Survey Text

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2014

No questionnaire text is available for this sample.


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2013
Survey form view entire document:  text  image

Question ID:FIJ.070_00.000

Instrument Variable Name: IJBODY
Question Text:
(book) F4 * Enter up to 4 responses, separate with commas.
* Ask or verify. In this injury, what parts of [fill: your/ALIAS's] body were hurt?
01 Ankle
02 Back
03 Buttocks
04 Chest
05 Ear
06 Elbow
07 Eye
08 Face
09 Finger/thumb
10 Foot
11 Forearm
12 Groin
13 Hand
14 Head (not face)
15 Hip
16 Jaw
17 Knee
18 Lower leg
19 Mouth
20 Neck
21 Nose
22 Shoulder
23 Stomach
24 Teeth
25 Thigh
26 Toe
27 Upper arm
28 Wrist
29 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes for which a medical professional was consulted
Skip Instructions:
(1-28) [go to IJTYPE1]
(29) [go to IJBODYOS]
(R,D) [go to IPEV]
Question ID:FIJ.071_00.000

Instrument Variable Name: IJBODYOS
Question Text:

*Read if necessary. What other parts of the body were hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where some "other" part of the body was hurt
Skip Instructions:
go to IJTYPE1
Question ID:FIJ.072_00.000

Instrument Variable Name: IJTYPE1
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: first entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least one part of the body was hurt
Skip Instructions:
(1-8,D) [go to IJTYPE2 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP1OS]
(R) [go to IPEV]
Question ID:FIJ.073_00.000

Instrument Variable Name: IJTYP1OS
Question Text:

? [F1] * Read if necessary. How was [fill1: your/ALIAS's] [fill2: first entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the first body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE2 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.074_00.000

Instrument Variable Name: IJTYPE2
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: second entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least two body parts were hurt and the type of injury or don't know was entered for the first body part at IJTYPE1
Skip Instructions:

(1-8,D) [go to IJTYPE3 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP2OS]
(R) [go to IPEV]
Question ID:FIJ.075_00.000

Instrument Variable Name: IJTYP2OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: second entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the second body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE3 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.076_00.000

Instrument Variable Name: IJTYPE3
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: third entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least three body parts were hurt and type of injury or don't know was entered for the second body part at IJTYPE2
Skip Instructions:

(1-8,D) [go to IJTYPE4 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP3OS]
(R) [go to IPEV]
Question ID:FIJ.077_00.000

Instrument Variable Name: IJTYP3OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: third entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the third body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE4 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.078_00.000

Instrument Variable Name: IJTYPE4
Question Text:
(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: fourth entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where four body parts were hurt and type of injury or don't know was entered for the third body part at IJTYPE3
Skip Instructions:

(1-8,R,D) [go to IPEV]
(9) [go to IJTYP4OS]
Question ID:FIJ.079_00.000

Instrument Variable Name: IJTYP4OS
Question Text:
* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: fourth entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the fourth body part was hurt in some "other" way
Skip Instructions:
if a poisoning episode, go to PPCC; else, go to IPEV
Question ID:FIJ.140_00.000

Instrument Variable Name: PPOIS
Question Text:

(book) F9 ? [F1]
* Ask or verify. What did [fill: your/ALIAS's] poisoning result from?
1 Swallowing a drug or medical substance mistakenly or in overdose
2 Swallowing or touching a harmful solid or liquid substance
3 Inhaling harmful gases or vapors
4 Eating a poisonous plant or other substance mistaken for food
5 Being bitten by a poisonous animal
6 Other, please specify
7 Refused
9 Don't know
Universe Text All poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-5,R,D) [go to IPWHAT]
(6) [go to PPOISOS]
Question ID:FIJ.141_00.000

Instrument Variable Name: PPOISOS
Question Text:

* Read if necessary. How did [fill: your/ALIAS's] poisoning occur?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted poisoning episodes where the poisoning resulted from some "other" reason
Skip Instructions:

go to IPWHAT

top
2012
Survey form view entire document:  text  image

Question ID:FIJ.070_00.000

Instrument Variable Name: IJBODY
Question Text:
(book) F4 * Enter up to 4 responses, separate with commas.
* Ask or verify. In this injury, what parts of [fill: your/ALIAS's] body were hurt?
01 Ankle
02 Back
03 Buttocks
04 Chest
05 Ear
06 Elbow
07 Eye
08 Face
09 Finger/thumb
10 Foot
11 Forearm
12 Groin
13 Hand
14 Head (not face)
15 Hip
16 Jaw
17 Knee
18 Lower leg
19 Mouth
20 Neck
21 Nose
22 Shoulder
23 Stomach
24 Teeth
25 Thigh
26 Toe
27 Upper arm
28 Wrist
29 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes for which a medical professional was consulted
Skip Instructions:
(1-28) [go to IJTYPE1]
(29) [go to IJBODYOS]
(R,D) [go to IPEV]
Question ID:FIJ.071_00.000

Instrument Variable Name: IJBODYOS
Question Text:

*Read if necessary. What other parts of the body were hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where some "other" part of the body was hurt
Skip Instructions:
go to IJTYPE1
Question ID:FIJ.072_00.000

Instrument Variable Name: IJTYPE1
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: first entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least one part of the body was hurt
Skip Instructions:
(1-8,D) [go to IJTYPE2 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP1OS]
(R) [go to IPEV]
Question ID:FIJ.073_00.000

Instrument Variable Name: IJTYP1OS
Question Text:

? [F1] * Read if necessary. How was [fill1: your/ALIAS's] [fill2: first entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the first body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE2 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.074_00.000

Instrument Variable Name: IJTYPE2
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: second entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least two body parts were hurt and the type of injury or don't know was entered for the first body part at IJTYPE1
Skip Instructions:

(1-8,D) [go to IJTYPE3 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP2OS]
(R) [go to IPEV]
Question ID:FIJ.075_00.000

Instrument Variable Name: IJTYP2OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: second entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the second body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE3 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.076_00.000

Instrument Variable Name: IJTYPE3
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: third entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least three body parts were hurt and type of injury or don't know was entered for the second body part at IJTYPE2
Skip Instructions:

(1-8,D) [go to IJTYPE4 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP3OS]
(R) [go to IPEV]
Question ID:FIJ.077_00.000

Instrument Variable Name: IJTYP3OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: third entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the third body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE4 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.078_00.000

Instrument Variable Name: IJTYPE4
Question Text:
(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: fourth entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where four body parts were hurt and type of injury or don't know was entered for the third body part at IJTYPE3
Skip Instructions:

(1-8,R,D) [go to IPEV]
(9) [go to IJTYP4OS]
Question ID:FIJ.079_00.000

Instrument Variable Name: IJTYP4OS
Question Text:
* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: fourth entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the fourth body part was hurt in some "other" way
Skip Instructions:
if a poisoning episode, go to PPCC; else, go to IPEV
Question ID:FIJ.140_00.000

Instrument Variable Name: PPOIS
Question Text:

(book) F9 ? [F1]
* Ask or verify. What did [fill: your/ALIAS's] poisoning result from?
1 Swallowing a drug or medical substance mistakenly or in overdose
2 Swallowing or touching a harmful solid or liquid substance
3 Inhaling harmful gases or vapors
4 Eating a poisonous plant or other substance mistaken for food
5 Being bitten by a poisonous animal
6 Other, please specify
7 Refused
9 Don't know
Universe Text All poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-5,R,D) [go to IPWHAT]
(6) [go to PPOISOS]
Question ID:FIJ.141_00.000

Instrument Variable Name: PPOISOS
Question Text:

* Read if necessary. How did [fill: your/ALIAS's] poisoning occur?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted poisoning episodes where the poisoning resulted from some "other" reason
Skip Instructions:

go to IPWHAT

top
2011
Survey form view entire document:  text  image

Question ID:FIJ.070_00.000

Instrument Variable Name: IJBODY
Question Text:
(book) F4 * Enter up to 4 responses, separate with commas.
* Ask or verify. In this injury, what parts of [fill: your/ALIAS's] body were hurt?
01 Ankle
02 Back
03 Buttocks
04 Chest
05 Ear
06 Elbow
07 Eye
08 Face
09 Finger/thumb
10 Foot
11 Forearm
12 Groin
13 Hand
14 Head (not face)
15 Hip
16 Jaw
17 Knee
18 Lower leg
19 Mouth
20 Neck
21 Nose
22 Shoulder
23 Stomach
24 Teeth
25 Thigh
26 Toe
27 Upper arm
28 Wrist
29 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes for which a medical professional was consulted
Skip Instructions:
(1-28) [go to IJTYPE1]
(29) [go to IJBODYOS]
(R,D) [go to IPEV]
Question ID:FIJ.071_00.000

Instrument Variable Name: IJBODYOS
Question Text:

*Read if necessary. What other parts of the body were hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where some "other" part of the body was hurt
Skip Instructions:
go to IJTYPE1
Question ID:FIJ.072_00.000

Instrument Variable Name: IJTYPE1
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: first entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least one part of the body was hurt
Skip Instructions:
(1-8,D) [go to IJTYPE2 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP1OS]
(R) [go to IPEV]
Question ID:FIJ.073_00.000

Instrument Variable Name: IJTYP1OS
Question Text:

? [F1] * Read if necessary. How was [fill1: your/ALIAS's] [fill2: first entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the first body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE2 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.074_00.000

Instrument Variable Name: IJTYPE2
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: second entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least two body parts were hurt and the type of injury or don't know was entered for the first body part at IJTYPE1
Skip Instructions:

(1-8,D) [go to IJTYPE3 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP2OS]
(R) [go to IPEV]
Question ID:FIJ.075_00.000

Instrument Variable Name: IJTYP2OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: second entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the second body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE3 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.076_00.000

Instrument Variable Name: IJTYPE3
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: third entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least three body parts were hurt and type of injury or don't know was entered for the second body part at IJTYPE2
Skip Instructions:

(1-8,D) [go to IJTYPE4 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP3OS]
(R) [go to IPEV]
Question ID:FIJ.077_00.000

Instrument Variable Name: IJTYP3OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: third entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the third body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE4 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.078_00.000

Instrument Variable Name: IJTYPE4
Question Text:
(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: fourth entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where four body parts were hurt and type of injury or don't know was entered for the third body part at IJTYPE3
Skip Instructions:

(1-8,R,D) [go to IPEV]
(9) [go to IJTYP4OS]
Question ID:FIJ.079_00.000

Instrument Variable Name: IJTYP4OS
Question Text:
* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: fourth entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the fourth body part was hurt in some "other" way
Skip Instructions:
if a poisoning episode, go to PPCC; else, go to IPEV
Question ID:FIJ.140_00.000

Instrument Variable Name: PPOIS
Question Text:

(book) F9 ? [F1]
* Ask or verify. What did [fill: your/ALIAS's] poisoning result from?
1 Swallowing a drug or medical substance mistakenly or in overdose
2 Swallowing or touching a harmful solid or liquid substance
3 Inhaling harmful gases or vapors
4 Eating a poisonous plant or other substance mistaken for food
5 Being bitten by a poisonous animal
6 Other, please specify
7 Refused
9 Don't know
Universe Text All poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-5,R,D) [go to IPWHAT]
(6) [go to PPOISOS]
Question ID:FIJ.141_00.000

Instrument Variable Name: PPOISOS
Question Text:

* Read if necessary. How did [fill: your/ALIAS's] poisoning occur?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted poisoning episodes where the poisoning resulted from some "other" reason
Skip Instructions:

go to IPWHAT

top
2010
Survey form view entire document:  text  image

Question ID:FIJ.070_00.000

Instrument Variable Name: IJBODY
Question Text:
(book) F4 * Enter up to 4 responses, separate with commas.
* Ask or verify. In this injury, what parts of [fill: your/ALIAS's] body were hurt?
01 Ankle
02 Back
03 Buttocks
04 Chest
05 Ear
06 Elbow
07 Eye
08 Face
09 Finger/thumb
10 Foot
11 Forearm
12 Groin
13 Hand
14 Head (not face)
15 Hip
16 Jaw
17 Knee
18 Lower leg
19 Mouth
20 Neck
21 Nose
22 Shoulder
23 Stomach
24 Teeth
25 Thigh
26 Toe
27 Upper arm
28 Wrist
29 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes for which a medical professional was consulted
Skip Instructions:
(1-28) [go to IJTYPE1]
(29) [go to IJBODYOS]
(R,D) [go to IPEV]
Question ID:FIJ.071_00.000

Instrument Variable Name: IJBODYOS
Question Text:

*Read if necessary. What other parts of the body were hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where some "other" part of the body was hurt
Skip Instructions:
go to IJTYPE1
Question ID:FIJ.072_00.000

Instrument Variable Name: IJTYPE1
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: first entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least one part of the body was hurt
Skip Instructions:
(1-8,D) [go to IJTYPE2 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP1OS]
(R) [go to IPEV]
Question ID:FIJ.073_00.000

Instrument Variable Name: IJTYP1OS
Question Text:

? [F1] * Read if necessary. How was [fill1: your/ALIAS's] [fill2: first entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the first body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE2 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.074_00.000

Instrument Variable Name: IJTYPE2
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: second entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least two body parts were hurt and the type of injury or don't know was entered for the first body part at IJTYPE1
Skip Instructions:

(1-8,D) [go to IJTYPE3 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP2OS]
(R) [go to IPEV]
Question ID:FIJ.075_00.000

Instrument Variable Name: IJTYP2OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: second entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the second body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE3 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.076_00.000

Instrument Variable Name: IJTYPE3
Question Text:

(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: third entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where at least three body parts were hurt and type of injury or don't know was entered for the second body part at IJTYPE2
Skip Instructions:

(1-8,D) [go to IJTYPE4 for next body part entered at IJBODY; if no more body parts, go to IPEV]
(9) [go to IJTYP3OS]
(R) [go to IPEV]
Question ID:FIJ.077_00.000

Instrument Variable Name: IJTYP3OS
Question Text:

* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: third entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the third body part was hurt in some "other" way
Skip Instructions:

go to IJTYPE4 for next body part; if no more body parts, go to IPEV
Question ID:FIJ.078_00.000

Instrument Variable Name: IJTYPE4
Question Text:
(book) F5
*Enter up to 2 responses, separate with a comma.
* Ask or verify. In what way was [fill1: your/ALIAS's] [fill2: fourth entry--^IJBODY (text) or ^IJBODYOS] hurt?
01 Broken bone or fracture
02 Sprain, strain, or twist
03 Cut
04 Scrape
05 Bruise
06 Burn
07 Insect bite
08 Animal bite
09 Other, specify
97 Refused
99 Don't know
Universe Text All injury episodes where four body parts were hurt and type of injury or don't know was entered for the third body part at IJTYPE3
Skip Instructions:

(1-8,R,D) [go to IPEV]
(9) [go to IJTYP4OS]
Question ID:FIJ.079_00.000

Instrument Variable Name: IJTYP4OS
Question Text:
* Read if necessary. How else was [fill1: your/ALIAS's] [fill2: fourth entry -- ^IJBODY (text) or ^IJBODYOS] hurt?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All injury episodes where the fourth body part was hurt in some "other" way
Skip Instructions:
if a poisoning episode, go to PPCC; else, go to IPEV
Question ID:FIJ.140_00.000

Instrument Variable Name: PPOIS
Question Text:

(book) F9 ? [F1]
* Ask or verify. What did [fill: your/ALIAS's] poisoning result from?
1 Swallowing a drug or medical substance mistakenly or in overdose
2 Swallowing or touching a harmful solid or liquid substance
3 Inhaling harmful gases or vapors
4 Eating a poisonous plant or other substance mistaken for food
5 Being bitten by a poisonous animal
6 Other, please specify
7 Refused
9 Don't know
Universe Text All poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-5,R,D) [go to IPWHAT]
(6) [go to PPOISOS]
Question ID:FIJ.141_00.000

Instrument Variable Name: PPOISOS
Question Text:

* Read if necessary. How did [fill: your/ALIAS's] poisoning occur?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted poisoning episodes where the poisoning resulted from some "other" reason
Skip Instructions:

go to IPWHAT

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2009

No questionnaire text is available for this sample.


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2008

No questionnaire text is available for this sample.


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2007

No questionnaire text is available for this sample.


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2006

No questionnaire text is available for this sample.


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2005

No questionnaire text is available for this sample.


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2004

No questionnaire text is available for this sample.