Survey Text

2018
2013
2008
2003
2002
top
2018
Survey form view entire document:  text  image
Question ID:ACN.100_00.100

Instrument Variable Name:AASWMP
QuestionText:
An asthma action plan is a printed form that tells when to
change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room.
Has a doctor or other health professional EVER given you an asthma action plan?
*Read if necessary: include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ who still have asthma or had asthma attack in past 12 mos.
SkipInstructions:
(1,2,R,D) [go to AASCLASS]

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

Instrument Variable Name: CASWMP
QuestionText:
An asthma action plan is a printed form with specific instructions based on [fill: S.C. name]'s asthma that tells when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room. Has a doctor or other health professional EVER given [fill: S.C. name] an asthma action plan?
*Read if necessary: Include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample child LT 18 who still have asthma or who had asthma episode/attack in past 12 months
SkipInstructions:
(1,2,R,D) [go to CASCLASS]

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

Instrument Variable Name: AASWMP
Question Text:
An asthma action plan is a printed form with specific instructions based on your asthma that tells when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room. Has a doctor or other health professional EVER given you an asthma action plan?
*Read if necessary: Include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who still have asthma or who had asthma episode/attack in past 12 months
SkipInstructions:
(1,2,R,D) [go to AASCLASS]

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

Instrument Variable Name: CASWMP
QuestionText:
An asthma action plan is a printed form with specific instructions based on [fill: S.C. name]'s asthma that tells when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room. Has a doctor or other health professional EVER given [fill: S.C. name] an asthma action plan?
*Read if necessary: Include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample child LT 18 who still have asthma or who had asthma episode/attack in past 12 months
SkipInstructions:
(1,2,R,D) [go to CASCLASS]

top
2008
Survey form view entire document:  text  image
Question ID:CHS.100_00.100

Instrument Variable Name:CASWMP
QuestionText:
An asthma action plan is a printed form that tells when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room.
Has a doctor or other health professional EVER given [fill: SC name] an asthma action plan?
*Read if necessary: Include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample child LT 18 who still have asthma or who had an asthma attack in the past 12 months
SkipInstructions:
(1,2,D,R) [go to CASCLASS]

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

Instrument Variable Name:AASWMP
QuestionText:
An asthma action plan is a printed form that tells when to
change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room.
Has a doctor or other health professional EVER given you an asthma action plan?
*Read if necessary: include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ who still have asthma or had asthma attack in past 12 mos.
SkipInstructions:
(1,2,R,D) [go to AASCLASS]

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

Instrument Variable Name:AASWMP
QuestionText:
An asthma action plan is a printed form that tells when to
change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room.
Has a doctor or other health professional EVER given you an asthma action plan?
*Read if necessary: include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ who still have asthma or had asthma attack in past 12 mos.
SkipInstructions:
(1,2,R,D) [go to AASCLASS]

Survey form view entire document:  text  image
CHS.100.100

An asthma management plan is a printed form that tells when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room.
Has a doctor or other health professional EVER given {S.C. name} as asthma management plan?

FR: READ IF NECESSARY: INCLUDE NURSES AND ASTHMA EDUCATORS.
CASWMP
(1) Yes
(2) No
(7) Refused
(9) Don't know

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

Instrument Variable Name:AASWMP
QuestionText:
An asthma action plan is a printed form that tells when to
change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room.
Has a doctor or other health professional EVER given you an asthma action plan?
*Read if necessary: include nurses and asthma educators.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ who still have asthma or had asthma attack in past 12 mos.
SkipInstructions:
(1,2,R,D) [go to AASCLASS]

Survey form view entire document:  text  image
CHS.100.100

An asthma management plan is a printed form that tells when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room.
Has a doctor or other health professional EVER given {S.C. name} as asthma management plan?

FR: READ IF NECESSARY: INCLUDE NURSES AND ASTHMA EDUCATORS.
CASWMP
(1) Yes
(2) No
(7) Refused
(9) Don't know