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.0070.00.2
Variable: INJSPORTS_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
During the past 3 months, did ^siginj_A occur while you were playing sports or exercising, including walking, biking, or running, playing baseball, basketball, football or doing any other physical activity?
Read if necessary: Include recreational sports such as skating, skiing, tennis, golf, bowling, or fishing.
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 reported non-repetitive strain injury in past 3 months which limited activities for at least 24 hours
Skip Instructions:
1,2,RF,DK [goto INJFALL_A]
Question ID: INJ.0070.00.2
Variable: INJSPORTS_C
Interview Module: Child
Content Type: Rotating Core
Question text:
During the past 3 months, did ^siginj_C occur while ^SCNAME was playing sports or exercising, including walking, biking, or running, playing baseball, basketball, football or doing any other physical activity?
Read if necessary: Include recreational sports such as skating, skiing, tennis, golf, bowling, or fishing.
Fills:
^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"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample children 3-17 with injury in past 3 months which limited activities for at least 24 hours
Skip Instructions:
1,2,RF,DK [goto INJFALL_C]

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2020
Survey form view entire document:  text  image
Question ID: INJ.0070.00.2
Variable: INJSPORTS_A
Interview Module: Adult
Content Type: Rotating Core
Question text:
During the past 3 months, did ^siginj_A occur while you were playing sports or exercising,
including walking, biking, or running, playing baseball, basketball, football or doing any other
physical activity?
* Read if necessary: Include recreational sports such as skating, skiing, tennis, golf, bowling,
or fishing.
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 reported non-repetitive strain injury in past 3 months which limited activities for at least 24 hours
Skip Instructions:
1,2,RF,DK [goto INJFALL_A]
Question ID: INJ.0070.00.2
Variable: INJSPORTS_C
Interview Module: Child
Content Type: Rotating Core
Question text:
During the past 3 months, did ^siginj_C occur while ^SCNAME was playing sports or exercising,
including walking, biking, or running, playing baseball, basketball, football or doing any other
physical activity?
* Read if necessary: Include recreational sports such as skating, skiing, tennis, golf, bowling,
or fishing.
Fills:
^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"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample children 3-17 with injury in past 3 months which limited activities for at least 24 hours
Skip Instructions:
1,2,RF,DK [goto INJFALL_C]