Survey Text

2012
2007
2002
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2012
Survey form view entire document:  text  image
QuestionID: ALT.553_00.000

Instrument Variable Name: TP1_DS1 Adult CAM
QuestionText:
[fill1: Not including the practitioner you saw for] [fill2: modality] DURING THE PAST 12 MONTHS, did you let your personal health care provider know about your use of [fill3: modality]?
*If practitioner for therapy is the same person as personal health care provider, enter '1'.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used first of top three modalities and has a personal health care provider
SkipInstructions:
(1,R,D) [goto TP1_INF1]
(2) [goto TP1_DS2]

Survey form view entire document:  text  image
Question ID: CAL.553_00.000

Instrument Variable Name: CTP1DS1
QuestionText:
[fill1: Not including the practitioner [fill: S.C. name] saw for] [fill2: modality] DURING THE PAST 12 MONTHS, did you let [fill S.C. name]'s personal health care provider know about [fill: his/her] use of [fill3: modality]?
*If practitioner for therapy is the same person as personal health care provider, enter '1'.
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have used first of top three modalities and has a personal health care provider
SkipInstructions:
(1,R,D) [goto CTP1INF1]
(2) [goto CTP1DS2]

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2007
Survey form view entire document:  text  image
Question ID: : ALT.772_00.000

Instrument Variable Name: HOM_DISC
Question Text:
(book) ALT3 ?[F1]
DURING THE PAST 12 MONTHS, did you let any of these CONVENTIONAL medical professionals know about your
use of homeopathic treatment?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who have used homeopathy past 12 mos
Skip Instructions:
(1) [goto HOM_PROF]
(2,Refused,Don't know) [goto DITEVER1]

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2002
Survey form view entire document:  text  image
ALT.238

DURING THE PAST 12 MONTHS, did you let any of these CONVENTIONAL medical professionals know about your use of homeopathic treatment?

FR: SHOW FLASHCARD A16
Card A16
You may choose more than one

1. Medical Doctor (M.D.) (including specialists)
2. Nurse PractitionerIPhysician Assistant
3. Psychiatrist
4. Dentist (including specialists)
HOM_DISC
(1) Yes (ALT.240)
(2) No (ALT.242)
(3) Did not go/talk to any of these (ALT.242)
(7) Refused (ALT.242)
(9) Don't know (ALT.242)

ALT.240

Which ones?

FR: MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Yes
(2) No
(7) Refused
(9) Don't know
HOMPROF1 Medical Doctor (M.D.) (including specialists)
HOMPROF2 Nurse Practitioner/Physician Assistant
HOMPROF3 Psychiatrist
HOMPROF4 Dentist (including specialists)