Survey Text

Survey form view entire document:  text  image
Question ID: CBL.041_00.000

Instrument Variable Name: CBALBHR
Questionnaire File Name: Sample Child
Question Text:
DURING THE PAST 12 MONTHS, has [fill1: S.C. name] had hearing changes or problems such as blocked ears or ringing in the ears around the same time as [fill: his/her] dizziness or balance problem(s)?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children 3+ who have had episodes of balance or dizziness in the past 12 months
Skip Instructions:
(1,2,R,D) [goto CBALAGE]