Survey Text

2012
2007
2005
2002
2000
1999
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2012
Survey form view entire document:  text  image
QuestionID: ALT.299_00.000

Instrument Variable Name: AHB_USM Adult CAM
QuestionText:
? [F1] (book) CAM2 DURING THE PAST 12 MONTHS, have you taken any herbal or other non-vitamin supplements listed on this card for yourself?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have ever taken herbs or other non-vitamin supplements
SkipInstructions:
(1) [goto AHB_LSTY]
(2,R,D) if VIT_USM=1 [goto AVT_BOFN];
else [goto HOM_USE]

Survey form view entire document:  text  image
Question ID: CAL.299_00.000

Instrument Variable Name: CHB_USM
QuestionText:
? [F1] (book) CAM2
DURING THE PAST 12 MONTHS, has [S.C. name] taken any herbal or other non-vitamin supplements listed on this card for [fill: himself/herself]?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have ever taken herbs or other non-vitamin supplements
SkipInstructions:
(1) [goto CHB_LSTY]
(2,R,D) if VIT_USM=1 [goto CVT_BOFN];
else [goto CHM_USE]

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2007
Survey form view entire document:  text  image
Question ID: : ALT.472_00.000

Instrument Variable Name: AHB_USEM
Question Text:
(book) ALT7 ?[F1]
DURING THE PAST 12 MONTHS, have you taken any herbal supplements listed on this card for yourself?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who have ever taken herbal supplements
Skip Instructions:
(1) [goto AHB_MO]
(2) [goto AHB_NYR]
(Refused,Don't know) [goto AVT_EVER]

Survey form view entire document:  text  image
Question ID: : CAL.235_00.000

Instrument Variable Name: CHB_USEM
Question Text:
(book) CAL3 ?[F1]
Now I am going to ask you about some additional health practices for your child. The first practice I'll ask about is herbal
supplements, then later I'll ask about vitamins and minerals.
People use herbs and other non-vitamin supplements for their children for a variety of reasons. By herbal supplement we
mean pills, capsules or tablets that have been labeled as a dietary supplement. This does NOT include drinking herbal or
green tea.
DURING THE PAST 12 MONTHS, has [S.C. name] taken any herbal supplements listed on this card?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children LT 18
Skip Instructions:
(1) [goto CHERB_MO]; (2,R,D) [goto CVT_USEM]

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2005
Survey form view entire document:  text  image
NAC.390_00.000

Instrument Variable Name: HERBSUPP
Question Text:
(book) CAN5
This next question is about herbal supplements. During the PAST 12 MONTHS, did you take any MIXED or single herbal or botanical supplements?
*Read if necessary: Include pills, capsules, liquid tinctures and extracts. Do NOT include teas or food. Do not include garlic or ginger used in cooking.
Card CAN5
1. Aloe
2. Astragalus
3. Bilberry
4. Cascara Sagrada
5. Cat's Claw
6. Cayenne
7. Cranberry
8. Dong Quai
9. Echinacea
10. Evening primrose oil
11. Feverfew
12. Garlic pills
13. Ginger pills
14. Ginkgo (biloba)
15. Ginseng (Amer., Asian)
16. Ginseng (Siberian)
17. Goldenseal
18. Grapeseed extract
19. Kava Kava
20. Lecithin
21. Melatonin
22. Milk Thistle
23. Saw Palmetto
24. St. John's Wort
25. Valerian
26. Another herbal
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto CHOLEST]

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2002
Survey form view entire document:  text  image
ALT.198

DURING THE PAST 12 MONTHS, did you use natural herbs for you own health or treatment? (for example, ginger, echinacea, or black cohosh) (including teas, tinctures and pills)
HRB_USEM
(1) Yes (ALT.200)
(2) No (ALT.220)
(7) Refused (ALT.220)
(9) Don't know (ALT.220)

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2000
Survey form view entire document:  text  image
NAC.330

These next questions are about herbal supplements.
During the PAST 12 MONTHS, did you take any MIXED or single herbal or botanical supplements.

FR: READ IF NECESSARY:

Include pills, capsules, liquid tinctures and extracts. Do NOT include teas or food. Do NOT include garlic or ginger used in cooking.
HERBSUPP
(1) Yes (NAC.340)
(2) No (NAC.370)
(7) Refused (NAC.370)
(9) Don't know (NAC.370)

NAC.340

FR: SHOW CARD CAN5.

Which ones?

FR: MARK ALL THAT APPLY. ENTER THE NUMBER OF EACH ITEM MENTIONED.
ENTER (N) FOR NO MORE.
Card CAN5
1. Aloe
2. Astragalus
3. Bilberry
4. Cascara Sagrada
5. Cat's Claw
6. Cayenne
7. Cranberry
8. Dong Quai
9. Echinacea
10. Evening primrose oil
11. Feverfew
12. Garlic pills
13. Ginger pills
14. Ginkgo (biloba)
15. Ginseng (Amer., Asian)
16. Ginseng (Siberian)
17. Goldenseal
18. Grapeseed extract
19. Kava Kava
20. Lecithin
21. Melatonin
22. Milk Thistle
23: Saw Palmetto
24. St. John's Wort
25. Valerian
26. Another herbal supplement
HERB_ALO (1) Aloe
HERB_AST (2) Astragalus
HERB_BIL (3) Bilberry
HERB_CAS (4) Cascara Sagrada
HERB_CAT (5) Cat's Claw
HERB_CAY (6) Cayenne
HERB_CRA (7) Cranberry
HERB_DON (8) Dong Quai
HERB_ECH (9) Echinacea
HERB_EVE (10) Evening primrose oil
HERB_FEV (11) Feverfew
HERB_GAR (12) Garlic pills
HERB_GIG (13) Ginger pills
HERB_GIK (14) Ginkgo (biloba)
HERB_GIA (15) Ginseng(Amer, Asian)
HERB_GIS (16) Ginseng (Siberian)
HERB_GOL (17) Goldenseal
HERB_GRA (18) Grapeseed extract
HERB_KAV (19) Kava Kava
HERB_LEC (20) Lecithin
HERB_MEL (21) Melatonin
HERB_MIL (22) Milk Thistle
HERB_SAW (23) Saw Palmetto
HERB_JOH (24) St. John's Wort
HERB_VAL (25) Valerian
HERB_OTH (26) Another herbal supplement
(97) Refused
(99) Don't know

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1999
Survey form view entire document:  text  image
AAU.320.020

People may also use alternative health care services. I'd like to ask you about your use of some alternative kinds of therapies and treatments. During the PAST 12 MONTHS have you used...?

(1) Yes
(2) No
(7) Refused
(9) Don't know
AHCACU ...acupuncture
AHCREL ...relaxation techniques
AHCMT ...massage therapy
AHCIMA ....imagery
AHCSPI ....spiritual healing/prayer
AHCLSD ....lifestyle diets
AHCHM ....herbal medicine
AHCHOME ...homeopathic treatment
AHCENE ....energy healing
AHCBIO ....biofeedback
AHCHYP ....hypnosis
AHCOTH ....other alternative therapy or treatment