Survey Text

2019
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2015
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2019

No questionnaire text is available for this sample.


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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]