Survey Text

2019 2016 2013 2010
2018 2015 2012 1984
2017 2014 2011
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2019

No questionnaire text is available for this sample.


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2018
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Questionnaire File Name: Sample Adult
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+
Skip Instructions:
(1,2,R,D) [goto HEAR_1]

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2017
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB)
Skip Instructions: (1-4,R,D)[go to HEAR_1]

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2016
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB)
Skip Instructions: (1-4,R,D)[go to HEAR_1]

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2015
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB)
Skip Instructions: (1-4,R,D)[go to HEAR_1]

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2014
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB)
Skip Instructions: (1-4,R,D)[go to HEAR_1]

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2013
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB)
Skip Instructions: (1-4,R,D)[go to HEAR_1]

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2012
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB)
Skip Instructions: (1-4,R,D)[go to HEAR_1]

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2011
Survey form view entire document:  text  image

Question ID: AFD.100_00.000

Instrument Variable Name: VIS_SS
Question Text:
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/unable to do
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who were asked the family disability questions (FDB)
Skip Instructions: (1-4,R,D)[go to HEAR_1]

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2010
Survey form view entire document:  text  image

Question ID: QOL.100_00.000

Instrument Variable Name: VIS_SS
QuestionText:
These next questions are new and we are testing them. Some may sound similar to questions you already answered.
Do you have difficulty seeing, even when wearing glasses? Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable to do this?
1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all/Unable to do
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who were not asked the family disability questions (FDB) and were randomly selected to receive the Quality of Life (QOL) section
SkipInstructions:
(1-3,R,D)[goto VIS_1]
(4) [goto HEAR_SS]

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1984
Survey form view entire document:  text  image