Survey Text

2018
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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]