Survey Text

2023
2021
2020
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2023

No questionnaire text is available for this sample.


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2021
Survey form view entire document:  text  image
Question ID: INJ.0090.00.2
Variable: INJFALLHOM_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
Did any fall occur while you were at your home?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who had more than 1 significant injury or don't know or refused, and were injured as a result of a fall or falling, and who were injured at home
Skip Instructions:
1,2,RF,DK if INJWORK_A=1 [goto INJFALLWRK_A]
else [goto INJMOTOR_A]
Question ID: INJ.0090.00.2
Variable: INJFALLHOM_C
Interview Module: Child
Content Type: Rotating Core
Question text:
Did any fall occur while ^SCNAME was at ^hisher_C home?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^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"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample children 0-17 who had more than 1 significant injury or refused or don't know, and were injured as a result of a fall or falling, and who were also injured at home
Skip Instructions:
1,2,RF,DK if INJSCHOOL_C=1 [goto INJFALLSCH_C]
else [goto INJMOTOR_C]

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2020
Survey form view entire document:  text  image
Question ID: INJ.0090.00.2
Variable: INJFALLHOM_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
Did any fall occur while you were at your home?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who had more than 1 significant injury or don't know or refused, and were injured as a result of a fall or falling, and who were injured at home
Skip Instructions:
1,2,RF,DK if INJWORK_A=1 [goto INJFALLWRK_A]
else [goto INJMOTOR_A]
Question ID: INJ.0090.00.2
Variable: INJFALLHOM_C
Interview Module: Child
Content Type: Rotating Core
Question text:
Did any fall occur while ^SCNAME was at ^hisher_C home?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^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"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample children 0-17 who had more than 1 significant injury or refused or don't know, and were injured as a result of a fall or falling, and who were also injured at home
Skip Instructions:
1,2,RF,DK if INJSCHOOL_C=1 [goto INJFALLSCH_C]
else [goto INJMOTOR_C]