Survey Text

2023
2022
2021
2020
2019
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2023

No questionnaire text is available for this sample.


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2022
Survey form view entire document:  text  image
Question ID: VIS.0030.00.1
Variable: VISIONDF_C
Interview Module: Child
Content Type: Annual Core

Question text:

^GLASSCONTACT ^SCNAME have difficulty seeing? Would you say ^SCNAME has: no difficulty, some
difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^GLASSCONTACT
Description: When wearing glasses ^CONTACTS does/Does
Instruction:
If WEARGLSS_C=1 fill "When wearing glasses ^CONTACTS does" else if WEARGLSS_C ne 1 "Does"
^CONTACTS
Description: or contact lenses
Instruction:
If AGE=5-17 fill "or contact lenses"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto next section]

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2021
Survey form view entire document:  text  image
Question ID: VIS.0030.00.1
Variable: VISIONDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
^GLASSCONTACT ^SCNAME have difficulty seeing? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^GLASSCONTACT
Description: When wearing glasses ^CONTACTS does/Does
Instruction:
If WEARGLSS_C=1 fill "When wearing glasses ^CONTACTS does" else if WEARGLSS_C ne 1 "Does"
^CONTACTS
Description: or contact lenses
Instruction:
If AGE=5-17 fill "or contact lenses"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: HEA.0020.00.1
Variable: HEARINGDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
^USEHRAID_C ^SCNAME have difficulty hearing sounds like people's voices or music? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^USEHRAID_C
Description: When using ^hisher_C hearing aid(s) does/Does
Instruction:
If HEARAID_C=1 fill "When using ^hisher_C hearing aid(s) does " else fill "Does "
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: MOB.0020.00.1
Variable: NOEQWLKDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Without using ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this
at all?
Fills:
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4 who use equipment or assistance for walking
Skip Instructions:
1-4,RF,DK [goto EQWLKDF_C]
Question ID: MOB.0040.00.1
Variable: WLKDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty walking? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at
all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4 who do not use equipment or assistance for walking or Refused or Don't Know
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: UPP.0010.00.1
Variable: PICKUPDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty picking up small objects with ^hisher_C hands?
Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: COM.0010.00.1
Variable: UNDRSTYOU_C
Interview Module: Child
Content Type: Annual Core
Question text:
Does ^SCNAME have difficulty understanding you?
Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto UNDRSTCHD_C]
Question ID: COM.0020.00.1
Variable: UNDRSTCHD_C
Interview Module: Child
Content Type: Annual Core
Question text:
When ^SCNAME speaks, do you have difficulty understanding ^himherthem_C?
Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^himherthem_C
Description: him/her/them
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "him"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "them"
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: COG.0010.00.1
Variable: LEARNDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty learning things?
Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto REMEMBERDF_C]
Question ID: BEH.0010.00.1
Variable: BEHDFPLYG_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty playing? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto BEHKBHYG_C]
Question ID: BEH.0020.00.1
Variable: BEHKBHYG_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, how much does ^SCNAME kick, bite, or hit other children or adults? Would you say: not at all, the same or less, more, or a lot more?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Not at all
2 - The same or less
3 - More
4 - A lot more
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto next section]

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2020
Survey form view entire document:  text  image
Question ID: VIS.0030.00.1
Variable: VISIONDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
^GLASSCONTACT ^SCNAME have difficulty seeing? Would you say ^SCNAME has: no difficulty, some
difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^GLASSCONTACT
Description: When wearing glasses ^CONTACTS does/Does
Instruction:
If WEARGLSS_C=1 fill "When wearing glasses ^CONTACTS does" else if WEARGLSS_C ne 1 "Does"
^CONTACTS
Description: or contact lenses
Instruction:
If AGE=5-17 fill "or contact lenses"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: HEA.0020.00.1
Variable: HEARINGDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
^USEHRAID_C ^SCNAME have difficulty hearing sounds like people's voices or music? Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at
all?
Fills:
^USEHRAID_C
Description: When using ^hisher_C hearing aid(s) does/Does
Instruction:
If HEARAID_C=1 fill "When using ^hisher_C hearing aid(s) does " else fill "Does "
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: MOB.0020.00.1
Variable: NOEQWLKDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Without using ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking? Would you
say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this
at all?
Fills:
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4 who use equipment or assistance for walking
Skip Instructions:
1-4,RF,DK [goto EQWLKDF_C]
Question ID: MOB.0040.00.1
Variable: WLKDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty walking? Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at
all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4 who do not use equipment or assistance for walking or Refused or Don't Know
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: UPP.0010.00.1
Variable: PICKUPDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty picking up small objects
with ^hisher_C hands?
*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of
difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: COM.0010.00.1
Variable: UNDRSTYOU_C
Interview Module: Child
Content Type: Annual Core
Question text:
Does ^SCNAME have difficulty understanding you?
*Read if necesary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of
difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto UNDRSTCHD_C]
Question ID: COM.0020.00.1
Variable: UNDRSTCHD_C
Interview Module: Child
Content Type: Annual Core
Question text:
When ^SCNAME speaks, do you have difficulty understanding ^himherthem_C?
*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of
difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^himherthem_C
Description: him/her/them
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "him"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "them"
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: COG.0010.00.1
Variable: LEARNDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty learning things?
*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of
difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto REMEMBERDF_C]
Question ID: BEH.0010.00.1
Variable: BEHDFPLYG_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty playing? Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at
all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto BEHKBHYG_C]
Question ID: BEH.0020.00.1
Variable: BEHKBHYG_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, how much does ^SCNAME kick, bite, or hit other children
or adults? Would you say: not at all, the same or less, more, or a lot more?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Not at all
2 - The same or less
3 - More
4 - A lot more
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK [goto next section]

top
2019
Survey form view entire document:  text  image
Question ID: VIS.0030.00.1
Variable: VISIONDF_C
Interview Module: Child
Content Type: Annual Core


Question Text:

^GLASSCONTACT ^SCNAME have difficulty seeing? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^GLASSCONTACT

Description When wearing glasses ^CONTACTS does/Does
Instruction If WEARGLSS_C=1 fill "When wearing glasses ^CONTACTS does" else if WEARGLSS_C ne 1 "Does"

^CONTACTS

Description or contact lenses
Instruction If AGE=5-17 fill "or contact lenses"

^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK = [goto next section]
Question ID: HEA.0020.00.1
Variable: HEARINGDF_C
Interview Module: Child
Content Type: Annual Core


Question Text:

^USEHRAID_C ^SCNAME have difficulty hearing sounds like people's voices or music? Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^USEHRAID_C

Description When using ^hisher_C hearing aid(s) does/Does
Instruction If HEARAID_C=1 fill "When using ^hisher_C hearing aid(s) does " else fill "Does "

^hisher_C

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,DK,RF = [goto next section]
Question ID: MOB.0020.00.1
Variable: NOEQWLKDF_C
Interview Module: Child
Content Type: Annual Core


Question Text:

Without using ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^hisher_C

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"

Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-4 who use equipment or assistance for walking
Skip Instructions:
1-4,RF,DK = [goto EQWLKDF_C]
Question ID: MOB.0040.00.1
Variable: WLKDF_C
Interview Module: Child
Content Type: Annual Core


Question Text:

Compared with children of the same age, does ^SCNAME have difficulty walking? Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-4 who do not use equipment or assistance for walking or Refused or Do not Know
Skip Instructions:
1-4,RF,DK = [goto next section]
Question ID: UPP.0010.00.1
Variable: PICKUPDF_C
Interview Module: Child
Content Type: Annual Core

Question Text:

Compared with children of the same age, does ^SCNAME have difficulty picking up small objects with ^hisher_C hands?

*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^hisher_C

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,DK,RF = [goto next section]
Question ID: COM.0010.00.1
Variable: UNDRSTYOU_C
Interview Module: Child
Content Type: Annual Core

Question Text:

Does ^SCNAME have difficulty understanding you?

*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK = [goto UNDRSTCHD_C]
Question ID: COM.0020.00.1
Variable: UNDRSTCHD_C
Interview Module: Child
Content Type: Annual Core


Question Text:

When ^SCNAME speaks, do you have difficulty understanding ^himherthem_C?

*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^himherthem_C

Description him/her/them
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "him";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "them"

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK = [goto next section]
Question ID: COG.0010.00.1
Variable: LEARNDF_C
Interview Module: Child
Content Type: Annual Core

Question Text:

Compared with children of the same age, does ^SCNAME have difficulty learning things?

*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They

"

Response:

1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK = [goto REMEMBERDF_C]

2019 National Health Interview Survey (NHIS) Questionnaire
BEH: Behavior

Question ID: BEH.0010.00.1
Variable: BEHDFPLYG_C
Interview Module: Child
Content Type: Annual Core
Question Text:

Compared with children of the same age, does ^SCNAME have difficulty playing? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction: Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction: If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK = [goto BEHKBHYG_C]
Question ID: BEH.0020.00.1
Variable: BEHKBHYG_C
Interview Module: Child
Content Type: Annual Core
Question Text:
Compared with children of the same age, how much does ^SCNAME kick, bite, or hit other children or adults? Would you say: not at all, the same or less, more, or a lot more?
Fills:
^SCNAME
Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1
Response:
1 Not at all
2 The same or less
3 More
4 A lot more
7 Refused
9 Do not Know
Universe:
Sample Children 2-4
Skip Instructions:
1-4,RF,DK = [goto next section]