Crosswalk of Changes to Questionnaire (Standardized National Hypothesis Generating)

Standardized National Hypothesis Generating Questionnaire 0920_0997_Crosswalk_renewal_2019.docx

Standardized National Hypothesis Generating Questionnaire

Crosswalk of Changes to Questionnaire (Standardized National Hypothesis Generating)

OMB: 0920-0997

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Requested Changes for the Standardized National Hypothesis Generating Questionnaire 0920-0997

 

 

Section and Question

Currently Approved Item

Requested Approval

1.5

"Before this interview, how many times has the case been interviewed about their illness by a local, state or federal public health representative?

Delete this question

1.10

 

Added "other" as a response option

5.1

 

Added "did not eat any food at home" as a response option

6

"Any take-out from a restaurant"

Change wording to "any delivery/take-out from a restaurant"

6

"Any Chinese, Japanese, Vietnamese, other Asian-style"

Change wording to "Any Chinese, Japanese, Vietnamese, Indian, other Asian-style

Section 7-13

The prompt language in these section includes "In the 7 days before the illness began, did you(your child) eat any:" as well as "did you (your child) eat any:"

Standardized the prompt language to read "In the 7 days before the illness began, did you (your child) eat any:" in all sections

7.2

"pre-cut chicken parts or pieces, such as just breast, drumsticks, thighs, wings?"

Change wording to "pre-cut chicken parts or pieces, such as breasts, drumsticks, thighs, wings?"

9.8

 

Added sub-questions: What was the: Type, variety (block, sliced, shredded), brand:

9.9-9.10

 

Moved the question on unpastuerized cheese and question on non-dairy cheese alternatives to after question on gourmet or artisanal cheeses. Now question 9.16 and 9.17

10.4

"Avocado or guacamole?"

Changed to "Fresh Avocado?"

10.5

 

Added New question "Guacamole?' added sub-question: Describe (store-bought, homemade):____________ unk

10.9

 

Added sub-questions: What was the type, variety, brand

10.11

 

Added sub-questions: What was the type, variety, brand

11.2-11.23

 

Added sub-question with check boxes for: Fresh, Frozen, Pre-sliced, Dried

11.22

 

Added new question "Coconuts?"

13.4

"Dried fruit?"

Delete this question

13.29

 

Added sub-questions: What was the type, variety, brand

15.9

"Cow/Bull/Steer"

Changed to "Cow/Calf/Bull/Steer

15.21

 

Added sub-questions: What was the type, variety, brand

17.5

"In the 30 days before {your/your child's} illness began, did {you/your child} travel outside of the U.S."

Changed to "In the 30 days before {your/your child's} illness began, did {you/your child} travel outside of the United States"







File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBasler, Colin A. (CDC/DDID/NCEZID/DFWED)
File Modified0000-00-00
File Created2021-01-14

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