Survey Text

2023 2019 2015 2011
2022 2018 2014 2010
2021 2017 2013
2020 2016 2012
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2023

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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2022
Survey form view entire document:  text  image
Question ID: MOB.0050.00.1
Variable: STEPS_A
Interview Module: Adult
Content Type: Annual Core

Question text:

Do you have difficulty walking up or down 12 steps?
* Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, you
cannot do this at all?
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who do not use equipment or receive help for getting around or refused or don't know
Skip Instructions:
1-4,RF,DK [goto next section]

Survey form view entire document:  text  image
Question ID: MOB.0140.00.1
Variable: EQSTEPS_A
Interview Module: Adult
Content Type: Annual Core

Question text:

WHEN USING YOUR AID, do you have difficulty walking up or down 12 steps?
* Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or you
cannot do this at all?
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions:
1-4,RF,DK [goto next section]

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2021
Survey form view entire document:  text  image
Question ID: MOB.0050.00.1
Variable: STEPS_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Do you have difficulty walking up or down 12 steps?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, you cannot do this at all?
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who do not use equipment or receive help for getting around or refused or don't know
Skip Instructions:
1-4,RF,DK [goto next section]

Survey form view entire document:  text  image
Question ID: MOB.0140.00.1
Variable: EQSTEPS_A
Interview Module: Adult
Content Type: Annual Core
Question text:
WHEN USING YOUR AID, do you have difficulty walking up or down 12 steps?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or you cannot do this at all?
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions:
1-4,RF,DK [goto next section]

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2020
Survey form view entire document:  text  image
Question ID: MOB.0050.00.1
Variable: STEPS_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Do you have difficulty walking up or down 12 steps?
* Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, you
cannot do this at all?
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who do not use equipment or receive help for getting around or refused or don't know
Skip Instructions:
1-4,RF,DK [goto next section]

Survey form view entire document:  text  image
Question ID: MOB.0140.00.1
Variable: EQSTEPS_A
Interview Module: Adult
Content Type: Annual Core
Question text:
WHEN USING YOUR AID, do you have difficulty walking up or down 12 steps?
* Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or you
cannot do this at all?
Response:
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions:
1-4,RF,DK [goto next section]

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2019
Survey form view entire document:  text  image
Question ID: MOB.0050.00.1
Variable: STEPS_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Do you have difficulty walking up or down 12 steps?

Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, you cannot do this at all?

Response:

1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ who do not use equipment or receive help for getting around or refused or do not know
Skip Instructions:
1-4,RF,DK = [goto next section]

Survey form view entire document:  text  image
Question ID: MOB.0140.00.1
Variable: EQSTEPS_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

WHEN USING YOUR AID, do you have difficulty walking up or down 12 steps?

Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or you cannot do this at all?

Response:

1 No difficulty
2 Some difficulty
3 A lot of difficulty
4 Cannot do at all
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ who use equipment or receive help for getting around but do not use a wheelchair or scoote

r

Skip Instructions:

1-4,RF,DK = [goto next section]

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2018
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Questionnaire File Name: Sample Adult
Question Text:
Do you have difficulty walking up or down 12 steps? 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 did not use any equipment or receive help with getting around or did not use a wheelchair or scooter
Skip Instructions:
(1-4,R,D) if MOB_2 IN (2,R,D) [goto COM_SS];
else if MOB_2=1 [goto MOB_7]

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2017
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Question Text:
Do you have difficulty walking up or down 12 steps? 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), were randomly selected to receive the Functioning and Disability (AFD) section, and do not use a wheelchair or scooter
Skip Instructions: (1-4,R,D) if MOB_2 IN (2,R,D) [go to COM_SS]; else if MOB_2=1 [go to MOB_7]

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2016
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Question Text:
Do you have difficulty walking up or down 12 steps? 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), were randomly selected to receive the Functioning and Disability (AFD) section, and do not use a wheelchair or scooter
Skip Instructions: (1-4,R,D) if MOB_2 IN (2,R,D) [go to COM_SS]; else if MOB_2=1 [go to MOB_7]

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2015
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Question Text:
Do you have difficulty walking up or down 12 steps? 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), were randomly selected to receive the Functioning and Disability (AFD) section, and do not use a wheelchair or scooter
Skip Instructions: (1-4,R,D) if MOB_2 IN (2,R,D) [go to COM_SS]; else if MOB_2=1 [go to MOB_7]

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2014
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Question Text:
Do you have difficulty walking up or down 12 steps? 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), were randomly selected to receive the Functioning and Disability (AFD) section, and do not use a wheelchair or scooter
Skip Instructions: (1-4,R,D) if MOB_2 IN (2,R,D) [go to COM_SS]; else if MOB_2=1 [go to MOB_7]

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2013
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Question Text:
Do you have difficulty walking up or down 12 steps? 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), were randomly selected to receive the Functioning and Disability (AFD) section, and do not use a wheelchair or scooter
Skip Instructions: (1-4,R,D) if MOB_2 IN (2,R,D) [go to COM_SS]; else if MOB_2=1 [go to MOB_7]

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2012
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Question Text:
Do you have difficulty walking up or down 12 steps? 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), were randomly selected to receive the Functioning and Disability (AFD) section, and do not use a wheelchair or scooter
Skip Instructions: (1-4,R,D) if MOB_2 IN (2,R,D) [go to COM_SS]; else if MOB_2=1 [go to MOB_7]

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2011
Survey form view entire document:  text  image
Question ID: AFD.230_00.000

Instrument Variable Name: MOB_6
Question Text:
Do you have difficulty walking up or down 12 steps? 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), were randomly selected to receive the Functioning and Disability (AFD) section, and do not use a wheelchair or scooter
Skip Instructions: (1-4,R,D) if MOB_2 IN (2,R,D) [go to COM_SS]; else if MOB_2=1 [go to MOB_7]

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2010
Survey form view entire document:  text  image
Question ID: QOL.230_00.000

Instrument Variable Name: MOB_6
QuestionText:
Do you have difficulty walking up or down 12 steps {fill: without the use of your aid(s)}? 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 do not use a wheelchair
SkipInstructions:
(1-4,R,D)
if MOB_2 IN '2,R,D' [goto COM_SS]
elseif MOB_2 = '1' [goto MOB_7]