Survey Text

2004
2003
2001
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2004
Survey form view entire document:  text  image

CMH.100_00.000

Instrument Variable Name: CSCL10
Question Text:
(book) C9
Do the difficulties put a burden on you or the family as a whole?
1 Not at all
2 A little
3 A medium amount
4 A great deal
7 Refused
9 Don't know
Card C9
1. Not at all
2. A little
3. A medium amount
4. A great deal
Universe Text: Sample children GE 4 who have had difficulties in emotions, concentration, behavior, or getting along one month or more
Skip Instructions:
(1-4,R,D) store (1) in CSTAT [goto next section]

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2003
Survey form view entire document:  text  image

CMH.100_00.000

Instrument Variable Name: CSCL10
Question Text:
(book) C9
Do the difficulties put a burden on you or the family as a whole?
1 Not at all
2 A little
3 A medium amount
4 A great deal
7 Refused
9 Don't know
Card C9
1. Not at all
2. A little
3. A medium amount
4. A great deal
Universe Text: Sample children GE 4 who have had difficulties in emotions, concentration, behavior, or getting along one month or more
Skip Instructions:
(1-4,R,D) store (1) in CSTAT [goto next section]

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2001
Survey form view entire document:  text  image

CAU.345.060

Overall, do you think that (sample child) has difficulties in any of the following areas: emotions, concentration, behavior, or being able to get along with other people?

FR: SHOW FLASHCARD C9
CARD C9
Overall, do you think that this child has difficulties in any of the following areas: emotions, concentration, behavior, or being able to get along with other people?

1. No
2. Yes, minor difficulties
3. Yes, definite difficulties
4. Yes, severe difficulties
CSCL6
(1) No (ICAGEM)
(2) Yes, minor difficulties (CAU.345.070)
(3) Yes, definite difficulties (CAU.345.070)
(4) Yes, severe difficulties (CAU.345.070)
(7) Refused (blind) (ICAGEM)
(9) Don't know (blind) (ICAGEM)

CAU.345.070

How long have these difficulties been present?
CSCL7
(1) Less than a month (goto ICAGEM)
(2) 1 - 5 months (CAU.345.080)
(3) 6 - 12 months (CAU.345.080)
(4) Over 12 months (CAU.345.080)
(7) Refused (goto ICAGEM) (blind)
(9) Don't know (goto ICAGEM) (blind)

CAU.345.080

Do the difficulties upset or distress your child?

FR: SHOW FLASHCARD C10
CARD C10
1. Not at all
2. A little
3. A medium amount
4. A great deal
CSCL8
(1) Not at all
(2) A little
(3) A medium amount
(4) A great deal
(7) Refused (blind)
(9) Don't know (blind)

CAU.345.090

Do the difficulties interfere with your child's everyday life in the following areas?

FR: SHOW FLASHCARD C10

(1) Not at all
(2) A little
(3) A medium amount
(4) A great deal
(7) Refused (blind)
(9) Don't know (blind)
CARD C10
1. Not at all
2. A little
3. A medium amount
4. A great deal
CSCL9_HL... Home life
CSCL9_FR... Friendships
CSCL9_CL... Classroom learning
CSCL9_LA... Leisure activities

CAU.345.100

Do the difficulties put a burden on you or the family as a whole?

FR: SHOW FLASHCARD C10
CARD C10
1. Not at all
2. A little
3. A medium amount
4. A great deal
CSCL10
(1) Not at all
(2) A little
(3) A medium amount
(4) A great deal
(7) Refused (blind)
(9) Don't know (blind)

(goto ICAGEM)