Survey Text

2018
2013
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2018
Survey form view entire document:  text  image

Question ID:ACN.100_00.060

Instrument Variable Name:AASMPMED
QuestionText:
Now I'm going to ask you about two different kinds of ASTHMA medicine. One is for quick relief. The other does not give quick relief but protects your lungs AND PREVENTS SYMPTOMS OVER THE LONG TERM. DURING THE PAST 3 MONTHS, have you used the kind of PRESCRIPTION
inhaler THAT YOU BREATHE IN THROUGH YOUR MOUTH, that gives QUICK relief from asthma symptoms?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ who have ever used prescription inhaler
SkipInstructions:
(1) [goto AASMCAN]
(2,R,D) [go to AASMED]

Survey form view entire document:  text  image

Question ID: CHS.100_00.065

Instrument Variable Name: CASMTYP
QuestionText:
When [fill: S.C. name] takes [his/her]rescue prescription asthma medication, would you say that [he/she] most often uses an inhaler and/or disk, or does [he/she] most often use a nebulizer?
*Read if necessary: Both an inhaler or a disk inhaler are very portable canisters or devices used to inhale medication in one or two breaths. A nebulizer is a machine that turns liquid medication into a mist that you inhale into the lungs over a few minutes.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample child LT 18 who have used a quick relief prescription asthma inhaler in the past three months
SkipInstructions:
(1) [go to CASMCAN]
(2,R,D) [go to CASMDTP2]

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2013
Survey form view entire document:  text  image

Question ID: ACN.100_00.065

Instrument Variable Name: AASMTYP
Question Text:
When you take your rescue prescription asthma medication, would you say that you most often use an inhaler and/or disk, or do you most often use a nebulizer?
*Read if necessary: Both an inhaler or a disk inhaler are very portable canisters or devices used to inhale medication in one or two breaths. A nebulizer is a machine that turns liquid medication into a mist that you inhale into the lungs over a few minutes
1 Inhaler or disk
2 Nebulizer
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used a quick relief prescription asthma inhaler in the past three months
SkipInstructions:
(1) [go to AASMCAN]
(2,R,D) [go to AASMDTP2]

Survey form view entire document:  text  image

Question ID: CHS.100_00.065

Instrument Variable Name: CASMTYP
QuestionText:
When [fill: S.C. name] takes [his/her]rescue prescription asthma medication, would you say that [he/she] most often uses an inhaler and/or disk, or does [he/she] most often use a nebulizer?
*Read if necessary: Both an inhaler or a disk inhaler are very portable canisters or devices used to inhale medication in one or two breaths. A nebulizer is a machine that turns liquid medication into a mist that you inhale into the lungs over a few minutes.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample child LT 18 who have used a quick relief prescription asthma inhaler in the past three months
SkipInstructions:
(1) [go to CASMCAN]
(2,R,D) [go to CASMDTP2]