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

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

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YD66c<br />

[IF YD38 = 1] How much did your [FEELNOUN] cause problems with your ability to get along with your family<br />

during that time?<br />

You can use any number between 0 <strong>and</strong> 10 to answer. If this activity doesn’t apply to you, type in 95.<br />

No<br />

Very Severe<br />

Problems Mild Moderate Severe Problems<br />

│<br />

│<br />

0 1 2 3 4 5 6 7 8 9 10<br />

NUMBER: ______________[RANGE: 0-10, 95]<br />

DK/REF<br />

YD66d [IF YD38 = 1] How much did your [FEELNOUN] cause problems with your social life during that time?<br />

You can use any number between 0 <strong>and</strong> 10 to answer. If this activity doesn’t apply to you, type in 95.<br />

No<br />

Very Severe<br />

Problems Mild Moderate Severe Problems<br />

│<br />

│<br />

0 1 2 3 4 5 6 7 8 9 10<br />

NUMBER: ______________[RANGE: 0-10, 95]<br />

DK/REF<br />

YD68 [IF ANY RESPONSES TO YD66a – YD66d = 1-10 OR DK/REF] About how many days out of 365 in the past 12<br />

months were you totally unable to go to school or work or carry out your normal activities because of your<br />

[FEELNOUN]?<br />

You can use any number between 0 <strong>and</strong> 365 to answer.<br />

# OF DAYS:__________ [RANGE: 0-365]<br />

DK/REF<br />

YD86<br />

[IF YD38 NE BLANK] Here is a list of professionals some people talk to about the problems we have been<br />

asking about:<br />

General practitioner or family doctor<br />

Other medical doctor like a cardiologist, gynecologist, urologist<br />

Psychologist<br />

Psychiatrist or psychotherapist<br />

Social Worker<br />

Counselor<br />

Other mental health professional, like a mental health nurse<br />

A nurse, occupational therapist, or other health professional<br />

A religious or spiritual advisor like a minister, priest, or rabbi<br />

Another healer, like an herbalist, chiropractor, acupuncturist, or massage therapist<br />

At any time in the past 12 months, did you see or talk to a medical doctor or other professional about your<br />

[FEELNOUN]?<br />

YD86a<br />

1 Yes<br />

2 No<br />

DK/REF<br />

[IF YD86 = 1] During the past 12 months, which professionals did you see or talk to about [NUMPROBS] with your<br />

mood?<br />

To select more than one professional from the list, press the space bar between each number you type. When you have<br />

finished, press the [ENTER] key to go to the next question.<br />

1 General practitioner or family doctor<br />

December 2, 2005 362

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