Survey Text

2016
2012
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2016
Survey form view entire document:  text  image

Question ID: BAL.060_04.000

Instrument Variable Name: BTYPE_4
Questionnaire File Name: Sample Adult
Question Text:
* Read if necessary. This next question is about symptoms of dizziness or balance problems. Please tell me if you have had any of these problems in the past 12 months. Please say yes or no to each.
...Feeling as if you are going to pass out or faint
* Read if necessary: Do not include times when drinking alcohol.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ had a dizziness or balance problem in the last 12 months or at least one balance related problem in the past 12 months
Skip Instructions:
(1,2,R,D) [goto BTYPE_5]

No questionnaire text is available for this sample.


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2012
Survey form view entire document:  text  image

Question ID:: CBL.035_00.000

Instrument Variable Name:: CBALPASS
QuestionText:
*Read if necessary. DURING THE PAST 12 MONTHS, has {fill1: S.C. name} been bothered by episodes of any of the following dizziness or balance problems? Light-headedness, fainting, or feeling {fill2: he/she} is about to pass out?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 3+
SkipInstructions:
(1,2,R,D) [goto CBALOTH]

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2008
Survey form view entire document:  text  image

Question ID:BAL.060_04.000

Instrument Variable Name:BTYPE_04
QuestionText:
* Read if necessary. This next question is about symptoms of dizziness or balance problems. Please tell me if you have had any of these problems in the past 12 months. Please say yes or no to each...Feeling as if you are going to pass out or faint
* Read if necessary: Do not include times when drinking alcohol.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ who have had a problem(s) with dizziness or balance
SkipInstructions:
(1,2,R,D) [goto BTYPE_05]