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2012 NHIS Questionnaire - Family
Family Disability: Version 2
Document Version Date: 23-May-13
Question ID: FDB.020_00.000
Instrument Variable Name: P2DFHEAR
Question Text:
Question Text:
With this next set of questions, we want to learn about people who have physical, mental, or emotional conditions that cause serious difficulties with their daily activities. Though different, these questions may sound similar to ones I asked earlier.
[fill 1: Are you/Is ALIAS] deaf or [fill 2: do you/does ALIAS] have serious difficulty hearing?
[fill 1: Are you/Is ALIAS] deaf or [fill 2: do you/does ALIAS] have serious difficulty hearing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text: All persons age 1 or older and random number generator=2
Skip Instructions: (1,2,D,R) go to P2DFSEE
Skip Instructions: (1,2,D,R) go to P2DFSEE
Instrument Variable Name: P2DFSEE
Question Text:
Question Text:
[fill 1: Are you/Is ALIAS] blind or [fill 2: do you/does ALIAS] have serious difficulty seeing even when wearing glasses?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text: All persons age 1 or older
Skip Instructions: (1,2,D,R) if no more persons age 5 or older, goto next section; else go to P2DFCON
Skip Instructions: (1,2,D,R) if no more persons age 5 or older, goto next section; else go to P2DFCON
Instrument Variable Name: P2DFCON
Question Text:
Question Text:
Because of a physical, mental, or emotional condition, [fill 1: do you/does ALIAS] have serious difficulty concentrating, remembering, or making decisions?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text: All persons age 5 or older and random number generator=2
Skip Instructions: (1,2,D,R) go to P2DFWALK
Skip Instructions: (1,2,D,R) go to P2DFWALK
Instrument Variable Name: P2DFWALK
Question Text:
Question Text:
[fill 1: Do you/Does ALIAS] have serious difficulty walking or climbing stairs?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text: All persons age 5 or older and random number generator=2
Skip Instructions: (1,2,D,R) go to P2DFDRES
Skip Instructions: (1,2,D,R) go to P2DFDRES
Instrument Variable Name: P2DFDRES
Question Text:
Question Text:
[fill 1: Do you/Does ALIAS] have difficulty dressing or bathing?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text: All persons 5 or older
Skip Instructions: (1,2,D,R) if no more persons age 15 or older, go to next section; else go to P2DFERR
Skip Instructions: (1,2,D,R) if no more persons age 15 or older, go to next section; else go to P2DFERR
Instrument Variable Name: P2DFERR
Question Text:
Question Text:
Because of a physical, mental, or emotional condition, [fill 1: do you/does ALIAS] have difficulty doing errands alone such as visiting a doctor's office or shopping?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text: All persons 15 or older
Skip Instructions: (1,2,D,R) if no more persons age 1 or older, goto next section; else return to P2DFHEAR for next person age 1 or older
Skip Instructions: (1,2,D,R) if no more persons age 1 or older, goto next section; else return to P2DFHEAR for next person age 1 or older