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hear
[p. 165]

Section A -- HEARING


Now I'm going to ask some questions about hearing problems. Please tell me if anyone has these problems, even if you have mentioned them before.

1a. Does anyone in the family now have deafness in one or both ears?

1[] Yes
2[] No (2)
9[] DK (2)

b. Who is this?
Mark "Deafness" box in person's column.

1[] Deafness

c. Anyone else?

1[] Yes (Reask 1b and c)
2[] No


2a. Does anyone in the family now have any other trouble hearing with one or both ears?

1[] Yes
2[] No (3)
9[] DK (3)

b. Who is this?
Mark "Trouble hearing" box in person's column.

1[] Trouble hearing

c. Anyone else?

1[] Yes (Reask 2b and c)
2[] No


3a. Does anyone in the family now use a hearing aid?

1[] Yes
2[] No (A1)
9[] DK (A1)

b. Who is this?
Mark "Hearing aid" box in person's column.

1[] Hearing aid

c. Does anyone else now use a hearing aid?

1[] Yes (Reask 3b and c)
2[] No
Item A1
Mark first appropriate box:

1[] 1b, 2b, or 3b marked for one or more people in family (A2)
2[] Others (Section B)
Item A2
Refer to 1-3. Mark first appropriate box.

1[] "Deafness" in 1b (4)
2[] "Trouble hearing" in 2b (4)
3[] "Hearing aid" in 3b(4)
4[] All three blank (NP)


Include parenthetical if "Hearing aid" marked in 3b.
4a. Which statement best describes -- hearing in -- left ear (without a hearing aid) -- good, a little trouble, a lot of trouble, or deaf?

1[] Good
2[] Little trouble
3[] Lot of trouble
4[] Deaf
9[] DK


b. Which statement best describes -- hearing in -- right ear (without a hearing aid) - good, a little trouble, a lot of trouble, or deaf?

1[] Good
2[] Little trouble
3[] Lot of trouble
4[] Deaf
9[] DK


Mark box or ask:
5a. (Without a hearing aid) Can -- usually hear and understand what a person says without seeing his face if that person whispers to -- from across a quiet room?

0[] Under 3 (7)
1[] Yes (6a)
2[] No
9[] DK

b. (Without a hearing aid) Can -- usually hear and understand what a person says without seeing his face if that person talks in a normal voice to -- from across a quiet room?

1[] Yes (6a)
2[] No
9[] DK

c. (Without a hearing aid) Can -- usually hear and understand what a person says without seeing his face if that person shouts to -- from across a quiet room?

1[] Yes (6b)
2[] No
9[] DK

d. (Without a hearing aid) Can -- usually hear and understand what a person says without seeing his face if that person speaks loudly into -- better ear?

1[] Yes (6b)
2[] No (6b)
9[] DK (6b)

[p. 166]

Section A -- HEARING -- Continued


6a. How old was -- when -- began to have trouble hearing?

00[] At birth (7)
01[] Less than 1 year old (7)
Years old ____ (7)
98[] No trouble (7)
99[] DK (6c)

b. How old was -- when -- began to have serious trouble hearing or became deaf?

00[] At birth (7)
01[] Less than 1 year old (7)
Years old ____ (7)
98[] No trouble (7)
99[] DK (6c)


c. Was it before or after -- 19th birthday?

1[] Before (6d)
2[] After (7)
9[] DK (7)

d. Was it before or after -- 3rd birthday?

1[] Before
2[] After
9[] DK


Hand Card A1. Read all categories.
CARD A1

A. Mother had German measles (rubella) during pregnancy
B. At birth for a genetic reason
C. Present at birth for some other reason, not including infectious disease
D. An infectious disease such as measles or meningitis
E. An ear infection
F. An ear injury
G. Ear surgery
H. Loud, brief noise from gunfire, blasts, or explosions
I. Other noise from machinery, aircraft, power tools, loud music, appliances, Walkman personal stereos, hair dryers, etc.
J. Getting older
K. Some other cause -- Specify

7. What was the cause of -- hearing trouble or deafness --


a. Mother had German measles (rubella) during pregnancy?

1[] Yes
2[] No
9[] DK


b. At birth for a genetic reason?

1[] Yes
2[] No
9[] DK


c. Present at birth for some other reason, not including infectious disease?

1[] Yes
2[] No
9[] DK


d. An infectious disease such as measles or meningitis?

1[] Yes
2[] No
9[] DK


e. An ear infection?

1[] Yes
2[] No
9[] DK


f. An ear injury?

1[] Yes
2[] No
9[] DK


g. Ear surgery?

1[] Yes
2[] No
9[] DK


h. Loud, brief noise from gunfire, blasts, or explosions?

1[] Yes
2[] No
9[] DK


i. Other noise from machinery, aircraft, power tools, loud music, appliances, Walkman personal stereos, hair dryers, etc.?

1[] Yes
2[] No
9[] DK


j. Getting older?

1[] Yes
2[] No
9[] DK


k. Some other cause?

1[] Yes- Specify ____
2[] No
9[] DK


Item A3
a. Mark first appropriate box:

1[] Present for all questions
2[] Present for some questions
3[] Not present


b. Enter person number(s) of respondent(s)

Person number(s) of respondent(s) ____(A2 for NP or Sec. B)