Survey Text

2012
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2012
Survey form view entire document:  text  image
QuestionID: ALT.528_00.000

Instrument Variable Name: TP1_MOST Adult CAM
QuestionText:
Of these reasons, which ONE was the most important for using [fill1: modality]?
*Read list below.
01 Your general wellness or general disease prevention
02 To improve your energy
03 To improve your immune function
04 To improve your athletic or sports performance
05 To improve your memory or concentration
06 To eat healthier
07 To eat more organic foods
08 To cut back or stop drinking alcohol
09 To cut back or stop smoking cigarettes
10 To exercise more regularly
11 To give you a sense of control over your health
12 To help to reduce your stress level or to relax
13 To help you to sleep better
14 To make you feel better emotionally
15 To make it easier to cope with health problems
16 To improve your overall health and make you feel better
17 To improve your relationships with others
18 To improve your attendance at a job or school
97 Refused
99 Don't know
UniverseText: Sample adults 18+ who have used first of top three modalities and two or more reasons for seeing a practitioner/using modality chosen
SkipInstructions:
(1-18) [goto TP1_HELP]
(R,D) [goto TP1_TRET]

Survey form view entire document:  text  image
Question ID: CAL.528_00.000

Instrument Variable Name: CTP1MOST
QuestionText:
Of these reasons, which ONE was the most important for [fill: S.C. name] [fill1: using/seeing] [fill2: modality]?
*Read list below.
01 For [fill3: his/her] general wellness or general disease prevention
02 To improve [fill3: his/her] energy
03 To improve [fill3: his/her] immune function
04 To improve [fill3: his/her] athletic or sports performance
05 To improve [fill3: his/her] memory or concentration
06 To eat healthier
07 To eat more organic foods
08 To cut back or stop drinking alcohol
09 To cut back or stop smoking cigarettes
10 To exercise more regularly
11 To give [fill4: him/her] a sense of control over [fill3: his/her] health
12 To help to reduce [fill3: his/her] stress level or to relax
13 To help [fill4: him/her] to sleep better
14 To make [fill4: him/her] feel better emotionally
15 To make it easier to cope with health problems
16 To improve [fill3: his/her] overall health and make [fill4: him/her] feel better
17 To improve [fill3: his/her] relationships with others
18 To improve [fill3: his/her] attendance at school
97 Refused
99 Don't know
UniverseText: Sample children 4+ who have used first of top three modalities and two or more reasons for seeing a practitioner/using modality chosen
SkipInstructions:
(1-18) [goto CTP1HELP]
(R,D) [goto CTP1TRET]