Survey Text

2008
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2008
Survey form view entire document:  text  image

Question ID:AOH.090_04.000

Instrument Variable Name:OINT_4
QuestionText:
*Read if necessary: Did the problems with your mouth or teeth interfere with any of the following. Please say yes or no to each. . . . Your usual activities at home
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+ have at least one problem with mouth or teeth
SkipInstructions:
(1,2, R,D) [go to OCEXAM]

Survey form view entire document:  text  image

Question ID:COH.090_06.000

Instrument Variable Name:COINT_6
QuestionText:
*Read if necessary: Did the problems with [fill S. C. name]'s mouth or teeth interfere with any of the following? Please say yes or no to each....[fill S. C. name] 's usual activities at home
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample children LT 18 have at least one problem with mouth or teeth
SkipInstructions:
(1,2, R,D) [if AGE GE 4 go to CMHCOPY;
else go to CSHFLUYR]