Survey Text

2020 2014 2009 2004
2018 2013 2008 2003
2017 2012 2007 2002
2016 2011 2006 2001
2015 2010 2005
top
2020

No questionnaire text is available for this sample.


top
2018
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
----------------------------------------------------

top
2017
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
----------------------------------------------------

top
2016
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
----------------------------------------------------

top
2015
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
----------------------------------------------------

top
2014
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
----------------------------------------------------

top
2013
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
----------------------------------------------------

top
2012
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
----------------------------------------------------

top
2011
Survey form view entire document:  text  image
CS22
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
Has a doctor or other health provider ever measured (PERSON)'s height?
YES .................................... 1 [CS22OV]
NO ..................................... 2 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
CS22OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS23_01]
WITHIN PAST 2 YEARS .................... 2 [CS23_01]
MORE THAN 2 YEARS ...................... 3 [CS23_01]
REF ................................... -7 [CS23_01]
DK .................................... -8 [CS23_01]
[Code One]
CS23_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how tall is (PERSON) without shoes?
PROBE FOR INCHES IF NOT REPORTED. FEET:
[Enter Feet] .......................... [CS23_02]
REF ................................... -7 [CS24]
DK .................................... -8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0 TO 7
----------------------------------------------------
CS23_02
=======
INCHES:
[Enter Inches] ........................ [CS24]
REF ................................... ?7 [CS24]
DK .................................... ?8 [CS24]
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-12
----------------------------------------------------
----------------------------------------------------
EDIT: IF FEET (CS23_01) = 0, INCHES (CS23_02) MUST BE 1-30. IF FEET (CS23_01) ) 0, INCHES (CS23_02) MUST BE 0-12.
----------------------------------------------------
CS24
====

[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_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
CS24OV
======
When was that?
WITHIN PAST YEAR ....................... 1 [CS25_01]
WITHIN PAST 2 YEARS .................... 2 [CS25_01]
MORE THAN 2 YEARS ...................... 3 [CS25_01]
REF ................................... -7 [CS25_01]
DK .................................... -8 [CS25_01]
[Code One]
CS25_01
=======

[PERSON'S FIRST MIDDLE AND LAST NAME]
About how much does (PERSON) weigh without shoes?
POUNDS:
[Enter Pounds] ........................
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
----------------------------------------------------
IF CS25_01 IS ( OR = 20 POUNDS, CONTINUE WITH CS25_02
----------------------------------------------------
----------------------------------------------------
IF CS25_01 IS ) 20 POUNDS, GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 1 TO 300
----------------------------------------------------
----------------------------------------------------
NOTE THAT CS25_02 IS AN OVERLAY ON CS25_01.
----------------------------------------------------
CS25_02
=======

[PROBE FOR OUNCES IF NOT REPORTED.]
OUNCES:
[Enter Ounces] ........................ [BOX_03]
REF ................................... ?7 [BOX_03]
DK .................................... ?8 [BOX_03]
----------------------------------------------------
DISPLAY 'PROBE FOR OUNCES IF NOT REPORTED.' IF CS25_01 IS ( OR = 20 POUNDS.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-15
----------------------------------------------------
----------------------------------------------------
EDIT: IF POUNDS (CS25_01) = 0, THEN OUNCES MUST BE 1-16.
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2010
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2009
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2008
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2007
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2006
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2005
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2004
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2003
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2002
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]

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2001
Survey form view entire document:  text  image
CS22
====

[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
NO ..................................... 2 [CS23]
REF ................................... -7 [CS23]
DK .................................... -8 [CS23]