Survey Text

2016
2012
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2016
Survey form view entire document:  text  image
Question ID: CBL.027_00.000

Instrument Variable Name: CBALMOTR
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...
problems with body or motor coordination or clumsiness?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children 3+
Skip Instructions:
(1,2,R,D) [goto CBALFALL]

top
2012
Survey form view entire document:  text  image
Question ID:: CBL.027_00.000

Instrument Variable Name:: CBALMOTR
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? Problems with body or motor coordination or clumsiness?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 3+
SkipInstructions:
(1,2,R,D) [goto CBALFALL]