Survey Text

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

No questionnaire text is available for this sample.


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2020

No questionnaire text is available for this sample.


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2019

No questionnaire text is available for this sample.


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2018
Survey form view entire document:  text  image
PE30K (PE1080)
BLAISE NAME: DxDiabetes
Context Header: {PERSON?S FIRST MIDDLE AND LAST NAME}
Question Text:
{Now I?m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor or other health professional that {you/he/she} had...]
k. diabetes or sugar diabetes {, other than during pregnancy}?
HELP: F1
Responses: 
YES 1 PE30L (PE1085)
NO 2 PE30L (PE1085)
REFUSED RF PE30L (PE1085)
DON?T KNOW DK PE30L (PE1085)
Programmer Instructions: If coded ?1? (YES) add ?DIABETES? to person?s-medical-conditions-roster.
Display Instructions: Display ?other than during pregnancy? if person being asked about is female and is age 15 or older or in age categories 4-9. Otherwise use a null display.

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2017
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2016
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2015
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2014
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2013
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2012
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2011
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2010
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2009
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2008
Survey form view entire document:  text  image
PE26
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or other health professional that (PERSON) had diabetes or sugar diabetes?
YES .................................... 1 [PE27]
NO ..................................... 2 [BOX_13]
REF ................................... -7 [BOX_13]
DK .................................... -8 [BOX_13]
HELP AVAILABLE FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'DIABETES' TO PERSON'S-MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------

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2007
Survey form view entire document:  text  image
PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------

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2006
Survey form view entire document:  text  image
PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------

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2005
Survey form view entire document:  text  image
PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------

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2004
Survey form view entire document:  text  image
PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------

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2003
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PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------

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2002
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PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------

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2001
Survey form view entire document:  text  image
PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------

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2000
Survey form view entire document:  text  image
PC02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[Other than during pregnancy, (have/has)/(Have/Has)] (PERSON) ever been told by a doctor or health professional that (PERSON) (have/has) diabetes or sugar diabetes?
YES .................................... 1
NO ..................................... 2 [PC04]
REF ................................... -7 [PC04]
DK .................................... -8 [PC04]
PRESS F1 FOR DEFINITION OF DIABETES.
----------------------------------------------------
DISPLAY 'Other than during pregnancy, (have/has)' IF PERSON BEING ASKED ABOUT IS FEMALE AND IS ) 9 YEARS OF AGE OR IN AGE CATEGORIES 3-9. DISPLAY '(Have/Has)' IF PERSON BEING ASKED ABOUT IS MALE OR IS FEMALE AND IS (= 9 YEARS OF AGE OR IN AGE CATEGORIES 1-2.
----------------------------------------------------