Survey Text

2002
top
2002
Survey form view entire document:  text  image
ALT.298

For what health problems or conditions did you use (fill from ALT.294)?

FR: MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Yes
(2) No
(7) Refused
(9) Don't know
YTQCON01 (01) Allergic reaction to food
YTQCON02 (02) Allergic reaction to medication
YTQCON03 (03) Angina
YTQCON04 (04) Anxiety/depression
YTQCON05 (05) Arthritis, gout, lupus, or fibromyalgia
YTQCON06 (06) Asthma
YTQCON07 (07) Benign tumors, cysts
YTQCON08 (08) Birth defect
YTQCON09 (09) Bowel problems or constipation
YTQCON10 (10) Cancer
YTQCON11 (11) Cataracts
YTQCON12 (12) Cholesterol
YTQCON13 (13) Chronic bronchitis
YTQCON14 (14) Recurring pain
YTQCON15 (15) Circulation problems (other than in the legs)
YTQCON16 (16) Congestive heart failure
YTQCON17 (17) Coronary heart disease
YTQCON18 (18) Diabetes
YTQCON19 (19) Diabetic retinopathy
YTQCON20 (20) Emphysema
YTQCON21 (21) Excessive sleepiness during the day
YTQCON22 (22) Jaw pain
YTQCON23 (23) Fracture, bone/joint injury
YTQCON24 (24) Glaucoma
YTQCON25 (25) Gynecologic problems
YTQCON26 (26) Hay fever
YTQCON27 (27) Hearing problem
YTQCON28 (28) Heart attack
YTQCON29 (29) Heart condition or disease
YTQCON30 (30) Hernia
YTQCON31 (31) Hypertension
YTQCON32 (32) Irregular heartbeat
YTQCON33 (33) Knee problems (not arthritis, not joint injury)
YTQCON34 (34) Lung/breathing problem (not already listed)
YTQCON35 (35) MBIOlar degeneration
YTQCON36 (36) Menopause
YTQCON37 (37) Menstrual problems
YTQCON38 (38) Mental retardation
YTQCON39 (39) Joint pain or stiffness
YTQCON40 (40) Missing limbs (fingers, toes, or digits), amputee
YTQCON41 (41) Multiple sclerosis
YTQCON42 (42) Neuropathy
YTQCON43 (43) Osteoporosis, tendinitis
YTQCON44 (44) Other developmental problem
YTQCON45 (45) Other injury
YTQCON46 (46) Other nerve damage, including carpal tunnel syndrome
YTQCON47 (47) Parkinson's
YTQCON48 (48) Polio (myelitis), paralysis, para/quadriplegia
YTQCON49 (49) Poor circulation in your legs
YTQCON50 (50) Insomnia or trouble sleeping
YTQCON51 (51) Liver problem
YTQCON52 (52) Dental pain
YTQCON53 (53) Prostate trouble or impotence
YTQCON54 (54) Seizures
YTQCON55 (55) Senility
YTQCON56 (56) Sinusitis
YTQCON57 (57) Skin problems
YTQCON58 (58) Sprain or strain
YTQCON59 (59) Stroke
YTQCON60 (60) Text of first other specify
YTQCON61 (61) Text of second other specify
YTQCON62 (62) Thyroid problem
YTQCON63 (63) Ulcer
YTQCON64 (64) Urinary problem
YTQCON65 (65) Varicose veins, hemorrhoids
YTQCON66 (66) Vision problems (not already listed)
YTQCON67 (67) Weak or failing kidneys
YTQCON68 (68) Weight problems
YTQCON69 (69) Back pain or problem
YTQCON70 (70) Head or chest cold
YTQCON71 (71) Neck pain or problem
YTQCON72 (72) Severe headache or migraine
YTQCON73 (73) Stomach or intestinal illness