Survey Text

2023
2022
2021
2020
2019
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2023

No questionnaire text is available for this sample.


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2022
Survey form view entire document:  text  image
Question ID: UPP.0020.00.1
Variable: SELFCAREDF_C
Interview Module: Child
Content Type: Annual Core

Question text:

Does ^SCNAME have difficulty with self care, such as eating or dressing?
*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of
difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 5-17
Skip Instructions:
1-4,RF,DK [goto next section]

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2021
Survey form view entire document:  text  image
Question ID: ALG.0040.00.2
Variable: CURFOOD_C
Interview Module: Child
Content Type: Rotating Core
Question text:
The next question is about food allergies. People with food allergies have reactions such as hives, vomiting, trouble breathing, or throat tightening that occur within two hours of eating a specific food.
Does ^SCNAME have an allergy to one or more foods?
Read if necessary: Food allergies are different from food intolerances, such as lactose and gluten intolerance, and other digestive disorders, including irritable bowel syndrome.
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17
Skip Instructions:
1 [goto DXFOOD_C]
2,RF,DK [goto CURSKIN_C]

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2020
Survey form view entire document:  text  image
Question ID: UPP.0020.00.1
Variable: SELFCAREDF_C
Interview Module: Child
Content Type: Annual Core
Question text:
Does ^SCNAME have difficulty with self care, such as eating or dressing?
*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of
difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Children 5-17
Skip Instructions:
1-4,RF,DK [goto next section]

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2019
Survey form view entire document:  text  image
Question ID: UPP.0020.00.1
Variable: SELFCAREDF_C
Interview Module: Child
Content Type: AnnualCore


Question Text:

Does ^SCNAME have difficulty with self care, such as eating or dressing?

*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^SCNAME

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

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
Response:
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Children 5-17
Skip Instructions:
1-4,DK,RF = [goto next section]