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pdfChild Preventive Health (CS) Section
Beta
BOX_01
IF ANY RU MEMBERS < OR = 17 YEARS OF AGE OR IN AGE CATEGORIES 1 THROUGH 4,
CONTINUE WITH LOOP_01
OTHERWISE, GO TO BOX_08
LOOP_01
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK CS01-END_LP01
LOOP DEFINITION: LOOP_01 COLLECTS INFORMATION ABOUT A CHILD'S RESISTANCE
TO ILLNESS, HEALTH NEEDS A CHILD MAY HAVE BECAUSE OF A HEALTH CONDITION
(LWIM), RATINGS ON THE CHILD'S BEHAVIOR AND RELATIONSHIPS (CIS), HEALTH
CARE THE CHILD RECEIVED IN THE LAST YEAR (CAHPS), AND INFORMATION ABOUT
THE CHILD'S USE OF CLINICAL PREVENTIVE SERVICES. THIS LOOP CYCLES ON EACH
PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE FOLLOWING CONDITIONS:
-
PERSON IS A CURRENT OR INSTITUTIONALIZED RU MEMBER
AND
PERSON IS NOT DECEASED
AND
PERSON IS < OR = 17 YEARS OF AGE OR IN AGE CATEGORIES 1 THROUGH 4
1
Child Preventive Health (CS) Section
Beta
CS01
Help Enabled
Comment Enabled
Jump Back Enabled
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-1.
{Now I'd like to talk about (PERSON).}
The following are statements about (PERSON)'s general health status.
How true or false is each of these statements for (PERSON)?
1 = DEFINITELY TRUE
2 = MOSTLY TRUE
3 = DON'T KNOW
4 = MOSTLY FALSE
5 = DEFINITELY FALSE
DISPLAY INSTRUCTIONS:
DISPLAY "Now I'd like to talk about (PERSON)." IF NOT FIRST
CYCLE THROUGH LOOP_01. OTHERWISE (THAT IS, IF IT IS THE FIRST
CYCLE THROUGH LOOP_01), USE A NULL DISPLAY.
2
Child Preventive Health (CS) Section
Beta
CS01_01
Help Enabled
Variable Name
PRND.LESSHLTH
Comment Enabled
Jump Back Enabled
Label
Size
2
LESS HEALTHY THAN OTHER CHILD
a. (PERSON) seems to be less healthy than other children that I know.
CS01_02
Help Enabled
Variable Name
PRND.NEVERILL
Comment Enabled
Label
NEVER BEEN SERIOUSLY ILL
b. (PERSON) has never been seriously ill.
3
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS01_03
Help Enabled
Variable Name
PRND.BADHLTH
Comment Enabled
Jump Back Enabled
Label
Size
2
CHILD GETS SICK EASILY
c. When there is something going around, (PERSON) usually catches it.
CS01_04
Help Enabled
Variable Name
PRND.HLTHYLIF
Comment Enabled
Label
CHILD WILL HAVE VERY HEALTHY LIFE
d. I expect (PERSON) will have a very healthy life.
4
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS01_05
Help Enabled
Variable Name
PRND.WORYHLTH
Comment Enabled
Jump Back Enabled
Label
Size
2
WORRY MORE ABOUT HEALTH
e. I worry more about (PERSON)'s health than other people worry about their
children's health.
PROGRAMMER NOTES:
REFUSED (RF) ALLOWED ON ALL ENTRY FIELDS.
CS02
Help Enabled
Comment Enabled
Jump Back Enabled
{PERSON'S FIRST MIDDLE AND LAST NAME}
The next questions are about (PERSON)'s health needs and whether
(PERSON) has a health condition. A health condition can be physical,
mental or behavioral. Health conditions may affect a child’s development,
daily functioning or need for services.
PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.
5
Child Preventive Health (CS) Section
Beta
CS03
Help Enabled
Variable Name
PRND.PRESMED
Comment Enabled
Jump Back Enabled
Label
MEDICINE PRESCRIBED BY A DOCTOR
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Does (PERSON) currently need or use medicine prescribed by a doctor,
other than vitamins?
YES
NO
1
2
{CS03OV1}
{CS04}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
6
{CS04}
{CS04}
Child Preventive Health (CS) Section
Beta
CS03OV1
Help Enabled
Variable Name
PRND.ANYCOND
Comment Enabled
Jump Back Enabled
Label
Size
2
ANY MEDICAL OR OTHER CONDITION
Is this because of any medical, behavioral or other health condition?
YES
NO
1
2
{CS03OV2}
{CS04}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
7
{CS04}
{CS04}
Child Preventive Health (CS) Section
Beta
CS03OV2
Help Enabled
Variable Name
PRND.CONDLAST
Comment Enabled
Jump Back Enabled
Label
Size
2
CONDITION LAST FOR 12 MONTHS
Is this a condition that has lasted or is expected to last for at least 12 months?
YES
NO
1
2
{CS04}
{CS04}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
8
{CS04}
{CS04}
Child Preventive Health (CS) Section
Beta
CS04
Help Enabled
Variable Name
PRND.MOREMDCR
Comment Enabled
Jump Back Enabled
Label
Size
2
USE MORE MEDICAL CARE
{PERSON'S FIRST MIDDLE AND LAST NAME}
Does (PERSON) need or use more medical care, mental health or
educational services than is usual for most children of the same age?
YES
1
{CS04OV1}
NO
2
{CS05}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
9
{CS05}
{CS05}
Child Preventive Health (CS) Section
Beta
CS04OV1
Help Enabled
Variable Name
PRND.ANYCOND1
Comment Enabled
Jump Back Enabled
Label
Size
2
ANY MEDICAL OR OTHER CONDITION
Is this because of any medical, behavioral or other health condition?
YES
NO
1
2
{CS04OV2}
{CS05}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
10
{CS05}
{CS05}
Child Preventive Health (CS) Section
Beta
CS04OV2
Help Enabled
Variable Name
PRND.CONDLAS1
Comment Enabled
Jump Back Enabled
Label
Size
2
CONDITION LAST FOR 12 MONTHS
Is this a condition that has lasted or is expected to last for at least 12 months?
YES
NO
1
2
{CS05}
{CS05}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
11
{CS05}
{CS05}
Child Preventive Health (CS) Section
Beta
CS05
Help Enabled
Variable Name
PRND.LIMABIL
Comment Enabled
Jump Back Enabled
Label
Size
2
LIMITED ABILITY TO DO THINGS
{PERSON'S FIRST MIDDLE AND LAST NAME}
Is (PERSON) limited or prevented in any way in (his/her) ability to do the
things most children of the same age can do?
YES
NO
1
2
{CS05OV1}
{CS06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
12
{CS06}
{CS06}
Child Preventive Health (CS) Section
Beta
CS05OV1
Help Enabled
Variable Name
PRND.ANYCOND2
Comment Enabled
Jump Back Enabled
Label
Size
2
ANY MEDICAL OR OTHER CONDITION
Is this because of any medical, behavioral or other health condition?
YES
NO
1
2
{CS05OV2}
{CS06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
13
{CS06}
{CS06}
Child Preventive Health (CS) Section
Beta
CS05OV2
Help Enabled
Variable Name
PRND.CONDLAS2
Comment Enabled
Jump Back Enabled
Label
CONDITION LAST AT LEAST 12 MONTHS
Size
2
Is this a condition that has lasted or is expected to last for at least 12 months?
YES
NO
1
2
{CS06}
{CS06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
14
{CS06}
{CS06}
Child Preventive Health (CS) Section
Beta
CS06
Help Enabled
Variable Name
PRND.SPCLTHRP
Comment Enabled
Jump Back Enabled
Label
Size
2
CHILD GET SPECIAL THERAPY
{PERSON'S FIRST MIDDLE AND LAST NAME}
Does (PERSON) need or get special therapy such as physical, occupational
or speech therapy?
YES
NO
1
2
{CS06OV1}
{CS07}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
15
{CS07}
{CS07}
Child Preventive Health (CS) Section
Beta
CS06OV1
Help Enabled
Variable Name
PRND.ANYCOND3
Comment Enabled
Jump Back Enabled
Label
Size
2
ANY MEDICAL OR OTHER CONDITION
Is this because of any medical, behavioral or other health condition?
YES
NO
1
2
{CS06OV2}
{CS07}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
16
{CS07}
{CS07}
Child Preventive Health (CS) Section
Beta
CS06OV2
Help Enabled
Variable Name
PRND.CONDLAS3
Comment Enabled
Jump Back Enabled
Label
CONDITION LAST AT LEAST 12 MONTHS
Size
2
Is this a condition that has lasted or is expected to last for at least 12 months?
YES
NO
1
2
{CS07}
{CS07}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
17
{CS07}
{CS07}
Child Preventive Health (CS) Section
Beta
CS07
Help Enabled
Variable Name
PRND.GTTRTMNT
Comment Enabled
Jump Back Enabled
Label
CHILD GETS TREATMENT OR COUNSELING
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Does (PERSON) have any kind of emotional, developmental or behavioral
problem for which (he/she) needs or gets treatment or counseling?
YES
NO
1
2
{CS07OV}
{BOX_02}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
18
{BOX_02}
{BOX_02}
Child Preventive Health (CS) Section
Beta
CS07OV
Help Enabled
Variable Name
PRND.CONDLAS4
Comment Enabled
Jump Back Enabled
Label
CONDITION LAST AT LEAST 12 MONTHS
Size
2
Is this a condition that has lasted or is expected to last for at least 12 months?
YES
NO
1
2
{BOX_02}
{BOX_02}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_02}
{BOX_02}
BOX_02
IF RU MEMBER BEING ASKED ABOUT IS AGED 5-17 YEARS, INCLUSIVE, OR IN AGE
CATEGORIES 3 OR 4, CONTINUE WITH CS08
OTHERWISE, GO TO CS09A
19
Child Preventive Health (CS) Section
Beta
CS08
Help Enabled
Comment Enabled
Jump Back Enabled
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0
indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4
indicates a very big problem, how much of a problem you think (PERSON) has
with (ACTIVITY).
CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
20
Child Preventive Health (CS) Section
Beta
CS08_01
Help Enabled
Variable Name
PRND.MOTHPROB
Comment Enabled
Label
PROBLEMS GETTING ALONG W/MOTHER
Jump Back Enabled
Size
2
a. Getting along with (his/her) mother?
_______
CS08_02
Help Enabled
Variable Name
PRND.FATHPROB
Comment Enabled
Label
PROBLEM GETTING ALONG W/FATHER
b. Getting along with (his/her) father?
_______
21
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS08_03
Help Enabled
Variable Name
PRND.UNHAPSAD
Comment Enabled
Label
PROBLEMS FEELING UNHAPPY OR SAD
Jump Back Enabled
Size
2
c. Feeling unhappy or sad?
_______
CS08_04
Help Enabled
Variable Name
PRND.BEHVSCHL
Comment Enabled
Label
PROBLEMS W/BEHAVIOR AT SCHOOL
d. (His/Her) behavior at school?
_______
22
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS08_05
Help Enabled
Variable Name
PRND.HAVFUNPR
Comment Enabled
Label
PROBLEMS W/HAVING FUN
Jump Back Enabled
Size
2
e. Having fun?
_______
CS08_06
Help Enabled
Variable Name
PRND.ADULPROB
Comment Enabled
Label
PROBLEMS GETTING ALONG W/OTHER ADULTS
f. Getting along with other adults?
_______
23
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS08_07
Help Enabled
Variable Name
PRND.NERVAFRD
Comment Enabled
Label
PROBLEMS FEELING NERVOUS OR AFRAID
Jump Back Enabled
Size
2
g. Feeling nervous or afraid?
_______
CS08_08
Help Enabled
Variable Name
PRND.SIBSPROB
Comment Enabled
Label
PROBLEMS GETTING ALONG W/SIBLINGS
h. Getting along with brothers and sisters?
_______
24
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS08_09
Help Enabled
Variable Name
PRND.KIDSPROB
Comment Enabled
Label
PROBLEMS GETTING ALONG W/OTHER KIDS
Jump Back Enabled
Size
2
i. Getting along with other kids?
_______
CS08_10
Help Enabled
Variable Name
PRND.SPORTHOB
Comment Enabled
Label
PROB GETTING INVOLVED W/SPORT, HOBBIES
j. Getting involved in activities like sports or hobbies?
_______
25
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS08_11
Help Enabled
Variable Name
PRND.SCHLWORK
Comment Enabled
Label
PROBLEMS W/SCHOOLWORK
Jump Back Enabled
Size
2
k. (His/Her) schoolwork?
_______
CS08_12
Help Enabled
Variable Name
PRND.BEHVHOME
Comment Enabled
Label
PROBLEMS W/BEHAVIOR AT HOME
l. (His/Her) behavior at home?
_______
26
Jump Back Enabled
Size
2
Child Preventive Health (CS) Section
Beta
CS08_13
Help Enabled
Variable Name
PRND.TROUBLE
Comment Enabled
Jump Back Enabled
Label
PROBLEMS STAYING OUT OF TROUBLE
m. Staying out of trouble?
_______
PROGRAMMER NOTES:
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE
QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:
0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
RF = REF
DK = DK
99 = INAPPLICABLE
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI.
THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF
THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS,
WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN
AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN
THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF
THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS,
WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11,
CS08_12, AND CS08_13 IN THE SECOND COLUMN
27
Size
2
Child Preventive Health (CS) Section
Beta
CS09A
Help Enabled
Variable Name
PRND.ILLCARE
Comment Enabled
Jump Back Enabled
Label
ILLNESS OR INJURY THAT NEEDED CARE
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
The following questions are about the health care (PERSON) received in the
last 12 months.
In the last 12 months, did (PERSON) have an illness, injury or condition that
needed care right away in a clinic, emergency room, or doctor’s office?
YES
1
{CS10A}
NO
2
{CS11A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
28
{CS11A}
{CS11A}
Child Preventive Health (CS) Section
Beta
CS10A
Help Enabled
Variable Name
PRND.CARRTWAY
Comment Enabled
Jump Back Enabled
Label
Size
2
CARE RIGHT AWAY FOR AN ILLNESS
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-3.
In the last 12 months, when (PERSON) needed care right away for an
illness, injury or condition, how often did (PERSON) get care as soon as you
wanted?
NEVER
1
{CS11A}
SOMETIMES
USUALLY
2
3
{CS11A}
{CS11A}
ALWAYS
4
{CS11A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
29
{CS11A}
{CS11A}
Child Preventive Health (CS) Section
Beta
CS11A
Help Enabled
Variable Name
PRND.SEEHLTHC
Comment Enabled
Jump Back Enabled
Label
Size
2
SEE HEALTH CARE PROVIDER
{PERSON'S FIRST MIDDLE AND LAST NAME}
A health provider could be a general doctor, a specialist doctor, a nurse
practitioner, a physician assistant, a nurse, or anyone else (PERSON) would
see for health care.
In the last 12 months, not counting the times (PERSON) needed health care
right away, did you make any appointments for (PERSON) with a doctor or
other health provider for health care?
YES
NO
1
2
{CS12A}
{CS13}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
30
{CS13}
{CS13}
Child Preventive Health (CS) Section
Beta
CS12A
Help Enabled
Variable Name
PRND.APNTHLCR
Comment Enabled
Jump Back Enabled
Label
APPOINTMENT FOR ROUTINE HEALTH CARE
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-3.
In the last 12 months, not counting times (PERSON) needed health care right
away, how often did (PERSON) get an appointment for health care as soon as
you wanted?
NEVER
1
{CS13}
SOMETIMES
2
{CS13}
USUALLY
ALWAYS
3
4
{CS13}
{CS13}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
31
{CS13}
{CS13}
Child Preventive Health (CS) Section
Beta
CS13
Help Enabled
Variable Name
PRND.VISTDROF
Comment Enabled
Jump Back Enabled
Label
TIMES VISIT DOCTOR'S OFFICE OR CLINIC
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-3A.
In the last 12 months, not counting times (PERSON) went to an emergency
room, how many times did (PERSON) go to a doctor’s office or clinic?
NONE
1 TIME
0
1
{CS20}
{CS14A}
2 TIMES
3 TIMES
2
3
{CS14A}
{CS14A}
4 TIMES
4
{CS14A}
5 TO 9 TIMES
10 OR MORE TIMES
5
6
{CS14A}
{CS14A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
32
{CS20}
{CS20}
Child Preventive Health (CS) Section
Beta
CS14A
Help Enabled
Variable Name
PRND.NEEDCATE
Comment Enabled
Jump Back Enabled
Label
Size
2
BELIEVE NEEDED ANY CARE, TESTS
{PERSON'S FIRST MIDDLE AND LAST NAME}
In the last 12 months, did you or a doctor believe (PERSON) needed any care,
tests or treatment?
YES
NO
1
2
{CS14}
{CS15}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
33
{CS15}
{CS15}
Child Preventive Health (CS) Section
Beta
CS14
Help Enabled
Variable Name
PRND.PROBCARE
Comment Enabled
Jump Back Enabled
Label
HOW MUCH OF A PROBLEM TO GET CARE FOR
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-4.
In the last 12 months, how much of a problem, if any, was it to get the care,
tests or treatments you or a doctor believed necessary?
A BIG PROBLEM
1
{CS15}
A SMALL PROBLEM
2
{CS15}
NOT A PROBLEM
3
{CS15}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
34
{CS15}
{CS15}
Child Preventive Health (CS) Section
Beta
CS15
Help Enabled
Variable Name
PRND.LSNCRFLY
Comment Enabled
Jump Back Enabled
Label
DOCTORS OR OTHER LISTEN CAREFULLY
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-3.
In the last 12 months, how often did (PERSON)’s doctors or other health
providers listen carefully to you?
NEVER
SOMETIMES
1
2
{CS16}
{CS16}
USUALLY
ALWAYS
3
4
{CS16}
{CS16}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
35
{CS16}
{CS16}
Child Preventive Health (CS) Section
Beta
CS16
Help Enabled
Variable Name
PRND.UNDTHING
Comment Enabled
Jump Back Enabled
Label
EXPLAIN THINGS YOU COULD UNDERSTAND
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-3.
In the last 12 months, how often did (PERSON)’s doctors or other health
providers explain things in a way you could understand?
NEVER
SOMETIMES
1
2
{CS17}
{CS17}
USUALLY
ALWAYS
3
4
{CS17}
{CS17}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
36
{CS17}
{CS17}
Child Preventive Health (CS) Section
Beta
CS17
Help Enabled
Variable Name
PRND.SHOWRESP
Comment Enabled
Jump Back Enabled
Label
SHOW RESPECT FOR WHAT YOU HAD TO SAY
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-3.
In the last 12 months, how often did (PERSON)'s doctors or other health
providers show respect for what you had to say?
NEVER
SOMETIMES
1
2
{CS18}
{CS18}
USUALLY
ALWAYS
3
4
{CS18}
{CS18}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
37
{CS18}
{CS18}
Child Preventive Health (CS) Section
Beta
CS18
Help Enabled
Variable Name
PRND.SPNDTIME
Comment Enabled
Jump Back Enabled
Label
Size
2
SPEND ENOUGH TIME WITH YOU
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-3.
In the last 12 months, how often did doctors or other health providers spend
enough time with (PERSON)?
NEVER
SOMETIMES
1
2
{CS19}
{CS19}
USUALLY
3
{CS19}
ALWAYS
4
{CS19}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
38
{CS19}
{CS19}
Child Preventive Health (CS) Section
Beta
CS19
Help Enabled
Variable Name
PRND.RATEHLTH
Comment Enabled
Jump Back Enabled
Label
Size
2
RATING ALL CHILD'S HEALTH CARE
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-5.
Using any number from 0 to 10, where 0 is the worst health care possible,
and 10 is the best health care possible, what number would you use to rate all
(PERSON)’s health care in the last 12 months?
ENTER RATING FROM 0 - 10:
RATING: _______
{CS20}
----------------------------------------------------------------------------------------------------------------------------------
Hard CHECK:
RANGE CHECK:
Refused
RF
{CS20}
Don't Know
DK
{CS20}
0-10
39
Child Preventive Health (CS) Section
Beta
CS20
Help Enabled
Variable Name
PRND.SESPLIST
Comment Enabled
Jump Back Enabled
Label
Size
2
NEED TO SEE A SPECIALIST
{PERSON'S FIRST MIDDLE AND LAST NAME}
When you answer the next questions, do not include dental visits.
Specialists are doctors like surgeons, heart doctors, allergy doctors, skin
doctors, and others who specialize in one area of health care.
In the last 12 months, did you or a doctor think (PERSON) needed to see a
specialist?
YES
NO
1
2
{CS21}
{CS22}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
40
{CS22}
{CS22}
Child Preventive Health (CS) Section
Beta
CS21
Help Enabled
Variable Name
PRND.PROBSPRF
Comment Enabled
Jump Back Enabled
Label
PROBLEM TO GET REFERRAL TO A SPLST
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD CS-4.
In the last 12 months, how much of a problem, if any, was it to see a specialist
that (PERSON) needed to see?
A BIG PROBLEM
1
{CS22}
A SMALL PROBLEM
2
{CS22}
NOT A PROBLEM
3
{CS22}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
41
{CS22}
{CS22}
Child Preventive Health (CS) Section
Beta
CS22
Help Enabled
Variable Name
PRND.MSURHGHT
Comment Enabled
Jump Back Enabled
Label
HAS A DOCTOR EVER MEASURED HEIGHT
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
The following questions are about amounts and types of preventive care
(PERSON) may receive when (he/she) goes to see a doctor or other health
provider.
Has a doctor or other health provider ever measured (PERSON)'s height?
YES
1
{CS22OV}
NO
2
{CS23}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
42
{CS23}
{CS23}
Child Preventive Health (CS) Section
Beta
CS22OV
Help Enabled
Variable Name
PRND.WHENTHAT
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{CS23}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{CS23}
{CS23}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS23}
{CS23}
CS23
Help Enabled
Comment Enabled
{PERSON'S FIRST MIDDLE AND LAST NAME}
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED.
43
Jump Back Enabled
Child Preventive Health (CS) Section
Beta
CS23_01
Help Enabled
Variable Name
PRND.HGHTFEET
Comment Enabled
Jump Back Enabled
Label
Size
2
HEIGHT OF CHILD - FEET
FEET: _______
{CS23_02}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
Soft CHECK:
SOFT RANGE CHECK:
RF
DK
0 TO 7
44
{CS24}
{CS24}
Child Preventive Health (CS) Section
Beta
CS23_02
Help Enabled
Variable Name
PRND.HGHTINCH
Comment Enabled
Jump Back Enabled
Label
Size
2
HEIGHT OF CHILD-INCHES
INCHES: _______
{CS24}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
Soft CHECK:
SOFT RANGE CHECK:
RF
DK
{CS24}
{CS24}
0-12
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30.
(CS23_01) > 0, INCHES (CS23_02) MUST BE 0-12.
45
IF FEET
Child Preventive Health (CS) Section
Beta
CS24
Help Enabled
Variable Name
PRND.MESURWGT
Comment Enabled
Jump Back Enabled
Label
HAS DOCTOR EVER MEASURED CHILDS WEIGHT
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever measured (PERSON)'s weight?
YES
1
{CS24OV}
NO
2
{CS25}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
46
{CS25}
{CS25}
Child Preventive Health (CS) Section
Beta
CS24OV
Help Enabled
Variable Name
PRND.WHNTHAT1
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{CS25}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{CS25}
{CS25}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS25}
{CS25}
CS25
Help Enabled
Comment Enabled
Jump Back Enabled
{PERSON'S FIRST MIDDLE AND LAST NAME}
About how much does (PERSON) weigh without shoes?
{PROBE FOR OUNCES IF NOT REPORTED.}
DISPLAY INSTRUCTIONS:
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED' IF CS25_01 IS < OR
= 20 POUNDS. OTHERWISE, USE A NULL DISPLAY.
47
Child Preventive Health (CS) Section
Beta
CS25_01
Help Enabled
Variable Name
PRND.WGHTLBS
Comment Enabled
Jump Back Enabled
Label
Size
3
CHILDS WEIGHT - LBS
POUNDS: _______
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
ROUTING INSTRUCTION:
IF CS25_01 IS < OR = 20 POUNDS, CONTINUE WITH CS25_02.
CS25_01 IS > 20 POUNDS, GO TO BOX_03
Soft CHECK:
SOFT RANGE CHECK:
1 TO 300
48
{BOX_03}
{BOX_03}
IF
Child Preventive Health (CS) Section
Beta
CS25_02
Help Enabled
Variable Name
PRND.WGHTOZS
Comment Enabled
Jump Back Enabled
Label
Size
2
WEIGHT OF CHILD - OZS
OUNCES: _______
{BOX_03}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
Soft CHECK:
SOFT RANGE CHECK:
EDIT:
RF
DK
{BOX_03}
{BOX_03}
0-15
IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
BOX_03
IF RU MEMBER BEING ASKED ABOUT IS AGED 3-6 YEARS, INCLUSIVE, OR IN AGE
CATEGORIES 2 OR 3, CONTINUE WITH CS26
OTHERWISE, GO TO BOX_04
49
Child Preventive Health (CS) Section
Beta
CS26
Help Enabled
Variable Name
PRND.VISONCHK
Comment Enabled
Jump Back Enabled
Label
HAS DOCTOR EVER CHECKED CHILDS VISION
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever checked (PERSON)'s vision?
SELECT 'TRIED, BUT (PERSON) WAS UNCOOPERATIVE' IF
RESPONDENT VOLUNTEERS THAT DOCTOR TRIED TO CHECK
VISION, BUT (PERSON) WAS UNCOOPERATIVE.
YES
NO
1
2
{BOX_04}
{BOX_04}
TRIED, BUT (PERSON) WAS
UNCOOPERATIVE
3
{BOX_04}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_04}
{BOX_04}
DISPLAY INSTRUCTIONS:
'PERSON' IN THE TEXT FOR CATEGORY 3 SHOULD BE IN PURPLE.
BOX_04
IF RU MEMBER BEING ASKED ABOUT IS > OR = 2 YEARS OF AGE OR IN AGE
CATEGORIES 2 THROUGH 4, CONTINUE WITH CS27
OTHERWISE, GO TO BOX_05
50
Child Preventive Health (CS) Section
Beta
CS27
Help Enabled
Variable Name
PRND.BLDPRSCK
Comment Enabled
Jump Back Enabled
Label
HAS DOCTOR EVER MEASURED BLOOD PRESSURE
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever measured (PERSON)'s blood
pressure?
SELECT 'TRIED, BUT (PERSON) WAS UNCOOPERATIVE' IF
RESPONDENT VOLUNTEERS THAT DOCTOR TRIED TO MEASURE
BLOOD PRESSURE, BUT (PERSON) WAS UNCOOPERATIVE.
YES
1
{CS27OV}
NO
2
{CS28}
TRIED, BUT (PERSON) WAS
UNCOOPERATIVE
3
{CS27OV}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS28}
{CS28}
DISPLAY INSTRUCTIONS:
'(PERSON)' IN THE TEXT FOR CATEGORY 3 SHOULD BE IN PURPLE.
51
Child Preventive Health (CS) Section
Beta
CS27OV
Help Enabled
Variable Name
PRND.WHNTHAT2
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{CS28}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{CS28}
{CS28}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
52
{CS28}
{CS28}
Child Preventive Health (CS) Section
Beta
CS28
Help Enabled (ADVICEYOU)
Variable Name
PRND.RGDNTLCK
Comment Enabled
Jump Back Enabled
Label
HAVING REGULAR DENTAL CHECK-UPS
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you or (PERSON) advice
about (PERSON) having regular dental check-ups?
YES
NO
1
2
{CS28OV}
{CS29}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS29}
{CS29}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
53
Child Preventive Health (CS) Section
Beta
CS28OV
Help Enabled (ADVICEYOU)
Variable Name
PRND.WHNTHAT3
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{CS29}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{CS29}
{CS29}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS29}
{CS29}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
54
Child Preventive Health (CS) Section
Beta
CS29
Help Enabled (ADVICEYOU)
Variable Name
PRND.EATHLTHY
Comment Enabled
Jump Back Enabled
Label
HAS DOCTOR ADVICE ABOUT EATING HEALTHY
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you or (PERSON) advice
about (PERSON) eating healthy?
YES
NO
1
2
{CS29OV}
{CS30}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS30}
{CS30}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
55
Child Preventive Health (CS) Section
Beta
CS29OV
Help Enabled (ADVICEYOU)
Variable Name
PRND.WHNTHAT4
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{CS30}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{CS30}
{CS30}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS30}
{CS30}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
56
Child Preventive Health (CS) Section
Beta
CS30
Help Enabled (ADVICEYOU)
Variable Name
PRND.PHYSHOBS
Comment Enabled
Jump Back Enabled
Label
Size
2
HAVE PHYSICALLY ACTIVE HOBBIES?
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you or (PERSON) advice
about the amount and kind of exercise, sports, or physically active hobbies
(PERSON) should have?
YES
NO
1
2
{CS30OV}
{BOX_05}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_05}
{BOX_05}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
57
Child Preventive Health (CS) Section
Beta
CS30OV
Help Enabled (ADVICEYOU)
Variable Name
PRND.WHNTHAT5
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{BOX_05}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{BOX_05}
{BOX_05}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_05}
{BOX_05}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
BOX_05
IF RU MEMBER BEING ASKED ABOUT:
- HAS A WEIGHT AT CS25 < OR = 40 POUNDS,
OR
- IF CS25 IS CODED 'REF' OR 'DK'
AND
- PERSON < OR = 4 YEARS OF AGE (OR IN AGE CATEGORIES 1 OR 2),
CONTINUE WITH CS31
IF RU MEMBER BEING ASKED ABOUT:
- HAS A WEIGHT AT CS25 > 40 AND < OR = 80 POUNDS
OR
- IF CS25 IS CODED 'REF' OR 'DK'
AND
- PERSON > 4 AND < OR = 9 YEARS OF AGE (OR IN AGE CATEGORY 3),
GO TO CS32
IF RU MEMBER BEING ASKED ABOUT:
- HAS A WEIGHT AT CS25 > 80 POUNDS,
OR
- IF CS25 IS CODED 'REF' OR 'DK'
AND
- PERSON > 9 YEARS OF AGE (OR IN AGE CATEGORY 4),
GO TO CS33
58
Child Preventive Health (CS) Section
Beta
CS31
Help Enabled (ADVICEYOU)
Variable Name
PRND.SFTYSEAT
Comment Enabled
Jump Back Enabled
Label
Size
2
USING A CHILD SAFETY SEAT?
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you or (PERSON) advice
about (PERSON) using a child safety seat while riding in the car?
YES
NO
1
2
{CS31OV}
{BOX_06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_06}
{BOX_06}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
59
Child Preventive Health (CS) Section
Beta
CS31OV
Help Enabled (ADVICEYOU)
Variable Name
PRND.WHNTHAT6
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{BOX_06}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{BOX_06}
{BOX_06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_06}
{BOX_06}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
60
Child Preventive Health (CS) Section
Beta
CS32
Help Enabled (ADVICEYOU)
Variable Name
PRND.BOSTRSIT
Comment Enabled
Jump Back Enabled
Label
USING A BOOSTER SEAT WHEN RIDING IN CAR
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you or (PERSON) advice
about (PERSON) using a booster seat when riding in the car?
YES
NO
1
2
{CS32OV}
{BOX_05A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_05A}
{BOX_05A}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
61
Child Preventive Health (CS) Section
Beta
CS32OV
Help Enabled (ADVICEYOU)
Variable Name
PRND.WHNTHAT7
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{BOX_05A}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{BOX_05A}
{BOX_05A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_05A}
{BOX_05A}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
BOX_05A
IF CS25 IS CODED 'REF' OR 'DK' FOR RU MEMBER BEING ASKED ABOUT AND PERSON
IS IN AGE CATEGORY 3 (AGE IS UNKNOWN), CONTINUE WITH CS33
OTHERWISE, GO TO BOX_06
62
Child Preventive Health (CS) Section
Beta
CS33
Help Enabled (ADVICEYOU)
Variable Name
PRND.LAPBELTS
Comment Enabled
Jump Back Enabled
Label
Size
2
USING A LAP AND SHOULDER BELTS?
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you or (PERSON) advice
about (PERSON) using lap and shoulder belts when driving or riding in a car?
YES
NO
1
2
{CS33OV}
{BOX_06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_06}
{BOX_06}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
63
Child Preventive Health (CS) Section
Beta
CS33OV
Help Enabled (ADVICEYOU)
Variable Name
PRND.WHNTHAT8
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{BOX_06}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{BOX_06}
{BOX_06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_06}
{BOX_06}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
BOX_06
IF RU MEMBER BEING ASKED ABOUT IS > OR = 2 YEARS OF AGE OR IN AGE
CATEGORIES 2 THROUGH 4, CONTINUE WITH CS34
OTHERWISE, GO TO CS35
64
Child Preventive Health (CS) Section
Beta
CS34
Help Enabled (ADVICEHELM)
Variable Name
PRND.BICHELMT
Comment Enabled
Jump Back Enabled
Label
USING A HELMET WHEN RIDING A BICYCLE?
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you or (PERSON) advice
about (PERSON) using a helmet when riding a bicycle or motorcycle?
YES
NO
1
2
{CS34OV}
{CS35}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS35}
{CS35}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU (ABOUT
HELMETS)."
65
Child Preventive Health (CS) Section
Beta
CS34OV
Help Enabled (ADVICEHELM)
Variable Name
PRND.WHNTHAT9
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{CS35}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{CS35}
{CS35}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{CS35}
{CS35}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU (ABOUT
HELMETS)."
66
Child Preventive Health (CS) Section
Beta
CS35
Help Enabled (ADVICEYOU)
Variable Name
PRND.BADSMKNG
Comment Enabled
Jump Back Enabled
Label
HAS DOCTOR ADVICE CHILD ABOUT SMOKING?
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has a doctor or other health provider ever given you advice about how
smoking in the house can be bad for (PERSON)'s health?
YES
NO
1
2
{CS35OV}
{BOX_07}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_07}
{BOX_07}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
67
Child Preventive Health (CS) Section
Beta
CS35OV
Help Enabled (ADVICEYOU)
Variable Name
PRND.WHNTHT10
Comment Enabled
Jump Back Enabled
Label
Size
2
WHEN WAS THAT?
When was that?
WITHIN PAST YEAR
1
{BOX_07}
WITHIN PAST 2 YEARS
MORE THAN 2 YEARS
2
3
{BOX_07}
{BOX_07}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_07}
{BOX_07}
HELP AVAILABLE FOR DEFINITION OF "ADVICE TO YOU."
BOX_07
IF RU MEMBER BEING ASKED ABOUT IS > OR = 12 YEARS OF AGE OR IN AGE
CATEGORY 4, CONTINUE WITH CS36
OTHERWISE, GO TO END_LP01
68
Child Preventive Health (CS) Section
Beta
CS36
Help Enabled
Variable Name
PRND.TIMSPEND
Comment Enabled
Jump Back Enabled
Label
DID DOCTOR SPEND ANY TIME ALONE?
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
The last time (PERSON) had a health care visit, did a doctor or other health
provider spend any time alone with (PERSON) without a parent, relative or
guardian in the room?
YES
NO
1
2
{END_LP01}
{END_LP01}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP01}
{END_LP01}
END_LP01
CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_01 AND CONTINUE
WITH BOX_08
BOX_08
GO TO NEXT QUESTIONNAIRE SECTION
69
| File Type | application/pdf |
| File Title | C:\Documents and Settings\POLACHEK_L\Local Settings\Temporary Internet Files\OLK8\CS (Beta).snp |
| Author | polachek_l |
| File Modified | 2006-02-20 |
| File Created | 2006-02-20 |