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2008

Survey form view entire document: text image

Question ID:BAL.010_06.000

Instrument Variable Name:BAID_06
QuestionText:

* Read if necessary. Do you use any of the following aids to help you get around? Please say yes or no to each...A brace

1 Yes
2 No
7 Refused
9 Don't Know

UniverseText:Sample adults 18+
SkipInstructions:

(1) [goto BBRAC]
(2,R,D) [goto BAID_07]

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1995

No questionnaire text is available for this sample.

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1994

No questionnaire text is available for this sample.

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1990

Survey form view entire document: text image

1A. Does anyone in the family now use a brace of any kind?

1[] Yes
2[] No (B)
9[] DK (B)

(1) Who is this?
Mark appropriate box(es) in person's column

(2) Does anyone else now use a brace?

[] Yes (Reask A(1) and (2))
[] No

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1980

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8a. Does anyone in the family (this is you, your, -- etc.) now use (any of the following special aids) -
If "Yes, " ask 8b and c

(3) A brace of any kind? (If "Yes" ask: On what part of the body is the brace worn?)

[] Y
[] N

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1979

Survey form view entire document: text image

8a. Does anyone in the family (this is you, your, -- etc.) now use (any of the following special aids) -
If "Yes, " ask 8b and c

(3) A brace of any kind? (If "Yes" ask: On what part of the body is the brace worn?)

[] Y
[] N

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1969

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46a. Does anyone in the family now use (any of the following special aids) -

1. An artificial arm?

[] Yes
[] No

2. An artificial leg?

[] Yes
[] No

3. A brace of any kind?

[] Yes
[] No

4. Crutches?

[] Yes
[] No

5. A cane or walking stick?

[] Yes
[] No

6. Special shoes?

[] Yes
[] No

7. A wheel chair?

[] Yes
[] No

8. A walker?

[] Yes
[] No

10. Any other kind of aid for getting around?

[] Yes
[] No

If "Yes," specify: ____Enter in Table SA

Survey Text