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2018

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
Questionnaire File Name: Sample Adult
Question Text:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+
Skip Instructions:

(1,2,R,D)[CHPAIN6M]

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2017

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
Questionnaire File Name: Sample Adult
Question Text:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+
Skip Instructions:

(1,2,R,D)[CHPAIN6M]

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2016

No questionnaire text is available for this sample.

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2015

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2014

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2013

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2012

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2011

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2010

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2009

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2008

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2007

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2006

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2005

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2004

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2003

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2002

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2001

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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2000

Survey form view entire document: text image

Question ID: ACN.451_00.000

Instrument Variable Name: LUPPRT
QuestionText:

Have you lost all of your upper and lower natural (permanent) teeth?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D) [goto MHSAD_CK]

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1999

Survey form view entire document: text image

ACN.451

Have you lost all of your upper and lower natural (permanent) teeth?

LUPPRT

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

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1990

Survey form view entire document: text image

3. Have you lost ALL of your permanent teeth, both upper and lower?

1[] Yes
2[] No

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1989

Survey form view entire document: text image

4a. Is there anyone in the family who has lost all of his or her upper (permanent) natural teeth?

[] Yes
[] No (4e)

b. Who is this?
Mark "No uppers" box in person's column.

1[] No uppers

c. Anyone else?

[] Yes (Reask 4b and c)
[] No

e. Is there anyone in the family who has lost all of his or her lower (permanent) natural teeth?

[] Yes
[] No (5)

f. Who is this?
Mark "No lowers" box in person's column.

1[] No lowers

g. Anyone else?

[] Yes (Reask 4f and g)
[] No

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1986

Survey form view entire document: text image

6a. Is there anyone in the family who has lost ALL of his or her natural teeth?

[] Yes
[] No (7)

b. Who is this? ____
Mark "Lost all teeth" box in person's column.

1 [] Lost all teeth

c. Anyone else?

[] Yes (Reask 6b and c)
[] No

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1983

Survey form view entire document: text image

7a. Is there anyone in the family who has lost ALL of his or her teeth?

[] Yes
[] No (NEXT PAGE)

b. Who is this? Mark "Lost all teeth" box in person's column.

1[] Lost all teeth

c. Anyone else?

[] Yes (Reask 7b and c)
[] No

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1971

Survey form view entire document: text image

11a. Is there anyone in the family who has lost ALL of his teeth?

[] Y
[] N (12)

b. Who is this? Anyone else? ____

[] No teeth

2018	2011	2004	1989
2017	2010	2003	1986
2016	2009	2002	1983
2015	2008	2001	1971
2014	2007	2000
2013	2006	1999
2012	2005	1990

Survey Text