Survey Text

2023 2014 2005 1993
2022 2013 2004 1991
2021 2012 2003 1989
2020 2011 2002 1988
2019 2010 2001 1983
2018 2009 2000 1974
2017 2008 1999
2016 2007 1998
2015 2006 1997
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2023

No questionnaire text is available for this sample.


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2022
Survey form view entire document:  text  image
Question ID: FOO.0050.00.1
Variable: FINISH_FOO_C
Interview Module: Child
Content Type: Annual Core

Question text:

* The Sample Child food related programs section is now complete.
* Enter '1' to continue.
Response:
1 - Enter 1 to Continue
Skip Instructions:
1 [goto next section]

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2021
Survey form view entire document:  text  image
Question ID: DIB.0030.00.1
Variable: DIBEV_A
Interview Module: Adult
Content Type: Annual Core
Question text:
^NOTPREGDM a doctor or other health professional EVER told you that you had
diabetes?
Fills:
^NOTPREGDM
Description: Has/Not including (gestational diabetes, prediabetes), has
Instruction:
If GESDIB_A ne 1 AND PREDIB_A ne 1: "Has" If GESDIB_A=1 AND PREDIB_A ne 1: "Not including
gestational diabetes, has"
If PREDIB_A=1 AND GESDIB_A ne 1: "Not including
prediabetes, has"
If GESDIB_A=1 AND PREDIB_A=1: "Not including prediabetes
or gestational diabetes, has"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+
Skip Instructions:
1 [goto DIBAGE_A]
2,RF,DK if PREDIB_A=1 [goto DIBPILL_A]
else if PREDIB_A=2,RF,DK [goto next section]
Question ID: DIB.0020.00.1
Variable: DIBEV_C
Interview Module: Child
Content Type: Annual Core
Question text:
^NOTPRED a doctor or other health professional EVER told you that ^SCNAME had diabetes?
Fills:
^NOTPRED
Description: Not including prediabetes, has/Has
Instruction:
If PREDIB_C=1: "Not including prediabetes, has" If PREDIB_C IN ('2','DK','RF'): "Has"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17
Skip Instructions:
1,2,RF,DK [goto next section]

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2020
Survey form view entire document:  text  image
Question ID: DIB.0030.00.1
Variable: DIBEV_A
Interview Module: Adult
Content Type: Annual Core
Question text:
^NOTPREGDM a doctor or other health professional EVER told you that you had
diabetes?
Fills:
^NOTPREGDM
Description: Has/Not including (gestational diabetes, prediabetes), has
Instruction:
If GESDIB_A ne 1 AND PREDIB_A ne 1: "Has" If GESDIB_A=1 AND PREDIB_A ne 1: "Not including
gestational diabetes, has"
If PREDIB_A=1 AND GESDIB_A ne 1: "Not including
prediabetes, has"
If GESDIB_A=1 AND PREDIB_A=1: "Not including prediabetes
or gestational diabetes, has"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+
Skip Instructions:
1 [goto DIBAGE_A]
2,RF,DK if PREDIB_A=1 [goto DIBPILL_A]
else if PREDIB_A=2,RF,DK [goto DIBREL_A]
Question ID: DIB.0020.00.1
Variable: DIBEV_C
Interview Module: Child
Content Type: Annual Core
Question text:
^NOTPRED a doctor or other health professional EVER told you that ^SCNAME had diabetes?
Fills:
^NOTPRED
Description: Not including prediabetes, has/Has
Instruction:
If PREDIB_C=1: "Not including prediabetes, has" If PREDIB_C IN ('2','DK','RF'): "Has"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17
Skip Instructions:
1,2,RF,DK [goto next section]

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2019
Survey form view entire document:  text  image
Question ID: DIB.0030.00.1
Variable: DIBEV_A
Interview Module: Adult
Content Type: Annual Core
Question Text:
^NOTPREGDM a doctor or other health professional EVER told you that you had diabetes?
Fills:
^NOTPREGDM
Description: Has/Not including (gestational diabetes, prediabetes)
Instruction: If GESDIB_A ne 1 AND PREDIB_A ne 1: "Has"
If GESDIB_A=1 AND PREDIB_A ne 1: "Not including gestational diabetes, has"
If PREDIB_A=1 AND GESDIB_A ne 1: "Not including prediabetes, has"
If GESDIB_A=1 AND PREDIB_A=1: "Not including prediabetes or gestational diabetes, has"
Response:
1 - Yes
2 - No
7 - Refused
9 - Do not know
Universe:
Sample Adults 18+
Skip Instructions:
1 = [goto DIBAGE_A]
2,RF,DK = if PREDIB_A=1 [goto DIBPILL_A]
else [goto next section]
Question ID: DIB.0020.00.1
Variable: DIBEV_C
Interview Module: Child
Content Type: Annual Core

Question Text:
^NOTPRED a doctor or other health professional EVER told you that ^SCNAME had diabetes?

Fills:
^NOTPRED

Description Not including prediabetes, has/Has
Instruction If PREDIB_C=1: "Not including prediabetes, has" If PREDIB_C IN ('2','DK','RF'): "Has"

^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17
Skip Instructions:
1,2,RF,DK = [goto next section]

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2018
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

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2017
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

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2016
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

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2015
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

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2014
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

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2013
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2012
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2011
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2010
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2009
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2008
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID:: CHS.060_00.000

Instrument Variable Name:: CONDL
QuestionText:
(book) C2 ?[F1] Looking at this list, has a doctor or health professional ever told you that [fill: SC name] had any of these conditions?
*Read if necessary.
Down syndrome
Cerebral palsy
Muscular dystrophy
Cystic fibrosis
Sickle cell anemia
Autism/Autism spectrum disorder
Diabetes
Arthritis
Congenital heart disease
Other heart condition
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children LT 18
SkipInstructions:
(1) [goto CONDL1]
(2,R,D) [goto CPOX]
Question ID:: CHS.061_00.000

Instrument Variable Name:: CONDL1
QuestionText:
(book) C2 ?[F1] Which ones?
* Enter all that apply, separate with commas.
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism/Autism spectrum disorder
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
UniverseText: Sample children LT 18 and CONDL=1
SkipInstructions:
(1-10, R,D) [goto CPOX]

top
2007
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2006
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2005
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2004
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
Question ID: CHS.060_00.000

Instrument Variable Name:CONDL
Question Text:
(book) C2
Looking at this list, has a doctor or health professional ever told you that [fill: S.C. name] had any of these conditions?
Which ones?
* Enter all that apply, separate with commas.
00 None
01 Down syndrome
02 Cerebral palsy
03 Muscular dystrophy
04 Cystic fibrosis
05 Sickle cell anemia
06 Autism
07 Diabetes
08 Arthritis
09 Congenital heart disease
10 Other heart condition
97 Refused
99 Don't know
Universe Text: Sample children under 18
Skip Instructions:
(0-10,R,D) [go to CPOX]
[If (0) and (1-10) go to ERR_CONDL]

top
2003
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
2002
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
2001
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
2000
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1999
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1998
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1997
Survey form view entire document:  text  image
Question ID: ACN.160_00.000

Instrument Variable Name: DIBEV
QuestionText:
? [F1] [Fill1:Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Fill2:Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]
1 Yes
2 No
3 Borderline
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:
(1) [goto DIBAGE]
(2,R,D) [goto DIBPRE1]
(3) [goto INSLN]

Survey form view entire document:  text  image
CHS.060

Looking at this list, has a doctor or other health professional ever told you that {S.C. name} had any of these conditions?

FR: SHOW FLASHCARD C2.
Card C2
You may choose more than one.

1. Down's syndrome
2. Cerebral Palsy
3. Muscular Dystrophy
4. Cystic Fibrosis
5. Sickle Cell Anemia
6. Autism
7. Diabetes
8. Arthritis
9. Congenital Heart Disease
10. Other heart condition
CONDL
(00) None
(01) Down's syndrome
(02) Cerebral Palsy
(03) Muscular Dystrophy
(04) Cystic Fibrosis
(05) Sickle cell anemia
(06) Autism
(07) Diabetes
(08) Arthritis
(09) Congenital heart disease
(10) Other heart condition
(97) Refused
(99) Don't know

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1993
Survey form view entire document:  text  image
1. Have you EVER been told by a doctor that you had diabetes? Do not include pre, potential,

1 [] Yes (2)
2 [] No (5)
9 [] DK (5)

top
1991
Survey form view entire document:  text  image
1. Have you EVER been told by a doctor that you had diabetes? Do not include pre, potential, or borderline diabetes.

1[] Yes (2)
2[] No (11)
9[] DK (11)

top
1989
Survey form view entire document:  text  image
Check Item 1
Refer to ages of all family members.

1[] Persons aged 18 and over in family (1)
2[] No persons aged 18 and over in family (Section R)

1a. Has any adult in this family, that is (read names of persons 18 and over) ever been told by a doctor that they had diabetes? Do not include pre, potential, or borderline diabetes.

[] Yes
[] No (Section R)

b. Who is this?
Mark "Diabetes" box in appropriate person's column.

1[] Diabetes

c. Has any other adult in this family been told they have diabetes? Do not include pre, potential, or borderline diabetes.

[] Yes (Reask 1b and c)
[] No
Section Q2 -- Diabetes Followup Questions

Check Item 2
Refer to 1b above.

0[] Under 18 (NP)
1[] "Diabetes" box marked in 1b (Check Item 3)
8[] All others (NP)
Check Item 3
Status of diabetic.

1[] Available (1)
2[] Callback required (Hhld page of HIS-1, then NP)
3[] Noninterview (Cover page of HIS-1A, then NP)

top
1988
Survey form view entire document:  text  image
The next questions are about other health conditions -- may have ever had.

3. Did -- ever have
Group B

[] Repeated tonsillitis or enlargement of the tonsils or adenoids?
1[] Yes
2[] No/DK
[] Frequent or repeated ear infections?
1[] Yes
2[] No/DK
[]Any kind of food or digestive allergy?
1[] Yes
2[] No/DK
[] Frequent or repeated diarrhea or colitis?
1[] Yes
2[] No/DK
[] Any other persistent bowel trouble?
Specify ____
1[] Yes
2[] No/DK
[] Diabetes?

1[] Yes
2[] No/DK
[] Sickle cell anemia?
1[] Yes
2[] No/DK
[] Anemia?
1[] Yes
2[] No/DK

[] Asthma?
1[] Yes
2[] No/DK

Group C

[] Mononucleosis?

1[] Yes
2[] No/DK
[] Hepatitis?
1[] Yes
2[] No/DK
[] Meningitis or spinal meningitis?
1[] Yes
2[] No/DK
[] Bladder Infection or urinary tract infection?
1[] Yes
2[] No/DK
[] Rheumatic fever?
1[] Yes
2[] No/DK
[] Pneumonia?
1[] Yes
2[] No/DK
Group D
[] Hay fever?

1[] Yes
2[] No/DK
[] Any (other) kind of respiratory allergy?

1[] Yes
2[] No/DK

Group E
[] Deafness or trouble hearing with one or both ears?
If "Yes," ask: Is it one or both ears?
1[] Yes, one ear
2[] Yes, both ears
9[] No/DK

[] Blindness in one or both eyes?
If "Yes," ask: Is it one or both eyes?
1[] Yes, one eye
2[] Yes, both eyes
9[] No/DK
[] Crossed eyes?
1[] Yes
2[] No/DK
[] Any other trouble seeing with one or both eyes, even when wearing glasses?
Specify ____
1[] Yes
2[] No/DK
Group F
[] Eczema or any kind of skin allergy?
1[] Yes
2[] No/DK
Group G
[] Epilepsy or repeated convulsions or seizures not associated with fever?
1[] Yes
2[] No/DK
[] Seizures associated with fever?

1[] Yes
2[] No/DK
[] Frequent or severe headaches, including migraines?
1[] Yes
2[] No/DK

Child under 3, go to group I
Group H

[] Stammering or stuttering?
1[] Yes
2[] No/DK
[] Any other speech defect?
Specify ____
1[] Yes
2[] No/DK

Child under 6, go to Group I

[] Enuresis or bedwetting problem?
1[] Yes
2[] No/DK
Group I
[] Arthritis or any other joint disease or joint problem?
Specify ____
1[] Yes
2[] No/DK
[] Any other condition affecting the bone, cartilage, muscle, or tendon?
Specify ____
1[] Yes
2[] No/DK

Survey form view entire document:  text  image
10. Tell me whether or not you have ever had any of the following conditions even if you have mentioned them before --

f. Diabetes?
1[] Yes
2[] No

top
1983
Survey form view entire document:  text  image
36. Tell me whether or not you have EVER had any of the following conditions even if you have mentioned them before.

m. Diabetes?

1[] Yes
2[] No

top
1974
Survey form view entire document:  text  image
18. Have you EVER been told by a doctor that you had diabetes?

1 [] Y
2 [] N