FLRELAX
How difficult relaxing activities without special equipment
Codes and Frequencies
An 'X' indicates the category is available for that sample
| Code | Label |
18
|
17
|
16
|
15
|
14
|
13
|
12
|
11
|
10
|
09
|
08
|
07
|
06
|
05
|
04
|
03
|
02
|
01
|
00
|
99
|
98
|
97
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | NIU | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 1 | Not at all difficult | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 2 | Only a little difficult | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 3 | Somewhat difficult | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 4 | Very difficult | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 5 | Can't do at all | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 6 | Do not do this activity | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 7 | Unknown-refused | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 8 | Unknown-not ascertained | · | X | X | X | X | · | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 9 | Unknown-don't know | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
Can't find the category you are looking for? Try the Detailed codes
Description
FLRELAX indicates whether sample adults had difficulty doing things to relax at home or for leisure (such as reading, watching TV, sewing, or listening to music), by themselves without special equipment. This variable was one of a series asking about functional limitations.
The field representative began this section of the interview by stating, "The next questions ask about difficulties you may have doing certain activities because of a health problem. By 'health problem' we mean any physical, mental, or emotional problem or illness (not including pregnancy)." The actual question took the following form: "By yourself, and without any special equipment, how difficult is it for you to . . . do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?"
Definition[show more]
The term "difficult" was respondent-defined. A brief definition of "special equipment" based on examples (i.e., "such as a cane, a wheelchair, a special bed, or a special telephone") was part of the preceding question. The Field Representative's Manual for 1997 forward defined "special equipment" as "any device, tool, utensil, instrument, implement, etc., used as an aid in performing an activity because of a physical, mental, or emotional problem." The Manual for 1997-2000 continued, "This includes the use of adult 'diapers' for incontinence. However, ordinary eyeglasses and hearing aids should not be considered 'special equipment.' For example: a spoon is not normally considered as 'special equipment'; however, a uniquely designed or functioning one used for eating by a person because of physical, mental, or emotional problems is considered 'special equipment.'"
Beginning in 2001, the Field Representative's Manual formally defined the words "by yourself." Specifically, "By yourself is considered to be without the help from another person or without hands-on assistance with performing an activity. Another person may be a friend, relative, paid helper, volunteer from an agency or organization or anyone else who helps the family member in doing the activities mentioned. He or she may be a household member or a non-household member."
A formal definition of "health problem" was also included in the Field Representative's Manual, with only slight changes in wording over time. The Manual for 1997 stated:
'Problem' is the Sample Adult's perception of a departure from physical, mental, or emotional well-being. This includes specific health problems, such as a disease or condition, a missing extremity or organ, or any type of impairment. It also includes more vague disorders not always thought of as health related problems or illnesses, such as alcoholism, drug dependency or reaction, senility, depression, retardation, etc.
No definition of terms except the aforementioned definition of "health problem" as "any physical, mental, or emotional problem or illness (not including pregnancy) was routinely supplied to respondents during the interview.
Related Variables[show more]
Other questions in the series collected information about how difficult the sample adult found the following activities, if performed "by yourself and without using any special equipment":
- Walking about 3 blocks (FLWALK3BL)
- Standing for about 2 hours (FLSTAND2HR)
- Walking up 10 steps without resting (FLCLIMB)
- Sitting for about 2 hours (FLSIT2HR)
- Stooping, bending, or kneeling (FLSTOOP)
- Reaching above the head (FLREACH)
- Grasping small objects (FLGRASP)
- Carrying 10 pounds (FLCARRY)
- Pushing large objects (FLPUSHLAR)
- Going out for shopping (FLGOOUT)
- Participating in social activities (FLSOCIAL)
Comparability
This variable is completely comparable across years. For FLRELAX, respondents were consistently given a card with six choices (including "Do not do this activity") from which to select their answer. FLRELAX is therefore comparable for 1997 forward, unlike many of the other functional limitation variables in this series.
Universe
- 1997-2013; 2014 2015 2016 2017 2018: Sample adults age 18+.
Availability
- 1997-2018
Survey Text
| 2018 | 2012 | 2006 | 2000 |
| 2017 | 2011 | 2005 | 1999 |
| 2016 | 2010 | 2004 | 1998 |
| 2015 | 2009 | 2003 | 1997 |
| 2014 | 2008 | 2002 | |
| 2013 | 2007 | 2001 |
2018
Survey form
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Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2017
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2016
Survey form
view entire document:
text
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Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2015
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2014
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2013
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2012
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2011
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2010
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2009
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2008
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2007
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2006
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2005
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2004
Survey form
view entire document:
text
image
Question ID: AHS.171_03.000
Instrument Variable Name: FLRELAX
QuestionText:
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
0 Not at all difficult
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
1 Only a little difficult
2 Somewhat difficult
3 Very difficult
4 Can't do at all
6 Do not do this activity
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
SkipInstructions:
(1-4 or FLWALK= 1-4 or FLCLIMB= 1-4 or FLSTAND= 1-4 or FLSIT= 1-4 or FLSTOOP= 1-4 or FLREACH= 1-4 or FLGRASP= 1-4 or FLCARRY= 1-4 or FLPUSH= 1-4 or FLSHOP= 1-4 or FLSOCL= 1-4) [goto AFLHCA]
Else goto SMKEV (next section)
Else goto SMKEV (next section)
2003
Survey form
view entire document:
text
image
The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
AHS.091
FR: SHOW FLASHCARD A7. [survey indicates card A7, correct card is A6)
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLWALK ... Walk a quarter of a mile - about 3 city blocks?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
AHS.141
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLGRASP ... Use your fingers to grasp or handle small objects?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
AHS.171
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLSHOP...Go out to things like shopping, movies, or sporting events?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
2002
Survey form
view entire document:
text
image
The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
AHS.091
FR: SHOW FLASHCARD A7. [survey indicates card A7, correct card is A6)
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLWALK ... Walk a quarter of a mile - about 3 city blocks?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
AHS.141
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLGRASP ... Use your fingers to grasp or handle small objects?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
AHS.171
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLSHOP...Go out to things like shopping, movies, or sporting events?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
2001
Survey form
view entire document:
text
image
The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
AHS.091
FR: SHOW FLASHCARD A7. [survey indicates card A7, correct card is A6)
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLWALK ... Walk a quarter of a mile - about 3 city blocks?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
AHS.141
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLGRASP ... Use your fingers to grasp or handle small objects?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
AHS.171
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLSHOP...Go out to things like shopping, movies, or sporting events?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
2000
Survey form
view entire document:
text
image
The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
AHS.091
FR: SHOW FLASHCARD A7. [survey indicates card A7, correct card is A6)
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLWALK ... Walk a quarter of a mile - about 3 city blocks?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
AHS.141
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLGRASP ... Use your fingers to grasp or handle small objects?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
AHS.171
FR: SHOW FLASHCARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLSHOP...Go out to things like shopping, movies, or sporting events?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
FLSOCL...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
FLRELAX...Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music)?
1999
Survey form
view entire document:
text
image
AHS.091
FR: SHOW CARD A4.
The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
Card A4The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
FLWALK ... Walk a quarter of a mile - about 3 city blocks?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
AHS.141
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
FLGRASP ... Use your fingers to grasp or handle small objects?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
AHS.171
FR: SHOW CARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLSHOP ... Go out to things like shopping, movies, or sporting events?
FLSOCL ... Participate in social activities such as visiting friends, attending clubs and meetings, going to parties...?
FLRELAX ... Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music...)
FLSOCL ... Participate in social activities such as visiting friends, attending clubs and meetings, going to parties...?
FLRELAX ... Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music...)
1998
Survey form
view entire document:
text
image
AHS.091
FR: SHOW CARD A4.
The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
Card A4The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
FLWALK ... Walk a quarter of a mile - about 3 city blocks?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
AHS.141
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
FLGRASP ... Use your fingers to grasp or handle small objects?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
AHS.171
FR: SHOW CARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLSHOP ... Go out to things like shopping, movies, or sporting events?
FLSOCL ... Participate in social activities such as visiting friends, attending clubs and meetings, going to parties...?
FLRELAX ... Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music...)
FLSOCL ... Participate in social activities such as visiting friends, attending clubs and meetings, going to parties...?
FLRELAX ... Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music...)
1997
Survey form
view entire document:
text
image
AHS.091
FR: SHOW CARD A4.
The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
Card A4The next questions ask about difficulties you may have doing certain activities because of a HEALTH PROBLEM. By "health problem" we mean any physical, mental, or emotional problem or illness (not including pregnancy).
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
FLWALK ... Walk a quarter of a mile - about 3 city blocks?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
FLCLIMB ... Walk up 10 steps without resting?
FLSTAND ... Stand or be on your feet for about 2 hours?
FLSIT ... Sit for about 2 hours?
FLSTOOP ... Stoop, bend, or kneel?
FLREACH ... Reach up over your head?
AHS.141
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(7) REFUSED
(9) Don't Know
FLGRASP ... Use your fingers to grasp or handle small objects?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
FLCARRY ... Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
FLPUSH ... Push or pull large objects like a living room chair?
AHS.171
FR: SHOW CARD A6.
FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
Card A6FR: READ LEAD-IN IF NECESSARY:
By yourself, and without using any special equipment, how difficult is it for you to...
(0) NOT AT ALL DIFFICULT
(1) ONLY A LITTLE DIFFICULT
(2) SOMEWHAT DIFFICULT
(3) VERY DIFFICULT
(4) CAN'T DO AT ALL
(6) DO NOT DO THIS ACTIVITY
(7) Refused
(9) Don't Know
0. Not at all difficult
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
1. Only a little difficult
2. Somewhat difficult
3. Very difficult
4. Can't do at all
6. Do not do this activity
FLSHOP ... Go out to things like shopping, movies, or sporting events?
FLSOCL ... Participate in social activities such as visiting friends, attending clubs and meetings, going to parties...?
FLRELAX ... Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music...)
FLSOCL ... Participate in social activities such as visiting friends, attending clubs and meetings, going to parties...?
FLRELAX ... Do things to relax at home or for leisure (reading, watching TV, sewing, listening to music...)
Weights
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