Survey Text

2021 2013 2007 2001
2019 2012 2006 2000
2017 2011 2005 1999
2016 2010 2004
2015 2009 2003
2014 2008 2002
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2021

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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2017
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2016
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2015
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2014
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2013
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2012
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2011
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2010
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2009
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2008
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

top
2007
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

top
2006
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

top
2005
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

top
2004
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

top
2003
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

top
2002
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

top
2001
Survey form view entire document:  text  image
CS08
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-2.
The following questions are about some aspects of (PERSON)'s health.
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
CS08_04.
d. (His/Her) behavior at school? ( )

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2000
Survey form view entire document:  text  image
HE50
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [STR-DT] [END-DT]
SHOW CARD HE-2.
[The following questions are about some aspects of children's health.]
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
HE50_04. d. (His/Her) behavior at school? ( )

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1999
Survey form view entire document:  text  image
HE50
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [STR-DT] [END-DT]
SHOW CARD HE-2.
[The following questions are about some aspects of children's health.]
In this series of questions, please rate (PERSON) on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem.
In general, how much of a problem do you think (PERSON) has with:
PROBE: Please rate on a scale of 0 to 4 where 0 indicates no problem and 4 indicates a very big problem, how much of a problem you think (PERSON) has with (ACTIVITY).

CODE 99 IF RESPONDENT INDICATES THE QUESTION IS INAPPLICABLE.
HE50_04. d. (His/Her) behavior at school? ( )