Survey Text

2021 2015 2009 2003
2020 2014 2008 2002
2019 2013 2007 2001
2018 2012 2006 2000
2017 2011 2005
2016 2010 2004
top
2021

No questionnaire text is available for this sample.


top
2020

No questionnaire text is available for this sample.


top
2019

No questionnaire text is available for this sample.


top
2018
Survey form view entire document:  text  image
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]

top
2017
Survey form view entire document:  text  image
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]

top
2016
Survey form view entire document:  text  image
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]

top
2015
Survey form view entire document:  text  image
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]

top
2014
Survey form view entire document:  text  image
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]

top
2013
Survey form view entire document:  text  image
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]

top
2012
Survey form view entire document:  text  image
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]

top
2011
Survey form view entire document:  text  image
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]

top
2010
Survey form view entire document:  text  image
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.

top
2009
Survey form view entire document:  text  image
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.

top
2008
Survey form view entire document:  text  image
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.

top
2007
Survey form view entire document:  text  image
CS02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
The next questions are about (PERSON)'s health needs and whether (PERSON) has a health condition health condition can be A physical, mental or behavioral. Health conditions may affect a child's development, daily functioning or need for services.
PRESS ENTER TO CONTINUE.

top
2006
Survey form view entire document:  text  image
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 TO CONTINUE.

top
2005
Survey form view entire document:  text  image
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 TO CONTINUE.

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2004
Survey form view entire document:  text  image
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 TO CONTINUE.

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2003
Survey form view entire document:  text  image

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2002
Survey form view entire document:  text  image
BOX_10
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GO TO NEXT QUESTIONNAIRE SECTION
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2001
Survey form view entire document:  text  image
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 TO CONTINUE.

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2000

No questionnaire text is available for this sample.