Survey Text

2022 2018 2014 2010
2021 2017 2013 1984
2020 2016 2012
2019 2015 2011
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2022
Survey form view entire document:  text  image
Question ID: HEA.0030.00.1
Variable: HEARINGDF_A
Interview Module: Adult
Content Type: Annual Core

Question text:

Do you have difficulty hearing^HEARAID? Would you say no difficulty, some difficulty, a lot of
difficulty, or you cannot do this at all?
Fills:
^HEARAID
Description: , even when using your hearing aid(s)
Instruction:
If HEARAID_A=1, fill: ", even when using your hearing aid (s)"
else NO FILL
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+
Skip Instructions:
1-4,RF,DK [goto next section]

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2021
Survey form view entire document:  text  image
Question ID: HEA.0030.00.1
Variable: HEARINGDF_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Do you have difficulty hearing^HEARAID? Would you say no difficulty, some difficulty, a lot of difficulty, or you cannot do this at all?
Fills:
^HEARAID
Description: , even when using your hearing aid(s)
Instruction:
If HEARAID_A=1, fill: ", even when using your hearing aid (s)"
else NO FILL
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+
Skip Instructions:
1-3,RF,DK [goto HEARQTRM_A]
4 [goto next section]
Question ID: HEA.0020.00.1
Variable: HEARINGDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
^USEHRAID_C ^SCNAME have difficulty hearing sounds like people's voices or music? Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^USEHRAID_C
Description: When using ^hisher_C hearing aid(s) does/Does
Instruction:
If HEARAID_C=1 fill "When using ^hisher_C hearing aid(s) does " else fill "Does "
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto next section]

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2020
Survey form view entire document:  text  image
Question ID: HEA.0030.00.1
Variable: HEARINGDF_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Do you have difficulty hearing^HEARAID? Would you say no difficulty, some difficulty, a lot of
difficulty, or you cannot do this at all?
Fills:
^HEARAID
Description: , even when using your hearing aid(s)
Instruction:
If HEARAID_A=1, fill: ", even when using your hearing aid (s)"
else NO FILL
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+
Skip Instructions:
1-4,RF,DK [goto next section]
Question ID: HEA.0020.00.1
Variable: HEARINGDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
^USEHRAID_C ^SCNAME have difficulty hearing sounds like people's voices or music? Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at
all?
Fills:
^USEHRAID_C
Description: When using ^hisher_C hearing aid(s) does/Does
Instruction:
If HEARAID_C=1 fill "When using ^hisher_C hearing aid(s) does " else fill "Does "
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,RF,DK [goto next section]

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2019
Survey form view entire document:  text  image
Question ID: HEA.0030.00.1
Variable: HEARINGDF_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Do you have difficulty hearing^HEARAID? Would you say no difficulty, some difficulty, a lot of difficulty, or you cannot do this at all?
Fills:
^HEARAID
Description: even when using your hearing aid(s)
Instruction: If HEARAID_A=1, fill: ", even when using your hearing aid (s)"
else NO FILL
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Adults 18+
Skip Instructions:
1-4,RF,DK = [goto next section]
Question ID: HEA.0020.00.1
Variable: HEARINGDF_C
Interview Module: Child
Content Type: Annual Core


Question Text:

^USEHRAID_C ^SCNAME have difficulty hearing sounds like people's voices or music? Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^USEHRAID_C

Description When using ^hisher_C hearing aid(s) does/Does
Instruction If HEARAID_C=1 fill "When using ^hisher_C hearing aid(s) does " else fill "Does "

^hisher_C

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 2-17
Skip Instructions:
1-4,DK,RF = [goto next section]

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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