althsc
[p.1]

2007 NHIS Questionnaire - Sample Child
Child Identification

Question ID: : CID.001_00.000

Instrument Variable Name: CURRES
Question Text:

* Enter the line number of the person to whom you are speaking.
01-25 Person number of the respondent for Sample Child

Universe Text: Sample child section not started or not completed
Skip Instructions:

if CSTAT ne empty and CSTAT ne '2' THEN
if ASTAT = empty or ASTAT = '2' THEN
goto adult.aid.SADULT
elseif recontact.RCIFLAG ne '1' THEN
goto recontact.RCI_BEGIN procedure
else
goto back.OUTCOMEB1 procedure
endif
goto back.OUTCOMEB1 procedure
endif
(01-25) if this is NOT an allowable line number_
goto ERR_CURRES
elseif CURRES = a line number entered in KNOWSC2
store CURRES in CSPAVAIL and CSRESP
goto CSRELTIV
elseif KNOWSC2 = 'Don't know' or 'Refused' or empty (no line numbers in KNOWSC2)
goto KNOAVAIL
else
goto CSPAVAIL
endif

[p.2]

Question ID: : CID.010_00.000

Instrument Variable Name: CSPAVAIL
Question Text:

The next questions are about [fill1: ALIAS of Sample Child].
Is [fill2:KNOWSC2 names] available to answer some questions about [fill3: HISHER] health?
* Enter line number of available respondent from list or enter '96' if no one is available.
* If refused enter CTRL_R.

01- 25 Person # of person available to answer questions about Sample Child
96 No person available

Universe Text: Someone identified as knowledgeable about child's health and knowledgeable person(s) not entered in CURRES
Skip Instructions:

(01-25) if line number not equal one of the line numbers in KNOWSC2
goto child.cid.ERR_CSPAVAIL
else
store child.cid.CSPAVAIL in child.cid.CSRESP
goto child.cid.CSRELTIV
endif
(96) store child.cid.CSPAVAIL in child.cid.CSRESP
goto cbk.CCALLBK1
(R) store '4' in CSTAT(FAMINT)
if ASTAT = empty or ASTAT = '2' THEN
goto adult.aid.SADULT
elseif recontact.RCIFLAG ne '1' THEN
goto recontact.RCI_BEGIN procedure
else
goto back.OUTCOMEB1 procedure
endif

Question ID: : CID.030_00.000

Instrument Variable Name: CSRELTIV
Question Text:

(book) C1
[fill1: The next questions are about [fill2: ALIAS of Sample Child].]
What is your relationship to [fill2: ALIAS of Sample Child]?

01 Parent (Biological, adoptive, or step)
02 Grandparent
03 Aunt/Uncle

Universe Text: Someone identified as knowledgeable about child's health
Skip Instructions:

(1-8,R,D) If CSRESP = demographics.hhc.RELRESP_A_
goto child.chs.BWGT_LB
elseif CSRESP = demographics.hhc.HHRESP
goto child.chs.BWGT_LB
else]
goto CSPVERF_S
endif]

[p.3]

Question ID: : CID.040_00.000

Instrument Variable Name: CSPVERF_S
Question Text:

* Please verify the following information about the sample child before proceeding:
I have recorded [fill1: ALIAS of Sample Child]'s sex as [fill2: Sex of Sample Child]. Is this correct?
* If respondent "refuses" or says "don't know", enter "1" for "yes".

1 Yes
2 No

Universe Text: Respondent is not the person entered in HHRESP or RELRESP_A.
Skip Instructions:

(1) goto CSPVERF_A
(2) goto NEWSEX

Question ID: : CID.041_00.000

Instrument Variable Name: NEWSEX
Question Text:

* Ask if appropriate; otherwise, enter your best guess of the person's sex.
Is [fill: ALIAS of Sample Child] Male or Female?

1 Male
2 Female

Universe Text: Respondent said child's sex is not correct.
Skip Instructions:

(1,2) store NEWSEX in SEX
goto ERR_NEWSEX
reset CSPVERF_S
goto CSPVERF_S

Question ID: : CID.042_00.000

Instrument Variable Name: CSPVERF_A
Question Text:

* Please verify the following information about the sample child before proceeding:
I have recorded [fill1: ALIAS of Sample Child]'s age as [fill2: Age of Sample Child] old. Is this correct?
* If respondent "refuses" or says "don't know", enter "1" for "yes".

1 Yes
2 No

Universe Text: Respondent verified child's sex
Skip Instructions:

(1) goto CSPVERF_D
(2) goto NEWAGE

[p.4]

Question ID: : CID.043_00.000

Instrument Variable Name: NEWAGE
Question Text:

How old is [fill1: ALIAS of Sample Child]?
* If age given in months, weeks, or days, convert age to appropriate year. If less than one year old, enter "0".
000-120 Age in years

Universe Text: Respondent said child's age is not correct
Skip Instructions:

(0-120, Refused, Don't know)
if NEWAGE = 'Refused' or NEWAGE = 'Don't know' or NEWAGE = AGE
reset CSPVERF_A
goto ERR_NEWAGE
else
store NEWAGE in AGE
goto NEWDOB_M

Question ID: : CID.044_00.000

Instrument Variable Name: CSPVERF_D
Question Text:

* Please verify the following information about the sample child before proceeding:
I have recorded [fill1: ALIAS of Sample Child]'s birthday as [fill2: Birthday of Sample Child]. Is this correct?
* If respondent "refuses" or says "don't know", enter "1" for "yes".

1 Yes
2 No

Universe Text: Respondent verified child's sex
Skip Instructions:

(1) if AGE of Sample Child ge '18'
goto CNoMORE
else
goto child.chs.BWGT_LB
endif
(2) goto NEWDOB_M

[p.5]

Question ID: : CID.046_01.000

Instrument Variable Name: NEWDOB_M
Question Text:

1 of 3
What is [fill: ALIAS of Sample Child]'s birthday?
*Enter month of birth.

1 January
2 February
3 March
4 April
5 May
6 June
7 July
8 August
9 September
10 October
11 November
12 December

Universe Text: Respondent said child's date of birth is not correct or child's age is not correct
Skip Instructions:

(01-12, Refused, Don't know) goto NEWDOB_D

Question ID: : CID.046_02.000

Instrument Variable Name: NEWDOB_D
Question Text:

2 of 3
* Enter day of birth.
01- 31 Day of the month

Universe Text: Respondent said child's date of birth is not correct or child's age is not correct
Skip Instructions:

(01-31,Refused,Don't know) goto NEWDOB_Y_
If days not valid, goto ERR_NEWDOB_D_

[p.6]

Question ID: : CID.046_03.000

Instrument Variable Name: NEWDOB_Y
Question Text:

3 of 3
* Enter year of birth.
1 8 80 - 2 02 0 Year of birth

Universe Text: Respondent said child's date of birth is not correct or child's age is not correct
Skip Instructions:

(1880-2020, Refused, Don't know) if CSPVERF_A = '2' (No) then reset CSPVERF_A to empty
goto CSPVERF_A
elseif CSPVERF_D = '2' (No) then reset CSPVERF_D to empty
goto CSPVERF_D
endif
(if year GT current year) or (if year = current year and month GT current month) or (if year = current year and
month = current month and day GT current day)
goto ERR1_NEWDOB_Y
endif
(if birth month = '02' and birth day = '29' and this is not a leap year)
goto ERR2_NEWDOB_Y
endif
(if NEWDOB_M = 'Ref' or 'DK') or (if NEWDOB_D = 'Ref' or 'DK') or (if NEWDOB_Y = 'Ref' or 'DK')
goto ERR3_NEWDOB_Y
else
store NEWDOB_M in DOBM
store NEWDOB_D in DOBD
store NEWDOB_Y in DOBY
if CSPVERF_A = '2' (No) then reset CSPVERF_A to empty
goto CSPVERF_A
elseif CSPVERF_D = '2' (No) then reset CSPVERF_D to empty
goto CSPVERF_D
endif
endif
Calculate age from NEWDOB_M, NEWDOB_D, and NEWDOB_Y.
if age from NEWDOB items is ne AGE and age from NEWDOB items is valid
reset CSPVERF_A or CSPVERF_D
goto ERR4_NEWDOB_Y
endif

[p.1]

2007 NHIS Questionnaire - Child CAM
Child Alternative Health/Complementary And Alternative Medicine

Question ID: : CAL.010_00.000

Instrument Variable Name: CAC_USEM
Question Text:

(book) CAL1 ?[F1]
Now I am going to ask you about some health services [fill: S.C. name] may have used. First I will ask you about some
specific services for which [fill: he/she] would have seen a practitioner. Then I will ask you about some other health
practices [fill: he/she] may have done on [fill: his/her] own.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies? Please say yes or no to each.
...Acupuncture (AK-you-punk-chur)?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CAY_USEM]

Question ID: : CAL.020_00.000

Instrument Variable Name: CAY_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Ayurveda (eye-yur-VAY-duh)?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CBI_USEM]

[p.2]

Question ID: : CAL.030_00.000

Instrument Variable Name: CBI_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Biofeedback?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CCH_USEM]

Question ID: : CAL.040_00.000

Instrument Variable Name: CCH_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Chelation (key-LAY-shun) Therapy?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CCO_USEM]

[p.3]

Question ID: : CAL.050_00.000

Instrument Variable Name: CCO_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Chiropractic (kye-row-PRAK-tik) or Osteopathic Manipulation?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CEH_USEM]

Question ID: : CAL.060_00.000

Instrument Variable Name: CEH_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Energy Healing Therapy?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CHY_USEM]

[p.4]

Question ID: : CAL.070_00.000

Instrument Variable Name: CHY_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Hypnosis?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CMS_USEM]

Question ID: : CAL.080_00.000

Instrument Variable Name: CMS_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Massage?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CNT_USEM]

[p.5]

Question ID: : CAL.090_00.000

Instrument Variable Name: CNT_USEM
Question Text:

(book) CAL1 ?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a provider or practitioner for any of the following
therapies?
...Naturopathy (nay-chur-AH-puh-thee)?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

*Cy cle through list of modalities to determine follow-up questions.
(1,2,R,D) if CAC_USEM = 1 [goto CAC_TRET];
else if CAY_USEM = 1 [goto CAY_TRET];
else if CBI_USEM = 1 [goto CBI_TRET];
else if CCH_USEM = 1[goto CCH_TRET];
else if CCO_USEM = 1 [goto CCO_TRET];
else if CEH_USEM = 1 [goto CEH_TRET];
else if CHY_USEM = 1 [goto CHY_TRET];
else if CMS_USEM = 1 [goto CMS_TRET];
else if CNT_USEM = 1 [goto CNT_TRET];
else [goto TRD]

Question ID: : CAL.100_00.000

Instrument Variable Name: CAC_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use acupuncture for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for acupuncture in the past 12 months
Skip Instructions:

(1) [goto CAC_COND] (2,R,D) cycle through modalities, if CAY_USEM = 1 [goto CAY_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.6]

Question ID: : CAL.105_00.000

Instrument Variable Name: CAC_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use acupuncture?
*Enter all that apply, separate with commas.

01 Abdominal pain
02 Acid reflux or heartburn
03 Allergies other than hay fever, respiratory allergies, food or digestive allergies, or skin allergies
04 Anemia
05 Anxiety or stress
06 Arthritis
07 Asthma
08 Attention Deficit Hyperactivity Disorder (ADHD)/Attention Deficit Disorder (ADD)
09 Autism
10 Back or neck pain
11 Cancer
12 Cerebral palsy
13 Chickenpox
14 Congenital heart disease
15 Cystic fibrosis
16 Depression
17 Diabetes
18 Down syndrome
19 Eczema or skin allergy
20 Fatigue or lack of energy
21 Fever
22 Food or digestive allergy
23 Frequent or repeated diarrhea or colitis
24 Migraine headaches
25 Gum disease
26 Hay Fever
27 Head or chest cold
28 Hearing problem
29 Incontinence, including bed wetting
30 Influenza or pneumonia
31 Insomnia or trouble sleeping
32 Lung or breathing problem, other than Asthma
33 Mental Retardation
34 Menstrual problems
35 Muscular dystrophy
36 Nausea and/or vomiting
37 Neurological problems
38 Other chronic pain
39 Other developmental delay
40 Other heart condition
41 Phobia or fears
42 Problems with being overweight
43 Non-migraine headaches
44 Recurring constipation
45 Respiratory allergy
46 Seizures
47 Severe acne
48 Sickle cell anemia
49 Sinusitis
50 Skin problems other than eczema, acne, or warts
51 Sore throat other than strep or tonsillitis
52 Strep throat or tonsillitis
53 Stuttering or stammering
54 Three or more ear infections
55 Urinary problems, including urinary tract infection
56 Vision problem
57 Warts
58 Other specify
97 Refused
99 Don't know

Universe Text: Sample children LT 18 who used acupuncture for a problem or condition
Skip Instructions:

(1-57,R,D) Cycle through modalities, if CAY_USEM = 1 [goto CAY_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CAC_SPEC]

Question ID: : CAL.106_00.000

Instrument Variable Name: CAC_SPEC
Question Text:

*Enter condition for which acupuncture was used. If respondent gives more than one condition, probe for condition most
important for using acupuncture.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used acupuncture for other problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CAY_USEM = 1 [goto CAY_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.110_00.000

Instrument Variable Name: CAY_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use ayurveda for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for ayurveda in the past 12 months
Skip Instructions:

(1) [goto CAY_COND] (2,R,D) cycle through modalities, if CBI_USEM = 1 [goto CBI_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.8]

Question ID: : CAL.115_00.000

Instrument Variable Name: CAY_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use ayurveda?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who used ayurveda for a problem or condition
Skip Instructions:

(1-57,R,D) Cycle through modalities, if CBI_USEM = 1 [goto CBI_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CAY_SPEC]

Question ID: : CAL.116_00.000

Instrument Variable Name: CAY_SPEC
Question Text:

*Enter condition for which ayurveda was used. If respondent gives more than one condition, probe for condition most
important for using ayurveda.
97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used ayurveda for other problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CBI_USEM = 1 [goto CBI_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.120_00.000

Instrument Variable Name: CBI_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use biofeedback for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for biofeedback in the past 12 months
Skip Instructions:

(1) [goto CBI_COND] (2,R,D) cycle through modalities, if CCH_USEM = 1 [goto CCH_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.10]

Question ID: : CAL.125_00.000

Instrument Variable Name: CBI_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use biofeedback?
*Enter all that apply, separate with commas.

01 Abdominal pain
02 Acid reflux or heartburn
03 Allergies other than hay fever, respiratory allergies, food or digestive allergies, or skin allergies
04 Anemia
05 Anxiety or stress
06 Arthritis
07 Asthma
08 Attention Deficit Hyperactivity Disorder (ADHD)/Attention Deficit Disorder (ADD)
09 Autism
10 Back or neck pain
11 Cancer
12 Cerebral palsy
13 Chickenpox
14 Congenital heart disease
15 Cystic fibrosis
16 Depression
17 Diabetes
18 Down syndrome
19 Eczema or skin allergy
20 Fatigue or lack of energy
21 Fever
22 Food or digestive allergy
23 Frequent or repeated diarrhea or colitis
24 Migraine headaches
25 Gum disease
26 Hay Fever
27 Head or chest cold
28 Hearing problem
29 Incontinence, including bed wetting
30 Influenza or pneumonia
31 Insomnia or trouble sleeping
32 Lung or breathing problem, other than Asthma
33 Mental Retardation
34 Menstrual problems
35 Muscular dystrophy
36 Nausea and/or vomiting
37 Neurological problems
38 Other chronic pain
39 Other developmental delay
40 Other heart condition
41 Phobia or fear
42 Problems with being overweight
43 Non-migraine headaches
44 Recurring constipation
45 Respiratory allergy
46 Seizures
47 Severe acne
48 Sickle cell anemia
49 Sinusitis
50 Skin problems other than eczema, acne, or warts
51 Sore throat other than strep or tonsillitis
52 Strep throat or tonsillitis
53 Stuttering or stammering
54 Three or more ear infections
55 Urinary problems, including urinary tract infection
56 Vision problem
57 Warts
58 Other specify
97 Refused
99 Don't know

Universe Text: Sample children LT 18 who used biofeedback for a problem or condition
Skip Instructions:

(1-57,R,D) Cycle through modalities, if CCH_USEM = 1 [goto CCH_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CBI_SPEC]

Question ID: : CAL.126_00.000

Instrument Variable Name: CBI_SPEC
Question Text:

*Enter condition for which biofeedback was used. If respondent gives more than one condition, probe for condition most
important for using biofeedback.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used biofeedback for other problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CCH_USEM = 1 [goto CCH_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.130_00.000

Instrument Variable Name: CCH_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use chelation therapy for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for chelation therapy in the past 12 months
Skip Instructions:

(1) [goto CCH_COND] (2,R,D) cycle through modalities, if CCO_USEM = 1 [goto CCO_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.12]

Question ID: : CAL.135_00.000

Instrument Variable Name: CCH_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use chelation therapy?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who used chelation therapy for a problem or condition
Skip Instructions:

(1-57,R,D) Cycle through modalities, if CCO
_USEM = 1 [goto CCO_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CCH_SPEC]

Question ID: : CAL.136_00.000

Instrument Variable Name: CCH_SPEC

Question Text:

*Enter condition for which chelation therapy was used. If respondent gives more than one condition, probe for condition most important for using chelation therapy.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used chelation therapy for othe
r problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CCO_USEM = 1 [goto CCO_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.140_00.000

Instrument Variable Name: CCO_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use chiropractic or osteopathic manipulation for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for chiropractic or osteopathic manipulation in the
past 12 months
Skip Instructions:

(1) [goto CCO_COND] (2,R,D) cycle through modalities, if CEH_USEM = 1 [goto CEH_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.14]

Question ID: : CAL.145_00.000

Instrument Variable Name: CCO_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use chiropractic or
osteopathic manipulation?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who used chiropractic or osteopathic manipulation for a problem or condition
Skip Instructions:

(1-57,R,D) Cycle through modalities, if CEH_USEM = 1 [goto CEH_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CCO_SPEC]

Question ID: : CAL.146_00.000

Instrument Variable Name: CCO_SPEC
Question Text:

*Enter condition for which chiropractic or osteopathic manipulation was used. If respondent gives more than one
condition, probe for condition most important for using chiropractic or osteopathic manipulation.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used chiropractic or osteopathic manipulation for other problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CEH_USEM = 1 [goto CEH_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.150_00.000

Instrument Variable Name: CEH_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use energy healing therapy for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for energy healing therapy in the past 12 months
Skip Instructions:

(1) [goto CEH_COND] (2,R,D) cycle through modalities, if CHY_USEM = 1 [goto CHY_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.16]

Question ID: : CAL.155_00.000

Instrument Variable Name: CEH_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use energy healing
therapy?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who used energy healing therapy for a problem or condition
Skip Instructions:

(
1-57,R,D) Cycle through modalities, if CHY_USEM = 1 [goto CHY_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CEH_SPEC]

Question ID: : CAL.156_00.000

Instrument Variable Name: CEH_SPEC
Question Text:

*Enter condition for which energy healing therapy was used. If respondent gives more than one condition, probe for
condition most important for using energy healing therapy.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used energy healing therapy for other problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CHY_USEM = 1 [goto CHY_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.160_00.000

Instrument Variable Name: CHY_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use hypnosis for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for hypnosis in the past 12 months
Skip Instructions:

(1) [goto CHY_COND] (2,R,D) cycle through modalities, if CMS_USEM = 1 [goto CMS_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.18]

Question ID: : CAL.165_00.000

Instrument Variable Name: CHY_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use hypnosis?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who used hypnosis for a problem or condition
Skip Instructions:

(1-57,R,D) Cycle through modalities, if CMS_USEM = 1 [goto CMS_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CHY_SPEC]

Question ID: : CAL.166_00.000

Instrument Variable Name: CHY_SPEC
Question Text:

*Enter condition for which hypnosis was used. If respondent gives more than one condition, probe for condition most
important for using hypnosis.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used hypnosis for other problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CMS_USEM = 1 [goto CMS_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.170_00.000

Instrument Variable Name: CMS_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use massage for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for massage in the past 12 months
Skip Instructions:

(1) [goto CMS_COND] (2,R,D) cycle through modalities, if CNT_USEM = 1 [goto CNT_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

[p.20]

Question ID: : CAL.175_00.000

Instrument Variable Name: CMS_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use massage?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who used massage for a problem or condition
Skip Instructions:

(1-57,R,D) Cycle through modalities, if CNT_USEM = 1 [goto CNT_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]
(58) [goto CMS_SPEC]

Question ID: : CAL.176_00.000

Instrument Variable Name: CMS_SPEC
Question Text:

*Enter condition for which massage was used. If respondent gives more than one condition, probe for condition most
important for using massage.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used massage for other problem or condition
Skip Instructions:

(allow 75,R,D) Cycle through modalities, if CNT_USEM = 1 [goto CNT_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]

Question ID: : CAL.180_00.000

Instrument Variable Name: CNT_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill: S.C. name] use naturopathy for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have seen a provider or practitioner for naturopathy in the past 12 months
Skip Instructions:

(1) [goto CNT_COND] (2,R,D) [goto TRD]

[p.22]

Question ID: : CAL.185_00.000

Instrument Variable Name: CNT_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use naturopathy?
*Enter all that apply, separate with commas.

01 Abdominal pain
02 Acid reflux or heartburn
03 Allergies other than hay fever, respiratory allergies, food or digestive allergies, or skin allergies
04 Anemia
05 Anxiety or stress
06 Arthritis
07 Asthma
08 Attention Deficit Hyperactivity Disorder (ADHD)/Attention Deficit Disorder (ADD)
09 Autism
10 Back or neck pain
11 Cancer
12 Cerebral palsy
13 Chickenpox
14 Congenital heart disease
15 Cystic fibrosis
16 Depression
17 Diabetes
18 Down syndrome
19 Eczema or skin allergy
20 Fatigue or lack of energy
21 Fever
22 Food or digestive allergy
23 Frequent or repeated diarrhea or colitis
24 Migraine headaches
25 Gum disease
26 Hay Fever
27 Head or chest cold
28 Hearing problem
29 Incontinence, including bed wetting
30 Influenza or pneumonia
31 Insomnia or trouble sleeping
32 Lung or breathing problem, other than Asthma
33 Mental Retardation
34 Menstrual problems
35 Muscular dystrophy
36 Nausea and/or vomiting
37 Neurological problems
38 Other chronic pain
39 Other developmental delay
40 Other heart condition
41 Phobia or fear
42 Problems with being overweight
43 Non-migraine headaches
44 Recurring constipation
45 Respiratory allergy
46 Seizures
47 Severe acne
48 Sickle cell anemia
49 Sinusitis
50 Skin problems other than eczema, acne, or warts
51 Sore throat other than strep or tonsillitis
52 Strep throat or tonsillitis
53 Stuttering or stammering
54 Three or more ear infections
55 Urinary problems, including urinary tract infection
56 Vision problem
57 Warts
58 Other specify
97 Refused
99 Don't know

Universe Text: Sample children LT 18 who used naturopathy for a problem or condition
Skip Instructions:

(1-57,R,D) [goto TRD]
(58) [goto CNT_SPEC]

Question ID: : CAL.186_00.000

Instrument Variable Name: CNT_SPEC
Question Text:

*Enter condition for which naturopathy was used. If respondent gives more than one condition, probe for condition most
important for using naturopathy.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who used naturopathy for other problem or condition
Skip Instructions:

(allow 75,R,D) [goto TRD]

Question ID: : CAL.190_00.000

Instrument Variable Name: TRD
Question Text:

(book) CAL2 ?[F1]
DURING THE PAST 12 MONTHS, did [fill: S.C name] see any of the following practitioners for health reasons?
*Enter all that apply, separate with commas.

00 None
01 Curandero
02 Espiritista
03 Hierbero or Yerbera
04 Shaman
05 Botanica
06 Native American Healer/Medicine man
07 Sobador
97 Refused
99 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1-7) [goto CTR_TRET]; (0,R,D) [goto MOV_FELD]

[p.24]

Question ID: : CAL.195_00.000

Instrument Variable Name: CTR_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill1: S.C name] see [fill2: a Curandero (kuhr-ran-DEH-roh)/an Espiritista (esp-
ee-ree-TEE-sta)/a Hierbero (yair-BAIR-roe) or Yerbera (yehr-BEH-ra)/a Shaman (SHAH-man)/a Botanica (boh-TAN-ik-
ah)/a Native American Healer/Medicine Man/a Sobador (soh-bah-DOOR)] for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who saw a traditional practitioner during the past 12 months
Skip Instructions:

(1) [goto CTR_COND] (2,R,D) [goto MOV_FELD]

[p.25]

Question ID: : CAL.200_00.000

Instrument Variable Name: CTR_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill1: S.C. name] see [fill2: a
Curandero/an Espiritista/a Hierbero or Yerbera/a Shaman/a Botanica/a Native American Healer/Medicine Man/a
Sobador]?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who saw a traditional practitioner for a problem or condition
Skip Instructions:

(1-57,R,D) [goto MOV_FELD]
(58) [goto CTR_SPEC]

Question ID: : CAL.201_00.000

Instrument Variable Name: CTR_SPEC
Question Text:

*Enter condition for which traditional healer(s) was used. If respondent gives more than one condition, probe for
condition most important for using traditional healer(s).

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who saw a traditional practitioner for other problem or condition
Skip Instructions:

(allow 75,R,D) [goto MOV_FELD]

Question ID: : CAL.205_00.000

Instrument Variable Name: MOV_FELD
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a practitioner or teacher for any of the following movement
techniques? Please say yes or no to each.
...Feldenkreis (FELL-den-krice)?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto MOV_ALEX]

[p.27]

Question ID: : CAL.210_00.000

Instrument Variable Name: MOV_ALEX
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a practitioner or teacher for any of the following movement
techniques?
...Alexander Technique?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto MOV_PIL]

Question ID: : CAL.215_00.000

Instrument Variable Name: MOV_PIL
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a practitioner or teacher for any of the following movement
techniques?
...Pilates (pi-LAH-teez)?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto MOV_TRAG]

[p.28]

Question ID: : CAL.220_00.000

Instrument Variable Name: MOV_TRAG
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] see a practitioner or teacher for any of the following movement
techniques?
...Trager (TRAY-gur) Psychophysical Integration?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) if MOV_FELD=1 or MOV_ALEX=1 or MOV_PIL=1 or MOV_TRAG=1
[goto CMV_TRET]; else [goto CHB_USEM]

Question ID: : CAL.225_00.000

Instrument Variable Name: CMV_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill1: S.C. name] use [fill2: Feldenkreis/Alexander Technique/Pilates/Trager
Psychophysical Integration] for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have used movement technique in the past 12 months
Skip Instructions:

(1) [goto CMV_COND] (2,R,D) [goto CHB_USEM]

[p.29]

Question ID: : CAL.230_00.000

Instrument Variable Name: CMV_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C name] use [fill2:
Feldenkreis/Alexander Technique/Pilates/ Trager Psychophysical Integration]?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used movement technique for a specific health problem or condition
Skip Instructions:

(1-57,R,D) [goto CHB_USEM]
(58) [goto CMV_SPEC]

Question ID: : CAL.231_00.000

Instrument Variable Name: CMV_SPEC
Question Text:

*Enter condition for which movement technique(s) was used. If respondent gives more than one condition, probe for
condition most important for using movement technique(s).

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used movement technique for other problem or condition
Skip Instructions:

(allow 75,R,D) [goto CHB_USEM]

Question ID: : CAL.235_00.000

Instrument Variable Name: CHB_USEM
Question Text:

(book) CAL3 ?[F1]
Now I am going to ask you about some additional health practices for your child. The first practice I'll ask about is herbal
supplements, then later I'll ask about vitamins and minerals.
People use herbs and other non-vitamin supplements for their children for a variety of reasons. By herbal supplement we
mean pills, capsules or tablets that have been labeled as a dietary supplement. This does NOT include drinking herbal or
green tea.
DURING THE PAST 12 MONTHS, has [S.C. name] taken any herbal supplements listed on this card?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1) [goto CHERB_MO]; (2,R,D) [goto CVT_USEM]

[p.31]

Question ID: : CAL.240_00.000

Instrument Variable Name: CHERB_MO
Question Text:

(book) CAL3
DURING THE PAST 30 DAYS did [fill: S.C. name] take any herbal supplements listed on this card?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken herbal supplements in the past 12 months
Skip Instructions:

(1) [goto CHRBTAKE] (2,R,D) [goto CVT_USEM]

[p.32]

Question ID: : CAL.245_00.000

Instrument Variable Name: CHRBTAKE
Question Text:

(book) CAL3
Please tell me which supplements [S.C. name] took in the past 30 days. If [fill: he/she] took more than one herb in a
single supplement, select "combination herb pill."
*Enter all that apply, separate with commas.

01 Combination herb pill
02 Androstenedione
03 Black cohosh
04 Carnitine
05 Chasteberry
06 Chondroitin
07 Coenzyme Q-10
08 Comfrey
09 Conjugated Linolenic Acid (CAL)
10 Cranberry (pills, gelcaps)
11 Creatine
12 DHEA
13 Echinacea
14 Ephedra
15 Evening primrose
16 Feverfew
17 Fiber or Psyllium (pills or powder)
18 Fish oil or omega 3 or DHA fatty acid supplements
19 Flaxseed oil or pills
20 Garlic supplements (pills, gelcaps)
21 Ginger pills or gelcaps
22 Ginkgo biloba
23 Ginseng
24 Glucosamine
25 Goldenseal
26 Guarana
27 Grape seed extract
28 Green tea pills (not brewed tea)
29 EGCG (pills)
30 Hawthorn
31 Horny goat weed
32 Kava kava
33 Lecithin
34 Lutein
35 Lycopene
36 Melatonin
37 MSM (Methylsulfonylmethane)
38 Milk thistle
39 Prebiotics or Probiotics
40 SAM-e
41 Saw palmetto
42 Senna
43 Soy supplements or soy isoflavones
44 St. John wort
45 Valerian
97 Refused
99 Don't know

Universe Text: Sample children LT 18 who have taken herbal supplements in the past 30 days
Skip Instructions:

(1-45) if more than 2 herbs chosen [goto CHB_TOP2]; else [goto CHB_TRT1];
(R,D) [goto CHB_SPRT]

[p.34]

Question ID: : CAL.250_00.000

Instrument Variable Name: CHB_TOP2
Question Text:

Which TWO of these herbal supplements did [fill: S.C. name] take the most in the PAST 30 DAYS?
*Enter two answers, separate with comma.
*If respondent cannot choose two herbs used most often, probe for the two most important for health.

Universe Text: Sample children LT 18 who have taken more than 2 herbs in the past 30 days
Skip Instructions:

If only one answer entered, goto ERR_CHB_TOP2
else (1-45) First herb chosen [goto CHB_TRT1]; (R,D) [goto CHB_SPRT]

Question ID: : CAL.255_00.000

Instrument Variable Name: CHB_TRT1
Question Text:

Did [fill: S.C. name] take [fill2: herb] to treat a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken one or more herbal supplements in the past 30 days
Skip Instructions:

(1) [goto CHB_CON1]; (2, R, D) if CHRBTAKE=1 herb [goto CHB_SPRT], else [goto CHB_TRT2]

[p.36]

Question ID: : CAL.260_00.000

Instrument Variable Name: CHB_CON1
Question Text:

?[F1]
For what specific health problems or conditions did [fill: S.C. name] take [fill2: herb]?
*Enter all that apply, separate with commas.

01 Abdominal pain
02 Acid reflux or heartburn
03 Allergies other than hay fever, respiratory allergies, food or digestive allergies, or skin allergies
04 Anemia
05 Anxiety or stress
06 Arthritis
07 Asthma
08 Attention Deficit Hyperactivity Disorder (ADHD)/Attention Deficit Disorder (ADD)
09 Autism
10 Back or neck pain
11 Cancer
12 Cerebral palsy
13 Chickenpox
14 Congenital heart disease
15 Cystic fibrosis
16 Depression
17 Diabetes
18 Down syndrome
19 Eczema or skin allergy
20 Fatigue or lack of energy
21 Fever
22 Food or digestive allergy
23 Frequent or repeated diarrhea or colitis
24 Migraine headaches
25 Gum disease
26 Hay Fever
27 Head or chest cold
28 Hearing problem
29 Incontinence, including bed wetting
30 Influenza or pneumonia
31 Insomnia or trouble sleeping
32 Lung or breathing problem, other than Asthma
33 Mental Retardation
34 Menstrual problems
35 Muscular dystrophy
36 Nausea and/or vomiting
37 Neurological problems
38 Other chronic pain
39 Other developmental delay
40 Other heart condition
41 Phobia or fears
42 Problems with being overweight
43 Non-migraine headaches
44 Recurring constipation
45 Respiratory allergy
46 Seizures
47 Severe acne
48 Sickle cell Anemia
49 Sinusitis_
50 Skin problems other than eczema, acne, or warts
51 Sore throat other than strep or tonsillitis
52 Strep throat or tonsillitis
53 Stuttering or stammering
54 Three or more ear infections
55 Urinary problems, including urinary tract infection
56 Vision problem
57 warts
58 Other specify
97 Refused
99 Don't know

Universe Text: Sample children LT 18 who have used at least one herb to treat a specific health problem or condition.
Skip Instructions:

(1-57, R, D) if CHRBTAKE = 1 herb [goto CHB_SPRT], else [goto CHB_TRT2]; (58) [goto CHB_SPC1].

Question ID: : CAL.261_00.000

Instrument Variable Name: CHB_SPC1
Question Text:

*Enter condition for which herb was used. If respondent gives more than one condition, probe for condition most important for using herb.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used herb(s) to treat other problem or condition
Skip Instructions:

(allow 75,R,D) if more than 1 herb [goto CHB_TRT2]; else [goto CHB_SPRT]

Question ID: : CAL.265_00.000

Instrument Variable Name: CHB_TRT2
Question Text:

Did [fill: S.C. name] take [fill2: 2nd herb of two] to treat a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken at least two herbs in the past 30 days.
Skip Instructions:

(1) [goto CHB_CON2]; (2,R,D) [goto CHB_SPRT]

[p.38]

Question ID: : CAL.270_00.000

Instrument Variable Name: CHB_CON2
Question Text:

?[F1]
For what specific health problems or conditions did [fill: S.C. name] take [fill2: herb]?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used at least two herbs, and who have used selected herb to treat a specific health
problem or condition.
Skip Instructions:

(1-57,R,D) [goto CHB_SPRT]; (58) [CHB_SPC2]

Question ID: : CAL.271_00.000

Instrument Variable Name: CHB_SPC2
Question Text:

*Enter condition for which herb was used. If respondent gives more than one condition, probe for condition most important for using herb.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used herb(s) to treat other problem or condition
Skip Instructions:

(allow 75,R,D) [goto CHB_SPRT]

Question ID: : CAL.285_00.000

Instrument Variable Name: CHB_SPRT
Question Text:

(book) CAL3
DURING THE PAST 30 DAYS, did [fill: S.C. name] take any natural herbs listed on this card to improve athletic or sports performance?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken herbal supplements in the past 30 days
Skip Instructions:

(1) [goto CHB_SPHB] (2,R,D) [goto CVT_USEM]

[p.40]

Question ID: : CAL.290_00.000

Instrument Variable Name: CHB_SPHB
Question Text:

(book) CAL3
Which herbs did [fill: S.C. name] take to improve athletic or sports performance?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used herbs to improve athletic or sports performance
Skip Instructions:

(1-45,R,D) [goto CVT_USEM]

Question ID: : CAL.295_00.000

Instrument Variable Name: CVT_USEM
Question Text:

(book) CAL4
The next questions are about any vitamins and minerals [fill: S.C. name] might take.
DURING THE PAST 12 MONTHS, did [fill: S.C. name] take any vitamins or minerals listed on t his card?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18_
Skip Instructions:

(1) [goto CVIT_MO]; (2,R,D) [goto HOM]

Question ID: : CAL.300_00.000

Instrument Variable Name: CVIT_MO
Question Text:

(book) CAL4
DURING THE PAST 30 DAYS did [fill: S.C. name] take any vitamins or minerals listed on this card?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken vitamins or minerals in the past 12 months
Skip Instructions:

(1) [goto CVITTAKE] (2,R,D) [goto HOM]

[p.42]

Question ID: : CAL.305_00.000

Instrument Variable Name: CVITTAKE
Question Text:

(book) CAL4
Please tell me which items on this list [fill: S.C. name] took in the past 30 days. If [fill: he/she] takes a multi-vitamin or
mineral, include it as one supplement.
*Enter all that apply, separate with commas.

01 Multivitamin and/or mineral combination
02 Calcium
03 Chromium
04 Coral calcium
05 Folic acid/folate
06 Iron
07 Magnesium
08 Niacin
09 Potassium
10 Selenium
11 Vitamin A
12 Vitamin B complex
13 Vitamin B6
14 Vitamin B12
15 Vitamin C
16 Vitamin D
17 Vitamin E
18 Vitamin K
19 Zinc
20 Vitamin packet
97 Refused
99 Don't know

Universe Text: Sample children LT 18 who have taken vitamins or minerals in the past 30 days
Skip Instructions:

(1-20) if more than 2 vitamins chosen [goto CVT_TOP2]; else if one or two chosen [goto CVT_TRT1]; (R,D) [goto CVT_SPRT]

[p.43]

Question ID: : CAL.310_00.000

Instrument Variable Name: CVT_TOP2
Question Text:

Which TWO of these vitamin supplements did [fill: S.C. name] take the most in the PAST 30 DAYS?
*Enter two answers, separate with comma.
*If respondent cannot choose two vitamins/minerals used most often, probe for the two most important for health.

Universe Text: Sample children LT 18 who have taken more than 2 vitamins in the past 30 days
Skip Instructions:

If only one answer entered, goto ERR_CVT_TOP2_
else (1-20) First vitamin chosen [goto CVT_TRT1];
(R,D) [goto CVT_SPRT]

Question ID: : CAL.320_00.000

Instrument Variable Name: CVT_TRT1
Question Text:

Did [fill: S.C. name] take [fill2: vitamin/mineral] to treat a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken at least one vitamin or mineral in the past 30 days.
Skip Instructions:

(1) [goto CVT_CON1]
(2, R, D) if CVITTAKE=1 vitamin [goto CVT_SPRT], else [goto CVT_TRT2]

[p.44]

Question ID: : CAL.330_00.000

Instrument Variable Name: CVT_CON1
Question Text:

?[F1]
For what specific health problems or conditions did [fill: S.C. name] take [fill2: vitamin/mineral]?
*Enter all that apply, separate with commas.

01 Abdominal pain
02 Acid reflux or heartburn
03 Allergies other than hay fever, respiratory allergies, food or digestive allergies, or skin allergies
04 Anemia
05 Anxiety or stress
06 Arthritis
07 Asthma
08 Attention Deficit Hyperactivity Disorder (ADHD)/Attention Deficit Disorder (ADD)
09 Autism
10 Back or neck pain
11 Cancer
12 Cerebral palsy
13 Chickenpox
14 Congenital heart disease
15 Cystic fibrosis
16 Depression
17 Diabetes
18 Down syndrome
19 Eczema or skin allergy
20 Fatigue or lack of energy
21 Fever
22 Food or digestive allergy
23 Frequent or repeated diarrhea or colitis
24 Migraine headaches
25 Gum disease
26 Hay Fever
27 Head or chest cold
28 Hearing problem
29 Incontinence, including bed wetting
30 Influenza or pneumonia
31 Insomnia or trouble sleeping
32 Lung or breathing problem, other than Asthma
33 Mental Retardation
34 Menstrual problems
35 Muscular dystrophy
36 Nausea and/or vomiting
37 Neurological problems
38 Other chronic pain
39 Other developmental delay
40 Other heart condition
41 Phobia or fears
42 Problems with being overweight
43 Non-migraine headaches
44 Recurring constipation
45 Respiratory allergy
46 Seizures
47 Severe acne
48 Sickle cell Anemia
49 Sinusitis_
50 Skin problems other than eczema, acne, or warts
51 Sore throat other than strep or tonsillitis
52 Strep throat or tonsillitis
53 Stuttering or stammering
54 Three or more ear infections
55 Urinary problems, including urinary tract infection
56 Vision problem
57 warts
58 Other specify
97 Refused
99 Don't know

Universe Text: Sample children LT 18 who have used at least one vitamin or mineral to treat a specific health problem or condition
Skip Instructions:

(1-57,R,D) if CVITTAKE = 1 vitamin [goto CVT_SPRT], else [goto CVT_TRT2]; (58) [goto CVT_SPC1]

Question ID: : CAL.331_00.000

Instrument Variable Name: CVT_SPC1
Question Text:

*Enter condition for which vitamin/mineral was used. If respondent gives more than one condition, probe for condition
most important for using vitamin or mineral.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used vitamin(s) to treat other problem or condition
Skip Instructions:

(allow 75,R,D) if more than 1 vitamin [goto CVT_TRT2]; else [goto CVT_SPRT]

Question ID: : CAL.335_00.000

Instrument Variable Name: CVT_TRT2
Question Text:

Did [fill: S.C. name] take [fill2: 2nd vitamin/mineral of two] to treat a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken at least two vitamins or minerals in the past 30 days
Skip Instructions:

(1) [goto CVT_CON2] (2,R,D) [goto CVT_SPRT]

[p.40]

Question ID: : CAL.340_00.000

Instrument Variable Name: CVT_CON2
Question Text:

?[F1]
For what specific health problems or conditions did [fill: S.C. name] take [fill2: vitamin/mineral]?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used two or more vitamins or minerals, and who have used selected
vitamin/mineral to treat a specific health problem or condition.
Skip Instructions:

(1-57,R,D) [goto CVT_SPRT]; (58) [goto CVT_SPC2]

Question ID: : CAL.341_00.000

Instrument Variable Name: CVT_SPC2
Question Text:

*Enter condition for which vitamin/mineral was used. If respondent gives more than one condition, probe for condition
most important for using vitamin or mineral.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used vitamin(s) to treat other problem or condition
Skip Instructions:

(allow 75,R,D) [goto CVT_SPRT]

Question ID: : CAL.355_00.000

Instrument Variable Name: CVT_SPRT
Question Text:

(book) CAL4
DURING THE PAST 30 DAYS, did [fill: S.C. name] take any vitamins or minerals listed on this card to improve athletic
or sports performance?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have taken vitamins or minerals in the past 30 days
Skip Instructions:

(1) [goto CVT_SPVT] (2,R,D) [goto HOM]

[p.48]

Question ID: : CAL.360_00.000

Instrument Variable Name: CVT_SPVT
Question Text:

(book) CAL4
Which vitamins or minerals did [fill: S.C. name] take to improve athletic or sports performance?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used vitamins or minerals to improve athletic or sports performance
Skip Instructions:

(1-20,R,D) [goto HOM]

Question ID: : CAL.365_00.000

Instrument Variable Name: HOM
Question Text:

?[F1]
People who use homeopathy (hoh-mee-AH-puh-thee) to treat health problems take small pills or drops that are placed
under the tongue. These pills or drops are often prescribed by practitioners of homeopathy.
DURING THE PAST 12 MONTHS did [fill: S.C. name] use homeopathic (hoh-mee-oh-PA-thik) treatment?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1) [goto CHM_TRET] (2,R,D) [goto CDT_VEG]

[p.49]

Question ID: : CAL.370_00.000

Instrument Variable Name: CHM_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [S.C. name] use homeopathic treatment for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have used homeopathic treatment in the past 12 months
Skip Instructions:

(1) [goto CHM_COND] (2,R,D) [goto CDT_VEG]

[p.50]

Question ID: : CAL.375_00.000

Instrument Variable Name: CHM_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [fill: S.C. name] use homeopathic
treatment?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used homeopathic treatment to treat a specific problem or condition
Skip Instructions:

(1-57, R,D) [goto CDT_VEG];
(58) [goto CHM_SPEC].

Question ID: : CAL.376_00.000

Instrument Variable Name: CHM_SPEC
Question Text:

*Enter condition for which homeopathic treatment was used. If respondent gives more than one condition, probe for
condition most important for using homeopathic treatment.

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used homeopathic treatment to treat other problem or condition
Skip Instructions:

(allow 75,R,D) [goto CDT_VEG]

Question ID: : CAL.380_00.000

Instrument Variable Name: CDT_VEG
Question Text:

?[F1]
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following special diets for two weeks or more for
health reasons? Please say yes or no to each.
...Vegetarian?
*Include Vegan.

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CDT_MAC]

[p.52]

Question ID: : CAL.385_00.000

Instrument Variable Name: CDT_MAC
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following special diets for two weeks or more for
health reasons?
...Macrobiotic?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CDT_ATK]

Question ID: : CAL.390_00.000

Instrument Variable Name: CDT_ATK
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following special diets for two weeks or more for
health reasons?
...Atkins?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CDT_PRT]

[p.52]

Question ID: : CAL.395_00.000

Instrument Variable Name: CDT_PRT
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following special diets for two weeks or more for
health reasons?
...Pritikin?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CDT_ORN]

Question ID: : CAL.400_00.000

Instrument Variable Name: CDT_ORN
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following special diets for two weeks or more for
health reasons?
...Ornish?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CDT_ZON]

[p.54]

Question ID: : CAL.405_00.000

Instrument Variable Name: CDT_ZON
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following special diets for two weeks or more for
health reasons?
...Zone?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CDT_SB]

Question ID: : CAL.410_00.000

Instrument Variable Name: CDT_SB
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following special diets for two weeks or more for
health reasons?
...South Beach?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) if CDT_VEG=1 or CDT_MAC=1 or CDT_ATK=1 or CDT_PRT=1 OR CDT_ORN=1 or
CDT_ZON=1 or CDT_SB=1 [goto CDT_TRET]; else [goto CYOGA]

Question ID: : CAL.415_00.000

Instrument Variable Name: CDT_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill1: S.C. name] use [fill2: a Vegetarian/a Macrobiotic/an Atkins/a Pritikin/an
Ornish/a Zone/a South Beach] diet to treat a specific health problem or condition other than weight control or weight loss?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have used special diets in the past 12 months
Skip Instructions:

(1) [goto CDT_COND] (2,R,D) [goto CDT_WGHT]

[p.55]

Question ID: : CAL.420_00.000

Instrument Variable Name: CDT_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [S.C. name] use [fill2: a Vegetarian/a
Macrobiotic/an Atkins/a Pritikin/an Ornish/a Zone/a South Beach] diet?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used special diets to treat a specific health problem or condition
Skip Instructions:

(1-57,R,D) [goto CDT_WGHT]; (58) [goto CDT_SPEC]

Question ID: : CAL.421_00.000

Instrument Variable Name: CDT_SPEC
Question Text:

*Enter condition for which special diet(s) was used. If respondent gives more than one condition, probe for condition
most important for using special diet(s).

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used special diets to treat other problem or condition
Skip Instructions:

(allow 75,R,D) [goto CDT_WGHT]

Question ID: : CAL.422_00.000

Instrument Variable Name: CDT_WGHT
Question Text:

Did [fill: S.C. name] use [fill2: this diet/these diets] for weight control or weight loss?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have used special diets in the past 12 months
Skip Instructions:

(1, 2, R, D) [goto CYOGA]

[p.57]

Question ID: : CAL.425_00.000

Instrument Variable Name: CYOGA
Question Text:

?[F1]
DURING THE PAST 12 MONTHS did [S.C. name] practice any of the following? Please say yes or no to each.
...Yoga?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18_
Skip Instructions:

(1,2,R,D) [goto CTAICHI]

Question ID: : CAL.430_00.000

Instrument Variable Name: CTAICHI
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C name] practice any of the following?
...Tai Chi (tie-CHEE)?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CQIGONG]

Question ID: : CAL.435_00.000

Instrument Variable Name: CQIGONG
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C name] practice any of the following?
...Qi Gong (chee-KUNG)?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) if CYOGA=1 or CTAICHI=1 or CQIGONG=1 [goto CYG_TRET]; else [goto CRL_MED]

[p.58]

Question ID: : CAL.440_00.000

Instrument Variable Name: CYG_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill1: S.C. name] practice [fill2: Yoga/Tai Chi /Qi Gong] for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have used Yoga, Tai Chi or Qi Gong in the past 12 months
Skip Instructions:

(1) [goto CYG_COND] (2,R,D) [goto CRL_MED]

[p.59]

Question ID: : CAL.445_00.000

Instrument Variable Name: CYG_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [S.C. name] practice [fill2: Yoga/Tai Chi
/Qi Gong]?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used Yoga, Tai Chi or Qi Gong to treat a specific health problem or condition
Skip Instructions:

(1-57,R,D) [goto CRL_MED]; (58) [goto CYG_SPEC]

Question ID: : CAL.446_00.000

Instrument Variable Name: CYG_SPEC
Question Text:

*Enter condition for which Yoga/Tai Chi/Qi Gong was used. If respondent gives more than one condition, probe for
condition most important for using practice(s).

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used Yoga, Tai Chi or Qi Gong to treat other problem or condition
Skip Instructions:

(allow 75,R,D) [goto CRL_MED]

Question ID: : CAL.450_00.000

Instrument Variable Name: CRL_MED
Question Text:

?[F1]
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following relaxation or stress management
techniques? Please say yes or no to each.
...Meditation?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CRL_GI]

[p.61]

Question ID: : CAL.455_00.000

Instrument Variable Name: CRL_GI
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following relaxation or stress management techniques?
...Guided imagery?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CRL_PR]

Question ID: : CAL.460_00.000

Instrument Variable Name: CRL_PR
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following relaxation or stress management techniques?
...Progressive relaxation?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CRL_DBE]

Question ID: : CAL.465_00.000

Instrument Variable Name: CRL_DBE
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following relaxation or stress management techniques?
...Deep breathing exercises?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CRL_SG]

[p.62]

Question ID: : CAL.470_00.000

Instrument Variable Name: CRL_SG
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following relaxation or stress management techniques?
...Support group meetings?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) [goto CRL_SMC]

Question ID: : CAL.475_00.000

Instrument Variable Name: CRL_SMC
Question Text:

?[F1]
*Read if necessary.
DURING THE PAST 12 MONTHS did [S.C. name] use any of the following relaxation or stress management techniques?
...Stress management class?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18
Skip Instructions:

(1,2,R,D) if CRL_MED=1 or CRL_GI=1 or CRL_PR=1 or CRL_DBE=1 OR CRL_SG=1 or CRL_SMC=1 [goto
CRL_TRET]; else [goto next section]

Question ID: : CAL.480_00.000

Instrument Variable Name: CRL_TRET
Question Text:

DURING THE PAST 12 MONTHS, did [fill1: S.C. name] use [fill2: Meditation/Guided imagery/Progressive
relaxation/Deep breathing excercises/Support group meetings/Stress management class] for a specific health problem or condition?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children LT 18 who have used relaxation techniques in the past 12 months
Skip Instructions:

(1) [goto CRL_COND] (2,R,D) [goto next section]

[p.63]

Question ID: : CAL.485_00.000

Instrument Variable Name: CRL_COND
Question Text:

?[F1]
DURING THE PAST 12 MONTHS, for what health problems or conditions did [S.C. name] use [fill2:Meditation/Guided
imagery/Progressive relaxation, Deep breathing exercises/Support group meetings/Stress management class]?
*Enter all that apply, separate with commas.

Universe Text: Sample children LT 18 who have used relaxation techniques to treat a specific health problem or condition
Skip Instructions:

(1-57,R,D) [goto next section]; (58) [goto CRL_SPEC].

Question ID: : CAL.486_00.000

Instrument Variable Name: CRL_SPEC
Question Text:

*Enter condition for which relaxation technique(s) was used. If respondent gives more than one condition, probe for
condition most important for using relaxation technique(s).

97 Refused
99 Don't know
Verbatim Verbatim response

Universe Text: Sample children LT 18 who have used relaxation techniques to treat other problem or condition
Skip Instructions:

(allow 75,R,D) [goto next section]

Data Cart

Your data extract

0	variables
0	samples