* Read if necessary: Do you use any of the following?
...Wheelchair or scooter?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ who use equipment or receive help for getting around

1,2,RF,DK [goto PERASST_A]

Read if necessary: Do you use any of the following?
...Wheelchair or scooter?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ who use equipment or receive help for getting around

1,2,RF,DK [goto PERASST_A]

* Read if necessary: Do you use any of the following?
...Wheelchair or scooter?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ who use equipment or receive help for getting around

1,2,RF,DK [goto PERASST_A]

1 Yes
2 No
7 Refused
9 Do not Know

Sample Adults 18+ who use equipment or receive help for getting around

1,2,RF,DK = [goto PERASST_A]

Instrument Variable Name: MOB_3D
Questionnaire File Name: Sample Adult
Question Text:

*Read if necessary.
Do you use any of the following...
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who use equipment or receive help for getting around
Skip Instructions:

(1,2,R,D) goto MOB_3E

Instrument Variable Name: MOB_3D
Question Text:

*Read if necessary.
Do you use any of the following_
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and use equipment or receive help for getting around
Skip Instructions: (1,2,R,D) go to MOB_3E

Instrument Variable Name: MOB_3D
Question Text:

*Read if necessary.
Do you use any of the following_
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and use equipment or receive help for getting around
Skip Instructions: (1,2,R,D) go to MOB_3E

Instrument Variable Name: MOB_3D
Question Text:

*Read if necessary.
Do you use any of the following_
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and use equipment or receive help for getting around
Skip Instructions: (1,2,R,D) go to MOB_3E

Instrument Variable Name: MOB_3D
Question Text:

*Read if necessary.
Do you use any of the following_
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and use equipment or receive help for getting around
Skip Instructions: (1,2,R,D) go to MOB_3E

Instrument Variable Name: MOB_3D
Question Text:

*Read if necessary.
Do you use any of the following_
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and use equipment or receive help for getting around
Skip Instructions: (1,2,R,D) go to MOB_3E

Instrument Variable Name: MOB_3D
Question Text:

*Read if necessary.
Do you use any of the following_
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and use equipment or receive help for getting around
Skip Instructions: (1,2,R,D) go to MOB_3E

Instrument Variable Name: MOB_3D
Question Text:

*Read if necessary.
Do you use any of the following_
Wheelchair or scooter?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and use equipment or receive help for getting around
Skip Instructions: (1,2,R,D) go to MOB_3E

Instrument Variable Name: MOB_3D
QuestionText:

*Read if necessary.
Do you use any of the following...
Wheelchair?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who use equipment or receive help for walking, climbing steps, or moving around
SkipInstructions:

(1,2,R,D)[goto MOB_3E]

Instrument Variable Name:BAID_04
QuestionText:

* Read if necessary. Do you use any of the following aids to help you get around? Please say yes or no to each...A wheelchair

1 Yes
2 No
7 Refused
9 Don't know

UniverseText:Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto BAID_05]

(3) Does -- now use --

(d) A wheelchair or scooter? Which one?
If wheelchair, ask: Is it manual or electric? Mark all that apply.

11[] Manual wheelchair
12[] Electric wheelchair
13[] Scooter

(3) Does -- now use --

(d) A wheelchair or scooter? Which one?
If wheelchair, ask: Is it manual or electric? Mark all that apply.

11[] Manual wheelchair
12[] Electric wheelchair
13[] Scooter

(7) A wheel chair?

[] Y
[] N

(7) A wheel chair?

[] Y
[] N

1. An artificial arm?

[] Yes
[] No

2. An artificial leg?

[] Yes
[] No

3. A brace of any kind?

[] Yes
[] No

4. Crutches?

[] Yes
[] No

5. A cane or walking stick?

[] Yes
[] No

6. Special shoes?

[] Yes
[] No

7. A wheel chair?

[] Yes
[] No

8. A walker?

[] Yes
[] No

9. Guide dog?

[] Yes
[] No

10. Any other kind of aid for getting around?

[] Yes
[] No

1. An artificial arm?

[] Yes
[] No

2. An artificial leg?

[] Yes
[] No

3. A brace of any kind?

[] Yes
[] No

4. Crutches?

[] Yes
[] No

5. A cane or walking stick?

[] Yes
[] No

6. Special shoes?

[] Yes
[] No

7. A wheel chair?

[] Yes
[] No

8. A walker?

[] Yes
[] No

10. Any other kind of aid for getting around?

[] Yes
[] No