Survey Text

2012
2007
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2012
Survey form view entire document:  text  image

QuestionID: ALT.305_00.000

Instrument Variable Name: AHB_CHP2 Adult CAM
QuestionText:
(book) CAM2 If AHB_CHPN=2, fill:
{Which herbs or other non-vitamin supplements are included in the second 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 second combination herb pill?}
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 two or more combination herb pills
SkipInstructions:

(2-22,R,D) if AHB_CNT GT 2 [goto AHB_TP2];
else if AHB_LSTM=22 [goto AHB_MOTH]; else [goto AHB_EVR1]

Survey form view entire document:  text  image

Question ID: CAL.305_00.000

Instrument Variable Name: CHB_CHP2
QuestionText:
(book) CAM2
If CHB_CHPN=2, fill: {Which herbs or other non-vitamin supplements are included in the second 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 second 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 two or more combination herb pills
SkipInstructions:
(2-22,R,D) if CHB_CNT GT 2 [goto CHB_TP2];
else if CHB_LSTM=22 [goto CHB_MOTH];
else [goto CHB_EVR1]

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2007
Survey form view entire document:  text  image

Question ID: : ALT.482_00.000

Instrument Variable Name: AHB_COM2
Question Text:
(book)ALT7
If AHB_COMN=2, fill:
Which herbs are included in the second combination herb pill?
Else if AHB_COMN=3-50, fill:
*Read if necessary.
thinking of the two combination herb pills you take most often, what herbs are included in the second 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 two or more combination herb pills
Skip Instructions:
(2-46,R,D) if AHRBTAKE=one herb [goto AHB_R1A]; else if AHRBTAKE includes more than two herbs [goto
AHB_TOP2]