## Survey Text

 2017 2012 2007 2002 2016 2011 2006 2001 2015 2010 2005 2000 2014 2009 2004 1999 2013 2008 2003
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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13.
m. Staying out of trouble? ( )
----------------------------------------------------
ONLY THE VALUES OF 0 AND 4 WILL BE DEFINED IN THE TEXT OF THE QUESTION. HOWEVER, THE VALUES OF ALL THE ANSWER CATEGORIES ARE:

0 = NO PROBLEM
1
2 = SOME PROBLEM
3
4 = VERY BIG PROBLEM
-7 = REF
-8 = DK
99 = INAPPLICABLE
----------------------------------------------------
----------------------------------------------------
NOTE: THIS SCREEN WILL BE SPLIT INTO TWO SCREENS IN CAPI. THE FIRST SCREEN (CS08A) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE FIRST THREE BLOCKS OF TEXT
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_01 (a.) THROUGH CS08_08 (h.) DISPLAYED IN TWO COLUMNS, WITH CS08_01, CS08_02, CS08_03, CS08_04 IN THE FIRST COLUMN AND CS08_05, CS08_06, CS08_07, AND CS08_08 IN THE SECOND COLUMN

THE SECOND SCREEN (CS08B) WILL CONTAIN THE FOLLOWING PARTS OF THE QUESTION AS SPECIFIED BELOW:
- THE SHOW CARD LINE
- THE PROBE
- THE INTERVIEWER INSTRUCTION: 'CODE 99...'
- CS08_09 (i.) THROUGH CS08_13 (m.) DISPLAYED IN TWO COLUMNS, WITH CS08_09 AND CS08_10 IN THE FIRST COLUMN AND CS08_11, CS08_12, AND CS08_13 IN THE SECOND COLUMN
----------------------------------------------------
----------------------------------------------------
PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
----------------------------------------------------

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_13. m. Staying out of trouble? ( )

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_13. m. Staying out of trouble? ( )