Data Dictionary for rosint

Number of Blaise fields: 912

Seq # Var Question Data Type/Coding
1 projid ROS BASELINE Interview (v3.0 Rev 12/29/2020) Enter project ID number. String[8]
2 visit Enter visit code (check folder color): CODE F/U Year Folder 00 = Baseline (manilla) String[2]
3 vervisit Please verify visit. Visit = ^visitnum Is the folder ^folder? If not, please page up and correct visit code. 1= Yes
4 formno INTRODUCTION Form Number String[6]
5 version version Number. String[4]
6 autodate Automatic Date. Date type
7 autotime Automatic Time. TimeType
8 autolog Automatic Logged Date. Date type
9 intid INTERVIEWER ID 100 .. 997
10 compid Laptop ID String[20]
11 dateint Date of interview Date type
12 sex 1. Record participant's sex. 1= Male 2= Female
13 relord 2. Record participant's religious order. 201= Sisters of Charity, Chicago 202= Sisters of Charity, Dubuque 203= Sisters of Mercy, Chicago 204= Sisters of Mercy, Aurora 205= Holy Spirit Missionary Sisters, Techny 206= Sisters of St. Casimir, Chicago 207= Sisters of St. Joseph, LaGrange Park 208= Sisters of the Holy Family of Nazareth, Des Plaines 209= Sisters of St. Benedict, St. Cloud 210= Franciscan Sisters of Chicago 211= Sinsinawa Dominicans (WI and Chicago) 212= Felicians 213= Sisters of Mercy, Erie, PA 214= Benedictine Sisters of Erie 215= Sisters of the Presentation of the BVM 216= Benedictine Sisters of the Sacred Heart 217= Other 218= Other 219= Other 220= Handmaids of Mary, New York 221= Oblate sisters of Providence 222= Holy Family, New Orleans 223= Other 224= Other 225= Other
14 relvoc 3. Record participant's religious vocation? 1= Brother 2= Priest
15 mpo 4. Male Participant's religious order? 101= Servite 102= Benedictines St. John's 103= Benedictines Lisle 104= Divine Word Brothers and Priests 105= Brother of the Christian Schools (IL and Memphis) 106= Passionists 107= Augustinians 108= Dominicans 109= Franciscan Friars 110= Norbetins 111= Capuchins 112= Trappists 113= Maryknoll, CA 114= Maryknoll, NY 115= Other 116= Trappist, KY 117= Jesuits 118= Other 119= Other 120= Diocescan Priests of Biloxi 121= Other 122= Other 123= Other 124= Other 125= Other
16 dioc 4a. Diocese 151= Chicago Archdiocescan Priests 152= Joliet Priests 153= Rockford Priests 154= Milwaukee Priests 155= St. Paul, MN. Priests 156= St. Cloud, MN. Priests 157= Dubuque Priests 158= Gary Priests 159= Other 160= Other 161= Other 162= Other 163= Other 164= Other 165= Other 166= Other 167= Other 168= Other 169= Other 170= Other
17 autotm [COMPUTER CLOCK TIME] String[8]
18 validated
19 validateerror
20 errorposition
21 validated_hicn_cms
22 validated_rrb_pre1964
23 validated_rrb_post1964
24 hicnformats
25 hicn_alpha
26 hicn_numbers
27 strlen
28 hicn_trimmed
29 ssn_br Do we need to obtain SSN from this participant? [INTERVIEWER: Check the face sheet. Enter YES if participant is able to provide the SSN. Enter NO if SSN is not to be collected.] 1= Yes 2= No, already collected 3= No, face sheet stated NOT to ask Pt 4= No, Pt does not have it available or is not eligible 5= No, Pt has mild reluctance 6= No, Pt has moderate reluctance 7= No, Pt has strong reluctance
30 ssn What is your social security number? [INTERVIEWER: Please enter the SSN in 000-00-0000 format.] String[11]
31 ssn_c [ENTER R. SOCIAL SECURITY NUMBER AGAIN] String[11]
32 hicn_br Do we need to obtain the old Medicare#(HICN) from this participant? [INTERVIEWER: Check the face sheet. Enter YES if participant is able to provide the HICN. Enter NO if HICN is not to be collected.] 1= Yes 2= No, already collected 3= No, face sheet stated NOT to ask Pt 4= No, Pt does not have it available or is not eligible 5= No, Pt has mild reluctance 6= No, Pt has moderate reluctance 7= No, Pt has strong reluctance
33 hicn What is your old medicare number(HICN) ? Please show me your card. [INTERVIEWER: valid HICN formats include 000000000A, 000000000C1, A000000000 or A000000.] String[11]
34 hicn_c [ENTER R. MEDICARE NUMBER(HICN) AGAIN] String[11]
35 hicn_type HICN Type: ^hicnFormats String[15]
36 mbi_br Do we need to obtain the new Medicare#(MBI) from this participant? [INTERVIEWER: Check the face sheet. Enter YES if participant is able to provide the MBI. Enter NO if MBI is not to be collected.] 1= Yes 2= No, already collected 3= No, face sheet stated NOT to ask Pt 4= No, Pt does not have it available or is not eligible 5= No, Pt has mild reluctance 6= No, Pt has moderate reluctance 7= No, Pt has strong reluctance
37 mbi What is your new medicare number(MBI) ? Please show me your card. [INTERVIEWER: Please enter the MBI in 01EG4-TE5-MK73 format.] String[13]
38 mbi_c [ENTER R. MEDICARE NUMBER(MBI) AGAIN] String[13]
39 cntry DEMOGRAPHICS First, we would like to get some general information about your background. 1. In what state or country were you born? 1= U.S.A. 2= Other 3= Argentina 4= Belize 5= Bolivia 6= Brazil 7= Chile 8= Colombia 9= Costa Rica 10= Cuba 11= Dominican Republic 12= Ecuador 13= El Salvador 14= French Guiana 15= Guatemala 16= Guyana 17= Haiti 18= Honduras 19= Mexico 20= Nicaragua 21= Panama 22= Paraguay 23= Peru 24= Puerto Rico 25= Suriname 26= Uruguay 27= Venezuela
40 specfy Specify Country: String[30]
41 howlong How many years have you lived in the United States? 1 .. 130
42 state In what state were your born? String[30]
43 city 2. In what city or town? String[30]
44 county 3. And in what county (or province) were you born? String[30]
45 vows In What year did you take your final vows? 1878 .. 2020
46 ordn In What year were you ordained? 1878 .. 2020
47 race 7. With which group do you most closely identify yourself? 1= White 2= Black, Negro, African-American 3= Native American, Indian 4= Eskimo 5= Aleut 6= Asian or Pacific Island
48 q4dem What is your date of birth? (mo/day/yr) Date type
49 spanish : Are you of Spanish, Hispanic or Latino origin? That is, having origins from a Spanish-speaking or Latin American country? 1= Yes 2= No
50 hispor Are you of Mexican/Chicano/Mexican American, Puerto Rican, Cuban, Dominican, Central American, or South American origin? 1= Mexican/Chicano/Mexican American 2= Puerto Rican 3= Cuban 4= Dominican 5= Central American(Belizean, Costa Rican, Guatemalan, Honduran, Nicaraguan, Panamanian, Salvadorian) 6= South American(Argentinian, Bolivian, Brazilian, Chilean, Columbian, Ecuadorian, Paraguayan, Peruvian, Uruguayan, Venezuelan) 50= Other
51 hisporx Other (specify, please write in English): String[30]
52 racepri What is your race? [Please read options 1-5 to the participant] 1= White 2= Black or African-American 3= American Indian or Alaska Native 4= Native Hawaiian or Other Pacific Islander 5= Asian 6= Other 7= Unknown
53 raceprix Other, specify String[30]
54 racesec_br Did the participant indicate a second race? [You are not to ask this question of the participant. Only click yes to this question if the participant offered this information to you during the previous question.] 1= Yes 2= No
55 racesec Indicate the participant's second race 1= White 2= Black or African-American 3= American Indian or Alaska Native 4= Native Hawaiian or Other Pacific Islander 5= Asian 6= Other 7= Unknown
56 racesecx Other, specify String[30]
57 raceter_br Did the participant indicate a third race? [You are not to ask this question of the participant. Only click yes to this question if the participant offered this information to you during the previous question.] 1= Yes 2= No
58 raceter Indicate the participant's third race 1= White 2= Black or African-American 3= American Indian or Alaska Native 4= Native Hawaiian or Other Pacific Islander 5= Asian 6= Other 7= Unknown
59 raceterx Other, specify String[30]
60 q1qua QUALITY OF LIFE Now I have some general questions about your health. 1. As compared to other people your own age, would you say that your health is excellent, good, fair or poor? 1= Excellent 2= Good 3= Fair 4= Poor
61 q2qua 2. Now, thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? [ENTER NUMBER OF DAYS] 0 .. 30
62 q3qua 3. Now, thinking about your mental health, which includes stress, depression, or problems with your emotions. For how many days during the past 30 days was your mental health not good? [ENTER NUMBER OF DAYS] 0 .. 30
63 q4qua 4. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation? [ENTER NUMBER OF DAYS] 0 .. 30
64 heart MEDICAL HISTORY - CARDIOVASCULAR DISEASE Now, I have some questions about a number of specific medical conditions. 1. Have you EVER been told by a doctor, nurse or therapist that you had a heart attack or coronary, or coronary thrombosis, or coronary occlusion, or myocardial infarction? 1= Yes 2= Suspect or possible 3= No
65 multiple 1a. Did you have only one or more than one? 1= Only one 2= More than one
66 inhosp 1b Were you hospitalized overnight or longer for this (last one)? 1= Yes 2= No
67 hospyear 1c. When was the last time? [ENTER YEAR] 1878 .. 2020
68 hospname 1d. What was the name of the (last) hospital? [SPECIFY] String[40]
69 cancer CANCER OR MALIGNANCY 1. Have you EVER been told by a doctor, nurse or therapist that you had ... Cancer, malignancy or tumor of any type? 1= Yes 2= Suspect or possible 3= No
70 ca1a 1a. Where was it? [OR: Where was the most recent cancer that you had?] [SPECIFY] String[20]
71 ca1b 1b. Were you hospitalized overnight or longer for this? 1= Yes 2= No
72 ca1c 1c. When was the last time? [ENTER YEAR] 1878 .. 2020
73 ca1d 1c. What was the name of the (last) hospital? [SPECIFY] String[40]
74 diabetes DIABETES 1. (Have you EVER been told by a doctor, nurse or therapist that you had ...) 2. Diabetes, or sugar in the urine, or high blood sugar? 1= Yes 2= Suspect or possible 3= No
75 dbyr 1a. When were you first told this? 1878 .. 2020
76 db1 2. Has a doctor, nurse or therapist, told you to take insulin or injections for your high blood sugar? 1= Yes 2= No
77 db1a 2a Are you currently taking insulin or injections? 1= Yes 2= No
78 db3 3 Has a doctor, nurse, or therapist EVER told you to take medicine by mouth for your high blood sugar? 1= Yes 2= No
79 db3a 3a Are you currently doing this? 1= Yes 2= No
80 highbp HIGH BLOOD PRESSURE (Have you EVER been told by a doctor, nurse or therapist that you had ...) 1. High blood pressure? 1= Yes 2= Suspect or possible 3= No
81 bp10 1a When were you first told this? [ENTER YEAR] 1878 .. 2020
82 bp30 2 Has a doctor, nurse, or therapist EVER told you to take medicine by mouth for your high blood pressure? 1= Yes 2= No
83 bp3a 2a Are you currently doing this? 1= Yes 2= No
84 herpes HERPES ZOSTER (Have you EVER been told by a doctor, nurse or therapist that you had ...) 1. Shingles or herpes zoster? 1= Yes 2= Suspect or possible 3= No
85 thyroid THYROID DISEASE (Have you EVER been told by a doctor, nurse or therapist that you had ...) 1. Thyroid disease? 1= Yes 2= Suspect or possible 3= No
86 th5a 1a. When were you first told this? [ENTER YEAR] 1878 .. 2020
87 th5b 1b. Were you hospitalized overnight or longer for thyroid disease? 1= Yes 2= No
88 th5c 1c. When was the last time? [ENTER YEAR] 1878 .. 2020
89 th5d 1c. What was the name of the (last) hospital? [SPECIFY] String[40]
90 brokenhp BROKEN HIP (Have you EVER been told by a doctor, nurse or therapist that you had ...) 1. A broken or fractured hip? 1= Yes 2= Suspect or possible 3= No
91 hip6a 1a. Were you ever hospitalized overnight or longer for this? 1= Yes 2= No
92 hip6b 1b. When was the last time? [ENTER YEAR] 1878 .. 2020
93 hip6c 1b. What was the name of the (last) hospital? [SPECIFY] String[40]
94 arthritis Arthritis Have you ever been told by a doctor, nurse or therapist that you had osteoarthritis? 1= Yes 2= Suspect or possible 3= No
95 gout Have you ever been told by a doctor, nurse or therapist that you had gout? 1= Yes 2= Suspect or possible 3= No
96 osteoporosis Have you ever been told by a doctor, nurse or therapist that you had osteoporosis? 1= Yes 2= Suspect or possible 3= No
97 joint_disease Have you ever been told by a doctor, nurse or therapist that you had other joint disease (excluding cancer)? 1= Yes 2= Suspect or possible 3= No
98 chespain CHEST PAIN Now some questions about pains in your chest. 1. Have you EVER had any pain or discomfort in your chest? 1= Yes 2= No
99 pressure 1a. Have you had any pressure or heaviness in your chest? 1= Yes 2= No
100 uphill0 2. Do you get this pain or discomfort when you walk uphill or hurry? 1= Yes 2= No 3= Never walks uphill or hurries
101 level0 3. Do you get this pain or discomfort when you walk at an ordinary pace on the level? 1= Yes 2= No
102 dowhat0 4. What do you do if you get this pain while you are walking? [IF CONTINUED AFTER TAKING NITROGLYCERIN,RECORD AS `Stop or slow down'] 1= Stop or slow down 2= Take a nitroglycerin 3= Continue at the same pace
103 stand0 5. If you stand still, what happens to the pain? 1= Relieved 2= Not relieved
104 howsoon0 5a. How soon is the pain relieved? 1= 10 minutes or less 2= More than 10 minutes
105 mustern 6a. Will you show me where it was? Sternum (middle or upper) 1= Show 2= Not shown
106 lowstern 6b. Sternum (lower) 1= Show 2= Not shown
107 lantches 6c. Left anterior chest 1= Show 2= Not shown
108 leftarm 6d. Left arm 1= Show 2= Not shown
109 other00 7. Did you feel it anywhere else? 1= Yes 2= No
110 where 7a. Where? [SPECIFY] String[30]
111 attack30 8. Have you EVER had a severe pain across the front of your chest lasting half an hour or more? 1= Yes 2= No
112 seedoc 9. Did you see a doctor because of the pain? 1= Yes 2= No
113 docsaid 9a. What did (s)he say it was? String[40]
114 howmany0 10. How many of these attacks have you had? 1 .. 99
115 legpain CLAUDICATION Now some questions about pains in your legs 1. Do you get pain in either leg while walking? 1= Yes 2= No
116 standsit 2. Does this pain ever begin when you are standing still or sitting? 1= Yes 2= No
117 calf 3. In what part of your leg do you feel it? [IF CALVES NOT MENTIONED ASK: `Anywhere else?' IF STILL NOT MENTIONED, CODE 2] 1= Pain includes calf/calves 2= Pain does not include calf
118 uphill1 4. Do you get this pain when you walk uphill or hurry? 1= Yes 2= No 3= Never walks uphill or hurries
119 level1 5. Do you get this pain when you walk at an ordinary pace on the level? 1= Yes 2= No
120 disapp 6. Does this pain ever disappear while you are still walking? 1= Yes 2= No
121 dowhat1 7. What do you do if you get this pain while you are walking? 1= Stop/slacken the pace 2= Continue at the same pace
122 stand1 8. What happens to the pain if you stand still? 1= Relieved 2= Not relieved
123 howsoon1 8a. How soon is it relieved? 1= 10 minutes or less 2= More than 10 minutes
124 hormadm HORMONE REPLACEMENT Now I'd like to ask you about hormonal medications you may have used. Hormones are sometimes used by women around the time of their change of life, after surgery on their ovaries, to control heavy or irregular menstrual periods, or for prevention of disease such as bone loss. These medications include pills, injections, vaginal creams or suppositories, or skin patches. [Please enter c for first question.] String[1]
125 hormones 1. Did you ever take any type of estrogen hormonal medication, for example Premarin, Ogen or Estrace, or progesterone hormonal medication, for example, Provera? 1= Yes 2= Suspect 3= No
126 pill Were these estrogen or progesterone hormones in the form of a pill, injection, vaginal cream or suppository, or skin patch? 2. pill or other oral dosage form 1= Yes 2= Suspect 3= No
127 shot 3. injection (shot) 1= Yes 2= Suspect 3= No
128 cos 4. vaginal cream or suppository 1= Yes 2= Suspect 3= No
129 patch 5. skin patch 1= Yes 2= Suspect 3= No
130 agefirst 6. How old were you when you first took this/these medications? 1 .. 115
131 current 7. Are you currently taking this/these medications? 1= Yes 2= No
132 agelast 7a. How old were you when you last took this/these medications? 1 .. 115
133 mensage 8. At what age did you begin menstruating? 1 .. 99
134 menoage 9. At what age did you stop menstruating? 1 .. 99
135 natura 10. Was your menopause natural or caused by surgery? 1= Natural 2= Surgery
136 whatwas 10a. What was the surgery? 1= Full Hysterectomy 2= Hysterectomy (partial) 3= Other
137 othspe00 10b. Specify: String[40]
138 dizzy DIZZINESS Now some questions about dizziness or lightheadedness. 1. Have you EVER had an episode of dizziness or lightheadedness? 1= Yes 2= Suspect 3= No
139 freq0 2. How often, on average, do they occur? Would you say that they occur about once a year or less, several times a year, once a month, several times a month, once a week, or several times a week? 1= once a year or less 2= several times a year 3= once a month 4= several times a month 5= once a week 6= several times a week
140 severity 3. How severe, on average, are these episodes? Would you say they are usually not severe at all, slightly severe, somewhat severe, very severe, or extremely severe? 1= not severe at all 2= slightly severe 3= somewhat severe 4= very severe 5= extremely severe
141 spin 4. During any of these episodes, did you definitely feel as if either you or the room was actually spinning, turning or moving? 1= Yes 2= Suspect 3= No
142 numspin 4a. How many episodes like this have you had? Would you say one, or two to five, six to ten, or more than ten? 1= One 2= two to five 3= six to ten 4= more than ten
143 timespin 4b. How long, on average, does a typical episode last? Would you say less than 5 seconds, between 5 seconds and 5 minutes, between 5 minutes and 1 hour, between 1 hour and 2 days, or more than 2 days? 1= < 5 seconds 2= 5 seconds - 5 minutes 3= > 5 minutes - 1 hour 4= > 1 hour - 2 days 5= > 2 days
144 dzdoctor 4c. Have you ever seen a doctor because of an episode of dizziness? 1= Yes 2= No
145 dzhosp 4d. Were you hospitalized overnight or longer for this (last one)? 1= Yes 2= No
146 dzhospyr 4e. When was the last time? [ENTER YEAR] 1878 .. 2020
147 dzhospnm 4f. What was the name of the (last) hospital? String[40]
148 joints JOINTS Now a few questions about your joints. 1. For the past year, that is since ^yearago, have you had pain or aching in any of your joints on most days for at least one month? 1= Yes 2= No
149 neckpain 2. ...Pain in your neck or back on most days for at least one month? 1= Yes 2= No
150 hippain 3. ...Pain in or around either hip joint including the buttock, groin, and side of the upper thigh on most days for at least one month? 1= Yes 2= No
151 kneepain 4. ...Pain in or around the knees including the back of the knee on most days for at least one month? 1= Yes 2= No
152 swelling 5. ...Swelling at a joint, with pain present in the joint when touched, on most days for at least one month? 1= Yes 2= No
153 stiff 6. ...Stiffness in the joints and muscles when getting out of bed in the morning lasting for at least 15 minutes? 1= Yes 2= No
154 feetpain 7. ...Pain or aching in either of your feet on most days for at least one month? 1= Yes 2= No
155 handpain 8. ...Pain or aching in either of your hands, wrists or fingers on most days for at least one month? 1= Yes 2= No
156 q1neur NEUROPATHY Now I have some questions about numbness and tingling. Have you EVER had numbness or tingling [or asleep or burning] feeling of your feet or toes? 1= Yes 2= Suspect 3= No
157 q2neur Was this ___ on the right side, left side, or both sides? 1= Right 2= Left 3= Both
158 q3neur Have you EVER had numbness or tingling [or asleep or burning] feeling of your hands or fingers? 1= Yes 2= Suspect 3= No
159 q4neur Was this ___ on the right side, left side, or both sides? 1= Right 2= Left 3= Both
160 q5neur CERVICAL RADICULAPATHY Now I have some questions about neck pain. Have you ever had neck pain that lasted days weeks, or months? 1= Yes 2= Suspect 3= No
161 q6neur At a time while you were having pain in the neck, did you also have pain, numbness or tingling, or weakness in the arms or hands? 1= Yes 2= Suspect 3= No
162 q7neur1 Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] 1= Pain 2= Numbness or tingling 3= Weakness
163 q7neur2 Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] See previous question
164 q7neur3 Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] See previous question
165 q8neur Did this ___ occur on the right side, left side, or both sides? 1= Right 2= Left 3= Both
166 q9neur Now, when you have neck pain, how long, on average, does the neck pain typically last? Would you say less than a week, between one week and one month, between one and two months, between two and six months, or greater than six months? 1= < a week 2= 1 week - 1 month 3= > 1 month - 2 months 4= > 2 months - 6 months 5= > 6 months
167 q10neur How many different times have you had neck pain? 1 .. 50
168 q11neur How severe, on average, is the neck pain? Would you say it is usually not severe at all, slightly severe, somewhat severe, very severe, or extremely severe? 1= Not severe at all 2= Slightly severe 3= Somewhat severe 4= Very severe 5= Extremely severe
169 q12neur Have you ever seen a doctor because of neck pain? 1= Yes 2= No
170 q13neur Have you ever had an x-ray or scan [CT or MRI] of the neck because of the pain? 1= Yes 2= No
171 q14neur When was the last time? [ENTER YEAR] 1900 .. 2040
172 q15neur What was the name of the place (doctor's office, hospital or other place) at which the scan was performed? [ENTER NAME] String[40]
173 q16neur [ENTER LOCATION] String[40]
174 q17neur LUMBAR RADICULOPATHY Now I have some questions about low back pain. Have you ever had low back pain that lasted days to months? 1= Yes 2= Suspect 3= No
175 q18neur At a time while you were having low back pain, did you also have pain, numbness or tingling, or weakness in the legs or feet? 1= Yes 2= Suspect 3= No
176 q19neur1 Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] 1= Pain 2= Numbness or tingling 3= Weakness
177 q19neur2 Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] See previous question
178 q19neur3 Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] See previous question
179 q20neur Did this ___ occur on the right side, left side, or both sides? 1= Right 2= Left 3= Both
180 q21neur Now, when you have low back pain, how long, on average, does the low back pain typically last? Would you say less than a week, between one week and one month, between one and two months, between two and six months, or greater than six months? 1= < a week 2= 1 week - 1 month 3= > 1 month - 2 months 4= > 2 months - 6 months 5= > 6 months
181 q22neur How many different times have you had low back pain? 1 .. 50
182 q23neur How severe, on average, is the low back pain? Would you say it is usually not severe at all, slightly severe, somewhat severe, very severe, or extremely severe? 1= Not severe at all 2= Slightly severe 3= Somewhat severe 4= Very severe 5= Extremely severe
183 q24neur Have you ever seen a doctor because of low back pain? 1= Yes 2= No
184 q25neur Have you ever had an x-ray or scan [CT or MRI] of the low back because of the pain? 1= Yes 2= No
185 q26neur When was the last time? [ENTER YEAR] 1900 .. 2040
186 q27neur What was the name of the place (doctor's office, hospital or other place) at which the scan was performed? [ENTER NAME] String[40]
187 q28neur [ENTER LOCATION] String[40]
188 q1md The next few questions are about your feelings during the past week. For each of the following statements, please tell me if you felt that way much of the time during the past week. 1. I felt that everything I did was an effort. Have you felt this way much of the time during the past week? 1= Yes 2= No
189 q2md 2. My sleep was restless. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
190 q3md 3. I felt depressed. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
191 q4md 4. I was happy. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
192 q5md 5. I felt lonely. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
193 q6md 6. People were unfriendly. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
194 q7md 7. I enjoyed life. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
195 q8md 8. I felt sad. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
196 q9md 9. I felt that people disliked me. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
197 q10md 10. I could not get 'going'. (Have you felt this way much of the time during the past week?) 1= Yes 2= No
198 q1slp SLEEP Now I would like to get some information about how well you sleep 1. How often you have trouble falling asleep? Would you say it is - Very often, Often, Sometimes, Rarely or Never? 1= Very Often 2= Often 3= Sometimes 4= Rarely 5= never
199 q2slp 2. How often are you troubled by waking up during the night? 1= Very Often 2= Often 3= Sometimes 4= Rarely 5= never
200 q4slp 3. How often do you get so sleepy during the day or evening that you have to take a nap? 1= Very Often 2= Often 3= Sometimes 4= Rarely 5= never
201 q5slp 4. How often do you feel really rested when you wake up in the morning? 1= Very Often 2= Often 3= Sometimes 4= Rarely 5= never
202 q6slp How many hours do you usually sleep at night? 0 .. 24
203 q1dep DEPRESSION Now I have few more questions about how you feel. 1. In the past month, has there been two weeks or more during which you felt sad, blue, depressed, or when you lost interest and pleasure in things you usually cared about or enjoyed? 1= Yes 2= No
204 q1adep During this period, did you experience any of the following problems? 1a. A change in your appetite 1= Yes 2= No
205 q1bdep 1b. A change in your pattern of sleeping 1= Yes 2= No
206 q1cdep 1c. A decrease in your energy level 1= Yes 2= No
207 q1ddep 1d. Trouble concentrating 1= Yes 2= No
208 q1edep 1e. Felt extremely guilty or worthless 1= Yes 2= No
209 q1fdep 1f. Felt extremely restless or agitated 1= Yes 2= No
210 q1gdep 1g. Lost your interest in favorite activities 1= Yes 2= No
211 q1hdep 1h. Felt that life was not worth living 1= Yes 2= No
212 q2dep 2. Did you tell a doctor or any other professional about it? 1= Yes 2= No
213 q3dep 3. In your lifetime, other than the past month, have you ever had two weeks or more during which you felt sad, blue, depressed, or when you lost interest and pleasure in things you usually cared about or enjoyed? 1= Yes 2= No
214 q3aadep During this period during which you felt depressed, did you experience any of the following problems? 3a. A change in your appetite 1= Yes 2= No
215 q3abdep 3ab. A change in your pattern of sleeping 1= Yes 2= No
216 q3acdep 3ac. A decrease in your energy level 1= Yes 2= No
217 q3addep 3ad. Trouble concentrating 1= Yes 2= No
218 q3aedep 3ae. Felt extremely guilty or worthless 1= Yes 2= No
219 q3afdep 3af. Felt extremely restless or agitated 1= Yes 2= No
220 q3agdep 3ag. Lost your interest in favorite activities 1= Yes 2= No
221 q3ahdep 3ah. Felt that life was not worth living 1= Yes 2= No
222 q3bdep 3b. In your lifetime, how many episodes like that have you had that lasted two weeks or more? [allow for two digits] [ENTER NUMBER] 1 .. 99
223 q3cdep 3c. Have you ever seen a doctor because this (one of these) episode(s)? 1= Yes 2= No
224 q3ddep 3d. Were you ever hospitalized overnight or longer for this (one of these) episode(s)? 1= Yes 2= No
225 q3edep 3e. When was the last time? [ENTER YEAR] 1900 .. 2040
226 q3fdep 3f. What was the name and location of the (last) hospital? String[40]
227 swall SWALLOWING Now I have some question about chewing and swallowing 1. How much difficulty, on average, do you have swallowing your food? Would you say you have - no difficulty at all, a little difficulty, some difficulty or a lot of difficulty? 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty
228 movi 2. How much difficulty, on average, do you have moving food out of your mouth into your throat to swallow? Would you say you have - no difficulty at all, a little difficulty, some difficulty or a lot of difficulty? 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty
229 cough 3. How often do you cough or choke when drinking or eating? Would you say never, rarely, sometimes, most of the time or almost always? 1= Never 2= Rarely 3= Sometimes 4= Most of the time 5= Almost always
230 bring 4. How often do you bring up food or liquid after you have swallowed it? 1= Never 2= Rarely 3= Sometimes 4= Most of the time 5= Almost always
231 headinj HEAD INJURY Now I have some questions about injuries. 1. Have you EVER had a head injury? 1= Yes 2= No
232 headyear 2. What year was the last time? 1878 .. 2020
233 lostcons 3. Have you EVER lost consciousness because of a head injury? 1= Yes 2= Suspect or possible 3= No
234 howmany1 3a. How many times? 1 .. 50
235 lasttime 3b. What year was the last time? 1878 .. 2020
236 howlong1 3c. How long were you unconscious for this (last) head injury? Would you say less than 5 seconds, between 5 seconds and 5 minutes, between 5 minutes and 1 hour, between 1 hour and 2 days, or more than 2 days? 1= < 5 seconds 2= 5 seconds - 5 minutes 3= > 5 minutes - 1 hour 4= > 1 hour - 2 days 5= > 2 days
237 hihosp 4. Were you EVER hospitalized overnight or longer for a head injury? 1= Yes 2= No
238 same1 4a. Was this the same event we just spoke about? 1= Yes 2= No
239 hihospyr 4b. When was it? [ENTER YEAR] 1878 .. 2020
240 hihospnm 4c. What was the name of the (last) hospital? [HOSPITAL NAME] String[40]
241 hihosloc [LOCATION:] String[40]
242 memory0 Were any of the following signs/symptoms associated with this (last) event? [INTERVIEWER: `Last' event refers to the most recent hospitalization event.] 1. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
243 speech0 2. Language or speech change? 1= Yes 2= Suspect 3= No
244 weaknes0 3. Weakness or paralysis of face, arms or legs? 1= Yes 2= Suspect 3= No
245 side0 3a. Which side(s)? 1= right only 2= left only 3= both
246 other01 4. Were there any other signs or symptoms associated with this (last) event? 1= Yes 2= Suspect 3= No
247 othspe01 4a. Specify String[40]
248 hiscan 5. Did you EVER have a CT, MRI or other type of brain scan because of a head injury? 1= Yes 2= No
249 same2 Was this the same event we just spoke about? 1= Yes 2= No
250 hiscanyr 5a. When was this (the last time)? [ENTER YEAR] 1878 .. 2020
251 hiscanam 5b. What was the name of the place (doctor's office, hospital or other place) at which the scan was performed? [NAME:] String[40]
252 memory1 Were any of the following signs/symptoms associated with this (last) event? [INTERVIEWER: `Last' event refers to the most recent hospitalization event.] 1. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
253 speech1 2. Language or speech change? 1= Yes 2= Suspect 3= No
254 weaknes1 3. Weakness or paralysis of face, arms or legs? 1= Yes 2= Suspect 3= No
255 side1 3a. Which side(s)? 1= right only 2= left only 3= both
256 other02 4. Were there any other signs or symptoms associated with this (last) event? 1= Yes 2= Suspect 3= No
257 othspe02 4a. Specify String[40]
258 troubles 6. Do you have any left over troubles from your head injury(s)? 1= Yes 2= Suspect 3= No
259 specify 6a Specify? String[40]
260 hdrvehicle
261 hdrhitbyobject
262 hdrfalling
263 hdrsports
264 hdrabuse
265 hdrmilitary
266 hdrother
267 prevbisqdone BRAIN INJURY SCREENING QUESTIONNAIRE Have the BISQ questions been previously completed for this participant? ^prevBisqDoneText 1= Yes 2= No
268 bisqveh BRAIN INJURY SCREENING QUESTIONNAIRE Now I have some questions about head injuries. ^lastInterviewText0en 1. Vehicle accident?(ex: MVA, pedestrian accident, motorcycle/ATV crash) 1= Yes 2= No
269 bisqvehnum ^hdrVehicle How many times did you receive a blow to the head, in a vehicle accident? 1 .. 30
270 bisqvehloc ^hdrVehicle Did you lose consciousness? 1= Yes 2= No
271 bisqvehlocnum ^hdrVehicle How many times have you lost consciousness? 1 .. 30
272 bisqvehlocdur ^hdrVehicle What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
273 bisqvehlocyr1 ^hdrVehicle In what year did this occur (1)? 1900 .. 2050
274 bisqvehlocyr2 ^hdrVehicle In what year did this occur (2)? 1900 .. 2050
275 bisqvehlocyr3 ^hdrVehicle In what year did this occur (3)? 1900 .. 2050
276 bisqvehlocyr4 ^hdrVehicle In what year did this occur (4)? 1900 .. 2050
277 bisqvehlocyr5 ^hdrVehicle In what year did this occur (5)? 1900 .. 2050
278 bisqvehdaze ^hdrVehicle Were you dazed or confused? 1= Yes 2= No
279 bisqvehdazenum ^hdrVehicle How many times have you been dazed or confused? 1 .. 30
280 bisqvehdazedur ^hdrVehicle What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
281 bisqvehdazeyr1 ^hdrVehicle In what year did this occur (1)? 1900 .. 2050
282 bisqvehdazeyr2 ^hdrVehicle In what year did this occur (2)? 1900 .. 2050
283 bisqvehdazeyr3 ^hdrVehicle In what year did this occur (3)? 1900 .. 2050
284 bisqvehdazeyr4 ^hdrVehicle In what year did this occur (4)? 1900 .. 2050
285 bisqvehdazeyr5 ^^hdrVehicle In what year did this occur (5)? 1900 .. 2050
286 bisqhit ^lastInterviewText1en 2. Hit by an object?(ex: equipment, falling object) 1= Yes 2= No
287 bisqhitnum ^hdrHitByObject How many times did you receive a blow to the head, from a falling object? 1 .. 30
288 bisqhitloc ^hdrHitByObject Did you lose consciousness? 1= Yes 2= No
289 bisqhitlocnum ^hdrHitByObject How many times have you lost consciousness? 1 .. 30
290 bisqhitlocdur ^hdrHitByObject What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
291 bisqhitlocyr1 ^hdrHitByObject In what year did this occur (1)? 1900 .. 2050
292 bisqhitlocyr2 ^hdrHitByObject In what year did this occur (2)? 1900 .. 2050
293 bisqhitlocyr3 ^hdrHitByObject In what year did this occur (3)? 1900 .. 2050
294 bisqhitlocyr4 ^hdrHitByObject In what year did this occur (4)? 1900 .. 2050
295 bisqhitlocyr5 ^hdrHitByObject In what year did this occur (5)? 1900 .. 2050
296 bisqhitdaze ^hdrHitByObject Were you dazed or confused? 1= Yes 2= No
297 bisqhitdazenum ^hdrHitByObject How many times have you been dazed or confused? 1 .. 30
298 bisqhitdazedur ^hdrHitByObject What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
299 bisqhitdazeyr1 ^hdrHitByObject In what year did this occur (1)? 1900 .. 2050
300 bisqhitdazeyr2 ^hdrHitByObject In what year did this occur (2)? 1900 .. 2050
301 bisqhitdazeyr3 ^hdrHitByObject In what year did this occur (3)? 1900 .. 2050
302 bisqhitdazeyr4 ^hdrHitByObject In what year did this occur (4)? 1900 .. 2050
303 bisqhitdazeyr5 ^hdrHitByObject In what year did this occur (5)? 1900 .. 2050
304 bisqfall ^lastInterviewText2en 3. Falling? (ex: down stairs, during a fainting spell, from a high place) 1= Yes 2= No
305 bisqfallnum ^hdrFalling How many times did you receive a blow to the head, in a fall? 1 .. 30
306 bisqfallloc ^hdrFalling Did you lose consciousness? 1= Yes 2= No
307 bisqfalllocnum ^hdrFalling How many times have you lost consciousness? 1 .. 30
308 bisqfalllocdur ^hdrFalling What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
309 bisqfalllocyr1 ^hdrFalling In what year did this occur (1)? 1900 .. 2050
310 bisqfalllocyr2 ^hdrFalling In what year did this occur (2)? 1900 .. 2050
311 bisqfalllocyr3 ^hdrFalling In what year did this occur (3)? 1900 .. 2050
312 bisqfalllocyr4 ^hdrFalling In what year did this occur (4)? 1900 .. 2050
313 bisqfalllocyr5 ^hdrFalling In what year did this occur (5)? 1900 .. 2050
314 bisqfalldaze ^hdrFalling Were you dazed or confused? 1= Yes 2= No
315 bisqfalldazenum ^hdrFalling How many times have you been dazed or confused? 1 .. 30
316 bisqfalldazedur ^hdrFalling What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
317 bisqfalldazeyr1 ^hdrFalling In what year did this occur (1)? 1900 .. 2050
318 bisqfalldazeyr2 ^hdrFalling In what year did this occur (2)? 1900 .. 2050
319 bisqfalldazeyr3 ^hdrFalling In what year did this occur (3)? 1900 .. 2050
320 bisqfalldazeyr4 ^hdrFalling In what year did this occur (4)? 1900 .. 2050
321 bisqfalldazeyr5 ^hdrFalling In what year did this occur (5)? 1900 .. 2050
322 bisqsprt ^lastInterviewText3en 4. Sports/Leisure?(ex: sports, biking, skiing, on the playground) 1= Yes 2= No
323 bisqsprtnum ^hdrSports How many times did you receive a blow to the head, during a sports or leisure activity? 1 .. 30
324 bisqsprtloc ^hdrSports Did you lose consciousness? 1= Yes 2= No
325 bisqsprtlocnum ^hdrSports How many times have you lost consciousness? 1 .. 30
326 bisqsprtlocdur ^hdrSports What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
327 bisqsprtlocyr1 ^hdrSports In what year did this occur (1)? 1900 .. 2050
328 bisqsprtlocyr2 ^hdrSports In what year did this occur (2)? 1900 .. 2050
329 bisqsprtlocyr3 ^hdrSports In what year did this occur (3)? 1900 .. 2050
330 bisqsprtlocyr4 ^hdrSports In what year did this occur (4)? 1900 .. 2050
331 bisqsprtlocyr5 ^hdrSports In what year did this occur (5)? 1900 .. 2050
332 bisqsprtdaze ^hdrSports Were you dazed or confused? 1= Yes 2= No
333 bisqsprtdazenum ^hdrSports How many times have you been dazed or confused? 1 .. 30
334 bisqsprtdazedur ^hdrSports What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
335 bisqsprtdazeyr1 ^hdrSports In what year did this occur (1)? 1900 .. 2050
336 bisqsprtdazeyr2 ^hdrSports In what year did this occur (2)? 1900 .. 2050
337 bisqsprtdazeyr3 ^hdrSports In what year did this occur (3)? 1900 .. 2050
338 bisqsprtdazeyr4 ^hdrSports In what year did this occur (4)? 1900 .. 2050
339 bisqsprtdazeyr5 ^hdrSports In what year did this occur (5)? 1900 .. 2050
340 bisqphys ^lastInterviewText4en 5. Physical Abuse/Assault?(ex: mugged) 1= Yes 2= No
341 bisqphysnum ^hdrAbuse How many times did you receive a blow to the head, from abuse or assault? 1 .. 30
342 bisqphysloc ^hdrAbuse Did you lose consciousness? 1= Yes 2= No
343 bisqphyslocnum ^hdrAbuse How many times have you lost consciousness? 1 .. 30
344 bisqphyslocdur ^hdrAbuse What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
345 bisqphyslocyr1 ^hdrAbuse In what year did this occur (1)? 1900 .. 2050
346 bisqphyslocyr2 ^hdrAbuse In what year did this occur (2)? 1900 .. 2050
347 bisqphyslocyr3 ^hdrAbuse In what year did this occur (3)? 1900 .. 2050
348 bisqphyslocyr4 ^hdrAbuse In what year did this occur (4)? 1900 .. 2050
349 bisqphyslocyr5 ^hdrAbuse In what year did this occur (5)? 1900 .. 2050
350 bisqphysdaze ^hdrAbuse Were you dazed or confused? 1= Yes 2= No
351 bisqphysdazenum ^hdrAbuse How many times have you been dazed or confused? 1 .. 30
352 bisqphysdazedur ^hdrAbuse What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
353 bisqphysdazeyr1 ^hdrAbuse In what year did this occur (1)? 1900 .. 2050
354 bisqphysdazeyr2 ^hdrAbuse In what year did this occur (2)? 1900 .. 2050
355 bisqphysdazeyr3 ^hdrAbuse In what year did this occur (3)? 1900 .. 2050
356 bisqphysdazeyr4 ^hdrAbuse In what year did this occur (4)? 1900 .. 2050
357 bisqphysdazeyr5 ^hdrAbuse In what year did this occur (5)? 1900 .. 2050
358 bisqmil ^lastInterviewText5en 6. Military Service?(ex: training, blast injury) 1= Yes 2= No
359 bisqmilnum ^hdrMilitary How many times did you receive a blow to the head, during military service? 1 .. 30
360 bisqmilloc ^hdrMilitary Did you lose consciousness? 1= Yes 2= No
361 bisqmillocnum ^hdrMilitary How many times have you lost consciousness? 1 .. 30
362 bisqmillocdur ^hdrMilitary What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
363 bisqmillocyr1 ^hdrMilitary In what year did this occur (1)? 1900 .. 2050
364 bisqmillocyr2 ^hdrMilitary In what year did this occur (2)? 1900 .. 2050
365 bisqmillocyr3 ^hdrMilitary In what year did this occur (3)? 1900 .. 2050
366 bisqmillocyr4 ^hdrMilitary In what year did this occur (4)? 1900 .. 2050
367 bisqmillocyr5 ^hdrMilitary In what year did this occur (5)? 1900 .. 2050
368 bisqmildaze ^hdrMilitary Were you dazed or confused? 1= Yes 2= No
369 bisqmildazenum ^hdrMilitary How many times have you been dazed or confused? 1 .. 30
370 bisqmildazedur ^hdrMilitary What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
371 bisqmildazeyr1 ^hdrMilitary In what year did this occur (1)? 1900 .. 2050
372 bisqmildazeyr2 ^hdrMilitary In what year did this occur (2)? 1900 .. 2050
373 bisqmildazeyr3 ^hdrMilitary In what year did this occur (3)? 1900 .. 2050
374 bisqmildazeyr4 ^hdrMilitary In what year did this occur (4)? 1900 .. 2050
375 bisqmildazeyr5 ^hdrMilitary In what year did this occur (5)? 1900 .. 2050
376 bisqoth ^lastInterviewText6en 7. In any other circumstances? 1= Yes 2= No
377 bisqothsp ^hdrOther Please specify: String[255]
378 bisqothnum ^hdrOther How many times did you receive a blow to the head, in a situation I have not mentioned? 1 .. 30
379 bisqothloc ^hdrOther Did you lose consciousness? 1= Yes 2= No
380 bisqothlocnum ^hdrOther How many times have you lost consciousness? 1 .. 30
381 bisqothlocdur ^hdrOther What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
382 bisqothlocyr1 ^hdrOther In what year did this occur (1)? 1900 .. 2050
383 bisqothlocyr2 ^hdrOther In what year did this occur (2)? 1900 .. 2050
384 bisqothlocyr3 ^hdrOther In what year did this occur (3)? 1900 .. 2050
385 bisqothlocyr4 ^hdrOther In what year did this occur (4)? 1900 .. 2050
386 bisqothlocyr5 ^hdrOther In what year did this occur (5)? 1900 .. 2050
387 bisqothdaze ^hdrOther Were you dazed or confused? 1= Yes 2= No
388 bisqothdazenum ^hdrOther How many times have you been dazed or confused? 1 .. 30
389 bisqothdazedur ^hdrOther What was the longest duration? 1= Don't know 2= Less than 5 seconds. 3= Less than 1 min. 4= 1-5 mins. 5= 6-10 mins. 6= 11-20 mins. 7= 21-30 mins. 8= 31-45 mins. 9= 46-60 mins. 10= 1 hour-23 hours 11= 1-2 days 12= 2 days-1 week 13= 1 week-1 month 14= More than 1 mo.
390 bisqothdazeyr1 ^hdrOther In what year did this occur (1)? 1900 .. 2050
391 bisqothdazeyr2 ^hdrOther In what year did this occur (2)? 1900 .. 2050
392 bisqothdazeyr3 ^hdrOther In what year did this occur (3)? 1900 .. 2050
393 bisqothdazeyr4 ^hdrOther In what year did this occur (4)? 1900 .. 2050
394 bisqothdazeyr5 ^hdrOther In what year did this occur (5)? 1900 .. 2050
395 q1inj OTHER INJURIES 1. During the past year, have you had any other accidents or injuries? 1= Yes 2= No
396 q1ainj 1a. Did you have one injury or more than one injury? 1= One 2= More than one
397 q2inj [INTERVIEWER: IF MORE THAN ONE INJURY, THE FOLLOWING QUESTIONS REFER TO THE MOST SEVERE INJURY.] 2. Can you tell me where you were when the injury occurred? For example, were you in your bedroom, bathroom, dining room, or on the stairs, sidewalk, street...? String[40]
398 q3inj 3. What event directly led to the injury? For example, did you fall either off of something or while walking, or were you struck by an object...? String[40]
399 q4inj 4. What object or exposure directly inflicted the injury? For example, was it furniture, stairs, a wall, fire, a car...? String[40]
400 q5inj 5. How would you describe the nature of the injury? For example, was it a cut, bruise, sprain, fracture, burn...? String[40]
401 q6inj 6. Which part of the body was directly affected by the injury? For example, was it your eyes, hands, back...? String[40]
402 q7inj 7. Did you have to see a doctor or other medical practitioner? 1= Yes 2= No
403 q7ainj 7a. Were you hospitalized? 1= Yes 2= No
404 q7binj 7b. What was the name of the (last) hospital? String[40]
405 q1cc COGNITIVE COMPLAINTS Now I have some questions about your memory. 1. People find that they sometimes have more trouble remembering things as they get older. About how often do you have trouble remembering things? Would you say it is very often, often, sometimes, rarely or never? 1= Very often 2= Often 3= Sometimes 4= Rarely 5= Never
406 q2cc 2. Compared to 10 years ago, would you say that your memory is much worse, a little worse, the same, a little better or much better? 1= Much worse 2= A little worse 3= The same 4= A little better 5= Much better
407 q3cc 3. How often do you have any other problems with your thinking, such as trouble concentrating or finding words in conversations? Would you say it is very often, often, sometimes, rarely or never? 1= Very often 2= Often 3= Sometimes 4= Rarely 5= Never
408 q3acc 3a. Specify String[30]
409 q3bcc 3b. Compared to 10 years ago, would you say that these problems are much worse, a little worse, the same, a little better or much better? [INTERVIEWER: 'THESE' REFERS TO ALL OF THE PROBLEMS. IF SUBJECT INSISTS ON 'WHICH ONE' INSTRUCT HIM/HER TO REFER TO THE ONE WHICH MOST TROUBLES HIM/HER.] 1= Much worse 2= A little worse 3= The same 4= A little better 5= Much better
410 q1edu EDUCABILITY 1. Did you have difficulty attending regular schools, i.e., did you ever attend special schools or special classes in school? [INTERVIEWER: IGNORE SPECIAL SCHOOLS OR CLASSES RELATED TO HIGH ACADEMIC ACHIEVEMENT, E.G., ADVANCED PLACEMENT.] 1= No problem in schools 2= Attended special classes 3= Attended special schools
411 q1aedu 1a. Did you have difficulty with one particular subject such as reading or mathematics? 1= Difficulty with reading 2= Difficulty with mathematics 3= Other difficulty
412 q1bedu 1b. Specify String[30]
413 per1 PERSONALITY Now I have some more questions about how you would describe yourself. For each of the following statements, tell me the number of the answer that most closely represents your opinion. [SHOW PARTICIPANT CARD] 1. I am not a worrier. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
414 per2 2. I like to have a lot of people around me. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
415 per3 3. I don't like to waste my time daydreaming. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
416 per4 4. I try to be courteous to everyone I meet. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
417 per5 5. I keep my belongings clean and neat. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
418 per6 6. I often feel inferior to others. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
419 per7 7. I laugh easily. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
420 per8 8. Once I find the right way to do something, I stick to it. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
421 per9 9. I often get into arguments with my family and co-workers. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
422 per10 10. I'm pretty good about pacing myself so as to get things done on time. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
423 per11 11. When I'm under a great deal of stress, sometimes I feel like I'm going to pieces. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
424 per12 12. I don't consider myself especially `light-hearted.' 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
425 per13 13. I am intrigued by the patterns I find in art and nature. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
426 per14 14. Some people think I'm selfish and egotistical. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
427 per15 15. I am not a very methodical person. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
428 per16 16. I rarely feel lonely or blue. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
429 per17 17. I really enjoy talking to people. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
430 per18 18. I believe letting students hear controversial speakers can only confuse and mislead them. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
431 per19 19. I would rather cooperate with others than compete with them. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
432 per20 20. I try to perform all the tasks assigned to me conscientiously. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
433 per21 21. I often feel tense and jittery. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
434 per22 22. I like to be where the action is. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
435 per23 23. Poetry has little or no effect on me. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
436 per24 24. I tend to be cynical and skeptical of others' intentions. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
437 per25 25. I have a clear set of goals and work toward them in an orderly fashion. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
438 per26 26. Sometimes I feel completely worthless. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
439 per27 27. I usually prefer to do things alone. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
440 per28 28. I often try new and foreign foods. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
441 per29 29. I believe that most people will take advantage of you if you let them. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
442 per30 30. I waste a lot of time before settling down to work. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
443 per31 31. I rarely feel fearful or anxious. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
444 per32 32. I often feel as if I'm bursting with energy. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
445 per33 33. I seldom notice the moods or feelings that different environments produce. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
446 per34 34. Most people I know like me. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
447 per35 35. I work hard to accomplish my goals. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
448 per36 36. I often get angry at the way people treat me. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
449 per37 37. I am a cheerful, high-spirited person. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
450 per38 38. I believe we should look to our religious authorities for decisions on moral issues. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
451 per39 39. Some people think of me as cold and calculating. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
452 per40 40. When I make a commitment, I can always be counted on to follow through. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
453 per41 41. Too often, when things go wrong, I get discouraged and feel like giving up. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
454 per42 42. I am not a cheerful optimist. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
455 per43 43. Sometimes when I am reading poetry or looking at a work of art, I feel a chill or wave of excitement. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
456 per44 44. I am hard-headed and tough-minded in my attitudes. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
457 per45 45. Sometimes I'm not as dependable or reliable as I should be. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
458 per46 46. I am seldom sad or depressed. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
459 per47 47. My life is fast-paced. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
460 per48 48. I have little interest in speculating on the nature of the universe or the human condition. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
461 per49 49. I generally try to be thoughtful and considerate. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
462 per50 50. I am a productive person who always gets the job done. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
463 per51 51. I often feel helpless and want someone else to solve my problems. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
464 per52 52. I am a very active person. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
465 per53 53. I have a lot of intellectual curiosity. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
466 per54 54. If I don't like people, I let them know it. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
467 per55 55. I never seem to be able to get organized. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
468 per56 56. At times I have been so ashamed I just wanted to hide. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
469 per57 57. I would rather go my own way than be a leader of others. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
470 per58 58. I often enjoy playing with theories or abstract ideas. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
471 per59 59. If necessary, I am willing to manipulate people to get what I want. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
472 per60 60. I strive for excellence in everything I do. 1= Strongly disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly agree
473 an1 ANXIETY A number of statements which people have used to describe themselves are given below. Read each statement, answer YES or NO to indicate how you GENERALLY feel. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe how you generally feel. 1. I feel pleasant. 1= Yes 2= No
474 an2 2. I feel nervous and restless. 1= Yes 2= No
475 an3 3. I feel satisfied with myself. 1= Yes 2= No
476 an4 4. I wish I could be as happy as others seem to be. 1= Yes 2= No
477 an5 5. I feel like a failure. 1= Yes 2= No
478 an6 6. I feel rested. 1= Yes 2= No
479 an7 7. I am `calm, cool, and collected.' 1= Yes 2= No
480 an8 8. I feel that difficulties are piling up so that I cannot overcome them. 1= Yes 2= No
481 an9 9. I worry too much over something that really doesn't matter. 1= Yes 2= No
482 an10 10. I am happy. 1= Yes 2= No
483 an11 11. I have disturbing thoughts. 1= Yes 2= No
484 an12 12. I lack self-confidence. 1= Yes 2= No
485 an13 13. I feel secure. 1= Yes 2= No
486 an14 14. I make decisions easily. 1= Yes 2= No
487 an15 15. I feel inadequate. 1= Yes 2= No
488 an16 16. I am content. 1= Yes 2= No
489 an17 17. Some unimportant thought runs through my mind and bothers me. 1= Yes 2= No
490 an18 18. I take disappointments so keenly that I can't put them out of my mind. 1= Yes 2= No
491 an19 19. I am a steady person. 1= Yes 2= No
492 an20 20. I get in a state of tension or turmoil as I think over my recent concerns and interests. 1= Yes 2= No
493 anger1 ANGER/HOSTILITY GENERALLY, I FEEL THAT .... 1. I am quick tempered. 1= Yes 2= No
494 anger2 2. I have a fiery temper. 1= Yes 2= No
495 anger3 3. I am a hotheaded person. 1= Yes 2= No
496 anger4 4. I get angry when I'm slowed down by others' mistakes. 1= Yes 2= No
497 anger5 5. I feel annoyed when I am not given recognition for doing good work. 1= Yes 2= No
498 anger6 6. I fly off the handle. 1= Yes 2= No
499 anger7 7. When I get mad, I say nasty things. 1= Yes 2= No
500 anger8 8. It makes me furious when I am criticized in front of others. 1= Yes 2= No
501 anger9 9. When I get frustrated, I feel like hitting someone. 1= Yes 2= No
502 anger10 10. I feel infuriated when I do a good job and get a poor evaluation. 1= Yes 2= No
503 angex1 ANGER/EXPRESSION WHEN ANGRY OR FURIOUS.... 1. I control my temper. 1= Yes 2= No
504 angex2 2. I express my anger. 1= Yes 2= No
505 angex3 3. I keep things in. 1= Yes 2= No
506 angex4 4. I am patient with others. 1= Yes 2= No
507 angex5 5. I pout or sulk. 1= Yes 2= No
508 angex6 6. I withdraw from people. 1= Yes 2= No
509 angex7 7. I make sarcastic remarks to others. 1= Yes 2= No
510 angex8 8. I keep my cool. 1= Yes 2= No
511 angex9 9. I do things like slam doors. 1= Yes 2= No
512 angex10 10. I boil inside, but I don't show it. 1= Yes 2= No
513 angex11 11. I control my behavior. 1= Yes 2= No
514 angex12 12. I argue with others. 1= Yes 2= No
515 angex13 13. I tend to harbor grudges that I don't tell people about. 1= Yes 2= No
516 angex14 14. I strike out at whatever infuriates me. 1= Yes 2= No
517 angex15 15. I can stop myself from losing my temper. 1= Yes 2= No
518 angex16 16. I am secretly quite critical of others. 1= Yes 2= No
519 angex17 17. I am angrier than I am willing to admit. 1= Yes 2= No
520 angex18 18. I calm down faster than most other people. 1= Yes 2= No
521 angex19 19. I say nasty things. 1= Yes 2= No
522 angex20 20. I try to be tolerant and understanding. 1= Yes 2= No
523 angex21 21. I am irritated a great deal more than people are aware of. 1= Yes 2= No
524 angex22 22. I lose my temper. 1= Yes 2= No
525 angex23 23. If someone annoys me, I'm apt to tell him or her how I feel. 1= Yes 2= No
526 angex24 24. I control my angry feelings. 1= Yes 2= No
527 write HANDEDNESS 1. Which hand do you usually use to write a letter? 1= Right 2= Left 3= Either
528 cut 2. Which hand do you usually use to cut paper or cloth with scissors? 1= Right 2= Left 3= Either
529 q1smo SMOKING We are interested in whether smoking or drinking beverages containing alcohol are linked to certain health problems and also whether they may have some beneficial effects. First, some questions about smoking. 1. Do you smoke cigarettes now? 1= Yes 2= No
530 q1asmo 1a. On the average, how many cigarettes a day do you usually smoke? [ENTER NUMBER OF CIGARETTES: 1 PACK = 20 CIGARETTES] 1 .. 200
531 q1bsmo 1b. How old were you when you first smoked cigarettes regularly? [ENTER AGE] 0 .. 115
532 q2smo 2. Did you ever smoke cigarettes regularly? 1= Yes 2= No
533 q2asmo 2a. On the average, how many cigarettes a day did you usually smoke? [ENTER NUMBER OF CIGARETTES: 1 PACK = 20 CIGARETTES] 1 .. 200
534 q2bsmo 2b. How old were you when you last smoked cigarettes regularly? [ENTER AGE] 0 .. 115
535 q2csmo 2c. How old were you when you first smoked cigarettes regularly? [ENTER AGE] 0 .. 115
536 q3smo 3. During that period of your life when you were smoking the most, about how many cigarettes a day did you usually smoke? [ENTER NUMBER OF CIGARETTES: 1 PACK = 20 CIGARETTES] 1 .. 200
537 q4smo 4. Altogether, about how many years did you smoke this much? [ENTER YEARS: 01 = 1 YEAR OR LESS] 1 .. 115
538 q1alc ALCOHOL USE We also have some questions on beverages that contain alcohol which may have good or bad effects on health. Included among alcoholic beverages are beer, wine and liquor, such as whiskey, rum, gin, or vodka, or any other type of alcoholic beverages. 1. In your entire life, have you had at least 12 drinks of any kind of alcoholic beverage? 1= Yes 2= No
539 q2alc 2. In the past 12 months, did you have at least 12 drinks of any kind of alcoholic beverage? 1= Yes 2= No
540 q2ialc 2a. In any one year of your entire life, did you have at least 12 drinks of any kind of alcoholic beverage? 1= Yes 2= No
541 q3alc There are different types of alcoholic beverages and we would like to talk about one type at a time. 3. During the past 12 months, on average, how much beer did you drink? Six or more bottles or cans per day, 4 to 5 bottles or cans per day, 2 to 3 bottles or cans per day, 1 bottle or can per day, 5 to 6 bottles or cans per WEEK, 2 to 4 bottles or cans per week, 1 bottle or can per week, 1 to 3 bottles or cans per MONTH, or less than one bottle or can per month? 1= 6+ bottles or cans per day 2= 4-5 bottles or cans per day 3= 2-3 bottles or cans per day 4= 1 bottle or can per day 5= 5-6 bottles or cans per week 6= 2-4 bottles or cans per week 7= 1 bottle or can per week 8= 1-3 bottles or cans per month 9= Less than one bottle or can per month
542 q4alc 4. During the past 12 months, on average, how much wine did you drink? Six or more 4-oz. glasses per day, 4 to 5 4-oz. glasses per day, 2 to 3 4-oz. glasses per day, 1 4-oz. glass per day, 5 to 6 4-oz. glasses per WEEK, 2 to 4 4-oz. glasses per week, 1 4- oz. glass per week, 1 to 3 4-oz. glasses per MONTH, or less than one 4-oz. glass per month? 1= 6+ glasses per day 2= 4-5 glasses per day 3= 2-3 glasses per day 4= 1 glass per day 5= 5-6 glasses per week 6= 2-4 glasses per week 7= 1 glass per week 8= 1-3 glasses per month 9= Less than one glass per month
543 q5alc 5. During the past 12 months, on average, how much liquor did you drink? That is, drinks made with whiskey, vodka, gin, brandy or liqueurs. 1= 6+ drinks per day 2= 4-5 drinks per day 3= 2-3 drinks per day 4= 1 drink per day 5= 5-6 drinks per week 6= 2-4 drinks per week 7= 1 drink per week 8= 1-3 drinks per month 9= Less than one drink per month
544 q6alc 6. In your entire life, when you drank the most, about how often did you drink any type of alcoholic beverage, including beer, wine and liquor? 1= 6+ drinks per day 2= 4-5 drinks per day 3= 2-3 drinks per day 4= 1 drink per day 5= 5-6 drinks per week 6= 2-4 drinks per week 7= 1 drink per week 8= 1-3 drinks per month 9= Less than one drink per month
545 q7alc 7. For how many years did you drink this amount? [CODE: 01 FOR 1 YEAR OR LESS] 1 .. 115
546 q8alc 8. What type of alcoholic beverage did you prefer to drink? 1= Beer 2= Wine 3= Liquor 4= No preference
547 q1phy PHYSICAL ACTIVITIY-We are also interested in any physical activities that you do. I have a list of different types of activities that we ask of everyone, but most people do only one or two. In the past 14 days, have you done any of the following exercises, sports, or physically active hobbies: 1. Walking for exercise? 1= Yes 2= No
548 q1aphy 1a. How many times in the past 14 days did you go walking for exercise? [ENTER NUMBER OF TIMES] 1 .. 87
549 q1bphy 1b. On average, about how many minutes did you actually spend on each occasion? [ENTER NUMBER OF MINUTES] [CODE 1 Hour=60 min; 1.5 Hour=90 min; 2 Hours=120 min; 2.5 Hours=150 min; 3 Hours=180 min; 3.5 Hours=210 min; 4 Hours=240 min] 1 .. 300
550 q3phy (In the past 14 days have you done) 3. Gardening or yard work? 1= Yes 2= No
551 q3aphy 3a. How many times in the past 14 days did you do gardening or yard work? [ENTER NUMBER OF TIMES] 1 .. 87
552 q3bphy 3b. On average, about how many minutes did you actually spend on each occasion? [ENTER NUMBER OF MINUTES] [CODE 1 Hour=60 min; 1.5 Hour=90 min; 2 Hours=120 min; 2.5 Hours=150 min; 3 Hours=180 min; 3.5 Hours=210 min; 4 Hours=240 min] 1 .. 300
553 q5phy (In the past 14 days have you done) 5. Calisthenics or general exercise? 1= Yes 2= No
554 q5aphy 5a. How many times in the past 14 days did you do calisthenics or general exercise? [ENTER NUMBER OF TIMES] 1 .. 87
555 q5bphy 5b. On average, bout how many minutes did you actually spend on each occasion? [ENTER NUMBER OF MINUTES] [CODE 1 Hour=60 min; 1.5 Hour=90 min; 2 Hours=120 min; 2.5 Hours=150 min; 3 Hours=180 min; 3.5 Hours=210 min; 4 Hours=240 min] 1 .. 300
556 q8phy (In the past 14 days have you done) 8. Bicycle riding (including stationary bikes)? 1= Yes 2= No
557 q8aphy 8a. How many times in the past 14 days did you go bicycle riding? [ENTER NUMBER OF TIMES] 1 .. 87
558 q8bphy 8b. On average, about how many minutes did you actually spend on each occasion? [ENTER NUMBER OF MINUTES] [CODE 1 Hour=60 min; 1.5 Hour=90 min; 2 Hours=120 min; 2.5 Hours=150 min; 3 Hours=180 min; 3.5 Hours=210 min; 4 Hours=240 min] 1 .. 300
559 q9phy (In the past 14 days have you done) 9. Swimming or water exercises? 1= Yes 2= No
560 q9aphy 9a. How many times in the past 14 days did you go swimming or do water exercises? [ENTER NUMBER OF TIMES] 1 .. 87
561 q9bphy 9b. On average, about how many minutes did you actually spend on each occasion? [ENTER NUMBER OF MINUTES] [CODE 1 Hour=60 min; 1.5 Hour=90 min; 2 Hours=120 min; 2.5 Hours=150 min; 3 Hours=180 min; 3.5 Hours=210 min; 4 Hours=240 min] 1 .. 300
562 q10phy 10. Have you done any other exercises, sports, or physically active hobbies in the past 2 weeks other than the ones listed above? 1= Yes 2= No
563 q101phy 10.1 [SPECIFY] String[40]
564 q10aphy 10a. How many times in the past 14 days did you do this? [ENTER NUMBER OF TIMES] 1 .. 87
565 q10bphy 10b. On average, about how many minutes did you actually spend on each occasion? [ENTER NUMBER OF MINUTES] [CODE 1 Hour=60 min; 1.5 Hour=90 min; 2 Hours=120 min; 2.5 Hours=150 min; 3 Hours=180 min; 3.5 Hours=210 min; 4 Hours=240 min] 1 .. 300
566 q1fs FUNCTIONAL STATUS We would also like to know how well you are able to do some physical activities that are important in day-to-day living but which many people have problems doing. First, I would like to know if you are able to do certain kinds of activities without help from another person. Are you ABLE to do heavy work around the house, like washing windows, walls, or floors without help? 1= Yes 2= No
567 q2fs Are you able to walk up and down stairs to the second floor without help? 1= Yes 2= No
568 q3fs Are you able to walk a half mile without help? 1= Yes 2= No
569 q4fs Now I'm going to ask you how difficult it is, on the average to do similar kinds of activities. For each thing, tell me whether you have: no difficulty at all, a little difficulty, some difficulty, a lot of difficulty, or just unable to do it. To begin, how much difficulty, if any, do you have pulling or pushing large objects like a living room chair? Would you say you have no difficulty at all, a little difficulty, some difficulty, a lot of difficulty or are you just unable to do it? 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty 5= Just unable to do it
570 q5fs What about stooping, crouching, or kneeling? (Do you have no difficulty at all, a little difficulty, some difficulty, a lot of difficulty, or are you just unable to do it?) 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty 5= Just unable to do it
571 q6fs Lifting or carrying weights over 10 pounds, like a very heavy bag of groceries? (Do you have no difficulty at all, a little difficulty, some difficulty, a lot of difficulty, or are you just unable to do it?) 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty 5= Just unable to do it
572 q7fs Reaching or extending arms above shoulder level? Do you have...? 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty 5= Just unable to do it
573 q8fs Either writing or handling or fingering small objects? Do you have...? 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty 5= Just unable to do it
574 q9fs Trimming, cutting or clipping your toenails? Do you have...? 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty 5= Just unable to do it
575 q10fs How much difficulty do you have finding shoes that are comfortable? Do you have...? 1= No difficulty at all 2= A little difficulty 3= Some difficulty 4= A lot of difficulty 5= Just unable to do it
576 q11fs Next, I would like to know if you need help do some different kinds of activities. At the present time, do you need help ... Walking across a small room? 1= No Help 2= Help 3= Unable to do
577 q12fs Bathing, either a sponge bath, tub bath or shower? 1= No Help 2= Help 3= Unable to do
578 q14fs Dressing, like putting on a shirt, buttoning and zipping, or putting on shoes? 1= No Help 2= Help 3= Unable to do
579 q15fs Eating like holding a fork, cutting food, or drinking from a glass? 1= No Help 2= Help 3= Unable to do
580 q16fs Getting from a bed to a chair? 1= No Help 2= Help 3= Unable to do
581 q17fs Using the toilet? 1= No Help 2= Help 3= Unable to do
582 q1fun Now I have a few more questions about activities people may or may not do. Although some things may actually be performed by someone else, just tell me whether you think you are able to do them. 1. Are you able to use the telephone - including looking up numbers and dialing - completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
583 q2fun 2. Are you able to shop for the groceries you need - either by going to the grocery store and picking them up or by having them delivered - completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
584 q3fun 3. Are you able to prepare your own meals completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
585 q4fun 4. Are you able to do the routine light housekeeping completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
586 q5fun 5. Are you able to do the periodic heavy housekeeping completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
587 q6fun 6. Are you able to do your own laundry completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
588 q7fun 7. Are you able to take your own prescribed medicines completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
589 q8fun 8. Are you able to take care of your own finances - including paying bills, writing checks, keeping track of income (but not necessarily preparing your own taxes) - completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
590 q9fun 9. Are you able to take care of your own social life - including talking to friends and relatives on the telephone, having people come in to visit, going to other people to visit - completely by yourself, or does someone else help you by making all the arrangements? 1= No Help 2= Help 3= Unable to do
591 q10fun 10. Are you able to take care of making your own doctors appointments and going to see your doctor and other health care providers completely by yourself, or does someone else help you by making the appointments or taking you there? 1= No Help 2= Help 3= Unable to do
592 q11fun 11. Are you able to do your own personal shopping, like for clothes, for personal things, or for household needs completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
593 q12fun 12. Are you able to travel around in your community to the places you might want to go, like to church or just to be outside completely by yourself, or does someone else help you? 1= No Help 2= Help 3= Unable to do
594 introd Next we would like to ask a few questions about common problems that people have as they grow older. We would appreciate your answers to these questions even though you may not have any problems. >>>>[HIT ENTER FOR NEXT QUESTION]<<<< String[1]
595 q1ur URINARY INCONTINENCE 1. How often during the last 12 months have you leaked urine or lost control of your urine - almost every day, several times a week, several times a month, once a month, less than once a month, or never? 1= Almost everyday 2= Several times a week 3= Several times a month 4= Once a month 5= Less than once a month 6= Never
596 q2ur 2. When you lose urine, how much usually leaks - a few drops, enough to wet your underwear, enough to wet your outer clothes, or enough to wet the floor? [PROBE IF PADS WORN:] Without the protection pads, how much urine would you lose?] 1= A few drops 2= Enough to wet underwear 3= Enough to wet outer clothes 4= Enough to wet the floor
597 q3ur 3. How much of a problem do you consider your urine loss to be - a big problem, a little problem, or no problem at all? 1= A big problem 2= A little problem 3= No problem
598 q4ur 4. In the past few months have you ever lost control of your bowels when you didn't want to? 1= Yes 2= No
599 intrd1 LIFESTYLE ACTIVITIES Now I have a few questions on different day-to-day activities that pertain to people in the general population. Some of them may be activities that you do, while others may be activities that you do not do. Please tell me, on average, how often you do each of the following? >>>>>[HIT ENTER FOR NEXT QUESTION]<<<<< String[1]
600 q1act 1. How often do you watch television? Would you say every day or almost every day, several times a week, several times a month, several times a year or once a year or less? [HAND CARD TO R. AND REPEAT CATEGORIES AS NECESSARY.] 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
601 q1aact 1a. How many hours each day, on average, do you watch television? [CODE: 01=1 HOUR OR LESS] 1 .. 24
602 q1bact 1b. What sort of television programs do you spend the most time watching? Game shows, soap operas, news, educational programs, movies, dramas, adventures, comedies, sports, religious programs or some other type of program? 1= Game shows 2= Soap operas 3= News 4= Educational programs 5= Movies 6= Dramas 7= Adventures 8= Comedies 9= Sports 10= Religious programs 11= Other
603 q1cact [SPECIFY] String[20]
604 q2act 2. How often do you listen to the radio? Would you say...? 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
605 q2aact 2a. How many hours each day, on average, do you listen to the radio? [CODE: 01=1 HOUR OR LESS] 1 .. 24
606 q2bact 2b. What sort of radio programs do you spend the most time listening to? Would you say talk shows, rock or rap music, pop or easy listening music, country western, jazz, classical music, news, sports, religious programs or some other type of program? 1= Talk shows 2= Rock or rap music 3= Pop, easy listening, country western 4= Jazz 5= Classical music 6= News 7= Sports 8= Religious programs 9= Other
607 q2cact 2c. [SPECIFY] String[20]
608 q3act 3. How often do you read newspapers? 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
609 q3aact 3a. What part of the newspaper do you spend the MOST time reading? Would you say the advertisements, the news pages, the women's pages, the sports pages, the business pages, the crossword or some other part? 1= Advertisements 2= News pages 3= Women's pages 4= Sports pages 5= Business pages 6= Crossword 7= Other
610 q3oaact 3a1. [SPECIFY] String[20]
611 q4act 4. How often do you read magazines? 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
612 q4aact 4a. Which magazines do you read the most? [RECORD UP TO 3 IN ORDER MENTIONED] String[60]
613 q5act 5. How often do you read books? 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
614 q5aact 5a. What sort of books do you read the most? Would you say novels or other fiction books, biographies or other nonfiction books, self-improvement books, the Bible or other religious books, books about hobbies, technical or business books or some other sort of books? 1= Novels or other fiction books 2= Biographies or other non-fiction books 3= Self-improvement books 4= The Bible or other religious books 5= Books about hobbies 6= Technical or business books 7= Other
615 q5oact 5a1. [SPECIFY] String[20]
616 q6act 6. How often do you play games such as cards, checkers, crosswords or other puzzles or games? 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
617 q6aact 6a. What games do you play the most? [RECORD UP TO 3 GAMES IN ORDER MENTIONED] String[60]
618 q7act 7. How often do you go to religious services? 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
619 q8act 8. How often do you go to museums? 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
620 q1ch CHILDHOOD Some experiences early in life may have something to do with health later in life. So we are asking everyone some questions about their childhood in order to identify those experiences which may be important. 1. Including yourself, how many people lived in your family's home when you were 2 years old? 1 .. 76
621 q2ch 2. Of these people, how many were children under the age of 16? 1 .. 76
622 q3ch 3. How often did someone in your home read to you when you were a child? (Would you say every day or almost every day, several times a week, several times a month, several times a year, or once a year or less?) [RECORD THE HIGHEST FREQUENCY PERIOD] 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
623 q4ch 4. How often did someone in your home tell you stories when you were a child? (Would you say every day or almost every day, several times a week, several times a month, several times a year, or once a year or less?) [RECORD THE HIGHEST FREQUENCY PERIOD] 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
624 q5ch 5. How often did someone in your home play games with you when you were a child? By games I mean things like checkers or other board games, cards, puzzles, mind teasers, or any other similar games? (Would you say every day or almost every day, several times a week, several times a month, several times a year, or once a year or less?) [RECORD THE HIGHEST FREQUENCY PERIOD] 1= Every day or almost every day 2= Several times a week 3= Several times a month 4= Several times a year 5= Once a year or less
625 q6ch 6. How would you describe your family's financial situation when you were a very young child? Would you say very poor, somewhat poor, about average, somewhat well off, or very well off? 1= Very poor 2= Somewhat poor 3= About average 4= Somewhat well off 5= Very well off
626 q7ch 7. How often did you go without enough food to eat as a child? Would you say never, very rarely, rarely, sometimes, often, or almost always? 1= Never 2= Very rarely 3= Rarely 4= Sometimes 5= Often 6= Almost always
627 q8ch 8. Compared to other children your own age, how would you rate your overall health as a child? Excellent, good, fair, or poor? 1= Excellent 2= Good 3= Fair 4= Poor
628 q9ch 9. How many different communities did you live in during the first 15 years of your life? [PROBE: By different communities I mean distinctly different neighborhoods.] 1 .. 76
629 q1ani ANIMAL EXPOSURE 1. In your entire life, altogether, how many years have you lived or worked around animals? 1= never 2= 1 to 3 months 3= 4 to 6 months 4= 7 to 11 months 5= 1 to 2 years 6= 3 to 10 years 7= 11 years or more
630 q1a1ani During the time that you lived or worked around animals, did you have direct contact with Chicken or fowl? 1= Yes 2= No
631 q1a2ani 1a2. (During the time that you lived or worked around animals, did you have direct contact with...) Cattle? 1= Yes 2= No
632 q1a3ani 1a3. (During the time that you lived or worked around animals, did you have direct contact with...) Horses? 1= Yes 2= No
633 q1a4ani 1a4. (During the time that you lived or worked around animals, did you have direct contact with...) Pigs? 1= Yes 2= No
634 q1a5ani 1a5. (During the time that you lived or worked around animals, did you have direct contact with...) Sheep? 1= Yes 2= No
635 q1a6ani 1a6. (During the time that you lived or worked around animals, did you have direct contact with...) Goats? 1= Yes 2= No
636 q1a7ani 1a7. (During the time that you lived or worked around animals, did you have direct contact with...) Dogs? 1= Yes 2= No
637 q1a8ani 1a8. (During the time that you lived or worked around animals, did you have direct contact with...) Cats? 1= Yes 2= No
638 myob PARENTAL HISTORY Now some questions about your natural or biologic parents. 1. In what year was your mother born? [ENTER YEAR] 1840 .. 1960
639 mage_bir 1a. How old was your mother when you were born? [ENTER YEARS OF AGE] 10 .. 50
640 mage_br2 1b. Do you know if she was less than 15 years old, 15 to 20 years, in her 20's, 30's or in her 40's? 1= Less than 15 years 2= 15 to 20 years 3= 20's 4= 30's 5= 40's
641 mlive 2. Is your mother still living? 1= Yes 2= No
642 myod 2a. In what year did she die? [ENTER YEAR] 1893 .. 2020
643 mage_die 2b. How old was your mother when she died? [ENTER YEARS OF AGE] 10 .. 115
644 mage_cur 2c. How old is she now? [ENTER YEARS OF AGE] 75 .. 115
645 children 3. How many children did your mother have? [PROBE: Please include only those children born alive.] 1 .. 30
646 oldersib 4. How many of these children were older than you? 0 .. 30
647 mwork 5. What kind of work did your mother do most of her life? (What was her job called?) [SPECIFY] String[30]
648 meduc 6. What was the highest grade or year of regular school your mother completed? Elementary 0 1 2 3 4 5 6 7 8 High School 9 10 11 12 College 13 14 15 16 Graduate Professional 17 18 19 20 21 ... 0 .. 30
649 meduc2 6a. Would you say that she had no schooling, a few years, finished grammar school, had any high school, or any college? 1= No schooling 2= A few years 3= Finished grammar school 4= Any high school 5= Any college
650 mpark 7. ^diddoesm your natural or biologic mother have Parkinson's disease with shaking tremors of the hands and/or slowness in walking and moving? 1= Yes 2= Suspect or possible 3= No
651 mdement 8. ^diddoesm she (your natural or biologic mother) have a problem with memory loss, confusion or dementia? 1= Yes 2= Suspect or possible 3= No
652 fyob 9. In what year was your father born? [ENTER YEAR] 1764 .. 1960
653 fage_bir 9a. How old was your father when you were born? [ENTER YEARS OF AGE] 10 .. 115
654 fage_br2 9b. Do you know if he was less than 15 years old, 15 to 20 years, in his 20's, 30's, 40's, or 50 or older? 1= Less than 15 years 2= 15 to 20 years 3= 20's 4= 30's 5= 40's 6= 50+
655 flive 10. Is your father still living? 1= Yes 2= No
656 fyod 10a. In what year did he die? [ENTER YEAR] 1778 .. 2020
657 fage_die 10b. How old was your father when he died? [ENTER YEARS OF AGE] 10 .. 115
658 fage_cur 10c. How old is he now? [ENTER YEARS OF AGE] 75 .. 115
659 fwork 11. What kind of work did your father do most of his life? (What was his job called?) [SPECIFY] String[30]
660 feduc 12. What was the highest grade or year of regular school your father completed? Elementary 0 1 2 3 4 5 6 7 8 High School 9 10 11 12 College 13 14 15 16 Graduate Professional 17 18 19 20 21 ... 0 .. 30
661 feduc2 12a. Would you say that he had no schooling, a few years, finished grammar school, had any high school, or any college? 1= No schooling 2= A few years 3= Finished grammar school 4= Any high school 5= Any college
662 fpark 13. ^diddoesf your natural or biologic father have Parkinson's disease with shaking tremors of the hands and/or slowness in walking and moving? 1= Yes 2= Suspect or possible 3= No
663 fdement 14. ^diddoesf he (your natural or biologic father) have a problem with memory loss, confusion or dementia? 1= Yes 2= Suspect or possible 3= No
664 currjob OCCUPATION 1. The kind of work we do can also affect our health, so we would like to get some information about your occupations. Because Nuns, Priests, and Brothers perform many different types of functions, we would like to know if you are currently working at a job? 1= Yes 2= No
665 ftpt 2. Full-time or part-time? 1= Part-time 2= Full-time
666 cjobname 3. What kind of work are you doing? (What is your job called?) (For example, registered nurse, personnel manager, supervisor, a teacher...) [JOB NAME] String[30]
667 cjobduty 4. What are your most important activities or duties? (For example, patient care, directing hiring policies, supervising, teaching...) [SPECIFY] String[60]
668 retired 5. Are you retired? (from a job?) 1= Yes 2= No
669 yr_ret 5a. In what year did you retire? 1894 .. 2020
670 lifejob 6. What kind of work have you done most of your life? (What was your job called?) (For example, registered nurse, personnel manager, supervisor, teaching...) 1= Same as current occupation 2= Not currently working; occupation specified 3= Different occupation from current one; 4= Never worked/disabled
671 ljobname 6a. Specify occupation String[30]
672 ljobduty 6b. What were your most important activities or duties? (For example, patient care, directing hiring policies, supervising, teaching...) [SPECIFY] String[60]
673 jobsuper 7. Considering the time when you worked most recently and thinking of the person in your organization who had the most control over what you did on the job - which of these statements best describes how closely you were supervised - my supervisor decided both what I did and how I did it; my supervisor decided WHAT I did, but I decided HOW to do it; I had some freedom in deciding both what I did and how to do it; I was my own boss within general policies. 1= Supervisor decided both what I did and how I did it. 2= Supervisor decided what I did, but I decided how to do it. 3= I had some freedom in deciding what I did and how to do it. 4= I was my own boss within general policies.
674 jobfree 8. How free ^dodid you feel to disagree with him or her? Would you say you ^feelfelt completely free to disagree, quite a bit free to disagree, a little bit free to disagree or hardly free at all to disagree? 1= Completely free 2= Quite a bit free 3= A little bit free 4= Hardly free at all
675 work30 9. What kind of work did you do when you were 30 years of age? (What is your job called?) (For example, registered nurse, personnel manager, supervisor, teacher...) 1= Same as current occupation 2= Same as work done most of life 3= Different occupation from job(s) described previously 4= Other, not working
676 job30 9a. [SPECIFY OCCUPATION] String[30]
677 oth30 9b. [SPECIFY REASON FOR NON-WORKING STATUS AT 30 YEARS OF AGE] String[30]
678 duty30 9c. What were your most important activities or duties? (For example, patient care, directing hiring policies, supervising, teaching...) [SPECIFY] String[60]
679 educat 10. What is the highest grade or year of regular school you have completed? [CODE: Elementary 0 1 2 3 4 5 6 7 8 High School 9 10 11 12 College 13 14 15 16 Prof./Grad 17 18 19 20 21 ...] 0 .. 30
680 sn1 SOCIAL NETWORKS Since our health can be affected by our relations with other people, I would like to ask some questions about your family, friends, and social activities. 1. First I'd like to ask you about people in your immediate community. How many close friends do you have in your community; that is, people that you really feel at ease with; people with whom you can talk about private and personal matters and can call upon for help? [ENTER NO. OF CLOSE FRIENDS] 0 .. 76
681 sn1b 1a. How many of these close friends do you usually talk to at least once a month? [ENTER NO. OF CLOSE FRIENDS] 0 .. 76
682 sn2 I'd also like to ask you about your relatives, people that you are related to by blood. Please include brothers, sisters, parents, aunts and uncles, and cousins. 2. How many relatives do you have that you feel really close to - people you feel at ease with, can talk to about private matters or call upon for help? [ENTER NO. OF CLOSE RELATIVES] 0 .. 76
683 sn2b 2a. How many of these close relatives do you usually see at least once a month? [ENTER NO. OF CLOSE RELATIVES] 0 .. 76
684 sn3 3. Besides people that you are related to, and people in your immediate community, how many close friends do you have; that is, people that you feel at ease with, can talk to about private matters or can call upon for help? [ENTER NO. OF CLOSE FRIENDS] 0 .. 76
685 sn3a 3a. Do you see ^friend2 at least once a month? 1= Yes 2= No
686 sn3b 3b. How many of your close friends do you see at least once a month? [ENTER NO. OF CLOSE FRIENDS] 0 .. 76
687 sn4 4. Do you participate in any activities or groups inside the house, such as optional Bible study, crafts or other activities? 1= Yes 2= No
688 sn4a 4a. About how often are you involved in activities with (this/these) group(s)? 1= Less than once a month 2= 1 to 3 times/month 3= Once a week 4= 2 to 4 times a week 5= 5 or more times a week
689 sn5 5. Do you participate in any activities or groups outside the house, such as senior center, public service, etc.? 1= Yes 2= No
690 sn5a 5a. About how often are you involved in activities with (this/these) group(s)? 1= Less than once a month 2= 1 to 3 times/month 3= Once a week 4= 2 to 4 times a week 5= 5 or more times a week
691 description_acc Acculturation Although you may speak many languages, the following questions refer to only English and Spanish. [PRESS ENTER TO CONTINUE]
692 acc_langreadspeak Although you may speak many languages, the following questions refer to only English and Spanish. 1. In general, what language(s) do you read and speak? 1= Only Spanish 2= Spanish better 3= Both equally 4= English better than Spanish 5= Only English
693 acc_langchild 2. What was the language(s) you used as a child? 1= Only Spanish 2= More Spanish than English 3= Both equally 4= More English than Spanish 5= Only English
694 acc_langhome 3. What language(s) do you usually speak at home? 1= Only Spanish 2= More Spanish than English 3= Both equally 4= More English than Spanish 5= Only English
695 acc_langthink 4. In which language(s) do you usually think? 1= Only Spanish 2= More Spanish than English 3= Both equally 4= More English than Spanish 5= Only English
696 acc_langfriend 5. What language(s) do you usually speak with your friends? 1= Only Spanish 2= More Spanish than English 3= Both equally 4= More English than Spanish 5= Only English
697 acc_langmedia 6. In general, what language(s) are the movies, T.V. and radio programs you prefer to watch and listen to? 1= Only Spanish 2= More Spanish than English 3= Both equally 4= More English than Spanish 5= Only English
698 acc_friends 7. Your close friends are... 1= All Hispanic/Latino 2= More Hispanic/Latino than non-Hispanic/non-Latino 3= About half and half 4= More non-Hispanic/non-Latino than Hispanic/Latino 5= All non-Hispanic/non-Latino
699 acc_social 8. You prefer going to social gatherings/parties at which people are... 1= All Hispanic/Latino 2= More Hispanic/Latino than non-Hispanic/non-Latino 3= About half and half 4= More non-Hispanic/non-Latino than Hispanic/Latino 5= All non-Hispanic/non-Latino
700 acc_visitors 9. The persons you visit or who visit you are... 1= All Hispanic/Latino 2= More Hispanic/Latino than non-Hispanic/non-Latino 3= About half and half 4= More non-Hispanic/non-Latino than Hispanic/Latino 5= All non-Hispanic/non-Latino
701 acc_kidsfriend 10. If you could choose your children's friends you would want them to be... 1= All Hispanic/Latino 2= More Hispanic/Latino than non-Hispanic/non-Latino 3= About half and half 4= More non-Hispanic/non-Latino than Hispanic/Latino 5= All non-Hispanic/non-Latino
702 description_fam Familism Please indicate how much you agree or disagree with these statements by choosing the answer from 1 (disagree a lot) to 5 (agree a lot) which best shows how you feel about each statement. [PRESS ENTER TO CONTINUE]
703 fam_grandchild 1. One should have the hope of living long enough to see his/her grandchildren grow up. 1= Disagree a lot 2= Disagree 3= Don't disagree or agree 4= Agree 5= Agree a lot
704 fam_parliverel 2. Aging parents should live with relatives. 1= Disagree a lot 2= Disagree 3= Don't disagree or agree 4= Agree 5= Agree a lot
705 fam_helprel 3. When someone has problems he/she can count on help from his/her relatives. 1= Disagree a lot 2= Disagree 3= Don't disagree or agree 4= Agree 5= Agree a lot
706 fam_pleasepar 4. Much of what a son or daughter does should be done to please the parents. 1= Disagree a lot 2= Disagree 3= Don't disagree or agree 4= Agree 5= Agree a lot
707 fam_embrass 5. One should be embarrassed about the bad things done by his/her brothers and sisters. 1= Disagree a lot 2= Disagree 3= Don't disagree or agree 4= Agree 5= Agree a lot
708 fam_livepar 6. Children should live in their parents' house until they get married. 1= Disagree a lot 2= Disagree 3= Don't disagree or agree 4= Agree 5= Agree a lot
709 admin1 PURDUE PEGBOARD -- ADMINISTRATION: [PLACE PEGBOARD IN FRONT OF R, WITH WELLS AT TOP AND PEGS IN FIRST AND LAST WELLS. SAY:] `I want to see how quickly you can place these pegs [POINT] into these holes [POINT] - like this without skipping any holes. [EXAMINER PLACES 4 PEGS WITH RIGHT HAND IN RIGHT-HAND COLUMN.] Now for practice you try it with your right hand.' [ALLOW SUBJECT TO PLACE 4 PEGS IN RIGHT COLUMN; ENCOURAGE WITH `good;' REPEAT PROCESS IF SUBJECT DOES NOT COMPLETE PRACTICE ITEMS SATISFACTORILY. THEN REPLACE PEGS.] >>>>> PRESS ENTER TO CONTINUE <<<<< String[1]
710 admin2 [SAY: ]`Good. You have the idea. Now, when I tell you to begin, pick up the pegs one at a time and place them in this column [POINT TO RIGHT-HAND COLUMN] with your RIGHT HAND as quickly as you can. Again, please do not skip any holes. Ready? Begin. '[START TIMER AS YOU SAY `BEGIN;' EACH TRIAL IS *30 SECONDS*. WATCH R; PROMPT TO PICK UP ONLY ONE PEG AT A TIME, TO USE ONLY ONE HAND AT A TIME, AND NOT TO SKIPHOLES, AS NECESSARY; IF R MAKES SIGNIFICANT ERRORS DURING TRIAL (E.G., USING BOTH HANDS, PLACING PEGS IN WRONG COLUMN, SKIPPING HOLES, ETC.) **IT IS PERMISSIBLE TO REPEAT 1 TRIAL**. IF NECESSARY, COVER ONE COLUMN OF HOLES WITH THE PANEL THAT SLIDES OVER THE WELLS. ONLY VERBALLY REMIND BEYOND THIS, HOWEVER. AT 30 SECONDS SAY:] `stop'. >>>>> PRESS ENTER FOR FIRST TRIAL <<<<< String[1]
711 trial11 1. Trial 1, Right Hand [ENTER NUMBER OF PEGS CORRECTLY PLACED] 0 .. 25
712 trial21 [AT COMPLETION OF TRIAL 1, REPLACE PEGS AND SAY:] `Now I want you to do the same thing with your LEFT HAND. Pick up the pegs one at a time and place them in this column [POINT TO LEFT-HAND COLUMN] with your left hand. Work as quickly as you can and do not skip any holes. Ready? Begin.' [TRIAL IS 30 SECONDS WITH SAME PROCEDURES AS TRIAL 1.] 2. Trial 2, Left Hand [ENTER NUMBER OF PEGS CORRECTLY PLACED] 0 .. 25
713 trial301 [AT COMPLETION OF TRIAL 2, REPLACE PEGS AND SAY:] `Now I want you to do this again with your RIGHT HAND. Place the pegs one at a time in this column [POINT TO RIGHT-HAND COLUMN COLUMN] with your right hand. Work as quickly as you can and do not skip any holes. Ready? Begin.' [TRIAL IS 30 SECONDS WITH SAME PROCEDURES AS TRIAL 1.] 3. Trial 3, Right Hand [ENTER NUMBER OF PEGS CORRECTLY PLACED] 0 .. 25
714 trial4 [AT COMPLETION OF TRIAL 3, REPLACE PEGS AND SAY:] `Now I want you to do this again with your LEFT HAND. Place the pegs one at a time in this column [POINT TO LEFT-HAND COLUMN] with your left hand. Work as quickly as you can and do not skip any holes. Ready? Begin.' [TRIAL IS 30 SECONDS WITH SAME PROCEDURES AS TRIAL 1.] 4. Trial 4, Left Hand [ENTER NUMBER OF PEGS CORRECTLY PLACED] 0 .. 25
715 glasses VISION Now I have some questions about your eyesight and your hearing. 1. Do you wear eyeglasses, contact lenses or both? 1= Eyeglasses 2= Contact lenses 3= Both 4= Neither
716 reading 1a. Do you use ^eyes for reading and other close work? 1= Yes 2= No
717 distant 1b. Do you use ^eyes for seeing distant objects better? 1= Yes 2= No
718 testaid ^instruct 1c. Test taken with: 1= Glasses 2= Contact lenses 3= Neither
719 trial10 [INTERVIEWER: Visual acuity should be checked with both eyes open. Hold card 14 inches from subject and ask him/her to read the number on the card. Record number of correct responses.] 2. First trial: 20/70 1= All three correct 2= Two correct 3= One correct 4= None correct
720 trial1a 2a. Second trial: 20/100 1= All three correct 2= Two correct 3= One correct 4= None correct
721 trial1b 2b. Third trial: 20/200 1= All three correct 2= Two correct 3= One correct 4= None correct
722 trial1c 2c. Fourth trial: 20/400 1= All three correct 2= Two correct 3= One correct 4= None correct
723 trial20 3. Second trial: 20/50 1= All three correct 2= Two correct 3= One correct 4= None correct
724 trial300 3a. Third trial: 20/40 1= All three correct 2= Two correct 3= One correct 4= None correct
725 hearaid 4. Do you wear a hearing aid? 1= Yes 2= No
726 freq1 4a. How often do you usually wear a hearing aid these days: practically always, frequently, occasionally, or almost never? 1= Practically always 2= Frequently 3= Occasionally 4= Almost never
727 normal 5. ^aid you usually hear and understand what a person says without seeing his or her face if that person talks in a normal voice to you in a quiet room? 1= Yes 2= No
728 acrossrm 5a. ^aid you usually hear and understand what a person says without seeing his or her face if that person shouts to you from across a quiet room? 1= Yes 2= No
729 inear 5b. ^aid you usually hear and understand what a person says without seeing his or her face if that person shouts in your better ear? 1= Yes 2= No
730 htwt1 HEIGHT AND WEIGHT Now I have some questions about your height and weight. 1. In the last year, have you gained or lost more than 10 pounds? [PROBE IF YES: Did you gain more than 10 pounds or lose more than 10 pounds or both?] 1= Yes, lost > 10 lbs 2= Yes, gained > 10 lbs 3= Yes, gained and lost > 10 lbs 4= No changes
731 htwt2 2. What was your usual weight at age 25? [IN POUNDS] 30 .. 800
732 htwt3 3. At about 12 years of age, were you considered to be - much heavier than average, somewhat heavier than average, about average weight, somewhat thinner than average, or much thinner than average? 1= Much heavier than average 2= Somewhat heavier than average 3= About average weight 4= Somewhat thinner than average 5= Much thinner than average
733 htwt4 4. At about 12 years of age, were you considered to be - much taller than average, somewhat taller than average, about average height, somewhat shorter than average, or much shorter than average? 1= Much taller than average 2= Somewhat taller than average 3= About average height 4= Somewhat shorter than average 5= Much shorter than average
734 midarm BLOODPRESSURE Now I would like to take some arm, height and weight measurements, and blood pressure readings. 1. MID-ARM CIRCUMFERENCE [IN cm] 15.0 .. 78.0
735 midfore 1a. MID FOREARM CIRCUMFERENCE [IN cm] 10.0 .. 78.0
736 midleg 1b. MID LEG CIRCUMFERENCE [IN cm] 15.0 .. 99.0
737 tricep1 2. FIRST TRICEPS SKINFOLD MEASUREMENT [IN mm] CODE 72 IF MEASUREMENT >= 67 mm] 1 .. 72
738 cuff 3. IS CUFF SIZE AVAILABLE? [IF CUFF NOT AVAILABLE, AT END OF INTERVIEW SET UP TIME TO RETURN FOR BLOOD PRESSURE MEASUREMENT] 1= Yes 2= No
739 tricep2 4. SECOND TRICEPS SKINFOLD MEASUREMENT [IN mm] [CODE 72 IF MEASUREMENT >=67mm] 1 .. 72
740 pulsept 5. PULSE OBLITERATION POINT [IN mmHg] 50 .. 270
741 pul THE PEAK INFLATION LEVEL IS ^pulse [HIT ENTER FOR NEXT QUESTION] 80 .. 300
742 bp11 6. FIRST SITTING BLOOD PRESSURE READING [INTERVIEWER: The subject should be seated for five minutes prior to obtaining the seated blood pressure readings. ENTER SYSTOLIC/DIASTOLIC] String[7]
743 bp2 7. SECOND SITTING BLOOD PRESSURE READING [INTERVIEWER: ENTER SYSTOLIC/DIASTOLIC] String[7]
744 bp31 8. STANDING BLOOD PRESSURE READING [INTERVIEWER: ASK THE SUBJECT TO STAND. WAIT 60 SECONDS THEN REPEAT BLOOD PRESSURE READING. ENTER SYSTOLIC/DIASTOLIC] String[7]
745 weight 9. MEASURED WEIGHT [IN LBS] [CODE 333 IF MEASUREMENT IS >=300 lbs. CODE 888 IF PHYSICALLY UNABLE TO WEIGH] 30 .. 888
746 height 10. MEASURED HEIGHT [IN FEET & INCHES] [CODE 888 IF PHYSICALLY UNABLE TO MEASURE HEIGHT] String[5]
747 introk PHYSICAL MEASUREMENTS Now I would like you to try to do different movements of your body that involve your arms and legs. I will first describe and show each movement to you. Then I'd like you to try it. Please be very careful and let me know if you need help. [INTERVIEWER: BOTH THE RESEARCH ASSISTANT AND NURSE SHOULD BE PRESENT IF THE SUBJECT NEEDS ASSISTANCE WITH THESE MEASUREMENTS. DEMONSTRATE AND DESCRIBE EACH POSITION. THEN ENTER NUMBER OF SECONDS THE SUBJECT HOLDS POSITION.] >>>>> PRESS ENTER FOR NEXT QUESTION <<<<</p String[1]
748 move1 1. SEMI-TANDEM STAND (Eyes Open) [UP TO 10 SECONDS] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
749 move2 2. FULL TANDEM STAND (Eyes Open) [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
750 move3 3. SIDE BY SIDE STAND (Eyes Open) [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
751 move4 4. SIDE BY SIDE STAND (Eyes Closed) [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
752 move5 5. HEEL STAND (Eyes Open) [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
753 move6 6. TOE STAND (Eyes Open) [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
754 move6a 6a. STANDING ON RIGHT LEG (Eyes Open) [TRIAL ONE] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
755 move6b 6b. STANDING ON RIGHT LEG (Eyes Open) [TRIAL TWO] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
756 move6c 6c. STANDING ON LEFT LEG (Eyes Open) [TRIAL ONE] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
757 move6d 6d. STANDING ON LEFT LEG (Eyes Open) [TRIAL TWO] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R HOLDS POSITION] [CODE 55.5=tried but unable] 1.0 .. 55.5
758 move6e 6e. TURNING (360 degrees) [TRIAL ONE] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R TAKES TO COMPLETE THE TURN] [CODE 555.5=tried but unable] 1.0 .. 555.5
759 move6f 6f. TURNING (360 degrees) [TRIAL ONE] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF STEPS R TAKES TO COMPLETE THE TURN] [CODE 55=tried but unable] 1 .. 55
760 move6g 6g. TURNING (360 degrees) [TRIAL TWO] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF SECONDS R TAKES TO COMPLETE THE TURN] [CODE 555.5=tried but unable] 1.0 .. 555.5
761 move6h 6h. TURNING (360 degrees) [TRIAL TWO] [INTERVIEWER: DESCRIBE THE POSITION WHILE DEMONSTRATING.] [ENTER NUMBER OF STEPS R TAKES TO COMPLETE THE TURN] [CODE 55=tried but unable] 1 .. 55
762 move6i 6i. [INTERVIEWER: RECORD AIDS USED FOR TURNING] 1= No aid 2= Quad Cane 3= Other Cane 4= Walker 5= Wheelchair 6= Other
763 move6i1 [SPECIFY] String[20]
764 move7 7. MEASURED WALK [INTERVIEWER: EXTEND THE RULE TO THE 8' LENGTH IN AN AREA WHICH OFFERS AT LEAST 11' AND IDEALLY 12' OF WALKING SPACE. MARK STARTING LINE AND ENDING LINE WITH 18 INCH PIECE OF TAPE. Count the number of steps required to complete the course.] Was the course 8 feet in length? 1= Yes 2= No
765 move7a 7a. [INTERVIEWER: RECORD AIDS USED IN MEASURED WALK] 1= No aid 2= Quad Cane 3= Other Cane 4= Walker 5= Wheelchair as walking aid 6= Other
766 move7a1 7b1. [SPECIFY] String[20]
767 move7b 7b. [INTERVIEWER: RECORD TIME FOR FIRST WALK (in seconds)] [CODE 555.5=tried but unable] 1.0 .. 555.5
768 move7c 7c. How many steps were taken? 1 .. 55
769 move8 8. TANDEM WALK [INTERVIEWER: RECORD NUMBER OF ERRORS, e.g. SIDESTEPS] [CODE 55=TRIED BUT UNABLE] 0 .. 55
770 move9a 9a. CHAIR STAND. [INTERVIEWER: DESCRIBE THE CHAIR STAND AND DEMONSTRATE.] ENTER NUMBER OF ATTEMPTS TO RISE (INCLUDING ROCKING/WEIGHT SHIFTING) 0 .. 20
771 move9b 9b. ATTEMPT TO RISE. 1= Rises without using arms 2= Rises using arms 3= Not attempted (no suitable chair) 55= Tried but unable
772 move10a 10. REPEATED CHAIR STAND [INTERVIEWER: DESCRIBE REPEATED CHAIR STANDS WHILE DEMONSTRATING.] 10a. COMPLETION. 1= One completed 2= Two completed 3= Three completed 4= Four completed 5= Five completed 13= Not attempted, no suitable chair 55= Tried, but unable
773 move10b 10b. TIME IF 5 STANDS DONE SUCCESSFULLY [IN SECONDS] 1.0 .. 99.0
774 move9c 10c. [RECORD CHAIR HEIGHT] [ENTER INCHES FROM FLOOR TO LOWEST POINT OF SEAT] 3 .. 48
775 move9d 10d. Did the chair have arms? 1= Yes 2= No
776 move11a EXTERNAL SHOULDER ROTATION. [DESCRIBE EXERCISE WHILE DEMONSTRATING.] 11a. RIGHT SIDE: 1= Performed fully 2= Performed partially; hand behind head 3= Performed partially; arm raised 4= Unable to do
777 move11b 11b. LEFT SIDE: 1= Performed fully 2= Performed partially; hand behind head 3= Performed partially; arm raised 4= Unable to do
778 autendtm [COMPUTER CLOCK TIME] String[8]
779 comment Comments String[120]
784 vegsign 0 .. 8
785 mvegsign 0 .. 8
786 cesd 0 .. 10
787 mcesd 0 .. 10
788 formcode Please enter status code. 11 = COMPLETE 13 = COMPLETE, portion with proxy 12 = INCOMPLETE, refused 14 = INCOMPLETE, too impaired 21 = INCOMPLETE interim, complete later 73 = NOT TESTED, out of town 31 = NOT TESTED, moved 33 = NOT TESTED, refused 75 = NOT TESTED, hospitalized 76 = NOT TESTED, other 42 = DECEASED 43 = WITHDRAWN 44 = WITHDRAWN, Autopsy OK 11 .. 76
789 formpart Was participant reluctant, and/or does participant have special needs? 1= Yes 2= No
790 formcomm Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] String[120]
791 statid Please enter you staff id. 100 .. 997
792 formch Has the form been modified? 1= Yes 2= No
793 revidate Enter the date that the form was modified. Date type
794 revintd Enter your staff id number. 100 .. 997
795 anydev Are there any protocol deviations or missing data items to enter? 1= Yes 2= No
796 numdev How many total protocol deviations and tests with missing items to enter? 1 .. 20
797 reas00 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
798 test00 Enter test or procedure. String[15]
799 item00 List items involved. [SEPARATE BY A COMMA] String[20]
800 code00 Enter data code used. 1= Don't Know 2= Refusal 3= other
801 oth00 Enter other code used. String[20]
802 expl00 Explain what happened String[100]
803 reas01 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
804 test01 Enter test or procedure. String[15]
805 item01 List items involved. [SEPARATE BY A COMMA] String[20]
806 code01 Enter data code used. 1= Don't Know 2= Refusal 3= other
807 oth01 Enter other code used. String[20]
808 expl01 Explain what happened String[100]
809 reas02 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
810 test02 Enter test or procedure. String[15]
811 item02 List items involved. [SEPARATE BY A COMMA] String[20]
812 code02 Enter data code used. 1= Don't Know 2= Refusal 3= other
813 oth02 Enter other code used. String[20]
814 expl02 Explain what happened String[100]
815 reas03 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
816 test03 Enter test or procedure. String[15]
817 item03 List items involved. [SEPARATE BY A COMMA] String[20]
818 code03 Enter data code used. 1= Don't Know 2= Refusal 3= other
819 oth03 Enter other code used. String[20]
820 expl03 Explain what happened String[100]
821 reas04 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
822 test04 Enter test or procedure. String[15]
823 item04 List items involved. [SEPARATE BY A COMMA] String[20]
824 code04 Enter data code used. 1= Don't Know 2= Refusal 3= other
825 oth04 Enter other code used. String[20]
826 expl04 Explain what happened String[100]
827 reas05 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
828 test05 Enter test or procedure. String[15]
829 item05 List items involved. [SEPARATE BY A COMMA] String[20]
830 code05 Enter data code used. 1= Don't Know 2= Refusal 3= other
831 oth05 Enter other code used. String[20]
832 expl05 Explain what happened String[100]
833 reas06 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
834 test06 Enter test or procedure. String[15]
835 item06 List items involved. [SEPARATE BY A COMMA] String[20]
836 code06 Enter data code used. 1= Don't Know 2= Refusal 3= other
837 oth06 Enter other code used. String[20]
838 expl06 Explain what happened String[100]
839 reas07 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
840 test07 Enter test or procedure. String[15]
841 item07 List items involved. [SEPARATE BY A COMMA] String[20]
842 code07 Enter data code used. 1= Don't Know 2= Refusal 3= other
843 oth07 Enter other code used. String[20]
844 expl07 Explain what happened String[100]
845 reas08 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
846 test08 Enter test or procedure. String[15]
847 item08 List items involved. [SEPARATE BY A COMMA] String[20]
848 code08 Enter data code used. 1= Don't Know 2= Refusal 3= other
849 oth08 Enter other code used. String[20]
850 expl08 Explain what happened String[100]
851 reas09 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
852 test09 Enter test or procedure. String[15]
853 item09 List items involved. [SEPARATE BY A COMMA] String[20]
854 code09 Enter data code used. 1= Don't Know 2= Refusal 3= other
855 oth09 Enter other code used. String[20]
856 expl09 Explain what happened String[100]
857 reas10 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
858 test10 Enter test or procedure. String[15]
859 item10 List items involved. [SEPARATE BY A COMMA] String[20]
860 code10 Enter data code used. 1= Don't Know 2= Refusal 3= other
861 oth10 Enter other code used. String[20]
862 expl10 Explain what happened String[100]
863 reas11 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
864 test11 Enter test or procedure. String[15]
865 item11 List items involved. [SEPARATE BY A COMMA] String[20]
866 code11 Enter data code used. 1= Don't Know 2= Refusal 3= other
867 oth11 Enter other code used. String[20]
868 expl11 Explain what happened String[100]
869 reas12 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
870 test12 Enter test or procedure. String[15]
871 item12 List items involved. [SEPARATE BY A COMMA] String[20]
872 code12 Enter data code used. 1= Don't Know 2= Refusal 3= other
873 oth12 Enter other code used. String[20]
874 expl12 Explain what happened String[100]
875 reas13 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
876 test13 Enter test or procedure. String[15]
877 item13 List items involved. [SEPARATE BY A COMMA] String[20]
878 code13 Enter data code used. 1= Don't Know 2= Refusal 3= other
879 oth13 Enter other code used. String[20]
880 expl13 Explain what happened String[100]
881 reas14 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
882 test14 Enter test or procedure. String[15]
883 item14 List items involved. [SEPARATE BY A COMMA] String[20]
884 code14 Enter data code used. 1= Don't Know 2= Refusal 3= other
885 oth14 Enter other code used. String[20]
886 expl14 Explain what happened String[100]
887 reas15 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
888 test15 Enter test or procedure. String[15]
889 item15 List items involved. [SEPARATE BY A COMMA] String[20]
890 code15 Enter data code used. 1= Don't Know 2= Refusal 3= other
891 oth15 Enter other code used. String[20]
892 expl15 Explain what happened String[100]
893 reas16 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
894 test16 Enter test or procedure. String[15]
895 item16 List items involved. [SEPARATE BY A COMMA] String[20]
896 code16 Enter data code used. 1= Don't Know 2= Refusal 3= other
897 oth16 Enter other code used. String[20]
898 expl16 Explain what happened String[100]
899 reas17 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
900 test17 Enter test or procedure. String[15]
901 item17 List items involved. [SEPARATE BY A COMMA] String[20]
902 code17 Enter data code used. 1= Don't Know 2= Refusal 3= other
903 oth17 Enter other code used. String[20]
904 expl17 Explain what happened String[100]
905 reas18 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
906 test18 Enter test or procedure. String[15]
907 item18 List items involved. [SEPARATE BY A COMMA] String[20]
908 code18 Enter data code used. 1= Don't Know 2= Refusal 3= other
909 oth18 Enter other code used. String[20]
910 expl18 Explain what happened String[100]
911 reas19 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
912 test19 Enter test or procedure. String[15]
913 item19 List items involved. [SEPARATE BY A COMMA] String[20]
914 code19 Enter data code used. 1= Don't Know 2= Refusal 3= other
915 oth19 Enter other code used. String[20]
916 expl19 Explain what happened String[100]

Back to data dictionaries