Survey Text

Survey form view entire document:  text  image

Question ID: BAL.320_07.000

Instrument Variable Name: BCHG1_07
Questionnaire File Name: Sample Adult
Question Text:
* Read if necessary. Have your dizziness or balance problems caused you to change or cut back on any of the following activities? Please say yes or no to each.
... Going to the toilet
* If respondent is unable to do this activity for reasons OTHER than dizziness or balance, Enter '2'
Examples include respondents who are in a wheelchair, are deaf, blind, don’t have a driver’s license, etc.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who had a balance or dizziness problem in the past 12 months or who had at least one symptom in the past 12 months and whose problem prevents them from doing things
Skip Instructions:
(1,2,R,D) [goto BM12WS_N]