Survey Text

2018 2012 2006 2000
2017 2011 2005 1999
2016 2010 2004 1998
2015 2009 2003 1997
2014 2008 2002
2013 2007 2001
top
2018
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2017
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2016
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2015
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2014
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2013
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2012
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2011
Survey form view entire document:  text  image
Question ID:FHS.290_01.000

Instrument Variable Name: LHCL07N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHCL07T]
(96) [fill "6" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(R) [store "R" in LHCL07T and go to follow-up questions for next condition selected at LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
Question ID:FHS.290_02.000

Instrument Variable Name: LHCL07T
Question Text:

2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 less than 18 years of age who have a limitation due to intellectual disability/mental retardation 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 LAHCC; if no more conditions, go to LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, go to LAHCA]
(6) [go to ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), go to ERR1_LHCL07T

ERR1_LHCL07T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHCL07T
* "6" not selectable.

Survey form view entire document:  text  image
Question ID:FHS.384_01.000

Instrument Variable Name: LHAL14N
Question Text:
1 of 2 How long [fill: have you/has ALIAS] had intellectual disability, also known as mental retardation?
* Enter number for time with intellectual disability/mental retardation.
* 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 intellectual disability/mental retardation
Skip Instructions:
(1-95,D) [go to LHAL14T]
(96) [fill "6" in LHAL14T 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 LHAL14T 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.384_02.000

Instrument Variable Name: LHAL14T
Question Text:
2 of 2 * Enter time period for time with intellectual disability/mental retardation.
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 intellectual disability/mental retardation 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_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, go to ERR1_LHAL14T

ERR1_LHAL14T

Hard Edit:

* Time with condition cannot be greater than age. Please correct.
ERR2_LHAL14T
* "6" not selectable.

top
2010
Survey form view entire document:  text  image
Question ID: FHS.290_01.000

Instrument Variable Name: LHCL07N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHCL07T]
(96)[fill "6" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(R)[store "R" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
Question ID: FHS.290_02.000

Instrument Variable Name: LHCL07T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(6)[goto ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), goto ERR1_LHCL07T

Survey form view entire document:  text  image
Question ID: FHS.384_01.000

Instrument Variable Name: LHAL14N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHAL14T]
(96)[fill "6" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R)[store "R" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID: FHS.384_02.000

Instrument Variable Name: LHAL14T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(6)[goto ERR2_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, goto ERR1_LHAL14T

top
2009
Survey form view entire document:  text  image
Question ID: FHS.290_01.000

Instrument Variable Name: LHCL07N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHCL07T]
(96)[fill "6" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(R)[store "R" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
Question ID: FHS.290_02.000

Instrument Variable Name: LHCL07T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(6)[goto ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), goto ERR1_LHCL07T

Survey form view entire document:  text  image
Question ID: FHS.384_01.000

Instrument Variable Name: LHAL14N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHAL14T]
(96)[fill "6" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R)[store "R" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID: FHS.384_02.000

Instrument Variable Name: LHAL14T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(6)[goto ERR2_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, goto ERR1_LHAL14T

top
2008
Survey form view entire document:  text  image
Question ID: FHS.290_01.000

Instrument Variable Name: LHCL07N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHCL07T]
(96)[fill "6" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(R)[store "R" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
Question ID: FHS.290_02.000

Instrument Variable Name: LHCL07T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(6)[goto ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), goto ERR1_LHCL07T

Survey form view entire document:  text  image
Question ID: FHS.384_01.000

Instrument Variable Name: LHAL14N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHAL14T]
(96)[fill "6" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R)[store "R" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID: FHS.384_02.000

Instrument Variable Name: LHAL14T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(6)[goto ERR2_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, goto ERR1_LHAL14T

top
2007
Survey form view entire document:  text  image
Question ID: FHS.290_01.000

Instrument Variable Name: LHCL07N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHCL07T]
(96)[fill "6" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(R)[store "R" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
Question ID: FHS.290_02.000

Instrument Variable Name: LHCL07T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(6)[goto ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), goto ERR1_LHCL07T

Survey form view entire document:  text  image
Question ID: FHS.384_01.000

Instrument Variable Name: LHAL14N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHAL14T]
(96)[fill "6" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R)[store "R" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID: FHS.384_02.000

Instrument Variable Name: LHAL14T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(6)[goto ERR2_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, goto ERR1_LHAL14T

top
2006
Survey form view entire document:  text  image
Question ID: FHS.290_01.000

Instrument Variable Name: LHCL07N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHCL07T]
(96)[fill "6" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(R)[store "R" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
Question ID: FHS.290_02.000

Instrument Variable Name: LHCL07T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(6)[goto ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), goto ERR1_LHCL07T

Survey form view entire document:  text  image
Question ID: FHS.384_01.000

Instrument Variable Name: LHAL14N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHAL14T]
(96)[fill "6" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R)[store "R" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID: FHS.384_02.000

Instrument Variable Name: LHAL14T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(6)[goto ERR2_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, goto ERR1_LHAL14T

top
2005
Survey form view entire document:  text  image
Question ID: FHS.290_01.000

Instrument Variable Name: LHCL07N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHCL07T]
(96)[fill "6" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(R)[store "R" in LHCL07T and goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
Question ID: FHS.290_02.000

Instrument Variable Name: LHCL07T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons less than 18 years of age who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCC; if no more conditions, goto LAHCC for next person less than 18 years of age with a reported limitation; if no more persons, goto LAHCA]
(6)[goto ERR2_LHCL07T] if (LHCL07T = 4 and LHCL07N GT AGE) or (LHCL07T = 3 and LHCL07N GT AGE in months) or (LHCL07T = 2 and LHCL07N GT AGE in weeks), goto ERR1_LHCL07T

Survey form view entire document:  text  image
Question ID: FHS.384_01.000

Instrument Variable Name: LHAL14N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHAL14T]
(96)[fill "6" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R)[store "R" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID: FHS.384_02.000

Instrument Variable Name: LHAL14T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(6)[goto ERR2_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, goto ERR1_LHAL14T

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2004
Survey form view entire document:  text  image
Question ID:FHS.230_00.000

Instrument Variable Name: FLAREMEM
Question Text:
? [F1]
[fill1: Are you/Is anyone in the family] LIMITED IN ANY WAY because of difficulty remembering or because [fill2: you/they] experience periods of confusion?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
(1) [if a single-person family, store person number in PLAREMEM and go to LAHCC; else, go to PLAREMEM]
(2,R,D) [go to FLIMANY]

Survey form view entire document:  text  image
Question ID: FHS.384_01.000

Instrument Variable Name: LHAL14N
QuestionText:
1 of 2
How long [fill: have you/has ALIAS] had mental retardation?
* Enter number for time with mental retardation.
* 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
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation
SkipInstructions:
(1-95,D)[goto LHAL14T]
(96)[fill "6" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(R)[store "R" in LHAL14T and goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
Question ID: FHS.384_02.000

Instrument Variable Name: LHAL14T
QuestionText:
2 of 2
* Enter time period for time with mental retardation.
1 Day(s)
2 Week(s)
3 Month(s)
4 Year(s)
6 Since birth
7 Refused
9 Don't know
UniverseText: All persons 18 years of age or older who have a limitation due to mental retardation and 1-95, D was entered for the "number" part of this two-part question
SkipInstructions:
(1-4,R,D)[goto follow-up questions for next condition selected at LAHCA; if no more conditions, goto LAHCA for next person 18 years of age or older with a reported limitation; if no more persons, goto PHSTAT]
(6)[goto ERR2_LHAL14T] if LHAL14T = 4 and LHAL14N GT AGE, goto ERR1_LHAL14T

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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]