Survey Text

Survey form view entire document:  text  image
Question ID: : CAL.330_00.000

Instrument Variable Name: CVT_CON1
Question Text:
For what specific health problems or conditions did [fill: S.C. name] take [fill2: vitamin/mineral]?
*Enter all that apply, separate with commas.
01 Abdominal pain
02 Acid reflux or heartburn
03 Allergies other than hay fever, respiratory allergies, food or digestive allergies, or skin allergies
04 Anemia
05 Anxiety or stress
06 Arthritis
07 Asthma
08 Attention Deficit Hyperactivity Disorder (ADHD)/Attention Deficit Disorder (ADD)
09 Autism
10 Back or neck pain
11 Cancer
12 Cerebral palsy
13 Chickenpox
14 Congenital heart disease
15 Cystic fibrosis
16 Depression
17 Diabetes
18 Down syndrome
19 Eczema or skin allergy
20 Fatigue or lack of energy
21 Fever
22 Food or digestive allergy
23 Frequent or repeated diarrhea or colitis
24 Migraine headaches
25 Gum disease
26 Hay Fever
27 Head or chest cold
28 Hearing problem
29 Incontinence, including bed wetting
30 Influenza or pneumonia
31 Insomnia or trouble sleeping
32 Lung or breathing problem, other than Asthma
33 Mental Retardation
34 Menstrual problems
35 Muscular dystrophy
36 Nausea and/or vomiting
37 Neurological problems
38 Other chronic pain
39 Other developmental delay
40 Other heart condition
41 Phobia or fears
42 Problems with being overweight
43 Non-migraine headaches
44 Recurring constipation
45 Respiratory allergy
46 Seizures
47 Severe acne
48 Sickle cell Anemia
49 Sinusitis_
50 Skin problems other than eczema, acne, or warts
51 Sore throat other than strep or tonsillitis
52 Strep throat or tonsillitis
53 Stuttering or stammering
54 Three or more ear infections
55 Urinary problems, including urinary tract infection
56 Vision problem
57 warts
58 Other specify
97 Refused
99 Don't know
Universe Text: Sample children LT 18 who have used at least one vitamin or mineral to treat a specific health problem or condition
Skip Instructions:
(1-57,R,D) if CVITTAKE = 1 vitamin [goto CVT_SPRT], else [goto CVT_TRT2]; (58) [goto CVT_SPC1]
Question ID: : CAL.331_00.000

Instrument Variable Name: CVT_SPC1
Question Text:
*Enter condition for which vitamin/mineral was used. If respondent gives more than one condition, probe for condition
most important for using vitamin or mineral.
97 Refused
99 Don't know
Verbatim Verbatim response
Universe Text: Sample children LT 18 who have used vitamin(s) to treat other problem or condition
Skip Instructions:
(allow 75,R,D) if more than 1 vitamin [goto CVT_TRT2]; else [goto CVT_SPRT]