Survey Text

2017 2012 2007 2002
2016 2011 2006 2001
2015 2010 2005 2000
2014 2009 2004 1999
2013 2008 2003 1998
top
2017
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

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2016
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

top
2015
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

top
2014
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

top
2013
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

top
2012
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

top
2011
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

top
2010
Survey form view entire document:  text  image
Question ID:FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text:

(book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify. What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-10,R,D) [go to IPWHER]
(11) [go to IPWHATOT]
Question ID:FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:

* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim Verbatim response
7 Refused
9 Don't know
Universe Text All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

go to IPWHER

top
2009
Survey form view entire document:  text  image
Question ID: FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text: (book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify.
What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-10,R,D) [goto IPWHER]
(11) [goto IPWHATOT]
Question ID: FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:
* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim response
7 Refused
9 Don't know
Universe Text: All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

goto IPWHER

top
2008
Survey form view entire document:  text  image
Question ID: FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text: (book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify.
What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-10,R,D) [goto IPWHER]
(11) [goto IPWHATOT]
Question ID: FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:
* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim response
7 Refused
9 Don't know
Universe Text: All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

goto IPWHER

top
2007
Survey form view entire document:  text  image
Question ID: FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text: (book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify.
What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-10,R,D) [goto IPWHER]
(11) [goto IPWHATOT]
Question ID: FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:
* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim response
7 Refused
9 Don't know
Universe Text: All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

goto IPWHER

top
2006
Survey form view entire document:  text  image
Question ID: FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text: (book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify.
What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-10,R,D) [goto IPWHER]
(11) [goto IPWHATOT]
Question ID: FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:
* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim response
7 Refused
9 Don't know
Universe Text: All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

goto IPWHER

top
2005
Survey form view entire document:  text  image
Question ID: FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text: (book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify.
What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-10,R,D) [goto IPWHER]
(11) [goto IPWHATOT]

top
2004
Survey form view entire document:  text  image
Question ID: FIJ.150_00.000

Instrument Variable Name: IPWHAT
Question Text: (book) F10 ? [F1]
* Enter up to 2 responses, separate with a comma.
* Ask or verify.
What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
01 Driving or riding in a motor vehicle
02 Working at a paid job
03 Working around the house or yard
04 Attending school
05 Unpaid work (such as volunteer work)
06 Sports and exercise
07 Leisure activity (excluding sports)
08 Sleeping, resting, eating, or drinking
09 Cooking
10 Being cared for (hands-on care from other person)
11 Other, please specify
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-10,R,D) [goto IPWHER]
(11) [goto IPWHATOT]
Question ID: FIJ.151_00.000

Instrument Variable Name: IPWHATOT
Question Text:
* Read if necessary.
What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]?
Verbatim response
7 Refused
9 Don't know
Universe Text: All medically-consulted injury/poisoning episodes that occurred in some "other" place
Skip Instructions:

goto IPWHER

top
2003
Survey form view entire document:  text  image
FIJ.200

FR: VERIFY OR ASK. SHOW FLASHCARD F6. RECORD UP TO 2 RESPONSES: ENTER (N) FOR NO MORE.

What {were/was} {you/subject name} doing when the injury/poisoning happened?
Card F6
1. Driving or riding in a motor vehicle
2. Working at paid job
3. Working around the house or yard
4. Attending school
5. Unpaid work (including housework, shopping, volunteer work)
6. Sports (organized team or individual sport such as running, biking, skating)
7. Leisure activity (excluding sports)
8. Sleeping, resting, eating, drinking
9. Cooking
10. Being cared for (hands on care from other person)
11. Other
WHAT_1
WHAT_2
(01) Driving or riding in a motor vehicle
(02) Working at a paid job
(03) Working around the house or yard
(04) Attending school
(05) Unpaid work (including housework, shopping, volunteer work)
(06) Sports (organized team or individual sport such as running, biking, skating)
(07) Leisure activity (excluding sports)
(08) Sleeping, resting, eating, drinking
(09) Cooking
(10) Being cared for (hands on care from other person)
(11) Other
(97) Refused
(99) Don't know
[ ]
[ ]

top
2002
Survey form view entire document:  text  image
FIJ.200

FR: VERIFY OR ASK. SHOW FLASHCARD F6. RECORD UP TO 2 RESPONSES: ENTER (N) FOR NO MORE.

What {were/was} {you/subject name} doing when the injury/poisoning happened?
Card F6
1. Driving or riding in a motor vehicle
2. Working at paid job
3. Working around the house or yard
4. Attending school
5. Unpaid work (including housework, shopping, volunteer work)
6. Sports (organized team or individual sport such as running, biking, skating)
7. Leisure activity (excluding sports)
8. Sleeping, resting, eating, drinking
9. Cooking
10. Being cared for (hands on care from other person)
11. Other
WHAT_1
WHAT_2
(01) Driving or riding in a motor vehicle
(02) Working at a paid job
(03) Working around the house or yard
(04) Attending school
(05) Unpaid work (including housework, shopping, volunteer work)
(06) Sports (organized team or individual sport such as running, biking, skating)
(07) Leisure activity (excluding sports)
(08) Sleeping, resting, eating, drinking
(09) Cooking
(10) Being cared for (hands on care from other person)
(11) Other
(97) Refused
(99) Don't know
[ ]
[ ]

top
2001
Survey form view entire document:  text  image
FIJ.200

FR: VERIFY OR ASK. SHOW FLASHCARD F6. RECORD UP TO 2 RESPONSES: ENTER (N) FOR NO MORE.

What {were/was} {you/subject name} doing when the injury/poisoning happened?
Card F6
1. Driving or riding in a motor vehicle
2. Working at paid job
3. Working around the house or yard
4. Attending school
5. Unpaid work (including housework, shopping, volunteer work)
6. Sports (organized team or individual sport such as running, biking, skating)
7. Leisure activity (excluding sports)
8. Sleeping, resting, eating, drinking
9. Cooking
10. Being cared for (hands on care from other person)
11. Other
WHAT_1
WHAT_2
(01) Driving or riding in a motor vehicle
(02) Working at a paid job
(03) Working around the house or yard
(04) Attending school
(05) Unpaid work (including housework, shopping, volunteer work)
(06) Sports (organized team or individual sport such as running, biking, skating)
(07) Leisure activity (excluding sports)
(08) Sleeping, resting, eating, drinking
(09) Cooking
(10) Being cared for (hands on care from other person)
(11) Other
(97) Refused
(99) Don't know
[ ]
[ ]

top
2000
Survey form view entire document:  text  image
FIJ.200

FR: VERIFY OR ASK. SHOW FLASHCARD F6. RECORD UP TO 2 RESPONSES: ENTER (N) FOR NO MORE.

What {were/was} {you/subject name} doing when the injury/poisoning happened?
Card F6
1. Driving or riding in a motor vehicle
2. Working at paid job
3. Working around the house or yard
4. Attending school
5. Unpaid work (including housework, shopping, volunteer work)
6. Sports (organized team or individual sport such as running, biking, skating)
7. Leisure activity (excluding sports)
8. Sleeping, resting, eating, drinking
9. Cooking
10. Being cared for (hands on care from other person)
11. Other
WHAT_1
WHAT_2
(01) Driving or riding in a motor vehicle
(02) Working at a paid job
(03) Working around the house or yard
(04) Attending school
(05) Unpaid work (including housework, shopping, volunteer work)
(06) Sports (organized team or individual sport such as running, biking, skating)
(07) Leisure activity (excluding sports)
(08) Sleeping, resting, eating, drinking
(09) Cooking
(10) Being cared for (hands on care from other person)
(11) Other
(97) Refused
(99) Don't know
[ ]
[ ]

top
1999

No questionnaire text is available for this sample.


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1998

No questionnaire text is available for this sample.