| | | HEADLA  
| | | SHOW CARD C12  
| | |  
| | | Because of a physical or health problem, have difficulty doing any of the  
| | | activities on this card? Exclude any difficulties that you expect to last less than  
| | | three months.  
| | |  
| | |  
| | | INTERVIEWER:PROBE - 'What others?'····Code all that apply.  
| | | 01 Walking 100 yards  
| | | 02 Sitting for about two hours  
| | | 03 Getting up from a chair after sitting for long periods  
| | | 04 Climbing several flights of stairs without resting  
| | | 05 Climbing one flight of stairs without resting  
| | | 06 Stooping, kneeling, or crouching  
| | | 07 Reaching or extending arms above shoulder level (either arm)  
| | | 08 Pulling or pushing large objects like a living room chair  
| | | 09 Lifting or carrying weights over 10 pounds, like a heavy bag of groceries  
| | | 10 Picking up a 5p coin from a table  
| | | 96 None of these  
| | | [code maximum 10 out of 11 possible responses]  
| | |  
| | | HEADLB  
| | | SHOW CARD C13  
| | |  
| | | Here are a few more everyday activities. Please tell me if any difficulty with  
| | | these because of a physical, mental, emotional or memory problem. Again  
| | | exclude any difficulties you expect to last less than three months.  
| | |  
| | | Because of a health or memory problem, have difficulty doing any of the  
| | | activities on this card?  
| | |  
| | |  
| | | INTERVIEWER:PROBE - 'What others?'···Code all that apply.  
| | | 01 Dressing, including putting on shoes and socks  
| | | 02 Walking across a room  
| | | 03 Bathing or showering  
| | | 04 Eating, such as cutting up food  
| | | 05 Getting in or out of bed  
| | | 06 Using the toilet, including getting up or down  
| | | 07 Using a map to figure out how to get around in a strange place  
| | | 08 Preparing a hot meal  
| | | 09 Shopping for groceries  
| | | 10 Making telephone calls  
| | | 11 Taking medications  
| | | 12 Doing work around the house or garden  
| | | 13 Managing money, such as paying bills and keeping track of expenses  
| | | 96 None of these  
| | | [code maximum 14 out of 14 possible responses]  
| | |