Survey Text

2007
2002
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2007
Survey form view entire document:  text  image
Question ID: : ALT.036_00.000

Instrument Variable Name: ACU_COND
Question Text:
?[F1]
For what health problems or conditions did you use acupuncture?
*Enter all that apply, separate with commas.
01 Acid reflux or heartburn
02 Angina
03 Anxiety
04 Asthma
05 Arthritis
06 Attention Deficit Disorder/Hyperactivity
07 Autism
08 Benign tumors, cysts
09 Bipolar Disorder
10 Birth defect
11 Cancer
12 Cholesterol
13 Chronic Bronchitis
14 Circulation problems (other than in the legs)
15 Constipation severe enough to require medication
16 Coronary heart disease
17 Dementia, including Alzheimer's Disease
18 Dental pain
19 Depression
20 Diabetes
21 Emphysema
22 Excessive sleepiness during the day
23 Excessive use of alcohol or tobacco
24 Fibromyalgia
25 Fracture, bone/joint injury
26 Gout
27 Gum disease
28 Gynecologic problem
29 Hay fever
30 Hearing problem
31 Heart attack
32 Other heart condition or disease
33 Hernia
34 Hypertension
35 Inflammatory bowel disease
36 Influenza or pneumonia
37 Insomnia or trouble sleeping
38 Irritable bowel
39 Jaw pain
40 Joint pain or stiffness/other joint condition
41 Knee problems (not arthritis, not joint injury)
42 Liver problem
43 Lung/breathing problem (not already listed)
44 Lupus
45 Mania or psychosis
46 Memory loss or loss of other cognitive function
47 Menopause
48 Menstrual problems
49 Mental retardation
50 Missing limbs (fingers, toes or digits), amputee
51 Osteoporosis, tendinitis
52 Other developmental problem
53 Other injury
54 Other nerve damage, including carpal tunnel syndrome
55 Phobia or fears
56 Polio (myelitis), paralysis, para/quadriplegia
57 Poor circulation in legs
58 Prostate trouble or impotence
59 Regular headaches
60 Rheumatoid arthritis
61 Schizophrenia
62 Seizures
63 Senility
64 Sinusitis
65 Skin problems
66 Sprain or strain
67 Stroke
68 Substance abuse, other than alcohol or tobacco
69 Filled problem
70 Filled problem
71 Ulcer
72 Urinary problem
73 Varicose veins, hemorrhoids
74 Vision problem
75 Weak or failing kidneys
76 Weight problem
77 Back pain or problem
78 Head or chest cold
79 Neck pain or problem
80 Severe headache or migraine
81 Stomach or intestinal illness
82 Other - specify
97 Refused
99 Don't know
Universe Text: Sample adults 18+ who use acupuncture for a specific condition
Skip Instructions:
(1-81) If more than one condition selected, [goto ACU_MOST], elseif only one condition selected, [goto
ACU_MED],
(82) [goto ACU_SPEC]
(Refused,Don't know) goto ACU_ENG
Question ID: : ALT.037_00.000

Instrument Variable Name: ACU_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 adults 18+ who used acupucture to treat other health problem or condition
Skip Instructions:
(Allow 75) if more than one condition selected [goto ACU_MOST]; else if only one condition selected [goto
ACU_MED]
(R,D) [if more than one condition (1-81) selected [goto ACU_MOST]; elseif only one condition (1-81) selected
[goto ACU_MED]; else [goto ACU_ENG]

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2002
Survey form view entire document:  text  image
ALT.005

For what health problems or conditions did you use acupuncture?

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

(1) Yes
(2) No
(7) Refused
(9) Don't know
ACUCON01 (01) Allergic reaction to food
ACUCON02 (02) Allergic reaction to medication
ACUCON03 (03) Angina
ACUCON04 (04) Anxiety/depression
ACUCON05 (05) Arthritis, gout, lupus, or fibromyalgia
ACUCON06 (06) Asthma
ACUCON07 (07) Benign tumors, cysts
ACUCON08 (08) Birth defect
ACUCON09 (09) Bowel problems or constipation
ACUCON10 (10) Cancer
ACUCON11 (11) Cataracts
ACUCON12 (12) Cholesterol
ACUCON13 (13) Chronic bronchitis
ACUCON14 (14) Recurring pain
ACUCON15 (15) Circulation problems (other than in the legs)
ACUCON16 (16) Congestive heart failure
ACUCON17 (17) Coronary heart disease
ACUCON18 (18) Diabetes
ACUCON19 (19) Diabetic retinopathy
ACUCON20 (20) Emphysema
ACUCON21 (21) Excessive sleepiness during the day
ACUCON22 (22) Jaw pain
ACUCON23 (23) Fracture, bone/joint injury
ACUCON24 (24) Glaucoma
ACUCON25 (25) Gynecologic problems
ACUCON26 (26) Hay fever
ACUCON27 (27) Hearing problem
ACUCON28 (28) Heart attack
ACUCON29 (29) Heart condition or disease
ACUCON30 (30) Hernia
ACUCON31 (31) Hypertension
ACUCON32 (32) Irregular heartbeat
ACUCON33 (33) Knee problems (not arthritis, not joint injury)
ACUCON34 (34) Lung/breathing problem (not already listed)
ACUCON35 (35) Macular degeneration
ACUCON36 (36) Menopause
ACUCON37 (37) Menstrual problems
ACUCON38 (38) Mental retardation
ACUCON39 (39) Joint pain or stiffness
ACUCON40 (40) Missing limbs (fingers, toes, or digits), amputee
ACUCON41 (41) Multiple sclerosis
ACUCON42 (42) Neuropathy
ACUCON43 (43) Osteoporosis, tendinitis
ACUCON44 (44) Other developmental problem
ACUCON45 (45) Other injury
ACUCON46 (46) Other nerve damage, including carpal tunnel syndrome
ACUCON47 (47) Parkinson's
ACUCON48 (48) Polio (myelitis), paralysis, para/quadriplegia
ACUCON49 (49) Poor circulation in your legs
ACUCON50 (50) Insomnia or trouble sleeping
ACUCON51 (51) Liver problem
ACUCON52 (52) Dental pain
ACUCON53 (53) Prostate trouble or impotence
ACUCON54 (54) Seizures
ACUCON55 (55) Senility
ACUCON56 (56) Sinusitis
ACUCON57 (57) Skin problems
ACUCON58 (58) Sprain or strain
ACUCON59 (59) Stroke
ACUCON60 (60) Text of first other specify
ACUCON61 (61) Text of second other specify
ACUCON62 (62) Thyroid problem
ACUCON63 (63) Ulcer
ACUCON64 (64) Urinary problem
ACUCON65 (65) Varicose veins, hemorrhoids
ACUCON66 (66) Vision problems (not already listed)
ACUCON67 (67) Weak or failing kidneys
ACUCON68 (68) Weight problems
ACUCON69 (69) Back pain or problem
ACUCON70 (70) Head or chest cold
ACUCON71 (71) Neck pain or problem
ACUCON72 (72) Severe headache or migraine
ACUCON73 (73) Stomach or intestinal illness
ACUCON74 (74) Other, specify