEY FLASH ON THE SCREEN.

IF R REFUSES DURING OR AFTER THE INTRODUCTION AND BEFORE ANY WORDS ARE READ, SELECT "REFUSED WORD LIST" BELOW AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)

 1   CONTINUE WITH WORD LIST
 2   REFUSED WORD LIST   ...(Go To COGNITION-6)

Default Next:COG_RANDOM_TEST1
Lead-In:COGNITION-C2 [Default]


COG_RANDOM_TEST1 [T20604.00]Section: Health

INT(RAND(0)*5)

If Answer = 1 Then Go To
COG_LIST1A_TEST1_M1
If Answer = 2 Then Go To COG_LIST2A_TEST1_M2
If Answer = 3 Then Go To COG_LIST3A_TEST1_M3
If Answer = 4 Then Go To COG_LIST4A_TEST1_M4

Default Next:COG_LIST1A_TEST1_M1
Lead-In:COGNITION-3_TEST1 [Default]


COG_LIST1A_TEST1_M1 [T20605.00]Section: Health

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Hotel
 - River
 - Tree
 - Skin
 - Gold
 - Market
 - Paper
 - Child
 - King
 - Book
 1   RECALLED
 0   NOT RECALLED

Default Next:COGNITION-4A_2
Lead-In:COG_RANDOM_TEST1 [1:1], COG_RANDOM_TEST1 [Default]


COGNITION-4A_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:COGNITION-4_CHK4
Lead-In:COG_LIST1A_TEST1_M1 [Default]


COG_LIST2A_TEST1_M2 [T20606.00]Section: Health

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Sky
 - Ocean
 - Flag
 - Dollar
 - Wife
 - Machine
 - Home
 - Earth
 - College
 - Butter
 1   RECALLED
 0   NOT RECALLED

Default Next:COGNITION-4B_2
Lead-In:COG_RANDOM_TEST1 [2:2]


COGNITION-4B_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:COGNITION-4_CHK4
Lead-In:COG_LIST2A_TEST1_M2 [Default]


COG_LIST3A_TEST1_M3 [T20607.00]Section: Health

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Woman
 - Rock
 - Blood
 - Corner
 - Shoes
 - Letter
 - Girl
 - House
 - Valley
 - Engine
 1   RECALLED
 0   NOT RECALLED

Default Next:COGNITION-4C_2
Lead-In:COG_RANDOM_TEST1 [3:3]


COGNITION-4C_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:COGNITION-4_CHK4
Lead-In:COG_LIST3A_TEST1_M3 [Default]


COG_LIST4A_TEST1_M4 [T20608.00]Section: Health

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Water
 - Church
 - Doctor
 - Palace
 - Fire
 - Garden
 - Sea
 - Village
 - Baby
 - Table
 1   RECALLED
 0   NOT RECALLED

Default Next:COGNITION-4D_2
Lead-In:COG_RANDOM_TEST1 [4:4]


COGNITION-4D_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:COGNITION-4_CHK4
Lead-In:COG_LIST4A_TEST1_M4 [Default]


COGNITION-4_CHK4 [T20611.00]Section: Health

(INTERVIEWER: PLEASE INDICATE WHETHER ANY OF THE FOLLOWING PROBLEMS OCCURRED IN RELATION TO WORD RECALL.)

(SELECT ALL THAT APPLY.)

 1   R HAD DIFFICULTY HEARING ANY OF THE WORDS
 2   INTERRUPTION OCCURRED WHILE YOU WERE READING LIST
 3   OTHER PROBLEM (PLEASE SPECIFY)
 4   NO PROBLEMS OCCURRED

Default Next:COGNITION-6
Lead-In:COGNITION-4A_2 [Default], COGNITION-4B_2 [Default], COGNITION-4C_2 [Default], COGNITION-4D_2 [Default]


COGNITION-6 [T20612.00]Section: Health

For this next question, please try to count backward as quickly as you can from the number I will give you. I will tell you when to stop.

Please start with: 20

(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-6G

Default Next:COGNITION-6A
Lead-In:COGNITION-3_TEST1 [2:2], COGNITION-4_CHK4 [Default]


COGNITION-6A [T20613.00]Section: Health

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.

R CAN CORRECTLY COUNT DOWN FROM 19 TO 10 OR FROM 20 TO 11.

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-6G

Default Next:COGNITION-6C
Lead-In:COGNITION-6 [Default]


COGNITION-6C [T20614.00]Section: Health

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)

 1   CORRECT
 5   INCORRECT
 6   WANTS TO START OVER   ...(Go To COGNITION-6D)
 97   REFUSED

Default Next:COGNITION-6G
Lead-In:COGNITION-6A [Default]


COGNITION-6D [T20615.00]Section: Health

Let's try again.

The number to count backward from is : 20

(INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-6G

Default Next:COGNITION-6D_Y1
Lead-In:COGNITION-6C [6:6]


COGNITION-6D_Y1 [T20616.00]Section: Health

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-6G

Default Next:COGNITION-6F
Lead-In:COGNITION-6D [Default]


COGNITION-6F [T20617.00]Section: Health

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)

 1   CORRECT
 5   INCORRECT
 97   REFUSED

Default Next:COGNITION-6G
Lead-In:COGNITION-6D_Y1 [Default]


COGNITION-6G [T20618.00]Section: Health

Now please try counting backward from a different number. Remember to count as quickly as you can from the number I mention.

Please start with: 86

(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-7A

Default Next:COGNITION-6G_Y1
Lead-In:COGNITION-6 [-2:-1], COGNITION-6A [-2:-1], COGNITION-6D [-2:-1], COGNITION-6D_Y1 [-2:-1], COGNITION-6C [Default], COGNITION-6F [Default]


COGNITION-6G_Y1 [T20619.00]Section: Health

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.

R CAN CORRECTLY COUNT DOWN FROM 86 TO 77 OR FROM 85 TO 76.

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-7A

Default Next:COGNITION-6J
Lead-In:COGNITION-6G [Default]


COGNITION-6J [T20620.00]Section: Health

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. ALLOW R TO START OVER IF S/HE WISHES TO DO SO.)

 1   CORRECT
 5   INCORRECT
 6   WANTS TO START OVER   ...(Go To COGNITION-6K)
 97   REFUSED

Default Next:COGNITION-7A
Lead-In:COGNITION-6G_Y1 [Default]


COGNITION-6K [T20621.00]Section: Health

Let's try again.

The number to count backward from is : 86

(INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-7A

Default Next:COGNITION-6K_Y1
Lead-In:COGNITION-6J [6:6]


COGNITION-6K_Y1 [T20622.00]Section: Health

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.

 1   CONTINUE WITH BACKWARD COUNTING

If Answer >= -2 AND Answer <= -1 Then Go To
COGNITION-7A

Default Next:COGNITION-6N
Lead-In:COGNITION-6K [Default]


COGNITION-6N [T20623.00]Section: Health

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)

 1   CORRECT
 5   INCORRECT
 97   REFUSED

Default Next:COGNITION-7A
Lead-In:COGNITION-6K_Y1 [Default]


COGNITION-7A [T20624.00]Section: Health

Now let's try some subtraction of numbers. One hundred minus 7 equals what?

(INTERVIEWER: IF R ADDS 7 INSTEAD, YOU MAY REPEAT THE QUESTION. IF DON'T KNOW OR REFUSED ANY NUMBER, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)

ENTER NUMBER: 


COGNITION-7B [T20625.00]Section: Health

And 7 from that?

ENTER NUMBER: 


COGNITION-7C [T20626.00]Section: Health

And 7 from that?

ENTER NUMBER: 


COGNITION-7D [T20627.00]Section: Health

And 7 from that?

ENTER NUMBER: 


COGNITION-7E [T20628.00]Section: Health

And 7 from that?

ENTER NUMBER: 

Default Next:COGNITION-8_CHK
Lead-In:COGNITION-7D [Default]


COGNITION-8_CHK []Section: Health

{word_list_refused1} == 2 || {correct_words_cnt1} > 0

If Answer = 0 Then Go To
Q11-H50-2

Default Next:COGNITION-CHK4
Lead-In:COGNITION-7E [Default]


COGNITION-CHK4 []Section: Health

{cog_word_list_flag}

If Answer = 1 Then Go To
COGNITION-8A_1
If Answer = 2 Then Go To COGNITION-8B_1
If Answer = 3 Then Go To COGNITION-8C_1

Default Next:COGNITION-8D_1
Lead-In:COGNITION-8_CHK [Default]


COGNITION-8A_1 []Section: Health

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Hotel
 - River
 - Tree
 - Skin
 - Gold
 - Market
 - Paper
 - Child
 - King
 - Book
 1   CONTINUE

Default Next:COGNITION-8A_2
Lead-In:COGNITION-CHK4 [1:1]


COGNITION-8A_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:Q11-H50-2
Lead-In:COGNITION-8A_1 [Default]


COGNITION-8B_1 []Section: Health

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.


(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Sky
 - Ocean
 - Flag
 - Dollar
 - Wife
 - Machine
 - Home
 - Earth
 - College
 - Butter
 1   CONTINUE

Default Next:COGNITION-8B_2
Lead-In:COGNITION-CHK4 [2:2]


COGNITION-8B_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:Q11-H50-2
Lead-In:COGNITION-8B_1 [Default]


COGNITION-8C_1 []Section: Health

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.


(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Woman
 - Rock
 - Blood
 - Corner
 - Shoes
 - Letter
 - Girl
 - House
 - Valley
 - Engine
 1   CONTINUE

Default Next:COGNITION-8C_2
Lead-In:COGNITION-CHK4 [3:3]


COGNITION-8C_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:Q11-H50-2
Lead-In:COGNITION-8C_1 [Default]


COGNITION-8D_1 [T20629.00]Section: Health

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

 - Water
 - Church
 - Doctor
 - Palace
 - Fire
 - Garden
 - Sea
 - Village
 - Baby
 - Table
 1   CONTINUE

Default Next:COGNITION-8D_2
Lead-In:COGNITION-CHK4 [Default]


COGNITION-8D_2 []Section: Health

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

Default Next:Q11-H50-2
Lead-In:COGNITION-8D_1 [Default]


Q11-H50-2 [T20634.00]Section: Health

{birthdate~Y} <= 1958

If Answer = 1 Then Go To
Q11-H50CESD

Default Next:CIG_CHK1
Lead-In:COGNITION-8_CHK [0:0], Q11-RESP_AGE2 [Default], COGNITION-8A_2 [Default], COGNITION-8B_2 [Default], COGNITION-8C_2 [Default], COGNITION-8D_2 [Default]


Q11-H50CESD [T20636.00]Section: Health

Now I am going to read a list of the ways that you might have felt or behaved recently. After each statement, please tell me how often you felt this way during the past week.

During the past week.....

 - I did not feel like eating; my appetite was poor.
 - I felt that I could not shake off the blues, even with help from my family or friends.
 - I had trouble keeping my mind on what I was doing.
 - I felt depressed.
 - I felt that everything I did was an effort.
 - My sleep was restless.
 - I felt lonely.
 - I felt sad.
 - I could not get "going".
 0   Rarely/None of the time/1 Day
 1   Some/A little of the time/1-2 Days
 2   Occasionally/Moderate amount of the time/3-4 Days
 3   Most/All of the time/5-7 Days

Default Next:Q11-H50BPARCHK1
Lead-In:Q11-H50-2 [1:1]


Q11-H50BPARCHK1 [T20637.00]Section: Health

{fath_alive}

If Answer = 0 Then Go To
Q11-H50BPARCHK2

Default Next:Q11-H50BPAR-1
Lead-In:Q11-H50CESD [Default]


Q11-H50BPAR-1 [T20638.00]Section: Health

This next series of questions asks about your biological parent's health.

Is your biological father still alive?

 1   Yes   ...(Go To Q11-H50BPAR-4)
 0   No

If Answer >= -2 AND Answer <= -1 Then Go To
Q11-H50BPAR-6

Default Next:Q11-H50BPAR-2
Lead-In:Q11-H50BPARCHK1 [Default]


Q11-H50BPAR-2 [T20639.00]Section: Health

What caused your biological father's death?

 1   Heart Attack/Stroke
 2   Accident
 3   Cancer
 4   Old Age
 5   Emphysema
 6   Other (specify)


Q11-H50BPAR-3 [T20640.00]Section: Health

How old was he when he died?

ENTER AGE: 

Default Next:Q11-H50BPAR-4
Lead-In:Q11-H50BPAR-2 [Default]


Q11-H50BPAR-4 [T20641.00]Section: Health

{Did_does_fath} your father have any major health problems?

 1   Yes   ...(Go To Q11-H50BPAR-5)
 0   No

Default Next:Q11-H50BPARCHK2
Lead-In:Q11-H50BPAR-1 [1:1], Q11-H50BPAR-3 [Default]


Q11-H50BPAR-5 []Section: Health

What [are/were_fath] these problems?

Enter: 

Default Next:Q11-H50BPARCHK2
Lead-In:Q11-H50BPAR-4 [1:1]


Q11-H50BPARCHK2 [T20642.00]Section: Health

{moth_alive}

If Answer = 0 Then Go To
Q11-H50SF12-1

Default Next:Q11-H50BPAR-6
Lead-In:Q11-H50BPARCHK1 [0:0], Q11-H50BPAR-4 [Default], Q11-H50BPAR-5 [Default]


Q11-H50BPAR-6 [T20643.00]Section: Health

Is your biological mother still alive?

 1   Yes   ...(Go To Q11-H50BPAR-9)
 0   No

If Answer >= -2 AND Answer <= -1 Then Go To
Q11-H50SF12-1

Default Next:Q11-H50BPAR-7
Lead-In:Q11-H50BPAR-1 [-2:-1], Q11-H50BPARCHK2 [Default]


Q11-H50BPAR-7 [T20644.00]Section: Health

What caused your biological mother's death?

 1   Heart Attack/Stroke
 2   Accident
 3   Cancer
 4   Old Age
 5   Emphysema
 6   Other (specify)


Q11-H50BPAR-8 [T20645.00]Section: Health

How old was she when she died?

ENTER AGE: 

Default Next:Q11-H50BPAR-9
Lead-In:Q11-H50BPAR-7 [Default]


Q11-H50BPAR-9 [T20646.00]Section: Health

{did_does_moth} your mother have any major health problems?

 1   Yes   ...(Go To Q11-H50BPAR-10)
 0   No

Default Next:Q11-H50SF12-1
Lead-In:Q11-H50BPAR-6 [1:1], Q11-H50BPAR-8 [Default]


Q11-H50BPAR-10 []Section: Health

What [are/were_moth] these problems?

Enter: 

Default Next:Q11-H50SF12-1
Lead-In:Q11-H50BPAR-9 [1:1]


Q11-H50SF12-1 []Section: Health

Next I will be asking you more specific questions about your health. This information will help keep track of how you feel and how well you are able to do your usual activities.

If you are unsure about how to answer, please give the best answer you can.

Default Next:Q11-H50SF12-2
Lead-In:Q11-H50BPARCHK2 [0:0], Q11-H50BPAR-6 [-2:-1], Q11-H50BPAR-9 [Default], Q11-H50BPAR-10 [Default]


Q11-H50SF12-2 [T20647.00]Section: Health

In general, would you say your health is ....

 1   Excellent
 2   Very Good
 3   Good
 4   Fair
 5   Poor

Default Next:Q11-H50SF12-3
Lead-In:Q11-H50SF12-1 [Default]


Q11-H50SF12-3 [T20648.00]Section: Health

The following items are activities you might do during a typical day. Does your health limit you in these activities?

......Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf?

 3   Yes, Limited a Lot
 2   Yes, Limited a Little
 1   No, Not Limited at All


Q11-H50SF12-3B [T20649.00]Section: Health

..... Climbing several flights of stairs?

 3   Yes, Limited a Lot
 2   Yes, Limited a Little
 1   No, Not Limited at All

Default Next:Q11-H50SF12-4
Lead-In:Q11-H50SF12-3 [Default]


Q11-H50SF12-4 [T20650.00]Section: Health

During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?

..... Accomplished less than you would like?

 1   Yes
 0   No


Q11-H50SF12-4B [T20651.00]Section: Health

.... Were limited in the kind of work or other activities?

 1   Yes
 0   No

Default Next:Q11-H50SF12-5
Lead-In:Q11-H50SF12-4 [Default]


Q11-H50SF12-5 [T20652.00]Section: Health

During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?

.... Accomplished less than you would like?

 1   Yes
 0   No


Q11-H50SF12-5B [T20653.00]Section: Health

.... Didn't do work or other activities as carefully as usual?

 1   Yes
 0   No

Default Next:Q11-H50SF12-6
Lead-In:Q11-H50SF12-5 [Default]


Q11-H50SF12-6 [T20654.00]Section: Health

During the past 4 weeks, how much did pain interfere with your normal work (including both work outside of the home and housework)?

 1   Not at all
 2   A little bit
 3   Moderately
 4   Quite a bit
 5   Extremely

Default Next:Q11-H50SF12-7
Lead-In:Q11-H50SF12-5B [Default]


Q11-H50SF12-7 [T20655.00]Section: Health

Thinking only of the past 4 weeks, please give the one answer that comes closest to the way you have been feeling. How often during the past 4 weeks....

.... have you felt calm and peaceful?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H50SF12-7B
Lead-In:Q11-H50SF12-6 [Default]


Q11-H50SF12-7B [T20656.00]Section: Health

.... Did you have a lot of energy?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H50SF12-7C
Lead-In:Q11-H50SF12-7 [Default]


Q11-H50SF12-7C [T20657.00]Section: Health

.... Have you felt down-hearted and blue?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H50SF12-8
Lead-In:Q11-H50SF12-7B [Default]


Q11-H50SF12-8 [T20658.00]Section: Health

During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H50CHRC_CHK1
Lead-In:Q11-H50SF12-7C [Default]


Q11-H50CHRC_CHK1 [T20659.00]Section: Health

{h40_bp_ht}==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

If Answer = 1 Then Go To
Q11-H50CHRC-1B

Default Next:Q11-H50CHRC-1
Lead-In:Q11-H50SF12-8 [Default]


Q11-H50CHRC-1 [T20660.00]Section: Health

Has a doctor ever told you that you have high blood pressure or hypertension?

 1   Yes   ...(Go To Q11-H50CHRC-1A)
 0   No

Default Next:Q11-H50CHRC_CHK2
Lead-In:Q11-H50CHRC_CHK1 [Default]


Q11-H50CHRC-1A [T20661.00]Section: Health

In what month and year was that first diagnosed?

(ENTER MONTH AND YEAR)

Enter Date:  
MonthYear 

Default Next:Q11-H50CHRC_CHK2
Lead-In:Q11-H50CHRC-1 [1:1]


Q11-H50CHRC-1B [T20662.00]Section: Health

Do you have high blood pressure or hypertension at the present time?

 1   Yes
 0   No

Default Next:Q11-H50CHRC_CHK2
Lead-In:Q11-H50CHRC_CHK1 [1:1]


Q11-H50CHRC_CHK2 [T20663.00]Section: Health

{h40_diabetes_hbs}==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

If Answer = 1 Then Go To
Q11-H50CHRC-2B

Default Next:Q11-H50CHRC-2
Lead-In:Q11-H50CHRC-1 [Default], Q11-H50CHRC-1A [Default], Q11-H50CHRC-1B [Default]


Q11-H50CHRC-2 [T20664.00]Section: Health

Has a doctor ever told you that you have diabetes or high blood sugar?

 1   Yes   ...(Go To Q11-H50CHRC-2A)
 0   No

Default Next:Q11-H50CHRC-3
Lead-In:Q11-H50CHRC_CHK2 [Default]


Q11-H50CHRC-2A [T20665.00]Section: Health

In what month and year was that first diagnosed?

ENTER MONTH AND YEAR:  
MonthYear 

Default Next:Q11-H50CHRC-3
Lead-In:Q11-H50CHRC-2 [1:1]


Q11-H50CHRC-2B [T20666.00]Section: Health

Has a doctor ever told you that you had skin cancer?

 1   Yes
 0   No

Default Next:Q11-H50CHRC-3
Lead-In:Q11-H50CHRC_CHK2 [1:1]


Q11-H50CHRC-3 [T20667.00]Section: Health

{h50_cancer_text1} a doctor ever told you that you have cancer or malignant tumor of any kind except skin cancer?

 1   Yes   ...(Go To Q11-H50CHRC-3A)
 0   No

Default Next:Q11-H50CHRC_CHK3
Lead-In:Q11-H50CHRC-2 [Default], Q11-H50CHRC-2A [Default], Q11-H50CHRC-2B [Default]


Q11-H50CHRC-3A [T20668.00]Section: Health

How many such cancers have you [Had/had since (date of 40+ Health Module)]?

ENTER # CANCERS: 
If Answer = 0 Then Go To
Q11-H50CHRC_CHK3

Default Next:Q11-H50CHRC-3AB
Lead-In:Q11-H50CHRC-3 [1:1]


Q11-H50CHRC-3AB []Section: Health

REPEAT

Default Next:Q11-H50CHRC-3B
Lead-In:Q11-H50CHRC-3A [Default]


Q11-H50CHRC-3B [T20669.00]Section: Health

In what month and year was [most recent/next most recent] cancer diagnosed?

ENTER MONTH AND YEAR:  
MonthYear 

Default Next:Q11-H50CHRC-3C
Lead-In:Q11-H50CHRC-3AB [Default]


Q11-H50CHRC-3C []Section: Health

In which organ or part of your body did this cancer occur?

Enter: 

Default Next:Q11-H50CHRC-3D
Lead-In:Q11-H50CHRC-3B [Default]


Q11-H50CHRC-3D [T20689.00]Section: Health

Do you currently have any such cancer?

 1   Yes
 0   No

Default Next:Q11-H50CHRC-3DB
Lead-In:Q11-H50CHRC-3C [Default]


Q11-H50CHRC-3DB []Section: Health

UNTIL ([Q11-loop3 counter]==[Number of cancers R reported] || [Number of cancers R reported]==0)

Default Next:Q11-H50CHRC_CHK3
Lead-In:Q11-H50CHRC-3D [Default]


Q11-H50CHRC_CHK3 [T20709.00]Section: Health

{r_asthma}==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

If Answer = 1 Then Go To
Q11-H50CHRC_CHK4

Default Next:Q11-H50CHRC-3E
Lead-In:Q11-H50CHRC-3A [0:0], Q11-H50CHRC-3 [Default], Q11-H50CHRC-3DB [Default]


Q11-H50CHRC-3E [T20710.00]Section: Health

Do you currently suffer from asthma?

 1   Yes
 0   No

Default Next:Q11-H50CHRC_CHK4
Lead-In:Q11-H50CHRC_CHK3 [Default]


Q11-H50CHRC_CHK4 [T20711.00]Section: Health

{h40_nonasthma_chroniclung}==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

If Answer = 1 Then Go To
Q11-H50CHRC-5

Default Next:Q11-H50CHRC-4
Lead-In:Q11-H50CHRC_CHK3 [1:1], Q11-H50CHRC-3E [Default]


Q11-H50CHRC-4 [T20712.00]Section: Health

Not including asthma, has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema?

 1   Yes
 0   No

Default Next:Q11-H50CHRC-5
Lead-In:Q11-H50CHRC_CHK4 [Default]


Q11-H50CHRC-5 [T20713.00]Section: Health

{h50_heart_text1} a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?

 1   Yes   ...(Go To Q11-H50CHRC-5A)
 0   No

Default Next:Q11-H50CHRC-6
Lead-In:Q11-H50CHRC_CHK4 [1:1], Q11-H50CHRC-4 [Default]


Q11-H50CHRC-5A [T20714.00]Section: Health

{h50_heart_text2} you have a heart attack or myocardial infarction?

 1   Yes   ...(Go To Q11-H50CHRC-5B)
 0   No

Default Next:Q11-H50CHRC-5C
Lead-In:Q11-H50CHRC-5 [1:1]


Q11-H50CHRC-5B [T20715.00]Section: Health

In what month and year did you have your [last] heart attack or myocardial infarction?

ENTER MONTH AND YEAR:  
MonthYear 

Default Next:Q11-H50CHRC-5C
Lead-In:Q11-H50CHRC-5A [1:1]


Q11-H50CHRC-5C [T20716.00]Section: Health

Do you currently have any angina or chest pains due to your heart?

 1   Yes
 0   No

Default Next:Q11-H50CHRC-6
Lead-In:Q11-H50CHRC-5A [Default], Q11-H50CHRC-5B [Default]


Q11-H50CHRC-6 [T20717.00]Section: Health

Has a doctor ever told you that you have congestive heart failure?

 1   Yes   ...(Go To Q11-H50CHRC-6A)
 0   No

Default Next:Q11-H50CHRC-7
Lead-In:Q11-H50CHRC-5 [Default], Q11-H50CHRC-5C [Default]


Q11-H50CHRC-6A [T20718.00]Section: Health

In what month and year was your congestive heart failure?

ENTER MONTH AND YEAR:  
MonthYear 

Default Next:Q11-H50CHRC-7
Lead-In:Q11-H50CHRC-6 [1:1]


Q11-H50CHRC-7 [T20719.00]Section: Health

{h50_stroke_text1} a doctor ever told you that you had a stroke?

 1   Yes   ...(Go To Q11-H50CHRC-7A)
 0   No

Default Next:Q11-H50CHRC-7B
Lead-In:Q11-H50CHRC-6 [Default], Q11-H50CHRC-6A [Default]


Q11-H50CHRC-7A [T20720.00]Section: Health

In what month and year did you last have a stroke?

ENTER MONTH AND YEAR:  
MonthYear 

Default Next:Q11-H50CHRC-7B
Lead-In:Q11-H50CHRC-7 [1:1]


Q11-H50CHRC-7B [T20721.00]Section: Health

Has a doctor ever diagnosed you as suffering from depression?

 1   Yes   ...(Go To Q11-H50CHRC-7C)
 0   No

Default Next:Q11-H50CHRC_CHK6
Lead-In:Q11-H50CHRC-7 [Default], Q11-H50CHRC-7A [Default]


Q11-H50CHRC-7C [T20722.00]Section: Health

In what month and year was your depression diagnosed?

ENTER MONTH AND YEAR:  
MonthYear 


Q11-H50CHRC-7D [T20723.00]Section: Health

During the last 12 months, have you suffered from depression?

 1   Yes
 0   No

Default Next:Q11-H50CHRC_CHK6
Lead-In:Q11-H50CHRC-7C [Default]


Q11-H50CHRC_CHK6 [T20724.00]Section: Health

{h40_psychiatric}==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

If Answer = 1 Then Go To
Q11-H50CHRC_CHK7

Default Next:Q11-H50CHRC-8
Lead-In:Q11-H50CHRC-7B [Default], Q11-H50CHRC-7D [Default]


Q11-H50CHRC-8 [T20725.00]Section: Health

Has a doctor ever told you that you had emotional, nervous, or psychiatric problems other than depression?

 1   Yes   ...(Go To Q11-H50CHRC-8A)
 0   No

Default Next:Q11-H50CHRC_CHK7
Lead-In:Q11-H50CHRC_CHK6 [Default]


Q11-H50CHRC-8A [T20726.00]Section: Health

In what month and year were your emotional, nervous or psychiatric problems diagnosed?

ENTER MONTH AND YEAR:  
MonthYear 


Q11-H50CHRC-8B [T20727.00]Section: Health

During the last 12 months, have you had any emotional, nervous, or psychiatric problems?

 1   Yes
 0   No

Default Next:Q11-H50CHRC_CHK7
Lead-In:Q11-H50CHRC-8A [Default]


Q11-H50CHRC_CHK7 [T20728.00]Section: Health

{h40_arthritis}==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

If Answer = 1 Then Go To
Q11-H50CHRC-9B

Default Next:Q11-H50CHRC-9
Lead-In:Q11-H50CHRC_CHK6 [1:1], Q11-H50CHRC-8 [Default], Q11-H50CHRC-8B [Default]


Q11-H50CHRC-9 [T20729.00]Section: Health

Have you ever had, or has a doctor ever told you that you have, arthritis or rheumatism?

 1   Yes   ...(Go To Q11-H50CHRC-9A)
 0   No

Default Next:Q11-H50CHRC-9B
Lead-In:Q11-H50CHRC_CHK7 [Default]


Q11-H50CHRC-9A [T20730.00]Section: Health

In what month and year was your arthritis or rheumatism diagnosed?

 1   ENTER MONTH AND YEAR   ...(Go To Q11-H50CHRC-9AB)
 0   NEVER DIAGNOSED

Default Next:Q11-H50CHRC-9B
Lead-In:Q11-H50CHRC-9 [1:1]


Q11-H50CHRC-9AB [T20731.00]Section: Health

(In what month and year was your arthritis or rheumatism diagnosed?)

ENTER MONTH AND YEAR:  
MonthYear 

Default Next:Q11-H50CHRC-9B
Lead-In:Q11-H50CHRC-9A [1:1]


Q11-H50CHRC-9B [T20732.00]Section: Health

Do you sometimes have pain, stiffness, or swelling in your joints?

 1   Yes
 0   No

Default Next:Q11-H50CHRC-9C
Lead-In:Q11-H50CHRC_CHK7 [1:1], Q11-H50CHRC-9 [Default], Q11-H50CHRC-9A [Default], Q11-H50CHRC-9AB [Default]


Q11-H50CHRC-9C [T20733.00]Section: Health

Has a doctor ever told you that you had osteoporosis?

 1   Yes
 0   No

Default Next:Q11-H50FL-1
Lead-In:Q11-H50CHRC-9B [Default]


Q11-H50FL-1 [T20734.00]Section: Health

Do you currently use any special equipment to aid you in your usual activities? By this we mean things such as hearing aids, wheelchairs, scooters, canes, protheses, or special telephones. Please do not include eyeglasses or false teeth.

 1   Yes
 0   No

Default Next:Q11-H50FL-2
Lead-In:Q11-H50CHRC-9C [Default]


Q11-H50FL-2 [T20735.00]Section: Health

We are interested in how much difficulty people have with various activities because of a health or physical problem. How difficult is it for you to…

 - ... Run a mile?
 - … Walk several blocks?
 - … Walk one block?
 - ... Sit for about 2 hours?
 - ... Get up from a chair after sitting for long periods?
 - ... Climb several flights of stairs without resting?
 - ... Climb one flight of stairs without resting?
 - ... Lift or carry weights OVER 10 pounds, like a heavy bag of groceries?
 - ... Stoop, kneel, or crouch?
 - ... Pick up a dime from a table?
 - ... Reach or extend your arms above shoulder level?
 - ... Pull or push large objects like a living room chair?
 1   Not at all difficult for you
 2   A little difficult
 3   Somewhat difficult
 4   Very difficult/can't do
 5   Don't do

Default Next:Q11-H50SLP-1
Lead-In:Q11-H50FL-1 [Default]


Q11-H50SLP-1 [T20736.00]Section: Health

How much sleep do you usually get at night (or in your main sleep period) on weekdays or workdays?

ENTER # HOURS: 


Q11-H50SLP-1B [T20737.00]Section: Health

ENTER # MINUTES: 

Default Next:Q11-H50SLP-2
Lead-In:Q11-H50SLP-1 [Default]


Q11-H50SLP-2 [T20738.00]Section: Health

How much sleep do you usually get at night (or in your main sleep period) on weekends or your nonworkdays?

ENTER # HOURS: 


Q11-H50SLP-2B [T20739.00]Section: Health

ENTER # MINUTES: 

Default Next:Q11-H50SLP-3
Lead-In:Q11-H50SLP-2 [Default]


Q11-H50SLP-3 [T20740.00]Section: Health

How long does it usually take you to fall asleep at bedtime?

ENTER # HOURS: 


Q11-H50SLP-3B [T20741.00]Section: Health

ENTER # MINUTES: 

Default Next:Q11-H50SLP-4
Lead-In:Q11-H50SLP-3 [Default]


Q11-H50SLP-4 [T20742.00]Section: Health

During a usual week, how many times do you nap for 5 minutes or more?

ENTER # TIMES: 

Default Next:Q11-H50SLP-5
Lead-In:Q11-H50SLP-3B [Default]


Q11-H50SLP-5 [T20743.00]Section: Health

How often do you…

 - … have trouble falling asleep?
 - … wake up during the night and have trouble going back to sleep?
 - … wake up too early in the morning and be unable to get back to sleep?
 - … feel unrested during the day, no matter how many hours of sleep you had?
 1   Almost always (4+ times per week)
 2   Often (2-3 times per week)
 3   Sometimes (2-4 times per week)
 4   Rarely or never (once a month or less)

Default Next:Q11-H50OPEN-1
Lead-In:Q11-H50SLP-4 [Default]


Q11-H50OPEN-1 [T20744.00]Section: Health

Is there anything else you want to tell us about your health?

 1   Yes   ...(Go To Q11-H50OPEN-1A)
 0   No

Default Next:CIG_CHK1
Lead-In:Q11-H50SLP-5 [Default]


Q11-H50OPEN-1A []Section: Health

(INTERVIEWER: RECORD VERBATIM RESPONSE.)

Enter: 

Default Next:CIG_CHK1
Lead-In:Q11-H50OPEN-1 [1:1]