Survey Text

2019 2016 2013 2010
2018 2015 2012 1984
2017 2014 2011
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2019

No questionnaire text is available for this sample.


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2018
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Questionnaire File Name: Sample Adult
Question Text:
Do you have difficulty hearing [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+
Skip Instructions:
(1-3,R,D)[goto HEAR_3]
(4) [goto MOB_SS]

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2017
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Question Text:
Do you have difficulty hearing [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) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1-3,R,D)[go to HEAR_3] (4) [go to MOB_SS]

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2016
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Question Text:
Do you have difficulty hearing [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) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1-3,R,D)[go to HEAR_3] (4) [go to MOB_SS]

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2015
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Question Text:
Do you have difficulty hearing [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) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1-3,R,D)[go to HEAR_3] (4) [go to MOB_SS]

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2014
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Question Text:
Do you have difficulty hearing [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) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1-3,R,D)[go to HEAR_3] (4) [go to MOB_SS]

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2013
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Question Text:
Do you have difficulty hearing [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) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1-3,R,D)[go to HEAR_3] (4) [go to MOB_SS]

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2012
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Question Text:
Do you have difficulty hearing [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) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1-3,R,D)[go to HEAR_3] (4) [go to MOB_SS]

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2011
Survey form view entire document:  text  image

Question ID: AFD.150_00.000

Instrument Variable Name: HEAR_SS
Question Text:
Do you have difficulty hearing [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) and were randomly selected to receive the Functioning and Disability (AFD) section
Skip Instructions: (1-3,R,D)[go to HEAR_3] (4) [go to MOB_SS]

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2010
Survey form view entire document:  text  image

Question ID: QOL.150_00.000

Instrument Variable Name: HEAR_SS
QuestionText:
Do you have difficulty hearing, even when using a hearing aid? 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 were not asked the family disability questions (FDB) and were randomly selected to receive the Quality of Life (QOL) section
SkipInstructions:
(1-3,R,D)[goto HEAR_1]
(4)[goto MOB_SS]

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1984
Survey form view entire document:  text  image