Survey Text

2005
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2005
Survey form view entire document:  text  image

NAC.440_00.000

Instrument Variable Name: PAINMEDS
Question Text:
(book) CAN6
People may take medication to treat pain, headache, or arthritis; to relax muscles; or to prevent heart attacks and other diseases.
Typical medications are shown on this card:
Note that this list does NOT include Tylenol. Do you now take any of these medications regularly, that is, at least 3 times a week?
*Read list only if necessary.
Aspirin, Advil, Aleve, Bayer, Bufferin, Celecoxib, Excedrin, Ibuprofen, Motrin, Naprosyn (Naproxen), Nuprin, Vioxx
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1) [goto PAINMTHS] (2,R,D) if SEX=1 [goto PROPECIA]; else [goto next section]

NAC.442_00.000

Instrument Variable Name: PAINMTHS
Question Text:
(book) CAN6
Have you taken any of these kinds of medications regularly for the last 3 months?
Card CAN6
Aspirin
Advil
Aleve
Bayer
Bufferin
Celecoxib
Excedrin
Ibuprofen
Motrin
Naprosyn (Naproxen)
Nuprin
Vioxx
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who take pain medication regularly
Skip Instructions:
(1) [goto PAINKIND] (2,R,D) if SEX=1 [goto PROPECIA]; else [goto next section]

NAC.450_00.000

Instrument Variable Name: PAINKIND
Question Text:
Can you tell me the names of these medications?
*Enter all that apply, separate with commas.
01 Aspirin
02 Advil
03 Aleve
04 Bayer
05 Bufferin
06 Celecoxib
07 Excedrin
08 Ibuprofen
09 Motrin
10 Naprosyn (Naproxen)
11 Nuprin
12 Vioxx
13 Other (specify)
97 Refused
99 Don't know
Universe Text: Sample adults 18+ who have taken pain medication regularly for the past 3 months
Skip Instructions:
(1-12,R,D) if SEX=1 [goto PROPECIA]; else [goto next section] (13) [goto OTHPAIN]

NAC.455_00.000

Instrument Variable Name: OTHPAIN
Question Text:
*Enter the specified pain medication(s)
7 Refused
9 Don't know
Verbatim Verbatim Response
Universe Text: Sample adults age 18+ who named other type of pain medication
Skip Instructions:
(allow 50,R,D) if SEX=1 [goto PROPECIA]; else [goto next section]