Select an individual topic for your table:
Caregiver
Screening questions about help given to care recipient
What Is Your Relationship To Participant (CGREL)
Need Help With Dress/Eat/Bathe (CGACTI01)
Need Help With Taking Medicine/Bandages (CGACTI02)
Need Help Keeping Track Of Bills/Checks (CGACTI03)
Need Help Preparing Meals/Laundry (CGACTI04)
Need Help By Taking Shopping/Doctor (CGACTI05)
Need Help To Coordinate Care/Services (CGACTI06)
NFCSP - Respite care
Has Recipient Received Respite Care (CGRSPT)
In-Home Respite Care (CGRSP01)
Adult Daycare Services (CGRSP02)
Overnight Respite Care (CGRSP03)
Number Hrs/Wk Respite Care Usually Received (CGHRWK)
NFCSP - Help or information given
Someone Help Caregiver Get Info On Services/Resources (CGINFO)
NFCSP - Training and education
Caregiver Get Training To Help Make Decisions (CGEDU)
Caregiver Education/Training (CGEDKD01)
Counseling To Assist W/Caregiver Situations (CGEDKD02)
Caregiver Support Groups (CGEDKD03)
NFCSP Provide - Home Modifications (CGSUPA)
NFCSP Provide - Nutritional Supplements (CGSUPB)
NFCSP Provide - Assistive Devices (CGSUPC)
NFCSP Provide - Emergency Response System (CGSUPD)
NFCSP Provide - Specialized Equipment (CGSUPE)
NFCSP Provide - Money Or Stipend (CGSUPF)
Result of Services Received
Which Service Was The Most Helpful (CGMSTHLP)
Where Hear Of National Family Caregiver Support (CGHEAR)
Because Of Caregiver Services-More Time-Personal Activities (CGAFECA)
Because Of Caregiver Services-Feel Less Stress (CGAFECB)
Because Of Caregiver Services-Easier To Care For (CGAFECC)
Because Of Caregiver Services-Know How Get Services (CGAFECD)
Because Of Caregiver Services-Know More About Condition (CGAFECE)
Because Of Caregiver Services-Care Recipient Benefits (CGAFECF)
Have Caregiver Services Help Be Better Caregiver (CGHELP)
Received Services Provide Care For Long Time (CGCARLG)
Rate Caregiver Support Services (CGRATE)
Rating of Caregiver Services Good to Excellent (CGRATE2)
Difficult to Get Services From Agency (CGDIFF)
Questions about the caregiver employment
Current Employment Status (CGWORK)
Caregiver Responsibilities Cause - Quit/Retire (CGQUIT)
Providing Care Interfered With Job (CGINTRFR)
How Often Care Interfered With Job (CGINTJB)
Caregiver Support Services Helped Deal W/Work Difficulty (CGSRVHLP)
Questions about experiences as a caregiver
How Much Physical Strain Is Caring? (CGPSTRN)
How Emotionally Stressful Is Caring? (CGEMSTRS)
How Much Overall Hardship is Caring? (CGHDSHP)
Biggest difficulty faced in caring? (CGDIF)
Did Caregiver Support Services Help Deal W/Difficulty From Caregiving (CGALLEV)
Caregiver's Health (CGHEALTH)
Have Physical Condition Or Problem (CGDISAB)
Caregiving Created Health Problems (CGHLTH)
Questions about the care recipient
How Long Have You Been Caring (CGHLONG)
How Far Away Live From Care Recipient (CGMINUT)
How Often Does Caregiver Visit Care Recipient? (VISTIMES)
Does Recipient Live Alone (CGALONE)
Can Recipient Be Left Alone For A Day (CGLFTLN)
Number Hours Help Each Day Care Recipient Needs (CGHRS)
Number Hours Help Each Week care Recipient Need (CGHRS7)
Number Hours You Care per Week (CGHRSWK5)
Number Hours You Care on the Weekend (CGHRSWD2)
Hours Help Caregiver Provides per Week (CGHRSWK7)
Does care recipient receive help from other places?
Recipient Receive Help From Family/Friend (CGOTHLPA)
Care Recipient Received Help From Agency (CGOTHLPB)
Received Help - Community Agencies (CGOTHLPC)
Received Help Paid By Self Or Family (CGOTHLPD)
Who Provides Most Of The Care (CGCARE)
Caregiver payment
Paid For Caregiving (CGPAID)
Who Pays Caregiver (CGWHOPAY)
New kinds of information valuable to know about
Central Place Help Line To Get Information (CGINF01)
Counseling Or Support Group To Talk To (CGINF02)
Information About Participant's Condition (CGINF03)
Information About Changes In Laws Which Affects (CGINF04)
Help In Selecting Nursing Home/Other Service (CGINF05)
Help Knowing How To Pay Nursing Home/Etc (CGINF06)
Help Dealing With Agencies/Get Services (CGINF07)
Help Getting Information About Medications (CGINF08)
Receive other services in the past year?
Past Year, Did You Receive Congregate Meals? (SVCCM)
Past Year, Did You Receive Home Delivered Meals? (SVCHDM)
Past Year, Did You Receive Homemaker/Housekeeping Service? (SVCHOUSE)
Past Year, Did You Receive Case Management Service? (SVCCSEMG)
Past Year, Received Transportation Service? (SVCTRAN)
Past Year, Received Adult Daycare Service? (SVCDYCR)
Past Year, Received Personal Care Service? (SVCPCR)
Past Year, Received Chore Service? (SVCHORE)
Past Year, Received Legal Assistance? (SVCLGL)
Past Year, Received Information and Assistance? (SVCIAA)
Does Recipient Have Nutrition Counselor? (HNREDUYN)
Has Recipient Received Health Screenings From Other? (HLTHSCRN)
Has Recipient Received Flu/Pneumonia/Immunizations? (SHOTS)
Has Recipient Taken Exercise Fitness Classes? (EXERCISE)
Has Recipient Received Assistance to Administer/Monitor Meds? (MEDS)
Has Recipient Received Help Getting Benefits? (BENEFITS)
How Recipient Rates Group Of Services Received? (SVCRATE)
People Who Give Services Are Courteous (SVCCURT)
Receive other types of assistance?
Is Recipient Receiving Food Stamps? (SVC5A)
Is Recipient Receiving Energy Assistance? (SVC5B)
Is Recipient Receiving Medicaid? (SVC5C)
Is Recipient Receiving Housing Assistance? (SVC5D)
Effect of Caregiving on Care Recipient's Independent Living
Does Recipient's Family/Friends Help Arrange Service (CSARRNG)
Does Recipient's Family/Friends Help Recipient Stay Home (CSHOME)
If No Services, Recipient Still Live At Home (CGDFPLC)
Where Would Recipient Live (CGWHER)
Health questions
How is Recipient's Health (CGCRHL)
Doctor Told Recipient Has Arthritis/Rheumatism? (CGPFDSA)
Doctor Told Recipient Has High Blood Pressure/Hypertention? (CGPFDSB)
Doctor Told Recipient Has Heart Attack/Coronary? (CGPFDSC)
Doctor Told Recipient Has High Cholesterol? (CGPFDSD)
Doctor Told Recipient Has Diabetes Or High Blood Sugar? (CGPFDSE)
Doctor Told Recipient Has Asthma? (CGPFDSF)
Doctor Told Recipient Has Cancer/Malignant Tumor? (CGPFDSG)
Doctor Told Recipient Has Stroke? (CGPFDSH)
Doctor Told Recipient Has Anemia? (CGPFDSI)
Doctor Told Recipient Has Osteoporosis? (CGPFDSJ)
Doctor Told Recipient Has Kidney Disease? (CGPFDSK)
Doctor Told Recipient Has Eye/Vision Conditions? (CGPFDSL)
Doctor Told Recipient Has Hearing Problems? (CGPFDSM)
Doctor Told Recipient Has Emotional/Nervous/Psychiatric Problems? (CGPFDSN)
Doctor Told Recipient Has Alzheimers/Dementia? (CGPFDSO)
Doctor Told Recipient Has Seizures/Epilepsy? (CGPFDSP)
Doctor Told Recipient Has Parkinson's? (CGPFDSQ)
Doctor Told Recipient Has Persistent Joint Pain? (CGPFDSR)
Doctor Told Recipient Has Multiple Sclerosis? (CGPFDSS)
Doctor Told Recipient Has Urinary Incontinence? (CGPFDST)
Doctor Told Recipient Has Something Else? (CGPFDSU)
Total Number Medical Conditions Recipient Reported (NUM_COND)
Oral (dental) health
About how long since care recipient last visited a dentist? (CGOHQ1)
Past year, care recipient needed dental care but could not get it at that t (CGOHQ2)
Past yr could not get dental care: care recipient could not afford cost? (CGOHQ301)
Past yr could not get dental care: care recipient did not want to spend mon (CGOHQ302)
Past yr could not get dental care: care recipient's ins. did not cover reco (CGOHQ303)
Past yr could not get dental care: dental office too far away from care rec (CGOHQ304)
Past yr could not get dental care: dental office not open at convenient tim (CGOHQ305)
Past yr could not get dental care: another dentist recommended to care reci (CGOHQ306)
Past yr could not get dental care: care recipient afraid of or does not lik (CGOHQ307)
Past yr could not get dental care: care recipient unable to take time off f (CGOHQ308)
Past yr could not get dental care: care recipient too busy? (CGOHQ309)
Past yr could not get dental care: care recipient thought no prob/expected (CGOHQ310)
Past yr could not get dental care: care recipient did not have transportati (CGOHQ311)
Past yr could not get dental care: another reason for not getting dental ca (CGOHQ312)
Overall, how would you rate the health of care recipient's teeth and gums? (CGOHQ4)
Demographics
Number of Persons Caring For (Besides Care Recipient) (CGMANY)
Care recipient's gender? (RGENDER)
Has Served Active Duty in U.S. Armed Forces, Reserves or National Guard? (DEVET)
Difference in Age Between Care Recipient and Caregiver (DIF_CR_CG)
Home Delivered Meals
Service length
When Was Last Time Received Meals On Wheels? (HMDAYS)
How Long Been Receiving Home Delivered Meals? (HMRECEV)
Questions on days when get home-delivered meals
How Many Meals On Home Delivered Meal Days? (HMATTENA)
How Many Days/Week Receive Home Delivered Meals? (HMDAYPST)
Amount and types of food usually eaten
Portion Of Food These Meals Represent (HMPORTN)
Servings Of Fruit Eaten Per Day (HMFRUIT)
Usually Eat Fruit Provided? (HMEATFRT)
How Many Servings Potatoes Eat Per Day? (HMPOTATO)
Do You Eat Potatoes Provided By Home Delivered Meals (HMEATPOT)
How Many Servings Of Vegetables Per Day (HMVEGS)
Usually Eat Vegetables Provided? (HMEATVEG)
Total Vegetables (HMTOTVEGS)
Total Fruits And Vegetables (HMTOTFRUVEG)
# Servings Of Bread/Cereal/Rice/Pasta Per Day? (HMBREAD)
Usually Eat Bread/Cereal/Rice/Pasta Provided? (HMEATBRD)
How Many Servings Of Pastry/Desserts Eat Day (HMDES)
Does Recipient Eat The Desserts Provided (HMEATDES)
Total Grains (HMTOTGRAINS)
How Many Servings Of Milk/Cheese/Dairy Eat Per/Day (HMDAIRY)
Usually Eat Milk/Cheese/Dairy Products Provided? (HMEATDAR)
Servings Of Meat/Chicken Eaten Per Day? (HMMEAT)
Usually Eat Meat Provided? (HMEATMET)
Servings Of Beans/Nuts/Tofu Eat Per Day (HMBEANS)
Usually Eat Beans/Nuts/Tofu Provided? (HMEATBNS)
Total Meat, Nuts, Tofu, And Beans (HMTOTMTBNS)
Opinion about the home-delivered meals
Rate Home Delivered Meals Program (HMRATE)
Rating of Home Delivered Meals Good to Excellent (HMRATE2)
How Satisfied With Taste Of Food (HMTASTES)
How Often Satisfied With Variety Of Food (HMVR2FD)
Any Changes in Amount/Quality of Food in Past Year? (HNRFQYN)
Home Delivered Meals: Has Amount/Quantity of Food Decreased? (HNRFQ1)
Home Delivered Meals: Has Quality of Food Declined? (HNRFQ2)
Home Delivered Meals: Is Lunch Provided Less Often? (HNRFQ3)
Home Delivered Meals: Are Fewer Meals Provided? (HNRFQ4)
Home Delivered Meals: Are Fewer Food Choices Offered? (HNRFQ5)
Home Delivered Meals: Has the Packaging of Meals Changed? (HNRFQ6)
Home Delivered Meals: Are More Cold or Frozen Meals Provided? (HNRFQ7)
Home Delivered Meals: Are Fewer Celebration (Holiday/Bday) Meals Provided? (HNRFQ8)
Home Delivered Meals: Are Fewer Condiments Provided? (HNRFQ9)
Home Delivered Meals: Is Less Coffee or Tea Provided? (HNRFQ10)
Home Delivered Meals: Has Quality Improved? (HNRFQ11)
Home Delivered Meals: Has Service Changed Otherwise (HNRFQOT)
Do Meals Arrive When Expected? (HMONTIME)
Does Recipient Like Their Home Delivered Meals? (HNRLIKE)
Recommend Home Delivered Meals Service To Friend? (HNRRECOM)
Results of participating in home-delivered meals
Do Home Delivered Meals Help Recipient Eat Healthier Foods? (HMVARFD)
Do Home Delivered Meals Help Recipient Improve Health? (HMFLBTR)
Do Meals on Wheels Help To Stay In Own Home (HMSTAYHM)
Do Home Delivered Meals Help Recipient Feel Better? (HMFLBR2)
Questions on buying food
Does Recipient Have Enough Money/Food Stamps To Buy Food? (HMENUF)
Recipient Choose Between Food Or Meds? (HMRXFD)
Recipient Choose Between Food/Rent/Bills? (HMBILFD)
Did Recipient Skip Meal Because No Food/No Money (HMSKP)
Receive other services (past year) from local agency?
Past Year, Received Congregate Meals? (SVCCM)
Past Year, Received Homemaker/Housekeeper Service? (SVCHOUSE)
Past Year, Received Case Management Service? (SVCCSEMG)
Past Year, Received Transportation Service? (SVCTRAN)
Past Year, Received Adult Daycare Service? (SVCDYCR)
Past Year, Received Personal Care Service? (SVCPCR)
Past Year, Received Chore Service? (SVCHORE)
Past Year, Received Legal Assistance? (SVCLGL)
Past Year, Received Information and Assistance? (SVCIAA)
Count of Services Received (SVCCOUNT)
Does Recipient Have Nutrition Counselor? (HNREDUYN)
Has Recipient Received Health Screenings From Other? (HLTHSCRN)
Has Recipient Received Flu/Pneumonia/Immunizations? (SHOTS)
Has Recipient Taken Exercise Fitness Classes? (EXERCISE)
Has Recipient Received Assistance to Administer/Monitor Meds? (MEDS)
Has Recipient Received Help Getting Benefits? (BENEFITS)
How Recipient Rates Group Of Services Received? (SVCRATE)
Satisfaction with all services client received
Do Services Help Recipient Live Independently? (SVCIND)
Do Services Help Recipient Feel More Secure? (SVCSECUR)
Do Services Help Recipient Care For Self? (SVCSELFC)
Does Recipient Have Better Idea How To Get Help? (SVCIDEA)
People Who Give Services Are Courteous (SVCCURT)
People Who Give Services Do Things Supposed To Do (SVCSUPOS)
Receive other types of assistance?
Is Recipient Receiving Food Stamps? (SVC5A)
Is Recipient Receiving Energy Assistance? (SVC5B)
Is Recipient Receiving Medicaid? (SVC5C)
Is Recipient Receiving Housing Assistance? (SVC5D)
Family Caregiver Support
Does Recipient's Family/Friends Help Arrange Service (CSARRNG)
Does Recipient's Family/Friends Help Them Stay Home (CSHOME)
Health-Related Quality of Life
Does Health Limit Moderate Activities? (SFMODACT)
Does Health Limit Climbing Stairs? (SFCLIMB)
How Much Has Health Caused To Accomplish Less? (SFACCOMP)
How Much Has Health Limited Kind Of Work? (SFLIMITD)
How Much Have Emotional Problems Caused To Accomplish Less? (SFEMOT)
How Much Have Emotional Problems Made Less Careful Work (SFCAREFL)
How Much Did Pain Interfere With Work? (SFPAIN)
How Much Time Felt Calm/Peaceful? (SFCALM)
How Much Time Have A Lot Of Energy? (SFENERGY)
How Much Time Felt Depressed? (SFDOWN)
How Much Time Health/Emotional Problems Interfere W/Social Activities? (SFINTERF)
Social functioning
How Is Health Now Compared To One Year Ago? (SFHEALTH)
Is Recipient Doing Enough Social Activities? (SFACTIVE)
Have Social Opportunities Increased Since W/Agency? (SFSOCIAL)
Health questions
How Is Health Of Recipient? (PFHLTH)
Doctor Told Recipient Has Arthritis/Rheumatism? (PFDISA)
Doctor Told Recipient Has High Blood Pressure/Hypertention? (PFDISB)
Doctor Told Recipient Has Heart Attack/Coronary? (PFDISC)
Doctor Told Recipient Has High Cholesterol? (PFDISD)
Doctor Told Recipient Has Diabetes Or High Blood Sugar? (PFDISE)
Doctor Told Recipient Has Asthma? (PFDISF)
Doctor Told Recipient Has Cancer/Malignant Tumor? (PFDISG)
Doctor Told Recipient Has Stroke? (PFDISH)
Doctor Told Recipient Has Anemia? (PFDISI)
Doctor Told Recipient Has Osteoporosis? (PFDISJ)
Doctor Told Recipient Has Kidney Disease? (PFDISK)
Doctor Told Recipient Has Eye/Vision Conditions? (PFDISL)
Doctor Told Recipient Has Hearing Problems? (PFDISM)
Doctor Told Recipient Has Emotional/Nervous/Psychiatric Problems? (PFDISN)
Doctor Told Recipient Has Alzheimers/Dementia? (PFDISO)
Doctor Told Recipient Has Seizures/Epilepsy? (PFDISP)
Doctor Told Recipient Has Parkinson's? (PFDISQ)
Doctor Told Recipient Has Persistent Joint Pain? (PFDISR)
Doctor Told Recipient Has Multiple Sclerosis? (PFDISS)
Doctor Told Recipient Has Urinary Incontinence? (PFDIST)
Doctor Told Recipient Has Something Else? (PFDISU)
Total Number Medical Conditions Reported (NUM_COND)
Health care education/counseling
Past Yr Learned How to Care for Any/All Chronic Illnesses/Medical Conds? (PFTKCARE)
Past Yr Lrn Care for Chronic Conds Talk in Pers to Primary Care Hlth Prof? (PFPCARE)
Past Yr Lrn Care for Chronic Conds Talk in Pers to Non-Prim Care Hlth Prof? (PFNCARE)
Past Yr Lrn Care for Chronic Conds Speak on Phone With Health Prof? (PFPHON)
Past Yr Lrn Care for Chronic Conds Read About it on Internet? (PFWEB)
Past Yr Lrn Care for Chronic Conds Take Group Class? (PFCLASS)
Past Yr Lrn Care for Chronic Conds Learn in some other way? [Y/N Response] (PFLRN)
Past Yr Lrn Care for Chronic Conds Are You or Family Member a Med Prof? (PFMEDF)
Past Yr Lrn Care for Chronic Conds Hear about it on TV/Radio/Newspaper? (PFMEDIA)
Past Yr Lrn Care for Chronic Conds Read Printed Materials? (PFREAD)
How Confident Can Do All Things Nec to Manage Chronic Conds on Reg Basis? (PFCONF)
Difficulty Learning/Etc. Due To Mental Condition Last 6 mo.? (PFLEARN)
Health care utilization
How Many Different Drugs/Day (HLMDRUGS)
Had To Stay In Hospital, Nursing Home or Rehab Past Year? (HMHOSPNH)
Had To Stay In Hospital Overnight Past Year (HLMHOSP)
Had To Stay In Nursing Home or Rehab Past Year? (HLMNH)
Oral (dental) health
About how long since you last visited a dentist? (OHQ030)
Past year, needed dental care but could not get it at that time? (OHQ770)
Past yr could not get dental care: could not afford cost? (OHQ78001)
Past yr could not get dental care: did not want to spend money? (OHQ78002)
Past yr could not get dental care: ins. did not cover recommended procedure (OHQ78003)
Past yr could not get dental care: dental office too far away? (OHQ78004)
Past yr could not get dental care: dental office not open at convenient tim (OHQ78005)
Past yr could not get dental care: another dentist recommended not doing it (OHQ78006)
Past yr could not get dental care: afraid of or do not like dentists? (OHQ78007)
Past yr could not get dental care: unable to take time off from work? (OHQ78008)
Past yr could not get dental care: too busy? (OHQ78009)
Past yr could not get dental care: think no problems/expected problems to g (OHQ78010)
Past yr could not get dental care: did not have transportation? (OHQ78011)
Past yr could not get dental care: another reason for not getting dental ca (OHQ78012)
Overall, how would you rate the health of your teeth and gums? (OHQ845)
Activity and Instrumental Activity of Daily Living (ADL/IADL)
Difficulty when walking, preparing meals, or going outside the home? (PF_WMO)
Who Provided Most Help With Activities? (FAMFRND)
Which Family Member Helps Most W/Activities? (WHOHELPS)
Demographics
Has Served Active Duty in U.S. Armed Forces, Reserves or National Guard? (DEVET)
Congregate Meals
Frequency of meals
How Long Been Attending Lunch Program? (CMRECEV)
How Many Days/Week Eat At Senior Center? (CMDAYSWK)
Eating habits
What Portion Of All Food Does Congregate Meal Represent (CMPORTN)
How Many Servings Of Fruit Eat Per Day (CMFRUIT)
Does Recipient Usually Eat Fruit Provided? (CMEATFRT)
How Many Servings Of Potatoes Eat/Day (CMPOTATO)
Recipient Usually Eat Potatoes Provided? (CMEATPOT)
How Many Servings Vegetables Eat Per Day (CMVEGS)
Usually Eat Vegetables Provided? (CMEATVEG)
Total Vegetables (CMTOTVEGS)
Total Fruits And Vegetables (CMTOTFRUVEG)
# Servings Bread/Cereal/Rice/Pasta Eat Per Day (CMBREAD)
Usually Eat Bread/Cereal/Rice/Pasta Provided? (CMEATBRD)
How Many Servings Of Pastry/Desserts Eat Day (CMDES)
Does Recipient Eat Sweets/Desserts Provided (CMEATDES)
Total Grains (CMTOTGRAINS)
How Many Servings Milk/Cheese/Dairy Eat Per Day (CMDAIRY)
Usually Eat/Drink Milk/Cheese/Dairy Provided? (CMEATDAR)
How Many Servings Meat Eat Per Day (CMMEAT)
Usually Eat Meat Provided? (CMEATMET)
How Many Servings Beans/Nuts/Tofu Eat Per Day (CMBEANS)
Usually Eat Beans/Nuts/Tofu Provided? (CMEATBNS)
Total Meat, Nuts, Tofu, And Beans (CMTOTMTBNS)
Rating of program
How Recipient Rate Meals/Lunch Program (CMRATE)
Rating of Congregate Meals Good to Excellent (CMRATE2)
Results of participating in congregate meals program
Would Recipient Recommend Service To Friend? (CMRECOM)
Recipient Eat Healthier Foods Result Of Meals Program (CMVARFD)
Does Eating Lunch Program Improve Health (CMFLBTR)
Do Meal Programs Help Recipient Stay In Own Home (CMSTAYHM)
Does Recipient Like Meals At Lunch Program? (CMLIKE)
Does Recipient Feel Better As Result Of Meals (CMFLBR2)
Recipient See Friends More Often Due To Meals (CMFRNDS)
Satisfaction with the food
How Often Satisfied W/Taste Of Food? (CMTASTES)
How Often Satisfied With Variety Of Food (CMVR2FD)
Lunch Program: Any Changes in Amount/Quality of Food in Past Year? (CMFQYN)
Lunch Program: Has Amount/Quantity of Food Decreased? (CMFQ1)
Lunch Program: Has Quality of Food Declined? (CMFQ2)
Lunch Program: Is Lunch Program Provided Less Often? (CMFQ3)
Lunch Program: Are Fewer Meals Provided or Fewer Persons Served? (CMFQ4)
Lunch Program: Are Fewer Food Choices Offered? (CMFQ5)
Lunch Program: Has the Packaging of Meals Changed? (CMFQ6)
Lunch Program: Are More Cold Meals Provided? (CMFQ7)
Lunch Program: Are Fewer Celebration (Holiday/Birthday) Meals Provided? (CMFQ8)
Lunch Program: Are Fewer Condiments Provided? (CMFQ9)
Lunch Program: Is Less Coffee or Tea Provided? (CMFQ10)
Lunch Program: Has Quality Improved? (CMFQ11)
Lunch Program: Has Lunch Program Changed Otherwise (CMFQOT)
Questions on buying food
Does Recipient Have Enough Money/Food Stamps To Buy Food? (CMENUF)
Past Month, Choose Between Buying Food or Buying Medication? (CMRXFD)
Past Month, Choose Between Buying Food or Paying Your Rent/Utility Bills? (CMBILFD)
Past Month, Skip Meal Bec No Food and No Money/Food Stamps to Buy Food? (CMSKP)
Other Services the Client Received
Past Year, Received Home Delivered Meals? (SVCHDM)
Past Year, Received Homemaker/Housekeeping Service? (SVCHOUSE)
Past Year, Received Case Management Service? (SVCCSEMG)
Past Year, Received Transportation Service? (SVCTRAN)
Past Year, Received Adult Daycare Service? (SVCDYCR)
Past Year, Received Personal Care Services? (SVCPCR)
Past Year, Received Chore Service? (SVCHORE)
Past Year, Received Legal Assistance? (SVCLGL)
Past Year, Received Information and Assistance? (SVCIAA)
Count of Services Received (SVCCOUNT)
Does Recipient Have Nutrition Counselor? (HNREDUYN)
Has Recipient Received Health Screenings From Other? (HLTHSCRN)
Has Recipient Received Flu/Pneumonia/Immunizations? (SHOTS)
Has Recipient Taken Exercise Fitness Classes? (EXERCISE)
Has Recipient Received Assistance to Administer/Monitor Meds? (MEDS)
Has Recipient Received Help Getting Benefits? (BENEFITS)
Satisfaction with all services client received
How Recipient Rates Group Of Services Received? (SVCRATE)
Do Services Help Recipient Live Independently? (SVCIND)
Do Services Help Recipient Feel More Secure? (SVCSECUR)
Do Services Help Recipient Care For Self? (SVCSELFC)
Does Recipient Have Better Idea How To Get Help? (SVCIDEA)
People Who Give Services Are Courteous (SVCCURT)
People Who Give Services Do Things Supposed To Do (SVCSUPOS)
Receive other types of assistance?
Is Recipient Receiving Food Stamps? (SVC5A)
Is Recipient Receiving Energy Assistance? (SVC5B)
Is Recipient Receiving Medicaid? (SVC5C)
Is Recipient Receiving Housing Assistance? (SVC5D)
Family Caregiver Support
Does Recipient's Family/Friends Help Arrange Service (CSARRNG)
Does Recipient's Family/Friends Help Them Stay Home (CSHOME)
Health-Related Quality of Life
How Is Health Of Recipient? (PFHLTH)
Does Health Limit Moderate Activities? (SFMODACT)
Does Health Limit Climbing Stairs? (SFCLIMB)
How Much Has Health Caused To Accomplish Less? (SFACCOMP)
How Much Has Health Limited Kind Of Work? (SFLIMITD)
How Much Have Emotional Problems Caused To Accomplish Less? (SFEMOT)
How Much Have Emotional Problems Made Less Careful Work (SFCAREFL)
How Much Did Pain Interfere With Work? (SFPAIN)
How Much Time Felt Calm/Peaceful? (SFCALM)
How Much Time Have A Lot Of Energy? (SFENERGY)
How Much Time Felt Depressed? (SFDOWN)
How Much Time Health/Emotional Problems Interfere W/Social Activities? (SFINTERF)
Social functioning
How Is Health Now Compared To One Year Ago? (SFHEALTH)
Is Recipient Doing Enough Social Activities? (SFACTIVE)
Have Social Opportunities Increased Since W/Agency? (SFSOCIAL)
Health questions
Doctor Told Recipient Has Arthritis/Rheumatism? (PFDISA)
Doctor Told Recipient Has High Blood Pressure/Hypertention? (PFDISB)
Doctor Told Recipient Has Heart Attack/Coronary? (PFDISC)
Doctor Told Recipient Has High Cholesterol? (PFDISD)
Doctor Told Recipient Has Diabetes Or High Blood Sugar? (PFDISE)
Doctor Told Recipient Has Asthma? (PFDISF)
Doctor Told Recipient Has Cancer/Malignant Tumor? (PFDISG)
Doctor Told Recipient Has Stroke? (PFDISH)
Doctor Told Recipient Has Anemia? (PFDISI)
Doctor Told Recipient Has Osteoporosis? (PFDISJ)
Doctor Told Recipient Has Kidney Disease? (PFDISK)
Doctor Told Recipient Has Eye/Vision Conditions? (PFDISL)
Doctor Told Recipient Has Hearing Problems? (PFDISM)
Doctor Told Recipient Has Emotional/Nervous/Psychiatric Problems? (PFDISN)
Doctor Told Recipient Has Alzheimers/Dementia? (PFDISO)
Doctor Told Recipient Has Seizures/Epilepsy? (PFDISP)
Doctor Told Recipient Has Parkinson's? (PFDISQ)
Doctor Told Recipient Has Persistent Joint Pain? (PFDISR)
Doctor Told Recipient Has Multiple Sclerosis? (PFDISS)
Doctor Told Recipient Has Urinary Incontinence? (PFDIST)
Doctor Told Recipient Has Something Else? (PFDISU)
Total Number Medical Conditions Reported (NUM_COND)
Health care education/counseling
Past Yr Learned How to Care for Any/All Chronic Illnesses/Medical Conds? (PFTKCARE)
Past Yr Lrn Care for Chronic Conds Talk in Pers to Primary Care Hlth Prof? (PFPCARE)
Past Yr Lrn Care for Chronic Conds Talk in Pers to Non-Prim Care Hlth Prof? (PFNCARE)
Past Yr Lrn Care for Chronic Conds Speak on Phone With Health Prof? (PFPHON)
Past Yr Lrn Care for Chronic Conds Read About it on Internet? (PFWEB)
Past Yr Lrn Care for Chronic Conds Take Group Class? (PFCLASS)
Past Yr Lrn Care for Chronic Conds Learn in some other way? [Y/N Response] (PFLRN)
Past Yr Lrn Care for Chronic Conds Are You or Family Member a Med Prof? (PFMEDF)
Past Yr Lrn Care for Chronic Conds Hear about it on TV/Radio/Newspaper? (PFMEDIA)
Past Yr Lrn Care for Chronic Conds Read Printed Materials? (PFREAD)
How Confident Can Do All Things Nec to Manage Chronic Conds on Reg Basis? (PFCONF)
Difficulty Learning/Etc. Due To Mental Condition Last 6 mo.? (PFLEARN)
Health care utilization
How Many Different Drugs/Day (HLMDRUGS)
Had To Stay In Hospital, Nursing Home or Rehab Past Year? (HMHOSPNH)
Had To Stay In Hospital Overnight Past Year (HLMHOSP)
Had To Stay In Nursing Home or Rehab Past Year? (HLMNH)
Oral (dental) health
About how long since you last visited a dentist? (OHQ030)
Past year, needed dental care but could not get it at that time? (OHQ770)
Past yr could not get dental care: could not afford cost? (OHQ78001)
Past yr could not get dental care: did not want to spend money? (OHQ78002)
Past yr could not get dental care: ins. did not cover recommended procedure (OHQ78003)
Past yr could not get dental care: dental office too far away? (OHQ78004)
Past yr could not get dental care: dental office not open at convenient tim (OHQ78005)
Past yr could not get dental care: another dentist recommended not doing it (OHQ78006)
Past yr could not get dental care: afraid of or do not like dentists? (OHQ78007)
Past yr could not get dental care: unable to take time off from work? (OHQ78008)
Past yr could not get dental care: too busy? (OHQ78009)
Past yr could not get dental care: think no problems/expected problems to g (OHQ78010)
Past yr could not get dental care: did not have transportation? (OHQ78011)
Past yr could not get dental care: another reason for not getting dental ca (OHQ78012)
Overall, how would you rate the health of your teeth and gums? (OHQ845)
Activity and Instrumental Activity of Daily Living (ADL/IADL)
Limited access to or difficulty using public transit, no car or difficulty (MOB_IMP)
Who Provided Most Help With Activities? (FAMFRND)
Which Family Member Helps Most W/Activities? (WHOHELPS)
Demographics
Has Served Active Duty in U.S. Armed Forces, Reserves or National Guard? (DEVET)
Homemaker
Experience with homemaker service
How Long Been Receiving Homemaker Services? (HCRECEV)
Consolidated Times Per Month Homemaker Helps With Housework (TIMESMO)
Consolidated Hours Per Month Homemaker Helps With Housework (HOURSMO)
Rating of homemaker service
How Would Recipient Rate Quality Of Homemaker Service (HCARATE)
Rating of Homemaker Services Good to Excellent (HCARATE2)
Would Recipient Recommend Homemaker To Friend? (HCRREC)
Do Services Help Recipient Continue to Live in Own Home? (HCSTAYHM)
Other Services the Client Received
Past Year, Received Congregate Meals? (SVCCM)
Past Year, Received Home Delivered Meals? (SVCHDM)
Past Year, Received Case Management Services? (SVCCSEMG)
Past Year, Received Transportation Services? (SVCTRAN)
Past Year, Received Adult Daycare Services? (SVCDYCR)
Past Year, Received Personal Care Services? (SVCPCR)
Past Year, Received Chore Service? (SVCHORE)
Past Year, Received Legal Assistance? (SVCLGL)
Past Year, Received Information and Assistance? (SVCIAA)
Count of Services Received (SVCCOUNT)
Does Recipient Have Nutrition Counselor? (HNREDUYN)
Has Recipient Received Health Screenings From Other? (HLTHSCRN)
Has Recipient Received Flu/Pneumonia/Immunizations? (SHOTS)
Has Recipient Taken Exercise Fitness Classes? (EXERCISE)
Has Recipient Received Assistance to Administer/Monitor Meds? (MEDS)
Has Recipient Received Help Getting Benefits? (BENEFITS)
Satisfaction with all services client received
How Recipient Rates Group Of Services Received? (SVCRATE)
Do Services Help Recipient Live Independently? (SVCIND)
Do Services Help Recipient Feel More Secure? (SVCSECUR)
Do Services Help Recipient Care For Self? (SVCSELFC)
Does Recipient Have Better Idea How To Get Help? (SVCIDEA)
People Who Give Services Are Courteous (SVCCURT)
People Who Give Services Do Things Supposed To Do (SVCSUPOS)
Receive other types of assistance?
Is Recipient Receiving Food Stamps? (SVC5A)
Is Recipient Receiving Energy Assistance? (SVC5B)
Is Recipient Receiving Medicaid? (SVC5C)
Is Recipient Receiving Housing Assistance? (SVC5D)
Family Caregiver Support
Does Recipient's Family/Friends Help Arrange Service (CSARRNG)
Does Recipient's Family/Friends Help Them Stay Home (CSHOME)
Health-Related Quality of Life
How Is Health Of Recipient? (PFHLTH)
Does Health Limit Moderate Activities? (SFMODACT)
Does Health Limit Climbing Stairs? (SFCLIMB)
How Much Has Health Caused To Accomplish Less? (SFACCOMP)
How Much Has Health Limited Kind Of Work? (SFLIMITD)
How Much Have Emotional Problems Caused To Accomplish Less? (SFEMOT)
How Much Have Emotional Problems Made Less Careful Work (SFCAREFL)
How Much Did Pain Interfere With Work? (SFPAIN)
How Much Time Felt Calm/Peaceful? (SFCALM)
How Much Time Have A Lot Of Energy? (SFENERGY)
How Much Time Felt Depressed? (SFDOWN)
How Much Time Health/Emotional Problems Interfere W/Social Activities? (SFINTERF)
Social functioning
How Is Health Now Compared To One Year Ago? (SFHEALTH)
Is Recipient Doing Enough Social Activities? (SFACTIVE)
Have Social Opportunities Increased Since W/Agency? (SFSOCIAL)
Health questions
Doctor Told Recipient Has Arthritis/Rheumatism? (PFDISA)
Doctor Told Recipient Has High Blood Pressure/Hypertention? (PFDISB)
Doctor Told Recipient Has Heart Attack/Coronary? (PFDISC)
Doctor Told Recipient Has High Cholesterol? (PFDISD)
Doctor Told Recipient Has Diabetes Or High Blood Sugar? (PFDISE)
Doctor Told Recipient Has Asthma? (PFDISF)
Doctor Told Recipient Has Cancer/Malignant Tumor? (PFDISG)
Doctor Told Recipient Has Stroke? (PFDISH)
Doctor Told Recipient Has Anemia? (PFDISI)
Doctor Told Recipient Has Osteoporosis? (PFDISJ)
Doctor Told Recipient Has Kidney Disease? (PFDISK)
Doctor Told Recipient Has Eye/Vision Conditions? (PFDISL)
Doctor Told Recipient Has Hearing Problems? (PFDISM)
Doctor Told Recipient Has Emotional/Nervous/Psychiatric Problems? (PFDISN)