Survey Text

2012
2007
top
2012
Survey form view entire document:  text  image

QuestionID: ALT.304_00.000

Instrument Variable Name: AHB_CHP1 Adult CAM
QuestionText:
(book) CAM2 If AHB_CHPN=R,D, fill:
{Which herbs or other non-vitamin supplements are included in the combination herb pill or pills?}
If AHB_CHPN=1 fill:
{Which herbs or other non-vitamin supplements are included in the combination herb pill?}
Else if AHB_CHPN=2 fill: {Which herbs or other non-vitamin supplements are included in the first combination herb pill?}
Else if AHB_CHPN=3-50, fill: {Thinking of the two combination herb pills you take most often, what herbs or other non-vitamin supplements are included in the first combination herb pill?}
*Enter all that apply, separate with commas.
02 Acai (pills, gelcaps)
03 Bee Pollen and other Bee products
04 Chondroitin
05 Co-enzyme Q10 (CoQ10)
06 Cranberry (pills or capsules)
07 Digestive Enzymes (lactaid)
08 Echinacea
09 Fish Oil or omega 3 or DHA fatty acid or EPA fatty acid supplements
10 Garlic supplements (pills, gelcaps)
11 Ginkgo Biloba
12 Ginseng
13 Glucosamine
14 Green tea pills (not brewed tea) or EGCG (pills)
15 Melatonin
16 Milk Thistle (silymarin)
17 MSM (Methylsulfonylmethane)
18 Probiotics or Prebiotics
19 SAM-e
20 Saw Palmetto
21 Valerian
22 Other herbs or non-vitamin supplements
97 Refused
99 Don't know
UniverseText: Sample adults 18+ who have taken a select number of combination herb pill(s) in the past 30 days

SkipInstructions:

(2-22,R,D) if AHB_CHPN GE 2 [goto AHB_CHP2];
else if AHB_LSTM=2-21 and AHB_CNT GT 2 [goto AHB_TP2];
else if AHB_LSTM=22 [goto AHB_MOTH];
else IF AHB_CHPN=1 [goto AHB_EVR1]

Survey form view entire document:  text  image

Question ID: CAL.304_00.000

Instrument Variable Name: CHB_CHP1
QuestionText:
(book) CAM2 If CHB_CHPN=R,D, fill: {Which herbs or other non-vitamin supplements are included in the combination herb pill or pills?}
If CHB_CHPN=1 fill: {Which herbs or other non-vitamin supplements are included in the combination herb pill?}
Else if CHB_CHPN=2 fill: {Which herbs or other non-vitamin supplements are included in the first combination herb pill?}
Else if CHB_CHPN=3-50, fill: {Thinking of the two combination herb pills [fill: he/she] took most often, what herbs or other non-vitamin supplements are included in the first combination herb pill?}
*Enter all that apply, separate with commas.
02 Acai (pills, gelcaps)
03 Bee Pollen and other Bee products
04 Chondroitin
05 Co-enzyme Q10 (CoQ10)
06 Cranberry (pills or capsules)
07 Digestive Enzymes (lactaid)
08 Echinacea
09 Fish Oil or omega 3 or DHA fatty acid or EPA fatty acid supplements
10 Garlic supplements (pills, gelcaps)
11 Ginkgo Biloba
12 Ginseng
13 Glucosamine
14 Green tea pills (not brewed tea) or EGCG (pills)
15 Melatonin
16 Milk Thistle (silymarin)
17 MSM (Methylsulfonylmethane)
18 Probiotics or Prebiotics
19 SAM-e
20 Saw Palmetto
21 Valerian
22 Other herbs or non-vitamin supplements
97 Refused
99 Don't know
UniverseText: Sample children 4+ who have taken a select number of combination herb pill(s) in the past 30 days

SkipInstructions:
(2-22,R,D) if CHB_CHPN GE 2 [goto CHB_CHP2];
else if CHB_LSTM=2-21 and CHB_CNT GT 2 [goto CHB_TP2];
else if CHB_LSTM=22 [goto CHB_MOTH];
else if CHB_CHPN=1 [goto CHB_EVR1]

top
2007
Survey form view entire document:  text  image

Question ID: : ALT.480_00.000

Instrument Variable Name: AHB_COM1
Question Text:
(book)ALT7
If AHB_COMN=Refused or Don't know, fill:
Which herbs are included in the combination herb pill or pills?
If AHB_COMN=1 fill:
Which herbs are included in the combination herb pill?
Else if AHB_COMN=2 fill:
Which herbs are included in the first combination herb pill?
Else if AHB_COMN=3-50, fill:
thinking of the two combination herb pills you take most often, what herbs are included in the first combination herb pill?
02 Androstenedione
03 Black cohosh
04 Carnitine
05 Chasteberry
06 Condroitin
07 Coenzyme Q-10
08 Comfrey
09 Conjugated Linolenic Acid (CLA)
10 Cranberry (pills, gelcaps)
11 Creatine
12 DHEA
13 Echinacea
14 Ephedra
15 Evening primrose
16 Feverfew
17 Fiber or Psyllium (pills or powder)
18 Fish oil or omega 3 or DHA fatty acid supplements
19 Flaxseed Oil or Pills
20 Garlic supplements (pills, gelcaps)
21 Ginger pills or gelcaps
22 Ginkgo biloba
23 Ginseng
24 Glucosamine
25 Goldenseal
26 Guarana
27 Grape Seed Extract
28 Green tea pills (not brewed tea)
29 EGCG (pills)
30 Hawthorn
31 Horny Goat Weed
32 Kava kava
33 Lecithin
34 Lutein
35 Lycopene
36 Melatonin
37 MSM (Methylsulfonylmethane)
38 Milk thistle
39 Prebiotics or Probiotics
40 SAM-e
41 Saw palmetto
42 Senna
43 Soy supplements or soy isoflavones
44 St. John's wort
45 Valerian
46 Other
97 Refused
99 Don't know
Universe Text: Sample adults 18+ who have taken combination herb pills in the past 30 days
Skip Instructions:
(2-46,R,D) if AHB_COMN=1,Refused,Don't know and AHRBTAKE=one or two herbs [goto AHB_R1A]; else if
AHB_COMN=1,Refused, Don't know and AHRBTAKE=more than two herbs [goto AHB_TOP2]; else if
AHB_COMN GE 2 [goto AHB_COM2]