Survey Text

2021 2016 1981 1973
2020 2008 1980
2019 1988 1979
2017 1982 1977
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2021

No questionnaire text is available for this sample.


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2020

No questionnaire text is available for this sample.


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2019
Survey form view entire document:  text  image
Question ID: VIS.0020.00.1
Variable: WEARGLSS_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Do you wear glasses or contact lenses?

Read if necessary: Persons who wear glasses to read or to do other occasional tasks should answer yes to this question.
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+
Skip Instructions:
1,2,RF,DK = [goto VISIONDF_A]
Question ID: VIS.0020.00.1
Variable: WEARGLSS_C
Interview Module: Child
Content Type: Annual Core


Question Text:

Does ^SCNAME wear glasses ^CONTACTS?

Read if necessary: Persons who wear glasses to read or to do other occasional tasks should answer yes to this question.
Fills:
^SCNAME

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

^CONTACTS

Description or contact lenses
Instruction If AGE=5-17 fill "or contact lenses"
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 2-17
Skip Instructions:
1,2,DK,RF = [goto VISIONDF_C]

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2017
Survey form view entire document:  text  image
Question ID: ACN.440_00.100

Instrument Variable Name: VIMGLASS
Questionnaire File Name: Sample Adult
Question Text:
Do you currently wear eyeglasses or contact lenses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who are not blind
Skip Instructions:
(1,) [go to VIMREAD];
(2,R,D) and AVISION=1 [go to AVISREH];
else (2,R,D) and AVISION=2,R,D [goto AVDF_NWS]

Survey form view entire document:  text  image
Question ID: CHS.270_00.025

Instrument Variable Name: CVISGLAS
Questionnaire File Name: Sample Child
Question Text:
Does [fill: SC name] wear eyeglasses or contact lenses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children (18 who is not blind
Skip Instructions:
(1) [goto CVISDIST]
(2,R,D) [go to CVISACT]

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2016
Survey form view entire document:  text  image
Question ID: ACN.440_00.100

Instrument Variable Name: VIMGLASS
Questionnaire File Name: Sample Adult
Question Text:
Do you currently wear eyeglasses or contact lenses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who are not blind
Skip Instructions:
(1,) [go to VIMREAD];
(2,R,D) and AVISION=1 [go to AVISREH];
else (2,R,D) and AVISION=2,R,D [goto AVDF_NWS]

Survey form view entire document:  text  image
Question ID: CHS.270_00.025

Instrument Variable Name: CVISGLAS
Questionnaire File Name: Sample Child
Question Text:
Does [fill: SC name] wear eyeglasses or contact lenses?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children (18 who is not blind
Skip Instructions:
(1) [goto CVISDIST]
(2,R,D) [go to CVISACT]

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2008
Survey form view entire document:  text  image
Question ID:CHS.270_00.025

Instrument Variable Name:CVISGLAS
QuestionText:
Does [fill: SC name] wear eyeglasses or contact lenses?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample children 6-17 years who are not blind
SkipInstructions:
(1) [goto CVISDIST]
(2,R,D) [go to CVISACT]

Survey form view entire document:  text  image
Question ID:ACN.440_00.100

Instrument Variable Name:VIMGLASS
QuestionText:
Do you currently wear eyeglasses or contact lenses?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText:Sample adults 18+
SkipInstructions:
(1) [go to VIMREAD];
(2,R,D) and AVISION=1 [go to AVISREH];
else (2,R,D) and AVISION=2,R,D [goto AVDF_NWS]

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1988
Survey form view entire document:  text  image
Check Item 18
Refer to age of sample child.

1[] 3+ years old (1)
2[] Under 3 years old (3)

1. Does -- wear glasses or contact lenses?

1[] Yes
2[] No

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1982
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10. Do you have eyeglasses or contact lenses?

1[] Yes
2[] No

11a. Does -- have eyeglasses or contact lenses?

1[] Yes
2[] No

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1981
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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
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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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1977

No questionnaire text is available for this sample.


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1973
Survey form view entire document:  text  image
PREVENTIVE CARE

S1

[] 40+ years (1)
[] 17-39 years (3)
[] 3-16 years (7)
[] Under 3 years (8)

4a. Does -- have eyeglasses or contact lenses?

1 [] Y
2 [] N

7a. Does -- have eyeglasses or contact lenses?

1 [] Y
2 [] N