Survey Text

1990
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1990
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Item N1
[] HIS-1 page 25 questions asked (N2)
[] HIS-1 page 25 questions not asked (HIS-1 page 25)
Item N2
Mark first appropriate box

1[] HP and/or HA marked (1)
2[] 3+ years old (4)
3[] Under 3 (NP)
H. HEARING CONDITIONS

H1

1[] Condition list 2 asked (H2)
8[] Other (1)
H2
1[] Any CL LTR A or B in C2 (Mark "HP" box for appropriate person(s), THEN 3)
8[] Other (3)

1a. Does anyone in the family now have deafness in one or both ears?

1[] Yes
2[] No

b. Who is this?
Enter "deafness" (or the condition) and "XX" in appropriate person's column and mark HP box.

c. Does anyone else now have deafness in one or both ears?

[] Yes
[] No

2a. Does anyone in the family now have any other trouble hearing with one or both ears?

[] Yes
[] No (3)

b. Who is this?
Enter "trouble hearing" (or the condition) and "YY" in appropriate person's column and mark HP box.

c. Does anyone else now have any other trouble hearing with one or both ears?

[] Yes (Reask 2b and c)
[] No

3a. Does anyone in the family now use a hearing aid?

[] Yes
[] No (Hospital page)
[] DK (Hospital page)

b. Who is this?
Ask: For what condition does -- need this?
Enter the condition and "ZZ" in appropriate person's column and mark "HA" box.

c. Does anyone else now use a hearing aid?

[] Yes
[] No (Hospital page )