Survey Text

2022 2018 2014 2010
2021 2017 2013
2020 2016 2012
2019 2015 2011
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2022
Survey form view entire document:  text  image
Question ID: MOB.0030.00.1
Variable: WLK100_A
Interview Module: Adult
Content Type: Annual Core

Question text:

Do you have difficulty walking 100 yards on level ground, that would be about the length of one
football field or one city block? 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 do not use equipment or receive help for getting around or refused or don't know
Skip Instructions:
1-3,RF,DK [goto WLK13M_A]
4 [goto STEPS_A]

Survey form view entire document:  text  image
Question ID: MOB.0090.00.1
Variable: NOEQWLK100_A
Interview Module: Adult
Content Type: Annual Core

Question text:

WITHOUT THE USE OF YOUR AID, do you have difficulty walking 100 yards on level ground, that
would be about the length of one football field or one city block? 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
Skip Instructions:
1-3,RF,DK [goto NOEQWLK13M_A]
4 [goto NOEQSTEPS_A]

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2021
Survey form view entire document:  text  image
Question ID: MOB.0030.00.1
Variable: WLK100_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block? 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 do not use equipment or receive help for getting around or refused or don't know
Skip Instructions:
1-3,RF,DK [goto WLK13M_A]
4 [goto STEPS_A]
Question ID: MOB.0090.00.1
Variable: WLK100_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty walking 100 yards on level ground? That would be about the length of 1 football field or 1 city block. Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at
all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
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 Children 5-17 who do not use equipment or assistance for walking or Refused or Don't Know
Skip Instructions:
1-3,RF,DK [goto WLK13M_C]
4 [goto next section]

Survey form view entire document:  text  image
Question ID: MOB.0090.00.1
Variable: NOEQWLK100_A
Interview Module: Adult
Content Type: Annual Core
Question text:
WITHOUT THE USE OF YOUR AID, do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block? 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
Skip Instructions:
1-3,RF,DK [goto NOEQWLK13M_A]
4 [goto NOEQSTEPS_A]
Question ID: MOB.0050.00.1
Variable: NOEQWLK100_C
Interview Module: Child
Content Type: Annual Core
Question text:
WITHOUT USING ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking 100 yards on level ground? That would be about the length of 1 football field or 1 city block. Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
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 Children 5-17 who use equipment or assistance for walking
Skip Instructions:
1-3,RF,DK [goto NOEQWLK13M_C]
4 [goto EQWLK100_C]

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2020
Survey form view entire document:  text  image
Question ID: MOB.0030.00.1
Variable: WLK100_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one
football field or one city block? 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 do not use equipment or receive help for getting around or refused or don't know
Skip Instructions:
1-3,RF,DK [goto WLK13M_A]
4 [goto STEPS_A]
Question ID: MOB.0090.00.1
Variable: WLK100_C
Interview Module: Child
Content Type: Annual Core
Question text:
Compared with children of the same age, does ^SCNAME have difficulty walking 100 yards on level
ground? That would be about the length of 1 football field or 1 city block. Would you say
^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at
all?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
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 Children 5-17 who do not use equipment or assistance for walking or Refused or Don't Know
Skip Instructions:
1-3,RF,DK [goto WLK13M_C]
4 [goto next section]

Survey form view entire document:  text  image
Question ID: MOB.0090.00.1
Variable: NOEQWLK100_A
Interview Module: Adult
Content Type: Annual Core
Question text:
WITHOUT THE USE OF YOUR AID, do you have difficulty walking 100 yards on level ground, that
would be about the length of one football field or one city block? 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
Skip Instructions:
1-3,RF,DK [goto NOEQWLK13M_A]
4 [goto NOEQSTEPS_A]
Question ID: MOB.0050.00.1
Variable: NOEQWLK100_C
Interview Module: Child
Content Type: Annual Core
Question text:
WITHOUT USING ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking 100 yards
on level ground? That would be about the length of 1 football field or 1 city block. Would you
say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this
at all?
Fills:
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^heshe_C
Description: He/She/They
Instruction:
If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She"
elseif SEX_FINAL_C =blank: fill "They"
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 Children 5-17 who use equipment or assistance for walking
Skip Instructions:
1-3,RF,DK [goto NOEQWLK13M_C]
4 [goto EQWLK100_C]

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2019
Survey form view entire document:  text  image
Question ID: MOB.0030.00.1
Variable: WLK100_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block? 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 do not use equipment or receive help for getting around or refused or do not know
Skip Instructions:
1-3,RF,DK = [goto WLK13M_A]
4 = [goto STEPS_A]
Question ID: MOB.0030.00.1
Variable: EQWLKDF_C
Interview Module: Child
Content Type: Annual Core


Question Text:

When using ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking?

*Read if necessary: Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:

^hisher_C

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
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 Children 2-4 who use equipment or assistance for walking
Skip Instructions:
1-4,RF,DK = [goto next section]

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]
Question ID: MOB.0050.00.1
Variable: NOEQWLK100_C
Interview Module: Child
Content Type: Annual Core


Question Text:

WITHOUT USING ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking 100 yards on level ground? That would be about the length of 1 football field or 1 city block. Would you say ^SCNAME has: no difficulty, some difficulty, a lot of difficulty, or ^heshe_C cannot do this at all?
Fills:
^hisher_C

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^heshe_C

Description He/She/They
Instruction If SEX_FINAL_C=1 fill "He" else if SEX_FINAL_C=2 fill "She" elseif SEX_FINAL_C =blank: fill "They"
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 Children 5-17 who use equipment or assistance for walking
Skip Instructions:
1-3,RF,DK = [goto NOEQWLK13M_C]
4 = [goto EQWLK100_C]

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2018
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Questionnaire File Name: Sample Adult
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
Universe Text: Sample adults 18+ who do not use a wheelchair or scooter
Skip Instructions:
(1-3,R,D)[goto MOB_5]
(4)[goto MOB_6]

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2017
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
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: (1-3,R,D) [go to MOB_5] (4)[go to MOB_6]

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2016
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
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: (1-3,R,D) [go to MOB_5] (4)[go to MOB_6]

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2015
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
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: (1-3,R,D) [go to MOB_5] (4)[go to MOB_6]

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2014
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
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: (1-3,R,D) [go to MOB_5] (4)[go to MOB_6]

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2013
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
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: (1-3,R,D) [go to MOB_5] (4)[go to MOB_6]

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2012
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
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: (1-3,R,D) [go to MOB_5] (4)[go to MOB_6]

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2011
Survey form view entire document:  text  image
Question ID: AFD.210_00.000

Instrument Variable Name: MOB_4
Question Text:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block [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
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: (1-3,R,D) [go to MOB_5] (4)[go to MOB_6]

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2010
Survey form view entire document:  text  image
Question ID: QOL.210_00.000

Instrument Variable Name: MOB_4
QuestionText:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one football field or one city block {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:
(1-3,R,D)[goto MOB_5]
(4)[goto MOB_6]