Social Security or Railroad Retirement
Pensions from other sources
Supplemental Security Income; whether because of disability; ever applied
Social Security Disability Insurance; whether because of disability; ever applied
Welfare, AFDC, or General Assistance; number of months received
Interest income
Dividend or property income
Child support
Any other source
Total combined family income from all sources
Who authorized to receive food stamps; months authorized (amounts not ascertained)
[Note: There are no questions on welfare program participation prior to the previous year.]
As reported by family respondent, information about family members on:
Health status and limitation of activities
Injuries in past 3 months
Access to health care (whether family member didn't get care or delayed in seeking care because couldn't afford it)
Hospital utilization in past 12 months
Health care contacts in 2-week period
Whether any family member received care 10 or more times in past 12 months
For adults, extensive questions on:
Health conditions (long list, some ever reported, some last 12 months, some last 3 months)
Emotional feelings in last 30 days (e.g., hopeless, nervous)
Health indicators (e.g., days lost from work, days bedridden, health better or worse)
Limitation of activities (e.g., walking, bending) and related health conditions
Health behaviors (tobacco use, exercise, alcohol use)
Access to health care
Dental care
Health care provider contacts in past 12 months
Immunizations (flu shots and pneumonia vaccinations)
For children, questions on:
Conditions, limitation of activity, health status
Mental health
Access to health care
Dental care
Health care provider contacts in last 12 months
Immunizations
Whether health insurance offered through workplace
Who in family has coverage; type
Type of Medicare coverage; whether signed up with an HMO
For Medicaid, whether can see any doctor; whether need referrals
For private coverage, whether obtained through employer or union; who pays premiums; how much
family spent for premiums including payroll deductions; whether HMO, IPA, PPO, or other type of plan
If no coverage, when last was covered; reasons for no longer having coverage
Whether ever lacked coverage in previous 12 months; number of months
Total family expenditures for medical care (excluding premiums, non-prescription drugs, costs for which expect to be reimbursed)