Instrument Variable Name: LAHCC
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.

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

Universe Text All persons less than 18 years of age who have at least one reported limitation
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.

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL90N

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL91N

Instrument Variable Name: LAHCC
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.

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

Universe Text All persons less than 18 years of age who have at least one reported limitation
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.

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL90N

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL91N

Instrument Variable Name: LAHCC
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.

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

Universe Text All persons less than 18 years of age who have at least one reported limitation
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.

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL90N

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL91N

Instrument Variable Name: LAHCC
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.

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

Universe Text All persons less than 18 years of age who have at least one reported limitation
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.

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL90N

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL91N

Instrument Variable Name: LAHCC
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.

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

Universe Text All persons less than 18 years of age who have at least one reported limitation
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.

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL90N

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL91N

Instrument Variable Name: LAHCC
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.

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

Universe Text All persons less than 18 years of age who have at least one reported limitation
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.

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL90N

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?

Verbatim Verbatim response
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:

go to LHCL91N

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLAPLYLM
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAPLYLM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PLAPLYUN
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

Universe Text All persons less than 5 years of age who are limited in play activities
Skip Instructions:

repeat this question for all persons listed at PLAPLYLM, then go to FSPEDEIS

Instrument Variable Name: FSPEDEIS
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?

1 Yes
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:

(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]

Instrument Variable Name: PSPEDEIS
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: PSPEDEM
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

Universe Text All persons less than 18 years of age who receive Special Educational or Early Intervention Services
Skip Instructions:

repeat this question for all persons listed at PSPEDEIS, then go to FLAADL

Instrument Variable Name: FLAADL
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.]

1 Yes
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:

(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]

Instrument Variable Name: PLAADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: LABATH
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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LADRESS

Instrument Variable Name: LADRESS
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Dressing?

1 Yes
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:

go to LAEAT

Instrument Variable Name: LAEAT
Question Text:

* Read lead-in if necessary.
[fill: Do you/Does ALIAS] need the help of other persons with...Eating?

1 Yes
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:

go to LABED

Instrument Variable Name: LABED
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?

1 Yes
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:

go to LATOILT

Instrument Variable Name: LATOILT
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?

1 Yes
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:

go to LAHOME

Instrument Variable Name: LAHOME
Question Text:

*Read lead-in if necessary.
[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

Universe Text All persons 3 years of age or older who need help with personal care needs
Skip Instructions:

go to LABATH for the next persons listed at PLAADL; else, go to FLAIADL

Instrument Variable Name: FLAIADL
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAIADL
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKNOW
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?

1 Yes
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:

(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]

Instrument Variable Name: PLAWKNOW
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAWKLIM
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

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:

(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]

Instrument Variable Name: PLAWKLIM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

0 Unable to work
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:

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.

Instrument Variable Name: FLAWALK
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

Universe Text All families
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]

Instrument Variable Name: PLAWALK
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLAREMEM
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?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All families
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]

Instrument Variable Name: PLAREMEM
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
Who is this? (Anyone else?)

1 Yes
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:

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

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

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.

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

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.

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

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.

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

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.

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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

Instrument Variable Name: FLIMANY
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

Universe Text All families ? please see note on PLIMANY
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]

Instrument Variable Name: PLIMANY
Question Text:

* Ask or verify. Enter applicable line number(s), separate with commas.
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

Universe Text All families ? please see note on PLIMANY
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