2006 NSDUH CAI Specs for Programming - Substance Abuse and ...

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Health Care HLTHINT These next questions are about your health and health care. Press [ENTER] to continue. HLTH01 [IF QD01 = 9 AND CURNTAGE = 12 - 44] Are you currently pregnant? 1 Yes 2 No DK/REF HLTH02 [IF HLTH01 = 1] How many months pregnant are you? # OF MONTHS: ________ [RANGE: 1 - 9] DK/REF HLTH03 During the past 12 months, that is, since [DATEFILL], how many different times have you been treated in an emergency room for any reason? # OF TIMES: ____________ [RANGE: 0 - 90] DK/REF HLTH04 During the past 12 months, have you stayed overnight or longer as an inpatient in a hospital? 1 Yes 2 No DK/REF HLTH05 [IF HLTH04 = 1] During the past 12 months, how many nights were you an inpatient in a hospital? # OF NIGHTS: [RANGE: 1 - 366] CHKLST The following is a list of health conditions. Please read the list, and type in the numbers of any of these conditions that a doctor or other medical professional has ever told you that you had. Please type in the numbers of any that apply. To select more than one condition, press the space bar between each number you type. For example, if a doctor has ever told you that you had asthma and ulcers, press 2[SPACE BAR]20. 1 Anxiety disorder 2 Asthma 3 Bronchitis 4 Cirrhosis of the liver 5 Depression 6 Diabetes 7 Heart disease 8 Hepatitis 9 High blood pressure 10 HIV/AIDS 11 Lung cancer 12 Pancreatitis 13 Pneumonia 14 Sexually transmitted disease, such as chlamydia, gonorrhea, herpes or syphilis 15 Sinusitis 16 Sleep apnea 17 Stroke 18 Tinnitus 19 Tuberculosis 20 Ulcer or ulcers 95 None of the above - I have never had any of these conditions DK/REF HARD ERROR: [IF 95 AND AT LEAST ONE IN (1-20) SELECTED]: YOU HAVE ENTERED “I HAVE NEVER HAD ANY OF THESE CONDITIONS,” BUT YOU HAVE ALSO ENTERED ONE OR MORE HEALTH CONDITIONS December 2, 2005 307
FROM THE LIST. TO MAKE THIS BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. [NOTE REGARDING CHK12M: Response option 95, as well as all responses that were selected in CHKLST, should be bold in CHK12M. Audio files should be played only for the bold response options. Responses not selected in CHKLST (other than 95) will be invalid for CHK12M; the text for these options should not be displayed and they will trigger a hard error below. Only display response option 95, and the response options that correspond to the list displayed in CHKLST. Audio files should be played only for the displayed response options. Responses not displayed will be invalid for CHK12M; they will trigger a hard error below] CHK12M [IF ANY ANSWER IN CHKLST = 1-20] Which, if any, of these conditions did a doctor or other medical professional tell you that you had in the past 12 months? Please type in the numbers of any that apply. To select more than one condition, press the space bar between each number you type. 1 Anxiety disorder 2 Asthma 3 Bronchitis 4 Cirrhosis of the liver 5 Depression 6 Diabetes 7 Heart disease 8 Hepatitis 9 High blood pressure 10 HIV/AIDS 11 Lung cancer 12 Pancreatitis 13 Pneumonia 14 Sexually transmitted disease, such as chlamydia, gonorrhea, herpes or syphilis 15 Sinusitis 16 Sleep apnea 17 Stroke 18 Tinnitus 19 Tuberculosis 20 Ulcer or ulcers 95 None of the above - I have not had any of these conditions in the past 12 months DK/REF HARD ERROR: [IF 95 AND AT LEAST ONE IN (1-20) SELECTED]: YOU HAVE ENTERED “I HAVE NOT HAD ANY OF THESE CONDITIONS IN THE PAST 12 MONTHS,” BUT YOU HAVE ALSO ENTERED ONE OR MORE HEALTH CONDITIONS FROM THE LIST. TO MAKE THIS BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. HARD ERROR: [IF ANY RESPONSE (1-20) IS SELECTED THAT WAS NOT SELECTED IN CHKLST]: THIS IS NOT ONE OF YOUR CHOICES. TO MAKE THIS BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. December 2, 2005 308
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2006 NATIONAL SURVEY ON DRUG USE AN
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General/Misc. 2006 NATIONAL SURVEY
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ages include the number of drinks c
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sources of income and asked to incl
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December 2, 2005 2
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1 YES 2 NO FIPE2 [IF FIPE1 = 1 AND
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1 ASIAN INDIAN 2 CHINESE 3 FILIPINO
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December 2, 2005 8
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December 2, 2005 10
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December 2, 2005 12
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DK/REF STOPLIST If you hear your an
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CGCC03 [IF CGCC02 = 2 OR CGCC02 = 3
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1 January 2 February 3 March 4 Apri
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12 Marlboro 25 Winston 13 Merit 26
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past 30 days, the cigarette brand y
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Thank you for your cooperation. PRO
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CG16m2)] The computer recorded that
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HARD ERROR: [IF CG26c > CURRENT MON
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days? 1 1 or 2 days 2 3 to 5 days 3
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ELSE CHEWAGE = BLANK IF CURNTAGE <
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DK/REF UPDATE: IF CGCH08 = 1, THEN
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5 H.B. Scott 6 Levi Garrett 7 Red F
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AGE: [RANGE: 1 - 110] DK/REF CGCR03
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4 April 5 May 6 June 7 July 8 Augus
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BRAND SMOKED: __________________ DK
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AL02 [IF AL01 = 1 OR ALREF = 1] Thi
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That would make you [MYR1STAL] year
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ELSE IF ALMONAVE > 1, THEN FILL1 =
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DK/REF UPDATE: IF ALCC23a NOT (BLAN
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# OF DAYS: [RANGE: 0 - 30] DK/REF U
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UPDATE: IF MJCC04 NOT(BLANK OR DK/R
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NOT BEGUN YET. TO MAKE THIS BOX DIS
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MJCC07b [IF ESTIMJ > TOTMJ] For the
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December 2, 2005 60
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UPDATE: IF CCCC03 NOT(BLANK OR DK/R
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MYR1STCC = AGE AT FIRST USE CALCULA
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ELSE IF CCMONAVE = 1, THEN FILLCN =
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December 2, 2005 68
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IF AGE1STCK=CURNTAGE OR AGE1STCK <
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BLANK. IF MYR1STCK = AGE1STCK THEN
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ELSE IF CKWKAVE = 1, THEN FILLCK =
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December 2, 2005 76
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IF AGE1STHR = CURNTAGE OR AGE1STHR
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BLANK. IF MYR1STHE = AGE1STHR THEN
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DEFINE FILLHERA: IF FILLHER = “[H
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December 2, 2005 84
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DK/REF LS01f Have you ever, even on
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AGE: [RANGE: 1 - 110] DK/REF UPDATE
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THE QUESTION AGAIN. PRESS [ENTER] T
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6 No DK/REF DEFINE FILLHAL: IF LSYR
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about the first time you used LSD.
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1 CURRENT YEAR -2 2 CURRENT YEAR -1
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1 1 or 2 days 2 3 to 5 days 3 6 to
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DK/REF LSCC80 [IF LSCC79 = 6] Pleas
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QUESTION AGAIN. PRESS [ENTER] TO CO
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3 More than 12 months ago DK/REF UP
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LSCC84 [IF LSC83 = 3] On how many d
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time you used [LSFILL]. How old wer
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The computer recorded that you firs
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ELSE IF LSWKAV4 NOT(BLANK OR DK/REF
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December 2, 2005 114
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IN01h Have you ever, even once, inh
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INCC06 [IF INCC05=6] Please answer
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[INCC19-INCC19a fill]. That would m
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ELSE IF INMONAVE = 1, THEN FILLINH
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INTRPILL Now we have some questions
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9 Hydrocodone 10 Methadone 11 Morph
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DK/REF PRCC06 [IF PRCC05=6] Please
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HARD ERROR: [IF PRCC09a > CURRENT M
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Thank you for your cooperation. PRO
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PRCC20 The computer recorded that y
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not prescribed for you or that you
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9 Limbitrol 10 Meprobamate 11 Milto
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AGE: [RANGE: 1 - 110] DK/REF UPDATE
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TRCC10 [IF TRCC08 NE 1 AND MYR1STTR
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DK/REF ST04a [IF ST04 = 1] Which of
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STCC05 The computer recorded that y
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10 October 11 November 12 December
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AGE: [RANGE: 1-110] DK/REF STCC09a
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DEFINE MYR1STME: MYR1STME = AGE AT
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ST10a [IF STIMREC NE BLANK AND METH
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8 Halcion 9 Phenobarbital 10 Placid
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SV07a [IF SVCC05 NE DK/RE AND SVCC0
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fill]. That would make you [MYR1STS
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SDHEUSE4 [IF SDHEUSE = 2] How long
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DK/REF SD05a [IF SD05 = 1] Please t
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DMT, also called dimethyltryptamine
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RK01g How much do people risk harmi
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5 I don’t drive DK/REF December 2
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12 December DK/REF HARD ERROR: [IF
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1 I last used marijuana or hashish
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DRCGE03 [IF CIG30DAY=1] You sometim
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DRCGE15 [IF CIG30DAY=1] Your smokin
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• Sweating or feeling that your h
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DRMJ04 [IF MAR12MON= 1 - 3] During
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IF COC12MON = 1 AND CRK12MON = 1 TH
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school, taking care of children, do
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• Having a fever • Having troub
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DRLS05 [IF DRLS04 = 1] Were you abl
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DRIN02 [IF DRIN01 = 2 OR DK/REF] Du
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DK/REF DRPR [IF PAI12MON = 1] Think
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1 Yes 2 No DK/REF DRPR17 [IF PAI12M
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2 No DK/REF DRTR15 [IF DRTR13 = 2 O
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DK/REF DRST10 [IF DRST8 = 2 OR DK/R
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DRSV01 [IF SED12MON = 1] During the
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2 No DK/REF DRSV18 [IF SED12MON = 1
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SP03g [IF SP02 = 1 - 99 OR DK/REF]
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1 Yes 2 No DK/REF SP06b [IF SP06a =
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MJE09 [IF MJE08 = 4 AND MJE07 > 1 O
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6 $101.00 to $150.99 7 $151.00 to $
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2 More than 30 days ago but within
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# OF GRAMS: __________ [RANGE 10 -
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all for yourself? 1 Yes 2 No DK/REF
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UPDATE: IF LUCC06 NOT (BLANK OR DK/
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LU04 [IF CG15=1] Earlier the comput
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last use snuff in [CURRENT YEAR-2],
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AND YEAR OF LAST USE (LU06a-d). IF
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LU07d [IF LU07a = 1 - 2 OR LU07b =
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1 CURRENT YEAR - 2 2 CURRENT YEAR -
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this correct? 4 Yes 6 No DK/REF LUC
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make you [MYRLSTCC] years old when
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5 May 6 June 7 July 8 August 9 Sept
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3 Neither answer is correct DK/REF
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BEGUN YET. TO MAKE THIS BOX DISAPPE
Page 263 and 264: HARD ERROR: [IF LU13c > CURRENT MON
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Page 267 and 268: LUCC32 [IF LUCC31 = 6] Please answe
Page 269 and 270: UPDATE: IF LUEC08 NE (6, BLANK OR D
Page 271 and 272: 5 May 6 June 7 July 8 August 9 Sept
Page 273 and 274: either of these ways. Is this corre
Page 275 and 276: 10 October 11 November 12 December
Page 277 and 278: prescription tranquilizer that was
Page 279 and 280: UPDATE: IF LUTR07a NE (0 OR DK/RE)
Page 281 and 282: UPDATE: IF LUST06 = 1, THEN AGELSTS
Page 283 and 284: 8 August 9 September 10 October 11
Page 285 and 286: LU21b [IF AGELSTSV = CURNTAGE - 1 A
Page 287 and 288: LU22 [IF AGE1STCG = AGE1STAL NE AGE
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Page 291 and 292: 10 I got the stimulants in some oth
Page 293 and 294: Methamphetamine. [IF (MORE THAN ONE
Page 295 and 296: _____________ DK/REF LU36SP [IF ANY
Page 297 and 298: TX04b [IF TX03 NE BLANK] During the
Page 299 and 300: TX04i1 [IF TX03 = 3 AND TX04i = 1]
Page 301 and 302: TX20 [IF (SV01 = 1 OR SV02 = 1 OR S
Page 303 and 304: To select more than one reason from
Page 305 and 306: 1 Yes 2 No DK/REF TX34 [IF ST01 =1
Page 307 and 308: 5 You left because your family need
Page 309 and 310: [IF (TX01 = 1 AND TX07 = 1) OR TX38
Page 311 and 312: 2 No DK/REF TX47a [IF TX47 = 1] How
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Page 317 and 318: hospital for mental health care? #
Page 319 and 320: DK/REF ADMT15 [IF ADMT14 = 6] Pleas
Page 321 and 322: To select more than one reason from
Page 323 and 324: December 2, 2005 316
Page 325 and 326: Your religious beliefs are a very i
Page 327 and 328: 2 No DK/REF pe02d [IF PE01a = 1 OR
Page 331 and 332: YE14 [IF YE09 = 1 OR YE09a = 1] Dur
Page 333 and 334: 3 3 to 5 times 4 6 to 9 times 5 10
Page 335 and 336: DK/REF YE20b [IF CURNTAGE = 12 - 17
Page 337 and 338: 1 Yes 2 No DK/REF YE24c [IF YE09 =
Page 339 and 340: DSDOWN [IF CURNTAGE = 18 OR OLDER]
Page 341 and 342: IF (AD01b = 2 OR DK/REF) THEN FEELF
Page 343 and 344: [IF AD22c NE BLANK] In answering th
Page 345 and 346: 1 Yes 2 No DK/REF AD26m [IF AD26l =
Page 347 and 348: ELSE IF AD26G = 2 AND AD26H = 2, TH
Page 349 and 350: 0 1 2 3 4 5 6 7 8 9 10 DK/REF, 95 A
Page 353 and 354: 1 Yes 2 No DK/REF YSU05 [IF YSU04=1
Page 355 and 356: DK/REF YSU12a [IF ANY ENTRY IN YSU1
Page 357 and 358: YSU19 [IF CURNTAGE = 12 -17] During
Page 359 and 360: 1 You thought about killing yoursel
Page 361 and 362: DEFINE FEELFILL: IF (YD01a = 1), TH
Page 363 and 364: YD24a [IF YD22a NE BLANK] In answer
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DK/REF YD26m [IF YD26l = 1] Did any
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DEFINE D_MDEA5Y: IF YD26M = 1 OR YD
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YD66c [IF YD38 = 1] How much did yo
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2 AND PAI30USE = 2 AND TRA30USE = 2
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1 I bought it at a store, restauran
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BACC02 [IF BACC01=6] Please answer
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BACC05a fill]. That would make you
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DK/REF UPDATE: IF WBACC04 = 1, THEN
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Back-End Demographics INTRODM2 For
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9 THE DISTRICT OF COLUMBIA (WASHING
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QD17 The next questions are about s
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0 KINDERGARTEN OR LOWER 1 1 ST GRAD
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ALLOW 200 CHARACTERS. HARD ERROR IF
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QD26 [IF CURNTAGE = 15 OR OLDER] Th
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INOC06 [IF QD26 =1 OR QD27 = 1 AND
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INOC07 [IF QD33 = 1 AND (QD39b AND
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1 LESS THAN 10 PEOPLE 2 10-24 PEOPL
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QD54 Altogether, how many people li
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HIGHLIGHT ‘SUPPRESS’ AND PRESS
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[BIOBRO AND R MORE THAN 25 YEARS AP
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[ENTER]. SUPPGIL [IF FI CHOOSES TO
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RESPONDENT. PLEASE VERIFY THE NUMBE
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PROXYINT PROXY INFORMATION The next
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8 [ROSTER FILL] 9 [ROSTER FILL] 10
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SAMPLE MEMBER POSS = “your mother
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IF FIPE4 =30 THEN MEDIFILL = NONE I
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Military health care refers to heal
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QI05N [IF SAMPLE B] [IF NO FAMILY M
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1 YES 2 NO DK/REF QI06B [IF SAMPLE
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IF FIPE4 = 39 THEN TANFFILL = Penns
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getting a job, placement in educati
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Rental Income: Income received from
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QI16B [IF SAMPLE A AND AT LEAST 1 O
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INTROTIN [IF SAMPLE A] The next two
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IF QI08 = 1 OR QI09A=1 OR QI09B =1,
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14 $13,000 - $13,999 15 $14,000 - $
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FOLLWINT [IF THIS IS A T2 RELIABILI
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show that I did the interview. [SHO
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1 RESPONDENT AGREES TO RECONTACT 2
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FIDBFINTR DO NOT READ THIS TO R. Th
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INCENT06 Do you think you would hav
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in the room. 1 COMPLETELY PRIVATE
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