APPENDIX 9

**LIST OF TABLES FOR 34/32 SELF-REPORT**

**AND 35 PROXY-REPORT RESPONDENTS**

# Number of Interviews Conducted

  ----------------------------------- -----------------------------------
  Table 1. Number and Percent of      
  Interviews by Type of Respondents   

  Respondent in the Interview         Number of Interviews

  Self-report                         34

  Proxy                               35
  ----------------------------------- -----------------------------------

# Demographic Characteristics

# 1. Sex {#sex .unnumbered}

  ----------------- ------------- ------------- ------------- -------------
  Table 2. Number                                             
  and Percent of                                              
  Respondents by                                              
  Type and Sex                                                

  Sex               Number and                                
                    Percent of                                
                    Respondents                               
                    by Type                                   

                    Self-report                 Proxy         

                    Number        Percent       Number        Percent

  Female            21            61.8          25            71.4

  Male              13            38.2          10            28.6

  Total             34            100.0         35            100.0
  ----------------- ------------- ------------- ------------- -------------

**2. Age**

  ----------------- ------------- ------------- ------------- -------------
  Table 3. Number                                             
  and Percent of                                              
  Respondents by                                              
  Type and Age                                                
  Group                                                       

  Age Group         Number and                                
                    Percent of                                
                    Respondents                               
                    by Type                                   

                    Self-report                 Proxy         

                    Number        Percent       Number        Percent

  18 -- 21          1             2.9           2             5.7

  22 -- 25          2             5.9           8             22.9

  26 -- 29          2             5.9           2             5.7

  30 -- 33          1             2.9           2             5.7

  34 -- 37          1             2.9           2             5.7

  38 -- 41          1             2.9           1             2.9

  42 -- 45          1             2.9           6             17.1

  46 -- 49          2             5.9           1             2.9

  50 -- 53          3             8.8           1             2.9

  54 -- 57          5             14.7          3             8.6

  58 -- 61          4             11.8          2             5.7

  62 -- 65          4             11.8          2             5.7

  66 -- 69          2             5.9           2             5.7

  70 and above      5             14.7          1             2.9

  Total             34            100.0         35            100.0
  ----------------- ------------- ------------- ------------- -------------

**4. Education**

+-----------------+------------+------------+------------+------------+
| Table 4. Number |            |            |            |            |
| and Percent of  |            |            |            |            |
| Respondents by  |            |            |            |            |
| Type            |            |            |            |            |
|                 |            |            |            |            |
| and Years Spent |            |            |            |            |
| Studying in     |            |            |            |            |
| School          |            |            |            |            |
+-----------------+------------+------------+------------+------------+
| Years Spent     | Number and |            |            |            |
| Studying in     | Percent of |            |            |            |
| School          | R          |            |            |            |
|                 | espondents |            |            |            |
|                 | by Type    |            |            |            |
+-----------------+------------+------------+------------+------------+
|                 | S          |            | Proxy      |            |
|                 | elf-report |            |            |            |
+-----------------+------------+------------+------------+------------+
|                 | Number     | Percent    | Number     | Percent    |
+-----------------+------------+------------+------------+------------+
| 0               | 4          | 11.8       | 0          | 0.0        |
+-----------------+------------+------------+------------+------------+
| 1               | 0          | 0.0        | 0          | 0.0        |
+-----------------+------------+------------+------------+------------+
| 2               | 1          | 2.9        | 1          | 2.9        |
+-----------------+------------+------------+------------+------------+
| 3               | 3          | 8.8        | 1          | 2.9        |
+-----------------+------------+------------+------------+------------+
| 4               | 1          | 2.9        | 4          | 11.4       |
+-----------------+------------+------------+------------+------------+
| 5               | 0          | 0.0        | 1          | 2.9        |
+-----------------+------------+------------+------------+------------+
| 6               | 8          | 23.5       | 2          | 5.7        |
+-----------------+------------+------------+------------+------------+
| 7               | 6          | 17.6       | 2          | 5.7        |
+-----------------+------------+------------+------------+------------+
| 8               | 0          | 0.0        | 0          | 0.0        |
+-----------------+------------+------------+------------+------------+
| 9               | 0          | 0.0        | 1          | 2.9        |
+-----------------+------------+------------+------------+------------+
| 10              | 3          | 8.8        | 5          | 14.3       |
+-----------------+------------+------------+------------+------------+
| 11              | 0          | 0.0        | 3          | 8.6        |
+-----------------+------------+------------+------------+------------+
| 12              | 1          | 2.9        | 5          | 14.3       |
+-----------------+------------+------------+------------+------------+
| 13              | 1          | 2.9        | 1          | 2.9        |
+-----------------+------------+------------+------------+------------+
| 14              | 1          | 2.9        | 3          | 8.6        |
+-----------------+------------+------------+------------+------------+
| 15              | 1          | 2.9        | 3          | 8.6        |
+-----------------+------------+------------+------------+------------+
| 16              | 1          | 2.9        | 1          | 2.9        |
+-----------------+------------+------------+------------+------------+
| 17 and over     | 1          | 2.9        | 2          | 5.7        |
+-----------------+------------+------------+------------+------------+
| Can't Remember  | 2          | 5.9        | 0          | 0.0        |
+-----------------+------------+------------+------------+------------+
| Total           | 34         | 100.0      | 35         | 100.0      |
+-----------------+------------+------------+------------+------------+

**5. Marital Status**

  ----------------- ------------- ------------- ------------- -------------
  Table 5. Number                                             
  and Percent of                                              
  Respondents by                                              
  Type and Current                                            
  Marital Status                                              

  Current Marital   Number and                                
  Status            Percent of                                
                    Respondents                               
                    by Type                                   

                    Self-report                 Proxy         

                    Number        Percent       Number        Percent

  Never married     8             23.5          9             25.7

  Currently married 13            38.2          17            48.6

  Separated         0             0.0           2             5.7

  Divorced          0             0.0           0             0.0

  Widowed           9             26.5          4             11.4

  Cohabiting        3             8.8           2             5.7

  Not Reported      1             2.9           1             2.9

  Total             34            100.0         35            100.0
  ----------------- ------------- ------------- ------------- -------------

# C. Economic Characteristics {#c.-economic-characteristics .unnumbered}

**1. Employment**

  -------------------------- ------------- ----------- ----------- -----------
  Table 6. Number and                                              
  Percent of Respondents by                                        
  Type and Main Work Status                                        

  Main Work Status           Number and                            
                             Percent of                            
                             Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  Paid work                  6             17.7        7           20.0

  Self employed              7             20.6        7           20.0

  Non paid work              2             5.9         1           2.9

  Student                    0             0.0         1           2.9

  Keeping House/Homemaker    4             11.8        8           22.9

  Retired                    3             8.8         3           8.6

  Unemployed (health         8             23.5        3           8.6
  reasons)                                                         

  Unemployed (other reasons) 3             8.8         5           14.3

  Don't Know                 1             2.9         0           0.0

  Total                      34            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

**2. Income**

  ----------------------------- ------------- ---------- ---------- ----------
  Table 7. Number and Percent                                       
  of Respondents by Type and                                        
  Household Income                                                  

  Household Weekly Income       Number and                          
                                Percent of                          
                                Respondents                         
                                by Type                             

                                Self-report              Proxy      

                                Number        Percent    Number     Percent

  J (less than €40)             15            44.1       15         42.9

  R (€40 to under €70)          5             14.7       6          17.1

  C (€70 to under €120)         6             17.6       5          14.3

  M (€120 to under €230)        3             8.8        3          8.6

  F (€230 to under €350)        2             5.9        0          0.0

  S (€350 to under €460)        0             0.0        0          0.0

  K (€460 to under €580)        0             0.0        0          0.0

  P (€580 to under €690)        0             0.0        0          0.0

  D (€690 to under €1150)       0             0.0        0          0.0

  H (€1150 to under €1730)      0             0.0        0          0.0

  U (€1730 to under €2310)      0             0.0        0          0.0

  N (€2310 or more)             0             0.0        0          0.0

  DK for Don't Know             3             8.8        6          17.1

  Total                         34            100.0      35         100.0
  ----------------------------- ------------- ---------- ---------- ----------

# Functional Difficulty by Type

**1. Vision**

> **a. Main Question**

  -------------------------- ------------- ----------- ----------- -----------
  Table 8. Number and                                              
  Percent of Respondents by                                        
  Degree of Difficulty in                                          
  Seeing                                                           

  Degree of Difficulty in    Number and                            
  Seeing                     Percent of                            
                             Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  No Difficulty              15            46.9        18          51.4

  Some Difficulty            14            43.8        14          40.0

  A Lot of Difficulty        3             9.4         3           8.6

  Cannot Do At All           0             0.0         0           0.0

  No Answer/Don't Know       0             0.0         0           0.0

  Total                      32            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

> **b. Interviewer's Observation Question**

+---------------------------------------+------+------+------+------+
| Table 9. Number and Percent of        |      |      |      |      |
| Respondents by Interviewer's          |      |      |      |      |
| Observation Questions for Difficulty  |      |      |      |      |
| in Seeing                             |      |      |      |      |
+---------------------------------------+------+------+------+------+
| Interviewer's Observation Questions   | Nu   |      |      |      |
|                                       | mber |      |      |      |
|                                       | and  |      |      |      |
|                                       | Per  |      |      |      |
|                                       | cent |      |      |      |
|                                       | of   |      |      |      |
|                                       | Res  |      |      |      |
|                                       | pond |      |      |      |
|                                       | ents |      |      |      |
|                                       | by   |      |      |      |
|                                       | Type |      |      |      |
+---------------------------------------+------+------+------+------+
|                                       | Sel  |      | P    |      |
|                                       | f-re |      | roxy |      |
|                                       | port |      |      |      |
+---------------------------------------+------+------+------+------+
|                                       | Num  | Per- | Num  | Per- |
|                                       | -ber | cent | -ber | cent |
+---------------------------------------+------+------+------+------+
| A. Need to Repeat Any Part of the     |      |      |      |      |
| Question                              |      |      |      |      |
+---------------------------------------+------+------+------+------+
| > Yes                                 | 7    | 21.9 | 2    | 5.7  |
+---------------------------------------+------+------+------+------+
| > No                                  | 25   | 78.1 | 33   | 94.3 |
+---------------------------------------+------+------+------+------+
| Total                                 | 32   | 1    | 35   | 1    |
|                                       |      | 00.0 |      | 00.0 |
+---------------------------------------+------+------+------+------+
| B. Have Any Difficulty Using Response |      |      |      |      |
| Option                                |      |      |      |      |
+---------------------------------------+------+------+------+------+
| > Yes                                 | 4    | 12.5 | 2    | 5.7  |
+---------------------------------------+------+------+------+------+
| > No                                  | 28   | 87.5 | 33   | 94.3 |
+---------------------------------------+------+------+------+------+
| Total                                 | 32   | 1    | 35   | 1    |
|                                       |      | 00.0 |      | 00.0 |
+---------------------------------------+------+------+------+------+
| C. Ask for Clarification or Qualify   |      |      |      |      |
| Answer                                |      |      |      |      |
+---------------------------------------+------+------+------+------+
| > Yes                                 | 4    | 12.5 | 2    | 5.7  |
+---------------------------------------+------+------+------+------+
| > No                                  | 28   | 87.5 | 33   | 94.3 |
+---------------------------------------+------+------+------+------+
| Total                                 | 32   | 1    | 35   | 1    |
|                                       |      | 00.0 |      | 00.0 |
+---------------------------------------+------+------+------+------+

> **c. Wearing of Glasses**

  ------------------------------- ------------- --------- --------- ---------
  Table 10. Number and Percent of                                   
  Respondents Wearing Eyeglasses                                    
  by Frequency                                                      

  Frequency of Wearing Eyeglasses Number and                        
                                  Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  All the Time                    5             15.6      4         11.4

  Certain Activities              16            50.0      13        37.1

  None of the Time                11            34.4      18        51.4

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

d.  **Frequency of Difficulty in Seeing**

+------------------------------+---------+---------+---------+---------+
| Table 11. Number and Percent |         |         |         |         |
| of Respondents with          |         |         |         |         |
| Difficulty in Seeing by      |         |         |         |         |
| Frequency of Difficulty in   |         |         |         |         |
| Seeing                       |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Frequency of Difficulty in   | Number  |         |         |         |
| Seeing                       | and     |         |         |         |
|                              | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Respondents with          |         |         |         |         |
| Difficulty                   |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Never                      | 2       | 11.8    | 3       | 17.6    |
+------------------------------+---------+---------+---------+---------+
| > Somewhat Often             | 10      | 58.8    | 11      | 64.7    |
+------------------------------+---------+---------+---------+---------+
| > Very Often                 | 5       | 29.4    | 3       | 17.6    |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 17      | 100.0   | 17      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. For Glasses Wearers Only  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Never                      | 9       | 64.3    | 8       | 53.3    |
+------------------------------+---------+---------+---------+---------+
| > Somewhat Often             | 4       | 28.6    | 7       | 46.7    |
+------------------------------+---------+---------+---------+---------+
| > Very Often                 | 1       | 7.1     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 14      | 100.0   | 15      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **e. Amount of Effort Given**

+------------------------------+---------+---------+---------+---------+
| Table 12. Number and Percent |         |         |         |         |
| of Respondents With          |         |         |         |         |
| Difficulty by Amount of      |         |         |         |         |
| Effort Exerted To See        |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Amount of Effort Exerted to  | Number  |         |         |         |
| See                          | and     |         |         |         |
|                              | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Respondents with          |         |         |         |         |
| Difficulty                   |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Effort                  | 2       | 11.8    | 4       | 21.1    |
+------------------------------+---------+---------+---------+---------+
| > Some Effort                | 5       | 29.4    | 10      | 52.6    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Effort            | 10      | 58.8    | 5       | 26.3    |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 17      | 100.0   | 19      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. For Glasses Wearers Only  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Effort                  | 6       | 42.9    | 6       | 40.0    |
+------------------------------+---------+---------+---------+---------+
| > Some Effort                | 5       | 35.7    | 8       | 53.3    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Effort            | 3       | 21.4    | 1       | 6.7     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 16      | 100.0   | 15      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **f. Activities**

  ------------------------------- ------------- --------- --------- ---------
  Table 13. Number and Percent of                                   
  Respondents on Whether there is                                   
  an Activity They Cannot Do                                        
  Because of a Vision Problem                                       

  Whether there is an Activity    Number and                        
  They Cannot Do Because of a     Percent of                        
  Vision Problem                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Yes                             17            53.1      13        37.1

  No                              15            46.9      22        62.9

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

> **g. Worried on Vision Problems**

+------------------------------+---------+---------+---------+---------+
| Table 14. Number and Percent |         |         |         |         |
| of Respondents by Degree of  |         |         |         |         |
| Concern                      |         |         |         |         |
|                              |         |         |         |         |
| or Worry About Their Vision  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Degree of Concern or Worry   | Number  |         |         |         |
|                              | and     |         |         |         |
| About Their Vision           | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Not At All                   | 19      | 59.4    | 18      | 51.4    |
+------------------------------+---------+---------+---------+---------+
| Somewhat Concerned           | 5       | 15.6    | 14      | 40.0    |
+------------------------------+---------+---------+---------+---------+
| Very Concerned               | 7       | 21.9    | 3       | 8.6     |
+------------------------------+---------+---------+---------+---------+
| No Answer/Don't Know         | 1       | 3.1     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| Total                        | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **h. Health Professional's Advise**

+------------------------------+---------+---------+---------+---------+
| Table 15. Number and Percent |         |         |         |         |
| of Respondents by            |         |         |         |         |
| Consultation with a Health   |         |         |         |         |
| Professional About Seeing    |         |         |         |         |
| Problem or Whether They Have |         |         |         |         |
| Their Vision Tested          |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Consultation with a Health   | Number  |         |         |         |
| Professional About Seeing    | and     |         |         |         |
| Problem or Whether They Have | Percent |         |         |         |
| Their Vision Tested          | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Told by a Health          |         |         |         |         |
| Professional about Their     |         |         |         |         |
| Problem in Seeing            |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 12      | 37.5    | 23      | 65.7    |
+------------------------------+---------+---------+---------+---------+
| > No                         | 19      | 59.4    | 11      | 31.4    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 1       | 3.1     | 1       | 2.9     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. Have Their Vision Tested  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 20      | 62.5    | 21      | 60.0    |
+------------------------------+---------+---------+---------+---------+
| > No                         | 12      | 37.5    | 13      | 37.1    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 0       | 0.0     | 1       | 2.9     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **i.** **Difficulty in Seeing Prints/Recognizing a Person**

+---------------------------------------+------+------+------+------+
| Table 16. Number and Percent of       |      |      |      |      |
| Respondents by Degree of Difficulty   |      |      |      |      |
| in Seeing Prints or Seeing and        |      |      |      |      |
| Recognizing a Person They Know        |      |      |      |      |
+---------------------------------------+------+------+------+------+
| Degree of Difficulty in Seeing Prints | Nu   |      |      |      |
| or Seeing and Recognizing a Person    | mber |      |      |      |
|                                       | and  |      |      |      |
|                                       | Per  |      |      |      |
|                                       | cent |      |      |      |
|                                       | of   |      |      |      |
|                                       | Res  |      |      |      |
|                                       | pond |      |      |      |
|                                       | ents |      |      |      |
|                                       | by   |      |      |      |
|                                       | Type |      |      |      |
+---------------------------------------+------+------+------+------+
|                                       | Sel  |      | P    |      |
|                                       | f-re |      | roxy |      |
|                                       | port |      |      |      |
+---------------------------------------+------+------+------+------+
|                                       | Num  | Per- | Num  | Per- |
|                                       | -ber | cent | -ber | cent |
+---------------------------------------+------+------+------+------+
| A. Respondents with Difficulty        |      |      |      |      |
+---------------------------------------+------+------+------+------+
| 1\. Seeing the Prints in a Map,       |      |      |      |      |
| Newspaper or Book                     |      |      |      |      |
+---------------------------------------+------+------+------+------+
| > No Difficulty                       | 12   | 37.5 | 14   | 40.0 |
+---------------------------------------+------+------+------+------+
| > Some Difficulty                     | 12   | 37.5 | 8    | 22.9 |
+---------------------------------------+------+------+------+------+
| > A Lot of Difficulty                 | 5    | 15.6 | 7    | 20.0 |
+---------------------------------------+------+------+------+------+
| > Cannot Do At All                    | 3    | 9.4  | 2    | 5.7  |
+---------------------------------------+------+------+------+------+
| > No Answer/Don't Know                | 0    | 00.0 | 4    | 11.4 |
+---------------------------------------+------+------+------+------+
| > Total                               | 32   | 1    | 35   | 1    |
|                                       |      | 00.0 |      | 00.0 |
+---------------------------------------+------+------+------+------+
| 2\. Seeing and Recognizing a Person   |      |      |      |      |
| They Know From Seven Meters Away      |      |      |      |      |
+---------------------------------------+------+------+------+------+
| > No Difficulty                       | 20   | 62.5 | 20   | 57.1 |
+---------------------------------------+------+------+------+------+
| > Some Difficulty                     | 6    | 18.8 | 8    | 22.9 |
+---------------------------------------+------+------+------+------+
| > A Lot of Difficulty                 | 4    | 12.5 | 4    | 11.4 |
+---------------------------------------+------+------+------+------+
| > Cannot Do At All                    | 2    | 6.2  | 1    | 2.9  |
+---------------------------------------+------+------+------+------+
| > No Answer/Don't Know                | 0    | 0.0  | 2    | 5.7  |
+---------------------------------------+------+------+------+------+
| > Total                               | 32   | 1    | 35   | 1    |
|                                       |      | 00.0 |      | 00.0 |
+---------------------------------------+------+------+------+------+
| B. For Glasses Wearers Only with      |      |      |      |      |
| Difficulty                            |      |      |      |      |
+---------------------------------------+------+------+------+------+
| 1\. Seeing the Prints in a Map,       |      |      |      |      |
| Newspaper or Book                     |      |      |      |      |
+---------------------------------------+------+------+------+------+
| > No Difficulty                       | 11   | 78.6 | 12   | 75.0 |
+---------------------------------------+------+------+------+------+
| > Some Difficulty                     | 1    | 7.1  | 4    | 25.0 |
+---------------------------------------+------+------+------+------+
| > A Lot of Difficulty                 | 1    | 7.1  | 0    | 0.0  |
+---------------------------------------+------+------+------+------+
| > Cannot Do At All                    | 1    | 7.1  | 0    | 0.0  |
+---------------------------------------+------+------+------+------+
| > Total                               | 14   | 1    | 16   | 1    |
|                                       |      | 00.0 |      | 00.0 |
+---------------------------------------+------+------+------+------+
| 2\. Seeing and Recognizing a Person   |      |      |      |      |
| They Know From Seven Meters Away      |      |      |      |      |
+---------------------------------------+------+------+------+------+
| > No Difficulty                       | 8    | 57.1 | 8    | 50.0 |
+---------------------------------------+------+------+------+------+
| > Some Difficulty                     | 4    | 28.6 | 8    | 50.0 |
+---------------------------------------+------+------+------+------+
| > A Lot of Difficulty                 | 0    | 0.0  | 0    | 0.0  |
+---------------------------------------+------+------+------+------+
| > Cannot Do At All                    | 2    | 14.3 | 0    | 0.0  |
+---------------------------------------+------+------+------+------+
| > Total                               | 21   | 1    | 16   | 1    |
|                                       |      | 00.0 |      | 00.0 |
+---------------------------------------+------+------+------+------+

2.  **Hearing**

> **a. Main Question**

+--------------------------+----------+----------+----------+----------+
| Table 17. Number and     |          |          |          |          |
| Percent of Respondents   |          |          |          |          |
|                          |          |          |          |          |
| by Degree of Difficulty  |          |          |          |          |
| in Hearing               |          |          |          |          |
+--------------------------+----------+----------+----------+----------+
| Degree of Difficulty in  | Number   |          |          |          |
| Hearing                  | and      |          |          |          |
|                          | Percent  |          |          |          |
|                          | of       |          |          |          |
|                          | Res      |          |          |          |
|                          | pondents |          |          |          |
|                          | by Type  |          |          |          |
+--------------------------+----------+----------+----------+----------+
|                          | Sel      |          | Proxy    |          |
|                          | f-report |          |          |          |
+--------------------------+----------+----------+----------+----------+
|                          | Number   | Percent  | Number   | Percent  |
+--------------------------+----------+----------+----------+----------+
| No Difficulty            | 23       | 71.9     | 25       | 71.4     |
+--------------------------+----------+----------+----------+----------+
| Some Difficulty          | 9        | 28.1     | 9        | 25.7     |
+--------------------------+----------+----------+----------+----------+
| A Lot of Difficulty      | 0        | 0.0      | 1        | 2.9      |
+--------------------------+----------+----------+----------+----------+
| Cannot Do At All         | 0        | 0.0      | 0        | 0.0      |
+--------------------------+----------+----------+----------+----------+
| No Answer/Don't Know     | 0        | 0.0      | 0        | 0.0      |
+--------------------------+----------+----------+----------+----------+
| Total                    | 32       | 100.0    | 35       | 100.0    |
+--------------------------+----------+----------+----------+----------+

> **b. Interviewer's Observation Question**

+--------------------------------------+-------+-------+-------+-------+
| Table 18. Number and Percent of      |       |       |       |       |
| Respondents by Interviewer's         |       |       |       |       |
| Observation Questions for Difficulty |       |       |       |       |
| in Hearing                           |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| Interviewer's Observation Questions  | N     |       |       |       |
|                                      | umber |       |       |       |
|                                      | and   |       |       |       |
|                                      | Pe    |       |       |       |
|                                      | rcent |       |       |       |
|                                      | of    |       |       |       |
|                                      | R     |       |       |       |
|                                      | espon |       |       |       |
|                                      | dents |       |       |       |
|                                      | by    |       |       |       |
|                                      | Type  |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
|                                      | S     |       | Proxy |       |
|                                      | elf-r |       |       |       |
|                                      | eport |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
|                                      | Nu    | Per   | Nu    | Per   |
|                                      | m-ber | -cent | m-ber | -cent |
+--------------------------------------+-------+-------+-------+-------+
| A. Need to Repeat Any Part of the    |       |       |       |       |
| Question                             |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| > Yes                                | 1     | 3.1   | 1     | 2.9   |
+--------------------------------------+-------+-------+-------+-------+
| > No                                 | 31    | 96.9  | 34    | 97.1  |
+--------------------------------------+-------+-------+-------+-------+
| > Total                              | 32    | 100.0 | 35    | 100.0 |
+--------------------------------------+-------+-------+-------+-------+
| B. Have Any Difficulty Using         |       |       |       |       |
| Response Option                      |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| > Yes                                | 0     | 0.0   | 1     | 2.9   |
+--------------------------------------+-------+-------+-------+-------+
| > No                                 | 32    | 100.0 | 34    | 97.1  |
+--------------------------------------+-------+-------+-------+-------+
| > Total                              | 32    | 100.0 | 35    | 100.0 |
+--------------------------------------+-------+-------+-------+-------+
| C. Ask for Clarification or Qualify  |       |       |       |       |
| Answer                               |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| > Yes                                | 1     | 3.1   | 2     | 5.7   |
+--------------------------------------+-------+-------+-------+-------+
| > No                                 | 31    | 96.9  | 33    | 94.3  |
+--------------------------------------+-------+-------+-------+-------+
| > Total                              | 32    | 100.0 | 35    | 100.0 |
+--------------------------------------+-------+-------+-------+-------+

> **c. Use of Hearing Aid**

  ------------------------------- ------------- --------- --------- ---------
  Table 19. Number and Percent of                                   
  Respondents Wearing Hearing Aid                                   
  by Frequency of Use                                               

  When To Use Hearing Aid         Number and                        
                                  Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  All the Time                    1             3.1       1         2.9

  Certain Activities              0             0.0       0         0.0

  None of the Time                31            96.9      34        97.1

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

d.  **Frequency of Difficulty in Hearing**

+------------------------------+---------+---------+---------+---------+
| Table 20. Number and Percent |         |         |         |         |
| of Respondents with          |         |         |         |         |
| Difficulty in Hearing        |         |         |         |         |
|                              |         |         |         |         |
| by Frequency of Difficulty   |         |         |         |         |
| in Hearing                   |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Frequency of Use of Hearing  | Number  |         |         |         |
| Aid                          | and     |         |         |         |
|                              | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Respondents with          |         |         |         |         |
| Difficulty                   |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Never                      | 0       | 0.0     | 2       | 20.0    |
+------------------------------+---------+---------+---------+---------+
| > Somewhat Often             | 8       | 88.9    | 6       | 60.0    |
+------------------------------+---------+---------+---------+---------+
| > Very Often                 | 0       | 0.0     | 2       | 20.0    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 1       | 11.1    |         |         |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 8       | 100.0   | 10      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. For Hearing Aid Users     |         |         |         |         |
| Only                         |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Never                      | 0       | 0.0     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Somewhat Often             | 1       | 100.0   | 1       | 100.0   |
+------------------------------+---------+---------+---------+---------+
| > Very Often                 | 0       | 0.0     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 1       | 100.0   | 1       | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **e. Amount of Effort Given**

+------------------------------+---------+---------+---------+---------+
| Table 21. Number and Percent |         |         |         |         |
| of Respondents With          |         |         |         |         |
| Difficulty in Hearing by     |         |         |         |         |
| Amount of Effort Exerted To  |         |         |         |         |
| Hear                         |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Amount of Effort Exerted To  | Number  |         |         |         |
| Hear                         | and     |         |         |         |
|                              | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Respondents with          |         |         |         |         |
| Difficulty                   |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Effort                  | 1       | 11.1    | 4       | 40.0    |
+------------------------------+---------+---------+---------+---------+
| > Some Effort                | 7       | 77.8    | 3       | 30.0    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Effort            | 1       | 11.1    | 3       | 30.0    |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 9       | 100.0   | 10      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. For Hearing Aid Users     |         |         |         |         |
| Only                         |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Effort                  | 1       | 100.0   | 1       | 100.0   |
+------------------------------+---------+---------+---------+---------+
| > Some Effort                | 0       | 0.0     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Effort            | 0       | 0.0     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 1       | 100.0   | 1       | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **f. Activities**

  ------------------------------- ------------- --------- --------- ---------
  Table 22. Number and Percent of                                   
  Respondents on Whether there is                                   
  an Activity They Cannot Do                                        
  Because of a Hearing Problem                                      

  Whether there is an Activity    Number and                        
  They Cannot Do Because of a     Percent of                        
  Hearing Problem                 Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Yes                             1             3.1       2         5.7

  No                              31            96.9      33        94.6

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

g.  **Worried on Hearing Problem**

+------------------------------+---------+---------+---------+---------+
| Table 23. Number and Percent |         |         |         |         |
| of Respondents by Degree of  |         |         |         |         |
| Concern or Worry About Their |         |         |         |         |
| Hearing                      |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Degree of Concern or Worry   | Number  |         |         |         |
|                              | and     |         |         |         |
| About Their Hearing          | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Not At All                   | 25      | 78.1    | 25      | 71.4    |
+------------------------------+---------+---------+---------+---------+
| Somewhat Concerned           | 5       | 15.6    | 7       | 20.0    |
+------------------------------+---------+---------+---------+---------+
| Very Concerned               | 1       | 3.1     | 3       | 8.6     |
+------------------------------+---------+---------+---------+---------+
| No Answer/Don't Know         | 1       | 3.1     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| Total                        | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

h.  **Health Professional Advice**

+------------------------------+---------+---------+---------+---------+
| Table 24. Number and Percent |         |         |         |         |
| of Respondents by            |         |         |         |         |
| Consultation with a Health   |         |         |         |         |
| Professional About Hearing   |         |         |         |         |
| Loss and Whether They Have   |         |         |         |         |
| Their Hearing Tested         |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Consultation with a Health   | Number  |         |         |         |
| Professional About Hearing   | and     |         |         |         |
| Loss and Hearing Test        | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Consulted a Health        |         |         |         |         |
| Professional                 |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 2       | 6.2     | 3       | 8.6     |
+------------------------------+---------+---------+---------+---------+
| > No                         | 29      | 90.6    | 31      | 88.6    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 1       | 3.1     | 1       | 2.9     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. Have Their Hearing Tested |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 7       | 21.9    | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > No                         | 24      | 75.0    | 34      | 97.1    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 1       | 3.1     | 1       | 2.9     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **i. Difficulty in Hearing What is Said in a Crowded or Quiet Room**

+-----------------------------------+--------+--------+--------+--------+
| Table 25. Number and Percent of   |        |        |        |        |
| Respondents by Degree of          |        |        |        |        |
| Difficulty in Hearing What is     |        |        |        |        |
| Said in a Crowded or Quiet Room   |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| Degree of Difficulty in Hearing   | Number |        |        |        |
| What is Said in a Crowded or      | and    |        |        |        |
| Quiet Room                        | P      |        |        |        |
|                                   | ercent |        |        |        |
|                                   | of     |        |        |        |
|                                   | Respo  |        |        |        |
|                                   | ndents |        |        |        |
|                                   | by     |        |        |        |
|                                   | Type   |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
|                                   | Self-  |        | Proxy  |        |
|                                   | report |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
|                                   | Number | P      | Number | P      |
|                                   |        | ercent |        | ercent |
+-----------------------------------+--------+--------+--------+--------+
| A. Respondents with Difficulty    |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| 1\. Hearing in a Crowded Room     |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| > No Difficulty                   | 25     | 78.1   | 22     | 62.9   |
+-----------------------------------+--------+--------+--------+--------+
| > Some Difficulty                 | 6      | 18.8   | 10     | 28.6   |
+-----------------------------------+--------+--------+--------+--------+
| > A Lot of Difficulty             | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > Cannot Do At All                | 0      | 0.0    | 1      | 2.9    |
+-----------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know            | 1      | 3.1    | 2      | 5.7    |
+-----------------------------------+--------+--------+--------+--------+
| > Total                           | 32     | 100.0  | 35     | 100.0  |
+-----------------------------------+--------+--------+--------+--------+
| 2\. Hearing in a Quiet Room       |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| > No Difficulty                   | 27     | 84.4   | 28     | 80.0   |
+-----------------------------------+--------+--------+--------+--------+
| > Some Difficulty                 | 4      | 12.5   | 6      | 17.1   |
+-----------------------------------+--------+--------+--------+--------+
| > A Lot of Difficulty             | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > Cannot Do At All                | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know            | 1      | 3.1    | 1      | 2.9    |
+-----------------------------------+--------+--------+--------+--------+
| > Total                           | 32     | 100.0  | 35     | 100.0  |
+-----------------------------------+--------+--------+--------+--------+
| B. For Hearing Aid Users Only     |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| 1\. Difficulty Hearing in a       |        |        |        |        |
| Crowded Room                      |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| > No Difficulty                   | 1      | 100.0  | 1      | 100.0  |
+-----------------------------------+--------+--------+--------+--------+
| > Some Difficulty                 | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > A Lot of Difficulty             | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > Cannot Do At All                | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > Total                           | 1      | 100.0  | 1      | 100.0  |
+-----------------------------------+--------+--------+--------+--------+
| 2\. Difficulty Hearing in a Quiet |        |        |        |        |
| Room                              |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| > No Difficulty                   | 1      | 100.0  | 1      | 100.0  |
+-----------------------------------+--------+--------+--------+--------+
| > Some Difficulty                 | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > A Lot of Difficulty             | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > Cannot Do At All                | 0      | 0.0    | 0      | 0.0    |
+-----------------------------------+--------+--------+--------+--------+
| > Total                           | 1      | 100.0  | 35     | 100.0  |
+-----------------------------------+--------+--------+--------+--------+

j\. How Often They Missed Words in Conversation, Radio or TV Due to
Hearing Problem

  ------------------------------- ------------- --------- --------- ---------
  Table 26. Number and Percent of                                   
  Respondents on How Often They                                     
  Missed Words in Conversation,                                     
  Radio or TV Due to Hearing                                        
  Problem                                                           

  How Often They Missed Words in  Number and                        
  Conversation, Radio or TV Due   Percent of                        
  to Hearing Problem              Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Never                           25            78.1      29        82.9

  About Once A Week               4             12.5      3         8.6

  Everyday                        0             0.0       3         8.6

  No Answer/Don't Know            3             9.4       0         0.0

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

> **k. Often Told by Family Members About Their Hearing Problem**

  ------------------------------- ------------- --------- --------- ---------
  Table 27. Number and Percent of                                   
  Respondents Often Told by                                         
  Family Members About Their                                        
  Hearing Problem                                                   

  Often Told by Family Members    Number and                        
  About Their Hearing Problem     Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Yes                             4             12.5      8         22.9

  No                              26            81.2      27        77.1

  No Answer/Don't Know            2             6.2       0         0.0

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

**3. Cognitive**

> **a. Main Question**

  -------------------------- ------------- ----------- ----------- -----------
  Table 28. Number and                                             
  Percent of Respondents by                                        
  Degree of Difficulty in                                          
  Remembering or                                                   
  Concentrating                                                    

  Degree of Difficulty in    Number and                            
  Remembering or             Percent of                            
  Concentrating              Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  No Difficulty              22            68.8        14          40.0

  Some Difficulty            9             28.1        15          42.9

  A Lot of Difficulty        1             3.1         2           5.7

  Cannot Do At All           0             0.0         3           8.6

  No Answer/Don't Know       0             0.0         1           2.9

  Total                      32            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

> **b. Interviewer's Observation Question**

+-----------------------------------------+------+------+------+------+
| Table 29. Number and Percent of         |      |      |      |      |
| Respondents by Interviewer's            |      |      |      |      |
| Observation Questions for Difficulty in |      |      |      |      |
| Remembering or Concentrating            |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| Interviewer's Observation Questions     | Nu   |      |      |      |
|                                         | mber |      |      |      |
|                                         | and  |      |      |      |
|                                         | Per  |      |      |      |
|                                         | cent |      |      |      |
|                                         | of   |      |      |      |
|                                         | Res  |      |      |      |
|                                         | pond |      |      |      |
|                                         | ents |      |      |      |
|                                         | by   |      |      |      |
|                                         | Type |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Sel  |      | P    |      |
|                                         | f-re |      | roxy |      |
|                                         | port |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Num  | Per- | Num  | Per- |
|                                         | -ber | cent | -ber | cent |
+-----------------------------------------+------+------+------+------+
| A. Need to Repeat Any Part of the       |      |      |      |      |
| Question                                |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 6    | 18.8 | 5    | 14.3 |
+-----------------------------------------+------+------+------+------+
| > No                                    | 26   | 81.2 | 30   | 85.7 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| B. Have Any Difficulty Using Response   |      |      |      |      |
| Option                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 2    | 6.2  | 4    | 11.4 |
+-----------------------------------------+------+------+------+------+
| > No                                    | 30   | 93.8 | 31   | 88.6 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| C. Ask for Clarification or Qualify     |      |      |      |      |
| Answer                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 4    | 12.5 | 2    | 5.7  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 28   | 87.5 | 33   | 94.3 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+

c.  **Difficulty in Remembering or Concentrating or Both**

  ------------------------------- ------------- --------- --------- ---------
  Table 30. Number and Percent of                                   
  Respondents with Difficulty in                                    
  Remembering or Concentrating or                                   
  Both                                                              

  Difficulty in Remembering or    Number and                        
  Concentrating or Both           Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Remembering                     4             40.0      5         25.0

  Concentrating                   0             0.0       3         15.0

  Both                            6             60.0      12        60.0

  Total                           10            100.0     20        100.0
  ------------------------------- ------------- --------- --------- ---------

> **d. Frequency of Difficulty in Remembering or Concentrating**

  ------------------------------- ------------- --------- --------- ---------
  Table 31. Number and Percent of                                   
  Respondents with Difficulty in                                    
  Remembering or Concentrating by                                   
  Frequency of Difficulty in                                        
  Remembering or Concentrating                                      

  Frequency of Difficulty in      Number and                        
  Remembering or Concentrating    Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Never                           1             10.0      3         15.0

  Somewhat Often                  8             80.0      14        70.0

  Very Often                      1             10.0      3         15.0

  Total                           10            100.0     20        100.0
  ------------------------------- ------------- --------- --------- ---------

> **e. Amount of Effort Given**

  ------------------------------- ------------- --------- --------- ---------
  Table 32. Number and Percent of                                   
  Respondents With Difficulty in                                    
  Remembering or Concentrating by                                   
  Amount of Effort Exerted To                                       
  Remember or Concentrate                                           

  Amount of Effort Exerted To     Number and                        
  Remember or Concentrate         Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  No Effort                       2             20.0      2         10.0

  Some Effort                     7             70.0      9         45.0

  A Lot of Effort                 1             10.0      9         45.0

  Total                           10            100.0     20        100.0
  ------------------------------- ------------- --------- --------- ---------

f\. Reasons for Having Difficulty in Remembering or Concentrating

  ------------------------------- ------------------- -------------------
  Table 33. Number and Percent of                     
  Respondents by Reasons for                          
  Having Difficulty Remembering                       
  or Concentrating                                    

  Reasons for Having Difficulty   Number and Percent  
  Remembering or Concentrating    of Respondents by   
                                  Type                

                                  Self-report         Proxy

  Because of Too Many Things To   3                   2
  Do                                                  

  Because of Getting Older        4                   9

  Because of Something Else       5                   10

  No Answer/Don't Know            1                   0
  ------------------------------- ------------------- -------------------

> **g. Activities**

  ------------------------------- ------------- --------- --------- ---------
  Table 34. Number and Percent of                                   
  Respondents on Whether there is                                   
  an Activity They Cannot Do                                        
  Because of a Problem in                                           
  Remembering or Concentrating                                      

  Whether there is an Activity    Number and                        
  They Cannot Do Because of a     Percent of                        
  Problem in Remembering or       Respondents                       
  Concentrating                   by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Yes                             8             25.0      7         20.0

  No                              22            68.8      28        80.0

  No Answer/Don't Know            2             6.2       0         0.0

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

> **h. Worried on the Ability to Remember or Concentrate**

+------------------------------+---------+---------+---------+---------+
| Table 35. Number and Percent |         |         |         |         |
| of Respondents by Degree of  |         |         |         |         |
| Concern or Worry             |         |         |         |         |
|                              |         |         |         |         |
| About Their Ability to       |         |         |         |         |
| Remember or Concentrate      |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Degree of Concern or Worry   | Number  |         |         |         |
|                              | and     |         |         |         |
| About Their Ability to       | Percent |         |         |         |
| Remember or Concentrate      | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Not At All                   | 19      | 59.4    | 19      | 54.3    |
+------------------------------+---------+---------+---------+---------+
| Somewhat Concerned           | 7       | 21.9    | 11      | 31.4    |
+------------------------------+---------+---------+---------+---------+
| Very Concerned               | 3       | 9.4     | 5       | 14.3    |
+------------------------------+---------+---------+---------+---------+
| No Answer/Don't Know         | 3       | 9.4     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| Total                        | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **i. Type of Difficulty in Remembering Different Things**

+------------------------------+---------+---------+---------+---------+
| Table 36. Number and Percent |         |         |         |         |
| of Respondents by Type of    |         |         |         |         |
| Difficulty in Remembering    |         |         |         |         |
| Different Things             |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Type of Difficulty in        | Number  |         |         |         |
| Remembering Different Things | and     |         |         |         |
|                              | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Names of People or Places |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 8       | 25.0    | 12      | 34.3    |
+------------------------------+---------+---------+---------+---------+
| > No                         | 23      | 71.9    | 22      | 62.9    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 1       | 3.1     | 1       | 2.9     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.00  | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. Appointments              |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 6       | 18.8    | 11      | 31.4    |
+------------------------------+---------+---------+---------+---------+
| > No                         | 24      | 75.0    | 21      | 60.0    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 2       | 6.2     | 3       | 8.6     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| C. How to Get to Familiar    |         |         |         |         |
| Places                       |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 10      | 31.2    | 12      | 34.3    |
+------------------------------+---------+---------+---------+---------+
| > No                         | 20      | 62.5    | 23      | 65.7    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 2       | 6.2     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| D. Important Tasks Like      |         |         |         |         |
| Taking Medications or Paying |         |         |         |         |
| Bills                        |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Yes                        | 12      | 37.5    | 11      | 31.4    |
+------------------------------+---------+---------+---------+---------+
| > No                         | 19      | 59.4    | 22      | 62.9    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 1       | 3.1     | 2       | 5.7     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

j\. Difficulty Experienced in Concentrating on Doing Something for 10
minutes, Learning a New Task or Finding Solutions to Problems in Day to
Day Life

+------------------------------+---------+---------+---------+---------+
| Table 37. Number and Percent |         |         |         |         |
| of Respondents by Degree of  |         |         |         |         |
| Difficulty in Concentrating  |         |         |         |         |
| on Doing Something for 10    |         |         |         |         |
| Minutes, Learning A New      |         |         |         |         |
| Task, or Finding Solutions   |         |         |         |         |
| to Problems in Day to Day    |         |         |         |         |
| Life                         |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Degree of Difficulty in      | Number  |         |         |         |
| Concentrating on Doing       | and     |         |         |         |
| Something for 10 Minutes,    | Percent |         |         |         |
| Learning A New Task, or      | of      |         |         |         |
| Finding Solutions to         | Resp    |         |         |         |
| Problems in Day to Day Life  | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Concentrating on Doing    |         |         |         |         |
| Something for 10 Minutes     |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Difficulty              | 19      | 59.4    | 21      | 60.0    |
+------------------------------+---------+---------+---------+---------+
| > Some Difficulty            | 9       | 28.1    | 10      | 28.6    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Difficulty        | 2       | 6.2     | 1       | 2.9     |
+------------------------------+---------+---------+---------+---------+
| > Cannot Do At All           | 0       | 0.0     | 2       | 5.7     |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 2       | 6.2     | 1       | 2.9     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. Learning A New Task       |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Difficulty              | 17      | 53.1    | 17      | 48.6    |
+------------------------------+---------+---------+---------+---------+
| > Some Difficulty            | 10      | 31.2    | 12      | 34.3    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Difficulty        | 1       | 3.1     | 2       | 5.7     |
+------------------------------+---------+---------+---------+---------+
| > Cannot Do At All           | 1       | 3.1     | 4       | 11.4    |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 3       | 9.4     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| C. Finding Solutions to      |         |         |         |         |
| Problems in Day to Day Life  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Difficulty              | 18      | 56.2    | 20      | 57.1    |
+------------------------------+---------+---------+---------+---------+
| > Some Difficulty            | 7       | 21.9    | 9       | 25.7    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Difficulty        | 3       | 9.4     | 3       | 8.6     |
+------------------------------+---------+---------+---------+---------+
| > Cannot Do At All           | 1       | 3.1     | 3       | 8.6     |
+------------------------------+---------+---------+---------+---------+
| > No Answer/Don't Know       | 3       | 9.4     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

**4. Mobility**

> **a. Main Question**

  -------------------------- ------------- ----------- ----------- -----------
  Table 38. Number and                                             
  Percent of Respondents by                                        
  Degree of Difficulty in                                          
  Walking or Climbing Steps                                        

  Degree of Difficulty in    Number and                            
  Walking or Climbing Steps  Percent of                            
                             Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  No Difficulty              7             21.9        8           22.9

  Some Difficulty            12            37.5        16          45.7

  A Lot of Difficulty        11            34.4        8           22.9

  Cannot Do At All           2             6.2         3           8.6

  No Answer/Don't Know       0             0.0         0           0.0

  Total                      32            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

> **b. Interviewer's Observation Question**

+-----------------------------------------+------+------+------+------+
| Table 39. Number and Percent of         |      |      |      |      |
| Respondents by Interviewer's            |      |      |      |      |
| Observation Questions for Difficulty in |      |      |      |      |
| Walking or Climbing Steps               |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| Interviewer's Observation Questions     | Nu   |      |      |      |
|                                         | mber |      |      |      |
|                                         | and  |      |      |      |
|                                         | Per  |      |      |      |
|                                         | cent |      |      |      |
|                                         | of   |      |      |      |
|                                         | Res  |      |      |      |
|                                         | pond |      |      |      |
|                                         | ents |      |      |      |
|                                         | by   |      |      |      |
|                                         | Type |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Sel  |      | P    |      |
|                                         | f-re |      | roxy |      |
|                                         | port |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Num  | Per- | Num  | Per- |
|                                         | -ber | cent | -ber | cent |
+-----------------------------------------+------+------+------+------+
| A. Need to Repeat Any Part of the       |      |      |      |      |
| Question                                |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 1    | 3.1  | 0    | 0.0  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 31   | 96.9 | 35   | 1    |
|                                         |      |      |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| B. Have Any Difficulty Using Response   |      |      |      |      |
| Option                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 0    | 0.0  | 1    | 2.9  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 32   | 1    | 34   | 97.1 |
|                                         |      | 00.0 |      |      |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| C. Ask for Clarification or Qualify     |      |      |      |      |
| Answer                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 2    | 6.2  | 0    | 0.0  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 30   | 93.8 | 35   | 1    |
|                                         |      |      |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+

> **c. Use of Equipment in Walking or Climbing Steps**

  ------------------------------- ------------- --------- --------- ---------
  Table 40. Number and Percent of                                   
  Respondents Using Equipment or                                    
  Assistive Devices in Walking or                                   
  Climbing Steps                                                    

  Using Assistive Devices in      Number and                        
  Walking or Climbing Steps       Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Yes                             10            31.2      10        28.6

  No                              22            68.8      25        71.4

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

> **d. Difficulty in Walking or Climbing Steps or Both**

+------------------------------+---------+---------+---------+---------+
| Table 41. Number and Percent |         |         |         |         |
| of Respondents with          |         |         |         |         |
| Difficulty in Walking        |         |         |         |         |
|                              |         |         |         |         |
| and/or Climbing Steps        |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Difficulty in Walking and/or | Number  |         |         |         |
|                              | and     |         |         |         |
| Climbing Steps               | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Walking                      | 0       | 0.0     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| Climbing Steps               | 7       | 28.0    | 6       | 22.2    |
+------------------------------+---------+---------+---------+---------+
| Both                         | 18      | 72.0    | 21      | 77.8    |
+------------------------------+---------+---------+---------+---------+
| Total                        | 25      | 100.0   | 27      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **e. Frequency of Difficulty in Walking or Climbing Steps**

+------------------------------+---------+---------+---------+---------+
| Table 42. Number and Percent |         |         |         |         |
| of Respondents with          |         |         |         |         |
| Difficulty in Walking or     |         |         |         |         |
| Climbing Steps by Frequency  |         |         |         |         |
| of Difficulty in Walking or  |         |         |         |         |
| Climbing Steps               |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Frequency of Difficulty in   | Number  |         |         |         |
| Walking or Climbing Steps    | and     |         |         |         |
|                              | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Respondents with          |         |         |         |         |
| Difficulty                   |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Never                      | 2       | 8.0     | 1       | 3.7     |
+------------------------------+---------+---------+---------+---------+
| > Somewhat Often             | 13      | 52.0    | 17      | 63.0    |
+------------------------------+---------+---------+---------+---------+
| > Very Often                 | 10      | 40.0    | 9       | 33.3    |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 25      | 100.0   | 27      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. For Equipment Users Only  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > Never                      | 2       | 20.0    | 3       | 30.0    |
+------------------------------+---------+---------+---------+---------+
| > Somewhat Often             | 3       | 30.0    | 4       | 40.0    |
+------------------------------+---------+---------+---------+---------+
| > Very Often                 | 5       | 50.0    | 3       | 30.0    |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 10      | 100.0   | 10      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **f. Amount of Effort Given**

+------------------------------+---------+---------+---------+---------+
| Table 43. Number and Percent |         |         |         |         |
| of Respondents With          |         |         |         |         |
| Difficulty in Walking and/or |         |         |         |         |
| Climbing Steps by Amount of  |         |         |         |         |
| Effort Exerted To Walk or    |         |         |         |         |
| Climb                        |         |         |         |         |
|                              |         |         |         |         |
| (with and without equipment) |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Amount of Effort Exerted To  | Number  |         |         |         |
| Walk or Climb (with and      | and     |         |         |         |
| without equipment)           | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| A. Respondents with          |         |         |         |         |
| Difficulty                   |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Effort                  | 2       | 8.0     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| > Some Effort                | 12      | 48.0    | 19      | 70.4    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Effort            | 11      | 44.0    | 8       | 29.6    |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 25      | 100.0   | 27      | 100.0   |
+------------------------------+---------+---------+---------+---------+
| B. For Equipment Users Only  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| > No Effort                  | 2       | 20.0    | 2       | 20.0    |
+------------------------------+---------+---------+---------+---------+
| > Some Effort                | 5       | 50.0    | 4       | 40.0    |
+------------------------------+---------+---------+---------+---------+
| > A Lot of Effort            | 3       | 30.0    | 4       | 40.0    |
+------------------------------+---------+---------+---------+---------+
| > Total                      | 10      | 100.0   | 10      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **g. Activities**

  ------------------------------- ------------- --------- --------- ---------
  Table 44. Number and Percent of                                   
  Respondents on Whether there is                                   
  an Activity They Cannot Do                                        
  Because of a Problem in Walking                                   
  or Climbing Steps                                                 

  Whether there is an Activity    Number and                        
  They Cannot Do Because of a     Percent of                        
  Problem in Walking or Climbing  Respondents                       
  Steps                           by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Yes                             16            50.0      18        51.4

  No                              16            50.0      17        48.6

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

> **h. Worried on the Ability to Walk or Climb Steps**

+------------------------------+---------+---------+---------+---------+
| Table 45. Number and Percent |         |         |         |         |
| of Respondents by Degree of  |         |         |         |         |
| Concern or Worry             |         |         |         |         |
|                              |         |         |         |         |
| About Their Ability to Walk  |         |         |         |         |
| or Climb Steps               |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Degree of Concern or Worry   | Number  |         |         |         |
|                              | and     |         |         |         |
| About Their Ability to Walk  | Percent |         |         |         |
| or Climb Steps               | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Not At All                   | 12      | 37.5    | 9       | 25.7    |
+------------------------------+---------+---------+---------+---------+
| Somewhat Concerned           | 7       | 21.9    | 14      | 40.0    |
+------------------------------+---------+---------+---------+---------+
| Very Concerned               | 13      | 40.6    | 12      | 34.3    |
+------------------------------+---------+---------+---------+---------+
| Total                        | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **i. Difficulty in Moving Around Inside of Their Home, Going Outside
> of Home, or Walking a Long Distance such as a Kilometer**

+-----------------------------------+--------+--------+--------+--------+
| Table 46. Number and Percent of   |        |        |        |        |
| Respondents by Degree of          |        |        |        |        |
| Difficulty in Moving Around       |        |        |        |        |
| Inside of Their Home, Going       |        |        |        |        |
| Outside of Home, or Walking a     |        |        |        |        |
| Long Distance                     |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| Degree of Difficulty in Moving    | Number |        |        |        |
| Around Inside of Their Home,      | and    |        |        |        |
| Going Outside of Home, or Walking | P      |        |        |        |
| a Long Distance                   | ercent |        |        |        |
|                                   | of     |        |        |        |
|                                   | Respo  |        |        |        |
|                                   | ndents |        |        |        |
|                                   | by     |        |        |        |
|                                   | Type   |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
|                                   | Self-  |        | Proxy  |        |
|                                   | report |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
|                                   | Number | P      | Number | P      |
|                                   |        | ercent |        | ercent |
+-----------------------------------+--------+--------+--------+--------+
| A. Moving Around Inside The Home  |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| > No Difficulty                   | 15     | 46.9   | 11     | 31.4   |
+-----------------------------------+--------+--------+--------+--------+
| > Some Difficulty                 | 9      | 28.1   | 17     | 48.6   |
+-----------------------------------+--------+--------+--------+--------+
| > A Lot of Difficulty             | 4      | 12.5   | 3      | 8.6    |
+-----------------------------------+--------+--------+--------+--------+
| > Cannot Do At All                | 4      | 12.5   | 4      | 11.4   |
+-----------------------------------+--------+--------+--------+--------+
| > Total                           | 32     | 100.0  | 35     | 100.0  |
+-----------------------------------+--------+--------+--------+--------+
| B. Going Outside of Home          |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| > No Difficulty                   | 10     | 31.2   | 16     | 45.7   |
+-----------------------------------+--------+--------+--------+--------+
| > Some Difficulty                 | 11     | 34.4   | 12     | 34.3   |
+-----------------------------------+--------+--------+--------+--------+
| > A Lot of Difficulty             | 6      | 18.8   | 2      | 5.7    |
+-----------------------------------+--------+--------+--------+--------+
| > Cannot Do At All                | 5      | 15.6   | 5      | 14.3   |
+-----------------------------------+--------+--------+--------+--------+
| > Total                           | 32     | 100.0  | 35     | 100.0  |
+-----------------------------------+--------+--------+--------+--------+
| C. Walking a Long Distance such   |        |        |        |        |
| as a Kilometer                    |        |        |        |        |
+-----------------------------------+--------+--------+--------+--------+
| > No Difficulty                   | 13     | 40.6   | 6      | 17.1   |
+-----------------------------------+--------+--------+--------+--------+
| > Some Difficulty                 | 6      | 18.8   | 13     | 37.1   |
+-----------------------------------+--------+--------+--------+--------+
| > A Lot of Difficulty             | 8      | 25.0   | 8      | 22.9   |
+-----------------------------------+--------+--------+--------+--------+
| > Cannot Do At All                | 5      | 15.6   | 8      | 22.9   |
+-----------------------------------+--------+--------+--------+--------+
| > Total                           | 32     | 100.0  | 35     | 100.0  |
+-----------------------------------+--------+--------+--------+--------+

> **j. Type of Difficulty in Walking or Climbing Steps Activities**

+---------------------------------+--------+--------+--------+--------+
| Table 47. Number and Percent of |        |        |        |        |
| Respondents by Type of          |        |        |        |        |
| Difficulty in Walking or        |        |        |        |        |
| Climbing Steps Activities       |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| Type of Difficulty in Walking   | Number |        |        |        |
| or Climbing Steps               | and    |        |        |        |
|                                 | P      |        |        |        |
|                                 | ercent |        |        |        |
|                                 | of     |        |        |        |
|                                 | Respo  |        |        |        |
|                                 | ndents |        |        |        |
|                                 | by     |        |        |        |
|                                 | Type   |        |        |        |
+---------------------------------+--------+--------+--------+--------+
|                                 | Self-  |        | Proxy  |        |
|                                 | report |        |        |        |
+---------------------------------+--------+--------+--------+--------+
|                                 | Number | P      | Number | P      |
|                                 |        | ercent |        | ercent |
+---------------------------------+--------+--------+--------+--------+
| A. Walking for a Quarter of a   |        |        |        |        |
| Mile                            |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 18     | 56.2   | 23     | 65.7   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 14     | 43.8   | 12     | 34.3   |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| B. Walking up to 10 Steps w/o   |        |        |        |        |
| Resting                         |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 16     | 50.0   | 23     | 65.7   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 16     | 50.0   | 12     | 34.3   |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+

+---------------------------------+--------+--------+--------+--------+
| C. Standing or Being on your    |        |        |        |        |
| Feet for About Two Hours        |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 17     | 53.1   | 23     | 65.7   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 15     | 46.9   | 12     | 34.3   |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| D. Sitting for About Two Hours  |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 7      | 21.9   | 7      | 20.0   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 25     | 78.1   | 28     | 80.0   |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| E. Stooping, Crouching or       |        |        |        |        |
| Kneeling                        |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 21     | 65.6   | 22     | 62.9   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 11     | 34.4   | 13     | 37.1   |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+

5.  **Self-Care**

> **a. Main Question**

  -------------------------- ------------- ----------- ----------- -----------
  Table 48. Number and                                             
  Percent of Respondents by                                        
  Degree of Difficulty in                                          
  Self-Care                                                        

  Degree of Difficulty in    Number and                            
  Self-Care                  Percent of                            
                             Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  No Difficulty              19            59.4        19          54.3

  Some Difficulty            10            31.2        12          34.3

  A Lot of Difficulty        0             0.0         2           5.7

  Cannot Do At All           3             9.4         2           5.7

  No Answer/Don't Know       0             0.0         0           0.0

  Total                      32            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

> **b. Interviewer's Observation Question**

+-----------------------------------------+------+------+------+------+
| Table 49. Number and Percent of         |      |      |      |      |
| Respondents by Interviewer's            |      |      |      |      |
| Observation Questions for Difficulty in |      |      |      |      |
| Self-Care                               |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| Interviewer's Observation Questions     | Nu   |      |      |      |
|                                         | mber |      |      |      |
|                                         | and  |      |      |      |
|                                         | Per  |      |      |      |
|                                         | cent |      |      |      |
|                                         | of   |      |      |      |
|                                         | Res  |      |      |      |
|                                         | pond |      |      |      |
|                                         | ents |      |      |      |
|                                         | by   |      |      |      |
|                                         | Type |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Sel  |      | P    |      |
|                                         | f-re |      | roxy |      |
|                                         | port |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Num  | Per- | Num  | Per- |
|                                         | -ber | cent | -ber | cent |
+-----------------------------------------+------+------+------+------+
| A. Need to Repeat Any Part of the       |      |      |      |      |
| Question                                |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 1    | 3.1  | 0    | 0.0  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 31   | 96.9 | 35   | 1    |
|                                         |      |      |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| B. Have Any Difficulty Using Response   |      |      |      |      |
| Option                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 1    | 3.1  | 0    | 0.0  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 31   | 96.9 | 35   | 1    |
|                                         |      |      |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+

+-----------------------------------------+------+------+------+------+
| C. Ask for Clarification or Qualify     |      |      |      |      |
| Answer                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 2    | 6.2  | 0    | 0.0  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 30   | 93.8 | 35   | 1    |
|                                         |      |      |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+

> **c. Frequency of Difficulty in Self-Care**

  ------------------------------- ------------- --------- --------- ---------
  Table 50. Number and Percent of                                   
  Respondents with Difficulty in                                    
  Self-Care by Frequency of                                         
  Difficulty in Self-Care                                           

  Frequency of Difficulty in      Number and                        
  Self-Care                       Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Never                           1             7.7       2         12.5

  Somewhat Often                  8             61.5      10        62.5

  Very Often                      4             30.8      4         25.0

  Total                           13            100.0     16        100.0
  ------------------------------- ------------- --------- --------- ---------

> **d. Amount of Effort Given**

  ------------------------------- ------------- --------- --------- ---------
  Table 51. Number and Percent of                                   
  Respondents With Difficulty in                                    
  Self-Care by Amount of Effort                                     
  Exerted To Self-Care                                              

  Amount of Effort Exerted To     Number and                        
  Self-Care                       Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  No Effort                       1             7.7       2         12.5

  Some Effort                     9             69.2      8         50.0

  A Lot of Effort                 2             15.4      6         37.5

  No Answer/Don't Know            1             7.7       0         0.0

  Total                           13            100.0     16        100.0
  ------------------------------- ------------- --------- --------- ---------

> **e. Worried on the Ability To Do Self-Care**

+------------------------------+---------+---------+---------+---------+
| Table 52. Number and Percent |         |         |         |         |
| of Respondents by Degree of  |         |         |         |         |
| Concern or Worry             |         |         |         |         |
|                              |         |         |         |         |
| About Their Ability To Do    |         |         |         |         |
| Self-Care                    |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Degree of Concern or Worry   | Number  |         |         |         |
|                              | and     |         |         |         |
| About Their Ability To Do    | Percent |         |         |         |
| Self-Care                    | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Not At All                   | 16      | 50.0    | 11      | 31.4    |
+------------------------------+---------+---------+---------+---------+
| Somewhat Concerned           | 10      | 31.2    | 13      | 37.1    |
+------------------------------+---------+---------+---------+---------+
| Very Concerned               | 5       | 15.6    | 11      | 31.4    |
+------------------------------+---------+---------+---------+---------+
| No Answer/Don't Know         | 1       | 3.1     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| Total                        | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

> **f. Type of Difficulty in Self-Care**

+---------------------------------+--------+--------+--------+--------+
| Table 53. Number and Percent of |        |        |        |        |
| Respondents by Type of          |        |        |        |        |
| Difficulty in Self-Care         |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| Type of Difficulty in Self-Care | Number |        |        |        |
|                                 | and    |        |        |        |
|                                 | P      |        |        |        |
|                                 | ercent |        |        |        |
|                                 | of     |        |        |        |
|                                 | Respo  |        |        |        |
|                                 | ndents |        |        |        |
|                                 | by     |        |        |        |
|                                 | Type   |        |        |        |
+---------------------------------+--------+--------+--------+--------+
|                                 | Self-  |        | Proxy  |        |
|                                 | report |        |        |        |
+---------------------------------+--------+--------+--------+--------+
|                                 | Number | P      | Number | P      |
|                                 |        | ercent |        | ercent |
+---------------------------------+--------+--------+--------+--------+
| A. Reaching Up Over the Head    |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 10     | 31.2   | 18     | 51.4   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 21     | 65.6   | 17     | 48.6   |
+---------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know          | 1      | 3.1    | 0      | 0.0    |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| B. Reaching Out to Shake Hands  |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 2      | 6.2    | 3      | 8.6    |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 29     | 90.6   | 32     | 91.4   |
+---------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know          | 1      | 3.1    | 0      | 0.0    |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| C. Using Fingers to Button a    |        |        |        |        |
| Shirt or Dress                  |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 8      | 25.0   | 11     | 31.4   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 23     | 71.9   | 24     | 68.6   |
+---------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know          | 1      | 3.1    | 0      | 0.0    |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| D. Putting on Socks or          |        |        |        |        |
| Stockings                       |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 10     | 31.2   | 10     | 28.6   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 20     | 62.5   | 23     | 65.7   |
+---------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know          | 2      | 6.2    | 2      | 5.7    |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| E. Tying Shoelaces              |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 12     | 37.5   | 15     | 42.9   |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 18     | 56.2   | 18     | 51.4   |
+---------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know          | 2      | 6.2    | 2      | 5.7    |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| F. Combing Hair                 |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 1      | 3.1    | 2      | 5.7    |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 29     | 90.6   | 32     | 91.4   |
+---------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know          | 2      | 6.2    | 1      | 2.9    |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+
| G. Feeding Oneself              |        |        |        |        |
+---------------------------------+--------+--------+--------+--------+
| > Yes                           | 2      | 6.2    | 3      | 8.6    |
+---------------------------------+--------+--------+--------+--------+
| > No                            | 29     | 90.6   | 32     | 91.4   |
+---------------------------------+--------+--------+--------+--------+
| > No Answer/Don't Know          | 1      | 3.1    | 0      | 0.0    |
+---------------------------------+--------+--------+--------+--------+
| > Total                         | 32     | 100.0  | 35     | 100.0  |
+---------------------------------+--------+--------+--------+--------+

> **g. Needed Help With Everyday Activities**

  ------------------------------- ------------- --------- --------- ---------
  Table 54. Number and Percent of                                   
  Respondents Who Needed Help                                       
  With Everyday Activities                                          

  Needed Help With Everyday       Number and                        
  Activities                      Percent of                        
                                  Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Yes                             11            34.4      14        40.0

  No                              20            62.5      21        60.0

  No Answer/Don't Know            1             3.1       0         0.0

  Total                           32            100.0     35        100.0
  ------------------------------- ------------- --------- --------- ---------

> **h. Difficulty in Using Hands and Fingers**

+--------------------------+----------+----------+----------+----------+
| Table 55. Number and     |          |          |          |          |
| Percent of Respondents   |          |          |          |          |
| by Degree of Difficulty  |          |          |          |          |
|                          |          |          |          |          |
| in Using Hands and       |          |          |          |          |
| Fingers                  |          |          |          |          |
+--------------------------+----------+----------+----------+----------+
| Degree of Difficulty in  | Number   |          |          |          |
| Using Hands and Fingers  | and      |          |          |          |
|                          | Percent  |          |          |          |
|                          | of       |          |          |          |
|                          | Res      |          |          |          |
|                          | pondents |          |          |          |
|                          | by Type  |          |          |          |
+--------------------------+----------+----------+----------+----------+
|                          | Sel      |          | Proxy    |          |
|                          | f-report |          |          |          |
+--------------------------+----------+----------+----------+----------+
|                          | Number   | Percent  | Number   | Percent  |
+--------------------------+----------+----------+----------+----------+
| No Difficulty            | 22       | 68.8     | 23       | 65.7     |
+--------------------------+----------+----------+----------+----------+
| Some Difficulty          | 5        | 15.6     | 10       | 28.6     |
+--------------------------+----------+----------+----------+----------+
| A Lot of Difficulty      | 4        | 12.5     | 2        | 5.7      |
+--------------------------+----------+----------+----------+----------+
| Cannot Do At All         | 0        | 0.0      | 0        | 0.0      |
+--------------------------+----------+----------+----------+----------+
| No Answer/Don't Know     | 1        | 3.1      | 0        | 0.0      |
+--------------------------+----------+----------+----------+----------+
| Total                    | 32       | 100.0    | 35       | 100.0    |
+--------------------------+----------+----------+----------+----------+

> **i. Feeling Too Tired or Sad To Dress or Bathe**

+------------------------------+---------+---------+---------+---------+
| Table 56. Number and Percent |         |         |         |         |
| of Respondents on Feeling    |         |         |         |         |
| Too Tired                    |         |         |         |         |
|                              |         |         |         |         |
| or Sad To Dress or Bathe     |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Feeling Too Tired or Sad To  | Number  |         |         |         |
| Dress or Bathe               | and     |         |         |         |
|                              | Percent |         |         |         |
|                              | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Yes                          | 10      | 31.2    | 13      | 37.1    |
+------------------------------+---------+---------+---------+---------+
| No                           | 21      | 65.6    | 22      | 62.9    |
+------------------------------+---------+---------+---------+---------+
| No Answer/Don't Know         | 1       | 3.1     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| Total                        | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

**6. Communication**

> **a. Main Question**

  -------------------------- ------------- ----------- ----------- -----------
  Table 57. Number and                                             
  Percent of Respondents by                                        
  Degree of Difficulty in                                          
  Communicating                                                    

  Degree of Difficulty in    Number and                            
  Communication              Percent of                            
                             Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  No Difficulty              24            75.0        14          40.0

  Some Difficulty            7             21.9        14          40.0

  A Lot of Difficulty        1             3.1         6           17.1

  Cannot Do At All           0             0.0         1           2.9

  No Answer/Don't Know       0             0.0         0           0.0

  Total                      32            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

> **b. Interviewer's Observation Question**

+-----------------------------------------+------+------+------+------+
| Table 58. Number and Percent of         |      |      |      |      |
| Respondents by Interviewer's            |      |      |      |      |
| Observation Questions for Difficulty in |      |      |      |      |
| Communicating                           |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| Interviewer's Observation Questions     | Nu   |      |      |      |
|                                         | mber |      |      |      |
|                                         | and  |      |      |      |
|                                         | Per  |      |      |      |
|                                         | cent |      |      |      |
|                                         | of   |      |      |      |
|                                         | Res  |      |      |      |
|                                         | pond |      |      |      |
|                                         | ents |      |      |      |
|                                         | by   |      |      |      |
|                                         | Type |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Sel  |      | P    |      |
|                                         | f-re |      | roxy |      |
|                                         | port |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Num  | Per- | Num  | Per- |
|                                         | -ber | cent | -ber | cent |
+-----------------------------------------+------+------+------+------+
| A. Need to Repeat Any Part of the       |      |      |      |      |
| Question                                |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 1    | 3.1  | 2    | 5.7  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 31   | 96.9 | 33   | 94.3 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| B. Have Any Difficulty Using Response   |      |      |      |      |
| Option                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 1    | 3.1  | 1    | 2.9  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 31   | 96.9 | 34   | 97.1 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| C. Ask for Clarification or Qualify     |      |      |      |      |
| Answer                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 2    | 6.2  | 1    | 2.9  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 30   | 93.8 | 34   | 97.1 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+

> **c. Frequency of Difficulty in Understanding or Being Understood**

  ------------------------------- ------------- --------- --------- ---------
  Table 59. Number and Percent of                                   
  Respondents with Difficulty in                                    
  Understanding or Being                                            
  Understood by Frequency of                                        
  Difficulty in Understanding or                                    
  Being Understood                                                  

  Frequency of Difficulty in      Number and                        
  Understanding or Being          Percent of                        
  Understood                      Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  Never                           1             12.5      0         0.0

  Somewhat Often                  7             87.5      16        45.7

  Very Often                      0             0.0       5         14.3

  Total                           8             100.0     21        100.0
  ------------------------------- ------------- --------- --------- ---------

> **d. Amount of Effort Given**

  ------------------------------- ------------- --------- --------- ---------
  Table 60. Number and Percent of                                   
  Respondents With Difficulty in                                    
  Communicating by Amount of                                        
  Effort Exerted In Understanding                                   
  or Being Understood                                               

  Amount of Effort Exerted In     Number and                        
  Understanding or Being          Percent of                        
  Understood                      Respondents                       
                                  by Type                           

                                  Self-report             Proxy     

                                  Number        Percent   Number    Percent

  No Effort                       0             0.0       2         9.5

  Some Effort                     7             87.5      11        52.4

  A Lot of Effort                 1             12.5      8         38.1

  Total                           8             100.0     21        100.0
  ------------------------------- ------------- --------- --------- ---------

**e. Worried on the Ability to Understand or Be Understood**

+------------------------------+---------+---------+---------+---------+
| Table 61. Number and Percent |         |         |         |         |
| of Respondents by Degree of  |         |         |         |         |
| Concern or Worry             |         |         |         |         |
|                              |         |         |         |         |
| About Their Ability To       |         |         |         |         |
| Understand or Be Understood  |         |         |         |         |
+------------------------------+---------+---------+---------+---------+
| Degree of Concern or Worry   | Number  |         |         |         |
|                              | and     |         |         |         |
| About Their Ability To       | Percent |         |         |         |
| Understand or Be Understood  | of      |         |         |         |
|                              | Resp    |         |         |         |
|                              | ondents |         |         |         |
|                              | by Type |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Self    |         | Proxy   |         |
|                              | -report |         |         |         |
+------------------------------+---------+---------+---------+---------+
|                              | Number  | Percent | Number  | Percent |
+------------------------------+---------+---------+---------+---------+
| Not At All                   | 21      | 65.6    | 12      | 34.3    |
+------------------------------+---------+---------+---------+---------+
| Somewhat Concerned           | 8       | 25.0    | 17      | 48.6    |
+------------------------------+---------+---------+---------+---------+
| Very Concerned               | 2       | 6.2     | 6       | 17.1    |
+------------------------------+---------+---------+---------+---------+
| No Answer/Don't Know         | 1       | 3.1     | 0       | 0.0     |
+------------------------------+---------+---------+---------+---------+
| Total                        | 32      | 100.0   | 35      | 100.0   |
+------------------------------+---------+---------+---------+---------+

f\. Difficulty in Understanding What People Say or Starting and
Maintaining a Conversation

+--------------------------------------+-------+-------+-------+-------+
| Table 62. Number and Percent of      |       |       |       |       |
| Respondents by Degree of Difficulty  |       |       |       |       |
| in Understanding What People Say or  |       |       |       |       |
| Starting and Maintaining a           |       |       |       |       |
| Conversation                         |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| Degree of Difficulty in              | N     |       |       |       |
| Understanding What People Say or     | umber |       |       |       |
| Staring and Maintaining a            | and   |       |       |       |
| Conversation                         | Pe    |       |       |       |
|                                      | rcent |       |       |       |
|                                      | of    |       |       |       |
|                                      | R     |       |       |       |
|                                      | espon |       |       |       |
|                                      | dents |       |       |       |
|                                      | by    |       |       |       |
|                                      | Type  |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
|                                      | S     |       | Proxy |       |
|                                      | elf-r |       |       |       |
|                                      | eport |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
|                                      | Nu    | Per   | Nu    | Per   |
|                                      | m-ber | -cent | m-ber | -cent |
+--------------------------------------+-------+-------+-------+-------+
| A. Difficulty Understanding What     |       |       |       |       |
| People Say                           |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| > No Difficulty                      | 29    | 90.6  | 18    | 51.4  |
+--------------------------------------+-------+-------+-------+-------+
| > Some Difficulty                    | 3     | 9.4   | 13    | 37.1  |
+--------------------------------------+-------+-------+-------+-------+
| > A Lot of Difficulty                | 0     | 0.0   | 4     | 11.4  |
+--------------------------------------+-------+-------+-------+-------+
| > Cannot Do At All                   | 0     | 0.0   | 0     | 0.0   |
+--------------------------------------+-------+-------+-------+-------+
| > No Answer/Don't Know               | 0     | 0.0   | 0     | 0.0   |
+--------------------------------------+-------+-------+-------+-------+
| > Total                              | 32    | 100.0 | 35    | 100.0 |
+--------------------------------------+-------+-------+-------+-------+
| B. Starting and Maintaining a        |       |       |       |       |
| Conversation                         |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| > No Difficulty                      | 25    | 78.1  | 19    | 54.3  |
+--------------------------------------+-------+-------+-------+-------+
| > Some Difficulty                    | 6     | 18.8  | 11    | 31.4  |
+--------------------------------------+-------+-------+-------+-------+
| > A Lot of Difficulty                | 0     | 0.00  | 1     | 2.9   |
+--------------------------------------+-------+-------+-------+-------+
| > Cannot Do At All                   | 1     | 3.1   | 3     | 8.6   |
+--------------------------------------+-------+-------+-------+-------+
| > No Answer/Don't Know               | 0     | 0.0   | 1     | 2.9   |
+--------------------------------------+-------+-------+-------+-------+
| > Total                              | 32    | 100.0 | 35    | 100.0 |
+--------------------------------------+-------+-------+-------+-------+

g\. Difficulty Making New Friends or Feeling Shy in a Group or Social
Situations

+--------------------------------------+-------+-------+-------+-------+
| Table 63. Number and Percent of      |       |       |       |       |
| Respondents Having Difficulty Making |       |       |       |       |
| New Friends or Feeling Shy in Group  |       |       |       |       |
| or Social Situations                 |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| Difficulty Making New Friends or     | N     |       |       |       |
| Feeling Shy in Group or Social       | umber |       |       |       |
| Situations                           | and   |       |       |       |
|                                      | Pe    |       |       |       |
|                                      | rcent |       |       |       |
|                                      | of    |       |       |       |
|                                      | R     |       |       |       |
|                                      | espon |       |       |       |
|                                      | dents |       |       |       |
|                                      | by    |       |       |       |
|                                      | Type  |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
|                                      | S     |       | Proxy |       |
|                                      | elf-r |       |       |       |
|                                      | eport |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
|                                      | Nu    | Per   | Nu    | Per   |
|                                      | m-ber | -cent | m-ber | -cent |
+--------------------------------------+-------+-------+-------+-------+
| A. Making New Friends                |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| > Yes                                | 3     | 9.4   | 2     | 5.7   |
+--------------------------------------+-------+-------+-------+-------+
| > No                                 | 28    | 87.5  | 32    | 91.4  |
+--------------------------------------+-------+-------+-------+-------+
| > No Answer/Don't Know               | 1     | 3.1   | 1     | 2.9   |
+--------------------------------------+-------+-------+-------+-------+
| > Total                              | 32    | 100.0 | 35    | 100.0 |
+--------------------------------------+-------+-------+-------+-------+
| B. Feeling Shy in Group or Social    |       |       |       |       |
| Situations                           |       |       |       |       |
+--------------------------------------+-------+-------+-------+-------+
| > Yes                                | 16    | 50.0  | 15    | 42.9  |
+--------------------------------------+-------+-------+-------+-------+
| > No                                 | 15    | 46.9  | 20    | 57.1  |
+--------------------------------------+-------+-------+-------+-------+
| > No Answer/Don't Know               | 1     | 3.1   | 0     | 0.0   |
+--------------------------------------+-------+-------+-------+-------+
| > Total                              | 32    | 100.0 | 35    | 100.0 |
+--------------------------------------+-------+-------+-------+-------+

**7. General Health**

> **a. Main Question**

  -------------------------- ------------- ----------- ----------- -----------
  Table 64. Number and                                             
  Percent of Respondents on                                        
  Assessment of Their                                              
  General Health Condition                                         

  Assessment of General      Number and                            
  Health Condition           Percent of                            
                             Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  Excellent                  0             0.0         11          31.4

  Very Good                  1             3.1         19          54.3

  Good                       4             12.5        4           11.4

  Fair                       18            56.2        0           0.0

  Poor                       8             25.0        1           2.9

  No Answer/Don't Know       1             3.1         0           0.0

  Total                      32            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

> **b. Interviewer's Observation Record**

+-----------------------------------------+------+------+------+------+
| Table 65. Number and Percent of         |      |      |      |      |
| Respondents by Interviewer's            |      |      |      |      |
| Observation Questions for General       |      |      |      |      |
| Health Condition                        |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| Interviewer's Observation Questions     | Nu   |      |      |      |
|                                         | mber |      |      |      |
|                                         | and  |      |      |      |
|                                         | Per  |      |      |      |
|                                         | cent |      |      |      |
|                                         | of   |      |      |      |
|                                         | Res  |      |      |      |
|                                         | pond |      |      |      |
|                                         | ents |      |      |      |
|                                         | by   |      |      |      |
|                                         | Type |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Sel  |      | P    |      |
|                                         | f-re |      | roxy |      |
|                                         | port |      |      |      |
+-----------------------------------------+------+------+------+------+
|                                         | Num  | Per- | Num  | Per- |
|                                         | -ber | cent | -ber | cent |
+-----------------------------------------+------+------+------+------+
| A. Need to Repeat Any Part of the       |      |      |      |      |
| Question                                |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 3    | 9.4  | 3    | 8.6  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 29   | 90.6 | 32   | 91.4 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| B. Have Any Difficulty Using Response   |      |      |      |      |
| Option                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 1    | 3.1  | 2    | 5.7  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 31   | 96.9 | 33   | 94.3 |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+
| C. Ask for Clarification or Qualify     |      |      |      |      |
| Answer                                  |      |      |      |      |
+-----------------------------------------+------+------+------+------+
| > Yes                                   | 0    | 0.0  | 1    | 2.9  |
+-----------------------------------------+------+------+------+------+
| > No                                    | 32   | 1    | 34   | 97.1 |
|                                         |      | 00.0 |      |      |
+-----------------------------------------+------+------+------+------+
| > Total                                 | 32   | 1    | 35   | 1    |
|                                         |      | 00.0 |      | 00.0 |
+-----------------------------------------+------+------+------+------+

> **c. Aspect of Health Condition**

  ------------------------------- ------------------- -------------------
  Table 66. Number and Percent of                     
  Respondents by Aspect of Their                      
  Health Condition                                    

  Aspect of Health Condition      Number and Percent  
                                  of Respondents by   
                                  Type                

                                  Self-report         Proxy

  Physical                        32                  30

  Mental                          10                  3

  Spiritual                       9                   1
  ------------------------------- ------------------- -------------------

> **d. Type of Health Problem**

  ------------------------------------------ -------------- --------------
  Table 67. Number of Respondents by Type of                
  Health Problem                                            

  Type of Health Problem                     Number and     
                                             Percent of     
                                             Respondents by 
                                             Type           

                                             Self-report    Proxy

  Asthma/breathing problem                   7              3

  Arthritis/rheumatism                       18             18

  Back or neck problem                       10             14

  Fracture, bone/joint injury                3              5

  Heart problem                              6              7

  Stroke problem                             7              7

  Hypertension/high blood pressure           19             15

  Diabetes                                   7              7

  Cancer                                     0              0

  Mental retardation                         2              5

  Developmental problem                      1              2

  Depression/anxiety/emotional problem       7              13

  Missing limbs, amputee                     0              0

  Kidney, bladder or renal problem           8              6

  Neurological disorder, such as Multiple    1              1
  Sclerosis (MS) and Muscular Dystrophy (MD)                

  No Answer/Don't Know                       1              0
  ------------------------------------------ -------------- --------------

#  {#section .unnumbered}

#  {#section-1 .unnumbered}

#  {#section-2 .unnumbered}

#  {#section-3 .unnumbered}

# 8. Outcome of Interview Debriefing {#outcome-of-interview-debriefing .unnumbered}

> **a. Atmosphere of Interview Site**

  ----------------------------------- ------------- --------- -------- ---------
  Table 68. Number and Percent of                                      
  Respondents by Atmosphere of                                         
  Interview Site                                                       

  Atmosphere of Interview Site        Number and                       
                                      Percent of                       
                                      Respondents                      
                                      by Type                          

                                      Self-report             Proxy    

                                      Number        Percent   Number   Percent

  Extremely Chaotic and Noisy         0             0.0       2        5.7
  (Disruptive to Interview)                                            

  Some Noisy and Interruptions (But   14            43.8      16       45.7
  Interview Went Reasonably Well)                                      

  Very Quiet and Calm (Ideal for      18            56.2      17       48.6
  Interview)                                                           

  Total                               32            100.0     35       100.0
  ----------------------------------- ------------- --------- -------- ---------

> **b. Interview Site**

  -------------------------- ------------- ----------- ----------- -----------
  Table 69. Number and                                             
  Percent of Respondents by                                        
  Interview Site                                                   

  Interview Site             Number and                            
                             Percent of                            
                             Respondents                           
                             by Type                               

                             Self-report               Proxy       

                             Number        Percent     Number      Percent

  Home                       17            53.1        20          57.1

  Office                     4             12.5        3           8.6

  Outside                    11            34.4        12          34.3

  Total                      32            100.0       35          100.0
  -------------------------- ------------- ----------- ----------- -----------

> **c. Presence of Other People During Interview**

  ----------------------------------- ------------- --------- -------- ---------
  Table 70. Number and Percent of                                      
  Respondents by Presence of Other                                     
  People During the Conduct of                                         
  Interview                                                            

  Presence of Other People            Number and                       
                                      Percent of                       
                                      Respondents                      
                                      by Type                          

                                      Self-report             Proxy    

                                      Number        Percent   Number   Percent

  Yes                                 15            46.9      20       57.1

  No                                  17            53.1      15       42.9

  Total                               32            100.0     35       100.0
  ----------------------------------- ------------- --------- -------- ---------

> **d. Type of Impairments**

  ------------------------------------ ----------------- -----------------
  Table 71. Number and Percent of                        
  Respondents by Type of Impairments                     

  Type of Impairments                  Number and        
                                       Percent of        
                                       Respondents by    
                                       Type              

                                       Self-report       Proxy

  Mentally handicapped                 2                 0

  Hard of hearing/hearing impaired     2                 0

  Poor eyesight/vision impaired        2                 1

  Speech impediment                    6                 0

  Poor language abilities              2                 0

  Under the influence of alcohol or    0                 0
  drugs                                                  

  Some other impairment                4                 0

  None                                 19                34
  ------------------------------------ ----------------- -----------------

**e. Proficiency of Vocabulary During the Conduct of Interview**

  ------------------------------------ ------------- --------- -------- ---------
  Table 72. Number and Percent of                                       
  Respondents by Proficiency of Their                                   
  Vocabulary During the Conduct of                                      
  Interview                                                             

  Proficiency of Their Vocabulary      Number and                       
  During the Conduct of Interview      Percent of                       
                                       Respondents                      
                                       by Type                          

                                       Self-report             Proxy    

                                       Number        Percent   Number   Percent

  Below Average                        8             25.0      0        0.0

  Average                              21            65.6      29       82.9

  Above Average                        3             9.4       6        17.1

  Total                                32            100.0     35       100.0
  ------------------------------------ ------------- --------- -------- ---------

**f. Level of Attentiveness**

  ------------------------------------ ------------- --------- -------- ---------
  Table 73. Number and Percent of                                       
  Respondents by Level of                                               
  Attentiveness                                                         

  Level of Attentiveness               Number and                       
                                       Percent of                       
                                       Respondents                      
                                       by Type                          

                                       Self-report             Proxy    

                                       Number        Percent   Number   Percent

  Not At All Attentive                 1             3.1       0        0.0

  Somewhat Attentive                   14            43.8      11       31.4

  Very Attentive                       17            53.1      24       68.6

  Total                                32            100.0     35       100.0
  ------------------------------------ ------------- --------- -------- ---------

**g. Difficulty in Understanding Most of the Questions**

  ------------------------------------ ------------- --------- -------- ---------
  Table 74. Number and Percent of                                       
  Respondents by Difficulty in                                          
  Understanding Most of the Questions                                   

  Difficulty in Understanding Most of  Number and                       
  the Questions                        Percent of                       
                                       Respondents                      
                                       by Type                          

                                       Self-report             Proxy    

                                       Number        Percent   Number   Percent

  A Lot of Difficulty                  4             12.5      0        0.0

  Some Difficulty                      17            53.1      14       40.0

  None                                 11            34.4      21       60.0

  Total                                32            100.0     35       100.0
  ------------------------------------ ------------- --------- -------- ---------