Survey Text

2003
1991
1989
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2003
Survey form view entire document:  text  image
ACN.190.040

On average, about how often do you check your blood for glucose or sugar? Include times when checked by a family member or friend, but do not include times when checked by a health
professional.
DIBGLNO
[ ] NUMBER:
(000) Never
(001-995) 1-995 times
(996) Unable to do this type activity
DIBGLTP

[ ] TIME PERIOD:
(0) Never
(1) Day
(2) Week
(3) Month
(4) Year
(6) Unable to do this type activity
(7) Refused
(9) Don't know
(997) Refused
(999) Don't know
[if DIBGL@NO gt 9, 28, 31, 365 and DIBGL@TP eq 1, 2, 3, 4] respectively display
FR: NUMBER OF TIMES MAY BE EXCESSIVE FOR THE TIME PERIOD REPORTED. PLEASE VERIFY ENTRY.
(1) Make correction
(2) Proceed

@M

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1991
Survey form view entire document:  text  image
6a. In the past 6 months, on your own, about how often did you check your blood for glucose or sugar? Include times when checked by a family member or friend.

000[] Never

Times per ____
1[] Day
2[] Week
3[] Month
4[] Year
999[] DK

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1989
Survey form view entire document:  text  image
b. On your own, about how often do you check your blood for glucose or sugar? Include times when checked by a family member or friend.

000[] None

Times per ____
1[] Day
2[] Week
3[] Month
4[] Year
999[] DK