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]

Instrument Variable Name: CBALPASS
Questionnaire File Name: Sample Child
Question Text:

*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...
feeling light-headed, fainting, or feeling [fill: he/she] is about to pass out?
*If child does faint or pass out, enter ?1? for yes.

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample children 3+
Skip Instructions:

(1,2,R,D) [goto CBALBLR]

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]

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]