During the past 12 months, did you receive counseling or therapy from a mental health
professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+

1,RF,DK [goto MHTPYNOW_A]
2 [goto MHTHDLY_A]

During the past 12 months, did you receive counseling or therapy from a mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+

1,RF,DK [goto MHTPYNOW_A]
2 [goto MHTHDLY_A]

During the past 12 months, did ^SCNAME receive counseling or therapy from a mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Children 2-17

1,2,RF,DK [goto MHTHDLY_C]

During the past 12 months, did you receive counseling or therapy from a mental health
professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+

1,RF,DK [goto MHTPYNOW_A]
2 [goto MHTHDLY_A]

During the past 12 months, did ^SCNAME receive counseling or therapy from a mental health
professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Children 2-17

1,2,RF,DK [goto MHTHDLY_C]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

Instrument Variable Name: AHCSY1_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker.

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[ goto AHCSY1_2]

Instrument Variable Name:: CHCSYR_1
QuestionText:

DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about [fill2: alias]'s health? A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children GE 2
SkipInstructions:

(1,2,R,D) [goto CHCSYR_2]

During the PAST 12 MONTHS, that is since {12 month ref.date}, have you seen or talked to any of the following health care providers about your own health?

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

AHCSYR1 ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
AHCSYR2 ...An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
AHCSYR3 ...A foot doctor?
AHCSYR4 ...A chiropractor?
AHCSYR5 ...A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
AHCSYR6 ...A nurse practitioner, physician assistant, or midwife?

Check Item CAUCCI2B: If the age is greater than or equal to 2 go to CAU.175; Else go to CAU.170

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, has anyone in the family seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR11 An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR12 A foot doctor?
CHCSYR13 A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR14 A nurse practitioner, physician assistant or midwife?

(Go to CAU.240)

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, have you seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR1 ... A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
CHCSYR2 ... An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR3 ... A foot doctor?
CHCSYR4 ... A chiropractor?
CHCSYR5 ... A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR6 ... A nurse practitioner, physician assistant or midwife?

During the PAST 12 MONTHS, that is since {12 month ref.date}, have you seen or talked to any of the following health care providers about your own health?

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

AHCSYR1 ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
AHCSYR2 ...An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
AHCSYR3 ...A foot doctor?
AHCSYR4 ...A chiropractor?
AHCSYR5 ...A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
AHCSYR6 ...A nurse practitioner, physician assistant, or midwife?

Check Item CAUCCI2B: If the age is greater than or equal to 2 go to CAU.175; Else go to CAU.170

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, has anyone in the family seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR11 An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR12 A foot doctor?
CHCSYR13 A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR14 A nurse practitioner, physician assistant or midwife?

(Go to CAU.240)

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, have you seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR1 ... A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
CHCSYR2 ... An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR3 ... A foot doctor?
CHCSYR4 ... A chiropractor?
CHCSYR5 ... A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR6 ... A nurse practitioner, physician assistant or midwife?

During the PAST 12 MONTHS, that is since {12 month ref.date}, have you seen or talked to any of the following health care providers about your own health?

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

AHCSYR1 ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
AHCSYR2 ...An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
AHCSYR3 ...A foot doctor?
AHCSYR4 ...A chiropractor?
AHCSYR5 ...A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
AHCSYR6 ...A nurse practitioner, physician assistant, or midwife?

Check Item CAUCCI2B: If the age is greater than or equal to 2 go to CAU.175; Else go to CAU.170

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, has anyone in the family seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR11 An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR12 A foot doctor?
CHCSYR13 A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR14 A nurse practitioner, physician assistant or midwife?

(Go to CAU.240)

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, have you seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR1 ... A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
CHCSYR2 ... An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR3 ... A foot doctor?
CHCSYR4 ... A chiropractor?
CHCSYR5 ... A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR6 ... A nurse practitioner, physician assistant or midwife?

During the PAST 12 MONTHS, that is since {12 month ref.date}, have you seen or talked to any of the following health care providers about your own health?

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

AHCSYR1 ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
AHCSYR2 ...An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
AHCSYR3 ...A foot doctor?
AHCSYR4 ...A chiropractor?
AHCSYR5 ...A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
AHCSYR6 ...A nurse practitioner, physician assistant, or midwife?

Check Item CAUCCI2B: If the age is greater than or equal to 2 go to CAU.175; Else go to CAU.170

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, has anyone in the family seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR11 An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR12 A foot doctor?
CHCSYR13 A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR14 A nurse practitioner, physician assistant or midwife?

(Go to CAU.240)

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, have you seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR1 ... A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
CHCSYR2 ... An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR3 ... A foot doctor?
CHCSYR4 ... A chiropractor?
CHCSYR5 ... A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR6 ... A nurse practitioner, physician assistant or midwife?

During the PAST 12 MONTHS, that is since {12 month ref.date}, have you seen or talked to any of the following health care providers about your own health?

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

AHCSYR1 ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
AHCSYR2 ...An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
AHCSYR3 ...A foot doctor?
AHCSYR4 ...A chiropractor?
AHCSYR5 ...A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
AHCSYR6 ...A nurse practitioner, physician assistant, or midwife?

Check Item CAUCCI2B: If the age is greater than or equal to 2 go to CAU.175; Else go to CAU.170

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, has anyone in the family seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR11 An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR12 A foot doctor?
CHCSYR13 A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR14 A nurse practitioner, physician assistant or midwife?

(Go to CAU.240)

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, have you seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR1 ... A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
CHCSYR2 ... An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR3 ... A foot doctor?
CHCSYR4 ... A chiropractor?
CHCSYR5 ... A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR6 ... A nurse practitioner, physician assistant or midwife?

During the PAST 12 MONTHS, that is since {12 month ref.date}, have you seen or talked to any of the following health care providers about your own health?

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

AHCSYR1 ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
AHCSYR2 ...An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
AHCSYR3 ...A foot doctor?
AHCSYR4 ...A chiropractor?
AHCSYR5 ...A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
AHCSYR6 ...A nurse practitioner, physician assistant, or midwife?

Check Item CAUCCI2B: If the age is greater than or equal to 2 go to CAU.175; Else go to CAU.170

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, has anyone in the family seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR11 An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR12 A foot doctor?
CHCSYR13 A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR14 A nurse practitioner, physician assistant or midwife?

(Go to CAU.240)

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, have you seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR1 ... A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
CHCSYR2 ... An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR3 ... A foot doctor?
CHCSYR4 ... A chiropractor?
CHCSYR5 ... A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR6 ... A nurse practitioner, physician assistant or midwife?

During the PAST 12 MONTHS, that is since {12 month ref.date}, have you seen or talked to any of the following health care providers about your own health?

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

AHCSYR1 ...A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
AHCSYR2 ...An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
AHCSYR3 ...A foot doctor?
AHCSYR4 ...A chiropractor?
AHCSYR5 ...A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
AHCSYR6 ...A nurse practitioner, physician assistant, or midwife?

Check Item CAUCCI2B: If the age is greater than or equal to 2 go to CAU.175; Else go to CAU.170

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, has anyone in the family seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR11 An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR12 A foot doctor?
CHCSYR13 A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR14 A nurse practitioner, physician assistant or midwife?

(Go to CAU.240)

DURING THE PAST 12 MONTHS, that is since {12-month ref. date}, have you seen or talked to any of the following health care providers about {S.C. name}'s health?

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

CHCSYR1 ... A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker?
CHCSYR2 ... An optometrist, ophthalmologist, or eye doctor (someone who prescribes eyeglasses)?
CHCSYR3 ... A foot doctor?
CHCSYR4 ... A chiropractor?
CHCSYR5 ... A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist?
CHCSYR6 ... A nurse practitioner, physician assistant or midwife?