[p. 166]
Section N. POLIOMYELITIS
N1
Refer to age
1 [] Under 26 (NP)
2 [] 26+ (N2)
N2
2 [] 26+ (N2)
Mark appropriate box
1 [] Available (1)
2 [] Callback required (Arrange callback, THEN NP)
3 [] Noninterview (NP)
2 [] Callback required (Arrange callback, THEN NP)
3 [] Noninterview (NP)
The next questions are about polio.
1. Were you EVER told by a doctor or other health care professional that you had poliomyelitis, usually called "polio", whether or not it resulted in physical disability?
1 [] Yes
2 [] No (N3)
9 [] DK (N3)
2 [] No (N3)
9 [] DK (N3)
2. Did you EVER have paralysis of any kind caused by polio?
1 [] Yes
2 [] No
2 [] No
3. Do you NOW have (paralysis of any kind, any deformity, weakness, or) ANY impairment or health problem caused by polio?
1 [] Yes
2 [] No
2 [] No
N3
Enter person number of respondent for Polio questions
Person number of respondent ____