Survey Text

2018 2012 2006 2000
2017 2011 2005 1999
2016 2010 2004 1998
2015 2009 2003 1997
2014 2008 2002
2013 2007 2001
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2018

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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2017

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No questionnaire text is available for this sample.


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2016

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No questionnaire text is available for this sample.


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2015

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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2014

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No questionnaire text is available for this sample.


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2013

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No questionnaire text is available for this sample.


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2012

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No questionnaire text is available for this sample.


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2011

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No questionnaire text is available for this sample.


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2010

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No questionnaire text is available for this sample.


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2009

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No questionnaire text is available for this sample.


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2008

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No questionnaire text is available for this sample.


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2007

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No questionnaire text is available for this sample.


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2006

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No questionnaire text is available for this sample.


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2005

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No questionnaire text is available for this sample.


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2004

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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2003
Survey form view entire document:  text  image

FHS.280

How long {have/has}{you/subject name} had {fill condition entered in FHS.270}?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LCTIME#
[ ] NUMBER(ENTER "96" IF SINCE BIRTH)

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LCUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

Survey form view entire document:  text  image

FHS.300

How long {have/has}{you/subject name} had [fill condition(s) entered in FHS.290]?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LATIME#
[ ] NUMBER

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LAUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

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2002
Survey form view entire document:  text  image

FHS.280

How long {have/has}{you/subject name} had {fill condition entered in FHS.270}?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LCTIME#
[ ] NUMBER(ENTER "96" IF SINCE BIRTH)

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LCUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

Survey form view entire document:  text  image

FHS.300

How long {have/has}{you/subject name} had [fill condition(s) entered in FHS.290]?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LATIME#
[ ] NUMBER

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LAUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

top
2001
Survey form view entire document:  text  image

FHS.280

How long {have/has}{you/subject name} had {fill condition entered in FHS.270}?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LCTIME#
[ ] NUMBER(ENTER "96" IF SINCE BIRTH)

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LCUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

Survey form view entire document:  text  image

FHS.300

How long {have/has}{you/subject name} had [fill condition(s) entered in FHS.290]?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LATIME#
[ ] NUMBER

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LAUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

top
2000
Survey form view entire document:  text  image

FHS.280

How long {have/has}{you/subject name} had {fill condition entered in FHS.270}?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LCTIME#
[ ] NUMBER(ENTER "96" IF SINCE BIRTH)

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LCUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

Survey form view entire document:  text  image

FHS.300

How long {have/has}{you/subject name} had [fill condition(s) entered in FHS.290]?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LATIME#
[ ] NUMBER

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LAUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

top
1999
Survey form view entire document:  text  image

FHS.280

How long {have/has}{you/subject name} had {fill condition entered in FHS.270}?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LCTIME#
[ ] NUMBER(ENTER "96" IF SINCE BIRTH)

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LCUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

Survey form view entire document:  text  image

FHS.300

How long {have/has}{you/subject name} had [fill condition(s) entered in FHS.290]?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LATIME#
[ ] NUMBER

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LAUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

top
1998
Survey form view entire document:  text  image

FHS.280

How long {have/has}{you/subject name} had {fill condition entered in FHS.270}?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LCTIME#
[ ] NUMBER(ENTER "96" IF SINCE BIRTH)

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LCUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

Survey form view entire document:  text  image

FHS.300

How long {have/has}{you/subject name} had [fill condition(s) entered in FHS.290]?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LATIME#
[ ] NUMBER

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LAUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

top
1997
Survey form view entire document:  text  image

FHS.280

How long {have/has}{you/subject name} had {fill condition entered in FHS.270}?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LCTIME#
[ ] NUMBER(ENTER "96" IF SINCE BIRTH)

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LCUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]

Survey form view entire document:  text  image

FHS.300

How long {have/has}{you/subject name} had [fill condition(s) entered in FHS.290]?

FR: ENTER NUMBER, PRESS RETURN, AND ENTER TIME PERIOD.
LATIME#
[ ] NUMBER

(01-94) 1-94
(95) 95+
(96) Since birth
(97) Refused
(99) Don't know
LAUNIT#
[ ] TIME PERIOD

(1) Days(s)
(2) Week(s)
(3) Month(s)
(4) Year(s)
(6) Since Birth
(7) Refused
(9) Don't know

[Go back to Check item FHSCCI3 for next family member. If no more family members go to FHS.310]