Survey Text

2012
2007
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2012
Survey form view entire document:  text  image

QuestionID: ALT.541_00.000

Instrument Variable Name: TP1_RS3 Adult CAM
QuestionText:
*Read if necessary. DURING THE PAST 12 MONTHS, did you {fill1: see a practitioner for/use} {fill2: modality} for any of these reasons? These medical treatments do not work for the health problem you want to treat or prevent?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used first of top three modalities and used some type of treatment for specific condition(s)
SkipInstructions:
(1,2,R,D) if TP1_MTR1=1 or TP1_MTR2=1 [goto TP1_RS4];
else if self-care modality (categories 6,7 and 10-16 on ALT_TP31 variable, [goto TP1_RS5]; else [goto TP1_RS6]

Survey form view entire document:  text  image

Question ID: CAL.541_00.000

Instrument Variable Name: CTP1RS3
QuestionText:
*Read if necessary. DURING THE PAST 12 MONTHS, did [fill S.C. name] [fill1: see a practitioner for/use] [fill2: modality] for any of these reasons? These medical treatments do not work for [fill: his/her] health problems?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have used first of top three modalities and used some type of treatment for specific condition(s)
SkipInstructions:
(1,2,R,D) if CTP1MTR1=1 or CTP1MTR2=1 [goto CTP1RS4];
else if self-care modality (categories 6,7 and 10-16 on CAL_TP31 variable, [goto CTP1RS5];
else [goto CTP1RS6]

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2007
Survey form view entire document:  text  image

Question ID: : ALT.450_00.000

Instrument Variable Name: MOV_NOHP
Question Text:
*Read if necessary.
DURING THE PAST 12 MONTHS, did you use [fill: type of movement technique] for any of these reasons?
...Because medical treatments did not help
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who have used movement technique in the past 12 months
Skip Instructions:
(1,2,Refused,Don't know) [goto MOV_EXPS]