The Changing Lives of Older Couples Study

Wave I Control Follow-up Survey

CODEBOOK

 

                                   Facesheet

                                      

 

VAR #

 

  1001      FS.    Seq.#/CASE ID                                          

 

 

 

  1002      FS.    Respondent # -- 1st 4 digits (CLOC ID#)                

 

 

 

  1003      FS.    Respondent # -- last 2 digits, preprinted as 61        

 

 

 

[V1004:  BUILD 6-digit Respondent ID# (V1002+V1003)]

 

 

 

  1005      FS.    Result Code                                            

 

01.  Complete I'v

03.  Complete Telephone I'v

 

05.  Partial I'v

07.  Partial Telephone I'v

 

 

 

  1006      FS.    Respondent "history":  2 digits                        

 

Code 1st 2-digit # precoded on Facesheet

 

 

 

  1007      FS.    Matched Case ID # -- first 4 digits                    

 

 

 

  1008      FS.    Matched Case ID#, preprinted as 11                     

 

 

 

[V1009:  BUILD 6-digit ID# (V1007+V1008)]

 

 

 

  1010      FS.    "History" of person to whom R is matched:  2 digits    


Code last 2-digit # precoded on Facesheet

 

 

 

  1011      FS1.   INTERVIEWER's ID# (4 digits from label)                

 

 

 

 1012       FS2.   Interview No.: (2 digits from box)                     

 

99.  NA

 

 

 

 1013       FS3.   Date of Interview--MONTH                               

 

Code MONTH (01-12)

 

 

 

 1014       FS3.   Date of Interview--DAY                                 

 

Code DAY (01-31)

 

 

 

 1015       FS3.   Date of Interview--YEAR                                

 

Code 4-digit YEAR (1988-1995)

 

 

 

 1016       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.

 

 

 

1101        A1.    SUMMARY # Persons in HOUSEHOLD                         

┌──────────────┐

0 in 1105-1131├─────01.  One            ┌──────────────┐

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

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

0 in 1108-1131├─────02.  Two                               (01-20).     

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

┌──────────────┐

0 in 1111-1131├─────03.  Three

└──────────────┘

┌──────────────┐

0 in 1114-1131├─────04.  Four

└──────────────┘

┌──────────────┐

0 in 1117-1131├─────05.  Five

└──────────────┘

┌──────────────┐

0 in 1120-1131├─────06.  Six

└──────────────┘

┌──────────────┐

0 in 1123-1131├─────07.  Seven

└──────────────┘

┌──────────────┐

0 in 1126-1131├─────08.  Eight

└──────────────┘

┌──────────────┐

0 in 1129-1131├─────09.  Nine

└──────────────┘

  10.  Ten

    .

    .

    .

  20.  Twenty

 

  99.  NA


 

 

1102(#1)    A1(a). MEMBERS OF THE HOUSEHOLD BY RELATIONSHIP TO RESPONDENT 

1105(#2)

1108(#3)           Partner/Spouse

1111(#4)          

1114(#5)           01.   RESPONDENT

1117(#6)           02.   Spouse of R

1120(#7)           03.   Partner of R

1123(#8)

1126(#9)           Child

1129(#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


 

 

1102(#1)    A1(a). Continued                                              

1105(#2)

1108(#3)           Other Relatives

1111(#4)          

1114(#5)           40.   Grandchild/great grandchild, NA sex

1117(#6)           41.   Grandson; great grandson

1120(#7)           42.   Granddaughter; great granddaughter

1123(#8)           43.   Nephew

1126(#9)           44.   Niece

1129(#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

 

 

 

 

1103(#1)    A1(b). SEX                                                    

1106(#2)

1109(#3)           1.  Male

1112(#4)           2.  Female

1115(#5)

1118(#6)           9.  NA

1121(#7)

1124(#8)           0.  Inap, no further persons listed

1127(#9)

1130(#10)

 

 

 

 

 


1104(#1)    A1(c). AGE                                                    

1107(#2)

1110(#3)           Code AGE (01-97)

1113(#4)

1116(#5)           01.  One year or less

1119(#6)

1122(#7)           97.  97 years or more

1125(#8)

1128(#9)           98.  DK

1131(#10)          99.  NA

 

 

 

 

[V1132-V1133:  BUILD = 0]

 

 


 

                                      

SECTION C:  PARENTING

 

 

VAR #

 

The next questions are about children.

 

1501        C1.    Do you have any children who are not living here with you at the present time?  Please include adopted children or

stepsons and stepdaughters not living here.            

 

 1.  YES

┌─────────┐

0 in 1502├──────── 5.  NO, NO CHILDREN ELSEWHERE

└─────────┤

          └─────────9.  NA

        

 

 

1502        C1a.   How many do not live with you?          

 

Code NUMBER (01-20)

 

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 1501

 

 

 

1503        C2.    Altogether, how many living children do you have?  Again, please include any adopted children or stepsons and

stepdaughters you may have.                            

 

  Code NUMBER (01-20), except:

 

  98.  DK

  99.  NA

┌──────────────┐

0 in 1504-1525├─────00.  NONE

└──────────────┘

 

 

 

1504        C2a.   INTERVIEWER CHECKPOINT                                 

 

 1.  R ONLY HAS ONE CHILD             

┌─────────┐

0 in 1505├─────────2.  ALL OTHERS

└─────────┘

 0.  Inap, 00 in 1503

 

 

 

 

 


 

 

1505        C2b.   Is this a son or daughter?                             

 

1.  SON

2.  DAUGHTER

 

9.  NA

 

0.  Inap, 00 in 1503; 2 in 1504

 

 

 

1506        C3.    INTERVIEWER CHECKPOINT                  

┌──────────────┐

0 in 1507-1510├─────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 1503

 

 

 

1507        C4/C5. Think about your (son/daughter/children) who (does/do) not live with you.  Does (he/she/how many of your children)

live within an hour's drive of here?                   

01.  YES (to C4); One (to C5)

 

02-20.

 

96.  NO (to C4); NONE (to C5)

 

98.  DK

99.  NA

 

00.  Inap, 00 in 1503; 1 in 1506

 

 

 

1508        C4a/C5a.  (RB, P. 1) In the past 12 months, how often did you have

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

once a month or never?                                 

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK

3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH

5.  NEVER

 

8.  DK

9.  NA

 


0.  Inap, 00 in 1503; 1 in 1506

 

[V1509-V1510:  BUILD = 0]

 

 

1511        C6.    INTERVIEWER CHECKPOINT                  

 

1.  R HAS ONLY ONE CHILD

2.  R HAS TWO OR MORE CHILDREN

 

0.  Inap, 00 in 1503

 

 

 

1512        C7/C16.  (RB, P. 2)  How much do your children make you feel loved

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

some, a little, or not at all?                         

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

1513        C8/C17.  (RB, STILL ON P. 2) How much do you feel they make too

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

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

1514        C9/C18.  (RB, STILL ON P. 2) How much do you feel you make too

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

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 


8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

 

1515        C10/C19. (RB, STILL ON P. 2) How much are they willing to listen

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

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

1516        C11/C20. (RB, STILL ON P. 2) How much are they critical of you or

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

some, a little, or not at all?)                        

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

1517        C12/C21. (RB, P. 3) At this point in your life, how satisfied are

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

somewhat, not very, or not at all satisfied?           

 

1.  COMPLETELY SATISFIED

2.  VERY SATISFIED

3.  SOMEWHAT SATISFIED

4.  NOT VERY SATISFIED

5.  NOT AT ALL SATISFIED

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 


 

 

 

 

 

 

 

 

 

 

1518        C13/C22. Not using the booklet--How often do you feel bothered or

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

rarely, or never?                                      

 

1.  ALMOST ALWAYS

2.  OFTEN

3.  SOMETIMES

4.  RARELY

5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

1519        C14a/C23a. (RB, P. 4) How much do your children depend on you for

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

not at all?                                            

 

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

2.  SOME                                 USE SAME CODE 

3.  A LITTLE                             FOR V1520-1524

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

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

1520        C14b/C23b. How much do they depend on you for help or advice with

financial and legal matters?                           

 

 

1521        C14c/C23c. How much do they depend on you for help with errands,

babysitting or other chores?                           

 

 

1522        C14d/C23d. How much do you depend on your children for emotional

support?                                               

 

 

1523        C14e/C23e. How much do you depend on them for help or advice with


financial and legal matters?                           

 

 

1524        C14f/C23f. How much do you depend on them for help with errands or

other chores?                                          

 

 

 

 

 

 

 

 

 

 

1525        C15/C24. (RB, P. 5) At this point in your life, how often do you

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

or never?                                              

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK

3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH

5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1503

 

 

 

1526        C25.   How many grandchildren do you have, if any?

 

 01.  ONE

 

 02-40.

 

 98.  DK

 99.  NA

┌─────────┐

0 in 1527├─────────00.  NONE

└─────────┘

 

 

 

1527        C25a/C25b. (RB,[STILL ON]P. 5) How often do you see your

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

once a month, or never?)                               

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK

3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH


5.  NEVER

 

8.  DK

9.  NA

 

0.  Inap, 00 in 1526

 

 

 

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

 

 

 

 

 

SECTION D:  SOCIAL SUPPORT

 

 

 

1528        D1.    Is there anyone in your life with whom you can really

share your very private feelings and concerns?         

 

  1.  YES

┌──────────────┐

0 in 1529-1540├─────5.  NO

└──────────────┤

               ├─────8.  DK

               └─────9.  NA

 

 

 

1529        D1a.   How many such people are there?                        

 

Code NUMBER (01-95)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 1528

 

 

 

[V1530-V1540:  BUILD = 0]

 

 

1541        D7.    (RB, P. 6)  The next questions are about friends and relatives other than your (husband/wife) or your children.  On the whole, how much do your friends and relatives make you feel loved and cared for?  Would you say a great deal,

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE


5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

1542        D8.    (RB, STILL ON P. 6) How much do you feel your friends and relatives make too many demands on you?  (Would you say a

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

1543        D9.    (RB, STILL ON P. 6) How much are your friends and relatives willing to listen when you need to talk about your worries or problems(--a great deal, quite a bit,

some, a little, or not at all)?                        

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

1544        D10.   (RB, STILL ON P. 6) How much are they critical of you or what you do?  (Would you say a great deal, quite a bit,

some, a little, or not at all?)                        

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 


 

 

SECTION F:  COPING WITH PROBLEMS

 

 

VAR #

 

 

[V1701-V1716:  BUILD = 0]

 

 

1717        F4.    (RB, P. 7)  During the past month, have you been bothered by having to plan or fix meals and eat on your own?  Would you say no, never; yes, but rarely; yes, sometimes; or

yes, often?                                            

 

 1.  NO, NEVER

┌─────────┐

0 in 1718├─────────2.  YES, BUT RARELY

└─────────┼─────────3.  YES, SOMETIMES

          └─────────4.  YES, OFTEN

 

 8.  DK

 9.  NA

 

 

 

1718        F4a.   Have you ever been bothered by having to plan or fix meals or eat on your own around the house since your

(husband/wife) died?                                   

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 2-4 in 1717

 

 

 

1719        F5.    (RB, STILL ON P. 7)  During the past month, have you experienced problems keeping up with things around the house such as cleaning, paying bills, maintenance of your home and car or doing laundry?  (Would you say no, never;

yes, but rarely; yes, sometimes; or yes, often?)       

 

 1.  NO, NEVER

┌─────────┐

0 in 1720├─────────2.  YES, BUT RARELY

└─────────┼─────────3.  YES, SOMETIMES

          └─────────4.  YES, OFTEN

 

 8.  DK

 9.  NA

 

 

 


 

 

 

1720        F5a.   Have you ever had any problem with keeping up with things

around the house since your (husband/wife) died?       

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 2-4 in 1719

 

 

 

1721        F6.    (RB, STILL ON P. 7)  During the past month, have you been bothered by having to handle such things as your (husband's/wife's) estate, arranging for credit or dealing with insurance companies or agencies like Blue Cross or Social Security?  (Would you say no, never; yes, but

rarely; yes, sometimes; or yes, often?)                

 

 1.  NO, NEVER

┌─────────┐

0 in 1722├─────────2.  YES, BUT RARELY

└─────────┼─────────3.  YES, SOMETIMES

          └─────────4.  YES, OFTEN

 

 8.  DK

 9.  NA

 

 

 

1722        F6a.   Have you ever been bothered by any of these problems since

your (husband/wife) died?                              

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 2-4 in 1721

 

 

 

1723        F7.    (RB, STILL ON P. 25)  During the past month, have you been troubled by having to make major decisions without your (husband/wife), such as decisions about major purchases or whether or not to move?  (Would you say no, never; yes,

but rarely; yes, sometimes; or yes, often?)            

 

  1.  NO, NEVER

┌──────────────┐

0 in 1724-1725├─────2.  YES, BUT RARELY

└──────────────┼─────3.  YES, SOMETIMES


               └─────4.  YES, OFTEN

 

  8.  DK

  9.  NA

 

 

 

1724        F7a.   Have you had to make any major decisions since your

(husband's/wife's) death?                              

 

1.  YES

┌─────────┐    

0 in 1725├─────────5.  NO

└─────────┤      

          ├─────────8.  DK

          └─────────9.  NA

 

0.  Inap, 2-4 in 1723

 

 

 

1725        F7b.   Have you ever been bothered by having to make major

decisions since your (husband/wife) died?              

 

1.  YES

5.  NO

 

8.  DK

9.  NA

 

0.  Inap, 2-4 in 1723; 5, 8-9 in 1724

 

 

 

[V1726-V1728:  BUILD = 0]

 


 

 

SECTION G:  MARRIAGE

 

 

VAR #

 

[V1801-V1839:  BUILD = 0]

 

 

1840        G1.    Please tell me a little about what your (husband/wife) was like.  (GIVE RESPONDENT TIME TO GIVE A FULL ANSWER: DO NOT

PROBE.)                                                

 

Summarize R's answer to G1 using following code.  Ignore "neutral" mentions if any positive or negative mentions given.

 

11.   Clearly positive mentions only

 

 

 

31.   Mixed positive and negative mentions

 

 

 

51.   Clearly negative mentions only

 

 

 

71.   Neutral mentions only--no clearly positive or negative mentions given

 

 

 

 

 

 

96.   Refused; doesn't want to/can't talk about spouse

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA


 

 

1841        G2.    Next, I have some questions about your marriage and your relationship with your (husband/wife).  In what year did you and your (husband/wife) get married?  (IF DK: How long

have you been married?)--YEAR WHEN MARRIED             

 

Code YEAR WHEN MARRIED (1930-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, YEAR not given

 

 

 

1842        G2.    In what year did you and your (husband/wife) get married?

--# YEARS OF MARRIAGE                                  

 

Code # YEARS OF MARRIAGE (01-65)

 

98.  DK

99.  NA

 

00.  Inap, # YEARS not given

 

 

 

1843        G3.    (RB, P. 6)  How much does your (husband/wife) make you feel loved and cared for?  Would you say a great deal, quite a bit, some, a little, or not at all?  Just give me

the number from the booklet.                           

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

1844        G4.    (RB, STILL ON P. 6) How much do you feel (he/she) makes too many demands on you?  (Would you say a great deal,

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 


 

 

 

1845        G5.    (RB, STILL ON P. 6) How much is (he/she) willing to listen when you need to talk about your worries or problems--(a

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

1846        G6.    (RB, STILL ON P. 6) How much are you willing to listen when your (husband/wife) needs to talk about (his/her) worries or problems--(a great deal, quite a bit, some, a

little, or not at all)?                                

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

1847        G7.    (RB, STILL ON P. 6) How much do you think you make your (husband/wife) feel loved and cared for?--(a great deal,

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

 

 

1848        G8.    (RB, P. 8)  How often would you say you and your (husband/wife) typically have unpleasant disagreements or conflicts?  Would you say more than once a week, about once a week, 1 to 3 times a month, less than once a month,

or never?                                              

 

1.  MORE THAN ONCE A WEEK

2.  ABOUT ONCE A WEEK


3.  1 TO 3 TIMES A MONTH

4.  LESS THAN ONCE A MONTH

5.  NEVER

 

8.  DK

9.  NA

 

 

1849        G9.    (RB, P. 9)  Please tell me how true the next two statements are.  My (husband/wife) does not treat me as well as I deserve to be treated.  Is this very true,

somewhat true, a little true, or not true at all?      

 

1.  VERY TRUE

2.  SOMEWHAT TRUE

3.  A LITTLE TRUE

4.  NOT TRUE AT ALL

 

8.  DK

9.  NA

 

 

 

1850        G10.   (RB, STILL ON P. 28)  I do not treat my (husband/wife) as well as (he/she) deserves to be treated.  (Is this very

true, somewhat true, a little true, or not true at all?)      

 

1.  VERY TRUE

2.  SOMEWHAT TRUE

3.  A LITTLE TRUE

4.  NOT TRUE AT ALL

 

8.  DK

9.  NA


 

 

SECTION H:  SELF DESCRIPTION

 

                                      

VAR #

 

H1.    (RB, STILL ON P. 9) Please tell me how true the following statements are as they apply to you now.

 

1901        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 V1902-1908

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

 

8.  DK

9.  NA

 

 

1902        H2.    At times I think I am no good at all.                  

 

 

1903        H3.    I wish I could have more respect for myself.           

 

 

1904        H4.    All in all, I am inclined to feel that I am a failure. 

 

 

1905        H5.    I feel I am a person of worth, at least equal with others.    

 

 

1906        H6.    I have never worried about having a painful disease.   

 

 

1907        H7.    Funerals sometimes upset me.                           

 

 

1908        H8.    I am afraid of dying of cancer.                        

 

 

 

[V1909-V1952: BUILD = 0]


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

                                      

VAR #

 

 

2001        J1.    (RB, P. 10) 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.

 

2002        J2a.   Have you had arthritis or rheumatism?   

 

1.  YES            ┌──────────────┐

5.  NO                                   USE SAME CODE

                                         FOR V2003-2009

8.  DK            └──────────────┘

9.  NA

 

 

2003        J2b.   During the last 6 months, have you had a lung disease? 

 

 

2004        J2c.   Have you had hypertension, sometimes called high blood

pressure, or have you taken medication for it?         

 

 

2005        J2d.   Have you had a heart attack or other heart trouble during

the last 6 months?                                     

 

 

2006        J2e.   Have you had diabetes or high blood sugar, or have you

taken medication for it?                               

 

 

2007        J2f.   Have you had a stroke during the last 6 months?        

 

 


2008        J2g.   Have you had any broken or fractured bones?            

 

 

2009        J2h.   Have you lost any amount of urine beyond your control

during the last 6 months?                              


 

 

2010        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 2011-2013├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

2011        J3a.   What kind of cancer or malignant tumor did you have? (In

2012               what part of your body did it start?)                  

2013

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 2010;

     lymphoma (exc. 25)           no further mentions


 

 

2014        J4.    In the past 6 months, have you had any major health

problems that I haven't asked you about?

 

1.  YES

┌──────────────┐

0 in 2015-2017├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

2015        J4a.  What are they?                                          

2016

2017               Use HEALTH CONDITION MASTER CODE

 

000.  Inap, 5, 8-9 in 2014; no further mention

 

 

 

2018        J5.    INTERVIEWER CHECKPOINT                  

┌──────────────┐

0 in 2201-2255├───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.

 

2201        J5.    SUMMARY                                                

 

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

┌──────────────┐

0 in 2211-2255├───01.  One

└──────────────┘

┌──────────────┐

0 in 2220-2255├───02.  Two

└──────────────┘

┌──────────────┐

0 in 2229-2255├───03.  Three

└──────────────┘

┌──────────────┐

0 in 2238-2255├───04.  Four

└──────────────┘

┌──────────────┐

0 in 2247-2255├───05.  Five

└──────────────┘

06.  Six

  .

  .

  .

14.  Fourteen

 

99.  NA (see Supervisor before using)

 

00.  Inap, 1 in 2018


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

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

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

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

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

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

 

2202(#1)           CONDITION TYPE (from top of column)                    

2211(#2)

2220(#3)           01.   (J2a) ARTHRITIS/RHEUMATISM

2229(#4)           02.   (J2b) LUNG DISEASE

2238(#5)           03.   (J2c) HYPERTENSION/HIGH BLOOD PRESSURE

2247(#6)           04.   (J2d) HEART TROUBLE

05.   (J2e) DIABETES/HIGH BLOOD SUGAR

06.   (J2f) STROKE

07.   (J2g) BROKEN OR FRACTURED BONES

08.   (J2h) LOSS OF URINE BEYOND CONTROL

09.   (J3a) CANCER

 

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

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

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

 

 

00.   Inap, 1 in 2018; no further conditions

 

 

 

2203(#1)    J6.    Were you hospitalized during the last 12 months for

2212(#2)           (CONDITION)?                                           

2221(#3)

2230(#4)           1.  YES

2239(#5)           5.  NO

2248(#6)

8.  DK

9.  NA

 

0.  Inap, 1 in 2018; no further conditions

 


 

 

2204(#1)    J7.    Did (CONDITION) start in the last 12 months or was it

2213(#2)           going on before that?                                  

2222(#3)  ┌─────────┐

2231(#4)  0 in     ├───1.  STARTED IN LAST 6 MONTHS

2240(#5)  J8-J9a  

2249(#6)  for this

          condition

          └─────────┘

          ┌─────────┐

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

          2 vars  

          └─────────┼───8.  DK

                    └───9.  NA

 

     0.  Inap, 1 in 2018; no further conditions

 

 

 

2205(#1)    J7a.   In what month did it start? (RECORD YEAR, ALSO.)--MONTH

2214(#2)

2223(#3)           Code MONTH (01-12)

2232(#4)

2241(#5)           98.  DK

2250(#6)           99.  NA

 

00.  Inap, 1 in 2018; 2, 8-9 in J7 for this condition;

     no further conditions

 

 

 

2206(#1)    J7a.   In what month did it start? (RECORD YEAR, ALSO.)--YEAR 

2215(#2)

2224(#3)           Code YEAR (1987-1995)

2233(#4)

2242(#5)           9998.  DK

2251(#6)           9999.  NA

 

0000.  Inap, 1 in 2018; 2, 8-9 in J7 for this condition;

       no further conditions

 

 

 

 

2207(#1)    J8.    In the past 12 months, has your (CONDITION) become better,

2216(#2)           stayed about the same, or become worse?                

2225(#3)

2234(#4)           1.  BETTER

2243(#5)           2.  SAME

2252(#6)           3.  WORSE

 

8.  DK

9.  NA

 

0.  Inap, 1 in 2018; 1 in J7 for this condition;

    no further conditions


 

 

 

 

 

2208(#1)    J9.    Did your (CONDITION) start since we last interviewed you

2217(#2)           in (MONTH, YEAR <SEE COVERSHEET>), or was it going on

2226(#3)           before that?                                           

2235(#4)  ┌──────┐

2244(#5)  0 in  ├─1.  BEFORE

2253(#6)  next 

          2 vars

          └──────┘

2.  AFTER

 

8.  DK

9.  NA

 

0.  Inap, 1 in 2018; 1 in J7 for this condition;

    no further conditions

 

 

 

 

2209(#1)    J9a.   In about what month and year did it start?--MONTH      

2218(#2)

2227(#3)           Code MONTH (01-12)

2236(#4)

2245(#5)           98.  DK

2254(#6)           99.  NA

 

00.  Inap, 1 in 2018; 1 in J7 or J9 for this condition;

     no further conditions

 

 

 

2210(#1)    J9a.   In about what month and year did it start?--YEAR       

2219(#2)

2228(#3)           Code YEAR (1987-1995)

2237(#4)

2246(#5)           9998.  DK

2255(#6)           9999.  NA

 

0000.  Inap, 1 in 2018; 1 in J7 or J9 for this condition;

       no further conditions


 

 

SECTION J:  HEALTH AND LIMITATION OF ACTIVITIES

 

 

VAR #

 

 

2301        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

 

 

 

2302        J11.   Do you currently have any difficulty bathing by yourself?

 

1.  YES

┌─────────┐

0 in 2303├────────5.  NO

└─────────┤

          └────────9.  NA

           

 

 

2303        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 2304-2311├───3.  A LOT

└──────────────┴───4.  CANNOT DO

 

8.  DK

9.  NA

 

0.  Inap, 5 or 9 in 2302

 

 

 

2304        J12.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 2305-2311├───1.  R ANSWERED "YES" (BOX WITH DOUBLE LINE) TO J10

└──────────────┘

                   2.  ALL OTHERS

 

0.  Inap, 3-4 in 2303

 

 

 

 

 

 

 


 

 

 

2305        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 2306├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 2303; 1 in 2304

 

 

 

2306        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 2303; 1 in 2304; 5, 8-9 in 2305

 

 

 

2307        J14.   Do you currently have any difficulty walking several

blocks because of your health?                         

 

1.  YES

3.  VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

0 in 2308├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 2303; 1 in 2304

 

 

 

2308        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 2303; 1 in 2304; 5, 8-9 in 2307

 

 

 

 

2309        J15.   INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 2310-2311├───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 2303; 1 in 2304

 

 

 

2310        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 2311├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

0.  Inap, 3-4 in 2303; 1 in 2304 or 2309

 

 

 

2311        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 2303; 1 in 2304 or 2309; 5, 8-9 in 2310

 

 

 

2312        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

 

 

 

 

 

 

 

 

2313        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

 

 

 

2314        J19.   On how many days out of the past 30 did you take

medication to help you sleep?                          

 

Code DAYS (01-30), except:

 

98.  DK

99.  NA

 

00.  NONE

 

 

 

[V2315:  BUILD = 0]

 

 

 

2316        J21.   (Not counting medication to help you sleep,) On how many days out of the past 30 did you take any medication to

make you feel more relaxed and calm?                   

 

Code DAYS (01-30), except:

 

98.  DK

99.  NA

 

00.  NONE

 

 

 

[V2317:  BUILD = 0]

 

 

 


2318        J23.   How many hours of sleep do you usually get in a 24-hour

period, including naps?                                

 

Code number of HOURS (01-16)

 

98.  DK

99.  NA

 

 

 

 

 

 

2319        J24.   About how much do you weigh?            

 

Code number of POUNDS (060-399)

 

998.  DK

999.  NA

 

 

 

2320        J25.   Do you smoke cigarettes now?                           

 

1.  YES

┌─────────┐

0 in 2321├────────5.  NO

└─────────┤

          └────────9.  NA

 

 

 

2321        J25a.  On the average, how many cigarettes or packs do you

usually smoke in a day?                                

 

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

                                         Convert #     

95.  95 or more                          packs: 1 pack 

                                         = 20 cigarettes

98.  DK            └───────────────┘

99.  NA

 

00.  Inap, 5 or 9 in 2320

 

 

 

2322        J26.   Do you ever drink beer, wine, or liquor?

 

1.  YES

┌──────────────┐

0 in 2323-2324├───5.  NO

└──────────────┤

               └───9.  NA

               

 

 

1323        J26a.  During the last 30 days, on how many days did you drink


beer, wine or liquor?                                  

 

Code number of DAYS PER MONTH (01-30)   

┌─────────┐

0 in 2324├────────96.  NONE

└─────────┘

98.  DK            ┌────────────────┐

99.  NA                                  Convert to days/

                                         month: 1 day/wk

00.  Inap, 5 or 9 in 2322                = 4.3 days/month

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

 

 

 

 

 

 

2324        J26b.  On days that you drink, how many cans of beer, glasses of

wine, or drinks of liquor do you usually have?         

 

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

                                         Hard liquor   

98.  DK                                  only:         

99.  NA                                  Pint=12 drinks

                                         Fifth=17 drinks

00.  Inap, 5 or 9 in 2322; 96 in 2323    Quart=21 drinks

                   └───────────────┘

 

 

 

2325        J27.   (RB, P. 11)  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 2326-2331├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

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

2326        J27a.  A. CHILD                                               

 

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

5.  Not checked                          USE SAME CODE

                                         FOR V2327-2331

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

 

0.  Inap, 4, 8-9 in 2325

 

 

 


2327        J27a.  B. OTHER RELATIVE                                      

 

2328        J27a.  C. FRIEND OR NEIGHBOR                                  

 

2329        J27a.  D. PROFESSIONAL                                        

 

2330        J27a.  E. OTHER(S)                                            

 

2331        J27a.  F. SPOUSE                                              

 

 

 

 

 

 

 

 

 

 

 

 

2332        J28.   (RB, STILL ON P. 11)  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 2333-2339├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

2333        J29.   (RB, STILL ON P. 11)  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 2334-2339├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 4, 8-9 in 2332

 

 

 

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


2334        J29a.  A. CHILD                                               

 

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

5.  Not checked                          USE SAME CODE

                                         FOR V2335-2339

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

 

0.  Inap, 4, 8-9 in 2332 or 2333

 

 

 

2335        J29a.  B. OTHER RELATIVE                                      

 

2336        J29a.  C. FRIEND OR NEIGHBOR                                  

 

2337        J29a.  D. PET                                                 

 

2338        J29a.  E. OTHER(S)                                            

 

2339        J29a.  F. SPOUSE                                              

 

 

 

 

 

 

 

2340        J30.   (RB, STILL ON P. 11)  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

 

 

 

2341        J31.   Do you have to take medications regularly, eat a special diet for health reasons, or use other health care

treatments at home on a regular basis?                 

 

1.  YES

┌──────────────┐

0 in 2342-2348├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 


2342        J31a.  (RB, STILL ON P. 11) 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 2343-2348├───4.  NEVER

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5, 8-9 in 2341

 

 

 

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

2343        J31b.  A. CHILD                                               

 

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

5.  Not checked                          USE SAME CODE

                                         FOR V2344-2348

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

 

0.  Inap, 5, 8-9 in 2341; 4, 8-9 in 2342

 

 

 

 

 

 

 

 

 

 

2344        J31b.  B. OTHER RELATIVE       (A. RELATIVE in Questionnaire) 

 

2345        J31b.  C. FRIEND OR NEIGHBOR   (B. in Questionnaire)          

 

2346        J31b.  D. VOLUNTEER AGENCY     (C. in Questionnaire)          

 

2347        J31b.  E. OTHER(S)             (D. in Questionnaire)          

 

2348        J31b.  F. SPOUSE               (E. in Questionnaire)          

 

 


 

 

SECTION K:  WELL-BEING

 

                                      

VAR #

K1.    (RB, P. 12)  Please tell me how often the following things happened to you during the past week.

 

2401        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 V2402-2411

                   └──────────────┘

8.  DK

9.  NA

 

 

2402        K1b.   During the past week, I felt that everything I did was an

effort.                                                

 

 

2403        K1c.   My sleep was restless.                                 

 

 

2404        K1d.   During the past week, I was happy.                     

 

 

2405        K1e.   I felt lonely.                                         

 

 

2406        K1f.   During the past week, people were unfriendly.          

 

 

2407        K1g.   I enjoyed life.                                        

 

 

2408        K1h.   During the past week, I did not feel like eating.  My

appetite was poor.                                     

 

2409        K1j.   I felt sad.                                            

 

 

2410        K1k.   During the past week, I felt that people disliked me.  

 

 

2411        K1m.   I could not get "going".                               

 


 

 

 

 

 

 

 

 

 

 

 

 

K2.    (RB, P. 13)  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.

 

2412        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 V2413-2421

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

5.  EXTREMELY

 

8.  DK

9.  NA

 

 

2413        K2b.   Trembling?                                             

 

 

2414        K2c.   Feeling suddenly scared for no reason?                 

 

 

2415        K2d.   Feeling fearful?                                       

 

 

2416        K2e.   Heart pounding or racing?                              

 

 

2417        K2f.   How much have you been bothered by feeling tense and keyed

up in the past seven days?                             

 

 

2418        K2g.   Spells of terror and panic?                            

 

 

2419        K2h.   Feeling so restless you couldn't sit still?            

 

 


2420        K2j.   Feeling that something bad is going to happen to you?  

 

 

2421        K2k.   Thoughts and images of a frightening nature?           

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

K3.    (RB, P. 14) Please tell me how often you have had the following feelings during the past week.

 

2422        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 V2423-2426

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

5.  NEVER

 

8.  DK

9.  NA

 

 

2423        K3b.   Feeling pleased about having accomplished something.   

 

 

2424        K3c.   Feeling that things were going your way.

 

 

2425        K3d.   Feeling proud because someone complimented you on

something you had done.                                

 

 

2426        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)

2501        L1A.   WORKING NOW FOR PAY                                    

┌─────────┐

0 in 2508├────────1.  Checked

└─────────┘

5.  Not checked

 

9.  NA to entire question L1

 

 

 

2502        L1B.   ONLY TEMPORARILY LAID OFF; SICK LEAVE                  

┌─────────┐

0 in 2508├────────1.  Checked

└─────────┘

5.  Not checked

 

9.  NA to entire question L1

 

 

 

2503        L1C.   LOOKING FOR WORK, UNEMPLOYED                           

 

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

                                         USE SAME CODE

5.  Not checked                          FOR V2504-2507

                   └──────────────┘

9.  NA to entire question L1

 

 

2504        L1D.   RETIRED FROM A PAID JOB                                

 

2505        L1E.   PERMANENTLY DISABLED                                   

 

2506        L1F.   KEEPING HOUSE/STAYING HOME                             

 

2507        L1G.   OTHER (SPECIFY)                                        

 

 

 

2508        L2.    Are you doing any work for pay at the present time?    

 

1.  YES


┌──────────────┐

0 in 2509-2523├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 1 in 2501 or 2502

 

 

 

2509        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: For "FROM-TO"          

99.  NA                   responses, if only months/   

                          years given but no day (e.g.,

00.  Inap, 5, 8-9 in      July '88-April '89), assume  

           2508           mid-month to mid-month and   

                          calculate weeks with calendar.

                          If days given, calculate     

                          actual weeks with calendar.  

                          Month = 4.3 weeks.           

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

 

 

 

[V2510-V2512: BUILD = 0]

 

 

 

2513        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 2508

 

 

 

2514        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 2508

 

 

 

2515        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 2508

 

 

 

 

2516        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 2508

 

 

 

2517        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 2508

 

 

 

2518        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 2508

 

 

 

2519        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 2508


 

 

2520        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 2508

 

 

 

2521        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 2508

 

 

 

2522        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 2508

 

 

 

2523        L13.   INTERVIEWER CHECKPOINT                                 

 

1.  R IS ALSO RETIRED

┌──────────────┐

0 in 2524-2532├───2.  ALL OTHERS


└──────────────┘

0.  Inap, 5, 8-9 in 2508

 

 

 

 

2524        L14.   INTERVIEWER CHECKPOINT                                 

┌─────────┐

0 in 2525├────────1.  "RETIRED" IS CHECKED AT L1

└─────────┘

2.  ALL OTHERS

 

0.  Inap, 2 in 2523

 

 

 

2525        L15.   Have you ever held a regular job for pay?              

 

1.  YES

┌──────────────┐

0 in 2526-2548├───5.  NO

└──────────────┤

               └───9.  NA

               

0.  Inap, 2 in 2523; 1 in 2524

 

 

 

2526        L16.   In what month and year did you (retire/stop working)?--

MONTH                                                  

 

Code MONTH (01-12)

 

98.  DK

99.  NA

 

00.  Inap, 2 in 2523; 5 or 9 in 2525

 

 

                                                                Rev. 6/4/93

2527        L16.   In what month and year did you (retire/stop working)?--

YEAR                                                   

 

Code YEAR (1930-1995)

 

9998.  DK

9999.  NA

 

0000.  Inap, 2 in 2523; 5 or 9 in 2525

 

 

 

                                                                Rev. 6/4/93

2528        L17.   INTERVIEWER CHECKPOINT                                 

 


1.    R (RETIRED/STOPPED WORKING) SINCE JULY 17, 1987 OR MORE RECENTLY

┌──────────────┐

0 in 2529-2548├───2.    ALL OTHERS

└──────────────┘

0.    Inap, 2 in 2523; 5 or 9 in 2525

 

 

 

 

 

 

2529        L18.   People (retire/leave a paid job) for many reasons.  What

2530               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


 

 

2529        L18.   Continued                                              

2530

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 2523; 5 or 9 in 2525; 2 in 2528; no

      further mention

 

 

 

2531        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 2523; 5 or 9 in 2525; 2 in 2528

 

 

 

 

 

 

 

 

 

 

 


 

 

 

2532        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 2523; 5 or 9 in 2525; 2 in 2528

 

 

 

[V2533: BUILD = 0]

 

 

 

                                               Rev. 6/4/93 (rest of screen)

2534        L21.   In the past six months, were there any changes in your work patterns?  For example,  starting or stopping a job,

or changes in the number of hours you work?            

 

1.  YES

┌──────────────┐

0 in 2535-2548├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5 or 9 in 2525; 2 in 2528


 

 

2535        L21a.  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 2536-2548├───95.  RETIRED

└──────────────┘

┌─────────┐

Make Card├────────97.  OTHER, SPECIFY

└─────────┘

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 2525; 2 in 2528; 5, 8-9 in 2534

 

 

 

[V2536-V2537: BUILD = 0]

 

 

                                                               Rev. 11/2/90

2538        L21b.  People change their work patterns for many reasons.  What

2539               are the main reasons you changed your work pattern?

(PROBE: Were there any other reasons?)                 

 

11.   Care of spouse


 

 

2538        L21b.  Continued                                              

2539

 

 

 

 

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.  Inap, 5 or 9 in 2525; 2 in 2528; 5, 8-9 in 2534;

    95 in 2535; no further mention

 

 

 

2540        L21c.  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 2525; 2 in 2528; 5, 8-9 in 2534;

    95 in 2535

 

 

 

[V2541: BUILD = 0]

 

 

 

2542        L22.   You have told me about the past six months.  Now please think about the time between July 1987 and six months ago.  During that time, were there any changes in your work patterns?  For example, starting or stopping a job or

changes in the number of hours you worked?             

 

1.  YES

┌──────────────┐

0 in 2543-2548├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 5 or 9 in 2525; 2 in 2528; 5, 8-9 in 2534; 95 in

    2535

 

 

 


 

 

 

 

2543        L22a.  What was this change?  (IF MORE THAN ONE, PROBE FOR MOST

IMPORTANT CHANGE.)                                     

 

Use same code as 2535, except:

┌──────────────┐

0 in 2544-2548├───95.  RETIRED

└──────────────┘

98.  DK

99.  NA

 

00.  Inap, 5 or 9 in 2525; 2 in 2528; 95 in 2535; 5, 8-9

     in 2534 or 2542

 

 

 

[V2544-V2545: BUILD = 0]

 

 

 

2546        L22b.  People change their work patterns for many reasons.  What

2547               were the main reasons you changed your work pattern?

(PROBE: Were there any other reasons?)                 

 

Use same code as V2538-2539, except:

 

00.  Inap, 5 or 9 in 2525; 2 in 2528; 5, 8-9 in 2534 or

    2542; 95 in 2535 or 2543; no further mention

 

 

 

 

2548        L22c.  Were the changes brought about by the change in your work   pattern entirely good, mostly good, mostly bad or entirely

bad?                                                   

 

1.  ENTIRELY GOOD

2.  MOSTLY GOOD

3.  MOSTLY BAD

4.  ENTIRELY BAD

 

8.  DK

9.  NA

 

0.  Inap, 5 or 9 in 2525; 2 in 2528; 5, 8-9 in 2534 or

    2542; 95 in 2535 or 2543

 


 

 

SECTION M:  FINANCIAL SITUATION

 

 

VAR #

 

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

 

2601        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

 

 

 

2602        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

 

 

 

2603        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

 

 

 

 

 

 

 

 


 

 

 

 

2604        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

 

 

 

[V2605-V2627: BUILD = 0]

 

 


 

 

SECTION N:  HOUSEHOLD RESPONSIBILITIES AND VOLUNTARY ACTIVITIES

 

 

2628        N1.    Now let's talk about work you do around your home.  How many hours do you spend preparing food and doing housework

in an average week?                                    

 

Code HOURS (01-95), except:

 

98.  DK

99.  NA

┌─────────┐

0 in 2629├────────00.  NONE

└─────────┘

 

 

 

 

2629        N1a.   How much do you enjoy doing housework--do you enjoy it

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

 

1.  A GREAT DEAL

2.  SOME

3.  A LITTLE

4.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 00 in 2628

 

 

 

2630        N2.    (RB, P. 15)  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

 

 

 

 

 

 

 

 

 


 

 

 

 

2631        N3.    (RB, P. 16)  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

 

 

 

2632        N4.    (RB, P. 16)  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

 

 

 

2633        N5.    (RB, STILL ON P. 16)  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

 

 

 

2634        N6.    Now I have some questions about volunteer work.  (READ SLOWLY)  During the last 6 months, did you do volunteer work for a church or other religious organization, for a political group, a senior citizens' group, or for any

other type of organization?                            

 

1.  YES

┌──────────────┐

0 in 2635-2636├───5.  NO


└──────────────┤

               ├───8.  DK

               └───9.  NA

 


 

 

2635        N7.    (RB, P. 17) About how many hours did you spend on volunteer work of these kinds during the last 6 months?  (Would you say less than 20 hours, 20 to 39 hours, 40 to

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

 

1.  LESS THAN 20 HOURS

2.  20-39 HRS

3.  40-79 HRS

4.  80-159 HRS

5.  160 HOURS OR MORE

 

8.  DK

9.  NA

 

0. Inap, 5, 8-9 in 2634

 

 

 

2636        N8.    Not using the booklet--How much did you enjoy doing that volunteer work--did you enjoy it a great deal, quite a

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL

 

8.  DK

9.  NA

 

0.  Inap, 5, 8-9 in 2634

 

 

 

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

 

2637        N9a.   During the last 6 months, did you provide transportation, shop or run errands for friends, neighbors or relatives

who did not live with you?                             

 

1.  YES            ┌──────────────┐

5.  NO                                   USE SAME CODE

                                         FOR V2638-2640

8.  DK            └──────────────┘

9.  NA

 

 

 

 

 

 


 

 

 

 

 

2638        N9b.   Did you help others with their housework or with the

upkeep of their house, car or other things?            

 

 

2639        N9c.   Did you do childcare without pay for persons not living in

your household?                                        

 

 

2640        N9d.   Did you do any other things in the last 6 months to help

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

 

 

 

2641        N10.   INTERVIEWER CHECKPOINT                                 

 

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

┌──────────────┐

0 in 2642-2643├───2.    ALL OTHERS

└──────────────┘

 

 

 

2642        N11.   (RB, STILL ON P. 17) About how many hours did you spend doing these things during the last 6 months?  (Would you say less than 20 hours, 20 to 39 hours, 40 to 79 hours, 80

to 159 hours, or 160 hours or more?                    

 

1.  LESS THAN 20 HOURS

2.  20-39 HRS

3.  40-79 HRS

4.  80-159 HRS

5.  160 HOURS OR MORE

 

8.  DK

9.  NA

 

0.  Inap, 2 in 2641

 

 

 

2643        N12.   Not using the booklet--How much did you enjoy helping friends, neighbors and relatives--a great deal, quite a

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

 

1.  A GREAT DEAL

2.  QUITE A BIT

3.  SOME

4.  A LITTLE

5.  NOT AT ALL


8.  DK

9.  NA

 

0.  Inap, 2 in 2641

 

 

 

 

 

 

2644        N13.   Now please think about friends and relatives who have trouble taking care of themselves because of physical or mental illness, disability, or for some other reason.  Are you currently involved in helping someone like this by caring for them directly or arranging for their care by

others?                                                

 

1.  YES

┌─────────┐

0 in 2645├────────5.  NO

└─────────┤

          ├────────8.  DK

          └────────9.  NA

 

 

 

2645        N13a.  About how many hours do you spend doing this in a usual

week?                                                  

 

Code HOURS (01-95)

 

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 2644

 


 

SECTION P:  DEPRESSION

 

                                      

VAR #

 

2701        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 2702├────────1.  YES

└─────────┘

5.  NO

 

8.  DK

9.  NA

 

 

 

2702        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 2703-2738├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

0.  Inap, 1 in 2701

 

 

 

2703        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 2704├────────97.  ALL THE TIME

└─────────┘

98.  DK

99.  NA

 

00.  Inap, 5, 8-9 in 2702

 

 

 

2704        P3.    INTERVIEWER CHECKPOINT                                 

┌──────────────┐

0 in 2735-2738├───1.  R HAS HAD ONLY ONE SPELL

└──────────────┘


2.  ALL OTHERS

 

0.  Inap, 5, 8-9 in 2702; 97 in 2703                      


 

 

2705        P4/P10.  Basically, what made you become depressed?  (OBTAIN

2706               COMPLETE DESCRIPTION OF SITUATION AND PROBE IF NECESSARY:

2707               What about the situation made you feel depressed?)  IF R

2708               SAYS "A COMBINATION OF THINGS," PROBE FOR MOST DIFFICULT

2709               ASPECT OF EACH.                                        

2710

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.


2705        P4/P10.  Continued                                            

2706

2707               11.   Death of other relative or friend

2708               12.   Other problems of other relative or friend:  e.g.,

2709                     "my friend's daughter got pregnant"; "my son went

2710                     bankrupt"

 

 

 

 

 

 

96.   NOTHING CAUSED DEPRESSION

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.   Inap, 5, 8-9 in 2702; no further mention

 

 

 

2711        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 2702

 

 

 

2712        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 2702

 

 

 

 

 

 


 

 

 

 

2713        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 2714,├──────97.   STILL GOING ON

97 in 2715

└───────────┘      98.   DK

99.   NA

 

00.   R answered in months or years; Inap, 5, 8-9 in 2702

 

 

 

2714        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 2702

 

 

 

2715        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 2717-2719├───97.   STILL GOING ON

└──────────────┘

98.   DK

99.   NA

 

00.   R answered in weeks or months; Inap, 5, 8-9 in 2702

 

 

 


 

 

 

 

 

 

2716        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 2702

 

 

 

 

                                                               Rev. 11/2/90

2717        P8/P14.  What happened to make the depression go away?  (OBTAIN

2718               COMPLETE DESCRIPTION OF SITUATION AND PROBE IF NECESSARY:

2719               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


2717        P8/P14.  Continued                                            

2718

2719               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 2702; 97 in 2715; no further mention

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

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

 

 

 

2720        P9a/P15a.  ...lose your appetite?                             

 

1.  YES            ┌──────────────┐

5.  NO                                   USE SAME CODE

                                         FOR V2721-2734

8.  DK            └──────────────┘

9.  NA

 

0.  Inap, 5, 8-9 in 2702

 

 

 

 

 


 

 

 

2721        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?                                     

 

 

2722        P9c/P15c. Did you have trouble falling asleep, staying asleep, or

with waking up too early?                              

 

 

2723        P9d/P15d. Did you talk or move more slowly than is normal for you?

 

 

2724        P9e/P15e. Did you have to be moving all the time; that is, you

couldn't sit still or paced up and down?

 

 

2725        P9f/P15f. Were you less interested in the things that normally

interest you?                                          

 

 

2726        P9g/P15g. Did you feel worthless, sinful or guilty?           

 

 

2727        P9h/P15h. Did you have a lot more trouble concentrating than is

normal for you?                                        

 

 

2728        P9j/P15j. Did your thoughts come more slowly than usual or seem

mixed up?                                              

 

 

2729        P9k/P15k. Were you sleeping too much?                         

 

 

2730        P9m/P15m. Did you feel tired out all the time?                

 

2731        P9n/P15n. Did you think a lot about death--either your own,

someone else's, or death in general?                   

 

 

2732        P9p/P15p. Did you feel like you wanted to die?                

 

 

2733        P9q/P15q. Did you attempt suicide?                            

 

 


2734        P9r/P15r. Did you feel so low you thought about committing

suicide?                                               

 

 

 

[V2735-V2738: BUILD = 0]


 

 

SECTION Q:  LIFE EVENTS

 

 

 

VAR #

 

USE THE FOLLOWING CODING FORMAT FOR QUESTIONS Q1a-Q3a, USING Q1a AS EXAMPLE:

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

2901       Q1.    Now I have some questions that you can answer with a    

                  "yes" or "no".                                          

                  During the last 12 months, have you been a victim of a  

                  serious physical attack or assault?                      

                                                                          

                  1.  YES                                                  

┌─────────┐                                                              

0 in next├──────5.  NO                                                  

2 vars.                                                                 

└─────────┼──────8.  DK                                                  

           └──────9.  NA                                                  

                                                                          

                                                                           

2902       Q1a.1.  In what month and year did that happen?--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, 8-9 in previous question                   

                                                                          

                                                                          

2903       Q1a.1. In what month and year did that happen?--YEAR            

                                                                           

                  Code YEAR (1987-1995)                                   

                                                                          

                  9998.  DK                                                

                  9999.  NA                                               

                                                                          

                  0000.  Inap, 5, 8-9 in previous question                

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

 

 

 

 

 

 

 


 

2904        Q1b.   Have you had a life-threatening illness or injury in the

past 12 months?                                        

 

2905        Q1b.1. In what month (and year) did that happen?--MONTH       

 

2906        Q1b.1. In what month (and year) did that happen?--YEAR        

 

 

 

2907        Q1c.   Have you had a serious but not life-threatening illness in

the last 12 months?                                    

 

2908        Q1c.1. In what month (and year) did that happen?--MONTH       

 

2909        Q1c.1. In what month (and year) did that happen?--YEAR        

 

 

 

2910        Q1d.   Were you robbed or was your home burglarized in the past

12 months?                                             

 

2911        Q1d.1. In what month (and year) did that happen?--MONTH       

 

2912        Q1d.1. In what month (and year) did that happen?--YEAR        

 

 

 

2913        Q1e.   Did you involuntarily lose a job for reasons other than

retirement in the past 12 months?                      

 

2914        Q1e.1. In what month (and year) did that happen?--MONTH       

 

2915        Q1e.1. In what month (and year) did that happen?--YEAR        

 

 

 

2916        Q1f.   Did you have any serious financial problems or

difficulties in the past 12 months?                    

 

2917        Q1f.1. In what month (and year) did that happen?--MONTH       

 

2918        Q1f.1. In what month (and year) did that happen?--YEAR        

 

2919        Q1g.   Did a parent, brother or sister die in the past twelve


months?                                                

 

2920        Q1g.1. In what month (and year) did that happen?--MONTH       

 

2921        Q1g.1. In what month (and year) did that happen?--YEAR        

 

 

 

2922        Q2.    Since July, 1987, has a son or daughter of yours died?

 

2923        Q2a.   In what month (and year) did that happen?--MONTH       

 

2924        Q2a.   In what month (and year) did that happen?--YEAR        

 

 

 

 

1925        Q3.    In the last twelve months, did anyone else you felt very

close to die?                                          

 

2926        Q3a.   In what month (and year) did that happen?--MONTH       

 

2927        Q3a.   In what month (and year) did that happen?--YEAR        

 

 

 

2928        Q4.    Have you moved to a new residence in the past twelve

months?                                                

 

1.  YES

┌──────────────┐

0 in 2929-2932├───5.  NO

└──────────────┤

               ├───8.  DK

               └───9.  NA

 

 

 

[V2929-V2930: BUILD = 0]

 

 

 

2931        Q4a.   (RB, P. 36) What was the main reason you moved?  (READ

2932               SLOWLY) Was it to save money, to be closer to your family, because your other home was too big, to move in with your son or daughter or another reason?  (IF OTHER REASON: What

was your main reason for moving?)                      

 

01.   SAVE MONEY            ┌──────────────┐

02.   CLOSER TO FAMILY                   NOTE: If more

03.   HOME TOO BIG                       than one     

04.   MOVE IN WITH SON/DAUGHTER          response, code


                                   only one men-

                                   tion if I'wer

                                   has indicated

                                   main reason; 

                                   otherwise code

                                   in order of  

                                   mention.     

                   └──────────────┘

 

┌─────────┐

Make Card├────────97.   Other

└─────────┘

98.   DK

99.   NA

 

00.   Inap, 5, 8-9 in 2928; no further mention

 

 

[V2933-V2937: BUILD = 0]


 

 

SECTION R:  RELIGION

 

                                      

VAR #

 

 

[V3001-V3025: BUILD = 0]

 

 

 

3026        R1.    The next several questions are about religion.  In general, how important are religious or spiritual beliefs in your day-to-day life?  Would you say very important, fairly important, not too important, or not at all

important?                                             

 

1.  VERY IMPORTANT

2.  FAIRLY IMPORTANT

3.  NOT TOO IMPORTANT

4.  NOT AT ALL IMPORTANT

 

8.  DK

9.  NA

 

 

 

3027        R2.    (RB, P. 19)  How often do you usually attend religious services--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

 

 

 

3028        R3.    (RB, P. 20)  When you have problems or difficulties in your family, work, or personal life, how often do you seek spiritual comfort and support--almost always, often,

sometimes, rarely, or never?                           

 

1.  ALMOST ALWAYS

2.  OFTEN

3.  SOMETIMES

4.  RARELY

5.  NEVER

 

8.  DK

9.  NA

 

 


 

 

3029        R4.    (RB, STILL ON P. 20)  When you have decisions to make in your everyday life, how often do you ask yourself what God would want you to do?  (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

 

 

3030        R5.    Some people believe that people simply stop existing after death while others believe in an afterlife.  Which comes closest to what you believe--that people stop existing

after death or that there is an afterlife?             

┌──────────────┐

0 in 3031-3032├───1.  STOP EXISTING

└──────────────┤

                  2.  AFTERLIFE

              

               ├───8.  DON'T KNOW

               └───9.  NA

 

 

3031        R6.    (RB, P. 21)  Please tell me how strongly you agree or disagree with the next two statements.  The first one is:  In the afterlife, you will be reunited with your loved ones. Do you strongly agree, agree somewhat, disagree

somewhat, or strongly disagree?                        

 

1.  STRONGLY AGREE

2.  AGREE SOMEWHAT

3.  DISAGREE SOMEWHAT

4.  STRONGLY DISAGREE

 

8.  DK

9.  NA

 

0.  Inap, 1, 8-9 in 3030

 

 

3032        R7.    (RB, STILL ON P. 21)  People who suffer unjustly in this life will be rewarded in the afterlife.  (Do you strongly agree, agree somewhat, disagree somewhat, or strongly

disagree?)                                             

 

1.  STRONGLY AGREE

2.  AGREE SOMEWHAT

3.  DISAGREE SOMEWHAT

4.  STRONGLY DISAGREE

 


8.  DK

9.  NA

 

0.  Inap, 1, 8-9 in 3030


 

SECTION S:  ACTIVITIES AND LIFE SATISFACTION

 

VAR #

 

[V3101:  BUILD = 0]

 

 

 

S1.    (RB, P. 43)  Next I have a list of things that bereaved people have said about themselves.  Please tell me how true each statement is of you.

 

3102        S2.    It is impossible for me to imagine a future without my

(husband/wife).                                        

 

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

2.  SOMEWHAT TRUE                        USE SAME CODE 

3.  A LITTLE TRUE                        FOR V3103-3104,

4.  NOT TRUE AT ALL                           3106     

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

8.  DK

9.  NA

 

 

3103        S3.    I am as hopeful of good things in the future as I have

ever been.                                             

 

 

3104        S4.    I can give as much attention and energy to the things I'm

doing as I ever could.                                 

 

 

[V3105:  BUILD = 0]

 

 

3106        S6.    I have been able to feel warmth and affection for those

near to me.                                            

 

 

[V3107-V3110:  BUILD = 0]

 

 

3111        S11.   (RB, P. 23) Thinking about all parts of your life including the way you feel, to what extent would you say you are back to managing as well as ever?  Would you say completely, almost completely, fairly much, somewhat, or

not much?                                              

 

1.  COMPLETELY

2.  ALMOST COMPLETELY

3.  FAIRLY COMPLETELY

4.  SOMEWHAT COMPLETELY

5.  NOT MUCH

 

8.  DK


9.  NA

 

 

[V3112-V3113:  BUILD = 0]

 

 

Now I have some questions about how you spend your time.

 

3114        S12.   (RB, P. 24)  How often do you get together with friends, neighbors or relatives and do things like go out together or visit in each other's homes?  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

 

 

 

3115        S13.   (RB, STILL ON P. 24) How often do you attend meetings or programs of groups, clubs, or organizations that you belong to?  (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

 

 

 

3116        S14.   (RB, STILL ON P. 24)  How often do you go out to eat, go to a movie or do similar types of things by yourself?  (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

 

 

 


3117        S15.   Do you drive a car to get where you need to go?

 

1.  YES

5.  NO