Survey Text

2002
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2002
Survey form view entire document:  text  image
FR: The next questions are about any kind of health problems, concerns, or conditions that may affect {S.C. name}'s behavior, learning, growth, or physical development. Some of these health problems may affect {S.C. name}'s abilities and activities at school or at play. Some of these problems may affect the kind or amount of services needed or used.
These questions are for research purposes and may be similar to questions you have previously heard.

CAU.450.100

Does {S.C.name} need or get SPECIAL THERAPY, such as physical, occupational or speech therapy?
FACCT4
(1) Yes (CAU.450.110)
(2) No (CAU.450.130)
(7) Refused (CAU.450.130)
(9) Don't know (CAU.450.130)

CAU.450.110

Is this because of ANY medical, behavioral or other health condition?
FACCT4_A
(1) Yes (CAU.450.120)
(2) No (CAU.450.130)
(7) Refused (CAU.450.130)
(9) Don't know (CAU.450.130)

CAU.450.120

Is this a condition that has lasted or is expected to last for AT LEAST 12 months?
FACCT4_B
(1) Yes
(2) No
(7) Refused
(9) Don't know

(Goto CAU.450.130)