Survey Text

Survey form view entire document:  text  image
Question ID: BAL.100_01.000

Instrument Variable Name: BOFTN
Questionnaire File Name: Sample Adult
Question Text:
1 of 2
DURING THE PAST 12 MONTHS, about how often have you had (Fill: most bothersome or only feeling)?
*Please tell me the number of times per day, per week, per month.
*Enter '996' for 'Constantly' or 'Almost Always'.
001-995 1-995
996 Constantly or almost always
997 Refused
999 Don't know
Universe Text: Sample adults 18+ who had a dizziness or balance problem in the past 12 months or who identified at least one symptom in the past 12 months
Skip Instructions:
(1-365) [goto BOFTT]
(996,R,D) [goto BLAST1]