Survey Text
2018
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2017
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2016
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2015
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2014
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2013
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2012
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2011
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2010
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2009
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2008
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2007
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2006
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2005
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
2004
No questionnaire text is available for this sample.
No questionnaire text is available for this sample.
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]
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]
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]
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]
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]
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]
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]