Survey Text

2018 2012 2006 2000
2017 2011 2005 1999
2016 2010 2004 1998
2015 2009 2003 1997
2014 2008 2002
2013 2007 2001
top
2018
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2017
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2016
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2015
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2014
Survey form view entire document:  text  image
Question ID: ACN.400_00.010

Instrument Variable Name: AHEARST2
Question Text:
These next questions are about your hearing WITHOUT the use of hearing aids or other listening devices.
Is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
(1) Excellent
(2) Good
(3) A little trouble hearing
(4) Moderate trouble
(5) A lot of trouble
(6) Deaf
(7) Refused
(9) Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1) [goto HRWHISP]
(2-6,R,D) [goto HRWORS]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2013
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2012
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2011
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2010
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2009
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2008
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID:: CHS.250_00.000

Instrument Variable Name:: CHEARST1
QuestionText:
Which statement best describes [fill: SC name]'s hearing without a hearing aid: Excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or is [fill: SC's name] deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1-6,R,D) [goto CVISION]

top
2007
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST1
QuestionText:
WITHOUT the use of hearing aids or other listening devices, is your hearing excellent, good, a little trouble hearing, moderate trouble, a lot of trouble, or are you deaf?
1 Excellent
2 Good
3 A little trouble hearing
4 Moderate trouble
5 A lot of trouble
6 Deaf
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1-6,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
2006
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
2005
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
2004
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
2003
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
2002
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
2001
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
2000
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
1999
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
1998
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]

top
1997
Survey form view entire document:  text  image
Question ID: ACN.420_00.000

Instrument Variable Name: AHEARST
Question Text:
Which statement best describes your hearing without a hearing aid: Good, a little trouble, a lot of trouble, deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto AVISION]

Survey form view entire document:  text  image
Question ID: CHS.250_00.000

Instrument Variable Name:CHEARST
Question Text:
Which statement best describes [fill: S.C. name]'s hearing without a hearing aid: Good, a little trouble, a lot of trouble, or
deaf?
1 Good
2 A little trouble
3 A lot of trouble
4 Deaf
7 Refused
9 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(1-4,R,D) [go to CVISION]