Codebook: 1999 Community Survey

Section A: Functional Status

Part 8: Cognitive Functioning




START_19 Col. 6543   Character  4


Set Start Time


Freq Value   Label

5147 -     Time: HHMM


MNTDAY Col. 6547   Character  6


Set Start Date


Freq Value   Label

5147 -     Date: MMDDYY



MNT_I1A Col. 6553   Character  1


Interviewer: This section is to be asked of the sample person only and must be done by personal visit interview only! If the sample person is unable to respond and you are conducting a proxy interview, do not attempt to administer this part of the questionnaire.


Freq Value   Label

2816 1     Continue

1381 2     Unable to administer

4197 -     Total



1. What day of the week...

MNT_1A Col. 6554   Character  1


a ...is today?


Freq Value   Label

2653 1     Correct

144 2     Incorrect

1 L     Exit Cognitive

11 D     Don't Know

6 R     Refused to Answer

2815 -     Total


MNT_1B Col. 6555   Character  1


b What date is it today?


Freq Value   Label

2211 1     Correct

560 2     Incorrect

36 D     Don't Know

7 R     Refused to Answer

2814 -     Total


MNT_1C Col. 6556   Character  1


c What is the name of this month?


Freq Value   Label

2680 1     Correct

117 2     Incorrect

1 L     Exit Cognitive

9 D     Don't Know

7 R     Refused to Answer

2814 -     Total


MNT_1D Col. 6557   Character  1


d What year is it?


Freq Value   Label

2706 1     Correct

89 2     Incorrect

1 L     Exit Cognitive

11 D     Don't Know

6 R     Refused to Answer

2813 -     Total


MNT_1E Col. 6558   Character  1


e What time of the year is it? Interviewer: March=Winter or Spring; May=Spring or Summer; September=Summer or Autumn; Novemeber=Autumn or Winter


Freq Value   Label

2692 1     Correct

106 2     Incorrect

8 D     Don't Know

6 R     Refused to Answer

2812 -     Total



2. What is the name of...

MNT_2A Col. 6559   Character  1


a ...this country?


Freq Value   Label

2691 1     Correct

105 2     Incorrect

10 D     Don't Know

6 R     Refused to Answer

2812 -     Total


MNT_2B Col. 6560   Character  1


b What is the name of this city?


Freq Value   Label

2768 1     Correct

32 2     Incorrect

6 D     Don't Know

6 R     Refused to Answer

2812 -     Total


MNT_2C Col. 6561   Character  1


c What are the names of the two streets in the closest intersection?


Freq Value   Label

2488 1     Correct

263 2     Incorrect

50 D     Don't Know

10 R     Refused to Answer

2811 -     Total


MNT_2D Col. 6562   Character  1


d What floor are we on now?


Freq Value   Label

2772 1     Correct

19 2     Incorrect

9 D     Don't Know

11 R     Refused to Answer

2811 -     Total


MNT_2E Col. 6563   Character  1


e What is the name of this place or address?


Freq Value   Label

2684 1     Correct

100 2     Incorrect

17 D     Don't Know

10 R     Refused to Answer

2811 -     Total



3. I am now going to test your memory....

MNT_3 Col. 6564   Character  1


b ...I will mention three objects. INTERVIEWER: Mention the following three objects. You must only use one second at maximum to mention each object. apple, table, bicycle Please repeat these three objects.


Freq Value   Label

16 0     Correct responses

115 1     Correct responses

205 2     Correct responses

2433 3     Correct responses

13 D     Don't Know

23 R     Refused to Answer

5 L     Exit Cognitive

2810 -     Total


MNT_3B1 Col. 6565   Character  1


b1 I will repeat the three objects again. apple, table, bicycle


Freq Value   Label

15 0     Correct responses

53 1     Correct responses

61 2     Correct responses

206 3     Correct responses

1 L     Exit Cognitive

336 -     Total


MNT_3B2 Col. 6566   Character  1


b2 I will repeat the three objects again. apple, table, bicycle


Freq Value   Label

15 0     Correct responses

37 1     Correct responses

38 2     Correct responses

39 3     Correct responses

129 -     Total


MNT_3B3 Col. 6567   Character  1


b3 I will repeat the three objects again. apple, table, bicycle


Freq Value   Label

12 0     Correct responses

29 1     Correct responses

25 2     Correct responses

24 3     Correct responses

90 -     Total


MNT_3B4 Col. 6568   Character  1


b4 I will repeat the three objects again. apple, table, bicycle


Freq Value   Label

10 0     Correct response

25 1     Correct response

19 2     Correct response

11 3     Correct responses

1 D     Don't Know

66 -     Total


MNT_3B5 Col. 6569   Character  1


b5 I will repeat the three objects again. apple, table, bicycle


Freq Value   Label

6 0     Correct responses

28 1     Correct responses

15 2     Correct responses

5 3     Correct responses

54 -     Total



4. I will ask you to deduct 7 from 100. Then...

MNTFLAG6 Col. 6570   Character  1


4a ...you must deduct 7 from the number you arrived at and continue to deduct 7 until you are asked to stop. -- ENTER C IF THE RESPONDENT CANNOT CALCULATE. --ENTER EACH RESPONSE. RESPONSES COUNT AS CORRECT EACH TIME THE DIFFERENCE IS 7, EVEN IF A FORMER RESPONSE WAS INCORRECT. --FILL TOTAL NUMBER OF CORRECT REPONSES INTO 'MNTFLAG6'.


Freq Value   Label

270 0     Correct responses

206 1     Correct responses

173 2     Correct responses

312 3     Correct responses

449 4     Correct responses

1106 5     Correct responses

2516 -     Total


MNT_4A_1 Col. 6571   Character  3


a1 Subtract 7 from 100


Freq Value   Label

589 NOT 93     NOT 93

2215 93     93

2804 -     Total


MNT_4A_2 Col. 6574   Character  3


a2 Subtract 7 from response given in 4a1.


Freq Value   Label

812 NOT 86     NOT 86

1654 86     86

2466 -     Total


MNT_4A_3 Col. 6577   Character  3


a3 Subtract 7 from response given in 4a2.


Freq Value   Label

926 NOT 79     NOT 79

1395 79     79

2321 -     Total


MNT_4A_4 Col. 6580   Character  3


a4 Subtract 7 from response given in 4a3.


Freq Value   Label

1010 NOT 72     NOT 72

1239 72     72

2249 -     Total


MNT_4A_5 Col. 6583   Character  3


a5 Subtract 7 from response given in 4a4.


Freq Value   Label

1062 NOT 65     NOT 65

1151 65     65

2213 -     Total


MNT_4A_6 Col. 6586   Character  1


4a6 Proceed or exit.


Freq Value   Label

2489 P     Proceed

2489 -     Total



4. I will ask you to spell WORLD backwards...

MNTFLAG5 Col. 6587   Character  1


4b ...--ENTER U IF RESPONDENT REFUSES OR CANNOT ANSWER. --FILL TOTAL NUMBER OF CORRECT REPONSES INTO 'MNTFLAG5'.


Freq Value   Label

291 0     Correct responses

24 1     Correct responses

22 2     Correct responses

33 3     Correct responses

22 4     Correct responses

180 5     Correct responses

572 -     Total


MNT_4B_1 Col. 6588   Character  1


b1 D


Freq Value   Label

273 1     Correct

129 2     Incorrect

161 U     Respondent Refuses or Cannot Answer

4 L     Exit Cognitive

567 -     Total


MNT_4B_2 Col. 6589   Character  1


b2 L


Freq Value   Label

240 1     Correct

146 2     Incorrect

7 U     Respondent Refuses or Cannot Answer

1 L     Exit Cognitive

5 D     Don't Know

3 R     Refused to Answer

402 -     Total


MNT_4B_3 Col. 6590   Character  1


b3 R


Freq Value   Label

192 1     Correct

189 2     Incorrect

4 U     Respondent Refuses or Cannot Answer

5 D     Don't Know

4 R     Refused to Answer

394 -     Total


MNT_4B_4 Col. 6591   Character  1


b4 O


Freq Value   Label

202 1     Correct

179 2     Incorrect

1 U     Respondent Refuses or Cannot Answer

4 D     Don't Know

4 R     Refused to Answer

390 -     Total


MNT_4B_5 Col. 6592   Character  1


b5 W


Freq Value   Label

236 1     Correct

145 2     Incorrect

4 D     Don't Know

4 R     Refused to Answer

389 -     Total


MNT_4B_6 Col. 6593   Character  1


4b6 Proceed or exit.


Freq Value   Label

562 P     Proceed

562 -     Total



MNT_5 Col. 6594   Character  1


5 Please repeat the three words that I told you to repeat a little while ago. FR: Correct responses are apple, table, bicycle.


Freq Value   Label

320 0     (number of correct responses)

409 1     (number of correct responses)

789 2     (number of correct responses)

1235 3     (number of correct responses)

16 D     Don't Know

25 R     Refused to Answer

2794 -     Total



6. INTERVIEWER: POINT AT A PENCIL OR SHOW FLASHCARD K.

MNT_6A Col. 6595   Character  1


a What is this?


Freq Value   Label

2666 1     Correct

37 2     Incorrect

9 L     Exit Cognitive

47 D     Don't Know

34 R     Refused to Answer

2793 -     Total


MNT_6B Col. 6596   Character  1


b INTERVIEWER: POINT AT A WATCH OR SHOW FLASHCARD L. What is this?


Freq Value   Label

2673 1     Correct

31 2     Incorrect

47 D     Don't Know

33 R     Refused to Answer

2784 -     Total



MNT_7 Col. 6597   Character  1


7 I will now ask you to repeat the following phrase: 'No one above, below or next to me.'


Freq Value   Label

2319 1     Correct

409 2     Incorrect

1 L     Exit Cognitive

21 D     Don't Know

34 R     Refused to Answer

2784 -     Total



MNTFLAG7 Col. 6598   Character  1


8 INTERVIEWER: READ ALOUD THE TEXT BELOW AND HAND OUT A PIECE OF PAPER TO THE RESPONDENT. HAND OUT THE PAPER RIGHT IN THE THE MIDDLE OF THE RESPONDENT. DO NOT REPEAT THE INSTRUCTIONS AND DO NOT OFFER ANY HELP. NOTE EVERY MOVEMENT AS CORRECT, IF IT IS MADE IN THE CORRECT ORDER. I will give you a piece of paper. You must take the paper using your right hand, fold it in the middle using both hands, and place in your lap. --ENTER U IF RESPONDENT IS PHYSICALLY UNABLE TO PERFORM TEST. --FILL TOTAL NUMBER OF CORRECT REPONSES INTO 'MNTFLAG7'.


Freq Value   Label

261 0     Correct Responses

67 1     Correct Responses

291 2     Correct Responses

2173 3     Correct Responses

2792 -     Total


MNT_8_1 Col. 6599   Character  1


a Right hand


Freq Value   Label

2319 1     Correct

256 2     Incorrect

100 U     Unable to Perform

48 D     Don't Know

59 R     Refused to Answer

1 L     Exit Cognitive

2783 -     Total


MNT_8_2 Col. 6600   Character  1


b Folding


Freq Value   Label

2441 1     Correct

132 2     Incorrect

2 U     Unable to Perform

2575 -     Total


MNT_8_3 Col. 6601   Character  1


c In the lap


Freq Value   Label

2381 1     Correct

190 2     Incorrect

2 D     Don't Know

2573 -     Total


MNT_8_4 Col. 6602   Character  1


8d Proceed or exit.


Freq Value   Label

2781 P     Proceed

1 L     Exit Cognitive

2782 -     Total



MNT_9 Col. 6603   Character  1


9 Please read Flashcard M and do what it says.


Freq Value   Label

2549 1     Correct

115 2     Incorrect

1 L     Exit Cognitive

67 D     Don't Know

49 R     Refused to Answer

2781 -     Total



MNT_10 Col. 6604   Character  1


10 REMIND THE SAMPLE PERSON TO OPEN HIS OR HER EYES IF HE OR SHE HAS NOT ALREADY DONE SO. Please write a full sentence. INTERVIEWER: THE SENTENCE MUST HAVE A SUBJECT AND A VERB AND HAVE MEANING. IGNORE SPELLING AND GRAMMAR ERRORS. --ENTER U IF RESPONDENT IS PHYSICALLY UNABLE TO PERFORM TEST.


Freq Value   Label

2304 1     Correct

188 2     Incorrect

173 U     Unable to perform

2 L     Exit Cognitive

56 D     Don't Know

57 R     Refused to Answer

2780 -     Total



MNT_11 Col. 6605   Character  1


11 Please draw the figure shown on Flashcard N. INTERVIEWER: DRAWING IS CORRECT IF ALL SIDES AND ANGLES ARE CORRECT AND IF THE FIGURE IN THE MIDDLE IS A QUADRANGLE. --ENTER U IF RESPONDENT IS PHYSICALLY UNABLE TO PERFORM TEST.


Freq Value   Label

1942 1     Correct

498 2     Incorrect

196 U     Unable to perform

67 D     Don't Know

74 R     Refused to Answer

2777 -     Total



Why was it not possible to carry out all of these tests? INTERVIEWER: ENTER EACH ITEM MENTIONED. ENTER N FOR NO MORE.

MNT_12_1 Col. 6606   Character  1


12.1 Sample person is mentally incapable


Freq Value   Label

138 X     Selected

138 -     Total


MNT_12_2 Col. 6607   Character  1


12.2 Sample person is physically incapable


Freq Value   Label

163 X     Selected

163 -     Total


MNT_12_3 Col. 6608   Character  1


12.3 Sample person has hearing/speech problem


Freq Value   Label

50 X     Selected

50 -     Total


MNT_12_4 Col. 6609   Character  1


12.4 Sample person cannot speak English


Freq Value   Label

11 X     Selected

11 -     Total


MNT_12_5 Col. 6610   Character  1


12.5 Sample person is temporarily absent


Freq Value   Label

2 X     Selected

2 -     Total


MNT_12_6 Col. 6611   Character  1


12.6 Other - Specify


Freq Value   Label

446 X     Selected

446 -     Total


MNT_12_S Col. 6612   Character  40


Freq Value   Label

430 -     Verbatim Responses, Not Recoded

2 D     Don't Know

432 -     Total



MNT_13_Y Col. 6652   Character  4


13 On which date were you born?


Freq Value   Label

6 D     Don't Know

14 R     Refused to Answer

2061 -     All Other Values

2081 -     Total



MNT_14 Col. 6656   Character  2


14 Please mention as many animals as you can recall. You will get one minute to mention as many as you can. I will begin timing you now. Please start.


Freq Value   Label

2065 0-99     Recall number of animals

1 L     Exit Cognitive

7 D     Don't Know

8 R     Refused to Answer

2081 -     Total



17a. I will read 12 words to you. Afterwards, you must try to mention as many of the words as you can recall. Order is irrelevant. As soon as you cannot recall more words, I will read the words to you again.

MNT_1702 Col. 6658   Character  1


17a.1 COLOR


Freq Value   Label

1245 X     Selected

1245 -     Total


MNT_1703 Col. 6659   Character  1


17a.2 HOUSE


Freq Value   Label

1456 X     Selected

1456 -     Total


MNT_1704 Col. 6660   Character  1


17a.3 RIVER


Freq Value   Label

788 X     Selected

788 -     Total


MNT_1705 Col. 6661   Character  1


17a.4 HEN


Freq Value   Label

678 X     Selected

678 -     Total


MNT_1706 Col. 6662   Character  1


17a.5 NOSE


Freq Value   Label

643 X     Selected

643 -     Total


MNT_1707 Col. 6663   Character  1


17a.6 GARDENER


Freq Value   Label

568 X     Selected

568 -     Total


MNT_1708 Col. 6664   Character  1


17a.7 HAT


Freq Value   Label

563 X     Selected

563 -     Total


MNT_1709 Col. 6665   Character  1


17a.8 SCHOOL


Freq Value   Label

742 X     Selected

742 -     Total


MNT_1710 Col. 6666   Character  1


17a.9 FIELD


Freq Value   Label

515 X     Selected

515 -     Total


MNT_1711 Col. 6667   Character  1


17a.10 PARENTS


Freq Value   Label

624 X     Selected

624 -     Total


MNT_1712 Col. 6668   Character  1


17a.11 COFFEE


Freq Value   Label

1053 X     Selected

1053 -     Total


MNT_1713 Col. 6669   Character  1


17a.12 BELL


Freq Value   Label

1162 X     Selected

1162 -     Total


MNT_1714 Col. 6670   Character  1


17a.13 Proceed or exit.


Freq Value   Label

1 L     Exit Cognitive

2074 P     Proceed

2075 -     Total


MNTFLAG Col. 6671   Character  2


--Fill total number of words recalled in 17a into MNTFLAG.


Freq Value   Label

128 00     Words remembered

90 01     Words remembered

171 02     Words remembered

261 03     Words remembered

332 04     Words remembered

337 05     Words remembered

262 06     Words remembered

174 07     Words remembered

135 08     Words remembered

69 09     Words remembered

44 10     Words remembered

30 11     Words remembered

44 12     Words remembered

2077 -     Total



17b. I will read the list to you again. Please repeat the words I just read.

MNT_1717 Col. 6673   Character  1


17b.1 COLOR


Freq Value   Label

1375 X     Selected

1375 -     Total


MNT_1718 Col. 6674   Character  1


17b.2 HOUSE


Freq Value   Label

1418 X     Selected

1418 -     Total


MNT_1719 Col. 6675   Character  1


17b.3 RIVER


Freq Value   Label

1058 X     Selected

1058 -     Total


MNT_1720 Col. 6676   Character  1


17b.4 HEN


Freq Value   Label

772 X     Selected

772 -     Total


MNT_1721 Col. 6677   Character  1


17b.5 NOSE


Freq Value   Label

785 X     Selected

785 -     Total


MNT_1722 Col. 6678   Character  1


17b.6 GARDENER


Freq Value   Label

674 X     Selected

674 -     Total


MNT_1723 Col. 6679   Character  1


17b.7 HAT


Freq Value   Label

610 X     Selected

610 -     Total


MNT_1724 Col. 6680   Character  1


17b.8 SCHOOL


Freq Value   Label

801 X     Selected

801 -     Total


MNT_1725 Col. 6681   Character  1


17b.9 FIELD


Freq Value   Label

620 X     Selected

620 -     Total


MNT_1726 Col. 6682   Character  1


17b.10 PARENTS


Freq Value   Label

744 X     Selected

744 -     Total


MNT_1727 Col. 6683   Character  1


17b.11 COFFEE


Freq Value   Label

1028 X     Selected

1028 -     Total


MNT_1728 Col. 6684   Character  1


17b.12 BELL


Freq Value   Label

1080 X     Selected

1080 -     Total


MNT_1729 Col. 6685   Character  1


17b.13 Proceed or exit.


Freq Value   Label

2027 P     Proceed

2027 -     Total


MNTFLAG2 Col. 6686   Character  2


--Fill total number of words recalled in 17b into MNTFLAG2.


Freq Value   Label

179 00     Words remembered

54 01     Words remembered

66 02     Words remembered

154 03     Words remembered

246 04     Words remembered

305 05     Words remembered

333 06     Words remembered

247 07     Words remembered

199 08     Words remembered

108 09     Words remembered

65 10     Words remembered

42 11     Words remembered

32 12     Words remembered

2030 -     Total



Why was it not possible to carry out all of these tests? INTERVIEWER: ENTER EACH ITEM MENTIONED. ENTER N FOR NO MORE.

MNT_1202 Col. 6688   Character  1


17b.13.1 Sample person is mentally incapable


Freq Value   Label

63 X     Selected

63 -     Total


MNT_1203 Col. 6689   Character  1


17b.13.2 Sample person is physically incapable


Freq Value   Label

64 X     Selected

64 -     Total


MNT_1204 Col. 6690   Character  1


17b.13.3 Sample person has hearing/speech problem


Freq Value   Label

54 X     Selected

54 -     Total


MNT_1205 Col. 6691   Character  1


17b.13.4 Sample person cannot speak English


Freq Value   Label

20 X     Selected

20 -     Total


MNT_1206 Col. 6692   Character  1


17b.13.5 Sample person is temporarily absent


Freq Value   Label

3 X     Selected

3 -     Total


MNT_1207 Col. 6693   Character  1


17b.13.6 Specify other device


Freq Value   Label

1361 X     Selected

1361 -     Total


MNT_1208 Col. 6694   Character  40


Freq Value   Label

1357 -     Verbatim Responses, Not Recoded

1 R     Refused to Answer

1358 -     Total



END_TI19 Col. 6734   Character  4


Set end time


Freq Value   Label

3761 -     Time: HHMM


CUML_T19 Col. 6738   Character  4


Subtract COGNITIVE start time from COGNITIVE end time


Freq Value   Label

3761 -     Time: HHMM