Survey Text

2021 2018 2015 2012
2020 2017 2014 2011
2019 2016 2013 2010
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2021
Survey form view entire document:  text  image
Question ID: MOB.0120.00.1
Variable: EQWLK100_A
Interview Module: Adult
Content Type: Annual Core
Question text:
WHEN USING 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?
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 or refused or don't know
Skip Instructions:
1-3,RF,DK [goto EQWLK13M_A]
4 [goto EQSTEPS_A]
Question ID: MOB.0070.00.1
Variable: EQWLK100_C
Interview Module: Child
Content Type: Annual Core
Question text:
WHEN 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.
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 - Don't Know
Universe:
Sample Children 5-17 who use equipment or assistance for walking.
Skip Instructions:
1-3,RF,DK [goto EQWLK13M_C]
4 [goto next section]

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2020
Survey form view entire document:  text  image
Question ID: MOB.0120.00.1
Variable: EQWLK100_A
Interview Module: Adult
Content Type: Annual Core
Question text:
WHEN USING 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?
* 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 or refused or don't know
Skip Instructions:
1-3,RF,DK [goto EQWLK13M_A]
4 [goto EQSTEPS_A]
Question ID: MOB.0070.00.1
Variable: EQWLK100_C
Interview Module: Child
Content Type: Annual Core
Question text:
WHEN 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.
*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 - Don't Know
Universe:
Sample Children 5-17 who use equipment or assistance for walking.
Skip Instructions:
1-3,RF,DK [goto EQWLK13M_C]
4 [goto next section]

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2019
Survey form view entire document:  text  image
Question ID: MOB.0070.00.1
Variable: WCHAIR_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Read if necessary: Do you use any of the following?

...Wheelchair or scooter?

Response:

1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ who use equipment or receive help for getting around
Skip Instructions:
1,2,RF,DK = [goto PERASST_A]
Question ID: MOB.0070.00.1
Variable: EQWLK100_C
Interview Module: Child
Content Type: Annual Core


Question Text:

WHEN 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.

*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 5-17 who use equipment or assistance for walking.
Skip Instructions:
1-3,RF,DK = [goto EQWLK13M_C]
4 = [goto next section]

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2018
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions:
(1-3,R,D)[goto MOB_8]
(4)[goto COM_SS]

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2017
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions: (1-3,R,D) [go to MOB_8] (4)[go to COM_SS]

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2016
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions: (1-3,R,D) [go to MOB_8] (4)[go to COM_SS]

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2015
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions: (1-3,R,D) [go to MOB_8] (4)[go to COM_SS]

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2014
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions: (1-3,R,D) [go to MOB_8] (4)[go to COM_SS]

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2013
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions: (1-3,R,D) [go to MOB_8] (4)[go to COM_SS]

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2012
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions: (1-3,R,D) [go to MOB_8] (4)[go to COM_SS]

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2011
Survey form view entire document:  text  image
Question ID: AFD.240_00.000

Instrument Variable Name: MOB_7
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, when using 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 use equipment or receive help for getting around but do not use a wheelchair or scooter
Skip Instructions: (1-3,R,D) [go to MOB_8] (4)[go to COM_SS]

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2010
Survey form view entire document:  text  image
Question ID: QOL.240_00.000

Instrument Variable Name: MOB_7
QuestionText:
Do you have difficulty walking 100 yards on level ground, that would be about the length of one (1) football field or one city block, when using 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 use equipment or receive help for getting around but do not use a wheelchair
SkipInstructions:
(1-3,R,D)[goto MOB_8]
(4)[goto MOB_9]