If you have no difficulty using a map go to Q39 Q38a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other Q39. Do you have any difficulty preparing a hot meal? 1. Yes 2. No 3. Can’t prepare meals 4. Don’t prepare meals If you have no difficulty preparing a hot meal go to Q40 Q39a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other 5. Refused Q39b. Does anyone help you prepare hot meals? 1. Yes 2. No Q40. Do you have any difficulty shopping for groceries? 1. Yes 2. No 3. Can’t shop for groceries 4. Don’t shop for groceries If you have no difficulty shopping for groceries go to Q41 Q40a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other Q40b. Does anyone help you shop for groceries? 1. Yes 2. No Q41. Do you have any difficulty making telephone calls? 1. Yes 2. No 3. Can’t make phone calls 4. Don’t make phone calls If you have no difficulty making telephone calls go to Q42 Q41a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other
If you have no difficulty using a map go to Q39 Q38a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other Q39. Do you have any difficulty preparing a hot meal? 1. Yes 2. No 3. Can’t prepare meals 4. Don’t prepare meals If you have no difficulty preparing a hot meal go to Q40 Q39a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other 5. Refused Q39b. Does anyone help you prepare hot meals? 1. Yes 2. No Q40. Do you have any difficulty shopping for groceries? 1. Yes 2. No 3. Can’t shop for groceries 4. Don’t shop for groceries If you have no difficulty shopping for groceries go to Q41 Q40a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other Q40b. Does anyone help you shop for groceries? 1. Yes 2. No Q41. Do you have any difficulty making telephone calls? 1. Yes 2. No 3. Can’t make phone calls 4. Don’t make phone calls If you have no difficulty making telephone calls go to Q42 Q41a. Is that because of a: 1. Health problem 2. Memory problem 3. Health and memory problem 4. Other
PATH%2060_W4_Questionnaire.docx