HEALTH STATUS AND FUNCTIONING 健康状况和功能

1. Spouse 配偶

2. Ex-spouse 前妻/前夫

3. Mother 母亲

4. Father 　父亲

5. Mother-in-law 岳母/婆婆

6. Father-in-law 岳父/公公

7. Children[preload name] 　子女 [子女姓名]

8. Sibling 　　兄弟姐妹

9. Sibling of spouse 配偶的兄弟姐妹

10. Brother-in-law, sister-in-law 　姐夫/妹夫/嫂子/弟媳

11. Grandson 孙子/外孙子

12. Granddaughter 孙女/外孙女

13. Other relative 其他亲属

14. Paid helper(such as nanny) 雇

佣人员（如：保姆）

15. Volunteer or Employee of facility 志愿者或者志愿机构人员

16. Nursing home 养老院人员

17. Other 其他人员

NOTE: “EMPLOYEE(S) OF FACILITY” APPEARS ON LIST ONLY FOR AN R CUR-

RENTLY.LIVING IN A NURSING HOME OR WHO WAS LIVING IN A NURSING HOME OR

HOSPICE WHEN S/HE DIED. 注意: 养老院人员选项仅针对住在养老院或在养老院去世的受访者。

PROCEDURE 程序：IF helper is “grandchild” (DB022_W2_1 = 35 or 36)

DB022_W2_2 Which child was the parent of the grandchildren? 是

哪个孩子的孩子？(choose

all that apply 可多选)

1-20 Provide the list of children

21 Dead child 去世孩子

PROCEDURE 程序：IF helper is “other” (DB022_W2_1 = 41)

DB022_W2_3 What’s that person’s relationship with you? 提供帮助的人是

您的什么人？____

DB022_W2_4 BRANCHPOINT: IF SEVEN ADL HELPERS HAVE ALREADY BEEN DE-

SCRIBED, GO TO DB016 (OUT OF LOOP)

DB022_W2_4 Does anyone else help you with (this activity/these activities)? 除了上面提到

的人以外，还有没有其他人帮助您？

1. Yes 有 Go to DB022_W2_1 loop

2. No 没有