Survey Text

2012
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2012
Survey form view entire document:  text  image

QuestionID: ALT.302_00.000

Instrument Variable Name: AHB_LSTM Adult CAM
QuestionText:

(book) CAM2 Which of these supplements have you taken DURING THE PAST 30 DAYS? If you took more than one herb in a single supplement, select "combination herb pill."
*Enter all that apply, separate with commas.
01 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 herbs or other non-vitamin supplements in the past 30 days
SkipInstructions:

(1) [goto AHB_CHPN]
(1,2-21) if AHB_CNT GT 2 [goto AHB_CHPN] (then to AHB_CHP1 to AHB_TP2)
(1,2-21,22) if AHB_CNT GT 2[goto AHB_CHPN] (then to AHB_CHP1 to AHB_MOTH to AHB_LU1 (if more than 1 to AHB_LU2) goo AHB_TP2
(2-21) if AHB_CNT GT 2 [goto AHB_TP2]
(22) [goto AHB_MOTH];
(2-21,22) if AHB_CNT GT 2,[goto AHB_MOTH], to AHB_LU1 (if more than 1 to AHB_LU2) go to AHB_TP2 else if AHB_CNT LTE 2
(2-21) [goto AHB_EVR1]

Survey form view entire document:  text  image

Question ID: CAL.302_00.000

Instrument Variable Name: CHB_LSTM
QuestionText:
(book) CAM2
Which of these supplements has [S.C. name] taken DURING THE PAST 30 DAYS? If [fill: he/she] took more than one herb in a single supplement, select "combination herb pill."
*Enter all that apply, separate with commas.
01 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 children 4+ who have taken herbs or other non-vitamin supplements in the past 30 days
SkipInstructions:
(1) [goto CHB_CHPN]
(1,2-21) if CHB_CNT GT 2 [goto CHB_CHPN] (then to CHB_CHP1 to CHB_TP2)
(1,2-21,22) if CHB_CNT GT 2 [goto CHB_CHPN] (then to CHB_CHP1 to CHB_MOTH to CHB_LU1 (if more than 1 to CHB_LU2) [goto CHB_TP2]
(2-21) if CHB_CNT GT 2 [goto CHB_TP2]
(22) [goto CHB_MOTH];
(2-21,22) if CHB_CNT GT 2 [goto CHB_MOTH], to CHB_LU1 (if more than 1 to CHB_LU2) go to AHB_TP2 else if CHB_CNT LTE (2-21) [goto CHB_EVR1]