Data Dictionary for latintfu
Number of Blaise fields: 1258
| Seq # | Var | Question | Data Type/Coding |
|---|---|---|---|
| 1 | formdescr | Form Description | |
| 1 | formdescr | Form Description | |
| 2 | ivisit | visit | |
| 2 | ivisit | visit | |
| 3 | formno | Form Number | String[8] |
| 3 | formno | Form Number | String[8] |
| 4 | version | Version Number | String[10] |
| 4 | version | Version Number | String[10] |
| 5 | versiondate | Version Date | String[10] |
| 5 | versiondate | Version Date | String[10] |
| 6 | projid | ^formdescr Form: ^formno Version: ^version (^versiondate) Enter project ID number. | String[8] |
| 6 | projid | ^formdescr Form: ^formno Version: ^version (^versiondate) Enter project ID number. | String[8] |
| 7 | visit | Enter curent visit code from face sheet: CODE F/U Year CODE F/U Year CODE F/U Year CODE F/U Year 00 = Baseline 08 = 8th F/U 16 = 16th F/U 24 = 24th F/U 01 = 1st F/U 09 = 9th F/U 17 = 17th F/U 25 = 25th F/U 02 = 2nd F/U 10 = 10th F/U 18 = 18th F/U 26 = 26th F/U 03 = 3rd F/U 11 = 11th F/U 19 = 19th F/U 27 = 27th F/U 04 = 4th F/U 12 = 12th F/U 20 = 20th F/U 28 = 28th F/U 05 = 5th F/U 13 = 13th F/U 21 = 21th F/U 29 = 29th F/U 06 = 6th F/U 14 = 14th F/U 22 = 22th F/U 30 = 30th F/U 07 = 7th F/U 15 = 15th F/U 23 = 23th F/U 31 = 30th F/U ... 50 = 50th F/U | String[2] |
| 7 | visit | Enter curent visit code from face sheet: CODE F/U Year CODE F/U Year CODE F/U Year CODE F/U Year 00 = Baseline 08 = 8th F/U 16 = 16th F/U 24 = 24th F/U 01 = 1st F/U 09 = 9th F/U 17 = 17th F/U 25 = 25th F/U 02 = 2nd F/U 10 = 10th F/U 18 = 18th F/U 26 = 26th F/U 03 = 3rd F/U 11 = 11th F/U 19 = 19th F/U 27 = 27th F/U 04 = 4th F/U 12 = 12th F/U 20 = 20th F/U 28 = 28th F/U 05 = 5th F/U 13 = 13th F/U 21 = 21th F/U 29 = 29th F/U 06 = 6th F/U 14 = 14th F/U 22 = 22th F/U 30 = 30th F/U 07 = 7th F/U 15 = 15th F/U 23 = 23th F/U 31 = 30th F/U ... 50 = 50th F/U | String[2] |
| 8 | baseyear | Enter year of baseline from face sheet: | 1993 .. 2025 |
| 8 | baseyear | Enter year of baseline from face sheet: | 1993 .. 2025 |
| 9 | autodate | Automatic Date. | Date type |
| 9 | autodate | Automatic Date. | Date type |
| 10 | autotime | Automatic Time. | TimeType |
| 10 | autotime | Automatic Time. | TimeType |
| 11 | autolog | Automatic Logged Date. | Date type |
| 11 | autolog | Automatic Logged Date. | Date type |
| 12 | intid | INTERVIEWER ID | 100 .. 997 |
| 12 | intid | INTERVIEWER ID | 100 .. 997 |
| 13 | compid | Laptop ID | String[20] |
| 13 | compid | Laptop ID | String[20] |
| 14 | dateint | Date of interview | Date type |
| 14 | dateint | Date of interview | Date type |
| 15 | datlas | Date of previous interview | Date type |
| 15 | datlas | Date of previous interview | Date type |
| 16 | gender | Enter participant's gender. | 1= Male 2= Female |
| 16 | gender | Enter participant's gender. | 1= Male 2= Female |
| 17 | phone | Was this interview completed on telephone or in person? | 1= inper 2= Telephone |
| 17 | phone | Was this interview completed on telephone or in person? | 1= In-person 2= Telephone |
| 18 | autotm | [COMPUTER CLOCK TIME] | String[8] |
| 18 | autotm | [COMPUTER CLOCK TIME] | String[8] |
| 19 | formlang | What language will be used to administer this form? [INTERVIEWER: To change the form language, click on Options in the main menu, then select Form Language.] | 1= ENG 2= ESP |
| 19 | formlang | What language will be used to administer this form? [INTERVIEWER: To change the form language, click on Options in the main menu, then select Form Language.] | 1= English 2= Espa�ol |
| 20 | ssnmedneeded | Do we need to obtain SSN and/or Medicare# from this participant? [INTERVIEWER: Check the face sheet. Enter NO if both SSN and Medicare# have been collected. Enter NO if participant refuses to provide both SSN and Medicare#. Enter 'Yes, both' if participant is able to provide both SSN and Medicare#. Enter 'Yes, SSN only' if participant is able to provide only the SSN. Enter 'Yes, Medicare# only' if participant is able to provide only the Medicare#.] | 2= No 1= Yes 3= YesSSN 4= YesMed |
| 20 | ssnmedneeded | Do we need to obtain SSN and/or Medicare# from this participant? [INTERVIEWER: Check the face sheet. Enter NO if both SSN and Medicare# have been collected. Enter NO if participant refuses to provide both SSN and Medicare#. Enter 'Yes, both' if participant is able to provide both SSN and Medicare#. Enter 'Yes, SSN only' if participant is able to provide only the SSN. Enter 'Yes, Medicare# only' if participant is able to provide only the Medicare#.] | 2= No 1= Yes, both 3= Yes, SSN only 4= Yes, Medicare# only |
| 21 | q5loc | What is your social security number? | 0 .. 999999999 |
| 21 | q5loc | �Cu�l es su n�mero de seguro social? | 0 .. 999999999 |
| 22 | q5aloc | [ENTER R. SOCIAL SECURITY NUMBER AGAIN] | 0 .. 999999999 |
| 22 | q5aloc | [ENTER R. SOCIAL SECURITY NUMBER AGAIN] | 0 .. 999999999 |
| 23 | q6loc | What is your medicare number? Please show me your card. | String[11] |
| 23 | q6loc | �Cu�l es su n�mero de Medicare? Por favor, ens��eme su tarjeta. | String[11] |
| 24 | q6aloc | [ENTER R. MEDICARE NUMBER AGAIN] | String[11] |
| 24 | q6aloc | [ENTER R. MEDICARE NUMBER AGAIN] | String[11] |
| 25 | validated | ||
| 25 | validated | ||
| 26 | validateerror | ||
| 26 | validateerror | ||
| 27 | errorposition | ||
| 27 | errorposition | ||
| 28 | validated_hicn_cms | ||
| 28 | validated_hicn_cms | ||
| 29 | validated_rrb_pre1964 | ||
| 29 | validated_rrb_pre1964 | ||
| 30 | validated_rrb_post1964 | ||
| 30 | validated_rrb_post1964 | ||
| 31 | hicnformats | ||
| 31 | hicnformats | ||
| 32 | hicn_alpha | ||
| 32 | hicn_alpha | ||
| 33 | hicn_numbers | ||
| 33 | hicn_numbers | ||
| 34 | strlen | ||
| 34 | strlen | ||
| 35 | hicn_trimmed | ||
| 35 | hicn_trimmed | ||
| 36 | 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 |
| 36 | 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= NoCollected 3= NoDoNotAsk 4= NoNotAvailable 5= NoRelMild 6= NoRelModerate 7= NoRelStrong |
| 37 | ssn | �Cu�l es su n�mero de seguro social? [INTERVIEWER: Please enter the SSN in 000-00-0000 format.] | String[11] |
| 37 | ssn | What is your social security number? [INTERVIEWER: Please enter the SSN in 000-00-0000 format.] | String[11] |
| 38 | ssn_c | [ENTER R. SOCIAL SECURITY NUMBER AGAIN] | String[11] |
| 38 | ssn_c | [ENTER R. SOCIAL SECURITY NUMBER AGAIN] | String[11] |
| 39 | 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= NoCollected 3= NoDoNotAsk 4= NoNotAvailable 5= NoRelMild 6= NoRelModerate 7= NoRelStrong |
| 39 | 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 |
| 40 | 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] |
| 40 | hicn | �Cu�l es su n�mero de Medicare(HICN)? Por favor, ens��eme su tarjeta. [INTERVIEWER: valid HICN formats include 000000000A, 000000000AC, A000000000 or A000000.] | String[11] |
| 41 | hicn_c | [ENTER R. MEDICARE NUMBER(HICN) AGAIN] | String[11] |
| 41 | hicn_c | [ENTER R. MEDICARE NUMBER(HICN) AGAIN] | String[11] |
| 42 | hicn_type | HICN Type: ^hicnFormats | String[15] |
| 42 | hicn_type | HICN Type: ^hicnFormats | String[15] |
| 43 | 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= NoCollected 3= NoDoNotAsk 4= NoNotAvailable 5= NoRelMild 6= NoRelModerate 7= NoRelStrong |
| 43 | 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 |
| 44 | 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] |
| 44 | mbi | �Cu�l es su n�mero de Medicare(MBI)? Por favor, ens��eme su tarjeta. [INTERVIEWER: Please enter the MBI in 01EG4-TE5-MK73 format.] | String[13] |
| 45 | mbi_c | [ENTER R. MEDICARE NUMBER(MBI) AGAIN] | String[13] |
| 45 | mbi_c | [ENTER R. MEDICARE NUMBER(MBI) AGAIN] | String[13] |
| 46 | heart | MEDICAL HISTORY - CARDIOVASCULAR DISEASE Now, I have some questions about a number of specific medical conditions. 1. Since your last study interview on ^IntroBlock_datlas, have you 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 |
| 46 | heart | HISTORIAL M�DICO - ENFERMEDADES CARDIOVASCULARES Ahora tengo algunas preguntas sobre varias condiciones m�dicas espec�ficas. 1. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que sufri� un ataque card�aco, o coronario, trombosis coronaria, oclusi�n coronaria o infarto de miocardio? | 1= S� 2= Sospecha o posible 3= No |
| 47 | multiple | 1a. �Tuvo uno o m�s de uno? | 1= Uno 2= M�s que uno |
| 47 | multiple | 1a. Did you have only one or more than one? | 1= Only one 2= More than one |
| 48 | inhosp | 1b Were you hospitalized overnight or longer for this(last one)? | 1= Yes 2= No |
| 48 | inhosp | 1b �Fue hospitalizado(a) por una noche o m�s tiempo debido a este evento? | 1= S� 2= No |
| 49 | chf | (Desde su �ltima entrevista del estudio en (mes/a�o), �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a... insuficiencia card�aca? | 1= S� 2= Sospecha o posible 3= No |
| 49 | chf | CONGESTIVE HEART FAILURE Since your last interview on ^IntroBlock_datlas, have you been told by a doctor, nurse, or therapist that you had.....congestive heart failure? | 1= Yes 2= Suspect or possible 3= No |
| 50 | chfhosp | Were you hospitalized overnight or longer for this? | 1= Yes 2= No |
| 50 | chfhosp | �Fue hospitalizado(a) por una noche o m�s tiempo debido a este evento? | 1= S� 2= No |
| 51 | chfnum | �Cu�ntas veces ha sido hospitalizado(a) desde la �ltima entrevista del estudio en (mes/a�o)? | 0 .. 10 |
| 51 | chfnum | How many times have you been hospitalized for this since your last interview on ^IntroBlock_datlas? | 0 .. 10 |
| 52 | cancer | CANCER OR MALIGNANCY 1. Since your last interview on ^IntroBlock_datlas, have you 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 |
| 52 | cancer | CANCER O MALIGNIDAD 1. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a c�ncer, malignidad, o tumor de cualquier tipo? | 1= S� 2= Sospecha o posible 3= No |
| 53 | ca1a | 1a. �D�nde estaba? [OR: �D�nde estaba el c�ncer diagnosticado m�s recientemente?] [SPECIFY] | String[20] |
| 53 | ca1a | 1a. Where was it? [OR: Where was the most recent cancer that you had?] [SPECIFY] | String[20] |
| 54 | diabetes | DIABETES 1. (Since your last interview on ^IntroBlock_datlas, have you 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 |
| 54 | diabetes | DIABETES 1. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �Alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a... 2. Diabetes, o az�car en la orina, o alta az�car en la sangre? | 1= S� 2= Sospecha o posible 3= No |
| 55 | db1 | 2. �Alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha indicado que tome inyecciones de insulina para controlar el az�car? | 1= S� 2= No |
| 55 | db1 | 2. Has a doctor, nurse or therapist, told you to take insulin or injections for your high blood sugar? | 1= Yes 2= No |
| 56 | db3 | 3. Has a doctor, nurse, or therapist told you to take medicine by mouth for your high blood sugar? | 1= Yes 2= No |
| 56 | db3 | 3 �Alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que tome medicaci�n por v�a oral para controlar el az�car? | 1= S� 2= No |
| 57 | highbp | ALTA PRESION SANGUINEA Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a... 1. �Presi�n sangu�nea alta/hipertensi�n arterial? | 1= S� 2= Sospecha o posible 3= No |
| 57 | highbp | HIGH BLOOD PRESSURE (Since your interview on ^IntroBlock_datlas, have you been told by a doctor, nurse or therapist that you had...) 1. High blood pressure? | 1= Yes 2= Suspect or possible 3= No |
| 58 | bp3 | 2 Has a doctor, nurse, or therapist told you to take medicine by mouth for your high blood pressure? | 1= Yes 2= No |
| 58 | bp3 | 2 �Alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que tome medicaci�n por v�a oral para la presi�n sangu�nea alta/hipertensi�n arterial? | 1= S� 2= No |
| 59 | thyroid | ENFERMEDAD DE LA TIROIDES (Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a... 1. �Enfermedad de la tiroides? | 1= S� 2= Sospecha o posible 3= No |
| 59 | thyroid | THYROID DISEASE (Since your interview on ^IntroBlock_datlas, have you been told by a doctor, nurse or therapist that you had...) 1. Thyroid disease? | 1= Yes 2= Suspect or possible 3= No |
| 60 | brokenhp | BROKEN HIP (Since your interview on ^IntroBlock_datlas, have you 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 |
| 60 | brokenhp | CADERA ROTA (Desde su �ltima entrevista del estudio en (mes/a�o), �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a... 1. Una cadera rota o fracturada? | 1= S� 2= Sospecha o posible 3= No |
| 61 | hip6afix | 1a. �Fue hospitalizado(a) por una noche o m�s tiempo debido a este evento? | 1= S� 2= No |
| 61 | hip6afix | 1a. Were you hospitalized overnight or longer for this? | 1= Yes 2= No |
| 62 | arthritis | Arthritis Since your last study interview on ^IntroBlock_datlas, have you been told by a doctor, nurse or therapist that you had osteoarthritis? | 1= Yes 2= Suspect or possible 3= No |
| 62 | arthritis | Arthritis Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho alguna vez que ten�a osteoartritis? | 1= S� 2= Sospecha o posible 3= No |
| 63 | gout | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho alguna vez que ten�a gota? | 1= S� 2= Sospecha o posible 3= No |
| 63 | gout | Since your last study interview on ^IntroBlock_datlas, have you been told by a doctor, nurse or therapist that you had gout? | 1= Yes 2= Suspect or possible 3= No |
| 64 | osteoporosis | Since your last study interview on ^IntroBlock_datlas, have you been told by a doctor, nurse or therapist that you had osteoporosis? | 1= Yes 2= Suspect or possible 3= No |
| 64 | osteoporosis | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho alguna vez que ten�a osteoporosis? | 1= S� 2= Sospecha o posible 3= No |
| 65 | joint_disease | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho alguna vez que ten�a otra enfermedad articular (sin incluir el c�ncer)? | 1= S� 2= Sospecha o posible 3= No |
| 65 | joint_disease | Since your last study interview on ^IntroBlock_datlas, have you been told by a doctor, nurse or therapist that you had other joint disease (excluding cancer)? | 1= Yes 2= Suspect or possible 3= No |
| 66 | hormones | 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. 1. Since ^IntroBlock_datlas, have you taken 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 |
| 66 | hormones | REEMPLAZO HORMONAL - Ahora me gustar�a preguntarle sobre medicamentos hormonales que usted haya podido utilizar. Las hormonas son utilizadas a veces por mujeres alrededor del momento de menopausia, despu�s de intervenciones quir�rgicas en los ovarios, para controlar menstruaciones fuertes o irregulares o para la prevenci�n de enfermedades como la p�rdida �sea/osteoporosis. Estas medicaciones incluyen pastillas, inyecciones, cremas vaginales o supositorios, o parches cut�neos. 1. �Desde (mes/a�o), �ha tomado alg�n tipo de medicaci�n/suplemento hormonal de estr�geno, por ejemplo Premarin, Ogen o Estrace, o alguna medicaci�n hormonal que contenga progesterona, por ejemplo, Provera? | 1= S� 2= Sospecha 3= No |
| 67 | pill | �Fueron dichas hormonas de estr�geno o progesterona suministradas en forma de pastilla, inyecciones, cremas vaginales, supositorios, o parches cut�neos? 2. pastilla u otra forma oral de dosis | 1= S� 2= Sospecha 3= No |
| 67 | 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 |
| 68 | shot | 3. injection (shot) | 1= Yes 2= Suspect 3= No |
| 68 | shot | 3. inyecci�n | 1= S� 2= Sospecha 3= No |
| 69 | cos | 4. cremas vaginales o supositorios | 1= S� 2= Sospecha 3= No |
| 69 | cos | 4. vaginal cream or suppository | 1= Yes 2= Suspect 3= No |
| 70 | patch | 5. skin patch | 1= Yes 2= Suspect 3= No |
| 70 | patch | 5. parches cut�neos | 1= S� 2= Sospecha 3= No |
| 71 | current | 6. �Est� usted tomando esta(s) medicacion(es) en la actualidad? | 1= S� 2= No |
| 71 | current | 6. Are you currently taking this/these medications? | 1= Yes 2= No |
| 72 | chespain | CHEST PAIN Now some questions about pains in your chest. 1. Do you get pain or discomfort in your chest? | 1= Yes 2= No |
| 72 | chespain | DOLOR DEL PECHO Ahora algunas preguntas sobre dolores de pecho. 1. �Le duele o tiene malestar en el pecho? | 1= S� 2= No |
| 73 | pressure | 1a. �Siente presi�n o pesadez en el pecho? | 1= S� 2= No |
| 73 | pressure | 1a. Do you get pressure or heaviness in your chest? | 1= Yes 2= No |
| 74 | 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 |
| 74 | uphill0 | 2. �Siente este dolor (o malestar) cuando camina cuesta arriba (ascendente) o cuando se apresura? | 1= S� 2= No 3= Nunca camina cuesta arriba o se apresura |
| 75 | level0 | 3. �Siente este dolor (o malestar) cuando camina a un paso normal sobre el terreno plano? | 1= S� 2= No |
| 75 | level0 | 3. Do you get this pain (or discomfort) when you walk at an ordinary pace on level ground? | 1= Yes 2= No |
| 76 | legpain | CLAUDICATION Now some questions about pains in your legs. 1. Do you get pain in either leg while walking? | 1= Yes 2= No |
| 76 | legpain | CLAUDICACION Ahora algunas preguntas sobre dolores en sus piernas. 1. �Siente dolor en alguna de sus piernas mientras camina? | 1= S� 2= No |
| 77 | standsit | 2. Does this pain ever begin when you are standing still or sitting? | 1= Yes 2= No |
| 77 | standsit | 2. �Comienza este dolor cuando est� parado/a o sentado/a? | 1= S� 2= No |
| 78 | 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 |
| 78 | calf | 3. �En qu� parte de su pierna lo siente? [IF CALVES NOT MENTIONED ASK: �Alguna otra parte?' IF STILL NOT MENTIONED, CODE 2] | 1= Dolor incluye la/s pantorilla/s 2= Dolor no incluye la/s pantorilla/s |
| 79 | shrtbrth | 9. �Le cuesta respirar por la noche si duerme en posici�n horizontal o con s�lo una almohada? | 1= S� 2= No |
| 79 | shrtbrth | 9. Do you get short of breath at night if you sleep flat or only on one pillow? | 1= Yes 2= No |
| 80 | pillows | 9a. How many pillows do you need to sleep on to not be short of breath? | 1 .. 9 |
| 80 | pillows | 9a. �Cu�ntas almohadas necesita usted para seguir durmiendo y no tener problemas para respirar? | 1 .. 9 |
| 81 | grspbrth | 9b. �Se despierta por la noche haciendo esfuerzos para respirar? | 1= S� 2= No |
| 81 | grspbrth | 9b. Do you wake up at night gasping for breath? | 1= Yes 2= No |
| 82 | hoftshrt | 9c. About how often did you have shortness of breath at night in the last month? | 1= Several times/week 2= Once every night 3= A few times a week 4= Less often than once a week |
| 82 | hoftshrt | 9c. �Con qu� frecuencia aproximada tuvo la respiraci�n entrecortada o falta de aire por la noche durante el mes pasado? | 1= Varias veces por noche 2= Una vez por noche 3= Unas cuantas veces por semana 4= Menos de una vez por semana |
| 83 | joints | ARTICULACIONES Ahora tenemos unas cuantas preguntas sobre sus articulaciones. 1. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �ha tenido usted dolor o alguna dolencia en alguna de sus articulaciones la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 83 | joints | JOINTS Now a few questions about your joints. 1. Since your last interview on ^IntroBlock_datlas have you had pain or aching in any of your joints on most days for at least one month? | 1= Yes 2= No |
| 84 | neckpain | 2. ...Pain in your neck or back on most days for at least one month? | 1= Yes 2= No |
| 84 | neckpain | 2. ...�Dolor en su cuello o espalda la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 85 | neckpain2 | 2. ...�Dolor en su cuello la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 85 | neckpain2 | 2. ...Pain in your neck on most days for at least one month? | 1= Yes 2= No |
| 86 | backpain | 2a. ...Pain in your back on most days for at least one month? | 1= Yes 2= No |
| 86 | backpain | 2a. ...�Dolor en su espalda la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 87 | hippain | 3. ...�Dolor en o alrededor de las articulaciones de cualquiera de las caderas incluyendo los gluteos, la ingle, y el lado del muslo en la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 87 | 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 |
| 88 | 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 |
| 88 | kneepain | 4. ...�Dolor en o alrededor de las rodillas incluyendo la parte trasera de la rodilla en la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 89 | swelling | 5. ...�Hinchaz�n en una articulaci�n, con dolor presente en la articulaci�n al tocarlo, en la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 89 | 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 |
| 90 | 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 |
| 90 | stiff | 6. ...�Rigidez en las articulaciones y m�sculos al levantarse de la cama por la ma�ana, que dure como m�nimo 15 minutos? | 1= S� 2= No |
| 91 | feetpain | 7. ...�Dolor o dolencia en cualquiera de sus pies, la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 91 | feetpain | 7. ...Pain or aching in either of your feet on most days for at least one month? | 1= Yes 2= No |
| 92 | 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 |
| 92 | handpain | 8. ...�Dolor o dolencia en cualquiera de sus manos, mu�ecas o dedos, la mayor�a de los d�as durante al menos un mes? | 1= S� 2= No |
| 93 | q1neur | NEUROPATIA Ahora tengo algunas preguntas sobre entumecimientos y hormigueos. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �ha padecido de sensaci�n de entumecimiento u hormigueos [o adormecimiento o ardor] en sus pies o en los dedos de sus pies? | 1= S� 2= Sospecha 3= No |
| 93 | q1neur | NEUROPATHY Now I have some questions about numbness and tingling. In the past month, have you had numbness or tingling [or asleep or burning] feeling of your feet or toes? | 1= Yes 2= Suspect 3= No |
| 94 | q2neur | Was this ___ on the right side, left side, or both sides? | 1= Right 2= Left 3= Both |
| 94 | q2neur | �Ocurri� esto _____en el lado derecho, lado izquierdo, o ambos lados? | 1= Derecha 2= Izquierda 3= Ambas |
| 95 | q3neur | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �ha padecido de sensaci�n de entumecimiento u hormigueos [o adormecimiento o ardor] en sus manos o dedos? | 1= S� 2= Sospecha 3= No |
| 95 | q3neur | In the past month, have you had numbness or tingling [or asleep or burning] feeling of your hands or fingers? | 1= Yes 2= Suspect 3= No |
| 96 | q4neur | Was this ___ on the right side, left side, or both sides? | 1= Right 2= Left 3= Both |
| 96 | q4neur | �Ocurri� esto _____en el lado derecho, lado izquierdo, o ambos lados? | 1= Derecha 2= Izquierda 3= Ambas |
| 97 | q5neur | RADICULOPATIA CERVICAL Ahora tengo algunas preguntas sobre el dolor de cuello. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �ha padecido de dolor de cuello que durara d�as, semanas o meses? | 1= S� 2= Sospecha 3= No |
| 97 | q5neur | CERVICAL RADICULAPATHY Now I have some questions about neck pain. Since your interview on ^IntroBlock_datlas, have you had neck pain that lasted days weeks, or months? | 1= Yes 2= Suspect 3= No |
| 98 | 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 |
| 98 | q6neur | En alg�n momento en el que estaba teniendo dolor de cuello, �tuvo tambi�n dolor, entumecimiento u hormigueos, o debilidad en los brazos o en las manos? | 1= S� 2= Sospecha 3= No |
| 99 | q7neur1 | �Cu�l de estos problemas ten�a usted: dolor, entumecimiento u hormigueo, o debilidad? [LIST ALL THAT APPLY] Puede escoger 3 entre las respuestas posibles. | 1= Dolor 2= Entumecimiento u hormigueos 3= Debilidad |
| 99 | 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 |
| 100 | q7neur2 | Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] | See previous question |
| 100 | q7neur2 | �Cu�l de estos problemas ten�a usted: dolor, entumecimiento u hormigueo, o debilidad? [LIST ALL THAT APPLY] Puede escoger 3 entre las respuestas posibles. | See previous question |
| 101 | q7neur3 | �Cu�l de estos problemas ten�a usted: dolor, entumecimiento u hormigueo, o debilidad? [LIST ALL THAT APPLY] Puede escoger 3 entre las respuestas posibles. | See previous question |
| 101 | q7neur3 | Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] | See previous question |
| 102 | q8neur | Did this ___ occur on the right side, left side, or both sides? | 1= Right 2= Left 3= Both |
| 102 | q8neur | �Ocurri� esto_____en el lado derecho, lado izquierdo, o ambos lados? | 1= Derecha 2= Izquierda 3= Ambas |
| 103 | q9neur | Ahora bien, cuando usted tiene dolor de cuello, �cu�nto tiempo, en promedio, dura t�picamente el dolor de cuello? �Dir�a usted que menos de una semana, entre una semana y un mes, entre dos y seis meses, o mas de seis meses? | 1= < una semana 2= 1 semana - 1 mes 3= > 1 mes - 2 meses 4= > 2 meses - 6 meses 5= > 6 meses |
| 103 | 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 |
| 104 | q10neur | How many different times have you had neck pain? | 1 .. 50 |
| 104 | q10neur | �En cu�ntas ocasiones distintas ha tenido usted dolor de cuello? | 1 .. 50 |
| 105 | q11neur | �Qu� tan intenso es el dolor de cuello, en promedio? �Dir�a usted que normalmente es nada intenso, ligeramente intenso, algo intenso, muy intenso o extremadamente intenso? | 1= nada intensos 2= ligeramente intensos 3= algo intensos 4= muy intensos 5= extremadamente intensos |
| 105 | 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 |
| 106 | q12neur | Have you seen a doctor because of neck pain since your last interview on ^IntroBlock_datlas? | 1= Yes 2= No |
| 106 | q12neur | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �ha visto a un m�dico debido al dolor de cuello? | 1= S� 2= No |
| 107 | q13neur | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �Le han hecho una radiograf�a o scan/estudio [TC o MRI/RMN] del cuello debido al dolor? | 1= S� 2= No |
| 107 | q13neur | Have you had an x-ray or scan [CT or MRI] of the neck because of the pain since your last interview on ^IntroBlock_datlas? | 1= Yes 2= No |
| 108 | q14neur | When was the last time? [ENTER YEAR] @ @ @ @ | 1900 .. 2040 |
| 108 | q14neur | �Cu�ndo fue la �ltima vez? [ENTER YEAR] | 1900 .. 2040 |
| 109 | q15neur | �Cu�l era el nombre del lugar (consultorio del doctor, hospital u otro lugar) donde se hizo el scan/estudio? [ENTER NAME] | String[40] |
| 109 | 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] |
| 110 | q16neur | [ENTER LOCATION] | String[40] |
| 110 | q16neur | [ENTER LOCATION] | String[40] |
| 111 | q17neur | RADICULOPATIA LUMBAR Ahora tengo algunas preguntas sobre dolores lumbares. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �Ha padecido de dolores lumbares que duraran d�as a meses? | 1= S� 2= Sospecha 3= No |
| 111 | q17neur | LUMBAR RADICULOPATHY Now I have some questions about low back pain. Since your last interview on ^IntroBlock_datlas, have you had low back pain that lasted days to months? | 1= Yes 2= Suspect 3= No |
| 112 | q18neur | At a time while you were having low back pain, did you also have pain, numbness or tingling, or weakness in the feet or toes? | 1= Yes 2= Suspect 3= No |
| 112 | q18neur | Cuando estaba teniendo dolores lumbares, en alg�n momento �tuvo tambi�n dolor, entumecimiento u hormigueos, o debilidad en las piernas o en los pies? | 1= S� 2= Sospecha 3= No |
| 113 | q19neur1 | �Cu�l de estos problemas ten�a usted: dolor, entumecimiento u hormigueo, o debilidad? [LIST ALL THAT APPLY] Puede escoger 3 entre las respuestas posibles. | 1= Dolor 2= Entumecimiento u hormigueos 3= Debilidad |
| 113 | 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 |
| 114 | q19neur2 | Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] | See previous question |
| 114 | q19neur2 | �Cu�l de estos problemas ten�a usted: dolor, entumecimiento u hormigueo, o debilidad? [LIST ALL THAT APPLY] Puede escoger 3 entre las respuestas posibles. | See previous question |
| 115 | q19neur3 | �Cu�l de estos problemas ten�a usted: dolor, entumecimiento u hormigueo, o debilidad? [LIST ALL THAT APPLY] Puede escoger 3 entre las respuestas posibles. | See previous question |
| 115 | q19neur3 | Which of these problems did you have, pain, numbness or tingling, or weakness? [LIST ALL THAT APPLY] | See previous question |
| 116 | q20neur | Did this ___ occur on the right side, left side, or both sides? | 1= Right 2= Left 3= Both |
| 116 | q20neur | �Ocurri� esto_____en el lado derecho, lado izquierdo, o ambos lados? | 1= Derecha 2= Izquierda 3= Ambas |
| 117 | q21neur | Ahora bien, cuando usted tiene dolores lumbares, �cu�nto tiempo, en promedio, dura t�picamente el dolor lumbar? �Dir�a usted que menos de una semana, entre una semana y un mes, entre uno y dos meses, entre dos y seis meses o m�s de seis meses? | 1= < una semana 2= 1 semana - 1 mes 3= > 1 mes - 2 meses 4= > 2 meses - 6 meses 5= > 6 meses |
| 117 | q21neur | Now, when you have low back pain, how long, on average, does the 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 |
| 118 | q22neur | How many different times have you had low back pain? | 1 .. 50 |
| 118 | q22neur | �Cu�ntas veces distintas ha tenido usted dolores lumbares? | 1 .. 50 |
| 119 | q23neur | �Qu� tan intensos son los dolores lumbares en promedio? �Dir�a usted que normalmente es nada intensos, ligeramente intensos, algo intensos, muy intensos o extremadamente intensos? | 1= nada intensos 2= ligeramente intensos 3= algo intensos 4= muy intensos 5= extremadamente intensos |
| 119 | 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 |
| 120 | q24neur | Have you seen a doctor because of low back pain since your last interview on ^IntroBlock_datlas? | 1= Yes 2= No |
| 120 | q24neur | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �ha visto a un m�dico debido a los dolores lumbares? | 1= S� 2= No |
| 121 | q25neur | Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �le han hecho una radiograf�a o scan/estudio [TC o MRI/RMN] de la espalda debido al dolor? | 1= S� 2= No |
| 121 | q25neur | Have you had an x-ray or scan [CT or MRI] of the low back because of the pain since your last interview on ^IntroBlock_datlas? | 1= Yes 2= No |
| 122 | q26neur | When was the last time? [ENTER YEAR] @ @ @ @ | 1900 .. 2040 |
| 122 | q26neur | �Cu�ndo fue la �ltima vez? [ENTER YEAR] | 1900 .. 2040 |
| 123 | q27neur | �Cu�l era el nombre del lugar (consultorio del doctor, hospital u otro lugar) donde se hizo el scan/estudio? [ENTER NAME] | String[40] |
| 123 | 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] |
| 124 | q28neur | [ENTER LOCATION] | String[40] |
| 124 | q28neur | [ENTER LOCATION] | String[40] |
| 125 | q1md | HUMOR - Ahora perm�tame realizar algunas preguntas sobre su estado de �nimo y sus sentimientos actuales.La siguiente serie de preguntas son sobre sus sentimientos durante la semana pasada. Para cada una de las siguientes afirmaciones, por favor, d�game si se sinti� de esta forma la mayor parte del tiempo durante la semana pasada. 1. Sent� que todo lo que hac�a representaba un esfuerzo. �Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada? | 1= S� 2= No |
| 125 | q1md | MOODS Now let me ask some questions about your current moods and feelings. 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 |
| 126 | q2md | 2. My sleep was restless. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 126 | q2md | 2. Mi sue�o era inquieto. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 127 | q3md | 3. Me sent�a deprimido/a. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 127 | q3md | 3. I felt depressed. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 128 | q4md | 4. I was happy. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 128 | q4md | 4. Estaba alegre. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 129 | q5md | 5. Me sent�a solo/a. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 129 | q5md | 5. I felt lonely. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 130 | q6md | 6. People were unfriendly. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 130 | q6md | 6. La gente era antip�tica. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 131 | q7md | 7. Disfrutaba de la vida. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 131 | q7md | 7. I enjoyed life. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 132 | q8md | 8. I felt sad. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 132 | q8md | 8. Me sent�a triste. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 133 | q9md | 9. Sent�a que yo no le gustaba a la gente. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 133 | 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 |
| 134 | q10md | 10. I could not get 'going'. (Have you felt this way much of the time during the past week?) | 1= Yes 2= No |
| 134 | q10md | 10. No pod�a ponerme en marcha. (�Se ha sentido de esta forma la mayor parte del tiempo durante la semana pasada?) | 1= S� 2= No |
| 135 | q1slp | SUE�O Ahora quisiera reunir algo de informaci�n sobre su patr�n de sue�o. 1. �Con qu� frecuencia tiene usted dificultad para quedarse dormido/a? �Dir�a usted que es - muy a menudo, a menudo, a veces, raramente o nunca? | 1= Muy a menudo 2= A menudo 3= A veces 4= Raramente 5= Nunca |
| 135 | q1slp | SLEEP Now I would like to get some information about how well you sleep. 1. How often do 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 |
| 136 | q2slp | 2. How often are you troubled by waking up during the night? | 1= Very Often 2= Often 3= Sometimes 4= Rarely 5= Never |
| 136 | q2slp | 2. �Con qu� frecuencia se despierta en medio de la noche? | 1= Muy a menudo 2= A menudo 3= A veces 4= Raramente 5= Nunca |
| 137 | q4slp | 3. �Con qu� frecuencia siente tanto sue�o, durante el d�a o por la tarde, que tiene que dormir una siesta? | 1= Muy a menudo 2= A menudo 3= A veces 4= Raramente 5= Nunca |
| 137 | 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 |
| 138 | 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 |
| 138 | q5slp | 4. �Con qu� frecuencia se siente usted realmente descansado/a cuando se despierta por la ma�ana? | 1= Muy a menudo 2= A menudo 3= A veces 4= Raramente 5= Nunca |
| 139 | q6slp | 5. En el pasado mes, �cu�ntas horas en promedio dorm�a durante la noche? [ENTER AVERAGE HOURS] | 0 .. 24 |
| 139 | q6slp | 5. In the past month, how many hours do you usually sleep at night? [ENTER AVERAGE HOURS] | 0 .. 24 |
| 140 | howfeel | DEPRESSION Now I have a few more questions about how you feel. 1. In the past month, has there been a period of 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 |
| 140 | howfeel | DEPRESION Ahora tengo algunas preguntas m�s sobre c�mo se siente usted. 1. En el pasado mes, �ha habido alg�n periodo de dos semanas o m�s durante el cual se sent�a triste, abatido/a, deprimido/a o en el cual perdiera el inter�s y el placer por las cosas que normalmente le importaban o disfrutaba? | 1= S� 2= No |
| 141 | aptite | Durante el periodo en el cual se sinti� deprimido/a, �experiment� usted alguno de los siguientes problemas? 2. Cambio de apetito. | 1= S� 2= No |
| 141 | aptite | During this period during which you felt depressed, did you experience any of the following problems? 2. A change in your appetite. | 1= Yes 2= No |
| 142 | sleep | 3. A change in your pattern of sleeping. | 1= Yes 2= No |
| 142 | sleep | 3. Cambio en su patr�n de sue�o. | 1= S� 2= No |
| 143 | enrgy | 4. Disminuci�n en su nivel de energ�a. | 1= S� 2= No |
| 143 | enrgy | 4. A decrease in your energy level. | 1= Yes 2= No |
| 144 | concen | 5. Trouble concentrating. | 1= Yes 2= No |
| 144 | concen | 5. Dificultad para concentrarse. | 1= S� 2= No |
| 145 | guilt | 6. Se sinti� extremadamente culpable o in�til. | 1= S� 2= No |
| 145 | guilt | 6. Felt extremely guilty or worthless. | 1= Yes 2= No |
| 146 | restls | 7. Felt extremely restless or agitated. | 1= Yes 2= No |
| 146 | restls | 7. Se sinti� extremadamente inquieto/a o agitado/a. | 1= S� 2= No |
| 147 | activt | 8. Perdi� el inter�s por sus actividades preferidas. | 1= S� 2= No |
| 147 | activt | 8. Lost your interest in favorite activities. | 1= Yes 2= No |
| 148 | living | 9. Felt that life was not worth living. | 1= Yes 2= No |
| 148 | living | 9. Sinti� que no val�a la pena vivir la vida. | 1= S� 2= No |
| 149 | teldoc | 9a. �Se lo comunic� a un m�dico u alg�n otro profesional? | 1= S� 2= No |
| 149 | teldoc | 9a. Did you tell a doctor or any other professional about it? | 1= Yes 2= No |
| 150 | headinj | HEAD INJURY Now I have some questions about injuries. 1. Since ^IntroBlock_datlas, have you had a head injury? | 1= Yes 2= No |
| 150 | headinj | GOLPES EN LA CABEZA Ahora tengo algunas preguntas sobre lesiones. 1. Desde ^IntroBlock_datlas, �ha tenido un golpe en la cabeza? | 1= S� 2= No |
| 151 | lostcons | 3. �Ha perdido el conocimiento debido a un golpe en la cabeza que ocurri� desde ^IntroBlock_datlas? | 1= S� 2= Sospecha o posible 3= No |
| 151 | lostcons | 3. Have you lost consciousness because of a head injury that occurred since ^IntroBlock_datlas? | 1= Yes 2= Suspect or possible 3= No |
| 152 | howmany | 3a. How many times? | 1 .. 50 |
| 152 | howmany | 3a. �Cu�ntas veces? | 1 .. 50 |
| 153 | howlong0 | 3c. �Durante cu�nto tiempo estuvo usted inconsciente durante el �ltimo evento de este tipo? �Dir�a usted que menos de 5 segundos, entre 5 segundos y 5 minutos, entre 5 minutos y 1 hora, entre 1 hora y 2 d�as, o m�s de 2 d�as? | 1= < 5 segundos 2= 5 segundos - 5 minutos 3= > 5 minutos - 1 hora 4= > 1 hora - 2 d�as 5= > 2 d�as |
| 153 | howlong0 | 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 |
| 154 | hihosp | 4. Since your interview on ^IntroBlock_datlas, were you hospitalized overnight or longer for a head injury? | 1= Yes 2= No |
| 154 | hihosp | 4. Desde su �ltima entrevista del estudio en (mes/a�o), �ha sido hospitalizado por una o m�s noches debido a una lesi�n en la cabeza? | 1= S� 2= No |
| 155 | same1 | 4a. �Fue �ste el mismo evento del que acabamos de hablar? | 1= S� 2= No |
| 155 | same1 | 4a. Was this the same event we just spoke about? | 1= Yes 2= No |
| 156 | hihospnm | 4c. What was the name of the (last) hospital? [HOSPITAL NAME] | String[40] |
| 156 | hihospnm | 4c. �Cu�l era el nombre del (�ltimo) hospital? [HOSPITAL NAME] | String[40] |
| 157 | hihosloc | [LOCATION:] | String[40] |
| 157 | hihosloc | [LOCATION:] | String[40] |
| 158 | memory0 | Were any of the following signs/symptoms associated with this (last) event? [INTERVIEWER: `Last' event refers to the most recent hospitalization, or, if not hospitalized, most recent event with loss of consciousness.] 1. Memory loss or forgetfulness? | 1= Yes 2= Suspect 3= No |
| 158 | memory0 | �Algunas de las siguientes se�ales/s�ntomas estaban asociadas con este (�ltimo) evento? [INTERVIEWER: `�ltimo/Last' event refers to the most recent hospitalization event.] 1. �P�rdida de memoria o estar olvidadizo/a? | 1= S� 2= Sospecha 3= No |
| 159 | speech0 | 2. �Alg�n cambio en el lenguaje o el habla? | 1= S� 2= Sospecha 3= No |
| 159 | speech0 | 2. Language or speech change? | 1= Yes 2= Suspect 3= No |
| 160 | weaknes0 | 3. Weakness or paralysis of face, arms or legs? | 1= Yes 2= Suspect 3= No |
| 160 | weaknes0 | 3. �Debilidad o par�lisis en la cara, brazos o piernas? | 1= S� 2= Sospecha 3= No |
| 161 | side0 | 3a. �En qu� lado(s)? | 1= s�lo derecho 2= s�lo izquierdo 3= ambos |
| 161 | side0 | 3a. Which side(s)? | 1= right only 2= left only 3= both |
| 162 | othspec0 | 4. Specify any other signs or symptoms associated with this (last) event? [PRESS ENTER IF NONE.] | String[40] |
| 162 | othspec0 | 4. Especifique otras se�ales o s�ntomas asociados con este �ltimo evento. [PRESS ENTER IF NONE.] | String[40] |
| 163 | leftove0 | 6. Especifique alg�na otras secuela del golpe en la cabeza. [PRESS ENTER IF NONE.] | String[40] |
| 163 | leftove0 | 6. Specify left over troubles from your head injury(s)? [PRESS ENTER IF NONE.] | String[40] |
| 164 | hiscan | 5. Since ^IntroBlock_datlas, did you have a CT, MRI or other type of brain scan because of a head injury? | 1= Yes 2= No |
| 164 | hiscan | 5. Desde ^IntroBlock_datlas, �se ha sometido a una TC/tomograf�a, un MRI/una resonancia magn�tica u otro tipo de estudio cerebral debido a una lesi�n en la cabeza? | 1= S� 2= No |
| 165 | same2 | �Fue �ste el mismo evento del que acabamos de hablar? | 1= S� 2= No |
| 165 | same2 | Was this the same event we just spoke about? | 1= Yes 2= No |
| 166 | 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] |
| 166 | hiscanam | 5b. �Cu�l era el nombre del lugar (consulta, hospital u otro lugar) en el que se realiz� el scan/estudio radiol�gico? [NAME:] | String[40] |
| 167 | memory1 | �Algunas de las siguientes se�ales/s�ntomas estaban asociadas con este (�ltimo) evento? [INTERVIEWER: `(�ltimo)/Last' event refers to the most recent hospitalization event.] 1. �P�rdida de memoria o estar olvidadizo/a? | 1= S� 2= Sospecha 3= No |
| 167 | memory1 | Were any of the following signs/symptoms associated with this (last) event? [INTERVIEWER: `Last' event refers to the event associated with the CT, MRI, or brain scan.] 1. Memory loss or forgetfulness? | 1= Yes 2= Suspect 3= No |
| 168 | speech1 | 2. Language or speech change? | 1= Yes 2= Suspect 3= No |
| 168 | speech1 | 2. �Alg�n cambio en el lenguaje o el habla? | 1= S� 2= Sospecha 3= No |
| 169 | weaknes1 | 3. �Debilidad o par�lisis en la cara, brazos o piernas? | 1= S� 2= Sospecha 3= No |
| 169 | weaknes1 | 3. Weakness or paralysis of face, arms or legs? | 1= Yes 2= Suspect 3= No |
| 170 | side1 | 3a. Which side(s)? | 1= right only 2= left only 3= both |
| 170 | side1 | 3a. �En qu� lado(s)? | 1= s�lo derecho 2= s�lo izquierdo 3= ambos |
| 171 | othspec1 | 4. Especifique otras se�ales o s�ntomas asociados con este �ltimo evento. [PRESS ENTER IF NONE.] | String[40] |
| 171 | othspec1 | 4. Specify any other signs or symptoms associated with this (last) event? [PRESS ENTER IF NONE.] | String[40] |
| 172 | leftove1 | 6. Specify left over troubles from your head injury(s)? [PRESS ENTER IF NONE.] | String[40] |
| 172 | leftove1 | 6. Especifique alg�na otras secuela del golpe en la cabeza. [PRESS ENTER IF NONE.] | String[40] |
| 173 | specify | 6a Especifique. | String[40] |
| 173 | specify | 6. Specify left over troubles from your head injury(s)? [PRESS ENTER IF NONE.] | String[40] |
| 174 | hdrvehicle | ||
| 174 | hdrvehicle | ||
| 175 | hdrhitbyobject | ||
| 175 | hdrhitbyobject | ||
| 176 | hdrfalling | ||
| 176 | hdrfalling | ||
| 177 | hdrsports | ||
| 177 | hdrsports | ||
| 178 | hdrabuse | ||
| 178 | hdrabuse | ||
| 179 | hdrmilitary | ||
| 179 | hdrmilitary | ||
| 180 | hdrother | ||
| 180 | hdrother | ||
| 181 | prevbisqdone | BRAIN INJURY SCREENING QUESTIONNAIRE Have the BISQ questions been previously completed for this participant? ^prevBisqDoneText | 1= S� 2= No |
| 181 | prevbisqdone | BRAIN INJURY SCREENING QUESTIONNAIRE Have the BISQ questions been previously completed for this participant? ^prevBisqDoneText | 1= Yes 2= No |
| 182 | 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 |
| 182 | bisqveh | BRAIN INJURY SCREENING QUESTIONNAIRE: Ahora tengo algunas preguntas sobre heridas (lesiones). ^lastInterviewText0sp 1.�Accidente de vehiculo? (ej. Vehiculo de motor, accidente peatonal, choque de motocicleta o vehiculo todo terreno) | 1= S� 2= No |
| 183 | bisqvehnum | �Cuantas veces ha tenido un golpe de la cabeza en un accidente de vehiculo? | 1 .. 30 |
| 183 | bisqvehnum | ^hdrVehicle How many times did you receive a blow to the head, in a vehicle accident? | 1 .. 30 |
| 184 | bisqvehloc | ^hdrVehicle Did you lose consciousness? | 1= Yes 2= No |
| 184 | bisqvehloc | �Perdio el conocimiento? | 1= S� 2= No |
| 185 | bisqvehlocnum | �Cuantas veces perdio el conocimiento? | 1 .. 30 |
| 185 | bisqvehlocnum | ^hdrVehicle How many times have you lost consciousness? | 1 .. 30 |
| 186 | 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. |
| 186 | bisqvehlocdur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 187 | bisqvehlocyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 187 | bisqvehlocyr1 | ^hdrVehicle In what year did this occur (1)? | 1900 .. 2050 |
| 188 | bisqvehlocyr2 | ^hdrVehicle In what year did this occur (2)? | 1900 .. 2050 |
| 188 | bisqvehlocyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 189 | bisqvehlocyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 189 | bisqvehlocyr3 | ^hdrVehicle In what year did this occur (3)? | 1900 .. 2050 |
| 190 | bisqvehlocyr4 | ^hdrVehicle In what year did this occur (4)? | 1900 .. 2050 |
| 190 | bisqvehlocyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 191 | bisqvehlocyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 191 | bisqvehlocyr5 | ^hdrVehicle In what year did this occur (5)? | 1900 .. 2050 |
| 192 | bisqvehdaze | ^hdrVehicle Were you dazed or confused? | 1= Yes 2= No |
| 192 | bisqvehdaze | �Sintio mareo, desorientacion, o confuncion? | 1= S� 2= No |
| 193 | bisqvehdazenum | �Cuantas veces sintio mareo, desorientacion, o confuncion? | 1 .. 30 |
| 193 | bisqvehdazenum | ^hdrVehicle How many times have you been dazed or confused? | 1 .. 30 |
| 194 | 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. |
| 194 | bisqvehdazedur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 195 | bisqvehdazeyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 195 | bisqvehdazeyr1 | ^hdrVehicle In what year did this occur (1)? | 1900 .. 2050 |
| 196 | bisqvehdazeyr2 | ^hdrVehicle In what year did this occur (2)? | 1900 .. 2050 |
| 196 | bisqvehdazeyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 197 | bisqvehdazeyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 197 | bisqvehdazeyr3 | ^hdrVehicle In what year did this occur (3)? | 1900 .. 2050 |
| 198 | bisqvehdazeyr4 | ^hdrVehicle In what year did this occur (4)? | 1900 .. 2050 |
| 198 | bisqvehdazeyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 199 | bisqvehdazeyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 199 | bisqvehdazeyr5 | ^^hdrVehicle In what year did this occur (5)? | 1900 .. 2050 |
| 200 | bisqhit | ^lastInterviewText1en 2. Hit by an object?(ex: equipment, falling object) | 1= Yes 2= No |
| 200 | bisqhit | ^lastInterviewText1sp 2. Un golpe por un objeto? (ej. equipaje, objecto cayando) | 1= S� 2= No |
| 201 | bisqhitnum | �Cuantas veces ha tenido un golpe de la cabeza debido ha un golpe por un objeto? | 1 .. 30 |
| 201 | bisqhitnum | ^hdrHitByObject How many times did you receive a blow to the head, from a falling object? | 1 .. 30 |
| 202 | bisqhitloc | ^hdrHitByObject Did you lose consciousness? | 1= Yes 2= No |
| 202 | bisqhitloc | �Perdio el conocimiento? | 1= S� 2= No |
| 203 | bisqhitlocnum | �Cuantas veces perdio el conocimiento? | 1 .. 30 |
| 203 | bisqhitlocnum | ^hdrHitByObject How many times have you lost consciousness? | 1 .. 30 |
| 204 | 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. |
| 204 | bisqhitlocdur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 205 | bisqhitlocyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 205 | bisqhitlocyr1 | ^hdrHitByObject In what year did this occur (1)? | 1900 .. 2050 |
| 206 | bisqhitlocyr2 | ^hdrHitByObject In what year did this occur (2)? | 1900 .. 2050 |
| 206 | bisqhitlocyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 207 | bisqhitlocyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 207 | bisqhitlocyr3 | ^hdrHitByObject In what year did this occur (3)? | 1900 .. 2050 |
| 208 | bisqhitlocyr4 | ^hdrHitByObject In what year did this occur (4)? | 1900 .. 2050 |
| 208 | bisqhitlocyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 209 | bisqhitlocyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 209 | bisqhitlocyr5 | ^hdrHitByObject In what year did this occur (5)? | 1900 .. 2050 |
| 210 | bisqhitdaze | ^hdrHitByObject Were you dazed or confused? | 1= Yes 2= No |
| 210 | bisqhitdaze | �Sintio mareo, desorientacion, o confuncion? | 1= S� 2= No |
| 211 | bisqhitdazenum | �Cuantas veces sintio mareo, desorientacion, o confuncion? | 1 .. 30 |
| 211 | bisqhitdazenum | ^hdrHitByObject How many times have you been dazed or confused? | 1 .. 30 |
| 212 | 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. |
| 212 | bisqhitdazedur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 213 | bisqhitdazeyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 213 | bisqhitdazeyr1 | ^hdrHitByObject In what year did this occur (1)? | 1900 .. 2050 |
| 214 | bisqhitdazeyr2 | ^hdrHitByObject In what year did this occur (2)? | 1900 .. 2050 |
| 214 | bisqhitdazeyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 215 | bisqhitdazeyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 215 | bisqhitdazeyr3 | ^hdrHitByObject In what year did this occur (3)? | 1900 .. 2050 |
| 216 | bisqhitdazeyr4 | ^hdrHitByObject In what year did this occur (4)? | 1900 .. 2050 |
| 216 | bisqhitdazeyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 217 | bisqhitdazeyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 217 | bisqhitdazeyr5 | ^hdrHitByObject In what year did this occur (5)? | 1900 .. 2050 |
| 218 | bisqfall | ^lastInterviewText2en 3. Falling? (ex: down stairs, during a fainting spell, from a high place) | 1= Yes 2= No |
| 218 | bisqfall | ^lastInterviewText2sp 3.una caida? (ej. En escaleras, durante un desmayo, de un lugar alto) | 1= S� 2= No |
| 219 | bisqfallnum | �Cuantas veces ha tenido un golpe de la cabeza debido ha una caida? | 1 .. 30 |
| 219 | bisqfallnum | ^hdrFalling How many times did you receive a blow to the head, in a fall? | 1 .. 30 |
| 220 | bisqfallloc | ^hdrFalling Did you lose consciousness? | 1= Yes 2= No |
| 220 | bisqfallloc | �Perdio el conocimiento? | 1= S� 2= No |
| 221 | bisqfalllocnum | �Cuantas veces perdio el conocimiento? | 1 .. 30 |
| 221 | bisqfalllocnum | ^hdrFalling How many times have you lost consciousness? | 1 .. 30 |
| 222 | 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. |
| 222 | bisqfalllocdur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 223 | bisqfalllocyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 223 | bisqfalllocyr1 | ^hdrFalling In what year did this occur (1)? | 1900 .. 2050 |
| 224 | bisqfalllocyr2 | ^hdrFalling In what year did this occur (2)? | 1900 .. 2050 |
| 224 | bisqfalllocyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 225 | bisqfalllocyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 225 | bisqfalllocyr3 | ^hdrFalling In what year did this occur (3)? | 1900 .. 2050 |
| 226 | bisqfalllocyr4 | ^hdrFalling In what year did this occur (4)? | 1900 .. 2050 |
| 226 | bisqfalllocyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 227 | bisqfalllocyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 227 | bisqfalllocyr5 | ^hdrFalling In what year did this occur (5)? | 1900 .. 2050 |
| 228 | bisqfalldaze | ^hdrFalling Were you dazed or confused? | 1= Yes 2= No |
| 228 | bisqfalldaze | �Sintio mareo, desorientacion, o confuncion? | 1= S� 2= No |
| 229 | bisqfalldazenum | �Cuantas veces sintio mareo, desorientacion, o confuncion? | 1 .. 30 |
| 229 | bisqfalldazenum | ^hdrFalling How many times have you been dazed or confused? | 1 .. 30 |
| 230 | 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. |
| 230 | bisqfalldazedur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 231 | bisqfalldazeyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 231 | bisqfalldazeyr1 | ^hdrFalling In what year did this occur (1)? | 1900 .. 2050 |
| 232 | bisqfalldazeyr2 | ^hdrFalling In what year did this occur (2)? | 1900 .. 2050 |
| 232 | bisqfalldazeyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 233 | bisqfalldazeyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 233 | bisqfalldazeyr3 | ^hdrFalling In what year did this occur (3)? | 1900 .. 2050 |
| 234 | bisqfalldazeyr4 | ^hdrFalling In what year did this occur (4)? | 1900 .. 2050 |
| 234 | bisqfalldazeyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 235 | bisqfalldazeyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 235 | bisqfalldazeyr5 | ^hdrFalling In what year did this occur (5)? | 1900 .. 2050 |
| 236 | bisqsprt | ^lastInterviewText3en 4. Sports/Leisure?(ex: sports, biking, skiing, on the playground) | 1= Yes 2= No |
| 236 | bisqsprt | ^lastInterviewText3sp 4. deportes o actividades recreacionales? (ej.Handar en bicicleta, esquiar) | 1= S� 2= No |
| 237 | bisqsprtnum | �Cuantas veces ha tenido un golpe de la cabeza debido ha deportes o actividaes recreacionales? | 1 .. 30 |
| 237 | bisqsprtnum | ^hdrSports How many times did you receive a blow to the head, during a sports or leisure activity? | 1 .. 30 |
| 238 | bisqsprtloc | ^hdrSports Did you lose consciousness? | 1= Yes 2= No |
| 238 | bisqsprtloc | �Perdio el conocimiento? | 1= S� 2= No |
| 239 | bisqsprtlocnum | �Cuantas veces perdio el conocimiento? | 1 .. 30 |
| 239 | bisqsprtlocnum | ^hdrSports How many times have you lost consciousness? | 1 .. 30 |
| 240 | 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. |
| 240 | bisqsprtlocdur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 241 | bisqsprtlocyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 241 | bisqsprtlocyr1 | ^hdrSports In what year did this occur (1)? | 1900 .. 2050 |
| 242 | bisqsprtlocyr2 | ^hdrSports In what year did this occur (2)? | 1900 .. 2050 |
| 242 | bisqsprtlocyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 243 | bisqsprtlocyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 243 | bisqsprtlocyr3 | ^hdrSports In what year did this occur (3)? | 1900 .. 2050 |
| 244 | bisqsprtlocyr4 | ^hdrSports In what year did this occur (4)? | 1900 .. 2050 |
| 244 | bisqsprtlocyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 245 | bisqsprtlocyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 245 | bisqsprtlocyr5 | ^hdrSports In what year did this occur (5)? | 1900 .. 2050 |
| 246 | bisqsprtdaze | ^hdrSports Were you dazed or confused? | 1= Yes 2= No |
| 246 | bisqsprtdaze | �Sintio mareo, desorientacion, o confuncion? | 1= S� 2= No |
| 247 | bisqsprtdazenum | �Cuantas veces sintio mareo, desorientacion, o confuncion? | 1 .. 30 |
| 247 | bisqsprtdazenum | ^hdrSports How many times have you been dazed or confused? | 1 .. 30 |
| 248 | 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. |
| 248 | bisqsprtdazedur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 249 | bisqsprtdazeyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 249 | bisqsprtdazeyr1 | ^hdrSports In what year did this occur (1)? | 1900 .. 2050 |
| 250 | bisqsprtdazeyr2 | ^hdrSports In what year did this occur (2)? | 1900 .. 2050 |
| 250 | bisqsprtdazeyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 251 | bisqsprtdazeyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 251 | bisqsprtdazeyr3 | ^hdrSports In what year did this occur (3)? | 1900 .. 2050 |
| 252 | bisqsprtdazeyr4 | ^hdrSports In what year did this occur (4)? | 1900 .. 2050 |
| 252 | bisqsprtdazeyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 253 | bisqsprtdazeyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 253 | bisqsprtdazeyr5 | ^hdrSports In what year did this occur (5)? | 1900 .. 2050 |
| 254 | bisqphys | ^lastInterviewText4en 5. Physical Abuse/Assault?(ex: mugged) | 1= Yes 2= No |
| 254 | bisqphys | ^lastInterviewText4sp 5. Abuso fisico o un asalto? (ej. Asaltado, pelea) | 1= S� 2= No |
| 255 | bisqphysnum | �Cuantas veces ha tenido un golpe de la cabeza debido ha abuso fisico o un asalto? | 1 .. 30 |
| 255 | bisqphysnum | ^hdrAbuse How many times did you receive a blow to the head, from abuse or assault? | 1 .. 30 |
| 256 | bisqphysloc | ^hdrAbuse Did you lose consciousness? | 1= Yes 2= No |
| 256 | bisqphysloc | �Perdio el conocimiento? | 1= S� 2= No |
| 257 | bisqphyslocnum | ^hdrAbuse How many times have you lost consciousness? | 1 .. 30 |
| 257 | bisqphyslocnum | �Cuantas veces perdio el conocimiento? | 1 .. 30 |
| 258 | bisqphyslocdur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 258 | 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. |
| 259 | bisqphyslocyr1 | ^hdrAbuse In what year did this occur (1)? | 1900 .. 2050 |
| 259 | bisqphyslocyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 260 | bisqphyslocyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 260 | bisqphyslocyr2 | ^hdrAbuse In what year did this occur (2)? | 1900 .. 2050 |
| 261 | bisqphyslocyr3 | ^hdrAbuse In what year did this occur (3)? | 1900 .. 2050 |
| 261 | bisqphyslocyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 262 | bisqphyslocyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 262 | bisqphyslocyr4 | ^hdrAbuse In what year did this occur (4)? | 1900 .. 2050 |
| 263 | bisqphyslocyr5 | ^hdrAbuse In what year did this occur (5)? | 1900 .. 2050 |
| 263 | bisqphyslocyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 264 | bisqphysdaze | �Sintio mareo, desorientacion, o confuncion? | 1= S� 2= No |
| 264 | bisqphysdaze | ^hdrAbuse Were you dazed or confused? | 1= Yes 2= No |
| 265 | bisqphysdazenum | ^hdrAbuse How many times have you been dazed or confused? | 1 .. 30 |
| 265 | bisqphysdazenum | �Cuantas veces sintio mareo, desorientacion, o confuncion? | 1 .. 30 |
| 266 | bisqphysdazedur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 266 | 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. |
| 267 | bisqphysdazeyr1 | ^hdrAbuse In what year did this occur (1)? | 1900 .. 2050 |
| 267 | bisqphysdazeyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 268 | bisqphysdazeyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 268 | bisqphysdazeyr2 | ^hdrAbuse In what year did this occur (2)? | 1900 .. 2050 |
| 269 | bisqphysdazeyr3 | ^hdrAbuse In what year did this occur (3)? | 1900 .. 2050 |
| 269 | bisqphysdazeyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 270 | bisqphysdazeyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 270 | bisqphysdazeyr4 | ^hdrAbuse In what year did this occur (4)? | 1900 .. 2050 |
| 271 | bisqphysdazeyr5 | ^hdrAbuse In what year did this occur (5)? | 1900 .. 2050 |
| 271 | bisqphysdazeyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 272 | bisqmil | ^lastInterviewText5sp 6. Servicio militar? (entrenamiento, lesion por explosiva) | 1= S� 2= No |
| 272 | bisqmil | ^lastInterviewText5en 6. Military Service?(ex: training, blast injury) | 1= Yes 2= No |
| 273 | bisqmilnum | ^hdrMilitary How many times did you receive a blow to the head, during military service? | 1 .. 30 |
| 273 | bisqmilnum | �Cuantas veces ha tenido un golpe de la cabeza debido ha servicio militar? | 1 .. 30 |
| 274 | bisqmilloc | �Perdio el conocimiento? | 1= S� 2= No |
| 274 | bisqmilloc | ^hdrMilitary Did you lose consciousness? | 1= Yes 2= No |
| 275 | bisqmillocnum | ^hdrMilitary How many times have you lost consciousness? | 1 .. 30 |
| 275 | bisqmillocnum | �Cuantas veces perdio el conocimiento? | 1 .. 30 |
| 276 | bisqmillocdur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 276 | 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. |
| 277 | bisqmillocyr1 | ^hdrMilitary In what year did this occur (1)? | 1900 .. 2050 |
| 277 | bisqmillocyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 278 | bisqmillocyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 278 | bisqmillocyr2 | ^hdrMilitary In what year did this occur (2)? | 1900 .. 2050 |
| 279 | bisqmillocyr3 | ^hdrMilitary In what year did this occur (3)? | 1900 .. 2050 |
| 279 | bisqmillocyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 280 | bisqmillocyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 280 | bisqmillocyr4 | ^hdrMilitary In what year did this occur (4)? | 1900 .. 2050 |
| 281 | bisqmillocyr5 | ^hdrMilitary In what year did this occur (5)? | 1900 .. 2050 |
| 281 | bisqmillocyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 282 | bisqmildaze | �Sintio mareo, desorientacion, o confuncion? | 1= S� 2= No |
| 282 | bisqmildaze | ^hdrMilitary Were you dazed or confused? | 1= Yes 2= No |
| 283 | bisqmildazenum | ^hdrMilitary How many times have you been dazed or confused? | 1 .. 30 |
| 283 | bisqmildazenum | �Cuantas veces sintio mareo, desorientacion, o confuncion? | 1 .. 30 |
| 284 | bisqmildazedur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 284 | 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. |
| 285 | bisqmildazeyr1 | ^hdrMilitary In what year did this occur (1)? | 1900 .. 2050 |
| 285 | bisqmildazeyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 286 | bisqmildazeyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 286 | bisqmildazeyr2 | ^hdrMilitary In what year did this occur (2)? | 1900 .. 2050 |
| 287 | bisqmildazeyr3 | ^hdrMilitary In what year did this occur (3)? | 1900 .. 2050 |
| 287 | bisqmildazeyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 288 | bisqmildazeyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 288 | bisqmildazeyr4 | ^hdrMilitary In what year did this occur (4)? | 1900 .. 2050 |
| 289 | bisqmildazeyr5 | ^hdrMilitary In what year did this occur (5)? | 1900 .. 2050 |
| 289 | bisqmildazeyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 290 | bisqoth | ^lastInterviewText6sp 7. Otra situacion? | 1= S� 2= No |
| 290 | bisqoth | ^lastInterviewText6en 7. In any other circumstances? | 1= Yes 2= No |
| 291 | bisqothsp | ^hdrOther Please specify: | String[255] |
| 291 | bisqothsp | Especifica: | String[255] |
| 292 | bisqothnum | ^hdrOther How many times did you receive a blow to the head, in a situation I have not mentioned? | 1 .. 30 |
| 292 | bisqothnum | �Cuantas veces ha tenido un golpe de la cabeza debido ha esta situation? | 1 .. 30 |
| 293 | bisqothloc | �Perdio el conocimiento? | 1= S� 2= No |
| 293 | bisqothloc | ^hdrOther Did you lose consciousness? | 1= Yes 2= No |
| 294 | bisqothlocnum | ^hdrOther How many times have you lost consciousness? | 1 .. 30 |
| 294 | bisqothlocnum | �Cuantas veces perdio el conocimiento? | 1 .. 30 |
| 295 | 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. |
| 295 | bisqothlocdur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 296 | bisqothlocyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 296 | bisqothlocyr1 | ^hdrOther In what year did this occur (1)? | 1900 .. 2050 |
| 297 | bisqothlocyr2 | ^hdrOther In what year did this occur (2)? | 1900 .. 2050 |
| 297 | bisqothlocyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 298 | bisqothlocyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 298 | bisqothlocyr3 | ^hdrOther In what year did this occur (3)? | 1900 .. 2050 |
| 299 | bisqothlocyr4 | ^hdrOther In what year did this occur (4)? | 1900 .. 2050 |
| 299 | bisqothlocyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 300 | bisqothlocyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 300 | bisqothlocyr5 | ^hdrOther In what year did this occur (5)? | 1900 .. 2050 |
| 301 | bisqothdaze | ^hdrOther Were you dazed or confused? | 1= Yes 2= No |
| 301 | bisqothdaze | �Sintio mareo, desorientacion, o confuncion? | 1= S� 2= No |
| 302 | bisqothdazenum | �Cuantas veces sintio mareo, desorientacion, o confuncion? | 1 .. 30 |
| 302 | bisqothdazenum | ^hdrOther How many times have you been dazed or confused? | 1 .. 30 |
| 303 | 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. |
| 303 | bisqothdazedur | �Cuanto duro el episodio mas largo? | 1= No se 2= Menos de 5 segundos 3= Menos de 1 minuto 4= 1-5 minutos 5= 6-10 minutos 6= 11-20 minutos 7= 21-30 minutos 8= 31-45 minutos 9= 46-60 minutos 10= 1 hora -23 horas 11= 1-2 d�a 12= 2 d�a - 1 semana 13= 1 semana - 1 mes 14= M�s de 1 mes |
| 304 | bisqothdazeyr1 | �Que a�o occurio esto (1)? | 1900 .. 2050 |
| 304 | bisqothdazeyr1 | ^hdrOther In what year did this occur (1)? | 1900 .. 2050 |
| 305 | bisqothdazeyr2 | ^hdrOther In what year did this occur (2)? | 1900 .. 2050 |
| 305 | bisqothdazeyr2 | �Que a�o occurio esto (2)? | 1900 .. 2050 |
| 306 | bisqothdazeyr3 | �Que a�o occurio esto (3)? | 1900 .. 2050 |
| 306 | bisqothdazeyr3 | ^hdrOther In what year did this occur (3)? | 1900 .. 2050 |
| 307 | bisqothdazeyr4 | ^hdrOther In what year did this occur (4)? | 1900 .. 2050 |
| 307 | bisqothdazeyr4 | �Que a�o occurio esto (4)? | 1900 .. 2050 |
| 308 | bisqothdazeyr5 | �Que a�o occurio esto (5)? | 1900 .. 2050 |
| 308 | bisqothdazeyr5 | ^hdrOther In what year did this occur (5)? | 1900 .. 2050 |
| 309 | reada | Present Time Now I have some questions about how you spend your time. 1. About how much time do you spend reading each day? | 1= None 2= Less than one hour 3= One to less than two hours 4= Two to less than three hours 5= Three or more hours |
| 309 | reada | En el presente Ahora tengo algunas preguntas sobre c�mo pasa usted su tiempo. �Aproximadamente cu�nto tiempo dedica cada d�a a la lectura? | 1= Nada 2= Menos de una hora 3= Entre una y dos horas 4= Entre dos y tres horas 5= Tres o mas horas |
| 310 | diary2 | 10. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, �ha mantenido usted un diario o libro de memorias? | 1= S� 2= No |
| 310 | diary2 | 10. Since your last interview on ^IntroBlock_datlas, have you kept a diary or journal? | 1= Yes 2= No |
| 311 | museum2 | 11. Since your last interview on ^IntroBlock_datlas, have you visited a museum? | 1= Yes 2= No |
| 311 | museum2 | 11. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, ha visitado usted un museo? | 1= S� 2= No |
| 312 | concer2 | 12. Desde su �ltima entrevista del estudio en ^IntroBlock_datlas, ha asistido usted a un concierto, obra o musical? | 1= S� 2= No |
| 312 | concer2 | 12. Since your last interview on ^IntroBlock_datlas, have you attended a concert, play, or musical? | 1= Yes 2= No |
| 313 | lib2001 | 13. Thinking of the last year, how often did you visit a library? 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? | 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 |
| 313 | lib2001 | 13. Pensando en el a�o pasado, �con qu� frecuencia visit� la biblioteca? �Dir�a usted que todos los d�as o casi todos los d�as, varias veces por semana, varias veces al mes, varias veces al a�o, o una vez al a�o o menos? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 314 | newpap | 14. Pensando en el a�o pasado, �con qu� frecuencia ley� usted el peri�dico? �Dir�a usted que todos los d�as o casi todos los d�as, varias veces por semana, varias veces al mes, varias veces al a�o, o una vez al a�o o menos? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 314 | newpap | 14. During the past year, how often did you read newspapers? 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? | 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 |
| 315 | magaz | 15. During the past year, how often did you read magazines? 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? | 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 |
| 315 | magaz | 15. Durante el a�o pasado, �con qu� frecuencia ley� usted revistas? �Dir�a usted que todos los d�as o casi todos los d�as, varias veces por semana, varias veces al mes, varias veces al a�o, o una vez al a�o o menos? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 316 | readc | 16. Durante el a�o pasado, �con qu� frecuencia ley� usted libros? �Dir�a usted que todos los d�as o casi todos los d�as, varias veces por semana, varias veces al mes, varias veces al a�o, o una vez al a�o o menos? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 316 | readc | 16. During the past year, how often did you read books? 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? | 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 |
| 317 | letter | 17. During the past year, how often did you write letters? 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? | 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 |
| 317 | letter | 17. Durante el a�o pasado, �con qu� frecuencia escribi� usted cartas? �Dir�a usted que todos los d�as o casi todos los d�as, varias veces por semana, varias veces al mes, varias veces al a�o, o una vez al a�o o menos? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 318 | games | 18. Durante el a�o pasado, �con qu� frecuencia particip� en juegos como damas u otros juegos de mesa, cartas, rompecabezas, juegos de palabras, juegos de destreza mental, o alg�n otro juego similar? �Dir�a usted que todos los d�as o casi todos los d�as, varias veces por semana, varias veces al mes, varias veces al a�o, o una vez al a�o o menos? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 318 | games | 18. During the past year, how often did you play games like checkers or other board games, cards, puzzles, word games, 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? | 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 |
| 319 | q9act | 9. During the past year, how often did you go to restaurants, sporting events or teletract, or play bingo? | 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 |
| 319 | q9act | 9. Durante el a�o pasado, �con qu� frecuencia fue a restaurantes, eventos deportivos o 'teletrack' (teleapuestas h�picas), o jug� al bingo? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 320 | q10act | 10. Durante el a�o pasado, �con qu� frecuencia se fue de viaje, para pasar el d�a o pasar la noche? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 320 | q10act | 10. During the past year, how often did you go on day trips or overnight trips? | 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 |
| 321 | q11act | 11. During the past year, how often did you do unpaid community/volunteer work? | 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 |
| 321 | q11act | 11. Durante el a�o pasado, �con qu� frecuencia realiz� trabajo comunitario/ voluntario no remunerado? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 322 | q12act | 12. Durante el a�o pasado, �con qu� frecuencia realiz� trabajo comunitario remunerado? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 322 | q12act | 12. During the past year, how often did you do paid community work? | 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 |
| 323 | q13act | 13. During the past year, how often did you visit at relatives' or friends' houses? | 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 |
| 323 | q13act | 13. Durante el a�o pasado, �con qu� frecuencia fue usted a casa de familiares o amigos? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 324 | q14act | 14. Durante el a�o pasado, �con qu� frecuencia particip� usted en grupos (como en centros de la tercera edad, 'VFW,' 'Knights of Columbus,' 'Rosary Society' o algo similar)? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 324 | q14act | 14. During the past year, how often did you participate in groups (such as senior center, VFW, Knights of Columbus, Rosary Society or something similar)? | 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 |
| 325 | q15act | 15. During the past year, how often did you attend church or 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 |
| 325 | q15act | 15. Durante el a�o pasado, �con qu� frecuencia asisti� usted a la iglesia o a ceremonias religiosas? | 1= Todos los d�as o casi todos los d�as 2= Varias veces por semana 3= Varias veces al mes 4= Varias veces al a�o 5= Una vez al a�o o menos |
| 326 | introp | ACTIVIDAD FISICA Tambi�n estamos interesados en cualquier actividad f�sica que usted haga. Tengo una lista de distintos tipos de actividades que presentamos a todos los participantes, pero la mayor�a de la gente s�lo hace una o dos. [PRESS ENTER TO CONTINUE.] | String[1] |
| 326 | introp | 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. [PRESS ENTER TO CONTINUE.] | String[1] |
| 327 | q1phy | 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 |
| 327 | q1phy | En las �ltimas dos semanas, �ha realizado usted alguno de los siguientes ejercicios, deportes o alg�n pasatiempo de actividad f�sica. 1. �Alguna caminata s�lo con el objetivo de hacer ejercicios? | 1= S� 2= No |
| 328 | q1aphy | 1a. �Cu�ntas veces en las �ltimas dos semanas se fue usted de paseo para hacer ejercicio? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 328 | q1aphy | 1a. How many times in the past 14 days did you go walking for exercise? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 329 | 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 |
| 329 | q1bphy | 1b. �Aproximadamente cu�ntos minutos, en promedio, dedic� usted realmente en cada ocasi�n? [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 |
| 330 | q11phy | Adem�s de caminar por ejercicio, �ha paseado o caminado en los �ltimos 14 d�as en otras ocasiones, por ejemplo, para ir a una tienda, para visitar a alguien en el vecindario, o para ir a la iglesia? | 1= S� 2= No |
| 330 | q11phy | In addition to walking for exercise, in the past 14 days, have you done any other walking, for example, to go to the store, to visit someone in the neighborhood, or to go to church? | 1= Yes 2= No |
| 331 | q11aphy | 2a. How many times in the past 14 days did you go walking like that? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 331 | q11aphy | 2a. �Cu�ntas veces en los �ltimos 14 d�as camin� de esta manera? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 332 | q11bphy | 2b. �Aproximadamente cu�ntos minutos, en promedio, dedic� usted realmente en cada ocasi�n? [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 |
| 332 | q11bphy | 2b. 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 |
| 333 | q3phy | (In the past 14 days have you done) 3. Gardening or yard work? | 1= Yes 2= No |
| 333 | q3phy | (En las �ltimas dos semanas ha hecho usted) 3. �Trabajo de jardiner�a o en el patio? | 1= S� 2= No |
| 334 | q3aphy | 3a. �Cu�ntas veces en las �ltimas dos semanas trabaj� usted en el jard�n o en el patio? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 334 | q3aphy | 3a. How many times in the past 14 days did you do gardening or yard work? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 335 | 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 |
| 335 | q3bphy | 3b. �Aproximadamente cu�ntos minutos, en promedio, dedic� usted realmente en cada ocasi�n? [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 |
| 336 | q5phy | (En las �ltimas dos semanas ha hecho usted) 5. �Calistenia o ejericicio general? | 1= S� 2= No |
| 336 | q5phy | (In the past 14 days have you done) 5. Calisthenics or general exercise? | 1= Yes 2= No |
| 337 | q5aphy | 5a. How many times in the past 14 days did you do calisthenics or general exercise? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 337 | q5aphy | 5a. �Cu�ntas veces en los �ltimos 14 d�as hizo usted calistenia o ejercicio general? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 338 | q5bphy | 5b. �Aproximadamente cu�ntos minutos, en promedio, dedic� usted realmente en cada ocasi�n? [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 |
| 338 | q5bphy | 5b. 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 |
| 339 | q8phy | (In the past 14 days have you done) 8. Bicycle riding (including stationary bikes)? | 1= Yes 2= No |
| 339 | q8phy | (En las �ltimas dos semanas ha hecho usted alguna de las siguientes actividades) 8. �Montar en bicicleta (incluyendo bicicletas estacionarias)? | 1= S� 2= No |
| 340 | q8aphy | 8a. �Cu�ntas veces en las �ltimas dos semanas mont� en bicicleta? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 340 | q8aphy | 8a. How many times in the past 14 days did you go bicycle riding? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 341 | 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 |
| 341 | q8bphy | 8b. �Aproximadamente cu�ntos minutos, en promedio, dedic� usted realmente en cada ocasi�n? [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 |
| 342 | q9phy | (En las �ltimas dos semanas ha hecho usted alguna de las siguientes actividades) 9. �Nataci�n o deportes acu�ticos? | 1= S� 2= No |
| 342 | q9phy | (In the past 14 days have you done) 9. Swimming or water exercises? | 1= Yes 2= No |
| 343 | q9aphy | 9a. How many times in the past 14 days did you go swimming or do water exercises? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 343 | q9aphy | 9a. �Cu�ntas veces en las �ltimas dos semanas hizo usted nataci�n o deportes acu�ticos? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 344 | q9bphy | 9b. �Aproximadamente cu�ntos minutos, en promedio, dedic� usted realmente en cada ocasi�n? [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 |
| 344 | 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 |
| 345 | 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 |
| 345 | q10phy | 10. �Ha realizado usted alg�n otro tipo de ejercicio, deporte o pasatiempo que implique actividad f�sica en las �ltimas 2 semanas aparte de los previamente enumerados? | 1= S� 2= No |
| 346 | q101phy | 10.1 [SPECIFY] | String[40] |
| 346 | q101phy | 10.1 [SPECIFY] | String[40] |
| 347 | q10aphy | 10a. How many times in the past 14 days did you do this? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 347 | q10aphy | 10a. �Cu�ntas veces lo hizo en las �ltimas dos semanas? [ENTER NUMBER OF TIMES] | 1 .. 87 |
| 348 | q10bphy | 10b. �Aproximadamente cu�ntos minutos, en promedio, dedic� usted realmente en cada ocasi�n? [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 |
| 348 | 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 |
| 349 | 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 |
| 349 | q1cc | QUEJAS COGNITIVAS Ahora tengo algunas preguntas sobre su memoria. 1. La gente descubre que a veces tiene m�s problemas para recordar cosas a medida que envejece. �M�s o menos con qu� frecuencia tiene dificultad para recordar cosas? �Dir�a que muy frecuentemente, frecuentemente, a veces, raramente, o nunca? | 1= Muy frecuentemente 2= Frecuentemente 3= A veces 4= Raramente 5= Nunca |
| 350 | q2cc | 2. En comparaci�n con hace 10 a�os, �dir�a que su memoria est� mucho peor, algo peor, igual, algo mejor o mucho mejor? | 1= Mucho peor 2= Algo peor 3= Igual 4= Algo mejor 5= Muy mejor |
| 350 | 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 |
| 351 | recogfr1 | VISION/HEARING Now I have some questions about your vision and hearing. 1. (When wearing eyeglasses/contact lenses) Can you see well enough to recognize a friend across a room? | 1= Yes 2= No |
| 351 | recogfr1 | VISION/AUDICION Ahora tengo algunas preguntas sobre su visi�n y audici�n. 1. Cuando lleva lentes/gafas/espejuelos/lentes de contacto) �Puede ver lo suficientemente bien como para reconocer a un amigo al otro lado de una sala? | 1= S� 2= No |
| 352 | recogfr2 | (Cuando lleva lentes/gafas/espejuelos/lentes de contacto) �Puede ver lo suficientemente bien como para reconocer a un amigo al otro lado de la calle? | 1= S� 2= No |
| 352 | recogfr2 | 2. (When wearing eyeglasses/contact lenses) Can you see well enough to recognize a friend across the street? | 1= Yes 2= No |
| 353 | hearing1 | 3. (Con/sin pr�tesis auditiva) �Usted puede normalmente o�r y entender lo que dice una persona sin ver su cara si le habla en un tono de voz normal en una sala silenciosa? | 1= S� 2= No |
| 353 | hearing1 | 3. (With/without a hearing aid) Can you usually hear and understand what a person says without seeing his face if that person talks in a normal voice to you in a quiet room? | 1= Yes 2= No |
| 354 | hearing2 | 4. (With/without a hearing aid) How often do you have difficulty understanding people over the telephone? | 1= Almost always 2= Occasionally 3= Rarely or never |
| 354 | hearing2 | 4. (Con/sin pr�tesis auditiva) �Con qu� frecuencia tiene usted dificultad para entender a la gente por tel�fono? | 1= Casi siempre 2= Occasionalmente 3= Raramente o nunca |
| 355 | glasses | [If subject uses glasses, instruct him or her to wear them during test.] 1. Test taken with: | 1= glass 2= lenses 3= Neith |
| 355 | glasses | [If subject uses glasses, instruct him or her to wear them during test.] 1. Test taken with: | 1= Glasses 2= Contact lenses 3= Neither |
| 356 | trial1 | Now I would like to check your eyesight. [INTERVIEWER: Visual acuity should be checked with both eyes open. Hold card 14 inches from subject and ask him or 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 |
| 356 | trial1 | Ahora quisiera examinar su vista. [INTERVIEWER: Visual acuity should be checked with both eyes open. Hold card 14 inches from subject and ask him or her to read the number on the card. Record number of correct responses.] 2. First trial: 20/70 | 1= three 2= two 3= one 4= none |
| 357 | trial1a | 2a. Second trial: 20/100 | 1= three 2= two 3= one 4= none |
| 357 | trial1a | 2a. Second trial: 20/100 | 1= All three correct 2= Two correct 3= One correct 4= None correct |
| 358 | trial1b | 2b. Third trial: 20/200 | 1= All three correct 2= Two correct 3= One correct 4= None correct |
| 358 | trial1b | 2b. Third trial: 20/200 | 1= three 2= two 3= one 4= none |
| 359 | trial1c | 2c. Fourth trial: 20/400 | 1= three 2= two 3= one 4= none |
| 359 | trial1c | 2c. Fourth trial: 20/400 | 1= All three correct 2= Two correct 3= One correct 4= None correct |
| 360 | trial2 | 3. Second trial: 20/50 | 1= All three correct 2= Two correct 3= One correct 4= None correct |
| 360 | trial2 | 3. Second trial: 20/50 | 1= three 2= two 3= one 4= none |
| 361 | trial3 | 3a. Third trial: 20/40 | 1= three 2= two 3= one 4= none |
| 361 | trial3 | 3a. Third trial: 20/40 | 1= All three correct 2= Two correct 3= One correct 4= None correct |
| 362 | 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 |
| 362 | midarm | PRESION ARTERIAL Ahora quisiera tomar algunas medidas de su brazo, altura, peso, y presi�n sangu�nea. 1. MID-ARM CIRCUMFERENCE [IN cm] | 15.0 .. 78.0 |
| 363 | midfore | 1a. MID FOREARM CIRCUMFERENCE [IN cm] | 10.0 .. 78.0 |
| 363 | midfore | 1a. MID FOREARM CIRCUMFERENCE [IN cm] | 10.0 .. 78.0 |
| 364 | midleg | 1b. MID LEG CIRCUMFERENCE [IN cm] | 15.0 .. 99.0 |
| 364 | midleg | 1b. MID LEG CIRCUMFERENCE [IN cm] | 15.0 .. 99.0 |
| 365 | tricep1 | 2. FIRST TRICEPS SKINFOLD MEASUREMENT [IN mm] CODE 72 IF MEASUREMENT >= 67 mm] | 1 .. 72 |
| 365 | tricep1 | 2. FIRST TRICEPS SKINFOLD MEASUREMENT [IN mm] CODE 72 IF MEASUREMENT >= 67 mm] | 1 .. 72 |
| 366 | cuff | 3. IS CUFF SIZE AVAILABLE? [IF CUFF NOT AVAILABLE, AT END OF INTERVIEW SET UP TIME TO RETURN FOR BLOOD PRESSURE MEASUREMENT] | 1= S� 2= No |
| 366 | 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 |
| 367 | tricep2 | 4. SECOND TRICEPS SKINFOLD MEASUREMENT [IN mm] [CODE 72 IF MEASUREMENT >=67mm] | 1 .. 72 |
| 367 | tricep2 | 4. SECOND TRICEPS SKINFOLD MEASUREMENT [IN mm] [CODE 72 IF MEASUREMENT >=67mm] | 1 .. 72 |
| 368 | pulsept | 5. PULSE OBLITERATION POINT [IN mmHg] | 50 .. 270 |
| 368 | pulsept | 5. PULSE OBLITERATION POINT [IN mmHg] | 50 .. 270 |
| 369 | pul | THE PEAK INFLATION LEVEL IS ^pulse [HIT ENTER FOR NEXT QUESTION] | 80 .. 300 |
| 369 | pul | THE PEAK INFLATION LEVEL IS ^pulse [HIT ENTER FOR NEXT QUESTION] | 80 .. 300 |
| 370 | 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] |
| 370 | 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] |
| 371 | bp11a | First sitting blood pressure reading (formatted) | String[7] |
| 371 | bp11a | First sitting blood pressure reading (formatted) | String[7] |
| 372 | bp2 | 7. SECOND SITTING BLOOD PRESSURE READING [INTERVIEWER: ENTER SYSTOLIC/DIASTOLIC] | String[7] |
| 372 | bp2 | 7. SECOND SITTING BLOOD PRESSURE READING [INTERVIEWER: ENTER SYSTOLIC/DIASTOLIC] | String[7] |
| 373 | bp2a | Second sitting blood pressure reading (formatted) | String[7] |
| 373 | bp2a | Second sitting blood pressure reading (formatted) | String[7] |
| 374 | 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] |
| 374 | 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] |
| 375 | bp31a | Standing sitting blood pressure reading (formatted) | String[7] |
| 375 | bp31a | Standing sitting blood pressure reading (formatted) | String[7] |
| 376 | weight | 9. MEASURED WEIGHT [IN LBS] [CODE 333 IF MEASUREMENT IS >=300 lbs. CODE 888 IF PHYSICALLY UNABLE TO WEIGH] | 30 .. 888 |
| 376 | weight | 9. MEASURED WEIGHT [IN LBS] [CODE 333 IF MEASUREMENT IS >=300 lbs. CODE 888 IF PHYSICALLY UNABLE TO WEIGH] | 30 .. 888 |
| 377 | height | 10. MEASURED HEIGHT [IN FEET & INCHES] [CODE 888 IF PHYSICALLY UNABLE TO MEASURE HEIGHT] | String[5] |
| 377 | height | 10. MEASURED HEIGHT [IN FEET & INCHES] [CODE 888 IF PHYSICALLY UNABLE TO MEASURE HEIGHT] | String[5] |
| 378 | q1func | 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. 1. Are you able to do heavy work around the house, like washing windows, walls, or floors without help? | 1= Yes 2= No |
| 378 | q1func | ESTADO FUNCIONAL Tambi�n nos gustar�a saber qu� capacidad tiene usted de hacer algunas actividades f�sicas que son importantes en la vida diaria pero para las que muchas personas tienen problemas. 1. �Es usted capaz de hacer tareas pesadas dentro de la casa, tales como limpiar ventanas, paredes o pisos, sin ayuda? | 1= S� 2= No |
| 379 | q2func | 2. �Es usted capaz de subir y bajar escaleras caminando hasta el segundo piso sin ayuda? | 1= S� 2= No |
| 379 | q2func | 2. Are you able to walk up and down stairs to the second floor without help? | 1= Yes 2= No |
| 380 | q3func | 3. Are you able to walk a half mile without help? | 1= Yes 2= No |
| 380 | q3func | 3. �Es usted capaz de caminar media milla sin ayuda? | 1= S� 2= No |
| 381 | q4func | A continuaci�n, quisiera saber si usted necesita ayuda para hacer diferentes tipos de actividades. �Necesita usted en la actualidad ayuda de otra persona o de un equipo o dispositivo especial para.? 4. �Caminar de un lado a otro de una habitaci�n peque�a? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 381 | q4func | Next, I would like to know if you need help do some different kinds of activities. At the present time, do you need help either from another person or a special equipment or device... 4. Walking across a small room? | 1= No help 2= Help 3= Unable to do |
| 382 | q4bfunc | 4b. How much difficulty, on average, do you have walking across a small room? | 1= No difficulty at all 2= Some difficulty 3= A lot of difficulty 4= Refused 5= Dont know |
| 382 | q4bfunc | 4b. �Cu�nta dificultad, en promedio, tiene usted para caminar de un lado a otro en una sala peque�a? | 1= Ninguna dificultad 2= Algo de dificultad 3= Mucha dificultad 4= Rehus� 5= No sabe |
| 383 | q5func | 5. �Necesita usted ayuda de otra persona o de un equipo o dispositivo especial para...? �Ba�arse, con la ayuda de una esponja, en la ba�era, o en la ducha? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 383 | q5func | 5. Do you need help, either from another person or a special equipment or device... Bathing, either a sponge bath, tub bath or shower? | 1= No help 2= Help 3= Unable to do |
| 384 | q5bfunc | 5b. How much difficulty, on average, do you have bathing? | 1= No difficulty at all 2= Some difficulty 3= A lot of difficulty 4= Refused 5= Dont know |
| 384 | q5bfunc | 5b. �Cu�nta dificultad, en promedio, tiene usted para ba�arse? | 1= Ninguna dificultad 2= Algo de dificultad 3= Mucha dificultad 4= Rehus� 5= No sabe |
| 385 | q6func | 6. �Necesita usted ayuda de otra persona o de un equipo o dispositivo especial para...? �Vestirse, como por ejemplo ponerse una camisa, abrocharse los botones y cerrarse el cierre/la cremallera/el zipper del pantal�n o ponerse zapatos? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 385 | q6func | 6. Do you need help, either from another person or a special equipment or device... Dressing, like putting on a shirt, buttoning and zipping, or putting on shoes? | 1= No help 2= Help 3= Unable to do |
| 386 | q6bfunc | 6b. How much difficulty, on average, do you have dressing? | 1= No difficulty at all 2= Some difficulty 3= A lot of difficulty 4= Refused 5= Dont know |
| 386 | q6bfunc | 6b. �Cu�nta dificultad, en promedio, tiene usted para vestirse? | 1= Ninguna dificultad 2= Algo de dificultad 3= Mucha dificultad 4= Rehus� 5= No sabe |
| 387 | q7func | �Necesita usted ayuda de otra persona o de un equipo o dispositivo especial para...? 7. �Comer, como por ejemplo sujetar (agarrar) un tenedor, cortar la comida o beber de un vaso? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 387 | q7func | Do you need help, either from another person or a special equipment or device... 7. Eating like holding a fork, cutting food, or drinking from a glass? | 1= No help 2= Help 3= Unable to do |
| 388 | q7bfunc | 7b. How much difficulty, on average, do you have eating? | 1= No difficulty at all 2= Some difficulty 3= A lot of difficulty 4= Refused 5= Dont know |
| 388 | q7bfunc | 7b. �Cu�nta dificultad, en promedio, tiene usted para comer? | 1= Ninguna dificultad 2= Algo de dificultad 3= Mucha dificultad 4= Rehus� 5= No sabe |
| 389 | q8func | �Necesita usted ayuda de otra persona o de un equipo o dispositivo especial para...? 8. �Desplazarse de una cama a una silla? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 389 | q8func | Do you need help, either from another person or a special equipment or device... 8. Getting from a bed to a chair? | 1= No help 2= Help 3= Unable to do |
| 390 | q8bfunc | 8b. How much difficulty, on average, do you have getting from a bed to a chair? | 1= No difficulty at all 2= Some difficulty 3= A lot of difficulty 4= Refused 5= Dont know |
| 390 | q8bfunc | 8b. �Cu�nta dificultad, en promedio, tiene usted para desplazarse de una cama a una silla? | 1= Ninguna dificultad 2= Algo de dificultad 3= Mucha dificultad 4= Rehus� 5= No sabe |
| 391 | q9func | �Necesita usted ayuda de otra persona o de un equipo o dispositivo especial...? 9. �Utilizar el lavabo/sanitario? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 391 | q9func | Do you need help, either from another person or a special equipment or device... 9. Using the toilet? | 1= No help 2= Help 3= Unable to do |
| 392 | q9bfunc | 9b. How much difficulty, on average, do you have using the toilet? | 1= No difficulty at all 2= Some difficulty 3= A lot of difficulty 4= Refused 5= Dont know |
| 392 | q9bfunc | 9b. �Cu�nta dificultad, en promedio, tiene usted para utilizar el lavabo/sanitario? | 1= Ninguna dificultad 2= Algo de dificultad 3= Mucha dificultad 4= Rehus� 5= No sabe |
| 393 | q10func | Ahora tengo algunas preguntas sobre actividades que algunas personas hacen y otras no hacen. Aunque algunas cosas puedan ser realizadas por otra persona, tan s�lo d�game si cree que usted sea capaz de hacerlas. 10. �Es usted capaz de utilizar un tel�fono - incluyendo buscar los n�meros y marcarlos - sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 393 | q10func | Now I have a few more questions about activities people may or may not do. Although some things may acutually be performed by someone else, just tell me whether you think you are able to do them. 10. 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 |
| 394 | q12func | 12. 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 |
| 394 | q12func | 12. �Es usted capaz de preparar sus propias comidas sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 395 | q13func | 13. �Es usted capaz de hacer las tareas de hogar ligeras y rutinarias sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 395 | q13func | 13. Are you able to do routine light housekeeping completely by yourself or does someone else help you? | 1= No help 2= Help 3= Unable to do |
| 396 | q14func | 14. Are you able to do periodic heavy housekeeping completely by yourself or does someone else help you? | 1= No help 2= Help 3= Unable to do |
| 396 | q14func | 14. �Es usted capaz de hacer tareas pesadas alrededor de la casa, como limpiar ventanas, paredes o pisos, sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 397 | q16func | 16. �Es usted capaz de tomar sus propios medicamentos recetados (prescritos) sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 397 | q16func | 16. 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 |
| 398 | q17func | 17. 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 |
| 398 | q17func | 17. �Es usted capaz de ocuparse de sus propias finanzas - incluyendo pagar las facturas, escribir cheques, mantenerse al tanto de los ingresos (pero no necesariamente de preparar sus propios impuestos) - sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 399 | q20func | 20. �Es capaz de hacer todas sus compras personales, como de ropa, de art�culos personales, o de art�culos del hogar sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 399 | q20func | 20. 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 |
| 400 | q21func | 21. 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 |
| 400 | q21func | 21. �Es usted capaz de viajar por la comunidad a los lugares que quiz� le gustar�a ir, como a la iglesia o sencillamente estar afuera sin ayuda o necesita ayuda de otra persona? | 1= Sin ayuda 2= Necesita ayuda 3= Incapaz de hacer |
| 401 | q1urin | INCONTINENCIA URINARIA Ahora le queremos hacer preguntas sobre problemas que personas tienen cuando envejecen. Agradecemos sus respuestas a estas preguntas aunque usted no tenga estos problemas. INCONTINENCIA URINARIA 1. �Con qu� frecuencia durante el �ltimo mes se le ha escapado orina o ha perdido el control de su orina? - casi todos los d�as (5-7 d�as/semana), varias veces por semana (2-4 d�as/semana), varias veces al mes (2-4 d�as/mes), una vez al mes, menos de una vez al mes, o nunca? | 1= Casi todos los d�as (5-7 d�as/semana) 2= Varias veces por semana (2-4 d�as/semana) 3= Varias veces al mes (2-4 d�as/mes) 4= Una vez al mes 5= Menos de una vez al mes 6= Nunca |
| 401 | q1urin | 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. URINARY INCONTINENCE 1. How often during the last month have you leaked urine or lost control of your urine - almost everyday (5-7 days/week), several times a week (2-4 days/week), several times a month (2-4 days/month), once a month less than once a month, or never? | 1= Almost everyday (5-7 days/week) 2= Several times a week (2-4 days/week) 3= Several times a month (2-4 days/month) 4= Once a month 5= Less than once a month 6= Never |
| 402 | falls | FALLING 1. How many times would you say you have fallen over the past year? That is, how many times have you unintentionally come to rest on the ground or floor? | 0 .. 99 |
| 402 | falls | 1. �Cu�ntas veces dir�a usted que se ha ca�do en el transcurso del �ltimo a�o? Es decir, �cu�ntas veces ha acabado en el piso o en el suelo de forma no intencionada? | 0 .. 99 |
| 403 | fallinj | 2. �Sufri� usted alguna lesi�n que ameritara ir a su m�dico, a una sala de urgencias o a un centro de asistencia primaria? | 1= S� 2= No |
| 403 | fallinj | 2. Did you suffer any injury that required you to go to your doctor, an emergency room or an urgent care center? | 1= Yes 2= No |
| 404 | fallhelp | 3. When you fell this past year were you ever not able to get up without help from someone? | 1= Yes 2= No |
| 404 | fallhelp | 3. Cuando se cay� este a�o pasado, �fue usted alguna vez incapaz de levantarse sin la ayuda de alguien? | 1= S� 2= No |
| 405 | fallnear | 6. �Ha estado en riesgo de caerse alguna vez durante el a�o pasado? Es decir, que casi se cay� pero pudo sostenerse o frenar su ca�da? | 1= S� 2= No |
| 405 | fallnear | 6. Have you had any near falls in the past year? That is, where you almost fell but were able to catch yourself or stop the fall? | 1= Yes 2= No |
| 406 | married | SOCIAL NETWORK Now some questions about your social network. I know that we asked you these questions last year, but we need to ask again for our records. Have you ever been married? | 1= Yes 2= No |
| 406 | married | RED SOCIAL Ahora algunas preguntas sobre su red social. Ya se que le hicimos estas preguntas el a�o pasado, pero necesitamos hacerlas de nuevo para nuestros registros. �Ha estado casado/a alguna vez? | 1= S� 2= No |
| 407 | married2 | �En la actualidad, es usted casado/a, separado/a, divorciado/a o viudo/a? | 1= Casado/a 2= Separado/a 3= Divorciado/a 4= Vuido/a |
| 407 | married2 | Are you now married, separated, divorced, or widowed? | 1= Married 2= Separated 3= Divorced 4= Widowed |
| 408 | livewith | Does your spouse/significant other live with you? | 1= Yes 2= No |
| 408 | livewith | �Vive su pareja con usted? | 1= S� 2= No |
| 409 | q2soci | 1. �Cu�ntos miembros, aparte de usted, viven en su casa? | 0 .. 30 |
| 409 | q2soci | 1. How many members, other than yourself, are in your household? | 0 .. 30 |
| 410 | q1sn | How many living children do you have? Please include adopted children as well as children you have raised. [ENTER No. OF CHILDREN] | 0 .. 30 |
| 410 | q1sn | �Cu�ntos hijos tiene? Por favor, incluya s�lo los que est�n vivos, hijos adoptivos e hijos que usted haya criado. [ENTER No. OF CHILDREN] | 0 .. 30 |
| 411 | q2sn | How many of your children do you see at least once a month? [ENTER No. OF CHILDREN] | 0 .. 30 |
| 411 | q2sn | �A cu�ntos de sus hijos ve usted al menos una vez al mes? [ENTER No. OF CHILDREN] | 0 .. 30 |
| 412 | q2asn | Do you see your child at least once a month? | 1= Yes 2= No |
| 412 | q2asn | �Ve usted a su hijo al menos una vez al mes? | 1= S� 2= No |
| 413 | q3sn | Ahora me gustar�a preguntarle sobre sus otros familiares (adem�s de su c�nyuge e hijos), personas con las que usted est� relacionado por consanguinidad o por matrimonio. Por favor, incluya a los nietos, hermanos, hermanas, yernos y nueras, padres, t�os y t�as, y primos. �Cu�ntos familiares tiene usted con los que se siente muy cercano - personas con las que se siente c�modo, con las que puede hablar sobre asuntos privados o llamarles para solicitar ayuda? [ENTER No. OF CLOSE RELATIVES] | 0 .. 76 |
| 413 | q3sn | Now I'd like to ask you about your other relatives (besides your spouse and children), people that you are related to by blood or marriage. Please include grandchildren, brothers, sisters, sons-in-law and daughters-in-law, parents, aunts and uncles, and cousins. 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 |
| 414 | q3asn | How many of these close relatives do you usually see at least once a month? [ENTER No. OF CLOSE RELATIVES] | 0 .. 76 |
| 414 | q3asn | �A cu�ntos de estos familiares cercanos ve usted normalmente al menos una vez al mes? [ENTER No. OF CLOSE RELATIVES] | 0 .. 76 |
| 415 | q3bsn | �Ve usted a su familiar cercano al menos una vez al mes? | 1= S� 2= No |
| 415 | q3bsn | Do you see your close relative at least once a month? | 1= Yes 2= No |
| 416 | q4sn | Besides people that you are related to, how many close friends do you have; that is, people that you feel at ease with, can talk to about private matters and can call upon for help? [ENTER No. OF CLOSE FRIENDS] | 0 .. 76 |
| 416 | q4sn | Aparte de las personas con las que est� usted emparentado, �cu�ntos amigos cercanos tiene usted; es decir, personas con las que se siente c�modo, con las que puede hablar sobre asuntos privados o llamarlos para solicitar ayuda? [ENTER No. OF CLOSE FRIENDS] | 0 .. 76 |
| 417 | q4asn | �Cu�ntos de estos amigos cercanos ve usted normalmente al menos una vez al mes? [ENTER No. OF CLOSE FRIENDS] | 0 .. 15 |
| 417 | q4asn | How many of these close friends do you see at least once a month? [ENTER No. OF CLOSE FRIENDS] | 0 .. 15 |
| 418 | q4bsn | Do you see your close friend at least once a month? | 1= Yes 2= No |
| 418 | q4bsn | �Ve usted a su amigo cercano al menos una vez al mes? | 1= S� 2= No |
| 419 | spanishbr | Is the participant of Spanish/Hispanic origin? [CHECK RELEASE SHEET] | 1= S� 2= No |
| 419 | spanishbr | Is the participant of Spanish/Hispanic origin? [CHECK RELEASE SHEET] | 1= Yes 2= No |
| 420 | spanish_fluent | Is the participant fluent in Spanish? [CHECK RELEASE SHEET] | 1= Yes 2= No |
| 420 | spanish_fluent | Is the participant fluent in Spanish? [CHECK RELEASE SHEET] | 1= S� 2= No |
| 421 | safe_accult_6 | Ask question #6 in the SAFE - Acculturation Stress Scale | 1= S� 2= No |
| 421 | safe_accult_6 | Ask question #6 in the SAFE - Acculturation Stress Scale | 1= Yes 2= No |
| 422 | description_acc | Acculturation Although you may speak many languages, the following questions refer to only English and Spanish. [PRESS ENTER TO CONTINUE] | |
| 422 | description_acc | Acculturation Aunque hable m�s que un idioma, las siguientes preguntas se refieren solamente al ingl�s y al espa�ol. [PRESS ENTER TO CONTINUE] | |
| 423 | acc_langreadspeak | 1. Por lo general, �qu� idioma(s) lee y habla usted? | 1= S�lo espa�ol 2= Espa�ol mejor que ingl�s 3= Ambos por igual 4= Ingl�s mejor que espa�ol 5= S�lo ingl�s |
| 423 | acc_langreadspeak | 1. In general, what language(s) do you read and speak? | 1= Only Spanish 2= Spanish better than English 3= Both equally 4= English better than Spanish 5= Only English |
| 424 | 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 |
| 424 | acc_langchild | 2. �Cu�l fue el idioma(s) que habl� cuando era ni�o(a)? | 1= S�lo espa�ol 2= M�s espa�ol que ingl�s 3= Ambos por igual 4= M�s ingl�s que espa�ol 5= S�lo ingl�s |
| 425 | acc_langhome | 3. �En qu� idioma(s) habla en su casa? | 1= S�lo espa�ol 2= M�s espa�ol que ingl�s 3= Ambos por igual 4= M�s ingl�s que espa�ol 5= S�lo ingl�s |
| 425 | 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 |
| 426 | 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 |
| 426 | acc_langthink | 4. �En qu� idioma(s) piensa? | 1= S�lo espa�ol 2= M�s espa�ol que ingl�s 3= Ambos por igual 4= M�s ingl�s que espa�ol 5= S�lo ingl�s |
| 427 | acc_langfriend | 5. �En qu� idioma(s) habla con sus amigos(as)? | 1= S�lo espa�ol 2= M�s espa�ol que ingl�s 3= Ambos por igual 4= M�s ingl�s que espa�ol 5= S�lo ingl�s |
| 427 | 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 |
| 428 | 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 |
| 428 | acc_langmedia | 6. Por lo general, �en qu� idioma(s) prefiere o�r y ver pel�culas y programas de radio y televisi�n? | 1= S�lo espa�ol 2= M�s espa�ol que ingl�s 3= Ambos por igual 4= M�s ingl�s que espa�ol 5= S�lo ingl�s |
| 429 | acc_friends | 7. Sus amistades son... | 1= S�lo hispanos(as)/latinos(as) 2= M�s hispanos(as)/latinos(as) que no hispanos(as)/latinos(as) 3= Casi mitad y mitad 4= M�s no hispanos(as)/latinos(as) que hispanos(as)/latinos(as) 5= S�lo no hispanos(as)/latinos(as) |
| 429 | 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 |
| 430 | 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 |
| 430 | acc_social | 8. Usted prefiere ir a reuniones sociales/fiestas en las cuales las personas son... | 1= S�lo hispanos(as)/latinos(as) 2= M�s hispanos(as)/latinos(as) que no hispanos(as)/latinos(as) 3= Casi mitad y mitad 4= M�s no hispanos(as)/latinos(as) que hispanos(as)/latinos(as) 5= S�lo no hispanos(as)/latinos(as) |
| 431 | acc_visitors | 9. Las personas que usted visita o que le visitan son... | 1= S�lo hispanos(as)/latinos(as) 2= M�s hispanos(as)/latinos(as) que no hispanos(as)/latinos(as) 3= Casi mitad y mitad 4= M�s no hispanos(as)/latinos(as) que hispanos(as)/latinos(as) 5= S�lo no hispanos(as)/latinos(as) |
| 431 | 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 |
| 432 | 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 |
| 432 | acc_kidsfriend | 10. Si pudiera escoger los amigos(as) de sus hijos(as), quisiera que ellos(as) fueran... | 1= S�lo hispanos(as)/latinos(as) 2= M�s hispanos(as)/latinos(as) que no hispanos(as)/latinos(as) 3= Casi mitad y mitad 4= M�s no hispanos(as)/latinos(as) que hispanos(as)/latinos(as) 5= S�lo no hispanos(as)/latinos(as) |
| 433 | description_fam | Familism Por favor, indique qu� tan de acuerdo o en desacuerdo est� usted con las siguientes declaraciones seleccionando desde 1 (muy en desacuerdo) hasta 5 (muy de acuerdo) de lo que mejor describe lo que usted siente con cada declaraci�n. [PRESS ENTER TO CONTINUE] | |
| 433 | 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] | |
| 434 | 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 |
| 434 | fam_grandchild | 1. Uno debe tener la esperanza de vivir el tiempo suficiente para poder ver crecer a sus nietos. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 435 | fam_parliverel | 2. Los padres ancianos o de edad avanzada deben vivir con sus familiares. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 435 | 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 |
| 436 | 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 |
| 436 | fam_helprel | 3. Cuando alguien tiene problemas, �l o ella puede contar con la ayuda de sus parientes. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 437 | fam_pleasepar | 4. Mucho de lo que un hijo o una hija hace, debe ser para complacer a los padres. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 437 | 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 |
| 438 | 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 |
| 438 | fam_embrass | 5. Uno debe avergonzarse de las cosas malas hechas por sus hermanos y hermanas. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 439 | fam_livepar | 6. Los hijos deben vivir en la casa de sus padres hasta que se casen. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 439 | 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 |
| 440 | pnes_description | PNES Perception I'm going to read you a list of statements about neighborhoods. Please tell me how much you agree or disagree with each statement as it relates to the neighborhood you live in now. In answering these questions, please think of your neighborhood as the area within about a 20 minute walk (or about a mile) from your house. [PRESS ENTER TO CONTINUE] | |
| 440 | pnes_description | PNES Perception Le voy a leer una lista de declaraciones sobre su vecindario o barrio. Por favor, en una escala d�game cu�nto est� de acuerdo o en desacuerdo con cada declaraci�n en relaci�n con el vecindario en el que vive ahora. Al responder a estas preguntas, piense en su vecindario como el �rea que se encuentra aproximadamente a 20 minutos caminando (o aproximadamente 1 milla) de su casa [PRESS ENTER TO CONTINUE] | |
| 441 | pnes_wellmaintain | 1. En mi vecindario los edificios y las casa est�n bien mantenidos. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 441 | pnes_wellmaintain | 1. In my neighborhood the buildings and homes are well-maintained. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 442 | pnes_attractive | 2. My neighborhood is attractive. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 442 | pnes_attractive | 2. Mi barrio es agradable. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 443 | pnes_noise | 3. Hay mucho ruido en mi barrio. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 443 | pnes_noise | 3. There is a lot of noise in my neighborhood. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 444 | pnes_freshproduce | 4. A large selection of fresh fruits and vegetables is available in my neighborhood. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 444 | pnes_freshproduce | 4. En mi barrio es f�cil encontrar gran variedad de frutas y verduras frescas | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 445 | pnes_fastfood | 5. En mi barrio hay muchos sitios para comprar comidas r�pidas (fast foods) | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 445 | pnes_fastfood | 5. There are many opportunities to purchase fast foods in my neighborhood. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 446 | pnes_active | 6. My neighborhood offers many opportunities to be physically active. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 446 | pnes_active | 6. Mi vecindario ofrece muchas oportunidades para estar f�sicamente activo/a. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 447 | pnes_facilities | 7. Los clubes deportivos locales y otras instalaciones en mi vecindario ofrecen muchas oportunidades para hacer ejercicio. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 447 | pnes_facilities | 7. Local sports clubs and other facilities in my neighborhood offer many opportunities to get exercise. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 448 | pnes_walk | 8. It is pleasant to walk in my neighborhood. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 448 | pnes_walk | 8. Es agradable caminar por mi barrio. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 449 | pnes_traffic | 9. Mi barrio tiene mucho tr�fico. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 449 | pnes_traffic | 9. My neighborhood has heavy traffic. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 450 | pnes_help | 10. People around here are willing to help their neighbors. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 450 | pnes_help | 10. Las personas de por aqu� est�n dispuestas a ayudar a sus vecinos. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 451 | pnes_getalong | 11. Las personas de mi vecindario generalmente se llevan bien entre s�. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 451 | pnes_getalong | 11. People in my neighborhood generally get along with each other. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 452 | pnes_trusted | 12. People in my neighborhood can be trusted. | 1= Strongly Agree 2= Agree 3= Neutral (neither agree or disagree) 4= Disagree 5= Strongly Disagree 0= Does not apply (lives in group /retirement home setting) |
| 452 | pnes_trusted | 12. Se puede confiar en las personas de mi vecindario. | 1= Totalmente de acuerdo 2= De acuerdo 3= Ni de acuerdo ni en desacuerdo 4= En desacuerdo 5= Muy en desacuerdo 0= No se aplica (vive en ajuste de grupo /hogar de retiro) |
| 453 | pnes_howlong_year | �Cuanto tiempo ha vivido en este vecindario? _____ a�os | 0 .. 199 |
| 453 | pnes_howlong_year | How long have you lived in your neighborhood? _____ years, | 0 .. 199 |
| 454 | pnes_howlong_month | and/or _____ months | 0 .. 11 |
| 454 | pnes_howlong_month | y/o _____meses | 0 .. 11 |
| 455 | pnes_howlong1_year | �Cuanto tiempo tiene viviendo en su residencia actual? _____ a�os | 0 .. 199 |
| 455 | pnes_howlong1_year | How long have you lived at your current address? _____ years, | 0 .. 199 |
| 456 | pnes_howlong1_month | and/or _____ months | 0 .. 11 |
| 456 | pnes_howlong1_month | y/o _____meses | 0 .. 11 |
| 457 | safe_description | Le voy a leer una lista de declaraciones que describen algunas experiencias potencialmente estresantes. Independientemente de si los ha experimentado usted mismo, por favor, digame lo estresante que encontrar�a cada experiencia. [PRESS ENTER TO CONTINUE] | |
| 457 | safe_description | I'm going to read you a list of statements describing some potentially stressful experiences. Regardless of whether you've experienced these situations yourself, please tell me how stressful you might find each situation. [PRESS ENTER TO CONTINUE] | |
| 458 | safe_pressure | 1. People pressuring you to fit in. | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 458 | safe_pressure | 1. La gente le presiona para se aceptada/o.. | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 459 | safe_stereo | 2. Cuando personas tienen estereotipos sobre su cultura o grupo �tnico y le tratan como si estos fuesen verdaderos. | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 459 | safe_stereo | 2. People having stereotypes about your culture or ethnic group and treating you as if they are true. | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 460 | safe_credit | 3. Not getting enough credit for the work you do. | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 460 | safe_credit | 3 No recibir suficiente cr�dito por el trabajo que hace. | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 461 | safe_exlude | 4. Estar excluido de participar en las cosas | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 461 | safe_exlude | 4. Being excluded from participating in things. | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 462 | safe_custom | 5. Being looked down upon for practicing customs of your culture | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 462 | safe_custom | 5. Ser menospreciado por practicar las costumbres de su cultura | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 463 | safe_english | 6. La gente piensa que usted es antip�tico cuando ha tenido problemas para comunicarse en ingl�s. | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 463 | safe_english | 6. People thinking you are unfriendly when in fact you have trouble communicating in English. | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 464 | safe_loosen | 7. People pressuring you to loosen ties with your cultural background. | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 464 | safe_loosen | 7. La gente le presiona que deje sus lazos culturales. | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 465 | safe_ignore | 8. Se siente ignorado por las personas que supuestamente deben ayudar(le). | 1= No es estresante 2= Es un poco estresante 3= Ni estresante ni libre de estr�s 4= Es estresante 5= Extremadamente estresante |
| 465 | safe_ignore | 8. Feeling ignored by people who are supposed to assist you. | 1= Not stressful 2= Mildly stressful 3= Neutral (neither stressful or stress free) 4= Stressful 5= Extremely Stressful |
| 466 | q1supx | SOCIAL SUPPORT Now we are interested in knowing how you feel about the following statements. Please indicate how much you agree or disagree with each statement. Please use this card to help with your responses. [READ FIRST STATEMENT, THEN ASK: Do you strongly disagree, disagree, neither agree nor disagree, agree, or strongly agree that this statement describes you? There is a special person who is around when I am in need. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 466 | q1supx | APOYO SOCIAL Ahora estamos interesados en saber c�mo se siente usted con las siguientes afirmaciones. Por favor, indique cu�nto coincide o se opone con cada afirmaci�n. Por favor, utilice esta tarjeta para ayudarle con sus respuestas. [READ FIRST STATEMENT, THEN ASK: �Se opone intensamente, se opone, est� neutral (ni se opone ni coincide), coincide, o coincide intensamente con que esta afirmaci�n le describe a usted? 1. Hay una persona especial alrededor cuando tengo necesidad de ayuda. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 467 | q2supx | Hay una persona especial con la que puedo compartir alegr�as y tristezas. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 467 | q2supx | There is a special person with whom I can share joys and sorrows. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 468 | q5supx | I have a special person who is a real source of comfort to me. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 468 | q5supx | Hay una persona especial que es una verdadera fuente de apoyo para mi. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 469 | q10supx | Hay una persona especial en mi vida a quien le importan mis sentimientos. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 469 | q10supx | There is a special person in my life who cares about my feelings. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 470 | purpos1 | PURPOSE IN LIFE 1. I feel good when I think of what I've done in the past and what I hope to do in the future. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 470 | purpos1 | PROPOSITO EN LA VIDA 1. Me siento bien cuando pienso en lo que he hecho en el pasado y en lo que espero hacer en el futuro. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 471 | purpos2 | 2. Vivo la vida de d�a en d�a y no pienso realmente en el futuro. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 471 | purpos2 | 2. I live life one day at a time and don't really think about the future. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 472 | purpos3 | 3. I tend to focus on the present, because the future nearly always brings me problems. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 472 | purpos3 | 3. Tiendo a centrarme en el presente, porque el futuro casi siempre me trae problemas. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 473 | purpos4 | 4. Tengo un sentido de direcci�n y prop�sito en la vida. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 473 | purpos4 | 4. I have a sense of direction and purpose in life. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 474 | purpos5 | 5. My daily activities often seem trivial and unimportant to me. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 474 | purpos5 | 5. Mis actividades diarias a menudo me parecen triviales y sin importancia. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 475 | purpos6 | 6. Sol�a ponerme metas, pero ahora eso parece una p�rdida de tiempo. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 475 | purpos6 | 6. I used to set goals for myself, but that now seems like a waste of time. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 476 | purpos7 | 7. I enjoy making plans for the future and working them to a reality. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 476 | purpos7 | 7. Disfruto al hacer planes para el futuro y trabajar para convertirlos en realidad. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 477 | purpos8 | 8. Soy una persona activa en llevar a cabo los planes que me planteo. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 477 | purpos8 | 8. I am an active person in carrying out the plans I set for myself. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 478 | purpos9 | 9. Some people wander aimlessly through life, but I am not one of them. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 478 | purpos9 | 9. Algunas personas vagan sin prop�sito por la vida, pero yo no soy uno de ellos. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 479 | purpos10 | 10. A veces me siento como si hubiera hecho todo lo que hay que hacer en la vida. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 479 | purpos10 | 10. I sometimes feel as if I've done all there is to do in life. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 480 | emptins | SOCIAL ISOLATION I experience a general sense of emptiness. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 480 | emptins | AISLAMIENTO SOCIAL Experimento una sensaci�n general de vac�o. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 481 | misspeop | A�oro tener gente alrededor. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 481 | misspeop | I miss having people around. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 482 | friends | I feel like I don't have enough friends. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 482 | friends | Siento que no tengo suficientes amigos. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 483 | abandon | A menudo me siento abandonado/a. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 483 | abandon | I often feel abandoned. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 484 | missfrnd | I miss having a really close friend. | 1= Strongly disagree 2= Disagree 3= Neurtral 4= Agree 5= Strongly Agree |
| 484 | missfrnd | Echo de menos el tener un amigo muy cercano. | 1= Muy en desacuerdo 2= En desacuerdo 3= No en desacuerdo ni de acuerdo 4= De acuerdo 5= Muy de acuerdo |
| 485 | lifesp1 | ESPACIO VITAL Para la siguiente serie de preguntas, por favor piense en todos los lugares en los que ha estado usted durante la semana pasada. Durante la semana pasada, �ha estado en otras habitaciones de su apartamento (u hogar) aparte de la habitaci�n donde duerme? | 1= S� 2= No |
| 485 | lifesp1 | LIFE SPACE For the next set of questions, please think of all the places you have been during the past week. During the past week, have you been to other rooms of your apartment (or home) besides the room where you sleep? | 1= Yes 2= No |
| 486 | lifesp2 | During the past week, have you been to an area immediately outside your apartment (or home) such as your porch, deck, or patio, hallway or garage? | 1= Yes 2= No |
| 486 | lifesp2 | Durante la semana pasada, �ha estado en alguna �rea inmediatamente fuera de su apartamento (u hogar) como la galer�a (el porche), la terraza, el patio, el pasillo o el garaje? | 1= S� 2= No |
| 487 | lifesp3 | Durante la semana pasada, �ha estado en alguna �rea fuera de su edificio de apartamentos (u hogar) como el patio, el jard�n, la calle de acceso o el estacionamiento (parqueo/parking)? | 1= S� 2= No |
| 487 | lifesp3 | During the past week, have you been to an area outside your apartment building (or home) such as the courtyard, yard, driveway, or parking lot? | 1= Yes 2= No |
| 488 | lifesp4 | During the past week, have you been to places within your immediate neighborhood but beyond your own apartment building or property? | 1= Yes 2= No |
| 488 | lifesp4 | Durante la semana pasada, �ha estado en lugares dentro de su vecindario inmediato pero m�s all� de su propio edificio de apartamentos o propiedad? | 1= S� 2= No |
| 489 | lifesp5 | Durante la semana pasada, �ha estado en lugares fuera de su vecindario inmediato, pero dentro de su propio pueblo o comunidad? [INTERVIEWER: For persons living in CCRC's or other facilities with multiple buildings, this means beyond the buildings on the facility's property. We're looking for other places beyond walking distance, e.g., more than half a mile.] | 1= S� 2= No |
| 489 | lifesp5 | During the past week, have you been to places outside your immediate neighborhood, but within your own town or community? [INTERVIEWER: For persons living in CCRC's or other facilities with multiple buildings, this means beyond the buildings on the facility's property. We're looking for other places beyond walking distance, e.g., more than half a mile.] | 1= Yes 2= No |
| 490 | lifesp6 | During the past week, have you been to places outside your town or community? | 1= Yes 2= No |
| 490 | lifesp6 | Durante la semana pasada, �ha estado en lugares fuera de su pueblo o comunidad? | 1= S� 2= No |
| 491 | howwell | 1. INTERVIEWER OBSERVATIONS How well do you think the participant understood the questions? | 1= qw 2= fw 3= sw 4= vl 5= naa |
| 491 | howwell | 1. INTERVIEWER OBSERVATIONS How well do you think the participant understood the questions? | 1= Quite well 2= Fairly well 3= Somewhat 4= Very Little 5= Not at all |
| 492 | hearimp | 2. Does the participant have a SUBSTANTIAL hearing impairment? | 1= Yes 2= No |
| 492 | hearimp | 2. Does the participant have a SUBSTANTIAL hearing impairment? | 1= Yes 2= No |
| 493 | visimp | 3. Does the participant have a SUBSTANTIAL visual impariment? | 1= ycb 2= yvp 3= yp 4= nns |
| 493 | visimp | 3. Does the participant have a SUBSTANTIAL visual impariment? | 1= Yes, completely blind 2= Yes, very poor 3= Yes, poor 4= No, not substantial |
| 494 | phyeffrt | 4. How great an effort do you think the participant put into the physical function items? | 1= A great deal 2= A considerable amount 3= A moderate amount 4= A little bit 5= Hardly any |
| 494 | phyeffrt | 4. How great an effort do you think the participant put into the physical function items? | 1= agd 2= aca 3= ama 4= alb 5= ha |
| 495 | comm | Comments. | String[120] |
| 495 | comm | Comments. | String[120] |
| 496 | autotm1 | [COMPUTER CLOCK TIME] | String[8] |
| 496 | autotm1 | [COMPUTER CLOCK TIME] | String[8] |
| 497 | 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 |
| 497 | 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 |
| 498 | formpart | Was participant reluctant, and/or does participant have special needs? | 1= Yes 2= No |
| 498 | formpart | Was participant reluctant, and/or does participant have special needs? | 1= Yes 2= No |
| 499 | formcomm | Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] | String[120] |
| 499 | formcomm | Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] | String[120] |
| 500 | statid | Please enter you staff id. | 100 .. 997 |
| 500 | statid | Please enter you staff id. | 100 .. 997 |
| 501 | formch | Has the form been modified? | 1= Yes 2= No |
| 501 | formch | Has the form been modified? | 1= Yes 2= No |
| 502 | revidate | Enter the date that the form was modified. | Date type |
| 502 | revidate | Enter the date that the form was modified. | Date type |
| 503 | revintd | Enter your staff id number. | 100 .. 997 |
| 503 | revintd | Enter your staff id number. | 100 .. 997 |
| 504 | anydev | Are there any protocol deviations or missing data items to enter? | 1= S� 2= No |
| 504 | anydev | Are there any protocol deviations or missing data items to enter? | 1= Yes 2= No |
| 505 | numdev | How many total protocol deviations and tests with missing items to enter? | 1 .. 20 |
| 505 | numdev | How many total protocol deviations and tests with missing items to enter? | 1 .. 20 |
| 506 | reas00 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 506 | reas00 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 507 | test00 | Enter test or procedure. | String[15] |
| 507 | test00 | Enter test or procedure. | String[15] |
| 508 | item00 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 508 | item00 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 509 | code00 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 509 | code00 | Enter data code used. | 1= dont 2= ref 3= other |
| 510 | oth00 | Enter other code used. | String[20] |
| 510 | oth00 | Enter other code used. | String[20] |
| 511 | expl00 | Explain what happened | String[100] |
| 511 | expl00 | Explain what happened | String[100] |
| 512 | reas01 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 512 | reas01 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 513 | test01 | Enter test or procedure. | String[15] |
| 513 | test01 | Enter test or procedure. | String[15] |
| 514 | item01 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 514 | item01 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 515 | code01 | Enter data code used. | 1= dont 2= ref 3= other |
| 515 | code01 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 516 | oth01 | Enter other code used. | String[20] |
| 516 | oth01 | Enter other code used. | String[20] |
| 517 | expl01 | Explain what happened | String[100] |
| 517 | expl01 | Explain what happened | String[100] |
| 518 | reas02 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 518 | reas02 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 519 | test02 | Enter test or procedure. | String[15] |
| 519 | test02 | Enter test or procedure. | String[15] |
| 520 | item02 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 520 | item02 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 521 | code02 | Enter data code used. | 1= dont 2= ref 3= other |
| 521 | code02 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 522 | oth02 | Enter other code used. | String[20] |
| 522 | oth02 | Enter other code used. | String[20] |
| 523 | expl02 | Explain what happened | String[100] |
| 523 | expl02 | Explain what happened | String[100] |
| 524 | reas03 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 524 | reas03 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 525 | test03 | Enter test or procedure. | String[15] |
| 525 | test03 | Enter test or procedure. | String[15] |
| 526 | item03 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 526 | item03 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 527 | code03 | Enter data code used. | 1= dont 2= ref 3= other |
| 527 | code03 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 528 | oth03 | Enter other code used. | String[20] |
| 528 | oth03 | Enter other code used. | String[20] |
| 529 | expl03 | Explain what happened | String[100] |
| 529 | expl03 | Explain what happened | String[100] |
| 530 | reas04 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 530 | reas04 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 531 | test04 | Enter test or procedure. | String[15] |
| 531 | test04 | Enter test or procedure. | String[15] |
| 532 | item04 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 532 | item04 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 533 | code04 | Enter data code used. | 1= dont 2= ref 3= other |
| 533 | code04 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 534 | oth04 | Enter other code used. | String[20] |
| 534 | oth04 | Enter other code used. | String[20] |
| 535 | expl04 | Explain what happened | String[100] |
| 535 | expl04 | Explain what happened | String[100] |
| 536 | reas05 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 536 | reas05 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 537 | test05 | Enter test or procedure. | String[15] |
| 537 | test05 | Enter test or procedure. | String[15] |
| 538 | item05 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 538 | item05 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 539 | code05 | Enter data code used. | 1= dont 2= ref 3= other |
| 539 | code05 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 540 | oth05 | Enter other code used. | String[20] |
| 540 | oth05 | Enter other code used. | String[20] |
| 541 | expl05 | Explain what happened | String[100] |
| 541 | expl05 | Explain what happened | String[100] |
| 542 | reas06 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 542 | reas06 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 543 | test06 | Enter test or procedure. | String[15] |
| 543 | test06 | Enter test or procedure. | String[15] |
| 544 | item06 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 544 | item06 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 545 | code06 | Enter data code used. | 1= dont 2= ref 3= other |
| 545 | code06 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 546 | oth06 | Enter other code used. | String[20] |
| 546 | oth06 | Enter other code used. | String[20] |
| 547 | expl06 | Explain what happened | String[100] |
| 547 | expl06 | Explain what happened | String[100] |
| 548 | reas07 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 548 | reas07 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 549 | test07 | Enter test or procedure. | String[15] |
| 549 | test07 | Enter test or procedure. | String[15] |
| 550 | item07 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 550 | item07 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 551 | code07 | Enter data code used. | 1= dont 2= ref 3= other |
| 551 | code07 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 552 | oth07 | Enter other code used. | String[20] |
| 552 | oth07 | Enter other code used. | String[20] |
| 553 | expl07 | Explain what happened | String[100] |
| 553 | expl07 | Explain what happened | String[100] |
| 554 | reas08 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 554 | reas08 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 555 | test08 | Enter test or procedure. | String[15] |
| 555 | test08 | Enter test or procedure. | String[15] |
| 556 | item08 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 556 | item08 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 557 | code08 | Enter data code used. | 1= dont 2= ref 3= other |
| 557 | code08 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 558 | oth08 | Enter other code used. | String[20] |
| 558 | oth08 | Enter other code used. | String[20] |
| 559 | expl08 | Explain what happened | String[100] |
| 559 | expl08 | Explain what happened | String[100] |
| 560 | reas09 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 560 | reas09 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 561 | test09 | Enter test or procedure. | String[15] |
| 561 | test09 | Enter test or procedure. | String[15] |
| 562 | item09 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 562 | item09 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 563 | code09 | Enter data code used. | 1= dont 2= ref 3= other |
| 563 | code09 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 564 | oth09 | Enter other code used. | String[20] |
| 564 | oth09 | Enter other code used. | String[20] |
| 565 | expl09 | Explain what happened | String[100] |
| 565 | expl09 | Explain what happened | String[100] |
| 566 | reas10 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 566 | reas10 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 567 | test10 | Enter test or procedure. | String[15] |
| 567 | test10 | Enter test or procedure. | String[15] |
| 568 | item10 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 568 | item10 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 569 | code10 | Enter data code used. | 1= dont 2= ref 3= other |
| 569 | code10 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 570 | oth10 | Enter other code used. | String[20] |
| 570 | oth10 | Enter other code used. | String[20] |
| 571 | expl10 | Explain what happened | String[100] |
| 571 | expl10 | Explain what happened | String[100] |
| 572 | reas11 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 572 | reas11 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 573 | test11 | Enter test or procedure. | String[15] |
| 573 | test11 | Enter test or procedure. | String[15] |
| 574 | item11 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 574 | item11 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 575 | code11 | Enter data code used. | 1= dont 2= ref 3= other |
| 575 | code11 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 576 | oth11 | Enter other code used. | String[20] |
| 576 | oth11 | Enter other code used. | String[20] |
| 577 | expl11 | Explain what happened | String[100] |
| 577 | expl11 | Explain what happened | String[100] |
| 578 | reas12 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 578 | reas12 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 579 | test12 | Enter test or procedure. | String[15] |
| 579 | test12 | Enter test or procedure. | String[15] |
| 580 | item12 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 580 | item12 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 581 | code12 | Enter data code used. | 1= dont 2= ref 3= other |
| 581 | code12 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 582 | oth12 | Enter other code used. | String[20] |
| 582 | oth12 | Enter other code used. | String[20] |
| 583 | expl12 | Explain what happened | String[100] |
| 583 | expl12 | Explain what happened | String[100] |
| 584 | reas13 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 584 | reas13 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 585 | test13 | Enter test or procedure. | String[15] |
| 585 | test13 | Enter test or procedure. | String[15] |
| 586 | item13 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 586 | item13 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 587 | code13 | Enter data code used. | 1= dont 2= ref 3= other |
| 587 | code13 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 588 | oth13 | Enter other code used. | String[20] |
| 588 | oth13 | Enter other code used. | String[20] |
| 589 | expl13 | Explain what happened | String[100] |
| 589 | expl13 | Explain what happened | String[100] |
| 590 | reas14 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 590 | reas14 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 591 | test14 | Enter test or procedure. | String[15] |
| 591 | test14 | Enter test or procedure. | String[15] |
| 592 | item14 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 592 | item14 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 593 | code14 | Enter data code used. | 1= dont 2= ref 3= other |
| 593 | code14 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 594 | oth14 | Enter other code used. | String[20] |
| 594 | oth14 | Enter other code used. | String[20] |
| 595 | expl14 | Explain what happened | String[100] |
| 595 | expl14 | Explain what happened | String[100] |
| 596 | reas15 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 596 | reas15 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 597 | test15 | Enter test or procedure. | String[15] |
| 597 | test15 | Enter test or procedure. | String[15] |
| 598 | item15 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 598 | item15 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 599 | code15 | Enter data code used. | 1= dont 2= ref 3= other |
| 599 | code15 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 600 | oth15 | Enter other code used. | String[20] |
| 600 | oth15 | Enter other code used. | String[20] |
| 601 | expl15 | Explain what happened | String[100] |
| 601 | expl15 | Explain what happened | String[100] |
| 602 | reas16 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 602 | reas16 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 603 | test16 | Enter test or procedure. | String[15] |
| 603 | test16 | Enter test or procedure. | String[15] |
| 604 | item16 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 604 | item16 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 605 | code16 | Enter data code used. | 1= dont 2= ref 3= other |
| 605 | code16 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 606 | oth16 | Enter other code used. | String[20] |
| 606 | oth16 | Enter other code used. | String[20] |
| 607 | expl16 | Explain what happened | String[100] |
| 607 | expl16 | Explain what happened | String[100] |
| 608 | reas17 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 608 | reas17 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 609 | test17 | Enter test or procedure. | String[15] |
| 609 | test17 | Enter test or procedure. | String[15] |
| 610 | item17 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 610 | item17 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 611 | code17 | Enter data code used. | 1= dont 2= ref 3= other |
| 611 | code17 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 612 | oth17 | Enter other code used. | String[20] |
| 612 | oth17 | Enter other code used. | String[20] |
| 613 | expl17 | Explain what happened | String[100] |
| 613 | expl17 | Explain what happened | String[100] |
| 614 | reas18 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 614 | reas18 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 615 | test18 | Enter test or procedure. | String[15] |
| 615 | test18 | Enter test or procedure. | String[15] |
| 616 | item18 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 616 | item18 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 617 | code18 | Enter data code used. | 1= dont 2= ref 3= other |
| 617 | code18 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 618 | oth18 | Enter other code used. | String[20] |
| 618 | oth18 | Enter other code used. | String[20] |
| 619 | expl18 | Explain what happened | String[100] |
| 619 | expl18 | Explain what happened | String[100] |
| 620 | reas19 | Protocol Deviation or Missing Data? | 1= Protocol Deviation 2= Missing Data |
| 620 | reas19 | Protocol Deviation or Missing Data? | 1= prot 2= miss |
| 621 | test19 | Enter test or procedure. | String[15] |
| 621 | test19 | Enter test or procedure. | String[15] |
| 622 | item19 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 622 | item19 | List items involved. [SEPARATE BY A COMMA] | String[20] |
| 623 | code19 | Enter data code used. | 1= dont 2= ref 3= other |
| 623 | code19 | Enter data code used. | 1= Don't Know 2= Refusal 3= other |
| 624 | oth19 | Enter other code used. | String[20] |
| 624 | oth19 | Enter other code used. | String[20] |
| 625 | expl19 | Explain what happened | String[100] |
| 625 | expl19 | Explain what happened | String[100] |
| 626 | vegsign | 0 .. 8 | |
| 626 | vegsign | 0 .. 8 | |
| 627 | mvegsign | 0 .. 8 | |
| 627 | mvegsign | 0 .. 8 | |
| 628 | cesd | 0 .. 10 | |
| 628 | cesd | 0 .. 10 | |
| 629 | mcesd | 0 .. 10 | |
| 629 | mcesd | 0 .. 10 |