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
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

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2017
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

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2016
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

top
2015
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

top
2014
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

top
2013
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

top
2012
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

top
2011
Survey form view entire document:  text  image
Question ID:FHS.270_00.000

Instrument Variable Name: LAHCC
Question Text:

(book) F1 ? [F1] What conditions or health problems cause [fill: ALIAS]'s limitations?
* Enter all that apply, separate with commas.
* Do not probe except to clarify answer.
01 Vision/problem seeing
02 Hearing problem
03 Speech problem
04 Asthma/breathing problem
05 Birth defect
06 Injury
07 Intellectual disability, also known as mental retardation
08 Other developmental problem (for example, cerebral palsy)
09 Other mental, emotional or behavioral problem
10 Bone, joint, or muscle problem
11 Epilepsy or seizures
12 Learning disability
13 Attention Deficit/Hyperactivity Disorder (ADD/ADHD)
90 Other impairment/problem (Specify one)
91 Other impairment/problem (Specify one)
97 Refused
99 Don't know/not sure
Universe Text All persons less than 18 years of age who have at least one reported limitation
Skip Instructions:

(1-4,6-13) [go to appropriate follow-up questions: LHCL01N - LHCL04N, LHCL06N - LHCL13N]
(5) [fill "96" in LHCL05N and fill "6" in LHCL05T]
(90) [go to LAHCC_S1]
(91) [go to LAHCC_S2]
(R,D) [repeat this question for the next person less than 18 years of age with a reported limitation; if no more persons less than 18 years of age with a reported limitation, go to LAHCA]
NOTE: This question and all appropriate follow-up questions are asked, in sequence, for each person less than 18 years of age with a reported limitation. The instrument then proceeds to LAHCA.
Question ID:FHS.271_90.000

Instrument Variable Name: LAHCC_S1
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL90N
Question ID:FHS.271_91.000

Instrument Variable Name: LAHCC_S2
Question Text:

* Read if necessary. What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
Skip Instructions:

go to LHCL91N

top
2010
Survey form view entire document:  text  image
Question ID: FHS.271_90.000

Instrument Variable Name: LAHCC_S1
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL90N
Question ID: FHS.271_91.000

Instrument Variable Name: LAHCC_S2
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL91N

top
2009
Survey form view entire document:  text  image
Question ID: FHS.271_90.000

Instrument Variable Name: LAHCC_S1
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL90N
Question ID: FHS.271_91.000

Instrument Variable Name: LAHCC_S2
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL91N

top
2008
Survey form view entire document:  text  image
Question ID: FHS.271_90.000

Instrument Variable Name: LAHCC_S1
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL90N
Question ID: FHS.271_91.000

Instrument Variable Name: LAHCC_S2
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL91N

top
2007
Survey form view entire document:  text  image
Question ID: FHS.271_90.000

Instrument Variable Name: LAHCC_S1
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL90N
Question ID: FHS.271_91.000

Instrument Variable Name: LAHCC_S2
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL91N

top
2006
Survey form view entire document:  text  image
Question ID: FHS.271_90.000

Instrument Variable Name: LAHCC_S1
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL90N
Question ID: FHS.271_91.000

Instrument Variable Name: LAHCC_S2
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL91N

top
2005
Survey form view entire document:  text  image
Question ID: FHS.271_90.000

Instrument Variable Name: LAHCC_S1
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL90N
Question ID: FHS.271_91.000

Instrument Variable Name: LAHCC_S2
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL91N

top
2004
Survey form view entire document:  text  image
Question ID: FHS.271_90.000

Instrument Variable Name: LAHCC_S1
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL90N
Question ID: FHS.271_91.000

Instrument Variable Name: LAHCC_S2
QuestionText:
* Read if necessary.
What is the other impairment or problem?
Verbatim Verbatim response
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to at least one condition not listed at LAHCC
SkipInstructions:
goto LHCL91N

top
2003
Survey form view entire document:  text  image
Check item FHSCCI3:For family members with an entry in FHS.010 through FHS.260: If AGE is less than 18 go to FHS.270; else go to FHS.350. If none with entry in FHS.010 through FHS.260, or the family roster is exhausted go to FHS.500.

FHS.270

What conditions or health problems cause {subject's name}'s limitations?

FR: SHOW FLASHCARD F1. DO NOT READ. MARK ALL THAT APPLY, BUT DO NOT PROBE. ENTER (N) FOR NO MORE.
Card F1
You may choose more than one.

1. Vision/problem seeing
2. Hearing problem
3. Speech problem
4. Asthma/breathing problem
5. Birth defect
6. Injury
7. Mental retardation
8. Other developmental problem (e.g., cerebral palsy)
9. Other mental, emotional, or behavioral problem
10. Bone, joint, or muscle problem
11. Epilepsy or seizures
12. Learning disability
13. Attention deficit/Hyperactivity disorder (ADD/ADHD)
Other impairment/problem
LAHCC1 (1) Vision / problem seeing
LAHCC2 (2) Hearing problem
LAHCC3 (3) Speech problem
LAHCC4 (4) Asthma / breathing problem
LAHCC5 (5) Birth defect
LAHCC6 (6) Injury
LAHCC7 (7) Mental retardation
LAHCC8 (8) Other developmental problem (e.g. cerebral palsy)
LAHCC9 (9) Other mental, emotional, or behavioral problem
LAHCC10 (10) Bone, joint, or muscle problem
LAHCC11 (11) Epilepsy or seizures
LAHCC12 (12) Learning disability
LAHCC13 (13) Attention deficit/Hyperactivity disorder (ADD/ADHD)
LAHCC14 (14) Other impairment (specify one) (LAHCC@S1)
LAHCC15 (15) Other impairment (specify one) (LAHCC@S2)
FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LAHCC@S1 Condition: __________________________________________
FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LAHCC@S2 Condition: __________________________________________

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2002
Survey form view entire document:  text  image
Check item FHSCCI3:For family members with an entry in FHS.010 through FHS.260: If AGE is less than 18 go to FHS.270; else go to FHS.350. If none with entry in FHS.010 through FHS.260, or the family roster is exhausted go to FHS.500.

FHS.270

What conditions or health problems cause {subject's name}'s limitations?

FR: SHOW FLASHCARD F1. DO NOT READ. MARK ALL THAT APPLY, BUT DO NOT PROBE. ENTER (N) FOR NO MORE.
Card F1
You may choose more than one.

1. Vision/problem seeing
2. Hearing problem
3. Speech problem
4. Asthma/breathing problem
5. Birth defect
6. Injury
7. Mental retardation
8. Other developmental problem (e.g., cerebral palsy)
9. Other mental, emotional, or behavioral problem
10. Bone, joint, or muscle problem
11. Epilepsy or seizures
12. Learning disability
13. Attention deficit/Hyperactivity disorder (ADD/ADHD)
Other impairment/problem
LAHCC1 (1) Vision / problem seeing
LAHCC2 (2) Hearing problem
LAHCC3 (3) Speech problem
LAHCC4 (4) Asthma / breathing problem
LAHCC5 (5) Birth defect
LAHCC6 (6) Injury
LAHCC7 (7) Mental retardation
LAHCC8 (8) Other developmental problem (e.g. cerebral palsy)
LAHCC9 (9) Other mental, emotional, or behavioral problem
LAHCC10 (10) Bone, joint, or muscle problem
LAHCC11 (11) Epilepsy or seizures
LAHCC12 (12) Learning disability
LAHCC13 (13) Attention deficit/Hyperactivity disorder (ADD/ADHD)
LAHCC14 (14) Other impairment (specify one) (LAHCC@S1)
LAHCC15 (15) Other impairment (specify one) (LAHCC@S2)
FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LAHCC@S1 Condition: __________________________________________
FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LAHCC@S2 Condition: __________________________________________

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2001
Survey form view entire document:  text  image
Check item FHSCCI3:For family members with an entry in FHS.010 through FHS.260: If AGE is less than 18 go to FHS.270; else go to FHS.350. If none with entry in FHS.010 through FHS.260, or the family roster is exhausted go to FHS.500.

FHS.270

What conditions or health problems cause {subject's name}'s limitations?

FR: SHOW FLASHCARD F1. DO NOT READ. MARK ALL THAT APPLY, BUT DO NOT PROBE. ENTER (N) FOR NO MORE.
Card F1
You may choose more than one.

1. Vision/problem seeing
2. Hearing problem
3. Speech problem
4. Asthma/breathing problem
5. Birth defect
6. Injury
7. Mental retardation
8. Other developmental problem (e.g., cerebral palsy)
9. Other mental, emotional, or behavioral problem
10. Bone, joint, or muscle problem
11. Epilepsy or seizures
12. Learning disability
13. Attention deficit/Hyperactivity disorder (ADD/ADHD)
Other impairment/problem
LAHCC1 (1) Vision / problem seeing
LAHCC2 (2) Hearing problem
LAHCC3 (3) Speech problem
LAHCC4 (4) Asthma / breathing problem
LAHCC5 (5) Birth defect
LAHCC6 (6) Injury
LAHCC7 (7) Mental retardation
LAHCC8 (8) Other developmental problem (e.g. cerebral palsy)
LAHCC9 (9) Other mental, emotional, or behavioral problem
LAHCC10 (10) Bone, joint, or muscle problem
LAHCC11 (11) Epilepsy or seizures
LAHCC12 (12) Learning disability
LAHCC13 (13) Attention deficit/Hyperactivity disorder (ADD/ADHD)
LAHCC14 (14) Other impairment (specify one) (LAHCC@S1)
LAHCC15 (15) Other impairment (specify one) (LAHCC@S2)
FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LAHCC@S1 Condition: __________________________________________
FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LAHCC@S2 Condition: __________________________________________

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2000
Survey form view entire document:  text  image
Check item FHSCCI3:For family members with an entry in FHS.010 through FHS.260:
If AGE is less than 18 go to FHS.270; Else go to FHS.290.
If none with entry in FHS.010 through FHS.260, or the family roster is exhausted go to FHS.310.

FHS.270

What conditions or health problems cause {subject's name} limitations?

FR: SHOW CARD F1. DO NOT READ. ENTER THE NUMBER FOR EACH MENTIONED: ENTER (N) FOR NO MORE.
Card F1
1. Vision/problem seeing
2. Hearing problem
3. Speech problem
4. Asthma/breathing problem
5. Birth defect
6. Injury
7. Mental retardation
8. Other developmental problem (e.g. cerebral palsy)
9. Other mental, emotional or behavioral problem
10. Bone, joint, or muscle problem
11. Epilepsy
12. Other impairment/problem
LAHCC
(1) Vision / problem seeing
(2) Hearing problem
(3) Speech problem
(4) Asthma / breathing problem
(5) Birth defect
(6) Injury
(7) Mental retardation
(8) Other developmental problem (e.g. cerebral palsy)
(9) Other mental, emotional, or behavioral problem
(10) Bone, joint, or muscle problem
(11) Epilepsy
(12) Other impairment/ problem (specify one) (FHS.271)
(13) Other impairment/ problem (specify one) (FHS.272)
(97) Refused
(99) Don't know/not sure

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHS.280)

FHS.271

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC Condition: __________________________________________

FHS.272

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC1 Condition: _________________________________________

top
1999
Survey form view entire document:  text  image
Check item FHSCCI3:For family members with an entry in FHS.010 through FHS.260:
If AGE is less than 18 go to FHS.270; Else go to FHS.290.
If none with entry in FHS.010 through FHS.260, or the family roster is exhausted go to FHS.310.

FHS.270

What conditions or health problems cause {subject's name} limitations?

FR: SHOW CARD F1. DO NOT READ. ENTER THE NUMBER FOR EACH MENTIONED: ENTER (N) FOR NO MORE.
Card F1
1. Vision/problem seeing
2. Hearing problem
3. Speech problem
4. Asthma/breathing problem
5. Birth defect
6. Injury
7. Mental retardation
8. Other developmental problem (e.g. cerebral palsy)
9. Other mental, emotional or behavioral problem
10. Bone, joint, or muscle problem
11. Epilepsy
12. Other impairment/problem
LAHCC
(1) Vision / problem seeing
(2) Hearing problem
(3) Speech problem
(4) Asthma / breathing problem
(5) Birth defect
(6) Injury
(7) Mental retardation
(8) Other developmental problem (e.g. cerebral palsy)
(9) Other mental, emotional, or behavioral problem
(10) Bone, joint, or muscle problem
(11) Epilepsy
(12) Other impairment/ problem (specify one) (FHS.271)
(13) Other impairment/ problem (specify one) (FHS.272)
(97) Refused
(99) Don't know/not sure

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHS.280)

FHS.271

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC Condition: __________________________________________

FHS.272

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC1 Condition: _________________________________________

top
1998
Survey form view entire document:  text  image
Check item FHSCCI3:For family members with an entry in FHS.010 through FHS.260:
If AGE is less than 18 go to FHS.270; Else go to FHS.290.
If none with entry in FHS.010 through FHS.260, or the family roster is exhausted go to FHS.310.

FHS.270

What conditions or health problems cause {subject's name} limitations?

FR: SHOW CARD F1. DO NOT READ. ENTER THE NUMBER FOR EACH MENTIONED: ENTER (N) FOR NO MORE.
Card F1
1. Vision/problem seeing
2. Hearing problem
3. Speech problem
4. Asthma/breathing problem
5. Birth defect
6. Injury
7. Mental retardation
8. Other developmental problem (e.g. cerebral palsy)
9. Other mental, emotional or behavioral problem
10. Bone, joint, or muscle problem
11. Epilepsy
12. Other impairment/problem
LAHCC
(1) Vision / problem seeing
(2) Hearing problem
(3) Speech problem
(4) Asthma / breathing problem
(5) Birth defect
(6) Injury
(7) Mental retardation
(8) Other developmental problem (e.g. cerebral palsy)
(9) Other mental, emotional, or behavioral problem
(10) Bone, joint, or muscle problem
(11) Epilepsy
(12) Other impairment/ problem (specify one) (FHS.271)
(13) Other impairment/ problem (specify one) (FHS.272)
(97) Refused
(99) Don't know/not sure

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHS.280)

FHS.271

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC Condition: __________________________________________

FHS.272

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC1 Condition: _________________________________________

top
1997
Survey form view entire document:  text  image
Check item FHSCCI3:For family members with an entry in FHS.010 through FHS.260:
If AGE is less than 18 go to FHS.270; Else go to FHS.290.
If none with entry in FHS.010 through FHS.260, or the family roster is exhausted go to FHS.310.

FHS.270

What conditions or health problems cause {subject's name} limitations?

FR: SHOW CARD F1. DO NOT READ. ENTER THE NUMBER FOR EACH MENTIONED: ENTER (N) FOR NO MORE.
Card F1
1. Vision/problem seeing
2. Hearing problem
3. Speech problem
4. Asthma/breathing problem
5. Birth defect
6. Injury
7. Mental retardation
8. Other developmental problem (e.g. cerebral palsy)
9. Other mental, emotional or behavioral problem
10. Bone, joint, or muscle problem
11. Epilepsy
12. Other impairment/problem
LAHCC
(1) Vision / problem seeing
(2) Hearing problem
(3) Speech problem
(4) Asthma / breathing problem
(5) Birth defect
(6) Injury
(7) Mental retardation
(8) Other developmental problem (e.g. cerebral palsy)
(9) Other mental, emotional, or behavioral problem
(10) Bone, joint, or muscle problem
(11) Epilepsy
(12) Other impairment/ problem (specify one) (FHS.271)
(13) Other impairment/ problem (specify one) (FHS.272)
(97) Refused
(99) Don't know/not sure

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHS.280)

FHS.271

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC Condition: __________________________________________

FHS.272

FR: SPECIFY CONDITION CAUSING LIMITATION. THIS SHOULD BE THE NAME OF A SPECIFIC CONDITION THAT IS NOT ON THE CONDITION LIST.
LACCSPEC1 Condition: _________________________________________