Survey Text

2012
2007
top
2012
Survey form view entire document:  text  image
QuestionID: ALT.530_00.000

Instrument Variable Name: TP1_TRET Adult CAM
QuestionText:
DURING THE PAST 12 MONTHS, did you {fill1: see a practitioner for/use} {fill2: modality} for one or more specific health problems, symptoms, or conditions?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used first of top three modalities
SkipInstructions:
(1) [goto TP1_COND]
(2,R,D) ALT_TP31 in (6,7,10-16) [goto TP1_RS5];
else ALT_TP31 ne (6,7,10-16) [goto TP1_RS6]

Survey form view entire document:  text  image
Question ID: CAL.530_00.000

Instrument Variable Name: CTP1TRET
QuestionText:
DURING THE PAST 12 MONTHS, did [fill: S.C. name] [fill1: see a practitioner for/use] [fill2: modality] for one or more specific health problems, symptoms, or conditions?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have used first of top three modalities
SkipInstructions:
(1) [goto CTP1COND]
(2,R,D) CAL_TP31 in (6,7,10-16) [goto CTP1RS5];
else CAL_TP31 ne (6,7,10-16) [goto CTP1RS6]

top
2007
Survey form view entire document:  text  image
Question ID: : ALT.254_00.000

Instrument Variable Name: HYP_TRET
Question Text:
Did you use hypnosis for a specific health problem or condition?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who have seen a practitioner for hypnosis in past 12 months
Skip Instructions:
(1)[goto HYP_COND] (2,R,D)[goto HYP_ENG]

Survey form view entire document:  text  image
Question ID: : CAL.160_00.000

Instrument Variable Name: CHY_TRET
Question Text:
DURING THE PAST 12 MONTHS, did [fill: S.C. name] use hypnosis for a specific health problem or condition?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample children LT 18 who have seen a provider or practitioner for hypnosis in the past 12 months
Skip Instructions:
(1) [goto CHY_COND] (2,R,D) cycle through modalities, if CMS_USEM = 1 [goto CMS_TRET];
else [goto next selected modality.] If no more modalities selected [goto TRD]