Survey Text

2016
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2016
Survey form view entire document:  text  image
Question ID: BAL.260_00.000

Instrument Variable Name: BTRET1
Questionnaire File Name: Sample Adult
Question Text:
Have you EVER taken or tried anything to treat your dizziness or balance problem(s) such as physical therapy, certain exercises, avoiding certain foods, taking medicines, surgery, or wearing magnets or wristbands?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who had a balance or dizziness problem in the past 12 months or who had at least one symptom in the past 12 months
Skip Instructions:
(1) [goto BTRT1_01]
(2,R,D) [goto BSTAT1]

Survey form view entire document:  text  image
Question ID: CBL.070_00.000

Instrument Variable Name: CBALTRET
Questionnaire File Name: Sample Child
Question Text:
DURING THE PAST 12 MONTHS, has [fill1: S.C. name] tried methods recommended by a doctor, physical or occupational therapist, or other health care professional for treating [fill2: his/her] episodes of dizziness or balance problems?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children 3+ who have had episodes of balance the past 12 months
Skip Instructions:
(1,2,R,D)[goto CBALHDIJ]

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2012
Survey form view entire document:  text  image
Question ID:: CBL.070_00.000

Instrument Variable Name:: CBALTRET
QuestionText:
DURING THE PAST 12 MONTHS, has {fill1: S.C. name} tried methods recommended by a doctor, physical or occupational therapist, or other health care professional for treating {fill2: his/her} episodes of dizziness or balance problems?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 3+ who have had episodes of balance problems or dizziness in the past 12 months
SkipInstructions:
(1,2,R,D) [IF AGE=4-17 goto CMHCOPY; else goto CH1N1_1]

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2008
Survey form view entire document:  text  image
Question ID:BAL.260_00.000

Instrument Variable Name:BTRET
QuestionText:
Have you ever taken or tried anything to treat your (Fill: most bothersome or only feeling) such as physical therapy, certain exercises, avoiding certain foods, taking medicines, surgery, or wearing magnets or wristbands?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ who have had symptoms of dizziness or at least one balance problem
SkipInstructions:
( 1) [goto BTRET_01]
(2, R, D) [goto BSTAT]