Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text:

(book) F7 * Enter up to 2 responses, separate with a comma.
* Ask or verify. How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

go to IFALLWHY

Instrument Variable Name: IFALL
Question Text: (book) F7

* Enter up to 2 responses, separate with a comma.
* Ask or verify.
How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

goto IFALLWHY

Instrument Variable Name: IFALL
Question Text: (book) F7

* Enter up to 2 responses, separate with a comma.
* Ask or verify.
How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

goto IFALLWHY

Instrument Variable Name: IFALL
Question Text: (book) F7

* Enter up to 2 responses, separate with a comma.
* Ask or verify.
How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

goto IFALLWHY

Instrument Variable Name: IFALL
Question Text: (book) F7

* Enter up to 2 responses, separate with a comma.
* Ask or verify.
How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

goto IFALLWHY

Instrument Variable Name: IFALL
Question Text: (book) F7

* Enter up to 2 responses, separate with a comma.
* Ask or verify.
How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

goto IFALLWHY

Instrument Variable Name: IFALL
Question Text: (book) F7

* Enter up to 2 responses, separate with a comma.
* Ask or verify.
How did [fill: you/ALIAS] fall? Anything else?

01 Stairs, steps, or escalator
02 Floor or level ground
03 Curb (including sidewalk)
04 Ladder or scaffolding
05 Playground equipment
06 Sports field, court, or rink
07 Building or other structure
08 Chair, bed, sofa, or other furniture
09 Bathtub, shower, toilet, or commode
10 Hole or other opening
11 Other
97 Refused
99 Don't know

Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:

goto IFALLWHY

FR: VERIFY OR ASK. SHOW FLASHCARD F4. RECORD UP TO 2 RESPONSES: ENTER (N) FOR NO MORE.

How did {you/subject name} fall? Anything else?

On or down, from or into:

1. Stairs, steps or Escalator
2. Floor/Level ground
3. Curb, including sidewalk
4. Ladder or scaffolding
5. Playground equipment
6. Building or other structure
7. Chair, bed, sofa, or other furniture
8. Bathtub, shower, toilet or commode
9. Hole or other opening
10. Other

(01) Stairs, steps, or escalator
(02) Floor/level ground
(03) Curb, including sidewalk
(04) Ladder or scaffolding
(05) Playground equipment
(06) Building or other structure
(07) Chair, bed, sofa or other furniture
(08) Bathtub, shower, toilet, or commode
(09) Hole or other opening
(10) Other
(97) Refused
(99) Don't know
[ ]
[ ]

FR: VERIFY OR ASK. SHOW FLASHCARD F4. RECORD UP TO 2 RESPONSES: ENTER (N) FOR NO MORE.

How did {you/subject name} fall? Anything else?

On or down, from or into:

1. Stairs, steps or Escalator
2. Floor/Level ground
3. Curb, including sidewalk
4. Ladder or scaffolding
5. Playground equipment
6. Building or other structure
7. Chair, bed, sofa, or other furniture
8. Bathtub, shower, toilet or commode
9. Hole or other opening
10. Other

(01) Stairs, steps, or escalator
(02) Floor/level ground
(03) Curb, including sidewalk
(04) Ladder or scaffolding
(05) Playground equipment
(06) Building or other structure
(07) Chair, bed, sofa or other furniture
(08) Bathtub, shower, toilet, or commode
(09) Hole or other opening
(10) Other
(97) Refused
(99) Don't know
[ ]
[ ]

FR: VERIFY OR ASK. SHOW CARD F3. RECORD UP TO 2 RESPONSES:
ENTER (N) FOR NO MORE.

How did (you/subject name) fall? Anything else?

On, down, from, or into:

On or down from or into:
1. Stairs, steps or escalator
2. Floor/Level ground
3. Curb, including sidewalk
4. Ladder or scaffolding
5. Playground equipment
6. Building or other structure
7. Chair, bed, sofa or other furniture
8. Bathtub, shower, toilet or commode
9. Hole or other opening
10. Other

(01) Stairs, steps, or escalator
(02) Floor/level ground
(03) Curb, including sidewalk
(04) Ladder or scaffolding
(05) Playground equipment
(06) Building or other structure
(07) Chair, bed, sofa or other furniture
(08) Bathtub, shower, toilet, or commode
(09) Hole or other opening
(10) Other
(97) Refused
(99) Don't know
[ ]
[ ]