The Changing Lives of Older Couples Study

Wave II Control Follow-up survey

CODEBOOK

Facesheet

VAR #

4001 FS. Seq.#/CASE ID

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

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

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

Rev. 10/24/91

4005 FS. Result Code

01. Complete I'v

03. Complete Telephone I'v

05. Partial I'v

07. Partial Telephone I'v

4006 FS. Respondent "history": 2 digits

Code 1st 2-digit # precoded on Facesheet

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

Code 1st 4 digits of ID# precoded on Facesheet

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

Code last 2 digits of ID# precoded on Facesheet

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

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

Code last 2-digit # precoded on Facesheet

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

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

99. NA

4013 FS3. Date of Interview--MONTH

Code MONTH (01-12)

4014 FS3. Date of Interview--DAY

Code DAY (01-31)

4015 FS3. Date of Interview--YEAR

Code 4-digit YEAR (1988-1995)

4016 FS4. Length of Interview

Code # of MINS (001-240)

SECTION A: HOUSEHOLD LISTING

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

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

4101 A1. SUMMARY # Persons in HOUSEHOLD

┌──────────────┐

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

└──────────────┘ │Code # persons│

┌──────────────┐ │listed in grid│

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

└──────────────┘ └──────────────┘

┌──────────────┐

│0 in 4111-4131├─────03. Three

└──────────────┘

┌──────────────┐

│0 in 4114-4131├─────04. Four

└──────────────┘

┌──────────────┐

│0 in 4117-4131├─────05. Five

└──────────────┘

┌──────────────┐

│0 in 4120-4131├─────06. Six

└──────────────┘

┌──────────────┐

│0 in 4123-4131├─────07. Seven

└──────────────┘

┌──────────────┐

│0 in 4126-4131├─────08. Eight

└──────────────┘

┌──────────────┐

│0 in 4129-4131├─────09. Nine

└──────────────┘

10. Ten

20. Twenty

99. NA

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

4105(#2)

4108(#3) Partner/Spouse

4111(#4)

4114(#5) 01. RESPONDENT

4117(#6) 02. Spouse of R

4120(#7) 03. Partner of R

4123(#8)

4126(#9) Child

4129(#10)

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

11. Son (incl. adopted)

12. Daughter (incl. adopted)

13. Stepson (incl. partner's son)

14. Stepdaughter (incl. partner's daughter)

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

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

17. Foster son

18. Foster daughter

Parent/Grandparent

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

21. Father (incl. adoptive father)

22. Mother (incl. adoptive mother)

23. Stepfather

24. Stepmother

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

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

27. Grandparent; great-grandparent, NA sex

28. Grandfather; great-grandfather

29. Grandmother; great-grandmother

Sibling/Sibling-in-law

31. Brother

32. Sister

33. Stepbrother

34. Stepsister

35. Brother-in-law

36. Sister-in-law

4102(#1) A1(a). Continued

4105(#2)

4108(#3) Other Relatives

4111(#4)

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

4117(#6) 41. Grandson; great grandson

4120(#7) 42. Granddaughter; great granddaughter

4123(#8) 43. Nephew

4126(#9) 44. Niece

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

46. Aunt; great-aunt

47. Cousin

48. Other "in-laws"

┌─────────┐

│Make Card├────────49. Other relative

└─────────┘

Unrelated Persons

62. Housemate/roommate

63. Household employee; live-in sitter; housekeeper

64. Friend

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

67. Roomer; boarder

┌─────────┐

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

└─────────┘

98. DK

99. NA

00. Inap, no further persons in HU

4103(#1) A1(b). SEX

4106(#2)

4109(#3) 1. Male

4112(#4) 2. Female

4115(#5)

4118(#6) 9. NA

4121(#7)

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

4127(#9)

4130(#10)

4104(#1) A1(c). AGE

4107(#2)

4110(#3) Code AGE (01-97)

4113(#4)

4116(#5) 01. One year or less

4119(#6)

4122(#7) 97. 97 years or more

4125(#8)

4128(#9) 98. DK

4131(#10) 99. NA

[V4132-V4133: BUILD = 0]

SECTION C: PARENTING

VAR #

The next questions are about children.

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

stepsons and stepdaughters not living here.

1. YES

┌─────────┐

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

└─────────┤

└─────────9. NA

4502 C1a. How many do not live with you?

Code NUMBER (01-20)

98. DK

99. NA

00. Inap, 5 or 9 in 4501

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

stepdaughters you may have.

Code NUMBER (01-20), except:

98. DK

99. NA

┌──────────────┐

│0 in 4504-4525├─────00. NONE

└──────────────┘

4504 C2a. INTERVIEWER CHECKPOINT

1. R ONLY HAS ONE CHILD

┌─────────┐

│0 in 4505├─────────2. ALL OTHERS

└─────────┘

0. Inap, 00 in 4503

4505 C2b. Is this a son or daughter?

1. SON

2. DAUGHTER

9. NA

0. Inap, 00 in 4503; 2 in 4504

4506 C3. INTERVIEWER CHECKPOINT

┌──────────────┐

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

└──────────────┘

2. R HAS ONLY ONE CHILD LIVING ELSEWHERE

3. R HAS MORE THAN ONE CHILD LIVING ELSEWHERE

9. NA

0. Inap, 00 in 4503

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

live within an hour's drive of here?

01. YES (to C4); One (to C5)

02-20.

96. NO (to C4); NONE (to C5)

98. DK

99. NA

00. Inap, 00 in 4503; 1 in 4506

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

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

once a month or never?

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

0. Inap, 00 in 4503; 1 in 4506

[V4509-V4510: BUILD = 0]

4511 C6. INTERVIEWER CHECKPOINT

1. R HAS ONLY ONE CHILD

2. R HAS TWO OR MORE CHILDREN

0. Inap, 00 in 4503

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

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

some, a little, or not at all?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 4503

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

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 4503

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

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 4503

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

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 4503

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

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

some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 4503

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

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

somewhat, not very, or not at all satisfied?

1. COMPLETELY SATISFIED

2. VERY SATISFIED

3. SOMEWHAT SATISFIED

4. NOT VERY SATISFIED

5. NOT AT ALL SATISFIED

8. DK

9. NA

0. Inap, 00 in 4503

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

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

rarely, or never?

1. ALMOST ALWAYS

2. OFTEN

3. SOMETIMES

4. RARELY

5. NEVER

8. DK

9. NA

0. Inap, 00 in 4503

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

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

not at all?

1. A LOT ┌───────────────┐

2. SOME │USE SAME CODE │

3. A LITTLE │FOR V4520-4524 │

4. NOT AT ALL └───────────────┘

8. DK

9. NA

0. Inap, 00 in 4503

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

financial and legal matters?

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

babysitting or other chores?

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

support?

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

financial and legal matters?

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

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

or never?

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

0. Inap, 00 in 4503

Rev. 11/2/90

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

01. ONE

02-60.

98. DK

99. NA

┌─────────┐

│0 in 4527├─────────00. NONE

└─────────┘

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

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

once a month, or never?)

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

0. Inap, 00 in 4526

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

SECTION D: SOCIAL SUPPORT

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

share your very private feelings and concerns?

1. YES

┌──────────────┐

│0 in 4529-4540├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA

4529 D1a. How many such people are there?

Code NUMBER (01-95)

98. DK

99. NA

00. Inap, 5, 8-9 in 4528

[V4530-V4540: BUILD = 0]

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

some, a little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

SECTION G: MARRIAGE

VAR #

[V801-V812: BUILD = 0]

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

have you been married?)--YEAR WHEN MARRIED

Code YEAR WHEN MARRIED (1930-1995)

9998. DK

9999. NA

0000. Inap, YEAR not given

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

--# YEARS OF MARRIAGE

Code # YEARS OF MARRIAGE (01-65)

98. DK

99. NA

00. Inap, # YEARS not given

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

the number from the booklet.

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

some, a little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

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

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

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

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

or not true at all?

1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V4823-4829 │

4. NOT TRUE AT ALL └───────────────┘

8. DK

9. NA

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

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

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

outside interests and friends of my own.

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

that could happen to me.

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

(husband/wife).

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

be treated.

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

deserves to be treated.

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

or never?

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

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

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

1. A LOT

2. SOME

3. A LITTLE

4. NOT AT ALL

8. DK

9. NA

4832 G12. INTERVIEWER CHECKPOINT

1. R'S SPOUSE LIVES AT HOME WITH R

2. ALL OTHERS

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

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

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

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

you?

1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V4834-4835 │

4. NOT TRUE AT ALL └───────────────┘

8. DK

9. NA

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

would really bother me.

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

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

always, often, sometimes, rarely, or never?

1. ALMOST ALWAYS

2. OFTEN

3. SOMETIMES

4. RARELY

5. NEVER

8. DK

9. NA

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

sometimes, rarely, or never?)

1. ALMOST ALWAYS

2. OFTEN

3. SOMETIMES

4. RARELY

5. NEVER

8. DK

9. NA

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

very or not at all satisfied?

1. COMPLETELY SATISFIED

2. VERY SATISFIED

3. SOMEWHAT SATISFIED

4. NOT VERY SATISFIED

5. NOT AT ALL SATISFIED

8. DK

9. NA

4839 G18. INTERVIEWER CHECKPOINT

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

OVERHEARD/PROBABLY OVERHEARD QUESTIONS AND R'S ANSWERS:

1. ALL THE TIME

2. MOST OF THE TIME (HALF OR MORE)

3. SOME OF THE TIME (LESS THAN HALF)

4. NEVER/PROBABLY DIDN'T OVERHEAR

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

AND ANSWERS

9. NA

SECTION H: SELF DESCRIPTION

VAR #

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

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

to you?)

1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V4902-4908 │

4. NOT TRUE AT ALL └───────────────┘

8. DK

9. NA

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

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

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

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

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

4907 H7. Funerals sometimes upset me.

4908 H8. I am afraid of dying of cancer.

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

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

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

│the publisher, Psychological Assessment Resources, Inc., │

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

│Personality Inventory, by Paul Costa, and Robert McCrae, │

│without permission of PAR, Inc. │

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

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

agree, feel neutral, disagree or strongly disagree?

1. STRONGLY AGREE ┌───────────────┐

2. AGREE │USE SAME CODE │

3. NEUTRAL │FOR V4910-4952 │

4. DISAGREE └───────────────┘

5. STRONGLY DISAGREE

8. DK

9. NA

4910 H12. I keep my belongings neat and clean.

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

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

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

done on time.

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

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

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

to.

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

orderly fashion.

4918 H20. I rarely experience strong emotions.

4919 H21. I work hard to accomplish my goals.

4920 H22. I am easily frightened.

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

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

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

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

be.

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

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

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

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

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

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

bothered by other people.

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

4932 H34. I am seldom sad or depressed.

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

4934 H36. I have trouble resisting my cravings.

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

"thrills".

4936 H38. I enjoy solving problems or puzzles.

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

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

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

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

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

4942 H44. I often feel inferior to others.

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

them.

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

you let them.

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

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

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

people's lifestyles.

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

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

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

good decisions.

4951 H53. I am a very active person.

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

SECTION J: HEALTH AND LIMITATION OF ACTIVITIES

VAR #

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

somewhat, not very, or not at all satisfied?

1. COMPLETELY SATISFIED

2. VERY SATISFIED

3. SOMEWHAT SATISFIED

4. NOT VERY SATISFIED

5. NOT AT ALL SATISFIED

8. DK

9. NA

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

5002 J2a. Have you had arthritis or rheumatism?

1. YES ┌──────────────┐

5. NO │USE SAME CODE │

│FOR V5003-5009│

8. DK └──────────────┘

9. NA

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

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

pressure, or have you taken medication for it?

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

the last 6 months?

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

taken medication for it?

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

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

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

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

1. YES

┌──────────────┐

│0 in 5011-5013├───5. NO

└──────────────┤

├───8. DK

└───9. NA

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

5012 what part of your body did it start?)

5013

01. "Abdomen"--NFS 33. Melanoma

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

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

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

05. Bladder 35. "Neck"--NFS

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

07. Bone; cartilage 37. Ovary

08. Bone marrow 38. Pancreas; ampulla of

09. Brain; astrocytoma Vater

10. Breast 39. "Pelvis"--NFS

11. Bronchia; bronchus 40. Penis

12. Bowel 41. Prostate

12. Rectum

13. Cervix 33. Skin--melanoma; black

12. Colon mole

14. Ear 42. Skin--basal cell

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

16. Esophagus incl. any body part with

17. "Extremities"--NFS skin cancer

18. Eye 44. Spine

19. "Face"--NFS 45. Spleen

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

21. Gallbladder

22. Gastrointestinal 47. Testicles

48. Throat

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

24. Hip 50. Tongue

25. Hodgkins 51. Trachea

26. Jaw 52. Urethra/ureter

27. Kidney; renal 15. Uterus/womb

28. Larynx; vocal cords 53. Vagina

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

06. Leukemia ┌─────────┐

30. Lip │Make Card├─97. Other

31. Liver └─────────┘

11. Lung; "chest"--NFS 98. DK

32. Lymph nodes/glands; 99. NA

"glands behind the

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

lymphoma (exc. 25) no further mentions

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

problems that I haven't asked you about?

1. YES

┌──────────────┐

│0 in 5015-5017├───5. NO

└──────────────┤

├───8. DK

└───9. NA

5015 J4a. What are they?

5016

5017 Use HEALTH CONDITION MASTER CODE

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

5018 J5. INTERVIEWER CHECKPOINT

┌──────────────┐

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

└──────────────┘

2. ALL OTHERS

SECTION J: HEALTH AND LIMITATION OF ACTIVITIES

VAR #

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

5201 J5. SUMMARY

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

┌──────────────┐

│0 in 5211-5255├───01. One

└──────────────┘

┌──────────────┐

│0 in 5220-5255├───02. Two

└──────────────┘

┌──────────────┐

│0 in 5229-5255├───03. Three

└──────────────┘

┌──────────────┐

│0 in 5238-5255├───04. Four

└──────────────┘

┌──────────────┐

│0 in 5247-5255├───05. Five

└──────────────┘

06. Six

14. Fourteen

99. NA (see Supervisor before using)

00. Inap, 1 in 5018

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

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

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

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

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

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

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

5211(#2)

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

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

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

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

05. (J2e) DIABETES/HIGH BLOOD SUGAR

06. (J2f) STROKE

07. (J2g) BROKEN OR FRACTURED BONES

08. (J2h) LOSS OF URINE BEYOND CONTROL

09. (J3a) CANCER

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

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

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

00. Inap, 1 in 5018; no further conditions

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

5212(#2) (CONDITION)?

5221(#3)

5230(#4) 1. YES

5239(#5) 5. NO

5248(#6)

8. DK

9. NA

0. Inap, 1 in 5018; no further conditions

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

5213(#2) on before that?

5222(#3) ┌─────────┐

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

5240(#5) │J8-J9a │

5249(#6) │for this │

│condition│

└─────────┘

┌─────────┐

│0 in next├───2. GOING ON BEFORE

│2 vars │

└─────────┼───8. DK

└───9. NA

0. Inap, 1 in 5018; no further conditions

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

5214(#2)

5223(#3) Code MONTH (01-12)

5232(#4)

5241(#5) 98. DK

5250(#6) 99. NA

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

no further conditions

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

5215(#2)

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

5233(#4)

5242(#5) 9998. DK

5251(#6) 9999. NA

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

no further conditions

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

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

5225(#3)

5234(#4) 1. BETTER

5243(#5) 2. SAME

5252(#6) 3. WORSE

8. DK

9. NA

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

no further conditions

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

5217(#2) widowed?

5226(#3) ┌──────┐

5235(#4) │0 in ├─1. BEFORE

5244(#5) │next │

5253(#6) │2 vars│

└──────┘

2. AFTER

8. DK

9. NA

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

no further conditions

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

5218(#2)

5227(#3) Code MONTH (01-12)

5236(#4)

5245(#5) 98. DK

5254(#6) 99. NA

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

no further conditions

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

5219(#2)

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

5237(#4)

5246(#5) 9998. DK

5255(#6) 9999. NA

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

no further conditions

SECTION J: HEALTH AND LIMITATION OF ACTIVITIES

VAR #

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

the day because of your health?

1. YES

5. NO

9. NA

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

1. YES

┌─────────┐

│0 in 5303├────────5. NO

└─────────┤

└────────9. NA

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

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

1. A LITTLE

2. SOME

┌──────────────┐

│0 in 5304-5311├───3. A LOT

└──────────────┴───4. CANNOT DO

8. DK

9. NA

0. Inap, 5 or 9 in 5302

5304 J12. INTERVIEWER CHECKPOINT

┌──────────────┐

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

└──────────────┘

2. ALL OTHERS

0. Inap, 3-4 in 5303

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

flights of stairs because of your health?

1. YES

3. VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

│0 in 5306├────────5. NO

└─────────┤

├────────8. DK

└────────9. NA

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

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

can't you do this at all?

1. A LITTLE

2. SOME

3. A LOT

4. CANNOT DO

8. DK

9. NA

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

5307 J14. Do you currently have any difficulty walking several

blocks because of your health?

1. YES

3. VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

│0 in 5308├────────5. NO

└─────────┤

├────────8. DK

└────────9. NA

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

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

can't you do this at all?

1. A LITTLE

2. SOME

3. A LOT

4. CANNOT DO

8. DK

9. NA

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

5309 J15. INTERVIEWER CHECKPOINT

┌──────────────┐

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

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

2. ALL OTHERS

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

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

because of your health?

1. YES

3. VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

│0 in 5311├────────5. NO

└─────────┤

├────────8. DK

└────────9. NA

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

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

or couldn't you do this at all?

1. A LITTLE

2. SOME

3. A LOT

4. COULD NOT DO

8. DK