Last grade completed in school
1 = NO SCHOOL, LESS THAN 8
2 = GRADE SCHOOL (8)
3 = HIGH SCHOOL (12)
4 = GED
5 = SOME COLLEGE (13-15)
6 = VOCATIONAL SCHOOL
7 = COLLEGE (16)
8 = GRADUATE WORK (17-)

How well you can read
1 = READ WELL
2 = OK
3 = `NOT AT ALL'

Any trouble reading road signs
1 = YES
2 = NO

Sex
1 = MALE
2 = FEMALE

Race
1 = WHITE (NON-HISPANIC)
2 = BLACK (NON-HISPANIC)
3 = HISPANIC
4 = ASIAN, PACIFIC
5 = AM. INDIAN, ALASKAN
6 = OTHER (SPECIFY)

How important is lit-reading
1 = NOT AT ALL
2 = SLIGHTLY
3 = MODERATELY
4 = CONSIDERABLY
5 = EXTREMELY

Physical health compared to others
1 = BETTER THAN MOST
2 = ABOUT THE SAME
3 = WORSE THAN MOST

Satisfaction with your physical ability
1 = COMPLETELY SATISFIED
2 = VERY SATISFIED
3 = SOMEWHAT SATISFIED
4 = SOMEWHAT DISSATISFIED
5 = VERY DISSATISFIED
6 = COMPLETELY DISSATISFIED

Any physical health problems
1 = YES
2 = NO
3 = NOT SURE

Hospitalized/seen by doctor this year
1 = YES-HOSPITAL ONLY
2 = YES-HOSPITAL AND DOCTOR
3 = YES-DOCTOR ONLY
4 = NO

Stayed here most time, some or rarely
1 = MOST OF THE TIME
2 = SOME OF THE TIME
3 = ONLY RARELY

Stayed where else since first stay
1 = FRIENDS
2 = FAMILY
3 = OWN PLACE
4 = STREETS
5 = OTHER SHELTER, HALFWAY HOUSE
6 = INSTITUTION
7 = OTHER (SPECIFY)
8 = HAVE ONLY STAYED HERE

How satisfied with this shelter?
1 = VERY SATISFIED
2 = SATISFIED
3 = DISSATISFIED
4 = VERY DISSATISFIED

Compared to other shelters, this is:
1 = MUCH BETTER
2 = SOMEWHAT BETTER
3 = ABOUT THE SAME
4 = SOMEWHAT WORSE
5 = MUCH WORSE
6 = DON'T KNOW

Compared to last reg. housing, this is:
1 = MUCH BETTER
2 = SOMEWHAT BETTER
3 = ABOUT THE SAME
4 = SOMEWHAT WORSE
5 = MUCH WORSE
6 = NEVER HAD HOUSING

Quality of services received here
1 = EXCELLENT
2 = GOOD
3 = FAIR
4 = POOR

Current status in work exp pro
1 = FINISHED
2 = IN
3 = DROPPED OUT

How long like to stay here
1 = REST OF MY LIFE
2 = SEVERAL MORE YEARS
3 = 1/2 YR-YEAR
4 = SEV WEEKS-1 MONTH
5 = MOVE OUT NOW

Feeling about not having reg. place
1 = DISTRESSED
2 = SO-SO
3 = OK

Rather share house with others
1 = DEFINITELY SHARE HOUSE
2 = probably share house
3 = dont really care, not sure
4 = Probably get own apartment
5 = Definitely get own apartment

No contact with agencies in past year
1 = YES
2 = NO
23 = Overeaters A,Alanon

How much do you worry about AIDS
1 = A LOT
2 = SOMEWHAT
3 = NOT AT ALL

Do you know anyone with AIDS?
1 = YES
2 = NOT SURE
3 = NO

Can get AIDS - being near infected person
1 = YES
2 = NO
3 = MAYBE

Sooner or later, Ill prob get AIDS
1 = AGREE
2 = DISAGREE

Would like to get tested for AIDS
1 = YES
2 = NOT SURE
3 = NO
4 = HAVE BEEN TESTED

Have attended AIDS ed meeting here
1 = ATTENDED
2 = HAVENT HEARD
3 = HEARD, DIDNT GO

Marital status
1 = MARRIED
2 = SINGLE
3 = DIVORCED
4 = WIDOWED
5 = SEPARATED
6 = LIVING TOGETHER

Care of children
1 = FOSTER
2 = RELATV
3 = ADOPTD
4 = ELSE
5 = ON OWN

How much support from shel stf
1 = GREAT DEAL
2 = FAIR AMOUNT
3 = NOT TOO MUCH
4 = NONE AT ALL

Several people I trust
1 = DEFINITELY TRUE
2 = PROBABLY TRUE
3 = PROBABLY FALSE
4 = DEFINITELY FALSE

Which mental center do you use
0 = HOSPITAL
1 = BAY COVE
2 = WEST ROS PK
3 = DORCHESTER
4 = LINDEMANN
5 = SOLOMON-CARTER-FULL
6 = MASS MENTAL HLTH
8 = OTHER (SPECIFY)

How often do you go to mental h ctr?
1 = OFTEN
2 = SOMETIMES
3 = NEVER

What is medication for
20000 = SEIZURES
22900 = SEIZURES THYROID
50000 = HIGH BLOOD PRESSURE
60000 = HEART
130000 = DILLUSIONS
140000 = NERVOUS CONDITION
142400 = NERVOUS CONDITION HEART
150000 = DEPRESSION
170000 = SCHIZOPHRENIA
180000 = AIDS
190000 = BACK
200000 = EYES EARS
220000 = LUNGS
230000 = ENGINA
240000 = HEART
250000 = HEMEROIDS
260000 = PREGNANCY
270000 = BLOOD PRESSURE
273000 = BLOOD PRESSURE KIDNEY
273200 = BLOOD PRESSURE GLUCOMA
273500 = HYPERTENSION LIVER DISEASE
278800 = MOLE
280000 = ASTHMA
303100 = KIDNEY TUMOR
330000 = BACK
340000 = DIABETES
360000 = PNEUMONIA
370000 = SLEEP CONDITION
380000 = LIMBS

How happy/satisfied over past month
1 = EXTREMELY HAPPY
2 = VERY HAPPY/MOST TIME
3 = GENRLLY SATISFIED
4 = TIMES HAPPY/UNHAPPY
5 = GENRLLY UNHAPPY
6 = VERY DISSATISFIED

So down nothing could cheer you up
1 = ALL THE TIME
2 = MOST OF TIME
3 = GOOD BIT OF TIME
4 = SOME OF TIME
5 = A LITTLE OF TIME
6 = NONE OF TIME

Ever think of taking your life
1 = YES, CONSTANTLY
2 = YES, VERY OFTEN
3 = YES, FAIRLY OFTEN
4 = YES, A COUPLE OF TIMES
5 = YES, ONCE
6 = NO, NEVER

Did not feel like eating this week
1 = NEVER
2 = SOME OF TIME
3 = MOST OF TIME

Assaulted or robbed in past year
1 = ASSAULTED
2 = ROBBED
3 = ASSAULTED & ROBBED
4 = NO

Nightmares about losing life
1 = FREQUENTLY
2 = SOMETIMES
3 = RARELY
4 = NEVER

In foster care, instit care or w DSS as child
1 = FOSTER CARE
2 = INSTIT CARE
3 = DSS
4 = NO SUCH CARE

How Often Drink
1 = DAILY
2 = SEVERAL TIMES A WEEK
3 = ONCE A WEEK
4 = 2 OR 3 TIMES A MONTH
5 = LESS THAN ONCE A MONTH
6 = NEVER

Currently legal status
1 = PROBATION
2 = PAROLE
3 = PENDING ARRAIGNMENT
4 = OTHER (SPECIFY)
5 = NO

Ever been jailed or imprisoned
1 = JAIL
2 = PRISON
3 = NO
4 = JAIL AND PRISON

How Difficult to Afford Things
1 = NEVER OR HARDLY EVER
2 = ONCE IN A WHILE
3 = SOMETIMES
4 = PRETTY OFTEN
5 = ALWAYS OR ALMOST ALWAYS

Employed
1 = FULL-TIME
2 = PART-TIME
3 = DAY LABOR
4 = NO

Employed Now
10 = SALES
11 = SHELTER JOB
12 = ACCOUNTANT
13 = FAST FOOD WAITRESS
14 = NURSING ASSISTANT
15 = EXHIBITION SET UP
16 = CARPENTER
17 = SALVAGE WORKER
18 = SECURITY GUARD
19 = CONSTRUCTION
20 = CONTAINER SERVICE
21 = TEMPORARY WORK
22 = SHIPPER
23 = DISHWASHER
24 = DAY LABORER
25 = MAINTENANCE
26 = MESSENGER
27 = MACHINIST
28 = MECHANIC
29 = MEAT CLERK
30 = IRON WORKER
31 = FOOD PREPARATION
32 = COMPUTER SYSTEMS ANALYST
33 = SEWER WORKER
34 = JANITOR
35 = CLERICAL WORKER
36 = HOUSE CLEANING
37 = HOSPITAL
38 = COOK
39 = KITCHEN HELP

Longest ever worked on one job
1 = 5 OR MORE YEARS
2 = 1 - 4 YEARS
3 = 6 - 11 MONTHS
4 = 1 - 5 MONTHS
5 = LESS THAN 1 MONTH

Type of benefits received in last month
1 = WELFARE
2 = DISABILITY
3 = UNEMPLOYMENT
4 = SOCIAL SECURITY
5 = V.A. BENEFITS
6 = GENERAL RELIEF
7 = FOOD STAMPS
8 = GRANTS
13 = ILLEGAL
24 = DISABILITY PLUS SOCIAL SECURITY
110 = FOOD STAMPS PLUS TRAVELERS ALLOWANCE

Have Rep Payee
1 = YES
2 = NO
3 = DONT KNOW

Assaulted,Robbed in Last Year
1 = No
2 = Robbed
3 = Assaulted