Survey Text

2021
2020
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2021
Survey form view entire document:  text  image
Question ID: TBI.0020.00.4
Variable: TBILOSTCON_C
Interview Module: Child
Content Type: Emerging Content
Question text:
As a result of a blow or jolt to the head, has ^SCNAME ever been knocked out or lost
consciousness?
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
Skip Instructions:
1 [goto TBICHKCONC_C]
2,RF,DK [goto TBIDAZED_C]

top
2020
Survey form view entire document:  text  image
Question ID: TBI.0020.00.4
Variable: TBILOSTCON_C
Interview Module: Child
Content Type: Emerging Content
Question text:
As a result of a blow or jolt to the head, has ^SCNAME ever been knocked out or lost
consciousness?
* 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
Skip Instructions:
1 [goto TBICHKCONC_C]
2,RF,DK [goto TBIDAZED_C]