2018 | 2012 | 2006 | 2000 |

2017 | 2011 | 2005 | 1999 |

2016 | 2010 | 2004 | 1998 |

2015 | 2009 | 2003 | 1997 |

2014 | 2008 | 2002 | |

2013 | 2007 | 2001 |

Survey form
view entire document:
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image

Question ID: AHS.324_01.000

Instrument Variable Name: AHCL25N

QuestionText:

QuestionText:

1 of 2 How long have you had epilepsy or seizures?

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to epilepsy or seizures

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL25T]

(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.325_01.000
(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL26N

QuestionText:

QuestionText:

1 of 2 How long have you had multiple sclerosis (MS) or muscular dystrophy (MD)?

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to multiple sclerosis or muscular dystrophy

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL26T]

(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.326_01.000
(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL27N

QuestionText:

QuestionText:

1 of 2 How long have you had polio(myelitis), paralysis or para/quadriplegia?

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to polio(myelitis), paralysis or para/quadriplegia

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL27T]

(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.327_01.000
(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

1 of 2 How long have you had Parkinson's disease or tremors?

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to Parkinson's disease or tremors

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL28T]

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.328_01.000
(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

1 of 2 How long have you had nerve damage (including carpal tunnel syndrome)?

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL29T]

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.334_01.000
(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL35N

QuestionText:

QuestionText:

1 of 2 How long have you had migraine headaches?

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to migraine headaches

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL35T]

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Survey form
view entire document:
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Question ID: AHS.324_01.000

Instrument Variable Name: AHCL25N

QuestionText:

QuestionText:

1 of 2 How long have you had epilepsy or seizures?

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to epilepsy or seizures

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL25T]

(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.325_01.000
(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL26N

QuestionText:

QuestionText:

1 of 2 How long have you had multiple sclerosis (MS) or muscular dystrophy (MD)?

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to multiple sclerosis or muscular dystrophy

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL26T]

(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.326_01.000
(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL27N

QuestionText:

QuestionText:

1 of 2 How long have you had polio(myelitis), paralysis or para/quadriplegia?

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to polio(myelitis), paralysis or para/quadriplegia

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL27T]

(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.327_01.000
(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

1 of 2 How long have you had Parkinson's disease or tremors?

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to Parkinson's disease or tremors

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL28T]

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.328_01.000
(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

1 of 2 How long have you had nerve damage (including carpal tunnel syndrome)?

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL29T]

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.334_01.000
(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL35N

QuestionText:

QuestionText:

1 of 2 How long have you had migraine headaches?

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to migraine headaches

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL35T]

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Survey form
view entire document:
text
image

Question ID: AHS.324_01.000

Instrument Variable Name: AHCL25N

QuestionText:

QuestionText:

1 of 2 How long have you had epilepsy or seizures?

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to epilepsy or seizures

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL25T]

(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.325_01.000
(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL26N

QuestionText:

QuestionText:

1 of 2 How long have you had multiple sclerosis (MS) or muscular dystrophy (MD)?

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to multiple sclerosis or muscular dystrophy

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL26T]

(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.326_01.000
(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL27N

QuestionText:

QuestionText:

1 of 2 How long have you had polio(myelitis), paralysis or para/quadriplegia?

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to polio(myelitis), paralysis or para/quadriplegia

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL27T]

(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.327_01.000
(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

1 of 2 How long have you had Parkinson's disease or tremors?

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to Parkinson's disease or tremors

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL28T]

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.328_01.000
(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

1 of 2 How long have you had nerve damage (including carpal tunnel syndrome)?

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL29T]

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Question ID: AHS.334_01.000
(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL35N

QuestionText:

QuestionText:

1 of 2 How long have you had migraine headaches?

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to migraine headaches

SkipInstructions:

SkipInstructions:

(1-95,D)[goto AHCL35T]

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Survey form
view entire document:
text
image

Instrument Variable Name: AHCL25N

QuestionText:

QuestionText:

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to epilepsy or seizures

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL26N

QuestionText:

QuestionText:

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL27N

QuestionText:

QuestionText:

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL35N

QuestionText:

QuestionText:

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to migraine headaches

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Survey form
view entire document:
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image

Instrument Variable Name: AHCL25N

QuestionText:

QuestionText:

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to epilepsy or seizures

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL26N

QuestionText:

QuestionText:

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL27N

QuestionText:

QuestionText:

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL35N

QuestionText:

QuestionText:

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to migraine headaches

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Survey form
view entire document:
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image

Instrument Variable Name: AHCL25N

QuestionText:

QuestionText:

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to epilepsy or seizures

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL26N

QuestionText:

QuestionText:

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL27N

QuestionText:

QuestionText:

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL35N

QuestionText:

QuestionText:

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to migraine headaches

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Survey form
view entire document:
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image

Instrument Variable Name: AHCL25N

QuestionText:

QuestionText:

* Enter number for time with epilepsy or seizures.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to epilepsy or seizures

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL25T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL26N

QuestionText:

QuestionText:

* Enter number for time with multiple sclerosis (MS) or muscular dystrophy (MD).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 1-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL26T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL27N

QuestionText:

QuestionText:

* Enter number for time with polio (myelitis), paralysis or para/quadriplegia.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL27T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL35N

QuestionText:

QuestionText:

* Enter number for time with migraine headaches.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to migraine headaches

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL35T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Survey form
view entire document:
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image

Question ID: AHS.327_01.000
1 of 2 How long have you had Parkinson's disease or tremors?

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.UniverseText: Sample adults 18+ who had difficulty due to Parkinson's disease or tremors

SkipInstructions:(1-95,D)[goto AHCL28T]

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]Question ID: AHS.327_02.000
1 of 2 How long have you had nerve damage (including carpal tunnel syndrome)?

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.(1-95,D)[goto AHCL29T]

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]Question ID: AHS.328_02.000

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

UniverseText: Sample adults 18+ who answered 1-95, D for the "number" part of this 2-part question

SkipInstructions:

SkipInstructions:

(1- 4, R,D)[goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Question ID: AHS.328_01.000
(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

UniverseText: Sample adults 18+ who answered 1-95, D for the "number" part of this 2-part question

SkipInstructions:

SkipInstructions:

(1- 4, R,D)[goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
view entire document:
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Question ID: AHS.327_01.000
1 of 2 How long have you had Parkinson's disease or tremors?

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.UniverseText: Sample adults 18+ who had difficulty due to Parkinson's disease or tremors

SkipInstructions:(1-95,D)[goto AHCL28T]

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]Question ID: AHS.327_02.000
1 of 2 How long have you had nerve damage (including carpal tunnel syndrome)?

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.(1-95,D)[goto AHCL29T]

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]Question ID: AHS.328_02.000
UniverseText: Sample adults 18+ who answered 1-95, D for the "number" part of this 2-part question

SkipInstructions:

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

UniverseText: Sample adults 18+ who answered 1-95, D for the "number" part of this 2-part question

SkipInstructions:

SkipInstructions:

(1- 4, R,D)[goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Question ID: AHS.328_01.000
(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

SkipInstructions:

(1- 4, R,D)[goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
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Question ID: AHS.327_01.000
1 of 2 How long have you had Parkinson's disease or tremors?

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.UniverseText: Sample adults 18+ who had difficulty due to Parkinson's disease or tremors

SkipInstructions:(1-95,D)[goto AHCL28T]

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]Question ID: AHS.327_02.000
UniverseText: Sample adults 18+ who answered 1-95, D for the "number" part of this 2-part question

SkipInstructions:1 of 2 How long have you had nerve damage (including carpal tunnel syndrome)?

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.(1-95,D)[goto AHCL29T]

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]Question ID: AHS.328_02.000
UniverseText: Sample adults 18+ who answered 1-95, D for the "number" part of this 2-part question

SkipInstructions:

Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

SkipInstructions:

(1- 4, R,D)[goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Question ID: AHS.328_01.000
(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

SkipInstructions:

(1- 4, R,D)[goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
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Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
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Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
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Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
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Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
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Instrument Variable Name: AHCL28N

QuestionText:

QuestionText:

* Enter number for time with Parkinson's disease or tremors.

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

SkipInstructions:

(R)[store "R" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL28T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL28T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with Parkinson's disease or tremors.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since Birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL28T [if [AHCL28N = Number greater than person years old and AHCL28T= 4]] goto ERR1_AHCL28T

Hard Edit: ERR_AHCL28T

* Time with condition cannot be greater than age.

* Please correct.

Instrument Variable Name: AHCL29N

QuestionText:

QuestionText:

* Enter number for time with nerve damage (including carpal tunnel syndrome).

* Enter '95'' for 95 or more.

* Enter "96" if since birth.

01-94 01-94

95 95+

96 Since birth

97 Refused

99 Don't know

95 95+

96 Since birth

97 Refused

99 Don't know

UniverseText: Sample adults 18+ who had difficulty due to nerve damage

SkipInstructions:

SkipInstructions:

(R)[store "R" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

(96)[store "6" in AHCL29T] [goto the next condition, in numerical order, selected at AFLHCA (AHS.200). If this is the last condition selected, goto SMKEV (next section)]

Instrument Variable Name: AHCL29T

QuestionText:

QuestionText:

2 of 2 * Enter time period for time with nerve damage.

1 Day(s)

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

2 Week(s)

3 Month(s)

4 Year(s)

6 Since birth

7 Refused

9 Don't know

SkipInstructions:

(6) goto ERR2_AHCL29T [if [AHCL29N = Number greater than person years old and AHCL29T= 4]] goto ERR1_AHCL29T

Hard Edit: ERR_AHCL29T

* Time with condition cannot be greater than age.

* Please correct.

Survey form
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AHS.300

How long have you had {condition AFLHCA}?

LTIME1

[ ] NUMBER:

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

ALUNIT1

[ ] TIME PERIOD:

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't know

[AHS.300 - AHS.336 are asked for each condition reported in AHS.200]

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't know

[AHS.300 - AHS.336 are asked for each condition reported in AHS.200]

Survey form
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AHS.300

How long have you had {condition AFLHCA}?

LTIME1

[ ] NUMBER:

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

ALUNIT1

[ ] TIME PERIOD:

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't know

[AHS.300 - AHS.336 are asked for each condition reported in AHS.200]

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't know

[AHS.300 - AHS.336 are asked for each condition reported in AHS.200]

Survey form
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AHS.300

How long have you had {condition AFLHCA}?

LTIME1

[ ] NUMBER:

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

ALUNIT1

[ ] TIME PERIOD:

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't know

[AHS.300 - AHS.336 are asked for each condition reported in AHS.200]

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't know

[AHS.300 - AHS.336 are asked for each condition reported in AHS.200]

Survey form
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How long have you had {condition AFLHCA}?

LTIME1

[ ] NUMBER:

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't know

ALUNIT1

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't know

[AHS.300 - AHS.336 are asked for each condition reported in AHS.200]

Survey form
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AHS.300

How long have you had {name the first condition AFLHCA1}?

AFLHCLN

[ ] NUMBER

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

AFLHCLT

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.301

How long have you had {name the second condition AFLHCA2}?

AFLHCLN2

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT2

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.302

How long have you had {name the third condition AFLHCA3}?

AFLHCLN3

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT3

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.303

How long have you had {name the fourth condition AFLHCA4}?

AFLHCLN4

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT4

[ ]TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.304

How long have you had {name the fifth condition AFLHCA5}?

AFLHCLN5

[ ] NUMBER

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

AFLHCLT5

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

Survey form
view entire document:
text
image

AHS.300

How long have you had {name the first condition AFLHCA1}?

AFLHCLN

[ ] NUMBER

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

AFLHCLT

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.301

How long have you had {name the second condition AFLHCA2}?

AFLHCLN2

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT2

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.302

How long have you had {name the third condition AFLHCA3}?

AFLHCLN3

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT3

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.303

How long have you had {name the fourth condition AFLHCA4}?

AFLHCLN4

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT4

[ ]TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.304

How long have you had {name the fifth condition AFLHCA5}?

AFLHCLN5

[ ] NUMBER

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

AFLHCLT5

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

Survey form
view entire document:
text
image

AHS.300

How long have you had {name the first condition AFLHCA1}?

AFLHCLN

[ ] NUMBER

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

AFLHCLT

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.301

How long have you had {name the second condition AFLHCA2}?

AFLHCLN2

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT2

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.302

How long have you had {name the third condition AFLHCA3}?

AFLHCLN3

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT3

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.303

How long have you had {name the fourth condition AFLHCA4}?

AFLHCLN4

[ ] NUMBER

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95)95+

(96)Since birth

(97) Refused

(99) Don't Know

AFLHCLT4

[ ]TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

AHS.304

How long have you had {name the fifth condition AFLHCA5}?

AFLHCLN5

[ ] NUMBER

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

(01-94) 1-94

(95) 95+

(96) Since birth

(97) Refused

(99) Don't Know

AFLHCLT5

[ ] TIME PERIOD

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know

(1) Days

(2) Weeks

(3) Months

(4) Years

(6) Since birth

(7) Refused

(9) Don't Know