Demos
Others titles
- Medicare Health Outcomes Survey PUF Data Files 2012 to 2014
- Health Outcome Survey Public Use Data File PUF 2012 to 2014
Keywords
- HOS survey files
- HOS latest survey
- Medicare Survey file
- Health Outcome Survey
- HOS
Medicare Health Outcomes Survey 2012 to 2014
Medicare HOS (Health Outcomes Survey) Public Use data files (PUFs) contain the majority of the survey items collected on the HOS instrument (excluding beneficiary identifying information) as well as selected additional administrative variables. PUFs are used for research purposes and to facilitate the dissemination of data collected by the Medicare HOS project for additional research, PUFs have been created for each cohort (combined baseline and two year follow up) of data.
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Description
The Medicare HOS is the first patient-reported outcomes measure used in Medicare managed care. The goal of the Medicare HOS program is to gather valid and reliable clinically meaningful data that have many uses, such as for targeting quality improvement activities and resources; monitoring health plan performance and rewarding top-performing health plans; helping beneficiaries make informed healthcare choices; and advancing the science of functional health outcomes measurement. Managed care plans with Medicare Advantage (MA) contracts must participate.
Each spring a random sample of Medicare beneficiaries is drawn and surveyed from each participating Medicare Advantage Organization (MAO) that has a minimum of 500 enrollees (i.e., a survey is administered to a different baseline cohort, or group, each year). Two years later, the baseline respondents are surveyed again (i.e., follow up measurement). Cohort 1 was surveyed in 1998 and was resurveyed in 2000. Cohort 2 was surveyed in 1999 and was resurveyed in 2001, and so on. During the current HOS administration (2016 Round 19), Cohort 19 is surveyed and Cohort 17 is resurveyed using HOS 3.0. For data collection years 1998-2006, the MAO sample size was one thousand. Effective 2007, the MAO sample size was increased to twelve hundred.
The PUFs files have been constructed in accordance with current CMS and Department of Health and Human Services (HHS) policies and other applicable statutes and laws. All identifying information has been excluded from the files, and demographic categories have been aggregated such that identification of any given individual is not possible.
Two distinct categories of PUFs have been generated:
1.Baseline PUFs contain the data collected during a given baseline survey administration.
2.Analytic PUFs contain the merged baseline and follow up files as well as supplemental variables.
– 2014 COHORT 15 BASELINE SAMPLING METHODOLOGY
The HOS measure is administered to a randomly selected sample of individuals at baseline from each MAO. The sampling methodology is dependent upon the size of a plan’s population.
– MAOs with fewer than 500 members enrolled were not required to report HOS.
– For MAOs with 500 to 1,200 members, all eligible members were included in the sample.
– For MAOs with more than 1,200 members and less than 3,000 members, a simple random sample of 1,200 members was selected for the baseline survey.
– For MAOs with 3,000 or more members, members who responded to the previous year’s baseline survey were excluded from the random sample of 1,200 for the current year.
– Members were defined as eligible if they were 18 years or older on the date the sample was drawn. The six months enrollment requirement was waived beginning in 2009, and members with End Stage Renal Disease (ESRD) were no longer excluded from the sampling beginning in 2010.
– 2014 COHPRT 15 FOLLOW UP SAMPLING METHODOLOGY
CMS identified beneficiaries from the 2012 Cohort 15 Baseline sample who were eligible for remeasurement as follows:
– Beneficiaries were eligible for remeasurement if they had sufficient data to derive physical health or mental health summary scores at baseline and remained in the same MAO at follow up.
– Beneficiaries were excluded if they disenrolled from their MAO or were deceased subsequent to the baseline survey. Although deceased beneficiaries were excluded from the follow up sample, CMS includes deceased baseline respondents when calculating the HOS performance measurement results.
– SURVEY ADMINISTRATION
– MAOs contracted with an NCQA-Certified survey vendor to administer the survey following the protocol specified in the HEDIS 2012, Volume 6, Specifications for the Medicare Health Outcomes Survey Manual. The manual details the procedures to be followed during both mail and telephone phases of the protocol.
– The mail component of the survey used a standardized questionnaire, survey letters, and prenotification postcards. Sample respondents completed the HOS in English, Spanish or Chinese language versions of the mail survey.
– Survey vendors attempted telephone follow up in English or Spanish (with at least six attempts) in those instances when beneficiaries failed to respond after the second mail survey or returned an incomplete mail survey in order to obtain missing responses. A standardized version of a Computer Assisted Telephone Interviewing (CATI) script was used to collect telephone interview data for the survey.
– Survey vendors perform data cleaning, and follow up with survey respondents, as necessary.
About this Dataset
Data Info
| Date Created | 2012 |
|---|---|
| Last Modified | 2014 |
| Version | 2014 |
| Update Frequency |
Annual |
| Temporal Coverage |
2012-2014 |
| Spatial Coverage |
United States |
| Source | John Snow Labs; Medicare Health Outcome Survey, Centers for Medicare and Medicaid Services (CMS); |
| Source License URL | |
| Source License Requirements |
N/A |
| Source Citation |
N/A |
| Keywords | HOS survey files, HOS latest survey, Medicare Survey file, Health Outcome Survey, HOS |
| Other Titles | Medicare Health Outcomes Survey PUF Data Files 2012 to 2014, Health Outcome Survey Public Use Data File PUF 2012 to 2014 |
Data Fields
| Name | Description | Type | Constraints |
|---|---|---|---|
| Unique_Identifier | A unique nine digit randomly assigned code for each beneficiary | string | required : 1 |
| Baseline_Survey_Age_Group_of_Beneficiary | Beneficiary’s age group obtained from the CMS Medicare Enrollment Database | string | required : 1 |
| Baseline_Survey_Race_of_Beneficiary | How would you describe your race? | string | - |
| Baseline_Survey_Gender_of_Beneficiary | Are you male or female? | string | - |
| Baseline_Survey_Marital_Status_of_Beneficiary | What is your current marital status? | string | - |
| Baseline_Survey_Education_Level_of_Beneficiary | What is your Education Level? | string | - |
| Baseline_Survey_Body_Mass_Index_Category | Beneficiary’s Body Mass Index Category, calculated from self-reported weight and height. BMI = (weight / height2) * 703 | string | - |
| Baseline_Survey_General_Health | In general, would you say your health is? | string | - |
| Baseline_Survey_Moderate_Activities | The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf | string | - |
| Baseline_Survey_Climbing_Several_Flights_of_Stairs | The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Climbing several flights of stairs | string | - |
| Baseline_Survey_Physical_Health_Limiting_Accomplishment | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Accomplished less than you would like | string | - |
| Baseline_Survey_Physical_Health_Limiting_Activities | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Were limited in the kind of work or other activities | string | - |
| Baseline_Survey_Emotional_Problems_Limiting_Accomplishment | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Accomplished less than you would like | string | - |
| Baseline_Survey_Emotional_Problems_Limiting_Carefulness | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Didn’t do work or other activities as carefully as usual | string | - |
| Baseline_Survey_Pain_Interfering_with_Work | During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? | string | - |
| Baseline_Survey_Calm_and_Peaceful | How much of the time during the past 4 weeks, Have you felt calm and peaceful? | string | - |
| Baseline_Survey_Lots_of_Energy | How much of the time during the past 4 weeks, Did you have a lot of energy? | string | - |
| Baseline_Survey_Downhearted_and_Blue | How much of the time during the past 4 weeks, Have you felt downhearted and blue? | string | - |
| Baseline_Survey_Health_Interfering_with_Social_Activities | During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? | string | - |
| Baseline_Survey_Physical_Health_Comparison | Compared to one year ago, how would you rate your physical health in general now? | string | - |
| Baseline_Survey_Emotional_Problems_Comparison | Compared to one year ago, how would you rate your emotional problems (such as feeling anxious, depressed or irritable) in general now? | string | - |
| Baseline_Survey_Bathing | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Bathing | string | - |
| Baseline_Survey_Dressing | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? | string | - |
| Baseline_Survey_Eating | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Eating | string | - |
| Baseline_Survey_Getting_In_or_Out_of_Chairs | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Getting in or out of chairs | string | - |
| Baseline_Survey_Walking | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Walking | string | - |
| Baseline_Survey_Using_the_Toilet | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Using the toilet | string | - |
| Baseline_Survey_Number_of_Days_Physical_Health_Not_Good | Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? Note: A value of “88” indicates ≥ 100 days. | integer | level : Nominal |
| Baseline_Survey_Number_of_Days_Mental_Health_Not_Good | Now, thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good? Note: A value of “88” indicates ≥ 100 days. | integer | level : Nominal |
| Baseline_Survey_Health_Interference_with_Daily_Activities | During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation? Note: A value of “88” indicates ≥ 100 days. | integer | level : Nominal |
| Baseline_Survey_Chest_Pain_or_Pressure_During_Exercise | During the past 4 weeks, how often have you had any of the following problems? Chest pain or pressure when you exercise | string | - |
| Baseline_Survey_Chest_Pain_or_Pressure_When_Resting | During the past 4 weeks, how often have you had any of the following problems? Chest pain or pressure when resting | string | - |
| Baseline_Survey_Shortness_of_Breath_When_Lying_Flat | During the past 4 weeks, how often have you felt short of breath under the following conditions? When lying down flat | string | - |
| Baseline_Survey_Shortness_of_Breath_When_Sitting_or_Resting | During the past 4 weeks, how often have you felt short of breath under the following conditions? When sitting or resting | string | - |
| Baseline_Survey_Shortness_of_Breath_When_Walking | During the past 4 weeks, how often have you felt short of breath under the following conditions? When walking less than one block | string | - |
| Baseline_Survey_Shortness_of_Breath_When_Climbing | During the past 4 weeks, how often have you felt short of breath under the following conditions?When climbing one flight of stairs | string | - |
| Baseline_Survey_Numbness_in_Feet | During the past 4 weeks, how much of the time have you had any of the following problems with your legs and feet?Numbness or loss of feeling in your feet | string | - |
| Baseline_Survey_Tingling_or_Burning_Sensation_in_Feet | During the past 4 weeks, how much of the time have you had any of the following problems with your legs and feet, i.e., Tingling or burning sensation in your feet especially at night | string | - |
| Baseline_Survey_Decreased_Temperature_Sensation_in_Feet | During the past 4 weeks, how much of the time have you had any of the following problems with your legs and feet, i.e., Decreased ability to feel hot or cold with your feet | string | - |
| Baseline_Survey_Sores_or_Wounds_on_Feet | During the past 4 weeks, how much of the time have you had any of the following problems with your legs and feet, i.e., sore or wound on your feet that did not heal | string | - |
| Baseline_Survey_Arthritis_Pain | During the past 4 weeks, how would you describe any arthritis pain you usually had? | string | - |
| Is_Vision_Working_Well_Baseline_Survey | Can you see well enough to read newspaper print (with your glasses or contacts if that’s how you see best)? | boolean | - |
| Is_Hearing_Well_Baseline_Survey | Can you hear most of the things people say (with a hearing aid if that’s how you hear best)? | boolean | - |
| Is_Having_Hypertension_Baseline_Survey | Has a doctor ever told you that you had: Hypertension or high blood pressure | boolean | - |
| Is_Having_Angina_or_Coronary_Artery_Disease_Baseline_Survey | Has a doctor ever told you that you had: Angina pectoris or coronary artery disease | boolean | - |
| Is_Having_Congestive_Heart_Failure_Baseline_Survey | Has a doctor ever told you that you had: Congestive heart failure | boolean | - |
| Is_Having_Myocardial_Infarction_Baseline_Survey | Has a doctor ever told you that you had: A myocardial infarction or heart attack | boolean | - |
| Is_Having_Other_Heart_Conditions_Baseline_Survey | Has a doctor ever told you that you had: Other heart conditions, such as problems with heart valves or the rhythm of your heartbeat | boolean | - |
| Is_Having_Stroke_Baseline_Survey | Has a doctor ever told you that you had: A stroke | boolean | - |
| Is_Having_COPD_Baseline_Survey | Has a doctor ever told you that you had: Emphysema, or asthma, or COPD (chronic obstructive pulmonary disease) | boolean | - |
| Is_Having_Inflammatory_Bowel_Disease_Baseline_Survey | Has a doctor ever told you that you had: Crohn’s disease, ulcerative colitis, or inflammatory bowel disease | boolean | - |
| Is_Having_Arthritis_of_Hip_or_Knee_Baseline_Survey | Has a doctor ever told you that you had: Arthritis of the hip or knee | boolean | - |
| Is_Having_Arthritis_of_Hand_or_Wrist_Baseline_Survey | Has a doctor ever told you that you had: Arthritis of the hand or wrist | boolean | - |
| Is_Having_Osteoporosis_Baseline_Survey | Has a doctor ever told you that you had: Osteoporosis, sometimes called thin or brittle bones | boolean | - |
| Is_Having_Sciatica_Baseline_Survey | Has a doctor ever told you that you had: Sciatica (pain or numbness that travels down your leg to below your knee) | boolean | - |
| Is_Having_Diabetes_Baseline_Survey | Has a doctor ever told you that you had: Diabetes, high blood sugar, or sugar in the urine | boolean | - |
| Is_Having_Any_Cancer_Baseline_Survey | Has a doctor ever told you that you had: Any cancer (other than skin cancer) | boolean | - |
| Is_Having_Colorectal_Cancer_Treatment_Baseline_Survey | If you answered “yes” to question 33 above (that you have had cancer), Are you currently under treatment for: Colon or rectal cancer | boolean | - |
| Is_Having_Lung_Cancer_Treatment_Baseline_Survey | If you answered “yes” to question 33 above (that you have had cancer),Are you currently under treatment for: Lung cancer | boolean | - |
| Is_Having_Breast_Cancer_Treatment_Baseline_Survey | If you answered “yes” to question 33 above (that you have had cancer), Are you currently under treatment for: Breast cancer | boolean | - |
| Is_Having_Prostate_Cancer_Treatment_Baseline_Survey | If you answered “yes” to question 33 above (that you have had cancer), Are you currently under treatment for: Prostate cancer | boolean | - |
| Baseline_Survey_Low_Back_Pain | In the past 4 weeks, how often has low back pain interfered with your usual daily activities (for example, work, school, or housework)? | string | - |
| Is_Having_Two_Weeks_of_Depression_Baseline_Survey | In the past year, have you had 2 weeks or more during which you felt sad, blue or depressed; or when you lost interest or pleasure in things that you usually cared about or enjoyed? | boolean | - |
| Is_Having_Depression_Much_of_the_Time_Baseline_Survey | In the past year, have you felt depressed or sad much of the time? | boolean | - |
| Is_Having_Depression_Most_of_the_Time_Baseline_Survey | Have you ever had 2 years or more in your life when you felt depressed or sad most days, even if you felt okay sometimes? | boolean | - |
| Baseline_Survey_Depressed_in_Past_Week | How much of the time in the past week did you feel depressed? | string | - |
| Baseline_Survey_Comparative_Health | In general, compared to other people your age, would you say that your health is: | string | - |
| Baseline_Survey_Current_Smoker | Do you now smoke every day, some days, or not at all? | string | - |
| Is_Having_Urine_Leakage_Baseline_Survey | Many people experience problems with urinary incontinence, the leakage of urine. In the past 6 months, have you accidentally leaked urine? | boolean | - |
| Baseline_Survey_Magnitude_of_Urine_Leakage_Problem | How much of a problem, if any, was the urine leakage for you? | string | - |
| Is_Urine_Leakage_Problem_Told_to_Doctor_Baseline_Survey | Have you talked with your current doctor or other health provider about your urine leakage problem? | boolean | - |
| Is_Having_Treatment_for_Urine_Leakage_Baseline_Survey | There are many ways to treat urinary incontinence including bladder training, exercises, medication and surgery. Have you received these or any other treatments for your current urine leakage problem? | boolean | - |
| Baseline_Survey_Talked_With_Doctor_About_Physical_Activities | In the past 12 months, did you talk with a doctor or other health provider about your level of exercise or physical activity? For example, a doctor or other health provider may ask if you exercise regularly or take part in physical exercise. | string | - |
| Is_Advised_to_Increase_or_Maintain_Activities_Baseline_Survey | In the past 12 months, did a doctor or other health provider advise you to start, increase or maintain your level of exercise or physical activity? For example, in order to improve your health, your doctor or other health provider may advise you to start taking the stairs, increase walking from 10 to 20 minutes every day or to maintain your current exercise program. | boolean | - |
| Baseline_Survey_Talked_to_Doctor_About_Balance_Problem | A fall is when your body goes to the ground without being pushed. In the past 12 months, did you talk with your doctor or other health provider about falling or problems with balance or walking? | string | - |
| Is_Fallen_in_Past_12_Months_Baseline_Survey | Did you fall in the past 12 months? | boolean | maxLength : 5 |
| Is_Having_Previous_Problem_With_Walking_or_Balance_Baseline_Survey | In the past 12 months, have you had a problem with balance or walking? | boolean | - |
| Baseline_Survey_Talked_to_Doctor_About_How_to_Prevent_Falls | Has your doctor or other health provider done anything to help prevent falls or treat problems with balance or walking? Some things they might do include: Suggest that you use a cane or walker, Check your blood pressure lying or standing, Suggest that you do an exercise or physical therapy program, Suggest a vision or hearing testing | string | - |
| Is_Having_Osteoporosis_Testing_Baseline_Survey | Have you ever had a bone density test to check for osteoporosis, sometimes thought of as “brittle bones”? This test may have been done to your back, hip, wrist, heel or finger. | boolean | - |
| Baseline_Survey_Who_Completed_This_Survey_Form | Who completed this survey form? | string | - |
| Baseline_Survey_Disposition | This field contains a character string. Note: For survey disposition codes, M=Mail and T=Telephone | string | - |
| Baseline_Survey_Round | Survey round code for completed, partially completed, and non-completed surveys by mail or telephone | string | - |
| Percent_of_Baseline_Survey_Completed | Percent of survey completed. Range: 0 to 100% (value is rounded to the tenths decimal place) | number | level : Nominal |
| Follow_Up_Survey_General_Health | In general, what would you say your health is? | string | - |
| Follow_Up_Survey_Moderate_Activities | The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf | string | - |
| Follow_Up_Survey_Climbing_Several_Flights_of_Stairs | The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Climbing several flights of stairs | string | - |
| Follow_Up_Survey_Physical_Health_Limiting_Accomplishment | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Accomplished less than you would like | string | - |
| Follow_Up_Survey_Physical_Health_Limiting_Activities | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Were limited in the kind of work or other activities | string | - |
| Follow_Up_Survey_Emotional_Problems_Limiting_Accomplishment | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Accomplished less than you would like | string | - |
| Follow_Up_Survey_Emotional_Problems_Limiting_Carefulness | During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Didn’t do work or other activities as carefully as usual | string | - |
| Follow_Up_Survey_Pain_Interfering_with_Work | During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? | string | - |
| Follow_Up_Survey_Calm_and_Peaceful | These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks… Have you felt calm and peaceful? | string | - |
| Follow_Up_Survey_Lots_of_Energy | These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks… Did you have a lot of energy? | string | - |
| Follow_Up_Survey_Downhearted_and_Blue | These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks… Have you felt downhearted and blue? | string | - |
| Follow_Up_Survey_Health_Interfering_with_Social_Activities | During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? | string | - |
| Follow_Up_Survey_Physical_Health_Comparison | Compared to one year ago, how would you rate your physical health in general now? | string | - |
| Follow_Up_Survey_Emotional_Problems_Comparison | Compared to one year ago, how would you rate your emotional problems (such as feeling anxious, depressed or irritable) in general now? | string | - |
| Follow_Up_Survey_Bathing | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Bathing | string | - |
| Follow_Up_Survey_Dressing | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Dressing | string | - |
| Follow_Up_Survey_Eating | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Eating | string | - |
| Follow_Up_Survey_Getting_In_or_Out_of_Chairs | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Getting in or out of chairs | string | - |
| Follow_Up_Survey_Walking | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Walking | string | - |
| Follow_Up_Survey_Using_the_Toilet | Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Using the toilet | string | - |
| Follow_Up_Survey_Difficulty_Preparing_Meals | Because of a health or physical problem, do you have any difficulty doing the following activities? Preparing meals | string | - |
| Follow_Up_Survey_Difficulty_Managing_Money | Because of a health or physical problem, do you have any difficulty doing the following activities? Managing Money | string | - |
| Follow_Up_Survey_Difficulty_Taking_Medication_As_Prescribed | Because of a health or physical problem, do you have any difficulty doing the following activities? Taking Medication as prescribed | string | - |
| Follow_Up_Survey_Number_of_Days_Physical_Health_Not_Good | Now, thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? (Please enter a number between “0” and “30” days. If no days, please enter “0” days.) | integer | level : Nominal |
| Follow_Up_Survey_Number_of_Days_Mental_Health_Not_Good | Now, thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good? | integer | level : Nominal |
| Follow_Up_Survey_Health_Interference_with_Daily_Activities | During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation? | integer | level : Nominal |
| Is_Blind_or_Having_Serious_Difficulty_Seeing_Follow_Up_Survey | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | boolean | - |
| Is_Deaf_or_Having_Serious_Difficulty_Hearing_Follow_Up_Survey | Are you deaf or do you have serious difficulty hearing, even with a hearing aid? | boolean | - |
| Is_Having_Memory_and_Decision_Making_Problem_Follow_Up_Survey | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | boolean | - |
| Is_Having_Difficulty_Doing_Errands_Follow_Up_Survey | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping? | boolean | - |
| Follow_Up_Survey_Previous_Memory_Problems_Interfered_with_Activities | In the past month, how often did memory problems interfere with your daily activities? | string | - |
| Is_Having_Hypertension_Follow_Up_Survey | Has a doctor ever told you that you had: Hypertension or high blood pressure | boolean | - |
| Is_Having_Angina_or_Coronary_Artery_Disease_Follow_Up_Survey | Has a doctor ever told you that you had: Angina pectoris or coronary artery disease | boolean | - |
| Is_Having_Congestive_Heart_Failure_Follow_Up_Survey | Has a doctor ever told you that you had: Congestive heart failure | boolean | - |
| Is_Having_Myocardial_Infarction_Follow_Up_Survey | Has a doctor ever told you that you had: A myocardial infarction or heart attack | boolean | - |
| Is_Having_Other_Heart_Conditions_Follow_Up_Survey | Has a doctor ever told you that you had: Other heart conditions, such as problems with heart valves or the rhythm of your | boolean | - |
| Is_Having_Stroke_Follow_Up_Survey | Has a doctor ever told you that you had: A stroke | boolean | - |
| Is_Having_Chronic_Obstructive_Pulmonary_Disease_Follow_Up_Survey | Has a doctor ever told you that you had: Emphysema, or asthma, or COPD (chronic obstructive pulmonary disease) | boolean | - |
| Is_Having_Inflammatory_Bowel_Disease_Follow_Up_Survey | Has a doctor ever told you that you had: Crohn’s disease, ulcerative colitis, or inflammatory bowel disease | boolean | - |
| Is_Having_Arthritis_of_Hip_or_Knee_Follow_Up_Survey | Has a doctor ever told you that you had: Arthritis of the hip or knee | boolean | - |
| Is_Having_Arthritis_of_Hand_or_Wrist_Follow_Up_Survey | Has a doctor ever told you that you had: Arthritis of the hand or wrist | boolean | - |
| Is_Having_Osteoporosis_Follow_Up_Survey | Has a doctor ever told you that you had: Osteoporosis, sometimes called thin or brittle bones | boolean | - |
| Is_Having_Sciatica_Follow_Up_Survey | Has a doctor ever told you that you had: Sciatica (pain or numbness that travels down your leg to below your knee) | boolean | - |
| Is_Having_Diabetes_Follow_Up_Survey | Has a doctor ever told you that you had: Diabetes, high blood sugar, or sugar in the urine | boolean | - |
| Is_Having_Depression_Follow_Up_Survey | Has a doctor ever told you that you had:Depression | boolean | - |
| Is_Having_Any_Cancer_Follow_Up_Survey | Has a doctor ever told you that you had: Any cancer (other than skin cancer) | boolean | - |
| Is_Having_Colorectal_Cancer_Treatment_Follow_Up_Survey | If you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Colon or rectal cancer | boolean | - |
| Is_Having_Lung_Cancer_Treatment_Follow_Up_Survey | If you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Lung cancer | boolean | - |
| Is_Having_Breast_Cancer_Treatment_Follow_Up_Survey | If you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Breast cancer | boolean | - |
| Is_Having_Prostate_Cancer_Treatment_Follow_Up_Survey | If you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Prostate cancer | boolean | - |
| Is_Having_Other_Cancer_Treatment_Follow_Up_Survey | If you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Other cancer (other than skin cancer) | boolean | - |
| Follow_Up_Survey_Pain_Interfered_with_Activities | In the past 7 days, how much did pain interfere with your day to day activities? | string | - |
| Follow_Up_Survey_Pain_Interfered_with_Socializing | In the past 7 days, how often did pain keep you from socializing with others? | string | - |
| Follow_Up_Survey_Average_Pain_Rating | In the past 7 days, how would you rate your pain on average? | string | - |
| Follow_Up_Survey_Little_Interest_or_Pleasure_in_Doing_Things | Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things | string | - |
| Follow_Up_Survey_Feeling_Depressed_or_Hopeless | Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed, or hopeless | string | - |
| Follow_Up_Survey_Comparative_Health | In general, compared to other people your age, would you say that your health is? | string | - |
| Follow_Up_Survey_Current_Smoker | Do you now smoke every day, some days, or not at all? | string | - |
| Is_Having_Urine_Leakage_Follow_Up_Survey | Many people experience problems with urinary incontinence, the leakage of urine. In the past 6 months, have you accidentally leaked urine? | boolean | - |
| Follow_Up_Survey_Magnitude_of_Urine_Leakage_Problem | How much of a problem, if any, was the urine leakage for you? | string | - |
| Is_Doctor_Aware_About_Urine_Leakage_Follow_Up_Survey | Have you talked with your current doctor or other health provider about your urine leakage problem? | boolean | - |
| Is_Taken_Treatment_for_Urine_Leakage_Follow_Up_Survey | There are many ways to treat urinary incontinence including bladder training, exercises, medication and surgery. Have you received these or any other treatments for your current urine leakage problem? | boolean | - |
| Follow_Up_Survey_Talked_With_Doctor_About_Physical_Activities | In the past 12 months, did you talk with a doctor or other health provider about your level of exercise or physical activity? For example, a doctor or other health provider may ask if you exercise regularly or take part in physical exercise. | string | - |
| Is_Advised_to_Increase_or_Maintain_Activities_Follow_Up_Survey | In the past 12 months, did a doctor or other health provider advise you to start, increase or maintain your level of exercise or physical activity? For example, in order to improve your health, your doctor or other health provider may advise you to start taking the stairs, increase walking from 10 to 20 minutes every day or to maintain your current exercise program. | boolean | - |
| Follow_Up_Survey_Talked_to_Doctor_About_Falling_Or_Balance_Problem | A fall is when your body goes to the ground without being pushed. In the past 12 months, did you talk with your doctor or other health provider about falling or problems with balance or walking? | string | - |
| Is_Reported_to_Fall_in_Past_12_Months_Follow_Up_Survey | Did you fall in the past 12 months? | boolean | - |
| Is_Having_Previous_Problem_with_Walking_or_Balance_Follow_Up_Survey | In the past 12 months, have you had a problem with balance or walking? | boolean | - |
| Follow_Up_Survey_Talked_to_Doctor_About_How_to_Prevent_Falls | Has your doctor or other health provider done anything to help prevent falls or treat problems with balance or walking? Some things they might do include: Suggest that you use a cane or walker, Check your blood pressure lying or standing, Suggest that you do an exercise or physical therapy program, Suggest a vision or hearing testing | string | - |
| Is_Osteoporosis_Testing_Done_Follow_Up_Survey | Have you ever had a bone density test to check for osteoporosis, sometimes thought of as “brittle bones”? This test may have been done to your back, hip, wrist, heel or finger. | boolean | - |
| Follow_Up_Survey_Who_Completed_This_Survey_Form | Who completed this survey form? | string | - |
| Follow_Up_Survey_Disposition | Survey disposition code. Note: For survey disposition codes, M=Mail and T=Telephone | string | - |
| Follow_Up_Survey_Round | Survey round code for completed, partially completed, and non-completed surveys by mail or telephone | string | - |
| Percent_of_Follow_Up_Survey_Completed | Percent of survey completed. Range: 0 to 100% (value is rounded to the tenths decimal place) | number | level : Nominal |
| Follow_Up_Survey_Language | Survey Language used | string | - |
| Analytic_Cohort_Identifier | Cohort in which the HOS surveys contained in this data file were submitted | string | - |
| Analytic_CMS_Region | Derived from the August 2014 HPMS Plan Contract List for the Cohort 15 Analytic PUF. | string | - |
| Is_Sample_Indicator_Follow_Up | Indicates if the record was included in the Cohort 15 Follow Up sample | boolean | - |
| Analytic_Sample_Indicator | Indicates status of the record in the analytic file | string | - |
Data Preview
| Unique Identifier | Baseline Survey Age Group of Beneficiary | Baseline Survey Race of Beneficiary | Baseline Survey Gender of Beneficiary | Baseline Survey Marital Status of Beneficiary | Baseline Survey Education Level of Beneficiary | Baseline Survey Body Mass Index Category | Baseline Survey General Health | Baseline Survey Moderate Activities | Baseline Survey Climbing Several Flights of Stairs | Baseline Survey Physical Health Limiting Accomplishment | Baseline Survey Physical Health Limiting Activities | Baseline Survey Emotional Problems Limiting Accomplishment | Baseline Survey Emotional Problems Limiting Carefulness | Baseline Survey Pain Interfering with Work | Baseline Survey Calm and Peaceful | Baseline Survey Lots of Energy | Baseline Survey Downhearted and Blue | Baseline Survey Health Interfering with Social Activities | Baseline Survey Physical Health Comparison | Baseline Survey Emotional Problems Comparison | Baseline Survey Bathing | Baseline Survey Dressing | Baseline Survey Eating | Baseline Survey Getting In or Out of Chairs | Baseline Survey Walking | Baseline Survey Using the Toilet | Baseline Survey Number of Days Physical Health Not Good | Baseline Survey Number of Days Mental Health Not Good | Baseline Survey Health Interference with Daily Activities | Baseline Survey Chest Pain or Pressure During Exercise | Baseline Survey Chest Pain or Pressure When Resting | Baseline Survey Shortness of Breath When Lying Flat | Baseline Survey Shortness of Breath When Sitting or Resting | Baseline Survey Shortness of Breath When Walking | Baseline Survey Shortness of Breath When Climbing | Baseline Survey Numbness in Feet | Baseline Survey Tingling or Burning Sensation in Feet | Baseline Survey Decreased Temperature Sensation in Feet | Baseline Survey Sores or Wounds on Feet | Baseline Survey Arthritis Pain | Is Vision Working Well Baseline Survey | Is Hearing Well Baseline Survey | Is Having Hypertension Baseline Survey | Is Having Angina or Coronary Artery Disease Baseline Survey | Is Having Congestive Heart Failure Baseline Survey | Is Having Myocardial Infarction Baseline Survey | Is Having Other Heart Conditions Baseline Survey | Is Having Stroke Baseline Survey | Is Having COPD Baseline Survey | Is Having Inflammatory Bowel Disease Baseline Survey | Is Having Arthritis of Hip or Knee Baseline Survey | Is Having Arthritis of Hand or Wrist Baseline Survey | Is Having Osteoporosis Baseline Survey | Is Having Sciatica Baseline Survey | Is Having Diabetes Baseline Survey | Is Having Any Cancer Baseline Survey | Is Having Colorectal Cancer Treatment Baseline Survey | Is Having Lung Cancer Treatment Baseline Survey | Is Having Breast Cancer Treatment Baseline Survey | Is Having Prostate Cancer Treatment Baseline Survey | Baseline Survey Low Back Pain | Is Having Two Weeks of Depression Baseline Survey | Is Having Depression Much of the Time Baseline Survey | Is Having Depression Most of the Time Baseline Survey | Baseline Survey Depressed in Past Week | Baseline Survey Comparative Health | Baseline Survey Current Smoker | Is Having Urine Leakage Baseline Survey | Baseline Survey Magnitude of Urine Leakage Problem | Is Urine Leakage Problem Told to Doctor Baseline Survey | Is Having Treatment for Urine Leakage Baseline Survey | Baseline Survey Talked With Doctor About Physical Activities | Is Advised to Increase or Maintain Activities Baseline Survey | Baseline Survey Talked to Doctor About Balance Problem | Is Fallen in Past 12 Months Baseline Survey | Is Having Previous Problem With Walking or Balance Baseline Survey | Baseline Survey Talked to Doctor About How to Prevent Falls | Is Having Osteoporosis Testing Baseline Survey | Baseline Survey Who Completed This Survey Form | Baseline Survey Disposition | Baseline Survey Round | Percent of Baseline Survey Completed | Follow Up Survey General Health | Follow Up Survey Moderate Activities | Follow Up Survey Climbing Several Flights of Stairs | Follow Up Survey Physical Health Limiting Accomplishment | Follow Up Survey Physical Health Limiting Activities | Follow Up Survey Emotional Problems Limiting Accomplishment | Follow Up Survey Emotional Problems Limiting Carefulness | Follow Up Survey Pain Interfering with Work | Follow Up Survey Calm and Peaceful | Follow Up Survey Lots of Energy | Follow Up Survey Downhearted and Blue | Follow Up Survey Health Interfering with Social Activities | Follow Up Survey Physical Health Comparison | Follow Up Survey Emotional Problems Comparison | Follow Up Survey Bathing | Follow Up Survey Dressing | Follow Up Survey Eating | Follow Up Survey Getting In or Out of Chairs | Follow Up Survey Walking | Follow Up Survey Using the Toilet | Follow Up Survey Difficulty Preparing Meals | Follow Up Survey Difficulty Managing Money | Follow Up Survey Difficulty Taking Medication As Prescribed | Follow Up Survey Number of Days Physical Health Not Good | Follow Up Survey Number of Days Mental Health Not Good | Follow Up Survey Health Interference with Daily Activities | Is Blind or Having Serious Difficulty Seeing Follow Up Survey | Is Deaf or Having Serious Difficulty Hearing Follow Up Survey | Is Having Memory and Decision Making Problem Follow Up Survey | Is Having Difficulty Doing Errands Follow Up Survey | Follow Up Survey Previous Memory Problems Interfered with Activities | Is Having Hypertension Follow Up Survey | Is Having Angina or Coronary Artery Disease Follow Up Survey | Is Having Congestive Heart Failure Follow Up Survey | Is Having Myocardial Infarction Follow Up Survey | Is Having Other Heart Conditions Follow Up Survey | Is Having Stroke Follow Up Survey | Is Having Chronic Obstructive Pulmonary Disease Follow Up Survey | Is Having Inflammatory Bowel Disease Follow Up Survey | Is Having Arthritis of Hip or Knee Follow Up Survey | Is Having Arthritis of Hand or Wrist Follow Up Survey | Is Having Osteoporosis Follow Up Survey | Is Having Sciatica Follow Up Survey | Is Having Diabetes Follow Up Survey | Is Having Depression Follow Up Survey | Is Having Any Cancer Follow Up Survey | Is Having Colorectal Cancer Treatment Follow Up Survey | Is Having Lung Cancer Treatment Follow Up Survey | Is Having Breast Cancer Treatment Follow Up Survey | Is Having Prostate Cancer Treatment Follow Up Survey | Is Having Other Cancer Treatment Follow Up Survey | Follow Up Survey Pain Interfered with Activities | Follow Up Survey Pain Interfered with Socializing | Follow Up Survey Average Pain Rating | Follow Up Survey Little Interest or Pleasure in Doing Things | Follow Up Survey Feeling Depressed or Hopeless | Follow Up Survey Comparative Health | Follow Up Survey Current Smoker | Is Having Urine Leakage Follow Up Survey | Follow Up Survey Magnitude of Urine Leakage Problem | Is Doctor Aware About Urine Leakage Follow Up Survey | Is Taken Treatment for Urine Leakage Follow Up Survey | Follow Up Survey Talked With Doctor About Physical Activities | Is Advised to Increase or Maintain Activities Follow Up Survey | Follow Up Survey Talked to Doctor About Falling Or Balance Problem | Is Reported to Fall in Past 12 Months Follow Up Survey | Is Having Previous Problem with Walking or Balance Follow Up Survey | Follow Up Survey Talked to Doctor About How to Prevent Falls | Is Osteoporosis Testing Done Follow Up Survey | Follow Up Survey Who Completed This Survey Form | Follow Up Survey Disposition | Follow Up Survey Round | Percent of Follow Up Survey Completed | Follow Up Survey Language | Analytic Cohort Identifier | Analytic CMS Region | Is Sample Indicator Follow Up | Analytic Sample Indicator |
| A15000001 | 75 and older | White | Female | Non-Married | Less than a high school education or GED | Not obese (BMI < 30) | 3 = Good | Yes, limited a little | No, not limited at all | 1 = No, none of the time | 1 = No, none of the time | 1 = No, none of the time | 1 = No, none of the time | 3 = Moderately | 3 = A good bit of the time | 3 = A good bit of the time | 2 = All of the time | 3 = Some of the time | 3 = About the same | 2 = Slightly better | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 29.0 | 29.0 | 30.0 | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 4 = Moderate | True | True | True | False | False | False | False | False | False | False | False | True | False | False | False | False | False | False | False | False | 5 = None of the time | False | True | True | 3 = Occasionally or a moderate amount of the time | 2 = Very good | 3 = Not at all | False | 3 = Not a problem | False | False | 2 = No | False | 2 = No | False | False | True | 1 = Person to whom survey was addressed | M10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | M1 = 1st mailing | 97.31 | M36 | NC = Not completed | 3 = Not Applicable | A15 | 6 = Region 6 - Dallas (AR, LA, NM, OK, and TX) | True | 2 = Non-respondent | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| A15000002 | 75 and older | White | Male | Married | Greater than a high school education or GED | Not obese (BMI < 30) | 4 = Fair | Yes, limited a little | Yes, limited a little | 3 = Yes, some of the time | 3 = Yes, some of the time | 3 = Yes, some of the time | 3 = Yes, some of the time | 4 = Quite a bit | 3 = A good bit of the time | 4 = Some of the time | 5 = A little of the time | 3 = Some of the time | 4 = Slightly worse | 3 = About the same | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 15.0 | 10.0 | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 4 = A little of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 2 = Very 3 = Mild | True | False | True | False | False | False | False | False | False | False | False | False | False | False | False | False | 5 = None of the time | False | False | False | 1 = Rarely or none of the time | 3 = Good | 3 = Not at all | False | 2 = No | False | 2 = No | False | False | 2 = No | False | 1 = Person to whom survey was addressed | M10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | M2 = 2nd mailing | 100.01 | T32 | NC = Not completed | 3 = Not Applicable | A15 | 7 = Region 7 - Kansas City (IA, KS, MO, and NE) | True | 2 = Non-respondent | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| A15000003 | 65 to 74 | White | Female | Non-Married | Greater than a high school education or GED | Obese (BMI >= 30) | 3 = Good | No, not limited at all | No, not limited at all | 1 = No, none of the time | 1 = No, none of the time | 1 = No, none of the time | 1 = No, none of the time | 2 = A little bit | 2 = All of the time | 3 = A good bit of the time | 4 = Some of the time | 4 = A little of the time | 1 = Much better | 1 = Much better | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 3 = Mild | True | True | True | False | False | True | False | False | False | False | False | True | False | False | False | False | False | False | False | False | 4 = A little of the time | False | False | False | 1 = Rarely or none of the time | 3 = Good | 3 = Not at all | True | 2 = A small problem | True | False | 2 = No | False | 2 = No | False | False | 2 = No | False | 1 = Person to whom survey was addressed | M10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | M2 = 2nd mailing | 100.01 | A15 | 7 = Region 7 - Kansas City (IA, KS, MO, and NE) | False | 4 = Disenrolled | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| A15000004 | 75 and older | White | Male | Married | Greater than a high school education or GED | Not obese (BMI < 30) | 3 = Good | No, not limited at all | Yes, limited a little | 2 = Yes, a little of the time | 1 = No, none of the time | 1 = No, none of the time | 1 = No, none of the time | 1 = Not at all | 2 = All of the time | 2 = All of the time | 6 = None of the time | 5 = None of the time | 3 = About the same | 1 = Much better | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 1 = None | True | True | True | False | False | False | False | False | False | False | False | False | False | False | False | False | 5 = None of the time | False | False | False | 1 = Rarely or none of the time | 2 = Very good | 3 = Not at all | False | 2 = No | False | 2 = No | False | False | 2 = No | False | 1 = Person to whom survey was addressed | M10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | M2 = 2nd mailing | 100.01 | A15 | 4 = Region 4 - Atlanta (AL, FL, GA, KY, MS, NC, SC, and TN) | False | 5 = Dead | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| A15000005 | 65 to 74 | 4 = Fair | Yes, limited a little | Yes, limited a lot | 4 = Yes, most of the time | 3 = Yes, some of the time | 1 = No, none of the time | 1 = No, none of the time | 4 = Quite a bit | 4 = Some of the time | 5 = A little of the time | 5 = A little of the time | 1 = Person to whom survey was addressed | T31 = non-response: break-off (0- 49% complete) | T5 = 5th telephone | 16.21 | A15 | 6 = Region 6 - Dallas (AR, LA, NM, OK, and TX) | False | 4 = Disenrolled | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| A15000006 | 75 and older | White | Female | Non-Married | Less than a high school education or GED | Not obese (BMI < 30) | 2 = Very Good | Yes, limited a little | Yes, limited a little | 3 = Yes, some of the time | 3 = Yes, some of the time | 2 = Yes, a little of the time | 1 = No, none of the time | 2 = A little bit | 2 = All of the time | 3 = A good bit of the time | 4 = Some of the time | 4 = A little of the time | 3 = About the same | 3 = About the same | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 2 = Most of the time | 2 = Most of the time | 3 = Some of the time | 5 = None of the time | 4 = Moderate | False | False | False | False | False | False | False | False | True | True | True | True | False | False | False | False | False | False | 3 = Some of the time | False | False | False | 3 = Occasionally or a moderate amount of the time | 1 = Excellent | 3 = Not at all | False | 1 = Yes | True | 2 = No | False | False | 1 = Yes | True | 2 = Family member or relative of person to whom the survey was addressed | M10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | M1 = 1st mailing | 95.92 | 4 = Fair | 2 = Yes, limited a little | 2 = Yes, limited a little | 4 = Yes, most of the time | 3 = Yes, some of the time | 4 = Yes, most of the time | 4 = Yes, most of the time | 4 = Quite a bit | 4 = Some of the time | 4 = Some of the time | 3 = A good bit of the time | 3 = Some of the time | 3 = About the same | 4 = Slightly worse | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 3 = I dont do this activity | 3 = I dont do this activity | 2 = Yes, I have difficulty | 15.0 | 10.0 | True | True | True | True | 2 = Most days (5 = Never-6 days a week) | False | False | False | False | False | False | False | False | True | True | True | True | False | False | False | False | False | False | False | 4 = Quite a bit | 3 = Sometimes | 4 | 2 = Several days | 2 = Several days | 4 = Fair | 3 = Not at all | True | 3 = Not a problem | False | False | 2 = No | False | 1 = Yes | True | True | 1 = Person to whom survey was addressed | M10 = completed survey | M1 = 1st mailing | 95.8 | 2 = Spanish | A15 | 2 - New York (NY, NJ, PR, and the VI) | True | 1 = Respondent | ||||||||||||
| A15000007 | 75 and older | White | Female | Non-Married | High school education or GED | Not obese (BMI < 30) | 3 = Good | No, not limited at all | No, not limited at all | 2 = Yes, a little of the time | 2 = Yes, a little of the time | 1 = No, none of the time | 1 = No, none of the time | 2 = A little bit | 1 = All of the time | 2 = All of the time | 6 = None of the time | 5 = None of the time | 3 = About the same | 3 = About the same | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 1 = None | True | True | True | False | False | False | False | False | False | True | False | False | True | False | False | False | 5 = None of the time | False | False | False | 1 = Rarely or none of the time | 3 = Good | 3 = Not at all | False | 2 = No | False | 2 = No | False | False | 2 = No | True | 1 = Person to whom survey was addressed | M10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | M1 = 1st mailing | 100.01 | 2 = Very good | 3 = No, not limited at all | 2 = Yes, limited a little | 1 = No, none of the time | 1 = No, none of the time | 1 = No, none of the time | 1 = No, none of the time | 1 = Not at all | 1 = All of the time | 2 = Most of the time | 5 = A little of the time | 5 = None of the time | 3 = About the same | 3 = About the same | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | False | True | False | True | 5 = Never | True | False | False | False | False | False | False | False | False | False | True | False | False | False | False | 1 = Not at all | 1 = Never | 1 = No pain | 1 = Not at all | 1 = Not at all | 2 = Very good | 3 = Not at all | True | 3 = Not a problem | False | False | 2 = No | False | 3 = I had no visits in the last 1 = Yes2 = No months | False | False | 3 = I had no visits in the last 12 months | True | 1 = Person to whom survey was addressed | M10 = completed survey | M1 = 1st mailing | 100.0 | 1 = English | A15 | 5 = Region 5 - Chicago (IL, IN, MI, MN, OH, and WI) | True | 1 = Respondent | ||||||||||||||||||
| A15000008 | 65 to 74 | White | Female | Married | Greater than a high school education or GED | Not obese (BMI < 30) | 4 = Fair | Yes, limited a little | Yes, limited a lot | 1 = No, none of the time | 3 = Yes, some of the time | 3 = Yes, some of the time | 3 = Yes, some of the time | 2 = A little bit | 4 = Some of the time | 4 = Some of the time | 5 = A little of the time | 4 = A little of the time | 4 = Slightly worse | 3 = About the same | 1 = No, I do not have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 5.0 | 3 = Some of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 3 = Some of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 3 = Mild | True | True | True | False | False | False | False | False | False | False | True | True | True | True | False | False | 4 = A little of the time | False | False | False | 2 = Some or a little of the time | 4 = Fair | 3 = Not at all | True | 2 = A small problem | False | False | 1 = Yes | True | 2 = No | False | False | 2 = No | True | 1 = Person to whom survey was addressed | T10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | T2 = 2nd telephone | 97.31 | A15 | 5 = Region 5 - Chicago (IL, IN, MI, MN, OH, and WI) | False | 4 = Disenrolled | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| A15000009 | 65 to 74 | White | Female | Married | High school education or GED | Not obese (BMI < 30) | 4 = Fair | Yes, limited a little | No, not limited at all | 3 = Yes, some of the time | 3 = Yes, some of the time | 2 = Yes, a little of the time | 2 = Yes, a little of the time | 1 = Not at all | 4 = Some of the time | 2 = All of the time | 4 = Some of the time | 3 = Some of the time | 5 = Much worse | 5 = Much worse | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 30.0 | 30.0 | 15.0 | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 2 = Most of the time | 2 = Most of the time | 2 = Most of the time | 5 = None of the time | 1 = None | True | True | False | False | False | False | False | True | False | False | False | False | False | False | False | False | 3 = Some of the time | True | True | True | 4 = Most or all of the time | 5 = Poor | 3 = Not at all | False | 1 = Yes | True | 1 = Yes | True | True | 1 = Yes | True | 1 = Person to whom survey was addressed | M10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | M1 = 1st mailing | 100.01 | 4 = Fair | 2 = Yes, limited a little | 1 = Yes, limited a lot | 3 = Yes, some of the time | 3 = Yes, some of the time | 1 = No, none of the time | 2 = A little bit | 3 = A good bit of the time | 3 = A good bit of the time | 5 = A little of the time | 3 = Some of the time | 4 = Slightly worse | 3 = About the same | 2 = Yes, I have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 2 = Yes, I have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 3 = I dont do this activity | 2 = Yes, I have difficulty | 2 = Yes, I have difficulty | 30.0 | 10.0 | 30.0 | False | False | True | True | 4 = Rarely (once a week or less) | False | False | False | False | False | True | False | False | False | False | False | False | False | False | False | 3 = Somewhat | 2 = Rarely | 2 | 1 = Not at all | 2 = Several days | 3 = Good | 3 = Not at all | False | 1 = Yes | True | 1 = Yes | True | True | 1 = Yes | True | 1 = Person to whom survey was addressed | M10 = completed survey | M1 = 1st mailing | 98.6 | 1 = English | A15 | 5 = Region 5 - Chicago (IL, IN, MI, MN, OH, and WI) | True | 1 = Respondent | ||||||||||||||||
| A15000010 | 65 to 74 | White | Non-Married | Greater than a high school education or GED | Obese (BMI >= 30) | 4 = Fair | Yes, limited a lot | Yes, limited a lot | 4 = Yes, most of the time | 4 = Yes, most of the time | 5 = Yes, all of the time | 5 = Yes, all of the time | 4 = Quite a bit | 5 = A little of the time | 6 = None of the time | 2 = All of the time | 2 = Most of the time | 5 = Much worse | 2 = Slightly better | 1 = No, I do not have difficulty | 1 = No, I do not have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 2 = Yes, I have difficulty | 1 = No, I do not have difficulty | 30.0 | 30.0 | 30.0 | 1 = All of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 2 = Most of the time | 1 = All of the time | 1 = All of the time | 5 = None of the time | 5 = None of the time | 5 = None of the time | 5 = Severe | True | True | True | False | False | True | False | False | True | False | True | False | False | True | False | 2 = Most of the time | True | True | True | 4 = Most or all of the time | 4 = Fair | 3 = Not at all | False | 2 = No | False | 2 = No | False | True | 2 = No | True | 1 = Person to whom survey was addressed | T10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f) | T4 = 4th telephone | 95.91 | A15 | 8 - Denver (CO, MT, ND, SD, UT, and WY) | False | 4 = Disenrolled |