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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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 A70. 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)