Survey Text

2022
2021
2020
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2022
Survey form view entire document:  text  image
Question ID: BSC.0020.00.1
Variable: BSCNWPPL_C
Interview Module: Child
Content Type: Annual Core

Question text:

These next questions are about ^SCNAME's behavior. Think about what you would expect of other
children the same age, and tell me how much each statement applies to ^SCNAME.
Does ^SCNAME have a hard time being with new people? Would you say not at all, somewhat, or very
much?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Not at all
2 - Somewhat
3 - Very much
7 - Refused
9 - Don't Know
Universe:
Sample Children with Age under 2 years
Skip Instructions:
1-3,RF,DK [goto BSCNWPLCS_C]

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2021
Survey form view entire document:  text  image
Question ID: BSC.0020.00.1
Variable: BSCNWPPL_C
Interview Module: Child
Content Type: Annual Core
Question text:
These next questions are about ^SCNAME's behavior. Think about what you would expect of other children the same age, and tell me how much each statement applies to ^SCNAME.
Does ^SCNAME have a hard time being with new people? Would you say not at all, somewhat, or very much?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Not at all
2 - Somewhat
3 - Very much
7 - Refused
9 - Don't Know
Universe:
Sample Children with Age under 2 years
Skip Instructions:
1-3,RF,DK [goto BSCNWPLCS_C]

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2020
Survey form view entire document:  text  image
Question ID: BSC.0020.00.1
Variable: BSCNWPPL_C
Interview Module: Child
Content Type: Annual Core
Question text:
These next questions are about ^SCNAME's behavior. Think about what you would expect of other
children the same age, and tell me how much each statement applies to ^SCNAME.
Does ^SCNAME have a hard time being with new people? Would you say not at all, somewhat, or very
much?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Not at all
2 - Somewhat
3 - Very much
7 - Refused
9 - Don't Know
Universe:
Sample Children with Age under 2 years
Skip Instructions:
1-3,RF,DK [goto BSCNWPLCS_C]

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2019
Survey form view entire document:  text  image

2019 National Health Interview Survey (NHIS) Questionnaire
BCS: Baby Pediatric Symptom Checklist

Question ID: BSC.0020.00.1
Variable: BSCNWPPL_C
Interview Module: Child
Content Type: Annual Core
Question Text:

These next questions are about ^SCNAME's behavior. Think about what you would expect of other children the same age, and tell me how much each statement applies to ^SCNAME.
Does ^SCNAME have a hard time being with new people? Would you say not at all, somewhat, or very much?
Fills:
^SCNAME

Description: Sample child's name
Instruction: Fill ALIAS of HHSTAT_C=1
Response:
1 Not at all
2 Somewhat
3 Very much
7 Refused
9 Do not Know
Universe: Sample Children with Age under 2 years
Skip Instructions: 1-3,RF,DK = [goto BSCNWPLCS_C]