Survey Text

2017 2011 2005 1999
2016 2010 2004 1998
2015 2009 2003 1997
2014 2008 2002
2013 2007 2001
2012 2006 2000
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2017
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

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2016
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

top
2015
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

top
2014
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

top
2013
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

top
2012
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

top
2011
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

top
2010
Survey form view entire document:  text  image

Question ID:FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text:

(book) F8
* Ask or verify. What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
go to IPWHAT

top
2009
Survey form view entire document:  text  image

Question ID: FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text: (book) F8
* Ask or verify.
What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
goto IPWHAT

top
2008
Survey form view entire document:  text  image

Question ID: FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text: (book) F8
* Ask or verify.
What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
goto IPWHAT

top
2007
Survey form view entire document:  text  image

Question ID: FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text: (book) F8
* Ask or verify.
What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
goto IPWHAT

top
2006
Survey form view entire document:  text  image

Question ID: FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text: (book) F8
* Ask or verify.
What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
goto IPWHAT

top
2005
Survey form view entire document:  text  image

Question ID: FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text: (book) F8
* Ask or verify.
What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
goto IPWHAT

top
2004
Survey form view entire document:  text  image

Question ID: FIJ.131_00.000

Instrument Variable Name: IFALLWHY
Question Text: (book) F8
* Ask or verify.
What caused [fill: you/ALIAS] to fall?
1 Slipping or tripping
2 Jumping or diving
3 Bumping into an object or another person
4 Being shoved or pushed by another person
5 Losing balance or having dizziness (becoming faint or having a seizure)
6 Other
7 Refused
9 Don't know
Universe Text: All medically-consulted injury episodes that occurred due to a fall
Skip Instructions:
goto IPWHAT

top
2003
Survey form view entire document:  text  image

FIJ.180

What caused {you/subject name} to fall? Was it due to:
FWHY
(1) Slipping, tripping or stumbling
(2) Jumping or diving
(3) Collision with/pushing, shoving by another person
(4) Loss of balance/dizziness/becoming faint/seizure
(5) Or something else
(7) Refused
(9) Don't know

(Go to FIJ.200)

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2002
Survey form view entire document:  text  image

FIJ.180

What caused {you/subject name} to fall? Was it due to:
FWHY
(1) Slipping, tripping or stumbling
(2) Jumping or diving
(3) Collision with/pushing, shoving by another person
(4) Loss of balance/dizziness/becoming faint/seizure
(5) Or something else
(7) Refused
(9) Don't know

(Go to FIJ.200)

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2001
Survey form view entire document:  text  image

FIJ.180

What caused {you/subject name} to fall? Was it due to:
FWHY
(1) Slipping, tripping or stumbling
(2) Jumping or diving
(3) Collision with/pushing, shoving by another person
(4) Loss of balance/dizziness/becoming faint/seizure
(5) Or something else
(7) Refused
(9) Don't know

(Go to FIJ.200)

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2000
Survey form view entire document:  text  image

FIJ.180

What caused {you/subject name} to fall? Was it due to:
FWHY
(1) Slipping, tripping or stumbling
(2) Jumping or diving
(3) Collision with/pushing, shoving by another person
(4) Loss of balance/dizziness/becoming faint/seizure
(5) Or something else
(7) Refused
(9) Don't know

(Go to FIJ.200)

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1999

No questionnaire text is available for this sample.


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1998

No questionnaire text is available for this sample.


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1997
Survey form view entire document:  text  image

FIJ.180

What caused {you/subject's name} to fall? Was it due to:
FWHY
(1) Slipping, tripping or stumbling
(2) Jumping or diving
(3) Collision with/pushing, shoving by another person
(4) Loss of balance/dizziness/becoming faint/seizure
(5) Or something else
(7) Refused
(9) Don't know

(Go to FIJ.200)