Survey Text

2018 2012 2006 2000
2017 2011 2005 1999
2016 2010 2004 1998
2015 2009 2003 1997
2014 2008 2002 1988
2013 2007 2001
top
2018
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2017
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2016
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2015
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2014
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2013
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2012
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2011
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2010
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2009
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2008
Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2007
Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2006
Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2005
Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2004
Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2003
Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
2002
Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
2001
Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
2000
Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1999
Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1998
Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1997
Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

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1988
Survey form view entire document:  text  image
The next questions are about other health conditions -- may have ever had.

[] Congenital heart disease?
1[] Yes
2[] No/DK
[] Any other heart disease or condition?

Specify ____
1[] Yes
2[] No/DK
[] Any other condition that required surgery in past 12 months?
Specify ____
1[] Yes (enter on Cond. Page)
2[] No/DK
[] Any other condition that lasted three months or more?
List below and reask.
[] Yes
a[] ____
b[] ____
c[] ____
9[] No/DK