Survey Text

2012
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2012
Survey form view entire document:  text  image
QuestionID: ALT.723_00.000

Instrument Variable Name: TP3_RS5 Adult CAM
QuestionText:
DURING THE PAST 12 MONTHS, did you {fill1: use modality} for any of these reasons?
You can do it on your own?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have used third of top three modalities and picked a self care modality
SkipInstructions:
(1,2,R,D) [goto TP3_RS6]

Survey form view entire document:  text  image
Question ID: CAL.723_00.000

Instrument Variable Name: CTP3RS5
QuestionText:
DURING THE PAST 12 MONTHS, did [fill: S.C. name] [fill1: use modality] for any of these reasons? Because it can be done without help from a specialist?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have used third of top three modalities and picked a self care modality
SkipInstructions:
(1,2,R,D) [goto CTP3RS6]