Survey Text

2020 2017 2014 2011
2019 2016 2013 2010
2018 2015 2012
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2020

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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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]