Survey Text

2012
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2012
Survey form view entire document:  text  image
QuestionID: ALT.642_00.000

Instrument Variable Name: TP2_DS5 Adult CAM
QuestionText:
*Read if necessary. Why didn't you tell your personal health care provider about your use of {fill1: modality}? You were concerned about a negative reaction?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used second of top three modalities and did not tell their personal health care provider about using therapy
SkipInstructions:
(1,2,R,D) [goto TP2_DS6]

Survey form view entire document:  text  image
Question ID: CAL.642_00.000

Instrument Variable Name: CTP2DS5
QuestionText:
*Read if necessary. Why didn't you tell [fill: S.C. name]'s personal health care provider about [fill: his/her] use of [fill1: modality]? You were concerned about a negative reaction?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have used second of top three modalities and did not tell their personal health care provider about using therapy
SkipInstructions:
(1,2,R,D) [goto CTP2DS6]