Survey Text

2021
2020
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2021
Survey form view entire document:  text  image
Question ID: INJ.0160.00.2
Variable: INJHOSP_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
During the past 3 months, were you hospitalized overnight because of ^siginj_A?
Fills:
^siginj_A
Description: your significant injury/any of your significant injuries
Instruction:
If INJ.NUMINJ_A=1, fill: "your significant injury" If INJ.NUMINJ_A IN (2-96,RF,DK), fill: "any of your
significant injuries"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who saw doctor about their injuries and reported being hospitalized at least once in the past 12 months or don't know or refused
Skip Instructions:
1,2,RF,DK [goto INJBONES_A]
Question ID: INJ.0150.00.2
Variable: INJHOSP_C
Interview Module: Child
Content Type: Rotating Core
Question text:
During the past 3 months, was ^SCNAME hospitalized overnight for ^siginj_C?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^siginj_C
Description: the significant injury/any significant injuries
Instruction:
If NUMINJ_C=1, fill: "the significant injury" elseif NUMINJ_C gt 1, fill: "any significant injuries"
elseif NUMINJ_C in (DK,RF), fill: "any significant
injuries"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample children 0-17 who saw a doctor for their injuries and were hospitalized overnight in the past year or didn't know or refused
Skip Instructions:
1,2,RF,DK [goto INJBONES_C]

top
2020
Survey form view entire document:  text  image
Question ID: INJ.0160.00.2
Variable: INJHOSP_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
During the past 3 months, were you hospitalized overnight because of ^siginj_A?
Fills:
^siginj_A
Description: your significant injury/any of your significant injuries
Instruction:
If INJ.NUMINJ_A=1, fill: "your significant injury" If INJ.NUMINJ_A IN (2-96,RF,DK), fill: "any of your
significant injuries"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who saw doctor about their injuries and reported being hospitalized at least once in the past 12 months or don't know or refused
Skip Instructions:
1,2,RF,DK [goto INJBONES_A]
Question ID: INJ.0150.00.2
Variable: INJHOSP_C
Interview Module: Child
Content Type: Rotating Core
Question text:
During the past 3 months, was ^SCNAME hospitalized overnight for ^siginj_C?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^siginj_C
Description: the significant injury/any significant injuries
Instruction:
If NUMINJ_C=1, fill: "the significant injury" elseif NUMINJ_C gt 1, fill: "any significant injuries"
elseif NUMINJ_C in (DK,RF), fill: "any significant
injuries"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample children 0-17 who saw a doctor for their injuries and were hospitalized overnight in the past year or didn't know or refused
Skip Instructions:
1,2,RF,DK [goto INJBONES_C]