/* SHORT TITLE:  Codebook for Patient Quest-Time 5 Specific Data  */

           ********************************************************************************
           *                        W E S T A T   C O D E B O O K                         *
           *                        -----------   ---------------                         *
           *                                                                              *
           *                          STUDY OF HEALTH CARE COSTS                          *
           *          WESTAT ADULT/ADOLESCENT QUESTIONNAIRE TIME 5 - PUBLIC USE           *
           *                                 30 JUNE 1994                                 *
           ********************************************************************************

           ********************************************************************************
           *                        W E S T A T   C O D E B O O K                         *
           *                        -----------   ---------------                         *
           *                                                                              *
           *                          STUDY OF HEALTH CARE COSTS                          *
           *          WESTAT ADULT/ADOLESCENT QUESTIONNAIRE TIME 5 - PUBLIC USE           *
           *                                 30 JUNE 1994                                 *
           ********************************************************************************

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                                                            (0)
 27 Jun. 1994
                                                                                                                Record 01
                                                 STUDY OF HEALTH CARE COSTS
                                  WESTAT ADULT/ADOLESCENT QUESTIONNAIRE TIME 5 - PUBLIC USE
                                                        30 JUNE 1994
        Question  Column
         Name     Number(s)
        ________  _________



         HPID01    001-009       PATIENT ID NUMBER
                                 _________________

                                 000000001-
                                 999999999     = RANDOMLY ASSIGNED SEQUENTIAL NUMBER



         HREC01    010-011       RECORD NUMBER
                                 _____________

                                 01            = NUMBER



         HSREC01   012-013       SUBRECORD NUMBER
                                 ________________

                                 00            = NOT A REPEATING RECORD



         HITYPE    014           WHAT IS THE INSTRUMENT TYPE?
                                 _____________________________

                                 H             = INSTRUMENT TYPE



         HRTYPE    015           RESPONDENT TYPE
                                 _______________

                                 1             = STUDY SUBJECT
                                 2             = PROXY



         HLANG     016           QUESTIONNAIRE LANGUAGE VERSION
                                 ______________________________

                                 1             = ENGLISH
                                 2             = SPANISH



         HREFDT   (017-022)      REFERENCE BEGIN DATE
                                 ____________________




         HREFMO    017-018       REFERENCE BEGIN MONTH
                                 _____________________

                                 01-12         = MONTH
                                                            (1)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HREFDY    019-020       REFERENCE BEGIN DAY
                                 ___________________

                                 01-31         = DAY



         HREFYR    021-022       REFERENCE BEGIN YEAR
                                 ____________________

                                 91-92         = YEAR



         HENDDT   (023-028)      REFERENCE END DATE
                                 __________________




         HENDMO    023-024       MONTH OF END DATE
                                 _________________

                                 +             = INAPPLICABLE
                                 01-12         = MONTH



         HENDDY    025-026       DAY OF END DATE
                                 _______________

                                 +             = INAPPLICABLE
                                 01-31         = DAY



         HENDYR    027-028       YEAR OF END DATE
                                 ________________

                                 +             = INAPPLICABLE
                                 91-92         = YEAR



         T5_STAT   029-030       QUESTIONNAIRE STATUS
                                 ____________________

                                 CO            = COMPLETE, WITH RESPONDENT
                                 PR            = COMPLETE, WITH PROXY
                                 DD            = COMPLETE, WITH PROXY PATUIENT DECEASED AT TIME OF INTERVIEW



         OBSDAYS5  031-033       OBSERVATION DAYS WITHIN REFERENCE PERIOD EXCLUDING PERIODS OF INELIGIBILITY
                                 ___________________________________________________________________________

                                 001-600       = NUMBER
                                 999           = NUMBER
                                                            (2)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         GAP5FLAG  034           PATIENT HAD TIME GAP DURING THE REFERENCE PERIOD
                                 ________________________________________________

                                 +             = INAPPLICABLE, NO TIME GAP
                                 1             = YES TIME GAP



         ADM5      035-036       NUMBER OF INPATIENT ADMISSIONS (UNSTANDARDIZED)
                                 _______________________________________________

                                 00            = NONE
                                 01-99         = NUMBER OF ADMISSIONS



         IPNGT5    037-039       NUMBER OF INPATIENT NIGHTS (UNSTANDARDIZED)
                                 ___________________________________________

                                 000           = NONE
                                 001-999       = NUMBER OF NIGHTS



         AMBVS5    040-042       NUMBER OF AMBULATORY VISITS, INCLUDES HOSPITAL CLINIC, OTHER CLINIC AND PRIVATE MD
                                 (UNSTANDARDIZED)
                                 ________________

                                 000           = NONE
                                 001-999       = NUMBER OF AMBULATORY VISITS



         ERVS5     043-045       NUMBER OF EMERGENCY ROOM VISITS (UNSTANDARDIZED)
                                 ________________________________________________

                                 000           = NONE
                                 001-999       = NUMBER OF EMERGENCY ROOM VISITS



         HCVS5     046-048       NUMBER OF HOSPITAL CLINIC VISITS
                                 ________________________________

                                 000           = NONE
                                 001-999       = NUMBER OF HOSPITAL CLINIC VISITS



         OCVS5     049-051       NUMBER OF OTHER CLINIC VISITS (UNSTANDARDIZED)
                                 ______________________________________________

                                 000           = NONE
                                 001-999       = NUMBER OF OTHER CLINIC VISITS
 
                                                            (3)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         MDVS5     052-054       NUMBER OF PRIVATE MD VISITS (UNSTANDARDIZED)
                                 ____________________________________________

                                 000           = NONE
                                 001-999       = NUMBER OF PRIVATE MD VISITS



         HHSEHOLD (055-129)      HOUSEHOLD COMPOSITION
                                 _____________________




         HA01CT    055-056       COUNTER OF PEOPLE LISTED IN Q.A1.
                                 __________________________________

                               * 00            = NONE
                                 01-99         = AMOUNT

                               * SKIP HAIREL1 - HA1SST10



         PERSON1  (057-062)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL1   057-058       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO NAMES LISTED (PATIENT LIVES ALONE)
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX1   059           SEX
                                 ___

                                 +             = INAPPLICABLE, NO NAMES LISTED (PATIENT LIVES ALONE)
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (4)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE1   060-061       AGE
                                 ___

                                 +             = INAPPLICABLE, NO NAMES LISTED (PATIENT LIVES ALONE)
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST1   062           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO NAMES LISTED (PATIENT LIVES ALONE)
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON2  (063-068)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL2   063-064       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX2   065           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (5)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE2   066-067       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST2   068           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON3  (069-074)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL3   069-070       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX3   071           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (6)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE3   072-073       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST3   074           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON4  (075-080)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL4   075-076       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX4   077           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (7)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE4   078-079       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST4   080           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON5  (081-086)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL5   081-082       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX5   083           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (8)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE5   084-085       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST5   086           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON6  (087-092)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL6   087-088       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX6   089           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (9)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE6   090-091       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST6   092           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON7  (093-098)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL7   093-094       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX7   095           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (10)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE7   096-097       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST7   098           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON8  (099-104)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL8   099-100       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX8   101           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (11)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE8   102-103       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST8   104           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON9  (105-110)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL9   105-106       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX9   107           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (12)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE9   108-109       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST9   110           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         PERSON10 (111-116)      HOW IS THIS PERSON RELATED TO (PATIENT)?  IS (PERSON) MALE OR FEMALE?  HOW OLD IS
                                 (PERSON)?
                                 __________




         HA1REL10  111-112       RELATIONSHIP
                                 ____________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 01-21         = USE CODES IN APPENDIX 55
                                 91            = OTHER RELATIVE
                                 92            = OTHER NON -RELATIVE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SEX10  113           SEX
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = MALE
                                 2             = FEMALE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (13)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA1AGE10  114-115       AGE
                                 ___

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 00            = NEWBORN TO 11 MONTHS
                                 01-90         = YEARS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA1SST10  116           HAS (PERSON) BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, NO OTHER NAMES LISTED
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HABOX1   (117-118)      BOX A -1
                                 ________




         HABOX1A   117           CHILDREN LISTED?
                                 _________________

                                 1             = YES
                                 2             = NO



         HABOX1B   118           SPOUSE/PARTNER LISTED?
                                 _______________________

                               * 1             = YES
                                 2             = NO

                               * SKIP HA2 - HA4
 
 
 
                                                            (14)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA2       119           ARE YOU CURRENTLY LEGALLY MARRIED, WIDOWED, DIVORCED, SEPARATED, OR HAVE YOU NEVER BEEN
                                 MARRIED?
                                 _________

                                 +             = INAPPLICABLE, CODED 1 IN HABOX1B.
                               * 1             = MARRIED
                                 2             = WIDOWED
                                 3             = DIVORCED
                                 4             = SEPARATED
                                 5             = NEVER MARRIED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED

                               * SKIP HA3



         HA3       120           ARE YOU CURRENTLY INVOLVED IN A COMMITTED RELATIONSHIP WITH ONE OTHER PERSON?
                                 ______________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HABOX1B; OR CODED 1 IN HA2.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HA4



         HA4       121           HAS (YOUR SPOUSE/THAT PERSON) ALSO BEEN DIAGNOSED AS BEING HIV POSITIVE?
                                 _________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HABOX1B; OR CODED 2, 7, 8 OR 9 IN HA3.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
 
 
                                                            (15)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA5       122-123       PLEASE LOOK AT THIS CARD, WHICH DESCRIBES DIFFERENT TYPES OF PLACES WHERE PEOPLE LIVE.
                                 SINCE (REF.  DATE), IN WHICH ONE OF THESE TYPES OF PLACES DID YOU LIVE MOST OF THE TIME?
                                 CODE ONE.
                                 __________

                                 01            = APARTMENT OR HOUSE WHICH YOU OWN OR HOLD THE LEASE
                                 02            = APARTMENT OR HOUSE OF ANOTHER IN WHICH YOU PAY RENT BUT DON'T HOLD THE
                                                 LEASE
                                 03            = "DOUBLED UP" WITH FRIEND OR RELATIVE ON SOFA, FLOOR, ETC.
                                 04            = SINGLE ROOM OCCUPANCY (SRO) OR 'WELFARE HOTEL'
                                 05            = SPECIALIZED AIDS HOUSING
                                 06            = SHELTERS
                                 07            = STREET OR OTHER PUBLIC PLACE
                                 08            = HOSPITAL, NURSING HOME, RESIDENTIAL CARE FACILITY
                                 09            = IN FOSTER HOMES
                                 10            = LIVES WITH SOMEONE ELSE
                                 11            = JAIL
                                 12            = PUBLIC HOUSING
                                 13            = TRAILER/HOUSE, ETC NOT KNOWN IF OWNED OR LEASED
                                 91            = OTHER SPECIFIED
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HA6      (124-129)      PLEASE LOOK AT THIS CARD.  SINCE (REF.  DATE), DID YOU LIVE IN ANY OF THESE PLACES OR
                                 SITUATIONS?  (CODE ALL THAT APPLY)
                                 __________________________________




         HA6A      124           TEMPORARILY "DOUBLED UP" WITH FRIEND OR RELATIVE ON SOFA, FLOOR, ETC.
                                 ______________________________________________________________________

                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HA6B      125           SINGLE ROOM OCCUPANCY (SRO) OR 'WELFARE HOTEL'
                                 ______________________________________________

                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (16)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HA6C      126           SPECIALIZED AIDS HOUSING
                                 ________________________

                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HA6D      127           SHELTERS
                                 ________

                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HA6E      128           STREET OR OTHER PUBLIC PLACE
                                 ____________________________

                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HA6F      129           NONE
                                 ____

                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HINSCOVR (130-219)      INSURANCE COVERAGE
                                 __________________

 
 
 
                                                            (17)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB1       130           SINCE (REF.  DATE), HAVE YOU BEEN COVERED BY ANY PRIVATE HEALTH INSURANCE PLAN, INCLUDING
                                 AN HMO, THAT PAYS FOR ANY PART OF HOSPITAL BILLS, DOCTOR BILLS, OR SURGEON BILLS?
                                 __________________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HBBOX2



         HBBOX2    131           TIME 4 = PRIVATE INSURANCE
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB1
                               * 1             = YES
                              ** 2             = NO

                               * SKIP HBBOX3

                              ** SKIP HBBOX3 - HBBOX4



         HBBOX3    132           TIME 4 = PRIVATE INSURANCE
                                 __________________________

                                 +             = INAPPLICABLE, CODED 1 IN HB1
                               * 1             = YES
                              ** 2             = NO

                               * SKIP HB2 - HB4L

                              ** SKIP HB2 - HB10



         HB2       133           IS THIS THE SAME PRIVATE HEALTH INSURANCE PLAN YOU TOLD ME ABOUT LAST TIME?
                                 ____________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                                 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB3 - HB4L
 
                                                            (18)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB3       134           HAVE YOU BEEN COVERED THE WHOLE TIME FROM (REF.  DATE) UNTIL TODAY, OR ONLY PART OF THE
                                 TIME?
                                 ______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2.
                               * 1             = THE WHOLE TIME
                                 2             = PART OF THE TIME
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB4A - HB10



         HB4      (135-146)      SINCE (REF.  DATE), IN WHICH MONTHS WERE YOU COVERED BY PRIVATE INSURANCE FOR THE ENTIRE
                                 MONTH?  CIRCLE THE CODE FOR ALL MONTHS THAT APPLY.


                                 CODER:  AT LEAST ONE ITEM MUST BE CIRCLED.  IF NONE ARE CIRCLED CODE 9 FOR EACH ITEM.  IF
                                 AT LEAST ONE IS CIRCLED, CODE 1 FOR ALL CIRCLED ITEM(S).  CODE 2 FOR ALL UNCIRCLED
                                 ITEM(S).




         HB4A      135           JANUARY
                                 _______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB4B      136           FEBRUARY
                                 ________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
                                                            (19)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB4C      137           MARCH
                                 _____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB4D      138           APRIL
                                 _____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB4E      139           MAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB4F      140           JUNE
                                 ____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
 
                                                            (20)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB4G      141           JULY
                                 ____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB4H      142           AUGUST
                                 ______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB4I      143           SEPTEMBER
                                 _________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB4J      144           OCTOBER
                                 _______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
                                                            (21)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB4K      145           NOVEMBER
                                 ________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB4L      146           DECEMBER
                                 ________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED IN HBBOX3; OR CODED 2, 7 OR 9
                                                 IN HB2; OR CODED 1, 7, 8 OR 9 IN HB3.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED

                                 GO TO HB12




         HB5      (147-150)      WHEN DID YOUR (PREVIOUS) HEALTH INSURANCE COVERAGE END?


                                 CODER:  IF HB5YR EQUALS 97, 98 OR 99, CODE 99 IN HB5MO.




         HB5MO     147-148       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED 2 IN HBBOX3; OR CODED 1 OR 8 IN
                                                 HB2.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
                                                            (22)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB5YR     149-150       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED 2 IN HBBOX3; OR CODED 1 OR 8 IN
                                                 HB2.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB6       151           WAS IT BECAUSE OF YOUR HIV INFECTION THAT THIS HAPPENED?
                                 _________________________________________________________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED 2 IN HBBOX3; OR CODED 1 OR 8 IN
                                                 HB2.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HBBOX4    152           LOOK AT Q.  B-1.  R ANSWERED:
                                 ______________________________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX2; OR CODED 2 IN HBBOX3; OR CODED 1 OR 8 IN
                                                 HB2.
                                 1             = YES
                               * 2             = NO

                               * SKIP HB7 - HB10



         HB7       153           IS YOUR CURRENT PLAN INDIVIDUAL OR FAMILY COVERAGE?
                                 ____________________________________________________

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX2 = 2 OR HBBOX4 = 1.
                                 1             = INDIVIDUAL PLAN
                                 2             = FAMILY PLAN
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
 
                                                            (23)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB8       154-155       HOW DO YOU GET YOUR CURRENT HEALTH INSURANCE OR HEALTH PLAN - THROUGH AN EMPLOYER OR
                                 FAMILY BUSINESS, A UNION, OR SOME OTHER GROUP, OR DIRECTLY FROM AN INSURANCE COMPANY?


                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX2 = 2 OR HBBOX4 = 1.
                                 01            = EMPLOYER/FAMILY BUSINESS
                                 02            = UNION
                                 03            = INSURANCE COMPANY
                                 04            = SPECIAL INTEREST GROUP
                                 05            = PUBLIC ASSISTANCE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB9      (156-159)      WHEN DID YOUR CURRENT HEALTH INSURANCE COVERAGE BEGIN?


                                 CODER:  IF HB9YR EQUALS 97, 98 OR 99, CODE 99 IN HB9MO.




         HB9MO     156-157       MONTH CURRENT HEALTH INSURANCE BEGAN
                                 ____________________________________

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX2 = 2 OR HBBOX4 = 1.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB9YR     158-159       YEAR CURRENT HEALTH INSURANCE BEGAN
                                 ___________________________________

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX2 = 2 OR HBBOX4 = 1.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
 
                                                            (24)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB10      160           IS THIS PLAN A HEALTH MAINTENANCE ORGANIZATION OR HMO?
                                 _______________________________________________________

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX2 = 2 OR HBBOX4 = 1.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB12      161           AT ANY TIME SINCE (REF.  DATE), HAVE YOU BEEN COVERED BY (MEDICAID/STATE NAME FOR
                                 MEDICAID)?
                                 ___________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB13 - HB14L



         HB13      162           HAVE YOU BEEN COVERED THE WHOLE TIME FROM (REF.  DATE) UNTIL TODAY, OR ONLY PART OF THE
                                 TIME?
                                 ______

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12.
                               * 1             = THE WHOLE TIME
                                 2             = PART OF THE TIME
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB14A - HB14L



         HB14     (163-174)      SINCE (REF.  DATE), IN WHICH MONTHS WERE YOU COVERED BY (MEDICAID/STATE NAME FOR
                                 MEDICAID) FOR THE ENTIRE MONTH?  CIRCLE THE CODE FOR ALL MONTHS THAT APPLY.


                                 CODER:  AT LEAST ONE ITEM MUST BE CIRCLED.  IF NONE ARE CIRCLED CODE 9 FOR EACH ITEM.  IF
                                 AT LEAST ONE ITEM IS CIRCLED, CODE 1 FOR ALL CIRCLED ITEM(S).  CODE 2 FOR ALL UNCIRCLED
                                 ITEM(S).

 
                                                            (25)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB14A     163           JANUARY
                                 _______

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB14B     164           FEBRUARY
                                 ________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB14C     165           MARCH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB14D     166           APRIL
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
 
 
                                                            (26)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB14E     167           MAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB14F     168           JUNE
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB14G     169           JULY
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB14H     170           AUGUST
                                 ______

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
 
 
                                                            (27)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB14I     171           SEPTEMBER
                                 _________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB14J     172           OCTOBER
                                 _______

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB14K     173           NOVEMBER
                                 ________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB14L     174           DECEMBER
                                 ________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB12; OR CODED 1, 7, 8 OR 9 IN HB13.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED

                                 GO TO HB19

 
 
                                                            (28)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HBBOX5    175           TIME 4 = MEDICAID
                                 _________________

                                 +             = INAPPLICABLE, CODED 1 IN HB12.
                                 1             = YES
                               * 2             = NO

                               * SKIP HB16MO - HB16YR



         HB16     (176-179)      WHEN DID YOUR (MEDICAID/STATE NAME FOR MEDICAID) COVERAGE END?


                                 CODER:  IF HB16YR EQUALS 97, 98 OR 99, CODE 99 IN HB16MO.




         HB16MO    176-177       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 1 IN HB12; OR CODED 2 IN HBBOX5.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB16YR    178-179       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 1 IN HB12; OR CODED 2 IN HBBOX5.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB17      180           HAVE YOU (RE-)APPLIED FOR MEDICAID?
                                 ____________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HB12.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB18
 
                                                            (29)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB18      181           HAVE YOU BEEN TURNED DOWN FOR MEDICAID?
                                 ________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HB12; OR CODED 2, 7, 8 OR 9 IN HB17.
                                 1             = YES
                                 2             = NO/ NO DECISION YET
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB19      182           SINCE (REF.  DATE), HAVE YOU BEEN COVERED BY MEDICARE?  MEDICARE IS A SOCIAL SECURITY
                                 HEALTH INSURANCE PROGRAM FOR DISABLED PERSONS AND FOR PERSONS 65 YEARS OLD AND OLDER.
                                 ______________________________________________________________________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB21      183           SINCE (REF.  DATE), HAVE YOU BEEN COVERED BY ANY OTHER PUBLIC ASSISTANCE PROGRAM (BESIDES
                                 MEDICAID/STATE NAME FOR MEDICAID OR MEDICARE) THAT PAYS FOR MEDICAL CARE?
                                 __________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HBBOX6



         HBBOX6    184           TIME 4 = OTHER PUBLIC ASSISTANCE
                                 ________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB21.
                               * 1             = YES
                              ** 2             = NO

                               * SKIP HBBOX7

                              ** SKIP HBBOX7 - HBBOX8
 
 
                                                            (30)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HBBOX7    185           TIME 4 = OTHER PUBLIC ASSISTANCE
                                 ________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HB21.
                               * 1             = YES
                              ** 2             = NO

                               * SKIP HB22 - HB24L

                              ** SKIP HB22 - HB27YR



         HB22      186           IS THIS THE SAME PUBLIC ASSISTANCE PROGRAM YOU TOLD ME ABOUT LAST TIME?
                                 ________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB23 - HB24L



         HB23      187           HAVE YOU BEEN COVERED THE WHOLE TIME FROM (REF.  DATE) UNTIL TODAY, OR ONLY PART OF THE
                                 TIME?
                                 ______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22.
                               * 1             = THE WHOLE TIME
                                 2             = PART OF THE TIME
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB24A - HB27YR



         HB24     (188-199)      SINCE (REF.  DATE), IN WHICH MONTHS WERE YOU COVERED BY (OTHER PUBLIC ASSISTANCE PROGRAM)
                                 FOR THE ENTIRE MONTH?  CIRCLE THE CODE FOR ALL MONTHS THAT APPLY.


                                 CODER:  AT LEAST ONE ITEM MUST BE CIRCLED.  IF NONE ARE CIRCLED CODE 9 FOR EACH ITEM.  IF
                                 AT LEAST ONE ITEM IS CIRCLED CODE 1 FOR EACH CIRCLED ITEM(S).  CODE 2 FOR EACH UNCIRCLED
                                 ITEM(S).

 
                                                            (31)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB24A     188           JANUARY
                                 _______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24B     189           FEBRUARY
                                 ________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24C     190           MARCH
                                 _____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24D     191           APRIL
                                 _____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
 
                                                            (32)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB24E     192           MAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24F     193           JUNE
                                 ____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24G     194           JULY
                                 ____

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24H     195           AUGUST
                                 ______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
 
                                                            (33)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB24I     196           SEPTEMBER
                                 _________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24J     197           OCTOBER
                                 _______

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24K     198           NOVEMBER
                                 ________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HB24L     199           DECEMBER
                                 ________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX6; OR CODED IN HBBOX7; OR CODED 2, 7, 8 OR
                                                 9 IN HB22; OR CODED 1, 7, 8 OR 9 IN HB23.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED

                                 GO TO HBBOX9

 
                                                            (34)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB25     (200-203)      (LAST TIME YOU TOLD ME YOU WERE COVERED BY SOME PUBLIC ASSISTANCE PROGRAM.) WHEN DID YOUR
                                 COVERAGE UNDER THAT PROGRAM END?


                                 CODER:  IF HB25YR EQUALS 97, 98 OR 99, CODE 99 IN HB25MO.




         HB25MO    200-201       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX7 = 1; OR HB22 = 2, 7, 8 OR 9.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB25YR    202-203       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX7 = 1; OR HB22 = 2, 7, 8 OR 9.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HBBOX8    204           LOOK AT Q B-21.  R ANSWERED:
                                 _____________________________

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX7 = 1; OR HB22 = 2, 7, 8 OR 9.
                                 1             = YES
                               * 2             = NO

                               * SKIP HB26 - HB27YR
 
 
 
 
 
                                                            (35)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB26      205-206       WHAT IS THE NAME OF THIS CURRENT PROGRAM?
                                 __________________________________________

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX6 = 2; OR HBBOX8 = 1.
                                 70            = DRUG ASSISTANCE PROGRAM
                                 71            = ASSISTANCE FROM PROVIDER-FUNDING UNKNOWN
                                 72            = CITY FUNDED PROGRAM
                                 73            = COUNTY FUNDED PROGRAM
                                 74            = STATE FUNDED PROGRAM
                                 75            = FEDERALLY FUNDED PROGRAM
                                 76            = GOVT PROGRAM, NOS
                                 77            = COMMUNITY PROGRAM -FUNDING UNKNOWN
                                 91            = OTHER SPECIFIED
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB27     (207-210)      WHEN DID YOUR COVERAGE UNDER THIS CURRENT PROGRAM BEGIN?


                                 CODER:  IF HB27YR EQUALS 97, 98 OR 99, CODE 99 IN HB27MO.




         HB27MO    207-208       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX6 = 2; OR HBBOX8 = 1.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HB27YR    209-210       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED ONLY IF HBBOX6 = 2; OR HBBOX8 = 1.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
                                                            (36)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HBBOX9    211           TIME 4 - CHAMPUS/CHAMPVA
                                 ________________________

                                 1             = YES
                               * 2             = NO

                               * SKIP HB28



         HB28      212           ARE YOU NOW COVERED BY CHAMPUS (WHICH COVERS BOTH ACTIVE DUTY AND RETIRED CAREER MILITARY
                                 PERSONNEL, THEIR DEPENDENTS AND SURVIVORS) OR CHAMPVA (WHICH COVERS DISABLED VETERANS,
                                 THEIR DEPENDENTS AND SURVIVORS?)
                                 ________________________________

                                 +             = INAPPLICABLE, CODED 2 IN HBBOX9
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB29      213           ARE YOU CURRENTLY PARTICIPATING IN ANY CLINICAL TRIALS FOR ANY MEDICATIONS?
                                 ____________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HB31A1 - HB31B2



         HB31     (214-219)      HOW LONG HAVE YOU BEEN PARTICIPATING IN THIS/THESE TRIALS?
                                 ___________________________________________________________




         HB31A    (214-216)      LENGTH OF TIME IN FIRST TRIAL
                                 _____________________________

 
 
 
                                                            (37)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB31A1    214-215       LENGTH OF FIRST TRIAL
                                 _____________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB29.
                                 01-90         = AMOUNT
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HB31A2



         HB31A2    216           UNIT OF TIME 1
                                 ______________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB29; OR CODED 97, 98 OR 99 IN
                                                 HB31A1.
                                 1             = DAYS
                                 2             = WEEKS
                                 3             = MONTHS
                                 4             = YEARS
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HB31B    (217-219)      LENGTH OF TIME IN SECOND TRIAL
                                 ______________________________




         HB31B1    217-218       LENGTH OF SECOND TRIAL
                                 ______________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB29; OR ONLY ONE TRIAL.
                                 01-90         = AMOUNT
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HB31B2
 
 
 
                                                            (38)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HB31B2    219           UNIT OF TIME 2
                                 ______________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HB29; OR CODED 97, 98 OR 99 IN
                                                 HB31B1; OR ONLY ONE TRIAL
                                 1             = DAYS
                                 2             = WEEKS
                                 3             = MONTHS
                                 4             = YEARS
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HLTHSTAT (220-251)      HEALTH STATUS
                                 _____________




         HC15     (220-224)      IN THE PAST 5 YEARS, HAVE YOU EVER HAD ANY OF THE FOLLOWING SYMPTOMS?  (CIRCLE ALL THAT
                                 APPLY.)
                                 _______




         HC15A     220           SWOLLEN GLANDS (LYMPH NODES)
                                 ____________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC15B     221           PERSISTENT FEVER
                                 ________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
 
 
                                                            (39)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HC15C     222           DIARRHEA
                                 ________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC15D     223           WEIGHT LOSS (NOT INTENTIONAL)
                                 _____________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC15E     224           NONE
                                 ____

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16     (225-242)      IN THE PAST 5 YEARS HAVE YOU EVER HAD A DOCTOR TELL YOU THAT YOU HAD ANY OF THE FOLLOWING
                                 DISEASES OR CONDITIONS?
                                 ________________________




         HC16A     225           CANDIDIASIS (THRUSH)
                                 ____________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
 
                                                            (40)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HC16B     226           PCP (PNEUMOCYSTIS CARINII PNEUMONIA)
                                 ____________________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16C     227           KAPOSI'S SARCOMA (KS)
                                 _____________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16D     228           LYMPHOMA
                                 ________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16E     229           WASTING SYNDROME
                                 ________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16F     230           TB (TUBERCULOSIS)
                                 _________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
                                                            (41)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HC16G     231           CRYPTOCOCCOSIS
                                 ______________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16H     232           CMV (CYTOMEGALOVIRUS)
                                 _____________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16I     233           MAI
                                 ___

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16J     234           CRYPTOSPORIDIOSIS
                                 _________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16K     235           DEMENTIA
                                 ________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
                                                            (42)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HC16L     236           HERPES SIMPLEX CAUSING SORES FOR A MONTH OR MORE IN THE MOUTH OR THROUGHOUT THE BODY
                                 ____________________________________________________________________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16M     237           HISTOPLASMOSIS
                                 ______________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16N     238           TOXOPLASMOSIS
                                 _____________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16O     239           ISOSPORIASIS
                                 ____________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16P     240           LEUKOENCEPHALOPATHY
                                 ___________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED
 
                                                            (43)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HC16Q     241           SALMONELLOSIS
                                 _____________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC16R     242           NONE
                                 ____

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DON'T KNOW
                                 9             = NOT ASCERTAINED



         HC17      243           SINCE (REF.  DATE), HAVE YOU HAD A T4 TEST?
                                 ____________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HC18 - HC20



         HC18      244           WHAT WAS YOUR MOST RECENT T4 COUNT?  WAS IT:  PROBE:  YOUR CD4 COUNT?
                                 ______________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HC17
                                 1             = 0 - 100
                                 2             = 101 - 200
                                 3             = 201 - 300
                                 4             = 301 - 500
                                 5             = GREATER THAN 500
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HC19     (245-250)      WHAT WAS THE DATE OF YOUR MOST RECENT T4 TEST?


                                 CODER:  IF HC19YR EQUALS 97, 98 OR 99, CODE 99 IN HC19MO AND HC19DA.

                                                            (44)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HC19MO    245-246       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HC17.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HC19DA    247-248       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HC17
                                 01-31         = DAY
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HC19YR    249-250       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HC17
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HC20      251           SINCE (REF.  DATE), HAS YOUR T4 COUNT EVER BEEN LESS THAN 200?
                                 _______________________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HC17
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HIPSTAYS (252-256)      INPATIENT HOSPITAL STAYS
                                 ________________________

 
 
                                                            (45)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HD1A      252           SINCE (REF.  DATE), HAVE YOU BEEN A PATIENT IN A HOSPITAL OVERNIGHT OR LONGER?
                                 _______________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HD1B



         HD1B      253-254       HOW MANY TIMES HAVE YOU BEEN IN THE HOSPITAL OVERNIGHT OR LONGER SINCE (REF.  DATE)?
                                 _____________________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HD1A.
                                 01-96         = NUMBER OF TIMES
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HD05CT    255-256       NUMBER OF INPATIENT STAY RECORDS
                                 ________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HNURSHOM (257-261)      NURSING HOME/RESIDENTIAL CARE STAYS
                                 ___________________________________




         HE1A      257           HAVE YOU BEEN A PATIENT IN A RESIDENTIAL CARE FACILITY, A NURSING HOME OR HOSPICE
                                 OVERNIGHT OR LONGER?
                                 _____________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HE1B
 
 
                                                            (46)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HE1B      258-259       HOW MANY TIMES HAVE YOU BEEN IN A RESIDENTIAL CARE FACILITY, NURSING HOME OR HOSPICE
                                 OVERNIGHT OR LONGER SINGE (REF DATE)?
                                 ______________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HE1A.
                                 01-96         = NUMBER OF TIMES
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HE07CT    260-261       NUMBER OF NURSING HOME/RESIDENTIAL CARE RECORDS
                                 _______________________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HMEDVIST (262-281)      MEDICAL VISITS
                                 ______________




         HF1       262           SINCE (REF.  DATE), DID YOU GO TO A HOSPITAL EMERGENCY ROOM FOR MEDICAL CARE?  INCLUDE
                                 ANY VISITS TO THE EMERGENCY ROOM, (EVEN IF YOU WERE ADMITTED TO THE HOSPITAL FROM THERE).
                                 __________________________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HF1A



         HF1A      263-264       HOW MANY DIFFERENT EMERGENCY ROOMS DID YOU VISIT SINCE (REF.  DATE)?
                                 _____________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HF1.
                                 01-96         = NUMBER OF EMERGENCY ROOMS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HF09CT    265-266       NUMBER OF EMERGENCY ROOM RECORDS
                                 ________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER
                                                            (47)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HF2       267           DID YOU GO TO A HOSPITAL CLINIC OR HOSPITAL OUT-PATIENT DEPARTMENT FOR MEDICAL CARE?
                                 THESE VISITS COULD INCLUDE AN AEROSOL PENTAMIDINE CLINIC, AN EYE CLINIC, A LABORATORY
                                 WHERE THEY MIGHT CONDUCT BLOOD TESTS, OR A THERAPIST WHO WORKS IN A HOSPITAL.
                                 ______________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HF2A



         HF2A      268-269       HOW MANY DIFFERENT HOSPITAL CLINICS AND-OR HOSPITAL OUT-PATIENT DEPARTMENTS DID YOU VISIT
                                 SINCE (REF.  DATE)?
                                 ____________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HF2.
                                 01-96         = NUMBER OF PROVIDERS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HF10CT    270-271       NUMBER OF HOSPITAL CLINIC RECORDS
                                 _________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HF3       272           HAVE YOU BEEN TO ANY OTHER MEDICAL CLINIC, FOR EXAMPLE, A COMMUNITY CLINIC OR A
                                 NEIGHBORHOOD HEALTH CENTER?  THESE VISITS COULD INCLUDE BLOOD TESTS, OR OTHER LAB WORK,
                                 OR SCANS LIKE MRI'S OR X-RAY PROCEDURES.
                                 _________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HF3A
 
 
                                                            (48)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HF3A      273-274       HOW MANY DIFFERENT MEDICAL CLINICS DID YOU VISIT SINCE (REF.  DATE)?
                                 _____________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HF3.
                                 01-96         = NUMBER OF PROVIDERS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HF11CT    275-276       NUMBER OF MEDICAL CLINIC RECORDS
                                 ________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HF4       277           HAVE YOU BEEN TO A PRIVATE DOCTOR'S OFFICE FOR MEDICAL CARE?  THESE VISITS COULD ALSO
                                 INCLUDE BLOOD TESTS, OTHER LAB WORK, OR SCANS LIKE MRI'S OR X-RAY PROCEDURES.
                                 ______________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HF4A



         HF4A      278-279       HOW MANY DIFFERENT PRIVATE DOCTOR'S OFFICES DID YOU VISIT SINCE (REF.  DATE)?
                                 ______________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HF4.
                                 01-96         = NUMBER OF PROVIDERS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HF12CT    280-281       NUMBER OF PRIVATE DOCTOR'S OFFICE RECORDS
                                 _________________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HOTHPROV (282-299)      OTHER HEALTH CARE PROVIDERS
                                 ___________________________

                                                            (49)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HG1       282           SINCE (REF.  DATE), HAVE YOU ATTENDED A SUPPORT GROUP, OR RECEIVED ANY PSYCHOLOGICAL
                                 COUNSELING OR THERAPY?  PLEASE DO NOT INCLUDE TREATMENT RECEIVED FOR PROBLEMS RELATED TO
                                 DRUG OR ALCOHOL USE.
                                 _____________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HG1A



         HG1A      283-284       HOW MANY DIFFERENT SUPPORT GROUPS OR PSYCHOLOGICAL COUNSELORS DID YOU VISIT SINCE (REF.
                                 DATE)?
                                 _______

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HG1.
                                 01-96         = NUMBER OF PROVIDERS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HG13CT    285-286       NUMBER OF MENTAL HEALTH PROVIDER RECORDS
                                 ________________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HG2       287           HAVE YOU RECEIVED CARE FROM ANY MEDICAL PRACTICIONERS SUCH AS OPTOMETRISTS, FOOT DOCTORS,
                                 OR CHIROPRACTORS?
                                 __________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HG2A
 
 
 
                                                            (50)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HG2A      288-289       YOU TOLD ME YOU USED THE SERVICES OF A (PROVIDER).  HOW MANY DIFFERENT (PROVIDERS) DID
                                 YOU VISIT SINCE (REF.  DATE)?
                                 ______________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HG2.
                                 01-96         = NUMBER OF PROVIDERS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HG14CT    290-291       NUMBER OF MEDICAL PRACTITIONER RECORDS
                                 ______________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HG3       292           HAVE YOU RECEIVED TREATMENT FROM ANY ALTERNATIVE THERAPIST, A PRACTICIONER OF HOLISTIC
                                 MEDICINE, A NUTRITIONIST, OR ANY OTHER ALTERNATIVE THERAPY LIKE BIOFEEDBACK?
                                 _____________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HG3A



         HG3A      293-294       YOU TOLD ME YOU USED THE SERVICES OF A (PROVIDER).  HOW MANY DIFFERENT (PROVIDERS) DID
                                 YOU VISIT SINCE (REF.  DATE)?
                                 ______________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HG3.
                                 01-96         = NUMBER OF PROVIDERS
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HG15CT    295-296       NUMBER OF ALTERNATIVE THERAPIST RECORDS
                                 _______________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER
 
                                                            (51)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HG4       297           SINCE (REF.  DATE), DID YOU BUY OR REPLACE ANY SPECIAL MEDICAL EQUIPMENT LIKE EYEGLASSES,
                                 A CANE OR A NEBULIZER?
                                 _______________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HG16CT    298-299       NUMBER OF MEDICAL EQUIPMENT PROVIDER RECORDS
                                 ____________________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HHOMHLTH (300-303)      HOME HEALTH CARE
                                 ________________




         HH1       300           SOMETIMES WHEN PEOPLE ARE ILL, THEY NEED TO RECEIVE HELP AT HOME.  THIS HELP COULD BE FOR
                                 MEDICAL PROBLEMS, FOR HELP WITH PERSONAL CARE OR HOUSEKEEPING, OR FOR OTHER SERVICES THEY
                                 MIGHT NEED.  PLEASE LOOK AT THIS CARD.  SINCE (REF.  DATE), HAVE YOU RECEIVED ANY OF
                                 THESE KINDS OF SERVICES AT HOME?
                                 _________________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HH2       301           HAVE YOU RECEIVED HELP AT HOME BY ANY OTHER PEOPLE NOT SHOWN ON THE CARD?  (SPECIFY THE
                                 PROVIDER TYPE IN COLUMN A.)
                                 ___________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
                                                            (52)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HH18CT    302-303       NUMBER OF HOME HEALTH CARE PROVIDER RECORDS
                                 ___________________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         H_NONMED (304-324)      NON - MEDICAL SERVICES
                                 ______________________




         HI1       304           PEOPLE WITH HIV INFECTION OFTEN NEED HELP WITH OTHER TYPES OF SERVICES AS WELL.  SINCE
                                 (REF.  DATE), HAVE YOU RECEIVED HELP FROM ANY AGENCY, GROUP OR ORGANIZATION WITH FINDING
                                 OR KEEPING A PLACE TO LIVE?
                                 ____________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HI20CT    305-306       NUMBER OF RECORDS FOR PROVIDERS HELPING WITH HOUSING
                                 ____________________________________________________

                                 00            = NONE
                                 01-99         = NUMBER



         HI2       307           PEOPLE WITH HIV INFECTION OFTEN NEED HELP WITH OTHER TYPES OF SERVICES AS WELL.  SINCE
                                 (REF.  DATE), HAVE YOU RECEIVED HELP FROM ANY AGENCY, GROUP OR ORGANIZATION WITH LEGAL
                                 SERVICES?
                                 __________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HI21CT    308-309       NUMBER OF RECORDS FOR PROVIDERS HELPING WITH LEGAL SERVICES
                                 ___________________________________________________________

                                 00            = NONE
                                 01-99         = NUMBER
 
                                                            (53)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HI3       310           PEOPLE WITH HIV INFECTION OFTEN NEED HELP WITH OTHER TYPES OF SERVICES AS WELL.  SINCE
                                 (REF.  DATE), HAVE YOU RECEIVED HELP FROM ANY AGENCY, GROUP OR ORGANIZATION WITH CHILD
                                 CARE?
                                 ______

                                 1             = YES
                                 2             = NO
                                 3             = NO CHILDREN
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HI22CT    311-312       NUMBER OF RECORDS FOR PROVIDERS HELPING WITH CHILD CARE
                                 _______________________________________________________

                                 00            = NONE
                                 01-99         = NUMBER



         HI4       313           PEOPLE WITH HIV INFECTION OFTEN NEED HELP WITH OTHER TYPES OF SERVICES AS WELL.  SINCE
                                 (REF.  DATE), HAVE YOU RECEIVED HELP FROM ANY AGENCY, GROUP OR ORGANIZATION WITH
                                 TRANSPORTATION?
                                 ________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HI23CT    314-315       NUMBER OF RECORDS FOR PROVIDERS HELPING WITH TRANSPORTATION
                                 ___________________________________________________________

                                 00            = NONE
                                 01-99         = NUMBER



         HI5       316           PEOPLE WITH HIV INFECTION OFTEN NEED HELP WITH OTHER TYPES OF SERVICES AS WELL.  SINCE
                                 (REF.  DATE), HAVE YOU RECEIVED HELP FROM ANY AGENCY, GROUP OR ORGANIZATION WITH
                                 OBTAINING FOOD EITHER GROCERIES YOU WERE GIVEN OR MEALS YOU WERE SERVED OUTSIDE YOUR
                                 HOME?
                                 ______

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
                                                            (54)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HI24CT    317-318       NUMBER OF RECORDS FOR PROVIDERS HELPING OBTAIN FOOD
                                 ___________________________________________________

                                 00            = NONE
                                 01-99         = NUMBER



         HI6       319           PEOPLE WITH HIV INFECTION OFTEN NEED HELP WITH OTHER TYPES OF SERVICES AS WELL.  SINCE
                                 (REF.  DATE), HAVE YOU RECEIVED HELP FROM ANY AGENCY, GROUP OR ORGANIZATION WITH
                                 FINANCIAL ASSISTANCE?
                                 ______________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HI25CT    320-321       NUMBER OF RECORDS FOR PROVIDERS HELPING WITH FINANCIAL ASSISTANCE
                                 _________________________________________________________________

                                 00            = NONE
                                 01-99         = NUMBER



         HI7       322           ARE YOU CURRENTLY RECEIVING TREATMENT OR COUNSELING FOR PROBLEMS RELATED TO ALCOHOL OR
                                 DRUG USE?
                                 __________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HI26CT    323-324       NUMBER OF RECORDS FOR ALCOHOL/DRUG TREATMENT PROVIDERS
                                 ______________________________________________________

                                 00            = NONE
                                 01-99         = NUMBER



         HDNTLSRV (325-329)      DENTAL SERVICES
                                 _______________

 
                                                            (55)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HJ1       325           SINCE (REF.  DATE), HAVE YOU SEEN A DENTIST, ORAL SURGEON, OR OTHER PROFESSIONAL DENTAL
                                 CARE PROVIDER?
                                 _______________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HJ1A



         HJ1A      326-327       SINCE (REF.  DATE), HOW MANY TIMES HAVE YOU SEEN A DENTIST, ORAL SURGEON, OR OTHER
                                 PROFESSIONAL DENTAL CARE PROVIDER?
                                 ___________________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HJ1.
                                 01-95         = NUMBER
                                 97            = REFUSED
                                 98            = DON'T KNOW
                                 99            = NOT ASCERTAINED



         HJ28CT    328-329       NUMBER OF DENTAL VISIT RECORDS
                                 ______________________________

                                 00            = NONE
                                 01-99         = NUMBER



         HWMNHLTH (330-378)      WOMEN'S HEALTH CARE
                                 ___________________




         HKSEX     330-331       SEX OF PATIENT (MALE OR FEMALE)
                                 _______________________________

                               * 1             = MALE
                                 2             = FEMALE

                               * SKIP HK1A - HK8B



         HK1      (332-338)      SINCE (REF.  DATE), HAS A DOCTOR EVER TOLD YOU THAT YOU HAD ...
                                 ________________________________________________________________

 
                                                            (56)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK1A      332           A SEXUALLY TRANSMITTED DISEASE, AN STD, LIKE SYPHILIS, CHANCROID OR GONORRHEA?
                                 _______________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK1B      333           CHRONIC VAGINITIS?
                                 ___________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK1C      334           PID, PELVIC INFLAMMATORY DISEASE?
                                 __________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK1D      335           HERPES SIMPLEX
                                 ______________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
 
                                                            (57)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK1E      336           VAGINAL CANDIDIASIS OR A "YEAST INFECTION"?
                                 ____________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK1F      337           HPV, HUMAN PAPILLOMAVIRUS?
                                 ___________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK1G      338           AN ABNORMAL PAP TEST
                                 ____________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK2       339           ARE YOU PREGNANT NOW?
                                 ______________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX.
                               * 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED

                               * SKIP HK3
 
 
                                                            (58)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK3       340           SINCE (REF.  DATE),HAVE YOU BEEN PREGNANT?
                                 ___________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2.
                               * 1             = YES
                              ** 2             = NO
                              ** 7             = REFUSED
                              ** 8             = DK
                              ** 9             = NOT ASCERTAINED

                               * SKIP HK4A - HK8A

                              ** SKIP HK4A - HK8B



         HK4A      341           ARE YOU CURRENTLY RECEIVING PRENATAL CARE?
                                 ___________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HK5APROV - HK7A



         HK5APROV  342-348       PROVIDER ID
                                 ___________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 0000001-
                                 9999996       = RANDOMLY ASSIGNED SEUQENTIAL NUMBER
                                 9999997       = REFUSED
                                 9999998       = DK
                                 9999999       = NOT ASCERTAINED



         HK6A     (349-356)      HOW IS THIS CARE PAID FOR?


                                 CODER:  AT LEAST ONE ITEM MUST BE CIRCLED.  IF NONE ARE CIRCLED CODE 9 FOR EACH ITEM.  IF
                                 ONE IS CIRCLED CODE 1 FOR ALL CIRCLED ITEM(S).  CODE 2 FOR ALL UNCIRCLED ITEM(S).

 
                                                            (59)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK6AA     349           MEDICAID
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6AB     350           OTHER PUBLIC ASSISTANCE
                                 _______________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6AC     351           PRIVATE INSURANCE
                                 _________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6AD     352           MEDICARE
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
                                                            (60)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK6AE     353           SELF PAY
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6AF     354           OTHER
                                 _____

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 1             = CIRCLED
                               * 2             = NOT CIRCLED
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HK6AFOS



         HK6AFOS   355-356       OTHER SPECIFIED
                                 _______________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A, OR CODED 2, 7, 8 OR 9 IN HK6AF.
                                 01            = RESEARCH STUDY
                                 03            = FLAT FEE
                                 05            = GAY AIDS TASK FORCE/AIDS NETWORK
                                 14            = FAMILY/FRIEND
                                 29            = COMMUNITY HEALTH PROJECT
                                 46            = PROVIDER
                                 47            = PRIVATE CHARITY/GRANT FROM AIDS FOUNDATION
                                 50            = DRUG COMPANY
                                 91            = OTHER SPECIFIED
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
 
                                                            (61)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK7A      357           DURING YOUR CARE ARE YOU BEING GIVEN ANY SPECIAL COUNSELING RELATING TO YOUR HIV
                                 INFECTION?
                                 ___________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2; OR CODED 2,
                                                 7, 8 OR 9 IN HK4A.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK8A      358-359       WHAT KINDS OF PROBLEMS ARE YOU FACING IN RECEIVING PRE-NATAL CARE?  RECORD VERBATIM.
                                 _____________________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 2, 7, 8 OR 9 IN HK2;
                               * 01            = NO PROBLEMS
                               * 02            = DIDN'T WANT TO GO FOR CARE
                               * 03            = NONE BECAUSE TERMINATED PREGNANCY OR ABORTION
                               * 04            = HAD MISCARRIAGE
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HK4B - HK8B



         HK4B      360           DID YOU RECEIVE PRENATAL CARE?
                                 _______________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HK5BPROV - HK7B
 
 
 
 
                                                            (62)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK5BPROV  361-367       PROVIDER ID
                                 ___________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 0000001-
                                 9999996       = RANDOMLY ASSIGNED SEQUENTIAL NUMBER
                                 9999997       = REFUSED
                                 9999998       = DK
                                 9999999       = NOT ASCERTAINED



         HK6B     (368-375)      HOW WAS THIS CARE PAID FOR?


                                 CODER:  AT LEAST ONE ITEM MUST BE CIRCLED.  IF NONE ARE CIRCLED CODE 9 FOR EACH ITEM.  IF
                                 ONE IS CIRCLED CODE 1 FOR ALL CIRCLED ITEM(S).  CODE 2 FOR ALL UNCIRCLED ITEM(S).




         HK6BA     368           MEDICAID
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6BB     369           OTHER PUBLIC ASSISTANCE
                                 _______________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
 
                                                            (63)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK6BC     370           PRIVATE INSURANCE
                                 _________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6BD     371           MEDICARE
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6BE     372           SELF PAY
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 1             = CIRCLED
                                 2             = NOT CIRCLED
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK6BF     373           OTHER
                                 _____

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 1             = CIRCLED
                               * 2             = NOT CIRCLED
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HK6BFOS
 
                                                            (64)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HK6BFOS   374-375       OTHER SPECIFIED
                                 _______________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B; OR CODED 2, 7, 8 OR 9 IN HK6BF.
                                 01            = RESEARCH STUDY
                                 03            = FLAT FEE
                                 05            = GAY AIDS TASK FORCE/AIDS NETWORK
                                 14            = FAMILY/FRIEND
                                 29            = COMMUNITY HEALTH PROJECT
                                 46            = PROVIDER
                                 47            = PRIVATE CHARITY/GRANT FROM AIDS FOUNDATION
                                 50            = DRUG COMPANY
                                 91            = OTHER SPECIFIED
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HK7B      376           DURING YOUR CARE WERE YOU BEING GIVEN ANY SPECIAL COUNSELING RELATING TO YOUR HIV
                                 INFECTION?
                                 ___________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3; OR CODED 2, 7, 8 OR 9 IN HK4B.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HK8B      377-378       WHAT KINDS OF PROBLEMS DID YOU FACE IN RECEIVING PRE-NATAL CARE?  RECORD VERBATIM.
                                 ___________________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HKSEX; OR CODED 1 IN HK2; OR CODED 2, 7, 8 OR 9
                                                 IN HK3.
                                 01            = NO PROBLEMS
                                 02            = DIDN'T WANT TO GO FOR CARE
                                 03            = NONE BECAUSE TERMINATED PREGNANCY OR ABORTION
                                 04            = HAD MISCARRIAGE
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HDRGSECT (379-463)      HIV - RELATED MEDICINES
                                 _______________________

 
                                                            (65)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL1       379           SINCE (REF.  DATE), HAVE YOU TAKEN ANY OF THE MEDICINES OR DRUGS LISTED ON THIS CARD?
                                 (RECORD NAMES IN COLUMN A.)
                                 ___________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HL2       380           SINCE (REF.  DATE), HAVE YOU TAKEN ANY OTHER PRESCRIPTION MEDICINES OR DRUGS?  IF YES TO
                                 L-2 OR L-3, RECORD NAMES IN COLUMN A.  IF NAME IS UNKNOWN, PROBE FOR CONDITION AND RECORD
                                 IN COLUMN A.  IF MEDICINE NAME OR CONDITION IS UNKNOWN, PROBE FOR DRUG PROVIDER NAME AND
                                 ADDRESS.  ASK B THROUGH I FOR EACH DRUG LISTED BEFORE MOVING TO NEXT DRUG.
                                 ___________________________________________________________________________

                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HL31CT    381-382       NUMBER OF PRESCRIPTION DRUG RECORDS
                                 ___________________________________

                                 00            = NONE LISTED
                                 01-99         = NUMBER



         HL3       383           SINCE (REF.  DATE), HAVE YOU TAKEN ANY NON-PRESCRIPTION MEDICINES OR DRUGS OR ANY NON
                                 -TRADITIONAL SUBSTANCES TO HELP DEAL WITH HIV/AIDS RELATED ILLNESSES?
                                 ______________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HL4A - HL5



         HL4CT     384-385       NUMBER OF NON-PRESCRIPTION DRUGS/NON-TRADITIONAL SUBSTANCES LISTED IN Q L-4
                                 ___________________________________________________________________________

                               * 00            = NO DRUGS LISTED
                                 01-99         = NUMBER OF DRUGS LISTED

                               * SKIP HL4A - HL5
                                                            (66)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL4      (386-457)      WHAT ARE THE NAMES OF THE NON-PRESCRIPTION DRUGS OR NON-TRADITIONAL SUBSTANCES THAT YOU
                                 ARE TAKING?
                                 ____________




         HL4A      386-388       NON - PRESCRIPTION DRUG 1
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4B      389-391       NON - PRESCRIPTION DRUG 2
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4C      392-394       NON - PRESCRIPTION DRUG 3
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4D      395-397       NON - PRESCRIPTION DRUG 4
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED
                                                            (67)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL4E      398-400       NON - PRESCRIPTION DRUG 5
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4F      401-403       NON - PRESCRIPTION DRUG 6
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4G      404-406       NON - PRESCRIPTION DRUG 7
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4H      407-409       NON - PRESCRIPTION DRUG 8
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = NON - PRESCRIPTION DRUG CODES
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED
 
 
                                                            (68)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL4I      410-412       NON - PRESCRIPTION DRUG 9
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4J      413-415       NON - PRESCRIPTION DRUG 10
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4K      416-418       NON - PRESCRIPTION DRUG 11
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4L      419-421       NON - PRESCRIPTION DRUG 12
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED
 
 
                                                            (69)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL4M      422-424       NON - PRESCRIPTION DRUG 13
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4N      425-427       NON - PRESCRIPTION DRUG 14
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4O      428-430       NON - PRESCRIPTION DRUG 15
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4P      431-433       NON - PRESCRIPTION DRUG 16
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED
 
 
                                                            (70)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL4Q      434-436       NON - PRESCRIPTION DRUG 17
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4R      437-439       NON - PRESCRIPTION DRUG 18
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4S      440-442       NON - PRESCRIPTION DRUG 19
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4T      443-445       NON - PRESCRIPTION DRUG 20
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED
 
 
                                                            (71)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL4U      446-448       NON - PRESCRIPTION DRUG 21
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4V      449-451       NON - PRESCRIPTION DRUG 22
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4W      452-454       NON - PRESCRIPTION DRUG 23
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HL4X      455-457       NON - PRESCRIPTION DRUG 24
                                 __________________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3, AND CODED 00 IN HL4CT, OR NO
                                                 OTHER NON-PRESCRIPTION DRUG/SUBSTANCE LISTED.
                                 001-720       = USE CODES IN APPENDIX 28
                                 991           = OTHER SPECIFIED
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED
 
 
                                                            (72)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HL5       458-463       WE'RE INTERESTED IN THE TOTAL AMOUNT YOU SPENT ON (MEDICINE).  HOW MUCH DID YOU PAY FOR
                                 (MEDICINES IN Q L-4) SINCE (REF.  DATE)?


                                 CODER:  CODE AMOUNTS IN WHOLE DOLLARS.


                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HL3.
                                 000000        = NOTHING
                                 000001-999996 = AMOUNT
                                 999997        = REFUSED
                                 999998        = DK
                                 999999        = NOT ASCERTAINED



         HEMPLYMT (464-559)      EMPLOYMENT AND INCOME
                                 _____________________




         HM1       464           ARE YOU CURRENTLY WORKING FULL-TIME, PART-TIME, OR ARE YOU CURRENTLY NOT WORKING?
                                 __________________________________________________________________________________

                               * 1             = FULL - TIME
                                 2             = PART - TIME
                              ** 3             = NOT WORKING
                              ** 7             = REFUSED
                              ** 8             = DK
                              ** 9             = NOT ASCERTAINED

                               * SKIP HMBOX1 - HMBOX2

                              ** SKIP HMBOX1



         HMBOX1    465           R CURRENTLY WORKING PART-TIME.  LOOK AT FACE SHEETS.  LAST TIME R WAS:
                                 _______________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1, 3, 7, 8 OR 9 IN HM1
                               * 1             = WORKING FULL TIME (FT)
                              ** 2             = WORKING PART -TIME (PT)
                              ** 3             = NOT WORKING (NW)

                               * SKIP HMBOX2 - HM6

                              ** SKIP HMBOX2 - HM15
 
                                                            (73)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HMBOX2    466           R CURRENTLY NOT WORKING.  LOOK AT FACE SHEETS.  LAST TIME R WAS:
                                 _________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 OR 2 IN HM1.
                               * 1             = WORKING FULL TIME (FT)
                               * 2             = WORKING PART -TIME (PT)
                              ** 3             = NOT WORKING (NW)

                               * SKIP HM2 - HM21

                              ** SKIP HM2 - HM27



         HM2       467-469       ABOUT HOW MANY HOURS DO YOU CURRENTLY WORK AT THIS JOB IN THE AVERAGE WEEK?
                                 ____________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 3, 7, 8 OR 9 IN HM1.
                                 001-050       = HOURS PER WEEK
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HM304     470-473       WHAT IS YOUR CURRENT OCCUPATION?  WHAT ARE YOUR MOST IMPORTANT ACTIVITIES OR DUTIES AT
                                 THIS JOB?


                                 CODER:  USE CODES IN ALPHABETICAL INDEX OF INDUSTRIES AND OCCUPATIONS, FINAL EDITION,
                                 1983.


                                 +             = INAPPLICABLE, CODED 2, 3, 7, 8 OR 9 IN HM1.
                                 0001-9990     = 1983 CENSUS OCCUPATIONAL CODES
                                 9994          = UNCODEABLE
                                 9997          = REFUSED
                                 9998          = DK
                                 9999          = NOT ASCERTAINED
 
 
 
 
                                                            (74)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM4A      474           ABOUT HOW MANY PERSONS ARE EMPLOYED IN A USUAL WEEK AT THE LOCATION WHERE YOU WORK?
                                 WOULD YOU SAY IT WAS:
                                 ______________________

                                 +             = INAPPLICABLE, CODED 2, 3, 7, 8 OR 9 IN HM1.
                                 1             = LESS THAN 25 PEOPLE
                                 2             = 25 - 99 PEOPLE
                                 3             = 100 - 499 PEOPLE
                                 4             = 500 OR MORE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HM5       475           SINCE (REF.  DATE), HAVE YOU HAD TO MAKE ANY CHANGES IN THE TYPE OR AMOUNT OF WORK YOU DO
                                 BECAUSE OF YOUR ILLNESS?
                                 _________________________

                                 +             = INAPPLICABLE, CODED 2, 3, 7, 8 OR 9 IN HM1.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM6 - HM30



         HM6       476-477       WHAT TYPE OF CHANGE(S) DID YOU MAKE?  RECORD VERBATIM.
                                 _______________________________________________________

                                 +             = INAPPLICABLE, CODED 2, 3, 7, 8 OR 9 IN HM1; OR CODED 2, 7, 8 OR 9 IN HM5.
                               * 01            = STOPPED/QUIT WORKING/UNABLE TO WORK DUE TO HEALTH PROBLEMS
                               * 02            = CAN'T DO WHAT I USED TO DO
                               * 03            = CHANGED TYPE/AMOUNT OF WORK
                               * 91            = OTHER SPECIFIED
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HM7 - HM30
 
 
 
                                                            (75)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM7       478-480       ABOUT HOW MANY HOURS DO YOU CURRENTLY WORK AT THIS JOB IN THE AVERAGE WEEK?
                                 ____________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 001-050       = HOURS PER WEEK
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HM8O9     481-484       WHAT IS YOUR CURRENT OCCUPATION?  WHAT ARE YOUR MOST IMPORTANT ACTIVITIES OR DUTIES AT
                                 THIS JOB?


                                 CODER:  USE CODES IN ALPHABETICAL INDEX OF INDUSTRIES AND OCCUPATIONS, FINAL EDITION,
                                 1983.


                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 0001-9990     = 1983 CENSUS OCCUPATIONAL CODES
                                 9994          = UNCODEABLE
                                 9997          = REFUSED
                                 9998          = DK
                                 9999          = NOT ASCERTAINED



         HM9A      485           ABOUT HOW MANY PERSONS ARE EMPLOYED IN A USUAL WEEK AT THE LOCATION WHERE YOU WORK?
                                 WOULD YOU SAY IT WAS:
                                 ______________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 1             = LESS THAN 25 PEOPLE
                                 2             = 25 - 99 PEOPLE
                                 3             = 100 - 499 PEOPLE
                                 4             = 500 OR MORE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
 
                                                            (76)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM10      486           ARE YOU ACTIVELY LOOKING FOR (FULL-TIME) WORK?
                                 _______________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HM11      487-488       DID YOU STOP WORKING AT YOUR (LAST) JOB BECAUSE YOU TOOK A LEAVE OF ABSENCE OR DISABILITY
                                 LEAVE, BECAUSE YOU QUIT, WERE LAID OFF, WERE FIRED, WERE TOO ILL OR FOR SOME OTHER
                                 REASON?
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 01            = LEAVE OF ABSENCE/DISABILITY LEAVE
                                 02            = QUIT
                                 03            = LAID OFF
                                 04            = FIRED
                                 05            = TOO ILL
                                 06            = PREGNANCY
                                 07            = ARRESTED/IN PRISON
                                 08            = RETIRED
                                 09            = KEPT SAME JOB CHANGED TO PT
                                 10            = MOVED/LEFT AREA
                                 11            = JOB ENDED OR BUSINESS CLOSED/MOVED/WAS SOLD
                                 12            = WENT TO SCHOOL
                                 91            = OTHER SPECIFIED
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM12      489           WAS IT BECAUSE OF YOUR HIV INFECTION THAT THIS HAPPENED?
                                 _________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                            (77)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM13     (490-493)      IN WHAT MONTH AND YEAR DID YOU LEAVE THAT (FULL TIME) JOB?


                                 CODER:  IF HM13YR EQUALS 97, 98 OR 99, CODE 99 IN HM13MO.  CODE 99 IN HM13MO.




         HM13MO    490-491       MONTH THAT LEAVE BEGAN
                                 ______________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM13YR    492-493       YEAR THAT LEAVE BEGAN
                                 _____________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM14      494           SINCE (REF.  DATE), HAVE YOU HAD TO MAKE ANY CHANGES IN THE TYPE OR AMOUNT OF WORK YOU DO
                                 BECAUSE OF YOUR ILLNESS?
                                 _________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM15 - HM30
 
 
 
                                                            (78)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM15      495-496       WHAT TYPE OF CHANGE(S) DID YOU MAKE?  RECORD VERBATIM.
                                 _______________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 2 OR 3 IN HMBOX1; OR CODED 1, 2 OR
                                                 3 IN HMBOX2; OR CODED 2, 7, 8 OR 9 IN HM14.
                               * 01            = STOPPED/QUIT WORKING/UNABLE TO WORK DUE TO HEALTH PROBLEMS
                               * 02            = CAN'T DO WHAT I USED TO DO
                               * 03            = CHANGED TYPE/AMOUNT OF WORK
                               * 91            = OTHER SPECIFIED
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HM16 - HM30



         HM16      497-499       ABOUT HOW MANY HOURS DO YOU CURRENTLY WORK AT THIS JOB IN THE AVERAGE WEEK?
                                 ____________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1 IN HMBOX1; OR CODED 1, 2 OR 3 IN
                                                 HMBOX2.
                                 001-050       = HOURS PER WEEK
                                 997           = REFUSED
                                 998           = DK
                                 999           = NOT ASCERTAINED



         HM17O18   500-503       WHAT IS YOUR CURRENT OCCUPATION?  WHAT ARE YOUR MOST IMPORTANT ACTIVITIES OR DUTIES AT
                                 THIS JOB?


                                 CODER:  USE CODES IN ALPHABETICAL INDEX OF INDUSTRIES AND OCCUPATIONS, FINAL EDITION,
                                 1983.


                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1 IN HMBOX1; OR CODED 1, 2 OR 3 IN
                                                 HMBOX2.
                                 0001-9990     = 1983 CENSUS OCCUPATIONAL CODES
                                 9994          = UNCODEABLE
                                 9997          = REFUSED
                                 9998          = DK
                                 9999          = NOT ASCERTAINED
 
 
 
                                                            (79)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM18A     504           ABOUT HOW MANY PERSONS ARE EMPLOYED IN A USUAL WEEK AT THE LOCATION WHERE YOU WORK?
                                 WOULD YOU SAY IT WAS:
                                 ______________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1 IN HMBOX1; OR CODED 1, 2 OR 3 IN
                                                 HMBOX2.
                                 1             = LESS THAN 25 PEOPLE
                                 2             = 25 - 99 PEOPLE
                                 3             = 100 - 499 PEOPLE
                                 4             = 500 OR MORE
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HM19      505           ARE YOU ACTIVELY LOOKING FOR FULL TIME WORK?
                                 _____________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1 IN HMBOX1; OR CODED 1, 2 OR 3 IN
                                                 HMBOX2.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HM20      506           SINCE (REF.  DATE), HAVE YOU HAD TO MAKE ANY CHANGES IN THE TYPE OR AMOUNT OF WORK YOU DO
                                 BECAUSE OF YOUR ILLNESS?
                                 _________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1 IN HMBOX1; OR CODED 1, 2 OR 3 IN
                                                 HMBOX2.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM21 - HM30
 
 
 
 
                                                            (80)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM21      507-508       WHAT TYPE OF CHANGE(S) DID YOU MAKE?  RECORD VERBATIM.
                                 _______________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1 IN HMBOX1; OR CODED 1, 2 OR 3 IN
                                                 HMBOX2.  OR CODED 2, 7, 8 OR 9 IN HM20.
                               * 01            = STOPPED/QUIT WORKING/UNABLE TO WORK DUE TO HEALTH PROBLEMS
                               * 02            = CAN'T DO WHAT I USED TO DO
                               * 03            = CHANGED TYPE/AMOUNT OF WORK
                               * 91            = OTHER SPECIFIED
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HM22 - HM30



         HM22      509           ARE YOU ACTIVELY LOOKING FOR (FULL-TIME) WORK?
                                 _______________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2, OR 3 IN HMBOX1; OR CODED 3
                                                 IN HMBOX2.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HM23      510-511       DID YOU STOP WORKING AT YOUR (LAST) JOB BECAUSE YOU TOOK A LEAVE OF ABSENCE OR DISABILITY
                                 LEAVE, BECAUSE YOU QUIT, WERE LAID OFF, WERE FIRED, WERE TOO ILL OR FOR SOME OTHER
                                 REASON?
                                 ________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2, OR 3 IN HMBOX1; OR CODED 3
                                                 IN HMBOX2.
                                 01            = LEAVE OF ABSENCE/DISABILITY LEAVE
                                 02            = QUIT
                                 03            = LAID OFF
                                 04            = FIRED
                                 05            = TOO ILL
                                 06            = PREGNANCY
                                 07            = ARRESTED/IN PRISON
                                 08            = RETIRED
                                 09            = KEPT SAME JOB CHANGED TO PT
                                 10            = MOVED/LEFT AREA
                                 11            = JOB ENDED OR BUSINESS CLOSED/MOVED/WAS SOLD
                                 12            = WENT TO SCHOOL
                                 91            = OTHER SPECIFIED
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
                                                            (81)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM24      512           WAS IT BECAUSE OF YOUR HIV INFECTION THAT THIS HAPPENED?
                                 _________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2, OR 3 IN HMBOX1; OR CODED 3
                                                 IN HMBOX2.
                                 1             = YES
                                 2             = NO
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HM25     (513-516)      IN WHAT MONTH AND YEAR DID YOU LEAVE THAT JOB?


                                 CODER:  IF HM25YR EQUALS 97, 98 OR 99, CODE 99 IN HM25MO.  CODE 99 IN HM25MO.




         HM25MO    513-514       MONTH THAT LEAVE BEGAN
                                 ______________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2, OR 3 IN HMBOX1; OR CODED 3
                                                 IN HMBOX2.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM25YR    515-516       YEAR THAT LEAVE BEGAN
                                 _____________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2, OR 3 IN HMBOX1; OR CODED 3
                                                 IN HMBOX2.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
 
 
                                                            (82)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM26      517           SINCE (REF.  DATE), HAVE YOU HAD TO MAKE ANY CHANGES IN THE TYPE OR AMOUNT OF WORK YOU DO
                                 BECAUSE OF YOUR ILLNESS?
                                 _________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2, OR 3 IN HMBOX1; OR CODED 3
                                                 IN HMBOX2.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM27 - HM30



         HM27      518-519       WHAT TYPE OF CHANGE(S) DID YOU MAKE?  RECORD VERBATIM.
                                 _______________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2, OR 3 IN HMBOX1; OR CODED 3
                                                 IN HMBOX2; OR CODED 2, 7, 8 OR 9 IN HM26.
                               * 01            = STOPPED/QUIT WORKING/UNABLE TO WORK DUE TO HEALTH PROBLEMS
                               * 02            = CAN'T DO WHAT I USED TO DO
                               * 03            = CHANGED TYPE/AMOUNT OF WORK
                               * 91            = OTHER SPECIFIED
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HM28 - HM30



         HM28      520           ARE YOU ACTIVELY LOOKING FOR FULL TIME WORK?
                                 _____________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2 OR 3 IN HMBOX1; OR CODED 1 OR
                                                 2 IN HMBOX2.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM29 - HM30
 
 
 
                                                            (83)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM29      521           SINCE (REF.  DATE), HAVE YOU HAD TO MAKE ANY CHANGES IN THE TYPE OR AMOUNT OF WORK YOU DO
                                 BECAUSE OF YOUR ILLNESS?
                                 _________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2 OR 3 IN HMBOX1; OR CODED 1 OR
                                                 2 IN HMBOX2; OR CODED 2, 7, 8 OR 9 IN HM28.
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM30



         HM30      522-523       WHAT TYPE OF CHANGE(S) DID YOU MAKE?  RECORD VERBATIM.
                                 _______________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HM1; OR CODED 1, 2 OR 3 IN HMBOX1; OR CODED 1 OR
                                                 2 IN HMBOX2; OR CODED 2, 7, 8 OR 9 IN HM28; OR CODED 2, 7, 8 OR 9 IN
                                                 HM29.
                                 01            = STOPPED/QUIT WORKING/UNABLE TO WORK DUE TO HEALTH PROBLEMS
                                 02            = CAN'T DO WHAT I USED TO DO
                                 03            = CHANGED TYPE/AMOUNT OF WORK
                                 91            = OTHER SPECIFIED
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
 
 
 
 
 
 
                                                            (84)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM31      524-525       WOULD YOU PLEASE LOOK AT THIS CARD AND TELL ME WHICH NUMBER REPRESENTS YOUR TOTAL INCOME
                                 BEFORE TAXES FOR THE PAST MONTH.  INCLUDE INCOME FROM ALL SOURCES:  YOUR SALARIES, WAGES,
                                 SOCIAL SECURITY, WELFARE AND ANY OTHER INCOME.  IF YOU SHARE OR RECEIVE INCOME FROM A
                                 SPOUSE/PARTNER, PLEASE INCLUDE IT IN HERE.  CIRCLE ONE CODE.
                                 _____________________________________________________________

                                 01            = $ 0 -200/MO
                                 02            = $ 201 -350/MO
                                 03            = $ 351 -500/MO
                                 04            = $ 501 -750/MO
                                 05            = $ 751 -900/MO
                                 06            = $ 901 -1,150/MO
                                 07            = $ 1,151 -1,300/MO
                                 08            = $ 1,301 -1,450/MO
                                 09            = $ 1,451 -1,600/MO
                                 10            = $ 1,601 -1,750/MO
                                 11            = $ 1,751 -2000/MO
                                 12            = $ 2,001 -3000/MO
                                 13            = $ 3,001 -4,000/MO
                                 14            = $ 4,001 OR MORE/MO
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HMBOX3    526           R WORKING FULL TIME (Q.O-1)
                                 ___________________________

                               * 1             = YES
                                 2             = NO

                               * SKIP HM32 - HM41YR



         HM32      527           SINCE (REF.  DATE), HAVE YOU RECEIVED ANY SOCIAL SECURITY DISABILITY PAYMENTS?
                                 _______________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM33MO - HM33BX



         HM33     (528-532)      IN WHAT MONTH AND YEAR DID YOU RECEIVE YOUR FIRST SOCIAL SECURITY DISABILITY PAYMENT?
                                 ______________________________________________________________________________________

                                                            (85)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM33DT   (528-531)      DATE YOU RECEIVED FIRST SOCIAL SECURITY DISABILITY PAYMENT


                                 CODER:  IF HM33YR EQUALS 97, 98 OR 99, CODE 99 IN HM33MO.




         HM33MO    528-529       MONTH YOU RECEIVED FIRST SOCIAL SECURITY DISABILITY PAYMENT
                                 ___________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 2, 7, 8 OR 9 IN HM32
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM33YR    530-531       YEAR YOU RECEIVED FIRST SOCIAL SECURITY DISABILITY PAYMENT
                                 __________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 2, 7, 8 OR 9 IN HM32
                               * 92            = YEAR
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HM33BX - HM35



         HM33BX    532           FIRST SOCIAL SECURITY DISABILITY PAYMENT BEFORE REF.  DATE BOX
                                 ______________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 2, 7, 8 OR 9 IN HM32, OR CODED
                                                 IN HM33YR
                               * 1             = CHECKED

                               * SKIP HM34 - HM35



         HM34      533           HAVE YOU APPLIED FOR SOCIAL SECURITY DISABILITY PAYMENTS?
                                 __________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED IN HM33YR, OR CODED IN HM33BX
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM35
                                                            (86)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM35      534           HAVE YOU BEEN TURNED DOWN FOR SOCIAL SECURITY DISABILITY?
                                 __________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED IN HM33YR, OR CODED IN HM33BX,
                                                 OR CODED 2, 7, 8 OR 9 IN HM34
                                 1             = YES
                                 2             = NO/NO DECISION YET
                                 7             = REFUSED
                                 8             = DK
                                 9             = NOT ASCERTAINED



         HMBOX4    535           R HAS:  CHILDREN (SEE FLAP)
                                 ___________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3.
                               * 1             = NO CHILDREN LIVING WITH THEM (SEE FLAP)
                                 2             = 1 OR MORE CHILDREN LIVING WITH THEM (SEE FLAP)

                               * SKIP HM36 - HM37BX



         HM36      536           SINCE (REF.  DATE), HAVE YOU RECEIVED ASSISTANCE THROUGH THE AID TO FAMILIES WITH
                                 DEPENDENT CHILDREN PROGRAM, SOMETIMES CALLED AFDC OR ADC?
                                 __________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 1 IN HMBOX4
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM37MO - HM37BX



         HM37     (537-541)      IN WHAT MONTH AND YEAR DID YOU RECEIVE YOUR FIRST AFDC PAYMENT?
                                 ________________________________________________________________




         HM37DT   (537-540)      DATE YOU RECEIVED YOUR FIRST AFDC PAYMENT


                                 CODER:  IF HM37YR EQUALS 97, 98 OR 99, CODE 99 IN HM37MO.  CODE 99 IN HM37MO.

 
                                                            (87)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM37MO    537-538       MONTH YOU RECEIVED YOUR FIRST AFDC PAYMENT.
                                 ____________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 1 IN HMBOX4, OR CODED 2, 7, 8
                                                 OR 9 IN HM36; OR CODED IN HM37BX.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM37YR    539-540       YEAR YOU RECEIVED YOUR FIRST AFDC PAYMENT
                                 _________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 1 IN HMBOX4, OR CODED 2, 7, 8
                                                 OR 9 IN HM36; OR CODED IN HM37BX.
                               * 92            = YEAR
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HM37BX



         HM37BX    541           FIRST AFDC PAYMENT BEFORE REF.  DATE BOX
                                 ________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 1 IN HMBOX4, OR CODED 2, 7, 8
                                                 OR 9 IN HM36, OR CODED IN HM37DT.
                                 1             = CHECKED



         HM38      542           SINCE (REF.  DATE), HAVE YOU RECEIVED THE SUPPLEMENTAL SECURITY INCOME OR SSI CHECK?
                                 _____________________________________________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM39MO - HM39BX



         HM39     (543-547)      IN WHAT MONTH DID YOU RECEIVE YOUR FIRST SSI PAYMENT?
                                 ______________________________________________________

 
                                                            (88)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM39DT   (543-546)      DATE YOU RECEIVED YOUR FIRST SSI PAYMENT?


                                 CODER:  IF HM39YR EQUALS 97, 98 OR 99, CODE 99 IN HM39MO.  CODE 99 IN HM39MO





         HM39MO    543-544       MONTH YOU RECEIVED YOUR FIRST SSI PAYMENT
                                 _________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 2, 7, 8 OR 9 IN HM38; OR CODED
                                                 IN HM39BX.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM39YR    545-546       YEAR YOU RECEIVED YOUR FIRST SSI PAYMENT
                                 ________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 2, 7, 8 OR 9 IN HM38; OR CODED
                                                 IN HM39BX.
                               * 92            = YEAR
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HM39BX



         HM39BX    547           FIRST SSI PAYMENT BEFORE REF.  DATE BOX
                                 _______________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED IN HM39DT.
                                 1             = CHECKED



         HM40      548           SINCE (REF.  DATE), HAVE YOU RECEIVED FOOD STAMPS?
                                 ___________________________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3
                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM41MO - HM41YR
                                                            (89)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM41     (549-552)      IN WHAT MONTH DID YOU FIRST RECEIVE FOOD STAMPS?


                                 CODER:  IF HM41YR EQUALS 97, 98 OR 99, CODE 99 IN HM41MO.




         HM41MO    549-550       MONTH YOU FIRST RECEIVED FOOD STAMPS
                                 ____________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 2, 7, 8 OR 9 IN HM40
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM41YR    551-552       YEAR YOU FIRST RECEIVED FOOD STAMPS
                                 ___________________________________

                                 +             = INAPPLICABLE, CODED 1 IN HMBOX3, OR CODED 2, 7, 8 OR 9 IN HM40
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HM42      553           SINCE (REF.  DATE), HAVE YOU REGULARLY RECEIVED FINANCIAL SUPPORT, LIKE MONEY TO PAY
                                 BILLS OR FOR FOOD OR RENT, FROM YOUR PARENTS, FRIENDS OR FAMILY MEMBERS?
                                 _________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HM43
 
 
 
 
                                                            (90)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HM43      554-559       HOW MUCH HAVE YOU RECEIVED SINCE (REF.  DATE)?


                                 CODER:  CODE AMOUNTS IN WHOLE DOLLARS


                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HM42
                                 000001-999996 = AMOUNT RECEIVED
                                 999997        = REFUSED
                                 999998        = DK
                                 999999        = NOT ASCERTAINED



         HTIMEGAP (560-637)      TIME GAPS
                                 _________




         HN1       560           SINCE (REF.  DATE), HAVE YOU BEEN OUT OF THE UNITED STATES FOR A PERIOD OF TWO WEEKS OR
                                 LONGER?
                                 ________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HN2 - HN3R3YR



         HN2       561-562       HOW MANY DIFFERENT TIMES HAVE YOU BEEN OUT OF THE UNITED STATES FOR TWO WEEKS OR LONGER
                                 SINCE (REF.  DATE)?
                                 ____________________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3.
                                 01-95         = NUMBER
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HN3L1MO - HN3R3YR



         HN3      (563-598)      WHAT WAS THE DATE YOU LEFT THE UNITED STATES THE (FIRST/NEXT) TIME?  WHAT WAS THE DATE
                                 YOU RETURNED TO THE UNITED STATES THE (FIRST/NEXT) TIME?


                                 CODER:  IF "YR" EQUALS 97, 98 OR 99, CODE 99 IN "MO" AND "DY".

                                                            (91)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         TRIP1    (563-574)      FIRST TRIP
                                 __________




         HN3L1MO   563-564       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3L1DY   565-566       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3.
                                 01-31         = DAY
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3L1YR   567-568       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3R1MO   569-570       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3.
                                 01-12         = MONTH
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
                                                            (92)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN3R1DY   571-572       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3.
                                 01-31         = DAY
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3R1YR   573-574       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3.
                                 92            = YEAR
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         TRIP2    (575-586)      SECOND TRIP
                                 ___________




         HN3L2MO   575-576       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3L2DY   577-578       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-31         = DAY
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
                                                            (93)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN3L2YR   579-580       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3R2MO   581-582       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-12         = MONTH
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3R2DY   583-584       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-31         = DAY
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3R2YR   585-586       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 92            = YEAR
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         TRIP3    (587-598)      THIRD TRIP
                                 __________

                                                            (94)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN3L3MO   587-588       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3L3DY   589-590       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-31         = DAY
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3L3YR   591-592       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3R3MO   593-594       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-12         = MONTH
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
 
                                                            (95)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN3R3DY   595-596       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 01-31         = DAY
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN3R3YR   597-598       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN1; OR CODED 97, 98 OR 99 IN HN3; OR
                                                 NO OTHER TRIPS LISTED.
                                 92            = YEAR
                                 95            = STILL OUTSIDE OF U.S
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN4       599           SINCE (REF.  DATE), HAVE YOU BEEN IN JAIL OR PRISON FOR TWO WEEKS OR LONGER?
                                 _____________________________________________________________________________

                                 1             = YES
                               * 2             = NO
                               * 7             = REFUSED
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HN5 - HN6EX3YR



         HN5       600-601       HOW MANY DIFFERENT TIMES HAVE YOU BEEN IN JAIL OR PRISON FOR TWO WEEKS OR LONGER SINCE
                                 (REF.  DATE)?
                                 ______________

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5.
                                 01-95         = NUMBER
                               * 97            = REFUSED
                               * 98            = DK
                               * 99            = NOT ASCERTAINED

                               * SKIP HN6EN1MO - HN6EX3YR
 
                                                            (96)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN6      (602-637)      WHAT WAS THE DATE YOU (FIRST/NEXT) TIME?  WHAT WAS THE DATE YOU WERE RELEASED FROM JAIL
                                 OR PRISON THE (FIRST/NEXT) TIME?


                                 CODER:  IF "YR" EQUALS 97, 98 OR 99, CODE 99 IN "MO" AND "DY".




         PRISON1  (602-613)      FIRST PRISON TERM
                                 _________________




         HN6EN1MO  602-603       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EN1DY  604-605       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5.
                                 01-31         = DAY
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EN1YR  606-607       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
 
                                                            (97)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN6EX1MO  608-609       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5.
                                 01-12         = MONTH
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EX1DY  610-611       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5.
                                 01-31         = DAY
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EX1YR  612-613       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5.
                                 92            = YEAR
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         PRISON2  (614-625)      SECOND PRISON TERM
                                 __________________




         HN6EN2MO  614-615       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
                                                            (98)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN6EN2DY  616-617       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 01-31         = DAY
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EN2YR  618-619       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EX2MO  620-621       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 01-12         = MONTH
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EX2DY  622-623       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 01-31         = DAY
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
 
                                                            (99)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN6EX2YR  624-625       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 92            = YEAR
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         PRISON3  (626-637)      THIRD PRISON TERM
                                 _________________




         HN6EN3MO  626-627       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO THER PRISON TERMS LISTED.
                                 01-12         = MONTH
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EN3DY  628-629       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 01-31         = DAY
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EN3YR  630-631       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 92            = YEAR
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED
 
                                                           (100)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HN6EX3MO  632-633       MONTH
                                 _____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 01-12         = MONTH
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EX3DY  634-635       DAY
                                 ___

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 01-31         = DAY
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HN6EX3YR  636-637       YEAR
                                 ____

                                 +             = INAPPLICABLE, CODED 2, 7, 8 OR 9 IN HN4; OR CODED 97, 98 OR 99 IN HN5; OR
                                                 NO OTHER PRISON TERMS LISTED.
                                 92            = YEAR
                                 95            = STILL IN PRISON
                                 97            = REFUSED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HINTOBS  (638-649)      INTERVIEWER OBSERVATIONS
                                 ________________________

 
 
 
 
                                                           (101)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HP1       638           PLEASE INDICATE YOUR CONFIDENCE IN THE RESPONDENT'S TRUTHFULNESS.
                                 __________________________________________________________________

                               * 1             = VERY CONFIDENT
                               * 2             = CONFIDENT
                                 3             = UNSURE
                                 4             = DOUBTFUL
                                 5             = VERY DOUBTFUL
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HP2



         HP2       639-640       WHY?
                                 _____

                                 +             = INAPPLICABLE, CODED 1, 2, 8 OR 9 IN HP1
                                 91            = FLAG FOR QUESTION ANSWERED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HP3       641           PLEASE INDICATE YOUR CONFIDENCE IN THE RESPONDENT'S ACCURACY.
                                 ______________________________________________________________

                               * 1             = VERY CONFIDENT
                               * 2             = CONFIDENT
                                 3             = UNSURE
                                 4             = DOUBTFUL
                                 5             = VERY DOUBTFUL
                               * 8             = DK
                               * 9             = NOT ASCERTAINED

                               * SKIP HP4



         HP4       642-643       WHY?
                                 _____

                                 +             = INAPPLICABLE, CODED 1, 2, 8 OR 9 IN HP3.
                                 91            = FLAG FOR QUESTION ANSWERED
                                 98            = DK
                                 99            = NOT ASCERTAINED



         HP5      (644-649)      GENERALLY THE RESPONDENT WAS:
                                 ______________________________

 
                                                           (102)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HP5A      644           ABLE TO UNDERSTAND QUESTIONS
                                 ____________________________

                                 1-7           = DEGREE OF UNDERSTANDING

                                 CODER:  CODE 1 = ABLE TO UNDERSTAND QUESTIONS EASILY TO CODE 7 = HARDLY ABLE TO
                                 UNDERSTAND THE QUESTION


                                 8             = DK
                                 9             = NOT ASCERTAINED



         HP5B      645           COOPERATIVE
                                 ___________

                                 1-7           = DEGREE OF COOPERATION

                                 CODER:  CODE 1 = COOPERATIVE TO CODE 7 = UNCOOPERATIVE


                                 8             = DK
                                 9             = NOT ASCERTAINED



         HP5C      646           NO LANGUAGE PROBLEM
                                 ___________________

                                 1-7           = DEGREE OF LANGUAGE PROBLEM

                                 CODER:  CODE 1 = NO LANGUAGE PROBLEM TO CODE 7 = SPOKE ENHLGSH WITH DIFFICULTY


                                 8             = DK
                                 9             = NOT ASCERTAINED



         HP5D      647           INTERVIEWED WITHOUT INTERRUPTION
                                 ________________________________

                                 1-7           = DEGREE OF INTERRUPTIONS DURING INTERVIEW

                                 CODER:  CODE 1 = INTERVIEWED WITHOUT INTERRUPTION TO CODE 7 = INTERRUPTED OFTEN


                                 8             = DK
                                 9             = NOT ASCERTAINED
 
                                                           (103)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________



         HP5E      648           SOBER
                                 _____

                                 1-7           = LEVEL OF SOBRIETY

                                 CODER:  CODE 1 = SOBER TO CODE 7 = INEBRIATED/HIGH


                                 8             = DK
                                 9             = NOT ASCERTAINED



         HP5F      649           NOT PHYSICALLY OR MENTALLY FATIGUED
                                 ___________________________________

                                 1-7           = LEVEL OF PHYSICAL/MENTAL FATIGUE

                                 CODER:  CODE 1 = NOT PHYSICALLY OR MENTALLY FATIGUED TO CODE 7 = PHYSICALLY OR MENTALLY
                                 FATIGUED


                                 8             = DK
                                 9             = NOT ASCERTAINED
 
 
 
 
 
 
 
 
 
                                                           (104)
 27 Jun. 1994
                                                                                                                Record 01
        Question  Column
         Name     Number(s)
        ________  _________


                                   INDEX OF VARIABLES                           PAGE 001

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== A =====

               ADM5                 035-036            Record 01            003
               AMBVS5               040-042            Record 01            003

               ===== E =====

               ERVS5                043-045            Record 01            003

               ===== G =====

               GAP5FLAG             034                Record 01            003

               ===== H =====

               H_NONMED            (304-324)           Record 01            053
               HABOX1              (117-118)           Record 01            014
               HABOX1A              117                Record 01            014
               HABOX1B              118                Record 01            014
               HA01CT               055-056            Record 01            004
               HA1AGE1              060-061            Record 01            005
               HA1AGE10             114-115            Record 01            014
               HA1AGE2              066-067            Record 01            006
               HA1AGE3              072-073            Record 01            007
               HA1AGE4              078-079            Record 01            008
               HA1AGE5              084-085            Record 01            009
               HA1AGE6              090-091            Record 01            010
               HA1AGE7              096-097            Record 01            011
               HA1AGE8              102-103            Record 01            012
               HA1AGE9              108-109            Record 01            013
               HA1REL1              057-058            Record 01            004
               HA1REL10             111-112            Record 01            013
               HA1REL2              063-064            Record 01            005
               HA1REL3              069-070            Record 01            006
               HA1REL4              075-076            Record 01            007
               HA1REL5              081-082            Record 01            008
               HA1REL6              087-088            Record 01            009
               HA1REL7              093-094            Record 01            010
               HA1REL8              099-100            Record 01            011
               HA1REL9              105-106            Record 01            012
               HA1SEX1              059                Record 01            004
               HA1SEX10             113                Record 01            013
               HA1SEX2              065                Record 01            005
               HA1SEX3              071                Record 01            006
               HA1SEX4              077                Record 01            007
               HA1SEX5              083                Record 01            008
               HA1SEX6              089                Record 01            009

                                   INDEX OF VARIABLES                           PAGE 002

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HA1SEX7              095                Record 01            010
               HA1SEX8              101                Record 01            011
               HA1SEX9              107                Record 01            012
               HA1SST1              062                Record 01            005
               HA1SST10             116                Record 01            014
               HA1SST2              068                Record 01            006
               HA1SST3              074                Record 01            007
               HA1SST4              080                Record 01            008
               HA1SST5              086                Record 01            009
               HA1SST6              092                Record 01            010
               HA1SST7              098                Record 01            011
               HA1SST8              104                Record 01            012
               HA1SST9              110                Record 01            013
               HA2                  119                Record 01            015
               HA3                  120                Record 01            015
               HA4                  121                Record 01            015
               HA5                  122-123            Record 01            016
               HA6                 (124-129)           Record 01            016
               HA6A                 124                Record 01            016
               HA6B                 125                Record 01            016
               HA6C                 126                Record 01            017
               HA6D                 127                Record 01            017
               HA6E                 128                Record 01            017
               HA6F                 129                Record 01            017
               HBBOX2               131                Record 01            018
               HBBOX3               132                Record 01            018
               HBBOX4               152                Record 01            023
               HBBOX5               175                Record 01            029
               HBBOX6               184                Record 01            030
               HBBOX7               185                Record 01            031
               HBBOX8               204                Record 01            035
               HBBOX9               211                Record 01            037
               HB1                  130                Record 01            018
               HB10                 160                Record 01            025
               HB12                 161                Record 01            025
               HB13                 162                Record 01            025
               HB14                (163-174)           Record 01            025
               HB14A                163                Record 01            026
               HB14B                164                Record 01            026
               HB14C                165                Record 01            026
               HB14D                166                Record 01            026
               HB14E                167                Record 01            027
               HB14F                168                Record 01            027
               HB14G                169                Record 01            027
               HB14H                170                Record 01            027

                                   INDEX OF VARIABLES                           PAGE 003

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HB14I                171                Record 01            028
               HB14J                172                Record 01            028
               HB14K                173                Record 01            028
               HB14L                174                Record 01            028
               HB16                (176-179)           Record 01            029
               HB16MO               176-177            Record 01            029
               HB16YR               178-179            Record 01            029
               HB17                 180                Record 01            029
               HB18                 181                Record 01            030
               HB19                 182                Record 01            030
               HB2                  133                Record 01            018
               HB21                 183                Record 01            030
               HB22                 186                Record 01            031
               HB23                 187                Record 01            031
               HB24                (188-199)           Record 01            031
               HB24A                188                Record 01            032
               HB24B                189                Record 01            032
               HB24C                190                Record 01            032
               HB24D                191                Record 01            032
               HB24E                192                Record 01            033
               HB24F                193                Record 01            033
               HB24G                194                Record 01            033
               HB24H                195                Record 01            033
               HB24I                196                Record 01            034
               HB24J                197                Record 01            034
               HB24K                198                Record 01            034
               HB24L                199                Record 01            034
               HB25                (200-203)           Record 01            035
               HB25MO               200-201            Record 01            035
               HB25YR               202-203            Record 01            035
               HB26                 205-206            Record 01            036
               HB27                (207-210)           Record 01            036
               HB27MO               207-208            Record 01            036
               HB27YR               209-210            Record 01            036
               HB28                 212                Record 01            037
               HB29                 213                Record 01            037
               HB3                  134                Record 01            019
               HB31                (214-219)           Record 01            037
               HB31A               (214-216)           Record 01            037
               HB31A1               214-215            Record 01            038
               HB31A2               216                Record 01            038
               HB31B               (217-219)           Record 01            038
               HB31B1               217-218            Record 01            038
               HB31B2               219                Record 01            039
               HB4                 (135-146)           Record 01            019

                                   INDEX OF VARIABLES                           PAGE 004

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HB4A                 135                Record 01            019
               HB4B                 136                Record 01            019
               HB4C                 137                Record 01            020
               HB4D                 138                Record 01            020
               HB4E                 139                Record 01            020
               HB4F                 140                Record 01            020
               HB4G                 141                Record 01            021
               HB4H                 142                Record 01            021
               HB4I                 143                Record 01            021
               HB4J                 144                Record 01            021
               HB4K                 145                Record 01            022
               HB4L                 146                Record 01            022
               HB5                 (147-150)           Record 01            022
               HB5MO                147-148            Record 01            022
               HB5YR                149-150            Record 01            023
               HB6                  151                Record 01            023
               HB7                  153                Record 01            023
               HB8                  154-155            Record 01            024
               HB9                 (156-159)           Record 01            024
               HB9MO                156-157            Record 01            024
               HB9YR                158-159            Record 01            024
               HCVS5                046-048            Record 01            003
               HC15                (220-224)           Record 01            039
               HC15A                220                Record 01            039
               HC15B                221                Record 01            039
               HC15C                222                Record 01            040
               HC15D                223                Record 01            040
               HC15E                224                Record 01            040
               HC16                (225-242)           Record 01            040
               HC16A                225                Record 01            040
               HC16B                226                Record 01            041
               HC16C                227                Record 01            041
               HC16D                228                Record 01            041
               HC16E                229                Record 01            041
               HC16F                230                Record 01            041
               HC16G                231                Record 01            042
               HC16H                232                Record 01            042
               HC16I                233                Record 01            042
               HC16J                234                Record 01            042
               HC16K                235                Record 01            042
               HC16L                236                Record 01            043
               HC16M                237                Record 01            043
               HC16N                238                Record 01            043
               HC16O                239                Record 01            043
               HC16P                240                Record 01            043

                                   INDEX OF VARIABLES                           PAGE 005

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HC16Q                241                Record 01            044
               HC16R                242                Record 01            044
               HC17                 243                Record 01            044
               HC18                 244                Record 01            044
               HC19                (245-250)           Record 01            044
               HC19DA               247-248            Record 01            045
               HC19MO               245-246            Record 01            045
               HC19YR               249-250            Record 01            045
               HC20                 251                Record 01            045
               HDNTLSRV            (325-329)           Record 01            055
               HDRGSECT            (379-463)           Record 01            065
               HD05CT               255-256            Record 01            046
               HD1A                 252                Record 01            046
               HD1B                 253-254            Record 01            046
               HEMPLYMT            (464-559)           Record 01            073
               HENDDT              (023-028)           Record 01            002
               HENDDY               025-026            Record 01            002
               HENDMO               023-024            Record 01            002
               HENDYR               027-028            Record 01            002
               HE07CT               260-261            Record 01            047
               HE1A                 257                Record 01            046
               HE1B                 258-259            Record 01            047
               HF09CT               265-266            Record 01            047
               HF1                  262                Record 01            047
               HF1A                 263-264            Record 01            047
               HF10CT               270-271            Record 01            048
               HF11CT               275-276            Record 01            049
               HF12CT               280-281            Record 01            049
               HF2                  267                Record 01            048
               HF2A                 268-269            Record 01            048
               HF3                  272                Record 01            048
               HF3A                 273-274            Record 01            049
               HF4                  277                Record 01            049
               HF4A                 278-279            Record 01            049
               HG1                  282                Record 01            050
               HG1A                 283-284            Record 01            050
               HG13CT               285-286            Record 01            050
               HG14CT               290-291            Record 01            051
               HG15CT               295-296            Record 01            051
               HG16CT               298-299            Record 01            052
               HG2                  287                Record 01            050
               HG2A                 288-289            Record 01            051
               HG3                  292                Record 01            051
               HG3A                 293-294            Record 01            051
               HG4                  297                Record 01            052

                                   INDEX OF VARIABLES                           PAGE 006

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HHOMHLTH            (300-303)           Record 01            052
               HHSEHOLD            (055-129)           Record 01            004
               HH1                  300                Record 01            052
               HH18CT               302-303            Record 01            053
               HH2                  301                Record 01            052
               HINSCOVR            (130-219)           Record 01            017
               HINTOBS             (638-649)           Record 01            101
               HIPSTAYS            (252-256)           Record 01            045
               HITYPE               014                Record 01            001
               HI1                  304                Record 01            053
               HI2                  307                Record 01            053
               HI20CT               305-306            Record 01            053
               HI21CT               308-309            Record 01            053
               HI22CT               311-312            Record 01            054
               HI23CT               314-315            Record 01            054
               HI24CT               317-318            Record 01            055
               HI25CT               320-321            Record 01            055
               HI26CT               323-324            Record 01            055
               HI3                  310                Record 01            054
               HI4                  313                Record 01            054
               HI5                  316                Record 01            054
               HI6                  319                Record 01            055
               HI7                  322                Record 01            055
               HJ1                  325                Record 01            056
               HJ1A                 326-327            Record 01            056
               HJ28CT               328-329            Record 01            056
               HKSEX                330-331            Record 01            056
               HK1                 (332-338)           Record 01            056
               HK1A                 332                Record 01            057
               HK1B                 333                Record 01            057
               HK1C                 334                Record 01            057
               HK1D                 335                Record 01            057
               HK1E                 336                Record 01            058
               HK1F                 337                Record 01            058
               HK1G                 338                Record 01            058
               HK2                  339                Record 01            058
               HK3                  340                Record 01            059
               HK4A                 341                Record 01            059
               HK4B                 360                Record 01            062
               HK5APROV             342-348            Record 01            059
               HK5BPROV             361-367            Record 01            063
               HK6A                (349-356)           Record 01            059
               HK6AA                349                Record 01            060
               HK6AB                350                Record 01            060
               HK6AC                351                Record 01            060

                                   INDEX OF VARIABLES                           PAGE 007

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HK6AD                352                Record 01            060
               HK6AE                353                Record 01            061
               HK6AF                354                Record 01            061
               HK6AFOS              355-356            Record 01            061
               HK6B                (368-375)           Record 01            063
               HK6BA                368                Record 01            063
               HK6BB                369                Record 01            063
               HK6BC                370                Record 01            064
               HK6BD                371                Record 01            064
               HK6BE                372                Record 01            064
               HK6BF                373                Record 01            064
               HK6BFOS              374-375            Record 01            065
               HK7A                 357                Record 01            062
               HK7B                 376                Record 01            065
               HK8A                 358-359            Record 01            062
               HK8B                 377-378            Record 01            065
               HLANG                016                Record 01            001
               HLTHSTAT            (220-251)           Record 01            039
               HL1                  379                Record 01            066
               HL2                  380                Record 01            066
               HL3                  383                Record 01            066
               HL31CT               381-382            Record 01            066
               HL4                 (386-457)           Record 01            067
               HL4A                 386-388            Record 01            067
               HL4B                 389-391            Record 01            067
               HL4C                 392-394            Record 01            067
               HL4CT                384-385            Record 01            066
               HL4D                 395-397            Record 01            067
               HL4E                 398-400            Record 01            068
               HL4F                 401-403            Record 01            068
               HL4G                 404-406            Record 01            068
               HL4H                 407-409            Record 01            068
               HL4I                 410-412            Record 01            069
               HL4J                 413-415            Record 01            069
               HL4K                 416-418            Record 01            069
               HL4L                 419-421            Record 01            069
               HL4M                 422-424            Record 01            070
               HL4N                 425-427            Record 01            070
               HL4O                 428-430            Record 01            070
               HL4P                 431-433            Record 01            070
               HL4Q                 434-436            Record 01            071
               HL4R                 437-439            Record 01            071
               HL4S                 440-442            Record 01            071
               HL4T                 443-445            Record 01            071
               HL4U                 446-448            Record 01            072

                                   INDEX OF VARIABLES                           PAGE 008

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HL4V                 449-451            Record 01            072
               HL4W                 452-454            Record 01            072
               HL4X                 455-457            Record 01            072
               HL5                  458-463            Record 01            073
               HMBOX1               465                Record 01            073
               HMBOX2               466                Record 01            074
               HMBOX3               526                Record 01            085
               HMBOX4               535                Record 01            087
               HMEDVIST            (262-281)           Record 01            047
               HM1                  464                Record 01            073
               HM10                 486                Record 01            077
               HM11                 487-488            Record 01            077
               HM12                 489                Record 01            077
               HM13                (490-493)           Record 01            078
               HM13MO               490-491            Record 01            078
               HM13YR               492-493            Record 01            078
               HM14                 494                Record 01            078
               HM15                 495-496            Record 01            079
               HM16                 497-499            Record 01            079
               HM17O18              500-503            Record 01            079
               HM18A                504                Record 01            080
               HM19                 505                Record 01            080
               HM2                  467-469            Record 01            074
               HM20                 506                Record 01            080
               HM21                 507-508            Record 01            081
               HM22                 509                Record 01            081
               HM23                 510-511            Record 01            081
               HM24                 512                Record 01            082
               HM25                (513-516)           Record 01            082
               HM25MO               513-514            Record 01            082
               HM25YR               515-516            Record 01            082
               HM26                 517                Record 01            083
               HM27                 518-519            Record 01            083
               HM28                 520                Record 01            083
               HM29                 521                Record 01            084
               HM30                 522-523            Record 01            084
               HM304                470-473            Record 01            074
               HM31                 524-525            Record 01            085
               HM32                 527                Record 01            085
               HM33                (528-532)           Record 01            085
               HM33BX               532                Record 01            086
               HM33DT              (528-531)           Record 01            086
               HM33MO               528-529            Record 01            086
               HM33YR               530-531            Record 01            086
               HM34                 533                Record 01            086

                                   INDEX OF VARIABLES                           PAGE 009

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HM35                 534                Record 01            087
               HM36                 536                Record 01            087
               HM37                (537-541)           Record 01            087
               HM37BX               541                Record 01            088
               HM37DT              (537-540)           Record 01            087
               HM37MO               537-538            Record 01            088
               HM37YR               539-540            Record 01            088
               HM38                 542                Record 01            088
               HM39                (543-547)           Record 01            088
               HM39BX               547                Record 01            089
               HM39DT              (543-546)           Record 01            089
               HM39MO               543-544            Record 01            089
               HM39YR               545-546            Record 01            089
               HM4A                 474                Record 01            075
               HM40                 548                Record 01            089
               HM41                (549-552)           Record 01            090
               HM41MO               549-550            Record 01            090
               HM41YR               551-552            Record 01            090
               HM42                 553                Record 01            090
               HM43                 554-559            Record 01            091
               HM5                  475                Record 01            075
               HM6                  476-477            Record 01            075
               HM7                  478-480            Record 01            076
               HM8O9                481-484            Record 01            076
               HM9A                 485                Record 01            076
               HNURSHOM            (257-261)           Record 01            046
               HN1                  560                Record 01            091
               HN2                  561-562            Record 01            091
               HN3                 (563-598)           Record 01            091
               HN3L1DY              565-566            Record 01            092
               HN3L1MO              563-564            Record 01            092
               HN3L1YR              567-568            Record 01            092
               HN3L2DY              577-578            Record 01            093
               HN3L2MO              575-576            Record 01            093
               HN3L2YR              579-580            Record 01            094
               HN3L3DY              589-590            Record 01            095
               HN3L3MO              587-588            Record 01            095
               HN3L3YR              591-592            Record 01            095
               HN3R1DY              571-572            Record 01            093
               HN3R1MO              569-570            Record 01            092
               HN3R1YR              573-574            Record 01            093
               HN3R2DY              583-584            Record 01            094
               HN3R2MO              581-582            Record 01            094
               HN3R2YR              585-586            Record 01            094
               HN3R3DY              595-596            Record 01            096

                                   INDEX OF VARIABLES                           PAGE 010

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== H =====

               HN3R3MO              593-594            Record 01            095
               HN3R3YR              597-598            Record 01            096
               HN4                  599                Record 01            096
               HN5                  600-601            Record 01            096
               HN6                 (602-637)           Record 01            097
               HN6EN1DY             604-605            Record 01            097
               HN6EN1MO             602-603            Record 01            097
               HN6EN1YR             606-607            Record 01            097
               HN6EN2DY             616-617            Record 01            099
               HN6EN2MO             614-615            Record 01            098
               HN6EN2YR             618-619            Record 01            099
               HN6EN3DY             628-629            Record 01            100
               HN6EN3MO             626-627            Record 01            100
               HN6EN3YR             630-631            Record 01            100
               HN6EX1DY             610-611            Record 01            098
               HN6EX1MO             608-609            Record 01            098
               HN6EX1YR             612-613            Record 01            098
               HN6EX2DY             622-623            Record 01            099
               HN6EX2MO             620-621            Record 01            099
               HN6EX2YR             624-625            Record 01            100
               HN6EX3DY             634-635            Record 01            101
               HN6EX3MO             632-633            Record 01            101
               HN6EX3YR             636-637            Record 01            101
               HOTHPROV            (282-299)           Record 01            049
               HPID01               001-009            Record 01            001
               HP1                  638                Record 01            102
               HP2                  639-640            Record 01            102
               HP3                  641                Record 01            102
               HP4                  642-643            Record 01            102
               HP5                 (644-649)           Record 01            102
               HP5A                 644                Record 01            103
               HP5B                 645                Record 01            103
               HP5C                 646                Record 01            103
               HP5D                 647                Record 01            103
               HP5E                 648                Record 01            104
               HP5F                 649                Record 01            104
               HREC01               010-011            Record 01            001
               HREFDT              (017-022)           Record 01            001
               HREFDY               019-020            Record 01            002
               HREFMO               017-018            Record 01            001
               HREFYR               021-022            Record 01            002
               HRTYPE               015                Record 01            001
               HSREC01              012-013            Record 01            001
               HTIMEGAP            (560-637)           Record 01            091
               HWMNHLTH            (330-378)           Record 01            056

                                   INDEX OF VARIABLES                           PAGE 011

               Variable Name       Column Numbers    Record Number    Codebook Page No.
               -------------       --------------    -------------    -----------------

               ===== I =====

               IPNGT5               037-039            Record 01            003

               ===== M =====

               MDVS5                052-054            Record 01            004

               ===== O =====

               OBSDAYS5             031-033            Record 01            002
               OCVS5                049-051            Record 01            003

               ===== P =====

               PERSON1             (057-062)           Record 01            004
               PERSON10            (111-116)           Record 01            013
               PERSON2             (063-068)           Record 01            005
               PERSON3             (069-074)           Record 01            006
               PERSON4             (075-080)           Record 01            007
               PERSON5             (081-086)           Record 01            008
               PERSON6             (087-092)           Record 01            009
               PERSON7             (093-098)           Record 01            010
               PERSON8             (099-104)           Record 01            011
               PERSON9             (105-110)           Record 01            012
               PRISON1             (602-613)           Record 01            097
               PRISON2             (614-625)           Record 01            098
               PRISON3             (626-637)           Record 01            100

               ===== T =====

               TRIP1               (563-574)           Record 01            092
               TRIP2               (575-586)           Record 01            093
               TRIP3               (587-598)           Record 01            094
               T5_STAT              029-030            Record 01            002