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
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10 | Limited in any way | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 20 | Not limited or unknown | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | X | X |
| 21 | Not limited in any way | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | · | · |
| 22 | Unknown if limited | 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
LANY is a recoded variable that indicates whether a person has any activity limitation.
LANY is a recode of information from several questions:
[show more]- For persons under age 5, "Is [person] limited in the kind or amount of play activities [he/she] can do because of a physical, mental, or emotional problem?" (LAPLAYAM)
- For persons under age 18, "Does [person] receive Special Educational or Early Intervention Services?" (LASPED)
- For persons age 3+, "Because of a physical, mental, or emotional problem, does [person] need the help of other persons with personal care needs, such as eating, bathing, dressing, or getting around inside this home?" (LADL)
- For persons age 5+ (1997) and persons age 18+ (1998 forward), "Because of a physical, mental, or emotional problem, does [person] need the help of other persons in handling routine needs, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?" (LAIADL)
- For persons age 18+, "Does a physical, mental, or emotional problem now keep [person] from working at a job or business?" (LANOWORK)
- For persons age 18+, "Is [person] limited in the kind or amount of work [he/she] can do because of a physical, mental or emotional problem?" (LAMTWRK)
- For all persons, "Because of a health problem, does [person] have difficulty walking without using any special equipment?" (LAWALK)
- For all persons, "Is [person] limited in any way because of difficulty remembering or because [he/she] experiences periods of confusion?" (LAMEMRY)
- For all persons, "Is [person] limited in any way in any activities because of physical, mental or emotional problems?" (LAOTHER)
An affirmative response to any of these questions is recoded in LANY as the person having an activity limitation. In this regard, LANY is summary measure that, as noted above, indicates whether a person is limited in any way.
Comparability
For 1997-1998, the National Center for Health Statistics (NCHS) public files combine the categories of "Not limited in any way" and "Unknown if limited" into the single "Not limited or unknown" (IPUMS NHIS code 20). In contrast, for 1999 forward, these two categories are separated (IHIS codes 21 and 22 respectively). Researchers who want complete comparability for 1997 forward should combine the categories "Not limited in any way" (IHIS code 21) and "Unknown if limited" (IHIS code 22) into a single category.
Universe
- 1997-2013; 2014 2015 2016 2017 2018: All persons.
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
view entire document:
text
image
Question ID:FHS.270_00.000
Instrument Variable Name: LAHCC
Question Text:
Question Text:
(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:
Skip Instructions:
(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Instrument Variable Name: LAHCC_S1
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL90N
Question ID:FHS.271_91.000
Instrument Variable Name: LAHCC_S2
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL91N
2017
Survey form
view entire document:
text
image
Question ID:FHS.270_00.000
Instrument Variable Name: LAHCC
Question Text:
Question Text:
(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:
Skip Instructions:
(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Instrument Variable Name: LAHCC_S1
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL90N
Question ID:FHS.271_91.000
Instrument Variable Name: LAHCC_S2
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL91N
2016
Survey form
view entire document:
text
image
Question ID:FHS.270_00.000
Instrument Variable Name: LAHCC
Question Text:
Question Text:
(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:
Skip Instructions:
(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Instrument Variable Name: LAHCC_S1
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL90N
Question ID:FHS.271_91.000
Instrument Variable Name: LAHCC_S2
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL91N
2015
Survey form
view entire document:
text
image
Question ID:FHS.270_00.000
Instrument Variable Name: LAHCC
Question Text:
Question Text:
(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:
Skip Instructions:
(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Instrument Variable Name: LAHCC_S1
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL90N
Question ID:FHS.271_91.000
Instrument Variable Name: LAHCC_S2
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL91N
2014
Survey form
view entire document:
text
image
Question ID:FHS.270_00.000
Instrument Variable Name: LAHCC
Question Text:
Question Text:
(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:
Skip Instructions:
(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Instrument Variable Name: LAHCC_S1
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL90N
Question ID:FHS.271_91.000
Instrument Variable Name: LAHCC_S2
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL91N
2013
Survey form
view entire document:
text
image
Question ID:FHS.270_00.000
Instrument Variable Name: LAHCC
Question Text:
Question Text:
(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:
Skip Instructions:
(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Instrument Variable Name: LAHCC_S1
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL90N
Question ID:FHS.271_91.000
Instrument Variable Name: LAHCC_S2
Question Text:
Question Text:
* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:
Skip Instructions:
go to LHCL91N
2012
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2011
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2010
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2009
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.070_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
2008
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2007
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2006
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2005
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2004
Survey form
view entire document:
text
image
Question ID:FHS.005_00.000
Instrument Variable Name: FLAPLYLM
Question Text:
Question Text:
? [F1]
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
[fill1: Are/Is] * Read names (fill roster of persons age 0-4) limited in the kind or amount of play activities [fill2: they/he/she] can do because of a physical, mental, or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 5 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one child less than 5 years of age, store the person number in PLAPLYLM and go to PLAPLYUN;
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Question ID:FHS.010_00.000
else, go to PLAPLYLM]
(2,R,D) [go to FSPEDEIS]
Instrument Variable Name: PLAPLYLM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than five years of age and at least one is limited in play activities
Skip Instructions:
Skip Instructions:
Go to PLAPLYUN NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.020_00.000
Instrument Variable Name: PLAPLYUN
Question Text:
Question Text:
Is [fill: ALIAS] able to take part AT ALL in the usual kinds of play activities done by most children [fill: ALIAS]'s age?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS
Question ID:FHS.050_00.000
Instrument Variable Name: FSPEDEIS
Question Text:
Question Text:
? [F1]
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
[fill: Do you/Does/Do any of these family members, * Read names (fill roster of persons less than age 18)] receive Special Educational or Early Intervention Services?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons less than 18 years of age
Skip Instructions:
Skip Instructions:
(1) [if only one person less than 18 years of age, store the person number in PSPEDEIS and go to PSPEDEM; else, go to PSPEDEIS]
(2,R,D) [go to FLAADL]
Question ID:FHS.060_00.000
(2,R,D) [go to FLAADL]
Instrument Variable Name: PSPEDEIS
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons less than 18 years of age and at least one receives Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
go to PSPEDEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.065_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: PSPEDEM
Question Text:
Question Text:
[fill: Do you/Does ALIAS] receive these services because of an emotional or behavioral problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:
Skip Instructions:
repeat this question for all persons listed at PSPEDEIS, then go to FLAADL
Question ID:FHS.070_00.000
Instrument Variable Name: FLAADL
Question Text:
Question Text:
? [F1] Because of a physical, mental, or emotional problem, [fill1: do you/does anyone in the family] need the help of other persons with PERSONAL CARE NEEDS, such as eating, bathing, dressing, or getting around inside this home?
[fill2: Do not include family members age 2 and under.]
[fill2: Do not include family members age 2 and under.]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 3 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAADL and go to LABATH; else, go to PLAADL]
(2,R,D) [go to FLAIADL]
Question ID:FHS.080_00.000
(2,R,D) [go to FLAIADL]
Instrument Variable Name: PLAADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 3 years of age or older and at least one needs the help of other persons with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.090_01.000
Instrument Variable Name: LABATH
Question Text:
Question Text:
[fill: Do you/Does ALIAS] need the help of other persons with... Bathing or showering?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LADRESS
Question ID:FHS.090_02.000
Instrument Variable Name: LADRESS
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAEAT
Question ID:FHS.090_03.000
Instrument Variable Name: LAEAT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABED
Question ID:FHS.090_04.000
Instrument Variable Name: LABED
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
[fill: Do you/Does ALIAS] need the help of other persons with... Getting in or out of bed or chairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LATOILT
Question ID:FHS.090_05.000
Instrument Variable Name: LATOILT
Question Text:
Question Text:
* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
[fill: Do you/Does ALIAS] need the help of other persons with...Using the toilet, including getting to the toilet?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LAHOME
Question ID:FHS.090_06.000
Instrument Variable Name: LAHOME
Question Text:
Question Text:
*Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
[fill: Do you/Does ALIAS] need the help of other persons with...Getting around inside the home?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:
Skip Instructions:
go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL
Question ID:FHS.150_00.000
Instrument Variable Name: FLAIADL
Question Text:
Question Text:
? [F1]
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
Because of a physical, mental, or emotional problem, do [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] need the help of other persons in handling ROUTINE NEEDS, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAIADL and go to FLAWKNOW;
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Question ID:FHS.160_00.000
else, go to PLAIADL]
(2,R,D) [go to FLAWKNOW]
Instrument Variable Name: PLAIADL
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one needs the help of other persons in handling routine needs
Skip Instructions:
Skip Instructions:
go to FLAWKNOW NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.170_00.000
Instrument Variable Name: FLAWKNOW
Question Text:
Question Text:
? [F1]
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
Does a physical, mental, or emotional problem NOW keep [fill: you/any of these family members * Read names (fill roster of persons age 18 or older)] from working at a job or business?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older, store the person number in PLAWKNOW and go to FLAWALK; else, go to PLAWKNOW]
(2,R,D) [go to FLAWKLIM]
Question ID:FHS.180_00.000
(2,R,D) [go to FLAWKLIM]
Instrument Variable Name: PLAWKNOW
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older and at least one is unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
all persons selected go to FLAWALK; else, go to FLAWKLIM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.190_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWKLIM
Question Text:
Question Text:
? [F1] [fill: Are you limited in the kind OR amount of work you/ Is ALIAS limited in the kind OR amount of work he/she/ Are any of these family members, * Read names (fill roster of persons age 18 or older)] limited in the kind OR amount of work they] can do because of a physical, mental or emotional problem?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with one or more persons 18 years of age or older not listed as being unable to work due to a physical, mental, or emotional problem
Skip Instructions:
Skip Instructions:
(1) [if only one person 18 years of age or older not selected at PLAWKNOW, store person number in PLAWKLIM and go to FLAWALK; else, go to PLAWKLIM]
(2,R,D) [go to FLAWALK]
Question ID:FHS.200_00.000
(2,R,D) [go to FLAWALK]
Instrument Variable Name: PLAWKLIM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Unable to work
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
1 Limited in work
2 Not limited in work
7 Refused
9 Don't know
Universe Text All families with two or more persons 18 years of age or older able to work and at least one is limited in the kind or amount of work he/she can do
Skip Instructions:
Skip Instructions:
go to FLAWALK
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.210_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAWALK
Question Text:
Question Text:
? [F1] Because of a health problem, [fill: do you/does anyone in the family] have difficulty walking without using any special equipment?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store the person number in PLAWALK and go to FLAREMEM; else, go to PLAWALK]
(2,R,D) [go to FLAREMEM]
Question ID:FHS.220_00.000
(2,R,D) [go to FLAREMEM]
Instrument Variable Name: PLAWALK
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one has difficulty walking without using special equipment
Skip Instructions:
Skip Instructions:
go to FLAREMEM
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.230_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLAREMEM
Question Text:
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]
Question ID:FHS.240_00.000
(2,R,D) [go to FLIMANY]
Instrument Variable Name: PLAREMEM
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with two or more persons and at least one is limited due to difficulty remembering or periods of confusion
Skip Instructions:
Skip Instructions:
go to FLIMANY
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHS.250_00.000
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
2003
Survey form
view entire document:
text
image
HLTH_BEG
FR: READ THE FOLLOWING INTRODUCTION:
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
Check item FHSCCI1: If any family member is less than 5 years old, go to FHS.005; if any family member is greater than or equal to 5 and less than 18 years old, go to FHS.050; if all family members are greater than 17, go to FHS.070.
2002
Survey form
view entire document:
text
image
HLTH_BEG
FR: READ THE FOLLOWING INTRODUCTION:
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
Check item FHSCCI1: If any family member is less than 5 years old, go to FHS.005; if any family member is greater than or equal to 5 and less than 18 years old, go to FHS.050; if all family members are greater than 17, go to FHS.070.
2001
Survey form
view entire document:
text
image
HLTH_BEG
FR: READ THE FOLLOWING INTRODUCTION:
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
Check item FHSCCI1: If any family member is less than 5 years old, go to FHS.005; if any family member is greater than or equal to 5 and less than 18 years old, go to FHS.050; if all family members are greater than 17, go to FHS.070.
2000
Survey form
view entire document:
text
image
HLTH_BEG
FR: READ THE FOLLOWING INTRODUCTION:
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
I am now going to ask about {your/the} general health {names of family members} and the effects of any physical, mental, or emotional health problems.
(P) Proceed
(R) Refused
Check item FHSCCI1: If any family member is less than 5 years old, go to FHS.005; if any family member is greater than or equal to 5 and less than 18 years old, go to FHS.050; if all family members are greater than 17, go to FHS.070.
1999
Survey form
view entire document:
text
image
Question ID:FHS.250_00.000
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
1998
Survey form
view entire document:
text
image
Question ID:FHS.250_00.000
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
1997
Survey form
view entire document:
text
image
Question ID:FHS.250_00.000
Instrument Variable Name: FLIMANY
Question Text:
Question Text:
? [F1] [fill: Are you/ Is ALIAS/ Are any family members * Read names (fill roster of applicable persons)] LIMITED IN ANY WAY in any activities because of physical, mental or emotional problems?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
(1) [if a one-person family or the respondent is the only person NOT previously mentioned as having a limitation, store person number in PLIMANY and goto LAHCC; else goto PLIMANY]
(2,R,D) [goto LAHCC]
Question ID:FHS.260_00.000
(2,R,D) [goto LAHCC]
Instrument Variable Name: PLIMANY
Question Text:
Question Text:
* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)
Who is this? (Anyone else?)
0 Limitation previously mentioned
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
1 Yes, limited in some other way
2 Not limited in any way
7 Refused
9 Don't know
Universe Text All families ? please see note on PLIMANY
Skip Instructions:
Skip Instructions:
go to LAHCC NOTE: In 2012, PLIMANY/FLIMANY was asked of two different sample groups. See the Survey Description Document and Variable Layout for more information. In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing
Weights
- 1997-2018 : PERWEIGHT