Survey Text

1991
1990
1984
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1991
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Now I'm going to ask some questions about hearing problems. Please tell me if anyone has these problems, even if you have mentioned them before.

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

1[] Yes
2[] No (2)
9[] DK (2)

b. Who is this?
Mark "Deafness" box in person's column.

1[] Deafness

c. Anyone else?

1[] Yes (Reask 1b and c)
2[] No

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

1[] Yes
2[] No (3)
9[] DK (3)

b. Who is this?
Mark "Trouble hearing" box in person's column.

1[] Trouble hearing

c. Anyone else?

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

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

1[] Yes
2[] No (A1)
9[] DK (A1)

b. Who is this?
Mark "Hearing aid" box in person's column.

1[] Hearing aid

c. Does anyone else now use a hearing aid?

1[] Yes (Reask 3b and c)
2[] No
Item A1
Mark first appropriate box:

1[] 1b, 2b, or 3b marked for one or more people in family (A2)
2[] Others (Section B)
Item A2
Refer to 1-3. Mark first appropriate box.

1[] "Deafness" in 1b (4)
2[] "Trouble hearing" in 2b (4)
3[] "Hearing aid" in 3b(4)
4[] All three blank (NP)

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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)

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 )

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1984
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