Survey Text

2018 2015 2012 1980
2017 2014 1984 1979
2016 2013 1981 1971
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2018
Survey form view entire document:  text  image

Question ID: AFD.090_00.000

Instrument Variable Name: VIS_0
Questionnaire File Name: Sample Adult
Question Text:
Now I am going to ask you some questions about your ability to do different activities, and how you have been feeling.
Although some of these questions may seem similar to ones you have already answered, it is important that we ask them all.
Do you wear glasses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) goto VIS_SS

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2017
Survey form view entire document:  text  image

Question ID: AFD.090_00.000

Instrument Variable Name: VIS_0
Question Text:
Now I am going to ask you some questions about your ability to do different activities, and how you have been feeling.
Although some of these questions may seem similar to ones you have already answered, it is important that we ask them all.
Do you wear glasses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1,2,R,D) go to VIS_SS

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2016
Survey form view entire document:  text  image

Question ID: AFD.090_00.000

Instrument Variable Name: VIS_0
Question Text:
Now I am going to ask you some questions about your ability to do different activities, and how you have been feeling.
Although some of these questions may seem similar to ones you have already answered, it is important that we ask them all.
Do you wear glasses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1,2,R,D) go to VIS_SS

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2015
Survey form view entire document:  text  image

Question ID: AFD.090_00.000

Instrument Variable Name: VIS_0
Question Text:
Now I am going to ask you some questions about your ability to do different activities, and how you have been feeling.
Although some of these questions may seem similar to ones you have already answered, it is important that we ask them all.
Do you wear glasses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1,2,R,D) go to VIS_SS

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2014
Survey form view entire document:  text  image

Question ID: AFD.090_00.000

Instrument Variable Name: VIS_0
Question Text:
Now I am going to ask you some questions about your ability to do different activities, and how you have been feeling.
Although some of these questions may seem similar to ones you have already answered, it is important that we ask them all.
Do you wear glasses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1,2,R,D) go to VIS_SS

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2013
Survey form view entire document:  text  image

Question ID: AFD.090_00.000

Instrument Variable Name: VIS_0
Question Text:
Now I am going to ask you some questions about your ability to do different activities, and how you have been feeling.
Although some of these questions may seem similar to ones you have already answered, it is important that we ask them all.
Do you wear glasses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1,2,R,D) go to VIS_SS

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2012
Survey form view entire document:  text  image

Question ID: AFD.090_00.000

Instrument Variable Name: VIS_0
Question Text:
Now I am going to ask you some questions about your ability to do different activities, and how you have been feeling.
Although some of these questions may seem similar to ones you have already answered, it is important that we ask them all.
Do you wear glasses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1,2,R,D) go to VIS_SS

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1984
Survey form view entire document:  text  image

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1981
Survey form view entire document:  text  image

2a. Does -- wear glasses or contact lenses?

1[] Y
2[] N (3)

b. Which does -- wear?

1[] Both glasses and contacts
2[] Glasses only
3[] Contacts only

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1980
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9a. Does anyone in the family use -
If "Yes," ask 9b and c

(1) Eyeglasses?
[] Y
[] N
(2) Contact lenses?
[] Y
[] N
(3) A hearing aid?
[] Y
[] N

b. Who is this? Mark box in person's column

1 [] Eyeglasses
2 [] Contact lenses
3 [] Hearing aid

c. Anyone else?


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1979
Survey form view entire document:  text  image

9a. Does anyone in the family use -
If "Yes," ask 9b and c

(1) Eyeglasses?
[] Y
[] N
(2) Contact lenses?
[] Y
[] N
(3) A hearing aid?
[] Y
[] N

b. Who is this? Mark box in person's column

1 [] Eyeglasses
2 [] Contact lenses
3 [] Hearing aid

c. Anyone else?


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1971
Survey form view entire document:  text  image


37a. Does anyone in the family use-
1. Contact lenses?

[] Y
[] N


If "Yes," ask b and c

b. Who is this? Circle person's number
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10


c. Anyone else?
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10


2. Eyeglasses?

[] Y
[] N

[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10