Survey Text

2017
2016
2008
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2017
Survey form view entire document:  text  image
Question ID: CHS.270_00.040

Instrument Variable Name: CVISACT
Questionnaire File Name: Sample Child
Question Text:
Does [fill: SC name] participate in sports, hobbies, or other activities that can cause eye injury? This includes activities such as baseball, basketball, soccer and mowing the lawn.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children 6-17
Skip Instructions:
(1) [go to CVISPROT] (2,R,D) [go to IHSPEQ]

Survey form view entire document:  text  image
Question ID: ACN.442_00.020

Instrument Variable Name: AVISACT
Questionnaire File Name: Sample Adult
Question Text:
Outside of work, do you participate in sports, hobbies, or other activities that can cause eye injury?
This includes activities such as baseball, basketball, mowing the lawn, wood working, or working with chemicals.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1) [goto AVISPROT]
(2,R,D) [goto LUPPRT]

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2016
Survey form view entire document:  text  image
Question ID: CHS.270_00.040

Instrument Variable Name: CVISACT
Questionnaire File Name: Sample Child
Question Text:
Does [fill: SC name] participate in sports, hobbies, or other activities that can cause eye injury? This includes activities such as baseball, basketball, soccer and mowing the lawn.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children 6-17
Skip Instructions:
(1) [go to CVISPROT] (2,R,D) [go to IHSPEQ]

Survey form view entire document:  text  image
Question ID: ACN.442_00.020

Instrument Variable Name: AVISACT
Questionnaire File Name: Sample Adult
Question Text:
Outside of work, do you participate in sports, hobbies, or other activities that can cause eye injury?
This includes activities such as baseball, basketball, mowing the lawn, wood working, or working with chemicals.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1) [goto AVISPROT]
(2,R,D) [goto LUPPRT]

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2008
Survey form view entire document:  text  image
Question ID:ACN.442_00.020

Instrument Variable Name:AVISACT
QuestionText:
Outside of work, do you participate in sports, hobbies, or other activities that can cause eye injury? This includes activities such as baseball, basketball, mowing the lawn, wood working, or working with chemicals.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+
SkipInstructions:
(1) [goto AVISPROT]
(2,R,D) [goto LUPPRT]

Survey form view entire document:  text  image
Question ID:CHS.270_00.040

Instrument Variable Name:CVISACT
QuestionText:
Does [fill: SC name] participate in sports, hobbies, or other activities that can cause eye injury? This includes activities such as baseball, basketball, soccer and mowing the lawn.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample children 6-17
SkipInstructions:
(1) [go to CVISPROT] (2,R,D) [go to IHSPEQ]

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2002
Survey form view entire document:  text  image
ACN.440.080

Outside of work, do you participate in sports, hobbies, or other activities that can cause eye injury?
This includes activities such as baseball, basketball, mowing the lawn, woodworking, or working with chemicals.
AVISACT
(1) Yes
(2) No (ACN.451)
(7) Refused (ACN.451)
(9) Don't know (ACN.451)

Survey form view entire document:  text  image
CHS.270.040

Does {S.C. name} participate in sports, hobbies, or other activities that can cause eye injury? This includes activities such as baseball, basketball, soccer and mowing the lawn.
CVISACT
(1) Yes
(2) No (CHS.290)
(7) Refused (CHS.290)
(9) Don't know (CHS.290)