Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text:

? [F1]
* Ask or verify. [fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

go to IPWHAT

Instrument Variable Name: ISBELT
Question Text: ? [F1]

* Ask or verify.
[fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

goto IPWHAT

Instrument Variable Name: ISBELT
Question Text: ? [F1]

* Ask or verify.
[fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

goto IPWHAT

Instrument Variable Name: ISBELT
Question Text: ? [F1]

* Ask or verify.
[fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

goto IPWHAT

Instrument Variable Name: ISBELT
Question Text: ? [F1]

* Ask or verify.
[fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

goto IPWHAT

Instrument Variable Name: ISBELT
Question Text: ? [F1]

* Ask or verify.
[fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

goto IPWHAT

Instrument Variable Name: ISBELT
Question Text: ? [F1]

* Ask or verify.
[fill: Were you/Was ALIAS] restrained at the time of the accident?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: All medically-consulted injury episodes that occurred while a driver or passenger of a car or truck
Skip Instructions:

goto IPWHAT

FR: VERIFY OR ASK

[If AGE is ge 5]
{Were/Was} {you/subject name} wearing a safety belt at the time of the accident?

[Else]
{Were/Was} {you/subject name} buckled in a car safety seat at the time of the accident?

(1) Yes
(2) No
(7) Refused
(9) Don't know

(Go to FIJ.200)

FR: VERIFY OR ASK

[If AGE is ge 5]
{Were/Was} {you/subject name} wearing a safety belt at the time of the accident?

[Else]
{Were/Was} {you/subject name} buckled in a car safety seat at the time of the accident?

(1) Yes
(2) No
(7) Refused
(9) Don't know

(Go to FIJ.200)

FR: VERIFY OR ASK

[If AGE is ge 5]
{Were/Was} {you/subject name} wearing a safety belt at the time of the accident?

[Else]
{Were/Was} {you/subject name} buckled in a car safety seat at the time of the accident?

(1) Yes
(2) No
(7) Refused
(9) Don't know

(Go to FIJ.200)

FR: VERIFY OR ASK

[If AGE is ge 5]
{Were/Was} {you/subject name} wearing a safety belt at the time of the accident?

[Else]
{Were/Was} {you/subject name} buckled in a car safety seat at the time of the accident?

(1) Yes
(2) No
(7) Refused
(9) Don't know

(Go to FIJ.200)

[If AGE is greater than or = to 5, ask:]
{Were/Was} {you/subject's name} wearing a safety belt at the time of the accident?

[Else, ask:]
{Were/Was} {you/subject's name} buckled in a car safety seat at the time of the accident?

(1) Yes
(2) No
(7) Refused
(9) Don't know

(Go to FIJ.200)