CS08
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[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? ( )
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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
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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
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PROGRAMMER NOTE: CS08 WAS PREVIOUSLY NUMBERED HE50.
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