CATKA*
[^Have/Has] [^you/[^name]] received help from anyone with walking 100 yards, in the last month?
INTERVIEWER: Include help even if it was for a short time or provided by husband/ wife/ another family
member.
01 Yes
02 No
CATKB*
What about climbing several flights of stairs without resting?
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 climbing several
flights of stairs without resting, in the last month?
01 Yes
02 No
CATKC*
What about climbing one flight of stairs without resting?
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 climbing one flight of
stairs without resting, in the last month?
01 Yes
02 No
CATKD*
What about dressing, including putting on shoes and socks?
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 dressing, including
putting on shoes and socks, in the last month?
01 Yes
02 No
CATKE*
What about walking across a room?
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
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