Survey Text

2018 2012 2006 2000
2017 2011 2005 1999
2016 2010 2004 1998
2015 2009 2003
2014 2008 2002
2013 2007 2001
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2018

No questionnaire text is available for this sample.


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2017

No questionnaire text is available for this sample.


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2016

No questionnaire text is available for this sample.


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2015

No questionnaire text is available for this sample.


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2014

No questionnaire text is available for this sample.


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2013

No questionnaire text is available for this sample.


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2012

No questionnaire text is available for this sample.


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2011
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
QuestionText:
(book) A6 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... ...Walk a quarter of a mile - about 3 city blocks?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCLIMB]
Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Walk up 10 steps without resting?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTAND]
Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stand or be on your feet for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSIT]
Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Sit for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTOOP]
Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stoop, bend, or kneel?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLREACH]
Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Reach up over your head?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLGRASP]
Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Use your fingers to grasp or handle small objects?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCARRY]
Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLPUSH]
Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Push or pull large objects like a living room chair?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSHOP]
Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Go out to things like shopping, movies, or sporting events?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSOCL]
Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLRELAX]
Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
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
UniverseText: Sample adults 18+
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)

top
2010
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
QuestionText:
(book) A6 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... ...Walk a quarter of a mile - about 3 city blocks?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCLIMB]
Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Walk up 10 steps without resting?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTAND]
Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stand or be on your feet for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSIT]
Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Sit for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTOOP]
Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stoop, bend, or kneel?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLREACH]
Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Reach up over your head?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLGRASP]
Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Use your fingers to grasp or handle small objects?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCARRY]
Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLPUSH]
Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Push or pull large objects like a living room chair?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSHOP]
Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Go out to things like shopping, movies, or sporting events?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSOCL]
Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLRELAX]
Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
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
UniverseText: Sample adults 18+
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)

top
2009
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
QuestionText:
(book) A6 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... ...Walk a quarter of a mile - about 3 city blocks?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCLIMB]
Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Walk up 10 steps without resting?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTAND]
Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stand or be on your feet for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSIT]
Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Sit for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTOOP]
Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stoop, bend, or kneel?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLREACH]
Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Reach up over your head?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLGRASP]
Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Use your fingers to grasp or handle small objects?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCARRY]
Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLPUSH]
Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Push or pull large objects like a living room chair?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSHOP]
Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Go out to things like shopping, movies, or sporting events?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSOCL]
Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLRELAX]
Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
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
UniverseText: Sample adults 18+
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)

top
2008
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
QuestionText:
(book) A6 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... ...Walk a quarter of a mile - about 3 city blocks?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCLIMB]
Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Walk up 10 steps without resting?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTAND]
Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stand or be on your feet for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSIT]
Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Sit for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTOOP]
Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stoop, bend, or kneel?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLREACH]
Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Reach up over your head?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLGRASP]
Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Use your fingers to grasp or handle small objects?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCARRY]
Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLPUSH]
Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Push or pull large objects like a living room chair?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSHOP]
Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Go out to things like shopping, movies, or sporting events?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSOCL]
Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLRELAX]
Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
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
UniverseText: Sample adults 18+
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)

top
2007
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
QuestionText:
(book) A6 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... ...Walk a quarter of a mile - about 3 city blocks?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCLIMB]
Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Walk up 10 steps without resting?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTAND]
Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stand or be on your feet for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSIT]
Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Sit for about 2 hours?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSTOOP]
Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Stoop, bend, or kneel?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLREACH]
Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Reach up over your head?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLGRASP]
Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Use your fingers to grasp or handle small objects?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLCARRY]
Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLPUSH]
Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Push or pull large objects like a living room chair?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSHOP]
Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Go out to things like shopping, movies, or sporting events?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLSOCL]
Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
QuestionText:
(book) A6 * Read lead-in if necessary. By yourself, and without using any special equipment, how difficult is it for you to... ...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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
UniverseText: Sample adults 18+
SkipInstructions:
(0-4,6,R,D) [goto FLRELAX]
Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
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
UniverseText: Sample adults 18+
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)

top
2006
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
Question Text:
(book) A7
By yourself, and without using any special equipment, how difficult is it for you to...
...Walk a quarter of a mile - about 3 city blocks?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLCLIMB]

Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Walk up 10 steps without resting?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSTAND]

Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Stand or be on your feet for about 2 hours?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSIT]

Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Sit for about 2 hours?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSTOOP]

Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Stoop, bend, or kneel?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLREACH]

Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Reach up over your head?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLGRASP]

Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Use your fingers to grasp or handle small objects?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLCARRY]

Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLPUSH]

Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Push or pull large objects like a living room chair?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSHOP]

Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Go out to things like shopping, movies, or sporting events?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSOCL]

Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLRELAX]

Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
Question Text:
(book) A7
*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
Card A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(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)

top
2005
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
Question Text:
(book) A7
By yourself, and without using any special equipment, how difficult is it for you to...
...Walk a quarter of a mile - about 3 city blocks?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLCLIMB]

Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Walk up 10 steps without resting?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSTAND]

Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Stand or be on your feet for about 2 hours?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSIT]

Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Sit for about 2 hours?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSTOOP]

Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Stoop, bend, or kneel?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLREACH]

Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Reach up over your head?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLGRASP]

Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Use your fingers to grasp or handle small objects?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLCARRY]

Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLPUSH]

Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Push or pull large objects like a living room chair?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSHOP]

Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Go out to things like shopping, movies, or sporting events?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSOCL]

Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLRELAX]

Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
Question Text:
(book) A7
*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
Card A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(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)

top
2004
Survey form view entire document:  text  image

Question ID: AHS.091_01.000

Instrument Variable Name: FLWALK
Question Text:
(book) A7
By yourself, and without using any special equipment, how difficult is it for you to...
...Walk a quarter of a mile - about 3 city blocks?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLCLIMB]

Question ID: AHS.091_02.000

Instrument Variable Name: FLCLIMB
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Walk up 10 steps without resting?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSTAND]

Question ID: AHS.091_03.000

Instrument Variable Name: FLSTAND
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Stand or be on your feet for about 2 hours?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSIT]

Question ID: AHS.091_04.000

Instrument Variable Name: FLSIT
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Sit for about 2 hours?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSTOOP]

Question ID: AHS.091_05.000

Instrument Variable Name: FLSTOOP
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Stoop, bend, or kneel?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLREACH]

Question ID: AHS.091_06.000

Instrument Variable Name: FLREACH
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Reach up over your head?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLGRASP]

Question ID: AHS.141_01.000

Instrument Variable Name: FLGRASP
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Use your fingers to grasp or handle small objects?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLCARRY]

Question ID: AHS.141_02.000

Instrument Variable Name: FLCARRY
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Lift or carry something as heavy as 10 pounds such as a full bag of groceries?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLPUSH]

Question ID: AHS.141_03.000

Instrument Variable Name: FLPUSH
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Push or pull large objects like a living room chair?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSHOP]

Question ID: AHS.171_01.000

Instrument Variable Name: FLSHOP
Question Text:
(book) A7
* Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Go out to things like shopping, movies, or sporting events?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLSOCL]

Question ID: AHS.171_02.000

Instrument Variable Name: FLSOCL
Question Text:
(book) A7
*Read lead-in if necessary.
By yourself, and without using any special equipment, how difficult is it for you to...
...Participate in social activities such as visiting friends, attending clubs and meetings, going to parties?
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 A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(0-4,6,R,D) [goto FLRELAX]

Question ID: AHS.171_03.000

Instrument Variable Name: FLRELAX
Question Text:
(book) A7
*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
Card A7
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
Universe Text: Sample adults 18+
Skip Instructions:
(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)

top
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 A6
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
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?

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 A6
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
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?

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 A6
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
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)?

top
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 A6
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
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?

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 A6
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
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?

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 A6
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
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)?

top
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 A6
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
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?

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 A6
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
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?

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 A6
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
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)?

top
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 A6
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
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?

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 A6
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
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?

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 A6
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
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)?

top
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 A4
0. Not at all difficult
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?

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
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?

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 A6
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
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...)

top
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 A4
0. Not at all difficult
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?

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
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?

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 A6
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
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...)