Survey Text

1995
1994
1991
1986
1984
1977
top
1995

No questionnaire text is available for this sample.


top
1994

No questionnaire text is available for this sample.


top
1991
Survey form view entire document:  text  image
Because of any physical or mental condition, do you have difficulty --

(16) Bathing or showering?
1[] Yes
2[] No
3[] Doesn't do

top
1986
Survey form view entire document:  text  image
1. Because of a health or physical problem, do you have ANY difficulty -
Ask if "Doesn't do":
Is this because of a HEALTH or PHYSICAL problem?
If "Yes," mark box 1; if "No," mark box 3

(1) Bathing or showering?
1 [] Yes
2 [] No
3 [] Doesn't do for other reason

top
1984
Survey form view entire document:  text  image

top
1977
Survey form view entire document:  text  image
41a. Because of disability or health problems, does anyone in the family (that is, you, your --, etc.) need help --

1. Bathing? ____
2. Dressing? ____
3. Eating? ____
4. Using the toilet? ____

If "Yes," ask 41b and c

b. Who is this? ____

Mark appropriate box in person's column

1 [] Bathing
2 [] Dressing
3 [] Eating
4 [] Toilet

c. Anyone else? ____

42. How long has -- needed help