IF difficulty with any of the activities in the two lists above:

(HeADLa = 1, 2, 3, 4, 5, 6, 7, 8, 9 OR 10) OR (HeADLb = 1, 2, 3, 4,

5, 6, 7, 8, 9, 10, 11, 12 OR 13)

| HeHpa

| Thinking about the activities that you have problems with, does

| anyone ever help you with these activities (including your partner

| or other people in your household)?

| 1 Yes

| 2 No

| IF someone helps with daily activities: HeHpa = 1

| |

| | HeHpb @

| | SHOW CARD N

| | Who helps you with these activities?

| | PROBE : Does anyone else help you with these activities?

| | CODE ALL THAT APPLY

| | 1 Husband or wife or partner

| | 2 Mother or father

| | 3 son

| | 4 Son-in-law

| | 5 daughter