Survey Text

2022
2021
2020
top
2022
Survey form view entire document:  text  image
Question ID: TBI.0040.00.4
Variable: TBIHEADSYM_C
Interview Module: Child
Content Type: Emerging Content

Question text:

As a result of a blow or jolt to the head, has ^SCNAME had headaches, vomiting, blurred vision,
or changes in mood or behavior?
* Read if necessary: Please think about all head injuries, for example, from playing sports, car
accidents, falls, or being hit by something or someone.
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 who did not report ever being knocked out because of blow or jolt to the head or refused or didn't know
Skip Instructions:
1,2,RF,DK [goto TBICHKCONC_C]

top
2021
Survey form view entire document:  text  image
Question ID: TBI.0040.00.4
Variable: TBIHEADSYM_C
Interview Module: Child
Content Type: Emerging Content
Question text:
As a result of a blow or jolt to the head, has ^SCNAME had headaches, vomiting, blurred vision, or changes in mood or behavior?
Read if necessary: Please think about all head injuries, for example, from playing sports, car accidents, falls, or being hit by something or someone.
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 who did not report ever being knocked out because of blow or jolt to the head or refused or didn't know
Skip Instructions:
1,2,RF,DK [goto TBICHKCONC_C]

top
2020
Survey form view entire document:  text  image
Question ID: TBI.0040.00.4
Variable: TBIHEADSYM_C
Interview Module: Child
Content Type: Emerging Content
Question text:
As a result of a blow or jolt to the head, has ^SCNAME had headaches, vomiting, blurred vision,
or changes in mood or behavior?
* Read if necessary: Please think about all head injuries, for example, from playing sports, car
accidents, falls, or being hit by something or someone.
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 who did not report ever being knocked out because of blow or jolt to the head or refused or didn't know
Skip Instructions:
1,2,RF,DK [goto TBICHKCONC_C]