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  • 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_IdentifierA unique nine digit randomly assigned code for each beneficiarystringrequired : 1
Baseline_Survey_Age_Group_of_BeneficiaryBeneficiary’s age group obtained from the CMS Medicare Enrollment Databasestringrequired : 1
Baseline_Survey_Race_of_BeneficiaryHow would you describe your race?string-
Baseline_Survey_Gender_of_BeneficiaryAre you male or female?string-
Baseline_Survey_Marital_Status_of_BeneficiaryWhat is your current marital status?string-
Baseline_Survey_Education_Level_of_BeneficiaryWhat is your Education Level?string-
Baseline_Survey_Body_Mass_Index_CategoryBeneficiary’s Body Mass Index Category, calculated from self-reported weight and height. BMI = (weight / height2) * 703string-
Baseline_Survey_General_HealthIn general, would you say your health is?string-
Baseline_Survey_Moderate_ActivitiesThe 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 golfstring-
Baseline_Survey_Climbing_Several_Flights_of_StairsThe 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 stairsstring-
Baseline_Survey_Physical_Health_Limiting_AccomplishmentDuring 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 likestring-
Baseline_Survey_Physical_Health_Limiting_ActivitiesDuring 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 activitiesstring-
Baseline_Survey_Emotional_Problems_Limiting_AccomplishmentDuring 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 likestring-
Baseline_Survey_Emotional_Problems_Limiting_CarefulnessDuring 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 usualstring-
Baseline_Survey_Pain_Interfering_with_WorkDuring 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_PeacefulHow much of the time during the past 4 weeks, Have you felt calm and peaceful?string-
Baseline_Survey_Lots_of_EnergyHow much of the time during the past 4 weeks, Did you have a lot of energy?string-
Baseline_Survey_Downhearted_and_BlueHow much of the time during the past 4 weeks, Have you felt downhearted and blue?string-
Baseline_Survey_Health_Interfering_with_Social_ActivitiesDuring 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_ComparisonCompared to one year ago, how would you rate your physical health in general now?string-
Baseline_Survey_Emotional_Problems_ComparisonCompared to one year ago, how would you rate your emotional problems (such as feeling anxious, depressed or irritable) in general now?string-
Baseline_Survey_BathingBecause of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Bathingstring-
Baseline_Survey_DressingBecause 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_EatingBecause of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Eatingstring-
Baseline_Survey_Getting_In_or_Out_of_ChairsBecause 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 chairsstring-
Baseline_Survey_WalkingBecause of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Walkingstring-
Baseline_Survey_Using_the_ToiletBecause 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 toiletstring-
Baseline_Survey_Number_of_Days_Physical_Health_Not_GoodNow 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.integerlevel : Nominal
Baseline_Survey_Number_of_Days_Mental_Health_Not_GoodNow, 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.integerlevel : Nominal
Baseline_Survey_Health_Interference_with_Daily_ActivitiesDuring 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.integerlevel : Nominal
Baseline_Survey_Chest_Pain_or_Pressure_During_ExerciseDuring the past 4 weeks, how often have you had any of the following problems? Chest pain or pressure when you exercisestring-
Baseline_Survey_Chest_Pain_or_Pressure_When_RestingDuring the past 4 weeks, how often have you had any of the following problems? Chest pain or pressure when restingstring-
Baseline_Survey_Shortness_of_Breath_When_Lying_FlatDuring the past 4 weeks, how often have you felt short of breath under the following conditions? When lying down flatstring-
Baseline_Survey_Shortness_of_Breath_When_Sitting_or_RestingDuring the past 4 weeks, how often have you felt short of breath under the following conditions? When sitting or restingstring-
Baseline_Survey_Shortness_of_Breath_When_WalkingDuring the past 4 weeks, how often have you felt short of breath under the following conditions? When walking less than one blockstring-
Baseline_Survey_Shortness_of_Breath_When_ClimbingDuring the past 4 weeks, how often have you felt short of breath under the following conditions?When climbing one flight of stairsstring-
Baseline_Survey_Numbness_in_FeetDuring 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 feetstring-
Baseline_Survey_Tingling_or_Burning_Sensation_in_FeetDuring 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 nightstring-
Baseline_Survey_Decreased_Temperature_Sensation_in_FeetDuring 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 feetstring-
Baseline_Survey_Sores_or_Wounds_on_FeetDuring 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 healstring-
Baseline_Survey_Arthritis_PainDuring the past 4 weeks, how would you describe any arthritis pain you usually had?string-
Is_Vision_Working_Well_Baseline_SurveyCan 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_SurveyCan you hear most of the things people say (with a hearing aid if that’s how you hear best)?boolean-
Is_Having_Hypertension_Baseline_SurveyHas a doctor ever told you that you had: Hypertension or high blood pressureboolean-
Is_Having_Angina_or_Coronary_Artery_Disease_Baseline_SurveyHas a doctor ever told you that you had: Angina pectoris or coronary artery diseaseboolean-
Is_Having_Congestive_Heart_Failure_Baseline_SurveyHas a doctor ever told you that you had: Congestive heart failureboolean-
Is_Having_Myocardial_Infarction_Baseline_SurveyHas a doctor ever told you that you had: A myocardial infarction or heart attackboolean-
Is_Having_Other_Heart_Conditions_Baseline_SurveyHas a doctor ever told you that you had: Other heart conditions, such as problems with heart valves or the rhythm of your heartbeatboolean-
Is_Having_Stroke_Baseline_SurveyHas a doctor ever told you that you had: A strokeboolean-
Is_Having_COPD_Baseline_SurveyHas a doctor ever told you that you had: Emphysema, or asthma, or COPD (chronic obstructive pulmonary disease)boolean-
Is_Having_Inflammatory_Bowel_Disease_Baseline_SurveyHas a doctor ever told you that you had: Crohn’s disease, ulcerative colitis, or inflammatory bowel diseaseboolean-
Is_Having_Arthritis_of_Hip_or_Knee_Baseline_SurveyHas a doctor ever told you that you had: Arthritis of the hip or kneeboolean-
Is_Having_Arthritis_of_Hand_or_Wrist_Baseline_SurveyHas a doctor ever told you that you had: Arthritis of the hand or wristboolean-
Is_Having_Osteoporosis_Baseline_SurveyHas a doctor ever told you that you had: Osteoporosis, sometimes called thin or brittle bonesboolean-
Is_Having_Sciatica_Baseline_SurveyHas 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_SurveyHas a doctor ever told you that you had: Diabetes, high blood sugar, or sugar in the urineboolean-
Is_Having_Any_Cancer_Baseline_SurveyHas a doctor ever told you that you had: Any cancer (other than skin cancer)boolean-
Is_Having_Colorectal_Cancer_Treatment_Baseline_SurveyIf you answered “yes” to question 33 above (that you have had cancer), Are you currently under treatment for: Colon or rectal cancerboolean-
Is_Having_Lung_Cancer_Treatment_Baseline_SurveyIf you answered “yes” to question 33 above (that you have had cancer),Are you currently under treatment for: Lung cancerboolean-
Is_Having_Breast_Cancer_Treatment_Baseline_SurveyIf you answered “yes” to question 33 above (that you have had cancer), Are you currently under treatment for: Breast cancerboolean-
Is_Having_Prostate_Cancer_Treatment_Baseline_SurveyIf you answered “yes” to question 33 above (that you have had cancer), Are you currently under treatment for: Prostate cancerboolean-
Baseline_Survey_Low_Back_PainIn 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_SurveyIn 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_SurveyIn the past year, have you felt depressed or sad much of the time?boolean-
Is_Having_Depression_Most_of_the_Time_Baseline_SurveyHave 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_WeekHow much of the time in the past week did you feel depressed?string-
Baseline_Survey_Comparative_HealthIn general, compared to other people your age, would you say that your health is:string-
Baseline_Survey_Current_SmokerDo you now smoke every day, some days, or not at all?string-
Is_Having_Urine_Leakage_Baseline_SurveyMany 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_ProblemHow much of a problem, if any, was the urine leakage for you?string-
Is_Urine_Leakage_Problem_Told_to_Doctor_Baseline_SurveyHave you talked with your current doctor or other health provider about your urine leakage problem?boolean-
Is_Having_Treatment_for_Urine_Leakage_Baseline_SurveyThere 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_ActivitiesIn 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_SurveyIn 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_ProblemA 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_SurveyDid you fall in the past 12 months?booleanmaxLength : 5
Is_Having_Previous_Problem_With_Walking_or_Balance_Baseline_SurveyIn the past 12 months, have you had a problem with balance or walking?boolean-
Baseline_Survey_Talked_to_Doctor_About_How_to_Prevent_FallsHas 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 testingstring-
Is_Having_Osteoporosis_Testing_Baseline_SurveyHave 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_FormWho completed this survey form?string-
Baseline_Survey_DispositionThis field contains a character string. Note: For survey disposition codes, M=Mail and T=Telephonestring-
Baseline_Survey_RoundSurvey round code for completed, partially completed, and non-completed surveys by mail or telephonestring-
Percent_of_Baseline_Survey_CompletedPercent of survey completed. Range: 0 to 100% (value is rounded to the tenths decimal place)numberlevel : Nominal
Follow_Up_Survey_General_HealthIn general, what would you say your health is?string-
Follow_Up_Survey_Moderate_ActivitiesThe 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 golfstring-
Follow_Up_Survey_Climbing_Several_Flights_of_StairsThe 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 stairsstring-
Follow_Up_Survey_Physical_Health_Limiting_AccomplishmentDuring 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 likestring-
Follow_Up_Survey_Physical_Health_Limiting_ActivitiesDuring 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 activitiesstring-
Follow_Up_Survey_Emotional_Problems_Limiting_AccomplishmentDuring 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 likestring-
Follow_Up_Survey_Emotional_Problems_Limiting_CarefulnessDuring 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 usualstring-
Follow_Up_Survey_Pain_Interfering_with_WorkDuring 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_PeacefulThese 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_EnergyThese 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_BlueThese 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_ActivitiesDuring 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_ComparisonCompared to one year ago, how would you rate your physical health in general now?string-
Follow_Up_Survey_Emotional_Problems_ComparisonCompared 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_BathingBecause of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Bathingstring-
Follow_Up_Survey_DressingBecause of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Dressingstring-
Follow_Up_Survey_EatingBecause of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Eatingstring-
Follow_Up_Survey_Getting_In_or_Out_of_ChairsBecause 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 chairsstring-
Follow_Up_Survey_WalkingBecause of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Walkingstring-
Follow_Up_Survey_Using_the_ToiletBecause 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 toiletstring-
Follow_Up_Survey_Difficulty_Preparing_MealsBecause of a health or physical problem, do you have any difficulty doing the following activities? Preparing mealsstring-
Follow_Up_Survey_Difficulty_Managing_MoneyBecause of a health or physical problem, do you have any difficulty doing the following activities? Managing Moneystring-
Follow_Up_Survey_Difficulty_Taking_Medication_As_PrescribedBecause of a health or physical problem, do you have any difficulty doing the following activities? Taking Medication as prescribedstring-
Follow_Up_Survey_Number_of_Days_Physical_Health_Not_GoodNow, 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.)integerlevel : Nominal
Follow_Up_Survey_Number_of_Days_Mental_Health_Not_GoodNow, 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?integerlevel : Nominal
Follow_Up_Survey_Health_Interference_with_Daily_ActivitiesDuring 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?integerlevel : Nominal
Is_Blind_or_Having_Serious_Difficulty_Seeing_Follow_Up_SurveyAre you blind or do you have serious difficulty seeing, even when wearing glasses?boolean-
Is_Deaf_or_Having_Serious_Difficulty_Hearing_Follow_Up_SurveyAre you deaf or do you have serious difficulty hearing, even with a hearing aid?boolean-
Is_Having_Memory_and_Decision_Making_Problem_Follow_Up_SurveyBecause 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_SurveyBecause 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_ActivitiesIn the past month, how often did memory problems interfere with your daily activities?string-
Is_Having_Hypertension_Follow_Up_SurveyHas a doctor ever told you that you had: Hypertension or high blood pressureboolean-
Is_Having_Angina_or_Coronary_Artery_Disease_Follow_Up_SurveyHas a doctor ever told you that you had: Angina pectoris or coronary artery diseaseboolean-
Is_Having_Congestive_Heart_Failure_Follow_Up_SurveyHas a doctor ever told you that you had: Congestive heart failureboolean-
Is_Having_Myocardial_Infarction_Follow_Up_SurveyHas a doctor ever told you that you had: A myocardial infarction or heart attackboolean-
Is_Having_Other_Heart_Conditions_Follow_Up_SurveyHas a doctor ever told you that you had: Other heart conditions, such as problems with heart valves or the rhythm of yourboolean-
Is_Having_Stroke_Follow_Up_SurveyHas a doctor ever told you that you had: A strokeboolean-
Is_Having_Chronic_Obstructive_Pulmonary_Disease_Follow_Up_SurveyHas 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_SurveyHas a doctor ever told you that you had: Crohn’s disease, ulcerative colitis, or inflammatory bowel diseaseboolean-
Is_Having_Arthritis_of_Hip_or_Knee_Follow_Up_SurveyHas a doctor ever told you that you had: Arthritis of the hip or kneeboolean-
Is_Having_Arthritis_of_Hand_or_Wrist_Follow_Up_SurveyHas a doctor ever told you that you had: Arthritis of the hand or wristboolean-
Is_Having_Osteoporosis_Follow_Up_SurveyHas a doctor ever told you that you had: Osteoporosis, sometimes called thin or brittle bonesboolean-
Is_Having_Sciatica_Follow_Up_SurveyHas 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_SurveyHas a doctor ever told you that you had: Diabetes, high blood sugar, or sugar in the urineboolean-
Is_Having_Depression_Follow_Up_SurveyHas a doctor ever told you that you had:Depressionboolean-
Is_Having_Any_Cancer_Follow_Up_SurveyHas a doctor ever told you that you had: Any cancer (other than skin cancer)boolean-
Is_Having_Colorectal_Cancer_Treatment_Follow_Up_SurveyIf you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Colon or rectal cancerboolean-
Is_Having_Lung_Cancer_Treatment_Follow_Up_SurveyIf you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Lung cancerboolean-
Is_Having_Breast_Cancer_Treatment_Follow_Up_SurveyIf you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Breast cancerboolean-
Is_Having_Prostate_Cancer_Treatment_Follow_Up_SurveyIf you answered “yes” to question 36 above (that you have had cancer), Are you currently under treatment for: Prostate cancerboolean-
Is_Having_Other_Cancer_Treatment_Follow_Up_SurveyIf 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_ActivitiesIn the past 7 days, how much did pain interfere with your day to day activities?string-
Follow_Up_Survey_Pain_Interfered_with_SocializingIn the past 7 days, how often did pain keep you from socializing with others?string-
Follow_Up_Survey_Average_Pain_RatingIn the past 7 days, how would you rate your pain on average?string-
Follow_Up_Survey_Little_Interest_or_Pleasure_in_Doing_ThingsOver the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing thingsstring-
Follow_Up_Survey_Feeling_Depressed_or_HopelessOver the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed, or hopelessstring-
Follow_Up_Survey_Comparative_HealthIn general, compared to other people your age, would you say that your health is?string-
Follow_Up_Survey_Current_SmokerDo you now smoke every day, some days, or not at all?string-
Is_Having_Urine_Leakage_Follow_Up_SurveyMany 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_ProblemHow much of a problem, if any, was the urine leakage for you?string-
Is_Doctor_Aware_About_Urine_Leakage_Follow_Up_SurveyHave you talked with your current doctor or other health provider about your urine leakage problem?boolean-
Is_Taken_Treatment_for_Urine_Leakage_Follow_Up_SurveyThere 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_ActivitiesIn 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_SurveyIn 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_ProblemA 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_SurveyDid you fall in the past 12 months?boolean-
Is_Having_Previous_Problem_with_Walking_or_Balance_Follow_Up_SurveyIn the past 12 months, have you had a problem with balance or walking?boolean-
Follow_Up_Survey_Talked_to_Doctor_About_How_to_Prevent_FallsHas 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 testingstring-
Is_Osteoporosis_Testing_Done_Follow_Up_SurveyHave 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_FormWho completed this survey form?string-
Follow_Up_Survey_DispositionSurvey disposition code. Note: For survey disposition codes, M=Mail and T=Telephonestring-
Follow_Up_Survey_RoundSurvey round code for completed, partially completed, and non-completed surveys by mail or telephonestring-
Percent_of_Follow_Up_Survey_CompletedPercent of survey completed. Range: 0 to 100% (value is rounded to the tenths decimal place)numberlevel : Nominal
Follow_Up_Survey_LanguageSurvey Language usedstring-
Analytic_Cohort_IdentifierCohort in which the HOS surveys contained in this data file were submittedstring-
Analytic_CMS_RegionDerived from the August 2014 HPMS Plan Contract List for the Cohort 15 Analytic PUF.string-
Is_Sample_Indicator_Follow_UpIndicates if the record was included in the Cohort 15 Follow Up sampleboolean-
Analytic_Sample_IndicatorIndicates status of the record in the analytic filestring-

Data Preview

Unique IdentifierBaseline Survey Age Group of BeneficiaryBaseline Survey Race of BeneficiaryBaseline Survey Gender of BeneficiaryBaseline Survey Marital Status of BeneficiaryBaseline Survey Education Level of BeneficiaryBaseline Survey Body Mass Index CategoryBaseline Survey General HealthBaseline Survey Moderate ActivitiesBaseline Survey Climbing Several Flights of StairsBaseline Survey Physical Health Limiting AccomplishmentBaseline Survey Physical Health Limiting ActivitiesBaseline Survey Emotional Problems Limiting AccomplishmentBaseline Survey Emotional Problems Limiting CarefulnessBaseline Survey Pain Interfering with WorkBaseline Survey Calm and PeacefulBaseline Survey Lots of EnergyBaseline Survey Downhearted and BlueBaseline Survey Health Interfering with Social ActivitiesBaseline Survey Physical Health ComparisonBaseline Survey Emotional Problems ComparisonBaseline Survey BathingBaseline Survey DressingBaseline Survey EatingBaseline Survey Getting In or Out of ChairsBaseline Survey WalkingBaseline Survey Using the ToiletBaseline Survey Number of Days Physical Health Not GoodBaseline Survey Number of Days Mental Health Not GoodBaseline Survey Health Interference with Daily ActivitiesBaseline Survey Chest Pain or Pressure During ExerciseBaseline Survey Chest Pain or Pressure When RestingBaseline Survey Shortness of Breath When Lying FlatBaseline Survey Shortness of Breath When Sitting or RestingBaseline Survey Shortness of Breath When WalkingBaseline Survey Shortness of Breath When ClimbingBaseline Survey Numbness in FeetBaseline Survey Tingling or Burning Sensation in FeetBaseline Survey Decreased Temperature Sensation in FeetBaseline Survey Sores or Wounds on FeetBaseline Survey Arthritis PainIs Vision Working Well Baseline SurveyIs Hearing Well Baseline SurveyIs Having Hypertension Baseline SurveyIs Having Angina or Coronary Artery Disease Baseline SurveyIs Having Congestive Heart Failure Baseline SurveyIs Having Myocardial Infarction Baseline SurveyIs Having Other Heart Conditions Baseline SurveyIs Having Stroke Baseline SurveyIs Having COPD Baseline SurveyIs Having Inflammatory Bowel Disease Baseline SurveyIs Having Arthritis of Hip or Knee Baseline SurveyIs Having Arthritis of Hand or Wrist Baseline SurveyIs Having Osteoporosis Baseline SurveyIs Having Sciatica Baseline SurveyIs Having Diabetes Baseline SurveyIs Having Any Cancer Baseline SurveyIs Having Colorectal Cancer Treatment Baseline SurveyIs Having Lung Cancer Treatment Baseline SurveyIs Having Breast Cancer Treatment Baseline SurveyIs Having Prostate Cancer Treatment Baseline SurveyBaseline Survey Low Back PainIs Having Two Weeks of Depression Baseline SurveyIs Having Depression Much of the Time Baseline SurveyIs Having Depression Most of the Time Baseline SurveyBaseline Survey Depressed in Past WeekBaseline Survey Comparative HealthBaseline Survey Current SmokerIs Having Urine Leakage Baseline SurveyBaseline Survey Magnitude of Urine Leakage ProblemIs Urine Leakage Problem Told to Doctor Baseline SurveyIs Having Treatment for Urine Leakage Baseline SurveyBaseline Survey Talked With Doctor About Physical ActivitiesIs Advised to Increase or Maintain Activities Baseline SurveyBaseline Survey Talked to Doctor About Balance ProblemIs Fallen in Past 12 Months Baseline SurveyIs Having Previous Problem With Walking or Balance Baseline SurveyBaseline Survey Talked to Doctor About How to Prevent FallsIs Having Osteoporosis Testing Baseline SurveyBaseline Survey Who Completed This Survey FormBaseline Survey DispositionBaseline Survey RoundPercent of Baseline Survey CompletedFollow Up Survey General HealthFollow Up Survey Moderate ActivitiesFollow Up Survey Climbing Several Flights of StairsFollow Up Survey Physical Health Limiting AccomplishmentFollow Up Survey Physical Health Limiting ActivitiesFollow Up Survey Emotional Problems Limiting AccomplishmentFollow Up Survey Emotional Problems Limiting CarefulnessFollow Up Survey Pain Interfering with WorkFollow Up Survey Calm and PeacefulFollow Up Survey Lots of EnergyFollow Up Survey Downhearted and BlueFollow Up Survey Health Interfering with Social ActivitiesFollow Up Survey Physical Health ComparisonFollow Up Survey Emotional Problems ComparisonFollow Up Survey BathingFollow Up Survey DressingFollow Up Survey EatingFollow Up Survey Getting In or Out of ChairsFollow Up Survey WalkingFollow Up Survey Using the ToiletFollow Up Survey Difficulty Preparing MealsFollow Up Survey Difficulty Managing MoneyFollow Up Survey Difficulty Taking Medication As PrescribedFollow Up Survey Number of Days Physical Health Not GoodFollow Up Survey Number of Days Mental Health Not GoodFollow Up Survey Health Interference with Daily ActivitiesIs Blind or Having Serious Difficulty Seeing Follow Up SurveyIs Deaf or Having Serious Difficulty Hearing Follow Up SurveyIs Having Memory and Decision Making Problem Follow Up SurveyIs Having Difficulty Doing Errands Follow Up SurveyFollow Up Survey Previous Memory Problems Interfered with ActivitiesIs Having Hypertension Follow Up SurveyIs Having Angina or Coronary Artery Disease Follow Up SurveyIs Having Congestive Heart Failure Follow Up SurveyIs Having Myocardial Infarction Follow Up SurveyIs Having Other Heart Conditions Follow Up SurveyIs Having Stroke Follow Up SurveyIs Having Chronic Obstructive Pulmonary Disease Follow Up SurveyIs Having Inflammatory Bowel Disease Follow Up SurveyIs Having Arthritis of Hip or Knee Follow Up SurveyIs Having Arthritis of Hand or Wrist Follow Up SurveyIs Having Osteoporosis Follow Up SurveyIs Having Sciatica Follow Up SurveyIs Having Diabetes Follow Up SurveyIs Having Depression Follow Up SurveyIs Having Any Cancer Follow Up SurveyIs Having Colorectal Cancer Treatment Follow Up SurveyIs Having Lung Cancer Treatment Follow Up SurveyIs Having Breast Cancer Treatment Follow Up SurveyIs Having Prostate Cancer Treatment Follow Up SurveyIs Having Other Cancer Treatment Follow Up SurveyFollow Up Survey Pain Interfered with ActivitiesFollow Up Survey Pain Interfered with SocializingFollow Up Survey Average Pain RatingFollow Up Survey Little Interest or Pleasure in Doing ThingsFollow Up Survey Feeling Depressed or HopelessFollow Up Survey Comparative HealthFollow Up Survey Current SmokerIs Having Urine Leakage Follow Up SurveyFollow Up Survey Magnitude of Urine Leakage ProblemIs Doctor Aware About Urine Leakage Follow Up SurveyIs Taken Treatment for Urine Leakage Follow Up SurveyFollow Up Survey Talked With Doctor About Physical ActivitiesIs Advised to Increase or Maintain Activities Follow Up SurveyFollow Up Survey Talked to Doctor About Falling Or Balance ProblemIs Reported to Fall in Past 12 Months Follow Up SurveyIs Having Previous Problem with Walking or Balance Follow Up SurveyFollow Up Survey Talked to Doctor About How to Prevent FallsIs Osteoporosis Testing Done Follow Up SurveyFollow Up Survey Who Completed This Survey FormFollow Up Survey DispositionFollow Up Survey RoundPercent of Follow Up Survey CompletedFollow Up Survey LanguageAnalytic Cohort IdentifierAnalytic CMS RegionIs Sample Indicator Follow UpAnalytic Sample Indicator
A1500000175 and olderWhiteFemaleNon-MarriedLess than a high school education or GEDNot obese (BMI < 30)3 = GoodYes, limited a littleNo, not limited at all1 = No, none of the time1 = No, none of the time1 = No, none of the time1 = No, none of the time3 = Moderately3 = A good bit of the time3 = A good bit of the time2 = All of the time3 = Some of the time3 = About the same2 = Slightly better1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty29.029.030.05 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time4 = ModerateTrueTrueTrueFalseFalseFalseFalseFalseFalseFalseFalseTrueFalseFalseFalseFalseFalseFalseFalseFalse5 = None of the timeFalseTrueTrue3 = Occasionally or a moderate amount of the time2 = Very good3 = Not at allFalse3 = Not a problemFalseFalse2 = NoFalse2 = NoFalseFalseTrue1 = Person to whom survey was addressedM10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)M1 = 1st mailing97.31M36NC = Not completed3 = Not ApplicableA156 = Region 6 - Dallas (AR, LA, NM, OK, and TX)True2 = Non-respondent
A1500000275 and olderWhiteMaleMarriedGreater than a high school education or GEDNot obese (BMI < 30)4 = FairYes, limited a littleYes, limited a little3 = Yes, some of the time3 = Yes, some of the time3 = Yes, some of the time3 = Yes, some of the time4 = Quite a bit3 = A good bit of the time4 = Some of the time5 = A little of the time3 = Some of the time4 = Slightly worse3 = About the same1 = No, I do not have difficulty1 = No, I do not have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty15.010.05 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time4 = A little of the time5 = None of the time5 = None of the time5 = None of the time2 = Very 3 = MildTrueFalseTrueFalseFalseFalseFalseFalseFalseFalseFalseFalseFalseFalseFalseFalse5 = None of the timeFalseFalseFalse1 = Rarely or none of the time3 = Good3 = Not at allFalse2 = NoFalse2 = NoFalseFalse2 = NoFalse1 = Person to whom survey was addressedM10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)M2 = 2nd mailing100.01T32NC = Not completed3 = Not ApplicableA157 = Region 7 - Kansas City (IA, KS, MO, and NE)True2 = Non-respondent
A1500000365 to 74WhiteFemaleNon-MarriedGreater than a high school education or GEDObese (BMI >= 30)3 = GoodNo, not limited at allNo, not limited at all1 = No, none of the time1 = No, none of the time1 = No, none of the time1 = No, none of the time2 = A little bit2 = All of the time3 = A good bit of the time4 = Some of the time4 = A little of the time1 = Much better1 = Much better1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time3 = MildTrueTrueTrueFalseFalseTrueFalseFalseFalseFalseFalseTrueFalseFalseFalseFalseFalseFalseFalseFalse4 = A little of the timeFalseFalseFalse1 = Rarely or none of the time3 = Good3 = Not at allTrue2 = A small problemTrueFalse2 = NoFalse2 = NoFalseFalse2 = NoFalse1 = Person to whom survey was addressedM10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)M2 = 2nd mailing100.01A157 = Region 7 - Kansas City (IA, KS, MO, and NE)False4 = Disenrolled
A1500000475 and olderWhiteMaleMarriedGreater than a high school education or GEDNot obese (BMI < 30)3 = GoodNo, not limited at allYes, limited a little2 = Yes, a little of the time1 = No, none of the time1 = No, none of the time1 = No, none of the time1 = Not at all2 = All of the time2 = All of the time6 = None of the time5 = None of the time3 = About the same1 = Much better1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time1 = NoneTrueTrueTrueFalseFalseFalseFalseFalseFalseFalseFalseFalseFalseFalseFalseFalse5 = None of the timeFalseFalseFalse1 = Rarely or none of the time2 = Very good3 = Not at allFalse2 = NoFalse2 = NoFalseFalse2 = NoFalse1 = Person to whom survey was addressedM10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)M2 = 2nd mailing100.01A154 = Region 4 - Atlanta (AL, FL, GA, KY, MS, NC, SC, and TN)False5 = Dead
A1500000565 to 744 = FairYes, limited a littleYes, limited a lot4 = Yes, most of the time3 = Yes, some of the time1 = No, none of the time1 = No, none of the time4 = Quite a bit4 = Some of the time5 = A little of the time5 = A little of the time1 = Person to whom survey was addressedT31 = non-response: break-off (0- 49% complete)T5 = 5th telephone16.21A156 = Region 6 - Dallas (AR, LA, NM, OK, and TX)False4 = Disenrolled
A1500000675 and olderWhiteFemaleNon-MarriedLess than a high school education or GEDNot obese (BMI < 30)2 = Very GoodYes, limited a littleYes, limited a little3 = Yes, some of the time3 = Yes, some of the time2 = Yes, a little of the time1 = No, none of the time2 = A little bit2 = All of the time3 = A good bit of the time4 = Some of the time4 = A little of the time3 = About the same3 = About the same1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time2 = Most of the time2 = Most of the time3 = Some of the time5 = None of the time4 = ModerateFalseFalseFalseFalseFalseFalseFalseFalseTrueTrueTrueTrueFalseFalseFalseFalseFalseFalse3 = Some of the timeFalseFalseFalse3 = Occasionally or a moderate amount of the time1 = Excellent3 = Not at allFalse1 = YesTrue2 = NoFalseFalse1 = YesTrue2 = Family member or relative of person to whom the survey was addressedM10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)M1 = 1st mailing95.924 = Fair2 = Yes, limited a little2 = Yes, limited a little4 = Yes, most of the time3 = Yes, some of the time4 = Yes, most of the time4 = Yes, most of the time4 = Quite a bit4 = Some of the time4 = Some of the time3 = A good bit of the time3 = Some of the time3 = About the same4 = Slightly worse1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty3 = I don’t do this activity3 = I don’t do this activity2 = Yes, I have difficulty15.010.0TrueTrueTrueTrue2 = Most days (5 = Never-6 days a week)FalseFalseFalseFalseFalseFalseFalseFalseTrueTrueTrueTrueFalseFalseFalseFalseFalseFalseFalse4 = Quite a bit3 = Sometimes42 = Several days2 = Several days4 = Fair3 = Not at allTrue3 = Not a problemFalseFalse2 = NoFalse1 = YesTrueTrue1 = Person to whom survey was addressedM10 = completed surveyM1 = 1st mailing95.82 = SpanishA152 - New York (NY, NJ, PR, and the VI)True1 = Respondent
A1500000775 and olderWhiteFemaleNon-MarriedHigh school education or GEDNot obese (BMI < 30)3 = GoodNo, not limited at allNo, not limited at all2 = Yes, a little of the time2 = Yes, a little of the time1 = No, none of the time1 = No, none of the time2 = A little bit1 = All of the time2 = All of the time6 = None of the time5 = None of the time3 = About the same3 = About the same1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time1 = NoneTrueTrueTrueFalseFalseFalseFalseFalseFalseTrueFalseFalseTrueFalseFalseFalse5 = None of the timeFalseFalseFalse1 = Rarely or none of the time3 = Good3 = Not at allFalse2 = NoFalse2 = NoFalseFalse2 = NoTrue1 = Person to whom survey was addressedM10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)M1 = 1st mailing100.012 = Very good3 = No, not limited at all2 = Yes, limited a little1 = No, none of the time1 = No, none of the time1 = No, none of the time1 = No, none of the time1 = Not at all1 = All of the time2 = Most of the time5 = A little of the time5 = None of the time3 = About the same3 = About the same1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficultyFalseTrueFalseTrue5 = NeverTrueFalseFalseFalseFalseFalseFalseFalseFalseFalseTrueFalseFalseFalseFalse1 = Not at all1 = Never1 = No pain1 = Not at all1 = Not at all2 = Very good3 = Not at allTrue3 = Not a problemFalseFalse2 = NoFalse3 = I had no visits in the last 1 = Yes2 = No monthsFalseFalse3 = I had no visits in the last 12 monthsTrue1 = Person to whom survey was addressedM10 = completed surveyM1 = 1st mailing100.01 = EnglishA155 = Region 5 - Chicago (IL, IN, MI, MN, OH, and WI)True1 = Respondent
A1500000865 to 74WhiteFemaleMarriedGreater than a high school education or GEDNot obese (BMI < 30)4 = FairYes, limited a littleYes, limited a lot1 = No, none of the time3 = Yes, some of the time3 = Yes, some of the time3 = Yes, some of the time2 = A little bit4 = Some of the time4 = Some of the time5 = A little of the time4 = A little of the time4 = Slightly worse3 = About the same1 = No, I do not have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty5.03 = Some of the time5 = None of the time5 = None of the time5 = None of the time3 = Some of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time3 = MildTrueTrueTrueFalseFalseFalseFalseFalseFalseFalseTrueTrueTrueTrueFalseFalse4 = A little of the timeFalseFalseFalse2 = Some or a little of the time4 = Fair3 = Not at allTrue2 = A small problemFalseFalse1 = YesTrue2 = NoFalseFalse2 = NoTrue1 = Person to whom survey was addressedT10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)T2 = 2nd telephone97.31A155 = Region 5 - Chicago (IL, IN, MI, MN, OH, and WI)False4 = Disenrolled
A1500000965 to 74WhiteFemaleMarriedHigh school education or GEDNot obese (BMI < 30)4 = FairYes, limited a littleNo, not limited at all3 = Yes, some of the time3 = Yes, some of the time2 = Yes, a little of the time2 = Yes, a little of the time1 = Not at all4 = Some of the time2 = All of the time4 = Some of the time3 = Some of the time5 = Much worse5 = Much worse1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty1 = No, I do not have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty30.030.015.05 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time5 = None of the time2 = Most of the time2 = Most of the time2 = Most of the time5 = None of the time1 = NoneTrueTrueFalseFalseFalseFalseFalseTrueFalseFalseFalseFalseFalseFalseFalseFalse3 = Some of the timeTrueTrueTrue4 = Most or all of the time5 = Poor3 = Not at allFalse1 = YesTrue1 = YesTrueTrue1 = YesTrue1 = Person to whom survey was addressedM10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)M1 = 1st mailing100.014 = Fair2 = Yes, limited a little1 = Yes, limited a lot3 = Yes, some of the time3 = Yes, some of the time1 = No, none of the time2 = A little bit3 = A good bit of the time3 = A good bit of the time5 = A little of the time3 = Some of the time4 = Slightly worse3 = About the same2 = Yes, I have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty2 = Yes, I have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty3 = I don’t do this activity2 = Yes, I have difficulty2 = Yes, I have difficulty30.010.030.0FalseFalseTrueTrue4 = Rarely (once a week or less)FalseFalseFalseFalseFalseTrueFalseFalseFalseFalseFalseFalseFalseFalseFalse3 = Somewhat2 = Rarely21 = Not at all2 = Several days3 = Good3 = Not at allFalse1 = YesTrue1 = YesTrueTrue1 = YesTrue1 = Person to whom survey was addressedM10 = completed surveyM1 = 1st mailing98.61 = EnglishA155 = Region 5 - Chicago (IL, IN, MI, MN, OH, and WI)True1 = Respondent
A1500001065 to 74WhiteNon-MarriedGreater than a high school education or GEDObese (BMI >= 30)4 = FairYes, limited a lotYes, limited a lot4 = Yes, most of the time4 = Yes, most of the time5 = Yes, all of the time5 = Yes, all of the time4 = Quite a bit5 = A little of the time6 = None of the time2 = All of the time2 = Most of the time5 = Much worse2 = Slightly better1 = No, I do not have difficulty1 = No, I do not have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty2 = Yes, I have difficulty1 = No, I do not have difficulty30.030.030.01 = All of the time5 = None of the time5 = None of the time5 = None of the time2 = Most of the time1 = All of the time1 = All of the time5 = None of the time5 = None of the time5 = None of the time5 = SevereTrueTrueTrueFalseFalseTrueFalseFalseTrueFalseTrueFalseFalseTrueFalse2 = Most of the timeTrueTrueTrue4 = Most or all of the time4 = Fair3 = Not at allFalse2 = NoFalse2 = NoFalseTrue2 = NoTrue1 = Person to whom survey was addressedT10 = completed survey (79.5-100% complete and all 6 ADLs answered in Q10a-f)T4 = 4th telephone95.91A158 - Denver (CO, MT, ND, SD, UT, and WY)False4 = Disenrolled