Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:: CONDL
QuestionText:

(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample children LT 18
SkipInstructions:

(1) [goto CONDL1]
(2,R,D) [goto CPOX]

Instrument Variable Name:: CONDL1
QuestionText:

(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.

01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition

UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:

(1-10, R,D) [goto CPOX]

Instrument Variable Name:CONDL
Question Text:

(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.

00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know

Universe Text: Sample children under 18
Skip Instructions:

(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

Instrument Variable Name:CONDL
Question Text:

(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.

00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know

Universe Text: Sample children under 18
Skip Instructions:

(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

Instrument Variable Name:CONDL
Question Text:

(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.

00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know

Universe Text: Sample children under 18
Skip Instructions:

(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

Instrument Variable Name:CONDL
Question Text:

(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.

00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know

Universe Text: Sample children under 18
Skip Instructions:

(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition

(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition

(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition

(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition

(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition

(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition

(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition

(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

[] Repeated tonsillitis or enlargement of the tonsils or adenoids?

1[] Yes
2[] No/DK

[] Frequent or repeated ear infections?

1[] Yes
2[] No/DK

[]Any kind of food or digestive allergy?

1[] Yes
2[] No/DK

[] Frequent or repeated diarrhea or colitis?

1[] Yes
2[] No/DK

[] Any other persistent bowel trouble?

Specify ____
1[] Yes
2[] No/DK

[] Diabetes?

1[] Yes
2[] No/DK

[] Sickle cell anemia?

1[] Yes
2[] No/DK

[] Anemia?

1[] Yes
2[] No/DK

[] Mononucleosis?

1[] Yes
2[] No/DK

[] Hepatitis?

1[] Yes
2[] No/DK

[] Meningitis or spinal meningitis?

1[] Yes
2[] No/DK

[] Bladder Infection or urinary tract infection?

1[] Yes
2[] No/DK

[] Rheumatic fever?

1[] Yes
2[] No/DK

[] Pneumonia?

1[] Yes
2[] No/DK

[] Hay fever?

1[] Yes
2[] No/DK

[] Any (other) kind of respiratory allergy?

1[] Yes
2[] No/DK

[] Blindness in one or both eyes?
If "Yes," ask: Is it one or both eyes?

1[] Yes, one eye
2[] Yes, both eyes
9[] No/DK

[] Crossed eyes?

1[] Yes
2[] No/DK

[] Any other trouble seeing with one or both eyes, even when wearing glasses?

Specify ____
1[] Yes
2[] No/DK

[] Eczema or any kind of skin allergy?

1[] Yes
2[] No/DK

[] Epilepsy or repeated convulsions or seizures not associated with fever?

1[] Yes
2[] No/DK

[] Seizures associated with fever?

1[] Yes
2[] No/DK

[] Frequent or severe headaches, including migraines?

1[] Yes
2[] No/DK

[] Stammering or stuttering?

1[] Yes
2[] No/DK

[] Any other speech defect?

Specify ____
1[] Yes
2[] No/DK

[] Enuresis or bedwetting problem?

1[] Yes
2[] No/DK

[] Arthritis or any other joint disease or joint problem?

Specify ____
1[] Yes
2[] No/DK

[] Any other condition affecting the bone, cartilage, muscle, or tendon?

Specify ____
1[] Yes
2[] No/DK