Survey Text

2002
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2002
Survey form view entire document:  text  image
ALT.005

For what health problems or conditions did you use chiropractic care?

FR: MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Yes
(2) No
(7) Refused
(9) Don't know
CHPCON01 (01) Allergic reaction to food
CHPCON02 (02) Allergic reaction to medication
CHPCON03 (03) Angina
CHPCON04 (04) Anxiety/depression
CHPCON05 (05) Arthritis, gout, lupus, or fibromyalgia
CHPCON06 (06) Asthma
CHPCON07 (07) Benign tumors, cysts
CHPCON08 (08) Birth defect
CHPCON09 (09) Bowel problems or constipation
CHPCON10 (10) Cancer
CHPCON11 (11) Cataracts
CHPCON12 (12) Cholesterol
CHPCON13 (13) Chronic bronchitis
CHPCON14 (14) Recurring pain
CHPCON15 (15) Circulation problems (other than in the legs)
CHPCON16 (16) Congestive heart failure
CHPCON17 (17) Coronary heart disease
CHPCON18 (18) Diabetes
CHPCON19 (19) Diabetic retinopathy
CHPCON20 (20) Emphysema
CHPCON21 (21) Excessive sleepiness during the day
CHPCON22 (22) Jaw pain
CHPCON23 (23) Fracture, bone/joint injury
CHPCON24 (24) Glaucoma
CHPCON25 (25) Gynecologic problems
CHPCON26 (26) Hay fever
CHPCON27 (27) Hearing problem
CHPCON28 (28) Heart attack
CHPCON29 (29) Heart condition or disease
CHPCON30 (30) Hernia
CHPCON31 (31) Hypertension
CHPCON32 (32) Irregular heartbeat
CHPCON33 (33) Knee problems (not arthritis, not joint injury)
CHPCON34 (34) Lung/breathing problem (not already listed)
CHPCON35 (35) Macular degeneration
CHPCON36 (36) Menopause
CHPCON37 (37) Menstrual problems
CHPCON38 (38) Mental retardation
CHPCON39 (39) Joint pain or stiffness
CHPCON40 (40) Missing limbs (fingers, toes, or digits), amputee
CHPCON41 (41) Multiple sclerosis
CHPCON42 (42) Neuropathy
CHPCON43 (43) Osteoporosis, tendinitis
CHPCON44 (44) Other developmental problem
CHPCON45 (45) Other injury
CHPCON46 (46) Other nerve damage, including carpal tunnel syndrome
CHPCON47 (47) Parkinson's
CHPCON48 (48) Polio (myelitis), paralysis, para/quadriplegia
CHPCON49 (49) Poor circulation in your legs
CHPCON50 (50) Insomnia or trouble sleeping
CHPCON51 (51) Liver problem
CHPCON52 (52) Dental pain
CHPCON53 (53) Prostate trouble or impotence
CHPCON54 (54) Seizures
CHPCON55 (55) Senility
CHPCON56 (56) Sinusitis
CHPCON57 (57) Skin problems
CHPCON58 (58) Sprain or strain
CHPCON59 (59) Stroke
CHPCON60 (60) Text of first other specify
CHPCON61 (61) Text of second other specify
CHPCON62 (62) Thyroid problem
CHPCON63 (63) Ulcer
CHPCON64 (64) Urinary problem
CHPCON65 (65) Varicose veins, hemorrhoids
CHPCON66 (66) Vision problems (not already listed)
CHPCON67 (67) Weak or failing kidneys
CHPCON68 (68) Weight problems
CHPCON69 (69) Back pain or problem
CHPCON70 (70) Head or chest cold
CHPCON71 (71) Neck pain or problem
CHPCON72 (72) Severe headache or migraine
CHPCON73 (73) Stomach or intestinal illness
CHPCON74 (74) Other, specify