Survey Text

2016
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2016
Survey form view entire document:  text  image
Question ID: CBL.043_01.000

Instrument Variable Name: CBALOFTN
Questionnaire File Name: Sample Child
Question Text:
1 of 2
DURING THE PAST 12 MONTHS, how often did [fill: S.C. name]?s episodes, bouts or ?attacks? of dizziness or balance problems occur?
*Enter '96' for 'Constantly'.
*Do not include the time to get over feelings of nausea or vomiting that may accompany the episode, bout, or attack of dizziness or balance problem.
00-95 00-95
96 Constantly
97 Refused
99 Don't know
Universe Text: Sample children 3+ who have had episodes of balance or dizziness in the past 12 months
Skip Instructions:
(1-95) [goto CBALOFTT] (96,R,D) [goto CBALDUR]