Survey Text

1999
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1999
Survey form view entire document:  text  image
ACN.100.140

FR: SHOW CARD A1
During the past 12 months, how much did you limit your usual activities due to wheezing or
whistling? Would you say: not at all, a little, a fair amount, a moderate amount, or a lot?
Card A1
1. Not at all
2. A little
3. A fair amount
4. A moderate amount
5. A lot
AWZLA
(1) Not at all (ACN.110)
(2) A little (ACN.100.150)
(3) A fair amount (ACN.100.150)
(4) A moderate amount (ACN.100.150)
(5) A lot (ACN.100.150)
(7) Refused (ACN.100.150)
(9) Don't know (ACN.100.150)

Survey form view entire document:  text  image
CHS.100.140

DURING THE PAST 12 MONTHS, how much did you limit {S.C. name}'s usual activities due to wheezing or whistling?
CWZLA
(1) Not at all (CHSCCI4)
(2) A little (CHS.100.150)
(3) A fair amount (CHS.100.150)
(4) A moderate amount (CHS.100.150)
(5) A lot (CHS.100.150)
(7) Refused (CHS.100.150)
(9) DK (CHS.100.150)