Question ID:FHS.406_01.000
Instrument Variable Name: LHAL25N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had epilepsy or seizures?
* Enter number for time with epilepsy or seizures.
* Enter '95' for 95 or more.
* Enter '96' if since birth.
01-94 01-94
95 95+
96 Since birth
97 Refused
99 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to epilepsy or seizures
Skip Instructions:
(1-95,D) [go to LHAL25T]
(96) [fill "6" in LHAL25T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R) [store "R" in LHAL25T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
Question ID:FHS.406_02.000
Instrument Variable Name: LHAL25T
Question Text:
2 of 2 * Enter time period for time with epilepsy or seizures.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to epilepsy or seizures and 1-95, D was entered for the "number" part of this two-part question
Skip Instructions:
(1-4,R,D) [go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(6) [go to ERR2_LHAL25T] if LHAL25T = 4 and LHAL25N GT AGE, go to ERR1_LHAL25T
ERR1_LHAL25T
Hard Edit:
* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL25T
* "6" not selectable.
Question ID:FHS.408_01.000
Instrument Variable Name: LHAL26N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had multiple sclerosis (MS) or muscular dystrophy (MD)?
* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD)?
* Enter '95' for 95 or more.
* Enter '96' if since birth.
01-94 01-94
95 95+
96 Since birth
97 Refused
99 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to multiple sclerosis or muscular dystrophy
Skip Instructions:
(1-95,D) [go to LHAL26T]
(96) [fill "6" in LHAL26T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(R) [store "R" in LHAL26T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
Question ID:FHS.408_02.000
Instrument Variable Name: LHAL26T
Question Text:
2 of 2 * Enter time period for time with multiple sclerosis (MS) or muscular dystrophy (MD).
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to multiple sclerosis or muscular dystrophy and 195, D was entered for the "number" part of this two-part question
Skip Instructions:
(1-4,R,D) [go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(6) [go to ERR2_LHAL26T] if LHAL26T = 4 and LHAL26N GT AGE, go to ERR1_LHAL26T
ERR1_LHAL26T
Hard Edit:
* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL26T
* "6" not selectable.
Question ID:FHS.410_01.000
Instrument Variable Name: LHAL27N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had polio(myelitis), paralysis or para/quadriplegia?
* Enter number for time with polio (myelitis) paralysis or para/quadriplegia.
* Enter '95' for 95 or more.
* Enter '96' if since birth.
01-94 01-94
95 95+
96 Since birth
97 Refused
99 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to polio, paralysis, or para/quadriplegia
Skip Instructions:
(1-95,D) [go to LHAL27T]
(96) [fill "6" in LHAL27T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(R) [store "R" in LHAL27T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID:FHS.410_02.000
Instrument Variable Name: LHAL27T
Question Text:
2 of 2 * Enter time period for time with polio(myelitis), paralysis or para/quadriplegia.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to polio, paralysis, or para/quadriplegia and 1-95, D was entered for the "number" part of this two-part question
Skip Instructions:
(1-4,R,D) [go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(6) [go to ERR2_LHAL27T] if LHAL27T = 4 and LHAL27N GT AGE, go to ERR1_LHAL27T
ERR1_LHAL27T
Hard Edit:
* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL27T
* "6" not selectable.
Question ID:FHS.412_01.000
Instrument Variable Name: LHAL28N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had Parkinson's disease or tremors?
* Enter number for time with Parkinson's disease or tremors.
* Enter '95' for 95 or more.
* Enter '96' if since birth.
01-94 01-94
95 95+
96 Since birth
97 Refused
99 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to Parkinson's disease or other tremors
Skip Instructions:
(1-95,D) [go to LHAL28T]
(96) [fill "6" in LHAL28T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(R) [store "R" in LHAL28T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
Question ID:FHS.412_02.000
Instrument Variable Name: LHAL28T
Question Text:
2 of 2 * Enter time period for time with Parkinson's disease or tremors.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to Parkinson's disease or other tremors and 1-95, D was entered for the "number" part of this two-part question
Skip Instructions:
(1-4,R,D) [go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(6) [go to ERR2_LHAL28T] if LHAL28T = 4 and LHAL28N GT AGE, go to ERR1_LHAL28T
ERR1_LHAL28T
Hard Edit:
* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL28T
* "6" not selectable.
Question ID:FHS.414_01.000
Instrument Variable Name: LHAL29N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had nerve damage (including carpal tunnel syndrome)?
* Enter number for time with nerve damage.
* Enter '95' for 95 or more.
* Enter '96' if since birth.
01-94 01-94
95 95+
96 Since birth
97 Refused
99 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to other nerve damage, including carpal tunnel syndrome
Skip Instructions:
(1-95,D) [go to LHAL29T]
(96) [fill "6" in LHAL29T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(R) [store "R" in LHAL29T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
Question ID:FHS.414_02.000
Instrument Variable Name: LHAL29T
Question Text:
2 of 2 * Enter time period for time with nerve damage (including carpal tunnel syndrome).
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to other nerve damage, including carpal tunnel syndrome, and 1-95, D was entered for the "number" part of this two-part question
Skip Instructions:
(1-4,R,D) [go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(6) [go to ERR2_LHAL29T] if LHAL29T = 4 and LHAL29N GT AGE, go to ERR1_LHAL29T
ERR1_LHAL29T
Hard Edit:
* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL29T
* "6" not selectable.
Question ID:FHS.426_01.000
Instrument Variable Name: LHAL35N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had migraine headaches?
* Enter number for time with migraine headaches.
* Enter '95' for 95 or more.
* Enter '96' if since birth.
01-94 01-94
95 95+
96 Since birth
97 Refused
99 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to migraine headaches
Skip Instructions:
(1-95,D) [go to LHAL35T]
(96) [fill "6" in LHAL35T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(R) [store "R" in LHAL35T and go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
Question ID:FHS.426_02.000
Instrument Variable Name: LHAL35T
Question Text:
2 of 2 * Enter time period for time with migraine headaches.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
Universe Text All persons 18 years of age or older who have a limitation due to migraine headaches and 1-95, D was entered for the "number" part of this two-part question
Skip Instructions:
(1-4,R,D) [go to follow-up questions for next condition selected at LAHCA; if no more conditions, go to LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, go to PHSTAT]
(6) [go to ERR2_LHAL35T] if LHAL35T = 4 and LHAL35N GT AGE, go to ERR1_LHAL35T
ERR1_LHAL35T
Hard Edit:
* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL35T
* "6" not selectable.