Instrument Variable Name: TP1_DS1 Adult CAM
QuestionText:

[fill1: Not including the practitioner you saw for] [fill2: modality] DURING THE PAST 12 MONTHS, did you let your personal health care provider know about your use of [fill3: modality]?
*If practitioner for therapy is the same person as personal health care provider, enter '1'.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have used first of top three modalities and has a personal health care provider
SkipInstructions:

(1,R,D) [goto TP1_INF1]
(2) [goto TP1_DS2]

Instrument Variable Name: CTP1DS1
QuestionText:

[fill1: Not including the practitioner [fill: S.C. name] saw for] [fill2: modality] DURING THE PAST 12 MONTHS, did you let [fill S.C. name]'s personal health care provider know about [fill: his/her] use of [fill3: modality]?
*If practitioner for therapy is the same person as personal health care provider, enter '1'.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children 4+ who have used first of top three modalities and has a personal health care provider
SkipInstructions:

(1,R,D) [goto CTP1INF1]
(2) [goto CTP1DS2]

Instrument Variable Name: ACU_DISC
Question Text:

(book) ALT3 ?[F1]
DURING THE PAST 12 MONTHS, did you let any of these CONVENTIONAL medical professionals know about your
use of acupuncture?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+ who have seen a practitioner for acupuncture in past 12 months
Skip Instructions:

DURING THE PAST 12 MONTHS, did you let any of these CONVENTIONAL medical professionals know about your use of acupuncture?

FR: SHOW FLASHCARD A16

1. Medical Doctor (M.D.) (including specialists)
2. Nurse PractitionerIPhysician Assistant
3. Psychiatrist
4. Dentist (including specialists)

(1) Yes (ALT.012)
(2) No (go to Check Item ALTCCI3)
(3) Did not go/talk to any of these (go to Check Item ALTCCI3)
(7) Refused (go to Check Item ALTCCI3)
(9) Don't know (go to Check Item ALTCCI3)

Which ones?

FR: MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Yes
(2) No
(7) Refused
(9) Don't know

ACU_PROF1 Medical Doctor (M.D.) (including specialists)
ACU_PROF2 Nurse Practitioner/Physician Assistant
ACU_PROF3 Psychiatrist
ACU_PROF4 Dentist (including specialists)