Survey Text

2012
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2012
Survey form view entire document:  text  image
QuestionID: ALT.549_00.000

Instrument Variable Name: TP1_REC2 Adult CAM
QuestionText:
*Read if necessary. Did you {fill1: see a practitioner for/use} {fill2: modality} because it was recommended by any of the following people? A family member?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used first of top three modalities
SkipInstructions:
(1,2,R,D) [goto TP1_REC3]

Survey form view entire document:  text  image
QuestionID: ALT.550_00.000

Instrument Variable Name: TP1_REC3 Adult CAM
QuestionText:
*Read if necessary. Did you {fill1: see a practitioner for/use} {fill2: modality} because it was recommended by any of the following people? A friend?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used first of top three modalities
SkipInstructions:
(1,2,R,D) [goto TP1_REC4]

Survey form view entire document:  text  image
Question ID: CAL.549_00.000

Instrument Variable Name: CTP1REC2
QuestionText:
*Read if necessary. Did [S.C. name] [fill1: see a practitioner for/use] [fill2: modality] because it was recommended by any of the following people? A family member?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have used first of top three modalities
SkipInstructions:
(1,2,R,D) [goto CTP1REC3]

Survey form view entire document:  text  image
Question ID: CAL.550_00.000

Instrument Variable Name: CTP1REC3
QuestionText:
*Read if necessary. Did [S.C. name] [fill1: see a practitioner for/use] [fill2: modality] because it was recommended by any of the following people? A friend?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have used first of top three modalities
SkipInstructions:
(1,2,R,D) [goto CTP1REC4]