The Changing Lives of Older Couples Study

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The Changing Lives of Older Couples Study

Wave II Widow Follow-up Survey

CODEBOOK

Facesheet


VAR #
4001 FS. Seq.#/CASE ID

4002 FS. Respondent # -- 1st 4 digits (CLOC ID#)


4003 FS. Respondent # -- last 2 digits, preprinted


[V4004: BUILD 6-digit Respondent ID# (V4002+V4003)]

Rev. 10/24/91

4005 FS. Result Code


01. Complete I'v

03. Complete Telephone I'v

05. Partial I'v

07. Partial Telephone I'v


4006 FS. Respondent "history": 2 digits


Code 1st 2-digit # precoded on Facesheet

4007 FS. ID# of person to whom R is matched


Code 1st 4 digits of ID# precoded on Facesheet

4008 FS. ID# of person to whom R is matched


Code last 2 digits of ID# precoded on Facesheet

[V4009: BUILD 6-digit ID# (V4007+V4008)]




4010 FS. "History" of person to whom R is matched: 2 digits
Code last 2-digit # precoded on Facesheet

4011 FS1. INTERVIEWER's ID# (4 digits from label)


4012 FS2. Interview No.: (2 digits from box)


99. NA

4013 FS3. Date of Interview--MONTH

Code MONTH (01-12)

4014 FS3. Date of Interview--DAY


Code DAY (01-31)

4015 FS3. Date of Interview--YEAR


Code 4-digit YEAR (1988-1995)

4016 FS4. Length of Interview


Code # of MINS (001-240)



SECTION A: HOUSEHOLD LISTING AND CIRCUMSTANCES OF THE DEATH

A1. First, I need to list all the people who live here. I don't need names, just the age, sex and relationship to you for each person. Let's start with you. How old are you?
Now I need the age, sex and relationship to you of any other adults and children who live here.

4101 A1. SUMMARY # Persons in HOUSEHOLD

┌──────────────┐

│0 in 4105-4131├───── 01. One ┌──────────────┐

└──────────────┘ │Code # persons│

┌──────────────┐ │listed in grid│

│0 in 4108-4131├─────02. Two │(01-20). │

└──────────────┘ └──────────────┘

┌──────────────┐

│0 in 4111-4131├─────03. Three

└──────────────┘

┌──────────────┐

│0 in 4114-4131├─────04. Four

└──────────────┘

┌──────────────┐

│0 in 4117-4131├─────05. Five

└──────────────┘

┌──────────────┐

│0 in 4120-4131├─────06. Six

└──────────────┘

┌──────────────┐

│0 in 4123-4131├─────07. Seven

└──────────────┘

┌──────────────┐

│0 in 4126-4131├─────08. Eight

└──────────────┘

┌──────────────┐

│0 in 4129-4131├─────09. Nine

└──────────────┘

10. Ten

.


.



.

20. Twenty


99. NA

4102(#1) A1(a). MEMBERS OF THE HOUSEHOLD BY RELATIONSHIP TO RESPONDENT

4105(#2)

4108(#3) Partner/Spouse

4111(#4)

4114(#5) 01. RESPONDENT

4117(#6) 02. Spouse of R

4120(#7) 03. Partner of R

4123(#8)

4126(#9) Child

4129(#10)

10. Child(ren), NA sex (incl. foster child/stepchild)

11. Son (incl. adopted)

12. Daughter (incl. adopted)

13. Stepson (incl. partner's son)

14. Stepdaughter (incl. partner's daughter)

15. Son-in-law (incl. daughter's partner)

16. Daughter-in-law (incl. son's partner)

17. Foster son

18. Foster daughter


Parent/Grandparent
20. Parent, NA sex ("parents" code 21, 22)

21. Father (incl. adoptive father)

22. Mother (incl. adoptive mother)

23. Stepfather

24. Stepmother

25. Father-in-law (incl. partner's father); ("my in-laws" code 25 and 26)

26. Mother-in-law (incl. partner's mother)

27. Grandparent; great-grandparent, NA sex

28. Grandfather; great-grandfather

29. Grandmother; great-grandmother


Sibling/Sibling-in-law
31. Brother

32. Sister

33. Stepbrother

34. Stepsister

35. Brother-in-law

36. Sister-in-law

4102(#1) A1(a). Continued

4105(#2)

4108(#3) Other Relatives

4111(#4)

4114(#5) 40. Grandchild/great grandchild, NA sex

4117(#6) 41. Grandson; great grandson

4120(#7) 42. Granddaughter; great granddaughter

4123(#8) 43. Nephew

4126(#9) 44. Niece

4129(#10) 45. Uncle; great-uncle

46. Aunt; great-aunt

47. Cousin

48. Other "in-laws"

┌─────────┐

│Make Card├────────49. Other relative

└─────────┘


Unrelated Persons
62. Housemate/roommate

63. Household employee; live-in sitter; housekeeper

64. Friend

66. Person related to R's partner (exc. child or parent)

67. Roomer; boarder

┌─────────┐

│Make Card├────────97. Other unrelated person

└─────────┘

98. DK

99. NA
00. Inap, no further persons in HU



4103(#1) A1(b). SEX

4106(#2)


4109(#3) 1. Male

4112(#4) 2. Female

4115(#5)

4118(#6) 9. NA

4121(#7)

4124(#8) 0. Inap, no further persons listed

4127(#9)

4130(#10)



4104(#1) A1(c). AGE

4107(#2)

4110(#3) Code AGE (01-97)

4113(#4)

4116(#5) 01. One year or less

4119(#6)

4122(#7) 97. 97 years or more

4125(#8)

4128(#9) 98. DK

4131(#10) 99. NA
00. Inap, no further persons listed

4132 A1a. INTERVIEWER CHECKPOINT

┌────────────────┐

│0 in 4133, │────1. R WAS INTERVIEWED AT WAVE I

│4201-4241, 4301-│

│4344, 4401-4406 │ 2. ALL OTHERS

└────────────────┘

4133 A2. I'd like to begin by asking you about the circumstances of your (husband's/wife's) death. How old was your (husband/


wife) when (he/she) died?
Code YEARS (40-97)
97. 97 years or more
98. DK

99. NA
00. Inap, 1 in 4132




SECTION A: HOUSEHOLD LISTING AND CIRCUMSTANCES OF THE DEATH




VAR #
4201 A3. What was the cause of (his/her) death? (IF ACCIDENT,

4202 PROBE: What kind of accident? AND OBTAIN BRIEF

4203 DESCRIPTION OF CIRCUMSTANCES)
Use HEALTH CONDITION MASTER CODE
000. Inap, 1 in 4132; no further mention

4204 A4. INTERVIEWER CHECKPOINT

┌──────────────┐

│0 in 4205-4241├─────1. CAUSE OF DEATH WAS ACCIDENT, MURDER OR SUICIDE

└──────────────┘

┌──────────────┐

│0 in 4301-4344├─────2. ALL OTHERS

└──────────────┘

0. Inap, 1 in 4132

4205 A5. How long before your (husband's/wife's) death did you realize that (he/she) was going to die? (RECORD NUMBER OR



MARK BOX)
Code # (01-60), except:

┌──────────────┐

│0 in 4206-4207├─────96. NO WARNING/MINUTES

└──────────────┘

98. DK

99. NA
00. Inap, 1 in 4132 or 4204


4206 A5. TIME UNIT


1. HOURS

2. DAYS


3. WEEKS

4. MONTHS

5. YEARS
9. NA
0. Inap, 1 in 4132 or 4204; 96 in 4205

4207 A6. Was the cause of (his/her) death an ongoing condition that you knew about before, or did you only learn about it for



the first time shortly before (he/she) died?

┌─────────┐

│0 in 4208├─────────1. ONGOING

└─────────┘

2. FIRST TIME
8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 96 in 4205


4208 A7. Did (he/she) have any serious ongoing health problems?


1. YES

5. NO
8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 1 in 4207

4209 A8. Was your (husband/wife) aware that (he/she) was dying?


1. YES

┌──────────────┐

│0 in 4210-4212├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


0. Inap, 1 in 4132 or 4204

4210 A9. Did (he/she) seem to be at peace with the idea of dying?


1. YES

5. NO
8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 5, 8-9 in 4209


4211 A10. Did you and your (husband/wife) talk about the fact that



(he/she) might die?
1. YES

5. NO
8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 5, 8-9 in 4209

4212 A11. Did you and (he/she) talk about how you would deal with



being on your own once (he/she) was gone?
1. YES

5. NO
8. DK

9. NA

0. Inap, 1 in 4132 or 4204; 5, 8-9 in 4209

4213 A12. INTERVIEWER CHECKPOINT


1. SPOUSE HAD (SERIOUS) ONGOING CONDITION

┌──────────────┐

│0 in 4214-4224├─────2. ALL OTHERS

└──────────────┘

0. Inap, 1 in 4132 or 4204

4214 A13. Did you yourself have to provide physical care to your



(husband/wife) in the 6 months before (he/she) died?
1. YES

┌──────────────┐

│0 in 4215-4224├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


0. Inap, 1 in 4132 or 4204; 2 in 4213

4215 A13a. During the last 6 months of (his/her) life, about how many hours a week did you spend providing physical care for



your (husband/wife)?
Code HOURS (01-95)
95. 95 hours or more
98. DK

99. NA
00. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in 4214


4216 A13b. For how many weeks, months, or years did you provide such



care?--WEEKS
Code WEEKS (00-95)
98. DK

99. NA
00. WEEKS not given; Inap, 1 in 4132 or 4204; 2 in 4213;

5, 8-9 in 4214

4217 A13b. For how many weeks, months, or years did you provide such


care?--MONTHS

Code MONTHS (00-60)
98. DK

99. NA
00. MONTHS not given; Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in 4214


4218 A13b. For how many weeks, months, or years did you provide such



care?--YEARS
Code YEARS (00-20)
98. DK

99. NA
00. YEARS not given; Inap, 1 in 4132 or 4204; 2 in 4213;

5, 8-9 in 4214

4219 A13c. What kind of physical care did you provide?

4220

4221 MEDICAL


11. Medical care; gave medication/shots; changed dressings/tubes/bags; monitored machines

PERSONAL NEEDS (exc. 11)
21. Elimination; helped with/took to bathroom; cleaned up after

22. Bathing; gave baths; helped with bathing

23. Feeding; fed spouse, prepared meals, etc.

24. Help move around house; lifting; exercise/walking

25. Getting dressed

29. Other personal needs care: brushing hair (or teeth); giving rubdowns, shaving, etc.


4219 A13c. Continued

4220


4221 31. Transportation; took spouse to doctor or other appointment; "drove him everywhere"

┌────────────┐

│Low Priority├─────95. "Everything"; "complete care"

└────────────┘

┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK


99. NA
00. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in 4214;

no further mention



4222 A14. (RB, P. 1) During the 6 months before (he/she) died, how stressful was it for you to care for (him/her) or to arrange for (his/her) care? Was it very stressful, quite stressful, somewhat stressful, not too stressful, or not



at all stressful?
1. VERY STRESSFUL

2. QUITE STRESSFUL

3. SOMEWHAT STRESSFUL

4. NOT TOO STRESSFUL

5. NOT AT ALL STRESSFUL
8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in 4214


4223 A15. How much did caring for your (husband/wife) while (he/she) was ill keep you from carrying out other responsibilities in your life? Would you say a great deal, somewhat, a



little, or not at all?
1. A GREAT DEAL

2. SOMEWHAT

3. A LITTLE

4. NOT AT ALL


8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in 4214


4224 A16. (RB, P. 2) Please tell me how true the following statement is. My (husband's/wife's) illness was physically painful for (him/her). Is this very true,



somewhat, a little, or not true at all?
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 2 in 4213; 5, 8-9 in 4214



A17. (RB, [STILL ON] P. 2) Please tell me how true each of the following statements is in the case of your (husband/wife).

4225 A17a. In the weeks before (his/her) death, things between my (husband/wife) and me were going well. Is this very true,



somewhat, a little, or not true at all?
1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V4226-4228 │

4. NOT TRUE AT ALL └───────────────┘


8. DK

9. NA
0. Inap, 1 in 4132 or 4204

4226 A17b. My (husband/wife) lived a full life.

4227 A17c. During (his/her) lifetime my (husband/wife) was able to



achieve just about everything (he/she) hoped to achieve.

4228 A17d. I believe that my (husband/wife) is now in a better place



than (he/she) was on this earth.

4229 A18. Were you there with your (husband/wife) at the moment when



(he/she) died?
1. YES

5. NO
8. DK

9. NA
0. Inap, 1 in 4132 or 4204


4230 A19. (RB, P. 3) Do you feel that your (husband/wife) did things that may have contributed to (his/her) death? Would you say no, not at all; yes, a little; yes, somewhat; or yes,



a great deal?

┌──────────────┐

│0 in 4231-4232├─────1. NO, NOT AT ALL

└──────────────┤

2. YES, A LITTLE

3. YES, SOMEWHAT

4. YES, A GREAT DEAL

├─────8. DK


└─────9. NA

0. Inap, 1 in 4132 or 4204

Rev. 11/2/90

4231 A19a. What did (he/she) do that may have contributed to

4232 (his/her) death?


11. Smoking

12. Alcohol/drug use

13. Improper eating habits; wouldn't eat right foods/ follow diet

14. Lack of exercise; just sat around

19. Put off/refused medical care; "wouldn't follow doctor's orders"--n.e.c.

21. Emotional stress (self-induced or caused by others)

22. Physical stress/overwork; worked too hard; "pushed himself too much"

23. Employment situation--n.e.c.; dangerous/unhealthy working conditions


┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK

99. NA



00. Inap, 1 in 4132 or 4204; 1, 8-9 in 4230; no further

mention


4233 A20. (RB, STILL ON P. 3) Do you feel that anyone else did things that may have contributed to your (husband's/ wife's) death? (Would you say no, not at all; yes, a

little; yes, somewhat; or yes, a great deal?)

┌──────────────┐

│0 in 4234-4241├─────1. NO, NOT AT ALL

└──────────────┤

2. YES, A LITTLE

3. YES, SOMEWHAT

4. YES, A GREAT DEAL

├─────8. DK



└─────9. NA
0. Inap, 1 in 4132 or 4204

4234(#1) A20a. Who do you feel may have contributed to the death?

4238(#2)

Use RELATIONSHIP MASTER CODE, except:

┌──────────────┐

│0 in 4239-4241├─────00. No person #2 listed; Inap, 1 in 4132 or 4204; 1, 8-9

└──────────────┘ in 4233

Rev. 11/2/90

4235(#1) A20b. What did (PERSON #1) do?

4236(#1) A20d. What did (PERSON #2) do?


4239(#2)

4240(#2)


21. Caused emotional stress (exc. 41); son took drugs, was in jail; conflicts with (person at A20a)
23. Employment situation; dangerous/unhealthy working conditions

41. Doctor/hospital incompetent/negligent/unhelpful





91. Person shot/assaulted spouse (incl. in war)
┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK


99. NA
00. Inap, 1 in 4132 or 4204; 1, 8-9 in 4233; 00 in 4238;

no further mention


4237(#1) A20c. (RB, STILL ON P. 3) Do you blame (PERSON #1) for your

4241(#2) (husband's/wife's) death?

A20e. (RB, STILL ON P. 3) Do you blame (PERSON #2) for your

(husband's/wife's) death?

(Would you say no, not at all; yes, a little; yes,



somewhat; or yes, a great deal?)
1. NO, NOT AT ALL

2. YES, A LITTLE

3. YES, SOMEWHAT

4. YES, A GREAT DEAL


8. DK

9. NA
0. Inap, 1 in 4132 or 4204; 1, 8-9 in 4233; 00 in 4238




SECTION A: HOUSEHOLD LISTING AND CIRCUMSTANCES OF THE DEATH



VAR #

┌─────────────────────────────────────────┐

│SPOUSE DIED BY ACCIDENT/ MURDER/ SUICIDE │

└─────────────────────────────────────────┘

4301 A21. On what month, day and year did the (accident/murder/

suicide) happen?--MONTH
Code MONTH (01-12)
98. DK

99. NA
00. Inap, 1 in 4132; 2 in 4204


4302 A21. On what month, day and year did the (accident/murder/



suicide) happen?--DAY
Code DAY (01-31)
98. DK

99. NA
00. Inap, 1 in 4132; 2 in 4204


4303 A21. On what month, day and year did the (accident/murder/



suicide) happen?--YEAR
Code YEAR (1987-1995)
9998. DK

9999. NA
0000. Inap, 1 in 4132; 2 in 4204


4304 A22. INTERVIEWER CHECKPOINT


1. CAUSE WAS ACCIDENT

┌──────────────┐

│0 in 4305-4307├─────2. ALL OTHERS

└──────────────┘

0. Inap, 1 in 4132; 2 in 4204


4305 A22a. Was anyone else involved in the accident?


1. YES

┌──────────────┐

│0 in 4306-4307├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


0. Inap, 1 in 4132; 2 in 4204 or 4304

4306 A22b. Who was that? I don't need a specific name.

4307

Use RELATIONSHIP MASTER CODE

00. Inap, 1 in 4132; 2 in 4204 or 4304; 5, 8-9 in 4305; no further mention

4308 A23. Was (he/she) still alive when you first heard about the



incident?
1. YES

┌──────────────┐

│0 in 4309-4314├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


0. Inap, 1 in 4132; 2 in 4204

4309 A23a. How long after that did (he/she) die?


Code # (01-60), except:
98. DK

99. NA
00. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308


4310 A23a. TIME UNIT


1. HOURS

2. DAYS


3. WEEKS

4. MONTHS


9. NA

0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308

4311 A24. Was your (husband/wife) aware that (he/she) was dying?


1. YES

┌──────────────┐

│0 in 4312-4314├─────5. NO

└──────────────┤

├─────8. DON'T KNOW

└─────9. NA


0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308

4312 A25. Did (he/she) seem to be at peace with dying?


1. YES

5. NO
8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308 or 4311

4313 A26. Did you and your (husband/wife) talk about the fact that


(he/she) might die?
1. YES

5. NO
8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308 or 4311

4314 A27. Did you and (he/she) talk about how you would deal with



being on your own once (he/she) was gone?
1. YES

5. NO
8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4308 or 4311


4315 A28. Before the (accident/murder/suicide) did your (husband/

wife) have any serious ongoing health problems?
1. YES

┌──────────────┐

│0 in 4316-4326├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


0. Inap, 1 in 4132; 2 in 4204

4316 A29. In the six months before (he/she) died, did you yourself have to provide physical care to (him/her) because of a



serious ongoing health problem?
1. YES

┌──────────────┐

│0 in 4317-4326├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315

4317 A29a. About how many hours a week did you spend providing physical care for (him/her) during the last six months of



(his/her) life?
Code HOURS (01-95)
95. 95 hours or more
98. DK

99. NA

0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or 4316

4318 A29b. For how many weeks, months, or years did you provide such



care?--WEEKS
Code WEEKS (00-95)


98. DK

99. NA
00. WEEKS not given; Inap, 1 in 4132; 2 in 4204; 5, 8-9

in 4315 or 4316

4319 A29b. For how many weeks, months, or years did you provide such



care?--MONTHS
Code MONTHS (00-60)
98. DK

99. NA
00. MONTHS not given; Inap, 1 in 4132; 2 in 4204; 5, 8-9

in 4315 or 4316

4320 A29b. For how many weeks, months, or years did you provide such



care?--YEARS
Code YEARS (00-20)
98. DK

99. NA
00. YEARS not given; Inap, 1 in 4132; 2 in 4204; 5, 8-9

in 4315 or 4316

4321 A29c. What kind of physical care did you provide?

4322

4323 MEDICAL


11. Medical care; gave medication/shots; changed dressings/tubes/bags; monitored machines

PERSONAL NEEDS (exc. 11)
21. Elimination; helped with/took to bathroom; cleaned up after

22. Bathing; gave baths; helped with bathing

23. Feeding; fed spouse, prepared meals, etc.

24. Help move around house; lifting; exercise/walking

25. Getting dressed

29. Other personal needs care: brushing hair (or teeth); giving rubdowns, shaving, etc.


4321 A29c. Continued

4322


4323 31. Transportation; took spouse to doctor or other appointment; "drove him everywhere"

┌────────────┐

│Low Priority├─────95. "Everything"; "complete care"

└────────────┘

┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK


99. NA
00. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or 4316; no further mention

4324 A30. (RB, P. 4) During the 6 months before (he/she) died, how stressful was it for you to care for (him/her) or to arrange for (his/her) care? Was it very stressful, quite stressful, somewhat stressful, not too stressful, or not



at all stressful?
1. VERY STRESSFUL

2. QUITE STRESSFUL

3. SOMEWHAT STRESSFUL

4. NOT TOO STRESSFUL

5. NOT AT ALL STRESSFUL
8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or 4316


4325 A31. How much did caring for your (husband/wife) during the 6 months before (he/she) died keep you from carrying out other responsibilities in your life? Would you say



a great deal, somewhat, a little, or not at all?
1. A GREAT DEAL

2. SOMEWHAT

3. A LITTLE

4. NOT AT ALL


8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or 4316



4326 A32. (RB, P. 5) Please tell me how true the following statement is. My (husband's/wife's) condition was physically painful for (him/her). Is this very true,


somewhat, a little, or not true at all?
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204; 5, 8-9 in 4315 or 4316


A33. (RB, [STILL ON] P. 5) Please tell me how true each of the following statements is in the case of your (husband/wife).


4327 A33a. In the weeks before (his/her) death, things between my (husband/wife) and me were going well. Is this very true,

somewhat, a little, or not true at all?

1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V4328-4330 │

4. NOT TRUE AT ALL └───────────────┘
8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204


4328 A33b. My (husband/wife) lived a full life.

4329 A33c. During (his/her) lifetime my (husband/wife) was able to

achieve just about everything (he/she) hoped to achieve.

4330 A33d. I believe that my (husband/wife) is now in a better place



than (he/she) was on this earth.

4331 A34. INTERVIEWER CHECKPOINT


1. CAUSE OF DEATH WAS ACCIDENT OR MURDER

┌──────────────┐

│0 in 4332-4334├─────2. CAUSE WAS SUICIDE

└──────────────┘

0. Inap, 1 in 4132; 2 in 4204

4332 A35. (RB, P. 6) Do you feel that your (husband/wife) did things that may have contributed to (his/her) death? Would you say no, not at all; yes, a little; yes, somewhat; or yes,


a great deal?

┌──────────────┐

│0 in 4333-4334├─────1. NO, NOT AT ALL

└──────────────┤

2. YES, A LITTLE

3. YES, SOMEWHAT

4. YES, A GREAT DEAL

├─────8. DK



└─────9. NA
0. Inap, 1 in 4132; 2 in 4204 or 4331

4333 A35a. What did (he/she) do that contributed to (his/her) death?

4334

11. Smoking



12. Alcohol/drug use

13. Improper eating habits; wouldn't eat right foods/ follow diet


19. Put off/refused medical care; "wouldn't follow doctor's orders"--n.e.c.

21. Emotional stress (self-induced or caused by others)

22. Physical stress/overwork; worked too hard; "pushed himself too much"

23. Employment situation--n.e.c.; dangerous/unhealthy working conditions

┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK

99. NA
00. Inap, 1 in 4132; 2 in 4204 or 4331; 1, 8-9 in 4332; no further mention



4335 A36. INTERVIEWER CHECKPOINT

1. CAUSE OF DEATH WAS ACCIDENT OR SUICIDE

┌──────────────┐

│0 in 4336-4344├─────2. CAUSE OF DEATH WAS MURDER

└──────────────┘

0. Inap, 1 in 4132; 2 in 4204

4336 A37. (RB, STILL ON P. 6) Do you feel that anyone else did things that may have contributed to your (husband's/ wife's) death? (Would you say no, not at all; yes, a


little; yes, somewhat; or yes, a great deal?)

┌──────────────┐

│0 in 4337-4344├─────1. NO, NOT AT ALL

└──────────────┤

2. YES, A LITTLE

3. YES, SOMEWHAT

4. YES, A GREAT DEAL

├─────8. DK



└─────9. NA
0. Inap, 1 in 4132; 2 in 4204 or 4335

4337(#1) A37a. Who do you feel may have contributed to the death?

4341(#2)

Use RELATIONSHIP MASTER CODE, except:

┌──────────────┐

│0 in 4342-4344├─────00. No person #2 listed; Inap, 1 in 4132; 2 in 4204 or

└──────────────┘ 4335;1, 8-9 in 4336

Rev. 11/2/90

4338(#1) A37b. What did (PERSON #1) do?

4339(#1) A37d. What did (PERSON #2) do?


4342(#2)

4343(#2) 21. Caused emotional stress (exc. 41); son took drugs, was in jail; conflicts with (person at A20a)


23. Employment situation; dangerous/unhealthy working conditions

41. Doctor/hospital incompetent/negligent/unhelpful

91. Person shot/assaulted spouse (incl. in war)
┌─────────┐

│Make Card├────────97. Other



└─────────┘

98. DK


99. NA

00. Inap, 1 in 4132; 2 in 4204 or 4335; 1, 8-9 in 4336;

00 in 4341; no further mention

4340(#1) A37c. (RB, STILL ON P. 6) Do you blame (PERSON #1) for your

4344(#2) (husband's/wife's) death?

A37e. (RB, STILL ON P. 6) Do you blame (PERSON #2) for your

(husband's/wife's) death?

(Would you say no, not at all; yes, a little; yes,


somewhat; or yes, a great deal?)
1. NO, NOT AT ALL

2. YES, A LITTLE

3. YES, SOMEWHAT

4. YES, A GREAT DEAL


8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4204 or 4335; 1, 8-9 in 4336;

00 in 4341


SECTION B: GRIEF



VAR #

4401 B1. INTERVIEWER CHECKPOINT


1. SPOUSE HAD SERIOUS ONGOING CONDITION BEFORE (HE/SHE)

DIED


┌──────────────┐

│0 in 4402-4406├─────2. ALL OTHERS

└──────────────┘

0. Inap, 1 in 4132


B2. (RB, P. 7) For the next questions, please think about the time when your (husband/wife) was alive but in poor health.


4402 B2a. At any time while your (husband/wife) was still alive, did you ever find that you couldn't get thoughts of (him/her) or (his/her) condition out of your mind even when you wanted to? Would you say no, never; yes, but rarely; yes,

sometimes; or yes, often?
1. NO, NEVER ┌───────────────┐

2. YES, BUT RARELY │USE SAME CODE │

3. YES, SOMETIMES │FOR V4403-4406 │

4. YES, OFTEN └───────────────┘


8. DK

9. NA
0. Inap, 1 in 4132; 2 in 4401


4403 B2b. Did you ever find yourself going over and over what was



happening?

4404 B2c. While (he/she) was still living, did you ever find yourself searching to make sense or find some meaning in


your (husband's/wife's) situation?

4405 B2d. While (he/she) was still alive, did you ever have feelings of grief or sadness over the thought of losing your


(husband/wife)?



4406 B2e. Did you ever cry about what was happening to (him/her)?
B3. (RB, [STILL ON] P. 7) Now, I have a list of feelings and emotions that some people still experience many months after the loss of their husband or wife. Please think about the past month.
4407 B3. During the past month, have you felt afraid of what lies ahead for you? (Would you say no, never; yes, but rarely;

yes, sometimes; or yes, often)?
1. NO, NEVER ┌───────────────┐

2. YES, BUT RARELY │USE SAME CODE │

3. YES, SOMETIMES │FOR V4408-4429 │

4. YES, OFTEN └───────────────┘


8. DK

9. NA

4408 B4. Have you felt extremely anxious and unsettled during the

past month?

4409 B5. During the past month, have you felt worried about how you



would manage your day-to-day affairs?

4410 B6. Has life seemed empty?

4411 B7. During the past month, did you feel amazed at your

strength?

4412 B8. Did you feel you were coping well with the loss of your



(husband/wife)?

4413 B9. During the past month, did you feel proud of how well you


were managing?

4414 B10. Have you felt as though you were in a state of shock?

4415 B11. During the past month, have you felt as though you


couldn't believe what was happening?

4416 B12. Have you felt emotionally numb?

4417 B13. During the past month, have you felt resentful or bitter

about your (husband's/wife's) death?

4418 B14. Have you felt that the death of your (husband/wife) was



unfair?

4419 B15. In the past month, have you felt anger toward God?

4420 B16. Have you felt empty inside, like an important part of you

is missing?

4421 B17. In the past month, have you felt that life has lost its



meaning?

4422 B18. In the last month, have you had any regrets about anything that happened between you and your (husband/wife) while



(he/she) was still alive?

4423 B19. Have you felt as though you did all you could have done



for your (husband/wife) before (his/her) death?

4424 B20. During the past month, have you had any regrets about



things you did or failed to do while (he/she) was alive?

4425 B21. In the past month, have you heard a sound that you thought



might be (him/her)?

4426 B22. In the past month, have you sensed the presence of your



(husband/wife?)

4427 B23. To help you make decisions, have you thought about what



your (husband/wife) would have done?

4428 B24. During the past month, have you felt drawn to places and

things that make you feel close to your (husband/wife)?

4429 B25. Have you found yourself longing to have (him/her) with



you?

4430 B26. (RB, STILL ON P. 7) People have different reactions to the death of a husband or wife. During the past month, have you had painful waves of missing your (husband/wife)? (Would you say no, never; yes, but rarely; yes, sometimes;



or yes, often)?
1. NO, NEVER

┌──────────────┐

│0 in 4431-4432├─────2. YES, BUT RARELY

└──────────────┼─────3. YES, SOMETIMES

├─────4. YES, OFTEN

├─────8. DK



└─────9. NA

4431 B26a. (RB, STILL ON P. 7) Has it happened in the last 6 months?--(no, never; yes, but rarely; yes, sometimes; or



yes, often)?
1. NO, NEVER

┌─────────┐

│0 in 4432├─────────2. YES, BUT RARELY

└─────────┼─────────3. YES, SOMETIMES

├─────────4. YES, OFTEN

├─────────8. DK



└─────────9. NA
0. Inap, 2-4, 8-9 in 4430

4432 B26b. (RB, STILL ON P. 7) At any time since (he/she) died, did you ever have painful waves of missing (him/her)--(no,



never; yes, but rarely; yes, sometimes; or yes, often)?

1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN

8. DK

9. NA
0. Inap, 2-4, 8-9 in 4430 or 4431



4433 B27. (RB, STILL ON P. 7) During the past month, have you experienced feelings of intense pain or grief over the loss of your (husband/wife)--(no, never; yes, but rarely;



yes, sometimes; or yes, often)?
1. NO, NEVER

┌──────────────┐

│0 in 4434-4435├─────2. YES, BUT RARELY

└──────────────┼─────3. YES, SOMETIMES

├─────4. YES, OFTEN

├─────8. DK



└─────9. NA

4434 B27a. (RB, STILL ON P. 7) Has it happened in the last 6 months?--(no, never; yes, but rarely; yes, sometimes; or



yes, often)?
1. NO, NEVER

┌─────────┐

│0 in 4435├─────────2. YES, BUT RARELY

└─────────┼─────────3. YES, SOMETIMES

├─────────4. YES, OFTEN

├─────────8. DK



└─────────9. NA
0. Inap, 2-4, 8-9 in 4433

4435 B27b. (RB, STILL ON P. 7) At any time since (he/she) died, did you ever experience feelings of intense pain or grief over (his/her) loss--(no,never; yes, but rarely; yes,



sometimes; or yes,often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

0. Inap, 2-4, 8-9 in 4433 or 4434

4436 B28. Since your (husband's/wife's) death, have you experienced feelings of grief in response to another loss -- for example, the loss of a friend, a distant relative or a pet



-- that were more intense than you might have expected?
1. YES

┌──────────────┐

│0 in 4437-4438├─────5. NO

└──────────────┤

├─────8. IF VOLUNTEERED: NOT SURE

└─────9. NA


4437 B28a. How long after your (husband's/wife's) death did that



happen most recently?--MONTHS
Code MONTHS (01-95), except:
98. DK

99. NA
00. MONTHS not given; Inap, 5, 8-9 in 4436


4438 B28a. How long after your (husband's/wife's) death did that



happen most recently?--YEARS
Code YEARS (01-08), except:
98. DK

99. NA
00. YEARS not given; Inap, 5, 8-9 in 4436




SECTION C: PARENTING




VAR #
The next questions are about children.
4501 C1. Do you have any children who are not living here with you at the present time? Please include adopted children or

stepsons and stepdaughters not living here.
1. YES

┌─────────┐

│0 in 4502├─────────5. NO, NO CHILDREN ELSEWHERE

└─────────┤

└─────────9. NA

4502 C1a. How many do not live with you?


Code NUMBER (01-20)

98. DK

99. NA

00. Inap, 5 or 9 in 4501


4503 C2. Altogether, how many living children do you have? Again, please include any adopted children or stepsons and



stepdaughters you may have.
Code NUMBER (01-20), except:
98. DK

99. NA


┌──────────────┐

│0 in 4504-4525├─────00. NONE

└──────────────┘

4504 C2a. INTERVIEWER CHECKPOINT


1. R ONLY HAS ONE CHILD

┌─────────┐

│0 in 4505├─────────2. ALL OTHERS

└─────────┘

0. Inap, 00 in 4503


4505 C2b. Is this a son or daughter?


1. SON

2. DAUGHTER


9. NA
0. Inap, 00 in 4503; 2 in 4504

4506 C3. INTERVIEWER CHECKPOINT

┌──────────────┐

│0 in 4507-4510├─────1. R HAS NO CHILDREN LIVING ELSEWHERE

└──────────────┘

2. R HAS ONLY ONE CHILD LIVING ELSEWHERE

3. R HAS MORE THAN ONE CHILD LIVING ELSEWHERE
9. NA
0. Inap, 00 in 4503

4507 C4/C5. Think about your (son/daughter/children) who (does/do) not live with you. Does (he/she/how many of your children)



live within an hour's drive of here?

01. YES (to C4); One (to C5)


02-20.
96. NO (to C4); NONE (to C5)
98. DK

99. NA
00. Inap, 00 in 4503; 1 in 4506

4508 C4a/C5a. (RB, P. 8) In the past 12 months, how often did you have

contact with your (son/daughter/at least one of your children) who (doesn't/do not) live with you, either in person, by phone or by mail. Would you say more than once a week, about once a week, 1 to 3 times a month, less than


once a month or never?
1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER
8. DK

9. NA



0. Inap, 00 in 4503; 1 in 4506
[V4509-V4510: BUILD = 0]
4511 C6. INTERVIEWER CHECKPOINT
1. R HAS ONLY ONE CHILD

2. R HAS TWO OR MORE CHILDREN


0. Inap, 00 in 4503

4512 C7/C16. (RB, P. 9) How much do your children make you feel loved

and cared for? Would you say a great deal, quite a bit,

some, a little, or not at all?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA
0. Inap, 00 in 4503


4513 C8/C17. (RB, STILL ON P. 9) How much do you feel they make too

many demands on you? (Would you say a great deal, quite a

bit, some, a little, or not at all?)
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA
0. Inap, 00 in 4503

4514 C9/C18. (RB, STILL ON P. 9) How much do you feel you make too

many demands on your children? (Would you say a great



deal, quite a bit, some, a little, or not at all?)
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL


8. DK

9. NA

0. Inap, 00 in 4503

4515 C10/C19. (RB, STILL ON P. 9) How much are they willing to listen

when you need to talk about your worries or problems(--a

great deal, quite a bit, some, a little, or not at all)?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA
0. Inap, 00 in 4503

4516 C11/C20. (RB, STILL ON P. 9) How much are they critical of you or

what you do? (Would you say a great deal, quite a bit,



some, a little, or not at all?)
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA
0. Inap, 00 in 4503

4517 C12/C21. (RB, P. 10) At this point in your life, how satisfied are

you with being a parent--are you completely, very,



somewhat, not very, or not at all satisfied?
1. COMPLETELY SATISFIED

2. VERY SATISFIED

3. SOMEWHAT SATISFIED

4. NOT VERY SATISFIED

5. NOT AT ALL SATISFIED
8. DK

9. NA
0. Inap, 00 in 4503



4518 C13/C22. Not using the booklet--How often do you feel bothered or

upset as a parent--almost always, often, sometimes,

rarely, or never?
1. ALMOST ALWAYS

2. OFTEN


3. SOMETIMES

4. RARELY

5. NEVER
8. DK

9. NA

0. Inap, 00 in 4503

4519 C14a/C23a. (RB, P. 11) How much do your children depend on you for

emotional support? Would you say a lot, some, a little or


not at all?
1. A LOT ┌───────────────┐

2. SOME │USE SAME CODE │

3. A LITTLE │FOR V4520-4524 │

4. NOT AT ALL └───────────────┘


8. DK

9. NA
0. Inap, 00 in 4503

4520 C14b/C23b. How much do they depend on you for help or advice with

financial and legal matters?

4521 C14c/C23c. How much do they depend on you for help with errands,



babysitting or other chores?

4522 C14d/C23d. How much do you depend on your children for emotional



support?



4523 C14e/C23e. How much do you depend on them for help or advice with

financial and legal matters?

4524 C14f/C23f. How much do you depend on them for help with errands or



other chores?

4525 C15/C24. (RB, P. 12) At this point in your life, how often do you

and any of your children have unpleasant conflicts or disagreements? Would you say more than once a week, about once a week, 1 to 3 times a month, less than once a month,

or never?
1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER
8. DK

9. NA
0. Inap, 00 in 4503

Rev. 11/2/90

4526 C25. How many grandchildren do you have, if any?


01. ONE

02-60.

98. DK

99. NA


┌─────────┐

│0 in 4527├─────────00. NONE

└─────────┘

4527 C25a/C25b. (RB,[STILL ON]P. 12) How often do you see your

(grandchild/grandchildren)? (Would you say more than once a week, about once a week, 1 to 3 times a month, less than

once a month, or never?)
1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER


8. DK

9. NA
0. Inap, 00 in 4526


Now I would like to ask you some questions about your relationships with your relatives and friends. Please think of all your close family members, (including children,) as well as other friends and relatives.




SECTION D: SOCIAL SUPPORT

4528 D1. Is there anyone in your life with whom you can really

share your very private feelings and concerns?
1. YES

┌──────────────┐

│0 in 4529-4540├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


4529 D1a. How many such people are there?


Code NUMBER (01-95)
98. DK

99. NA
00. Inap, 5, 8-9 in 4528

[V4530-V4540: BUILD = 0]

4541 D7. (RB, P. 13) The next questions are about friends and relatives other than children. On the whole, how much do your friends and relatives make you feel loved and cared for? Would you say a great deal, quite a bit, some, a


little, or not at all?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA



4542 D8. (RB, STILL ON P. 13) How much do you feel your friends and relatives make too many demands on you? (Would you say a



great deal, quite a bit, some, a little, or not at all?)
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA

4543 D9. (RB, STILL ON P. 13) How much are your friends and relatives willing to listen when you need to talk about your worries or problems(--a great deal, quite a bit,

some, a little, or not at all)?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA

4544 D10. (RB, STILL ON P. 13) How much are they critical of you or what you do? (Would you say a great deal, quite a bit,

some, a little, or not at all?)
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA



SECTION E: RESPONSES TO THE LOSS



VAR #
For the next questions, please think about the past month.
4601 E1. (RB, P. 14) During the past month, how often have you had thoughts or memories of your (husband/wife)? Would you say several times a day, daily or almost daily, 2 to 3 times a week, about once a week, less than once a week, or

never?

┌──────────────┐

│0 in 4608-4609├─────1. SEVERAL TIMES A DAY

└──────────────┼─────2. DAILY OR ALMOST DAILY

├─────3. 2 TO 3 TIMES A WEEK

├─────4. ABOUT ONCE A WEEK

└─────5. LESS THAN ONCE A WEEK

┌──────────────┐

│0 in 4602-4607├─────6. NEVER

└──────────────┘

8. DK

9. NA



4602 E2. (RB, P. 15) During the past month, did thoughts or memories of your (husband/wife) make you feel sad or upset? Would you say no, never; yes, but rarely; yes,

sometimes; or yes, often?
1. NO, NEVER ┌───────────────┐

2. YES, BUT RARELY │USE SAME CODE │

3. YES, SOMETIMES │FOR V4603-4607 │

4. YES, OFTEN └───────────────┘


8. DK

9. NA
0. Inap, 6 in 4601


4603 E3. Did thoughts or memories of (him/her) make you feel happy



or at peace?

4604 E4. During the past month, have you had difficulty falling asleep because thoughts relating to (him/her) kept coming



into your mind?

4605 E5. Have you tried to block out memories or thoughts of your



(husband/wife)?

4606 E6. During the past month, did you find that you couldn't get thoughts of your (husband/wife) out of your mind even when



you wanted to?

4607 E7. During the past month, have you found yourself going over



and over what happened?

4608 E8. (RB, P. 15) During the past 6 months (that is, since [MONTH, YEAR]), did you ever find that you couldn't get thoughts of your (husband/wife) out of your mind even when you wanted to--(no, never; yes, but rarely; yes,



sometimes; or yes, often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

0. Inap, 1-5 in 4601

4609 E9. (RB, STILL ON P. 15) During the past 6 months, did you ever find yourself going over and over what happened--(no,



never; yes, but rarely; yes, sometimes; or yes, often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA
0. Inap, 1-5 in 4601


4610 E10. (RB, STILL ON P. 15) During the past month, have you tried to keep busy so that you would be less likely to dwell on your (husband/wife) or (his/her) death? (Would you say no, never; yes, but rarely; yes, sometimes; or



yes, often?)
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN
8. DK

9. NA


4611 E11. (RB, STILL ON P. 15) During the past month, have you avoided people or places that remind you of (him/her)? (Would you say no, never; yes, but rarely; yes, sometimes;

or yes, often?)
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

4612 E12. (RB, STILL ON P. 15) During the past 6 months, did you ever ask yourself "Why me?" or "Why my (husband/wife)"? (Would you say no, never; yes, but rarely; yes, sometimes;

or yes, often?)

┌─────────┐

│0 in 4613├─────────1. NO, NEVER

└─────────┤

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN

├─────────8. DK


└─────────9. NA

4613 E12a. Were you able to answer this question?


1. YES

5. NO
8. DK

9. NA
0. Inap, 1, 8-9 in 4612

4614 E13. (RB, STILL ON P. 15) During the past month, have you ever found yourself searching to make sense or find some meaning in your (husband's/wife's) death--(no, never; yes,



but rarely; yes, sometimes; or yes, often)?

1. NO, NEVER

┌──────────────┐

│0 in 4615-4616├─────2. YES, BUT RARELY

└──────────────┼─────3. YES, SOMETIMES

└─────4. YES, OFTEN

8. DK


9. NA
4615 E13a. (RB, STILL ON P. 15) Has this happened during the past 6 months? (no, never; yes, but rarely; yes, sometimes; or

yes, often)?
1. NO, NEVER

┌─────────┐

│0 in 4616├─────────2. YES, BUT RARELY

└─────────┼─────────3. YES, SOMETIMES

└─────────4. YES, OFTEN

8. DK


9. NA
0. Inap, 2-4 in 4614

4616 E13b. (RB, STILL ON P. 15) At any time since (his/her) death, have you ever found yourself searching to make sense or find some meaning in (his/her) death--(no, never; yes, but



rarely; yes, sometimes; or yes, often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

0. Inap, 2-4 in 4614 or 4615

4617 E14. (RB, P. 16) Have you made any sense or found any meaning in your (husband's/wife's) death? Would you say no, not



at all; yes, a little; yes, some; or yes, a great deal?

┌──────────────┐

│0 in 4620-4622├─────1. NO, NOT AT ALL

└──────────────┘

┌──────────────┐

│0 in 4618-4619├─────2. YES, A LITTLE

└──────────────┼─────3. YES, SOME

└─────4. YES, A GREAT DEAL

┌──────────────┐


│0 in 4620-4622├─────8. DK

└──────────────┴─────9. NA

4618 E14a. Can you tell me why you feel that way?

4619


11. Spouse was young; too young to die

12. Spouse in good health; was not (seriously) ill

13. Combination of youth and good health (11+12)
14. Spouse old; had lived a long time

15. Spouse in poor health; couldn't survive illness; had been sick a long time

16. Combination of old age and poor health (14+15)

17. Had poor health habits (smoked, drank, didn't get medical care, etc.)


19. R blames medical personnel: doctor at fault, incompetent
21. References to God or religion; God's will; prayer as means of coping

22. Other fatalistic responses; these things just happen (to everyone); death as part of life-cycle; "it was his time"; "that's life"

4618 E14a. Continued

4619

31. Positive aspects of death; spouse no longer suffers; at peace now


32. Positive mentions of spouse's life in general: "he had a good life"; "we had a good marriage"

81. R angry/upset/confused--n.e.c.


96. There is no answer/meaning; have found no meaning (yet)

┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK


99. NA
00. Inap, 2-4 in 4617; no further mention

4620 E14b. How have you done so? (PROBE FOR A FULL RESPONSE.)

4621

Use same code as V4618-4619, except:


00. Inap, 1, 8-9 in 4617; no further mention

4622 E14c. (RB, STILL ON P. 16) Are you comforted by this explanation--(no, not at all; yes, a little; yes, some; or



yes, a great deal)?
1. NO, NOT AT ALL

2. YES, A LITTLE

3. YES, SOME

4. YES, A GREAT DEAL


8. DK

9. NA
0. Inap, 1, 8-9 in 4617


E15. (RB, P. 17) Please tell me how true the following statements are as they apply to you now.


4623 E15. At times, I want or need to think about my (husband/wife) or (his/her) death. Is this very true, somewhat,

a little, or not true at all?
1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V4624-4626 │

4. NOT TRUE AT ALL └───────────────┘


8. DK

9. NA

4624 E16. Almost everything I see or hear brings back painful


reminders of my (husband/wife).

4625 E17. I try not to think about what happened.





4626 E18. I do not see any purpose in dwelling on my (husband's/

wife's) death.

4627 E19. (RB, STILL ON P. 17) It is upsetting to come into contact with reminders of my (husband/wife)--(very true, somewhat,



a little, or not true at all)?

┌─────────┐

│0 in 4628├─────────1. VERY TRUE

└─────────┼─────────2. SOMEWHAT TRUE

└─────────3. A LITTLE TRUE
4. NOT TRUE AT ALL
8. DK

9. NA
4628 E19a. (RB, STILL ON P. 17) There were times in the past 6 months when it was upsetting to come into contact with reminders of (him/her)--(very true, somewhat, a little, or



not true at all)?
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA
0. Inap, 1-3 in 4627


4629 E20. (RB, STILL ON P. 17) I feel the need to be with people who will let me talk about my (husband/wife) or (his/her) death. (Is this very true of you, somewhat,



a little, or not true at all of you?)
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA


4630 E21. (RB, P. 18) During the past month, how often did you actually talk about your (husband/wife) or (his/her) death with anyone? Would you say several times a day, daily or almost daily, 2 to 3 times a week, about once a week, less


than once a week, or never?
1. SEVERAL TIMES A DAY

2. DAILY OR ALMOST DAILY

3. 2 TO 3 TIMES A WEEK

4. ABOUT ONCE A WEEK

5. LESS THAN ONCE A WEEK

┌──────────────┐

│0 in 4631-4634├─────6. NEVER

└──────────────┘

8. DK

9. NA


4631 E22. (RB, P. 19) In general, during the past month, has talking with others about (him/her) made you feel sad or upset? Would you say no, never; yes, but rarely; yes, sometimes;

or yes, often?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA
0. Inap, 6 in 4630


4632 E23. (RB, STILL ON P. 19) Has talking about (him/her) made you feel happy or at peace during the past month--(no, never;



yes, but rarely; yes, sometimes; or yes, often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA
0. Inap, 6 in 4630





4633 E24. (RB, STILL ON P. 19) During the past month, has talking about (him/her), or (his/her) death, or how you are doing seemed to make other people uncomfortable--(no, never;

yes, but rarely; yes, sometimes; or yes, often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

0. Inap, 6 in 4630

4634 E25. (RB, STILL ON P. 19) During the past month, have you ended up talking about your (husband/wife) or (his/her) death, or how you are doing even when you didn't want to--(no, never; yes, but rarely; yes, sometimes; or yes,


often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA
0. Inap, 6 in 4630


4635 E26. (RB, P. 20) Please tell me how true the following statements are as they apply to you.

At times I find that I want or need to cry. Is this very true of you, somewhat, a little, or not true at all of

you?
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA

4636 E27. (RB, STILL ON P. 20) I believe that there is no point in crying over the loss of my (husband/wife) since crying will not bring (him/her) back. (Is this very true for



you, somewhat, a little, or not true at all for you?)
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA

4637 E28. (RB, P. 21) During the past month, how often did you actually cry about the loss of your (husband/wife)? Would you say several times a day, daily or almost daily, 2 to 3 times a week, about once a week, less than once a week, or

never?

┌─────────┐

│0 in 4640├─────────1. SEVERAL TIMES A DAY

└─────────┼─────────2. DAILY OR ALMOST DAILY

├─────────3. 2 TO 3 TIMES A WEEK

├─────────4. ABOUT ONCE A WEEK

└─────────5. LESS THAN ONCE A WEEK

┌───────────────┐

│0 in 4638-4639,├────6. NEVER

4641-4643 │

└───────────────┼────8. DK

└────9. NA

4638 E28a. How long did these periods of crying typically last?--



MINUTES
Code MINUTES (01-95), except:
98. DK

99. NA



00. MINUTES not given; Inap, 6, 8-9 in 4637

4639 E28a. How long did these periods of crying typically last?--



HOURS
Code HOURS (01-95), except:
98. DK

99. NA
00. HOURS not given; Inap, 6, 8-9 in 4637


4640 E28b. (RB, P. 22) At any time since your (husband's/wife's) death did you ever cry about (his/her) loss? Would you say no, never; yes, but rarely; yes, sometimes; or yes,



often?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA
0. Inap, 1-5 in 4637

4641 E29. (RB, P. 22) In general, during the past month, has crying made you feel worse than you did before--no, never; yes,

but rarely; yes, sometimes; or yes, often?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA
0. Inap, 6, 8-9 in 4637


4642 E30. (RB, STILL ON P. 22) Has crying made you feel better during the past month(--no, never; yes, but rarely; yes,



sometimes; or yes, often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES


4. YES, OFTEN
8. DK

9. NA

0. Inap, 6, 8-9 in 4637

4643 E31. (RB, STILL ON P. 22) During the past month, did you become tearful even when you didn't want to? (Would you say no,



never; yes, but rarely; yes, sometimes; or yes, often)?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA
0. Inap, 6, 8-9 in 4637





SECTION F: COPING WITH PROBLEMS OF WIDOWHOOD



VAR #
The next questions are about problems and changes facing bereaved people.
4701 F1. (RB, STILL ON P. 22) During the past month, have you experienced feelings of grief, loneliness or missing your (husband/wife)? (Would you say no, never; yes, but

rarely; yes, sometimes; or yes, often?)
1. NO, NEVER

┌──────────────┐

│0 in 4702-4703├─────2. YES, BUT RARELY

└──────────────┼─────3. YES, SOMETIMES

└─────4. YES, OFTEN

8. DK


9. NA

4702 F1a. (RB, STILL ON P. 22) Have you had these feelings in the last 6 months? (no, never; yes, but rarely; yes,



sometimes; or yes, often)?
1. NO, NEVER

┌─────────┐

│0 in 4703├─────────2. YES, BUT RARELY

└─────────┼─────────3. YES, SOMETIMES

└─────────4. YES, OFTEN

8. DK


9. NA
0. Inap, 2-4 in 4701

4703 F1b. (RB, STILL ON P. 22) Have you ever had feelings of grief, loneliness or missing your (husband/wife) since (he/she) died--(no, never; yes, but rarely; yes, sometimes; or yes,


often?)

┌──────────────┐

│0 in 4704-4716├─────1. NO, NEVER

└──────────────┤

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN

├─────8. DK



└─────9. NA
0. Inap, 2-4 in 4701 or 4702

F2. (RB, P. 23) I am going to read you a list of things people sometimes do to handle feelings of grief, loneliness or missing their (husband/wife). For each one, please tell me how much you have done this to help you cope with your feelings, at any time since your (husband/wife) died.


4704 F2a. To cope with these feelings, how much have you gotten out of the house--gone somewhere, or taken a walk or drive?

Have you done this a lot, a little, or not at all?
1. A LOT ┌───────────────┐

2. A LITTLE │USE SAME CODE │

3. NOT AT ALL │FOR V4705-4712 │

└───────────────┘

7. IF VOLUNTEERED: DID, BUT NOT TO COPE

WITH SPOUSE'S DEATH


8. DK

9. NA
0. Inap, 1, 8-9 in 4703


4705 F2b. How much have you kept busy or tried to get involved in



some activity?

4706 F2c. How much have you turned to God for strength and comfort?

4707 F2d. How much have you tried to dull the pain you are feeling

by turning to alcohol, food or drugs, or sleeping more?

4708 F2e. How much have you tried to think about the good things


about your life?

4709 F2f. How much have you told yourself that things will get better with time; that you have gone through the worst of



it?

4710 F2g. How much have you tried to remember the good times that



you and your (husband/wife) had together?

4711 F2h. How much have you done things that help you feel close to



your (husband/wife), such as going to the cemetery?


4712 F2j. How much have you tried to forget about what has happened?

F3. For the next few questions you can just answer yes or no. To help handle feelings of grief, loneliness or missing your (husband/wife), have you...


4713 F3a. ...gone to a self-help group or support group for people

who have lost a spouse?
1. YES ┌───────────────┐

5. NO │USE SAME CODE │

│FOR V4714-4716 │

8. DK └───────────────┘

9. NA
0. Inap, 1, 8-9 in 4703

4714 F3b. Have you seen a minister, priest or other clergy for help?

4715 F3c. Have you talked to your family doctor about your feelings

of grief, loneliness or missing your (husband/wife)?

4716 F3d. Have you gone to a mental health professional for help-- someone like a social worker or psychologist?

4717 F4. (RB, P. 24) During the past month, have you been bothered by having to plan or fix meals and eat on your own? Would you say no, never; yes, but rarely; yes, sometimes; or


yes, often?
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

[V4718: BUILD = 0]

4719 F5. (RB, STILL ON P. 24) During the past month, have you experienced problems keeping up with things around the house such as cleaning, paying bills, maintenance of your home and car or doing laundry? (Would you say no, never;



yes, but rarely; yes, sometimes; or yes, often?)
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA


[V4720: BUILD = 0]

4721 F6. (RB, STILL ON P. 24) During the past month, have you been bothered by having to handle such things as your (husband's/wife's) estate, arranging for credit or dealing with insurance companies or agencies like Blue Cross or Social Security? (Would you say no, never; yes, but



rarely; yes, sometimes; or yes, often?)
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

[V4722: BUILD = 0]


4723 F7. (RB, STILL ON P. 24) During the past month, have you been troubled by having to make major decisions without your (husband/wife), such as decisions about major purchases or whether or not to move? (Would you say no, never; yes,

but rarely; yes, sometimes; or yes, often?)
1. NO, NEVER

2. YES, BUT RARELY

3. YES, SOMETIMES

4. YES, OFTEN


8. DK

9. NA

[V4724-V4725: BUILD = 0]

4726 F8. During the past month, have you had any problems as a


result of being widowed that I haven't asked you about?
1. YES

┌──────────────┐

│0 in 4727-4728├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA


4727 F8a. What other problems have you experienced?

4728

11. Emotional problems: loneliness, depression



12. Social problems; problems with friends/other couples; "feel like a 5th wheel"

13. Financial problems: (increased) bills or expenses; debt; financial decisions more difficult


21. Upkeep/maintenance of house or car (exc. 13); no one to fix things; difficulty getting work done


31. Transportation; can't/don't drive; "spouse always drove"


41. Safety; no one around to watch house; fearful at night


┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK

99. NA



00. Inap, 5, 8-9 in 4726; no further mention



SECTION G: MARRIAGE



VAR #
4801 G0. INTERVIEWER CHECKPOINT
1. R WAS INTERVIEWED AT WAVE 1

┌──────────────┐

│0 in 4802-4803├─────2. ALL OTHERS

└──────────────┘


4802 G0a. Did your (husband/wife) have any serious, ongoing, health



problems before (he/she) died?
1. YES

5. NO

8. DK

9. NA

0. Inap, 2 in 4801

[V4803: BUILD = 0]


4804 G2. INTERVIEWER CHECKPOINT


1. SPOUSE HAD (SERIOUS) ONGOING HEALTH PROBLEM

2. SPOUSE DID NOT HAVE (SERIOUS) ONGOING HEALTH PROBLEM

G2a. For the next questions, please think about the last few years of your marriage before your (husband/wife) became very ill.

G2b. For the next questions, please think about the last few years of your marriage.


4805 G3. (RB, P. 25) How much did your (husband/wife) make you feel loved and cared for? Would you say a great deal,



quite a bit, some, a little, or not at all?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA


4806 G4. (RB, STILL ON P. 25) How much do you feel (he/she) made too many demands on you in the last few years of your marriage (before (he/she) became very ill)? (Would you say a great deal, quite a bit, some, a little, or not at



all?)
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA

4807 G5. (RB, STILL ON P. 25) In the last few years of your marriage (before (he/she) became very ill) how much was (he/she) willing to listen when you needed to talk about your worries or problems--(a great deal, quite a bit,

some, a little, or not at all)?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA

4808 G6. (RB, STILL ON P. 25) During the last few years of your marriage (before [he/she] became ill) how much were you willing to listen when your (husband/wife) needed to talk about (his/her) worries or problems--(a great deal, quite


a bit, some, a little, or not at all)?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA


4809 G7. (RB, STILL ON P. 25) How much do you think you made your (husband/wife) feel loved and cared for--(a great deal,

quite a bit, some, a little, or not at all)?
1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE



5. NOT AT ALL
8. DK

9. NA

4810 G8. (RB, P. 26) During the last few years of your marriage (before [he/she] became ill), how often would you say you and your (husband/wife) typically had unpleasant disagreements or conflicts? Would you say more than once a week, about once a week, 1 to 3 times a month, less than

once a month, or never?
1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER
8. DK

9. NA

4811 G9. (RB, P. 27) Please tell me how true the next two statements are. My (husband/wife) did not treat me as well as I deserved to be treated. Is this very true,

somewhat true, a little true, or not true at all?
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA


4812 G10. (RB, STILL ON P. 27) I did not treat my (husband/wife) as well as (he/she) deserved to be treated. (Is this very

true, somewhat true, a little true, or not true at all?)
1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL


8. DK

9. NA
[V4813-V4839: BUILD = 0]



SECTION H: SELF DESCRIPTION




VAR #
H1. (RB, STILL ON P. 27) Please tell me how true the following statements are as they apply to you now.
4901 H1. On the whole I am satisfied with myself. (Is this very true, somewhat, a little, or not true at all as it applies

to you?)
1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V4902-4908 │

4. NOT TRUE AT ALL └───────────────┘


8. DK

9. NA

4902 H2. At times I think I am no good at all.

4903 H3. I wish I could have more respect for myself.

4904 H4. All in all, I am inclined to feel that I am a failure.

4905 H5. I feel I am a person of worth, at least equal with others.

4906 H6. I have never worried about having a painful disease.

4907 H7. Funerals sometimes upset me.

4908 H8. I am afraid of dying of cancer.

H10. (SAB, P. 1) Please look at page 1 of the large blue booklet where you will find a number of statements. After each statement, put an "X" in the answer category that indicates how strongly you agree or disagree with the statement as it applies to you. The best answer is usually the one that comes to your mind first, so try not to spend too much time on any one statement. Continue until you see a




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