CS02
====
[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.
CS03
====
[PERSON'S FIRST MIDDLE AND LAST NAME]
Does (PERSON) currently need or use medicine prescribed by a doctor, other than vitamins?
YES .................................... 1 [CS03OV1]
NO ..................................... 2 [CS04]
REF ................................... -7 [CS04]
DK .................................... -8 [CS04]
CS03OV1
=======
Is this because of any medical, behavioral or other health condition?
YES .................................... 1 [CS03OV2]
NO ..................................... 2 [CS04]
REF ................................... -7 [CS04]
DK .................................... -8 [CS04]
CS03OV2
=======
Is this a condition that has lasted or is expected to last for at least 12 months?
YES .................................... 1 [CS04]
NO ..................................... 2 [CS04]
REF ................................... -7 [CS04]
DK .................................... -8 [CS04]
CS04
====
[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]
REF ................................... -7 [CS05]
DK .................................... -8 [CS05]
CS04OV1
=======
Is this because of any medical, behavioral or other health condition?
YES .................................... 1 [CS04OV2]
NO ..................................... 2 [CS05]
REF ................................... -7 [CS05]
DK .................................... -8 [CS05]
CS04OV2
=======
Is this a condition that has lasted or is expected to last for at least12 months?
YES .................................... 1 [CS05]
NO ..................................... 2 [CS05]
REF ................................... -7 [CS05]
DK .................................... -8 [CS05]
CS05
====
[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 .................................... 1 [CS05OV1]
NO ..................................... 2 [CS06]
REF ................................... -7 [CS06]
DK .................................... -8 [CS06]
CS05OV1
=======
Is this because of any medical, behavioral or other health condition?
YES .................................... 1 [CS05OV2]
NO ..................................... 2 [CS06]
REF ................................... -7 [CS06]
DK .................................... -8 [CS06]
CS06
====
[PERSON'S FIRST MIDDLE AND LAST NAME]
Does (PERSON) need or get special therapy such as physical, occupational or speech therapy?
YES .................................... 1 [CS06OV1]
NO ..................................... 2 [CS07]
REF ................................... -7 [CS07]
DK .................................... -8 [CS07]
CS06OV1
=======
Is this because of any medical, behavioral or other health condition?
YES .................................... 1 [CS06OV2]
NO ..................................... 2 [CS07]
REF ................................... -7 [CS07]
DK .................................... -8 [CS07]