Survey Text

2022
2019
2004
2003
2001
top
2022
Survey form view entire document:  text  image
Question ID: SDQ.0040.00.2
Variable: SDQ3_C
Interview Module: Child
Content Type: Rotating Core

Question text:

^SCNAME often complains of headaches, stomach-aches or sickness?
* Read if necessary: Please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE
for ^SCNAME DURING THE PAST SIX MONTHS.
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Not true
2 - Somewhat true
3 - Certainly true
7 - Refused
9 - Don't Know
Universe:
Sample Children 4-17
Skip Instructions:
1-3,RF,DK [goto SDQ4_C]

top
2019
Survey form view entire document:  text  image
Question ID: SDQ.0040.00.2
Variable: SDQ3_C
Interview Module: Child
Content Type: Rotating Core

Question Text:

^SCNAME often complains of headaches, stomach-aches or sickness?

Read if necessary: Please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for ^SCNAME DURING THE PAST SIX MONTHS.
Fills:
^SCNAME

Description: Sample child's name
Instruction: Fill ALIAS of HHSTAT_C=1
Response:
1 Not true
2 Somewhat true
3 Certainly true
7 Refused
9 Do not Know
Universe:
Sample Children 4-17
Skip Instructions:
1-3,RF,DK= [goto SDQ4_C]

top
2004
Survey form view entire document:  text  image
CMH.010_03.000

Instrument Variable Name: CSCL1_E1
Question Text:
(book) C7
*Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: S.C. name] DURING THE PAST SIX MONTHS.
[fill2: He/She...]
...often COMPLAINS of headaches, stomach-aches or sickness.
1 Not true
2 Somewhat true
3 Certainly true
7 Refused
9 Don't know
Card C7
1. Not true
2. Somewhat true
3. Certainly true
Universe Text: Sample children GE 4
Skip Instructions:
(1-3,R,D) [goto CSCL1_S2]

top
2003
Survey form view entire document:  text  image
CAU.345.010

I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for {S.C.name} DURING THE PAST SIX MONTHS:

FR: SHOW FLASHCARD C7

(1) Not True
(2) Somewhat True
(3) Certainly True
(7) Refused {blind}
(9) Don't Know {blind}

{HE/SHE...}
Card C7
1. Not true
2. Somewhat true
3. Certainly true
CSCL1_S1 ... is considerate of other people's feelings
CSCL1_H1 ... is restless, overactive, cannot stay still for long
CSCL1_E1 ... often COMPLAINS of headaches, stomach-aches or sickness
CSCL1_S2 ... shares readily with other {children (if AGE less than 11) (treats, toys, pencils)/youths (CD's, games, food)}
CSCL1_C1 ... often loses temper.

top
2001
Survey form view entire document:  text  image
CAU.345.010

I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for {S.C.name} DURING THE PAST SIX MONTHS:

FR: SHOW FLASHCARD C7

(1) Not True
(2) Somewhat True
(3) Certainly True
(7) Refused {blind}
(9) Don't Know {blind}

{HE/SHE...}
Card C7
1. Not true
2. Somewhat true
3. Certainly true
CSCL1_S1 ... is considerate of other people's feelings
CSCL1_H1 ... is restless, overactive, cannot stay still for long
CSCL1_E1 ... often COMPLAINS of headaches, stomach-aches or sickness
CSCL1_S2 ... shares readily with other {children (if AGE less than 11) (treats, toys, pencils)/youths (CD's, games, food)}
CSCL1_C1 ... often loses temper.