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

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TOPROXY [IF HASJOIN = 1] WHEN [QP02 FILL] HAS JOINED YOU. The next questions are about [SAMPLE MEMBER’S POSS] health insurance coverage and the kinds and amounts of income that [SAMPLE MEMBER] and other people in your family receive. [IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] WHEN [QP02 FILL] HAS JOINED YOU. The next questions are about [SAMPLE MEMBER POSS] health insurance coverage and the kinds and amounts of income that [SAMPLE MEMBER] and you receive. (This information will help in planning health care services and finding ways to lower costs of care.) PRESS [ENTER] TO CONTINUE. QHI01 [IF QP03 = 2 OR DK/REF OR QP04 = 2 OR DK/REF OR HASJOIN = 2 OR DK/REF ADD THIS TEXT PRIOR TO THE QUESTION: Since your [QP02 FILL] is not available, I’d like you to answer these next questions the best you can.] Several government programs provide medical care or help pay medical bills. Medicare is a health insurance program for persons aged 65 and older and for certain disabled persons. (Are you/Is [SAMPLE MEMBER A]) covered by Medicare? 1 YES 2 NO DK/REF QHI01v [IF QHI01 = 1 AND CURNTAGE < 65] You have indicated that [you are/SAMPLE MEMBER B is] covered by Medicare, which is a health insurance program for persons aged 65 and older and for certain disabled persons. Is this correct? 1 YES 2 NO DK/REF DEFINE MEDIFILL: IF FIPE4 =1 THEN MEDIFILL = Patient 1 st , “Better Access for You”, BAY Health Plan, BAY Program, or SOBRA IF FIPE4 =2 THEN MEDIFILL = Alaska Division of Medical Assistance, CAMA, or Pro-West IF FIPE4 =3 THEN MEDIFILL = AHCCCS or Arizona Health Care Cost Containment System IF FIPE4 =4 THEN MEDIFILL = ConnectCare IF FIPE4 =5 THEN MEDIFILL = Medi-Cal IF FIPE4 =6 THEN MEDIFILL = NONE IF FIPE4 =7 THEN MEDIFILL = Connecticut Access IF FIPE4 =8 THEN MEDIFILL = The Delaware Medical Assistance Program IF FIPE4 =9 THEN MEDIFILL = HSCSN or Health Alliance DC Healthcare Alliance, Health Care Safety Net, or HCSNA IF FIPE4 =10 THEN MEDIFILL = MediPass IF FIPE4 =11 THEN MEDIFILL = Georgia Better Health Care IF FIPE4 =12 THEN MEDIFILL = Med-Quest or Quest Med-QUEST, Hawaii QUEST, or QUEST IF FIPE4 =13 THEN MEDIFILL = Healthy Connections IF FIPE4 =14 THEN MEDIFILL = MediPlan Plus IF FIPE4 =15 THEN MEDIFILL = Hoosier Healthwise IF FIPE4 =16 THEN MEDIFILL = MediPass IF FIPE4 =17 THEN MEDIFILL = HealthConnect or PrimeCare HealthWave IF FIPE4 =18 THEN MEDIFILL = The Kentucky Patient Access and Care System, KenPAC, Kentucky Medicaid, or the Passport Health Plan IF FIPE4 =19 THEN MEDIFILL = Louisiana Health Access or LHA IF FIPE4 =20 THEN MEDIFILL = MaineCare IF FIPE4 =21 THEN MEDIFILL = Health Choice Maryland Medical Assistance or HealthChoice IF FIPE4 =22 THEN MEDIFILL = MassHealth IF FIPE4 =23 THEN MEDIFILL = NONE IF FIPE4 =24 THEN MEDIFILL = The Medical Assistance Program, MinnesotaCare, or General Assistance Medical Care IF FIPE4 =25 THEN MEDIFILL = HealthMACS IF FIPE4 =26 THEN MEDIFILL = MCPlus MC+, Medical Assistance for Families, or MAF IF FIPE4 =27 THEN MEDIFILL = Passport to Health IF FIPE4 =28 THEN MEDIFILL = Nebraska Health Connection or NHC IF FIPE4 =29 THEN MEDIFILL = NONE December 2, 2005 411
IF FIPE4 =30 THEN MEDIFILL = NONE IF FIPE4 =31 THEN MEDIFILL = New Jersey Care 2000 Plus or NJ Family Care IF FIPE4 =32 THEN MEDIFILL = The SALUD! Program or New Mexico Medicaid IF FIPE4 =33 THEN MEDIFILL = Family Health Plus, Healthy New York, or NY State Partnership for Long Term Care NONE IF FIPE4 =34 THEN MEDIFILL = Carolina Access, Baby Love, or Health Check IF FIPE4 =35 THEN MEDIFILL = NONE IF FIPE4 =36 THEN MEDIFILL = NONE IF FIPE4 =37 THEN MEDIFILL = SoonerCare IF FIPE4 =38 THEN MEDIFILL = The Oregon Medical Assistance Program, OMAP, Oregon Health Plan, or OHP IF FIPE4 =39 THEN MEDIFILL = NONE Health Choices IF FIPE4 =40 THEN MEDIFILL = RIte Care RIteCare IF FIPE4 =41 THEN MEDIFILL = NONE IF FIPE4 =42 THEN MEDIFILL = NONE IF FIPE4 =43 THEN MEDIFILL = TennCare IF FIPE4 =44 THEN MEDIFILL = State of Texas Access Reform, STAR, or Star Plus IF FIPE4 =45 THEN MEDIFILL = The Utah Medical Assistance Program or UMAP IF FIPE4 =46 THEN MEDIFILL = The Vermont Health Access Plan or VHAP IF FIPE4 =47 THEN MEDIFILL = NONE IF FIPE4 =48 THEN MEDIFILL = Healthy Options IF FIPE4 =49 THEN MEDIFILL = Physician Assured Access System, PAAS, or Mountain Health Trust IF FIPE4 =50 THEN MEDIFILL = NONE IF FIPE4 =51 THEN MEDIFILL = NONE ELSE MEDIFILL = BLANK QHI02 Medicaid is a public assistance program that pays for medical care for low income and disabled persons. [IF MEDIFILL NE NONE] The Medicaid program in [STATE FILL] is also called [MEDIFILL]. (Are you/Is [SAMPLE MEMBER A]) covered by Medicaid? 1 YES 2 NO DK/REF INTERVIEWER NOTE: Medicaid refers to a medical assistance program that provides health care coverage to low income and disabled persons. Most states refer to Medicaid as Medical Assistance. QHI02v [IF QHI02 = 1 AND CURNTAGE = 65 OR OLDER] You have indicated that [you are/SAMPLE MEMBER B is] covered by Medicaid, which is a public assistance program that pays for medical care for low income and disabled persons. Is this correct? 1 YES 2 NO DK/REF DEFINE CHIPFILL: IF FIPE4 = 1 THEN CHIPFILL =AL-Kids, AL-Kids Plus, ALL KIDS, or SOBRA IF FIPE4 = 2 THEN CHIPFILL = Denali KidCare IF FIPE4 = 3 THEN CHIPFILL = KidsCare IF FIPE4 = 4 THEN CHIPFILL = ARKids First or Child Health Insurance Program IF FIPE4 = 5 THEN CHIPFILL = The Healthy Families Program or HFP IF FIPE4 = 6 THEN CHIPFILL = Child Health Plan Plus, or CHP+ IF FIPE4 = 7 THEN CHIPFILL = The HUSKY Plan, HUSKY PLUS, Husky Part A, or Husky Part B IF FIPE4 = 8 THEN CHIPFILL = The Delaware Healthy Children Program or DHCP IF FIPE4 = 9 THEN CHIPFILL = DC Healthy Families IF FIPE4 = 10 THEN CHIPFILL = Florida KidCare IF FIPE4 = 11 THEN CHIPFILL = PeachCare for Kids IF FIPE4 = 12 THEN CHIPFILL = SCHIPS Hawaii QUEST IF FIPE4 = 13 THEN CHIPFILL = Children’s Health Insurance Program IF FIPE4 = 14 THEN CHIPFILL = KidCare, KidCare Assist, KidCare Share or KidCare Premium IF FIPE4 = 15 THEN CHIPFILL = Hoosier Healthwise Package “C” IF FIPE4 = 16 THEN CHIPFILL = Healthy and Well Kids in Iowa or HAWK - I IF FIPE4 = 17 THEN CHIPFILL = HealthWave IF FIPE4 = 18 THEN CHIPFILL = KCHIP or Kentucky Children’s Health Insurance Program December 2, 2005 412
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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
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HARD ERROR: [IF LU13c > CURRENT MON
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2 CURRENT YEAR - 1 DK/REF LU14c [IF
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LUCC32 [IF LUCC31 = 6] Please answe
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UPDATE: IF LUEC08 NE (6, BLANK OR D
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5 May 6 June 7 July 8 August 9 Sept
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either of these ways. Is this corre
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10 October 11 November 12 December
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prescription tranquilizer that was
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UPDATE: IF LUTR07a NE (0 OR DK/RE)
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UPDATE: IF LUST06 = 1, THEN AGELSTS
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8 August 9 September 10 October 11
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LU21b [IF AGELSTSV = CURNTAGE - 1 A
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LU22 [IF AGE1STCG = AGE1STAL NE AGE
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_____________ DK/REF LU28SP [IF ANY
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10 I got the stimulants in some oth
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Methamphetamine. [IF (MORE THAN ONE
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_____________ DK/REF LU36SP [IF ANY
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TX04b [IF TX03 NE BLANK] During the
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TX04i1 [IF TX03 = 3 AND TX04i = 1]
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TX20 [IF (SV01 = 1 OR SV02 = 1 OR S
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To select more than one reason from
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1 Yes 2 No DK/REF TX34 [IF ST01 =1
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5 You left because your family need
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[IF (TX01 = 1 AND TX07 = 1) OR TX38
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2 No DK/REF TX47a [IF TX47 = 1] How
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FROM THE LIST. TO MAKE THIS BOX DIS
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hospital for mental health care? #
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DK/REF ADMT15 [IF ADMT14 = 6] Pleas
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To select more than one reason from
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Your religious beliefs are a very i
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2 No DK/REF pe02d [IF PE01a = 1 OR
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YE14 [IF YE09 = 1 OR YE09a = 1] Dur
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3 3 to 5 times 4 6 to 9 times 5 10
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DK/REF YE20b [IF CURNTAGE = 12 - 17
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1 Yes 2 No DK/REF YE24c [IF YE09 =
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DSDOWN [IF CURNTAGE = 18 OR OLDER]
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IF (AD01b = 2 OR DK/REF) THEN FEELF
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[IF AD22c NE BLANK] In answering th
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1 Yes 2 No DK/REF AD26m [IF AD26l =
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ELSE IF AD26G = 2 AND AD26H = 2, TH
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0 1 2 3 4 5 6 7 8 9 10 DK/REF, 95 A
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1 Yes 2 No DK/REF YSU05 [IF YSU04=1
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DK/REF YSU12a [IF ANY ENTRY IN YSU1
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YSU19 [IF CURNTAGE = 12 -17] During
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1 You thought about killing yoursel
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DEFINE FEELFILL: IF (YD01a = 1), TH
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YD24a [IF YD22a NE BLANK] In answer
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DK/REF YD26m [IF YD26l = 1] Did any
Page 367 and 368: DEFINE D_MDEA5Y: IF YD26M = 1 OR YD
Page 369 and 370: YD66c [IF YD38 = 1] How much did yo
Page 371 and 372: December 2, 2005 364
Page 373 and 374: 2 AND PAI30USE = 2 AND TRA30USE = 2
Page 375 and 376: 1 I bought it at a store, restauran
Page 377 and 378: BACC02 [IF BACC01=6] Please answer
Page 379 and 380: BACC05a fill]. That would make you
Page 381 and 382: DK/REF UPDATE: IF WBACC04 = 1, THEN
Page 383 and 384: Back-End Demographics INTRODM2 For
Page 385 and 386: 9 THE DISTRICT OF COLUMBIA (WASHING
Page 387 and 388: QD17 The next questions are about s
Page 389 and 390: 0 KINDERGARTEN OR LOWER 1 1 ST GRAD
Page 391 and 392: ALLOW 200 CHARACTERS. HARD ERROR IF
Page 393 and 394: QD26 [IF CURNTAGE = 15 OR OLDER] Th
Page 395 and 396: INOC06 [IF QD26 =1 OR QD27 = 1 AND
Page 397 and 398: INOC07 [IF QD33 = 1 AND (QD39b AND
Page 399 and 400: 1 LESS THAN 10 PEOPLE 2 10-24 PEOPL
Page 401 and 402: QD54 Altogether, how many people li
Page 403 and 404: HIGHLIGHT ‘SUPPRESS’ AND PRESS
Page 405 and 406: [BIOBRO AND R MORE THAN 25 YEARS AP
Page 407 and 408: [ENTER]. SUPPGIL [IF FI CHOOSES TO
Page 409 and 410: RESPONDENT. PLEASE VERIFY THE NUMBE
Page 411 and 412: PROXYINT PROXY INFORMATION The next
Page 413 and 414: 8 [ROSTER FILL] 9 [ROSTER FILL] 10
Page 415 and 416: SAMPLE MEMBER POSS = “your mother
Page 417: December 2, 2005 410
Page 421 and 422: Military health care refers to heal
Page 425 and 426: QI05N [IF SAMPLE B] [IF NO FAMILY M
Page 427 and 428: 1 YES 2 NO DK/REF QI06B [IF SAMPLE
Page 429 and 430: IF FIPE4 = 39 THEN TANFFILL = Penns
Page 431 and 432: getting a job, placement in educati
Page 433 and 434: Rental Income: Income received from
Page 435 and 436: QI16B [IF SAMPLE A AND AT LEAST 1 O
Page 437 and 438: INTROTIN [IF SAMPLE A] The next two
Page 439 and 440: IF QI08 = 1 OR QI09A=1 OR QI09B =1,
Page 441 and 442: 14 $13,000 - $13,999 15 $14,000 - $
Page 443 and 444: FOLLWINT [IF THIS IS A T2 RELIABILI
Page 447 and 448: show that I did the interview. [SHO
Page 449 and 450: 1 RESPONDENT AGREES TO RECONTACT 2
Page 451 and 452: FIDBFINTR DO NOT READ THIS TO R. Th
Page 453 and 454: INCENT06 Do you think you would hav
Page 455: in the room. 1 COMPLETELY PRIVATE
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2006 NSDUH CAI Specs for Programming - Substance Abuse and ...

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