Survey Text

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2018
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Questionnaire File Name: Sample Adult
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions:
(1-3,R,D)[goto HEAR_4]
(4)[goto MOB_SS]

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2017
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions: (1-3,R,D) [go to HEAR_4] (4)[go to MOB_SS]

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2016
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions: (1-3,R,D) [go to HEAR_4] (4)[go to MOB_SS]

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2015
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions: (1-3,R,D) [go to HEAR_4] (4)[go to MOB_SS]

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2014
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions: (1-3,R,D) [go to HEAR_4] (4)[go to MOB_SS]

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2013
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions: (1-3,R,D) [go to HEAR_4] (4)[go to MOB_SS]

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2012
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions: (1-3,R,D) [go to HEAR_4] (4)[go to MOB_SS]

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2011
Survey form view entire document:  text  image

Question ID: AFD.170_00.000

Instrument Variable Name: HEAR_3
Question Text:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room [fill: even when using your hearing aid(s)]? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB), were randomly selected to receive the Functioning and Disability (AFD) section, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
Skip Instructions: (1-3,R,D) [go to HEAR_4] (4)[go to MOB_SS]

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2010
Survey form view entire document:  text  image

Question ID: QOL.170_00.000

Instrument Variable Name: HEAR_3
QuestionText:
Do you have difficulty hearing what is said in a conversation with one other person in a quiet room {fill: even when wearing your hearing aid(s)}? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/Unable to do
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty hearing, even when using a hearing aid
SkipInstructions:
(1-3,R,D)[goto HEAR_4]
(4)[goto MOB_SS]