Survey Text

1996 1988 1980 1972
1995 1987 1979 1971
1994 1986 1978 1970
1993 1985 1977 1969
1992 1984 1976 1968
1991 1983 1975 1967
1990 1982 1974
1989 1981 1973
top
1996
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1995
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1994
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1993
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1992
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1991
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1990
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1989
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1988
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Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1987
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1986
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1985
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1984
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1983
Survey form view entire document:  text  image

Refer to age

1[] 18-69 (1)
2[] Other (NP)

1. What was -- doing MOST OF THE PAST 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-69 (NP)
3[] 70 and over (8)

8. What was -- doing MOST OF THE PAST 12 months; working at a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1982
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Refer to age

1[] 18-70 (1)
2[] Other (NP)

1. What was -- doing most of the past 12 months; working a job or business, keeping house, going to school, or something else?
Priority if 2 or more activities reported: (1) Spent most time doing; (2) Considers most important.

1[] Working (2)
2[] Keeping house (3)
3[] Going to school (5)
4[] Something else (5)

Refer to age

0[] Under 5 (10)
1[] 5-17 (11)
2[] 18-59 (B4)
3[] 60-71 (14)
4[] 71 and over (8)

8. What was -- doing most of the past 12 months; working at a job or business, keeping house, going to school, or something else? Priority if 2 or more activities reported: (1) Spent the most time doing; (2) Considers the most important.

1[] Working
2[] Keeping house
3[] Going to school
4[] Something else

top
1981
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Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1980
Survey form view entire document:  text  image

Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1979
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Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1978
Survey form view entire document:  text  image

Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1977
Survey form view entire document:  text  image

Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1976
Survey form view entire document:  text  image

Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1975
Survey form view entire document:  text  image

Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1974
Survey form view entire document:  text  image

Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1973
Survey form view entire document:  text  image

Ages 17+
18a. What was -- doing most of the past 12 months -- (For males): working or doing something else? (For females): keeping house, working or doing something else?

1 [] Working (23a)
2 [] Keeping house (23b)
3 [] Retired, health (22)
4 [] Retired, other (22)
5 [] Going to school (25)
6 [] 17+ something else (22)
7 [] 6-16 something else (24)
0 [] 1-5 yrs. (20)
0 [] Under 1 (21)

If "something else," ask:

b. What was -- doing? ____

If 45+ years and not "working," "keeping house," or "going to school," ask:

c. Is -- retired? ____

d. If "Retired," ask: Did he retire because of his health? ____

Ages 6-16
19a. What was -- doing most of the past 12 months - going to school or doing something else?

1 [] Working (23a)
2 [] Keeping house (23b)
3 [] Retired, health (22)
4 [] Retired, other (22)
5 [] Going to school (25)
6 [] 17+ something else (22)
7 [] 6-16 something else (24)
0 [] 1-5 yrs. (20)
0 [] Under 1 (21)

If "something else," ask:

b. What was -- doing? ____

Ages under 6
20a. Is -- able to take part at all in ordinary play with other children?

[]Y
1 [] N (27)

b. Is he limited in the kind of play he can do because of his health?

2 [] Y (27)
[] N

c. Is he limited in the amount of play because of his health?

2 [] Y (27)
[] N (26)

21a. Is -- limited in any way because of his health?

[] Y
5 [] N (NP)

b. In what way is he limited? ____ (27)

22a. Does -- health now keep him from working?

1 [] Y (27)
[] N

b. Is he limited in the kind of work he could do because of his health?

2 [] Y (27)
[] N

c. Is he limited in the amount of work he could do because of his health?

2 [] Y (27)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3 [] Y (27)
[] N (26)

23a. Does -- NOW have a job?

[] Y (23c)
[] N

b. In terms of health, is -- NOW able to (work -- keep house) at all?

[] Y
1 [] N (27)

c. Is he limited in the kind of (work -- housework) he can do because of his health?

2 [] Y (27)
[] N

d. Is he limited in the amount of (work -- housework) he can do because of his health?

2 [] Y (27)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3 [] Y (27)
[] N (26)

31. In terms of health would -- be able to go to school?

[] Y
1 [] N (27)

25a. Does (would) -- have to go to a certain type of school because of his health?

2 [] Y (27)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2 [] Y (27)
[] N

c. Is he limited in the kind or amount of other activities because of his health?

3 [] Y (27)
[] N (26)

26a. Is -- limited in ANY WAY because of a disability or health?

4 [] Y
5 [] N (NP)

b. In what way is he limited? Record limitation, not condition ________


top
1972
Survey form view entire document:  text  image


Ages 17+
25a. What was -- doing most of the past 12 months -- (For males): working or doing something else? (For females): keeping house, working or doing something else?

If "something else," ask:

b. What was -- doing? ____

If 45+ years and not "working," "keeping house," or "going to school," ask:

c. Is -- retired? ____

d. If "Retired," ask: Did he retire because of his health? ____

Ages 6-16
26a. What was -- doing most of the past 12 months -- going to school or doing something else?

If "something else," ask:

b. What was -- doing?


Ages under 6
27a. Is -- able to take part at all in ordinary play with other children?

[] Y
1 [] N (34)


b. Is he limited in the kind of play he can do because of his health?
2 [] Y (34)
[] N


c. Is he limited in the amount of play because of his health?
2 [] Y (34)
[] N (33)


28a. Is -- limited in any way because of his health?
[] Y
5 [] N (NP)


b. In what way is he limited? ________ (34)

29a. Does --'s health now keep him from working?
1 [] Y (34)
[] N


b. Is he limited in the kind of work he could do because of his health?
2 [] Y (34)
[] N


c. Is he limited in the amount of work he could do because of his health?
2 [] Y (34)
[] N


d. Is he limited in the kind or amount of other activities because of his health?
3 [] Y (34)
[] N (33)


30a. Does -- NOW have a job?
[] Y (30c)
[] N


b. In terms of health, is -- NOW able to (work - keep house) at all?
[] Y
1 [] N (34)


c. Is he limited in the kind of (work - housework) he can do because of his health?
2 [] Y (34)
[] N


d. Is he limited in the amount of (work -- housework) he can do because of his health?
2 [] Y (34)
[] N


e. Is he limited in the kind or amount of other activities because of his health?
3 [] Y (34)
[] N (33)


31. In terms of health would -- be able to go to school?
[] Y
1 [] N (34)


32 a. Does (would) -- have to go to a certain type of school because of his health?
2 [] Y (34)
[] N


b. Is he (would he be) limited in school attendance because of his health?
2 [] Y (34)
[] N


c. Is he limited in the kind or amount of other activities because of his health?
3 [] Y (34)
[] N (33)


33a. Is -- limited in ANY WAY because of a disability or health?
4 [] Y
5 [] N (NP)


b. In what way is he limited? Record limitation, not condition ________


top
1971
Survey form view entire document:  text  image


Ages 17+
25a. What was -- doing most of the past 12 months -- (For males): working or doing something else? (For females): keeping house, working or doing something else?

If "something else," ask:

b. What was -- doing? ____

If 45+ years and not "working," "keeping house," or "going to school," ask:

c. Is -- retired? ____

d. If "Retired," ask: Did he retire because of his health? ____

Ages 6-16
26a. What was -- doing most of the past 12 months -- going to school or doing something else?

If "something else," ask:

b. What was -- doing?


Ages under 6
27a. Is -- able to take part at all in ordinary play with other children?

[] Y
1 [] N (34)


b. Is he limited in the kind of play he can do because of his health?
2 [] Y (34)
[] N


c. Is he limited in the amount of play because of his health?
2 [] Y (34)
[] N (33)


28a. Is -- limited in any way because of his health?
[] Y
5 [] N (NP)


b. In what way is he limited? ________ (34)

29a. Does --'s health now keep him from working?
1 [] Y (34)
[] N


b. Is he limited in the kind of work he could do because of his health?
2 [] Y (34)
[] N


c. Is he limited in the amount of work he could do because of his health?
2 [] Y (34)
[] N


d. Is he limited in the kind or amount of other activities because of his health?
3 [] Y (34)
[] N (33)


30a. Does -- NOW have a job?
[] Y (30c)
[] N


b. In terms of health, is -- NOW able to (work - keep house) at all?
[] Y
1 [] N (34)


c. Is he limited in the kind of (work - housework) he can do because of his health?
2 [] Y (34)
[] N


d. Is he limited in the amount of (work -- housework) he can do because of his health?
2 [] Y (34)
[] N


e. Is he limited in the kind or amount of other activities because of his health?
3 [] Y (34)
[] N (33)


31. In terms of health would -- be able to go to school?
[] Y
1 [] N (34)


32 a. Does (would) -- have to go to a certain type of school because of his health?
2 [] Y (34)
[] N


b. Is he (would he be) limited in school attendance because of his health?
2 [] Y (34)
[] N


c. Is he limited in the kind or amount of other activities because of his health?
3 [] Y (34)
[] N (33)


33a. Is -- limited in ANY WAY because of a disability or health?
4 [] Y
5 [] N (NP)


b. In what way is he limited? Record limitation, not condition ________


top
1970
Survey form view entire document:  text  image

Ages 17+
19a. What was -- doing most of the past 12 months -(For males): working or doing something else? (For females): keeping house, working or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If 'something else" ask:
b. What was -- doing?

If 45+ years and was not "working," "keeping house," or "going to school." ask:
c. Is -- retired?

d. If "retired," ask: Did he retire because of his health?

Ages 6-16
20a. What was -- doing most of the past 12 months - going to school or doing something else?

1[] Working (24a)
2[] Keeping house (24b)
3[] Retired, health (23)
4[] Retired, other (23)
5[] Going to school (26)
6[] 17+ something else (23)
7[] 6-16 something else (25)

If "something else," ask:
b. What was -- doing?

Ages under 6

0[] 1-5 years (21)
0[] Under 1 (22)

21a. Is -- able to take part at all in ordinary play with other children?

[] Y
1[] N (28)

b. Is he limited in the kind of play he can do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of play because of his health?

2[] Y (28)
[] N (27)

22a. Is -- limited in any way because of his health?

1[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________ (28)

23a. Does -- health now keep him from working?

1[] Y (28)
[] N

b. Is he limited in the kind of work he could do because of his health?

2[] Y (28)
[] N

c. Is he limited in the amount of work he could do because of his health?

2[] Y (28)
[] N

d. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

24a. Does -- NOW have a job?

[] Y (24c)
[] N

b. In terms of health, is -- NOW able to (work - keep house) at all?

[] Y
1[] N (28)

c. Is he limited in the kind of (work-housework) he can do because of his health?

2[]Y (28)
[] N

d. Is he limited in the amount of (work-housework) he can do because of his health?

2[] Y (28)
[] N

e. Is he limited in the kind or amount of other activities because of his health?

3[] Y (28)
[] N (27)

25. In terms of health would -- be able to go to school?

[] Y
1[] N (28)

26a. Does (would) -- have to go to a certain type of school because of his health?

2[] Y (28)
[] N

b. Is he (would he be) limited in school attendance because of his health?

2[] Y (28)
[] N

c. Is he limited in the kinds or amount of other activities because of his health?

3[] Y (28)
[] N

27a. Is -- limited in ANY WAY because of a disability or health?

4[] Y
5[] N (NP)

b. In what way is he limited? Record limitation, not condition.

________

top
1969
Survey form view entire document:  text  image


Ages 17+

18 a. What was -- doing most of the past 12 months --
(For males): working or doing something else?
(For females): keeping house, working or doing something else?
1 [] Working (NP-23)
2 [] Keeping house (NP-23)
3 [] Retired (NP-22)
4 [] Going to school (NP-25)
5 [] 17+ something else (NP-22)
6 [] 6-16 something else (NP-24)
0 [] 1-5 yrs. (NP-20)
0 [] Under 1 (NP-21)


If "something else," ask:

b. What was -- doing?
1 [] Working (NP-23)
2 [] Keeping house (NP-23)
3 [] Retired (NP-22)
4 [] Going to school (NP-25)
5 [] 17+ something else (NP-22)
6 [] 6-16 something else (NP-24)
0 [] 1-5 yrs. (NP-20)
0 [] Under 1 (NP-21)


If 45+ years and not "working," "keeping house," or "going to school, ask:

c. Is -- retired?

Ages 6-16

19 a. What was -- doing most of the past 12 months - going to school or doing something
else?
1 [] Working (NP-23)
2 [] Keeping house (NP-23)
3 [] Retired (NP-22)
4 [] Going to school (NP-25)
5 [] 17+ something else (NP-22)
6 [] 6-16 something else (NP-24)
0 [] 1-5 yrs. (NP-20)
0 [] Under 1 (NP-21)


If "something else," ask:

b. What was -- doing? ____
1 [] Working (NP-23)
2 [] Keeping house (NP-23)
3 [] Retired (NP-22)
4 [] Going to school (NP-25)
5 [] 17+ something else (NP-22)
6 [] 6-16 something else (NP-24)
0 [] 1-5 yrs. (NP-20)
0 [] Under 1 (NP-21)


Ages under 6

20 a. Is -- able to take part at all in ordinary play with other children?

[] Yes
1 [] No (27)


b. Is he limited in the kind of play he can do because of his health?
2 [] Yes (27)
[] No


c. Is he limited in the amount of play because of his health?
2 [] Yes (27)
[] No (26)


21 a. Is -- limited in any way because of his health?
[] Yes
5 [] No (NP)


b. In what way is he limited? ________ (27)

22 a. Does -- health keep him from working?
1 [] Yes (27)
[] No


b. Is he limited in the kind of work he could do because of his health?
2 [] Yes (27)
[] No


c. Is he limited in the amount of work he could do because of his health?
2 [] Yes (27)
[] No


d. Is he limited in the kind or amount of other activities because of his health?
3 [] Yes (27)
[] No (26)


23 a. In terms of health, is -- able to (work - keep house) at all?
[] Yes
1 [] No (27)


b. Is he limited in the kind of (work - housework) he can do because of his health?
2 [] Yes (27)
[] No


c. Is he limited in the amount of (work - housework) he can do because of his health?
2 [] Yes (27)
[] No


d. Is he limited in the kind or amount of other activities because of his health?
3 [] Yes (27)
[] No (26)


24. In terms of health would -- be able to go to school?
[] Yes
1 [] No (27)


25 a. Does (would) -- have to go to a certain type of school because of his health?
2 [] Yes (27)
[] No


b. Is he (would he be) limited in school attendance because of his health?
2 [] Yes (27)
[] No


c. Is he limited in the kind or amount of other activities because of his health?
3 [] Yes (27)
[] No (26)


26 a. Is -- limited in ANY WAY because of a disability or health?
4 [] Yes
5 [] No (NP)


b. In what way is he limited?
Record verbatim response ________


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1968
Survey form view entire document:  text  image


Ages 17+
17a. What was -- doing most of the past 12 months --
(For males): working or doing something else?
(For females): keeping house, working or doing something else?
1[] Working (22)
2[] Keeping house (22)
3[] Retired (21)
4[] Going to school (24)
5[] 17+ something else (21)
6[] 6-16 something else (23)

If "something else," ask:
b. What was -- doing?
1[] Working (22)
2[] Keeping house (22)
3[] Retired (21)
4[] Going to school (24)
5[] 17+ something else (21)
6[] 6-16 something else (23)


If 45+ years and not "working," "keeping house," or "going to school, ask:
c. Is -- retired?

Ages 6-16

18a. What was -- doing most of the past 12 months - going to school or doing something
else?

1[] Working (22)
2[] Keeping house (22)
3[] Retired (21)
4[] Going to school (24)
5[] 17+ something else (21)
6[] 6-16 something else (23)

If "something else," ask:
b. What was -- doing? ____

1[] Working (22)
2[] Keeping house (22)
3[] Retired (21)
4[] Going to school (24)
5[] 17+ something else (21)
6[] 6-16 something else (23)
Ages 1-5

19a. Is -- able to take part at all in ordinary play with other children?

[] Yes (19b)
1[] No (25)

b. Is he limited in the kind of play he can do because of his health?

2[] Yes (25)
[] No (19c)

c. Is he limited in the amount of play because of his health?

2[] Yes (25)
4[] No (NP)
Ages Under 1 yr.

20a. Is -- limited in any way because of his health?

[] Yes (20b)
4[] No (NP)

b. In what way is he limited? ________ (25)


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1967

No questionnaire text is available for this sample.