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2022

Survey form view entire document: text image

Question ID: MOB.0040.00.1
Variable: WLK13M_A
Interview Module: Adult
Content Type: Annual Core

Question text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of
five football fields or five city blocks?
* 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 have no difficulty, some difficulty, or a lot of difficulty walking 100 yards or refused or don't know

Skip Instructions:

1-4,RF,DK [goto STEPS_A]

Survey form view entire document: text image

Question ID: MOB.0100.00.1
Variable: NOEQWLK13M_A
Interview Module: Adult
Content Type: Annual Core

Question text:

WITHOUT THE USE OF YOUR AID, do you have difficulty walking a third of a mile on level ground,
that would be the length of five football fields or five city blocks?
* 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 have no difficulty, some difficulty, or a lot of difficulty walking 100 yards without the use of their aid or refused or don't know

Skip Instructions:

1-4,RF,DK [goto NOEQSTEPS_A]

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2021

Survey form view entire document: text image

Question ID: MOB.0040.00.1
Variable: WLK13M_A
Interview Module: Adult
Content Type: Annual Core
Question text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks?
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 have no difficulty, some difficulty, or a lot of difficulty walking 100 yards or refused or don't know

Skip Instructions:

1-4,RF,DK [goto STEPS_A]

Question ID: MOB.0100.00.1
Variable: WLK13M_C
Interview Module: Child
Content Type: Annual Core
Question text:

Compared with children of the same age, does ^SCNAME have difficulty walking a third of a mile on level ground? That would be about the length of 5 football fields or 5 city blocks.
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:

^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 and have no difficulty, some difficulty, or a lot of difficulty walking 100 yards or Refused or Don't Know

Skip Instructions:

1-4,RF,DK [goto next section]

Survey form view entire document: text image

Question ID: MOB.0100.00.1
Variable: NOEQWLK13M_A
Interview Module: Adult
Content Type: Annual Core
Question text:

WITHOUT THE USE OF YOUR AID, do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks?
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 have no difficulty, some difficulty, or a lot of difficulty walking 100 yards without the use of their aid or refused or don't know

Skip Instructions:

1-4,RF,DK [goto NOEQSTEPS_A]

Question ID: MOB.0060.00.1
Variable: NOEQWLK13M_C
Interview Module: Child
Content Type: Annual Core
Question text:

WITHOUT USING ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking a third of a mile on level ground? That would be about the length of 5 football fields or 5 city blocks.
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 and have no, some or a lot difficulty walking 100 yards when not using their equipment/assistance or Refused or Don't Know

Skip Instructions:

1-4,RF,DK [goto EQWLK100_C]

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2020

Survey form view entire document: text image

Question ID: MOB.0040.00.1
Variable: WLK13M_A
Interview Module: Adult
Content Type: Annual Core
Question text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of
five football fields or five city blocks?
* 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 have no difficulty, some difficulty, or a lot of difficulty walking 100 yards or refused or don't know

Skip Instructions:

1-4,RF,DK [goto STEPS_A]

Question ID: MOB.0100.00.1
Variable: WLK13M_C
Interview Module: Child
Content Type: Annual Core
Question text:

Compared with children of the same age, does ^SCNAME have difficulty walking a third of a mile
on level ground? That would be about the length of 5 football fields or 5 city blocks.
*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:

^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 and have no difficulty, some difficulty, or a lot of difficulty walking 100 yards or Refused or Don't Know

Skip Instructions:

1-4,RF,DK [goto next section]

Survey form view entire document: text image

Question ID: MOB.0100.00.1
Variable: NOEQWLK13M_A
Interview Module: Adult
Content Type: Annual Core
Question text:

WITHOUT THE USE OF YOUR AID, do you have difficulty walking a third of a mile on level ground,
that would be the length of five football fields or five city blocks?
* 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 have no difficulty, some difficulty, or a lot of difficulty walking 100 yards without the use of their aid or refused or don't know

Skip Instructions:

1-4,RF,DK [goto NOEQSTEPS_A]

Question ID: MOB.0060.00.1
Variable: NOEQWLK13M_C
Interview Module: Child
Content Type: Annual Core
Question text:

WITHOUT USING ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking a third of
a mile on level ground? That would be about the length of 5 football fields or 5 city blocks.
*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 and have no, some or a lot difficulty walking 100 yards when not using their equipment/assistance or Refused or Don't Know

Skip Instructions:

1-4,RF,DK [goto EQWLK100_C]

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2019

Survey form view entire document: text image

Question ID: MOB.0040.00.1
Variable: WLK13M_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks?

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 Do not Know

Universe:

Sample Adults 18+ who have no difficulty, some difficulty, or a lot of difficulty walking 100 yards or refused or do not know

Skip Instructions:

1-4,RF,DK = [goto STEPS_A]

Question ID: MOB.0040.00.1
Variable: WLKDF_C
Interview Module: Child
Content Type: Annual Core

Question Text:

Compared with children of the same age, does ^SCNAME have difficulty walking? 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 Do not Know

Universe:

Sample Children 2-4 who do not use equipment or assistance for walking or Refused or Do not Know

Skip Instructions:

1-4,RF,DK = [goto next section]

Survey form view entire document: text image

Question ID: MOB.0060.00.1
Variable: CANEWLKR_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Do you use any of the following...

...Cane or walker?

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 WCHAIR_A]

Question ID: MOB.0060.00.1
Variable: NOEQWLK13M_C
Interview Module: Child
Content Type: Annual Core

Question Text:

WITHOUT USING ^hisher_C equipment or assistance, does ^SCNAME have difficulty walking a third of a mile on level ground? That would be about the length of 5 football fields or 5 city blocks.

*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 and have no, some or a lot difficulty walking 100 yards when not using their equipment/assistance or Refused or Do not Know

Skip Instructions:

1-4,RF,DK = [goto EQWLK100_C]

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2018

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Questionnaire File Name: Sample Adult
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions:

(1-4,R,D) [goto MOB_6]

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2017

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, do not use a wheelchair or scooter, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions: (1,2,R,D) go to MOB_6

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2016

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, do not use a wheelchair or scooter, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions: (1,2,R,D) go to MOB_6

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2015

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, do not use a wheelchair or scooter, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions: (1,2,R,D) go to MOB_6

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2014

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, do not use a wheelchair or scooter, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions: (1,2,R,D) go to MOB_6

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2013

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, do not use a wheelchair or scooter, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions: (1,2,R,D) go to MOB_6

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2012

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, do not use a wheelchair or scooter, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions: (1,2,R,D) go to MOB_6

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2011

Survey form view entire document: text image

Question ID: AFD.220_00.000

Instrument Variable Name: MOB_5
Question Text:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks [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, do not use a wheelchair or scooter, and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
Skip Instructions: (1,2,R,D) go to MOB_6

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2010

Survey form view entire document: text image

Question ID: QOL.220_00.000

Instrument Variable Name: MOB_5
QuestionText:

Do you have difficulty walking a third of a mile on level ground, that would be the length of five football fields or five city blocks {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 and have no difficulty, some difficulty, a lot of difficulty, or refused or don't know if they have difficulty walking 100 yards on level ground (without the use of their aid)
SkipInstructions:

(1-4,R,D)[goto MOB_6]

Survey Text