EXPLAIN IF NECESSARY: Include help even if it was for a short time or provided by husband/ wife/
another family member.
ASK IF NECESSARY: [^Have/Has] [^you/[^name]] received help from anyone with walking across a
room, in the last month?
01 Yes
02 No
CATKF*
What about bathing or showering?
EXPLAIN IF NECESSARY: Include help even if it was for a short time or provided by husband/ wife/
another family member.
ASK IF NECESSARY: [^Have/Has] [^you/[^name]] received help from anyone with bathing or showering,
in the last month?
01 Yes
02 No
CATKG*
What about eating, such as cutting up food?
EXPLAIN IF NECESSARY: Include help even if it was for a short time or provided by husband/ wife/
another family member.
ASK IF NECESSARY: [^Have/Has] [^you/[^name]] received help from anyone with eating, such as
cutting up food, in the last month?
01 Yes
02 No
CATKH*
What about getting in or out of bed?
EXPLAIN IF NECESSARY: Include help even if it was for a short time or provided by husband/ wife/
another family member.
ASK IF NECESSARY: [^Have/Has] [^you/[^name]] received help from anyone with getting in or out of
bed, in the last month?
01 Yes
02 No
CATKI*
What about using the toilet, including getting up or down?
EXPLAIN IF NECESSARY: Include help even if it was for a short time or provided by husband/ wife/
another family member.
ASK IF NECESSARY: [^Have/Has] [^you/[^name]] received help from anyone with using the toilet,
including getting up or down, in the last month?
01 Yes
02 No
CATKJ*
What about shopping for groceries?
EXPLAIN IF NECESSARY: Include help even if it was for a short time or provided by husband/ wife/
another family member.
ASK IF NECESSARY: [^Have/Has] [^you/[^name]] received help from anyone with shopping for
groceries, in the last month?
01 Yes
02 No
CATKK*
What about taking medications?
96