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

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Do not include lump sum payments, such as money from an inheritance or the sale of a home. 1 YES 2 NO DK/REF INTERVIEWER NOTE: Alimony: Money received periodically from a former spouse following a divorce or separation. Do not include WIC, free/reduced school lunches, or financial aid for college expenses. QI18B [IF SAMPLE A AND AT LEAST 1 FAMILY MEMBER IN ROSTER AND QI17 NE 1 AND QI01=1 AND QI03=1 AND QI05=1 AND QI08=1 AND QI10=1 AND QI13=1 AND QI15=1] [IF QI17 NE 1 AND (QI01=1 AND QI03=1 AND QI05=1 AND QI08=1 AND QI10=1 AND QI13=1 AND QI15=1) AND ONLY 1 FAMILY MEMBER IN ROSTER AND HASJOIN = 1] In [CURRENT YEAR - 1], did you receive income from any other sources, such as Veterans Administration payments, worker’s or unemployment compensation, alimony, other disability, retirement or survivor pension other than Social Security or Railroad Retirement? [IF QI17 NE 1 AND (QI01=1 AND QI03=1 AND QI05=1 AND QI08=1 AND QI10=1 AND QI13=1 AND QI15=1) AND ONLY 1 FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] In [CURRENT YEAR - 1], did your [FAMILY RELATIONSHIP FILL] receive income from any other sources, such as Veterans Administration payments, worker’s or unemployment compensation, alimony, other disability, retirement or survivor pension other than Social Security or Railroad Retirement? [IF QI17 NE 1 AND (QI01=1 AND QI03=1 AND QI05=1 AND QI08=1 AND QI10=1 AND QI13=1 AND QI15=1) AND MORE THAN 1 FAMILY MEMBER IN ROSTER] In [CURRENT YEAR - 1], did [(your/SAMPLE MEMBER’S) POSS] [FAMILY RELATIONSHIP FILLS] receive income from any other sources, such as Veterans Administration payments, worker’s or unemployment compensation, alimony, other disability, retirement or survivor pension other than Social Security or Railroad Retirement? Do not include lump sum payments, such as money from an inheritance or the sale of a home. 1 YES 2 NO DK/REF CREATE INCFILLP: IF QI01 = 1, INCFILLP1= Social Security. ELSE INCFILLP1=BLANK. IF QI03 = 1, INCFILLP2= SSI. ELSE INCFILLP2=BLANK. IF QI05 = 1, INCFILLP3= wages from employment. ELSE INCFILLP3=BLANK. IF QI08 = 1, INCFILLP4= public assistance. ELSE INCFILLP4=BLANK. IF QI13 = 1, INCFILLP5= savings or dividend income. ELSE INCFILLP5=BLANK. IF QI15 = 1, INCFILLP6= child support. ELSE INCFILLP6=BLANK. IF QI17 = 1, INCFILLP7= other income. ELSE INCFILLP7 =BLANK. INTERVIEWER NOTE: Alimony: Money received periodically from a former spouse following a divorce or separation. Do not include WIC, free/reduced school lunches, or financial aid for college expenses. December 2, 2005 429
INTROTIN [IF SAMPLE A] The next two questions are about [(your/SAMPLE MEMBER’S) POSS] total personal income from all sources during [CURRENT YEAR - 1] before taxes and other deductions. [IF INCFILLP NE BLANK] Please include money from[ INCFILLP1, INCFILLP2, INCFILLP3, and INCFILLP UNTIL ALL INCFILLPS INSERTED] that we just talked about. PRESS [ENTER] TO CONTINUE. QI20 [IF SAMPLE A] Before taxes and other deductions, was [(your/SAMPLE MEMBER’S) POSS] total personal income during [CURRENT YEAR - 1] more or less than 20,000 dollars? (Income data are important in analyzing the health information we collect. For example, the information helps us to learn whether persons in one income group use certain types of medical care services or have conditions more or less often than those in another group.) 1 $20,000 OR MORE 2 LESS THAN $20,000 DK/REF INTERVIEWER NOTE: Do not include money received from loans or tax refunds. INTRTINN [IF SAMPLE B] HAND R SHOWCARD 16a. Here is a list of some other sources of income. When you answer the next questions, please consider these as well as the other sources that we just talked about. INTERVIEWER: PLEASE READ THIS ALOUD TO THE RESPONDENT AS HE/SHE FOLLOWS ALONG ON THE SHOWCARD. Social Security payments Railroad Retirement payments Veteran’s Administration payments Other disability, retirement or survivor pension Unemployment or worker’s compensation Interest income Dividends from stocks or mutual funds Income from rental properties, royalties, estates or trusts Alimony Child support PRESS [ENTER] TO CONTINUE. QI20N [IF SAMPLE B] [IF NO FAMILY MEMBERS IN ROSTER] Before taxes and other deductions, was your total personal income from all sources during [CURRENT YEAR - 1] more or less than 20,000 dollars? [IF AT LEAST ONE FAMILY MEMBER IN ROSTER] First I am going to ask about [SAMPLE MEMBER POSS] own personal income, and then I will ask about your family income. Before taxes and other deductions, was [SAMPLE MEMBER POSS] total personal income from all sources during [CURRENT YEAR – 1] more or less than 20,000 dollars? (Income data are important in analyzing the health information we collect. For example, the information helps us to learn whether persons in one income group use certain types of medical care services or have conditions more or less often than those in another group.) 1 $20,000 OR MORE 2 LESS THAN $20,000 DK/REF INTERVIEWER NOTE: Do not include money received from loans or tax refunds. HAND18a [IF QI20=2 OR QI20N = 2] HAND R SHOWCARD 17. PRESS [ENTER] TO CONTINUE. December 2, 2005 430
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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
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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
Page 385 and 386: 9 THE DISTRICT OF COLUMBIA (WASHING
Page 387 and 388: QD17 The next questions are about s
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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
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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 and 418: December 2, 2005 410
Page 419 and 420: IF FIPE4 =30 THEN MEDIFILL = NONE I
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: QI16B [IF SAMPLE A AND AT LEAST 1 O
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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