Survey Text

2003
2002
2001
2000
1999
1998
1997
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2003
Survey form view entire document:  text  image
Check item CIMCCI1: Ask all immunization questions for the sample child. For the sample child, go to CIM.010.

CIM.010

These questions are about immunizations that {sample child's name} may have received. It would be helpful if we could refer to {his/her} shot record.
Are shot records available for {sample child's name}?
SHOTRC
(1) Yes (CIMCCI2)
(2) No (CIM.020)
(7) Refused (CIM.020)
(9) Don't know (CIM.020)

CIM.020

We will need the shot record to complete this section of the interview. If I call you within the next few days, would you be able to have {Child's name}'s shot record available?
SHOTFT
(1) Yes (ICSTAT)
(2) No (CIM.290)
(7) Refused (CIM.290)
(9) Don't know (CIM.290)
Check item CIMCCI2: If age GE 7 go to CIM.060.

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2002
Survey form view entire document:  text  image
Check item CIMCCI1 :Ask all immunization questions for the sample child and all 12-35 months old children. For the sample child, go to CIM.010. For other 12-35 months old child/children, go to CIM.011.

CIM.010

These questions are about immunizations that {sample child=s name} may have received. It would be helpful if we could refer to {his/her} shot record.

[If additional children ages 12-35 months, read:]
We will also need to see shot records for any children 12-35 months of age in the family.

[Else continue to read:]
Are shot records available for {sample child:s name}?
SHOTRC
(1) Yes (CIMCCI2)
(2) No (CIM.020)
(7) Refused (CIM.020)
(9) Don:t know (CIM.020)

CIM.011

Are shot records available for {child:s name}?
SHOTRC2
(1) Yes (CIMCCI2)
(2) No
(7) Refused
(9) Don:t know

CIM.020

We will need the shot record to complete this section of the interview. If I call you within the next few days, would you be able to have {Child:s name}:s shot record available?
SHOTFT
(1) Yes (CIM.750)
(2) No (CIM.290)
(7) Refused (CIM.290)
(9) Don:t know (CIM.290)
Check item CIMCCI2: If age GE 7 go to CIM.060.

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2001
Survey form view entire document:  text  image
Check item CIMCCI1 :Ask all immunization questions for the sample child and all 12-35 months old children. For the sample child, go to CIM.010. For other 12-35 months old child/children, go to CIM.011.

CIM.010

These questions are about immunizations that {sample child=s name} may have received. It would be helpful if we could refer to {his/her} shot record.

[If additional children ages 12-35 months, read:]
We will also need to see shot records for any children 12-35 months of age in the family.

[Else continue to read:]
Are shot records available for {sample child:s name}?
SHOTRC
(1) Yes (CIMCCI2)
(2) No (CIM.020)
(7) Refused (CIM.020)
(9) Don:t know (CIM.020)

CIM.011

Are shot records available for {child:s name}?
SHOTRC2
(1) Yes (CIMCCI2)
(2) No
(7) Refused
(9) Don:t know

CIM.020

We will need the shot record to complete this section of the interview. If I call you within the next few days, would you be able to have {Child:s name}:s shot record available?
SHOTFT
(1) Yes (CIM.750)
(2) No (CIM.290)
(7) Refused (CIM.290)
(9) Don:t know (CIM.290)
Check item CIMCCI2: If age GE 7 go to CIM.060.

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2000
Survey form view entire document:  text  image
Check item CIMCCI1 :Ask all immunization questions for the sample child and all 12-35 months old children. For the sample child, go to CIM.010. For other 12-35 months old child/children, go to CIM.011.

CIM.010

These questions are about immunizations that {sample child=s name} may have received. It would be helpful if we could refer to {his/her} shot record.

[If additional children ages 12-35 months, read:]
We will also need to see shot records for any children 12-35 months of age in the family.

[Else continue to read:]
Are shot records available for {sample child:s name}?
SHOTRC
(1) Yes (CIMCCI2)
(2) No (CIM.020)
(7) Refused (CIM.020)
(9) Don:t know (CIM.020)

CIM.011

Are shot records available for {child:s name}?
SHOTRC2
(1) Yes (CIMCCI2)
(2) No
(7) Refused
(9) Don:t know

CIM.020

We will need the shot record to complete this section of the interview. If I call you within the next few days, would you be able to have {Child:s name}:s shot record available?
SHOTFT
(1) Yes (CIM.750)
(2) No (CIM.290)
(7) Refused (CIM.290)
(9) Don:t know (CIM.290)
Check item CIMCCI2: If age GE 7 go to CIM.060.

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1999
Survey form view entire document:  text  image
Check item CIMCCI1 :Ask all immunization questions for the sample child and all 12-35 months old children. For the sample child, go to CIM.010. For other 12-35 months old child/children, go to CIM.011.

CIM.010

These questions are about immunizations that {sample child=s name} may have received. It would be helpful if we could refer to {his/her} shot record.

[If additional children ages 12-35 months, read:]
We will also need to see shot records for any children 12-35 months of age in the family.

[Else continue to read:]
Are shot records available for {sample child:s name}?
SHOTRC
(1) Yes (CIMCCI2)
(2) No (CIM.020)
(7) Refused (CIM.020)
(9) Don:t know (CIM.020)

CIM.011

Are shot records available for {child:s name}?
SHOTRC2
(1) Yes (CIMCCI2)
(2) No
(7) Refused
(9) Don:t know

CIM.020

We will need the shot record to complete this section of the interview. If I call you within the next few days, would you be able to have {Child:s name}:s shot record available?
SHOTFT
(1) Yes (CIM.750)
(2) No (CIM.290)
(7) Refused (CIM.290)
(9) Don:t know (CIM.290)
Check item CIMCCI2: If age GE 7 go to CIM.060.

top
1998
Survey form view entire document:  text  image
Check item CIMCCI1 :Ask all immunization questions for the sample child and all 12-35 months old children. For the sample child, go to CIM.010. For other 12-35 months old child/children, go to CIM.011.

CIM.010

These questions are about immunizations that {sample child=s name} may have received. It would be helpful if we could refer to {his/her} shot record.

[If additional children ages 12-35 months, read:]
We will also need to see shot records for any children 12-35 months of age in the family.

[Else continue to read:]
Are shot records available for {sample child:s name}?
SHOTRC
(1) Yes (CIMCCI2)
(2) No (CIM.020)
(7) Refused (CIM.020)
(9) Don:t know (CIM.020)

CIM.011

Are shot records available for {child:s name}?
SHOTRC2
(1) Yes (CIMCCI2)
(2) No
(7) Refused
(9) Don:t know

CIM.020

We will need the shot record to complete this section of the interview. If I call you within the next few days, would you be able to have {Child:s name}:s shot record available?
SHOTFT
(1) Yes (CIM.750)
(2) No (CIM.290)
(7) Refused (CIM.290)
(9) Don:t know (CIM.290)
Check item CIMCCI2: If age GE 7 go to CIM.060.

top
1997
Survey form view entire document:  text  image
Check item CIMCCI1 :Ask all immunization questions for the sample child and all 12-35 months old children. For the sample child, go to CIM.010. For other 12-35 months old child/children, go to CIM.011.

CIM.010

These questions are about immunizations that {sample child=s name} may have received. It would be helpful if we could refer to {his/her} shot record.

[If additional children ages 12-35 months, read:]
We will also need to see shot records for any children 12-35 months of age in the family.

[Else continue to read:]
Are shot records available for {sample child:s name}?
SHOTRC
(1) Yes (CIMCCI2)
(2) No (CIM.020)
(7) Refused (CIM.020)
(9) Don:t know (CIM.020)

CIM.011

Are shot records available for {child:s name}?
SHOTRC2
(1) Yes (CIMCCI2)
(2) No
(7) Refused
(9) Don:t know

CIM.020

We will need the shot record to complete this section of the interview. If I call you within the next few days, would you be able to have {Child:s name}:s shot record available?
SHOTFT
(1) Yes (CIM.750)
(2) No (CIM.290)
(7) Refused (CIM.290)
(9) Don:t know (CIM.290)
Check item CIMCCI2: If age GE 7 go to CIM.060.