Survey Text

2020
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2020
Survey form view entire document:  text  image
Question ID: AST.0060.00.3
Variable: ASDAYS12M_A
Interview Module: Adult
Content Type: Sponsored Content
Question text:
During the past 12 months, how many days were you UNABLE to work or get work done around the
house because of your asthma?
Response:
000-365 - Range of values
997 - Refused
999 - Don't Know
Universe:
Sample Adults 18+ who still have asthma or had an asthma attack in the past 12 months
Skip Instructions:
0-99,RF,DK [goto ASINHALE3M_A]
100-365 [goto ERR_ASDAYS12M_A], then [goto ASINHALE3M]
Soft Edit:
Check Text: ERR_ASDAYS12M_A
Check Description: Days of work missed in the past 12 months unusually high
Check Text: {signal ERR_ASDAYS12M_A}
^ASDAYS12M_A days is unusually high. Please verify. Make corrections if necessary.

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2018
Survey form view entire document:  text  image
Question ID: ACN.100_00.030

Instrument Variable Name: AWZMSWK
Questionnaire File Name: Sample Adult
Question Text:
DURING THE PAST 12 MONTHS, HOW MANY DAYS were you UNABLE to [fill1: work/get work done around the house] because of your asthma?
*Enter '0' for none.
*Enter '996' if respondent is unable to do this activity.
000 None
001-365 Days
996 Unable to do this activity
997 Refused
999 Don’t know
Universe Text: Sample adults 18+ who still have asthma or who had asthma episode/attack in past 12 months
Skip Instructions:
(0-100,996,R,D) [go to AASMPMED]
(101-365) [go to ERR1_AWZMSWK]
(366-995) [go to ERR2_AWZMSWK]
Hard Edit: ERR2_AWZMSWK
if AWZMSWK = 366-995 then display ERR2_AWZMSWK:
"366-995 days not allowed in this field.
*Please correct."
Soft Edit: ERR1_AWZMSWK
if AWZMSWK )100 and ne 996 then display ERR1_AWZMSWK:
"AWZMSWK is an unusually large number;
*Please verify.

Survey form view entire document:  text  image
Question ID: : CHS.100_00.030

Instrument Variable Name: CWZMSWK
QuestionText:
DURING THE PAST 12 MONTHS, HOW MANY DAYS of [fill1: daycare or preschool/fill2: school/fill3: school or work] did [fill: S.C. name] miss because of [fill: his/her] asthma?
*Enter '0' for none.
*Enter 995 if child home schooled.
*Enter 996 if child did not go to [fill1: daycare or preschool/fill2: school/fill3: school or work].
000 None
001-365 1-365 days
995 Child is home schooled
996 Child does not go to school
997 Refused
999 Don't know
UniverseText: Sample child LT 18 who still have asthma or who had asthma episode/attack in past 12 months
SkipInstructions:
(0-100,995,996,R,D) [go to CASMPMED]
(101-365) [go to ERR1_CWZMSWK]
(366-994) [go to ERR2_CWZMSWK]
Hard Edit: if CWZMSWK = 366-994 then display ERR2_CWZMSWK:
"366-994 days not allowed in this field.
* Please correct."
Soft Edit: if CWZMSWK GT 100 and ne 996 then display ERR1_CWZMSWK: "CWZMSWK is an unusually large number; Did [fill: S.C. name] miss CWZMSWK days of [fill1/fill2/fill3] due to asthma?" 1 correct proceed to CASMPMED; 2 incorrect, change answer

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2013
Survey form view entire document:  text  image
Question ID: ACN.100_00.030

Instrument Variable Name: AWZMSWK
Question Text:
DURING THE PAST 12 MONTHS, HOW MANY DAYS were you UNABLE to [fill1: work/get work done around the house] because of your asthma?
*Enter '0' for none.
*Enter '996' if respondent is unable to do this activity.
000 None
001-365 1-365 days
996 Unable to do this activity
997 Refused
999 Don't know
UniverseText: Sample adults 18+ who still have asthma or who had asthma episode/attack in past 12 months
SkipInstructions:
(0-100,996,R,D) [go to AASMPMED]
(101-365) [go to ERR1_AWZMSWK]
(366-994) [go to ERR2_AWZMSWK]
Hard Edit: if AWZMSWK = 366-994 then display ERR2_AWZMSWK:
"366-994 days not allowed in this field.
*Please correct."
Soft Edit: if AWZMSWK >100 and ne 996 then display ERR1_AWZMSWK:
"AWZMSWK is an unusually large number;
*Please verify.

Survey form view entire document:  text  image
Question ID: : CHS.100_00.030

Instrument Variable Name: CWZMSWK
QuestionText:
DURING THE PAST 12 MONTHS, HOW MANY DAYS of [fill1: daycare or preschool/fill2: school/fill3: school or work] did [fill: S.C. name] miss because of [fill: his/her] asthma?
*Enter '0' for none.
*Enter 995 if child home schooled.
*Enter 996 if child did not go to [fill1: daycare or preschool/fill2: school/fill3: school or work].
000 None
001-365 1-365 days
995 Child is home schooled
996 Child does not go to school
997 Refused
999 Don't know
UniverseText: Sample child LT 18 who still have asthma or who had asthma episode/attack in past 12 months
SkipInstructions:
(0-100,995,996,R,D) [go to CASMPMED]
(101-365) [go to ERR1_CWZMSWK]
(366-994) [go to ERR2_CWZMSWK]
Hard Edit: if CWZMSWK = 366-994 then display ERR2_CWZMSWK:
"366-994 days not allowed in this field.
* Please correct."
Soft Edit: if CWZMSWK GT 100 and ne 996 then display ERR1_CWZMSWK: "CWZMSWK is an unusually large number; Did [fill: S.C. name] miss CWZMSWK days of [fill1/fill2/fill3] due to asthma?" 1 correct proceed to CASMPMED; 2 incorrect, change answer

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2010
Survey form view entire document:  text  image
Question ID:ACN.105_00.140

Instrument Variable Name:AASWKDAY
QuestionText:
DURING THE PAST 12 MONTHS, how many full days did you miss from work because of your asthma?
* Enter '0' for None.
000None
001-3661-366 days
997Refused
999Don't know
UniverseText: Sample adults 18+ who are currently employed or employed at some time in the past 12 months, still have asthma,
and were 16 years of age or older OR less than 16 years of age and their asthma has gotten worse as an adult OR
age at time of diagnosis is unknown
SkipInstructions:
(000-366,D,R) [goto AASCHJOB]

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2008
Survey form view entire document:  text  image
Question ID:ACN.100_00.030

Instrument Variable Name:AWZMSWK
QuestionText:
DURING THE PAST 12 MONTHS, HOW MANY DAYS were you UNABLE to work because of your asthma?
* Read if necessary: For homemakers, this includes work around the house.
* Enter '996' if respondent is unable to do this activity.
000-365 000-365 days
996 Unable to do this activity
997 Refused
999 Don't know
UniverseText:Sample adults 18+ who had episode of asthma in past year
SkipInstructions:
(000-365, 996,R,D) [go to AWZPIN]
(101-365) [go to ERR1_AWZMSWK]
(366-996) [go to ERR2_AWZMSWK]

Survey form view entire document:  text  image
Question ID:CHS.100_00.030

Instrument Variable Name:CWZMSWK
QuestionText:
DURING THE PAST 12 MONTHS, that is since [12-month ref. date], HOW MANY DAYS of [fill1: daycare or preschool/fill2: school/fill3: school or work] did [fill: SC name] miss because of [fill: his/her] asthma?
*Enter 995 if child home schooled.
*Enter 996 if child did not go to [fill1: daycare or preschool/fill2: school/fill3: school or work].
000-365 000-365 days
995 Child was home schooled
996 child did not go to day care, preschool, school, or work
997 Refused
999 Don't know
UniverseText:Sample child LT 18 who had episode of asthma in past year
SkipInstructions:
(000-100,995,996,R,D) [go to CWZPIN]
(101-365) [go to ERR1_CWZMSWK]
(366-994) [go to ERR2_CWZMSWK]

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2003
Survey form view entire document:  text  image
Question ID:ACN.100_00.030

Instrument Variable Name:AWZMSWK
QuestionText:
DURING THE PAST 12 MONTHS, HOW MANY DAYS were you UNABLE to work because of your asthma?
* Read if necessary: For homemakers, this includes work around the house.
* Enter '996' if respondent is unable to do this activity.
000-365 000-365 days
996 Unable to do this activity
997 Refused
999 Don't know
UniverseText:Sample adults 18+ who had episode of asthma in past year
SkipInstructions:
(000-365, 996,R,D) [go to AWZPIN]
(101-365) [go to ERR1_AWZMSWK]
(366-996) [go to ERR2_AWZMSWK]

Survey form view entire document:  text  image
CHS.100.030

DURING THE PAST 12 MONTHS that is since {12-month ref. date}, HOW MANY DAYS of {daycare or preschool /school / school or work} did {S.C. name} miss because of {his/her} asthma?

FR: ENTER 995 IF CHILD WAS HOME SCHOOLED.
ENTER 996 IF CHILD DID NOT GO TO {DAYCARE OR PRESCHOOL/SCHOOL /SCHOOL OR WORK} IN THE PAST 12 MONTHS.
CWZMSWK
(000) None
(001 - 365) 0-365 days
(997) Refused
(999) Don't know

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2002
Survey form view entire document:  text  image
Question ID:ACN.100_00.030

Instrument Variable Name:AWZMSWK
QuestionText:
DURING THE PAST 12 MONTHS, HOW MANY DAYS were you UNABLE to work because of your asthma?
* Read if necessary: For homemakers, this includes work around the house.
* Enter '996' if respondent is unable to do this activity.
000-365 000-365 days
996 Unable to do this activity
997 Refused
999 Don't know
UniverseText:Sample adults 18+ who had episode of asthma in past year
SkipInstructions:
(000-365, 996,R,D) [go to AWZPIN]
(101-365) [go to ERR1_AWZMSWK]
(366-996) [go to ERR2_AWZMSWK]

Survey form view entire document:  text  image
CHS.100.030

DURING THE PAST 12 MONTHS that is since {12-month ref. date}, HOW MANY DAYS of {daycare or preschool /school / school or work} did {S.C. name} miss because of {his/her} asthma?

FR: ENTER 995 IF CHILD WAS HOME SCHOOLED.
ENTER 996 IF CHILD DID NOT GO TO {DAYCARE OR PRESCHOOL/SCHOOL /SCHOOL OR WORK} IN THE PAST 12 MONTHS.
CWZMSWK
(000) None
(001 - 365) 0-365 days
(997) Refused
(999) Don't know