Survey Text

2019
2013
2012
2011
2004
2003
2001
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2019

No questionnaire text is available for this sample.


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2013
Survey form view entire document:  text  image

Question ID:: CMS.008_00.000

Instrument Variable Name:: DIFFLNG
QuestionText:
How long have these difficulties been present?
1 Less than a month
2 1-5 months
3 6 to 12 months
4 Over a year
7 Refused
9 Don't know
UniverseText: Sample children 4-17 who have at least minor difficulties with emotions, concentration, behavior, or being able to get along with others
SkipInstructions:
(1-4,R,D) [goto PRESCP6M]



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2012
Survey form view entire document:  text  image

Question ID:: CMS.008_00.000

Instrument Variable Name:: DIFFLNG
QuestionText:
How long have these difficulties been present?
1 Less than a month
2 1-5 months
3 6 to 12 months
4 Over a year
7 Refused
9 Don't know
UniverseText: Sample children 4-17 who have at least minor difficulties with emotions, concentration, behavior, or being able to get along with others
SkipInstructions:
(1-4,R,D) [goto PRESCP6M]



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2011
Survey form view entire document:  text  image

Question ID:: CMS.008_00.000

Instrument Variable Name:: DIFFLNG
QuestionText:
How long have these difficulties been present?
1 Less than a month
2 1-5 months
3 6 to 12 months
4 Over a year
7 Refused
9 Don't know
UniverseText: Sample children 4-17 who have at least minor difficulties with emotions, concentration, behavior, or being able to get along with others
SkipInstructions:
(1-4,R,D) [goto PRESCP6M]



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2004
Survey form view entire document:  text  image

CMH.070_00.000

Instrument Variable Name: CSCL7
Question Text:
How long have these difficulties been present?
1 Less than a month
2 1-5 months
3 6-12 months
4 Over 12 months
7 Refused
8 Not Ascertained
9 Don't know
Universe Text: Sample children GE 4 who have difficulties with emotions, concentration, behavior, or getting along
Skip Instructions:
(2-4) [goto CSCL8]
(1,R,D) [store 1 in CSTAT; goto next section]

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2003
Survey form view entire document:  text  image

CMH.070_00.000

Instrument Variable Name: CSCL7
Question Text:
How long have these difficulties been present?
1 Less than a month
2 1-5 months
3 6-12 months
4 Over 12 months
7 Refused
8 Not Ascertained
9 Don't know
Universe Text: Sample children GE 4 who have difficulties with emotions, concentration, behavior, or getting along
Skip Instructions:
(2-4) [goto CSCL8]
(1,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)