Concepts, definitions and data quality

The Monthly Survey of Manufacturing (MSM) publishes statistical series for manufacturers – sales of goods manufactured, inventories, unfilled orders and new orders. The values of these characteristics represent current monthly estimates of the more complete Annual Survey of Manufactures and Logging (ASML) data.

The MSM is a sample survey of approximately 10,500 Canadian manufacturing establishments, which are categorized into over 220 industries. Industries are classified according to the 2012 North American Industrial Classification System (NAICS). Seasonally adjusted series are available for the main aggregates.

An establishment comprises the smallest manufacturing unit capable of reporting the variables of interest. Data collected by the MSM provides a current ‘snapshot’ of sales of goods manufactured values by the Canadian manufacturing sector, enabling analysis of the state of the Canadian economy, as well as the health of specific industries in the short- to medium-term. The information is used by both private and public sectors including Statistics Canada, federal and provincial governments, business and trade entities, international and domestic non-governmental organizations, consultants, the business press and private citizens. The data are used for analyzing market share, trends, corporate benchmarking, policy analysis, program development, tax policy and trade policy.

1. Sales of goods manufactured

Sales of goods manufactured (formerly shipments of goods manufactured) are defined as the value of goods manufactured by establishments that have been shipped to a customer. Sales of goods manufactured exclude any wholesaling activity, and any revenues from the rental of equipment or the sale of electricity. Note that in practice, some respondents report financial transactions rather than payments for work done. Sales of goods manufactured are available by 3-digit NAICS, for Canada and broken down by province.

For the aerospace product and parts, and shipbuilding industries, the value of production is used instead of sales of goods manufactured. This value is calculated by adjusting monthly sales of goods manufactured by the monthly change in inventories of goods / work in process and finished goods manufactured. Inventories of raw materials and components are not included in the calculation since production tries to measure "work done" during the month. This is done in order to reduce distortions caused by the sales of goods manufactured of high value items as completed sales.

2. Inventories

Measurement of component values of inventory is important for economic studies as well as for derivation of production values. Respondents are asked to report their book values (at cost) of raw materials and components, any goods / work in process, and finished goods manufactured inventories separately. In some cases, respondents estimate a total inventory figure, which is allocated on the basis of proportions reported on the ASML. Inventory levels are calculated on a Canada‑wide basis, not by province.

3. Orders

a) Unfilled Orders

Unfilled orders represent a backlog or stock of orders that will generate future sales of goods manufactured assuming that they are not cancelled. As with inventories, unfilled orders and new orders levels are calculated on a Canada‑wide basis, not by province.

The MSM produces estimates for unfilled orders for all industries except for those industries where orders are customarily filled from stocks on hand and order books are not generally maintained. In the case of the aircraft companies, options to purchase are not treated as orders until they are entered into the accounting system.

b) New Orders

New orders represent current demand for manufactured products. Estimates of new orders are derived from sales of goods manufactured and unfilled orders data. All sales of goods manufactured within a month result from either an order received during the month or at some earlier time. New orders can be calculated as the sum of sales of goods manufactured adjusted for the monthly change in unfilled orders.

4. Non-Durable / Durable goods

a) Non-durable goods industries include:

Food (NAICS 311),
Beverage and Tobacco Products (312),
Textile Mills (313),
Textile Product Mills (314),
Clothing (315),
Leather and Allied Products (316),
Paper (322),
Printing and Related Support Activities (323),
Petroleum and Coal Products (324),
Chemicals (325) and
Plastic and Rubber Products (326).

b) Durable goods industries include:

Wood Products (NAICS 321),
Non-Metallic Mineral Products (327),
Primary Metals (331),
Fabricated Metal Products (332),
Machinery (333),
Computer and Electronic Products (334),
Electrical Equipment, Appliance and Components (335),
Transportation Equipment (336),
Furniture and Related Products (337) and
Miscellaneous Manufacturing (339).

Survey design and methodology

Concept Review

In 2007, the MSM terminology was updated to be Charter of Accounts (COA) compliant. With the August 2007 reference month release the MSM has harmonized its concepts to the ASML. The variable formerly called “Shipments” is now called “Sales of goods manufactured”. As well, minor modifications were made to the inventory component names. The definitions have not been modified nor has the information collected from the survey.

Methodology

The latest sample design incorporates the 2012 North American Industrial Classification Standard (NAICS). Stratification is done by province with equal quality requirements for each province. Large size units are selected with certainty and small units are selected with a probability based on the desired quality of the estimate within a cell.

The estimation system generates estimates using the NAICS. The estimates will also continue to be reconciled to the ASML. Provincial estimates for all variables will be produced. A measure of quality (CV) will also be produced.

Components of the Survey Design

Target Population and Sampling Frame

Statistics Canada’s business register provides the sampling frame for the MSM. The target population for the MSM consists of all statistical establishments on the business register that are classified to the manufacturing sector (by NAICS). The sampling frame for the MSM is determined from the target population after subtracting establishments that represent the bottom 5% of the total manufacturing sales of goods manufactured estimate for each province. These establishments were excluded from the frame so that the sample size could be reduced without significantly affecting quality.

The Sample

The MSM sample is a probability sample comprised of approximately 10,500 establishments. A new sample was chosen in the autumn of 2012, followed by a six-month parallel run (from reference month September 2012 to reference month February 2013). The refreshed sample officially became the new sample of the MSM effective in December 2012.

This marks the first process of refreshing the MSM sample since 2007. The objective of the process is to keep the sample frame as fresh and up-to date as possible. All establishments in the sample are refreshed to take into account changes in their value of sales of goods manufactured, the removal of dead units from the sample and some small units are rotated out of the GST-based portion of the sample, while others are rotated into the sample.

Prior to selection, the sampling frame is subdivided into industry-province cells. For the most part, NAICS codes were used. Depending upon the number of establishments within each cell, further subdivisions were made to group similar sized establishments’ together (called stratum). An establishment’s size was based on its most recently available annual sales of goods manufactured or sales value.

Each industry by province cell has a ‘take-all’ stratum composed of establishments sampled each month with certainty. This ‘take-all’ stratum is composed of establishments that are the largest statistical enterprises, and have the largest impact on estimates within a particular industry by province cell. These large statistical enterprises comprise 45% of the national manufacturing sales of goods manufactured estimates.

Each industry by province cell can have at most three ‘take-some’ strata. Not all establishments within these stratums need to be sampled with certainty. A random sample is drawn from the remaining strata. The responses from these sampled establishments are weighted according to the inverse of their probability of selection. In cells with take-some portion, a minimum sample of 10 was imposed to increase stability.

The take-none portion of the sample is now estimated from administrative data and as a result, 100% of the sample universe is covered. Estimation of the take-none portion also improved efficiency as a larger take-none portion was delineated and the sample could be used more efficiently on the smaller sampled portion of the frame.

Data Collection

Only a subset of the sample establishments is sent out for data collection. For the remaining units, information from administrative data files is used as a source for deriving sales of goods manufactured data. For those establishments that are surveyed, data collection, data capture, preliminary edit and follow-up of non-respondents are all performed in Statistics Canada regional offices. Sampled establishments are contacted by mail or telephone according to the preference of the respondent. Data capture and preliminary editing are performed simultaneously to ensure the validity of the data.

In some cases, combined reports are received from enterprises or companies with more than one establishment in the sample where respondents prefer not to provide individual establishment reports. Businesses, which do not report or whose reports contain errors, are followed up immediately.

Use of Administrative Data

Managing response burden is an ongoing challenge for Statistics Canada. In an attempt to alleviate response burden, especially for small businesses, Statistics Canada has been investigating various alternatives to survey taking. Administrative data files are a rich source of information for business data and Statistics Canada is working at mining this rich data source to its full potential. As such, effective the August 2004 reference month, the MSM reduced the number of simple establishments in the sample that are surveyed directly and instead, derives sales of goods manufactured data for these establishments from Goods and Services Tax (GST) files using a statistical model. The model accounts for the difference between sales of goods manufactured (reported to MSM) and sales (reported for GST purposes) as well as the time lag between the reference period of the survey and the reference period of the GST file.

Effective from the January 2013 reference month, the MSM derives sales of goods manufactured data for non-incorporated establishments (e.g. the self employed) from T1 files. A statistical model is used to transform T1 data into sales of goods manufactured data.

In conjunction with the most recent sample, effective December 2012, approximately 2,800 simple establishments were selected to represent the GST portion of the sample.

Inventories and unfilled orders estimates for establishments where sales of goods manufactured are GST-based are derived using the MSM’s imputation system. The imputation system applies to the previous month values, the month-to-month and year-to-year changes in similar firms which are surveyed. With the most recent sample, the eligibility rules for GST-based establishments were refined to have more GST-based establishments in industries that typically carry fewer inventories. This way the impact of the GST-based establishments which require the estimation of inventories, will be kept to a minimum.

Detailed information on the methodology used for modelling sales of goods manufactured from administrative data sources can be found in the ‘Monthly Survey of Manufacturing: Use of Administrative Data’ (Catalogue no. 31-533-XIE) document.

Data quality

Statistical Edit and Imputation

Data are analyzed within each industry-province cell. Extreme values are listed for inspection by the magnitude of the deviation from average behavior. Respondents are contacted to verify extreme values. Records that fail statistical edits are considered outliers and are not used for imputation.

Values are imputed for the non-responses, for establishments that do not report or only partially complete the survey form. A number of imputation methods are used depending on the variable requiring treatment. Methods include using industry-province cell trends, historical responses, or reference to the ASML. Following imputation, the MSM staff performs a final verification of the responses that have been imputed.

Revisions

In conjunction with preliminary estimates for the current month, estimates for the previous three months are revised to account for any late returns. Data are revised when late responses are received or if an incorrect response was recorded earlier.

Estimation

Estimates are produced based on returns from a sample of manufacturing establishments in combination with administrative data for a portion of the smallest establishments. The survey sample includes 100% coverage of the large manufacturing establishments in each industry by province, plus partial coverage of the medium and small-sized firms. Combined reports from multi-unit companies are pro-rated among their establishments and adjustments for progress billings reflect revenues received for work done on large item contracts. Approximately 2,800 of the sampled medium and small-sized establishments are not sent questionnaires, but instead their sales of goods manufactured are derived by using revenue from the GST files. The portion not represented through sampling – the take-none portion - consist of establishments below specified thresholds in each province and industry. Sub-totals for this portion are also derived based on their revenues.

Industry values of sales of goods manufactured, inventories and unfilled orders are estimated by first weighting the survey responses, the values derived from the GST files and the imputations by the number of establishments each represents. The weighted estimates are then summed with the take-none portion. While sales of goods manufactured estimates are produced by province, no geographical detail is compiled for inventories and orders since many firms cannot report book values of these items monthly.

Benchmarking

Up to and including 2003, the MSM was benchmarked to the Annual Survey of Manufactures and Logging (ASML). Benchmarking was the regular review of the MSM estimates in the context of the annual data provided by the ASML. Benchmarking re-aligned the annualized level of the MSM based on the latest verified annual data provided by the ASML.

Significant research by Statistics Canada in 2006-2007 was completed on whether the benchmark process should be maintained. The conclusion was that benchmarking of the MSM estimates to the ASML should be discontinued. With the refreshing of the MSM sample in 2007, it was determined that benchmarking would no longer be required (retroactive to 2004) because the MSM now accurately represented 100% of the sample universe. Data confrontation will continue between MSM and ASML to resolve potential discrepancies.

As of the December 2012 reference month, a new sample was introduced. It is standard practice that every few years the sample is refreshed to ensure that the survey frame is up to date with births, deaths and other changes in the population. The refreshed sample is linked at the detailed level to prevent data breaks and to ensure the continuity of time series. It is designed to be more representative of the manufacturing industry at both the national and provincial levels.

Data confrontation and reconciliation

Each year, during the period when the Annual Survey of Manufactures and Logging section set their annual estimates, the MSM section works with the ASML section to confront and reconcile significant differences in values between the fiscal ASML and the annual MSM at the strata and industry level.

The purpose of this exercise of data reconciliation is to highlight and resolve significant differences between the two surveys and to assist in minimizing the differences in the micro-data between the MSM and the ASML.

Sampling and Non-sampling Errors

The statistics in this publication are estimates derived from a sample survey and, as such, can be subject to errors. The following material is provided to assist the reader in the interpretation of the estimates published.

Estimates derived from a sample survey are subject to a number of different kinds of errors. These errors can be broken down into two major types: sampling and non-sampling.

1. Sampling Errors

Sampling errors are an inherent risk of sample surveys. They result from the difference between the value of a variable if it is randomly sampled and its value if a census is taken (or the average of all possible random values). These errors are present because observations are made only on a sample and not on the entire population.

The sampling error depends on factors such as the size of the sample, variability in the population, sampling design and method of estimation. For example, for a given sample size, the sampling error will depend on the stratification procedure employed, allocation of the sample, choice of the sampling units and method of selection. (Further, even for the same sampling design, we can make different calculations to arrive at the most efficient estimation procedure.) The most important feature of probability sampling is that the sampling error can be measured from the sample itself.

2. Non-sampling Errors

Non-sampling errors result from a systematic flaw in the structure of the data-collection procedure or design of any or all variables examined. They create a difference between the value of a variable obtained by sampling or census methods and the variable’s true value. These errors are present whether a sample or a complete census of the population is taken. Non-sampling errors can be attributed to one or more of the following sources:

a) Coverage error: This error can result from incomplete listing and inadequate coverage of the population of interest.

b) Data response error: This error may be due to questionnaire design, the characteristics of a question, inability or unwillingness of the respondent to provide correct information, misinterpretation of the questions or definitional problems.

c) Non-response error: Some respondents may refuse to answer questions, some may be unable to respond, and others may be too late in responding. Data for the non-responding units can be imputed using the data from responding units or some earlier data on the non-responding units if available.

The extent of error due to imputation is usually unknown and is very much dependent on any characteristic differences between the respondent group and the non-respondent group in the survey. This error generally decreases with increases in the response rate and attempts are therefore made to obtain as high a response rate as possible.

d) Processing error: These errors may occur at various stages of processing such as coding, data entry, verification, editing, weighting, and tabulation, etc. Non-sampling errors are difficult to measure. More important, non-sampling errors require control at the level at which their presence does not impair the use and interpretation of the results.

Measures have been undertaken to minimize the non-sampling errors. For example, units have been defined in a most precise manner and the most up-to-date listings have been used. Questionnaires have been carefully designed to minimize different interpretations. As well, detailed acceptance testing has been carried out for the different stages of editing and processing and every possible effort has been made to reduce the non-response rate as well as the response burden.

Measures of Sampling and Non-sampling Errors

1. Sampling Error Measures

The sample used in this survey is one of a large number of all possible samples of the same size that could have been selected using the same sample design under the same general conditions. If it was possible that each one of these samples could be surveyed under essentially the same conditions, with an estimate calculated from each sample, it would be expected that the sample estimates would differ from each other.

The average estimate derived from all these possible sample estimates is termed the expected value. The expected value can also be expressed as the value that would be obtained if a census enumeration were taken under identical conditions of collection and processing. An estimate calculated from a sample survey is said to be precise if it is near the expected value.

Sample estimates may differ from this expected value of the estimates. However, since the estimate is based on a probability sample, the variability of the sample estimate with respect to its expected value can be measured. The variance of an estimate is a measure of the precision of the sample estimate and is defined as the average, over all possible samples, of the squared difference of the estimate from its expected value.

The standard error is a measure of precision in absolute terms. The coefficient of variation (CV), defined as the standard error divided by the sample estimate, is a measure of precision in relative terms. For comparison purposes, one may more readily compare the sampling error of one estimate to the sampling error of another estimate by using the coefficient of variation.

In this publication, the coefficient of variation is used to measure the sampling error of the estimates. However, since the coefficient of variation published for this survey is calculated from the responses of individual units, it also measures some non-sampling error.

The formula used to calculate the published coefficients of variation (CV) in Table 1 is:

CV(X) = S(X)/X

where X denotes the estimate and S(X) denotes the standard error of X.

In this publication, the coefficient of variation is expressed as a percentage.

Confidence intervals can be constructed around the estimate using the estimate and the coefficient of variation. Thus, for our sample, it is possible to state with a given level of confidence that the expected value will fall within the confidence interval constructed around the estimate. For example, if an estimate of $12,000,000 has a coefficient of variation of 10%, the standard error will be $1,200,000 or the estimate multiplied by the coefficient of variation. It can then be stated with 68% confidence that the expected value will fall within the interval whose length equals the standard deviation about the estimate, i.e., between $10,800,000 and $13,200,000. Alternatively, it can be stated with 95% confidence that the expected value will fall within the interval whose length equals two standard deviations about the estimate, i.e., between $9,600,000 and $14,400,000.

Text table 1 contains the national level CVs, expressed as a percentage, for all manufacturing for the MSM characteristics. For CVs at other aggregate levels, contact the Dissemination and Frame Services Section at (613) 951-9497, toll free: 1-866-873-8789 or by e-mail at manufact@statcan.gc.ca.

Text table 1
National Level CVs by Characteristic
Table summary
This table displays the results of National Level CVs by Characteristic. The information is grouped by MONTH (appearing as row headers), Sales of goods manufactured, Raw materials and components inventories, Goods / work in process inventories, Finished goods manufactured inventories and Unfilled Orders, calculated using % units of measure (appearing as column headers).
MONTH Sales of goods manufactured Raw materials and components inventories Goods / work in process inventories Finished goods manufactured inventories Unfilled Orders
%
May 2013 0.48 0.91 1.15 1.05 0.90
June 2013 0.48 0.88 1.19 1.11 0.85
July 2013 0.93 0.89 1.12 1.09 0.84
August 2013 0.49 0.90 0.99 0.98 0.81
September 2013 0.47 0.88 1.00 1.01 0.81
October 2013 0.47 0.86 0.93 0.97 0.75
November 2013 0.49 0.89 0.94 0.94 0.74
December 2013 0.49 0.89 0.97 0.98 0.71
January 2014 0.47 0.89 0.95 0.96 0.71
February 2014 0.45 0.94 0.95 0.96 0.62
March 2014 0.47 0.94 0.96 0.93 0.63
April 2014 0.50 0.91 0.94 0.94 0.63
May 2014 0.50 0.91 0.97 0.96 0.67

2. Non-sampling Error Measures

The exact population value is aimed at or desired by both a sample survey as well as a census. We say the estimate is accurate if it is near this value. Although this value is desired, we cannot assume that the exact value of every unit in the population or sample can be obtained and processed without error. Any difference between the expected value and the exact population value is termed the bias. Systematic biases in the data cannot be measured by the probability measures of sampling error as previously described. The accuracy of a survey estimate is determined by the joint effect of sampling and non-sampling errors.

Sources of non-sampling error in the MSM include non-response error, imputation error and the error due to editing. To assist users in evaluating these errors, weighted rates are given in Text table 2. The following is an example of what is meant by a weighted rate. A cell with a sample of 20 units in which five respond for a particular month would have a response rate of 25%. If these five reporting units represented $8 million out of a total estimate of $10 million, the weighted response rate would be 80%.

The definitions for the weighted rates noted in Text table 2 follow. The weighted response and edited rate is the proportion of a characteristic’s total estimate that is based upon reported data and includes data that has been edited. The weighted imputation rate is the proportion of a characteristic’s total estimate that is based upon imputed data. The weighted GST data rate is the proportion of the characteristic’s total estimate that is derived from Goods and Services Tax files (GST files). The weighted take-none fraction rate is the proportion of the characteristic’s total estimate modeled from administrative data.

Text table 2 contains the weighted rates for each of the characteristics at the national level for all of manufacturing. In the table, the rates are expressed as percentages.

Text Table 2
National Weighted Rates by Source and Characteristic
Table summary
This table displays the results of National Weighted Rates by Source and Characteristic. The information is grouped by Characteristics (appearing as row headers), Data source, Response or edited, Imputed, GST data and Take-none fraction, calculated using % units of measure (appearing as column headers).
Characteristics Data source
Response or edited Imputed GST data Take-none fraction
%
Sales of goods manufactured 83.4 4.9 7.5 4.2
Raw materials and components 77.2 17.5 0.0 5.3
Goods / work in process 83.1 13.0 0.0 4.0
Finished goods manufactured 78.4 17.0 0.0 4.5
Unfilled Orders 89.4 7.4 0.0 3.2

Joint Interpretation of Measures of Error

The measure of non-response error as well as the coefficient of variation must be considered jointly to have an overview of the quality of the estimates. The lower the coefficient of variation and the higher the weighted response rate, the better will be the published estimate.

Seasonal Adjustment

Economic time series contain the elements essential to the description, explanation and forecasting of the behavior of an economic phenomenon. They are statistical records of the evolution of economic processes through time. In using time series to observe economic activity, economists and statisticians have identified four characteristic behavioral components: the long-term movement or trend, the cycle, the seasonal variations and the irregular fluctuations. These movements are caused by various economic, climatic or institutional factors. The seasonal variations occur periodically on a more or less regular basis over the course of a year. These variations occur as a result of seasonal changes in weather, statutory holidays and other events that occur at fairly regular intervals and thus have a significant impact on the rate of economic activity.

In the interest of accurately interpreting the fundamental evolution of an economic phenomenon and producing forecasts of superior quality, Statistics Canada uses the X12-ARIMA seasonal adjustment method to seasonally adjust its time series. This method minimizes the impact of seasonal variations on the series and essentially consists of adding one year of estimated raw data to the end of the original series before it is seasonally adjusted per se. The estimated data are derived from forecasts using ARIMA (Auto Regressive Integrated Moving Average) models of the Box-Jenkins type.

The X-12 program uses primarily a ratio-to-moving average method. It is used to smooth the modified series and obtain a preliminary estimate of the trend-cycle. It also calculates the ratios of the original series (fitted) to the estimates of the trend-cycle and estimates the seasonal factors from these ratios. The final seasonal factors are produced only after these operations have been repeated several times. The technique that is used essentially consists of first correcting the initial series for all sorts of undesirable effects, such as the trading-day and the Easter holiday effects, by a module called regARIMA. These effects are then estimated using regression models with ARIMA errors. The series can also be extrapolated for at least one year by using the model. Subsequently, the raw series, pre-adjusted and extrapolated if applicable, is seasonally adjusted by the X-12 method.

The procedures to determine the seasonal factors necessary to calculate the final seasonally adjusted data are executed every month. This approach ensures that the estimated seasonal factors are derived from an unadjusted series that includes all the available information about the series, i.e. the current month's unadjusted data as well as the previous month's revised unadjusted data.

While seasonal adjustment permits a better understanding of the underlying trend-cycle of a series, the seasonally adjusted series still contains an irregular component. Slight month-to-month variations in the seasonally adjusted series may be simple irregular movements. To get a better idea of the underlying trend, users should examine several months of the seasonally adjusted series.

The aggregated Canada level series are now seasonally adjusted directly, meaning that the seasonally adjusted totals are obtained via X12-ARIMA. Afterwards, these totals are used to reconcile the provincial total series which have been seasonally adjusted individually.

For other aggregated series, indirect seasonal adjustments are used. In other words, their seasonally adjusted totals are derived indirectly by the summation of the individually seasonally adjusted kinds of business.

Trend

A seasonally adjusted series may contain the effects of irregular influences and special circumstances and these can mask the trend. The short term trend shows the underlying direction in seasonally adjusted series by averaging across months, thus smoothing out the effects of irregular influences. The result is a more stable series. The trend for the last month may be subject to significant revision as values in future months are included in the averaging process.

Real manufacturing sales of goods manufactured, inventories, and orders

Changes in the values of the data reported by the Monthly Survey of Manufacturing (MSM) may be attributable to changes in their prices or to the quantities measured, or both. To study the activity of the manufacturing sector, it is often desirable to separate out the variations due to price changes from those of the quantities produced. This adjustment is known as deflation.

Deflation consists in dividing the values at current prices obtained from the survey by suitable price indexes in order to obtain estimates evaluated at the prices of a previous period, currently the year 2007. The resulting deflated values are said to be “at 2007 prices”. Note that the expression “at current prices” refer to the time the activity took place, not to the present time, nor to the time of compilation.

The deflated MSM estimates reflect the prices that prevailed in 2007. This is called the base year. The year 2007 was chosen as base year since it corresponds to that of the price indexes used in the deflation of the MSM estimates. Using the prices of a base year to measure current activity provides a representative measurement of the current volume of activity with respect to that base year. Current movements in the volume are appropriately reflected in the constant price measures only if the current relative importance of the industries is not very different from that in the base year.

The deflation of the MSM estimates is performed at a very fine industry detail, equivalent to the 6-digit industry classes of the North American Industry Classification System (NAICS). For each industry at this level of detail, the price indexes used are composite indexes which describe the price movements for the various groups of goods produced by that industry.

With very few exceptions the price indexes are weighted averages of the Industrial Product Price Indexes (IPPI). The weights are derived from the annual Canadian Input-Output tables and change from year to year. Since the Input-Output tables only become available with a delay of about two and a half years, the weights used for the most current years are based on the last available Input-Output tables.

The same price index is used to deflate sales of goods manufactured, new orders and unfilled orders of an industry. The weights used in the compilation of this price index are derived from the output tables, evaluated at producer’s prices. Producer prices reflect the prices of the goods at the gate of the manufacturing establishment and exclude such items as transportation charges, taxes on products, etc. The resulting price index for each industry thus reflects the output of the establishments in that industry.

The price indexes used for deflating the goods / work in process and the finished goods manufactured inventories of an industry are moving averages of the price index used for sales of goods manufactured. For goods / work in process inventories, the number of terms in the moving average corresponds to the duration of the production process. The duration is calculated as the average over the previous 48 months of the ratio of end of month goods / work in process inventories to the output of the industry, which is equal to sales of goods manufactured plus the changes in both goods / work in process and finished goods manufactured inventories.

For finished goods manufactured inventories, the number of terms in the moving average reflects the length of time a finished product remains in stock. This number, known as the inventory turnover period, is calculated as the average over the previous 48 months of the ratio of end-of-month finished goods manufactured inventory to sales of goods manufactured.

To deflate raw materials and components inventories, price indexes for raw materials consumption are obtained as weighted averages of the IPPIs. The weights used are derived from the input tables evaluated at purchaser’s prices, i.e. these prices include such elements as wholesaling margins, transportation charges, and taxes on products, etc. The resulting price index thus reflects the cost structure in raw materials and components for each industry.

The raw materials and components inventories are then deflated using a moving average of the price index for raw materials consumption. The number of terms in the moving average corresponds to the rate of consumption of raw materials. This rate is calculated as the average over the previous four years of the ratio of end-of-year raw materials and components inventories to the intermediate inputs of the industry.

Concepts, definitions and data quality

The Monthly Survey of Manufacturing (MSM) publishes statistical series for manufacturers – sales of goods manufactured, inventories, unfilled orders and new orders. The values of these characteristics represent current monthly estimates of the more complete Annual Survey of Manufactures and Logging (ASML) data.

The MSM is a sample survey of approximately 10,500 Canadian manufacturing establishments, which are categorized into over 220 industries. Industries are classified according to the 2012 North American Industrial Classification System (NAICS). Seasonally adjusted series are available for the main aggregates.

An establishment comprises the smallest manufacturing unit capable of reporting the variables of interest. Data collected by the MSM provides a current ‘snapshot’ of sales of goods manufactured values by the Canadian manufacturing sector, enabling analysis of the state of the Canadian economy, as well as the health of specific industries in the short- to medium-term. The information is used by both private and public sectors including Statistics Canada, federal and provincial governments, business and trade entities, international and domestic non-governmental organizations, consultants, the business press and private citizens. The data are used for analyzing market share, trends, corporate benchmarking, policy analysis, program development, tax policy and trade policy.

1. Sales of goods manufactured

Sales of goods manufactured (formerly shipments of goods manufactured) are defined as the value of goods manufactured by establishments that have been shipped to a customer. Sales of goods manufactured exclude any wholesaling activity, and any revenues from the rental of equipment or the sale of electricity. Note that in practice, some respondents report financial transactions rather than payments for work done. Sales of goods manufactured are available by 3-digit NAICS, for Canada and broken down by province.

For the aerospace product and parts, and shipbuilding industries, the value of production is used instead of sales of goods manufactured. This value is calculated by adjusting monthly sales of goods manufactured by the monthly change in inventories of goods / work in process and finished goods manufactured. Inventories of raw materials and components are not included in the calculation since production tries to measure "work done" during the month. This is done in order to reduce distortions caused by the sales of goods manufactured of high value items as completed sales.

2. Inventories

Measurement of component values of inventory is important for economic studies as well as for derivation of production values. Respondents are asked to report their book values (at cost) of raw materials and components, any goods / work in process, and finished goods manufactured inventories separately. In some cases, respondents estimate a total inventory figure, which is allocated on the basis of proportions reported on the ASML. Inventory levels are calculated on a Canada‑wide basis, not by province.

3. Orders

a) Unfilled Orders

Unfilled orders represent a backlog or stock of orders that will generate future sales of goods manufactured assuming that they are not cancelled. As with inventories, unfilled orders and new orders levels are calculated on a Canada‑wide basis, not by province.

The MSM produces estimates for unfilled orders for all industries except for those industries where orders are customarily filled from stocks on hand and order books are not generally maintained. In the case of the aircraft companies, options to purchase are not treated as orders until they are entered into the accounting system.

b) New Orders

New orders represent current demand for manufactured products. Estimates of new orders are derived from sales of goods manufactured and unfilled orders data. All sales of goods manufactured within a month result from either an order received during the month or at some earlier time. New orders can be calculated as the sum of sales of goods manufactured adjusted for the monthly change in unfilled orders.

4. Non-Durable / Durable goods

a) Non-durable goods industries include:

Food (NAICS 311),
Beverage and Tobacco Products (312),
Textile Mills (313),
Textile Product Mills (314),
Clothing (315),
Leather and Allied Products (316),
Paper (322),
Printing and Related Support Activities (323),
Petroleum and Coal Products (324),
Chemicals (325) and
Plastic and Rubber Products (326).

b) Durable goods industries include:

Wood Products (NAICS 321),
Non-Metallic Mineral Products (327),
Primary Metals (331),
Fabricated Metal Products (332),
Machinery (333),
Computer and Electronic Products (334),
Electrical Equipment, Appliance and Components (335),
Transportation Equipment (336),
Furniture and Related Products (337) and
Miscellaneous Manufacturing (339).

Survey design and methodology

Concept Review

In 2007, the MSM terminology was updated to be Charter of Accounts (COA) compliant. With the August 2007 reference month release the MSM has harmonized its concepts to the ASML. The variable formerly called “Shipments” is now called “Sales of goods manufactured”. As well, minor modifications were made to the inventory component names. The definitions have not been modified nor has the information collected from the survey.

Methodology

The latest sample design incorporates the 2012 North American Industrial Classification Standard (NAICS). Stratification is done by province with equal quality requirements for each province. Large size units are selected with certainty and small units are selected with a probability based on the desired quality of the estimate within a cell.

The estimation system generates estimates using the NAICS. The estimates will also continue to be reconciled to the ASML. Provincial estimates for all variables will be produced. A measure of quality (CV) will also be produced.

Components of the Survey Design

Target Population and Sampling Frame

Statistics Canada’s business register provides the sampling frame for the MSM. The target population for the MSM consists of all statistical establishments on the business register that are classified to the manufacturing sector (by NAICS). The sampling frame for the MSM is determined from the target population after subtracting establishments that represent the bottom 5% of the total manufacturing sales of goods manufactured estimate for each province. These establishments were excluded from the frame so that the sample size could be reduced without significantly affecting quality.

The Sample

The MSM sample is a probability sample comprised of approximately 10,500 establishments. A new sample was chosen in the autumn of 2012, followed by a six-month parallel run (from reference month September 2012 to reference month February 2013). The refreshed sample officially became the new sample of the MSM effective in December 2012.

This marks the first process of refreshing the MSM sample since 2007. The objective of the process is to keep the sample frame as fresh and up-to date as possible. All establishments in the sample are refreshed to take into account changes in their value of sales of goods manufactured, the removal of dead units from the sample and some small units are rotated out of the GST-based portion of the sample, while others are rotated into the sample.

Prior to selection, the sampling frame is subdivided into industry-province cells. For the most part, NAICS codes were used. Depending upon the number of establishments within each cell, further subdivisions were made to group similar sized establishments’ together (called stratum). An establishment’s size was based on its most recently available annual sales of goods manufactured or sales value.

Each industry by province cell has a ‘take-all’ stratum composed of establishments sampled each month with certainty. This ‘take-all’ stratum is composed of establishments that are the largest statistical enterprises, and have the largest impact on estimates within a particular industry by province cell. These large statistical enterprises comprise 45% of the national manufacturing sales of goods manufactured estimates.

Each industry by province cell can have at most three ‘take-some’ strata. Not all establishments within these stratums need to be sampled with certainty. A random sample is drawn from the remaining strata. The responses from these sampled establishments are weighted according to the inverse of their probability of selection. In cells with take-some portion, a minimum sample of 10 was imposed to increase stability.

The take-none portion of the sample is now estimated from administrative data and as a result, 100% of the sample universe is covered. Estimation of the take-none portion also improved efficiency as a larger take-none portion was delineated and the sample could be used more efficiently on the smaller sampled portion of the frame.

Data Collection

Only a subset of the sample establishments is sent out for data collection. For the remaining units, information from administrative data files is used as a source for deriving sales of goods manufactured data. For those establishments that are surveyed, data collection, data capture, preliminary edit and follow-up of non-respondents are all performed in Statistics Canada regional offices. Sampled establishments are contacted by mail or telephone according to the preference of the respondent. Data capture and preliminary editing are performed simultaneously to ensure the validity of the data.

In some cases, combined reports are received from enterprises or companies with more than one establishment in the sample where respondents prefer not to provide individual establishment reports. Businesses, which do not report or whose reports contain errors, are followed up immediately.

Use of Administrative Data

Managing response burden is an ongoing challenge for Statistics Canada. In an attempt to alleviate response burden, especially for small businesses, Statistics Canada has been investigating various alternatives to survey taking. Administrative data files are a rich source of information for business data and Statistics Canada is working at mining this rich data source to its full potential. As such, effective the August 2004 reference month, the MSM reduced the number of simple establishments in the sample that are surveyed directly and instead, derives sales of goods manufactured data for these establishments from Goods and Services Tax (GST) files using a statistical model. The model accounts for the difference between sales of goods manufactured (reported to MSM) and sales (reported for GST purposes) as well as the time lag between the reference period of the survey and the reference period of the GST file.

Effective from the January 2013 reference month, the MSM derives sales of goods manufactured data for non-incorporated establishments (e.g. the self employed) from T1 files. A statistical model is used to transform T1 data into sales of goods manufactured data.

In conjunction with the most recent sample, effective December 2012, approximately 2,800 simple establishments were selected to represent the GST portion of the sample.

Inventories and unfilled orders estimates for establishments where sales of goods manufactured are GST-based are derived using the MSM’s imputation system. The imputation system applies to the previous month values, the month-to-month and year-to-year changes in similar firms which are surveyed. With the most recent sample, the eligibility rules for GST-based establishments were refined to have more GST-based establishments in industries that typically carry fewer inventories. This way the impact of the GST-based establishments which require the estimation of inventories, will be kept to a minimum.

Detailed information on the methodology used for modelling sales of goods manufactured from administrative data sources can be found in the ‘Monthly Survey of Manufacturing: Use of Administrative Data’ (Catalogue no. 31-533-XIE) document.

Data quality

Statistical Edit and Imputation

Data are analyzed within each industry-province cell. Extreme values are listed for inspection by the magnitude of the deviation from average behavior. Respondents are contacted to verify extreme values. Records that fail statistical edits are considered outliers and are not used for imputation.

Values are imputed for the non-responses, for establishments that do not report or only partially complete the survey form. A number of imputation methods are used depending on the variable requiring treatment. Methods include using industry-province cell trends, historical responses, or reference to the ASML. Following imputation, the MSM staff performs a final verification of the responses that have been imputed.

Revisions

In conjunction with preliminary estimates for the current month, estimates for the previous three months are revised to account for any late returns. Data are revised when late responses are received or if an incorrect response was recorded earlier.

Estimation

Estimates are produced based on returns from a sample of manufacturing establishments in combination with administrative data for a portion of the smallest establishments. The survey sample includes 100% coverage of the large manufacturing establishments in each industry by province, plus partial coverage of the medium and small-sized firms. Combined reports from multi-unit companies are pro-rated among their establishments and adjustments for progress billings reflect revenues received for work done on large item contracts. Approximately 2,800 of the sampled medium and small-sized establishments are not sent questionnaires, but instead their sales of goods manufactured are derived by using revenue from the GST files. The portion not represented through sampling – the take-none portion - consist of establishments below specified thresholds in each province and industry. Sub-totals for this portion are also derived based on their revenues.

Industry values of sales of goods manufactured, inventories and unfilled orders are estimated by first weighting the survey responses, the values derived from the GST files and the imputations by the number of establishments each represents. The weighted estimates are then summed with the take-none portion. While sales of goods manufactured estimates are produced by province, no geographical detail is compiled for inventories and orders since many firms cannot report book values of these items monthly.

Benchmarking

Up to and including 2003, the MSM was benchmarked to the Annual Survey of Manufactures and Logging (ASML). Benchmarking was the regular review of the MSM estimates in the context of the annual data provided by the ASML. Benchmarking re-aligned the annualized level of the MSM based on the latest verified annual data provided by the ASML.

Significant research by Statistics Canada in 2006-2007 was completed on whether the benchmark process should be maintained. The conclusion was that benchmarking of the MSM estimates to the ASML should be discontinued. With the refreshing of the MSM sample in 2007, it was determined that benchmarking would no longer be required (retroactive to 2004) because the MSM now accurately represented 100% of the sample universe. Data confrontation will continue between MSM and ASML to resolve potential discrepancies.

As of the December 2012 reference month, a new sample was introduced. It is standard practice that every few years the sample is refreshed to ensure that the survey frame is up to date with births, deaths and other changes in the population. The refreshed sample is linked at the detailed level to prevent data breaks and to ensure the continuity of time series. It is designed to be more representative of the manufacturing industry at both the national and provincial levels.

Data confrontation and reconciliation

Each year, during the period when the Annual Survey of Manufactures and Logging section set their annual estimates, the MSM section works with the ASML section to confront and reconcile significant differences in values between the fiscal ASML and the annual MSM at the strata and industry level.

The purpose of this exercise of data reconciliation is to highlight and resolve significant differences between the two surveys and to assist in minimizing the differences in the micro-data between the MSM and the ASML.

Sampling and Non-sampling Errors

The statistics in this publication are estimates derived from a sample survey and, as such, can be subject to errors. The following material is provided to assist the reader in the interpretation of the estimates published.

Estimates derived from a sample survey are subject to a number of different kinds of errors. These errors can be broken down into two major types: sampling and non-sampling.

1. Sampling Errors

Sampling errors are an inherent risk of sample surveys. They result from the difference between the value of a variable if it is randomly sampled and its value if a census is taken (or the average of all possible random values). These errors are present because observations are made only on a sample and not on the entire population.

The sampling error depends on factors such as the size of the sample, variability in the population, sampling design and method of estimation. For example, for a given sample size, the sampling error will depend on the stratification procedure employed, allocation of the sample, choice of the sampling units and method of selection. (Further, even for the same sampling design, we can make different calculations to arrive at the most efficient estimation procedure.) The most important feature of probability sampling is that the sampling error can be measured from the sample itself.

2. Non-sampling Errors

Non-sampling errors result from a systematic flaw in the structure of the data-collection procedure or design of any or all variables examined. They create a difference between the value of a variable obtained by sampling or census methods and the variable’s true value. These errors are present whether a sample or a complete census of the population is taken. Non-sampling errors can be attributed to one or more of the following sources:

a) Coverage error: This error can result from incomplete listing and inadequate coverage of the population of interest.

b) Data response error: This error may be due to questionnaire design, the characteristics of a question, inability or unwillingness of the respondent to provide correct information, misinterpretation of the questions or definitional problems.

c) Non-response error: Some respondents may refuse to answer questions, some may be unable to respond, and others may be too late in responding. Data for the non-responding units can be imputed using the data from responding units or some earlier data on the non-responding units if available.

The extent of error due to imputation is usually unknown and is very much dependent on any characteristic differences between the respondent group and the non-respondent group in the survey. This error generally decreases with increases in the response rate and attempts are therefore made to obtain as high a response rate as possible.

d) Processing error: These errors may occur at various stages of processing such as coding, data entry, verification, editing, weighting, and tabulation, etc. Non-sampling errors are difficult to measure. More important, non-sampling errors require control at the level at which their presence does not impair the use and interpretation of the results.

Measures have been undertaken to minimize the non-sampling errors. For example, units have been defined in a most precise manner and the most up-to-date listings have been used. Questionnaires have been carefully designed to minimize different interpretations. As well, detailed acceptance testing has been carried out for the different stages of editing and processing and every possible effort has been made to reduce the non-response rate as well as the response burden.

Measures of Sampling and Non-sampling Errors

1. Sampling Error Measures

The sample used in this survey is one of a large number of all possible samples of the same size that could have been selected using the same sample design under the same general conditions. If it was possible that each one of these samples could be surveyed under essentially the same conditions, with an estimate calculated from each sample, it would be expected that the sample estimates would differ from each other.

The average estimate derived from all these possible sample estimates is termed the expected value. The expected value can also be expressed as the value that would be obtained if a census enumeration were taken under identical conditions of collection and processing. An estimate calculated from a sample survey is said to be precise if it is near the expected value.

Sample estimates may differ from this expected value of the estimates. However, since the estimate is based on a probability sample, the variability of the sample estimate with respect to its expected value can be measured. The variance of an estimate is a measure of the precision of the sample estimate and is defined as the average, over all possible samples, of the squared difference of the estimate from its expected value.

The standard error is a measure of precision in absolute terms. The coefficient of variation (CV), defined as the standard error divided by the sample estimate, is a measure of precision in relative terms. For comparison purposes, one may more readily compare the sampling error of one estimate to the sampling error of another estimate by using the coefficient of variation.

In this publication, the coefficient of variation is used to measure the sampling error of the estimates. However, since the coefficient of variation published for this survey is calculated from the responses of individual units, it also measures some non-sampling error.

The formula used to calculate the published coefficients of variation (CV) in Table 1 is:

CV(X) = S(X)/X

where X denotes the estimate and S(X) denotes the standard error of X.

In this publication, the coefficient of variation is expressed as a percentage.

Confidence intervals can be constructed around the estimate using the estimate and the coefficient of variation. Thus, for our sample, it is possible to state with a given level of confidence that the expected value will fall within the confidence interval constructed around the estimate. For example, if an estimate of $12,000,000 has a coefficient of variation of 10%, the standard error will be $1,200,000 or the estimate multiplied by the coefficient of variation. It can then be stated with 68% confidence that the expected value will fall within the interval whose length equals the standard deviation about the estimate, i.e., between $10,800,000 and $13,200,000. Alternatively, it can be stated with 95% confidence that the expected value will fall within the interval whose length equals two standard deviations about the estimate, i.e., between $9,600,000 and $14,400,000.

Text table 1 contains the national level CVs, expressed as a percentage, for all manufacturing for the MSM characteristics. For CVs at other aggregate levels, contact the Dissemination and Frame Services Section at (613) 951-9497, toll free: 1-866-873-8789 or by e-mail at manufact@statcan.gc.ca.

Text table 1
National Level CVs by Characteristic
Table summary
This table displays the results of National Level CVs by Characteristic. The information is grouped by MONTH (appearing as row headers), Sales of goods manufactured, Raw materials and components inventories, Goods / work in process inventories, Finished goods manufactured inventories and Unfilled Orders, calculated using % units of measure (appearing as column headers).
MONTH Sales of goods manufactured Raw materials and components inventories Goods / work in process inventories Finished goods manufactured inventories Unfilled Orders
%
December 2012 0.41 0.96 1.54 1.37 0.90
January 2013 0.43 0.96 1.39 0.92 0.86
February 2013 0.43 0.94 1.28 0.97 0.84
March 2013 0.43 1.02 1.21 1.16 0.90
April 2013 0.45 0.97 1.20 1.11 0.88
May 2013 0.48 0.97 1.24 1.13 0.87
June 2013 0.48 0.94 1.31 1.13 0.83
July 2013 0.49 0.95 1.23 1.10 0.83
August 2013 0.50 0.94 1.11 1.07 0.80
September 2013 0.48 0.94 1.13 1.09 0.80
October 2013 0.47 0.91 1.08 1.06 0.76
November 2013 0.50 0.92 1.09 1.01 0.76
December 2013 0.46 0.92 1.15 1.04 0.72

2. Non-sampling Error Measures

The exact population value is aimed at or desired by both a sample survey as well as a census. We say the estimate is accurate if it is near this value. Although this value is desired, we cannot assume that the exact value of every unit in the population or sample can be obtained and processed without error. Any difference between the expected value and the exact population value is termed the bias. Systematic biases in the data cannot be measured by the probability measures of sampling error as previously described. The accuracy of a survey estimate is determined by the joint effect of sampling and non-sampling errors.

Sources of non-sampling error in the MSM include non-response error, imputation error and the error due to editing. To assist users in evaluating these errors, weighted rates are given in Text table 2. The following is an example of what is meant by a weighted rate. A cell with a sample of 20 units in which five respond for a particular month would have a response rate of 25%. If these five reporting units represented $8 million out of a total estimate of $10 million, the weighted response rate would be 80%.

The definitions for the weighted rates noted in Text table 2 follow. The weighted response and edited rate is the proportion of a characteristic’s total estimate that is based upon reported data and includes data that has been edited. The weighted imputation rate is the proportion of a characteristic’s total estimate that is based upon imputed data. The weighted GST data rate is the proportion of the characteristic’s total estimate that is derived from Goods and Services Tax files (GST files). The weighted take-none fraction rate is the proportion of the characteristic’s total estimate modeled from administrative data.

Text table 2 contains the weighted rates for each of the characteristics at the national level for all of manufacturing. In the table, the rates are expressed as percentages.

Text Table 2
National Weighted Rates by Source and Characteristic
Table summary
This table displays the results of National Weighted Rates by Source and Characteristic. The information is grouped by Characteristics (appearing as row headers), Data source, Response or edited, Imputed, GST data and Take-none fraction, calculated using % units of measure (appearing as column headers).
Characteristics Data source
Response or edited Imputed GST data Take-none fraction
%
Sales of goods manufactured 85.1 3.6 7.4 3.9
Raw materials and components 78.2 17.0 0.0 4.8
Goods / work in process 83.6 12.6 0.0 3.8
Finished goods manufactured 79.4 16.3 0.0 4.3
Unfilled Orders 90.3 6.4 0.0 3.3

Joint Interpretation of Measures of Error

The measure of non-response error as well as the coefficient of variation must be considered jointly to have an overview of the quality of the estimates. The lower the coefficient of variation and the higher the weighted response rate, the better will be the published estimate.

Seasonal Adjustment

Economic time series contain the elements essential to the description, explanation and forecasting of the behavior of an economic phenomenon. They are statistical records of the evolution of economic processes through time. In using time series to observe economic activity, economists and statisticians have identified four characteristic behavioral components: the long-term movement or trend, the cycle, the seasonal variations and the irregular fluctuations. These movements are caused by various economic, climatic or institutional factors. The seasonal variations occur periodically on a more or less regular basis over the course of a year. These variations occur as a result of seasonal changes in weather, statutory holidays and other events that occur at fairly regular intervals and thus have a significant impact on the rate of economic activity.

In the interest of accurately interpreting the fundamental evolution of an economic phenomenon and producing forecasts of superior quality, Statistics Canada uses the X12-ARIMA seasonal adjustment method to seasonally adjust its time series. This method minimizes the impact of seasonal variations on the series and essentially consists of adding one year of estimated raw data to the end of the original series before it is seasonally adjusted per se. The estimated data are derived from forecasts using ARIMA (Auto Regressive Integrated Moving Average) models of the Box-Jenkins type.

The X-12 program uses primarily a ratio-to-moving average method. It is used to smooth the modified series and obtain a preliminary estimate of the trend-cycle. It also calculates the ratios of the original series (fitted) to the estimates of the trend-cycle and estimates the seasonal factors from these ratios. The final seasonal factors are produced only after these operations have been repeated several times. The technique that is used essentially consists of first correcting the initial series for all sorts of undesirable effects, such as the trading-day and the Easter holiday effects, by a module called regARIMA. These effects are then estimated using regression models with ARIMA errors. The series can also be extrapolated for at least one year by using the model. Subsequently, the raw series, pre-adjusted and extrapolated if applicable, is seasonally adjusted by the X-12 method.

The procedures to determine the seasonal factors necessary to calculate the final seasonally adjusted data are executed every month. This approach ensures that the estimated seasonal factors are derived from an unadjusted series that includes all the available information about the series, i.e. the current month's unadjusted data as well as the previous month's revised unadjusted data.

While seasonal adjustment permits a better understanding of the underlying trend-cycle of a series, the seasonally adjusted series still contains an irregular component. Slight month-to-month variations in the seasonally adjusted series may be simple irregular movements. To get a better idea of the underlying trend, users should examine several months of the seasonally adjusted series.

The aggregated Canada level series are now seasonally adjusted directly, meaning that the seasonally adjusted totals are obtained via X12-ARIMA. Afterwards, these totals are used to reconcile the provincial total series which have been seasonally adjusted individually.

For other aggregated series, indirect seasonal adjustments are used. In other words, their seasonally adjusted totals are derived indirectly by the summation of the individually seasonally adjusted kinds of business.

Trend

A seasonally adjusted series may contain the effects of irregular influences and special circumstances and these can mask the trend. The short term trend shows the underlying direction in seasonally adjusted series by averaging across months, thus smoothing out the effects of irregular influences. The result is a more stable series. The trend for the last month may be subject to significant revision as values in future months are included in the averaging process.

Real manufacturing sales of goods manufactured, inventories, and orders

Changes in the values of the data reported by the Monthly Survey of Manufacturing (MSM) may be attributable to changes in their prices or to the quantities measured, or both. To study the activity of the manufacturing sector, it is often desirable to separate out the variations due to price changes from those of the quantities produced. This adjustment is known as deflation.

Deflation consists in dividing the values at current prices obtained from the survey by suitable price indexes in order to obtain estimates evaluated at the prices of a previous period, currently the year 2007. The resulting deflated values are said to be “at 2007 prices”. Note that the expression “at current prices” refer to the time the activity took place, not to the present time, nor to the time of compilation.

The deflated MSM estimates reflect the prices that prevailed in 2007. This is called the base year. The year 2007 was chosen as base year since it corresponds to that of the price indexes used in the deflation of the MSM estimates. Using the prices of a base year to measure current activity provides a representative measurement of the current volume of activity with respect to that base year. Current movements in the volume are appropriately reflected in the constant price measures only if the current relative importance of the industries is not very different from that in the base year.

The deflation of the MSM estimates is performed at a very fine industry detail, equivalent to the 6-digit industry classes of the North American Industry Classification System (NAICS). For each industry at this level of detail, the price indexes used are composite indexes which describe the price movements for the various groups of goods produced by that industry.

With very few exceptions the price indexes are weighted averages of the Industrial Product Price Indexes (IPPI). The weights are derived from the annual Canadian Input-Output tables and change from year to year. Since the Input-Output tables only become available with a delay of about two and a half years, the weights used for the most current years are based on the last available Input-Output tables.

The same price index is used to deflate sales of goods manufactured, new orders and unfilled orders of an industry. The weights used in the compilation of this price index are derived from the output tables, evaluated at producer’s prices. Producer prices reflect the prices of the goods at the gate of the manufacturing establishment and exclude such items as transportation charges, taxes on products, etc. The resulting price index for each industry thus reflects the output of the establishments in that industry.

The price indexes used for deflating the goods / work in process and the finished goods manufactured inventories of an industry are moving averages of the price index used for sales of goods manufactured. For goods / work in process inventories, the number of terms in the moving average corresponds to the duration of the production process. The duration is calculated as the average over the previous 48 months of the ratio of end of month goods / work in process inventories to the output of the industry, which is equal to sales of goods manufactured plus the changes in both goods / work in process and finished goods manufactured inventories.

For finished goods manufactured inventories, the number of terms in the moving average reflects the length of time a finished product remains in stock. This number, known as the inventory turnover period, is calculated as the average over the previous 48 months of the ratio of end-of-month finished goods manufactured inventory to sales of goods manufactured.

To deflate raw materials and components inventories, price indexes for raw materials consumption are obtained as weighted averages of the IPPIs. The weights used are derived from the input tables evaluated at purchaser’s prices, i.e. these prices include such elements as wholesaling margins, transportation charges, and taxes on products, etc. The resulting price index thus reflects the cost structure in raw materials and components for each industry.

The raw materials and components inventories are then deflated using a moving average of the price index for raw materials consumption. The number of terms in the moving average corresponds to the rate of consumption of raw materials. This rate is calculated as the average over the previous four years of the ratio of end-of-year raw materials and components inventories to the intermediate inputs of the industry.

Available stored biospecimens

The range of samples collected from Canadian Health Measures Survey participants for storage in the biobank is described in the table below.

Available stored biospecimens
Matrix Age range (years) Sample size Volume available (mL) Table note *
Serum 3 – 79 5700 0.5
3 – 39 3500 0.5
6 – 79 5100 0.5
12 – 79 4100 0.5, 1.0
20 – 79 3100 0.5, 1.0
Plasma 3 – 79 5700 0.5
6 – 79 5100 0.5
12 – 79 4100 0.5
Whole blood 6 – 79 5100 1.0
12 – 79 4100 1.0
Urine 3 – 79 5700 1.0, 2.0, 4.5
6 – 79 5100 1.0, 4.5
DNA 14 – 79 3700 1 µg
Table note *

unless otherwise stated

Return to table note * referrer

List of other CHMS documents available

Note: Many of the documents are not yet available for all waves of cycle 3 releases nor are they available for cycle 4 and subsequent cycles. This list shows the names of the most recent version of the documents.

Summaries of disseminated products

Plans for dissemination

CHMS Content summary for cycles 1 to 8

  • The content summary document is divided into separate tables which list all of the content topics in the survey by age group of respondent. There are tables on the household questionnaire and specimen collection, mobile examination centre (MEC) physical measures and specimen collection, MEC questionnaire, laboratory biospecimen, laboratory indoor air sample tests and laboratory tap water sample tests. The laboratory tables also provide information on analytical ranges and conversion factors.

CHMS Data User Guide – Cycle 3

  • The user guide includes information on survey content, sample design, data collection, data processing, weighting, data quality, file usage, as well as guidelines for tabulation, analysis and release.

CHMS Derived Variables (DVs) documentation – Cycle 3

  • There are separate DV documents for the following types of DVs: household and mobile examination centre (MEC), medication, activity monitor, non-environmental laboratory measures, fluoride and volatile organic compounds, and other environmental laboratory measures.

CHMS Data Dictionaries – Cycle 3

  • There are separate data dictionaries for the following data files: household full sample, mobile examination centre full sample, medication full sample, hearing full sample, activity monitor full sample, activity monitor subsample, indoor air subsample – household level, indoor air subsample – person level, fasting blood subsample, red blood cell fatty acids subsample, fluoride household level subsample – in tap water, VOC household level subsample – in tap water, fluoride person level subsample – in urine and tap water, VOC person level subsample – in blood and tap water, non-environmental lab data full sample, environment lab blood and urine full sample, acrylamide (environmental blood subsample), methyl mercury (environmental blood subsample), NNAL and glucoronides (environmental urine subsample), and environment urine main subsample.

Supporting documentation for the climate and air quality file – Cycle 3

CHMS sampling documentation – Cycle 3

Presentations on using CHMS data – Cycles 1 and 2

Instructions for Combining Multiple Cycles of Canadian Health Measures Survey (CHMS) Data

For more information or to obtain copies of the documents in the list above, please contact Statistics Canada’s Statistical Information Service (toll-free 1-800-263-1136; 514-283-8300; infostats@statcan.gc.ca).

List of other Canadian Health Measures Survey (CHMS) documents available

Note: Many of the documents are not yet available for cycles 3 or 4. This list shows the names of the most recent version of the documents.

Summaries of disseminated products

Plans for dissemination

CHMS Content summary for cycles 1 to 8

  • The content summary document is divided into separate tables which list all of the content topics in the survey by age group of respondent. There are tables on the household questionnaire, mobile examination centre (MEC) physical measures, MEC questionnaire, laboratory blood and urine tests, laboratory indoor air sample tests and laboratory tap water sample tests. The laboratory tables also provide information on analytical ranges and conversion factors.

CHMS Data User Guide – Cycle 2

CHMS Derived Variables (DVs) documentation – Cycle 2

  • There are separate DV documents for the following different types of DVs:  household and mobile examination centre (MEC), medication, activity monitor, non-environmental laboratory measures and environmental laboratory measures.

CHMS Data Dictionaries – Cycle 2

  • There are separate data dictionaries for the following different data files:  master, medication, activity monitor subsample, indoor air subsample – household level, indoor air subsample – person level, fasted blood measures subsample, environment blood measures subsample and environment urine measures subsample.

Supporting documentation for the climate and air quality file – Cycle 2

CHMS sampling documentation – Cycle 2

Presentations on using CHMS data – Cycles 1 and 2

Instructions for Combining Cycle 1 and Cycle 2 Canadian Health Measures Survey (CHMS) Data

For more information or to obtain copies of the documents in the list above, please contact Statistics Canada’s National Contact Centre (toll-free 1-800-263-1136; 613-951-8116; infostats@statcan.gc.ca).

2012 to 2013
Clinic Questionnaire

Explanatory notes for this document
Respondent Verification Component
Respondent Verification (RVB)
Name Spelling Confirmation (NSC)
Sex Confirmation (SXC)
Confirmation of Birth Date (DDN)
Language Confirmation (LNG)
Consent Component
Consent (CON)
Report (REP)
Urgent Condition (URG)
Email Collection (ECB)
Urine Collection 1 Component (UC1)
Screening Component
Screening Component Introduction (SCI)
Adherence to Guidelines (ATG)
Physical and Health Conditions (PHC)
Hearing Restriction (HER)
Spirometry Questions (SPQ)
Spirometry Restriction (SPR)
Medications and Product Confirmation (MEDC)
Medication use for Clinic (MEUC)
Confirm Drug Product (CDP)
New Product Information (NPI)
New Product Information – Call block (NPC)
Other Reason for Screening Out (ORS)
Water Analysis Questions Component (WAQ)
Fish and Shellfish Consumption Component
Fish and Shellfish Consumption (FSF)
Detail Fish and Shellfish (DFS)
Noise Exposure Component
Noise Exposure Component Introduction (HCI)
Hearing Ability (HAB)
Noise Exposure (NEX)
Activity Detail (ACD)
Sun Exposure Component (SEB)
Skin Pigmentation Component
Skin Pigmentation Component Introduction (SKI)
Skin Pigmentation Measurement (SKM)
Skin Pigmentation Recording (SKR)
Anthropometric Component
Anthropometric Component Introduction (ACI)
Height and Weight Measurements (HWM)
Blood Pressure Component
Blood Pressure Measurement (BPM)
Blood Pressure Recording (BPR)
Activity Monitor Component (AM)
Indoor Air Sampler Component
Indoor Air Sampler (IAS)
Indoor Air Questions (IAQ)
Fractional Exhaled Nitric Oxide Component
Fractional Exhaled Nitric Oxide Component Introduction (NOI)
Fractional Exhaled Nitric Oxide Measurement (NOM)
Fractional Exhaled Nitric Oxide Attempts (NOA)
Fraction Exhaled Nitric (NOR)
Spirometry Measurement Component (SPM)
Hearing Component
Otoscopy Measurement (OTM)
Tympanometry Measurement (TYM)
Otoacoustic Emissions Measurement (OAE)
Audiometry Measurement (AUD)
Grip Strength Component
Grip Strength Component Introduction (GSI)
Grip Strength Measurement (GSM)
Phlebotomy Component
Phlebotomy Component Introduction (PHI)
Blood Collection (BDC)
Urine Collection 2 Component (UC2)
Report of Measurements Component (RM)
Exit Component
Exit Component Introduction (ECI)
Exit Consent Questions (ECQ)
Contact (CONT)
Clinic Sign-Out Component (CSO)
Appendix 1
Date Block (APP1)
Address (AD)
Get Contact Name (GCN)
North American Telephone (NATP)
Overseas Telephone (OSTP)

Explanatory notes for this document

  1. Question text in bold font is read to the respondent. Text in normal font is not read to the respondent. Instructions to the person asking the questions or taking the measures are prefaced by the word "Instruction", and are not read aloud.
  2. Question text in bold font enclosed by brackets () is read to the respondent at the discretion of the person asking the questions.
  3. In this text, the use of the masculine is generic and applies to both men and women. Please note that during the actual clinic visit, the questions were personalized to be appropriate to the gender of the respondent.
  4. Question text enclosed in square brackets [ ] is dynamic and in most cases will vary depending on the particular circumstances. The symbol ^ indicates that dynamic substitution will take place.
  5. In this document, the flow direction from a given response is not provided when it is to the next immediate question.
  6. For more detailed information on physical measures protocols, please contact Statistics Canada's National Contact Centre (toll-free 1-800-263-1136; 613-951-8116; infostats@statcan.gc.ca).

Respondent Verification Component

Respondent Verification (RVB)

RVB_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • AWC_AGE: age of respondent

Variables output from Clinic Shell:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • RespondentName: name of respondent
  • ShortRespName: first 4 letters of LNAME plus first 3 letters of FNAME
  • IntLangE: English text of language of application during the household interview (either English or French)
  • GenderE: English text for sex of respondent
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

RVB_C11

  • If SCS_N12 = 4, go to RVB_END.
  • Otherwise, go to RVB_N11.

RVB_N11

  • Instruction: Press <1> to print the Respondent Verification Sheet.
  • 1 Print the form
  • (DK, RF not allowed)

RVB_D11

Programmer:

  • IF SCS_N12 = 4 THEN
    • RVB_D11 = EMPTY
  • ELSE
    • If RVB_N11 = 1 and RVB_D11 = EMPTY,
    • Set RVB_D11 = Current Time (in HH:MM:SS format).
  • ENDIF

RVB_R11

Here is the first of several forms we will be asking you to complete. Please read it carefully and provide the information requested.

Instruction: Provide the respondent with the English/French double-sided Respondent Verification Sheet.

When the respondent returns the form, check to ensure that all requested information has been filled in and is legible.

  • Press <1> to continue.

RVB_N12

Instruction: Press <1> to print the label with the respondent's CLINICID as a bar code identifier.

  • Stick the first label onto a bracelet
  • Attach the bracelet around the wrist of the respondent.

1 Print the label
(DK, RF not allowed)

RVB_END

Name Spelling Confirmation (NSC)

NSC_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • FNAME: first name of respondent
  • LNAME: last name of respondent
  • AWC_AGE: age of respondent

Variables output from Clinic Shell:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent

NSC_C11

  • If ^RespondentName = "EMPTY", go to NSC_N13.
  • Otherwise, go to NSC_N11.

NSC_N11

Instruction: Record whether ^RespondentName's name is spelled correctly.

  1. Yes (Go to NSC_D15)
  2. No (DK, RF not allowed)

NSC_N12

Instruction: Record whether corrections are to be made to:

  1. ...the first name only?
  2. ...the last name only? (Go to NSC_N14)
  3. ...both names?
    (DK, RF not allowed)

NSC_N13

  • Instruction: Enter the first name only.
    (25 spaces)
    (DK, RF not allowed)

NSC_C14

  • If NSC_N12 = 1 (first name only), go to NSC_D15.
  • Otherwise, go to NSC_N14.

NSC_N14

  • Instruction: Enter the last name only.
  • (25 spaces)
    (DK, RF not allowed)

NSC_D15

Programmer:

IF NSC_N11 = 1 THEN

  • Set RespondentFirstName = FNAME
  • Set RespondentLastName = LNAME
  • Set RespondentName = FNAME + LNAME
    (separated by one space)

ELSE IF NSC_N12 = 1 THEN

  • Set RespondentFirstName = NSC_N13
  • Set RespondentLastName = LNAME
  • Set RespondentName = NSC_N13 + LNAME
    (separated by one space)

ELSE IF NSC_N12 = 2 THEN

  • Set RespondentFirstName = FNAME
  • Set RespondentLastName = NSC_N14
  • Set RespondentName = FNAME + NSC_N14
    (separated by one space)

ELSE

  • Set RespondentFirstName = NSC_N13
  • Set RespondentLastName = NSC_N14
  • Set RespondentName = NSC_N13 + NSC_N14
    (separated by one space)

ENDIF

NSC_END

Sex Confirmation (SXC)

SXC_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • AWC_AGE: age of respondent
  • SEX_Q01: sex of respondent

Variables output from Clinic Shell:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • GenderE: English text for sex of respondent

Variables from previously completed blocks:

  • ^RespondentName: name of respondent

SXC_C11

  • If SEX_Q01 = EMPTY, go to SXC_N12.
    Otherwise, go to SXC_N11.

SXC_N11

Instruction: Record whether ^RespondentName's sex is correct.

  1. Yes (Go to SXC_D13)
  2. No (DK, RF not allowed)

SXC_N12

Instruction: Record ^RespondentName's sex.

  1. Male
  2. Female
    (DK, RF not allowed)

SXC_D13

Programmer:

  • IF SXC_N11 = 1, THEN
    • IF SEX_Q01 = 1 THEN
      • CON_SEX = 1
      • GenderE = "Male"
    • ELSE
      • CON_SEX = 2
      • GenderE = "Female"
    • ENDIF
  • ELSE
    • IF SXC_N12 = 1 THEN
      • CON_SEX = 1
      • GenderE = "Male"
    • ELSE
      • CON_SEX = 2
      • GenderE = "Female"
    • ENDIF
  • ENDIF

SXC_END

Confirmation of Birth Date (DDN)

DDN_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • AWC_DOB: day of birth of respondent
  • AWC_MOB: month of birth of respondent
  • AWC_YOB: year of birth of respondent
  • AWC_AGE: age of respondent

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • ShortRespName: respondent short name

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_SEX: sex of respondent
  • RateFlag : flag for subsampling

Programmer:"Feedback" data represents information collected during the household interview (e.g., "Feedback date of birth" represents the date of birth provided by the respondent during the household interview).

DDN_C1

  • If AWC_DOB, AWC_MOB or AWC_YOB is blank, DK or RF, or AWC_AGE is blank, go to DDN_B2.
  • Otherwise, go to DDN_D1.

DDN_D1

  • If AWC_MOB = 1, DT_MONTHOFBIRTHE = "January".
  • If AWC_MOB = 2, DT_MONTHOFBIRTHE = "February".
  • If AWC_MOB = 3, DT_MONTHOFBIRTHE = "March".
  • If AWC_MOB = 4, DT_MONTHOFBIRTHE = "April".
  • If AWC_MOB = 5, DT_MONTHOFBIRTHE = "May".
  • If AWC_MOB = 6, DT_MONTHOFBIRTHE = "June".
  • If AWC_MOB = 7, DT_MONTHOFBIRTHE = "July".
  • If AWC_MOB = 8, DT_MONTHOFBIRTHE = "August".
  • If AWC_MOB = 9, DT_MONTHOFBIRTHE = "September".
  • If AWC_MOB = 10, DT_MONTHOFBIRTHE = "October".
  • If AWC_MOB = 11, DT_MONTHOFBIRTHE = "November".
  • If AWC_MOB = 12, DT_MONTHOFBIRTHE = "December".

DDN_N1

Instruction: Record whether ^RespondentName's date of birth is ^MonthOfBirthE ^AWC_DOB, ^AWC_YOB.

  • 1 Yes (Go to DDN_D4)
  • 2 No (DK, RF not allowed)

Content type: Note to data users:
If the DOB is confirmed at DDN_N1, then the DOB values are entered into the DOB fields at DDN_B2 and age is calculated.

DDN_B2

Instruction: Record ^RespondentName's date of birth.

  • Call the Date block. See Appendix I.

Content type: Note to data users:

  • If Month of birth or Year of birth is not known or refused, respondent is flowed to DDN_N4 where he/she is asked his/her age.
  • If Day of birth is not known or refused AND the current month is the same as the month of birth, then respondent is flowed to DDN_N4 where he/she is asked his/her age.
  • If entered DOB is not different from the feedback DOB, then go to DDN_N4.
  • Mulitple edits assure that the respondent is not less than 3 years of age or greater than 80 years of age.

DDN_Q3
I would like to confirm that your age is ^CalculatedAge.

Instruction: Date of birth is ^MonthOfBirthE ^DDN_B2.DATD, ^DDN_B2.DATY.

  1. Yes (Go to DDN_E4)
  2. No, return and correct date of birth (Go to DDN_B2)
  3. No, collect age
    (DK, RF not allowed)

Programmer:

IF ^CalculatedAge < 3 or ^CalculatedAge > 80 display ^CalculatedAge in red font.

  • IF DDN_B2.DATM = 1, THEN
    • MonthOfBirthE = "January"
  • ELSE IF DDN_B2.DATM = 2, THEN
    • MonthOfBirthE = "February"
  • ELSE IF DDN_B2.DATM = 3, THEN
    • MonthOfBirthE = "March"
  • ELSE IF DDN_B2.DATM = 4, THEN
    • MonthOfBirthE = "April">
  • ELSE IF DDN_B2.DATM = 5, THEN
    • MonthOfBirthE = "May"
  • ELSE IF DDN_B2.DATM = 6, THEN
    • MonthOfBirthE = "June"
  • ELSE IF DDN_B2.DATM = 7, THEN
    • MonthOfBirthE = "July"
  • ELSE IF DDN_B2.DATM = 8, THEN
    • MonthOfBirthE = "August"
  • ELSE IF DDN_B2.DATM = 9, THEN
    • MonthOfBirthE = "September"
  • ELSE IF DDN_B2.DATM = 10, THEN
    • MonthOfBirthE = "October"
  • ELSE IF DDN_B2.DATM = 11, THEN
    • MonthOfBirthE = "November"
  • ELSE IF DDN_B2.DATM = 12, THEN
    • MonthOfBirthE = "December"
  • ENDIF>

Calculate the age using the entered date of birth, and pre-fill the question text with the result.

DDN_N4

Instruction: Record ^RespondentName's age.

  • Age in years
  • (MIN: 1)
  • (MAX: 85)
  • (DK, RF not allowed)

DDN_D4

Content type: Note to data users:

  • The respondent's age in years (CON_AGE) and age in days (AGE_DAYS) are calculated using date of birth.

Programmer:

  • IF DDN_N1 = 1 THEN
    • CON_DDN = AWC_MOB + AWC_DOB + AWC_YOB
    • CON_AGE = CalculatedAge
  • ELSE IF DDN_B2.DATD = RESPONSE AND DDN_B2.DATM = RESPONSE AND DDN_B2.DATY = RESPONSE THEN
    • CON_DDN = DDN_B2.DATM + DDN_B2.DATD + DDN_B2.DATY
  • ENDIF
  • IF DDN_Q3 = 1 THEN
    • CON_AGE = CalculatedAge
  • ELSE IF DDN_N4 = RESPONSE THEN
    • CON_AGE = DDN_N4
  • ENDIF
  • IF CON_DDN = RESPONSE THEN
    • AGE_DAYS = Age in days based on CON_DDN
  • ELSE IF DDN_B2.DATM = RESPONSE AND DDN_B2.DATY = RESPONSE THEN
    • AGE_DAYS = Age in days based on DDN_B2.DATY + DDN_B2.DATM + 15
  • ELSE
    • AGE_DAYS = EMPTY
  • ENDIF

DDN_D6

Content type: Note to data users:

  • The respondent's required minimum urine sample volume(DDN_D6) is calculated based on respondent age and randomly set sampling flags.

Programmer:

  • IF CON_AGE <12 THEN
    • IF (BPAFLG = 1 or TRICFLG =1 or ARSCFLG = 1 or BENZFLG = 1 or CARBFLG = 1 or ORGPFLG = 1 or PARAFLG = 1 or GLYPFLG = 1 or
      PAHFLG = 1 or NICOFLG = 1) or (UFLUFLG = 1) or (NNALFLG = 1)
    • THEN
      • DDN_D6 = 50.0 ml
    • Else
      • DDN_D6 = 25.0 ml
    • ENDIF
  • ELSE
    • IF (BPAFLG = 1 or TRICFLG =1 or ARSCFLG = 1 or BENZFLG = 1 or CARBFLG = 1 or ORGPFLG = 1 or PARAFLG = 1 or GLYPFLG = 1 or
      PAHFLG = 1 or NICOFLG = 1) or (UFLUFLG = 1) or (NNALFLG = 1)
    • THEN
      • DDN__D6 = 80.0 ml
    • Else
      • DDN_D6 = 50.0 ml
    • ENDIF
  • ENDIF

DDN_N6

Instruction: Press <1> to print the labels with the respondent's short name.

  • First label: Stick it onto the respondent's file folder.
  • Second label: Staple it to the inside of the respondent's file folder.
  • Third label: Stick it onto a urine sample container.

DO NOT give the container to the respondent until the Urine component has been generated (after CONSENT).

  • 1 Print the labels
    (DK, RF not allowed)

DDN_END

Language Confirmation (LNG)

LNG_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

LNG_N11

Instruction: Record ^RESPONDENTNAME's preferred official language.

  • 1 English
  • 2 French
    (DK, RF not allowed)

LNG_END

If necessary, change the application language to correspond to the response to LNG_N11.

Consent Component

Consent (CON)

CON_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • DryRun: whether the case is a dry run case (1/2= dryrun; 3= survey respondent)
  • SessionE: English text of when the clinic visit is taking place
  • HouseholdContact: name of household contact
  • STOREBLD: flag for whether storage is available for blood and urine samples (1= blood/urine storage ; 2= No blood/urine storage)
  • STOREDNA: flag for whether storage is available for DNA samples (1= DNA storage; 2= NO DNA storage)

Variables output from Clinic Shell:

  • SCS_N12: visit type (3= clinic visit; 4= home visit)

Variables from previously completed blocks:

  • RespondentFirstName: first name of respondent
  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • LNG_N11: respondent's preferred official language

CON_C01

  • If SCS_N12 = 4, go to CON_D01.
  • Otherwise, go to CON_N01.

CON_N01

Instruction: Press <1> to print the Consent form(s).

  • 1 Print the form(s)
  • (DK, RF not allowed)

CON_D01

  • If CON_AGE < 14, DT_CONINST1E = "the parent or guardian".
  • Otherwise, DT_CONINST1E = "the respondent".
  • If CON_AGE < 14, DT_CONINST3E = "^FNAME's".
  • Otherwise, DT_CONINST3E = "his/her".

CON_Q11
Before we start the clinic tests, we need to ensure you have reviewed the Information and Consent Booklet that was given to you during the interview at your home. Did you have a chance to read that booklet? ¸

Instruction: Show the respondent the Information and Consent Booklet.

  • 1 Yes
  • 2 No (Go to CON_R13)
  • (DK, RF not allowed)

CON_D11

Programmer:

  • IF SCS_N12 = 4 THEN
    • CON_D11 = EMPTY
  • ELSE
    • IF CON_Q11 = 1 and CON_D11 = EMPTY,
      • Set CON_D11 = Current Time (in HH:MM:SS format)
  • ENDIF

CON_R12
Do you have any questions about any of the information in the booklet or about the clinic portion of the survey?

Instruction: Answer any questions as thoroughly as possible.

  • Press <1> to continue.
  • Go to CON_R14

CON_R13
Here is a copy of the Information and Consent Booklet. Please take a few minutes to read through it. If you have any questions about the information in the booklet or the clinic tests, I can answer them for you.

Instruction: Hand the Information and Consent Booklet to the respondent and give him/her time to read through it (approximately 5 minutes).

  • Press <1> to continue.

CON_R14
Here is the Consent Form for participation in the clinic portion of the survey. Please read the form carefully and check either the "Yes" or "No" box for each item.

Instruction: Provide [the parent or guardian/the respondent] with the Consent Form.

  • Check to ensure that it has been completed correctly.
  • Sign the form as the witness.
  • Press <1> to continue.

CON_R15
I am now going to enter that information into our computer system. I may have some additional questions about your responses.

Instruction: Press <1> to continue.

CON_C15

  • If CON_AGE > 13, go to CON_D16.
  • Otherwise, go to CON_N15.

CON_N15

Instruction: Record whether a parent or guardian has consented to the respondent participating in the physical measure tests.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

Content type: Note to data users:

  • If CON_N15 = 2, the clinic visit will not continue for that respondent.

CON_C16

  • If CON_AGE < 6, go to CON_N21.
  • Otherwise, go to CON_R16.

CON_R16
Your parent or guardian has said you can take part in the tests today. If you would like to participate we need you to write or print your name on this form.

Instruction: Provide the child with the Assent Form.

  • Check to ensure that it has been completed correctly.
  • Sign the form as the witness
  • .Press <1> to continue.

CON_D16

  • If CON_AGE > 13, DT_CON16E = "consented".
  • Otherwise, DT_CON16E = "assented".

CON_N16

Instruction: Record whether the respondent has [consented/assented] to participating in the physical measure tests.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

Content type: Note to data users:

  • If CON_N16 = 2, the clinic visit will not continue for that respondent.

CON_N21

Instruction: Record whether [the parent or guardian/the respondent] has consented to receiving a copy of [^FNAME's/his/her] test results.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

CON_C23A

  • If DryRun in (1, 2), go to CON_END.
  • Otherwise, go to CON_D23.

CON_D23

Not Applicable

CON_N23

Instruction: Record whether [the parent or guardian/the respondent] has consented to allowing Statistics Canada to test [^FNAME's/his/her] blood and urine for contaminants that are reportable in this province, and to contact him/her as well as the appropriate provincial authorities if the results are positive.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

CON_C23B

  • If CON_N21 = 1 or CON_N23 = 2, go to CON_C24A.
  • Otherwise, go to CON_R23.

CON_R23
You have indicated on your Consent Form that you do not want to receive a copy of your laboratory test results. However, you have agreed that Statistics Canada can test your blood and urine for reportable diseases and contaminants. I just want you to be aware that, by agreeing to have the reportable disease and contaminant tests done, you will receive the results if you test positive.

Instruction: Answer any questions as thoroughly as possible.

  • Press <1> to continue.

CON_C24A

  • If STOREBLD = 2, go to CON_C26.
  • Otherwise, go to CON_C24B.

CON_C24B

  • If CON_AGE > 13, go to CON_N25.
  • Otherwise, go to CON_N24.

CON_N24

Instruction: Record whether a parent or guardian has consented to storage of the respondent's blood and urine.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

Go to CON_END

CON_N25

Instruction: Record whether the respondent has agreed to storage of blood and urine.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

CON_C26

  • If CON_AGE < 14 or STOREDNA = 2, go to CON_END.
  • Otherwise, go to CON_N26.

CON_N26

Instruction: Record whether the respondent has agreed to storage of DNA.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

CON_END

Report (REP)

REP_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • HouseholdContact: name of household contact

Variables output from Clinic Shell:

  • MailAddress: mailing address of respondent

Variables from previously completed blocks:

  • RespondentFirstName: first name of respondent
  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • LNG_N11: respondent's preferred official language
  • CON_N15: yes/no indicator of whether a parent or guardian has consented to the respondent participating in the physical measure tests
  • CON_N16: yes/no indicator of whether the respondent has consented to participating in the physical measure tests
  • CON_N21: yes/no indicator of whether the respondent has requested a copy of his/her test results

REP_C11A

  • If CON_N15 = 2 or CON_N16 = 2, go to REP_END.
  • Otherwise, go to REP_C11B.

REP_C11B

  • If CON_N21 = 2, go to REP_C21.
  • Otherwise, go to REP_D11.

REP_D11

  • If CON_AGE < 14, DT_REP11TEXTE = "^RespondentFirstName's".
  • Otherwise, DT_REP11TEXTE = "your".

REP_R11
You will receive a copy of some of DT_REP11TEXTE physical measurement test results at the end of the clinic visit today. The remaining results will be delivered to you by mail as soon as they are available, which should be in about 3 months.

Instruction: Press <1> to continue.

REP_Q12
Which delivery method would you prefer?

Instruction: Read categories to respondent.

  1. Regular mail
  2. Courier
    (DK, RF not allowed)

REP_C13

  • If CON_AGE > 13, go to REP_C21.
  • Otherwise, go to REP_N13.

REP_N13

Instruction: Record the name of the person who signed the Consent form.

  • Enter the person's first and last name.
  • (80 spaces)
  • (DK, RF not allowed)

REP_C21

  • If no mailing address exists (i.e., the street and city fields in the mailing address are empty), go to REP_B22.
  • Otherwise, go to REP_Q21.

REP_Q21
I would like to confirm your mailing address. Is it:

^MailAddress

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

Programmer:

  • If "Yes" is selected, copy the values from the displayed address into the respective REP_B22 address fields and go to REP_END.
  • If "No" is selected, copy the values from the displayed address into the respective REP_B22 address fields and allow changes to the displayed address.

REP_B22

  • Call the Address block. See Appendix I

Programmer:

  • Pass "What is your mailing address?" as a parameter.

REP_END

 

Urgent Condition (URG)

URG_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • TelephoneNumber1: First home telephone number of the respondent
  • TelephoneNumber2: Second home telephone number of the respondent

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • HouseholdContact: name of household contact

Variables from previously completed blocks:

  • RespondentFirstName: first name of respondent
  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • LNG_N11: respondent's preferred official language
  • CON_N15: whether a parent or guardian has consented to the respondent participating in the physical measure tests
  • CON_N16: whether the respondent has consented to participating in the physical measure tests

URG_C04

  • If CON_N15 = 2 or CON_N16 = 2, go to URG_END.
  • Otherwise, go to URG_C05.

URG_C05

  • If TelephoneNumber1 = EMPTY and TelephoneNumber2 = EMPTY, go to URG_D10.
  • Otherwise, go to URG_R06.

URG_R06
I would like to confirm the telephone numbers we have on file.

Instruction: Press <1> to continue

.URG_Q07
Is ^TelephoneNumber1 correct?

  • 1 Yes (Go to URG_C08)
  • 2 No (DK, RF not allowed)

URG_B07

  • Call the North American Telephone (NATP) block. See Appendix I.

Programmer:

  • Pass "What is the correct phone number?" as parameter.

URG_C08

  • If TelephoneNumber2 = EMPTY, go to URG_D10.
  • Otherwise, go to URG_Q09.

URG_Q09
Is ^TelephoneNumber2 correct?

  • 1 Yes (Go to URG_N12)
  • 2 No (DK, RF not allowed)

URG_B09

  • Call the North American Telephone (NATP) block. See Appendix I.

Programmer:

  • Pass "What is the correct phone number?" as parameter.URG_D10 If TelephoneNumber1 = EMPTY and TelephoneNumber2 = EMPTY, DT_URG10_TEXTE = "a".
  • Otherwise, DT_URG10_TEXTE = "another".

URG_Q10
Is there [a/another] phone number that can be used to reach you?

  • 1 Yes
  • 2 No (Go to URG_N12)
    DK, RF (Go to URG_N12)

URG_B11

Call the North American Telephone (NATP) block. See Appendix I.

Programmer:

  • Pass "What is it?" as parameter.

URG_N12

Instruction: Do you have an email address we can use if we experience difficulty reaching you by phone?

  • 1 Yes
  • 2 No (Go to URG_N13)
    DK, RF (Go to URG_N13)

URG_B12

  • Call the E-mail collection block (ECB).

URG_N13

Instruction: Is the respondent in a wheelchair?

  • 1 Yes
  • 2 No
    (DK, RF not allowed)

URG_C14

  • If URG_N13 = 1, go to URG_Q14.
  • Otherwise, go to URG_Q16.

URG_Q14
The laboratories that analyse the urine samples require that these samples are provided without the use of a catheter. For this reason, we need to know if you use a catheter.

Instruction: Record if the respondent is using a catheter.

  • 1 Yes
  • 2 No
    DK, RF

URG_Q16

Instruction: Press <1> to print the Contact Information Form.

  • Ask the respondent to fill out the form by the end of the clinic visit to facilitate the exit process.
  • 1 Print the form
  • (DK, RF not allowed)

URG_D20

Content type: Note to data users:

PROXYSEX is the gender of selected respondent and whether the interview is being conducted by proxy. PROXYSEX is set here as follows:

  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

Programmer:

  • IF CON_AGE > 11 THEN
    • IF CON_SEX = 1 THEN
      • PROXYSEX = 1
    • ELSE
      • PROXYSEX = 2
    • ENDIF
  • ELSE
    • IF CON_SEX = 1 THEN
      • PROXYSEX = 3
    • ELSE
      • PROXYSEX = 4
    • ENDIF
  • ENDIF

URG_END

Email Collection (ECB)

ECB_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • DryRun: indicator of whether the case is a dry run case
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

ECB_Q2

What is your email address?

Instruction: Ask about upper and lower case, special characters, etc. If the respondent or parent/guardian has more than one email address, enter the best email address.

  • (80 spaces)
  • (DK, RF not allowed)

ECB_N3

Instruction: Re-enter the email address.

  • (80 spaces)
  • (DK, RF not allowed)

ECB_END

 

Urine Collection 1 Component (UC1)

UC1_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • RespondentFirstName: first name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: Visit type (3= clinic visit; 4= home visit)

UC1_D10A

  • If CON_AGE < 6, DT_UC110E = "^RespondentFirstName".
  • Otherwise, DT_UC110E = "you".

UC1_Q10
Now we would like [^RespondentFirstName/you] to provide a urine sample.

Instruction: Press <1> to continue

  • 1 Continue
  • (DK not allowed)
  • RF
  • Go to UC1_D10B

UC1_D10B

Programmer:

  • IF SCS_N12 = 4 THEN
    • UC1_D10B = EMPTY
  • ELSE
    • IF (UC1_Q10 = 1 or RF) and UC1_D10B = EMPTY,
      • Set UC1_D10B = Current Time (in HH:MM:SS format)
  • ENDIF

UC1_C20A

  • If UC1_Q10 = RF, go to UC1_END.
  • Otherwise, go to UC1_C20B.

UC1_C20B

  • If CON_AGE < 6, go to UC1_R21.
  • Otherwise, go to UC1_R20.

UC1_R20
Please use this container to collect the urine sample.

  • You will need to remove the lid and place it on the shelf in the washroom with the inside facing up.
  • Do not touch the inside of the container.
  • Fill the container as full as possible and put the lid back on tightly.
  • Once you are finished, please rinse and dry the exterior of the container. Wash your hands, place the container in the brown paper bag provided and bring it back to me.

Instruction: Demonstrate how to remove the lid using the example container and ensure the respondent understands what is meant by placing the lid on the shelf "with the inside facing up".

  • Answer any questions as thoroughly as possible.
  • Press <1> to continue.

UC1_C21

  • If CON_AGE > 5, go to UC1_C30.
  • Otherwise, go to UC1_R21.

UC1_R21
To collect urine samples from young children, we are using a special urine collection device that rests under the toilet seat.

  • You will need to lift the toilet seat and install the collection device.
  • Ensure it fits snugly in the front of the toilet with the edges resting over the lip of the bowl.
  • Lower the toilet seat.

Instruction: Show the example urine collection device to the respondent's parent or guardian and demonstrate which end is the front.

  • Instruct the parent or guardian to use the washroom in the reception area (the collection device does not fit the toilet in the second washroom).
  • Answer any questions as thoroughly as possible.
  • Press <1> to continue.

UC1_R22
To collect the urine, ensure ^RespondentFirstName is sitting on the toilet seat in such a way that the urine stream is collected in the device.

Try to collect as much urine as possible and avoid touching the inside of the collection device.

Instruction: Press <1> to continue.

UC1_R23
Once ^RespondentFirstName no longer requires your assistance:

  • Remove the lid of the container and place it on the shelf in the washroom with the inside facing up.
  • Over the toilet, pour the urine from the collection device into the container using the 'spout'.
  • Fill the container as full as possible and put the lid back on tightly.
  • Discard the collection device in the washroom garbage.
  • Please rinse and dry the exterior of the container. Wash your hands, place the container in the brown paper bag provided and bring it back to me.

Instruction:

Show the parent or guardian the spout used for pouring the urine.

Demonstrate how to remove the lid and pour the urine using the example container.

Ensure the parent or guardian understands what is meant by placing the lid on the shelf "with the inside facing up".

  • Answer any questions as thoroughly as possible.
  • Press <1> to continue.

UC1_C30

  • If SCS_N12 = 4, go to UC1_N40.
  • Otherwise, go to UC1_R30.

UC1_R30
In case you forget any of the collection procedures, there are step by step instructions posted in the washroom.

Instruction: Press <1> to continue.

UC1_N40

Instruction: Record whether the respondent provided a urine sample.

  • 1 Yes
  • 2 No (Go to UC1_N70)
    (DK, RF not allowed)

UC1_N42A

Instruction: Was the urine collection hat used for the urine collection?

  • 1 Yes
  • 2 No
    (DK, RF not allowed)

UC1_C42

  • If SCS_N12 = 4, go to UC1_N42B.
  • Otherwise, go to UC1_D42A.

UC1_N42B

Instruction: Enter the urine collection time (Please use a HH:MM format followed by "AM" or "PM").

  • (MIN: 1)
  • (MAX: 13)
  • (DK, RF not allowed)

UC1_D42A

Programmer:

  • IF SCS_N12 = 4,
    • Set UC1_D42A = UC1_N42B
  • ELSE
    • IF UC1_N40 = 1 and UC1_D42A = EMPTY,
      • Set UC1_D42A = Current Time (in HH:MM:SS format)
  • ENDIF

UC1_D42B

Programmer:

Set UC1_D42B = current date

UC1_Q43
In order to complete an accurate analysis of the sample provided, we would like to know how long ago you urinated prior to providing this sample.

Instruction: Read categories to respondent.

  1. Less than 1 hour ago
  2. 1 to 2 hours ago
  3. More than 2 hours ago
    DK
    (RF is not allowed)

UC1_N50

Instruction: The required urine volume can be found on the urine container label.

Did the respondent provide a urine sample of sufficient volume?

  • 1 Yes (Go to UC1_END)
  • 2 No (DK, RF not allowed)

UC1_R60
We did not obtain enough urine for the lab to run all the desired tests. I will prepare another urine container so that a second sample can be collected before the end of the clinic visit.

Instruction: Prepare a second urine container using the label stapled to the inside of the respondent's file folder.

  • Using a Sharpie, write the number 2 in the upper right hand corner of the label.
  • Provide the paper bag containing the second labelled urine container to the respondent.
  • Press <1> to continue.
  • Go to UC1_END

UC1_N70

Instruction: Record the reason why the respondent did not provide a urine sample.

  • 1 Refusal
  • 2 Unable to provide
  • 3 Other - Specify (Go to UC1_S70)
  • (DK, RF not allowed)
  • Go to UC1_END

UC1_S70

  • (Record the reason why the respondent did not provide a urine sample.)
  • Instruction: Specify the reason.
  • (80 spaces)
  • (DK, RF not allowed)

UC1_END

Screening Component

Screening Component Introduction (SCI)

SCI_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: Visit Type (3= clinic visit; 4= home visit)

SCI_D1A

  • If CON_AGE < 14, DT_SCITEXTE = "Your parent or guardian may need to help you answer some of these questions".
  • Otherwise, DT_SCITEXTE = "EMPTY".

SCI_R1
The following questions are asked to ensure that you are given all the tests for which you are eligible. Some questions may have been asked during the home interview, but we need to ensure that our information is up-to-date. We also need to know if any changes have occurred since the home interview.It is important to note that some medications and physical conditions may exclude you from certain tests.

Please answer to the best of your knowledge, as accurate information about you is important. [Your parent or guardian may need to help you answer some of these questions/EMPTY].

Instruction: Press <1> to continue.

SCI_D1B

Programmer:

  • IF SCS_N12 = 4 THEN
    • SCI_D1B = EMPTY
  • ELSE
    • IF SCI_R1 = 1 and SCI_D1B = EMPTY,
      • Set SCI_D1B = Current Time (in HH:MM:SS format)
  • ENDIF

SCI_END

Adherence to Guidelines (ATG)

ATG_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • SELFAST: whether selected to fast for 12 hours (1=fasting, 2=non-fasting)

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • AppointmentTime: time of the clinic visit (in 99:99 format)

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

ATG_R11
At the time of the home interview, you were given a set of pre-testing guidelines. We will now review those guidelines.

Instruction: Press <1> to continue.

ATG_Q11
When did you last eat or drink anything other than water (e.g., coffee, tea, alcohol, juice or flavoured water)?

Instruction: Probe to determine what and how much the respondent ate or drank.

Enter the time (followed by "AM" or "PM") at which the respondent last ate or drank something that does not meet the phlebotomy fasting requirements.

  • (MIN: 1)
  • (MAX: 13)
  • (DK, RF not allowed)

Help text: The respondent is still considered fasted if the following have been consumed within the indicated time-frame:

  • Black coffee - up until the time of the appointment
  • Coffee with milk/cream - up to 2 hours prior to the appointment
  • Juice - up to 2 hours prior to the appointment
  • Gum and candy are allowed - up until the time of the appointment

The respondent is not considered fasted if the following have been consumed within the past 10 hours.

  • Liquids other than those indicated above, including
    • Milkshakes
    • Protein shakes
    • Meal replacements
    • Milk
    • Energy drinks
    • Any other beverages or supplements
  • Any food

ATG_N11

Instruction: Confirm the date.

  • 1 Yesterday
  • 2 Today
  • (DK, RF not allowed)

ATG_D11

  • If ATG_N11 = 1, DT_ATGN11E = "yesterday".
  • ELSE, DT_ATGN11E = "today".

ATG_C11

  • If SCS_N12 = 3, go to ATG_D12.
  • Otherwise, go to ATG_N12.

ATG_N12

Instruction: Enter the time (followed by "AM" or "PM") the fasting question (ATG_Q11) was asked to the respondent.

  • (MIN: 1)
  • (MAX: 13)
  • (DK, RF not allowed)

ATG_D12

Content type: Note to data users:

  • Fasting status (10 hr) is determined based on the fasting flag (SELFAST) and the responses to ATG_Q11 and ATG_N11 (if clinic visit) along with ATG_N12 (if home visit). ATG_D12=1 (fasted) and ATG_D12=2 (not fasted).

Programmer:

  • IF SCS_N12 = 3 THEN
  • IF SELFAST = 2 THEN
    • ATG_D12 = 2
  • ELSE
    • IF ATG_N11 = 1 and the difference between CurrentDate-1/ATG_Q11 and CurrentDate/CurrentTime is 10 hours or more OR
      • ATG_N11 = 2 and difference between CurrentDate/ATG_Q11 and CurrentDate/CurrentTime is 10 hours or more THEN
      • ATG_D12 = 1
  • ELSE
    • ATG_D12 = 2
  • ENDIF
  • ENDIF
  • ELSE
    • IF SCS_N12 = 4 THEN
    • IF SELFAST = 2 THEN
      • ATG_D12 = 2
  • ELSE
    • IF ATG_N11 = 1 and the difference between CurrentDate-1/ATG_Q11 and CurrentDate/ATG_N12 is 10 hours or more OR
      • ATG_N11 = 2 and difference between CurrentDate/ATG_Q11 and CurrentDate/ATG_N12 is 10 hours or more THEN
      • ATG_D12 = 1
  • ELSE
    • ATG_D12 = 2
  • ENDIF
  • ENDIF
  • ENDIF

ATG_C14A

  • If CON_AGE < 6, go to ATG_Q41.
  • Otherwise, go to ATG_C14B.

ATG_C14B

  • If (SCS_N12 = 3 AND ((ATG_N11 = 1 and the difference between CurrentDate-1/ATG_Q11 and CurrentDate/CurrentTime is 3 hours or more) OR (ATG_N11 = 2 and difference between CurrentDate/ATG_Q11 and CurrentDate/CurrentTime is 3 hours or more))) OR (SCS_N12 = 4 AND ((ATG_N11 = 1 and the difference between CurrentDate-1/ATG_Q11 and CurrentDate/ATG_N12 is 3 hours or more) OR (ATG_N11 = 2 and difference between CurrentDate/ATG_Q11 and CurrentDate/ATG_N12 is 3 hours or more))), go to ATG_C21.
  • Otherwise, go to ATG_Q14.

Content type: Note to data users:

  • 3 hr fasting status is calculated above. If respondents are fasted for 3 hrs or more then they are flowed to ATG_C21, otherwise they flow to ATG_Q14.

ATG_Q14
Within the past three hours have you eaten beets, broccoli, cabbage, celery, lettuce, spinach, or radishes?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

ATG_Q15
Within the past three hours have you eaten smoked fish, ham, bacon, or hot dogs, not including vegetarian?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

ATG_C21

  • If CON_AGE < 12, go to ATG_Q21B.
  • Otherwise, go to ATG_Q21.

ATG_Q21
Have you smoked cigarettes or used other tobacco or nicotine products during the past 2 hours?

  • 1 Yes (Go to ATG_Q22)
  • 2 No
  • (DK, RF not allowed)

ATG_Q21B
Have you been exposed to second-hand smoke during the past 2 hours (e.g., from a cigarette, cigar, or pipe)?

Instruction: Exposure to second-hand smoke can occur indoors, outdoors or in a vehicle.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

ATG_Q22
Have you consumed any caffeinated products (e.g., coffee, pop, energy drinks, tea or chocolate) during the past 2 hours?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

ATG_C31

  • If CON_AGE < 12, go to ATG_Q41.
  • Otherwise, go to ATG_Q31.

ATG_Q31
Have you consumed any alcohol during the past 6 hours?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

ATG_Q41
Have you exercised today for at least ten minutes at a time (e.g., running, moderate or vigorous walking, swimming, weight training)?

  • 1 Yes
  • 2 No (Go to ATG_Q50)
  • (DK, RF not allowed)

ATG_Q43
How long has it been since you last exercised?

  • 1 1 to less than 30 minutes ago
  • 2 30 minutes to less than 1 hour ago
  • 3 1 hour to less than 2 hours ago
  • 4 More than 2 hours ago
  • (DK, RF not allowed)

ATG_Q50
Have you listened to loud music today?

Instruction: Loud music is defined as:

A) A volume above 50% of the maximum volume level for a given audio device; or

B) Volume levels that prevent you from understanding someone speaking in a normal voice an arm's length away.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

ATG_Q51
In the past 24 hours, have you been exposed to loud noise without hearing protection? Examples of loud noise include power tools, farm machinery, guns, motorcycle riding at highway speed or any activity where you had to speak in a raised voice to be heard or communicate.

Instruction: A raised voice is defined as volume of speech between a normal voice and shouting.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

ATG_END

Physical and Health Conditions (PHC)

PHC_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • PHCFLAG: whether or not the menstrual period questions need to be asked

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • Date2MonthsAgoE: the date two months ago in English
  • TwoMonthsAgoDay: the day of the date two months ago
  • TwoMonthsAgoMonth: the month of the date two months ago
  • TwoMonthsAgoYear: the year of the date two months ago

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_SEX: sex of respondent
  • CON_AGE: age of respondent

PHC_R11
I am now going to ask you about your current health and physical condition.

Instruction: Press <1> to continue.

PHC_C11A

  • If CON_SEX = 1, go to PHC_C20.
  • Otherwise, go to PHC_C11B.

PHC_C11B

  • If CON_AGE < 14 or > 59, go to PHC_C13A.
  • Otherwise, go to PHC_Q11.

PHC_Q11
Are you currently pregnant?

  • 1 Yes (Go to PHC_Q12)
  • 2 No
  • DK
  • (RF is not allowed)

Go to PHC_C13A

PHC_Q12
In what week are you?

  • Week
  • (MIN: 1)
  • (MAX: 45)
  • DK, RF
  • PHC_C13AIf PHCFLAG = 2, go to PHC_C20.
  • Otherwise, go to PHC_C13B.

Content type: Note to data users:

  • For cycle 3 PHCFLAG will always be set to 1 (menstrual cycle questions will be asked).

PHC_C13B

  • If (PHC_Q11 = 2 or DK and CON_AGE = 14 to 59) or CON_AGE = 12 or 13, go to PHC_Q13.
  • Otherwise, go to PHC_C20.

PHC_Q13
Have you had a menstrual period in the past 6 months?

  • 1 Yes (Go to PHC_Q14)
  • 2 No
  • DK, RF

Go to PHC_C20

PHC_Q14
Is your menstrual cycle regular? Here, "regular" is defined as having a menstrual period every 20 to 36 days.

  • 1 Yes (Go to PHC_Q15)
  • 2 No
  • DK, RF

Go to PHC_C20

PHC_Q15
What is the length of your typical menstrual cycle, that is, from day 1 of the last menstrual period to day 1 of the next?

Instruction: Record the duration of the respondent's typical menstrual cycle in days.

  • Days
  • (MIN: 1)
  • (MAX: 97)
  • DK, RF

PHC_B16

  • Call the Date block. See Appendix I

Content type: Note to data users:

  • Hard edits are in place to ensure that data is not recorded if the respondent does not have regular menstrual periods (20-26 days) or has not had a menstrual period in the past 6 months.

Programmer:

Pass "When was the first day of your last menstrual period?

Instruction: If the respondent is unable to indicate the first day of her last menstrual period but is able to estimate the week in which her last menstrual period occurred, then choose the date as being the Monday of that week." as parameter.

PHC_C20

  • If CON_AGE < 6, go to PHC_D41.
  • Otherwise, go to PHC_Q20.

PHC_Q20
Are you currently suffering from the effects of an allergy, cold or respiratory infection?

  • 1 Yes
  • 2 No (Go to PHC_Q41)
  • (DK, RF not allowed)

PHC_Q21
Do you have a runny or stuffy nose, post nasal drip, sore throat or phlegm as a result of your allergy, cold, or respiratory infection?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

PHC_D41

  • If AGE > 5, DT_PHCTEXTE = " other".
  • If AGE < 6, DT_PHCTEXTE = "EMPTY".

PHC_Q41
Do you have any[ other/EMPTY] acute conditions, for example sprained wrist, flu or other infection? An acute condition develops suddenly and is short-term.

  • 1 Yes
  • 2 No (Go to PHC_Q43)
  • (DK, RF not allowed)

PHC_N41

Instruction: What type(s) of acute condition(s) does the respondent have?

Mark all that apply.

  • 1 Bone, joint or muscle problem
  • 2 Flu or other infection
  • 3 Medical procedure (recovery)
  • 4 Other health problem
  • 6 Fever
  • (DK, RF not allowed)

Go to PHC_N42

PHC_N42

Instruction: From which test(s) should the respondent be excluded because of this condition?

Probe to determine the seriousness of the condition.

Mark all that apply.

  • 05 Activity monitor
  • 06 Spirometry
  • 08 Grip strength
  • 12 None
  • 13 FENO (Fractional Exhaled Nitric Oxide)
  • 14 Hearing
  • 15 Skin Pigmentation
  • (DK, RF not allowed)

PHC_Q43
Do you have a chronic condition, for example arthritis, heart condition, multiple sclerosis, or colostomy bag that may prevent you from participating in any of the tests today? A chronic condition develops slowly and is long lasting.

Instruction: Show the laminated card with pictures of each test to the respondent.

  • 1 Yes
  • 2 No (Go to PHC_Q51)
  • (DK, RF not allowed)

PHC_N43

Instruction: What type(s) of chronic condition(s) does the respondent have?Mark all that apply.

  1. Bone, joint or muscle problem
  2. Cardiovascular condition
  3. Respiratory condition
  4. Physically impaired
  5. Other health problem
  6. (DK, RF not allowed)

PHC_N44

Instruction: From which test(s) should the respondent be excluded because of this condition?

Probe to determine the seriousness of the condition.

Mark all that apply.

  • 05 Activity monitor
  • 06 Spirometry
  • 08 Grip strength
  • 12 None
  • 13 FENO (Fractional Exhaled Nitric Oxide)
  • 14 Hearing
  • 15 Skin Pigmentation
  • (DK, RF not allowed)

PHC_Q51
Do you have a clotting condition such as haemophilia or von Willebrand disease?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

PHC_Q52
Have you received chemotherapy in the past four weeks?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

PHC_Q53
In the past 2 months, that is, from ^Date2MonthsAgoE to today, did you receive a blood transfusion?

  • 1 Yes
  • 2 No
  • DK, RF

PHC_Q54
In the past 2 months, did you donate blood?

  • 1 Yes
  • 2 No (Go to PHC_Q56)
  • (DK, RF not allowed)

Go to PHC_B55

PHC_B55

  • Call the Date block. See Appendix I

Programmer:

  • Pass "What was the date when you last donated blood?" as parameter.

PHC_D55

Programmer:

  • IF PHC_B55.Year / PHC_B55.DATE_Month / PHC_B55.DATE_Day = YesterdayYear / YesterdayMonth / YesterdayDay THEN
    • PHC_D55 = 1
  • ENDIF

PHC_Q56
Have you ever felt dizzy or fainted during a blood draw?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

PHC_END

Hearing Restriction (HER)

HER_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

HER_R10
The next set of questions concern your hearing health.

Instruction: Press <1> to continue.

HER_Q10
When was the last time you had your hearing tested?

Instruction: A hearing test is conducted to evaluate a person's ability to hear different frequencies of sound, from very high (for example, the highest note on a piano) to very low (for example, the call of an owl). The subject of a hearing test is asked to wear headphones or earphones and then listens to different sounds played in random order. The subject is asked to raise his or her hand or press a button when a sound is played. Depending on surrounding noise levels, a hearing test can be performed in a soundproof booth or in a quiet room.

Read categories to respondent.

  1. Less than a year ago
  2. 1 to less than 5 years ago
  3. 5 to less than 10 years ago
  4. 10 or more years ago
  5. Never (Go to HER_Q30)
    DK, RF

HER_Q20
Has a health professional ever diagnosed you with a hearing problem?

  • 1 Yes
  • 2 No
  • DK, RF

HER_Q30
Have you had any surgery performed on the inside of your ear in the past three months?

  • 1 Yes
  • 2 No (Go to HER_Q40)
  • (DK, RF not allowed)

HER_Q31
On which ear(s)?

  • 1 Right
  • 2 Left
  • 3 Both
  • (DK, RF not allowed)

HER_Q40
Do you currently have an ear infection or pain in your ear(s)?

  • 1 Yes
  • 2 No (Go to HER_Q50)
  • (DK, RF not allowed)

HER_Q41
In which ear(s)?

  • 1 Right
  • 2 Left
  • 3 Both
  • (DK, RF not allowed)

HER_Q50
Do you have a cochlear implant?

Instruction: A cochlear implant (bionic ear) is a small, electronic device that is surgically placed (implanted) within the inner ear to help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing.

  • 1 Yes
  • 2 No (Go to HER_D52)
  • (DK, RF not allowed)

HER_Q51
In which ear(s)?

  • 1 Right
  • 2 Left
  • 3 Both
  • (DK, RF not allowed)

HER_C52

  • If HER_Q51 = 3, go to HER_END.
  • Otherwise, go to HER_D52.

HER_D52

  • If HER_Q51 = 1, DT_HER52TEXTE = "Do you have a hearing aid for your left ear?".
  • If HER_Q51 = 2, DT_HER52TEXTE = "Do you have a hearing aid for your right ear?".
  • Otherwise, DT_HER52TEXTE = "Do you have a hearing aid?".

HER_Q52
[Do you have a hearing aid for your left ear?/Do you have a hearing aid for your right ear?/Do you have a hearing aid?]

  • 1 Yes
  • 2 No (Go to HER_D54)
  • (DK, RF not allowed)

HER_C53

  • If HER_Q50 = 2, go to HER_Q53.
  • Otherwise, go to HER_D54.

HER_Q53
In which ear(s)?

  1. Right
  2. Left
  3. Both
  4. (DK, RF not allowed)

HER_D54

Programmer:

  • IF HER_Q53 = 1,
    • HER_D54 = 1
    • ELSE IF HER_Q53 = 2
      • HER_D54 = 2
    • ELSE IF HER_Q53 = 3
      • HER_D54 = 3
    • ELSE IF (HER_Q51 = 1 AND HER_Q52 = 1)
      • HER_D54 = 2
    • ELSE IF (HER_Q51 = 2 AND HER_Q52 = 1)
      • HER_D54 = 1
  • ENDIF

HER_END

Spirometry Questions (SPQ)

PQ_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentFirstName: first name of respondent
  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_SEX: sex of respondent
  • CON_AGE: age of respondent

SPQ_C01

  • If CON_AGE < 6, go to SPQ_END.
  • Otherwise, go to SPQ_C11.

SPQ_C11

  • If CON_AGE > 12, go to SPQ_R21.
  • Otherwise, go to SPQ_R11.

SPQ_R11
The next set of questions is related to the health of ^RespondentFirstName's lungs.

Instruction: Ask the questions of the parent or guardian of the respondent.

  • Press <1> to continue.

SPQ_Q11
Has your child ever had wheezing or whistling in the chest at any time in the past?

  • 1 Yes
  • 2 No (Go to SPQ_Q16)
  • (DK, RF not allowed)

SPQ_Q12
Has your child had wheezing or whistling in the chest in the last 12 months?

  • 1 Yes
  • 2 No (Go to SPQ_Q16)
  • (DK, RF not allowed)

SPQ_Q13
How many attacks of wheezing has your child had in the last 12 months?

Instruction: Read categories to the parent or guardian of the respondent.

  1. 1 to 3 attacks
  2. 4 to 12 attacks
  3. More than 12 attacks
    (DK, RF not allowed)

SPQ_Q14
In the last 12 months, how often, on average, has your child's sleep been disturbed due to wheezing?

Instruction: Read categories to the parent or guardian of the respondent.

  1. Never woken with wheezing
  2. Less than one night per week
  3. One or more nights per week
    (DK, RF not allowed)

SPQ_Q15
In the last 12 months, has wheezing ever been severe enough to limit your child's speech to only one or two words at a time between breaths?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPQ_Q16
In the last 12 months, has your child's chest sounded wheezy during or after exercise?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPQ_Q17
In the last 12 months, has your child had a dry cough at night, apart from a cough associated with a cold or a chest infection?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

Go to SPQ_END

SPQ_R21
The next set of questions is related to the health of your lungs.

Instruction: Press <1> to continue.

SPQ_Q21
Do you cough regularly?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPQ_Q22
Do you cough up phlegm regularly?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPQ_Q23
Do even simple chores make you short of breath?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPQ_Q24
Do you wheeze when you exert yourself, or at night?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPQ_Q25
Do you get frequent colds that persist longer than those of other people you know?

Instruction: Select "yes" only if respondent meets both conditions (i.e., colds are both frequent and persist longer than those of other people).

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPQ_END

Spirometry Restriction (SPR)

SPR_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

SPR_C11A

  • If CON_AGE < 6, go to SPR_END.
  • Otherwise, go to SPR_C11B.

SPR_C11B

  • If PHC_Q11 = 1 and PHC_Q12 = RESPONSE and PHC_Q12 > 27, go to SPR_END.
  • Otherwise, go to SPR_C11C.

SPR_C11C

  • If PHC_N42 = 6, go to SPR_END.
  • Otherwise, go to SPR_C11D.

SPR_C11D

  • If PHC_N44 = 6, go to SPR_END.
  • Otherwise, go to SPR_R11.

SPR_R11
I also need to ask a few health related questions to make sure you are able to do the lung function test today.

Instruction: Press <1> to continue.

SPR_Q11
Have you had a heart attack within the past 3 months?

  • 1 Yes (Go to SPR_END)
  • 2 No
  • (DK, RF not allowed)

SPR_Q12
Have you had major surgery on your chest or abdomen in the past 3 months?

  • 1 Yes (Go to SPR_END)
  • 2 No
  • (DK, RF not allowed)

SPR_Q13
Have you had eye surgery in the past 6 weeks?

  • 1 Yes (Go to SPR_END)
  • 2 No
  • (DK, RF not allowed)

SPR_END

Medications and Product Confirmation (MEDC)

Overview: Up to 45 medications (both prescription and non prescription) entered at the household interview will be confirmed at the clinic in MEDC.

MEDC_BEG

External fields required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • MEU_B11[i].DV_PIN: Product Identification Number (DIN, DIN-HM, NPN or EN) of the ith prescription medication from the household interview, i = 1 to 45.
  • MEU_B11[i].DV_Product_name: Name of the ith prescription medication from the household interview, i = 1 to 45.
  • MEU_B11[i].DV_Short_form: Code for the form of ith prescription medication from the household interview, i = 1 to 45 (used to derive dynamic text for take/use).
  • 01 = Tablet/pill/capsule
  • 02 = Lozenge
  • 03 = Chew/gummy
  • 04 = Globule
  • 05 = Drop
  • 06 = Tincture
  • 07 = Liquid/solution
  • 08 = Suspension
  • 09 = Cream/ointment/gel/lotion
  • 10 = Packet/sachet
  • 11 = Powder
  • 12 = Granule
  • 13 = Spray/aerosol
  • 14 = Patch
  • 15 = Kit
  • 16 = Suppository
  • 50 = Other
  • MEU_B11[i].NPI_N05: Indicator of whether there is an ith prescription medication from the household interview, i = 1 to 45.
  • If MEU_B11[i].NPI_N05 = 1 or 2, there is an ith prescription medication. Otherwise, there are no more prescription medications
  • MEU_B25[j].DV_PIN: Product Identification Number (DIN, DIN-HM, NPN or EN) of the jth over-the-counter or other health product from the household interview, j = 1 to 45.
  • MEU_B25[j].DV_Product_name: Name of the jth over-the-counter or health product from the household interview, j = 1 to 45.
  • MEU_B25[j].DV_Short_form: Code for the form of the jth over-the-counter or health product from the household interview, j = 1 to 45 (used to derive dynamic text for take/use).
  • 01 = Tablet/pill/capsule
  • 02 = Lozenge
  • 03 = Chew/gummy
  • 04 = Globule
  • 05 = Drop
  • 06 = Tincture
  • 07 = Liquid/solution
  • 08 = Suspension
  • 09 = Cream/ointment/gel/lotion
  • 10 = Packet/sachet
  • 11 = Powder
  • 12 = Granule
  • 13 = Spray/aerosol
  • 14 = Patch
  • 15 = Kit
  • 16 = Suppository
  • 50 = Other
  • MEU_B25[j].NPI_N05: Indicator of whether there is a jth over-the-counter or other health product from the household interview, j = 1 to 45. If MEU_B25[j].NPI_N05 = 1 or 2, there is a jth over-the-counter or other health product. Otherwise, there are no more over-the-counter or other health products

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • CON_SEX: sex of respondent
  • ProxySex: gender of selected respondent and whether the interview is being conducted by proxy

MEDC_C100A

  • If MEU_B11[1].NPI_N05 = 1 or 2 or MEU_B25[1].NPI_N05 = 1 or 2 , go to MEDC_D100A.
  • Otherwise, go to MEDC_B300.MEDC_D100ANot Applicable

MEDC_R100
Now I'd like to confirm your use of prescription and over-the-counter medications and other health products, including natural health products.

Instruction: Press <1> to continue.

MEDC_C100B

  • If MEU_B11[n].NPI_N05 = 1 or 2, go to MEDC_C100C.
  • Otherwise, go to MEDC_C200A.

MEDC_C100C

  • If MEU_B11[n].DV_Product_Name = RESPONSE, go to MEDC_D100B.
  • Otherwise, go to MEDC_C100B.

MEDC_D100B

Programmer:

  • If MEU_B11[n].DV_Short_form = 9, 13,14, 15 or 16 then set
    • DT_TAKE1E = "used"
    • DT_TAKE2E = "using"
  • Else
    • DT_TAKE1E = "took"
    • DT_TAKE2E = "taking"
  • ENDIF

MEDC_B101

  • Call the Confirm Drug Product (CDP) block

Programmer:

  • Pass "DT_QuestionE = During the interview in your home, it was reported that you were ^DT_TAKE2E ^DV_PRODUCT_NAME. When was the last time that you ^DT_TAKE1E this medication?" as parameter for the 1st product and every other multiple of 5.
  • Pass "DT_QuestionE = When was the last time that you ^DT_TAKE1E ^DV_PRODUCT_NAME?" as parameter for all other products.

MEDC_C200A

  • If MEU_B25[n].NPI_N05 = 1 or 2, go to MEDC_C200B.
  • Otherwise, go to MEDC_B300.

MEDC_C200B

  • If MEU_B25[n].DV_PRODUCT_NAME = RESPONSE, go to MEDC_D200.
  • Otherwise, go to MEDC_C200A.

MEDC_D200

Programmer:

  • If MEU_B25[n].DV_Short_form = 9, 13,14, 15 or 16 then set
    • DT_TAKE1E = "used"
    • DT_TAKE2E = "using"
  • Else
    • DT_TAKE1E = "took"
    • DT_TAKE2E = "taking"
  • ENDIF

MEDC_B201

  • Call the Confirm Drug Product (CDP) block

Programmer:

  • Pass "DT_QuestionE = During the interview in your home, it was reported that you were ^DT_TAKE2E ^DV_Product_name. When was the last time that you ^DT_TAKE1E this product? " as parameter for the 1st product and every other multiple of 5.
  • Pass "DT_QuestionE = When was the last time that you ^DT_TAKE1E ^DV_Product_name? " as parameter for all other products.

MEDC_B300

  • Call the Medication Use for clinic (MEUC) block

MEDC_C411A

  • If CON_AGE < 6, go to MEDC_END.
  • Otherwise, go to MEDC_C411B.

MEDC_C411B

  • If CON_AGE < 14, go to MEDC_C511.
  • Otherwise, go to MEDC_R411.

MEDC_R411
Now I am going to ask you a question about your use of other substances such as performance enhancing or recreational drugs. We ask this question because these drugs can affect the results of the physical and biological measures that we will be taking today. You can be assured that anything you say will remain confidential and that your answer will not screen you out of any tests.

Instruction: Press <1> to continue.

MEDC_Q411
In the past week have you used any performance enhancing or recreational drugs such as steroids, marijuana or cocaine?

  • 1 Yes
  • 2 No
  • DK, RF

MEDC_C511

  • If MEU_B11[1].NPI_N05 = (EMPTY) and
  • MEDC_B300. MEUC_Q02 <> 1 and
  • MEU_B25[1].NPI_N05 = (EMPTY) and
  • MEDC_B300.MEUC_Q22 <> 1, go to MEDC_END.
  • Otherwise, go to MEDC_N611.

MEDC_N611

Instruction: From which tests should the respondent be excluded because of medication use?

  • 1 Spirometry
  • 6 None
  • (DK, RF not allowed)

Programmer:

  • Display a list of the confirmed and new prescription drugs immediately below the question header.
  • If any drugs are to be displayed, include a title as follows:
  • Medications currently being taken

MEDC_END

Confirm Drug Product (CDP)

CDP_BEG

External variables required:

  • Proxysex
  • DT_QuestionE: English question text
  • DT_TAKE1E: English text for "used/took"
  • DV_Product_name: Name of product
  • DV_PIN

CDP_Q1
^DT_QUESTIONE
(The response categories are today, yesterday, within the last week, within the last month or more than one month ago.)

  1. Today
  2. Yesterday
  3. Within the last week
  4. Within the last month
  5. More than one month ago
  6. Never ^DT_TAKE1E the product
  7. DK, RF

CDP_END

Medication use for Clinic (MEUC)

MEUC_BEG

External variables required:

Variables from previously completed blocks:

  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy
  • SEX_Q01 : sex of respondent
  • CON_AGE : age of respondent
  • FNAME: first name of respondent

Content type: Note to data users:

  • Information on up to 15 new prescription, over-the-counter and other health products, taken or used in the past month is collected in MEUC. First, information (collected in the NPI block) on prescription medications is captured, followed by over-the-counter and other health products. Look-up databases are used to identify the products. Products containing ingredients of particular interest have been pre-flagged on these databases (FollowUpFlag = 1). For these products, additional questions are administered to collect information on the quantity and frequency of use. If more that 15 new medications have been taken during the past month, then the respondent is asked to state the number of additional medications he/she takes.

Programmer:

  • Set DT_DateLastMonthE = English text of date one month ago.

MEUC_D02A

  • If any of MEDC_B101[n].CDP_Q1 = 1, 2, 3, 4 or 5, DT_OTHER1 = "other ".
  • Otherwise, DT_OTHER1 = "EMPTY".

MEUC_D02B

  • If SEX_Q01 = 1 and CON_AGE > 13, DT_MEUTEXT2E = "antibiotics and nicotine patches".
  • Otherwise, if SEX_Q01 = 2 and CON_AGE > 13, DT_MEUTEXT2E = "antibiotics, nicotine patches and birth control pills, patches or injections".
  • Otherwise, DT_MEUTEXT2E = "antibiotics and asthma medication".

MEUC_Q02
In the past month, that is, from ^DT_DATELASTMONTHE to today, have you taken or used any [other /EMPTY]medications that have been prescribed or administered by a health professional such as a doctor or dentist? This includes such things as insulin, [antibiotics and nicotine patches/antibiotics, nicotine patches and birth control pills, patches or injections/antibiotics and asthma medication].

Instruction: This question applies only to medications taken or used within the past month. Medications that have been prescribed but not taken or used within this period of time (e.g., Epi-pen) should not be captured.

  • 1 Yes
  • 2 No (Go to MEUC_Q22)
  • DK, RF (Go to MEUC_Q22)

MEUC_B11

  • Call the New product information (NPI) block

Content type: Note to data users:

  • The NPI block is called once for each prescription medication, up to a maximum of 15 times.

MEUC_C11

  • If the number of products captured is less than 15, go to MEUC_N11.
  • Otherwise, go to MEUC_Q15.

MEUC_N11

Instruction: Do you have another prescription medication to capture?

  • 1 Yes (Go to MEUC_B11)
  • 2 No
  • (DK not allowed)
  • RF (Go to MEUC_Q22)

MEUC_Q12
Have you taken or used any other prescription medications in the past month? Please include any prescription creams, injections or patches.

  • 1 Yes (Go to MEUC_B11)
  • 2 No
  • DK, RF

Go to MEUC_Q22

Content type: Note to data users:

  • MEUC_Q15 to MEUC_Q21 are asked only if more than 15 additional prescription medications have been taken or used in the past month.

MEUC_Q15
How many other prescription medications have you taken or used in the past month? Please include any prescription creams, injections or patches.

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

MEUC_D19

  • If any of MEDC_B201[n].CDP_Q1 = 1, 2, 3, 4, or 5 , DT_OTHER2 = "other".
  • Otherwise, DT_OTHER2 = "EMPTY".

MEUC_Q20
Have you taken or used any [other/EMPTY]over-the-counter medications or other health products, including natural health products in the past month?

Over-the-counter medications could include such things as pain killers, antacids, allergy pills and hydrocortisone creams. Examples of health products include vitamins, minerals, amino acids, probiotics, fish oils and other oils, herbal remedies and homeopathic preparations.

Instruction: This question applies only to products taken or used within the past month. Products that have not been taken or used within this period of time should not be captured.

  • 1 Yes (Go to MEUC_Q21)
  • 2 No
  • DK, RF

Go to MEUC_END

MEUC_Q21
How many [other/EMPTY]over-the-counter medications or health products have you taken or used in the past month?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

Go to MEUC_END

MEUC_Q22
Have you taken or used any [other/EMPTY] over-the-counter medications and other health products, including natural health products, that you have taken or used in the past month, that is, from ^DT_DATELASTMONTHE to today.

Over-the-counter medications could include such things as pain killers, antacids, allergy pills and hydrocortisone creams. Examples of health products include vitamins, minerals, amino acids, probiotics, fish oils and other oils, herbal remedies and homeopathic preparations.

Instruction: Has the respondent taken or used any over-the-counter medications or health products in the past month?

This question applies only to products taken or used within the past month. Products that have not been taken or used within this period of time should not be captured.

  • 1 Yes
  • 2 No (Go to MEUC_END)
  • DK, RF (Go to MEUC_END)

MEUC_B25

  • Call the New Drug Product (NPI) block

Content type: Note to data users:

  • The NPI block is called once for each over-the-counter medication or other health product, up to a maximum of 15 products in total (including prescription medications).

MEUC_C26

  • If the number of products (combined) captured is less than 15, go to MEUC_N26.
  • Otherwise, go to MEUC_Q29.

MEUC_N26

Instruction: Do you have another over-the-counter medication or health product to capture?

  • 1 Yes (Go to MEUC_B25)
  • 2 No
  • (DK not allowed)
  • RF (Go to MEUC_END)

MEUC_Q27
Have you taken or used any other over-the-counter medications or health products in the past month? Please include any solutions, powders, creams or pastes.

  • 1 Yes (Go to MEUC_B25)
  • 2 No
  • DK, RF

Go to MEUC_END

Content type: Note to data users:

  • MEUC_Q29 is asked only if more than 15 additional products in total, including prescription medications, over-the-counter medications and other health products, have been taken or used in the past month.

MEUC_Q29
How many other over-the-counter medications or health products have you taken or used in the past month? Please include any solutions, powders, creams or pastes.

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

MEUC_END

New Product Information (NPI)

NPI_BEG

External variables required:

  • MEUC_Q22: whether respondent taken or used any over-the-counter medications or health products
  • ProxySex: gender of selected respondent and whether the interview is being conducted by proxy
  • DT_DateLastMonthE: English text of date one month ago
  • FollowUpFlag: 0 or 1

NPI_N05

Instruction: Is a product identification number available for the product (e.g., DIN, DIN-HM, NPN, EN)?

  • 1 Yes
  • 2 No (Go to NPI_N15)
  • (DK, RF not allowed)

NPI_N07

Instruction: Record the product identification number from the bottle, tube or box.

  • (MIN: 1)
  • (MAX: 99,999,995)
  • (DK, RF not allowed)

Content type: Note to data users:

  • A search is performed based on the Product Identification Number. This could be a Drug Identification Number (DIN); Natural Product Number (NPN); Homeopathic Medicine Number (DIN_HM); or Exemption Number (EN).

NPI_C08

  • If DV_PIN = EMPTY (product identification number not found in PIN_Database), go to NPI_D18A.
  • Otherwise, go to NPI_Q10.

NPI_Q10

  • Product identification number: ^DV_PIN
  • Product name: ^DV_PRODUCT_NAME
  • Form: ^DV_FORME
  • Strength: ^DT_STRENGTH

Instruction: Confirm whether the information displayed is correct.

  • 1 Yes (Go to NPI_D25)
  • 2 No
  • (DK, RF not allowed)

NPI_N11

Instruction: Is ^DV_PIN the correct product identification number?

  • 1 Yes (Go to NPI_D18A)
  • 2 No (Go to NPI_N05)
  • (DK, RF not allowed)

NPI_N15

Instruction: Why is a product identification number not available for the product?

  • 1 Container not available
  • 2 No product identification number
  • (DK, RF not allowed)

NPI_D15

If NPI_N15 = 1 and MEUC_Q22 = EMPTY, DT_NPI15E = "To search for this product I will need some of the following information:

  • Product name: for example, Accutane, Alesse 21 or Ventolin.
  • Product form: for example, pill, powder, liquid or cream.

Manufacturer: for example, Roche, Pfizer or GlaxoSmithKline.". Else If NPI_N15 = 1 and MEUC_Q22 = RESPONSE , DT_NPI15E = "To search for this product, I will need some of the following information:

  • Product name: for example, Children's Tylenol® Cold and Cough Nighttime.
  • Product form: for example, pill, powder, liquid or cream.
  • Manufacturer: for example, Bayer, Jamieson or Sisu.".
  • Otherwise, DT_NPI15E = "EMPTY".

Content type: Note to data users :

  • If a product identification number is not available, MedSearch can be used to search for the medication.
  • The MedSearch tool uses a look-up database to search for prescription medications, over-the-counter medications and other health products based on product name, manufacturer, active ingredients, route of administration, form and/or product strength.

NPI_Q16
^DT_NPIN15E

Instruction: Use the MedSearch tool to find the product.

  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

NPI_N17

Instruction: Was an exact product match found?

  • 1 Yes
  • 2 No (Go to NPI_D18A)
  • (DK, RF not allowed)

NPI_D17

  • Not Applicable

NPI_Q17A

  • Product identification number: ^DV_PIN
  • Product name: ^DV_PRODUCT_NAME
  • Form: ^DV_FORME
  • Strength: ^DT_STRENGTH
  • Route of administration: ^DT_ROUTEE

Instruction: Confirm whether the information displayed is correct.

  • 1 Yes (Go to NPI_D25)
  • 2 No
  • (DK, RF not allowed)

NPI_N17B

Instruction: Do you want to search for the product again?

  • 1 Yes (Go to NPI_D15)
  • 2 No
  • (DK, RF not allowed)

NPI_D18A

  • If MEUC_Q22 = EMPTY, DT_NAMEEXAMPLEE = "For example, Accutane, Alesse 21 or Ventolin.".
  • Otherwise, DT_NAMEEXAMPLEE = "For example, Children's Tylenol® Cold and Cough Nighttime.".

Content type: Note to data users:

  • If a product cannot be found in the database search at NPI_N07 or NPI_N16, information about the product is entered at NPI_Q18 to NPI_Q25.

NPI_Q18
(What is the name of this product? [For example, Accutane, Alesse 21 or Ventolin./For example, Children's Tylenol® Cold and Cough Nighttime.])

Instruction: Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.

  • (80 spaces)
  • DK, RF

(Go to NPI_END)

NPI_D18B

  • Not Applicable

NPI_C19

  • If NPI_N15 = 1, go to NPI_Q20.
  • Otherwise, go to NPI_D19.

NPI_D19

  • If MEUC_Q22 = EMPTY, DT_COMPANYEXAMPLEE = "For example, Roche, Pfizer, GlaxoSmithKline.".
  • Otherwise, DT_COMPANYEXAMPLEE = "For example, Bayer, Jamieson or Sisu.".

NPI_Q19
What company information is found on the product container?
[For example, Roche, Pfizer, GlaxoSmithKline./For example, Bayer, Jamieson or Sisu.]

Instruction: Capture all the company names from the product container. This could include: the manufacturer, the importer and/or the company for which this product was manufactured. If there is no company information on the container, enter <Don't know>.

  • (80 spaces)
  • DK, RF

NPI_Q20
(What is the form of this product? For example, is it a pill, powder, liquid or cream?)

Instruction: Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.

Select the product form.

  • 01 Tablet / pill / capsule
  • 02 Lozenge
  • 03 Chew / gummy
  • 04 Globule
  • 05 Drop
  • 06 Tincture
  • 07 Liquid / solution
  • 08 Suspension
  • 09 Cream / ointment / gel / lotion
  • 10 Packet / sachet
  • 11 Powder
  • 12 Granule
  • 13 Spray / aerosol
  • 14 Patch
  • 15 Kit
  • 16 Suppository
  • 50 Other - Specify (Go to NPI_S20)
  • DK, RF

Go to NPI_D20

NPI_S20
(What is the form of this product? For example, is it a pill, powder, liquid or cream?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

NPI_D20

  • If NPI_Q20 = 50, DT_FORME = "NPI_S20".
  • Otherwise, if NPI_Q20 = DK, RF, DT_FORME = "EMPTY".
  • Otherwise, DT_FORME = "English text of category selected at NPI_Q20".

NPI_Q21
(What is the strength of this product, for example, 250mg, 1%, 1000 international units?)

Instruction: Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.

  • (80 spaces)
  • DK, RF

NPI_Q22
(How is this product administered? For example, is it inhaled, swallowed, dissolved beneath the tongue or applied to the skin?)

Instruction: Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information as accurately as possible.

Select the route of administration of the product.

  • 01 Oral
  • 02 Sublingual (under tongue)
  • 03 Buccal (inside of cheek)
  • 04 Dental (teeth or gums)
  • 05 By inhalation
  • 06 Nasal (nose)
  • 07 Ophthalmic (eyeball)
  • 08 Otic (ear)
  • 09 Topical (applied to skin)
  • 10 Transdermal (absorbed through skin)
  • 11 By injection
  • 12 Rectal
  • 13 Vaginal
  • 50 Other - Specify (Go to NPI_S22)
  • DK, RF

Go to NPI_D25

NPI_S22
(How is this product administered? For example, is it inhaled, swallowed, dissolved beneath the tongue or applied to the skin?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

Go to NPI_D25

NPI_D25

  • If DV_Short_form = 9, 13,14, 15 or 16 then set:, DT_TAKE1E = "used".
  • Else, DT_TAKE1E = "took".
  • If DV_Short_form = 9, 13,14, 15 or 16 then set:, DT_TAKE2E = "using".
  • Else, DT_TAKE2E = "taking".
  • If DV_Short_form = 9, 13,14, 15 or 16 then set:, DT_TAKE3E = "use".
  • Else, DT_TAKE3E = "take".

NPI_Q25
When was the last time that you [used/took] this product?

(The response categories are today, yesterday, within the last week or within the last month.)

  1. Today
  2. Yesterday
  3. Within the last week
  4. Within the last month
  5. More than one month ago (Go to NPI_END)
  6. DK, RF (Go to NPI_END)

NPI_C25

  • If FollowUpFlag = 1 (administer follow-up questions), go to NPI_D26.
  • Otherwise, go to NPI_END.

Content type: Note to data users:

  • The next questions are only asked for products found on the look-up database that contain ingredients of particular interest.

NPI_D26

Content type: Note to data users:

DT_NPC_TEXT1E is created and passed to NPC. This text string contains examples of possible units of measure based on the form of the product.

NPI_B26

  • Call the New Product Information – Call block (NPC).

Programmer:

  • Pass DT_NPC_TEXT1E, DT_NPC_TEXT1E and available choices for NPC_N12) as a parameter.

NPI_D59

  • If MEUC_Q22 = 1, DT_SPRODE = "this or a similar product".
  • Otherwise, DT_SPRODE = "this product".

NPI_D60

  • If NPI_Q25 = 1 or 2, DT_NPITEXT5E = "For how long have you been [using/taking] [this or a similar product/this product]? (^DV_PRODUCT_NAME)".
  • Otherwise, DT_NPITEXT5E = "For how long did you ^DT_TAKE3E [this or a similar product/this product]? (^DV_PRODUCT_NAME)".

NPI_D62

  • If MEUC_Q22 = EMPTY, DT_NPITEXT7E = "Consider a change in prescription (e.g., a change in medication company or dosage) to be a stop in medication use.
  • Do not consider a short break in the use of a prescription medication (e.g., temporarily ran out of medication or forgot to take a dose) to be a stop in medication use.
  • For prescription medication used on an as-needed basis (e.g., medicated cream for a reoccurring condition), only include the period when it was last used.".
  • Otherwise, DT_NPITEXT7E = "A similar product could be a different company name (e.g., Jamieson Vitamin C® vs. Flintstones Vitamin C®) or a different form (e.g., tablet vs. liquid).
  • Do not consider a short break in the use of a product (e.g., temporarily ran out of a vitamin supplement or forgot to take a dose) to be a stop in product use.
  • For over-the-counter medication used on an as-needed basis (e.g., medication for a cold or headache), only include the period when it was last used ".

NPI_Q63
[For how long have you been [using/taking] [this or a similar product/this product]?/For how long did you [use/take] [this or a similar product/this product]?] (^DV_PRODUCT_NAME)

(If you stopped [using/taking] it at some point, only include the most recent period of use.)

Instruction: Enter time only.

  • ^DT_NPITEXT7E
  • (MIN: 1)
  • (MAX: 500)
  • DK (Go to NPI_Q65)
  • RF (Go to NPI_END)

NPI_N64

Instruction: Select the reporting period.

  1. Days
  2. Weeks
  3. Months
  4. Years
  5. (DK, RF not allowed)

NPI_Q65
In the past month, on how many days did you [use/take] this product (^DT_PRODUCT_NAME)?

Instruction: Enter number of days.

If the medication was used every day for the past month, enter "31".

  • (MIN: 1)
  • (MAX: 31)
  • DK, RF

NPI_END

New Product Information – Call block (NPC)

NPC_BEG

External variables required:

  • DT_NPC_TEXT1E: example text in English
  • DV_PRODUCT_NAME: product name
  • DT_Take1E: English text fill for "used/took"
  • DT_Take3E: English text fill for "use/take"

NPC_Q10
On the days that you [used/took] this product, how many times did you usually [use/take] it in a single day?

Instruction: Record the number of times per day.

  • (MIN: 1)
  • (MAX: 100)
  • DK, RF (Go to NPC_END)

NPC_Q11
How much did you usually [use/take] each time you [used/took] it?

Instruction: Enter the quantity only.

  • (MIN: 0.01)
  • (MAX: 99,995.00)
  • DK, RF (Go to NPC_END)

NPC_D11A

  • If NPC_Q10 = 1, DT_TIMESE = "time".
  • Otherwise, DT_TIMESE = "times".

NPC_N12

Instruction: Select the unit of measure.

  • 01 Tablets / pills / capsules
  • 02 Lozenges
  • 03 Chews / gummies
  • 04 Millilitres (mL)
  • 05 Milligrams (mg)
  • 06 Grams (g)
  • 07 Tablespoons (Tbsp)
  • 08 Teaspoons (tsp)
  • 09 Capfuls
  • 10 Scoops
  • 11 Packets / sachets
  • 12 Drops
  • 13 Sprays
  • 14 Doses
  • 15 Vials
  • 16 Units
  • 50 Other - Specify (Go to NPC_S12)
  • DK, RF (Go to NPC_END)

Go to NPC_D12

NPC_S12
(Select the unit of measure.)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)NPC_D12 If NPC_N12 = 01, DT_UNITE = "tablet(s)".
  • If NPC_N12 = 02, DT_UNITE = "lozenge(s)".
  • If NPC_N12 = 03, DT_UNITE = "chew(s)".
  • If NPC_N12 = 04, DT_UNITE = "millilitre(s)".
  • If NPC_N12 = 05, DT_UNITE = "milligram(s)".
  • If NPC_N12 = 06, DT_UNITE = "gram(s)".
  • If NPC_N12 = 07, DT_UNITE = "tablespoon(s)".
  • If NPC_N12 = 08, DT_UNITE = "teaspoon(s)".
  • If NPC_N12 = 09, DT_UNITE = "capful(s)".
  • If NPC_N12 = 10, DT_UNITE = "scoop(s)".
  • If NPC_N12 = 11, DT_UNITE = "packet(s)".
  • If NPC_N12 = 12, DT_UNITE = "drop(s)".
  • If NPC_N12 = 13, DT_UNITE = "spray(s)".
  • If NPC_N12 = 14, DT_UNITE = "dose(s)".
  • If NPC_N12 = 15, DT_UNITE = "vial(s)".
  • If NPC_N12 = 16, DT_UNITE = "unit(s)".
  • If NPC_N12 = 50, DT_UNITE = "^NPC_S12".

NPC_Q14
So you [used/took] ^NPC_Q11 ^DT_UNITE ^NPC_Q10 [time/times] each day you [used/took] this product (^DV_PRODUCT_NAME). Is that correct?

  • 1 Yes
  • 2 No (Go to NPC_Q10)
  • (DK, RF not allowed)

NPC_END

Other Reason for Screening Out (ORS)

ORS_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • DT_RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

ORS_Q1
Other than what you have already mentioned, are there any other reasons you should not participate in one or more of the physical tests?

  • 1 Yes
  • 2 No
  • DK, RF

ORS_C1

  • If CON_AGE < 6, go to ORS_N7.
  • Otherwise, go to ORS_N1.

ORS_N1

Instruction: Is there any other reason why the respondent should not perform the Grip Strength test?

  • 1 Yes
  • 2 No (Go to ORS_N2)
  • (DK, RF not allowed)

ORS_S1

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

ORS_N2

Instruction: Is there any other reason why the respondent should not perform the Spirometry test?

  • 1 Yes
  • 2 No (Go to ORS_N6)
  • (DK, RF not allowed)

ORS_S2

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

ORS_N6

Instruction: Is there any other reason why the respondent should not perform the Fractional Exhaled Nitric Oxide (FENO) test?

  • 1 Yes
  • 2 No (Go to ORS_N7)
  • (DK, RF not allowed)

ORS_S6

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

ORS_N7

Instruction: Is there any other reason why the respondent should not perform the Hearing tests?

  • 1 Yes
  • 2 No (Go to ORS_N8)
  • (DK, RF not allowed)

ORS_S7

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

ORS_N8

Instruction: Is there any other reason why the respondent should not perform the skin pigmentation measurements?

  • 1 Yes
  • 2 No (Go to ORS_END)
  • (DK, RF not allowed)

ORS_S8

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

ORS_END

Water Analysis Questions Component (WAQ) (ORS)

WAQ_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID:8 digit respondent identifier
  • FNAME: first name of respondent
  • LNAME: last name of respondent
  • CON_AGE:age of respondent

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent

Variables from previously completed blocks:

  • BVOCFLG: VOC flag (1= VOC will be measured in blood; 2= VOC will not be measured in blood)
  • UFLUFLG: Fluoride flag (1= Fluoride will be measured in urine; 2= Fluoride will not be measured in urine)
  • SCS_N12: Visit type (3= clinic visit; 4= home visit)

WAQ_D01

  • If BVOCFLG=1 and UFLUFLG=1, DT_WAQTEXT1E = "blood and urine".
  • If BVOCFLG=1 and UFLUFLG=2, DT_WAQTEXT1E = "blood".
  • If BVOCFLG=2 and UFLUFLG=1, DT_WAQTEXT1E = "urine".

WAQ_R01
Now I am going to ask you some questions about behaviours and habits to help us better understand your [blood and urine/blood/urine] test results. These questions are related to your household tap water analysis.

Instruction: Press <1> to continue.

WAQ_D02

Programmer:

  • IF SCS_N12 = 4 THEN
    • WAQ_D02 = EMPTY
  • ELSE
    • IF WAQ_R01 = 1 and WAQ_D02 = EMPTY,
      • Set WAQ_D02 = Current Time (in HH:MM:SS format)
  • ENDIF

WAQ_C02

  • If BVOCFLG = 1, go to WAQ_Q02.
    Otherwise, go to WAQ_C04A.

WAQ_Q02
When did you last spend time in a swimming pool, in a hot tub, or in a steam room?

Instruction: Include steam rooms but do not include saunas. Steam rooms contain hot mist created by a steam generator, and are made of materials such as ceramic tile that can contain the moisture. The humidity in a steam room can build to almost 100%. Saunas use dry heat (stones placed on some kind of heater) and are usually wood-lined with wood benches. Although steam may be produced by pouring water on the stones, the steam in a sauna quickly dissipates. Saunas are maintained at a much higher temperature than steam rooms.

Read categories to respondent.

  1. Less than 6 hours ago
  2. 6 to less than 12 hours ago
  3. 12 to less than 24 hours ago
  4. 24 or more hours ago
    DK, RF

WAQ_Q03
When did you last take a hot shower, for 5 minutes or longer, or a hot bath, for twenty minutes or longer?

Instruction: Include warm baths or showers, but do not include cold baths or showers.

  1. Less than 6 hours ago
  2. 6 to less than 12 hours ago
  3. 12 to less than 24 hours ago
  4. 24 or more hours ago
    DK, RF

WAQ_C04A

  • If UFLUFLG=1, go to WAQ_C04B.
  • Otherwise, go to WAQ_END.

WAQ_C04B

  • If CON_AGE < 6, go to WAQ_Q08.
  • Otherwise, go to WAQ_Q04.

WAQ_Q04
How often do you drink black, white or green tea? Examples of black tea include Orange Pekoe, Earl Grey and English Breakfast. Please do not include herbal teas.

Instruction: Include decaffeinated tea. Include iced tea if it was made from hot steeped black, white or green tea (in tea bags or in loose leaf form). Do not include pre-prepared powdered, bottled or canned iced tea.

Enter frequency only.

  • Times
  • (MIN: 0)
  • (MAX: 365)
  • DK, RF
  • Go to WAQ_Q08)

WAQ_C05

  • If WAQ_Q04=0, go to WAQ_Q08.
  • Otherwise, go to WAQ_N05A.

WAQ_N05A

Instruction: Select the reporting period.

  1. Per day
  2. Per week
  3. Per month
  4. Per year
    (DK, RF not allowed)

WAQ_Q06
When you drink black, white or green tea, how much do you usually drink in cups? A cup is equivalent to the size of a measuring cup: 250ml or 8oz.

Instruction: Read categories to respondent.

  1. Less than 1 cup
  2. 1 to less than 2 cups
  3. 2 or more cups
    DK, RF

WAQ_Q07
When did you last drink black, white or green tea?

Instruction: Read categories to respondent.

  1. Less than 6 hours ago
  2. 6 to less than 12 hours ago
  3. 12 to less than 24 hours ago
  4. 24 or more hours ago
    DK, RF

WAQ_Q08
When did you last receive fluoride treatments at the dentist?

Instruction: A fluoride treatment may take the form of a rinse, varnish, gel or foam. Varnishes are painted on the teeth; foams are put into a mouth guard, which is applied to the teeth for 1 to 4 minutes; gels can be painted on or applied via a mouth guard. After a fluoride treatment, the patient is asked to refrain from eating, drinking and smoking for 30 minutes.

Read answer categories to respondent.

  1. Less than 3 months ago
  2. 3 to less than 6 months ago
  3. 6 to less than 9 months ago
  4. 9 to less than 12 months ago
  5. 12 or more months ago
  6. Never
    DK, RF

WAQ_Q09
Do you use fluoride-containing products at home, such as toothpaste, mouthwash, or 24-hour fluoride treatment?

  • 1 Yes
  • 2 No (Go to WAQ_END)
  • DK, RF (Go to WAQ_END)

WAQ_Q10
When was the last time you used one of these products?

Instruction: Read categories to respondent.

  1. Less than 6 hours ago
  2. 6 to less than 12 hours ago
  3. 12 to less than 24 hours ago
  4. 24 or more hours ago
    DK, RF

WAQ_END

Fish and Shellfish Consumption Component

Fish and Shellfish Consumption (FSF)

FSF_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • DateLastMonthE: English text of month of date one month before the clinic visit

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: Visit type (3= clinic visit; 4= home visit)

Screen display:

The following header should be displayed for each question:

  • Stand : ^STAND Date : ^CurrentDate Session : essionE Comp : ^CompE
  • Clinic ID : ^ClinicID Name : RespondentName Age : ^CON_AGE Sex : ^GenderE

FSF_R10
Now a few questions about your consumption of shellfish over the past month. Think about all the shellfish you ate, both meals and snacks, at home and away from home. Include fresh, frozen and canned shellfish.

Instruction: Press <1> to continue.

FSF_D10

Programmer:

  • IF SCS_N12 = 4 THEN
    • FSF_D10 = EMPTY
  • ELSE
    • IF FSF_R10 = 1 and FSF_D10 = "EMPTY" THEN
      • SET FSF_D10 = Current Time (in HH:MM:SS format)
  • ENDIF

FSF_Q10
Have you eaten any of the following shellfish over the past month, that is, from ^DateLastMonthE to today?

Instruction: The term "shellfish" refers to a type of mollusc/crustacean. It does not include "saltwater fish" which are covered in the next question.

Read categories to respondent. Mark all that apply.

  • 01 Lobster
  • 02 Shrimp
  • 03 Mussels
  • 04 Scallops
  • 05 Oysters
  • 06 Squid or calamari
  • 07 Clams
  • 08 Crab
  • 09 Surimi or imitation crab
  • 10 Any other shellfish (Go to FSF_S10V)
  • 11 No shellfish
  • DK
  • RF (Go to FSF_END)

Go to FSF_C11

FSF_S10V
What other shellfish did you consume?

Instruction: Enter one shellfish only.

  • (80 spaces)
  • DK, RF (Go to FSF_C11)

FSF_Q10X
Over the past month, did you consume any other shellfish?

  • 1 Yes
  • 2 No (Go to FSF_C11) DK, RF (Go to FSF_C11)

FSF_S10X
What other shellfish did you consume?

Instruction: Enter one shellfish only.

  • (80 spaces)
  • DK, RF (Go to FSF_C11)

FSF_Q10Y
Over the past month, did you consume any other shellfish?

  • 1 Yes
  • 2 No (Go to FSF_C11)
  • DK, RF (Go to FSF_C11)

FSF_S10Y
What other shellfish did you consume?

Instruction: Enter one shellfish only.

  • (80 spaces)
  • DK, RF

FSF_C11

  • If FSF_Q10 = 11 or DK, go to FSF_R24.
  • Otherwise, go to FSF_C12.

FSF_C12

  • If FSF_Q10 = 1, go to FSF_B12.
  • Otherwise, go to FSF_C13.

Content type: Note to data users:

  • For each shellfish identified at FSF_Q10, the Detail Fish and Shellfish block is called to quantify the number of times the shellfish was consumed in the past month. This block will also be called up to 3 times for any other shellfish that is specified at FSF_S10V, FSF_S10X, and FSF_S10Y.

FSF_B12

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "lobster" as parameter.

FSF_C13

  • If FSF_Q10 = 2, go to FSF_B13.
  • Otherwise, go to FSF_C14.

FSF_B13

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "shrimp" as parameter.

FSF_C14

  • If FSF_Q10 = 3, go to FSF_B14.
  • Otherwise, go to FSF_C15.

FSF_B14

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "mussels" as parameter.

FSF_C15

  • If FSF_Q10 = 4, go to FSF_B15.
  • Otherwise, go to FSF_C16.

FSF_B15

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "scallops" as parameter.

FSF_C16

  • If FSF_Q10 = 5, go to FSF_B16.
  • Otherwise, go to FSF_C17.

FSF_B16

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "oysters" as parameter.

FSF_C17

  • If FSF_Q10 = 6, go to FSF_B17.
  • Otherwise, go to FSF_C18.

FSF_B17

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "squid or calamari" as parameter.

FSF_C18

  • If FSF_Q10 = 7, go to FSF_B18.
  • Otherwise, go to FSF_C19.

FSF_B18

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "clams" as parameter.

FSF_C19

  • If FSF_Q10 = 8, go to FSF_B19.
  • Otherwise, go to FSF_C20.

FSF_B19

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "crab" as parameter.

FSF_C20

  • If FSF_Q10 = 9, go to FSF_B20.
  • Otherwise, go to FSF_C21.

FSF_B20

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "surimi or imitation crab" as parameter.

FSF_C21

  • If FSF_S10V = RESPONSE and <> DK, RF, go to FSF_B21.
  • Otherwise, go to FSF_C22.

FSF_B21

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "^FSF_S10V" as parameter.

FSF_C22

  • If FSF_S10X = RESPONSE and <> DK, RF, go to FSF_B22.
  • Otherwise, go to FSF_C23.

FSF_B22

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "^FSF_S10X" as parameter.

FSF_C23

  • If FSF_S10Y = RESPONSE and <> DK,RF, go to FSF_B23.
  • Otherwise, go to FSF_R24.

FSF_B23

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "^FSF_S10Y" as parameter.

FSF_R24
Now, think about all salt and freshwater fish you ate, both meals and snacks, at home and away from home. Include fresh, frozen and canned fish of all types, as well as the fish in fish and chips.

Instruction: Press <1> to continue.

FSF_Q24
Have you eaten any of the following fish over the past month, that is, from ^DateLastMonthE to today?

Instruction: The term "saltwater fish" does not include "shellfish", which were asked about in the previous question.

If respondent is unsure of the type of cod they have eaten, choose "Atlantic cod".

Read categories to respondent. Mark all that apply.

  • 01 Fish Sticks
  • 02 Tuna in a can or pouch
  • 03 Tuna (fresh or frozen)
  • 04 Salmon in a can or pouch
  • 05 Salmon - fresh, frozen or smoked
  • 06 Smelt
  • 07 Shark
  • 08 Marlin
  • 09 Swordfish
  • 10 Halibut
  • 11 Rainbow Trout
  • 12 Atlantic cod
  • 13 Mackerel
  • 14 Herring
  • 15 Sardines
  • 16 Sole, flounder or plaice
  • 17 Haddock
  • 18 Tilapia
  • 19 Any other fish (Go to FSF_S24V)
  • 20 No fish
  • DK, RF

Go to FSF_C24A

FSF_S24V
What other fish did you consume?

Instruction: Enter one type of fish only.

  • (80 spaces)
  • DK, RF (Go to FSF_C24A)

FSF_Q24X
In the past month, did you consume any other fish?

  • 1 Yes
  • 2 No (Go to FSF_C24A)
  • DK, RF (Go to FSF_C24A)

FSF_S24X
What other fish did you consume?

Instruction: Enter one type of fish only.

  • (80 spaces)
  • DK, RF (Go to FSF_C24A)

FSF_Q24Y
In the past month, did you consume any other fish?

  • 1 Yes
  • 2 No (Go to FSF_C24A)
  • DK, RF (Go to FSF_C24A)

FSF_S24Y
What other fish did you consume?

Instruction: Enter one type of fish only.

  • (80 spaces)
  • DK, RF

FSF_C24A

  • If FSF_Q24 = 20, DK or RF, go to FSF_END.
  • Otherwise, go to FSF_C24.

FSF_C24

  • If FSF_Q24 = 1, go to FSF_B24.
  • Otherwise, go to FSF_C25A.

Content type: Note to data users:

  • For each fish identified at FSF_Q24, the Detail Fish and Shellfish block is called to quantify the number of times the fish was consumed in the past month. This block will also be called up to 3 times for any other fish that is specified at FSF_S24V, FSF_S24X, and FSF_S24Y.FSF_B24Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "fish sticks" as parameter.

FSF_C25A

  • If FSF_Q24 = 2, go to FSF_Q25.
  • Otherwise, go to FSF_C26.

FSF_Q25
Over the past month, when you ate tuna in a can or pouch, was it:

Instruction: Read categories to respondent.

  1. ...light (flaked or chunk) tuna?
  2. ...white (solid) tuna? (Go to FSF_C25B)
  3. ...both?
    DK, RF (Go to FSF_C25C)

FSF_B25A

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "light (flaked or chunk) tuna in a can or pouch" as parameter.

FSF_C25B

  • If FSF_Q25 = 2 or 3, go to FSF_B25B.
  • Otherwise, go to FSF_C25C.

FSF_B25B

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "white (solid) tuna in a can or pouch" as parameter.

FSF_C25C

  • If FSF_Q25 = DK or RF, go to FSF_B25C.
  • Otherwise, go to FSF_C26.

FSF_B25C

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "tuna in a can or pouch" as parameter.

FSF_C26

  • If FSF_Q24 = 3, go to FSF_B26.
  • Otherwise, go to FSF_C27.

FSF_B26

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "tuna (fresh or frozen)" as parameter.

FSF_C27

  • If FSF_Q24 = 4, go to FSF_B27.
  • Otherwise, go to FSF_C28.

FSF_B27

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "salmon in a can or pouch" as parameter.

FSF_C28

  • If FSF_Q24 = 5, go to FSF_B28.
  • Otherwise, go to FSF_C29.

FSF_B28

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "salmon - fresh, frozen or smoked" as parameter.

FSF_C29

  • If FSF_Q24 = 6, go to FSF_B29.
  • Otherwise, go to FSF_C30.

FSF_B29

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "smelt" as parameter.

FSF_C30

  • If FSF_Q24 = 7, go to FSF_B30.
  • Otherwise, go to FSF_C31.

FSF_B30

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "shark" as parameter.

FSF_C31

  • If FSF_Q24 = 8, go to FSF_B31.
  • Otherwise, go to FSF_C32.

FSF_B31

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "marlin" as parameter.

FSF_C32

  • If FSF_Q24 = 9, go to FSF_B32.
  • Otherwise, go to FSF_C33.

FSF_B32

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "swordfish" as parameter.

FSF_C33

  • If FSF_Q24 = 10, go to FSF_B33.
  • Otherwise, go to FSF_C34.

FSF_B33

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "halibut" as parameter.

FSF_C34

  • If FSF_Q24 = 11, go to FSF_B34.
  • Otherwise, go to FSF_C35.

FSF_B34

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "rainbow trout" as parameter.

FSF_C35

  • If FSF_Q24 = 12, go to FSF_B35.
  • Otherwise, go to FSF_C36.

FSF_B35

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "Atlantic cod" as parameter.

FSF_C36

  • If FSF_Q24 = 13, go to FSF_B36.
  • Otherwise, go to FSF_C37.

FSF_B36

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "mackerel" as parameter.

FSF_C37

  • If FSF_Q24 = 14, go to FSF_B37.
  • Otherwise, go to FSF_C38.

FSF_B37

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "herring" as parameter.

FSF_C38

  • If FSF_Q24 = 15, go to FSF_B38.
  • Otherwise, go to FSF_C39.

FSF_B38

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "sardines" as parameter.

FSF_C39

  • If FSF_Q24 = 16, go to FSF_B39.
  • Otherwise, go to FSF_C40.

FSF_B39

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "sole, flounder or plaice" as parameter.

FSF_C40

  • If FSF_Q24 = 17, go to FSF_B40.
  • Otherwise, go to FSF_C41.

FSF_B40

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "haddock" as parameter.

FSF_C41

  • If FSF_Q24 = 18, go to FSF_B41.
  • Otherwise, go to FSF_C42.

FSF_B41

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "tilapia" as parameter.

FSF_C42

  • If FSF_S24V = RESPONSE and <> DK,RF, go to FSF_B42.
  • Otherwise, go to FSF_C43.

FSF_B42

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "^FSF_S24V" as parameter.

FSF_C43

  • If FSF_S24X = RESPONSE and <> DK,RF, go to FSF_B43.
  • Otherwise, go to FSF_C44.

FSF_B43

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "^FSF_S24X" as parameter.

FSF_C44

  • If FSF_S24Y = RESPONSE and <> DK,RF, go to FSF_B44.
  • Otherwise, go to FSF_END.

FSF_B44

  • Call the Detail Fish and Shellfish (DFS) block.

Programmer:

  • Pass DT_QuestionE = "^FSF_S24Y" as parameter.

FSF_END

Detail Fish and Shellfish (DFS)

DFS_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • DT_QuestionE: English question text

DFS_Q11
Over the past month, how many times did you eat:...

^DT_QUESTIONE?

  • Times
  • (MIN: 1)
  • (MAX: 95)
  • DK, RF (Go to DFS_END)

DFS_N11

Instruction: Select the reporting period.

  1. Per month
  2. Per week
  3. Per day
    (DK, RF not allowed)

DFS_END

Noise Exposure Component

Noise Exposure Component Introduction (HCI)

HCI_BEG

List external fields required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID:8 digit respondent identifier
  • FNAME: first name of respondent
  • LNAME: last name of respondent
  • CON_AGE:age of respondent

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent

Variables from previously completed blocks:

  • HER_Q41: Whether respondent has ear infection
  • HER_Q51: Whether respondent has cochlear implant
  • SCS_N12: Visit type (3= clinic visit; 4= home visit)

HCI_D01

  • If (HER_Q41=3 or HER_Q51=3) or (HER_Q41=1 and HER_Q51=2) or (HER_Q41=2 and HER_Q51=1) , DT_HCITEXT1E = "EMPTY".
  • Otherwise, DT_HCITEXT1E = "This information will help us better understand the results from your hearing tests.".

HCI_R01
Now we are going to ask you questions about your day-to-day hearing health and your exposure to noise. ^HCIText1E

Instruction: Press <1> to continue.

HCI_D02

Programmer:

  • IF SCS_N12 = 4 THEN
    • HCI_D02 = EMPTY
  • ELSE
    • IF HCI_R01 = 1 and HCI_D02 = "EMPTY" THEN
      • SET HCI_D02 = Current Time (in HH:MM:SS format)
  • ENDIF

HCI_END

Hearing Ability (HAB)

HAB_BEG

List external fields required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID:8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_AGE: age of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • HER_Q52: Whether respondent has a hearing aid

HAB_D07

  • If HER_Q52 = 1, DT_HETEXT1E = "without a hearing aid".
  • Otherwise, DT_HETEXT1E = "EMPTY".

HAB_Q07
Are you usually able to hear what is said in a group conversation with at least 3 other people[ without a hearing aid/EMPTY]?

  • 1 Yes (Go to HAB_END)
  • 2 No
  • DK, RF (Go to HAB_END)

HAB_C08

  • If HER_Q52=1, go to HAB_Q08.
  • Otherwise, go to HAB_Q09.

HAB_Q08
Are you usually able to hear what is said in a group conversation with at least 3 other people with a hearing aid?

  • 1 Yes (Go to HAB_Q10)
  • 2 No
  • DK, RF

HAB_Q09
Are you able to hear at all?

  • 1 Yes
  • 2 No (Go to HAB_END)
  • DK, RF (Go to HAB_END)

HAB_Q10
Are you usually able to hear what is said in a conversation with one other person in a quiet room[ without a hearing aid/EMPTY]?

  • 1 Yes (Go to HAB_END)
  • 2 No
  • DK, RF (Go to HAB_END)

HAB_C11

  • If HER_Q52=1, go to HAB_Q11.
  • Otherwise, go to HAB_END.

HAB_Q11
Are you usually able to hear what is said in a conversation with one other person in a quiet room with a hearing aid?

  • 1 Yes
  • 2 No
  • DK, RF

HAB_END

Noise Exposure (NEX)

NEX_BEG

List external fields required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: Name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • CON_SEX: sex of respondent

NEX_C01

  • If CON_AGE < 16, go to NEX_D07.
  • Otherwise, go to NEX_Q01.

NEX_Q01
At any time in your life, have you worked in a noisy environment? By noisy, I mean so loud that you and your co-workers had to speak in a raised voice to be understood by or communicate with someone standing an arm's length away.

Instruction: A raised voice is a volume of speech between a normal voice and shouting. Include unpaid work.

  • 1 Yes
  • 2 No (Go to NEX_D07)
  • DK, RF (Go to NEX_D07)

NEX_Q02
For how long did you work in a noisy environment?

Instruction: Read categories to respondent.

  1. Less than 12 months
  2. 1 to less than 5 years
  3. 5 to less than 10 years
  4. 10 or more years
    DK, RF

NEX_Q03
What was the source of the loud noise?

Instruction: Read categories to respondent. Mark all that apply.

  1. Machinery such as bulldozers, backhoes or sawmill equipment
  2. Modes of transportation such as trains, airplanes, cars or trucks
  3. Munitions such as guns or canons
  4. Music, for example, at a concert or other amplified music
  5. People
  6. Other
    DK, RF

NEX_Q04
Are you currently working in a noisy environment?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_D05

  • If NEX_Q04 = 1, DT_NEXTEXT5E = "do".
  • Otherwise, DT_NEXTEXT5E = "did".

NEX_Q05
How often [do/did] you use hearing protection at work when in a noisy area?

Instruction: Read categories to respondent.

  • 1 Always
  • 2 Often
  • 3 Sometimes
  • 4 Rarely
  • 5 Never
  • DK, RF

NEX_D06

  • If NEX_Q04 = 1, DT_NEXTEXT6E = "Are".
  • Otherwise, DT_NEXTEXT6E = "Were".

NEX_Q06
[Are/Were] you required to wear hearing protection at work?

Instruction: If the respondent did not have an employer (e.g., was self-employed), select <Not applicable>.

  • 1 Yes
  • 2 No
  • 3 Not applicable
  • DK, RF

NEX_D07

  • If CON_AGE < 16, DT_NEXTEXTR07E = "By".
  • Otherwise, DT_NEXTEXTR07E = "Again, by".

NEX_R07
Now I would like to ask you about your exposure to specific sources of loud noise during the past year.

[By/Again, by] loud I mean where you would have had to speak in a raised voice to be understood by or communicate with someone standing an arm's length away.

Instruction: Press <1> to continue.

NEX_Q07
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

... loud power tools such as circular saws, grinders, belt sanders or hammer drills?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_Q08
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

... loud heavy industrial, farming or construction equipment such as bulldozers, gas turbines or large compressors?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_Q09
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

... loud hand-held gasoline engines such as gas-powered chainsaws, hedge trimmers or leaf blowers? Please do not include lawn mowers.

Instruction: Hand held gasoline engines do not include electric items.

  • 1 Yes
  • 2 No
  • DK, RF

NEX_Q10
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

... motorcycles or snowmobiles driven at highway speed?

Instruction: Highway speed is defined as speeds at or above 80 km/h.

  • 1 Yes
  • 2 No
  • DK, RF

NEX_Q11
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

... loud sporting or entertainment events such as hockey, rodeo or demolition derby? Please do not include music events.

  • 1 Yes
  • 2 No
  • DK, RF

NEX_Q12
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

... loud amplified music such as at concerts or nightclubs or as a member of a band?

  • 1 Yes
  • DK, RF

NEX_Q13
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

... other types of loud music without the use of headphones or earbuds, for example, a home or car stereo?

Instruction: Loud music is defined as a volume at or above three quarters the maximum volume level for a given audio device.

  • 1 Yes
  • 2 No
  • DK, RF

NEX_C14

  • If CON_AGE < 12, go to NEX_C15.
  • Otherwise, go to NEX_Q14.

NEX_Q14
Within the past 12 months, have you been exposed to noise from any of the following? Please include activities that took place at work, at school or during your leisure time.

...firearms, for example guns?

  • 1 Yes
  • 2 No
  • DK, RF

Content type: Note to data users:

  • For each positive response to NEX_Q07-NEX_Q13, the Activity Details block is called to quantify the frequency and duration of the specific noise exposure in the past 12 months and whether or not hearing protection was worn (NEX_C15 through NEX_B21).

NEX_C15

  • If NEX_Q07 = 1, go to NEX_B15.
  • Otherwise, go to NEX_C16.

NEX_B15

  • Call the Activity Details (ACD) block.

Programmer:

  • Pass "DT_QuestionE = During the past 12 months, how often were you exposed to noise from loud power tools?" as parameter.

NEX_C16

  • If NEX_Q08 = 1, go to NEX_B16.
  • Otherwise, go to NEX_C17.

NEX_B16

Call the Activity Details (ACD) block.

Programmer:Pass "DT_QuestionE = During the past 12 months, how often were you exposed to noise from loud heavy industrial, farming or construction equipment?" as parameter.

NEX_C17

  • If NEX_Q09 = 1, go to NEX_B17.
  • Otherwise, go to NEX_C18.

NEX_B17

  • Call the Activity Details (ACD) block.

Programmer:

Pass "DT_QuestionE = During the past 12 months, how often were you exposed to loud noise from hand-held gasoline engines?" as parameter.

NEX_C18

  • If NEX_Q10 = 1, go to NEX_B18.
  • Otherwise, go to NEX_C19.

NEX_B18

  • Call the Activity Details (ACD) block.

Programmer:

  • Pass "DT_QuestionE = During the past 12 months, how often were you exposed to noise from motorcycles or snowmobiles driven at highway speeds?" as parameter.

NEX_C19

  • If NEX_Q11 = 1, go to NEX_B19.
  • Otherwise, go to NEX_C20.

NEX_B19

  • Call the Activity Details (ACD) block.

Programmer:

  • Pass "DT_QuestionE = During the past 12 months, how often did you attend loud sporting or entertainment events? Please do not include music events." as parameter.

NEX_C20

  • If NEX_Q12 = 1, go to NEX_B20.
  • Otherwise, go to NEX_C21.

NEX_B20

  • Call the Activity Details (ACD) block.

Programmer:

  • Pass "DT_QuestionE = During the past 12 months, how often were you exposed to loud amplified music such as at concerts or nightclubs or as a member of a band?" as parameter.

NEX_C21

  • If NEX_Q13 = 1, go to NEX_B21.
  • Otherwise, go to NEX_C22.

NEX_B21

  • Call the Activity Details (ACD) block.

Programmer:

  • Pass "DT_QuestionE = During the past 12 months, how often did you listen to other types of loud music without the use of headphones or earbuds?" as parameter.

NEX_C22

  • If NEX_Q14 = 1, go to NEX_Q23.
  • Otherwise, go to NEX_R25.

NEX_Q23
In the past 12 months, how many times have you fired, or been exposed to noise from the shot of a gun or firearm?

Instruction: Read categories to respondent.

  1. 1 to 19 times
  2. 20 to 99 times
  3. 100 to 9999 times
  4. 10,000 times or more
    DK, RF (Go to NEX_R25)

NEX_Q24
How often did you wear hearing protection?

Instruction: Read categories to respondent.

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

NEX_R25
The next few questions concern your use of headphones or earbuds to listen to music, movies, or other types of audio. Examples of audio devices that you may have listened to using headphones or earbuds include mp3 players, iPods, cell phones, stereo systems, televisions or computers.

Instruction: Press <1> to continue.

NEX_Q25
In the past 12 months have you listened to audio devices using headphones or earbuds?

  • 1 Yes
  • 2 No (Go to NEX_R40)
  • DK, RF (Go to NEX_R40)

NEX_Q26
On average, in the past 12 months, how many hours per week did you usually listen to music, movies or other types of audio using headphones or earbuds?

Instruction: If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.

You may enter the answer either per week or per day.

  • Hours
  • (MIN: 0)
  • (MAX: 168)
  • DK, RF (Go to NEX_Q27)

NEX_N26A

Instruction: Enter number of minutes.

  • Minutes
  • (MIN: 0)
  • (MAX: 960)
    DK, RF

NEX_C26

  • If NEX_Q26 = 0 and NEX_N26A = 0, go to NEX_R40.
  • Otherwise, if NEX_Q26 = 0 and NEX_N26A = DK or RF, go to NEX_Q27.
  • Otherwise, go to NEX_N26B.

NEX_N26B

Instruction: Select the reporting period.

  • 1 Per day
  • 2 Per week
  • (DK, RF not allowed)

NEX_Q27
Is the volume level usually at or above three quarters of the maximum volume?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_Q28
Is the volume usually so loud that someone standing an arm's length away would have to speak in a raised voice for you to understand what they were saying?

Instruction: A raised voice is a volume of speech between a normal voice and shouting.

  • 1 Yes
  • 2 No
  • DK, RF

NEX_C29

  • If (NEX_Q27 = 2, DK or RF) and (NEX_Q28 = 2, DK or RF), go to NEX_R40.
  • Otherwise, go to NEX_D29.

NEX_D29

  • If NEX_Q27 = 1 and NEX_Q28 = 1, DT_NEXTEXT29E = "at or above three quarters of the maximum volume or so loud that someone standing an arm's length away would have to speak in a raised voice for you to understand what they were saying".
  • If NEX_Q27 = 1 and NEX_Q28 < > 1, DT_NEXTEXT29E = "at or above three quarters of the maximum volume".
  • If NEX_Q27 < > 1 and NEX_Q28 = 1, DT_NEXTEXT29E = "so loud that someone standing an arm's length away would have to speak in a raised voice for you to understand what they were saying".

NEX_Q29
How many hours per week do you usually listen to audio devices, using headphones or earbuds, at a volume that is ^DT_NEXTEXT29E?

Instruction: If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.

You may enter the answer either per week or per day.

  • Hours
  • (MIN: 0)
  • (MAX: 168)
  • DK, RF (Go to NEX_Q30)

NEX_N29A

Instruction: Enter number of minutes.

  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

NEX_C29A

  • If NEX_Q29 = 0 and NEX_N29A = DK or RF, go to NEX_Q30.
  • Otherwise, go to NEX_N29B.

NEX_N29B

Instruction: Select the reporting period.

  • 1 Per day
  • 2 Per week
  • (DK, RF not allowed)

NEX_D29E

  • If NEX_N26B = 1, DV_PERWKFCTR26 = 7
  • Otherwise, DV_PERWKFCTR26 = 1
  • If NEX_N29B = 1, DV_PERWKFCTR29 = 7
  • Otherwise, DV_PERWKFCTR29 = 1

NEX_Q30
For how long has this been your usual listening volume?

Instruction: Enter amount only.

  • Amount
  • (MIN: 1)
  • (MAX: 995)
  • DK, RF (Go to NEX_R40)

NEX_N30

Instruction: Select the reporting period.

  1. Days
  2. Weeks
  3. Months
  4. Years
    (DK, RF not allowed)

NEX_R40
Now I'd like to ask you about tinnitus. Tinnitus is the presence of hissing, buzzing, ringing, rushing or roaring sounds in your ears when there is no other sound around you.

Instruction: Press <1> to continue.

NEX_Q40
Have you ever experienced tinnitus?

  • 1 Yes
  • 2 No (Go to NEX_END)
  • DK, RF (Go to NEX_END)

NEX_Q41
When was the last time you experienced these sounds in your ears? Was it... ?

Instruction: Read categories to respondent.

  1. Within the last 7 days
  2. 8 days to less than 1 month ago (Go to NEX_Q43)
  3. 1 month to less than 6 months ago (Go to NEX_D45)
  4. 6 months to less than 1 year ago (Go to NEX_D45)
  5. 1 year ago or more (Go to NEX_END)
    DK, RF (Go to NEX_END)

NEX_Q42
Are you experiencing these sounds right now?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_Q43
When it is quiet, do you experience these sounds in your ears... ?

Instruction: Read categories to respondent.

  1. Always
  2. Often
  3. Sometimes (Go to NEX_D45)
  4. Rarely (Go to NEX_D45)
  5. Never (Go to NEX_D45)
    DK, RF

NEX_Q44
For how long have you had this?

Instruction: Enter amount only.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF (Go to NEX_D45)

NEX_N44

Instruction: Select the reporting period.

  1. Days
  2. Weeks
  3. Months
  4. Years
    (DK, RF not allowed)

NEX_D45

  • If NEX_Q42 = 1, DT_NEXTEXT45AE = "Does".
  • Otherwise, DT_NEXTEXT45AE = "Did".
  • If NEX_Q42 = 1 , DT_NEXTEXT45BE = "does".
  • Otherwise, DT_NEXTEXT45BE = "did".

NEX_Q45
[Does/Did] this bother you? For example, [does/did] it affect your sleep, concentration or mood?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_C46

  • If CON_AGE < 10, go to NEX_END.
  • Otherwise, go to NEX_D46.

NEX_D46

  • If NEX_Q43 = 1 and [(NEX_Q44 => 6 and NEX_N44 = 3) or NEX_N44 = 4], DT_NEXTINNITUSE = "were they louder or more pronounced".
  • Otherwise, DT_NEXTINNITUSE = "did they occur".

NEX_C47

  • If NEX_Q25 = 1, go to NEX_Q47.
  • Otherwise, go to NEX_C48.

NEX_Q47
In the past 12 months, when you experienced these noises in your ears, [were they louder or more pronounced/did they occur] ...

...after using headphones or earbuds to listen to audio devices such as an mp3 player, iPod, cell phone, stereo system, television or computer?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_C48

  • If NEX_Q12 = 1, go to NEX_Q48.
  • Otherwise, go to NEX_C49.

NEX_Q48
(In the past 12 months, when you experienced these noises in your ears, [were they louder or more pronounced/did they occur] ...)

...after being exposed to loud amplified music such as at a concert, nightclub or as a member of a band?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_C49

  • If NEX_Q11 = 1, go to NEX_Q49.
  • Otherwise, go to NEX_C50.

NEX_Q49
(In the past 12 months, when you experienced these noises in your ears, [were they louder or more pronounced/did they occur] ...)

...after being at a loud sporting or entertainment event?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_C50

  • If NEX_Q07 = 1, go to NEX_Q50.
  • Otherwise, go to NEX_C51.

NEX_Q50
(In the past 12 months, when you experienced these noises in your ears, [were they louder or more pronounced/did they occur] ...)

...after being exposed to noise from loud power tools (for example, circular saw, grinder, belt sander or hammer drill)?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_C51

  • If NEX_Q14 = 1, go to NEX_Q51.
  • Otherwise, go to NEX_D52.

NEX_Q51
(In the past 12 months, when you experienced these noises in your ears, [were they louder or more pronounced/did they occur] ...)

...after being exposed to noise from firearms or guns?

  • 1 Yes
  • 2 No
  • DK, RF

NEX_D52

  • If NEX_Q07 = 1 or NEX_Q11 = 1 or NEX_Q12 = 1 or NEX_Q14 = 1 or NEX_Q25 = 1, DT_NEXTEXT52E = "any other".
  • Otherwise, DT_NEXTEXT52E = "any".

NEX_Q52
(In the past 12 months, when you experienced these noises in your ears, [were they louder or more pronounced/did they occur] ...)

... in [any other/any] specific circumstances?

  • 1 Yes (Go to NEX_S52)
  • 2 No (Go to NEX_END)
  • DK, RF (Go to NEX_END)

NEX_S52

Instruction: Specify.

  • (80 spaces)
  • DK, RF

NEX_END

Activity Detail (ACD)

ACD_BEG

  • External variables required:
  • QuestionE: English question text

ACD_Q11
^QuestionE

The answer categories are number of times per day, per week, per month or per year.

Instruction: Enter frequency only.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF (Go to ACD_END)

ACD_N11

Instruction: The reference period for this question is the past 12 months. Report seasonal activities as number of times per year.

Select the reporting period.

  1. Per day
  2. Per week
  3. Per month
  4. Per year
    (DK, RF not allowed)

ACD_Q12
How much time did you typically spend on each occasion?

Instruction: Read categories to respondent.

  1. Less than 10 minutes
  2. 10 to less than 30 minutes
  3. 30 minutes to less than 1½ hours
  4. 1½ hours to less than 5 hours
  5. 5 hours or more
    DK, RF

ACD_Q13
How often did you wear hearing protection?

Instruction: Read categories to respondent.

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

ACD_END

Sun Exposure Component (SEB)

SEB_BEG

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID:8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • Date2MonthsAgoE

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_AGE: age of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

SEB_R01A
In order to better understand the relationship between sun exposure and vitamin D, we will be asking you questions about behaviours and habits that affect your body's ability to create vitamin D. Please answer the following questions as accurately as possible.

Introduction: Press <1> to continue.

SEB_D01A

Programmer:

  • IF SCS_N12 = 4 THEN
    • SEB_D01A = EMPTY
  • ELSE
    • IF SEB_R01A = 1 and SEB_D01A = EMPTY THEN
      • SET SEB_D01A = Current Time (in HH:MM:SS format)
  • ENDIF

SEB_D01B

  • If CurrentMonth = 10, 11, 12, 01, 02, 03 or 04, DT_SEBMONTHE = "this past May to September".
  • If CurrentMonth = 08 or 09, DT_SEBMONTHE = "the months of May to ^CURRENTMONTHE this year".
  • If CurrentMonth = 05, 06 or 07, DT_SEBMONTHE = "the months of May to September last year".

SEB_R01B
The next few questions concern time spent in the sun. Think about [this past May to September/the months of May to ^CURRENTMONTHE this year/the months of May to September last year].

Introduction: Press <1> to continue.

SEB_D01C

  • If CON_AGE=3 to 6, DT_SEBTEXT2E = " or daycare".
  • Otherwise, DT_SEBTEXT2E = "EMPTY".

SEB_C01

  • If CON_AGE=3 to 11 , go to SEB_Q01.
  • Otherwise, go to SEB_Q02.

SEB_Q01
Did you attend school[ or daycare/EMPTY] at any time during these months?

  • 1 Yes (Go to SEB_D03A)
  • 2 No (Go to SEB_Q13A)
  • DK, RF (Go to SEB_Q13A)

SEB_Q02
Did you do any of the following during these months:

work at a job?

work at a business?

attend school?

  • 1 Yes
  • 2 No (Go to SEB_Q13A)
  • DK, RF (Go to SEB_Q13A)

SEB_D03A

  • If CON_AGE > 11, DT_SEBTEXT3E = " work or".
  • Otherwise, DT_SEBTEXT3E = "EMPTY".

SEB_D03B

Not Applicable

SEB_Q03
During these months, how much time did you spend in the sun between 10 a.m. and 4 p.m., on a typical day at [work or/EMPTY] school[ or daycare/EMPTY]?

Introduction: Read categories to respondent.

  1. Less than 5 minutes (Go to SEB_Q13A)
  2. 5 to less than 30 minutes
  3. 30 minutes to less than 1 hour
  4. 1 hour to less than 2 hours
  5. 2 hours or more
    DK, RF (Go to SEB_Q13A)

SEB_D04

  • If CON_SEX=1, DT_SEBTEXT5E = "EMPTY".
  • Otherwise, DT_SEBTEXT5E = ", veil".

SEB_Q04
When you were exposed to the sun during these hours on a day at[ work or/EMPTY] school[ or daycare/EMPTY], how often did you wear something on your head that shaded your face, ears or neck, for example, a cap[EMPTY/, veil] or sunhat?

Introduction: Read categories to respondent.

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q05
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Face, ears or neck

Introduction: The reference period for these questions is [this past May to September/the months of May to ^CURRENTMONTHE this year/the months of May to September last year], between the hours of 10 a.m. and 4 p.m.

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q06
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Hands

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q07
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Arms

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q08
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Legs

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q09
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Feet

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q10
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Other (for example, shoulders or back)

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q11
How often did you usually use sunscreen...

...on your face, ears or neck?

Introduction: The reference period for these questions is [this past May to September/the months of May to ^CURRENTMONTHE this year/the months of May to September last year], between the hours of 10 a.m. and 4 p.m.

Read categories to respondent.

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q12A
How often did you usually use sunscreen...

...on other areas (for example, hands, arms or legs)?

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q13A
Again, please think about [this past May to September/the months of May to ^CURRENTMONTHE this year/the months of May to September last year]. During these months, how much time did you spend in the sun between 10 a.m. and 4 p.m. on a typical day when not at[ work or/EMPTY] school[ or daycare/EMPTY]?

Introduction: If the respondent was never in the sun during these hours, select <1> 'Less than 5 minutes'.

Read categories to respondent.

  1. Less than 5 minutes (Go to SEB_Q23)
  2. 5 to less than 30 minutes
  3. 30 minutes to less than 1 hour
  4. 1 hour to less than 2 hours
  5. 2 hours or more
    DK, RF (Go to SEB_Q23)

SEB_Q14
When you were exposed to the sun during these hours on a day when you were not at[ work or/EMPTY] school[ or daycare/EMPTY], how often did you wear something on your head that shaded your face, ears or neck, for example, a cap[EMPTY/, veil] or sunhat?

Introduction: Read categories to respondent.

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q15
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Face, ears or neck

Introduction: The reference period for these questions is [this past May to September/the months of May to ^CURRENTMONTHE this year/the months of May to September last year], between the hours of 10 a.m. and 4 p.m.

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q16
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Hands

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q17
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Arms

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q18
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Legs

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q19
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Feet

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q20
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Other (for example, shoulders or back)

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q21
How often did you usually use sunscreen...

...on your face, ears or neck?

Introduction: The reference period for these questions is [this past May to September/the months of May to ^CURRENTMONTHE this year/the months of May to September last year], between the hours of 10 a.m. and 4 p.m.

Read categories to respondent.

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q22
How often did you usually use sunscreen...

...on other areas (for example, hands, arms or legs)?

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q23
In the past 2 months, that is, from ^Date2MonthsAgoE to yesterday, have you traveled to a warm, sunny climate?

  1. Yes
  2. No (Go to SEB_C35)
    DK, RF (Go to SEB_C35)

SEB_Q24
How long were you there?

Introduction: Enter amount only.

  • Amount
  • (MIN: 1)
  • (MAX: 61)
  • DK, RF (Go to SEB_Q25)

SEB_N24

Introduction: Select the reporting period.

  1. Days
  2. Weeks
  3. Months
  4. Years
    (DK, RF not allowed)

SEB_Q25
While you were in this warm, sunny climate...

...how much time did you typically spend in the sun between 10 a.m. and 4 p.m.?

  1. Less than 5 minutes (Go to SEB_C35)
  2. 5 to less than 30 minutes
  3. 30 minutes to less than 1 hour
  4. 1 hour to less than 2 hours
  5. 2 hours or more
    DK, RF (Go to SEB_C35)

SEB_Q26
While you were in this warm, sunny climate…

...during these hours, how often did you wear something on your head that shaded your face, ears or neck, for example, a cap [EMPTY/, veil] or sunhat?

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q27
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Face, ears or neck

Introduction: The reference period for these questions is between the hours of 10 a.m. and 4 p.m.

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q28
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Hands

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q29
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Arms

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q30
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Legs

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q31
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Feet

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q32
Please identify whether the following areas of skin were typically covered or uncovered when you were out in the sun:

Other (for example, shoulders or back)

  1. Covered
  2. Uncovered
    DK, RF

SEB_Q33
How often did you usually use sunscreen...

...on your face, ears or neck?

Introduction: Read categories to respondent. The reference period for these questions is between the hours of 10 a.m. and 4 p.m.

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_Q34
How often did you usually use sunscreen...

...on other areas (for example, hands, arms or legs)?

  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
    DK, RF

SEB_C35

  • If CON_AGE < 12, go to SEB_END.
  • Otherwise, go to SEB_R35.

SEB_R35
The following questions are about your use of tanning equipment.

Introduction: Press <1> to continue.

SEB_Q35
In the past 12 months, have you used a tanning bed or booth with tanning lamps?

  1. Yes
  2. No (Go to SEB_END)
    DK, RF (Go to SEB_END)

SEB_Q36
How often?

Introduction: Enter amount only.

  • Times
  • (MIN: 1)
  • (MAX: 365)
    DK, RF (Go to SEB_Q37)

SEB_N36

Introduction: Select the reporting period.

  1. Per day
  2. Per week
  3. Per month
  4. Per year
    (DK, RF not allowed)

SEB_Q37
Have you used a tanning bed or booth with tanning lamps in the past 2 months, that is, from ^Date2MonthsAgoE to today?

  1. Yes
  2. No
    DK, RF (Go to SEB_END)

SEB_Q38
During which months do you typically use a tanning bed or booth?

Introduction: Mark all that apply.

  • 01 January
  • 02 February
  • 03 March
  • 04 April
  • 05 May
  • 06 June
  • 07 July
  • 08 August
  • 09 September
  • 10 October
  • 11 November
  • 12 December
  • 13 All months
    DK, RF

SEB_END

Skin Pigmentation Component

Skin Pigmentation Component Introduction (SKI)

SKI_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

SKI_Q01
To better understand the relationship between skin colour, sun exposure and vitamin D, I will be measuring your skin pigmentation. To do this, I will gently hold a light sensor against your skin in order to measure the amount and type of light reflected by your skin.

Let me show you how it feels on your hand.

Instruction: Show the spectrophotometer to the respondent and demonstrate the technique on the back of the respondent's hand.

Press <1> to continue.

  • 1 Continue
  • DK (Go to SKI_END)
  • (RF is not allowed)

SKI_D01

Programmer:

  • IF SCS_N12 = 4 THEN
    • SKI_D01 = EMPTY
  • ELSE
    • IF SKI_R01 = 1 and SKI_D01 = EMPTY,
    • Set SKI_D01 = Current Time (in HH:MM:SS format)
  • ENDIF

SKI_R02
I will be measuring skin pigmentation at two sites: the back of the hand and the inside of the upper arm. At each site I will take 3 or 4 measurements.

The measurement must be taken directly against the skin (so I may need you to adjust your clothing slightly to have access to the sites).

Before I begin I will need to examine your hand(s) and arm(s) to determine if an accurate measurement can be taken. (Please remove your long sleeved clothing.)

Instruction: If the respondent is unwilling to remove long sleeved clothing, ask him/her to roll his/her sleeve(s) up to the shoulder or to put on a short sleeved gown.

Examine the respondent's right/left hand(s) and arm(s) to determine if an accurate skin pigmentation measurement can be taken.

  • Press <1> to continue.
  • DK and RF are not allowed.

SKI_N04

Instruction: Record which arm will be used for the inner arm skin pigmentation measurement.

  • 1 Right (Go to SKI_N06)
  • 2 Left (Go to SKI_N06)
  • 3 None
    (DK, RF not allowed)

SKI_N05

Instruction: Why will an inner arm measurement not be taken?

Mark all that apply.

  • 1 Measurement site is covered (e.g., cast, dressing)
  • 2 Altered skin pigmentation (e.g., tattoo, scar, mole)
  • 3 Blanching of skin due to restrictive clothing
  • 4 Respondent refused
  • 5 Other - Specify (Go to SKI_S05)
    (DK, RF not allowed)

Go to SKI_N06

SKI_S05

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

SKI_N06

Instruction: Record which hand will be used for the hand skin pigmentation measurement:

  • 1 Right (Go to SKI_C07)
  • 2 Left (Go to SKI_C07)
  • 3 None
    (DK, RF not allowed)

SKI_N07

Instruction: Why will a hand measurement not be taken?

Mark all that apply.

  • 1 Measurement site is covered (e.g., cast, dressing)
  • 2 Altered skin pigmentation (e.g., tattoo, scar, mole)
  • 3 Blanching of skin due to restrictive clothing
  • 4 Respondent refused
  • 5 Other - Specify (Go to SKI_S07)
    (DK, RF not allowed)

Go to SKI_C07

SKI_S07

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

SKI_C07

  • If SKI_N04 = 3 and SKI_N06 = 3, go to SKI_R08.
  • Otherwise, go to SKI_C08.

SKI_R08
Unfortunately I will not be able to take an accurate measurement of your skin pigmentation today.

Instruction: Answer any questions about why an accurate skin pigmentation measurement cannot be collected.

  • Press <1> to continue.
  • Go to SKI_END

SKI_C08

  • If CON_AGE < 12, go to SKI_END.
  • Otherwise, go to SKI_R09.

SKI_R09
Now I am going to ask you questions about sunless tanning products. This information will help us better understand the results from your skin pigmentation measure.

Instruction: Press <1> to continue.

SKI_D09

Programmer:

  • ^DT_Date10DaysAgoE = English text of date 10 days ago.

SKI_Q09
In the past 10 days, that is, from ^Date10DaysAgoE to today, have you used sunless tanning products such as creams or lotions, or received a spray-on or mist tan?

Instruction: Do not include cosmetic products like blush or bronzing powders.

  • 1 Yes
  • 2 No (Go to SKI_END)
    DK, RF (Go to SKI_END)

SKI_Q10
Was it applied to the back of your hands?

  • 1 Yes
  • 2 No
    DK, RF

SKI_Q11
Was it applied to your inner arms between the elbow and armpit?

  • 1 Yes
  • 2 No
    DK, RF

SKI_END

Skin Pigmentation Measurement (SKM)

SKM_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SKI_N04: indicates arm for measurement
  • SKI_N06: indicates hand for measurement

SKM_C10A

  • If SKI_Q01 = DK, go to SKM_N220.
  • Otherwise, go to SKM_C10B.

SKM_C10B

  • If SKI_N04 =3 and SKI_N06 = 3, go to SKM_END.
  • Otherwise, go to SKM_D10A.

SKM_D10A

  • If SKI_N04 = 1 and SKI_N06 = 1, DT_SKMR10_TEXTE = "your right inner arm and right hand".
  • If SKI_N04 = 2 and SKI_N06 = 2, DT_SKMR10_TEXTE = "your left inner arm and left hand".
  • If SKI_N04 = 1 and SKI_N06 = 2, DT_SKMR10_TEXTE = "your right inner arm and left hand".
  • If SKI_N04 = 2 and SKI_N06 = 1, DT_SKMR10_TEXTE = "your left inner arm and right hand".
  • If SKI_N04 = 1 and SKI_N06 = 3, DT_SKMR10_TEXTE = "your right inner arm ".
  • If SKI_N04 = 2 and SKI_N06 = 3, DT_SKMR10_TEXTE = "your left inner arm".
  • If SKI_N04 = 3 and SKI_N06 = 1, DT_SKMR10_TEXTE = "your right hand".
  • If SKI_N04 = 3 and SKI_N06 = 2, DT_SKMR10_TEXTE = "your left hand".

SKM_D10B

  • If SKI_N04 = 1 and SKI_N06 = 3 or SKI_N04 = 2 and SKI_N06 = 3 or SKI_N04 = 3 and SKI_N06 = 1 or SKI_N04 = 3 and SKI_N06 = 2, DT_SKMD10B_TEXTE = "the".
  • otherwise, DT_SKMD10B_TEXTE = "each"

SKM_D10C

  • If SKI_N04 = 1 and SKI_N06 = 3 or SKI_N04 = 2 and SKI_N06 = 3 or SKI_N04 = 3 and SKI_N06 = 1 or SKI_N04 = 3 and SKI_N06 = 2, DT_SKMD10C_TEXTE = "it".
  • Otherwise, DT_SKMD10C_TEXTE = "them".

SKM_R10
Now I am going to take a skin pigmentation measurement on ^DT_SKMR10_TEXTE. First, I need to mark the location of [the/each] measurement using this washable marker. When I am finished, I'll remove [it/them] with a wipe.

Instruction: Mark all locations.

  • Press <1> to continue.

SKM_C20

  • If SKI_N04 = 3 (No inner arm measurement), go to SKM_C130.
  • Otherwise, go to SKM_N20.

SKM_N20

Instruction: Record how the inner arm skin pigmentation data will be captured.

  • 1 Electronically
  • 2 Electronic data captured manually (Go to SKM_C110)
    (DK, RF not allowed)

SKM_N21

Instruction: Press < ON/MEASURES > to take the first inner arm skin pigmentation measurement.

  • 1 Press < 1 > to continue
  • DK, RF (Go to SKM_C130)

SKM_N21A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N21B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B110)
  • (DK, RF not allowed)

SKM_N22

Instruction: Press < ON/MEASURES > to take the second inner arm skin pigmentation measurement.

  • Press < 1 > to continue.
  • 1 Continue
  • DK, RF (Go to SKM_C130)

SKM_N22A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N22B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B111)
  • (DK, RF not allowed)

SKM_N23

Instruction: Press < ON/MEASURES > to take the third inner arm skin pigmentation measurement.

  • Press < 1 > to continue.
  • 1 Continue
  • DK, RF (Go to SKM_C130)

SKM_N23A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N23B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B112)
  • (DK, RF not allowed)

SKM_D24

Programmer:

  • If the difference between any two of SKM_B110.SKR_N1A, SKM_B111.SKR_N1A, SKM_B112.SKR_N1A is > 10 units, OR
  • If the difference between any two of SKM_B110.SKR_N2A, SKM_B111.SKR_N2A, SKM_B112.SKR_N2A is > 10 units,
  • Go to SKM_N24.
  • Otherwise, go to SKM_C130.

SKM_N24

Instruction: Press < ON/MEASURES > to take the fourth inner arm skin pigmentation measurement.

  • Press < 1 > to continue.
  • 1 Continue
  • DK, RF (Go to SKM_C130)

SKM_N24A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N24B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B113)
  • (DK, RF not allowed)

SKM_C110

  • If SKM_N20 = 1 (electronically), go to SKM_C130.
  • Otherwise, go to SKM_B110.

SKM_B110

  • Call the Skin Pigmentation Recording (SKR) Block.

Programmer:

  • Pass ^DT_SKR_TEXTE1 = "first" and ^DT_SKR_TEXTE2 = "inner arm" as a parameters.

SKM_C111

  • If SKM_B110.SKR_N1A = DK or RF, go to SKM_C130.
  • Otherwise, go to SKM_N111.

SKM_N111

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B110)
  • (DK, RF not allowed)

SKM_B111

  • Call the Skin Pigmentation Recording (SKR) Block.

Programmer:

  • Pass ^DT_SKR_TEXTE1 = "second" and ^DT_SKR_TEXTE2 = "inner arm" as a parameters.

SKM_C112

  • If SKM_B111.SKR_N1A = DK or RF, go to SKM_C130.
  • Otherwise, go to SKM_N112.

SKM_N112

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B111)
  • (DK, RF not allowed)

SKM_B112

  • Call the Skin Pigmentation Recording (SKR) Block.

SKM_C113

  • If SKM_B112.SKR_N1A = DK or RF, go to SKM_C130.
  • Otherwise, go to SKM_N113.

SKM_N113

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B112)
  • (DK, RF not allowed)

SKM_D113

Programmer:

  • If the difference between any two of SKM_B110.SKR_N1A, SKM_B111.SKR_N1A, SKM_B112.SKR_N1A is > 10 units, OR
  • If the difference between any two of SKM_B110.SKR_N2A, SKM_B111.SKR_N2A, SKM_B112.SKR_N2A is > 10 units,
  • go to SKM_B113
  • Otherwise, go to SKM_C130

SKM_B113

  • Call the Skin Pigmentation Recording (SKR) Block.

SKM_C114

  • If SKM_B113.SKR_N1A = DK or RF, go to SKM_C130.
  • Otherwise, go to SKM_N114.

SKM_N114

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B113)
  • (DK, RF not allowed)

SKM_C130

  • If SKI_N06 = 3 (No hand measurement), go to SKM_C220.
  • Otherwise, go to SKM_N131.

SKM_N131

Instruction: Record how the hand skin pigmentation data will be captured.

  • 1 Electronically
  • 2 Electronic data captured manually (Go to SKM_C210)
  • (DK, RF not allowed)

SKM_N132

Instruction: Press < ON/MEASURES > to take the first hand skin pigmentation measurement.

  • Press < 1 > to continue.
  • 1 Continue
  • DK, RF (Go to SKM_C220)

SKM_N132A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N132B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B210)
  • (DK, RF not allowed)

SKM_N133

Instruction: Press < ON/MEASURES > to take the second hand skin pigmentation measurement.

  • Press < 1 > to continue
  • 1 Continue
  • DK, RF (Go to SKM_C220)

SKM_N133A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N133B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B211)
  • (DK, RF not allowed)

SKM_N134

Instruction: Press < ON/MEASURES > to take the third hand skin pigmentation measurement.

  • Press < 1 > to continue.
  • 1 Continue
  • DK, RF (Go to SKM_C220)

SKM_N134A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N134B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B212)
  • (DK, RF not allowed)

SKM_D135

Programmer:

  • If the difference between any two of SKM_B210.SKR_N1A, SKM_B211.SKR_N1A, SKM_B212.SKR_N1A is > 10 units, OR
  • If the difference between any two of SKM_B210.SKR_N2A, SKM_B211.SKR_N2A, SKM_B212.SKR_N2A is > 10 units,
  • go to SKM_N136.
  • Otherwise, go to SKM_C210

SKM_N136

Instruction: Press < ON/MEASURES > to take the fourth hand skin pigmentation measurement.

  • Press < 1 > to continue.
  • 1 Continue
  • DK, RF (Go to SKM_C220)

SKM_N136A

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements
  • (DK, RF not allowed)

SKM_N136B

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B213)
  • (DK, RF not allowed)

SKM_C210

  • If SKM_N131 = 1 (Electronically), go to SKM_C220.
  • Otherwise, go to SKM_B210.

SKM_B210

  • Call the Skin Pigmentation Recording (SKR) Block.

Programmer:

  • Pass ^DT_SKR_TEXTE1 = "first" and ^DT_SKR_TEXTE2 = "hand" as a parameters.

SKM_C211

  • If SKM_B210.SKR_N1A = DK or RF, go to SKM_C220.
  • Otherwise, go to SKM_N211.

SKM_N211

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B210)
  • (DK, RF not allowed)

SKM_B211

  • Call the Skin Pigmentation Recording (SKR) Block.

Programmer:

  • Pass ^DT_SKR_TEXTE1 = "second" and ^DT_SKR_TEXTE2 = "hand" as a parameters.

SKM_C212

  • If SKM_B211.SKR_N1A = DK or RF, go to SKM_C220.
  • Otherwise, go to SKM_N212.

SKM_N212

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B211)
  • (DK, RF not allowed)

SKM_B212

  • Call the Skin Pigmentation Recording (SKR) Block.

Programmer:

  • Pass ^DT_SKR_TEXTE1 = "third" and ^DT_SKR_TEXTE2 = "hand" as a parameters.

SKM_C213

  • If SKM_B212.SKR_N1A = DK or RF, go to SKM_C220.
  • Otherwise, go to SKM_N213.

SKM_N213

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B212)
  • (DK, RF not allowed)

SKM_D213

Programmer:

  • If the difference between any two of SKM_B210.SKR_N1A, SKM_B211.SKR_N1A, SKM_B212.SKR_N1A is > 10 units, OR
  • If the difference between any two of SKM_B210.SKR_N2A, SKM_B211.SKR_N2A, SKM_B212.SKR_N2A is > 10 units,
  • go to SKM_B213.
  • Otherwise, go to SKM_C220

SKM_B213

  • Call the Skin Pigmentation Recording (SKR) Block.

SKM_C214

  • If SKM_B213.SKR_N1A = DK or RF, go to SKM_C220.
  • Otherwise, go to SKM_N214.

SKM_N214

Instruction: Check the skin pigmentation data.

  • 1 Accept the measurements
  • 2 Reject the measurements (Go to SKM_B213)
  • (DK, RF not allowed)

SKM_C220

  • If SKM_N21 = DK or SKM_N22 = DK or SKM_N23 = DK or SKM_N24 = DK or SKM_B110. SKR_N1A = DK or SKM_B111. SKR_N1A = DK, or SKM_B112. SKR_N1A = DK, or SKM_B113. SKR_N1A = DK, or SKM_N132 = DK or SKM_N133= DK or SKM_N134 = DK or SKM_N136 = DK or SKM_B210.SKR_N1A = DK or SKM_B211.SKR_N1A = DK or SKM_B212.SKR_N1A = DK or SKM_B213.SKR_N1A = DK, go to SKM_N220.
  • Otherwise, go to SKM_END.

SKM_N220

Instruction: Why was the component not fully completed?

  • 01 Respondent unable to continue for health reasons
  • 02 Respondent unable to understand technique / Health Measures Specialist unable to adapt coaching
  • 04 Equipment problem / technical difficulty
  • 05 Respondent's mental condition
  • 06 No time
  • 20 Other - Specify (Go to SKM_S220)
  • (DK, RF not allowed)

Go to SKM_END

SKM_S220

  • (Why was the component not fully completed?)
  • Instruction: Specify.
  • (80 spaces)
  • (DK, RF not allowed)

SKM_END

Skin Pigmentation Recording (SKR)

SKR_BEG

Import the following variables:

  • DT_SKR_TEXTE1
  • DT_SKR_TEXTE2

SKR_N1A

Instruction: Record the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 Erythema measurement.

  • (MIN: ­240)
  • (MAX: 240)

DK, RFSKR_N1B

Instruction: Re-enter the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 Erythema measurement.

  • (MIN: ­240)
  • (MAX: 240)
  • DK, RF

SKR_C1

  • If SKR_N1A = RF or DK, go to SKR_END.
  • Otherwise, go to SKR_N2A.

SKR_N2A

Instruction: Record the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 Melanin measurement.

  • (MIN: 0)
  • (MAX: 240)
  • (DK, RF not allowed)

SKR_N2B

Instruction: Re-enter the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 Melanin measurement.

  • (MIN: 0)
  • (MAX: 240)
  • (DK, RF not allowed)

SKR_N3A

Instruction: Record the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 L* measurement.

  • (MIN: 0)
  • (MAX: 100)
  • (DK, RF not allowed)

SKR_N3B

Instruction: Re-enter the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 L* measurement.

  • (MIN: 0)
  • (MAX: 100)
  • (DK, RF not allowed)

SKR_N4A

Instruction: Record the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 a* measurement.

  • (MIN: ­120)
  • (MAX: 120)
  • (DK, RF not allowed)

SKR_N4B

Instruction: Re-enter the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 a* measurement.

  • (MIN: ­120)
  • (MAX: 120)
  • (DK, RF not allowed)

SKR_N5A

Instruction: Record the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 b* measurement.

  • (MIN: ­120)
  • (MAX: 120)
  • (DK, RF not allowed)

SKR_N5B

Instruction: Re-enter the ^DT_SKR_TEXTE1 ^DT_SKR_TEXTE2 b* measurement.

  • (MIN: ­120)
  • (MAX: 120)
  • (DK, RF not allowed)

SKR_END

Anthropometric Component

Anthropometric Component Introduction (ACI)

ACI_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Shell:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • ANCREP: whether an anthropometric replicate has been assigned
  • SCS_N12: Visit Type (3= clinic visit; 4= home visit)

ACI_R02
Next will be a series of body measurements.

Instruction: Press <1> to continue.

ACI_D02

Programmer:

  • IF SCS_N12 = 4 THEN
    • ACI_D02 = EMPTY
  • ELSE
    • IF (ACI_R01 = 1 or ACI_R02 = 1) and ACI_D02 = EMPTY
      • Set ACI_D02 = Current Time (in HH:MM:SS format)
  • ENDIF

ACI_END

Height and Weight Measurements (HWM)

HWM_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • PHC_Q11: whether the respondent is pregnant
  • PHC_Q12: number of weeks of pregnancy

HWM_R11
I'm going to start by measuring how tall you are. Please remove your shoes and stand with your feet together and your heels, buttocks, back, and head in contact with the measuring device. Look straight ahead and stand as tall as possible.

Now, take a deep breath in and hold it.

Instruction: Ensure the respondent's head is in the Frankfort plane and all hair ties or ornaments (e.g., buns, braids, clips) have been removed.

Take the measurement while the breath is being held.

  • Press <1> to continue

HWM_N11

Instruction: Record how the data will be captured.

  • 1 Electronically
  • 2 Manually with a portable device (Go to HWM_N11B)
  • 3 Self-report (Go to HWM_N11B)
  • 4 Electronic data entered manually
  • (DK, RF not allowed)

HWM_N11A

Instruction: Ensure that the stadiometer is set to millimeters (mm).

Press the "Send" button on the left side of the digital display box or the "Data" button on the SPC (send to PC) device.

  • (MIN: 834)
  • (MAX: 2,130)
  • (DK, RF not allowed)

HWM_C11

  • If HWM_N11 = 4, go to HWM_N11D.
  • Otherwise, go to HWM_D11.

HWM_N11B

Instruction: Record the standing height in centimetres.

  • (MIN: 19)
  • (MAX: 208)
  • DK, RF (Go to HWM_D11)

HWM_N11C

Instruction: Re-enter the standing height in centimetres.

  • (MIN: 19)
  • (MAX: 208)
  • DK, RF

HWM_N11

DInstruction: Re-enter the standing height in millimeters.

  • Millimeters
  • (MIN: 834)
  • (MAX: 2,130)
  • DK, RF

HWM_D11

Programmer:

  • Set standing height in centimeters and derive standing height in inches (HWM_D11).

HWM_C11A

  • If HWM_Q11 = DK, go to HWM_S11.
  • Otherwise, go to HWM_C11B.

HWM_S11

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

HWM_C11B

  • If HWM_N11 = 3, go to HWM_R13.
  • Otherwise, go to HWM_R12.

HWM_R12
Next, I'd like you to sit on this box so that I can measure how tall you are when you are sitting. Sit with your back and head against the measuring device. Put your hands on your lap and keep your legs still. Look straight ahead and sit up as straight as possible.

Now, take a deep breath in and hold it.

Instruction: Ensure the respondent's head is in the Frankfort plane.

Ensure the respondent does not contract the gluteal muscles nor push with the legs.

Take the measurement while the breath is being held.

  • Press <1> to continue.

HWM_C12A

  • If HWM_N11 = 1 or 4, go to HWM_N12A.
  • Otherwise, go to HWM_N12B.

HWM_N12A

Instruction: Ensure that the stadiometer is set to millimetres (mm).Press the "Send" button on the left side of the digital display box or the "Data" button on the SPC (send to PC) device.

  • (MIN: 834)
  • (MAX : 2 130)
  • DK, RF (Go to HWM_D12)

Go to HWM_D12

HWM_C12B

  • If HWM_N11 = 4, go to HWM_N12D.
  • Otherwise, go to HWM_D12.

HWM_N12B

Instruction: Record the sitting height in centimetres.

  • (MIN: 73)
  • (MAX: 208)
  • DK, RF (Go to HWM_D12)

HWM_N12C

Instruction: Re-enter the sitting height in centimetres.

  • (MIN: 73)
  • (MAX: 208)
  • DK, RF

HWM_N12D

Instruction: Re-enter the sitting height in millimeters.

  • (MIN: 834)
  • (MAX: 2,130)
  • DK, RF

HWM_D12

Programmer

  • Set sitting height in centimeters and derive sitting height in inches (HWM_D12).

HWM_C12C

  • If HWM_Q12 = DK, go to HWM_S12.
  • Otherwise, go to HWM_R13.

HWM_S12

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

HWM_R13
Next I'm going to measure how much you weigh. Please empty your pockets, remove all heavy accessories, step onto the centre of the scale and face me. Keep your hands at your sides and look straight ahead.

Instruction: Ensure the respondent has on only minimal clothing (no shoes), has nothing in his/her pockets and has removed all heavy accessories (e.g., a watch, belt, pair of glasses).

  • Press <1> to continue.

HWM_N13

Instruction: Record how the data will be captured.

  1. Electronically
  2. Manually with a portable device (Go to HWM_N13B)
  3. Self-report (Go to HWM_N13B)
  4. Electronic data entered manually (Go to HWM_N13B)
    (DK, RF not allowed)

HWM_N13A

Instruction: Ensure the scale is set to kilograms (kg).

  • Press <Print> on the scale.
  • Press <1> to save the measurement in Blaise.
  • 1 Save the measurement
  • (DK, RF not allowed)

HWM_R13A

Instruction: Check the data returned from the scale.

  • Press <1> to continue.

HWM_N13B

Instruction: When the measurement is stable, record the weight in kilograms.

  • (MIN: 1)
  • (MAX: 500)
  • DK, RF (Go to HWM_D13)

HWM_N13C

Instruction: Re-enter the weight in kilograms.

  • (MIN: 1)
  • (MAX: 500)
  • DK, RF

HWM_D13

Programmer:

  • Set weight in kilograms and derive weight in pounds (HWM_D13).

HWM_C13

  • If HWM_Q13 = DK, go to HWM_S13.
  • Otherwise, go to HWM_C14A.

HWM_S13

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

HWM_C14A

  • If PHC_Q11 = 1, go to HWM_D20.
  • Otherwise, go to HWM_R14.

HWM_R14
Now I'm going to measure your waist circumference. Please stand up straight with your arms hanging loosely at your sides, and breathe normally. I may need to move your clothing slightly because the measurement has to be taken directly on the skin. In order to ensure I have the correct position, I am going to feel for certain landmarks and make a few small marks on your skin with a washable marker where the tape measure is to go. When I'm done, I'll remove them with a wipe.

Instruction: Landmark both sides.

  • Read the measurement at the right side of the body.
  • Take the measurement at the end of a normal expiration.
  • Press <1> to continue.

HWM_N14A

Instruction: Record the waist circumference in centimetres.

  • (MIN: 0)
  • (MAX: 305)
  • DK, RF (Go to HWM_D14)

HWM_N14B

Instruction: Re-enter the waist circumference in centimetres.

  • (MIN: 0)
  • (MAX: 305)
  • DK, RF

HWM_D14

Programmer:

  • Set waist circumference in centimeters and derive waist circumference in inches (HWM_D14).

HWM_C14B

  • If HWM_Q14 = DK, go to HWM_S14.
  • Otherwise, go to HWM_R15.

HWM_S14

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

HWM_R15
Now I'm going to measure your hip circumference. Please stand up straight with your feet together, your arms hanging loosely at your sides, and breathe normally. I may need to move your clothing slightly to ensure the measurement is accurate.

Instruction: Read the measurement at the right side of the body.

  • Press <1> to continue.

HWM_N15A

Instruction: Record the hip circumference in centimetres.

  • (MIN: 0)
  • (MAX: 305)
  • DK, RF (Go to HWM_D15)

HWM_N15B

Instruction: Re-enter the hip circumference in centimetres.

  • (MIN: 0)
  • (MAX: 305)
  • DK, RF

HWM_D15

Programmer:

  • Set hip circumference in centimeters and derive hip circumference in inches (HWM_D15).

HWM_C15

  • If HWM_Q15 = DK, go to HWM_S15.
  • Otherwise, go to HWM_D20.

HWM_S15

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

HWM_D20

  • If PHC_Q11=1, DT_HWMTEXT20E = "EMPTY".
  • Otherwise, DT_HWMTEXT20E = "In case you are selected, I will now erase the marks I put on your skin to ensure that they do not influence a possible second set of measurements.".
  • If PHC_Q11=1, DT_HWMINT20E = "EMPTY".
  • Otherwise, DT_HWMINT20E = "Use a wipe to wash off all marks on the respondent's skin.".

HWM_R20
At the end of the appointment, we may need to repeat the measurements I have just completed. The computer randomly selects people to be re-measured for quality control purposes. [EMPTY/In case you are selected, I will now erase the marks I put on your skin to ensure that they do not influence a possible second set of measurements.]

Instruction: Press <1> to continue.

[EMPTY/Use a wipe to wash off all marks on the respondent's skin.]

HWM_D21

Programmer:

  • Calculate the body mass index.

HWM_D22

Programmer:

  • Calculate the body mass index norms for respondents 18 or older.

HWM_D23

Programmer:

  • Calculate the body mass index norms for respondents less than 18.

HWM_D24

Programmer:

  • Calculate the waist circumference norms for respondents 15 - 69.

HWM_D25

Programmer:

  • Calculate the waist-to-hip ratio.

HWM_END

Blood Pressure Component

Blood Pressure Measurement (BPM)

BPM_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • HWM_Q11: standing height (in centimetres)
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

BPM_N101

Instruction: Record how the first set of data will be captured.

  1. Electronically (BpTRU)
  2. Manually (auscultation) (Go to BPM_D110)
  3. BpTRU data entered manually (Go to BPM_B110)
    (DK, RF not allowed)

BPM_D101

Programmer:

  • IF SCS_N12 = 4 THEN
    • BPM_D101 = EMPTY
  • ELSE
    • If BPM_N101 = RESPONSE and BPM_D101 = EMPTY,
    • Set BPM_D101 = Current Time (in HH:MM:SS format)
  • ENDIF

BPM_Q101A
Now I will take your blood pressure and heart rate using an automated blood pressure cuff. During this test you will need to sit up straight with your feet flat on the floor, your back against the back rest of the chair, and your right arm on the table.

Instruction:

- Ensure the BpTRU is communicating with Health Listener

- Set the BpTRU to cycle 1 (1 - minute intervals)

- Turn the BpTRU away from the respondent.

  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

BPM_C102

  • If BPM_Q101 = RF, go to BPM_D110.
  • Otherwise, go to BPM_D102A.

BPM_D102A

  • Not Applicable

BPM_D102B

  • If CON_AGE < 14, DT_BPM102TEXTE = "The cuff will fill with air and it will squeeze your arm a little. It will do this 6 times. During the test you cannot talk. You need to sit really still and keep both feet flat on the floor. You should stay relaxed to ensure we get good results. Before we start, I will leave you alone to sit and relax for 5 minutes. I will then come back to start the machine. It is very important that we don't talk until the test is done.".
  • Otherwise, DT_BPM102TEXTE = "The cuff will inflate automatically once every minute, applying pressure to your arm. A total of 6 measures will be taken. I will stay in the room for the first measurement then I will leave the room. Although I will not be present during the test, should you require assistance, I will be just outside the room. You should not move or talk during the test, and you need to keep both feet flat on the floor. It is important that you stay relaxed to ensure we get good results. Before we begin, I will leave you alone to sit and relax for 5 minutes. I will then return to start the machine. I ask that you do not talk when I return to take the first measurement.".

BPM_Q102
^DT_BPM102TEXTE.

Do you have any questions before we begin?

Instruction:

Answer any questions as thoroughly as possible.

  • Select the appropriate cuff size by using the range indicated on the inside of the cuff.
  • Secure the cuff on the respondent's right arm.
  • Ensure respondent is in the correct position (palm down, feet flat, arm and back rested, relaxed).
  • Start the stopwatch to return to the room after 5 minutes.
  • After the 5-minute rest period, return to the room and press the <Start> button on the BpTRU.
  • Stay in the room for the first measure and write down the result.
  • Press CTL-ALT-DELETE and then ENTER to lock the computer before leaving the room.
  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

PM_N105

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements (Go to BPM_D160A)
  • (DK, RF not allowed)

BPM_D110

  • If CON_AGE < 14, DT_BPM110TEXTE = "I will fill the cuff with air and it will squeeze your arm a little. During the test you need to sit really still, you cannot talk and you must keep your feet flat on the floor. You should stay relaxed to make sure that we get good results. Before we start, I will leave you alone to sit and relax for 5 minutes. I will then come back to take the measurements. It is very important that we don't talk until the test is done. Do you have any questions before we begin?".
  • Otherwise, DT_BPM110TEXTE = "I will inflate the cuff once every minute, applying pressure to your arm. You should not move or talk during the test, and you need to keep both feet flat on the floor. It is important that you stay relaxed to ensure we get good results. Before we begin, I will leave you to sit and relax for 5 minutes. I will then return to take the measurements. I ask that you do not talk when I leave the room. Do you have any questions before we begin?".

BPM_Q110
Now I will take your blood pressure and heart rate. I will measure your blood pressure using this arm cuff and stethoscope, and your heart rate using this heart rate monitor. During this test you will need to sit up straight with your feet flat on the floor, your back against the back rest of the chair, and your right arm on the table, palm facing up.

I will take your blood pressure and heart rate 6 times.

^DT_BPM110TEXTE

Instruction:

- Show the heart rate monitor to the respondent and help him/her put it on.

  • Answer any questions as thoroughly as possible.
  • Select the appropriate cuff size by using the range indicated on the inside of the cuff.
  • Secure the cuff on the respondent's right arm
  • Ensure respondent is in the correct position (palm up, feet flat, arm and back rested, relaxed).
  • Start the stopwatch to return to the room after 5 minutes.
  • After the 5- minute rest, return to the room to take the measurements at 1- minute intervals.
  • Use the stopwatch during the measurements to ensure they are taken every minute.
  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF

BPM_C110

  • If BPM_Q110 = RF, go to BPM_END.
  • Otherwise, go to BPM_R110.

BPM_R110

Instruction: Determine the maximum inflation level before taking the measurements.

  • Press <1> to continue.

BPM_B110

  • Call the Blood Pressure Recording (BPR) block.

BPM_C111

  • If BPM_B110.BPR_N1A = RF, go to BPM_END.
  • Otherwise, go to BPM_B111.

BPM_B111

  • Call the Blood Pressure Recording (BPR) block.

BPM_B121

  • Call the Blood Pressure Recording (BPR) block.

BPM_B131

  • Call the Blood Pressure Recording (BPR) block.

BPM_B141

  • Call the Blood Pressure Recording (BPR) block.

BPM_B151

  • Call the Blood Pressure Recording (BPR) block.

BPM_D160A

Programmer:

  • IF any three of BPM_B111.BPR_N4, BPM_B121.BPR_N4, BPM_B131.BPR_N4, BPM_B141.BPR_N4 and BPM_B151.BPR_N4 = RESPONSE THEN
  • BPM_D160A = 1
  • ENDIF

BPM_D160B

  • If BPM_N105 = 1, DT_BPM160INSTE = "Press <Clear> on the BPTru screen.".
  • Otherwise, DT_BPM160INSTE = "EMPTY".

BPM_N160

Instruction: Check the blood pressure and heart rate data.

  • [Press <Clear> on the BPTru screen./EMPTY]
  • Accept the measurements
  • Re-do the measurements
  • (DK, RF not allowed)

Help text:

  • Select "Re-do the measurements" if the blood pressure measurements are invalid. For example:
  • There was a noteworthy distraction or noise in the room while the measurement was being taken (e.g., something fell from a shelf or desk, likely startling the respondent); or
  • The protocol was not respected (e.g., the respondent is not in the correct position, moves or talks during the measurements).
  • The measurements were stopped before obtaining three or more valid measures (e.g., error code 6)

BPM_C161A

  • If (BPM_N101=1 and BPM_Q101A=1) or BPM_N101=3, go to BPM_N161.
  • Otherwise, go to BPM_C161B.

BPM_N161

Instruction: Was anyone in the room with the respondent (e.g., HMS, parent or guardian) when the blood pressure measurements were taken?

  • 1 Yes
  • 2 No
    (DK, RF not allowed)

BPM_C161B

  • If BPM_N160 = 2, go to BPM_C201.
  • Otherwise, go to BPM_D161.

BPM_D161

Programmer:

  • Calculate the first average systolic blood pressure.

BPM_D162

Programmer:

  • Calculate the first average diastolic blood pressure.

BPM_D163

Programmer:

  • Calculate the first average resting heart rate.

BPM_C163

  • If BPM_D160A = 1, go to BPM_C201.
  • Otherwise, go to BPM_C163A.

BPM_C163A

  • If BPM_N160 = 1 and BPM_D160A > < 1, go to BPM_D402.
  • Otherwise, go to BPM_E163.

BPM_C201

  • If BPM_Q101 = RF, go to BPM_D210.
  • Otherwise, go to BPM_N201.

BPM_N201

Instruction: Record how the second set of data will be captured.

  1. Electronically (BpTRU)
  2. Manually (auscultation) (Go to BPM_D210)
  3. BpTRU data entered manually (Go to BPM_B210)
    (DK, RF not allowed)

BPM_Q201
There were too many errors with that set of measurements, so we have to do the test again. I will retake your blood pressure and heart rate. Remember, you should not move or talk during the test, and you need to keep both feet flat on the floor. It's important that you stay relaxed to ensure we get good results.

Instruction:

- Ensure the BpTRU is communicating with Health Listener.

  • Set the BpTRU to cycle 1.
  • Turn the BpTRU away from the respondent.
  • Answer any questions as thoroughly as possible.
  • Select the appropriate cuff size by using the range indicated on the inside of the cuff.
  • Secure the cuff on the respondent's right arm.
  • Ensure respondent is in the correct position (palm down, feet flat, arm and back rested, relaxed).
  • Start the BpTRU.
  • Stay in the room for the first measure and write down the result.
  • Press CTL-ALT-DELETE and then ENTER to lock the computer before leaving the room.
  • 1 Press <1> to continue.
  • (DK not allowed)
  • RF

BPM_C202

  • If BPM_Q201 = RF, go to BPM_D210.
  • Otherwise, go to BPM_E202.

BPM_N205

Instruction: Press <1> to save the measurements in Blaise.

  • 1 Save the measurements (Go to BPM_D260A)
  • (DK, RF not allowed)

BPM_D210

  • If BPM_N160 = 2 OR BPM_D160A = 1, DT_BPM210TEXT1E = "There were too many problems with that set of measurements, so we have to do the test again. ".
  • Otherwise, DT_BPM210TEXT1E = "Now I will retake your blood pressure and heart rate.".
  • If BPM_N101 = 1 or 3 and Q101 > < RF, DT_BPM210TEXT2E = "I will measure your blood pressure using this arm cuff and stethoscope, and your heart rate using this heart rate monitor. I will take your blood pressure and your heart rate 6 times.".
  • Otherwise, DT_BPM210TEXT2E = "EMPTY".
  • If CON_AGE < 14, DT_BPM210TEXT3E = "Remember, during the test you need to sit really still, you cannot talk and you must keep your feet flat on the floor or step. You should stay relaxed to make sure that we get good results.".
  • Otherwise, DT_BPM210TEXT3E = "Remember, you should not move or talk during the test, and you need to keep both feet flat on the floor. It is important that you stay relaxed to ensure we get good results.".
  • If BPM_N101 = 1 or 3, DT_BPM210TEXT4E = "Show the heart monitor to the respondent and help him/her put it on.".
  • Otherwise, DT_BPM210TEXT4E = "EMPTY".

BPM_Q210
^DT_BPM210TEXT1E ^DT_BPM210TEXT2E ^DT_BPM210TEXT3E

Instruction:

  • ^DT_BPM210TEXT4E
  • Answer any questions as thoroughly as possible.
  • Select the appropriate cuff size by using the range indicated on the inside of the cuff.
  • Secure the cuff on the respondent's right arm.
  • Ensure respondent is in the correct position (palm up, feet flat, arm and back rested, relaxed).
  • Take the measurements at 1- minute intervals.
  • Use stopwatch during the measures to ensure they are taken every minute.
  • 1 Press <1> to continue.
  • (DK not allowed)
  • RF

Go to BPM_C210

BPM_C210

  • If BPM_Q210 = RF, go to BPM_D402.
  • Otherwise, go to BPM_B210.

BPM_R210

Instruction: Determine the maximum inflation level before taking the measurements.

  • Press <1> to continue.

BPM_B210

  • Call the Blood Pressure Recording (BPR) block.

BPM_C211

  • If BPM_B210.BPR_N1A = RF, go to BPM_D402.
  • Otherwise, go to BPM_B211.

BPM_B211

  • Call the Blood Pressure Recording (BPR) block.

BPM_B221

  • Call the Blood Pressure Recording (BPR) block.

BPM_B231

  • Call the Blood Pressure Recording (BPR) block.

BPM_B241

  • Call the Blood Pressure Recording (BPR) block.

BPM_B251

  • Call the Blood Pressure Recording (BPR) block.

BPM_D260A

Programmer:

  • IF any three of BPM_B211.BPR_N4, BPM_B221.BPR_N4, BPM_B231.BPR_N4, BPM_B241.BPR_N4 and BPM_B251.BPR_N4 = RESPONSE THEN
  • BPM_D260A = 1
  • ENDIF

BPM_D260B

  • If BPM_N205 = 1, DT_BPM260INSTE = "Press <Clear> on the BPTru screen.".
  • Otherwise, DT_BPM260INSTE = "EMPTY".

BPM_N260

Instruction: Check the blood pressure and heart rate data.

[Press <Clear> on the BPTru screen./EMPTY]

  • 1 Accept the measurements
  • 2 Reject the measurements
    (DK, RF not allowed)

Help text:

Select "Reject the measurements" if the blood pressure measurements are invalid. For example:

  • There was a noteworthy distraction or noise in the room while the measurement was being taken (e.g., something fell from a shelf or desk, likely startling the respondent);
  • The protocol was not respected (e.g., the respondent is not in the correct position, moves or talks during the measurements).

BPM_C261A

  • If (BPM_N201=1 and BPM_Q201=1) or BPM_N201=3, go to BPM_N261.
  • Otherwise, go to BPM_C261B.

BPM_N261

Instruction: Was anyone in the room with the respondent (e.g., HMS, parent or guardian) when the blood pressure measurements were taken?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

BPM_C261B

  • If BPM_N260 = 2, go to BPM_D402.
  • Otherwise, go to BPM_D261. BPM_D261

Programmer:

  • Calculate the second average systolic blood pressure.

BPM_D262

Programmer:

  • Calculate the second average diastolic blood pressure.

BPM_D263

Programmer:

  • Calculate the second average resting heart rate.

BPM_D402

Content type: Note to data users:

  • If two sets of blood pressure measurements are taken, the set with the greatest number of valid measurements is used to set the final resting blood pressure and heart rate results.

Programmer:

  • IF BPM_D260A = 1 or BPM_D261 = EMPTY OR 999 THEN
  • IF BPM_D160A = 1 or BPM_D161 = EMPTY OR 999 THEN
  • IF BPM_D261 = RESPONSE AND BPM_D262 = RESPONSE AND BPM_D263 = RESPONSE THEN
  • IF BPM_D161 = RESPONSE AND BPM_D162 = RESPONSE AND BPM_D163 = RESPONSE THEN
  • IF second set has more valid measures than first set* THEN
    • BPM_D314 = BPM_D261
    • BPM_D315 = BPM_D262
    • BPM_D316 = BPM_D263
  • ELSE
    • BPM_D314 = BPM_D161
    • BPM_D315 = BPM_D162
    • BPM_D316 = BPM_D163
  • ENDIF
  • ELSE
    • BPM_D314 = BPM_D261
    • BPM_D315 = BPM_D262
    • BPM_D316 = BPM_D263
  • ENDIF
  • ELSE
    • IF BPM_D161 = RESPONSE AND BPM_D162 = RESPONSE AND BPM_D163 = RESPONSE THEN
      • BPM_D314 = BPM_D161
      • BPM_D315 = BPM_D162
      • BPM_D316 = BPM_D163
    • ELSE
      • BPM_D314 = EMPTY
      • BPM_D315 = EMPTY
      • BPM_D316 = EMPTY
    • ENDIF
    • ENDIF
    • ELSE
      • BPM_D314 = BPM_D161
      • BPM_D315 = BPM_D162
      • BPM_D316 = BPM_D163
    • ENDIF
    • ELSE
      • IF BPM_D160A = 1 or BPM_D161 = EMPTY OR 999 THEN
        • BPM_D314 = BPM_D261
        • BPM_D315 = BPM_D262
        • BPM_D316 = BPM_D263
      • ELSE
        • BPM_D314 = BPM_D161
        • BPM_D315 = BPM_D162
        • BPM_D316 = BPM_D163
    • ENDIF
  • ENDIF
  •  

* a valid measure within a set has N1A = RESPONSE and N2A = RESPONSE and N3A = RESPONSE

BPM_D403

Programmer:

  • BPM_D317 = BPM_D314
  • BPM_D318 = BPM_D315
  • BPM_D319 = BPM_D316

BPM_D411A

Programmer:

  • Calculate the blood pressure norms for respondents 18 or older.

BPM_C411

  • If BPM_D411A = RESPONSE and BPM_D411A > 2, go to BPM_D411B.
  • Otherwise, go to BPM_D412A.

BPM_D411B

  • If BPM_D411A = 3, DT_BPM411TEXTE = "above the acceptable range".
  • If BPM_D411A = 4, DT_BPM411TEXTE = "moderately high".
  • If BPM_D411A = 5, DT_BPM411TEXTE = "high".
  • If BPM_D411A = 6, DT_BPM411TEXTE = "very high".

BPM_R411
Your average blood pressure today was ^BPM_D317 / ^BPM_D318 mmHg. Based on a report by the Canadian Coalition for High Blood Pressure Prevention and Control, this means your blood pressure is [above the acceptable range/moderately high/high/very high].

Instruction: Answer any questions as thoroughly as possible.

  • Press <1> to continue.

BPM_D412A

Programmer:

  • Calculate the blood pressure norms for respondents less than 18.

BPM_C412

  • If BPM_D412A = RESPONSE and BPM_D412A > 2, go to BPM_D412B.
  • Otherwise, go to BPM_END.

BPM_D412B

  • If BPM_D412A = 3, DT_BPM412TEXTE = "high".
  • Otherwise BPM_D412A = 4, DT_BPM412TEXTE = "very high".

BPM_R412
Your average blood pressure today was ^BPM_D317 / ^BPM_D318 mmHg. Based on The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents, this means your blood pressure is [high/very high].

Instruction: Answer any questions as thoroughly as possible.

  • Press <1> to continue.

BPM_END

Blood Pressure Recording (BPR)

BPR_BEG

External variables required:

  • BPM_N101: record how the data will be captured.
    BPM_N201: record how the data will be captured.

BPR_N1A

Instruction: Record the systolic blood pressure measurement.

  • Systolic blood pressure (in mmHg)
  • (MIN: 30)
  • (MAX: 300)
  • DK, RF

BPR_N1B

Instruction: Re-enter the systolic blood pressure measurement.

  • (MIN: 30)
  • (MAX: 300)
  • DK, RF

BPR_C2

  • If BPR_N1A = RF, go to BPR_END.
  • Otherwise, go to BPR_N2A.

BPR_N2A

Instruction: Record the diastolic blood pressure measurement.

  • Diastolic blood pressure (in mmHg)
  • (MIN: 30)
  • (MAX: 200)
  • DK
  • (RF is not allowed)

BPR_N2B

Instruction: Re-enter the diastolic blood pressure measurement.

  • (MIN: 30)
  • (MAX: 200)
  • DK
  • (RF is not allowed)

BPR_N3A

Instruction: Record the heart rate.

  • Heart rate (in beats per minute)
  • (MIN: 30)
  • (MAX: 200)
  • DK
  • (RF is not allowed)

BPR_N3B

Instruction: Re-enter the heart rate.

  • (MIN: 30)
  • (MAX: 200)
  • DK
  • (RF is not allowed)

BPR_C4

  • If BPR_N1A = DK or BPR_N2A = DK, go to BPR_N4.
  • Otherwise, go to BPR_END.

BPR_N4

Instruction: Record the reason why the measurement could not be taken. Mark all that apply.

  • 05 Deflation too slow
  • 06 Deflation too fast
  • 20 Indeterminate systolic blood pressure
  • 21 Indeterminate diastolic blood pressure
  • 88 Other - Specify (Go to BPR_S5)
  • (DK, RF not allowed)

BPR_C5

  • If BPR_N4 = 88, go to BPR_S5.
  • Otherwise, go to BPR_END.

BPR_S5

(Record the reason why the measurement could not be taken.)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

BPR_END

Activity Monitor Component (AM)

AM_BEG E

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • DateMailBackE: English text of date 8 days after the clinic visit

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • IAS_N32: the waybill number of the postage-paid envelope
  • SCS_N12: Visit type (3= clinic visit; 4= home visit)

AM_N11

Instruction: Record whether an activity monitor is available.

  • 1 Yes
  • 2 No (Go to AM_END)
  • (DK, RF not allowed)

AM_D11

Programmer:

  • IF SCS_N12 = 4 THEN
    • AM_D11 = EMPTY
  • ELSE
    • IF AM_N11 = RESPONSE and AM_D11 = EMPTY,
      • Set AM_D11 = Current Time (in HH:MM:SS format)
  • ENDIF

AM_R11
It is crucial to obtain information about Canadians' daily activity patterns. As a result, this survey will be measuring your daily activity patterns over a 7 day period. In order to do this, we would like you to wear an activity monitor for the next 7 days.

An activity monitor is a small battery-operated electronic device that is worn on a belt around the waist, on the right hip bone. The monitor records all daily activities as electronic signals. It is pre-programmed to start recording tomorrow morning, there is no activation required and it does not need to be turned on or off.

Instruction: Hold up the activity monitor (on the belt) for display.

  • Press <1> to continue.

AM_Q11
The activity monitor is to be worn for the next 7 days and mailed back after the 7 days are over. Do you have any questions before we proceed?

Instruction: Answer any questions as thoroughly as possible.Press <1> to continue.

  • 1 Continue (Go to AM_R21)
  • (DK not allowed)
  • RF

AM_N12

Instruction: Record the reason why the respondent is not willing to wear an activity monitor for the next 7 days.

  • 01 Burden
  • 02 Invasive
  • 03 Aesthetics
  • 04 Away during the collection period
  • 05 Anticipating change in normal activity
  • 06 Sick or laid up
  • 07 Worried about losing or damaging the device
  • 08 Other - Specify (Go to AM_S12)
  • (DK, RF not allowed)

Go to AM_END

AM_S12

(Record the reason why the respondent is not willing to wear an activity monitor for the next 7 days.)

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

Go to AM_END

AM_R21
We ask that you start wearing this monitor as soon as you wake up tomorrow morning and that you keep wearing it for 7 full days.

  • Place it on your right hip bone with the arrow pointing up and the belt snug.
  • You can wear it over or under your clothes.
  • It is important that you put on the activity monitor as soon as you wake up in the morning and take it off only when going to bed at night. We do not want to miss a step!
  • Since the device is waterproof please wear it all day long without interruption (when showering, swimming, taking a nap, etc.).

Please do not alter your usual physical activity behaviour, since we are interested in your normal activity level.

Instruction: Assist the respondent in putting the belt on. Check to ensure the belt fits snugly around the waist and that the activity monitor is positioned on the right hip bone with the arrow pointing up.

Write the respondent's initials on the belt if more than one member of the same household will receive a monitor.

  • Press <1> to continue.

AM_N21

Instruction: Record whether the respondent took an activity monitor.

  • 1 Yes (Go to AM_N31A)
  • 2 No
  • (DK, RF not allowed)

AM_N22

Instruction: Record the reason why the respondent did not take an activity monitor.

  • 01 Burden
  • 02 Invasive
  • 03 Aesthetics
  • 04 Away during the collection period
  • 05 Anticipating change in normal activity
  • 06 Sick or laid up
  • 07 Worried about losing or damaging the device
  • 08 Other - Specify (Go to AM_S22)
  • (DK, RF not allowed)

Go to AM_END

AM_S22

(Record the reason why the respondent did not take an activity monitor.)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

Go to AM_END

AM_N31A

Instruction: To log in the serial number of the activity monitor, scan the bar code on the monitor.

  • (7 spaces)
  • (DK, RF not allowed)

AM_N31B

Instruction: Re-scan the bar code on the activity monitor.

  • (7 spaces)
  • (DK, RF not allowed)

AM_N32

Instruction: To log in the waybill number of the postage-paid envelope, scan the bar code on the envelope.

  • (13 spaces)
  • (DK, RF not allowed)

AM_R33
On the morning of ^DateMailBackE, please put the activity monitor into this postage-paid envelope and put the envelope into any Canada Post mailbox. Full descriptions of what the activity monitor is, what it measures, how it works, and why it is important are included on the information sheet in the envelope. Should you have any questions or concerns, you will find a toll free number on this sheet.

Instruction: Give the postage-paid envelope (addressed to Statistics Canada), the monitor and the information sheet to the respondent.

Ensure they do not confuse this material with the Indoor Air Sampler material.Inform the respondent that he/she will receive a reminder call to ensure he/she has started to wear the monitor and another call to remind him/her to return it.

  • Press <1> to continue.

AM_END

Indoor Air Sampler Component

Indoor Air Sampler (IAS)

Overview: The indoor air sampler measurement is only administered to one person per household. In households with two selected respondents, the IAS block is administered to the first respondent that begins the clinic visit.

IAS_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • REPLICID: 8 digit replicate identifier
  • IASPCT: selection percentage for an Indoor Air replicate

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • DateMailBackE: English text of date 8 days after the clinic visit

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • AM_N32: the waybill number of the postage-paid envelope

IAS_N11

Instruction: Record whether an indoor air sampler is available.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

IAS_D11

Programmer:

  • IF SCS_N12 = 4 THEN
    • IAS_D11 = EMPTY
  • ELSE
    • IF IAS_N11 = RESPONSE and IAS_D11 = EMPTY,
      • Set IAS_D11 = Current Time (in HH:MM:SS format)
  • ENDIF

IAS_C11

  • If IAS_N11 = 2, go to IAS_END.
  • Otherwise, go to IAS_R11.

IAS_R11
As part of this survey we will be assessing the air in your home. To do this, we would like you to bring this indoor air sampler home and place it in your living or family room for the next 7 days.

An indoor air sampler is a small tubular device that collects air from your home. Specifically, the sampler will measure a number of substances that may be present in the air of your household, such as benzene, methane and ethanol. The indoor air sampler is quite easy to use.

It is important for us to collect this information because it will allow us to establish national baselines for indoor air concentrations of substances that could affect the health of Canadians.

Instruction: Hold up the sampler for display.

  • Press <1> to continue.
  • DK, RF not allowed.

IAS_Q11
The indoor air sampler should be placed in your home for the next 7 days and mailed back after the 7 days are over. Do you have any questions before we proceed?

Instruction: Answer any questions as thoroughly as possible.If respondent is not available to mail back the sampler at the end of the 7 days, it can be mailed backed a few days earlier or later. The sampler must be set up for at least 4 days, to a maximum of 9 days before being sent back. Do not provide the sampler if these conditions cannot be met.

  • 1 Press <1> to continue. (Go to IAS_R21)
  • (DK not allowed)
  • RF (Go to IAS_N12)

IAS_N12

Instruction: Record the reason why the respondent is not willing to take an indoor air sampler to place in their home for the next 7 days.

  1. Burden
  2. Invasive
  3. Away during the collection period
  4. Worried about losing or damaging the device
  5. Other - Specify (Go to IAS_S12)
  6. (DK, RF not allowed)

Go to IAS_END

IAS_S12
(Record the reason why the respondent is not willing to take an indoor air sampler to place in their home for the next 7 days.)

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

Go to IAS_END

IAS_R21
In this postage-paid envelope, you will find: An aluminium container with:

  • A brass tube with a round clip-on white cap
  • A grey metal cap with mesh screen
  • A small pencil

I will now go through the detailed instructions with you.

Instruction: Ensure respondent has entire contents of the indoor air sampler envelope. Go through and demonstrate each step of the instruction sheet carefully with the respondent.

  • Press <1> to continue.
  • DK, RF not allowed

IAS_N21

Instruction: Record whether the respondent took an indoor air sampler.

  • 1 Yes (Go to IAS_N31A)
  • 2 No
  • (DK, RF not allowed)

IAS_N22

Instruction: Record the reason why the respondent did not take an indoor air sampler.

  1. Burden
  2. Invasive
  3. Away during the collection period
  4. Worried about losing or damaging device
  5. Other - Specify (Go to IAS_S22)
  6. (DK, RF not allowed)

Go to IAS_END

IAS_S22
(Record the reason why the respondent did not take an indoor air sampler.)

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

Go to IAS_END

IAS_N31A

Instruction: Press <1> to print the label with the respondent's CLINIC ID.

Stick the label to the aluminium container with the indoor air sampler.

  • 1 Print the label
  • (DK, RF not allowed)

IAS_N31B

Instruction: To log in the serial number of the indoor air sampler, scan the sampler ID bar code on the aluminium container.

  • (8 spaces)
  • (DK, RF not allowed)

IAS_N31C

Instruction: Re-scan the sampler ID bar code on the aluminium container.

  • (8 spaces)
  • (DK, RF not allowed)

IAS_N32

Instruction: To log in the waybill number of the postage-paid envelope, scan the bar code on the envelope.

  • (13 spaces)
  • (DK, RF not allowed)

IAS_R71
On the morning of ^DateMailBackE please put the aluminium container with the sampler inside into this postage-paid envelope and put the envelope into any Canada Post mailbox. Please remember to refer to the information sheet under the section: "What to do at the end of the 7 days".Should you have any questions or concerns, you will find a toll free number on this sheet.

Instruction: Give the postage-paid envelope (addressed to CASSEN Testing Laboratories), the container with sampler and the information sheet to the respondent. Ensure they do not confuse this material with the Activity Monitor material.

Inform the respondent that they will receive a reminder call to ensure they have set up the sampler and another call to remind them to return it.

  • Press <1> to continue.
  • DK, RF not allowed

IAS_END

Indoor Air Questions (IAQ)

IAQ_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • DW_Q01: type of dwelling that the respondent lives in, collected when the method of interview is by telephone
  • DW_N02: type of dwelling that the respondent lives in, collected when the method of Interview is personal
  • DW_S02: Other - Specify response for type of dwelling that the respondent lives in

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables output from Clinic Shell:

  • Date1WeekAgoE: English text of date one week before the clinic visit
  • DateLastMonthE: English text of date one month before the clinic visit
  • Date6MonthsAgoE: English text of date six months before the clinic visit

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • IAS_N21: whether respondent took an indoor air sampler

IAQ_C01

  • If IAS_N21 = 1, go to IAQ_R01.
  • Otherwise, go to IAQ_END.

IAQ_R01
Now I'm going to ask you some questions about your home and the environment around your home.

Instruction: Press <1> to continue.

IAQ_C02

  • If DW_Q01 <> RESPONSE and DW_N02 <> RESPONSE, go to IAQ_Q03.
  • Otherwise, go to IAQ_D02A.

IAQ_D02A

Programmer:

  • IF DW_Q01 = 10 THEN
    • DT_IAQ02TextE = DW_S02
    • DT_IAQ02TextF = DW_S02
  • ELSE
    • IF DW_N02 = 10 THEN<
      • DT_IAQ02TextE = DW_S02
      • DT_IAQ02TextF = DW_S02
  • ENDIF

IAQ_D02B

  • If DW_Q01 = 1 or DW_N02 = 1, DT_IAQ02TEXTE = "single detached home".
  • If DW_Q01 = 2 or DW_N02 = 2, DT_IAQ02TEXTE = "double".
  • If DW_Q01 = 3 or DW_N02 = 3, DT_IAQ02TEXTE = "row house or terrace home".
  • If DW_Q01 = 4 or DW_N02 = 4, DT_IAQ02TEXTE = "duplex".
  • If DW_Q01 = 5 or DW_N02 = 5, DT_IAQ02TEXTE = "low-rise apartment of fewer than 5 stories or a flat".
  • If DW_Q01 = 6 or DW_N02 = 6, DT_IAQ02TEXTE = "high-rise apartment of 5 stories or more".
  • If DW_Q01 = 7 or DW_N02 = 7, DT_IAQ02TEXTE = "institution".
  • If DW_Q01 = 8 or DW_N02 = 8, DT_IAQ02TEXTE = "hotel; rooming/lodging house; camp".
  • If DW_Q01 = 9 or DW_N02 = 9, DT_IAQ02TEXTE = "mobile home".

IAQ_Q02
It was recorded during the household interview that you live in a(n) ^DT_IAQ02TEXTE. Is this correct?

  • 1 Yes (Go to IAQ_D04)
  • 2 No
  • (DK, RF not allowed)

IAQ_Q03
What type of dwelling do you live in? Is it a... ?

Instruction: Read categories to respondent.

  • 01 Single detached
  • 02 Double
  • 03 Row or terrace
  • 04 Duplex
  • 05 Low-rise apartment of fewer than 5 stories or a flat
  • 06 High-rise apartment of 5 stories or more
  • 07 Institution
  • 08 Hotel; rooming/lodging house; camp
  • 09 Mobile home
  • 10 Other - Specify (Go to IAQ_S03)
  • DK, RF

Go to IAQ_D04

IAQ_S03
(What type of dwelling do you live in? Is it a... ?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

IAQ_D04

Content type: Note to data users:

  • IAQ_D04 (dwelling type) is set based on IAQ_Q02 (dwelling type confirmation from home interview) or IAQ_Q03 (response to dwelling type question during the clinic visit)

Programmer:

  • IF IAQ_Q02 = 1
  • IF DW_N02 = RESPONSE THEN
    • IAQ_D04 = DW_N02
  • ELSE
    • IAQ_D04 = DW_Q01
  • ENDIF
  • ELSE
    • IAQ_D04 = IAQ_Q03
  • ENDIF

IAQ_Q04
How old is your home? Is it...?

Instruction: Read categories to respondent. If necessary state: If you do not know the exact age, please provide an estimate.

  1. Less than 10 years old
  2. 10 years old to less than 20
  3. 20 years old to less than 30
  4. 30 years old to less than 40
  5. 40 years old to less than 50
  6. 50 or more years old
  7. DK, RF

IAQ_Q05
How long have you lived in your home?

Instruction:

  • Minimum is 0;
  • maximum is ^CON_AGE.

If less than one year enter "0".

  • Years
  • (MIN: 0)
  • (MAX: 79)

DK, RF

Content type: Note to data users:

  • A hard edit will ensure that the age of the home is always greater or equal to the length of time the respondent has lived in his/her home.

IAQ_Q06
Excluding the basement and garage, what is the approximate area of your home in square feet or square metres? Would you say it is...?

Instruction: Read categories to respondent.

  1. 600 sq. ft (55 square metres) or less
  2. 601 to 1,000 sq. ft (56 to 95 square metres)
  3. 1,001 to 2,000 sq. ft (96 to 185 square metres)
  4. 2,001 to 3,000 sq. ft (186 to 280 square metres)
  5. 3,001 to 4,000 sq. ft (281 to 371 square metres)
  6. 4,001 sq. ft (372 square metres) or more
  7. DK, RF

IAQ_Q07
What is the main source of heat in your home?

Instruction: If the respondent reports the distribution method of the heat (e.g., hot water), probe to determine the original source of the heat (e.g., the means of heating the water such as an oil or gas furnace). Mark all that apply.

  1. Oil furnace
  2. Gas furnace
  3. Electric heat
  4. Wood-burning stove
  5. Wood-burning fireplace
  6. Gas fireplace
  7. Other - Specify (Go to IAQ_S07)
  8. DK, RF

IAQ_S07
(What is the main source of heat in your home?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

IAQ_C11

  • If IAQ_D04 = 5, 6 or 7 (dwelling is low-rise apartment, high-rise apartment or institution), go to IAQ_C14.
  • Otherwise, go to IAQ_Q11.

IAQ_Q11
Do you have a garage on your property?

Instruction: Do not include carports.

  • 1 Yes
  • 2 No (Go to IAQ_Q15)
  • (DK not allowed)
  • RF (Go to IAQ_Q15)

IAQ_Q12
Is it a... ?

Instruction: Read categories to respondent.

If respondent has more than one garage, ask about the garage situated closest to the home.

  1. Detached garage
  2. Attached garage without a connecting door to your home
  3. Attached garage with a connecting door to your home
  4. DK, RF

IAQ_Q13
In the past month, that is from ^DateLastMonthE until today, how often has a car, truck, or other vehicle been parked in this garage after being used?

Instruction: Read categories to respondent.

  1. More than 5 times a week
  2. 1 to 5 times a week
  3. Less than once a week
  4. Never
  5. DK, RF

IAQ_C14

  • If IAQ_D04 > 0 (excluding DK, RF) and < 5 (dwelling is single detached, double, row or terrace, duplex), go to IAQ_Q15.
  • Otherwise, go to IAQ_Q14.

IAQ_Q14
Does your building have any of the following parking facilities?

Instruction: Read categories to respondent. Mark all that apply.

  1. Indoor or underground parking lot
  2. Outdoor or partially enclosed parking lot
  3. Neither
  4. DK, RF

IAQ_Q15
In the past month, that is from ^DateLastMonthE until today, have you or anyone else ever smelled fumes in your home from cars, trucks or other vehicles?

Instruction: These fumes could come from a garage, driveway, parking lot, the street, etc.

  • 1 Yes
  • 2 No (Go to IAQ_Q17)
  • DK, RF (Go to IAQ_Q17)

IAQ_Q16
How often were these fumes smelt?

Instruction: Read categories to respondent.

  1. More than 5 times a week
  2. 1 to 5 times a week
  3. Less than once a week
    DK, RF

IAQ_Q17
In the past month, have you had a major home renovation such as finishing of the basement, painting walls or windows, changing floors/ceilings or upgrading a kitchen or bathroom?

Instruction: Do not include home renovations that took place more than one month ago or that will occur during the collection period.

  • 1 Yes
  • 2 No
  • DK, RF

IAQ_Q18
In the past month, have new carpeting or rugs been installed in your home?

  • 1 Yes
  • 2 No
  • DK, RF

IAQ_Q19
In the past week, that is from ^Date1WeekAgoE to today, which of the following products did you or anyone else use inside your home? Do not include products used in your garage or outside of your home.

Instruction: Read categories to respondent. Mark all that apply.

  • 01 Gasoline or gasoline-powered devices
  • 02 Kerosene
  • 03 Moth balls or moth crystals
  • 04 Oil-based (alkyd) paints
  • 05 Latex paint
  • 06 Paint remover
  • 07 Solvents (e.g., Varsol, paint thinners)
  • 08 Oil based (alkyd) wood stains
  • 09 Latex wood stains
  • 10 Candles
  • 11 Paints, type unknown
  • 12 Wood stains, type unknown
  • 13 None
  • DK, RF

Help text: The following products should be included in the corresponding response category:

  • 01 Gasoline or gasoline-powered devices: devices working with lighter fuel
  • 05 Latex paint: water based paint
  • 10 Candles: candles on a birthday cake
  • 11 Paints, type unknown: acrylic paint

The following products should not be included in the corresponding response category:

  • Finger paints for kids
  • Nail polish remover
  • Incense

IAQ_Q20
On a typical day over the past week, did you normally open windows or doors to get fresh air into your home?

  • 1 Yes
  • 2 No
  • DK, RF

IAQ_Q21
In the past 6 months, that is from ^Date6MonthsAgoE to today, how often did you or anyone else in your home bring home clothing or any other items from the dry cleaners?

Instruction: Read categories to respondent.

  1. More than once a week
  2. About once a week
  3. Less than once a week
  4. Never
  5. DK, RF

IAQ_END

Fractional Exhaled Nitric Oxide Component

Fractional Exhaled Nitric Oxide Component Introduction (NOI)

NOI_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

NOI_N01

Instruction: Press < 1 > to capture the sensor information.

  • 1 Capture the sensor information
  • (DK, RF not allowed)

Programmer:

  • TestsRemaining_beg = Value at TestsRemaining key

NOI_C01

  • If TestsRemaining_beg = Empty, go to NOI_N05A.
  • Otherwise, go to NOI_E05B.

NOI_N05A

Instruction: Enter the number of tests remaining on the sensor.

  • (MIN: 0)
  • (MAX: 300)
  • DK
  • (RF is not allowed)

Programmer:

TestsRemaining_beg = NOI_N05A

NOI_N05B

Instruction: Re-enter the number of tests remaining on the sensor.

  • (MIN: 0)
  • (MAX: 300)
  • DK (Go to NOI_END)
  • (RF is not allowed)

NOI_C05C

  • If NOI_N01 = 1 and SensorID = EMPTY, go to NOI_D05.
  • Otherwise, go to NOI_C06.

NOI_D05

Not Applicable

Programmer:

  • SensorID = Value at SensorID keyNOI_C06If SensorID = Empty, go to NOI_N06A.
  • Otherwise, go to NOI_R07.

NOI_N06A

Instruction: To log in the serial number of the sensor, scan the sensor bar code located on the bottom of the monitor.

  • (13 spaces)
  • (DK, RF not allowed)

NOI_N06B

Instruction: Re-scan the sensor bar code located on the bottom of the monitor.

  • (13 spaces)
  • (DK, RF not allowed)

NOI_R07
Now we are going to conduct a breathing test to measure the level of inflammation in your airways.

Instruction: Press <1> to continue.

NOI_D07

Programmer:

  • IF SCS_N12 = 4 THEN
    • NOI_D07 = EMPTY
  • ELSE
    • If NOI_R07 = RESPONSE and NOI_D07 = EMPTY,
      Set NOI_D07 = Current Time (in HH:MM:SS format)
  • ENDIF

NOI_Q08
This test has a few easy steps:

  1. First, you will need to breathe out slowly and completely facing away from the mouthpiece.
  2. Next, you will put this mouthpiece in your mouth making sure your lips are nice and tight so that no air escapes.
  3. Then you will breathe in slowly and deeply through the mouthpiece.
  4. When your lungs are full, breathe out at a steady speed into the machine until I tell you to stop, which will take about 10 seconds. Again, make sure your lips stay nice and tight around the mouthpiece.
  5. When you begin to exhale into the machine, you will feel some resistance; your breath will not be registered until you hear a clicking sound.

Instruction:

  • Show the device to the respondent.
  • Demonstrate the test from start to finish, as realistically as possible.
  • Press <1> to continue.
  • 1 Continue
  • DK, RF (Go to NOI_END)

NOI_R09
The results of this test greatly depend on the speed that you blow into the machine. To help you blow at the right speed I may tell you to blow faster or slower. The machine is very sensitive, so it is important to only slightly adjust your breathing speed during the measurement.

Instruction: Press <1> to continue.

NOI_R10
We will repeat this test a few times to ensure that we get your best effort.

Do you have any questions before we begin?

Instruction: Answer any questions as thoroughly as possible.

  • Press <1> to continue.

NOI_END

Fractional Exhaled Nitric Oxide Measurement (NOM)

NOM_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifierVariables output from Clinic Interface:
  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_SEX: English text for sex of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • NOI_N05A: the number of tests remaining on the sensor
  • NOI_Q08: the explanation of the FENO test
  • SCS_N12 : visit type (3= clinic visit; 4= home visit)

NOM_C01

  • If NOI_N05A or NOI_Q08 = DK, go to NOM_N60
  • Else If NOI_Q08 = RF, go to NOM_END.
  • Otherwise, go to NOM_R02.

NOM_R02
Please sit up straight in your chair and keep both feet flat on the floor.

Instruction: Ensure the respondent does not drink anything (including water) until after the test has been completed.

Administer the test and provide feedback following each attempt.

  • Press <1> to continue.

Content type: Note to data users:

  • Up to ten FENO attempts are conducted to achieve two reproducible FENO results. Once two reproducible FENO results are achieved then the measurement is over. If after 4 completed tests, no reproducible FENO results are achieved, then the measurement is over.

NOM_B03

  • Call the NOA block (Fractional Exhaled Nitrite Oxide Attempts)

Programmer:

  • The NOA block can be called up at NOM_B03, NOM_B13, NOM_B23 and NOM_B33 to a combined maximum of 10 instances during the NOM block.
  • When instance number 10 is reached, set FLGTEN = 1If instance 1: Pass DT_NoaE = "first" as a parameter
  • If instance 2: Pass DT_NoaE = "second" as a parameter
  • If instance 3: Pass DT_NoaE = "third" as a parameter
  • If instance 4: Pass DT_NoaE = "fourth" as a parameter
  • If instance 5: Pass DT_NoaE = "fifth" as a parameter
  • If instance 6: Pass DT_NoaE = "sixth" as a parameter
  • If instance 7: Pass DT_NoaE = "seventh" as a parameter
  • If instance 8: Pass DT_NoaE = "eighth" as a parameter
  • If instance 9: Pass DT_NoaE = "ninth" as a parameter
  • If instance 10: Pass DT_NoaE = "tenth" as a parameter

NOM_C04

  • If NOM_B03.NOA_N01 = DK, go to NOM_N60.
  • Else if NOM_B03.NOA_N01 = RF or (NOM_B03.NOA_N01 = 2 and FLGTEN = 1), go to NOM_C61.
  • Else if NOM_B03.
  • NOA_N01 = 2, go to NOM_B03.
  • Otherwise, go to NOM_N04.

NOM_N04

Instruction: Record how the data will be captured.

  • 1 Electronically
  • 2 Electronic data captured manually (Go to NOM_B06)
  • (DK, RF not allowed)

NOM_N05

Instruction: Press <1> to save the result in Blaise.

  • 1 Save the measurement
  • (DK, RF not allowed)

Go to NOM_N07

NOM_B06

  • Call the NOR block

NOM_N07

Instruction: Does the value in Blaise match the result displayed on the monitor?

  • 1 Yes
  • 2 No (Go to NOM_N04)
  • (DK, RF not allowed)

NOM_C07

  • If FLGTEN = 1, go to NOM_C61.
  • Otherwise, go to NOM_B13.

Content type: Note to data users:

  • If 10 FENO attempts (instances) have been completed FLGTEN = 1, otherwise FLGTEN = EMPTY.

NOM_B13

  • Call the NOA block (Fractional Exhaled Nitrite Oxide Attempts )

Programmer:

  • The NOA block can be called up at NOM_B03, NOM_B13, NOM_B23 and NOM_B33 to a combined maximum of 10 instances during the NOM block.
  • When instance number 10 is reached, set FLGTEN = 1If instance 1: Pass DT_NoaE = "first" as a parameter
  • If instance 2: Pass DT_NoaE = "second" as a parameter
  • If instance 3: Pass DT_NoaE = "third" as a parameter
  • If instance 4: Pass DT_NoaE = "fourth" as a parameter
  • If instance 5: Pass DT_NoaE = "fifth" as a parameter
  • If instance 6: Pass DT_NoaE = "sixth" as a parameter
  • If instance 7: Pass DT_NoaE = "seventh" as a parameter
  • If instance 8: Pass DT_NoaE = "eighth" as a parameter
  • If instance 9: Pass DT_NoaE = "ninth" as a parameter
  • If instance 10: Pass DT_NoaE = "tenth" as a parameter

NOM_C14

  • If NOM_B13.NOA_N01 = DK, go to NOM_N60.
  • Else if NOM_B13.NOA_N01 = RF or (NOM_B13.NOA_N01 = 2 and FLGTEN = 1), go to NOM_C61.
  • Else if NOM_B13.NOA_N01 = 2, go to NOM_B13.
  • Otherwise, go to NOM_N14.

NOM_N14

Instruction: Record how the data will be captured.

  • 1 Electronically
  • 2 Electronic data captured manually (Go to NOM_B16)
  • (DK, RF not allowed)

NOM_N15

Instruction: Press <1> to save the result in Blaise.

  • 1 Save the measurement
  • (DK, RF not allowed)

Go to NOM_N17

NOM_B16

  • Call the NOR block

NOM_N17

Instruction: Does the last value in Blaise match the result displayed on the monitor?

  • 1 Yes
  • 2 No (Go to NOM_N14)
  • (DK, RF not allowed)

Content type: Note to data users:

  • If two reproducible results are achieved (the results are within 10% of one another) then the FENO test is complete, otherwise go to NOM_B23.

NOM_C17

  • If FLGTEN=1, go to NOM_C61.
  • Otherwise, go to NOM_C18.

NOM_C18

  • If (NOM_B06.DV_N05A = NOM_B16.DV_N05A) and (NOM_B06.DV_N05A <> "> 300"), go to NOM_C61.
  • Otherwise, go to NOM_C19.

NOM_C19

  • If NOM_B06.DV_N05A or NOM_B16.DV_N05A = ("> 300" or "< 5"), go to NOM_B23.
  • Otherwise, go to NOM_C20.

NOM_C20

  • If (NOM_B06.DV_N05A >= 30) and (NOM_B16.DV_N05A >= 30), go to NOM_D21.
  • Otherwise, go to NOM_D22.

NOM_D21

Programmer:

  • Set DV_RATIO1 = the calculated ratio of NOM_B06.DV_N05A and NOM_B16.DV_N05A (greater/smaller).
  • Divide the greater of (NOM_B06.DV_N05A and NOM_B16.DV_N05A) by the smaller of (NOM_B06.DV_N05A and NOM_B16.DV_N05A).

NOM_C21

  • If DV_RATIO1 <= 1.10, go to NOM_C61.
  • Otherwise, go to NOM_B23.

NOM_D22

Programmer:

  • Set DV_Difference1 = (NOM_B06.DV_N05A - NOM_B16.DV_N05A)

NOM_C22

  • If -3 <= DV_Difference1 <= 3, go to NOM_C61.
  • Otherwise, go to NOM_B23.

NOM_B23

  • Call the NOA block (Nitrite oxide attempts)

Programmer:

  • The NOA block can be called up at NOM_B03, NOM_B13, NOM_B23 and NOM_B33 to a combined maximum of 10 instances during the NOM block.
  • When instance number 10 is reached, set FLGTEN = 1If instance 1: Pass DT_NoaE = "first" as a parameter
  • If instance 2: Pass DT_NoaE = "second" as a parameter
  • If instance 3: Pass DT_NoaE = "third" as a parameter
  • If instance 4: Pass DT_NoaE = "fourth" as a parameter
  • If instance 5: Pass DT_NoaE = "fifth" as a parameter
  • If instance 6: Pass DT_NoaE = "sixth" as a parameter
  • If instance 7: Pass DT_NoaE = "seventh" as a parameter
  • If instance 8: Pass DT_NoaE = "eighth" as a parameter
  • If instance 9: Pass DT_NoaE = "ninth" as a parameter
  • If instance 10: Pass DT_NoaE = "tenth" as a parameter

NOM_C24

  • If NOM_B23.NOA_N01 = DK, go to NOM_N60.
  • Else if NOM_B23.NOA_N01 = RF or (NOM_B23.NOA_N01 = 2 and FLGTEN = 1), go to NOM_C61.
  • Else if NOM_B23.NOA_N01 = 2, go to NOM_B23.
  • Otherwise, go to NOM_N24.

NOM_N24

Instruction: Record how the data will be captured.

  • 1 Electronically
  • 2 Electronic data captured manually (Go to NOM_B26)
  • (DK, RF not allowed)

NOM_N25

Instruction: Press <1> to save the result in Blaise.

  • 1 Save the measurement
  • (DK, RF not allowed)

Go to NOM_N27

NOM_B26

  • Call the NOR block

NOM_N27

Instruction: Does the last value in Blaise match the result displayed on the monitor?

  • 1 Yes
  • 2 No (Go to NOM_N24)
  • (DK, RF not allowed)

NOM_C27

  • If FLGTEN = 1, go to NOM_C61.
  • Otherwise, go to NOM_C28.

Content type: Note to data users:

  • If two of the three results are reproducible (two results are within 10% of one another) then the FENO test is complete, otherwise go to NOM_B33.

NOM_C28

  • If NOM_B26.DV_N05A = "< 5'' or NOM_B26.DV_N05A = "> 300", go to NOM_B33
  • Else if [(NOM_B06.DV_N05A = "> 300" or NOM_B06.DV_N05A = "< 5") and (NOM_B16.DV_N05A = "> 300" or NOM_B16.DV_N05A = "< 5")], go to NOM_B33.
  • Otherwise, go to NOM_D29.NOM_D29 If NOM_B06.DV_N05A <> "> 300" and NOM_B06.DV_N05A <> "< 5" and NOM_B06.DV_N05A >= 30 and NOM_B26.DV_N05A >= 30 , DV_RATIO2 = the calculated ratio of NOM_B26.DV_N05A and NOM_B06.DV_N05A (greater result / smaller result).
  • Otherwise, DV_RATIO2 = 99
  • If NOM_B16.DV_N05A <> "> 300" and NOM_B16.DV_N05A <> "< 5" and NOM_B16.DV_N05A >= 30 and NOM_B26.DV_N05A >= 30, DV_RATIO3 = the calculated ratio of NOM_B26.DV_N05A and NOM_B16.DV_N05A (greater result / smaller result).
  • Otherwise, DV_RATIO3 = 99

NOM_C30

  • If DV_RATIO2 <=1.10 or DV_RATIO3 <= 1.10, go to NOM_C61.
  • Otherwise, go to NOM_D31.

NOM_D31

  • If (NOM_B06.DV_N05A <> "> 300" and NOM_B06.DV_N05A <> "< 5") and (NOM_B06.DV_N05A < 30 or NOM_B26.DV_N05A < 30), DV_DIFFERENCE2 = NOM_B26.DV_N05A - NOM_B06.DV_N05A
  • Otherwise, DV_DIFFERENCE2 = 99
  • If (NOM_B16.DV_N05A <> "> 300" and NOM_B16.DV_N05A <> "< 5") and (NOM_B16.DV_N05A < 30 or NOM_B26.DV_N05A < 30), DV_DIFFERENCE3 = NOM_B26.DV_N05A - NOM_B16.DV_N05A
  • Otherwise, DV_DIFFERENCE3 = 99NOM_C32If -3<= DV_Difference2 <=3 or -3<= DV_Difference3 <= 3, go to NOM_C61.
  • Otherwise, go to NOM_B33.

NOM_B33

  • Call the NOA block (Fractional Exhaled Nitrite Oxide Attempts )

Programmer:

  • The NOA block can be called up at NOM_B03, NOM_B13, NOM_B23 and NOM_B33 to a combined maximum of 10 instances during the NOM block.
  • When instance number 10 is reached, set FLGTEN = 1If instance 1: Pass DT_NoaE = "first" as a parameter
  • If instance 2: Pass DT_NoaE = "second" as a parameter
  • If instance 3: Pass DT_NoaE = "third" as a parameter
  • If instance 4: Pass DT_NoaE = "fourth" as a parameter
  • If instance 5: Pass DT_NoaE = "fifth" as a parameter
  • If instance 6: Pass DT_NoaE = "sixth" as a parameter
  • If instance 7: Pass DT_NoaE = "seventh" as a parameter
  • If instance 8: Pass DT_NoaE = "eighth" as a parameter
  • If instance 9: Pass DT_NoaE = "ninth" as a parameter
  • If instance 10: Pass DT_NoaE = "tenth" as a parameter

NOM_C34

  • If NOM_B33.NOA_N01 = DK, go to NOM_N60.
  • Else if NOM_B33.NOA_N01 = RF or (NOM_B33.NOA_N01 = 2 and FLGTEN = 1), go to NOM_C61.
  • Else if NOM_B33.NOA_N01 = 2, go to NOM_B33.
  • Otherwise, go to NOM_N34.

NOM_N34

Instruction: Record how the data will be captured.

  • 1 Electronically
  • 2 Electronic data captured manually (Go to NOM_B36)
  • (DK, RF not allowed)

NOM_N35

Instruction: Press <1> to save the result in Blaise.

  • 1 Save the measurement
  • (DK, RF not allowed)

Go to NOM_N37

NOM_B36

  • Call the NOR block

NOM_N37

Instruction: Does the last value in Blaise match the result displayed on the monitor?

  • 1 Yes
  • 2 No (Go to NOM_N34)
  • (DK, RF not allowed)

Go to NOM_C61

NOM_N60

Instruction: Why was the component not fully completed?

  • 01 Respondent unable to continue for health reasons
  • 02 Respondent unable to understand technique / Health Measures Specialist unable to adapt coaching
  • 04 Equipment problem / technical difficulty
  • 05 Respondent's mental condition
  • 16 No time
  • 20 Other - Specify (Go to NOM_S60)
  • (DK, RF not allowed)

Go to NOM_C61

NOM_S60
(Why was the component not fully completed?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

NOM_C61

  • If NOM_N17 = RESPONSE, go to NOM_N61.
  • Otherwise, go to NOM_N61.

NOM_N61

Instruction: Press < 1 > to capture the sensor information.

  • 1 Capture the sensor information
  • (DK, RF not allowed)

Programmer:

TestsRemaining_end = Value at TestsRemaining key

NOM_C62

  • If TestsRemaining_end = Empty, go to NOM_N62A.
  • Otherwise, go to NOM_E62B.

NOM_N62A

Instruction: Enter the number of tests remaining on the sensor.

  • (MIN: 0)
  • (MAX: 300)
  • (DK, RF not allowed)

NOM_N62B

Instruction: Re-enter the number of tests remaining on the sensor.

  • (MIN: 0)
  • (MAX: 300)
  • (DK, RF not allowed)

NOM_END

Fractional Exhaled Nitric Oxide Attempts (NOA)

NOA_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

NOA_N01

Instruction: Was the ^DT_NOAE attempt successful?

  • 1 Yes (Go to NOA_END)
  • 2 No
  • DK, RF (Go to NOA_END)

Programmer:

  • ErrorCode = value in ErrorCode keySet DT_ErrorCode = ErrorCode

NOA_C02

  • If ErrorCode = EMPTY, go to NOA_N04.
  • Otherwise, go to NOA_N03.

NOA_N03

Instruction: This error code was generated during the last attempt:^DT_ERRORCODE

Does this error code match the error code displayed on the monitor?

  • 1 Yes (Go to NOA_END)
  • 2 No (Go to NOA_N04)
  • (DK, RF not allowed)

NOA_N04

Instruction: Which error code indicates that the attempt was not successful?

  • 10 A10 - Exhalation too strong
  • 11 A11 - Exhalation too weak
  • 12 A12 - No exhalation detected
  • 13 A13 - Premature breathing
  • 20 A20 - Ambient temperature check
  • 21 A21 or A23 - Source of interference (cell phone, etc.)
  • 31 A31 - USB cable connection
  • 50 Other - Specify (Go to NOA_S04)
  • (DK, RF not allowed)

Programmer:

ErrorCode = NOA_N04NOA_S04

(Which error code indicates that the attempt was not successful?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

Programmer:

ErrorCode = NOA_NO4 (NOA_S04)

NOA_END

Fraction Exhaled Nitric (NOR)

NOR_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

NOR_N01

Instruction: Record the result in parts per billion.Mark one response only.

  • 1 < 5 ppb (Go to NOR_D10)
  • 2 5 to 300 ppb
  • 3 > 300 ppb (Go to NOR_D10)
  • (DK, RF not allowed)

NOR_N05A

Instruction: Enter the result in parts per billion, as displayed on the monitor.

  • ppb
  • (MIN: 5)
  • (MAX: 300)
  • (DK, RF not allowed)

NOR_N05B

Instruction: Re-enter the result in parts per billion, as displayed on the monitor.

  • ppb
  • (MIN: 5)
  • (MAX: 300)
  • (DK, RF not allowed)

NOR_D10

  • If NOR_N01=1, DV_N05A = "< 5"
  • If NOR_N01=3, DV_N05A = "> 300"
  • Otherwise, DV_N05A = "NOR_N05A"

NOR_END

Spirometry Measurement Component (SPM)

SPM_BEG

External fields required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • AMB_Q01: respondent's racial background is Aboriginal
  • PGMQ01A: respondent's racial background is White
  • PGMQ01B: respondent's racial background is South Asian
  • PGMQ01C: respondent's racial background is Chinese
  • PGMQ01D: respondent's racial background is Black
  • PGMQ01E: respondent's racial background is Filipino
  • PGMQ01F: respondent's racial background is Latin American
  • PGMQ01G: respondent's racial background is Arab
  • PGMQ01H: respondent's racial background is Southeast Asian
  • PGMQ01I: respondent's racial background is West Asian
  • PGMQ01J: respondent's racial background is Korean
  • PGMQ01K: respondent's racial background is Japanese
  • PGMQ01L: respondent's racial background is Other
  • PG_S01

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentFirstName: first name of respondent
  • RespondentLastName: last name of respondent
  • RespondentName: name of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_DDN: date of birth of respondent (in YYYYMMDD format)
  • CON_AGE: age of respondent
  • HWM_D11: height of respondent in inches
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

SPM_D011

Content type: Note to data users:

  • If the respondent's date of birth is not available, it will be estimated by subtracting the respondent's age from the current year (Using January 1st as the reference date).

SPM_Q021
Now we will be doing a test to measure your lung function. The results of this test greatly depend on your effort; so, to get good results we really need you to give 100%.

Instruction: Press <1> to continue.

  • 1 Continue
  • (DK not allowed)
  • RF (Go to SPM_END)

SPM_D021

Programmer:

  • IF SCS_N12 = 4 THEN
    • SPM_D021 = EMPTY
  • ELSE
  • IF SPM_Q021 = 1 or RF and SPM_D021 = EMPTY,
    • Set SPM_D021 = Current Time (in HH:MM:SS format)
  • ENDIF

SPM_R022
First I need to enter some information into our computer system to prepare the test. This will only take a few minutes.

Instruction: Press <1> to continue.

  • SPM_D022A If AMB_Q01 = 1, DT_RBE1 = "Aboriginal".
  • If PG_Q01A = 1, DT_RBE2 = "White".
  • If PG_Q01B = 1, DT_RBE3 = "South Asian ".
  • If PG_Q01C = 1, DT_RBE4 = "Chinese".
  • If PG_Q01D = 1, DT_RBE5 = "Black".
  • If PG_Q01E = 1, DT_RBE6 = "Filipino".
  • If PG_Q01F = 1, DT_RBE7 = "Latin American".
  • If PG_Q01G = 1, DT_RBE8 = "Arab".
  • If PG_Q01H = 1, DT_RBE9 = "Southeast Asian".
  • If PG_Q01I = 1, DT_RBE10 = "West Asian".
  • If PG_Q01J = 1, DT_RBE11 = "Korean".
  • If PG_Q01K = 1, DT_RBE12 = "Japanese".
  • If PG_Q01L = 1, DT_RBE13 = "^PG_S01".

SPM_D022B

Programmer:

^DT_SPM022TextE = DT_RBE1 + DT_RBE2 + DT_RBE3 + DT_RBE4 + DT_RBE5 + DT_RBE6 + DT_RBE7 + DT_RBE8 + DT_RBE9 + DT_RBE10 + DT_RBE11 + DT_RBE12 + DT_RBE13 (separated by slashes)

SPM_D022C

  • If AMB_Q01=1 or PG_Q01A=1 or PG_Q01G=1, DT_RACEWE = "White".
  • If PG_Q01D=1, DT_RACEBE = "Black".
  • If PG_Q01F=1, DT_RACEHE = "Hispanic".
  • If PG_Q01B=1 or PG_Q01C=1 or PG_Q01E=1 or PG_Q01H=1 or PG_Q01I=1 or PG_Q01J=1 or PG_Q01K=1, DT_RACEAE = "Asian".
  • If PG_Q01L=1, DT_RACEOE = "Other".

Programmer:

  • ^DT_RACEADJE = [White] or [Black] or [Hispanic] or [Asian] or [Other]

SPM_D022D

  • If ^DT_RACEADJE = more than 1 race adjustment category, DT_PGTEXT1E = " either".
  • Otherwise, DT_PGTEXT1E = "EMPTY".
  • If ^DT_RACEADJE = more than 1 race adjustment category, DT_PGTEXT2E = " based on the respondent's morphology".
  • Otherwise, DT_PGTEXT2E = "EMPTY".

SPM_N022

Instruction: The racial background reported during the household interview is ^DT_SPM022TEXTE. Based on this information you should pick [ either/EMPTY] the ^DT_RACEADJE race adjustment category[ based on the respondent's morphology/EMPTY].

Record the appropriate race adjustment for the respondent.

  1. White
  2. Black
  3. Hispanic
  4. Asian
  5. Other
  6. (DK, RF not allowed)

Go to SPM_D023

Content type: NOTE TO DATA USER:

  • Using the information collected from the household interview, the health measures specialist (HMS) is prompted to select one race adjustment category. If more than one race adjustment category is possible, the HMS will decide based on the respondent's morphology.

SPM_C022

  • If Edit = Suppressed, go to SPM_N022B.
  • Otherwise, go to SPM_D023.

Content type: Note to data users:

  • If a race adjustment category different from that which was prompted at SPM_N022 is selected then go to SPM_022B.
  • Otherwise, go to SPM_D023.

SPM_N022B

Instruction: Why was ^SPM_N022 selected as the race adjustment category?

  1. Morphology does not match race adjustment category
  2. No reported racial background during household interview
  3. Incomplete/incorrect racial background from household interview
  4. Other - Specify (Go to SPM_S022B)
    DK, RF

Go to SPM_D023

SPM_S022B

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

SPM_D023

  • If CON_SEX = 1, DT_SPM_SEX = "M".
  • If CON_SEX = 2, DT_SPM_SEX = "F".SPM_N023Instruction: Check the data to be sent to the spirometry software.
  • Press <1> to transmit the data.
  • 1 Transmit the data
  • (DK, RF not allowed)

SPM_D024

Programmer:

  • IF CON_AGE < 8 THEN
    • SPM024Text1 = "Corey 1976"
  • IF SPM_N022 = 1 THEN
    • SPM024Text2 = "W H U"
  • ELSE IF SPM_N022 = 2 THEN
    • SPM024Text2 = "B A"
  • ELSE IF SPM_N022 = 3 THEN
    • SPM024Text2 = "W H U"
  • ELSE IF SPM_N022 = 4 THEN
    • SPM024Text2 = "B A"
  • ELSE
    • SPM024Text2 = "W H U"
  • ENDIF
  • ELSE
    • SPM024Text1 = "Hankinson (NHANES III)"
  • IF SPM_N022 = 1 THEN
    • SPM024Text2 = "Caucasian"
  • ELSE IF SPM_N022 = 2 THEN
    • SPM024Text2 = "African-American"
  • ELSE IF SPM_N022 = 3 THEN
    • SPM024Text2 = "Mexican-American"
  • ELSE IF SPM_N022 = 4 THEN
    • SPM024Text2 = "Other - Asian"
  • ELSE
    • SPM024Text2 = "Other - Unknown"
  • ENDIF
  • ENDIF

SPM_R024

Instruction: Open the KoKo software.Follow the instructions on importing and retrieving respondent information.

In the KoKo patient information screen, choose "^SPM024Text1" for "Predicteds" and "^SPM024Text2" for "Ethnic Group".

  • Press <1> to continue.

SPM_Q031
During the test, you will wear this clip on your nose and place this mouthpiece in your mouth. Your lips and teeth should be nice and tight around the mouthpiece, so that no air escapes. Once you have the mouthpiece in your mouth, you will follow a few easy steps.

  1. First, you are going to breathe normally.
  2. Next, I'm going to tell you to take a big breath in! I want you to fill up your lungs with as much air as possible, and as quickly as possible.
  3. As soon as you've filled your lungs, I'm going to tell you to blow the air out as fast, as hard, and for as long as possible. Don't hold your breath at all; you need to blow it out as quickly as possible.
  4. After that, I'm going to tell you to keep blowing, keep blowing, keep blowing! Even if you think no more air is coming out, keep blowing because there may be a little bit left and we want to get it all out.
  5. When you've finished blowing out, I'm going to tell you to take a big breath in again, just like the first one.
  6. Finally, you can remove the mouthpiece from your mouth and take the nose clip off of your nose.

Instruction: Demonstrate the test from start to finish, as realistically as possible.

  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to SPM_END)

SPM_Q032
I'll tell you exactly what to do and when to do it. All you need to do is listen to my instructions and give me your best effort.

We will repeat this test a few times to ensure that we get your best effort.

Do you have any questions before we begin?

Instruction: Answer any questions as thoroughly as possible.

  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to SPM_END)

SPM_Q033
Please sit up straight in your chair and keep both feet flat on the floor.

Instruction: Press <1> to continue.

  • 1 Continue
  • (DK not allowed)
  • RF (Go to SPM_END)

SPM_R033

Instruction: Common verbal cues

  1. "Take a few normal breaths."
  2. "Big breath in!"
  3. "Blow!"
  4. "Keep blowing, keep blowing, keep blowing..."
  5. "Big breath in!"

Instruction: Go to the KoKo software.

Follow the instructions for performing the test.

  • Press <1> to continue.

SPM_R100

Instruction: Ensure the spirometry test results have been saved in the KoKo software and the .SER file has been transferred from the KoKo software to the clinic server.

  • Press <1> to continue.

SPM_N800

Instruction: Record how many trials were performed and saved.

  • 1 0
  • 2 1 or 2
  • 3 3 or more
  • (DK, RF not allowed)

SPM_C800

  • If SPM_N800 = 1 or 2, go to SPM_N901.
  • Otherwise, go to SPM_N900.

SPM_N900

Instruction: Record whether this test meets the American Thoracic Society (ATS) criteria.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

SPM_C901

  • If SPM_N900 = RESPONSE, go to SPM_END.
  • Otherwise, go to SPM_N901.

SPM_N901

Instruction: Why was the component not fully completed?

  1. Respondent unable to continue for health reasons
  2. Respondent unable to understand technique / Health Measures Specialist unable to adapt coaching
  3. Respondent refuses to continue
  4. Equipment problem / technical difficulty
  5. Respondent's mental condition
  6. Other - Specify (Go to SPM_S901)
    (DK, RF not allowed)

Go to SPM_END

SPM_S901
(Why was the component not fully completed?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

SPM_END

Hearing Component

Otoscopy Measurement (OTM)

OTM_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • HER_Q40: whether the respondent has an ear infection or pain in ears
  • HER_Q41: whether the respondent has acute infection/pain (in right, left or both ears)
  • HER_Q52: whether the respondent has a hearing aid
  • HER_Q53: whether the respondent has hearing aid (in right, left or both ears)

OTM_D10

  • If HER_Q41 = 1, DT_OTMTEXT1E = "left ear".
  • Else If HER_Q41 = 2, DT_OTMTEXT1E = "right ear".
  • Otherwise, DT_OTMTEXT1E = "ears, one at the time".
  • If HER_Q41 = 1 or 2, DT_OTMTEXT4E = "ear".
  • Otherwise, DT_OTMTEXT4E = "ears".

OTM_R10
Now we will be doing a series of tests to measure your hearing. I'm going to start by doing a visual inspection of your [ear/ears]. To do this, I will gently place an otoscope in your [left ear/right ear/ears, one at the time] and record my observations.

Instruction: Show the otoscope to the respondent.

  • Press <1> to continue.

Programmer:

  • Use red font for dynamic text DT_OTMTEXT4E

OTM_D11

Programmer:

  • If OTM_R10 = 1 and OTM_D11 = EMPTY,
    • Set OTM_D11 = Current Time (in HH :MM :SS format).
  • ENDIF

OTM_Q20
I would like you to sit in this chair with your hands on your lap, sitting up straight and facing forward. Please sit as still as you can. This will only take a few seconds.

Instruction: Select the appropriately sized speculum and place it on the otoscope. Ensure the respondent is sitting still in the correct position and any glasses, hair ties or ornaments, hats or chewing gum that may interfere with otoscopic examination have been removed.

  • Press <1> to continue.
  • 1 Continue
  • DK (Go to OTM_N90)
  • RF (Go to OTM_END)

OTM_C30A

  • If HER_Q52 = 1, go to OTM_D30.
  • Otherwise, go to OTM_C30E.

OTM_D30

  • If HER_Q53 = 1 or 2, DT_OTMTEXT2E = "aid".
  • If HER_Q53 = 3 , DT_OTMTEXT2E = "aids".

OTM_Q30
Before we start, I would like to ask you to please remove your hearing [aid/aids].

Instruction: If the respondent cannot remove his or her own hearing [aid/aids] (or is not accompanied by a parent or guardian who can assist), press <F5> to refuse.

  • Press <1> to continue.
  • 1 Continue (Go to OTM_C30E)
  • (DK not allowed)
    RF (Go to OTM_C30B)

OTM_C30B

  • If HER_Q53 = 1, go to OTM_C60A.
  • Otherwise, go to OTM_C30C.

OTM_C30C

  • If HER_Q53 = 2, go to OTM_C30E.
  • Otherwise, go to OTM_C30D.

OTM_C30D

  • If HER_Q53 = 3, go to OTM_END.
  • Otherwise, go to OTM_C30E.

OTM_C30E

  • If HER_Q41 = 1 , go to OTM_C60A.
  • Otherwise, go to OTM_N31.

OTM_N31

Instruction: Is the entrance to the right ear canal completely obstructed?

  • 1 Yes (Go to OTM_C60A)
  • 2 No
  • (DK, RF not allowed)

OTM_N40

Instruction: Perform otoscopic examination of the right ear. Record the presence of any of the following in the right ear. Mark all that apply.

  1. Blood
  2. Pus / Wax
  3. Foreign object
  4. Pressure equalization tube
  5. Narrow, collapsible ear canal
  6. Other - Specify (Go to OTM_S40)
  7. None
    (DK not allowed)
    RF (Go to OTM_C60A)

OTM_S40

Instruction: Specify the observed abnormality.

  • (80 spaces)
  • (DK, RF not allowed)

OTM_C50

  • If OTM_N40 = 2, go to OTM_N50.
  • Otherwise, go to OTM_C60A.

OTM_N50

Instruction: Record the amount of pus / wax in the right ear.

  1. Normal
  2. Excessive
  3. Impacted
    (DK, RF not allowed)

OTM_C60A

  • If OTM_Q30 = RF and HER_Q53 = 2, go to OTM_END.
  • Otherwise, go to OTM_C60B.

OTM_C60B

  • If HER_Q41 = 2, go to OTM_END.
  • Otherwise, go to OTM_N60.

OTM_N60

Instruction: Is the entrance to the left ear canal completely obstructed?

  • 1 Yes (Go to OTM_END)
  • 2 No
  • (DK, RF not allowed)

OTM_N70

Instruction: Perform otoscopic examination of the left ear. Record the presence of any of the following in the left ear.

Mark all that apply.

  1. Blood
  2. Pus / Wax
  3. Foreign object
  4. Pressure equalization tube
  5. Narrow, collapsible ear canal
  6. Other - Specify (Go to OTM_S70)
  7. None
    (DK not allowed)
    RF (Go to OTM_END)

OTM_S70

Instruction: Specify the observed abnormality.

  • (80 spaces)
  • (DK, RF not allowed)

OTM_C80

  • If OTM_N70 = 2, go to OTM_N80.
  • Otherwise, go to OTM_END.

OTM_N80

Instruction: Record the amount of pus / wax in the left ear.

  1. Normal
  2. Excessive
  3. Impacted
    (DK, RF not allowed)

Go to OTM_END

OTM_N90

Instruction: Why was the component not fully completed?

  • 01 Respondent unable to continue for health reasons
  • 02 Respondent unable to understand technique / Health Measures Specialist unable to adapt coaching
  • 04 Equipment problem / technical difficulty
  • 05 Respondent's mental condition
  • 06 No time
  • 20 Other - Specify (Go to OTM_S90)
    (DK, RF not allowed)

OTM_S90
(Why was the component not fully completed?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

OTM_END

Tympanometry Measurement (TYM)

TYM_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • HER_Q31: whether the respondent had an ear surgery (right, left or both ears)
  • HER_Q41: whether the respondent has acute infection /pain in (right, left or both ears)
  • HER_Q50: whether the respondent has a cochlear implant
  • HER_Q53: whether the respondent has hearing aid (right, left or both ears)
  • OTM_N31: whether the respondent has occluded right ear
  • OTM_N60: whether the respondent has occluded left ear
  • OTN_N40: record of the otoscopic examination of the right ear
  • OTM_N70: record of the otoscopic examination of the left ear
  • OTM_N50: record of the amount pus/wax in the right ear
  • OTM_N80: record of the amount pus/wax in the left ear
  • OTM_Q30: if the respondent refused removing his or her hearing aid(s)
  • OTM_Q20: whether the respondent started otoscopy measurements

TYM_C10

  • If (OTM_Q20 = DK or RF) or HER_Q31 = 3 or (OTM_N31 = 1 and OTM_N60 = 1) or ((OTM_N40 in (1, 3, 6 or RF) and OTM_N70 in (1, 3, 6 or RF)) or (OTM_N50 = 3 and OTM_N80 = 3) or (OTM_Q30 = RF and HER_Q53 = 3), go to TYM_END.
  • Otherwise, go to TYM_D11.

Content type: Note to data users:

  • If the respondent did not complete otoscopy, had surgery in both ears, had occlusions in both ears, had blood, a foreign object or another object/substance in both ears, had impacted wax in both ears or was unwilling to remove his/her hearing aids from both ears, then the tympanometry test is not completed.

TYM_D11

Content type: Note to data users:

  • If the respondent has an occlusion in the right ear, has acute pain or infection in the right ear, has had surgery in the right ear, has blood, a foreign object or another object/substance in the right ear, has impacted wax in the right ear, or is unwilling to remove his/her hearing aid from the right ear, then REFLAG is set to 1.

Programmer:

  • If ((HER_Q31 = 1 or HER_Q41 = 1 or OTM_N31 = 1 or OTM_N40 in (1,3,6 or RF) or OTM_N50 = 3) or (OTM_Q30 = RF and HER_Q53 = 1)), set REFLAG = 1
  • Otherwise, set REFLAG = 2

TYM_D12

Content type: Note to data users:

  • If the respondent has an occlusion in the left ear, has acute pain or infection in the left ear, has had surgery in the left ear, has blood, a foreign object or another object/substance in the left ear, has impacted wax in the left ear, or is unwilling to remove his/her hearing aid from the left ear, then LEFLAG is set to 1.

Programmer:

  • If ((HER_Q31 = 2 or HER_Q41 = 2 or OTM_N60 = 1 or OTM_N70 in (1,3,6 or RF) or OTM_N80 = 3) or (OTM_Q30 = RF and HER_Q53 = 2)), set LEFLAG = 1
  • Otherwise, set LEFLAG = 2TYM_C13 If REFLAG = 1 and LEFLAG = 1, go to TYM_END.
  • Otherwise, go to TYM_D13.TYM_D13 If REFLAG=2 and LEFLAG = 2, DT_TYMSIDEE = "ears, one at a time".
  • Else If REFLAG =1 and LEFLAG = 2 , DT_TYMSIDEE = "left ear".
  • Otherwise (if REFLAG = 2 and LEFLAG =1), DT_TYMSIDEE = "right ear".
  • If REFLAG=2 and LEFLAG = 2, DT_TYMDRUME = "eardrums".
  • Otherwise, DT_TYMDRUME = "eardrum".

TYM_R20
This tympanometry test will measure the flexibility of your [eardrums/eardrum]. I will place a probe in your [ears, one at a time/left ear/right ear]. You will hear a soft humming sound and feel a gentle pressure when I take the measurement.

Instruction:

  • Show the tympanometer to the respondent.
  • Select the appropriate ear tip and slip it onto the nose cone of the probe.
  • Press <1> to continue.

TYM_Q21
I would like you to sit in this chair with your hands on your lap, sitting up straight and facing forward. Please sit as still as you can. This will only take a few seconds.

Instruction:

  • Turn the device on.
  • Select the Tympanometry only mode by pressing the "Tymp" button on the front panel.
  • Ensure the respondent is sitting still in the correct position.
  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to TYM_END)

TYM_C30

  • If REFLAG = 1, go to TYM_C40.
  • Otherwise, go to TYM_N30.

TYM_N30

Instruction: Perform measurement on the right ear.

  • Select the right ear by pressing the "R" button.
  • Make sure that the green light on the probe is blinking.
  • Put the probe in the respondent's right ear, applying a gentle pressure to maintain a tight seal.
  • As soon as a good seal is obtained, the blinking green light will change to a steady glow.
  • Remain steady while the test is in progress.
  • Once the test is over, all lights on the probe will be turned off and the test results can be viewed on the instrument display.
  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed) Help text:
  • Green light: Still blinking - seal has not been obtained to initiate the test sequence.
  • Orange light: The ear canal is not properly sealed and a large pressure leak exists.
  • Yellow light: The probe tip is occluded with ear wax or you are pressing the tip of the probe against the ear canal wall causing an occlusion.

TYM_N31

Instruction:

Capture the results of the right ear.

  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to TYM_C40)

TYM_N32A

Instruction: Record the canal volume (ECV cm3) for the right ear.

  • (MIN: 0)
  • (MAX: 5)
  • DK
  • (RF is not allowed)

TYM_N32B

Instruction: Re-enter the canal volume (ECV cm3) for the right ear.

  • (MIN: 0)
  • (MAX: 5)
  • DK
  • (RF is not allowed)

TYM_C33

  • If TYM_N32A = DK, go to TYM_C40.
  • Otherwise, go to TYM_N33A.

TYM_N33A

Instruction: Record whether a no peak message, " NP", was displayed for the compliance peak (PEAK cm3) value for the right ear.

  • 1 Yes (Go to TYM_D33)
  • 2 No
  • (DK, RF not allowed)

TYM_N33B

Instruction: Record the compliance peak value (PEAK cm3) for the right ear.

  • (MIN: 0)
  • (MAX: 5)
  • (DK, RF not allowed)

TYM_N33C

Instruction: Re-enter the compliance peak value (PEAK cm3) for the right ear.

  • (MIN: 0)
  • (MAX: 5)
  • DK, RF not allowed)

TYM_D33

  • If TYM_N33A = 1 then , DV_TYMN33 = "NP"
  • Otherwise, DV_TYMN33 = "TYM_N33B"

TYM_N34A

Instruction: Record whether a no peak message, "NP", was displayed for the pressure peak (PEAK daPa) value for the right ear.

  • 1 Yes (Go to TYM_D34)
  • 2 No
  • (DK, RF not allowed)

TYM_N34B

Instruction: Record the pressure peak value (PEAK daPa) for the right ear.

  • daPa
  • (MIN: ­400)
  • (MAX: 200)
  • (DK, RF not allowed)

TYM_N34C

Instruction: Re-enter the pressure peak value (PEAK daPa) for the right ear.

  • cm3
  • (MIN: ­400)
  • (MAX: 200)
  • (DK, RF not allowed)

TYM_D34

  • If TYM_N34A = 1 then , DV_TYMN34 = "NP"
  • Otherwise, DV_TYMN34 = "TYM_N34B"

TYM_N35

Instruction: Check the tympanometry data.

  1. Accept the measurements
  2. Reject the measurements (Go to TYM_N32A)
    (DK, RF not allowed)

TYM_D35

  • If TYM_N32A in (0.2 to 2.0 cm3) and TYM_N33B in (0.2 to 1.8 cm3) and TYM_N34B in (-150 to 100 daPa), DV_TYMD35 = 1 (pass).
  • Else, DV_TYMD35 = 2 (refer).TYM_C40 If LEFLAG = 1 and TYM_N32A = DK, go to TYM_C56
  • Else if LEFLAG = 1 and TYM_N32A = (0.0 to 5.0) or "EMPTY", go to TYM_END.
  • Otherwise, go to TYM_N50.

TYM_N50

Instruction: Perform measurement on the left ear.

  • Select the left ear by pressing the "L" button.
  • Make sure that the green light on the probe is blinking.
  • Put the probe in the respondent's left ear, applying a gentle pressure to maintain a tight seal.
  • As soon as a good seal is obtained, the blinking green light will change to a steady glow.
  • Remain steady while the test is in progress.
  • Once the test is over, all lights on the probe will be turned off and the test results can be viewed on the instrument display.
  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed) Help text:
  • Green light: Still blinking - seal has not been obtained to initiate the test sequence.
  • Orange light: The ear canal is not properly sealed and a large pressure leak exists.
  • Yellow light: The probe tip is occluded with ear wax or you are pressing the tip of the probe against the ear canal wall causing an occlusion.

TYM_N51

Instruction: Capture the results of the left ear.

  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to TYM_C56)

TYM_N52A

Instruction: Record the canal volume (ECV cm3) for the left ear.

  • (MIN: 0)
  • (MAX: 5)
  • DK
  • (RF is not allowed)

TYM_N52B

Instruction: Re-enter the canal volume (ECV cm3) for the left ear.

  • (MIN: 0)
  • (MAX: 5)
  • DK
  • (RF is not allowed)

TYM_C53

  • If TYM_N52A = DK, go to TYM_C56.
  • Otherwise, go to TYM_N53A.

TYM_N53A

Instruction: Record whether a no peak message, NP, was displayed for the compliance peak (PEAK cm3) value for the left ear.

  • 1 Yes (Go to TYM_D53)
  • 2 No
  • (DK, RF not allowed)

TYM_N53B

Instruction: Record the compliance peak value (PEAK cm3) for the left ear.

  • (MIN: 0)
  • (MAX: 5)
  • (DK, RF not allowed)

TYM_N53C

Instruction: Re-enter the compliance peak value (PEAK cm3) for the left ear.

  • (MIN: 0)
  • (MAX: 5)
  • (DK, RF not allowed)

TYM_D53

  • If TYM_N53A = 1 then , DV_TYMN53 = "NP"
  • Otherwise, DV_TYMN53 = "TYM_N53B"

TYM_N54A

Instruction: Record whether a no peak message, "NP", was displayed for the pressure peak (PEAK daPa) value for the left ear.

  • 1 Yes (Go to TYM_D54)
  • 2 No
  • (DK, RF not allowed)

TYM_N54B

Instruction: Record the pressure peak value (PEAK daPa) for the left ear.

  • daPa
  • (MIN: ­400)
  • (MAX: 200)
  • (DK, RF not allowed)

TYM_N54C

Instruction: Re-enter the pressure peak value (PEAK daPa) for the left ear.

  • cm3
  • (MIN: ­400)
  • (MAX: 200)
  • (DK, RF not allowed)

TYM_D54

  • If TYM_N54A = 1 then , DV_TYMN54 = "NP"
  • Otherwise, DV_TYMN54 = "TYM_N54B"

TYM_N55

Instruction: Check the tympanometry data.

  1. Accept the measurements
  2. Reject the measurements (Go to TYM_N52A)
    (DK, RF not allowed)

TYM_D55

  • If TYM_N52A in (0.2 to 2.0 cm3) and TYM_N53B in (0.2 to 1.8 cm3) and TYM_N54B in (-150 to 100 daPa), DV_TYMD55 = 1 (pass).
  • Else, DV_TYMD55 = 2 (refer).TYM_C56If TYM_N32A = DK or TYM_N52A = DK, go to TYM_N56.
  • Otherwise, go to TYM_END.

TYM_N56

Instruction: Why was the component not fully completed?

  • 01 Respondent unable to continue for health reasons
  • 02 Respondent unable to understand technique / Health Measures Specialist unable to adapt coaching
  • 04 Equipment problem / technical difficulty
  • 05 Respondent's mental condition
  • 06 No time
  • 20 Other - Specify (Go to TYM_S56)
  • (DK, RF not allowed)

Go to TYM_END

TYM_S56
(Why was the component not fully completed?)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

TYM_END

Otoacoustic Emissions Measurement (OAE)

OAE_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • FName: first name of respondent
  • LName: last name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • PROXYSEX: gender of targeted respondent
  • HER_Q41: whether the respondent has acute infection /pain in (right, left or both ears)
  • HER_Q53: whether the respondent has hearing aid (right, left or both ears)
  • OTM_Q20: whether the respondent started the otoscopy measurements
  • OTM_N31: whether the respondent has occluded right ear
  • OTM_N60: whether the respondent has occluded left ear
  • OTN_N40: record of the otoscopic examination of the right ear
  • OTM_N70: record of the otoscopic examination of the left ear
  • OTM_N50: record of the amount of pus/wax in the right ear
  • OTM_N80: record of the amount of pus/wax in the left ear
  • OTM_Q30: if the respondent refused removing his or her hearing aid(s)

OAE_C10

  • If (OTM_Q20 = DK or RF) or (OTM_N31=1 and OTM_N60 = 1) or (OTM_N40 IN (1, 3, 6 or RF) and OTM_N70 IN (1, 3, 6 or RF)) or (OTM_N50 = 3 and OTM_N80 = 3) or (OTM_Q30 = RF and HER_Q53 = 3), go to OAE_END.
  • Otherwise, go to OAE_D10.

Content type: Note to data users:

  • If the respondent did not complete otoscopy, had occlusions in both ears, had blood, a foreign object or another object/substance in both ears, had impacted wax in both ears, or is unwilling to remove his/her hearing aids from both ears, then the otoacoustic emissions test is not completed.

OAE_D10

Content type: Note to data users:

  • If the respondent has acute pain or infection in the right ear, an occlusion in the right ear, has blood, a foreign object or another object/substance in the right ear, has impacted wax in the right ear, is unwilling to remove his/her hearing aid from the right ear, or refuses to continue with otoscopy on the right ear, then REFLAG is set to 1.

Programmer:

  • If ((HER_Q41 = 1 or OTM_N31 = 1 or OTM_N40 in (1,3,6 or RF) or OTM_N50 = 3) or (OTM_Q30 = RF and HER_Q53 = 1)) or OTM_N40 =RF, set REFLAG = 1
  • Otherwise, set REFLAG = 2OAE_D11

Content type: Note to data users:

  • If the respondent has acute pain or infection in the left ear, an occlusion in the left ear, has blood, a foreign object or another object/substance in the left ear, has impacted wax in the left ear, is unwilling to remove his/her hearing aid from the left ear, or refuses to continue with otoscopy on the left ear, then LEFLAG is set to 1.

Programmer:

  • If ((HER_Q41 = 2 or OTM_N60 = 1 or OTM_N70 in (1,3,6 or RF) or OTM_N80 = 3) or (OTM_Q30 = RF and HER_Q53 = 2)), or OTM_N70 = RF set LEFLAG = 1
  • Otherwise, set LEFLAG = 2OAE_C11 If REFLAG = 1 and LEFLAG = 1, go to OAE_END.
  • Otherwise, go to OAE_D12.OAE_D12 If REFLAG = 2, DT_RIGHTEARE = "Right ear ".
  • Otherwise, DT_RIGHTEARE = "EMPTY".
  • If LEFLAG = 2, DT_LEFTEARE = "Left ear".
  • Otherwise, DT_LEFTEARE = "EMPTY".OAE_D14 If REFLAG = 2 and LEFLAG = 2, DT_OAESIDEE = "ears, one at a time".
  • If REFLAG = 1 and LEFLAG = 2, DT_OAESIDEE = "left ear".
  • If REFLAG = 2 and LEFLAG = 1, DT_OAESIDEE = "right ear".

OAE_Q15
This otoacoustic emissions test will measure how well your inner ear is working. I will place a probe in your [ears, one at a time/left ear/right ear]. You may hear a series of different pitched tones and faint sounds when I take the measurement.

During this test you will sit in the sound booth.

Instruction: Press <1> to continue.

  • 1 Continue
  • DK (Go to OAE_N47)
  • RF (Go to OAE_END)

OAE_R16
First, I will need to enter some information into our computer system to prepare the test. This will only take a few minutes.

Instruction: Press <1> to continue.

OAE_N17

Instruction: Check the data to be sent to the OtoAccess software.

  • Press <1> to transmit the data.
  • 1 Transmit the data
  • (DK, RF not allowed)

OAE_N18

Instruction: Open the OtoAccess software.

Follow the instructions on importing and retrieving respondent information.

  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

OAE_Q30
I will now ask you to sit in the sound booth so that I can take the measurement.

Again, during the test I would like you to sit up straight, and remain as still as you can. This will only take a few minutes.

Do you have any questions before we start the test?

Instruction:

  • Show the probe, ear tip and the sound booth to the respondent.
  • Answer any questions as thoroughly as possible.
  • Select the appropriate ear tip and slip it onto the nose cone of the probe.
  • Insert the probe into the respondent's ear to obtain a seal that is flush with the ear canal.
  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to OAE_END)

OAE_N35

Instruction: Perform the measurement on the [Right ear/(and) Left ear].

Ensure that the sound meter readout is below 55 dB before and during the test.

  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

OAE_N40

Instruction: Ensure the test results have been saved in the OtoAccess software and the respondent's .xml file has been transferred from the OtoAccess software to the clinic server.

  • Press <1> to continue.
  • 1 Continue
    (DK, RF not allowed)

OAE_C40

  • If REFLAG = 2, go to OAE_N41.
  • Otherwise, go to OAE_C45.

OAE_N41

Instruction: Was a successful test completed and saved for the right ear?

  • 1 Yes
  • 2 No
    (DK, RF not allowed)

OAE_C45

  • If LEFLAG = 2, go to OAE_N45.
  • Otherwise, go to OAE_N46.

OAE_N45

Instruction: Was a successful test completed and saved for the left ear?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

OAE_N46

Instruction: Record whether the maximum recommended sound level inside the booth (55 dB) was exceeded at any point during the test.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

OAE_C46

  • If OAE_N41 = 2 or OAE _N45 = 2, go to OAE_N47.
  • Otherwise, go to OAE_END.

OAE_N47

Instruction: Why was the component not fully completed?

  • 01 Respondent unable to continue for health reasons
  • 02 Respondent unable to understand technique
  • 03 Respondent refuses to continue
  • 04 Equipment problem / technical difficulty
  • 05 Respondent's mental condition
  • 06 No time
  • 20 Other - Specify (Go to OAE_S47)
  • (DK, RF not allowed)

OAE_S47

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

OAE_END

Audiometry Measurement (AUD)

AUD_BEG

List external fields required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • RespondentLastName: Last name of the respondent
  • RespondentFirstName: First name of the respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • HER_Q40: whether the respondent has an ear infection or pain in ears
  • HER_Q41: in which ear(s)
  • HER_Q52: whether the respondent has a hearing aid
  • HER_Q53: in which ear(s)
  • OTM_Q30: if the respondent refused removing his or her hearing aid(s)
  • OTM_N31: whether the respondent has occluded right ear
  • OTM_N40: record of the otoscopic examination of the right ear
  • OTM_N50: record of the amount of pus/wax in the right ear
  • OTM_N60: whether the respondent has occluded left ear
  • OTM_N70: record of the otoscopic examination of the left ear
  • OTM_N80: record of the amount of pus/wax in the left ear
  • OTO.Outcome: Otoscopy outcome code
  • OAE.Outcome: DPOAE outcome code

AUD_C10

  • If CON_AGE < 6 or (OTO.Outcome = 79 or 80) or (OTM_Q30 = RF and HER_Q53 = 3), go to AUD_END.
  • Otherwise, go to AUD_D10.

Content type: Note to data users:

  • If the respondent is less than 6 years of age, or refuses to remove hearing aids from both ears, or if the component outcome code for the otoscopy measurement is set to not done (79) or refusal (80), then the audiometry test is not completed.

AUD_D10

Content type: Note to data users:

  • If the respondent has acute pain or infection in the right ear, an occlusion in the right ear, has blood, a foreign object or another object/substance in the right ear along with a narrow/collapsible ear canal, has excessing or impacted wax in the right ear along with a narrow/collapsible ear canal, is unwilling to remove his/her hearing aid from the right ear, or refuses to continue with otoscopy on the right ear, then REFLAG is set to 1.

Programmer:

  • If HER_Q41 = 1 or OTM_N31 = 1 or [OTM_N40 in (1,3,6) and OTM_N40 = 5] or [OTM_N50 in (2,3) and OTM_N40 = 5] or [OTM_Q30 = RF and HER_Q53 = 1] , or OTM_N40 = RF, set REFLAG = 1
  • Otherwise, set REFLAG = 2

AUD_D11

Content type: Note to data users:

  • If the respondent has acute pain or infection in the left ear, an occlusion in the left ear, has blood, a foreign object or another object/substance in the left ear along with a narrow/collapsible ear canal, has excessing or impacted wax in the left ear along with a narrow/collapsible ear canal, is unwilling to remove his/her hearing aid from the left ear, or refuses to continue with otoscopy on the left ear, then LEFLAG is set to 1.

Programmer:

  • If HER_Q41 = 2 or OTM_N60 = 1 or [OTM_N70 in (1,3,6) and OTM_N70 = 5] or [OTM_N80 in (2,3) and OTM_N70 = 5] or [OTM_Q30 = RF and HER_Q53 = 2], or OTM_N70 = RF, set LEFLAG = 1
  • Otherwise, set LEFLAG = 2AUD_C11 If REFLAG = 1 and LEFLAG = 1, go to AUD_END.
  • Otherwise, go to AUD_D13A.

Content type: Note to data users:

  • The type of earphones to be used for the audiometry test is derived at AUD_D13A, AUD_D13B, and AUD_D13C, based on the otoscopy observations from the right and left ear (responses to OTM_N40 and OTM_N70).

AUD_D13A

Programmer:

  • If REFLAG = 1 go to AUD_D13B else
  • If OTM_N40 in (1, 3, 6) or OTM_N50 in (2,3), then
    • set AUD_D13A = 3 (supra-aural headphones only)
  • Else if OTM_N40 = 5 then
    • set AUD_D13A = 2 (insert earphones only)
  • Else
    • set AUD_D13A = 1 (insert or supra-aural)
  • Endif
  • Endif

AUD_D13B

Programmer:

  • If LEFLAG = 1 go to AUD_D13C else
  • If OTM_N70 in (1, 3, 6) or OTM_N80 in (2,3), then
    • set AUD_D13B = 3 (supra-aural headphones only)
  • Else if OTM_N70 = 5 then
    • set AUD_D13B = 2 (insert earphones only)
  • Else
    • set AUD_D13B = 1 (insert or supra-aural)
  • Endif
  • Endif

AUD_D13C

Programmer:

  • If AUD_D13A = AUD_D13B then
  • AUDEFLAG = AUD_D13A
  • Else if AUD_D13A = EMPTY then
  • AUDEFLAG = AUD_D13B
  • Else if AUD_D13B = EMPTY then
  • AUDEFLAG = AUD_D13A
  • Else if AUD_D13A = 1 then
  • AUDEFLAG = AUD_D13B
  • Else if AUD_D13B = 1 then
  • AUDEFLAG = AUD_D13A
  • Else if AUD_D13A and AUD_D13B in (2, 3) then
  • AUDEFLAG = 3
  • Endif

AUD_D13D

Programmer:

  • If (AUD_D13A = 2 and AUD_D13B = 3) then
    • reset REFLAG = 1
  • Else if (AUD_D13A = 3 and AUD_D13B = 2) then
    • reset LEFLAG = 1
  • Endif
  • Endif

AUD_D16

  • If AUDEFLAG in (1,2) , DT_AUDTEXT1E = "earphones".
  • Otherwise, DT_AUDTEXT1E = "headphones".
  • If AUDEFLAG in (1,2) , DT_AUDTEXT2E = "in".
  • Otherwise, DT_AUDTEXT2E = "over".
  • If AUDEFLAG in (1,2) , DT_AUDTEXT3E = "insert earphones".
  • Otherwise, DT_AUDTEXT3E = "supra-aural headphones".

AUD_Q18
This audiometry test will measure your hearing sensitivity. This test needs to be done in the sound booth.

Instruction: Press <1> to continue.

  • 1 Continue
  • DK (Go to AUD_N36)
  • RF (Go to AUD_END)

AUD_D19

Programmer:

  • If AUD_Q18 = 1 and AUD_D19 = EMPTY,
    • Set AUD_D19 = Current Time (in HH :MM :SS format).
  • ENDIF

AUD_Q20
For this test, I will place [earphones/headphones] [in/over] your ears and ask you to press a button every time you hear a sound.

Instruction: Press <1> to continue.

  • Press <1> to continue.
  • 1 Continue (Go to AUD_R22)
  • (DK not allowed)
  • RF

AUD_C20

  • If AUDEFLAG = 1, go to AUD_Q21.
  • Otherwise, go to AUD_END.

AUD_Q21
If you are uncomfortable using insert earphones, we can use headphones instead. Would you then be willing to try this test?

  • 1 Yes
  • 2 No (Go to AUD_END)
  • (DK, RF not allowed)

AUD_R22
First, I need to enter some information into our computer system in order to prepare the test. This will only take a few minutes.

Instruction: Press <1> to continue.

AUD_N22

Instruction:

Check the data to be sent to the Audiometry software.

  • Press <1> to transmit the data.
  • 1 Transmit the data
  • (DK, RF not allowed)

AUD_N23

Instruction: Open the Audiometry software (CCA-100).

  • Follow the instructions on importing and retrieving respondent information.
  • Press the "Examiner" button and choose your identification number.
  • Press "Language" and choose a language for the instructions.
  • 1 Continue
  • (DK, RF not allowed)

AUD_R24
For the test, I will ask you to sit up straight holding the button in front of you. You will need to press the button whenever you hear a sound, no matter how faint. Press the button only once and release it quickly. The test will begin after a series of pre-recorded instructions and I will give you a "thumbs up" to let you know the test is about to start. Do you have any questions before we begin?

Instruction: Answer any questions as thoroughly as possible.

  • Press <1> to continue.

AUD_D25A

  • If AUDEFLAG in (1,2) and AUD_Q20 is not RF, DT_AUDTEXT4E = "earphones in".
  • Otherwise, DT_AUDTEXT4E = "headphones over".

AUD_D25B

  • If AUDEFLAG = 3 , DT_AUDTEXT25AE = "Only supra-aural headphones can be used for this test.".
  • If AUDEFLAG = 2 , DT_AUDTEXT25AE = "Only insert earphones can be used for this test.".
  • Otherwise, DT_AUDTEXT25AE = "Either insert earphones or supra-aural headphones can be used for this test.".

AUD_Q25
I am now going to place the [earphones in/headphones over] your ears.

When the test is over I will help you remove them to make sure the equipment is not damaged. Remember to stay as still as possible throughout the test, since noise or movement can interfere with the test.

Instruction:

  • Show the [insert earphones/supra-aural headphones] and the response button to the respondent.
  • Ensure any glasses, hair ties or ornaments, hats or chewing gum that may interfere with the examination have been removed.
  • ^DT_AUDTEXT25AE
  • Complete the audiometry test on the:
    • [right ear/EMPTY]
    • [left ear/EMPTY]
  • Ensure that the correct cords are plugged into the audiometer before starting the test.
  • Press <1> to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to AUD_END)

AUD_D25C

  • If REFLAG = 2, DT_RIGHTEARE = "right ear".
  • Otherwise, DT_RIGHTEARE = "EMPTY".
  • If LEFLAG = 2, DT_LEFTEARE = "left ear".
  • Otherwise, DT_LEFTEARE = "EMPTY".

AUD_C26

  • If AUDEFLAG = 3 or if (AUD_Q20 = RF and AUD_Q21 = 1), go to AUD_N27.
  • Otherwise, go to AUD_N26.

AUD_N26

Instruction: Confirm that insert earphones will be used for the test.

  • 1 Yes (Go to AUD_D28)
  • 2 No
  • (DK, RF not allowed)

AUD_C27

  • If AUDEFLAG = 2, go to AUD_N36.
  • Otherwise, go to AUD_N27.

AUD_N27

Instruction: Confirm that supra-aural headphones will be used for the test.

  • 1 Yes
  • 2 No (Go to AUD_N36)
  • (DK, RF not allowed)

AUD_D28

  • If AUD_N26=1 , DT_AUDTEXT29E = "green curve".
  • If AUD_N27=1 , DT_AUDTEXT29E = "red curve".

AUD_N29

Instruction:

  • Perform the test on the [right ear/EMPTY] and [left ear/EMPTY].
  • Give a ''thumbs-up'' to the respondent when test is ready to start.
  • Play the instructions for the audiometry test.
  • Ensure that the sound meter readout is below the [green curve/red curve] before and during the test.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to AUD_END)

AUD_N30

Instruction: Ensure the test results have been saved in the CCA-100 software and the respondent's .asc file has been transferred from the software to the clinic server.

  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

AUD_C30

  • If REFLAG = 2 , go to AUD_N31.
  • Otherwise, go to AUD_C32.

AUD_N31

Instruction: Record if the test was performed on the right ear.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

AUD_C32

  • If LEFLAG = 2, go to AUD_N32.
  • Otherwise, go to AUD_C33.

AUD_N32

Instruction: Record if the test was performed on the left ear.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

AUD_C33

  • If AUD_N31 = 1 or AUD_N32 = 1, go to AUD_N33.
  • Otherwise, go to AUD_N36.

AUD_N33

Instruction: Rate the test reliability.

  1. 3 error codes or more
  2. 1-2 error codes
  3. No error codes
    (DK, RF not allowed)

AUD_N34

Instruction: Record how the test was administered.

  1. Automatic Mode
  2. Manual Mode
  3. Both
    (DK, RF not allowed)

AUD_N35

Instruction: Record whether the sound level meter exceeded the peak noise threshold ([green curve/red curve]) during the test.

  • 1 Yes
  • 2 No
    (DK, RF not allowed)

AUD_C36

  • If (AUD_N31 = 1 or EMPTY) and (AUD_N32 = 1 or EMPTY), go to AUD_END.
  • Otherwise, go to AUD_N36.

AUD_N36

Instruction: Why was the component not fully completed?

  • 01 Respondent unable to continue for health reasons
  • 02 Respondent unable to understand technique
  • 03 Respondent refuses to continue
  • 04 Equipment problem / technical difficulty
  • 05 Respondent's mental condition
  • 06 No time
  • 20 Other - Specify (Go to AUD_S36)
  • (DK, RF not allowed)

AUD_S36

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

AUD_END

Grip Strength Component

Grip Strength Component Introduction (GSI)

GSI_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

GSI_R1
Next I am going to measure your upper body strength with a hand grip dynamometer. You will perform this test twice on each hand, alternating each time. When performing the test, hold your hand away from your body and squeeze the handle as hard as you can, blowing out while you squeeze.

Instruction: Demonstrate the procedure while explaining the technique.

  • Press <1> to continue.

GSI_D1

Programmer:

  • IF SCS_N12 = 4 THEN
    • GSI_D1 = EMPTY
  • ELSE
  • IF GSI_R1 = 1 and GSI_D1 = EMPTY,
    • Set GSI_D1 = Current Time (in HH:MM:SS format)
  • ENDIF

GSI_R2
Hold the handle so that the 2nd joint of your fingers fits comfortably under the handle; we can adjust the size if necessary. Remember, hold your arm straight and away from your body and squeeze the handle as hard as you can, blowing out while you squeeze.

Instruction: Ensure respondent has removed all rings or hand jewellery.

  • Press <1> to continue.

GSI_END

Grip Strength Measurement (GSM)

GSM_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent

GSM_N11A

Instruction: Record the first grip strength measurement for the right hand to the nearest kilogram (kg).

  • Right hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_N11B

Instruction: Re-enter the first grip strength measurement for the right hand to the nearest kilogram (kg).

  • Right hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_C11A

  • If GSM_N11A = DK, go to GSM_S11.
  • Otherwise, go to GSM_C11B.

GSM_C11B

  • If GSM_N11A = RF, go to GSM_END.
  • Otherwise, go to GSM_N12A.

GSM_S11

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

GSM_N12A

Instruction: Record the first grip strength measurement for the left hand to the nearest kilogram (kg).

  • Left hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_N12B

Instruction: Re-enter the first grip strength measurement for the left hand to the nearest kilogram (kg).

  • Left hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_C12

  • If GSM_N12A = DK, go to GSM_S12.
  • Otherwise, go to GSM_N21A.

GSM_S12

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

GSM_N21A

Instruction: Record the second grip strength measurement for the right hand to the nearest kilogram (kg).

  • Right hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_N21B

Instruction: Re-enter the second grip strength measurement for the right hand to the nearest kilogram (kg).

  • Right hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_C21

  • If GSM_N21A = DK, go to GSM_S21.
  • Otherwise, go to GSM_N22A.

GSM_S21

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

GSM_N22A

Instruction: Record the second grip strength measurement for the left hand to the nearest kilogram (kg).

  • Left hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_N22B

Instruction: Re-enter the second grip strength measurement for the left hand to the nearest kilogram (kg).

  • Left hand grip strength (in kg)
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

GSM_C22

  • If GSM_N22A = DK, go to GSM_S22.
  • Otherwise, go to GSM_D51.

GSM_S22

Instruction: Specify the reason why the measurement could not be taken.

  • (80 spaces)
  • (DK, RF not allowed)

GSM_D51

Programmer:

  • Calculate the total hand grip strength.

GSM_D52

Programmer:

  • Calculate the grip strength norms for respondents 15 - 69.

GSM_D53

Programmer:

  • Calculate the grip strength norms for respondents less than 15.

GSM_END

Phlebotomy Component

Phlebotomy Component Introduction (PHI)

PHI_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • SELFAST: whether selected to fast for 12 hours (1=fasting, 2=non-fasting)

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • ATG_Q11: time when the respondent last ate/drank
  • ATG_N11: date when the respondent last ate/drank
  • DT_ATGN11E: English text for reported fasting date
  • ATG_D12: whether the respondent has fasted for 10 hours
  • SCS_N12 : visit type (3= clinic visit; 4= home visit)

PHI_R10
Hi, my name is.... Please have a seat on the chair because I need to ask you a few questions before we begin.

Instruction: Press <1> to continue.

PHI_D10

Programmer:

  • IF SCS_N12 = 4 THEN
    • PHI_D10 = EMPTY
  • ELSE
  • IF PHI_R10 = 1 and PHI_D10 = EMPTY,
    • Set PHI_D10 = Current Time (in HH:MM:SS format)
  • ENDIF

PHI_Q11
I need to confirm your fasting status. When did you last eat or drink anything other than water (e.g., coffee, tea, alcohol, juice or flavoured water)?

The respondent reported last eating or drinking at ^ATG_Q11 ^DT_ATGN11E.

Instruction: Probe to determine the date and time at which the respondent last ate or drank something that does not meet the phlebotomy fasting requirements.

Record whether the fasting time and date recorded during the screening component are correct.

  • 1 Yes (Go to PHI_D12)
  • 2 No
  • (DK, RF not allowed)

Help text: The respondent is still considered fasted if the following have been consumed within the indicated time-frame:

  • Black coffee - up until the time of the appointment
  • Coffee with milk/cream - up to 2 hours prior to the appointment
  • Juice - up to 2 hours prior to the appointment
  • Gum and candy are allowed - up until the time of the appointment

The respondent is not considered fasted if the following have been consumed within the past 10 hours.

  • Liquids other than those indicated above, including
    • Milkshakes
    • Protein shakes
    • Meal replacements
    • Milk
    • Energy drinks
    • Any other beverages or supplements
  • Any food

PHI_N11

Instruction: Enter the time (followed by "AM" or "PM") at which the respondent last ate or drank something that does not meet the phlebotomy fasting requirements.

  • (MIN: 1)
  • (MAX: 13)
  • (DK, RF not allowed)

PHI_N12A

Instruction: Confirm the date.

  • 1 Yesterday
  • 2 Today
  • (DK, RF not allowed)

PHI_C12

  • If SCS_N12 = 3, go to PHI_D12.
  • Otherwise, go to PHI_N12B.

PHI_N12B

Instruction: Enter the time (followed by "AM" or "PM") the fasting question (PHI_N11) was asked to the respondent.

  • (MIN: 1)
  • (MAX: 13)
  • (DK, RF not allowed)

PHI_D12

Content type: Note to data users:

  • Fasting status (10 hr) is confirmed based on the fasting flag (SELFAST) and the responses to PHI_Q11 and PHI_N11 (if clinic visit) along with PHI_N12B (if home visit). PHI_D12 = 1 (fasted) and PHI_D12 = 2 (not fasted).

Programmer:

  • IF SCS_N12 = 3 THEN
  • IF SELFAST = 2 THEN
    • PHI_D12 = 2
  • ELSE IF (PHI_Q11 = 1 and ATG_D12 = 1) OR
    • (PHI_Q11 = 1 and ATG_N11 = 1 and the difference between CurrentDate-1/ATG_Q11 and CurrentDate/CurrentTime is 10 hours or more) OR
    • (PHI_Q11 = 1 and ATG_N11 = 2 and the difference between CurrentDate/ATG_Q11 and CurrentDate/CurrentTime is 10 hours or more) OR
    • (PHI_Q11 = 2 and PHI_N12A = 1 and the difference between CurrentDate-1/PHI_N11 and CurrentDate/CurrentTime is 10 hours or more) OR
    • (PHI_Q11 = 2 and PHI_N12A = 2 and the difference between CurrentDate/PHI_N11 and CurrentDate/CurrentTime is 10 hours or more) THEN
    • PHI_D12 = 1
  • ELSE
    • PHI_D12 = 2
  • ENDIF
  • ELSE IF SCS_N12 = 4 THEN
  • IF SELFAST = 2 THEN
    • PHI_D12 = 2
  • ELSE IF (PHI_Q11 = 1 and ATG_D12 = 1) OR
    • (PHI_Q11 = 1 and ATG_N11 = 1 and the difference between CurrentDate-1/ATG_Q11 and CurrentDate/PHI_N12B is 10 hours or more) OR
    • (PHI_Q11 = 1 and ATG_N11 = 2 and the difference between CurrentDate/ATG_Q11 and CurrentDate/PHI_N12B is 10 hours or more) OR
    • (PHI_Q11 = 2 and PHI_N12A = 1 and the difference between CurrentDate-1/PHI_N11 and CurrentDate/PHI_N12B is 10 hours or more) OR
    • (PHI_Q11 = 2 and PHI_N12A = 2 and the difference between CurrentDate/PHI_N11 and CurrentDate/PHI_N12B is 10 hours or more) THEN
    • PHI_D12 = 1
  • ELSE
    • PHI_D12 = 2
  • ENDIF
  • ENDIF

PHI_D13

  • If ATG_D12 = 1 or PHI_D12 = 1, DT_ATGFASTE = "fasted".
  • Otherwise, DT_ATGFASTE = "non-fasted".

PHI_END

Blood Collection (BDC)

BDC_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • T133FLAG: whether Test 133 is to be done

Variables output from Clinic Interface:

  • DryRun: whether the case is a dry run case
  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • CON_AGE: age of respondent
  • CON_SEX: sex of respondent
  • GenderE: English text for sex of respondent
  • CON_N24 : whether the respondent's parent or guardian provided consent for blood and urine storage
  • CON_N25 : whether the respondent provided consent for blood and urine storage
  • CON_N26: whether the respondent provided consent for DNA storage
  • BVOCFLG: Blood  VOC subsampling flag
  • OMEGFLG: Omega 3 & 6 subsampling flag
  • PHC_Q56: whether the respondent felt dizzy or fainted previously during a blood draw
  • PHI_D12: whether respondent has fasted for 10 hours (1 = fasted; 2 = non-fasted)

BDC_C10

If PHC_Q56 = 1, go to BDC_N10.

  • Otherwise, go to BDC_Q21.

BDC_N10

Instruction: During the screening component, the respondent has stated they have felt dizzy or fainted previously during a blood draw. Probe and take the appropriate precautions.

  • Press <1> to continue.
  • 1 Continue
    (DK, RF not allowed)

BDC_Q21
I am going to do the blood draw.

Instruction: Explain the procedure to the respondent.

  • Press < 1 > to continue.
  • 1 Continue
  • (DK not allowed)
  • RF (Go to BDC_END)

BDC_D21

Content type: Note to data user:

  • Tubes for blood collection are determined by the age of the respondent and whether he/she consented to blood and/or DNA storage.

BDC_C22

  • If DryRun in (1,2) or BDC_D21 = 1 or BDC_D21 = 2, go to BDC_N24.
  • Otherwise, go to BDC_N23.

BDC_N23

Instruction: If you think that the tubes you are drawing will not yield sufficient volume of serum, draw optional tube #14.

  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

BDC_N24

Instruction: Record which of the required tubes of blood were collected.

Mark all that apply.

  • 50 All of the main required tubes (Sub Tubes and Tube#14 not selected)
  • 51 None of the required tubes (Go to BDC_N44)
  • 52 Tube # 14 and all of the main required tubes
  • (DK not allowed)
  • RF (Go to BDC_END)

Content type: Note to data users:

  • A dynamic list of blood collection tubes appears at this question based on the age of the respondent and whether he/she consented to blood and/or DNA storage.

BDC_N41

Instruction:

  • Press <1> to print the blood collection tube labels.
  • 1 Print the labels
  • (DK, RF not allowed)

BDC_N42

Instruction: Stick each label on the appropriate blood collection tube and if applicable on the CBC report.

  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

BDC_N43

Instruction: Record whether the respondent was seated or supine during the blood draw.

  • 1 Seated
  • 2 Supine
    (DK, RF not allowed)

BDC_C44

  • If all of the required main tubes or sub tubes were collected, go to BDC_N51.
  • Otherwise, go to BDC_N44.

BDC_N44

Instruction: Record the reason why all required tubes were not collected.

  1. Respondent refused
  2. Respondent fainted
  3. Unable to find vein
  4. Blood flow stopped
  5. Physical limitation
  6. Other - Specify (Go to BDC_S44)
    (DK, RF not allowed)
    Go to BDC_N51

BDC_S44

(Record the reason why all required tubes were not collected.)

Instruction: Specify.

  • (80 spaces)
  • (DK, RF not allowed)

BDC_N51

Instruction: Record whether another staff member assisted with the blood draw.

  • 1 Yes
  • 2 No (Go to BDC_END)
  • (DK, RF not allowed)

BDC_N52

Instruction: Record the HMSID of the staff member that assisted with the blood draw.

  • (MIN: 1,000)
  • (MAX: 9,995)
  • (DK, RF not allowed)

BDC_END

Urine Collection 2 Component (UC2)

Overview: The Urine Collection 2 component is only administered if the respondent did not provide a sufficient volume of urine in the Urine Collection 1 component.

UC2_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

UC2_N10

Instruction: Record whether the respondent provided a second urine sample.

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

UC2_D10

Programmer:

  • IF SCS_N12 = 4 THEN
    • UC2_D10 = EMPTY
  • ELSE
  • IF UC2_N10 = RESPONSE and UC2_D10 = EMPTY,
    • Set UC2_D10 = Current Time (in HH:MM:SS format)
  • ENDIF

UC2_C10

  • If UC2_N10 = 1, go to UC2_END.
  • Otherwise, go to UC2_N30.

UC2_N30

Instruction: Record the reason why the respondent did not provide a urine sample.

  1. Refusal
  2. Unable to provide
  3. Other - Specify (Go to UC2_S30)
    (DK, RF not allowed)

Go to UC2_END

UC2_S30

(Record the reason why the respondent did not provide a urine sample.)

Instruction: Specify the reason.

  • (80 spaces)
  • (DK, RF not allowed)

UC2_END

Report of Measurements Component (RM)

RM_BEG

External variables required:

Variables output from Clinic Shell:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • LNG_N11: respondent's preferred official language
  • BPM_411A: blood pressure norms for respondents 18 or older
  • BPM_412A: blood pressure norms for respondents less than 18
  • OTM_N31: whether the right ear canal is obstructed
  • OTM_N40: record of the otoscopic examination of the right ear
  • OTM_N50: record of the amount pus/wax in the right ear
  • OTM_N60: whether the left ear canal is obstructed
  • OTM_N70: record of the otoscopic examination of the left ear
  • OTM_N80: record of the amount pus/wax in the left ear
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

RM_N90

Instruction: Press <1> to print the Report of Measurements.

  • 1 Print the report
  • (DK, RF not allowed)

RM_D90

Programmer:

  • IF SCS_N12 = 4 THEN
    • RM_D90 = EMPTY
  • ELSE
  • IF RM_N90 = 1 and RM_D90 = EMPTY,
    • Set RM_D90 = Current Time (in HH:MM:SS format)
  • ENDIF

RM_END

Exit Component

Exit Component Introduction (ECI)

ECI_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables output from Clinic Shell:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • OHE_N71: whether a serious medical condition requiring immediate attention was discovered during the dental examination
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

ECI_Q01
Before you leave, we have a few administrative questions.

Instruction:

  • Press <1> to continue.
  • (DK, RF not allowed)

ECI_D01B

Programmer:

  • IF SCS_N12 = 4 THEN
    • ECI_D01 = EMPTY
  • ELSE
  • IF ECI_Q01 = 1 and ECI_D01 = EMPTY,
    • Set ECI_D01 = Current Time (in HH:MM:SS format)
  • ENDIF

ECI_END

Exit Consent Questions (ECQ)

ECQ_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • CPROV: province of residencesst

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • DryRun: whether the case is a dry run case (1or 2= dryrun; 3= survey respondent)

ECQ_C11

  • If DryRun in (1, 2)., go to ECQ_END.
  • Otherwise, go to ECQ_D11A.

ECQ_D11A

  • If CPROV = 10, DT_PROVINCEE = "Newfoundland and Labrador".
  • If CPROV = 11, DT_PROVINCEE = "Prince Edward Island".
  • If CPROV = 12, DT_PROVINCEE = "Nova Scotia".
  • If CPROV = 13, DT_PROVINCEE = "New Brunswick".
  • If CPROV = 24, DT_PROVINCEE = "Quebec".
  • If CPROV = 35, DT_PROVINCEE = "Ontario".
  • If CPROV = 46, DT_PROVINCEE = "Manitoba".
  • If CPROV = 47, DT_PROVINCEE = "Saskatchewan".
  • If CPROV = 48, DT_PROVINCEE = "Alberta".
  • If CPROV = 59, DT_PROVINCEE = "British Columbia".
  • If CPROV = 60, DT_PROVINCEE = "Yukon".
  • If CPROV = 61, DT_PROVINCEE = "Northwest Territories".
  • If CPROV = 62, DT_PROVINCEE = "Nunavut".

ECQ_D11B

  • If CPROV < 60, DT_PROVTERR1 = "provincial".
  • If CPROV < 60, DT_PROVTERRE = "province".
  • Otherwise, DT_PROVTERR1 = "territorial".
  • Otherwise, DT_PROVTERRE = "territory".

ECQ_R12
Statistics Canada may combine your responses from this survey to responses to other surveys or administrative data sources.

Instruction: Press <1> to continue.

Help text:

  • Provincial Ministry of Health;
  • health registries or other recognized health organizations.

This would include information on past and continuing use of:

  • services provided at hospitals, clinics and doctor's offices;
  • other health services provided by the province.

ECQ_Q13
The linkage will be done by Statistics Canada, and the results will be used for statistical purposes only.

Do we have your permission to combine this information?

  • 1 Yes
  • 2 No (Go to ECQ_R21)
    DK, RF (Go to ECQ_R21)

ECQ_Q14
Having a [provincial/territorial] health number will assist Statistics Canada in linking the survey data to the [provincial/territorial] health information. Do you have a(n) ^DT_PROVINCEE health number?

  • 1 Yes (Go to ECQ_Q16)
  • 2 No
    DK, RF (Go to ECQ_R21)

ECQ_Q15
For which [province/territory] is your health number?

  • 10 Newfoundland and Labrador
  • 11 Prince Edward Island
  • 12 Nova Scotia
  • 13 New Brunswick
  • 24 Quebec
  • 35 Ontario
  • 46 Manitoba
  • 47 Saskatchewan
  • 48 Alberta
  • 59 British Columbia
  • 60 Yukon
  • 61 Northwest Territories
  • 62 Nunavut
  • 88 Does not have a [provincial/territorial] health number (Go to ECQ_D21)
    DK, RF (Go to ECQ_R21)

ECQ_Q16
What is your health number?

Instruction: Enter a health number. Do not insert blanks, hyphens or commas between the numbers.

  • (12 spaces)
  • DK, RF (Go to ECQ_R21)

ECQ_N16

Instruction: Re-enter the health number.

  • (12 spaces)
  • DK, RF

ECQ_D21

  • If ECQ_Q16 = RESPONSE,
  • DT_ECQ21TEXTE = "Your name, address, telephone number and health number".
  • Otherwise, DT_ECQ21TEXTE = "Your name, address and telephone number".

ECQ_R21
To avoid duplication of surveys, Statistics Canada has a signed agreement with Health Canada and the Public Health Agency of Canada to share the information collected during this survey. [Your name, address, telephone number and health number/Your name, address and telephone number] will not be shared.

Instruction: Press <1> to continue.

ECQ_Q22
Health Canada and the Public Health Agency of Canada will keep the information confidential, and use it for statistical purposes only.Do you agree to share the information?

  • 1 Yes
  • 2 No
    DK, RF

ECQ_END

Contact (CONT)

CONT_BEG

External fields required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier
  • FLAGReconsent: 1 = reconsent question asked 2 = reconsent question not asked

Variables output from Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • DryRun: indicator of whether the case is a dry run case
  • SessionE: English text of when the clinic visit is taking place

Variables from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • CON_SEX: sex of respondent
  • CON_N24: yes/no indicator of whether the respondent's parent or guardian provided consent for blood and urine storage
  • CON_N25: yes/no indicator of whether the respondent provided consent for blood and urine storage
  • UC1_N40: yes/no indicator of whether a urine sample was provided
  • BDC_Q21: indicator if blood was drawn
  • BDC_N24: indicator of which tubes were collected
  • BDC_N43: how blood collection was performed

CONT_C01

  • If DryRun in (1, 2), go to CONT_END.
  • Otherwise, go to CONT_Q01.

CONT_Q01
We may want to contact your household in a number of years to ask about your participation in a follow-up to this survey. Do we have your permission to contact you?

  • 1 Yes
  • 2 No
    (DK not allowed)
    RF

CONT_C03A

  • If (CON_AGE > 13 or CON_N24 = 2 or [(BDC_Q21 = RF or BDC_N24 = 51 or BDC_N24 = RF) and UC1_N40 = 2]), go to CONT_C03B.
  • Otherwise, go to CONT_C03C.CONT_C03B If FLAGReconsent = 2 and (CONT_Q01 = 2 or RF), go to CONT_END.
  • Otherwise, go to CONT_Q03.CONT_C03C If ((CONT_Q01 = 2 or RF) and CONT_Q02 = RF), go to CONT_END.
  • Otherwise, go to CONT_Q03.

Content type: Note to data users:

  • If the respondent does not consent for Statistics Canada to contact their home to participate in a follow up to the CHMS (CONT_Q01=2 or RF), go to CONT_END.

CONT_Q03
In case you move or change telephone numbers, it would be helpful if you could provide the name, telephone number and address of a relative or friend who could help us to contact you.

Instruction: Press <1> to continue.

  • 1 Continue
  • (DK not allowed)
  • RF

CONT_C04

  • If CONT_Q03 = RF, go to CONT_END.
  • Otherwise, go to CONT_B05.

CONT_B05

  • Call the Get Contact Name (GCN) block. See Appendix I.

Programmer:

Pass "I want to emphasize that we will contact this person only if we experience difficulty reaching you." as parameter.

CONT_C05

  • If CONT_B05.GCN_CONFNAME = 1, go to CONT_END.
  • Otherwise, go to CONT_D05.

CONT_D05

Programmer:

  • IF CONT_B05.GCN_FNAME = DK or RF AND CONT_B05.GCN_LNAME = DK or RF THEN
    • CONT1_NAMEE = "the person"
  • ELSE IF CONT_B05.GCN_FNAME = DK or RF THEN
    • CONT1_NAMEE = CONT_B05.GCN_LNAME
  • ELSE IF CONT_B05.GCN_LNAME = DK or RF THEN
    • CONT1_NAMEE = CONT_B05.GCN_FNAME
  • ELSE
    • CONT1_NAMEE = CONT_B05.GCN_FNAME + CONT_B05.GCN_LNAME
  • ENDIF

CONT_B06

Call the Address block. See Appendix I.

Programmer:

Pass "What is the address for ^CONT1_NAMEE? " as parameter.

CONT_C07

  • If CONT_B06.Province = 77 "Outside of Canada and U.S.A.", go to CONT_B08.
  • Otherwise, go to CONT_B07.

CONT_B07

  • Call the North American Telephone block (NATP). See Appendix I.
  • Go to CONT_B09

Programmer:

  • Pass "What is the telephone number for ^CONT1_NAMEE, including the area code? " as parameter.

CONT_B08

Call the Overseas Telephone block (OSTP). See Appendix I.

Programmer:

  • Pass "What is the telephone number for ^CONT1_NAMEE, including the area code? " as parameter.

CONT_B09

Call the Get Contact Name block (GCN). See Appendix I.

Programmer:

  • Pass "Is there someone else we could call to help us contact you? Again, we will contact this person only if we experience difficulty reaching you and then only to obtain the new address and telephone number." as parameter.

CONT_C09

  • If CONT_B09.GCN_CONFNAME = 1, go to CONT_END.
  • Otherwise, go to CONT_D09.

CONT_D09

Programmer:

  • IF CONT_B09.GCN_FNAME = DK or RF AND CONT_B09.GCN_LNAME = DK or RF THEN `
    • CONT2_NAMEE = "the person"
  • ELSE IF CONT_B09.GCN_FNAME = DK or RF THEN
    • CONT2_NAMEE = CONT_B09.GCN_LNAME
  • ELSE IF CONT_B09.GCN_LNAME = DK or RF THEN
    • CONT2_NAMEE = CONT_B09.GCN_FNAME
  • ELSE
    • CONT2_NAMEE = CONT_B09.GCN_FNAME + CONT_B09.GCN_LNAME
  • ENDIF

CONT_B10

Call the Address block. See Appendix I.

Programmer:

  • Pass "What is the address for ^CONT2_NAMEE? " as parameter.

CONT_C11

  • If CONT_B10.Province = 77 "Outside of Canada and U.S.A.", go to CONT_B12.
  • Otherwise, go to CONT_B11.

CONT_B11

  • Call the North American Telephone block (NATP). See Appendix I.
  • Go to CONT_END

Programmer:

  • Pass "What is the telephone number for ^CONT2_NAMEE, including the area code? " as parameter.

CONT_B12

Call the Overseas Telephone block (OSTP). See Appendix I.

Programmer:

  • Pass "What is the telephone number for ^CONT2_NAMEE, including the area code?" as parameter.

CONT_END

Clinic Sign-Out Component (CSO)

CSO_BEG

External variables required:

Variables taken from sample file:

  • STAND: name of the city/town/village in which the clinic has been set up
  • CLINICID: 8 digit respondent identifier

Variables assigned in Clinic Interface:

  • CurrentYear: numeric year during which clinic visit is taking place
  • CurrentMonth: numeric month during which clinic visit is taking place
  • CurrentDay: numeric day during which clinic visit is taking place
  • SessionE: English text of when the clinic visit is taking place
  • DryRun: indicator of whether the case is a dry run case

Variables output from previously completed blocks:

  • RespondentName: name of respondent
  • GenderE: English text for sex of respondent
  • CON_AGE: age of respondent
  • REP_Q12: selected method of delivery of final report
  • FNAME: first name of respondent
  • LNG_N11: respondent's preferred official language
  • SCS_N12: visit type (3= clinic visit; 4= home visit)

CSO_R11A
Here is a Report of Measurements containing the results of the tests you performed today. Your results are organized under various sections: your results are on the right and the interpretation is in italics under each section.

Instruction: Provide the respondent with his/her Report of Measurements.

Briefly review the report with the respondent, identifying each section and explaining where the results and interpretations can be found.

  • Press <1> to continue.

CSO_D11

Programmer:

  • IF SCS_N12 = 4 THEN
    • CSO_D11 = EMPTY
  • ELSE
  • IF CSO_R11A = 1 and CSO_D11 = EMPTY,
    • Set CSO_D11 = Current Time (in HH:MM:SS format)
  • ENDIF

CSO_R11B
Do you have any questions about your report? If you would like, a Health Measures Specialist can spend a few minutes reviewing your test results with you now.

Instruction: If a respondent has questions, ask a Health Measures Specialist to answer any questions about the test results.

  • Press <1> to continue.

CSO_D12

  • If DryRun in (1, 2), , DT_CSO12TEXTE = "Thank you for your participation to the dry-run day. Your results will be sent to you when ready. If you move before you receive this package you can inform us by phoning our toll-free number or e-mailing us.".
  • Otherwise, DT_CSO12TEXTE = "Your final report package will be sent to you in about 3 months. If you move before you receive this package you can inform us by phoning our toll-free number, e-mailing us or by sending in a change of address card.".

CSO_R12
^DT_CSO12TEXTE

Instruction: Press <1> to continue.

CSO_C21

  • If DryRun in (1, 2), go to CSO_N23.
  • Otherwise, go to CSO_N22.

CSO_N22

Instruction: Record whether ^RESPONDENTNAME is to receive the standard reimbursement of $100.

  • 1 Yes (Go to CSO_D23)
  • 2 No
    (DK, RF not allowed)

CSO_N23

Instruction: Record the reimbursement amount.

  • Amount (in dollars)
  • (MIN: 0)
  • (MAX: 300)
  • (DK, RF not allowed)

CSO_D23

Programmer:

  • IF CSO_N22 = 1 THEN
    • CSO_D23 = "100"
  • ELSE
    • CSO_D23 = CSO_N23
  • ENDIF

CSO_C24A

  • If DryRun = 3, go to CSO_C24C.
  • Otherwise, go to CSO_C24B.

CSO_C24B

  • If (DryRun = 1 or 2) and CSO_D23 > 0, go to CSO_N24.
  • Otherwise, go to CSO_END.

CSO_C24C

  • If DryRun = 3 and CSO_D23 > 100, go to CSO_N25.
  • Otherwise, go to CSO_D30.

CSO_N24

Instruction: Specify the reason why a reimbursement is being disbursed to a dry-run participant.

  • (80 spaces)
  • (DK, RF not allowed)
  • Go to CSO_D30

CSO_N25

Instruction: Specify the reason why a reimbursement in excess of $100 is being disbursed.

  • (80 spaces)
  • (DK, RF not allowed)

CSO_D30

  • If CON_AGE > 13, DT_CSO30TEXTE = "I,".
  • Otherwise, DT_CSO30TEXTE = "I have received the stated reimbursement for expenses related to".
  • If CON_AGE > 13, DT_CSO30TEXTE2 = ", have received the stated reimbursement for expenses related to my participation in the Canadian Health Measures Survey.".
  • Otherwise, DT_CSO30TEXTE2 = "'s participation in the Canadian Health Measures Survey.".

CSO_N30

Instruction: Press <1> to print the Reimbursement form.

  • 1 Print the form
  • (DK, RF not allowed)

CSO_D31

  • If CON_AGE > 13, DT_CSO31TEXT1E = "your".
  • Otherwise, DT_CSO31TEXT1E = "^Fname's".
  • If CON_AGE > 13, DT_CSO31TEXT2E = "respondent".
  • Otherwise, DT_CSO31TEXT2E = "parent or guardian".

CSO_R31
Before you leave, I would like to provide you with a reimbursement of the expenses for DT_CSO31TEXT1E participation in the clinic portion of the survey. I need you to sign this form, which indicates that you received the reimbursement.

Instruction: Provide the [respondent/parent or guardian] with the CHMS Reimbursement Form. When the [respondent/parent or guardian] returns the form, check to ensure that all requested information has been filled in and is legible. Sign the form as the witness.

  • Press <1> to continue.

CSO_END

Appendix 1

Date Block (APP1)

APP1_BEG
Date Block

DAY Instruction: Enter the day.

  • Day
  • (MIN: 1)
  • (MAX: 31)

MONTH Instruction: Select the month.

  • 01 January 07 July
  • 02 February 08 August
  • 03 March 09 September
  • 04 April 10 October
  • 05 May 11 November
  • 06 June 12 December

YEAR Instruction: Enter a four-digit year.

  • Year
  • (MIN: 1925)
  • (MAX: 2009)
  • DATE_END

APP1_END

Address (AD)

AD_BEG

Import the following variables:

  • DV_QTEXT_E (QuestionText)
  • LISTINGADFLAG tYesNo
  • NONCANADFLAG tYesNo

AD_Q01
^DV_QTEXT_E

Interviewer: Enter the civic number.

  • If necessary, ask: (What is the civic number?)
    (5 spaces)
    DK, RF

AD_C01

  • If DK or RF is entered and LISTINGADFLAG <> Yes, go to AD_N01.
  • Otherwise, go to AD_Q02.

AD_N01

  • Interviewer: (^DV_QTEXT_E)
  • Do you wish to skip the remaining address fields?
    • 1 Yes (Go to AD_END)
    • 2 No
      (DK, RF not allowed)

AD_Q02
(^DV_QTEXT_E)

Interviewer: Enter the street name.

  • If necessary, ask: (What is the street name?)
    (50 spaces)
    DK, RF

AD_Q03
(^DV_QTEXT_E)

Interviewer: Enter the apartment number.

  • If necessary, ask: (What is the apartment number?)
    (5 spaces)
    DK, RF

AD_Q04
(^DV_QTEXT_E)

Interviewer: Enter the city, town, village or municipality.

  • If necessary, ask: (What is the city, town, village or municipality?)
    (30 spaces)
    (DK, RF not allowed)

AD_D05

  • If (LISTINGADFLAG = Yes and NONCANADFLAG = No) or (LISTINGADFLAG = No and NONCANADFLAG = No), DT_CLANOTEXT_E = "Blank".
  • Otherwise, DT_CLANOTEXT_E = "If the address is outside Canada, press <Enter>".

AD_Q05
(^DV_QTEXT_E)

Interviewer:

  • Enter the postal code.
  • [Blank /If the address is outside Canada, press <Enter>]
  • If necessary, ask: (What is the postal code?)
  • (6 spaces)
  • DK, RF (Go to AD_Q07)
  • Go to AD_E05A

AD_D06

  • If first character of the postal code is "A", DT_PROV_E = "Newfoundland and Labrador".
  • If first character of the postal code is "B", DT_PROV_E = "Nova Scotia".
  • If first character of the postal code is "C", DT_PROV_E = "Prince Edward Island".
  • If first character of the postal code is "E", DT_PROV_E = "New Brunswick".
  • If first character of the postal code is "G" or "H" or "J", DT_PROV_E = "Quebec".
  • If first character of the postal code is "K" or "L" or "M" or "N" or "P", DT_PROV_E = "Ontario".
  • If first character of the postal code is "R", DT_PROV_E = "Manitoba".
  • If first character of the postal code is "S", DT_PROV_E = "Saskatchewan".
  • If first character of the postal code is "T", DT_PROV_E = "Alberta".
  • If first character of the postal code is "V", DT_PROV_E = "Bristish Columbia".
  • If first character of the postal code is "Y", DT_PROV_E = "Yukon".
  • If first character of the postal code is "X", DT_PROV_E = "Nunavut, Northwest Territories".

AD_D06A

  • If first character of the postal code is "Y" or "X ", DT_PROV_TERR_E = "territory".
  • Otherwise, DT_PROV_TERR_E = "province".

AD_Q06
(^DV_QTEXT_E)

Interviewer: Confirm that the ^DT_PROV_TERR_E is ^DT_PROV_E.

  • If necessary, ask: (So the ^DT_PROV_TERR_E is ^DT_PROV_E?)
  • 1 Yes (Go to AD_END)
  • 2 No
    (DK, RF not allowed)

AD_D07

  • If NONCANADFLAG = Yes, DT_USA_E = "U.S.A.".
    Otherwise, DT_USA_E = "" "".
  • If NONCANADFLAG = Yes, DT_OUTSIDE_E = "Outside of Canada and U.S.A.".
    Otherwise, DT_OUTSIDE_E = "" "".

AD_Q07
(^DV_QTEXT_E)

Interviewer: Select the province or territory.

If necessary, ask: (What is the province or territory?)

    • 10 Newfoundland and Labrador
    • 11 Prince Edward Island
    • 12 Nova Scotia
    • 13 New Brunswick
    • 24 Quebec
    • 35 Ontario
    • 46 Manitoba
    • 47 Saskatchewan
    • 48 Alberta
    • 59 British Columbia
    • 60 Yukon
    • 61 Northwest Territories
    • 62 Nunavut
    • 76 [U.S.A./" "]
    • 77 [Outside of Canada and U.S.A./" "]
      (DK, RF not allowed)

AD_D07A

  • If AD_Q07 = 60 or 61 or 62, DT_PROV_TERR2_E = "territory".
  • Otherwise, DT_PROV_TERR2_E = "province".

AD_C08

  • If 76 "U.S.A." is selected and NONCANADFLAG ne Yes, go to AD_Q08.
  • Otherwise, go to AD_END.

AD_Q08
(^DV_QTEXT_E)

Interviewer: Select the state.

If necessary, ask: (What is the state?)

  • 01 Alabama
  • 02 Alaska
  • 03 Arizona
  • 04 Arkansas
  • 05 California
  • 06 Colorado
  • 07 Connecticut
  • 08 Delaware
  • 09 District of Columbia
  • 10 Florida
  • 11 Georgia
  • 12 Hawaï
  • 13 Idaho
  • 14 Illinois
  • 15 Indiana
  • 16 Iowa
  • 17 Kansas
  • 18 Kentucky
  • 19 Louisiana
  • 20 Maine
  • 21 Maryland
  • 22 Massachusetts
  • 23 Michigan
  • 24 Minnesota
  • 25 Mississippi
  • 26 Missouri
  • 27 Montana
  • 28 Nebraska
  • 29 Nevada
  • 30 New Hampshire
  • 31 New Jersey
  • 32 New Mexico
  • 33 New York
  • 34 North Carolina
  • 35 North Dakota
  • 36 Ohio
  • 37 Oklahoma
  • 38 Oregon
  • 39 Pennsylvania
  • 40 Rhode Island
  • 41 South Carolina
  • 42 South Dakota
  • 43 Tennessee
  • 44 Texas
  • 45 Utah
  • 46 Vermont
  • 47 Virginia
  • 48 Washington
  • 49 West Virginia
  • 50 Wisconsin
  • 51 Wyoming
    (DK, RF not allowed)

AD_Q09
(^DV_QTEXT_E)

Interviewer: Enter only a US zip code.

If necessary, ask: (What is the zip code?)

  • (12 spaces)
  • DK, RF (Go to AD_END)

AD_END

Get Contact Name (GCN)

GCN_BEG

GCN_N01

Instruction:

  • Enter the first name.
  • DK, RF

GCN_C01

  • If GCN_N01 = DK or RF, go to GCN_N02.
  • Otherwise, go to GCN_N03.

GCN_N02

Instruction: Do you wish to skip the remaining contact fields?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

GCN_C03

  • If GCN_N02 = 1 (Yes) fill contact fields with DK or RF, go to GCN_END.
  • Otherwise, go to GCN_N03.

GCN_N03

Instruction:

  • Enter the last name.
  • (DK, RF not allowed)

GCN_END

North American Telephone (NATP)

Overview: The North American Telephone block is called from within other blocks. Only a telephone number is collected.

NATP_BEG

  • Import the following variables:
  • ASKEXT tYesNo

NATP_Q01

Interviewer: Enter the area code.

If necessary, ask: (What is the area code?)

  • Enter "000" if no telephone.
  • (MIN: 0)
  • (MAX: 9,999,995)
  • DK, RF (Go to NATP_Q02)

NATP_C01

  • If NATP_Q01 = "000", fill NATP_Q02 with "0000000", go to NATP_END.
  • Otherwise, go to NATP_E01A.

NATP_Q02

Interviewer: Enter the telephone number.

If necessary, ask: (What is the telephone number?)

  • (MIN: 0)
  • (MAX: 9,999,995)
  • DK, RF (Go to NATP_END)

NATP_C03

  • If NATP_Q02 = DK, RF or "0000000" or ASKEXT = No, go to NATP_END.
  • Otherwise, go to NATP_Q03.

NATP_Q03

Interviewer: Enter the extension, if applicable.

  • (6 spaces)
  • DK, RF

NATP_END

Overseas Telephone (OSTP)

Overview: The Overseas Telephone block is called from within other blocks. Only a telephone number is collected.OSTP_BEG

Import the following variables:

  • DV_QTEXT_E (Question Text)

OSTP_Q01
^DV_QTEXT_E

Interviewer: Enter the country code.

If necessary, ask: (What is the country code?)

  • Enter "000" if no telephone.
  • (3 spaces)
  • DK, RF (Go to OSTP_Q02)

OSTP_C01

  • If OSTP_Q01 = "000", fill OSTP_Q02 with "0000" and OSTP_Q03 with "0000000", go to OSTP_END.
  • Otherwise, go to OSTP_Q02.

OSTP_Q02
(^DV_QTEXT_E)

Interviewer: Enter the city code (if required).

If necessary, ask: (What is the city code?)

  • (4 spaces)
  • DK, RF

OSTP_C02

  • If OSTP_Q02 = "blank", go to OSTP_Q03.
  • Otherwise, go to OSTP_Q03.

OSTP_Q03
(^DV_QTEXT_E)

Interviewer: Enter the telephone number.

If necessary, ask: (What is the telephone number?)

  • (8 spaces)
  • DK, RF
  • OSTP_END

2012 to 2013
Household Questionnaire

Table of Contents

Explanatory notes for this document
Entry
Contact (CN)
Interviewer Introduction (II)
Initial Contact (IC)
Language of Preference (LP)
Survey Introduction (INT)
Confirm Listing Address (Personal) (LA)
Check Mailing Address (CHM)
Address (AD)
Confirm Telephone (TELC)
North American Telephone (NATP)
Dwelling (DW)
Collective Dwelling (COLL)
Dwelling Minimum (DMB)
Number of Rooms (DWE2)
Roster Introduction (RS)
Usual Roster (USU)
Temporary Roster (TEM)
Other Roster 1 (OTH1)
Demographic Introduction (DM)
Age with Confirmation (AWC)
Sex (SEX)
Marital Status with Confirmation (De-facto) (MSWC)
Educational Attainment (EHG2)
Canadian Forces (CAF)
Relationship with Confirmation (RWC)
Person Providing Demographics (PPD)
Person providing information (PPI)
General Health (GEN)
Pregnancy (PRS)
Chronic Conditions (CCC)
Family Medical History (FMH)
Phlegm (PLM)
Hepatitis (HEP)
Human Papillomavirus Vaccine (HPV)
Medication
Medication Use (MEU)
New Product Information (NPI)
New Product Information - Call Block (NPC)
Height and Weight
Height and Weight (HWT)
Weight Detail (WTD)
Food Frequency
Meat Consumption (MFC)
Food Frequency Detail (FFD)
Milk and Dairy Product Consumption (MDC)
Grain, Fruit and Vegetable Consumption (GFV)
Dietary Fat Consumption (DFC)
Water and Soft Drink Consumption (WSD)
Salt Consumption (SLT)
International Physical Activity Questionnaire (IPA)
Children's Physical Activity (CPA)
Time Spent Outdoors (TSO)
Sedentary Activities (SAC)
Hobbies
Hobbies (HOB)
Hobby Detail (HDB)
Frequency Detail (FQD)
Sleep (SLP)
Request for Parent to Leave (RPL)
Smoking (SMK)
Alcohol Use (ALC)
Illicit Drug Use (IDU)
Sexual Behaviour (SXB)
PAP Test (PAP)
Request for Parent to Return (RPR)
Exposure to Second-Hand Smoke (ETS)
Request for Child to Leave (RCL)
Pregnancy Information (PRG)
Birth Information (BIR)
Breastfeeding Information (BRI)
Strengths and Difficulties© Robert Goodman (SDQ)
Request for Child to Return (RCR)
Labour Force
Labour Force (LAF)
Labour Market Activities Minimal (LMAM)
Labour Force Status (LMA2)
Labour Force Year (LFY)
Class of Worker (LMA3)
Industry (LMA4)
Occupation (LMA5)
Usual Hours of Work (LFH)
Socio-Demographic
Socio-Demographic Characteristics (SDC)
Immigration Minimum (IMM)
Aboriginal Minimum (AMB)
Population Group (PG)
Language Extended (LAE)
Education
Education (EDU)
Education Minimum with concept (EDM)
Education - School Attendance (ESC1)
Income
Income (INC)
Total Personal Income (TPI)
Total Household Income (THI)
Tap Water
Tap Water Collection (TWC)
Tap Water VOC (TWV)
Tap Water Fluoride (TWF)
Administration Information (ADM)

Explanatory notes for this document

  1. Question text in bold font is read to the respondent. Text in normal font is not read to the respondent. Instructions to the person asking the questions or taking the measures are prefaced by the word "Interviewer", and are not read aloud.
  2. Question text in bold font enclosed by brackets ( ) is read to the respondent at the discretion of the person asking the questions.
  3. In this text, the use of the masculine is generic and applies to both men and women. Please note that during the actual household interview, the questions were personalized to be appropriate to the gender of the respondent.
  4. Question text enclosed in square brackets [ ] is dynamic and in most cases will vary depending on
    the particular circumstances. The symbol ^ indicates that dynamic substitution will take place.
  5. In this document, the flow direction from a given response is not provided when it is to the next immediate question.
  6. For more detailed information on physical measures protocols, please contact Statistics Canada's National Contact Centre (toll-free 1-800-263-1136; 613-951-8116; infostats@statcan.gc.ca).

Entry

Contact (CN)

CN_BEG

CN_N02

INTERVIEWER : Have you made contact?

  1. Yes
  2. No (Go to CN_END)
    (DK, RF not allowed)

CN_END

Interviewer Introduction (II)

II_BEG

II_R01
Hello, I'm from Statistics Canada. My name is ...

  • INTERVIEWER : Introduce yourself using both your given and last names.
  • Press <ENTER> to continue.

II_END

Initial Contact (IC)

IC_BEG

IC_R01
I am contacting you from Statistics Canada regarding the Canadian Health Measures Survey. All information is collected under the authority of the Statistics Act and will be kept strictly confidential.

  • INTERVIEWER : Press <Enter> to continue.

IC_END

Language of Preference (LP)

LP_BEG

LP_Q01
Would you prefer to be interviewed in English or in French?

  1. English (Go to LP_END)
  2. French (Go to LP_END)
  3. Other
  4. (DK, RF not allowed)

LP_N02

  • INTERVIEWER : Select respondent's preferred non-official language.
  • If necessary, ask: (What language would you prefer?)
    • 03 Chinese
      04 Italian
      05 Punjabi
      06 Spanish
      07 Portuguese
      08 Polish
      09 German
      10 Vietnamese
      11 Arabic
      12 Tagalog
      13 Greek
      14 Tamil
      15 Cree
      16 Afghan
      17 Cantonese
      18 Hindi
      19 Mandarin
      20 Persian (Farsi)
      21 Russian
      22 Ukrainian
      23 Urdu
      24 Inuktitut
      25 Hungarian
      26 Korean
      27 Serbo-Croatian
      28 Gujarati
      29 Dari
      90 Other - Specify (Go to LP_S02)
      (DK, RF not allowed)

LP_C02

  • If not 90 "Other-Specify", go to LP_END.
  • Otherwise, go to LP_S02.

LP_S02

  • (Select respondent's preferred non-official language.
  • If necessary, ask: (What language would you prefer?))
  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

LP_END

Survey Introduction (INT)

INT_BEG

INT_R01
The survey will collect information on Canadians' health and health habits. The first part of the survey is this interview, which includes questions on many health-related topics. The second part of the survey involves a visit to a mobile clinic to collect direct physical measures such as blood pressure, height and weight, and hearing tests.

  • INTERVIEWER : Press <Enter> to continue.

INT_R02
Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential. While participation is voluntary, your cooperation is important to ensure the information collected in this survey is as accurate and as comprehensive as possible. (Registration#: STC/HLT-084-75364)

  • INTERVIEWER : Press <Enter> to continue.

INT_END

Confirm Listing Address (Personal) (LA)

LA_BEG

LA_N01_NUM

  • INTERVIEWER : Confirm the listing address.
  • INTERVIEWER : Enter the civic number.
  • If necessary, ask:(What is the civic number?)
  • (5 spaces)
  • DK, RF

LA_N01_STRT

  • INTERVIEWER : Confirm the listing address.
  • INTERVIEWER: Enter the street name.
  • If necessary, ask: (What is the street name?)
  • (50 spaces)
  • (DK, RF not allowed)

LA_N01_APT

  • INTERVIEWER : Confirm the listing address.
  • INTERVIEWER : Enter the apartment number.
  • If necessary, ask: (What is the apartment number?)
  • (5 spaces)
  • DK, RF

LA_N01_CITY

  • INTERVIEWER : Confirm the listing address.
  • INTERVIEWER : Enter the city, town, village or municipality.
  • If necessary, ask: (What is the city, town, village or municipality?)
  • (30 spaces)
  • (DK, RF not allowed)

LA_N01_PC

  • INTERVIEWER : Confirm the listing address.
  • INTERVIEWER: Enter the postal code.
  • If necessary, ask: (What is the postal code?)
  • (6 spaces)
  • DK, RF (Go to LA_N01_PRN)
  • Go to LA_E01A

Programmer:

  • If the first digit of the postal code is "X" go to LA_N01_PRN (i.e. do NOT ask LA_N01_CONF (confprov))
  • If EMPTY, go to LA_N01_PRN.

LA_N01_CONF

  • INTERVIEWER : Confirm the listing address.
  • INTERVIEWER: Confirm that the ^Prov1E is ^Prov2E.
  • If necessary, ask: (So the ^Prov1E is ^Prov2E?)
    1. Yes (Go to LA_END)
    2. No (DK, RF not allowed)

Programmer:

Prov1F :

  • Prov1E : If first digit of postal code = "Y" then Prov1E = "territory"
  • Else Prov1E = "province"

Prov2F :

  • Prov2E : If first digit of postal code = "A" then Prov2E = "Newfoundland and Labrador"
  • If first digit of postal code = "B" then Prov2E = "Nova Scotia"
  • If first digit of postal code = "C" then Prov2E = "Prince Edward Island"
  • If first digit of postal code = "E" then Prov2E = "New Brunswick"
  • If first digit of postal code in "G, H, J" then Prov2E = "Quebec"
  • If first digit of postal code in "K, L, M, N, P" then Prov2E = "Ontario"
  • If first digit of postal code = "R" then Prov2E = "Manitoba"
  • If first digit of postal code = "S" then Prov2E = "Saskatchewan"
  • If first digit of postal code = "T" then Prov2E = "Alberta"
  • If first digit of postal code = "V" then Prov2E = "British Columbia"
  • If first digit of postal code = "Y" then Prov2E = "Yukon"

LA_N01_PRN

  • INTERVIEWER : Confirm the listing address.
  • INTERVIEWER: Select the province or territory.
  • If necessary, ask: (What is the province or territory?)
  • 10 Newfoundland and Labrador
  • 11 Prince Edward Island
  • 12 Nova Scotia
  • 13 New Brunswick
  • 24 Quebec
  • 35 Ontario
  • 46 Manitoba
  • 47 Saskatchewan
  • 48 Alberta
  • 59 British Columbia
  • 60 Yukon
  • 61 Northwest Territories
  • 62 Nunavut
  • (DK, RF not allowed)

LA_END

Check Mailing Address (CHM)

CHM_BEG

  • External fields required:
  • CHMAddress: taken from LA data fields

CHM_Q01
Is this also your mailing address?

  • ^CHMAddress
    1. Yes (Go to CHM_END)
    2. No
  • DK, RF (Go to CHM_END)

CHM_B02

  • What is your correct mailing address?
  • Call the Address block (AD).

CHM_END

Address (AD)

AD_BEG

AD_N01_NUM

  • INTERVIEWER : Enter the civic number.
  • If necessary, ask: (What is the civic number?)
  • (5 spaces)
  • DK, RF

AD_C01

  • If DK or RF is entered, go to AD_N01_CNUM.
  • Otherwise, go to AD_N01_STRT.

AD_N01_CNUM

  • INTERVIEWER : Do you wish to skip the remaining address fields?
    1. Yes (Go to AD_END)
    2. No
  • (DK, RF not allowed)

Programmer:

  • If AD_N01_CNUM = 1 "Yes" is selected, fill the remaining address fields with DK or RF (based on the response to AD_N01_NUM) and go to AD_END.

AD_N01_STRT

  • INTERVIEWER : Enter the street name.
  • If necessary, ask: (What is the street name?)
  • (50 spaces)
  • DK, RF

AD_N01_APT

  • INTERVIEWER : Enter the apartment number.
  • If necessary, ask: (What is the apartment number?)
  • (5 spaces)
  • DK, RF

AD_N01_CITY

  • INTERVIEWER : Enter the city, town, village or municipality.
  • If necessary, ask: (What is the city, town, village or municipality?)
  • (30 spaces)
  • (DK, RF not allowed)

AD_N01_PC

  • INTERVIEWER : Enter the postal code.
  • If the address is outside Canada, press <ENTER>. If necessary, ask: (What is the postal code?)
  • (6 spaces)
  • DK, RF (Go to AD_N01_PRN)

Programmer:

  • If the first digit of the postal code is "X" go to AD_N01_PRN (Prov) (i.e. do NOT ask AD_N01_CPR (confprov))

AD_N01_CPR

  • INTERVIEWER : Confirm that the ^Prov1E is ^Prov2E.
  • If necessary, ask:(So the ^Prov1E is ^Prov2E?)
    1. Yes (Go to AD_END)
    2. No
  • (DK, RF not allowed)

Programmer:

  • Prov1E : If first digit of postal code = "Y" then Prov1E = "territory"
  • Else Prov1E = "province"
  • Prov2E : If first digit of postal code = "A" then Prov2E = "Newfoundland and Labrador"
  • If first digit of postal code = "B" then Prov2E = "Nova Scotia"
  • If first digit of postal code = "C" then Prov2E = "Prince Edward Island"
  • If first digit of postal code = "E" then Prov2E = "New Brunswick"
  • If first digit of postal code in "G, H, J" then Prov2E = "Quebec"
  • If first digit of postal code in "K, L, M, N, P" then Prov2E = "Ontario"
  • If first digit of postal code = "R" then Prov2E = "Manitoba"
  • If first digit of postal code = "S" then Prov2E = "Saskatchewan"
  • If first digit of postal code = "T" then Prov2E = "Alberta"
  • If first digit of postal code = "V" then Prov2E = "British Columbia"
  • If first digit of postal code = "Y" then Prov2E = "Yukon"

AD_N01_PRN

  • INTERVIEWER : Select the province or territory.
  • If necessary, ask: (What is the province or territory?)
  • 10 Newfoundland and Labrador
  • 11 Prince Edward Island
  • 12 Nova Scotia
  • 13 New Brunswick
  • 24 Quebec
  • 35 Ontario
  • 46 Manitoba
  • 47 Saskatchewan
  • 48 Alberta
  • 59 British Columbia
  • 60 Yukon
  • 61 Northwest Territories
  • 62 Nunavut
  • 76 U.S.A.
  • 77 Outside Canada and U.S.A.
  • (DK, RF not allowed)

Programmer:

  • If PROV= 76 (U.S.A.), go to AD_N01_STA (STATE / ÉTAT).
  • Otherwise, go to AD_END

AD_N01_STA

  • INTERVIEWER : Select the state.
  • If necessary, ask: (What is the state?)
  • 01 Alabama
  • 02 Alaska
  • 03 Arizona
  • 04 Arkansas
  • 05 California
  • 06 Colorado
  • 07 Connecticut
  • 08 Delaware
  • 09 District of Columbia
  • 10 Florida
  • 11 Georgia
  • 12 Hawaï
  • 13 Idaho
  • 14 Illinois
  • 15 Indiana
  • 16 Iowa
  • 17 Kansas
  • 18 Kentucky
  • 19 Louisiana
  • 20 Maine
  • 21 Maryland
  • 22 Massachusetts
  • 23 Michigan
  • 24 Minnesota
  • 25 Mississippi
  • 26 Missouri
  • 27 Montana
  • 28 Nebraska
  • 29 Nevada
  • 30 New Hampshire
  • 31 New Jersey
  • 32 New Mexico
  • 33 New York
  • 34 North Carolina
  • 35 North Dakota
  • 36 Ohio
  • 37 Oklahoma
  • 38 Oregon
  • 39 Pennsylvania
  • 40 Rhode Island
  • 41 South Carolina
  • 42 South Dakota
  • 43 Tennessee
  • 44 Texas
  • 45 Utah
  • 46 Vermont
  • 47 Virginia
  • 48 Washington
  • 49 West Virginia
  • 50 Wisconsin
  • 51 Wyoming
  • (DK, RF not allowed)

AD_N01_ZIP

  • INTERVIEWER : Enter only a US zip code.
  • If necessary, ask: (What is the zip code?)
  • (12 spaces)
  • DK, RF (Go to AD_END)

AD_END

Confirm Telephone (TELC)

TELC_BEG

  • External fields required:
  • Variables taken from sample file:
  • TELNUM: telephone number

TELC_D01A

  • Not Applicable

TELC_C01B

  • If TELNUM = EMPTY, go to TELC_B02.
  • Otherwise, go to TELC_D01B.

TELC_D01B

  • Programmer: DT_TELEPHONENUMBER1 = TELNUM from Sample file.
  • Display using the format "(XXX) XXX-XXXX".

TELC_Q01
I would like to confirm your telephone number.
Is it ^DT_TelephoneNumber1?

  • 1 Yes
  • 2 No (Go to TELC_B02)
  • DK, RF
  • Go to TELC_C02

TELC_C02

  • If TELC_Q01 = 1 (Yes), go to TELC_END.
  • Otherwise, go to TELC_B02.

TELC_B02

  • Call the North American Telephone (NATP) block.

    Programmer:

    • Pass the following parameters:
    • DV_QTEXT_E = "What is your telephone number, including the area code?"
    • DT_TelephoneNumber1 = TELC_B02.NAT_TEL

TELC_END

North American Telephone (NATP)

NATP_BEG

  • Import the following variables:
  • DV_QTEXT_E (Question Text)

NATP_Q01
^DV_QTEXT_E

  • INTERVIEWER : Enter the area code.
  • If necessary, ask: (What is the area code?)
  • Enter "000" if no telephone.
  • (MIN: 0)
  • (MAX: 995)

DK, RF (Go to NATP_Q02)

NATP_C01

  • If NATP_Q01 = "000", fill NATP_Q02 with "0000000", go to NATP_END.
  • Otherwise, go to NATP_E01A.

NATP_Q02
(^DV_QTEXT_E)

  • INTERVIEWER : Enter the telephone number.
  • If necessary, ask: (What is the telephone number?)
  • (MIN: 0)
  • (MAX: 9,999,995)
  • DK, RF

NATP_END

Dwelling (DW)

DW_BEG

DW_N02

  • INTERVIEWER : Select the dwelling type.
  • 01 Single detached
  • 02 Double
  • 03 Row or Terrace
  • 04 Duplex
  • 05 Low-rise apartment (fewer than 5 stories) or flat
  • 06 High-rise apartment (5 stories or more)
  • 07 Institution
  • 08 Hotel; rooming/lodging house; camp
  • 09 Mobile home
  • 10 Other - Specify
  • DK, RF
  • Go to DW_END

Help text:

  • Definition :
  • Single detached: a structure with one dwelling only, separated by open space from all other structures (except its own garage or shed)
  • Double: a dwelling joined to only one other dwelling, separate from it by a wall extending from ground to roof
  • Row or terrace: a dwelling unit in a row of three or more dwellings sharing common walls extending from ground to roof in which there are no other dwellings either above or below
  • Duplex: two dwellings, situated one above the other, not attached to any other structure and surrounded on all sides by open space
  • Low-rise apartment or flat: a dwelling in a triplex, quadriplex or an apartment building of fewer than 5 stories, separated from other dwellings by horizontal and vertical divisions
  • High-rise apartment: a dwelling within a residential structure of 5 or more stories
  • Institution: a collective dwelling which exists primarily to provide short-term or long-term custody or medical care (e.g., penitentiaries, orphanages, nursing homes, hospitals, homes of religious orders)
  • Hotel; rooming/lodging house; camp: non-institutional collective dwellings
  • Mobile home: a movable dwelling designed and constructed to be transported (by road) on its own chassis to a site, and placed on a temporary foundation such as block posts or a prepared pad
  • Other: includes dwellings (other than mobile homes) used as permanent residences and capable of being moved on short notice, such as motor homes, tents, railroad cars, houseboats, etc.

DW_S02

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

DW_END

Collective Dwelling (COLL)

Overview:

  • COLL is called if DW_N02 = 08.

COLL_BEG

COLL_N01

  • INTERVIEWER : Specify the type of collective dwelling (e.g., lodging/rooming house, hotel, motel, hostel, tourist home, hospital, staff residence, working camp, etc.)
  • If necessary, ask: (Please specify the type of dwelling.)
  • (80 spaces)
  • (DK, RF not allowed)

COLL_Q02

  • What is the total number of people living here?
  • Number of people
  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

COLL_END

Dwelling Minimum (DMB)

DMB_BEG

DMB_Q01
Is this dwelling... ?

  • INTERVIEWER : Read categories to respondent.
  • If the respondent's household contains both owners and renters, such as a boarder, the dwelling should be considered owned.
    1. Owned by you or a member of this household, even if it is still being paid for
    2. Rented, even if no cash rent is paid
  • DK, RF

Help text:

  • Tag: Owned or rented
  • Choose "Owned" if the respondent and/or another member of this household own the dwelling in which they live, even if the dwelling is on rented or leased land, or if it is part of a condominium, or if it is still being paid for by the respondent or another member of this household.
  • Choose "Rented" in all other cases, even if the dwelling occupied by the respondent is provided without cash rent or at a reduced rent (for example, a clergy's residence or a superintendent's dwelling in an apartment building), or the dwelling is part of a co-operative.

DMB_B01B

  • Call Number of Rooms block DWE2.

DMB_Q02

  • Is this dwelling in need of any repairs?
  • Do not include remodelling or additions.
  • INTERVIEWER : Read categories to respondent.
    1. No, only regular maintenance is needed (painting, furnace cleaning, etc.)
    2. Yes, minor repairs are needed (missing or loose floor tiles, bricks or shingles, defective steps, railing or siding, etc.)
    3. Yes, major repairs are needed (defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings, etc.)
  • DK, RF

Help text:

  • Tag: Maintenance of the dwelling
  • Regular maintenance means the normal activities continually being performed to prevent the dwelling from deteriorating, such as oiling hinges and replacing electrical fuses.
  • If some part of the respondent's dwelling is damaged, defective or not operating properly, they should choose "minor repairs" or "major repairs". They should choose "major repairs" if their dwelling needs critical repairs to electrical, heating or water systems; or structures such as walls, floors, ceilings; or needs major replacements such as a new roof, or new external siding.
  • If the dwelling needs both minor and major repairs, the respondent should choose "major repairs".

DMB_END

Number of Rooms (DWE2)

DWE2_BEG

DWE2_Q01
How many bedrooms are there in this dwelling?

  • INTERVIEWER : Include all rooms designed as bedrooms even if they are now used for something else, for example, as guest rooms or television rooms.
  • Do not count rooms used solely for business purposes.
  • Include all rooms used as bedrooms now, even if they were not originally built as bedrooms, such as bedrooms in a finished basement.
  • For a one-room dwelling or bachelor apartment, enter zero
  • Number of bedrooms
  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

DWE2_END

Roster Introduction (RS)

RS_BEG

RS_R01
The next few questions ask for important basic information about the people in your household.

  • INTERVIEWER : Press <ENTER> to continue.
  • Programmer: Call "Usual" Roster Block (USU)
  • Call "Usual" Roster Block (USU)

RS_Q02
Is anyone staying here temporarily?

  • 1 Yes
  • 2 No
  • DK, RF
  • Programmer: If RS_Q02 = 1, call Temporary Roster Block (TEM)

RS_Q04
Are there any other persons who usually live here but are now away at school, in hospital, or somewhere else?

  • 1 Yes
  • 2 No
  • DK, RF

Programmer:

  • If RS_Q04 = 1, call Other Roster 1 Block (OTH1)

RS_END

Usual Roster (USU)

USU_BEG

USU_Q01
What are the names of all persons who usually live here?

  • INTERVIEWER : Begin with adults who have responsibility for the care or support of the family.
    Enter the first name.
  • INTERVIEWER: Begin with adults who have responsibility for the care or support of the family.
    Enter the last name.
  • (DK, RF not allowed)

USU_END

Temporary Roster (TEM)

TEM_BEG

TEM_Q01
What are the names of all persons who are staying here temporarily?

  • INTERVIEWER : Add a person only if he/she has no other usual residence elsewhere.
    Enter the first name.
  • INTERVIEWER: Add a person only if he/she has no other usual residence elsewhere.
    Enter the last name.

TEM_END

Other Roster 1 (OTH1)

OTH1_BEG

OTH1_Q01
What are the names of the other people who live or stay here?

  • INTERVIEWER : Add a person only if he/she has no other usual residence elsewhere.
    Enter the first name.
  • INTERVIEWER: Add a person only if he/she has no other usual residence elsewhere.
    Enter the last name.

OTH1_END

Demographic Introduction (DM)

DM_BEG

DM_N01

  • INTERVIEWER : The following questions collect the demographic information for all household members.
  • (DK, RF not allowed)

DM_END

Age with Confirmation (AWC)

AWC_BEG

  • External variables required:
  • RESPONDENTNAME: name of respondent selected from
  • the roster for collection of demographic
  • information (one space separating first and last names)
  • REFERENCEYEAR: numeric year during which interview is
  • taking place
  • REFERENCEMONTH: numeric month during which interview
  • is taking place
  • REFERENCEMONTHE: English text for month during which
  • interview is taking place
  • REFERENCEDAY: numeric day during which interview is
  • taking place

AWC_Q02
What is ^RESPONDENTNAME's date of birth?

  • INTERVIEWER : Enter the day.
  • If necessary ask: (What is the day?)
  • INTERVIEWER : Enter the month.
  • If necessary ask: (What is the month?)
  • 01 January 07 July
  • 02 February 08 August
  • 03 March 09 September
  • 04 April 10 October
  • 05 May 11 November
  • 06 June 12 December
  • INTERVIEWER : Enter a four-digit year.
  • If necessary ask: (What is the year?)

Programmer:

  • If DK or RF is entered in either AWC_Q02.Month or AWC_Q02.Year, go to AWC_Q02. If AWC_Q02. Day is DK or RF and AWC_Q02.Month and AWC_Q02.Year contain valid information and AWC_Q02.Month = current month, go to AWC_Q04. Calculate age (DV_CALCULATEDAGE) based on the entered date of birth.

AWC_Q03
So ^RESPONDENTNAME's age on ^REFERENCEMONTHE ^REFERENCEDAY, ^REFERENCEYEAR was ^DV_CALCULATEDAGE ^DT_YEARSMONTHSE.
Is that correct?

  • INTERVIEWER : Date of birth is ^DV_MONTHOFBIRTHE ^DAYOFBIRTH, ^YEAROFBIRTH.
  • 1 Yes (Go to AWC_END)
  • 2 No, return and correct date of birth
  • 3 No, collect age
  • (DK, RF not allowed)

AWC_Q04
What is ^RESPONDENTNAME's age?

  • Age in years
  • (MIN: 0)
  • (MAX: 130)
  • (DK, RF not allowed)

AWC_END

Sex (SEX)

SEX_BEG

  • External variables required:
  • RESPONDENTNAME: name of respondent selected from
  • the roster for collection of demographic
  • information (one space separating first and last names)

SEX_Q01

  • INTERVIEWER : Enter ^RESPONDENTNAME's sex.
  • If necessary, ask: (Is ^RESPONDENTNAME male or female?)
  • 1 Male
  • 2 Female
  • (DK, RF not allowed)

SEX_END

Marital Status with Confirmation (De-facto) (MSWC)

Overview:

  • MSWC is called if the age of the household member is >= 16.

MSWC_BEG

  • External variables required:
  • RESPONDENTNAME: name of respondent selected from
  • the roster for collection of demographic
  • information

MSWC_Q02
What is ^RESPONDENTNAME's marital status? Is he:

  • INTERVIEWER : Read categories to respondent.
  • 1 ...married?
  • 2 ...living common-law?
  • 3 ...widowed?
  • 4 ...separated?
  • 5 ...divorced?
  • 6 ...single, never married?
  • DK, RF

MSWC_END

Educational Attainment (EHG2)

Overview:

  • EHG2 is called if the age of the household member is >= 12.

EHG2_BEG

  • External fields required:
  • RESPONDENTNAME: name of respondent selected from
  • the roster for collection of demographic
  • information

EHG2_Q01
What is the highest grade of elementary or high school ^RESPONDENTNAME has ever completed?

  • 1 Grade 8 or lower (Québec: Secondary II or lower)
  • (Go to EHG2_Q03)
  • 2 Grade 9 - 10 (Québec: Secondary III or IV, Newfoundland and Labrador: 1st year secondary)
  • (Go to EHG2_Q03)
  • 3 Grade 11 - 13 (Québec: Secondary V, Newfoundland and Labrador: 2nd to 3rd year of secondary)
  • DK, RF

Help text:

  • Tag: Educational Attainment
  • The attainment of a certificate, diploma or degree is considered to be at a higher level than some post secondary education without a certificate, diploma or degree.

EHG2_Q02
Did ^RESPONDENTNAME complete a high school diploma or its equivalent?

  • 1 Yes
  • 2 No
  • DK, RF

EHG2_Q03
Has ^RESPONDENTNAME received any other education that could be counted towards a certificate, diploma or degree from an educational institution?

  • 1 Yes (Go to EHG2_Q04)
  • 2 No DK, RF Go to EHG2_END

EHG2_Q04
What is the highest certificate, diploma or degree that ^RESPONDENTNAME has completed?

  • 1 Less than high school diploma or its equivalent
  • 2 High school diploma or a high school equivalency certificate
  • 3 Trade certificate or diploma
  • 4 College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
  • 5 University certificate or diploma below the bachelor's level
  • 6 Bachelor's degree (e.g. B.A., B.Sc., LL.B.)
  • 7 University certificate, diploma or degree above the bachelor's level
  • DK, RF

EHG2_END

Canadian Forces (CAF)

Overview:

  • CAF is called if the age of the household member is >15 and <65.

CAF_BEG

  • External fields required:
  • RESPONDENTNAME: name of respondent selected from
  • the roster for collection of demographic
  • information

CAF_Q01
Is ^RESPONDENTNAME a full time member of the regular Canadian Armed Forces?

  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

Content type:

  • NOTE TO DATA USERS:
  • Full time members of the regular Canadian Armed Forces are not eligible to be sampled for the CHMS.

CAF_END

Relationship with Confirmation (RWC)

RWC_BEG

  • External variables required:
  • RESPONDENTNAME1:
  • name of first respondent in the relationship being
  • collected
  • AGE1: age of first respondent in the relationship being
  • collected
  • SEX1E: If sex of first respondent in the relationship being
  • collected = 1, then Sex1E = "Male"
  • If sex of first respondent in the relationship being
  • collected = 2, then Sex1E = "Female"
  • RESPONDENTNAME2:
  • name of second respondent in the
  • relationship being collected
  • AGE2: age of second respondent in the relationship
  • being collected
  • SEX2E: If sex of second respondent in the relationship being
  • collected = 1, then Sex2E = "Male"
  • If sex of second respondent in the relationship being
  • collected = 2, then Sex2E = "Female"

RWC_Q2
What is the relationship ...
of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

  • 01 Husband/Wife
  • 02 Common-law partner
  • 03 Father/Mother
  • (Go to RWC_Q3A)
  • 04 Son/Daughter
  • (Go to RWC_Q3B)
  • 05 Brother/Sister
  • (Go to RWC_Q3C)
  • 06 Foster father/mother
  • 07 Foster son/daughter
  • 08 Grand father/mother
  • 09 Grandson/daughter
  • 10 In-law
  • (Go to RWC_Q3D)
  • 11 Other related
  • (Go to RWC_Q3E)
  • 12 Unrelated
  • DK, RF

RWC_Q3A
What is the relationship ...
of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

  • Is that a(n):
  • INTERVIEWER : Read categories to respondent.
  • 1 birth father/mother?
  • 2 step father/mother?
  • 3 adoptive father/mother?
  • DK, RF
  • Go to RWC_END

RWC_Q3B
What is the relationship ...
of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

  • Is that a(n):
  • INTERVIEWER : Read categories to respondent.
  • 1 ...birth son/daughter?
  • 2 ...step son/daughter?
  • 3 ...adopted son/daughter?
  • DK, RF
  • Go to RWC_END

RWC_Q3C
What is the relationship ...

of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

  • Is that a(n):
  • INTERVIEWER : Read categories to respondent.
  1. ...full brother/sister?
  2. ...half brother/sister?
  3. ...step brother/sister?
  4. ...adopted brother/sister?
  5. ...foster brother/sister?
  • DK, RF
  • Go to RWC_END

RWC_Q3D
What is the relationship ...

  • of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
  • to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?
  • Is that a(n):
  • INTERVIEWER : Read categories to respondent.
  • 1 ...father/mother in-law?
  • 2 ...son/daughter in-law?
  • 3 ...brother/sister in-law?
  • 4 ...other in-law?
  • DK, RF
  • Go to RWC_END

RWC_Q3E
What is the relationship ...

  • of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
  • to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?
  • Is that a(n):
  • INTERVIEWER : Read categories to respondent.
  • 1 ...uncle/aunt?
  • 2 ...cousin?
  • 3 ...nephew/niece?
  • 4 ...other relative?
  • DK, RF
  • Go to RWC_END

RWC_END

Person Providing Demographics (PPD)

Overview:

  • PPD identifies the person who is providing the household roster information. A list of household members 10 years of age and over is available to choose from. It includes category "88" (Non-household member).

PPD_BEG

PPD_N01

  • INTERVIEWER : Select the person who is providing the information. If the person is not on the list, select "Non-household member".
  • (DK, RF not allowed)

Programmer:

  • Display all current household members (i.e., those with membership codes of 01, 02, 03, 05 or 06) that are 10 years of age or older. Note that "Non-household member" should be saved as code 88.

Content type:

  • NOTE TO DATA USERS: Random selection of CHMS respondents takes place after the demographic information is collected. One person is selected from the list of household members aged 12 to 79. In households with children aged 3 to 11, an additional child aged 3 to 11 is selected.

PPD_END

Person providing information (PPI)

Overview:

  • PPI identifies the person who is providing the survey information.
  • A list of household members over 11 years of age is available to choose from. It includes category "88" (Non-household member).

PPI_BEG External variables required:

  • Variables from other components:
  • RESPONDENTNAME: name of respondent
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • SEX_Q01: sex of respondent (1 = male; 2 = female)

PPI_N01

  • INTERVIEWER : Select the person who is providing the information. If the person is not on the list, select "Non-household member".
  • (DK, RF not allowed)

Programmer:

  • Display all current household members (i.e., those with membership codes of 01, 02, 03, 05 or 06) that are 12 years of age or older. Note that "Non-household member" should be saved as code 88.

PPI_D01

Programmer:

  • IF PPI_N01 = person ID of selected respondent, THEN
    • IF SEX_Q01 = 1 (Male), THEN
      • PROXYSEX = 1
    • ELSE
      • PROXYSEX = 2
    • ENDIF
  • ELSE
    • IF SEX_Q01 = 1 (Male), THEN
      • PROXYSEX = 3
    • ELSE
      • PROXYSEX = 4
    • ENDIF
  • ENDIF

PPI_C02

  • If PROXYSEX = 1 or 2, go to PPI_END.
  • Otherwise, go to PPI_N02.

PPI_N02

  • INTERVIEWER : Is the person providing the information a parent or guardian of ^FNAME?
  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

Content type:

  • NOTE TO DATA USERS:
  • A parent or guardian must provide the information for a respondent who is less than 12 years old.

PPI_C03

  • If PPI_N02 = 2, go to PPI_END.
  • Otherwise, go to PPI_N03.

PPI_N03

  • INTERVIEWER : Is the person providing the information a birth or biological parent of ^FNAME?
  • 1 Yes
  • 2 No
  • (DK, RF not allowed)

PPI_END

General Health (GEN)

GEN_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

GEN_D11

  • Not Applicable

GEN_R11
This survey deals with various aspects of your health. I'll be asking about such things as physical activity, nutrition, environment and health status. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

  • INTERVIEWER : Press <1> to continue.

GEN_Q11
In general, would you say your health is... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Excellent
  • 2 Very good
  • 3 Good
  • 4 Fair
  • 5 Poor
  • DK, RF

Help text:

  • Tag: Perceived health
  • Perceived health is an indicator of overall health status. It can reflect aspects of health not captured in other measures, such as: incipient disease, disease severity, aspects of positive health status, physiological and psychological reserves and social and mental function. Perceived health refers to the perception of a person's health in general, either by the person himself or herself, or, in the case of proxy response, by the person responding. Health means not only the absence of disease or injury but also physical, mental and social well being.
  • Press "Escape" to return.

GEN_Q12
Compared to one year ago, how would you say your health is now? Is it... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Much better now than 1 year ago
  • 2 Somewhat better now (than 1 year ago)
  • 3 About the same as 1 year ago
  • 4 Somewhat worse now (than 1 year ago)
  • 5 Much worse now (than 1 year ago)
  • DK, RF

GEN_C13

  • If PROXYSEX = 3 or 4, go to GEN_C15.
  • Otherwise, go to GEN_Q13A.

GEN_Q13A
Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?

  • 0 Very dissatisfied
  • 1 I
  • 2 I
  • 3 I
  • 4 I
  • 5 I
  • 6 I
  • 7 I
  • 8 I
  • 9 V
  • 10 Very satisfied
  • (MIN: 0)
  • (MAX: 10)
  • DK, RF

GEN_Q14
In general, would you say your mental health is... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Excellent
  • 2 Very good
  • 3 Good
  • 4 Fair
  • 5 Poor
  • DK, RF

GEN_C15

  • If AWC_AGE < 12, go to GEN_C16A.
  • Otherwise, go to GEN_Q15.

GEN_Q15
Thinking about the amount of stress in your life, would you say that most days are... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Not at all stressful
  • 2 Not very stressful
  • 3 A bit stressful
  • 4 Quite a bit stressful
  • 5 Extremely stressful
  • DK, RF

GEN_C16A

  • If PROXYSEX = 3 or 4, go to GEN_D20.
  • Otherwise, go to GEN_C16B.

GEN_C16B

  • If AWC_AGE < 15 or > 75, go to GEN_Q18.
  • Otherwise, go to GEN_Q16.

GEN_Q16
Have you worked at a job or business at any time in the past 12 months?

  • 1 Yes
  • 2 No (Go to GEN_Q18)
  • DK, RF (Go to GEN_Q18)

GEN_Q17
The next question is about your main job or business in the past 12 months.

 

Would you say that most days at work were... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Not at all stressful
  • 2 Not very stressful
  • 3 A bit stressful
  • 4 Quite a bit stressful
  • 5 Extremely stressful
  • DK, RF

GEN_Q18
How would you describe your sense of belonging to your local community? Would you say it is... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Very strong
  • 2 Somewhat strong
  • 3 Somewhat weak
  • 4 Very weak
  • DK, RF

GEN_Q19

Would you rate your quality of life as... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Excellent
  • 2 Very good
  • 3 Good
  • 4 Fair
  • 5 Poor
  • DK, RF

GEN_D20

  • Not Applicable

GEN_Q20
Do you have a regular medical doctor?

  • 1 Yes
  • 2 No
  • DK, RF

GEN_END

Pregnancy (PRS)

PRS_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • SEX_Q01: sex of respondent (1 = male; 2 = female)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

PRS_C11A

  • If SEX_Q01 = 1, go to PRS_END.
  • Otherwise, go to PRS_C11B.

PRS_C11B

  • If AWC_AGE < 14 or > 59, go to PRS_END.
  • Otherwise, go to PRS_Q11.

PRS_Q11
It is important to know when analyzing health whether or not the person is pregnant. Are you pregnant?

  • 1 Yes
  • 2 No
  • DK, RF

PRS_END

Chronic Conditions (CCC)

CCC_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • SEX_Q01: sex of respondent (1 = male; 2 = female)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

CCC_R11
Now I'd like to ask about certain chronic health conditions which you may have. We are interested in "long-term conditions" which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.

CCC_D11

  • Not Applicable

CCC_Q11
Do you have asthma?

  • 1 Yes
  • 2 No (Go to CCC_C21)
  • DK (Go to CCC_C21)
  • RF (Go to CCC_END)

CCC_Q12
How old were you when this was first diagnosed?

  • INTERVIEWER : Maximum is ^AWC_AGE.
  • Age in years
  • (MIN: 0)
  • (MAX: 79)
  • DK, RF

CCC_Q13
Have you had any asthma symptoms or asthma attacks in the past 12 months?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_C21

  • If AWC_AGE < 12, go to CCC_C31.
  • Otherwise, go to CCC_Q21.

CCC_Q21
Do you have fibromyalgia?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_D22

  • If CCC_Q21=1, DT_FIBROTEXTE = ", excluding fibromyalgia".
  • If CCC_Q21=2, DK or RF, DT_FIBROTEXTE = "EMPTY".

CCC_Q22
Do you have arthritis[, excluding fibromyalgia/EMPTY]?

  • 1 Yes
  • 2 No (Go to CCC_Q24)
  • DK, RF (Go to CCC_Q24)

Help text:

  • Tag: Arthritis
  • Arthritis means "joint inflammation" and encompasses more than 100 diseases and conditions that affect the joints, the tissues that surround the joint and other connective tissue causing pain, swelling and stiffness which often lead to disability.
  • Osteoarthritis results from deterioration of cartilage and thickening of the bones underneath, in one of more joints. This leads to joint damage, pain and stiffness. Typically it affects hands, feet, knees, spine and hips.
  • Rheumatoid Arthritis is a type of inflammatory arthritis and an autoimmune disease. It is caused by the body's immune system attacking the body's joints (primarily hands, wrists and feet). This leads to pain, inflammation and joint damage. Rheumatoid Arthritis may also involve other organ systems such as eyes, heart and lungs.
  • Rheumatism is an older term used to describe any of a number of painful conditions of muscles, tendons, joints, and bones. While the term is still used in colloquial speech, there is no longer any recognized disorder called "rheumatism". Rheumatism conditions have been classified as localized, regional or generalized. Localized rheumatism conditions include bursitis and tendinitis. Regional rheumatism conditions include chest wall pain, temporomandibular joint pain, and myofascial pain syndromes. Generalized rheumatism conditions include fibromyalgia. Another category of rheumatism is psychogenic rheumatism. With this term it is understood that the patient is reporting inconsistent pains of muscles and joints that do not correspond to true anatomy and physiology. The patient is felt to have underlying psychological causes for the symptoms.
  • Press "Escape" to return.

CCC_Q23
What kind of arthritis do you have?

  • INTERVIEWER : Mark all that apply.
  • 2 Osteoarthritis
  • 4 Other - Specify (Go to CCC_S23)
  • DK, RF

Go to CCC_Q24

CCC_S23
(What kind of arthritis do you have?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

CCC_D24

  • If CCC_Q21=1 and CCC_Q22=1, DT_CCCTEXTE = ", excluding fibromyalgia and arthritis".
  • If CCC_Q21=1 and CCC_Q22=2, DT_CCCTEXTE = ", excluding fibromyalgia".
  • If CCC_Q21=2 and CCC_Q22=1, DT_CCCTEXTE = ", excluding arthritis".
  • If CCC_Q21=2 and CCC_Q22=2, DT_CCCTEXTE = "EMPTY".

CCC_Q24
Do you have back problems[, excluding fibromyalgia and arthritis/, excluding fibromyalgia/, excluding arthritis/EMPTY]?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_C25

  • If AWC_AGE > 39, go to CCC_Q25.
  • Otherwise, go to CCC_C31.

CCC_Q25
Do you have osteoporosis?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_C31

  • If AWC_AGE < 6, go to CCC_D41.
  • Otherwise, go to CCC_D31.

CCC_D31

  • Not Applicable

CCC_Q31
Remember, we're interested in conditions diagnosed by a health professional.

Do you have high blood pressure?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q32
In the past month have you taken any medicine for high blood pressure?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q33
Have you ever had your blood cholesterol measured?

  • 1 Yes
  • 2 No (Go to CCC_D41)
  • DK, RF (Go to CCC_D41)

CCC_Q34

Have you ever been told by a health professional that your blood cholesterol was high?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_D41

  • Not Applicable

CCC_Q41
Remember, we're interested in conditions diagnosed by a health professional.

Do you have chronic bronchitis?

  • 1 Yes
  • 2 No (Go to CCC_C43)
  • DK, RF (Go to CCC_C43)

CCC_Q42
How old were you when this was first diagnosed?

  • INTERVIEWER : Maximum is ^AWC_AGE.
  • Age in years
  • (MIN: 0)
  • (MAX: 79)
  • DK, RF

CCC_C43

  • If AWC_AGE < 30, go to CCC_Q51.
  • Otherwise, go to CCC_Q43.

CCC_Q43
Do you have emphysema?

  • 1 Yes
  • 2 N (Go to CCC_Q45)
  • DK, RF (Go to CCC_Q45)

CCC_Q44
How old were you when this was first diagnosed?

  • INTERVIEWER : Maximum is ^AWC_AGE.
  • Age in years
  • (MIN: 0)
  • (MAX: 79)
  • DK, RF

CCC_Q45
Do you have chronic obstructive pulmonary disease (COPD)?

  • 1 Yes
  • 2 No (Go to CCC_Q51)
  • DK, RF (Go to CCC_Q51)

CCC_Q46
How old were you when this was first diagnosed?

  • INTERVIEWER : Maximum is ^AWC_AGE.
  • Age in years
  • (MIN: 0)
  • (MAX: 79)
  • DK, RF

CCC_Q51
Remember, we're interested in conditions diagnosed by a health professional.

Do you have diabetes?

  • INTERVIEWER : Exclude respondents who have been told they have prediabetes. Only respondents with type 1, type 2 or gestational diabetes should answer "Yes" to this question.
  • 1 Yes
  • 2 No (Go to CCC_D61)
  • DK, RF (Go to CCC_D61)

CCC_Q52
Were you diagnosed with... ?

  • INTERVIEWER : Read categories to respondent. Mark all that apply.
  • 1 Insulin dependent diabetes - Type 1
  • 2 Non-insulin dependent diabetes - Type 2
  • 3 Gestational diabetes
  • DK, RF

CCC_C53

  • If CCC_Q52 = 3, DK or RF, go to CCC_D61.
  • Otherwise, go to CCC_Q53.

CCC_Q53
How old were you when this was first diagnosed?

  • INTERVIEWER : Maximum is ^AWC_AGE.
  • Age in years
  • (MIN: 0)
  • (MAX: 79)
  • DK, RF

CCC_D61

  • Not Applicable

CCC_Q61
Do you have heart disease?

  • 1 Yes
  • 2 No (Go to CCC_Q63)
  • DK, RF (Go to CCC_Q63)

CCC_Q62
How old were you when this was first diagnosed?

  • INTERVIEWER : Maximum is ^AWC_AGE.
  • Age in years
  • (MIN: 0)
  • (MAX: 79)
  • DK, RF

CCC_Q63
Have you ever been told by a health professional that you have had a heart attack?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q71
Remember, we're interested in conditions diagnosed by a health professional.

Do you have cancer?

  • 1 Yes
  • (Go to CCC_Q73)
  • 2 No
  • DK, RF (Go to CCC_C81)

CCC_Q72
Have you ever been diagnosed with cancer?

  • 1 Yes
  • 2 No (Go to CCC_C81)
  • DK, RF (Go to CCC_C81)

CCC_Q73
How old were you when this was first diagnosed?

  • INTERVIEWER : Maximum is ^AWC_AGE.
  • Age in years
  • (MIN: 0)
  • (MAX: 79)
  • DK, RF

CCC_C74

  • If SEX_Q01 = 1, go to CCC_Q75.
  • Otherwise, go to CCC_D74.

CCC_D74

  • If CCC_Q71 = 1, DT_CCC74TEXTE = "do".
  • Otherwise, DT_CCC74TEXTE = "did".

CCC_Q74

What type of cancer [do/did] you have?

 

  • INTERVIEWER : Mark all that apply.
  • 01 Breast
  • 02 Colorectal
  • 03 Skin - Melanoma
  • 04 Skin - Non-melanoma
  • 05 Ovarian
  • 06 Cervical
  • 07 Uterine
  • 08 Other - Specify
  • (Go to CCC_S74)
  • DK, RF

Go to CCC_C81

CCC_S74
(What type of cancer [do/did] you have?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

Go to CCC_C81

CCC_Q75
What type of cancer [do/did] you have?

  • INTERVIEWER : Mark all that apply.
  • 1 Prostate
  • 2 Colorectal
  • 3 Skin - Melanoma
  • 4 Skin - Non-melanoma
  • 5 Other - Specify
  • (Go to CCC_S75)
  • DK, RF
  • Go to CCC_C81

CCC_S75
(What type of cancer [do/did] you have?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

CCC_C81

  • If AWC_AGE < 12, go to CCC_Q83.
  • Otherwise, go to CCC_Q81.

CCC_Q81
Remember, we're interested in conditions diagnosed by a health professional.

Do you suffer from the effects of a stroke?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q82
Do you have a thyroid condition?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q83
Do you have a mood disorder such as depression, bipolar disorder, mania or dysthymia?

  • INTERVIEWER : Include manic depression.
  • 1 Yes
  • 2 No
  • DK, RF

CCC_C91

  • If AWC_AGE < 6, go to CCC_C92.
  • Otherwise, go to CCC_D91.

CCC_D91

  • Not Applicable

CCC_Q91
Remember, we're interested in conditions diagnosed by a health professional.

Do you have an eating disorder such as anorexia or bulimia?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_C92

  • If AWC_AGE < 12, go to CCC_Q95.
  • Otherwise, go to CCC_Q92.

CCC_Q92
Do you suffer from kidney dysfunction or disease?

  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q93
Do you have liver disease or gallbladder problems?

  • 1 Yes
  • 2 No (Go to CCC_Q95)
  • DK, RF (Go to CCC_Q95)

CCC_Q94
What kind of liver disease or gallbladder problem do you have?

  • INTERVIEWER : Mark all that apply. If respondent says gallbladder was removed and no other response to this question is provided, return to CCC_Q93 and enter "No".
  • 1 Hepatitis A
  • 2 Hepatitis B
  • 3 Hepatitis C
  • 4 Jaundice
  • 5 Cirrhosis
  • 6 Gallstones
  • 7 Other - Specify
  • (Go to CCC_S94)
  • DK, RF (Go to CCC_Q95)

Go to CCC_C95

CCC_S94
(What kind of liver disease or gallbladder problem do you have?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

CCC_C95

  • If <1>, <2> or <3> is selected at CCC_Q94, go to CCC_Q97.
  • Otherwise, go to CCC_Q95.

CCC_Q95
Do you have hepatitis?

  • 1 Yes
  • 2 No (Go to CCC_Q97)
  • DK, RF (Go to CCC_Q97)

CCC_Q96
What type of hepatitis do you have?

  • INTERVIEWER : Read categories to respondent. Mark all that apply.
  • 1 Hepatitis A
  • 2 Hepatitis B
  • 3 Hepatitis C
  • DK, RF

CCC_Q97
Has a doctor, psychologist or other health care professional ever said that you had a developmental disability or disorder? These may include Down syndrome, autism, Asperger syndrome, mental impairment due to lack of oxygen at birth, etc.

  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q98
Do you have Attention Deficit Disorder?

  • INTERVIEWER : Include Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder.
  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q99
Remember, we're interested in conditions diagnosed by a health professional.

Do you have a learning disability?

  • INTERVIEWER : Only include conditions diagnosed by a health professional, for example dyslexia.
  • Do not include conditions previously mentioned.
  • 1 Yes
  • 2 No
  • DK, RF

CCC_Q101
Do you have any other long-term physical or mental health condition that has been diagnosed by a health professional?

  • 1 Yes
  • 2 No (Go to CCC_END)
  • DK, RF (Go to CCC_END)

CCC_S101
(Do you have any other long-term physical or mental health condition that has been diagnosed by a health professional?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

CCC_END

Family Medical History (FMH)

FMH_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • RWC_Q3C: relationship between selected household members
  • PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy
  • FMHFLAG: whether FMH has already been completed by a member of the household (1 = FMH already completed)

Content type:

  • NOTE TO DATA USERS:
  • In households with two selected respondents who are full birth siblings, FMH is asked only to the first respondent interviewed.

FMH_C11

  • If (PERSEL = 2 and RWC_Q3C = 1 (for the relationship between the two selected household members) and FMHFLAG = 1), go to FMH_END.
  • Otherwise, go to FMH_D11A.

FMH_D11A

  • If PERSEL = 1 or (PERSEL = 2 and RWC_Q3C = 1 for the relationship between the two selected respondents), DT_FMH11INT2E = "EMPTY".
  • Otherwise, DT_FMH11INT2E = "It is important that we get this information from each individual that we interview, even those in the same family.".

FMH_D11B

  • If AWC_AGE > 14, DT_FMHTEXTE = ", birth siblings and birth children".
  • Else, DT_FMHTEXTE = " and birth siblings".

FMH_R11
The next set of questions is about the medical history of your immediate family members. [EMPTY/It is important that we get this information from each individual that we interview, even those in the same family.]

By immediate family, we mean only your birth parents [, birth siblings and birth children/ and birth siblings] - alive or deceased. We are only interested in conditions diagnosed by a health professional.

  • INTERVIEWER : Press <1> to continue.

FMH_Q11
Has anyone in your immediate family ever been diagnosed with heart disease, including a heart attack or angina?

  • 1 Yes
  • 2 No (Go to FMH_Q13)
  • DK, RF (Go to FMH_Q13)

FMH_Q12
What is the youngest age at which a member of your immediate family was first diagnosed with heart disease?

  • INTERVIEWER : If diagnosed at death, then use age at death.
  • Age in years
  • (MIN: 0)
  • (MAX: 130)
  • DK, RF

FMH_Q13
Has anyone in your immediate family ever had a stroke?

  • 1 Yes
  • 2 No (Go to FMH_Q15)
  • DK, RF (Go to FMH_Q15)

FMH_Q14
What is the youngest age at which a member of your immediate family had a stroke?

  • INTERVIEWER : If diagnosed at death, then use age at death.
  • Age in years
  • (MIN: 0)
  • (MAX: 130)
  • DK, RF

FMH_Q15
Has anyone in your immediate family ever had high blood pressure, excluding during pregnancy?

  • 1 Yes
  • 2 No (Go to FMH_Q17)
  • DK, RF (Go to FMH_Q17)

FMH_Q16
What is the youngest age at which a member of your immediate family was first diagnosed with high blood pressure?

  • INTERVIEWER : If diagnosed at death, then use age at death.
  • Age in years
  • (MIN: 0)
  • (MAX: 130)
  • DK, RF

FMH_Q17
Has anyone in your immediate family ever had arthritis?

  • 1 Yes
  • 2 No (Go to FMH_Q19)
  • DK, RF (Go to FMH_Q19)

FMH_Q18
What is the youngest age at which a member of your immediate family was first diagnosed with arthritis?

  • INTERVIEWER : If diagnosed at death, then use age at death.
  • Age in years
  • (MIN: 0)
  • (MAX: 130)
  • DK, RF

FMH_Q19
Has anyone in your immediate family ever had diabetes, excluding during pregnancy?

  • 1 Yes
  • 2 No (Go to FMH_Q23)
  • DK, RF (Go to FMH_Q23)

FMH_Q21
Was this... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Insulin dependent diabetes (Type 1)
  • 2 Non-insulin dependent diabetes (Type 2)
  • 3 Both
  • DK, RF

FMH_Q22
What is the youngest age at which a member of your immediate family was first diagnosed with diabetes?

  • INTERVIEWER : If diagnosed at death, then use age at death.
  • Age in years
  • (MIN: 0)
  • (MAX: 130)
  • DK, RF

FMH_Q23
Has anyone in your immediate family ever had asthma?

  • 1 Yes
  • 2 No (Go to FMH_END)
  • DK, RF (Go to FMH_END)

FMH_Q24
Was it one of your parents who was diagnosed with asthma?

  • 1 Yes
  • 2 No
  • DK, RF

FMH_D24

  • If FHM_Q11=DK or RF and FMH_Q13=DK or RF and FMH_Q15=DK or RF and FMH_Q17=DK or RF and FMH_Q19=DK or RF and FMH_Q23=DK or RF, DV_FMHFLAG = 2
  • Otherwise, DV_FMHFLAG = 1

FMH_END

Phlegm (PLM)

PLM_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • DateLastYearE
  • Date2YearsAgoE
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

PLM_R11
We asked you earlier about "long-term conditions" that have been diagnosed by a health professional. Now, a few questions about conditions that do not need to have been diagnosed by a health professional and that have lasted 3 months or more.

  • INTERVIEWER : Press <1> to continue.

PLM_D11

Programmer:

  • DateLastYearE: English text of date one year ago

PLM_Q11
During the past year, that is, from ^DateLastYearE to yesterday, have you had a cough where you brought up phlegm that lasted 3 months or more?

  • 1 Yes
  • 2 No (Go to PLM_END)
  • DK, RF (Go to PLM_END)

PLM_D12

Programmer:

  • Date2YearsAgoE: English text of date two years ago

PLM_Q12
During the previous year, that is, from ^Date2YearsAgoE to ^DateLastYearE, did you have a cough where you brought up phlegm that lasted 3 months or more?

  • 1 Yes
  • 2 No
  • DK, RF

PLM_END

Hepatitis (HEP)

HEP_BEG

  • External variables required:
  • Variables from other components:
  • ReferenceYear: numeric year during which interview is taking place
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

HEP_R11
The next questions are about hepatitis.

  • INTERVIEWER : Press <1> to continue.

HEP_Q12
Hepatitis B vaccinations usually come in a 2 or 3 dose series. Have you received a complete series of hepatitis B vaccines?

  • INTERVIEWER : Examples of hepatitis B vaccines include Engerix-B, Recombivax HB, and Twinrix.
  • 1 Yes
  • 2 No
  • DK, RF

HEP_C13

  • If AWC_AGE <= (ReferenceYear - 1990), go to HEP_END.
  • Otherwise, go to HEP_Q13.

HEP_Q13
Did you receive a blood transfusion in Canada before 1990?

  • 1 Yes
  • 2 No
  • DK, RF

HEP_END

Human Papillomavirus Vaccine (HPV)

HPV_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • SEX_Q01: sex of respondent (1 = male; 2 = female)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

HPV_C11

  • If SEX_Q01 = 1 or AWC_AGE < 9 or > 59, go to HPV_END.
  • Otherwise, go to HPV_R11.

HPV_R11
The next few questions are about the human papillomavirus or HPV vaccine.

  • INTERVIEWER : Press <1> to continue.

HPV_C12

  • If AWC_AGE > 13, go to HPV_Q12.
  • Otherwise, go to HPV_R12.

HPV_R12
An HPV vaccine is offered to girls in many schools across Canada, as early as age 9.

  • INTERVIEWER : The vaccine is given starting in grade 4 in some jurisdictions.
  • Press <1> to continue.

HPV_Q12
Have you ever received the HPV vaccine?

  • 1 Yes
  • 2 No (Go to HPV_END)
  • DK, RF (Go to HPV_END)

HPV_Q13
HPV vaccinations usually come in a 3 dose series. How many doses have you received?

  • 1 1 dose
  • 2 2 doses
  • 3 3 doses
  • DK, RF

HPV_END

Medication

Medication Use (MEU)

Overview:

    • Information is collected on a total of up to 45 prescription medications, over-the counter medications and other health products, taken or used in the past month. Look-up databases are used to identify the products. Products containing ingredients of particular interest have been pre-flagged on these databases (FollowUpFlag = 1). For these products, additional questions are administered to collect information on the quantity and frequency of use.

MEU_BEG

  • External variables required:
  • Variables from other components:
  • SEX_Q01 : sex of respondent (1 = male; 2 = female)
  • AWC_AGE : age of respondent
  • FNAME: first name of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

Programmer:

  • Set DT_DateLastMonthE = English text of date one month ago.

MEU_D01

  • Not Applicable

MEU_R01
Now I'd like to ask a few questions about your use of prescriptions, over-the-counter medications and other health products, including natural health products.

In order to record this information accurately, I will need to see the bottles and containers. We are interested in any prescription and over-the-counter medications, vitamins, minerals, other health products and health remedies that you have taken or used in the past month, that is, from ^DT_DateLastMonthE to today.

Could you please go and get all the bottles and containers for these products now.

  • INTERVIEWER : Press <1> to continue.

MEU_D02B

  • If SEX_Q01 = 1 and AWC_AGE > 13, DT_MEUTEXT2E = "antibiotics and nicotine patches".
  • Otherwise, if SEX_Q01 = 2 and AWC_AGE > 13, DT_MEUTEXT2E = "antibiotics, nicotine patches and birth control pills, patches or injections".
  • Otherwise, DT_MEUTEXT2E = "antibiotics and asthma medication".

MEU_Q02
First I need to capture information on medications that have been prescribed or administered by a health professional such as a doctor or dentist. This includes such things as insulin, [antibiotics and nicotine patches/antibiotics, nicotine patches and birth control pills, patches or injections/antibiotics and asthma medication].

Remember, we are only interested in prescription medications that you have taken or used in the past month.

  • INTERVIEWER : Has the respondent taken or used any prescription medications in the past month?
  • This question applies only to medications taken or used within the past month. Medications that have been prescribed but not taken or used within this period of time (e.g., Epi-pen) should not be captured.
  • 1 Yes
  • 2 No (Go to MEU_Q22)
  • DK, RF (Go to MEU_Q22)

MEU_B11

  • Call the New product information (NPI) block

Content type:

  • NOTE TO DATA USERS:
    The NPI block is called once for each prescription medication, up to a maximum of 45 times.

MEU_C11

  • If the number of products captured is less than 45, go to MEU_N11.
  • Otherwise, go to MEU_Q15.

MEU_N11

  • INTERVIEWER : Do you have another prescription medication to capture?
  • 1 Yes
  • (Go to MEU_B11)
  • 2 No
  • (DK not allowed)
  • RF
  • (Go to MEU_Q22)

MEU_Q12
Have you taken or used any other prescription medications in the past month?

Please include any prescription creams, injections or patches.

  • 1 Yes(Go to MEU_B11)
  • 2 No
  • DK, RF

Go to MEU_Q22

Content type:

NOTE TO DATA USERS:

  • MEU_Q15 to MEU_Q21 are asked only if more than 45 prescription medications have been taken or used in the past month.

MEU_Q15
How many other prescription medications have you taken or used in the past month? Please include any prescription creams, injections or patches.

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

MEU_Q20
Have you taken or used any over-the-counter medications or other health products, including natural health products in the past month?

Over-the-counter medications could include such things as pain killers, antacids, allergy pills and hydrocortisone creams. Examples of health products include vitamins, minerals, amino acids, probiotics, fish oils and other oils, herbal remedies and homeopathic preparations.

  • INTERVIEWER : This question applies only to products taken or used within the past month. Products that have not been taken or used within this period of time should not be captured.
  • 1 Yes(Go to MEU_Q21)
  • 2 No
  • DK, RF

Go to MEU_END

MEU_Q21
How many over-the-counter medications or health products have you taken or used in the past month?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

Go to MEU_END

MEU_Q22

Now I need to capture information on all over-the-counter medications and other health products, including natural health products, that you have taken or used in the past month, that is, from ^DT_DateLastMonthE to today.

Over-the-counter medications could include such things as pain killers, antacids, allergy pills and hydrocortisone creams. Examples of health products include vitamins, minerals, amino acids, probiotics, fish oils and other oils, herbal remedies and homeopathic preparations.

  • INTERVIEWER : Has the respondent taken or used any over-the-counter medications or health products in the past month?
  • This question applies only to products taken or used within the past month. Products that have not been taken or used within this period of time should not be captured.
  • 1 Yes
  • 2 No (Go to MEU_END)
  • DK, RF (Go to MEU_END)

MEU_B25

  • Call the New Drug Product (NPI) block

Content type:

  • NOTE TO DATA USERS:
    The NPI block is called once for each over-the-counter medication or other health product, up to a maximum of 45 products in total (including prescription medications).

MEU_C26

  • If the number of products (combined) captured is less than 45, go to MEU_N26.
  • Otherwise, go to MEU_Q29.

MEU_N26

  • INTERVIEWER : Do you have another over-the-counter medication or health product to capture?
  • 1 Yes(Go to MEU_B25)
  • 2 No
  • (DK not allowed)
  • RF
  • (Go to MEU_END)

MEU_Q27
Have you taken or used any other over-the-counter medications or health products in the past month? Please include any solutions, powders, creams or pastes.

  • 1 Yes Go to MEU_B25)
  • 2 No
  • DK, RF

Go to MEU_END

Content type:

  • NOTE TO DATA USERS:
    MEU_Q29 is asked only if more than 45 products in total, including prescription medications, over-the counter medications and other health products, have been taken or used in the past month.

MEU_Q29
How many other over-the-counter medications or health products have you taken or used in the past month? Please include any solutions, powders, creams or pastes.

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

MEU_END

New Product Information (NPI)

NPI_BEG

  • External variables required:
  • Variables from other components:
  • Variables from previously completed blocks:
  • MEU_Q22: whether the respondent has taken or used any over-the-counter medications or health products
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy
  • DT_DateLastMonthE: English text of date one month ago

NPI_N05

  • INTERVIEWER : Is a product identification number available for the product (e.g., DIN, DIN-HM, NPN, EN)?
  • 1 Yes
  • 2 No (Go to NPI_N15)
  • (DK, RF not allowed)

NPI_N07

  • INTERVIEWER : Record the product identification number from the bottle, tube or box.
  • (MIN: 1)
  • (MAX: 99,999,995)
  • (DK, RF not allowed)

Content type:

  • NOTE TO DATA USERS:
    A search is performed based on the Product Identification Number. This could be a Drug Identification Number (DIN); Natural Product Number (NPN); Homeopathic Medicine Number (DIN_HM); or Exemption Number (EN).

NPI_C08

  • If DV_PIN = EMPTY (product identification number not found in PIN_Database), go to NPI_D18A.
  • Otherwise, go to NPI_Q10.

NPI_Q10

  • Product identification number: ^DV_PIN
  • Product name: ^DV_PRODUCT_NAME
  • Form: ^DT_FORME
  • Strength: ^DT_STRENGTH
  • INTERVIEWER : Confirm whether the information displayed is correct.
  • 1 Yes
  • (Go to NPI_D25)
  • 2 No
  • (DK, RF not allowed)

NPI_N11

  • INTERVIEWER : Is ^DV_PIN the correct product identification number?
  • 1 Yes
  • (Go to NPI_D18A)
  • 2 No (Go to NPI_N05)
  • (DK, RF not allowed)

NPI_N15

  • INTERVIEWER : Why is a product identification number not available for the product?
  • 1 Container not available
  • 2 No product identification number
  • (DK, RF not allowed)

NPI_D15

  • If NPI_N15 = 1 and MEU_Q22 = EMPTY, DT_NPI15E = "To search for this product I will need some of the following information:
  • - Product name: for example, Accutane, Alesse 21 or Ventolin.
  • - Product form: for example, pill, powder, liquid or cream.
  • - Manufacturer: for example, Roche, Pfizer or GlaxoSmithKline.".
  • Otherwise, if NPI_N15 = 1 and MEU_Q22 = RESPONSE , DT_NPI15E = "To search for this product, I will need some of the following information:
  • - Product name: for example, Children's Tylenol® Cold and Cough Nighttime.
  • - Product form: for example, pill, powder, liquid or cream.
  • - Manufacturer: for example, Bayer, Jamieson or Sisu.".
  • Otherwise, DT_NPI15E = "EMPTY".

Programmer:

  • NOTE TO DATA USERS:
    If a product identification number is not available, MedSearch can be used to search for the medication.
  • The MedSearch tool uses a look-up database to search for prescription medications, over-the-counter medications and other health products based on product name, manufacturer, active ingredients, route of administration, form and/or product strength.

NPI_Q16
^DT_NPI15E

  • INTERVIEWER : Use the MedSearch tool to find the product.
  • Press <1> to continue.
  • 1 Continue
  • (DK, RF not allowed)

NPI_N17

  • INTERVIEWER : Was an exact product match found?
  • 1 Yes
  • 2 No (Go to NPI_D18A)
  • (DK, RF not allowed)

NPI_D17

NPI_Q17A

  • Product identification number: ^DV_PIN
  • Product name: ^DV_PRODUCT_NAME
  • Form:^DT_FORME
  • Strength: ^DT_STRENGTH
  • Route of administration: ^DT_ROUTEE

     

  • INTERVIEWER : Confirm whether the information displayed is correct.
  • 1 Yes (Go to NPI_D25)
  • 2 No
  • (DK, RF not allowed)

NPI_N17B

  • INTERVIEWER : Do you want to search for the product again?
  • 1 Yes(Go to NPI_D15)
  • 2 No
  • (DK, RF not allowed)

NPI_D18A

  • If MEU_Q22 = EMPTY, DT_NAMEEXAMPLEE = "For example, Accutane, Alesse 21 or Ventolin.".
  • Otherwise, DT_NAMEEXAMPLEE = "For example, Children's Tylenol® Cold and Cough Nighttime.".

Content type:

  • NOTE TO DATA USERS:
    If a product cannot be found in the database search at NPI_N07 or NPI_N16, information about the product is entered at NPI_Q18 to NPI_Q25.

NPI_Q18
(What is the name of this product? [For example, Accutane, Alesse 21 or Ventolin./For example, Children's Tylenol® Cold and Cough Nighttime.])

  • INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.
  • (80 spaces)
  • DK, RF (Go to NPI_END)

NPI_D18B

  • Not Applicable

NPI_C19

  • If NPI_N15 = 1, go to NPI_Q20.
  • Otherwise, go to NPI_D19.

NPI_D19

  • If MEU_Q22 = EMPTY, DT_COMPANYEXAMPLEE = "For example, Roche, Pfizer, GlaxoSmithKline.".
  • Otherwise, DT_COMPANYEXAMPLEE = "For example, Bayer, Jamieson or Sisu.".

NPI_Q19
What company information is found on the product container? ^DT_COMPANYEXAMPLEE.

  • INTERVIEWER : Capture all the company names from the product container. This could include: the manufacturer, the importer and/or the company for which this product was manufactured. If there is no company information on the container, enter <Don't know>.
  • (80 spaces)
  • DK, RF

NPI_Q20
(What is the form of this product? For example, is it a pill, powder, liquid or cream?)

  • INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.
  • Select the product form.
  • 01 Tablet / pill / capsule
  • 02 Lozenge
  • 03 Chew / gummy
  • 04 Globule
  • 05 Drop
  • 06 Tincture
  • 07 Liquid / solution
  • 08 Suspension
  • 09 Cream / ointment / gel / lotion
  • 10 Packet / sachet
  • 11 Powder
  • 12 Granule
  • 13 Spray / aerosol
  • 14 Patch
  • 15 Kit
  • 16 Suppository
  • 50 Other - Specify
  • (Go to NPI_S20)
  • DK, RF

Go to NPI_D20

NPI_S20
(What is the form of this product? For example, is it a pill, powder, liquid or cream?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

NPI_D20

  • If NPI_Q20 = 50, DT_FORME = "NPI_S20".
  • Otherwise, if NPI_Q20 = DK, RF, DT_FORME = "EMPTY".
  • Otherwise, DT_FORME = "English text of category selected at NPI_Q20".

NPI_Q21
(What is the strength of this product, for example, 250mg, 1%, 1000 international units?)

  • INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.
  • (80 spaces)
  • DK, RF

NPI_Q22
(How is this product administered? For example, is it inhaled, swallowed, dissolved beneath the tongue or applied to the skin?)

  • INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information as accurately as possible.
  • Select the route of administration of the product.
  • 01 Oral
  • 02 Sublingual (under tongue)
  • 03 Buccal (inside of cheek)
  • 04 Dental (teeth or gums)
  • 05 By inhalation
  • 06 Nasal (nose)
  • 07 Ophthalmic (eyeball)
  • 08 Otic (ear)
  • 09 Topical (applied to skin)
  • 10 Transdermal (absorbed through skin)
  • 11 By injection
  • 12 Rectal
  • 13 Vaginal
  • Other - Specify
  • trong>(Go to NPI_S22)
  • DK, RF

Go to NPI_D25

NPI_S22
(How is this product administered? For example, is it inhaled, swallowed, dissolved beneath the tongue or applied to the skin?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)
  • Go to NPI_D25

NPI_D25

  • If DV_Short_form = 9, 13, 14, 15 or 16 then set:, DT_TAKE1E = "used".
    Else, DT_TAKE1E = "took".
  • If DV_Short_form = 9, 13, 14, 15 or 16 then set:, DT_TAKE2E = "using".
    Else, DT_TAKE2E = "taking".
  • If DV_Short_form = 9, 13, 14, 15 or 16 then set:, DT_TAKE3E = "use".
    Else, DT_TAKE3E = "take".

NPI_Q25
When was the last time that you [used/took] this product?
(The response categories are today, yesterday, within the last week or within the last month.)

  • 1 Today
  • 2 Yesterday
  • 3 Within the last week
  • 4 Within the last month
  • 5 More than one month ago
  • (Go to NPI_END)
  • DK, RF (Go to NPI_END)

NPI_C25

  • If FollowUpFlag = 1 (administer follow-up questions), go to NPI_D26.
  • Otherwise, go to NPI_END.

Content type:

  • NOTE TO DATA USERS:
    The next questions are only asked for products found on the look-up database that contain ingredients of particular interest.

NPI_D26

  • Not Applicable

Content type:

  • NOTE TO DATA USERS:
  • DT_NPC_TEXT1E is created and passed to NPC. This text string contains examples of possible units of measure based on the form of the product.

NPI_B26

  • Call the New Product Information - Call Block (NPC).

NPI_D59

  • If MEU_Q22 = 1, DT_SPRODE = "this or a similar product".
  • Otherwise, DT_SPRODE = "this product".

NPI_D60

  • If NPI_Q25 = 1 or 2, DT_NPITEXT5E = "For how long have you been [using/taking] [this or a similar product/this product]? (^DV_Product_Name)".
  • Otherwise, DT_NPITEXT5E = "For how long did you ^DT_TAKE3E [this or a similar product/this product]? (^DV_PRODUCT_NAME)".

NPI_D62

  • If MEU_Q22 = EMPTY, DT_NPITEXT7E = "Consider a change in prescription (e.g., a change in medication company or dosage) to be a stop in medication use.
  • Do not consider a short break in the use of a prescribed medication (e.g., temporarily ran out of medication or forgot to take a dose) to be a stop in medication use.
  • For prescription medication used on an as-needed basis (e.g., medicated cream for a reoccurring condition), only include the period when it was last used.".
  • Otherwise, DT_NPITEXT7E = "A similar product could be a different company name (e.g., Jamieson Vitamin C® vs. Flintstones Vitamin C®) or a different form (e.g., tablet vs. liquid).
  • Do not consider a short break in the use of a product (e.g., temporarily ran out of a vitamin supplement or forgot to take a dose) to be a stop in product use.
  • For over-the-counter medication used on an as-needed basis (e.g., medication for a cold or headache), only include the period when it was last used.".

NPI_Q63
[For how long have you been [using/taking] [this or a similar product/this product]?/For how long did you [use/take] [this or a similar product/this product]?] (^DV_PRODUCT_NAME)

(If you stopped [using/taking] it at some point, only include the most recent period of use.)

  • INTERVIEWER : Enter time only.
  • ^DT_NPITEXT7E
  • (MIN: 1)
  • (MAX: 500)
  • DK
  • (Go to NPI_Q65)
  • RF
  • (Go to NPI_END)

NPI_N64

  • INTERVIEWER : Select the reporting period.
  • 1 Days
  • 2 Weeks
  • 3 Months
  • 4 Years
  • (DK, RF not allowed)

NPI_Q65
In the past month, on how many days did you [use/take] this product (^DV_PRODUCT_NAME)?

  • INTERVIEWER : Enter number of days.
  • If the medication was used every day for the past month, enter "31".
  • (MIN: 1)
  • (MAX: 31)
  • DK, RF

NPI_END

New Product Information - Call Block (NPC)

NPC_BEG

  • External variables required:
  • DT_NPC_TEXT1E: example text in English
  • DV_PRODUCT_NAME: product name
  • DT_TAKE1E: English text fill for "used/took"
  • DT_TAKE3E: English text fill for "use/take"

NPC_Q10
On the days that you [used/took] this product, how many times did you usually [use/take] it in a single day?

  • INTERVIEWER : Record the number of times per day.
  • (MIN: 1)
  • (MAX: 100)
  • DK, RF (Go to NPC_END)

NPC_Q11
How much did you usually [use/take] each time you [used/took] it? ^DT_NPC_TEXT1E

  • INTERVIEWER : Enter the quantity only.
  • (MIN: 0.01)
  • (MAX: 99,995.00)
  • DK, RF (Go to NPC_END)

NPC_D11A

  • If NPC_Q10 = 1, DT_TIMESE = "time".
  • Otherwise, DT_TIMESE = "times".

NPC_N12

  • INTERVIEWER : Select the unit of measure.
  • 01 Tablets / pills / capsules
  • 02 Lozenges
  • 03 Chews / gummies
  • 04 Millilitres (mL)
  • 05 Milligrams (mg)
  • 06 Grams (g)
  • 07 Tablespoons (Tbsp)
  • 08 Teaspoons (tsp)
  • 09 Capfuls
  • 10 Scoops
  • 11 Packets / sachets
  • 12 Drops
  • 13 Sprays
  • 14 Doses
  • 15 Vials
  • 16 Units
  • 50 Other - Specify
  • (Go to NPC_S12)
  • DK, RF

Go to NPC_D12

NPC_S12
(Select the unit of measure.)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

NPC_D12

  • If NPC_N12 = 01, DT_UNITE = "tablet(s)".
  • If NPC_N12 = 02, DT_UNITE = "lozenge(s)".
  • If NPC_N12 = 03, DT_UNITE = "chew(s)".
  • If NPC_N12 = 04, DT_UNITE = "millilitre(s)".
  • If NPC_N12 = 05, DT_UNITE = "milligram(s)".
  • If NPC_N12 = 06, DT_UNITE = "gram(s)".
  • If NPC_N12 = 07, DT_UNITE = "tablespoon(s)".
  • If NPC_N12 = 08, DT_UNITE = "teaspoon(s)".
  • If NPC_N12 = 09, DT_UNITE = "capful(s)".
  • If NPC_N12 = 10, DT_UNITE = "scoop(s)".
  • If NPC_N12 = 11, DT_UNITE = "packet(s)".
  • If NPC_N12 = 12, DT_UNITE = "drop(s)".
  • If NPC_N12 = 13, DT_UNITE = "spray(s)".
  • If NPC_N12 = 14, DT_UNITE = "dose(s)".
  • If NPC_N12 = 15, DT_UNITE = "vial(s)".
  • If NPC_N12 = 16, DT_UNITE = "unit(s)".
  • If NPC_N12 = 50, DT_UNITE = "^NPC_S12".

NPC_Q14
So you [used/took] ^NPC_Q11 ^DT_UNITE ^NPC_Q10 [time/times] each day you [used/took] this product (^DV_PRODUCT_NAME). Is that correct?

  • 1 Yes
  • 2 No (Go to NPC_Q10)
  • (DK, RF not allowed)

NPC_END

Height and Weight

Height and Weight (HWT)

HWT_BEG

  • External variables required:
  • Variables from other components:
  • AWC_AGE: age of respondent
  • SEX_Q01: sex of respondent (1 = male; 2 = female)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

HWT_Q1
The next questions are about height and weight. How tall are you without shoes on?

  • INTERVIEWER : Is that in feet and inches or in centimetres?
  • 1 Feet and inches
  • 2 Centimetres
  • (Go to HWT_N1C)
  • DK, RF (Go to HWT_B3)

HWT_N1A

  • INTERVIEWER : Enter feet only.
  • Feet
  • (MIN: 0)
  • (MAX: 7)
  • (DK, RF not allowed)

HWT_N1B

  • INTERVIEWER : Enter inches only, to the nearest quarter of an inch.
  • (MIN: 0)
  • (MAX: 96)
  • (DK, RF not allowed)

HWT_C1

  • If HWT_Q1 = 1, go to HWT_D1.
  • Otherwise, go to HWT_N1C.

HWT_N1C

  • INTERVIEWER : Record the height to the nearest half centimetre.
  • (MIN: 40)
  • (MAX: 244)
  • (DK, RF not allowed)

HWT_D1

  • Not Applicable

HWT_D3

  • Not Applicable

HWT_B3

  • Call the Weight Detail (WTD) block

Programmer:

  • Pass "How much do you weigh? " as parameter.

HWT_C4

  • If PROXYSEX = 3 or 4, go to HWT_END.
  • Otherwise, go to HWT_Q4.

HWT_Q4
Do you consider yourself... ?

  • INTERVIEWER : Read categories to respondent.
  • 1 Overweight
  • 2 Underweight
  • 3 Just about right
  • DK, RF

HWT_END

Weight Detail (WTD)

WTD_BEG

  • External variables required:
  • Variables from other components:
  • AWC_AGE: age of respondent
  • SEX_Q01: sex of respondent (1 = male; 2 = female)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy
  • DT_QUESTIONE: English question text

WTD_Q11
^DT_QUESTIONE

  • INTERVIEWER : Enter amount only.
  • Weight
  • (MIN: 1)
  • (MAX: 575)
  • DK, RF (Go to WTD_END)

WTD_N11

  • INTERVIEWER : Was that in pounds or kilograms?
  • 1 Pounds
  • 2 Kilograms
  • (DK, RF not allowed)

WTD_D11

  • Not Applicable

WTD_END

Food Frequency

Meat Consumption (MFC)

Overview:

  • NOTE TO DATA USERS:
    Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.
  • Information on frequency of food consumption is collected via the Food Frequency Detail (FFD) call block. The question text and interviewer instructions are passed to the call block as parameters.

MFC_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

MFC_R11
The next questions are about the foods you usually eat or drink. Think about all the foods you eat, both meals and snacks, at home and away from home.

The answer categories for these questions are number of times per day, per week, per month or per year.

  • INTERVIEWER : Press <1> to continue.

MFC_B11

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... red meat, such as beef, hamburger, pork or lamb? (For example, once a day, three times a week, twice a month.)" as parameter.
  • Pass "DT_INTERVIEWERE =Include wild red meat such as bear, elk, venison or bison." as parameter.

MFC_B12

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... liver, including all types of liver such as beef, veal, pork or chicken, but excluding liverwurst and liver pâté?" as parameter.
  • Pass "DT_INTERVIEWERE =EMPTY" as parameter.

MFC_B14

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... beef or pork hot dogs?" as parameter.
  • Pass "DT_INTERVIEWERE =EMPTY" as parameter.

MFC_B15

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... sausage or bacon, including all types of sausages such as breakfast, pepperoni and Kielbassa but excluding low-fat, light or turkey varieties? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_B19A

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... eggs and egg dishes that include the yolk? Please exclude all egg dishes made with only egg whites. Egg dishes could include such things as eggs, omelette, frittata or quiche. " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_C19A

  • If MFC_B19A.FFD_Q11 = 0, DK or RF, go to MFC_B20.
  • Otherwise, go to MFC_R19A.

MFC_R19A
Now I'd like to ask about the use of omega-3 enriched eggs in the eggs and egg dishes you just reported.

  • INTERVIEWER : Press <1> to continue.

MFC_B19B

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... eggs and egg dishes that are made with omega-3 enriched eggs? Please exclude all egg dishes made with only egg whites. " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_B20

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... cooked dried beans, such as refried beans, baked beans, pea soup or kidney beans, excluding green and yellow beans?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_B21

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... peanuts, walnuts, seeds or other nuts, excluding nut butters such as peanut butter?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_END

Food Frequency Detail (FFD)

FFD_BEG

  • External variables required:
  • Variables from other blocks:
  • DT_BOLDQUESTINTROE: English question introductory text - bold
  • DT_NOTBOLDQUESTINTROE: English question introductory text - Not bold
  • DT_QUESTIONE: English question text
  • DT_INTERVIEWERE: English interviewer instructions

FFD_Q11

  • ^DT_BOLDQUESTINTROE ^DT_NOTBOLDQUESTINTROE
  • ^DT_QUESTIONE
  • INTERVIEWER : ^DT_INTERVIEWERE
  • Enter amount only.
  • Times
  • (MIN: 0)
  • (MAX: 500)
  • DK, RF
  • (Go to FFD_END)

FFD_C11

  • If FFD_Q11 = 0, go to FFD_END.
  • Otherwise, go to FFD_N11.

FFD_N11

  • INTERVIEWER : ^DT_QUESTIONE
  • ^DT_INTERVIEWERE
  • Select the reporting period.
  • 1 Per day
  • 2 Per week
  • 3 Per month
  • 4 Per year
  • (DK, RF not allowed)

FFD_END

Milk and Dairy Product Consumption (MDC)

Overview:

  • NOTE TO DATA USERS:
    Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

MDC_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

MDC_D01

  • Not Applicable

MDC_R01
Now, some questions about your consumption of milk and other dairy products. Remember, think about all the foods you eat and drink, both meals and snacks, at home and away from home.

Again, the answer categories are number of times per day, per week, per month or per year.

  • INTERVIEWER : Press <1> to continue.

MDC_B01

  • Call the Food Frequency (FFD) block.

Programmer:

  • Pass "DT_QUESTIONE =" How often do you drink enriched milk substitutes such as enriched soya, rice or almond milk, or use them on cereal? (For example: twice a day, three times a week, once a month). " as parameter.
  • Pass "DT_INTERVIEWERE = Include only milk substitutes that have been enriched with vitamins and minerals. Do not include milk substitutes added to coffee or tea." as parameter.

MDC_C02

  • If MDC_B01.FFD_Q11 = 0, DK or RF, go to MDC_B04.
  • Otherwise, go to MDC_B02.

MDC_B02

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = The next two questions ask about the type of milk substitutes you just reported." as parameter.
  • Pass "DT_QUESTIONE = How often do you drink or use omega-3 enriched milk substitutes?" as parameter.
  • Pass "DT_INTERVIEWERE = Do not include milk substitutes added to coffee or tea." as parameter.

MDC_Q03
What kind of enriched milk substitutes do you usually drink or use on cereal?

  • INTERVIEWER : Mark all that apply.
  • 1 Rice (enriched)
  • 2 Soya (enriched)
  • 3 Almond (enriched)
  • 4 Other - Specify
  • (Go to MDC_S03)
  • DK, RF

MDC_S03
(What kind of enriched milk substitutes do you usually drink or use on cereal?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

MDC_B04

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_QUESTIONE = How often do you drink milk or flavoured milk beverages or use them on cereal? (For example: twice a day, three times a week, once a month). "as parameter.
  • Pass "DT_INTERVIEWERE = Do not include milk or cream added to coffee or tea." as parameter.

MDC_C05

  • If MDC_B04.FFD_Q11 = 0, DK or RF, go to MDC_B13.
  • Otherwise, go to MDC_B05.

MDC_B05

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = The next two questions ask about the type of milk or flavoured milk beverages you just reported." as parameter.
  • Pass "DT_QUESTIONE = How often do you drink or use omega-3 enriched milk or milk beverages?" as parameter.
  • Pass "DT_INTERVIEWERE = Do not include milk or cream added to coffee or tea." as parameter.

MDC_Q12
What kind of milk do you usually drink or use on cereal?

  • INTERVIEWER : If the respondent uses lactose-free milk, probe to determine the fat content and choose the appropriate category. Do not include milk substitutes such as rice, soya or almond milk.
  • Mark all that apply.
  • 01 3.25% (Whole or homo)
  • 02 2%
  • 03 1%
  • 04 0.5%
  • 05 Skim or Non-Fat (including powdered milk)
  • 06 Flavoured milk beverages (such as Chocolate milk and flavoured milks such as Oh Henry! ®)
  • 09 Other - Specify
  • (Go to MDC_S12)
  • DK, RF

Go to MDC_B13

MDC_S12
(What kind of milk do you usually drink or use on cereal?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

MDC_B13

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat: " as parameter.
  • Pass "DT_QUESTIONE ="... cottage cheese? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B13B

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat: " as parameter.
  • Pass "DT_QUESTIONE = "... processed cheese such as Kraft Cheez Whiz®, Kraft Singles®, or Black Diamond Slices®?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B13C

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... other types of cheese such as mozzarella, cheddar, or Swiss?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B14

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat: " as parameter.
  • Pass "DT_QUESTIONE = ... yogurt, excluding frozen yogurt? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B15

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... ice cream or frozen yogurt? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_END

Grain, Fruit and Vegetable Consumption (GFV)

Overview:

  • NOTE TO DATA USERS:
    Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

GFV_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

GFV_R11
Now, a few questions about grains, fruits and vegetables. Remember, think about all the foods you eat, both meals and snacks, at home and away from home.

Again, the answer categories are number of times per day, per week, per month or per year.

  • INTERVIEWER : Press <1> to continue.

GFV_B11

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ...hot or cold cereal? (For example: once a day, three times a week, twice a month)." as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B12

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... whole grain bread such as whole wheat, rye or pumpernickel including bread made with oats or buckwheat? Please include bagels, rolls, pita bread or tortillas. " as parameter.
  • Pass "DT_INTERVIEWERE = Do not include white bread made with whole grains such as Dempster's Smart® White or Wonder®+ Invisibles®." as parameter.

GFV_B13

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... white bread, including bagels, rolls, pita bread or tortillas?" as parameter.
  • Pass "DT_INTERVIEWERE = Include white bread made with whole grains such as Dempster's Smart® White or Wonder® + Invisibles®." as parameter.

GFV_B14

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter
  • Pass "DT_QUESTIONE =... any kind of pasta, including spaghetti, noodles, macaroni & cheese or pasta salad?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B16

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:"as parameter.
  • Pass "DT_QUESTIONE =... instant, seasoned or wild rice, such as Minute Rice®, Dainty Rice®, or Rice-a-Roni®? " as parameter.
  • Pass "DT_INTERVIEWERE = Include all types of wild rice, but only include white and brown rice if it is instant." as parameter.

GFV_B17A

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... citrus fruit such as oranges or grapefruits, fresh, frozen or canned?" as parameter.
  • Pass "DT_INTERVIEWERE = Only include citrus fruit such as lemons or limes if the entire fruit is consumed (not just a slice added to a dish or beverage)." as parameter.

GFV_Q17B
How often do you usually eat:

... strawberries, fresh, frozen or canned, in the summer?

  • INTERVIEWER : Enter amount only.
  • Times
  • (MIN: 0)
  • (MAX: 500)
  • DK, RF (Go to GFV_Q17C)

GFV_C17B

  • If GFV_Q17B = 0, go to GFV_Q17C.
  • Otherwise, go to GFV_N17B.

GFV_N17B

  • INTERVIEWER : Select the reporting period.
  • 1 Per day
  • 2 Per week
  • 3 Per month
  • 4 Per summer
  • (DK, RF not allowed)

GFV_Q17C
How often do you usually eat:
... strawberries (fresh, frozen or canned) during the rest of the year?

  • INTERVIEWER : Enter amount only.
  • Times
  • (MIN: 0)
  • (MAX: 500)
  • DK, RF (Go to GFV_B17D)

GFV_C17C

  • If GFV_Q17C = 0, go to GFV_B17D.
  • Otherwise, go to GFV_N17C.

GFV_N17C

  • INTERVIEWER : Select the reporting period.
  • 1 Per day
  • 2 Per week
  • 3 Per month
  • 4 Overall, during the rest of the year
  • (DK, RF not allowed)

GFV_B17D

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat: " as parameter.
  • Pass "DT_QUESTIONE =... other types of fruit; fresh, frozen or canned?"as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B18

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... tomatoes or tomato sauce, including salsa, tomato soup and spaghetti sauce but excluding tomato paste, ketchup or pizza sauce? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B19

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... lettuce or green leafy salad with or without other vegetables?Do not include spinach." as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B20

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... spinach, mustard greens, cabbage or collards, excluding kale?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B21

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... french fries, home fries, or hash brown potatoes?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B22

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter
  • Pass "DT_QUESTIONE =... other potatoes including baked, boiled, mashed or in potato salad, but excluding sweet potatoes?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B23

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... all other types of vegetables, excluding those already mentioned?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B24

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... flax seeds, whole or ground, including flax seeds eaten in foods such as breakfast cereal, yogurt, muffins, bread or any other dishes? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_END

Dietary Fat Consumption (DFC)

Overview:

  • NOTE TO DATA USERS:
    Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

DFC_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

DFC_R11
Remember, think about all the foods you eat, both meals and snacks, at home and away from home.

Again, the answer categories are number of times per day, per week, per month or per year.

  • INTERVIEWER : Press <1> to continue.

DFC_B11

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE = ... regular-fat salad dressing or mayonnaise, including on salads and sandwiches? (For example: once a day, three times a week, twice a month) " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_B12

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... regular-fat potato chips, tortilla chips or corn chips, excluding low fat chips and pretzels? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_B13

  • Call the Food Frequency Detail (FFD) block

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =...margarine?" as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_C14

  • If DFC_B13.FFD_Q11 = 0, DK or RF, go to DFC_END.
  • Otherwise, go to DFC_B14.

DFC_B14

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
  • Pass "DT_QUESTIONE =... omega-3 enriched margarine?"as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_END

Water and Soft Drink Consumption (WSD)

Overview:

  • NOTE TO DATA USERS:
    Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

WSD_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

WSD_D30

  • Not Applicable

WSD_R30
Next, some questions about your drink consumption. Think about all the things you drink, both at home and away from home.

Again, the answer categories are number of times per day, per week, per month, or per year.

  • INTERVIEWER : Press <1> to continue.

WSD_B30

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter.
  • Pass "DT_QUESTIONE = ...diet soft drinks? (For example: once a day, three times a week, twice a month.) " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_B31

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter.
  • Pass "DT_QUESTIONE = ...regular soft drinks? " as parameter.
  • Pass "DT_INTERVIEWERE = By 'regular' we mean non-diet soft drinks. " as parameter.

WSD_B32

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
  • Pass "DT_QUESTIONE = ... sport drinks, such as Gatorade® or Powerade®? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_B33

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
  • Pass "DT_QUESTIONE = ... vitamin-added water, such as Aquafina Plus Vitamins® or Vitamin Water®? Do not include flavoured water or other types of water that are not fortified with vitamins. " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_R34
The next few questions are about the different kinds of juice or fruit flavoured drinks you usually drink. When we say fruit juice, we mean 100% pure fruit juices such as apple, orange or grapefruit juice, whether or not they are made from concentrate. When we say fruit flavoured drinks, we mean drinks such as Sunny Delight®, fruit punch or Kool-Aid®.

  • INTERVIEWER : Press <1> to continue.

WSD_B34

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter
  • Pass "DT_QUESTIONE = ... orange or grapefruit juice? " as parameter.
  • Pass "DT_INTERVIEWERE = Only include 100% pure fruit juices. Include juice to which calcium and vitamin D has been added. " as parameter.

WSD_B35

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter.
  • Pass "DT_QUESTIONE = ... other 100% fruit juices, for example, apple, grape or mixed fruit juice? " as parameter.
  • Pass "DT_INTERVIEWERE = Include juice to which calcium and vitamin D has been added. " as parameter.

WSD_C35

  • If WSD_B34.FFD_Q11 = 0, DK or RF and WSD_B35.FFD_Q11 = 0, DK or RF, go to WSD_B37.
  • Otherwise, go to WSD_B36.

WSD_B36

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_BOLDQUESTINTROE= Now think about all of the types of juice you just reported. " as parameter.
  • Pass "DT_QUESTIONE = How often do you usually drink juice with calcium and vitamin D added? " as parameter.
  • Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_B37

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
  • Pass "DT_QUESTIONE = ... fruit-flavoured drinks? " as parameter.
  • Pass "DT_INTERVIEWERE = Do not include Crystal Light®. " as parameter.

WSD_B38

  • Call the Food Frequency Detail (FFD) block.

Programmer:

  • Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
  • Pass "DT_QUESTIONE = ... vegetable juices? " as parameter.
  • Pass "DT_INTERVIEWERE = Do not include vegetable juices used in cooking. " as parameter.

WSD_D39

  • If WSD_B33.FFD_Q11 = RESPONSE and < > 0, DK or RF, DT_WSDTEXTE = "Do not include vitamin-added water already reported.".
  • Otherwise, DT_WSDTEXTE = "EMPTY".

WSD_R39
Next, some questions about your water consumption. [Do not include vitamin-added water already reported./EMPTY]

  • INTERVIEWER : Press <1> to continue.

WSD_Q39
How much water, in cups, do you usually drink at home? A cup is equivalent to the size of a measuring cup: 250 ml or 8 oz.

  • INTERVIEWER : Enter number of cups only.
  • Cups
  • (MIN: 0)
  • (MAX: 100)
  • DK, RF

WSD_C39

  • If WSD_Q39 = 0, DK or RF, go to WSD_Q41.
  • Otherwise, go to WSD_N39.

WSD_N39

  • INTERVIEWER : Select the reporting period.
  • 1 Per day
  • 2 Per week
  • 3 Per month
  • 4 Per year
  • (DK, RF not allowed)

WSD_Q40
When you drink water at home, what is your primary source of drinking water?

  • INTERVIEWER : Include carbonated water and flavoured water as "bottled water". Do not include vitamin-added water.
  • Read categories to respondent.
  • 1 Tap water, including water from a Brita®-type jug
  • 2 Bottled water, including water from an individual serving-size bottle or from a water cooler
  • 3 Other - Specify
  • (Go to WSD_S40)
  • DK, RF
  • Go to WSD_Q41

WSD_S40
(When you drink water at home, what is your primary source of drinking water?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

WSD_Q41
How much water, in cups, do you usually drink away from home? For example, when at work, at school or when away from home during your leisure time. (A cup is equivalent to the size of a measuring cup: 250 ml or 8 oz.)

  • INTERVIEWER : Enter number of cups only.
  • Cups
  • (MIN: 0)
  • (MAX: 100)
  • DK, RF

WSD_C41

  • If WSD_Q41 = 0, DK or RF, go to WSD_C43.
  • Otherwise, go to WSD_N41.

WSD_N41

  • INTERVIEWER : Select the reporting period.
  • 1 Per day
  • 2 Per week
  • 3 Per month
  • 4 Per year
  • (DK, RF not allowed)

WSD_Q42
When you drink water away from home, what is your primary source of drinking water?

  • INTERVIEWER : Include carbonated water and flavoured water as "Bottled water". Do not include vitamin-added water.
  • Read categories to respondent.
  • 1 Tap water, including water from a Brita®-type jug
  • 2 Bottled water, including water from an individual serving-size bottle or from a water cooler
  • 3 Other - Specify
  • (Go to WSD_S42)
  • DK, RF

Go to WSD_C43

WSD_S42
(When you drink water away from home, what is your primary source of drinking water?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

WSD_C43

  • If PERSEL = 2 and AWC_AGE > 11, go to WSD_END.
  • Otherwise, go to WSD_Q43.

Content type:

  • NOTE TO DATA USERS:
  • In households with two selected respondents, questions WSD_Q43 to WSD_Q45 are asked only during the interview for the respondent who is less than 12 years old.

WSD_Q43
What is the source of the tap water in this home?

  • INTERVIEWER : Read categories to respondent.
  • 1 Water supplied by your city, town or municipality
  • 2 Water from a private well
  • 3 Water from a cistern
  • 4 Water from a surface source such as natural spring, lake, river, lagoon or dugout
  • 5 Other - Specify
  • (Go to WSD_S43)
  • DK
  • RF
  • (Go to WSD_END)

Go to WSD_Q44

WSD_S43
(What is the source of the tap water in this home?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

WSD_Q44
Is the water in this home treated using... ?

  • INTERVIEWER : This refers to any water treatment done at the home. Do not include treatments performed by the municipality.
  • Read categories to respondent. Mark all that apply.
  • 01 A filter, for example, a faucet attachment, refrigerator filter or Brita®-type jug filter
  • 02 A water softener
  • 03 An ultraviolet system
  • 04 Reverse osmosis
  • 05 Boiling
  • 06 Distilling
  • 07 Other - Specify
  • (Go to WSD_S44)
  • 08 No treatment
  • DK, RF

Go to WSD_C45

WSD_S44
(Is the water in this home treated using... ?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

WSD_C45

  • If WSD_Q44 = 2 (Water softener), go to WSD_Q45.
  • Otherwise, go to WSD_END.

WSD_Q45
Is the water used for drinking and food preparation treated using the water softener?

  • 1 Yes
  • 2 No
  • DK, RF

WSD_END

Salt Consumption (SLT)

Overview:

  • NOTE TO DATA USERS:
    Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

SLT_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

SLT_Q11
How often do you usually add salt to your food, excluding during cooking?

  • INTERVIEWER : Read categories to respondent.
  • 1 Always
  • 2 Often
  • 3 Sometimes
  • 4 Rarely
  • 5 Never
  • (Go to SLT_C13)
  • DK, RF (Go to SLT_C13)

SLT_Q12
What type of salt is usually used?

  • INTERVIEWER : Read categories to respondent.
  • 1 Ordinary table salt
  • 2 Sea, Kosher, seasoned, or other flavoured salt
  • 3 Light salt
  • 4 Salt substitute
  • 5 Other - Specify
  • (Go to SLT_S12)
  • DK, RF

Go to SLT_C13

SLT_S12
(What type of salt is usually used?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

SLT_C13

  • If PERSEL = 2 and AWC_AGE > 11, go to SLT_END.
  • Otherwise, go to SLT_Q13.

Content type:

  • NOTE TO DATA USERS:
    In households with two selected respondents, SLT_Q13 is asked only during the interview for the respondent who is less than 12 years old.

SLT_Q13
How often is ordinary table salt added during the cooking or preparation of foods in this household?

  • INTERVIEWER : Read categories to respondent.
  • 1 Always
  • 2 Often
  • 3 Sometimes
  • 4 Rarely
  • 5 Never
  • DK, RF

SLT_END

International Physical Activity Questionnaire (IPA)

IPA_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

IPA_C01

  • If AWC_AGE < 12, go to IPA_END.
  • Otherwise, go to IPA_R01A.

IPA_R01A
I am going to ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport.

  • INTERVIEWER : Press <1> to continue.

IPA_R01B
The first questions are about your work. This includes paid jobs, farming, volunteer work, course work and any other unpaid work that you did outside your home. Do not include unpaid work you might do around your home, like housework, yard work, general maintenance, and caring for your family. I will ask you about these later.

  • INTERVIEWER : Press <1> to continue.

IPA_Q01
Do you currently have a job or do any unpaid work outside your home?

  • INTERVIEWER : This includes taking courses at school, college, CEGEP or university, as well as other credit and non-credit classes. It also includes volunteer work and time spent looking for work. It does not include unpaid house or yard work, nor caring for dependents; this will be asked in a later section.
  • 1 Yes
  • 2 No (Go to IPA_R08)
  • DK, RF (Go to IPA_R08)

IPA_R02A
The following questions are about all the physical activity you did as part of your paid or unpaid work. This does not include travelling to and from work.

  • INTERVIEWER : Press <1> to continue.

IPA_R02B
First, think about all the vigorous activities which take hard physical effort that you did as part of your work. Vigorous activities make you breathe much harder than normal. These may include things like heavy lifting, digging or heavy construction work. Think about only those vigorous physical activities that you did for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_Q02
During the last 7 days, on how many days did you do vigorous physical activities as part of your work? (Think about only those physical activities that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work.
  • Enter amount only.
  • Number of days
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R04)

IPA_C03

  • If IPA_Q02 = 0, go to IPA_R04.
  • Otherwise, go to IPA_Q03.

IPA_Q03
How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?

  • INTERVIEWER : Include rest periods resulting from physical fatigue as part of the 10 minutes. Include only those physical activities that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R04)

IPA_C03A

  • If IPA_Q03 = 24, go to IPA_R04.
  • Otherwise, go to IPA_N03.

IPA_N03

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R04
Now think about activities which take moderate physical effort that you did as part of your work. Moderate physical activities make you breathe somewhat harder than normal and may include activities like carrying light loads. Do not include walking. Again, think about only those moderate physical activities that you did for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_Q04
During the last 7 days, on how many days did you do moderate physical activities as part of your work? (Think about only those physical activities that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work.
  • Enter amount only.
  • Number of days.
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R06)

IPA_C05

  • If IPA_Q04 = 0, go to IPA_R06.
  • Otherwise, go to IPA_Q05.

IPA_Q05
How much time did you usually spend on one of those days doing moderate physical activities as part of your work?

  • INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R06)

IPA_C05A

  • If IPA_Q05 = 24, go to IPA_R06.
  • Otherwise, go to IPA_N05.

IPA_N05

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R06
Now think about the time you spend walking for at least 10 minutes at a time as part of your work. Please do not count any walking you did to travel to or from work.

  • INTERVIEWER : Press <1> to continue.

IPA_Q06
During the last 7 days, on how many days did you walk as part of your work? (Think about only the walking you did for at least 10 minutes at a time.)

  • INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work.
  • Enter amount only.
  • Number of days
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R08)

IPA_C07

  • If IPA_Q06 = 0, go to IPA_R08.
  • Otherwise, go to IPA_Q07.

IPA_Q07
How much time did you usually spend on one of those days walking as part of your work?

  • INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work. Include only walking that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R08)

IPA_C07A

  • If IPA_Q07 = 24, go to IPA_R08.
  • Otherwise, go to IPA_N07.

IPA_N07

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R08
Now, think about how you travelled from place to place, including to places like work, stores, movies and so on.

  • INTERVIEWER : Press <1> to continue.

IPA_Q08
During the last 7 days, on how many days did you travel in a motor vehicle like a car, bus, train or streetcar?

  • INTERVIEWER : Enter amount only.
  • Number of days
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R12)

IPA_C08

  • If IPA_Q08 = 0, go to IPA_R10.
  • Otherwise, go to IPA_Q09.

IPA_Q09
How much time did you usually spend on one of those days travelling in a car, bus, train or other kind of motor vehicle?

  • INTERVIEWER : If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R10)

IPA_C09

  • If IPA_Q09 = 24, go to IPA_R10.
  • Otherwise, go to IPA_N09.

IPA_N09

  • INTERVIEWER : Enter number of minutes.
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R10
Now think only about the bicycling you did to travel to and from work, to do errands, or to go from place to place. Only include bicycling that you did for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_Q10
During the last 7 days, on how many days did you bicycle to go from place to place? (Think about only the bicycling that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Do not include time spent bicycling purely for leisure as this will be asked later.
  • Enter amount only.
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R12)

IPA_C11

  • If IPA_Q10 = 0, go to IPA_R12.
  • Otherwise, go to IPA_Q11.

IPA_Q11
How much time did you usually spend on one of those days to bicycle from place to place?

  • INTERVIEWER : Include only bicycling that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R12)

IPA_C11A

  • If IPA_Q11 = 24, go to IPA_R12.
  • Otherwise, go to IPA_N11.

IPA_N11

  • INTERVIEWER : Enter number of minutes.
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R12
Now think only about the walking you did to travel to and from work, to do errands or to go from place to place. Only include walking that you did for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_Q12
During the last 7 days, on how many days did you walk to go from place to place? (Think only about the walking that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Do not include time spent walking purely for leisure (e.g., walking the dog) or exercise as these will be asked later. Include time spent shopping, doing groceries and running errands.
  • Enter amount only.
  • Number of days
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R14)

IPA_C13

  • If IPA_Q12 = 0, go to IPA_R14.
  • Otherwise, go to IPA_Q13.

IPA_Q13
How much time did you usually spend on one of those days walking from place to place?

  • INTERVIEWER : Include only walking that lasted for at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R14)

IPA_C13A

  • If IPA_Q13 = 24, go to IPA_R14.
  • Otherwise, go to IPA_N13.

IPA_N13

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R14
Now think about the physical activities you have done in the last 7 days in and around your home, like housework, gardening, yard work, general maintenance work, and caring for your family.

  • INTERVIEWER : Press <1> to continue.

IPA_R15
First, think about vigorous activities which take hard physical effort that you did in the garden or yard. Vigorous activities make you breathe much harder than normal and may include heavy lifting, chopping wood, shoveling snow, or digging. Again, think about only those vigorous physical activities that you did for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_Q15
During the last 7 days, on how many days did you do vigorous physical activities in the garden or yard? (Think about only those physical activities that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Include any garden or yard (e.g., at a cottage or friend's house). Yard includes all outside areas such as the front yard, the back yard and the driveway. Include shovelling snow and other seasonal maintenance.
  • Enter amount only.
  • Number of days
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R17)

IPA_C16

  • If IPA_Q15 = 0, go to IPA_R17.
  • Otherwise, go to IPA_Q16.

IPA_Q16
How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?

  • INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R17)

IPA_C16A

  • If IPA_Q16 = 24, go to IPA_R17.
  • Otherwise, go to IPA_N16.

IPA_N16

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R17
Now think about activities which take moderate physical effort that you did in the garden or yard. Moderate physical activities make you breathe somewhat harder than normal and may include carrying light loads, sweeping, washing windows, and raking. Again, include only those moderate physical activities that you did for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_Q17
During the last 7 days, on how many days did you do moderate activities in the garden or yard? (Think about only those physical activities that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Enter amount only.
  • Number of days
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R19)

IPA_C18

  • If IPA_Q17 = 0, go to IPA_R19.
  • Otherwise, go to IPA_Q18.

IPA_Q18
How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?

  • INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R19)

IPA_C18A

  • If IPA_Q18 = 24, go to IPA_R19.
  • Otherwise, go to IPA_N18.

IPA_N18

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R19
Now think about activities which take at least moderate physical effort that you did inside your home. Examples include carrying light loads, scrubbing floors, washing windows, and sweeping. Include only those moderate physical activities that you did for at least 10 minutes at a time.

  • INTERVIEWER : Moderate activities make you breathe somewhat harder than normal.
  • Press <1> to continue.

IPA_Q20
During the last 7 days, on how many days did you do moderate activities inside your home? (Think about only those physical activities that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Enter amount only.
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R22)

IPA_C21

  • If IPA_Q20 = 0, go to IPA_R22.
  • Otherwise, go to IPA_Q21.

IPA_Q21
How much time did you usually spend on one of those days doing moderate physical activities inside your home?

  • INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R22)

IPA_C21A

  • If IPA_Q21 = 24, go to IPA_R22.
  • Otherwise, go to IPA_N21.

IPA_N21

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R22
Now, think about all the physical activities that you did in the last 7 days solely for recreation, sport, exercise or leisure. Please do not include any activities you have already mentioned.

  • INTERVIEWER : Press <1> to continue.

IPA_Q22
Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?

  • INTERVIEWER : Include walking the dog and walking for exercise (e.g., on a treadmill).
  • Enter amount only.
  • Number of days
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R24)

IPA_C23

  • If IPA_Q22 = 0, go to IPA_R24.
  • Otherwise, go to IPA_Q23.

IPA_Q23
How much time did you usually spend on one of those days walking in your leisure time?

  • INTERVIEWER : Include only walking that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R24)

IPA_C23A

  • If IPA_Q23 = 24, go to IPA_R24.
  • Otherwise, go to IPA_N23.

IPA_N23

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R24
Now think about other physical activities you did in your leisure time for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_R25
First, think about vigorous activities which take hard physical effort that you did in your leisure time. Examples include aerobics, running, playing hockey, basketball or football.

  • INTERVIEWER : Vigorous activities make you breathe much harder than normal.
  • Press <1> to continue.

IPA_Q25
During the last 7 days, on how many days did you do vigorous physical activities in your leisure time? (Think about only those vigorous physical activities that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Enter amount only.
  • Number of days.
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R27)

IPA_C25

  • If IPA_Q25 = 0, go to IPA_R27.
  • Otherwise, go to IPA_Q26.

IPA_Q26
How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?

  • INTERVIEWER : Do not include activities previously mentioned. Include only those physical activities that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R27)

IPA_C26A

  • If IPA_Q26 = 24, go to IPA_R27.
  • Otherwise, go to IPA_N26.

IPA_N26

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R27
Now think about activities which take moderate physical effort that you did in your leisure time. Examples include bicycling for pleasure, playing baseball, or playing doubles tennis or badminton. Again, include only those moderate activities that you did for at least 10 minutes at a time.

  • INTERVIEWER : Press <1> to continue.

IPA_Q28
During the last 7 days, on how many days did you do moderate physical activities in your leisure time? (Think about only those physical activities that you did for at least 10 minutes at a time.)

  • INTERVIEWER : Do not include walking or other activities previously mentioned. If the same activity is reported as both vigorous and moderate, confirm that this is correct. Collect time spent doing the vigorous and moderate portions of the activity separately.
  • Enter amount only.
  • Number of days.
  • (MIN: 0)
  • (MAX: 7)
  • DK, RF (Go to IPA_R30)

IPA_C29

  • If IPA_Q28 = 0, go to IPA_R30.
  • Otherwise, go to IPA_Q29.

IPA_Q29
How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?

  • INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_R30)

IPA_C29A

  • If IPA_Q29 = 24, go to IPA_R30.
  • Otherwise, go to IPA_N29.

IPA_N29

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_R30
The last question is about the time that you spent sitting during the last 7 days. Include time at work, at home, while doing course work and during leisure time. This may include time spent sitting at a desk, visiting friends, reading or sitting or lying down to watch television. Do not include any time spent sitting in a motor vehicle that you have already told me about.

  • INTERVIEWER : Press <1> to continue.

IPA_Q30
During the last 7 days, how much time did you usually spend sitting on a weekday?

  • INTERVIEWER : Include time spent lying down while awake (e.g., reading, watching TV, insomnia). Do not include time spent lying down sleeping.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_Q31)

IPA_C30

  • If IPA_Q30 = 24, go to IPA_Q31.
  • Otherwise, go to IPA_N30.

IPA_N30

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_Q31
During the last 7 days, how much time did you usually spend sitting on a weekend day?

  • INTERVIEWER : If the respondent's answer seems unusually high, probe to determine if the time reported is for one day only or for the weekend as a whole. Include time spent lying down while awake. Do not include time spent lying down sleeping.
  • If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
  • Enter number of hours.
  • Hours
  • (MIN: 0)
  • (MAX: 24)
  • DK, RF (Go to IPA_END)

IPA_C30A

  • If IPA_Q31 = 24, go to IPA_END.
  • Otherwise, go to IPA_N31.

IPA_N31

  • INTERVIEWER : Enter number of minutes.
  • Minutes
  • (MIN: 0)
  • (MAX: 960)
  • DK, RF

IPA_END

Children's Physical Activity (CPA)

CPA_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent

CPA_C11

  • If AWC_AGE < 12, go to CPA_R11A.
  • Otherwise, go to CPA_END.

Content type:

  • NOTE TO DATA USERS:
    CPA is only asked for selected respondents aged 3 to 11.

CPA_R11A
The next few questions are about ^FNAME's physical activity. Physical activity is any activity that increases the heart rate and causes someone to be out of breath. Physical activity can take place while playing sports, doing school activities, playing with friends, or walking to school.

  • INTERVIEWER : Press <1> to continue.

CPA_R11B
Some examples of physical activity are running, brisk walking, dancing, swimming, rollerblading, skateboarding, biking, soccer, basketball and football.

For these next two questions, add up all the time he spent in physical activity each day.

  • INTERVIEWER : Press <1> to continue.

CPA_Q11
Over the past 7 days, on how many days was he physically active for a total of at least 60 minutes per day?

  • INTERVIEWER : Read categories to respondent.
  • 1 None (zero days)
  • 2 1 day
  • 3 2 or 3 days
  • 4 4 days or more
  • DK, RF

CPA_Q12
Over a typical or usual week, on how many days is he physically active for a total of at least 60 minutes per day?

  • 1 None (zero days)
  • 2 1 day
  • 3 2 or 3 days
  • 4 4 days or more
  • DK, RF

CPA_C13

  • If AWC_AGE > 5, go to CPA_Q13.
  • Otherwise, go to CPA_D15.

CPA_Q13
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

  • ... in his free time at school, for example, at lunch?
  • INTERVIEWER : Read categories to respondent.
  • 1 Never
  • 2 Less than 2 hours per week
  • 3 2 to less than 4 hours per week
  • 4 4 to less than 7 hours per week
  • 5 7 or more hours per week
  • DK, RF

CPA_Q14
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

... in his class time at school?

  • 1 Never
  • 2 Less than 2 hours per week
  • 3 2 to less than 4 hours per week
  • 4 4 to less than 7 hours per week
  • 5 7 or more hours per week
  • DK, RF

CPA_D15

  • If AWC_AGE > 5, DT_CPA15TEXTE = "outside of school".
  • Otherwise, DT_CPA15TEXTE = "EMPTY".

CPA_Q15
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

...[outside of school/EMPTY] while participating in lessons or league or team sports?

  • INTERVIEWER : Read categories to respondent.
  • 1 Never
  • 2 Less than 2 hours per week
  • 3 2 to less than 4 hours per week
  • 4 4 to less than 7 hours per week
  • 5 7 or more hours per week
  • DK, RF

CPA_Q16
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

...[outside of school/EMPTY] while participating in unorganized activities, either on his own or with friends?

  • 1 Never
  • 2 Less than 2 hours per week
  • 3 2 to less than 4 hours per week
  • 4 4 to less than 7 hours per week
  • 5 7 or more hours per week
  • DK, RF

CPA_Q17
On average, about how many hours a day does he watch TV or videos or play video games?

  • 1 Doesn't watch TV or videos or play video games
  • 2 Less than 1 hour a day
  • 3 1 to less than 3 hours a day
  • 4 3 to less than 5 hours a day
  • 5 5 to less than 7 hours a day
  • 6 7 or more hours a day
  • DK, RF

CPA_D18

  • If AWC_AGE < 6, DT_CPA18TEXTE = "Include time spent on the computer with an adult or older child.".
  • Otherwise, DT_CPA18TEXTE = "EMPTY".

CPA_Q18
On average, about how many hours a day does he spend on a computer, for example, doing homework, playing games, e-mailing, chatting, surfing the Internet? [Include time spent on the computer with an adult or older child./EMPTY]

  • 1 Doesn't use a computer
  • 2 Less than 1 hour a day
  • 3 1 to less than 3 hours a day
  • 4 3 to less than 5 hours a day
  • 5 5 to less than 7 hours a day
  • 6 7 or more hours a day
  • DK, RF

CPA_END

Time Spent Outdoors (TSO)

TSO_BEG

  • External variables required:
  • Variables from other components:
  • FNAME: first name of respondent
  • AWC_AGE: age of respondent
  • Variables from previously completed blocks:
  • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

TSO_C01A

  • If AWC_AGE > 14, go to TSO_END.
  • Otherwise, go to TSO_C01B.

TSO_C01B

  • If AWC_AGE = 7 to 14, go to TSO_Q21.
  • Otherwise, go to TSO_Q01.

TSO_Q01
During the past month did ^FNAME...?

  • INTERVIEWER : The category < 2 > (Attend a home-based daycare) includes care provided by a friend or relative (e.g., grandparent) in the friend or relative's own home.
  • Select the category < 5 > (Stay at home with a parent, guardian or caregiver) only if it was part of the regular weekday routine. Do not include sick days or Professional Development/Activity days or holidays lasting less than one week. Include vacations of one week or more in this category if the child stayed at home or was travelling with a parent or guardian.
  • Read categories to respondent. Mark all that apply.
  • 1 Attend a daycare center
  • 2 Attend a home-based daycare
  • 3 Attend nursery school or preschool
  • 4 Attend school (including kindergarten)
  • 5 Stay at home with a parent, guardian or caregiver
  • 6 Receive any other type of childcare (e.g., attend day camp) - Specify
  • DK, RF (Go to TSO_Q11)

TSO_C01C

  • If <6> is selected at TSO_Q01, go to TSO_S01.
  • Otherwise, go to TSO_C02.

TSO_S01
(What other type of childcare did ^FNAME receive?)

  • INTERVIEWER : Specify.
  • (80 spaces)
  • (DK, RF not allowed)

TSO_C02

  • If <4> is selected at TSO_Q01, go to TSO_Q02.
  • Otherwise, go to TSO_C03.

TSO_Q02
What grade of school is ^FNAME in?

  • INTERVIEWER : If the school year has ended, collect the grade just completed.
  • 1 Junior or senior kindergarten
  • 2 Grade 1 or higher
  • (Go to TSO_R22)
  • DK, RF (Go to TSO_R22)

TSO_C03

  • If TSO_Q01 = 5 and/or 6 only, go to TSO_Q11.
  • Otherwise, go to TSO_D03A.

TSO_D03A

  • If TSO_Q01 = (1 or 2) and TSO_Q01 <> 3 and TSO_Q01 <> 4, DT_CHILDCAREE = "daycare".
  • If TSO_Q01 = 3 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 4, DT_CHILDCAREE = "nursery school or preschool".
  • If TSO_Q01 = 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 3, DT_CHILDCAREE = "kindergarten".
  • If TSO_Q01 = (1 or 2) and 3 and TSO_Q01 <> 4, DT_CHILDCAREE = "daycare, nursery school or preschool".
  • If TSO_Q01 = (1 or 2) and 4 and TSO_Q01 <> 3, DT_CHILDCAREE = "daycare or kindergarten".
  • If TSO_Q01 = 3 and 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2, DT_CHILDCAREE = "nursery school, preschool or kindergarten".
  • If TSO_Q01 = (1 or 2) and 3 and 4, DT_CHILDCAREE = "daycare, nursery school, preschool or kindergarten".

TSO_D03B

  • If TSO_Q01 = (1 or 2) and TSO_Q01 <> 3 and TSO_Q01 <> 4, DT_CHILDCARE2E = "daycare".
  • If TSO_Q01 = 3 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 4, DT_CHILDCARE2E = "nursery school or preschool".
  • If TSO_Q01 = 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 3, DT_CHILDCARE2E = "kindergarten".
  • If TSO_Q01 = (1 or 2) and 3 and TSO_Q01 <> 4, DT_CHILDCARE2E = "daycare and nursery school or preschool".
  • If TSO_Q01 = (1 or 2) and 4 and TSO_Q01 <> 3, DT_CHILDCARE2E = "daycare and kindergarten".
  • If TSO_Q01 = 3 and 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2, DT_CHILDCARE2E = "nursery school or preschool and kindergarten".
  • If TSO_Q01=(1 or 2) and 3 and 4, DT_CHILDCARE2E = "daycare and nursery school or preschool and kindergarten".

TSO_D03C

  • If more than one of 1, 2, 3 or 4 is selected at TSO_Q01, DT_TSOTEXTE = "these programs".
  • Else, DT_TSOTEXTE = "this program".
  • Content type:
  • NOTE TO DATA USERS:
  • TSO_R03 to TSO_Q10 are asked for children aged 3 to 6 who attended daycare, nursery school, preschool or kindergarten in the past month.
  • TSO_Q03 to TSO_Q09 ask about time spent outdoors before these activities; while at the activities; after the activities but before dinner; and after dinner but before bedtime.
  • TSO_Q10 asks about time spent outdoors on days when the child did not attend any of these activities.

TSO_R03
Now I'd like to ask some questions about the time ^FNAME usually spends outdoors. I will first ask about time spent outside before getting to ^DT_CHILDCAREE, then about time spent outside while attending [these programs/this program] and finally about time spent outside after leaving ^DT_CHILDCARE2E for the day.

Please think about an average day during the past month.

  • INTERVIEWER : Press <1> to continue.

TSO_Q03
On an average day during the past month, how much time did ^FNAME usually spend outside after waking up in the morning but before getting to ^DT_CHILDCAREE? Please include any time spent walking to ^DT_CHILDCAREE. Do not include time spent travelling in a car, bus or other vehicle.

  • INTERVIEWER : If the child goes to multiple places on a given day, this question refers to the time spent outside after waking up in the morning but before arriving at the first place for the day (e.g., daycare, nursery school or kindergarten).
  • Read categories to respondent.
  • 1 None
  • 2 1 to less than 15 minutes
  • 3 15 to less than 30 minutes
  • 4 30 minutes to less than 1 hour
  • 5 1 to less than 2 hours
  • 6 2 hours or more
  • DK, RF

TSO_C04

  • If TSO_Q01 = 1 (daycare centre), go to TSO_Q04.
  • Otherwise, go to TSO_C05.

TSO_Q04
On an average day during the past month...

...how much time did he usually spend outside while at the daycare center?

  • 1 None
  • 2 1 to less than 15 minutes
  • 3 15 to less than 30 minutes
  • 4 30 minutes to less than 1 hour
  • 5 1 to less than 2 hours
  • 6 2 hours or more
  • DK, RF

TSO_C05

  • If TSO_Q01 = 2 (home-based daycare), go to TSO_Q05.
  • Otherwise, go to TSO_C06.

TSO_Q05
On an average day, during the past month...

...how much time did he usually spend outside while at the home-based daycare?

  • 1 None
  • 2 1 to less than 15 minutes
  • 3 15 to less than 30 minutes
  • 4 30 minutes to less than 1 hour
  • 5 1 to less than 2 hours
  • 6 2 hours or more
  • DK, RF

TSO_C06

  • If TSO_Q01 = 3 (nursery school/preschool), go to TSO_Q06.
  • Otherwise, go to TSO_C07.

TSO_Q06
On an average day, during the past month...

...how much time did he usually spend outside while at nursery school or preschool?

  • 1 None
  • 2 1 to less than 15 minutes
  • 3 15 to less than 30 minutes
  • 4 30 minutes to less than 1 hour
  • 5 1 to less than 2 hours
  • 6 2 hours or more
  • DK, RF

    TSO_C07

    • If TSO_Q01 = 4 (kindergarten), go to TSO_Q07.
    • Otherwise, go to TSO_D08.

    TSO_Q07
    On an average day, during the past month...

    ...how much time did he usually spend outside while at kindergarten?

    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_D08

    • Not Applicable

    TSO_Q08
    On an average day, during the past month...

    ...how much time did he usually spend outside after leaving ^DT_CHILDCAREE, but before dinner? Please include any time spent walking from ^DT_CHILDCAREE. Do not include time spent travelling in a car, bus or other vehicle.

    • INTERVIEWER : Include time spent outside between programs (e.g., walking from one place to another), as well as time spent outside after leaving the last place the child has been for the day, but before dinner.
    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_Q09
    On an average day, during the past month...

    ...how much time did he usually spend outside after dinner on a day when he attended ^DT_CHILDCAREE?

    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_Q10
    On an average day during the past month, on a day when ^FNAME did not go to ^DT_CHILDCAREE, for example, on the weekend, how much time did he usually spend outside?

    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    Go to TSO_END

    Content type:

    • NOTE TO DATA USERS:
      TSO_Q11 is asked for children aged 3 to 6 who did not attend daycare, nursery school, preschool or school in the past month. These are children who stayed home with a parent or guardian and/or received some other type of childcare (e.g., attended day camp).

    TSO_Q11
    On an average day during the past month, how much time did ^FNAME usually spend outside during the day?

    • INTERVIEWER : Read categories to respondent.
    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    Go to TSO_END

    Content type:

    • NOTE TO DATA USERS:
      TSO_Q21 is asked for respondents aged 7 to 14. </;i>

    TSO_Q21
    During the past month, did you attend school?

    • INTERVIEWER : Select "no" if the child was home schooled.
    • 1 Yes
    • 2 No (Go to TSO_Q27)
    • DK, RF (Go to TSO_Q27)

    Content type:

    • NOTE TO DATA USERS:
      TSO_R22 to TSO_Q26 are asked for respondents aged 7 to 14 who attended school in the past month, and for children aged 3 to 6 who attended school in grade 1 or over in the past month.

    TSO_R22
    I am now going to ask you about the time you usually spend outside on school days.

    • INTERVIEWER : Press <1> to continue.

    TSO_Q22
    During the past month, on an average school day, how much time did you usually spend outside after waking up, but before getting to school? Please include any time spent walking or biking to school. Do not include time spent travelling to school in a car, bus or other vehicle.

    • INTERVIEWER : Read categories to respondent.
    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_Q23
    During the past month, on an average school day...

    ...how much time did you usually spend outside while at school, including before school started, at recess, at lunch and during class time (e.g., during physical education class)?

    • INTERVIEWER : Include any time spent outside at a before- or after-school program or activity at the child's school.
    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_Q24
    During the past month, on an average school day...

    ...how much time did you usually spend outside after leaving school, but before dinner? Please include any time spent walking or biking home from school. Do not include time spent travelling in a car, bus or other vehicle.

    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_Q25 During the past month, on an average school day...

    ...how much time did you usually spend outside after dinner?

    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_Q26
    On an average day during the past month, when you did not go to school, for example, on the weekend, how much time did you usually spend outside?

    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    Go to TSO_END

    Content type:

    • NOTE TO DATA USERS:
      TSO_Q27 and TSO_Q28 are asked for children aged 7 to 14 who did not attend school in the past month.

    TSO_Q27
    On an average weekday (Monday to Friday) during the past month, how much time did you usually spend outside?

    • INTERVIEWER : Read categories to respondent.
    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_Q28
    On an average weekend day (Saturday or Sunday) during the past month, how much time did you usually spend outside?

    • 1 None
    • 2 1 to less than 15 minutes
    • 3 15 to less than 30 minutes
    • 4 30 minutes to less than 1 hour
    • 5 1 to less than 2 hours
    • 6 2 hours or more
    • DK, RF

    TSO_END

    Sedentary Activities (SAC)

    SAC_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    SAC_C11

    • If AWC_AGE < 12, go to SAC_END.
    • Otherwise, go to SAC_D11.

    SAC_D11

    • Not Applicable

    SAC_R11
    Now, a few additional questions about activities you do in your leisure time, that is, activities not at work or at school.

    • INTERVIEWER : Press <1> to continue.

    SAC_Q11
    In a typical week in the past 3 months, how much time did you usually spend on a computer, including watching videos, playing computer games, emailing or using the Internet? Include Internet use on other devices and time spent doing homework on a computer. Do not include time spent on a computer at work or at school.

    • INTERVIEWER : Do not include time spent on a computer at work or at school. Include Internet use on other devices such as iPads or cell phones.
    • Enter time in hours to the nearest half hour.
    • (MIN: 0)
    • (MAX: 96)
    • DK, RF

    SAC_Q12A
    In a typical week in the past 3 months, how much time did you usually spend:

    ... playing video games that require physical activity, such as Wii Fit or Dance Dance Revolution?

    • INTERVIEWER : Do not include time spent playing video games on a computer.
    • Enter time in hours to the nearest half hour.
    • (MIN: 0)
    • (MAX: 96)
    • DK, RF

    SAC_Q12B
    In a typical week in the past 3 months, how much time did you usually spend:

    ... playing other types of video games on a game console or hand-held electronic device?

    • INTERVIEWER : Do not include time spent playing video games on a computer. Game consoles include Xbox, Nintendo and PlayStation® consoles. Hand-held electronic devices include Nintendo DS, PSP® and cell phones.
    • Enter time in hours to the nearest half hour.
    • (MIN: 0)
    • (MAX: 96)
    • DK, RF

    SAC_Q13
    In a typical week in the past 3 months, how much time did you usually spend:

    ... watching television, DVD's or videos? Please do not include time spent watching TV or videos on a computer or while exercising.

    • INTERVIEWER : Do not include time spent watching videos on devices such as iPads or cell phones. Do not include time when the TV was left on, but the respondent was not watching.
    • Enter time in hours to the nearest half hour.
    • (MIN: 0)
    • (MAX: 96)
    • DK, RF

    SAC_Q14

    In a typical week in the past 3 months, how much time did you usually spend:

    …reading? Include time spent reading as part of your homework, but do not include time spent reading at work or at school.

    • INTERVIEWER : Include books, eBooks, magazines, newspapers and homework. Do not include reading on the computer or Internet.
    • Enter time in hours to the nearest half hour.
    • (MIN: 0)
    • (MAX: 96)
    • DK, RF

    SAC_END

    Hobbies

    Hobbies (HOB)

    HOB_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    HOB_R11
    Now some questions about activities you may have done recently.

    • INTERVIEWER : Press <1> to continue.

    HOB_D11A

    Programmer:

    • Date3MonthsAgoE: English text of date three months ago

    HOB_D11B

    • If 11< AWC_AGE < 20, DT_HOB11TEXTE = " or at school?".
    • If AWC_AGE < 12, DT_HOB11TEXTE = " or at school? For children this can include watching or helping a relative as well as participating themselves.".
    • Otherwise, DT_HOB11TEXTE = ", that is outside of work?".

    HOB_Q11
    In the past 3 months, that is from ^Date3MonthsAgoE to yesterday, have you done any of the following in your leisure time[ or at school?/ or at school? For children this can include watching or helping a relative as well as participating themselves./, that is outside of work?]

    • INTERVIEWER : Read categories to respondent. Mark all that apply.
    • 01 Arts using paints, glazes, finger paints, water colours, crayons
    • 02 Pottery and ceramics using a kiln
    • 03 Model making using glues, solders, paints or metals
    • 04 Making fishing sinkers or weights
    • 05 Welding or soldering
    • 06 Auto repairs
    • 07 Electronics assembly, repairs of components
    • 08 Plumbing
    • 09 Refinishing furniture
    • 10 Woodworking
    • 11 None
    • (Go to HOB_END)
    • DK, RF (Go to HOB_END)

    HOB_B12
    Call the Hobby Detail (HDB) block.

    Programmer:

    • The block should be called for each activity identified in HOB_Q11.
    • Parameters required: HOB_Q11.

    HOB_END

    Hobby Detail (HDB)

    HDB_BEG

    • External variables required:
    • Variables from previously completed blocks:
    • HOB_Q11: Activities in last three months
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    HDB_D11

    • If HOB_Q11 = 1, DT_ACTTEXTE = "do arts".
    • If HOB_Q11 = 2, DT_ACTTEXTE = "do pottery or ceramics".
    • If HOB_Q11 = 3, DT_ACTTEXTE = "do model making".
    • If HOB_Q11 = 4, DT_ACTTEXTE = "make fishing sinkers or weights".
    • If HOB_Q11 = 5, DT_ACTTEXTE = "do welding or soldering".
    • If HOB_Q11 = 6, DT_ACTTEXTE = "do auto repairs".
    • If HOB_Q11 = 7, DT_ACTTEXTE = "do electronics".
    • If HOB_Q11 = 8, DT_ACTTEXTE = "do plumbing".
    • If HOB_Q11 = 9, DT_ACTTEXTE = "refinish furniture".
    • If HOB_Q11 = 10, DT_ACTTEXTE = "do woodworking".

    Programmer:

    • Repeat HDB_D11, HDB_B11, HDB_C12 and HDB_Q12 for each activity identified in HOB_Q11.

    HDB_B11

    • Call the Frequency Detail (FQD) block.

    Programmer:

    • Pass " How often do you usually [do arts/do pottery or ceramics/do model making/make fishing sinkers or weights/do welding or soldering/do auto repairs/do electronics/do plumbing/refinish furniture/do woodworking]? (For example: twice a day, three times a week, once a month) " as parameter.

    HDB_C12

    • If HDB_B11.FQD_Q11 = DK or RF, go to HDB_END.
    • Otherwise, go to HDB_Q12.

    HDB_Q12
    About how much time do you spend on each occasion?

    • 1 Less than 30 minutes
    • 2 30 to 60 minutes
    • 3 61 to 90 minutes
    • 4 More than an hour and a half
    • DK, RF

    HDB_END

    Frequency Detail (FQD)

    FQD_BEG

    • External variables required:
    • DT_QUESTIONE: English question text

    FQD_Q11

    • ^DT_QUESTIONE
    • INTERVIEWER : Enter amount only.
    • Times
    • (MIN: 0)
    • (MAX: 500)
    • DK, RF (Go to FQD_END)

    FQD_C11

    • If FQD_Q11 = 0, go to FQD_END.
    • Otherwise, go to FQD_N11.

    FQD_N11

    • INTERVIEWER : Select the reporting period.
    • 1 Per day
    • 2 Per week
    • 3 Per month
    • 4 Per year
    • (DK, RF not allowed)

    FQD_END

    Sleep (SLP)

    SLP_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    SLP_D11

    • Not Applicable

    SLP_R11
    Now a few questions about your sleep.

    • INTERVIEWER : Press <1> to continue.

    SLP_Q11
    How many hours do you usually spend sleeping in a 24 hour period, excluding time spent resting?

    • INTERVIEWER : Enter number of hours per 24 hour period. Record to the nearest half hour.
    • (MIN: 1)
    • (MAX: 24)
    • DK, RF (Go to SLP_END)

    SLP_Q12
    How often do you have trouble going to sleep or staying asleep?

    • INTERVIEWER : Read categories to respondent.
    • 1 Never
    • (Go to SLP_C14)
    • 2 Rarely
    • (Go to SLP_C14)
    • 3 Sometimes
    • (Go to SLP_C14)
    • 4 Most of the time
    • 5 All of the time
    • DK, RF (Go to SLP_C14)

    SLP_Q13
    How long have you had this trouble?

    • INTERVIEWER : Read categories to respondent.
    • 1 Less than 2 weeks
    • 2 2 weeks to less than 6 months
    • 3 6 months to less than one year
    • 4 1 year to less than 2 years
    • 5 2 years or more
    • DK, RF

    SLP_C14

    • If AWC_AGE < 6, go to SLP_Q16.
    • Otherwise, go to SLP_Q14.

    SLP_Q14
    How often do you find your sleep refreshing?

    • 1 Never
    • 2 Rarely
    • 3 Sometimes(Go to SLP_Q16)
    • 4 Most of the time(Go to SLP_Q16)
    • 5 All of the time(Go to SLP_Q16)
    • DK, RF (Go to SLP_Q16)

    SLP_Q15
    How long has your sleep not been refreshing?

    • INTERVIEWER : Read categories to respondent.
    • 1 Less than 2 weeks
    • 2 2 weeks to less than 6 months
    • 3 6 months to less than one year
    • 4 1 year to less than 2 years
    • 5 2 years or more
    • DK, RF

    SLP_Q16
    How often do you find it difficult to stay awake during your normal waking hours when you want to?

    • 1 Never
    • (Go to SLP_END)
    • 2 Rarely
    • (Go to SLP_END)
    • 3 Sometimes
    • (Go to SLP_END)
    • 4 Most of the time
    • 5 All of the time
    • DK, RF (Go to SLP_END)

    SLP_Q17
    How long have you had difficulty staying awake when you want to?

    • INTERVIEWER : Read categories to respondent.
    • 1 Less than 2 weeks
    • 2 2 weeks to less than 6 months
    • 3 6 months to less than one year
    • 4 1 year to less than 2 years
    • 5 2 years or more
    • DK, RF

    SLP_END

    Request for Parent to Leave (RPL)

    RPL_BEG

    • External variables required:
    • Variables from other components:
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    RPL_C11

    • If AWC_AGE < 12 or > 19, go to RPL_END.
    • Otherwise, go to RPL_N11.

    RPL_N11

    • INTERVIEWER : Is the parent or guardian in the room with the youth?
    • 1 Yes
    • 2 No (Go to RPL_END)
    • (DK, RF not allowed)

    RPL_R12
    The next set of questions deal with some sensitive topics such as smoking, drug use and sexual behaviour. To obtain honest and accurate answers, it is best when these questions are answered in private.

    • INTERVIEWER : Press <1> to continue.

    RPL_Q13

    • INTERVIEWER : Read to parent or guardian.
    • Would you please leave the room for a few minutes? We will let you know when we have finished these questions and you will be welcome to return.
    • INTERVIEWER : Is the selected respondent now alone?
    • 1 Yes
    • 2 No (Go to RPL_END)
    • (DK, RF not allowed)

    Content type:

    • NOTE TO DATA USERS:
      If the selected respondent is aged 12 to19 and if the parent/guardian was providing the information for the youth but the parent/guardian left the room at RPL_Q13, the next few sets of questions will be redirected to the youth. In this case, the value of PROXYSEX is temporarily modified.

    RPL_D14

    Programmer:

    • IF RPL_Q13 = 1 THEN
      • IF PROXYSEX = 3 THEN
        • PROXYSEX = 1
        • RPL_D14 = 1
      • ELSE IF PROXYSEX = 4 THEN
        • PROXYSEX = 2
        • RPL_D14 = 1
      • ENDIF
    • ENDIF

    RPL_END

    Smoking (SMK)

    SMK_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent

    AWC_AGE:

    • age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    SMK_C11

    • If AWC_AGE < 12, go to SMK_END.
    • Otherwise, go to SMK_R11.

    SMK_R11
    Now, I am going to ask you about cigarette smoking. By cigarettes, we mean both ready-made cigarettes and ones you roll yourself, excluding cigars, cigarillos, marijuana or pipes.

    • INTERVIEWER : Press <1> to continue.
    • DK and RF are not allowed.

    SMK_D11

    • Not Applicable

    SMK_Q11
    In your lifetime, have you smoked a total of 100 or more cigarettes (about 4 packs)?

    • 1 Yes
    • 2 No
    • DK, RF

    SMK_Q12
    At the present time, do you smoke cigarettes daily, occasionally or not at all?

    • 1 Daily
    • 2 Occasionally
    • 3 Not at all
    • DK, RF

    SMK_C20A

    • If SMK_Q11 = 2 and (SMK_Q12 = 3, DK or RF), go to SMK_Q60.
    • Otherwise, go to SMK_C20B.

    SMK_C20B

    • If SMK_Q11 = NONRESPONSE and SMK_Q12 = NONRESPONSE, go to SMK_Q60.
    • Otherwise, go to SMK_R21.

    Content type:

    • NOTE TO DATA USERS:
      SMK_R21 to SMK_R21A are asked for
    • - daily and occasional smokers; and
    • - non-smokers who have smoked at least 100 cigarettes in their lifetime.

    SMK_R21
    The next questions are about your smoking history. To begin, a question about when you started smoking. You may find it helpful to think back to what you were doing or who you were with when you started smoking.

    • INTERVIEWER : Press <1> to continue.
    • DK and RF are not allowed.

    SMK_Q21
    At what age did you smoke your first whole cigarette?

    • INTERVIEWER : Minimum is 5; maximum is ^AWC_AGE.
    • Age in years
    • (MIN: 5)
    • (MAX: 79)
    • DK, RF

    SMK_R21A
    Now I'd like to know about changes in your smoking pattern from the time you smoked your first whole cigarette until today.

    • INTERVIEWER : Press <1> to continue.
    • DK and RF are not allowed.

    SMK_C21A

    • If SMK_Q12 = 1, go to SMK_Q22.
    • Otherwise, go to SMK_Q21A.

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q21A is asked for
      - occasional smokers; and
      - non-smokers who have smoked at least 100 cigarettes in their lifetime.

    SMK_Q21A
    Have you ever smoked at least 1 cigarette a month?

    • 1 Yes
    • 2 No (Go to SMK_Q60)
    • DK, RF (Go to SMK_Q60)

    Content type:

    • NOTE TO DATA USERS :
      SMK_Q22 to SMK_Q24 are asked for
      - daily smokers;
      - occasional smokers who have ever smoked at least one cigarette a month; and
      - non-smokers who have smoked at least 100 cigarettes in their lifetime and who have ever smoked at least one cigarette a month.

    SMK_Q22
    How old were you when you started smoking at least 1 cigarette a month?

    • INTERVIEWER : Minimum is ^SMK_Q21; maximum is ^AWC_AGE.
    • Age in years
    • (MIN: 5)
    • (MAX: 79)
    • DK, RF (Go to SMK_Q60)

    SMK_Q23
    When you were ^SMK_Q22 years old, how many days in a typical month did you smoke at least one cigarette?

    • INTERVIEWER : If the respondent smoked every day or daily, enter "31".
      If the respondent smoked 30 days in a month, ask if this means every day. If so, enter "31". If not, enter "30".
    • Days
    • (MIN: 1)
    • (MAX: 31)
    • DK, RF

    SMK_D24

    • If SMK_Q23 = 31, DT_SMK24TEXTE = "how many cigarettes did you usually smoke each day".
    • Otherwise, DT_SMK24TEXTE = "on the days you smoked, how many cigarettes did you usually smoke".

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q24 asks about smoking patterns at the time at which the respondent started smoking at least one cigarette a month. The question is phrased differently according to the response to SMK_Q23.
      - Respondents who reported having smoked daily at the age at which they first started smoking at least one cigarette a month (SMK_Q23=31) are asked, "How many cigarettes did you usually smoke each day?".
      - Respondents who did not smoke daily when they first started smoking at least one cigarette a month are asked, "On the days you smoked, how many cigarettes did you usually smoke?".

    SMK_Q24
    When you were ^SMK_Q22 years old...

    ...[how many cigarettes did you usually smoke each day/on the days you smoked, how many cigarettes did you usually smoke]?

    • Cigarettes
    • (MIN: 1)
    • (MAX: 95)
    • DK, RF

    SMK_C25A

    • If SMK_Q12 = 1 or SMK_Q12 = 2, go to SMK_R25.
    • Otherwise, go to SMK_C31A.

    Content type:

    • NOTE TO DATA USERS:
      SMK_R25 and SMK_Q25 are asked for daily smokers and occasional smokers who have ever smoked at least one cigarette a month.

    SMK_R25
    Next, a question about cigarette brand names. By brand name I mean the name on the package of cigarettes, including size and strength, such as King Size, Regular, Mild or Extra Mild.

    • INTERVIEWER : Press <1> to continue.
    • DK and RF are not allowed.

    SMK_Q25 What brand of cigarettes do you currently smoke?

    • INTERVIEWER : If necessary, probe for cigarette strength and size.
    • (80 spaces)
    • DK, RF

    Content type:

    • NOTE TO DATA USERS:
      A database is searched to find and capture the cigarette brand.

    SMK_D25

    • Not Applicable

    SMK_C25B

    • If SMK_D25 = 1 (Other) or 2 (Autre), go to SMK_S25.
    • Otherwise, go to SMK_C31A.

    SMK_S25

    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    SMK_C31A

    • If SMK_Q12 = 1, go to SMK_Q31.
    • Otherwise, go to SMK_C41.

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q31 is asked for daily smokers only.

    SMK_Q31
    How many cigarettes do you smoke each day now?

    • Cigarettes
    • (MIN: 1)
    • (MAX: 95)
    • DK, RF
    • Go to SMK_C51A

    SMK_C41

    • If SMK_Q12 = 2, go to SMK_Q41.
    • Otherwise, go to SMK_C51A.

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q41and SMK_Q42 are asked for occasional smokers who have ever smoked at least one cigarette a month.

    SMK_Q41
    On the days that you smoke, how many cigarettes do you usually smoke?

    • Cigarettes
    • (MIN: 1)
    • (MAX: 95)
    • DK, RF

    SMK_Q42
    In the past month, on how many days have you smoked 1 or more cigarettes?

    • Days
    • (MIN: 0)
    • (MAX: 31)
    • DK, RF

    SMK_C51A

    • If SMK_Q23 = 31, go to SMK_C53.
    • Otherwise, go to SMK_C51B.

    SMK_C51B

    • If SMK_Q12 = 1, go to SMK_Q52.
    • Otherwise, go to SMK_D51.

    SMK_D51

    • Not Applicable

    Content type:

    • NOTE TO DATA USERS:
    • SMK_Q51 is asked for - occasional smokers who have ever smoked at least one cigarette a month and who did not smoke daily when they first started smoking; and
      - non-smokers who have smoked at least 100 cigarettes in their lifetime, who have ever smoked at least one cigarette a month and who did not smoke daily when they first started smoking.

    SMK_Q51
    Have you ever smoked cigarettes daily?

    • 1 Yes
    • 2 No (Go to SMK_C53)
    • DK, RF (Go to SMK_Q60)

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q52 and SMK_Q53 are asked for
      - daily smokers who did not smoke daily when they first started smoking;
      - occasional smokers who have ever smoked daily and who did not smoke daily when they first started smoking; and
      - non-smokers who have smoked at least 100 cigarettes in their lifetime, who have ever smoked daily and who did not smoke daily when they first started smoking.

    SMK_Q52
    At what age did you begin to smoke cigarettes daily?

    • INTERVIEWER : Minimum is ^SMK_Q22; maximum is ^AWC_AGE.
    • Age in years
    • (MIN: 5)
    • (MAX: 79)
    • DK, RF

    SMK_D53

    • If SMK_Q12 = 1, DT_SMK53TEXTE = "When you started smoking cigarettes daily, how".
    • Otherwise, DT_SMK53TEXTE = "How".

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q53 is phrased differently depending on whether the respondent is a daily smoker.
      - Daily smokers are asked, "When you started smoking cigarettes daily, how many cigarettes did you usually smoke each day?".
      - Occasional and non smokers are asked, "How many cigarettes did you usually smoke each day?" referring to the time period reported at SMK_Q52.
      Note that respondents who smoked daily when they first started smoking are not asked this question since, for them, this same information was collected at SMK_Q24.

    SMK_Q53
    [When you started smoking cigarettes daily, how/How] many cigarettes did you usually smoke each day?

    • Cigarettes
    • (MIN: 1)
    • (MAX: 95)
    • DK, RF

    SMK_C53

    • If SMK_Q12 = (1, DK or RF) go to SMK_Q60
    • Otherwise if SMK_Q12 = 2 and SMK_Q51 = 2, go to SMK_Q60.
    • Otherwise, go to SMK_D54.

    SMK_D54

    • If SMK_Q52 <> RESPONSE, DT_SMK54INT = "^SMK_Q22".
    • If SMK_Q52 = RESPONSE, DT_SMK54INT = "^SMK_Q52".
    • If SMK_Q12 <> 2, DT_SMKTEXT1E = "completely".
    • If SMK_Q12 = 2, DT_SMKTEXT1E = "daily".

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q54 is asked for
      - occasional smokers who have ever smoked daily; and
      - non-smokers who have smoked at least 100 cigarettes in their lifetime and who have ever smoked at least one cigarette a month.
    • Two different questions are asked at SMK_Q54.
      - Occasional smokers are asked, "At what age did you stop smoking cigarettes daily?".
      - Non-smokers are asked, "At what age did you stop smoking cigarettes completely?".

    SMK_Q54
    At what age did you stop smoking cigarettes [completely/daily]?

    • INTERVIEWER : Minimum is [^SMK_Q22/^SMK_Q52]; maximum is ^AWC_AGE.
    • Age in years
    • (MIN: 5)
    • (MAX: 79)
    • DK, RF

    Content type:

    • NOTE TO DATA USERS:
      SMK_Q60 is asked for all respondents aged 12 or older.

    SMK_Q60
    In the past month, have you smoked cigars, cigarillos or a pipe or used snuff or chewing tobacco?

    • 1 Yes
    • 2 No
    • DK, RF

    SMK_END

    Alcohol Use (ALC)

    ALC_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    ALC_C11

    • If AWC_AGE < 12, go to ALC_END.
    • Otherwise, go to ALC_D11A.

    ALC_D11A

    • Not Applicable

    ALC_R11
    Now, some questions about your alcohol consumption.
    When we use the word "drink" it means:
    - one bottle or can of beer or a glass of draft
    - one glass of wine or a wine cooler
    - one drink or cocktail with one and a half ounces of liquor.

    • INTERVIEWER : Press <1> to continue.

    ALC_D11B

    Programmer:

    • DATELASTYEARE: English text of date one year ago

    ALC_Q11
    During the past 12 months, that is, from ^DATELASTYEARE to yesterday, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

    • 1 Yes
    • 2 No (Go to ALC_D17)
    • DK, RF (Go to ALC_END)

    ALC_Q12
    During the past 12 months, how often did you drink alcoholic beverages?

    • 1 Less than once a month
    • 2 Once a month
    • 3 2 to 3 times a month
    • 4 Once a week
    • 5 2 to 3 times a week
    • 6 4 to 6 times a week
    • 7 Every day
    • DK, RF

    ALC_D13

    • If SEX_Q01=1, DT_BINGEDRINKE = "5".
    • Otherwise, DT_BINGEDRINKE = "4".

    Content type:

    • NOTE TO DATA USERS:
      ALC_Q13A asks males if they have had 5 or more drinks on one occasion and asks females if they have had 4 or more drinks on one occasion.

    ALC_Q13A
    How often in the past 12 months have you had [5/4] or more drinks on one occasion?

    • 1 Never
    • 2 Less than once a month
    • 3 Once a month
    • 4 2 to 3 times a month
    • 5 Once a week
    • 6 More than once a week
    • DK, RF

    ALC_D14

    Programmer:

    • DateLastWeekE: English text of date one week ago

    ALC_Q14
    Thinking back over the past week, that is, from ^DateLastWeekE to yesterday, did you have a drink of beer, wine, liquor or any other alcoholic beverage?

    • 1 Yes
    • 2 No (Go to ALC_Q18)
    • DK(Go to ALC_Q18)
    • RF(Go to ALC_Q19)

    ALC_D15A

    Programmer:

    • NameYesterdayE: English name of day of week yesterday

    ALC_D15B

    • If ALC_Q15 = 1st reading, DT_BEGINNING_E = "Starting with yesterday, that is ".
    • If ALC_Q15 <> 1st reading, DT_BEGINNING_E = "EMPTY".

    ALC_Q15
    [Starting with yesterday, that is /EMPTY]^NameYesterdayE, how many drinks did you have?

    • Drinks
    • (MIN: 0)
    • (MAX: 95)
    • DK, RF

    Programmer:

    • If ALC_Q15 <> 1st reading, then capitalize ^NameYesterdayE
    • Ask ALC_Q15 seven times, once for each day of the week, working backwards from yesterday (for example Monday, Sunday, etc.).
    • If RF on first day, go to ALC_Q19.

    ALC_Q16
    Is the amount you drank over the last week more, about the same, or less compared to most weeks?

    • 1 More
    • 2 About the same
    • 3 Less
    • DK, RF

    Go to ALC_Q18

    ALC_D17

    • Not Applicable

    Content type:

    • NOTE TO DATA USERS:
      ALC_Q17 is asked only to respondents who have not had a drink of beer, wine, liquor or any other alcoholic beverage in the past 12 months (ALC_Q11 = 2).

    ALC_Q17
    Have you ever had a drink?

    • 1 Yes
    • 2 No (Go to ALC_END)
    • DK, RF (Go to ALC_END)

    Content type:

    • NOTE TO DATA USERS:
      ALC_Q18 to ALC_Q19 are asked for all respondents who have had a drink in the past 12 months (ALC_Q12 = 1) as well as for those who have not had a drink in the past 12 months but have had a drink at some time in their lifetime (ALC_Q17 = 1)

    ALC_Q18
    Did you ever regularly drink more than 12 drinks a week?

    • 1 Yes
    • 2 No
    • DK, RF

    ALC_Q19
    Not counting small sips, how old were you when you started drinking alcoholic beverages?

    • INTERVIEWER : Drinking does not include having a few sips of wine for religious purposes.
    • Minimum is 5; maximum is ^AWC_AGE.
    • Age in years
    • (MIN: 5)
    • (MAX: 79)
    • DK, RF

    ALC_END

    Illicit Drug Use (IDU)

    IDU_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    IDU_C11

    • If PROXYSEX = 3 or 4 or AWC_AGE < 14, go to IDU_END.
    • Otherwise, go to IDU_R11.

    IDU_R11
    Now I am going to ask you some questions about your use of drugs and other substances for non-medicinal purposes, for the experience, for the feeling they cause or to get high. I would like to remind you that everything you say will remain strictly confidential.

    • INTERVIEWER : Press <1> to continue.

    IDU_Q11
    Have you ever used or tried marijuana, cannabis or hashish?

    • 1 Yes
    • 2 No
    • DK
    • RF(Go to IDU_END)

    IDU_Q21
    Have you ever used or tried prescription drugs for non-medicinal purposes, for the experience, for the feeling they cause or to get high?

    • INTERVIEWER : Examples include such things as painkillers, stimulants such as Ritalin, sedatives or tranquilizers.
    • 1 Yes
    • 2 No
    • DK
    • RF(Go to IDU_END)

    IDU_Q22
    Have you ever used or tried other drugs or substances such as cocaine, speed, solvents or steroids?

    • INTERVIEWER : Do not include marijuana or prescription drugs.
    • 1 Yes
    • 2 No
    • DK
    • RF(Go to IDU_END)

    IDU_C31

    • If IDU_Q21 = 1 or IDU_Q22 = 1, go to IDU_D31.
    • Otherwise, go to IDU_END.

    IDU_D31

    • If IDU_Q21 = 1 and IDU_Q22 = 1, DT_IDUR32TEXTE = "prescription and other drugs or substances".
    • If IDU_Q21 = 1 and IDU_Q22 < > 1, DT_IDUR32TEXTE = "prescription drugs".
    • If IDU_Q21 < > 1 and IDU_Q22 = 1, DT_IDUR32TEXTE = "other drugs or substances".

    IDU_D32

    • If IDU_Q11 = 1, DT_IDUCANNABISTEXTE = "Do not include marijuana, cannabis or hashish.".
    • Otherwise, DT_IDUCANNABISTEXTE = "EMPTY".

    IDU_R32
    The next two questions ask about the [prescription and other drugs or substances/prescription drugs/other drugs or substances] you just reported. [Do not include marijuana, cannabis or hashish./EMPTY]

    • INTERVIEWER : Press <1> to continue.

    IDU_Q32
    Have you ever injected or been injected with drugs for non-medicinal purposes, for the experience, for the feeling they cause or to get high?

    • INTERVIEWER : Examples include such things as cocaine, heroin or steroids.
    • 1 Yes
    • 2 No (Go to IDU_END)
    • DK, RF (Go to IDU_END)

    IDU_Q33
    Other than by injection, have you ever used or tried drugs for non-medicinal purposes, for the experience, for the feeling they cause or to get high? [Do not include marijuana, cannabis or hashish./EMPTY]

    • INTERVIEWER : Some drugs can be administered in various ways. For this question, only include drugs taken using non-injection methods (e.g., snorting, sniffing, smoking, or oral ingestion) such as crack cocaine, hallucinogens and speed.
    • 1 Yes
    • 2 No
    • DK, RF

    IDU_END

    Sexual Behaviour (SXB)

    SXB_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • MSWC_Q02: marital status of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    SXB_C11

    • If AWC_AGE < 14 or PROXYSEX = 3 or 4, go to SXB_END.
    • Otherwise, go to SXB_R11.

    SXB_R11
    I would like to ask you a few questions about sexual behaviour. We ask these questions because sexual behaviours can have very important and long-lasting effects on personal health. You can be assured that anything you say will remain confidential.

    • INTERVIEWER : Press <1> to continue.

    SXB_Q11
    Have you ever had sexual intercourse?

    • 1 Yes
    • 2 No (Go to SXB_END)
    • DK, RF (Go to SXB_END)

    SXB_Q12
    In the past 12 months, have you had sexual intercourse?

    • 1 Yes
    • 2 No (Go to SXB_Q21)
    • DK, RF (Go to SXB_END)

    SXB_Q13
    With how many different partners?

    • 1 1 partner
    • 2 2 partners
    • 3 3 partners
    • 4 4 or more partners
    • DK, RF

    SXB_Q21
    Have you ever been diagnosed with a sexually transmitted disease or infection?

    • 1 Yes
    • 2 No (Go to SXB_C23A)
    • DK, RF (Go to SXB_C23A)

    SXB_Q22
    Which sexually transmitted disease(s) or infection(s) have you been diagnosed with?

    • 01 HIV (Human Immunodeficiency Virus)
    • 02 AIDS (Acquired Immunodeficiency Syndrome)
    • 03 Chlamydia
    • 04 Genital Herpes (Herpes Simplex Type II)
    • 05 Syphilis
    • 06 Gonorrhoea
    • 07 Genital Warts (Human Papilloma Virus or HPV)
    • 08 Venereal disease
    • 09 Hepatitis B
    • 10 Other - Specify(Go to SXB_S22)
    • DK, RF

    SXB_S22
    (Which sexually transmitted disease(s) or infection(s) have you been diagnosed with?)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    SXB_C23A

    • If SXB_Q12 = 1 (had intercourse in last 12 months), go to SXB_C23B.
    • Otherwise, go to SXB_END.

    SXB_C23B

    • If MSWC_Q02 = 1 (Married) or 2 (Common-law) and SXB_Q13 = 1 (one partner), go to SXB_END.
    • Otherwise, go to SXB_Q23.

    SXB_Q23
    Did you or your partner use a condom the last time you had sexual intercourse?

    • 1 Yes
    • 2 No
    • DK, RF

    SXB_Q24
    Do you or your partner usually use a condom when you have sexual intercourse?

    • 1 Yes
    • 2 No
    • DK, RF

    SXB_END

    PAP Test (PAP)

    PAP_BEG

    • External variables required:
    • Variables from other components:
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • PRS_Q11: whether respondent is pregnant

    PAP_C11

    • If (PROXYSEX =3 or 4) or SEX_Q01 = 1 or AWC_AGE < 14, go to PAP_END.
    • Otherwise, go to PAP_Q11.

    PAP_Q11
    Now a few questions about PAP tests.

    Have you ever had a PAP smear test?

    •  
    • 1 Yes
    • 2 No (Go to PAP_Q14)
    • DK, RF (Go to PAP_END)

    PAP_Q12
    When was the last time?

    • 1 Less than 6 months ago(Go to PAP_END)
    • 2 6 months to less than 1 year ago(Go to PAP_END)
    • 3 1 year to less than 3 years ago(Go to PAP_END)
    • 4 3 years to less than 5 years ago
    • 5 5 or more years ago
    • DK, RF (Go to PAP_END)

    PAP_Q14
    What are the reasons that you have not had a PAP smear test in the past 3 years?

    • INTERVIEWER : Mark all that apply.
    • 01 Have not gotten around to it
    • 02 Respondent or parent did not think it was necessary (e.g., thought she was too young)
    • 03 Doctor did not think it was necessary
    • 04 Uninformed (e.g., did not know what it was / did not know where to go)
    • 05 Has had a hysterectomy
    • 06 Does not have a doctor
    • 07 Fear / dislike having one done (e.g., painful, embarrassing, worried the results may show that something is wrong)
    • 08 Other - Specify(Go to PAP_S14)
    • DK, RF

    Go to PAP_END

    PAP_S14
    (What are the reasons that you have not had a PAP smear test in the past 3 years?)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    PAP_END

    Request for Parent to Return (RPR)

    RPR_BEG

    • External variables required:
    • Variables from other components:
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
      • RPL_N11: variable indicating if parent was in the room
      • RPL_Q13: variable indicating if parent left the room

    RPR_C11

    • If AWC_AGE < 12 or > 19 or RPL_Q13 = 2, go to RPR_END.
    • Otherwise, go to RPR_D11.

    RPR_D11

    • If RPL_N11 = 1, DT_RPR11TEXTE = "rejoin".
    • Otherwise, DT_RPR11TEXTE = "join".

    RPR_R11
    We have now finished the sensitive questions. If your parent or guardian is available, please ask him or her to [rejoin/join] us now.

    • INTERVIEWER : Press <1> to continue.

    RPR_N11

    • INTERVIEWER : Is the parent or guardian in the room?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    Content type:

    • NOTE TO DATA USERS:
      If the selected respondent is aged 12 to19 and the parent/guardian was providing the information for the youth prior to RPL and the parent/guardian left the room temporarily but has now returned, the remainder of the questions will be redirected back to the parent/guardian. In this case, PROXYSEX is reset to the original value.

    RPR_D12

    • Programmer: IF RPR_N11 = 1 and RPL_D14 = 1 THEN
      • IF PROXYSEX = 1 THEN
        • PROXYSEX = 3
      • ELSE IF PROXYSEX = 2 THEN
        • PROXYSEX = 4
      • ENDIF
    • ENDIF

    RPR_END

    Exposure to Second-Hand Smoke (ETS)

    ETS_BEG

    • External variables required:
    • Variables from other components:
    • AWC_AGE: age of respondent
    • PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • GEN_Q16: Whether the respondent worked at a job or business at any time in the previous 12 months
    • SMK_Q12: whether respondent smokes cigarettes daily, occasionally or not at all
    • SMK_Q60: whether respondent smoked cigarillos or little cigars, other types of cigars, or a pipe or used snuff or chewing tobacco in the past month

    ETS_R01
    The next questions are about exposure to second-hand smoke. Second-hand smoke includes the smoke that smokers exhale and the smoke from burning cigarettes, cigars, cigarillos or little cigars and pipes.

    • INTERVIEWER : Press <1> to continue.

    ETS_C01

    • If PERSEL = 2 and AWC_AGE > 11, go to ETS_Q04.
    • Otherwise, go to ETS_Q01.

    Content type:

    • NOTE TO DATA USERS:
      In households with two selected respondents, ETS_Q01 to ETS_Q03 are asked only during the interview for the selected respondent who is less than 12 years old.

    ETS_Q01
    Is smoking allowed inside this home?

    • INTERVIEWER : Include any cigarette, cigar, cigarillo or little cigar or pipe smoking.
    • 1 Yes
    • 2 No (Go to ETS_D14)
    • DK, RF (Go to ETS_D14)

    ETS_Q02
    Is smoking inside this home restricted in any way?

    • INTERVIEWER : Smoking is restricted if it is only allowed in certain areas of the home or under certain circumstances. Examples of restrictions include allowing smoking only in certain rooms, when windows are open or in the presence of other ventilation, or banning smoking when there are young children or elderly people present.
    • 1 Yes
    • 2 No (Go to ETS_Q04)
    • DK, RF (Go to ETS_Q04)

    ETS_Q03
    How is smoking restricted inside this home?

    • INTERVIEWER : Read categories to respondent. Mark all that apply.
    • 1 Allowed in certain rooms only
    • 2 Restricted in the presence of young children
    • 3 Allowed only if windows are open or with another type of ventilation
    • 4 Other restriction(s)
    • DK, RF

    ETS_Q04
    How often does someone smoke inside this home? Include both household members and visitors.

    • INTERVIEWER : Include respondent's own smoking. Read categories to respondent.
    • 1 Every day
    • 2 Almost every day
    • 3 At least once a week (Go to ETS_D09)
    • 4 At least once a month (Go to ETS_D09)
    • 5 Less than once a month (Go to ETS_D09)
    • 6 Never (Go to ETS_D14)
    • DK, RF (Go to ETS_D09)

    ETS_C05

    • If PERSEL = 2 and AWC_AGE > 11, go to ETS_D09.
    • Otherwise, go to ETS_Q05.

    Content type:

    • NOTE TO DATA USERS:
      In households with two selected respondents, ETS_Q05 to ETS_Q08 are asked only during the interview for the selected respondent who is less than 12 years old.

    ETS_Q05
    How many people smoke inside this home every day or almost every day?

    • INTERVIEWER : Include both household members and visitors. Include cigarette, cigar, cigarillo or little cigar and pipe smoking. Include respondent's own smoking.
    • Number of people
    • (MIN: 1)
    • (MAX: 15)
    • DK, RF

    ETS_Q06
    Which of the following tobacco products are smoked inside this home?

    • INTERVIEWER : Include respondent's own smoking. Read categories to respondent. Mark all that apply.
    • 1 Cigarettes
    • 2 Cigarillos or little cigars
    • 3 All other types of cigars
    • 4 Pipes
    • DK, RF (Go to ETS_D09)

    ETS_C07

    • If ETS_Q06 =4 only, go to ETS_Q08.
    • Otherwise, go to ETS_D07.

    ETS_D07

    • If ETS_Q06 = 1 and ETS_Q06 < > 2 or 3, DT_SMOKEE = "cigarettes".
    • If ETS_Q06 = 2 and ETS_Q06 < > 1 or 3, DT_SMOKEE = "cigarillos or little cigars".
    • If ETS_Q06 = 3 and ETS_Q06 < > 1 or 2, DT_SMOKEE = "cigars".
    • If ETS_Q06 = 1 and ETS_Q06 = 2 and ETS_Q06 < > 3, DT_SMOKEE = "cigarettes and cigarillos or little cigars".
    • If ETS_Q06 = 1 and ETS_Q06 = 3 and ETS_Q06 < > 2, DT_SMOKEE = "cigarettes and cigars".
    • If ETS_Q06 = 2 and ETS_Q06 = 3 and ETS_Q06 < > 1, DT_SMOKEE = "cigarillos, little cigars and other types of cigars".
    • If ETS_Q06 = 1 and ETS_Q06 = 2 and ETS_Q06 = 3, DT_SMOKEE = "cigarettes, cigarillos or little cigars, and other types of cigars".

    ETS_Q07
    On a typical day, how many ^DT_SMOKEE are smoked inside this home?

    • INTERVIEWER : There are about 20 cigarettes in a pack. Include the respondent's own smoking.
    • Number
    • (MIN: 1)
    • (MAX: 995)
    • DK, RF

    ETS_C08

    • If ETS_Q06 = 4, go to ETS_Q08.
    • Otherwise, go to ETS_D09.

    ETS_Q08
    On a typical day, what is the total period of time that at least one person is smoking a pipe inside this home?

    • INTERVIEWER : Include the time only once even if more than one person is smoking a pipe at the same time. Include respondent's own smoking.
    • Read categories to respondent.
    • 1 Less than 1 hour
    • 2 1 to less than 3 hours
    • 3 3 to less than 5 hours
    • 4 5 hours or more
    • DK, RF

    ETS_D09

    • If (SMK_Q12 = 1 or 2) or SMK_Q60 = 1, DT_ETS9TEXTE = "Not including your own smoking, in".
    • Otherwise, DT_ETS9TEXTE = "In".

    Content type:

    • NOTE TO DATA USERS:
      ETS_Q09 to ETS_Q24 are asked for all selected respondents.

    ETS_Q09
    [Not including your own smoking, in/In] the past month, how often were you exposed to second-hand smoke inside this home?

    • INTERVIEWER : Select "Never" if the respondent was only exposed to his/her own smoke. Read categories to respondent.
    • 1 Every day
    • 2 Almost every day
    • 3 At least once a week
    • 4 At least once in the past month
    • 5 Never
    • DK, RF

    ETS_D14

    • If (SMK_Q12 = 1 or 2) or SMK_Q60 = 1, DT_ETS14TEXTE = "Do not include exposure to your own smoke.".
    • Otherwise, DT_ETS14TEXTE = "EMPTY".

    ETS_R14
    The next questions are about exposure to second-hand smoke in places other than your own home. Again, second-hand smoke includes the smoke that smokers exhale and the smoke from burning cigarettes, cigars, cigarillos or little cigars and pipes. [Do not include exposure to your own smoke./EMPTY]

    • INTERVIEWER : Press <1> to continue.

    ETS_Q14
    In the past month, were you exposed to second-hand smoke, every day or almost every day...

    ... in a car or other vehicle?

    • 1 Yes
    • 2 No
    • DK, RF

    ETS_C16

    • If GEN_Q16 = 1, go to ETS_Q16.
    • Otherwise, go to ETS_Q20.

    ETS_Q16
    In the past month, were you exposed to second-hand smoke every day or almost every day...

    ...at your place of work?

    • INTERVIEWER : Include exposure outdoors if the respondent works outdoors. Do not include exposure at the entrance to a building (e.g., when arriving at or leaving the place of work); this should be captured at ETS_Q22: outdoors in public places.
    • 1 Yes
    • 2 No
    • DK, RF

    ETS_Q20
    In the past month, were you exposed to second-hand smoke, every day or almost every day...

    ... inside someone else's home?

    • 1 Yes
    • 2 No
    • DK, RF

    ETS_Q21
    In the past month, were you exposed to second-hand smoke, every day or almost every day...

    ... indoors, in public places such as bars, restaurants, shopping malls, arenas, bingo halls, bowling alleys, concert or sporting facilities?

    • 1 Yes
    • 2 No
    • DK, RF

    ETS_Q22
    In the past month, were you exposed to second-hand smoke, every day or almost every day...

    ... outdoors in public places such as outdoor patios, bus stops or shelters, entrances to buildings, school property, sidewalks or parks?

    • 1 Yes
    • 2 No
    • DK, RF

    ETS_Q23
    In the past month, were you exposed to second-hand smoke, every day or almost every day...

    ... anywhere else?

    • 1 Yes
    • 2 No
    • DK, RF

    ETS_D24

    • If ETS_Q04 = 1, 2, 3, 4 or 5, DT_EXHOMEE = " excluding inside your own home,".
    • Otherwise, DT_EXHOMEE = "EMPTY ".

    ETS_Q24
    Overall,[ excluding inside your own home,/EMPTY ] in the past month how often were you exposed to second-hand smoke? [Do not include exposure to your own smoke./EMPTY]

    • INTERVIEWER : Read categories to respondent.
    • 1 Every day
    • 2 Almost every day
    • 3 At least once a week
    • 4 At least once in the past month
    • 5 Never
    • DK, RF

    ETS_END

    Request for Child to Leave (RCL)

    RCL_BEG

    • External variables required:
    • Variables from other components:
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • RPL_N11: whether parent or guardian is in the room
    • RPR_N11: whether parent has returned to room

    RCL_C11

    • If AWC_AGE > 17 or (RPL_N11 = 1 and RPR_N11 = 2), go to RCL_END.
    • Otherwise, go to RCL_D11.

    RCL_D11

    • If SEX_Q01 = 1, DT_HIMHER2 = "him".
    • If SEX_Q01 = 2, DT_HIMHER2 = "her".
    • If SEX_Q01 = 1, DT_HESHE = "he".
    • If SEX_Q01 = 2, DT_HESHE = "she".

    RCL_N11

    • INTERVIEWER : Is the child in the room?
    • 1 Yes
    • 2 No (Go to RCL_END)
    • (DK, RF not allowed)

    RCL_D12

    • If PROXYSEX = 3 or 4, DT_RCL12INTE = "Read to parent or guardian.".
    • If PROXYSEX = 3 or 4, DT_RCL12TEXTE = "It is best when this next set of questions is answered by an adult in private.".
    • If PROXYSEX <> 3 or 4, DT_RCL12INTE = "Read to respondent.".
    • If PROXYSEX <> 3 or 4 and RPL_N11 = 2, DT_RCL12TEXTE = "This next set of questions deals with topics that are best answered by your parent or guardian in private. Please ask your parent or guardian to come and answer these next questions.".
    • If PROXYSEX <> 3 or 4 and RPL_N11 <> 2, DT_RCL12TEXTE = "This next set of questions deals with topics that are best answered by your parent or guardian in private.".

    1 RCL_R12

    • INTERVIEWER : [Read to parent or guardian./Read to respondent.]
    • [It is best when this next set of questions is answered by an adult in private./This next set of questions deals with topics that are best answered by your parent or guardian in private. Please ask your parent or guardian to come and answer these next questions./This next set of questions deals with topics that are best answered by your parent or guardian in private.]
    • INTERVIEWER : Press <1> to continue.

    RCL_C12

    • If AWC_AGE < 12, go to RCL_Q13.
    • Otherwise, go to RCL_N12.

    RCL_N12

    • INTERVIEWER : Is the parent or guardian available to answer the next questions?
    • 1 Yes
    • 2 No (Go to RCL_END)
    • DK, RF

    RCL_D13A

    • If PROXYSEX = 3 or 4, DT_RCL13TEXTE = "Could ^FNAME please leave the room while we complete these questions? We will let ^DT_HIMHER know when we have finished these questions and [he/she] may return.".
    • Otherwise, DT_RCL13TEXTE = "Would you please leave the room so that your parent or guardian may answer these questions in private? We will let you know when we have finished these questions and at that time we would like you to return.".

    RCL_Q13
    [Could ^FNAME please leave the room while we complete these questions? We will let him know when we have finished these questions and he may return./Would you please leave the room so that your parent or guardian may answer these questions in private? We will let you know when we have finished these questions and at that time we would like you to return.]

    • INTERVIEWER : Has the child left the room?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    Content type:

    • NOTE TO DATA USERS:
      If the selected respondent is aged 12 to17 and is providing his own information and if the parent/guardian is available to answer questions and the youth leaves the room at RCL_Q13, the next few sets of questions will be redirected to the parent/guardian. In this case, the value of PROXYSEX is temporarily modified.

    RCL_D13B

    Programmer: IF RCL_Q13 = 1 THEN

    • IF PROXYSEX = 1 THEN
      • PROXYSEX = 3
      • RCL_D13 = 1
    • ELSE IF PROXYSEX = 2 THEN
      • PROXYSEX = 4
      • RCL_D13 = 1
    • ENDIF

    ENDIF

    RCL_END

    Pregnancy Information (PRG)

    PRG_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • SEX_Q01[PPI_N01]: sex of person providing information
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • PPI_N03: whether person providing the information is a biological parent (1 = yes; 2 = no)

    Content type:

    • NOTE TO DATA USERS:
      PRG collects information on selected respondents aged 3 to 11. It is only asked if the person providing the information is a biological parent of the selected respondent.

    PRG_C11

    • If AWC_AGE > 11 or PPI_N03 = 2, go to PRG_END.
    • Otherwise, go to PRG_D11.

    PRG_D11

    • If SEX_Q01 = 1, DT_HIMHER2 = "him".
    • Otherwise, DT_HIMHER2 = "her".
    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG11INTE = "your pregnancy with ^FNAME".
    • Otherwise, DT_PRG11INTE = "^FNAME's biological mother's pregnancy with ^HIMHER2".
    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG11ATEXTE = "you".
    • Otherwise, DT_PRG11ATEXTE = "she".
    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG11BTEXTE = "your".
    • Otherwise, DT_PRG11BTEXTE = "her".

    PRG_R11
    Next some question about [your pregnancy with ^FNAME/^FNAME's biological mother's pregnancy with him].

    • INTERVIEWER : Press <1> to continue.

    PRG_Q11
    Did [you/she] smoke during [your/her] pregnancy with ^FNAME?

    • 1 Yes
    • 2 No (Go to PRG_END)
    • DK, RF (Go to PRG_END)

    PRG_D12

    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG12TEXTE = "you".
    • Otherwise, DT_PRG12TEXTE = "she".

    PRG_Q12
    How many cigarettes per day did [you/she] smoke?

    • INTERVIEWER : Enter number of cigarettes.
    • Cigarettes
    • (MIN: 1)
    • (MAX: 95)
    • DK, RF

    PRG_D13

    • If SEX_Q01[PPI_N01] <> 2 and PPI_N03 = 1, DT_PRG13BTEXTE = "she".
    • If PRG_Q12 = NONRESPONSE, DT_PRG12CTEXTE = "EMPTY".
    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 <> 1, DT_PRG13BTEXTE = "she".
    • If SEX_Q01[PPI_N01] <> 2 and PPI_N03 = 1, DT_PRG13ATEXTE = "her".
    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG13BTEXTE = "you".
    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 <> 1, DT_PRG13ATEXTE = "her".
    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG13ATEXTE = "your".
    • If PRG_Q12 = RESPONSE, DT_PRG12CTEXTE = "this amount".

    PRG_Q13
    At what stage in [her/your] pregnancy did [she/you] smoke[EMPTY/this amount]?

    • INTERVIEWER : Mark all that apply.
    • 1 During the first three months
    • 2 During the second three months
    • 3 During the third three months
    • 4 Throughout
    • DK, RF

    PRG_END

    Birth Information (BIR)

    BIR_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • SEX_Q01[PPI_N01]: sex of person providing the information
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • PPI_N03: whether person providing information is a biological parent (1 = yes; 2 = no)

    Content type:

    • NOTE TO DATA USERS:
      BIR is asked to the parent or guardian of selected respondents aged 3 to 11.

    BIR_C11

    • If AWC_AGE > 11, go to BIR_END.
    • Otherwise, go to BIR_R11.

    BIR_R11
    The following questions concern ^FNAME's birth.

    • INTERVIEWER : Press <1> to continue.

    BIR_Q11
    How much did he weigh at birth?

    • INTERVIEWER : Record the reporting unit.
    • 1 Pounds and Ounces
    • 2 Grams(Go to BIR_N14)
    • DK, RF (Go to BIR_Q21)

    BIR_N12

    • INTERVIEWER : Enter pounds only.
    • Pounds
    • (MIN: 0)
    • (MAX: 20)
    • (DK, RF not allowed)

    BIR_N13

    • INTERVIEWER : Enter ounces only.
    • Ounces
    • (MIN: 0)
    • (MAX: 15)
    • (DK, RF not allowed)

    Go to BIR_Q21

    BIR_N14

    • INTERVIEWER : Enter grams.
    • Grams
    • (MIN: 225)
    • (MAX: 9,995)
    • (DK, RF not allowed)

    BIR_Q21
    Was he born before, after or on the due date?

    • 1 Before the due date
    • 2 After the due date
    • 3 On the due date
    • (Go to BIR_Q23)
    • DK, RF (Go to BIR_Q23)

    BIR_D22

    • If BIR_Q21 = 1, DT_BEFOREAFTE = "before".
    • If BIR_Q21 = 2, DT_BEFOREAFTE = "after".

    BIR_Q22
    How many days [before/after] the due date was he born?

    • INTERVIEWER : If less than one day, enter "0".
    • Days
    • (MIN: 0)
    • (MAX: 126)
    • DK, RF

    BIR_Q23
    Was this a single birth, or was it twins or triplets?

    • 1 Single birth
    • 2 Twins
    • 3 Triplets
    • 4 More than triplets
    • DK, RF (Go to BIR_END)

    BIR_Q24
    Was ^FNAME admitted to a special neonatal unit or an intensive care unit immediately following birth, before he left the hospital?

    • 1 Yes
    • 2 No (Go to BIR_Q26)
    • DK, RF (Go to BIR_Q26)

    BIR_Q25
    For how many days, in total, was this care received?

    • INTERVIEWER : If less than one day, enter "0".
    • Days
    • (MIN: 0)
    • (MAX: 995)
    • DK, RF

    BIR_D26

    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_BIR26TEXTE = "were you".
    • Otherwise, DT_BIR26TEXTE = "was ^FNAME's biological mother".

    BIR_Q26
    How old [were you/was ^FNAME's biological mother] when ^FNAME was born?

    • INTERVIEWER : Minimum is 12; maximum is 70.
    • Age in years
    • (MIN: 12)
    • (MAX: 70)
    • DK, RF

    BIR_END

    Breastfeeding Information (BRI)

    BRI_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • SEX_Q01[PPI_N01]: sex of person providing information
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • PPI_N03: whether person providing the information is a biological parent (1 = yes; 2 = no)

    Content type:

    • NOTE TO DATA USERS:
      BRI collects information on selected respondents aged 3 to 11. It is only asked if the person providing the information is a biological parent of the selected respondent.

    BRI_C11

    • If AWC_AGE > 11 or PPI_N03 = 2, go to BRI_END.
    • Otherwise, go to BRI_D11.

    BRI_D11

    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_BRI11TEXTE = "you".
    • Otherwise, DT_BRI11TEXTE = "^FNAME's biological mother".

    BRI_Q11
    Did [you/^FNAME's biological mother] breastfeed ^FNAME as an infant, even if only for a short period of time?

    • 1 Yes
    • 2 No (Go to BRI_END)
    • DK, RF (Go to BRI_END)

    BRI_D12

    • If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_BRI12TEXTE = "you".
    • Otherwise, DT_BRI12TEXTE = "she".

    BRI_Q12
    For how long did [you/she] breastfeed?

    • 01 Less than one week
    • 02 1 to less than 3 weeks
    • 03 3 to less than 5 weeks
    • 04 5 to less than 9 weeks
    • 05 9 to less than 12 weeks
    • 06 3 to less than 7 months
    • 07 7 to less than 10 months
    • 08 10 to 12 months
    • 09 More than 1 year
    • DK, RF

    BRI_Q13
    For how long was ^FNAME fed only breast milk?

    • INTERVIEWER : Water, tea, juice or other liquids are not to be included. Medication and vitamins can be included.
    • 1 Less than one week
    • 2 1 to less than 3 weeks
    • 3 3 to less than 5 weeks
    • 4 5 to less than 9 weeks
    • 5 9 to less than 12 weeks
    • 6 3 to 6 months
    • 7 More than 6 months
    • DK, RF

    BRI_END

    Strengths and Difficulties© Robert Goodman (SDQ)

    SDQ_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • Variables from previously completed blocks:
    • RCL_N11: whether respondent is in the room
    • RCL_N12: whether parent or guardian is available to answer questions

    Content type:

    • NOTE TO DATA USERS:
      SDQ is asked to the parent or guardian of selected respondents aged 4 to 17. The questions are not administered for selected respondents aged 12 to 17 if the youth is still in the room or if the parent or guardian is unavailable to answer the questions.

    SDQ_C01

    • If AWC_AGE < 4, go to SDQ_END.
    • Otherwise, go to SDQ_C11A.

    SDQ_C11A

    • If AWC_AGE = 4 to 11, go to SDQ_D11.
    • Otherwise, go to SDQ_C11B.

    SDQ_C11B

    • If AWC_AGE = 12 to17 and (RCL_N11 = 2 or RCL_N12 = 1), go to SDQ_D11.
    • Otherwise, go to SDQ_END.

    SDQ_D11

    • If SEX_Q01 <> 1, DT_HESHE_C = "She".
    • If SEX_Q01 = 1, DT_HESHE_C = "He".
    • If SEX_Q01 = 1, DT_HISHER = "his".
    • If SEX_Q01 <> 1, DT_HISHER = "her".

    SDQ_R11
    Now I'm going to read a series of statements. Please tell me if the statement is "Not true", "Somewhat true" or "Certainly true". It would help us if you answered all of the questions as best you can even if you are not absolutely certain. Please give your answers on the basis of your child's behaviour over the last six months.

    • INTERVIEWER : Press <1> to continue.

    SDQ_Q11
    ^FNAME is considerate of other people's feelings.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK
    • RF(Go to SDQ_END)

    SDQ_Q12
    He is restless, overactive, cannot stay still for long.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q13
    He often complains of headaches, stomach aches or sickness.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_D14

    • If AWC_AGE < 12, DT_SDQ14TEXTE = "[She/He] shares readily with other children, for example toys, treats, pencils.".
    • Otherwise, DT_SDQ14TEXTE = "[She/He] shares readily with other youth, for example CD's, games, food.".

    SDQ_Q14
    [He shares readily with other children, for example toys, treats, pencils./He shares readily with other youth, for example CD's, games, food.]

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q15
    He often loses his temper.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_D16

    • If AWC_AGE < 12, DT_SDQ16TEXTE = "^FNAME is rather solitary, prefers to play alone.".
    • Otherwise, DT_SDQ16TEXTE = "^FNAME would rather be alone than with other youth.".

    SDQ_Q16
    [^FNAME is rather solitary, prefers to play alone./^FNAME would rather be alone than with other youth.]

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q17
    He is generally well behaved, usually does what adults request.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q18
    He has many worries or often seems worried.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q19
    He is helpful if someone is hurt, upset, or feeling ill.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q20
    He is constantly fidgeting or squirming.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q21
    ^FNAME has at least one good friend.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_D22

    • If AWC_AGE < 12, DT_SDQ22TEXTE = "[She/He] often fights with other children or bullies them.".
    • Otherwise, DT_SDQ22TEXTE = "[She/He] often fights with other youth or bullies them.".

    SDQ_Q22
    [He often fights with other children or bullies them./He often fights with other youth or bullies them.]

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q23
    He is often unhappy, depressed or tearful.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_D24

    • If AWC_AGE < 12, DT_SDQ24TEXTE = "[She/He] is generally liked by other children.".
    • Otherwise, DT_SDQ24TEXTE = "[She/He] is generally liked by other youth.".

    SDQ_Q24
    [He is generally liked by other children./He is generally liked by other youth.]

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q25
    He is easily distracted, his concentration wanders.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_D26

    • If AWC_AGE < 12, DT_SDQ26TEXTE = "^FNAME is nervous or clingy in new situations, easily loses confidence.".
    • Otherwise, DT_SDQ26TEXTE = "^FNAME is nervous in new situations, easily loses confidence.".

    SDQ_Q26
    [^FNAME is nervous or clingy in new situations, easily loses confidence./^FNAME is nervous in new situations, easily loses confidence.]

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q27
    He is kind to younger children.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q28
    He often lies or cheats.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_D29

    • If AWC_AGE < 12, DT_SDQ29TEXTE = "[She/He] is picked on or bullied by other children.".
    • Otherwise, DT_SDQ29TEXTE = "[She/He] is picked on or bullied by other youth.".

    SDQ_Q29
    [He is picked on or bullied by other children./He is picked on or bullied by other youth.]

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q30
    He often offers to help others (parents, teachers, other children).

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q31
    ^FNAME thinks things out before acting.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q32
    He steals from home, school or elsewhere.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_D33

    • If AWC_AGE < 12, DT_SDQ33TEXTE = "[She/He] gets along better with adults than with other children.".
    • Otherwise, DT_SDQ33TEXTE = "[She/He] gets along better with adults than with other youth.".

    SDQ_Q33
    [He gets along better with adults than with other children./He gets along better with adults than with other youth.]

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q34
    He has many fears, is easily scared.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_Q35
    He has a good attention span, sees chores or homework through to the end.

    • 1 Not true
    • 2 Somewhat true
    • 3 Certainly true
    • DK, RF

    SDQ_END

    Request for Child to Return (RCR)

    RCR_BEG

    • External variables required:
    • Variables from other components:
    • AWC_AGE: age of respondent
    • SEX_Q01: sex of respondent (1 = male; 2 = female)
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • RCL_N11: variable indicating if child was in the room
    • RCL_Q13: variable indicating if child left the room
    • RCL_D13: variable indicating if PROXYSEX status has been altered

    RCR_C11

    • If AWC_AGE < 18 and RCL_N11 = 1 and RCL_Q13 = 1, go to RCR_D11.
    • Otherwise, go to RCR_END.

    RCR_D11

    • If AWC_AGE > 12, DT_RCR11TEXTE = "^FNAME should return now to answer the remaining questions in the survey. You may wish to remain in the room or close by to provide assistance to ^FNAME if needed.".
    • If AWC_AGE = 12, DT_RCR11TEXTE = "^FNAME should return now to answer the remaining questions in the survey. You may wish to remain in the room or close by to provide assistance to ^FNAME if needed.".
    • If AWC_AGE < 12, DT_RCR11TEXTE = "^FNAME may return now if [he/she] wishes. [He/She] may help answer the remaining questions.".
    • If SEX_Q01 = 1, DT_HESHE = "he".
    • If SEX_Q01 = 1, DT_HESHE_C = "He".
    • If SEX_Q01 <> 1, DT_HESHE = "she".
    • If SEX_Q01 <> 1, DT_HESHE_C = "She".

    RCR_R11
    We have now finished this set of questions. ^DT_RCR11TEXTE

    • INTERVIEWER : Press <1> to continue.

    RCR_N11

    • INTERVIEWER : Has the child returned to the room?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    Content type:

    • NOTE TO DATA USERS:
      If the selected respondent is a youth aged 12 to17, was providing his own information prior to RCL, left the room at RCL but has now returned, the remainder of the questions will be redirected back to the youth. In this case, PROXYSEX is reset to the original value.

    RCR_D11C

    Programmer:

    • IF RCR_N11 = 1 and RCL_D13 = 1 THEN
      • IF PROXYSEX = 3 THEN
        • PROXYSEX = 1
      • ELSE IF PROXYSEX = 4 THEN
        • PROXYSEX = 2
      • ENDIF
    • ENDIF

    RCR_END

    Labour Force

    Labour Force (LAF)

    LAF_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • RESPONDENTNAME: given name and surname of respondent
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • GEN_Q16: whether the respondent worked at a job or business at any time in the previous 12 months (1 = yes; 2 = no)

    LAF_C01

    • If AWC_AGE < 15 or AWC_AGE > 75 or GEN_Q16 = DK or RF, go to LAF_END.
    • Otherwise, go to LAF_D01.

    LAF_D01

    • DV_REFBEGE = English date corresponding to one week ago
    • DV_REFENDE = English date corresponding to yesterday
    • DV_NMBEGE = English date corresponding to today's date plus 28 days

    LAF_B01

    • Call Labour Market Activities - Minimum Block (LMAM)
    • LAF_C11
    • If LMAM_Q02 = 2 or ((LMAM_Q02 = 1) and (LMAM_Q03 = 8, 9 or 10)), go to LAF_B11.
    • Otherwise, go to LAF_C21.
    • Content type:
    • LMAM_Q02: Last week, did you have a job or business from which you were absent? 1 = Yes
    • 2 = No
    • LMAM_Q03: What was the main reason you were absent from work last week?
    • 08 = Temporary layoff due to business conditions (Employees only)
    • 09 = Seasonal layoff (Employees only)
    • 10 = Casual job, no work available (Employees only)

    LAF_D11

    Programmer:

    • AGE = AWC_AGE

    LAF_B11

    • Call Labour Force Status Block (LMA2)

    LAF_C21

    • If (GEN_Q16 = EMPTY and LMAM_Q01 = 2) or GEN_Q16 = 2, go to LAF_B21.
    • Otherwise, go to LAF_C31.

    Content type:

    • GEN_Q16: Have you worked at a job or business at any time in the past 12 months?
    • LMAM_Q01: Last week, did you work at a job or business?

    LAF_B21

    • Call CHMS Labour Force Year Block (LFY)

    LAF_C31

    • If ((LMAM_Q01 = 1) or ((LMAM_Q02 = 1) and (LMAM_Q03 = 1, 2, 3, 4, 5, 6, 7, 11, 12, 13 or 14))) or LFY_Q01 = 1 or GEN_Q16 = 1, go to LAF_D31.
    • Otherwise, go to LAF_END.

    Content type:

    • LMAM_Q01: Last week, did you work at a job or business?
      1 = Yes
    • LMAM_Q02: Last week, did you have a job or business from which you were absent?
      1 = Yes
    • LMAM_Q03: What was the main reason you were absent from work last week
      01 = Own illness or disability
      02 = Caring for own children
      03 = Caring for elder relative (60 years of age or older)
      04 = Maternity or parental leave
      05= Other personal or family responsibilities
      06 = Vacation
      07 = Labour dispute (strike or lockout) (Employees only)
      11 = Work schedule (e.g., shift work) (Employees only)
      12 = Self-employed, no work available (Self-employed only)
      13 = Seasonal business (Excluding employees)
      14 = Other - Specify
    • LFY_Q01: Have you worked at a job or a business at any time in the past 12 months?
      1 = Yes
    • GEN_Q16: Have you worked at a job or business at any time in the past 12 months?
      1 = Yes

    LAF_D31

    • If LMAM_Q01 = 1 or LMAM_Q02 = 1, DT_LAF31TEXTE = "job or business".
    • Otherwise, DT_LAF31TEXTE = "most recent job or business".

    LAF_R31
    The next questions are about your [job or business/most recent job or business].

    • INTERVIEWER : If the respondent had more than one job or business, report on the job or business for which the number of hours worked per week was the greatest.
    • Press <1> to continue.

    LAF_B31

    • Call CHMS Class of Worker Block (LMA3)

    LAF_B41

    • Call CHMS Industry Block (LMA4)

    LAF_B51

    • Call CHMS Occupation Block (LMA5)

    LAF_B61

    • Call CHMS Labour Force Usual Hours of Work Block (LFH)

    LAF_END

    Labour Market Activities Minimal (LMAM)

    LMAM_BEG

    • External variables required:
    • Variables from other components:
    • RESPONDENTNAME: given name and surname of respondent
    • FNAME: given name of respondent
    • REFBEGE: English date corresponding to the first day of reference week
    • REFENDE: English date corresponding to the last day of reference week
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • GEN_Q16: Whether the respondent worked at a job or business at any time in the previous 12 months

    LMAM_D01

    • If PROXYSEX = 1, DT_LMAM_D01E = "your".
    • If PROXYSEX = 2, DT_LMAM_D01E = "your".
    • If PROXYSEX = 3, DT_LMAM_D01E = "^FNAME's".
    • If PROXYSEX = 4, DT_LMAM_D01E = "^FNAME's".

    LMAM_C01

    • If GEN_Q16 = 2, go to LMAM_D02.
    • Otherwise, go to LMAM_Q01.

    LMAM_Q01
    Many of the following questions concern your activities last week. By

    last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE.

    Last week, did you work at a job or business? (regardless of the number of hours)

    • 1 Yes
    • 2 No (Go to LMAM_Q02)
    • DK, RF

    Go to LMAM_END

    LMAM_D02

    • If GEN_Q16 = 2, DT_LMAM_D02E = "Many of the following questions concern [your/^FNAME's] activities last week. By last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE.".
    • Otherwise, DT_LMAM_D02E = "EMPTY".

    LMAM_Q02
    [Many of the following questions concern your activities last week. By last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE./EMPTY]

    Last week, did you have a job or business from which you were absent?

    • 1 Yes
    • (Go to LMAM_Q03)
    • 2 No
    • DK, RF

    Go to LMAM_END

    LMAM_Q03
    What was the main reason you were absent from work last week?

    • 01 Own illness or disability
    • 02 Caring for own children
    • 03 Caring for elder relative (60 years of age or older)
    • 04 Maternity or parental leave
    • 05 Other personal or family responsibilities
    • 06 Vacation
    • 07 Labour dispute (strike or lockout) (Employees only)
    • 08 Temporary layoff due to business conditions (Employees only)
    • 09 Seasonal layoff (Employees only)
    • 10 Casual job, no work available (Employees only)
    • 11 Work schedule (e.g., shift work) (Employees only)
    • 12 Self-employed, no work available (Self-employed only)
    • 13 Seasonal business (Excluding employees)
    • 14 Other - Specify
    • (Go to LMAM_S03)
    • DK, RF

    Go to LMAM_END

    LMAM_S03
    (What was the main reason you were absent from work last week?)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • DK, RF

    LMAM_END

    Labour Force Status (LMA2)

    LMA2_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: given name of respondent
    • AGE: age of respondent in years
    • REFENDE
    • English date corresponding to the last day of reference week
    • NMBEGE
    • English date corresponding to the first day after 4 weeks from the end of the reference week
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • LMAM_Q02: Last week, did you have a job or business from which you were absent? (1 = Yes; 2 = No)
    • LMAM_Q03: What was the main reason you were absent from work last week?
      01 = Own illness or disability
      02 = Caring for own children
      03 = Caring for elder relative (60 years of age or older)
      04 = Maternity or parental leave
      05 = Other personal or family responsibilities
      06 = Vacation
      07 = Labour dispute (strike or lockout) (Employees only)
      08 = Temporary layoff due to business conditions (Employees only)
      09 = Seasonal layoff (Employees only)
      10 = Casual job, no work available (Employees only)
      11 = Work schedule (e.g., shift work) (Employees only)
      12 = Self-employed, no work available (Self-employed only)
      13 = Seasonal business (excluding employees)
      14 = Other - Specify

    LMA2_C04B

    • If (LMAM_Q02=1) and (LMAM_Q03=8), go to LMA2_D08.
    • Otherwise, go to LMA2_Q04.

    LMA2_Q04
    In the 4 weeks ending ^REFENDE, did you do anything to find work?

    • 1 Yes
    • (Go to LMA2_Q07)
    • 2 No
    • DK, RF (Go to LMA2_END)

    LMA2_C05

    • If (AGE >= 065), go to LMA2_END.
    • Otherwise, go to LMA2_Q05.

    LMA2_Q05
    Last week, did you have a job to start at a definite date in the future?

    • 1 Yes
    • (Go to LMA2_Q06)
    • 2 No
    • DK, RF

    Go to LMA2_END

    LMA2_Q06
    Will you start that job before or after ^NMBEGE?

    • 1 Before the date above
    • (Go to LMA2_D08)
    • 2 On or after the date above
    • DK, RF

    Go to LMA2_END

    LMA2_Q07
    Did you want a job with more or less than 30 hours per week?

    • 1 30 or more hours per week
    • 2 Less than 30 hours per week
    • DK, RF

    LMA2_D08

    • If ((LMAM_Q02=1) and (LMAM_Q03=8)), DT_LMA2_D08E = "if you had been recalled".
    • Otherwise, DT_LMA2_D08E = "if a suitable job had been offered".

    LMA2_Q08
    Could you have worked last week [if you had been recalled/if a suitable job had been offered]?

    • 1 Yes
    • 2 No (Go to LMA2_Q09)
    • DK, RF

    Go to LMA2_END

    LMA2_Q09
    What was the main reason you were not available to work last week?

    • 01 Own illness or disability
    • 02 Caring for own children
    • 03 Caring for elder relative (60 years of age or older)
    • 04 Other personal or family responsibilities
    • 05 Going to school
    • 06 Vacation
    • 07 Already has a job
    • 08 Other - Specify
    • (Go to LMA2_S09)
    • DK, RF

    Go to LMA2_END

    LMA2_S09
    (What was the main reason you were not available to work last week?)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • DK, RF

    LMA2_END

    Labour Force Year (LFY)

    LFY_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: Given name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • GEN_Q16: Whether the respondent worked at a job or business at any time in the previous 12 months
    • LMA2_Q04: Respondent did something to find work in last 4 weeks (1 = Yes, 2 = No)

    LFY_D01

    • If DT DATELASTYEARE = EMPTY, DT_DATELASTYEARE = "English text of date one year ago".

    LFY_C01

    • If GEN_Q16 = 2, go to LFY_C02.
    • Otherwise, go to LFY_R01.

    LFY_R01
    Now some questions about jobs or employment which you have had during the past 12 months, that is, from ^DT_DATELASTYEARE to yesterday.

    • INTERVIEWER : Press <1> to continue.

    LFY_Q01
    Have you worked at a job or a business at any time in the past 12 months? (regardless of number of hours)

    • 1 Yes
    • 2 No (Go to LFY_C02)
    • DK, RF

    Go to LFY_END

    LFY_C02

    • If LMA2_Q04 = 1 (did something to find work in last 4 weeks), go to LFY_END.
    • Otherwise, go to LFY_Q02.

    LFY_Q02
    During the past 12 months, did you do anything to find work?

    • 1 Yes
    • 2 No
    • DK, RF
    • LFY_D02

    LFY_END

    Class of Worker (LMA3)

    LMA3_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: given name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    LMA3_D10

    • Not Applicable

    LMA3_Q10
    Were you an employee or self-employed?

    • 1 Employee
    • 2 Self-employed
    • 3 Working in a family business without pay
    • DK, RF

    LMA3_END

    Industry (LMA4)

    LMA4_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: given name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • LMA3_Q10: Were you an employee or self-employed?
      1 = Employee
      2 = Self-employed
      3 = Working in a family business without pay

    LMA4_C11B

    • If (LMA3_Q10=2), go to LMA4_Q11.
    • Otherwise, go to LMA4_Q12.

    LMA4_Q11
    What was the name of your business?

    • INTERVIEWER : Enter the full name of the business.
    • If there is no business name, enter the respondent's full name.
    • (50 spaces)
    • DK, RF

    Go to LMA4_Q13

    LMA4_Q12
    For whom did you work?

    • INTERVIEWER : Enter the full name of the company, business, government department or agency, or person.
    • (50 spaces)
    • DK, RF

    LMA4_Q13
    What kind of business, industry or service was this?

    • INTERVIEWER : Enter a detailed description.
    • For example:
    • new home construction
    • primary school
    • municipal police
    • wheat farm
    • retail shoe store
    • food wholesale
    • car parts factory
    • federal government
    • (50 spaces)
    • DK, RF

    LMA4_END

    Occupation (LMA5)

    LMA5_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: given name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • LMAM_Q01: Last week, did you work at a job or business? (regardless of the number of hours) (1 = Yes; 2 = No)
    • LMAM_Q02: Last week, did you have a job or business from which you were absent? (1 = Yes; 2 = No)
    • LMAM_Q03: What was the main reason you were absent from work last week?
      1 Own illness or disability
      2 Caring for own children
      3 Caring for elder relative (60 years of age or older)
      4 Maternity or parental leave
      5 Other personal or family responsibilities
      6 Vacation
      7 Labour dispute (strike or lockout) (Employees only)
      8 Temporary layoff due to business conditions (Employees only)
      9 Seasonal layoff (Employees only)
      10 Casual job, no work available (Employees only)
      11 Work schedule (e.g., shift work) (Employees only)
      12 Self-employed, no work available (Self-employed only)
      13 Seasonal business (excluding employees)
      14 Other - Specify

    LMA5_C14

    • If ((LMAM_Q01=1) or ((LMAM_Q01=2) and (LMAM_Q02=1) and
    • (LMAM_Q03=1, 2, 3, 4, 5, 6, 7, 11, 12, 13 or 14))), go to LMA5_D14.
    • Otherwise, go to LMA5_END.

    LMA5_D14

    • Not Applicable

    LMA5_Q14
    What was your work or occupation?

    • INTERVIEWER : Enter a detailed description.
    • For example:
    • legal secretary
    • plumber
    • fishing guide
    • wood furniture assembler
    • secondary school teacher
    • computer programmer
    • (50 spaces)
    • DK, RF

    LMA5_D15

    • Not Applicable

    LMA5_Q15
    In this work, what were your main activities?

    • INTERVIEWER : Enter a detailed description.
    • For example:
    • prepared legal documents
    • installed residential plumbing
    • guided fishing parties
    • made wood furniture products
    • taught mathematics
    • developed software
    • (50 spaces)
    • DK, RF

    LMA5_END

    Usual Hours of Work (LFH)

    LFH_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: given name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy
    • LMAM_Q01: Last week, did you work at a job or business? (regardless of the number of hours) (1 = Yes; 2 = No)
    • LMAM_Q02: Last week, did you have a job or business from which you were absent? (1 = Yes; 2 = No) LMAM_Q03: What was the main reason you were absent from work last week?
      1 = Own illness or disability
      2 = Caring for own children
      3 = Caring for elder relative (60 years of age or older)
      4 = Maternity or parental leave
      5 = Other personal or family responsibilities
      6 = Vacation
      7 = Labour dispute (strike or lockout) (Employees only)
      8 = Temporary layoff due to business conditions (Employees only)
      9 = Seasonal layoff (Employees only)
      10 = Casual job, no work available (Employees only)
      11 = Work schedule (e.g., shift work) (Employees only)
      12 = Self-employed, no work available (Self-employed only)
      13 = Seasonal business (excluding employees)
      14 = Other - Specify
    • LMA3_Q10: Were you an employee or self-employed?
      1 = Employee
      2 = Self-employed
      3 = Working in a family business without pay

    LFH_D16

    • If LMA3_Q10= 2, DT_JOBE = "business".
    • Otherwise, DT_JOBE = "job".
    • If LMAM_Q01 = 1 or LMAM_Q02 = 1, DT_DODIDE = "do".
    • Otherwise, DT_DODIDE = "did".
    • If LMAM_Q01 = 1 or LMAM_Q02 = 1, DT_WORKE = "work".
    • Otherwise, DT_WORKE = "worked".

    LFH_Q16
    About how many hours a week [do/did] you usually work at your [business/job]? If you usually [work/worked] extra hours, paid or unpaid, please include these hours.

    • (MIN: 0)
    • (MAX: 168)
    • DK, RF

    LFH_END

    Socio-Demographic

    Socio-Demographic Characteristics (SDC)

    SDC_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_YOB: year of birth of respondent
    • PERSEL: number of selected respondents in household
    • CURRENTYEAR: the year during which the information is collected
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    SDC_D11

    • If PERSEL = 1, DT_SDC11TEXTE = "EMPTY".
    • Otherwise, DT_SDC11TEXTE = "It is important that we get this information from each individual that we interview, even those in the same family.".

    SDC_R11
    Now some general background questions which will help us compare the health of people in Canada. [EMPTY/It is important that we get this information from each individual that we interview, even those in the same family.]

    • INTERVIEWER : Press <1> to continue.

    SDC_B12

    • Call the Immigration Minimum (IMM) block

    Programmer:

    • YEAROFBIRTH = AWC_YOB for selected respondent

    SDC_C13

    • If SDC_B12.DV_CNTRYCODE (derived from SDC_B12.IMM_Q01) = 11124 (Canada), 11840 (USA), 11304 (Greenland) or 21276 (Germany), go to SDC_B13.
    • Otherwise, go to SDC_C14.

    SDC_B13

    • Call the Aboriginal Minimum (AMB) block.

    SDC_C14

    • If SDC_B13.AMB_Q01 = 1 (Aboriginal person), go to SDC_END.
    • Otherwise, go to SDC_B14.

    SDC_B14

    • Call the Population Group (PG) block.

    SDC_END

    Immigration Minimum (IMM)

    IMM_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • CURRENTYEAR: the year during which the information is collected
    • YEAROFBIRTH: year of birth, from the entry block
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    IMM_Q01
    In what country were you born?

    • INTERVIEWER : Ask the respondent to specify country of birth according to current boundaries.
    • Start typing the name of the country to activate function.
    • Enter "CAN" to select Canada.
    • Enter "Other - Specify" if the country is not part of the list.
    • 1 Search
    • 2 Other - Specify
    • (Go to IMM_S01)
    • DK, RF

    Content type:

    • NOTE TO DATA USERS:
      A database is searched at IMM_Q01 to find and capture the country of birth.

    IMM_C01

    • If DV_CNTRYCODE = 90000 (Other-Specify), go to IMM_S01.
    • Otherwise, go to IMM_C02.

    IMM_C02

    • If DV_CNTRYCODE = 11124 (Canada), go to IMM_Q02.
    • Otherwise, go to IMM_Q03.

    IMM_S01
    (In what country were you born?)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • DK, RF

    Go to IMM_Q03

    IMM_Q02
    In which province or territory were you born?

    • INTERVIEWER : Ask the respondent to specify province or territory of birth according to current boundaries.
    • 10 Newfoundland and Labrador
    • 11 Prince Edward Island
    • 12 Nova Scotia
    • 13 New Brunswick
    • 24 Quebec
    • 35 Ontario
    • 46 Manitoba
    • 47 Saskatchewan
    • 48 Alberta
    • 59 British Columbia
    • 60 Yukon
    • 61 Northwest Territories
    • 62 Nunavut
    • DK, RF

    Go to IMM_END

    IMM_Q03
    Are you now, or have you ever been a landed immigrant in Canada?

    • INTERVIEWER : A landed immigrant, or permanent resident, is a person who has been granted the right to live in Canada permanently by immigration authorities.
    • 1 Yes
    • 2 No (Go to IMM_Q05)
    • DK, RF (Go to IMM_Q05)

    IMM_Q04
    In what year did you first become a landed immigrant in Canada?

    • INTERVIEWER : If respondent cannot give exact year of immigration, ask for a best estimate of the year.
    • Year
    • (MIN: 1,870)
    • (MAX: 2,100)
    • DK, RF

    IMM_Q05
    In what year did you first come to Canada to live?

    • INTERVIEWER : The respondent may have first come to live in Canada on a work or study permit or by claiming refugee status.
    • If the respondent moved to Canada more than once, enter the first year they arrived in Canada (excluding vacation time spent in Canada).
    • If the respondent cannot give the exact year of arrival in Canada, ask for a best estimate of the year.
    • (MIN: 1,870)
    • (MAX: 2,100)
    • DK, RF

    IMM_END

    Aboriginal Minimum (AMB)

    AMB_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    AMB_D01

    • Not Applicable

    AMB_Q01
    Are you an Aboriginal person, that is, First Nations, Métis or Inuk (Inuit)? First Nations includes Status and Non-Status Indians.

    • INTERVIEWER : The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.
    • "Inuit" is the plural form of "Inuk".
    • 1 Yes
    • (Go to AMB_Q02)
    • 2 No
    • DK, RF

    Go to AMB_END

    Help text:

    • Tag: Aboriginal group
    • This question should be answered regardless of whether or not this person is an Aboriginal person of North America.
    • Aboriginal people are usually those with ancestors who resided in North America prior to European contact and who identify with one of the three Aboriginal groups listed on the questionnaire: First Nations (North American Indian), Métis and Inuk.
    • Persons who consider themselves to be East Indian or Asian Indian, or who have ethnic roots on the subcontinent of India, should respond "No, not an Aboriginal person" to this question.
    • Individuals who refer to themselves as Métis in the context of mixed ancestry, but who do not have North American Aboriginal ancestry-for example, those from Africa, the Caribbean and South America-should respond "No, not an Aboriginal person".
    • Press "Escape" to return.

    AMB_Q02

    • INTERVIEWER : If the respondent has already specified the Aboriginal group(s), select the group(s) from the list below; if not, ask:

    Are you First Nations, Métis or Inuk (Inuit)?

    • INTERVIEWER : Mark all that apply.
    • First Nations (North American Indian) includes Status and Non-Status Indians.
    • The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.
    • "Inuit" is the plural form of "Inuk".
    • 1 First Nations (North American Indian)
    • 2 Métis
    • 3 Inuk (Inuit)
    • DK, RF

    AMB_END

    Population Group (PG)

    PG_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    PG_D01

    • Not Applicable

    PG_Q01
    You may belong to one or more racial or cultural groups on the following list.

    Are you... ?

    • INTERVIEWER : Read categories to respondent and mark up to 4 responses that apply.
    • If respondent answers "mixed", "bi-racial" or "multi-racial", etc, probe for specific groups and mark each one separately (e.g., White, Black, Chinese).
    • Aboriginal people or First Nations are not included in the list of response categories because the Employment Equity Act defines visible minorities as "persons, other than Aboriginal persons, who are non-Caucasian in race or non-white in colour". Guidelines state that "Due to their status as First Nation people, Aboriginal peoples are specifically excluded from the definition".
    • Under the Employment Equity Act, Aboriginal Peoples are considered to be a separate designated group.
    • 01 White
    • 02 South Asian (e.g., East Indian, Pakistani, Sri Lankan)
    • 03 Chinese
    • 04 Black
    • 05 Filipino
    • 06 Latin American
    • 07 Arab
    • 08 Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian)
    • 09 West Asian (e.g., Iranian, Afghan)
    • 10 Korean
    • 11 Japanese
    • 12 Other - Specify
    • (Go to PG_S01)
    • DK, RF

    Go to PG_END

    Help text:

    • Tag: Racial or cultural group
    • All response categories and examples must be read aloud, even if the respondent has already given a response.
    • If the respondent provides a response that is not on the list, do not reclassify it into one of the given categories. For example, do not select "White" if the respondent says "Caucasian". Instead, record "Caucasian" in the "Other - Specify" category.
    • If no preceding aboriginal question block is on the survey, and an aboriginal respondent answers that they are First Nations, Métis or Inuk (Inuit), select <12 Other - Specify> and enter "NA".
    • Press "Escape" to return.

    PG_S01
    (You may belong to one or more racial or cultural groups on the following list.

    Are you... ?)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • DK, RF

    PG_END

    Language Extended (LAE)

    LAE_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    LAE_D01

    • Not Applicable

    LAE_Q01
    Of English or French, which language(s) do you speak well enough to conduct a conversation? Is it... ?

    • INTERVIEWER : Read categories to respondent.
    • 1 English only
    • 2 French only
    • 3 Both English and French
    • 4 Neither English nor French
    • DK, RF

    Help text:

    • Tag: Knowledge of official languages
    • For a child who has not yet learned to speak:
    • Report the language(s) that the child is learning to speak at home: English, French, both or neither.
    • Presss "Escape" to return.

    LAE_B02

    Content type:

    • NOTE TO DATA USERS:
      A database is searched at LAE_B02 to find and capture the language(s) other than English or French that the respondent speaks well enough to conduct a conversation. The question text, interviewer instructions and help text are fed into a call block as parameters. Up to three languages can be entered.

    Help text:

    • Tag: Knowledge of non-official languages
      For a child who has not yet learned to speak:
      Report a language other than English or French that the child is learning to speak at home.
    • Some languages like Chinese (Cantonese, Mandarin or other Chinese language) and those used by Jewish communities (such as Hebrew or Yiddish) have regional dialects which should be reported as separate response options. Probe the respondent for the correct language.
    • If the respondent DOES NOT report the language of interview, probe to determine if it was simply forgotten or if it is not spoken well enough to conduct a conversation.

    Programmer:

    • Pass the parameters question text, interviewer instruction
      and help text.
    • QTEXT = What language(s) other than English or French do you speak well enough to conduct a conversation?
    • ITEXT = Mark up to three responses. Report only those languages in which the respondent can carry on a conversation of some length on various topics

    LAE_B03

    Content type:

    • NOTE TO DATA USERS:
      A database is searched at LAE_B03 to find and capture the language spoken most often at home. The question text, interviewer instructions and help text are fed into a call block as parameters. Multiple responses are allowed only if languages are spoken equally often at home. Up to three languages can be entered.

    Help text:

    • Tag: Home language spoken most often
      For a child who has not yet learned to speak:
      Report the language spoken most often to this child at home. If two languages are spoken, report the language spoken most often. If both languages are used equally often, report both languages.
    • For a person who lives alone, report the language in which the respondent feels most comfortable (this can be the language the respondent would use to talk on the telephone, entertain friends at home, etc.).
    • Some languages like Chinese (Cantonese, Mandarin or other Chinese language) and those used by Jewish communities (such as Hebrew or Yiddish) have regional dialects which should be reported as separate response options. Probe the respondent for the correct language.

    Programmer:

    • Pass the parameters question text, interviewer instruction
      and help text.
    • QTEXT = What language do you speak most often at home?
    • ITEXT = Mark up to three responses. Multiple responses are accepted
      only if languages are spoken equally often at home.

    LAE_B06

    Content type:

    • NOTE TO DATA USERS:
      A database is searched at LAE_B06 to find and capture the language first learned in childhood and still understood. The question text, interviewer instructions and help text are fed into a call block as parameters. Multiple responses are allowed only if languages were learned at the same time. Up to three languages can be entered.

    Help text:

    • Tag: Mother tongue
      This question should be asked of children between the ages of 0-5 years where their main introduction to the first language learned at home would be through their parents and siblings.
    • For a child who has not yet learned to speak:
      Report the language spoken most often to this child at home. Report two languages only if both languages are spoken equally often so that the child learns both languages at the same time.
    • Some languages like Chinese (Cantonese, Mandarin or other Chinese language) and those used by Jewish communities (such as Hebrew or Yiddish)
      have regional dialects which should be reported as separate response options. Probe the respondent for the correct language.

    Programmer:

    • Pass the parameters question text, interviewer instruction and help text.
    • QTEXT = What is the language that you first learned at home in childhood and still understand?
    • ITEXT = Accept up to 3 responses. If the respondent no longer understands the first
    • language learned, indicate the second language learned. Accept multiple responses only if languages were learned at the same time.

    LAE_END

    Education

    Education (EDU)

    EDU_BEG

    • External variables required:
    • Variables from other components:
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    EDU_C01

    • If AWC_AGE < 12, go to EDU_END.
    • Otherwise, go to EDU_B01.

    EDU_B01

    • Call Education Minimum block (EDM)

    EDU_END

    Education Minimum with concept (EDM)

    EDM_BEG

    • Import the following:
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    EDM_B01A

    • Call Education - School Attendance block (ESC1)

    EDM_C01D

    • If ESC1_Q01 = 1 (Yes), go to EDM_Q01.
    • Otherwise, go to EDM_END.

    EDM_Q01
    What type of educational institution are you attending?

    • INTERVIEWER : Mark all that apply.
    • 1 Elementary, junior high school or high school
    • 2 Trade school, college, CEGEP or other non-university institution
    • 3 University
    • DK, RF

    Help text:

    • Tag: Type of educational institution
    • Elementary school is also referred to as primary school. Schools are classified as elementary if they provide instruction to Grades 6 and under.
    • Junior high school is also referred to as middle school and usually represents Grade 7 and 8, although this can differ among provinces in Canada and other countries.
    • High School usually represents Grade 9 to 12 including high school equivalency certificates such as the General Educational Development (GED) certificate and the Adult Basic Education (ABE) certificate.
    • Trade/vocational certificate or diploma is a term used to classify skill courses that prepare trainees for occupations not at the professional or semi-professional levels. A trade-vocational school is a public or private educational institution, which offers courses to prepare people for employment in a specific occupation such as heavy equipment operator, automotive mechanic, secretarial and upholstering. Many community colleges or technical institutes offer certificates or diplomas at the trade level.
    • Apprenticeship certificate is a program that combines on-the-job training (by observation and practice) with short periods of related in-class technical training to produce a fully qualified journeyman tradesperson. The employer undertakes, by contract, to employ and train an apprentice under the supervision of a qualified journeyman. To become an apprentice, usually there is a formal registration process with a provincial ministry or department. Examples of occupations for which apprenticeship will lead to a journeyman certificate include cooking, masonry, finishing carpentry, plumbing, and machinist.
    • CEGEP is a French acronym for "Collège d'enseignement général et professionnel." These institutions are classified at a postsecondary level (students enter CEGEP after completing six years of elementary school and five years of secondary school) and offer Diploma of College Studies (DCS/DEC) as a two-year pre-university program or as a three-year technical program leading to employment. There are also shorter technical programs leading to an Attestation of College Studies (ACS). A two-year Diploma of Vocational Studies (DVS/DEP) is required prior to entering into an apprenticeship in Québec. Pre-university programs lead to university, whereas technical programs generally lead to the labour market, but can, under certain conditions, also lead to university.
    • Other non-university institutions include seminaries, schools of nursing, private business schools, police or fire-fighting academies and flight schools which upon completion of a prescribed program of study offer a certificate or diploma.
    • Press "Escape" to return.

    EDM_Q02
    Are you enrolled as... ?

    • INTERVIEWER : Read categories to respondent.
    • 1 A full-time student
    • 2 A part-time student
    • 3 Both full-time and part-time student
    • DK, RF

    EDM_END

    Education - School Attendance (ESC1)

    ESC1_BEG

    External variables required:

    Variables from previously completed blocks:

    PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy

    • 1 = male, non-proxy
    • 2 = female, non-proxy
    • 3 = male, proxy
    • 4 = female, proxy

    ESC1_Q01
    Are you currently attending school, college, CEGEP or university?

    • INTERVIEWER : Ask respondent to include attendance only for courses that can be used as credit towards a certificate, diploma or degree.
    • 1 Yes
    • 2 No
    • DK, RF

    ESC1_END

    Income

    Income (INC)

    INC_BEG

    • External variables required:
    • Variables from other components:
    • CPROV: respondent's province of residence
    • FNAME: first name of respondent
    • AWC_AGE: age of respondent
    • PERSEL: number of selected respondents in household
    • CURRENTYEAR: the year during which the information is collected
    • OthHlthComp: If the other Health component has been completed in a 2 respondent household (Yes or No)
    • OthHlthCompAge: Age of other Selected Respondent for the household
    • OthRespProxySex: ProxySex of Other Selected Respondent
    • PPIGender: If AWC_AGE of selected respondent < 12 PPIGender = SEX_Q01 [PPI_N01], the gender of the person providing the information.
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    Content type:

    • NOTE TO DATA USERS:
      In households with two selected respondents, household income is only asked during the first interview in the household where the selected respondent is either less than 12 years old (the parent or guardian provides the information) or is aged 20 or older and giving a non-proxy interview.The variable ASK_INC, defined below, indicates whether household income will be asked in the current interview

    INC_D11A

    Programmer:

    • IF PERSEL = 2 THEN
      • IF OthHlthComp = 1 THEN
        • If OthHlthCompAge < 12 or ((OthRespProxySex = 1 or 2) and OthHlthCompAge > 19) THEN
          • ASK_INC = 2
        • ELSE
          • ASK_INC = 1
        • ENDIF
      • ELSE (IF OthHlthComp = 2)
        • If AWC_AGE < 12 or ((PROXYSEX = 1 or 2) and AWC_AGE > 19) THEN
          • ASK_INC = 1
        • ELSE
          • ASK_INC = 2
        • ENDIF
      • ENDIF
    • ELSE (PERSEL = 1)
      • ASK_INC = 1 (there is only one selected person in the household)
    • ENDIF

    INC_C11A

    • If ASK_INC = 2 and AWC_AGE <15, go to INC_END.
    • Otherwise, go to INC_D11B.

    INC_D11B

    • If CPROV = 60 or CPROV = 61 or CPROV = 62, DT_INC11TEXTE = "territorial".
    • Otherwise, DT_INC11TEXTE = "provincial".

    INC_R11
    Although many health expenses are covered by [territorial/provincial] health insurance, there is still a relationship between health and income. Please be assured that, like all other information you have provided, the answers to the next questions will be kept strictly confidential.

    • INTERVIEWER : Press <1> to continue.

    INC_C41

    • If AWC_AGE < 15, go to INC_C51.
    • Otherwise, go to INC_B41.

    INC_B41

    • Call the Total Personal Income (TPI) block.

    INC_C51

    • If ASK_INC = 2, go to INC_END.
    • Otherwise, go to INC_D51A.

    INC_D51A

    Programmer:

    • If AWC_AGE of selected respondent < 12 and PPIGender = 1 then PROXYSEX = 1.
    • Otherwise, if AWC_AGE of selected respondent < 12 and PPIGender = 2 then PROXYSEX = 2.

    INC_B51

    • Call the Total Household Income (THI) block.

    INC_D51B

    Programmer:

    • Set PROXYSEX back to the original PROXYSEX value.

    INC_END

    Total Personal Income (TPI)

    TPI_BEG

    • External variables required:
    • FNAME: first name of respondent
    • CURRENTYEAR: the year during which the information is collected

    TPI_D01

    • DV_PASTYEAR = CURRENTYEAR - 1
      (e.g. 2008 - 1 = 2007)

    TPI_Q01
    Now a question about your total personal income.

    What is your best estimate of your total personal income, before taxes and deductions, from all sources during the year ending December 31, ^DV_PASTYEAR?

    Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, spousal support (alimony) and rental income.

    • INTERVIEWER : Capital gains should not be included in the personal income.
    • (MIN: ­9,000,000)
    • (MAX: 90,000,000)
    • DK, RF

    TPI_C02

    • If TPI_Q01 = DK or RF, go to TPI_Q02.
    • Otherwise, go to TPI_END.

    TPI_Q02
    Can you estimate in which of the following groups your personal income falls?

    Was your total personal income during the year ending December 31, ^DV_PASTYEAR... ?

    • INTERVIEWER : Read categories to respondent.
    • 1 Less than $30,000, including income loss
    • (Go to TPI_Q03)
    • 2 $30,000 and more
    • (Go to TPI_Q04)
    • DK, RF

    Go to TPI_END

    TPI_Q03
    Please stop me when I have read the category which applies to you.

    Was it... ?

    • INTERVIEWER : Read categories to respondent.
    • 1 Less than $5,000
    • 2 $5,000 to less than $10,000
    • 3 $10,000 to less than $15,000
    • 4 $15,000 to less than $20,000
    • 5 $20,000 to less than $25,000
    • 6 $25,000 to less than $30,000
    • DK, RF

    Go to TPI_END

    TPI_Q04
    Please stop me when I have read the category which applies to you.

    Was it... ?

    • INTERVIEWER : Read categories to respondent.
    • 01 $30,000 to less than $40,000
    • 02 $40,000 to less than $50,000
    • 03 $50,000 to less than $60,000
    • 04 $60,000 to less than $70,000
    • 05 $70,000 to less than $80,000
    • 06 $80,000 to less than $90,000
    • 07 $90,000 to less than $100,000
    • 08 $100,000 and over
    • DK, RF

    Go to TPI_END

    TPI_END

    Total Household Income (THI)

    THI_BEG

    • External variables required:
    • FNAME: first name of respondent
    • CURRENTYEAR: the year during which the information is collected

    THI_D01

    • DV_PASTYEAR = CURRENTYEAR - 1
    • (e.g. 2008 - 1 = 2007)

    THI_Q01
    Now a question about your total household income.

    What is your best estimate of your total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, ^DV_PASTYEAR?

    Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, spousal support (alimony) and rental income.

    • INTERVIEWER : Capital gains should not be included in the household income.
    • (MIN: ­9,000,000)
    • (MAX: 90,000,000)
    • DK, RF

    THI_C02

    • If THI_Q01 = DK or RF, go to THI_Q02.
    • Otherwise, go to THI_END.

    THI_Q02
    Can you estimate in which of the following groups your household income falls? Was the total household income during the year ending December 31, ^DV_PASTYEAR... ?

    • INTERVIEWER : Read categories to respondent.
    • 1 Less than $50,000, including income loss
    • (Go to THI_Q03)
    • 2 $50,000 and more
    • (Go to THI_Q04)
    • DK, RF

    Go to THI_END

    THI_Q03
    Please stop me when I have read the category which applies to your household.

    Was it... ?

    • INTERVIEWER : Read categories to respondent.
    • 1 Less than $5,000
    • 2 $5,000 to less than $10,000
    • 3 $10,000 to less than $15,000
    • 4 $15,000 to less than $20,000
    • 5 $20,000 to less than $30,000
    • 6 $30,000 to less than $40,000
    • 7 $40,000 to less than $50,000
    • DK, RF

    Go to THI_END

    THI_Q04
    Please stop me when I have read the category which applies to your household.

    Was it... ?

    • INTERVIEWER : Read categories to respondent.
    • 1 $50,000 to less than $60,000
    • 2 $60,000 to less than $70,000
    • 3 $70,000 to less than $80,000
    • 4 $80,000 to less than $90,000
    • 5 $90,000 to less than $100,000
    • 6 $100,000 to less than $150,000
    • 7 $150,000 and over
    • DK, RF

    THI_END

    Tap Water

    Tap Water Collection (TWC)

    • Overview:
    • Households are randomly sub-selected to provide a sample or samples of their household tap water, which will be sent for laboratory analysis. One set of samples will be analysed for fluoride concentration, and the other set for levels of certain volatile organic compounds (VOCs).
    • As well, a small number of households are randomly sub-selected to provide a replicate (duplicate) sample for fluoride and/or VOC analysis. The results of the replicate analyses will be used for quality control purposes.
    • The first respondent interviewed in a two-respondent household is asked to provide the tap water sample. In the rare case where the interview is not taking place in the respondent's home, or when the water is temporarily unavailable, the sample may be taken during the interview with the second respondent.

    TWC_BEG

    • External variables required:
    • Variables from other components:
    • TWVSTATUS: Status of VOC water collection at the household level. This variable is initially set to EMPTY for the household. In two-respondent households selected to provide a VOC water sample, TWVSTATUS for the second respondent will be equal to the value of DV_TWVSTATUS set at TWC_D98 during the first respondent's interview.
    • TWFSTATUS: Status of fluoride water collection at the household level. This variable is initially set to EMPTY for the household. In two-respondent households selected to provide a fluoride water sample, TWFSTATUS for the second respondent will be equal to the value of DV_TWFSTATUS set at TWC_D98 during the first respondent's interview.
    • Variables from previously completed blocks:
    • WVOCFLG: Flag indicating whether the household has been selected to provide a VOC water sample (1=Yes, 2=No)
    • WFLUFLG: Flag indicating whether the household has been selected to provide a fluoride water sample (1=Yes, 2=No)
    • WVOCREP: Flag indicating whether the household has been selected to provide a replicate VOC water sample (1=Yes, 2=No)
    • WFLUREP: Flag indicating whether the household has been selected to provide a replicate fluoride water sample (1=Yes, 2=No)

    Programmer:

    • TWC will be generated, as a tab within the Health component, under the following condition:
    • If (WVOCFLG = 1 or WFLUFLG = 1) and (TWVSTATUS = EMPTY or 0 or 3 or 4) and (TWFSTATUS = EMPTY or 0 or 3 or 4) and (TWVSTATUS<> 1 and TWFSTATUS <> 1).
    • If the tab has been generated and it is not selected by the end of the interview, the application should naturally flow into TWC before the end of the interview (prior to the ADM block).
    • The derived variables DV_TWVSTATUS and DV_TWFSTATUS, set at the end of the Tap Water Collection Block, indicate the outcome of the block for VOCs and fluoride respectively. These variables are carried to the second respondent in two-respondent households as TWVSTATUS and TWFSTATUS.
    • The tab will only reappear for the second respondent in a two-respondent household selected to provide water sample(s) if the first respondent's interview did not take place in the dwelling (TWVSTATUS = 3 or TWFSTATUS = 3) or if there was a temporary problem with the water source as indicated by the interviewer (TWVSTATUS = 4 or TWFSTATUS = 4).

    TWC_N01

    • INTERVIEWER : This is the beginning of the Tap Water Collection block.
    • Press <1> to continue.
    • 1 Continue
    • (DK, RF not allowed)

    TWC_D01

    Programmer:

    • IF TWC_N01 = 1 and TWC_STIME = EMPTY, then DO:
      • Set TWC_STIME = Current Time (in HH:MM:SS format).
      • Set TWC_SDATE = Current Date (in YYYMMDD format).
    • ENDIF

    TWC_N02

    • INTERVIEWER : Is this interview taking place at the respondent's dwelling?
    • 1 Yes
    • 2 No (Go to TWC_C90)
    • (DK, RF not allowed)

    TWC_C03

    • If TWVSTATUS = 4 or TWFSTATUS = 4, go to TWC_N03.
    • Otherwise, go to TWC_C04.

    Content type:

    • NOTE TO DATA USERS:
      If for some reason a water sample cannot not be taken during the interview with the first respondent in a two- respondent household, the interviewer has the option of trying again during the second interview. In this case, TWVSTATUS will equal 4 for the second respondent if the household was selected to provide a VOC sample, and TWFSTATUS will equal 4 for the second respondent if the household was selected to provide a fluoride sample.

    TWC_N03

    • INTERVIEWER : No water sample was taken during the interview with the first respondent in this household, due to a problem with the water source.
    • Do you want to proceed with the water collection now?
    • 1 Yes
    • 2 No (Go to TWC_C90)
    • DK
    • (RF is not allowed)

    TWC_C04

    • If WVOCFLG = 1, go to TWC_N04.
    • Otherwise, go to TWC_C05.

    TWC_N04

    • INTERVIEWER : Is there a non-expired VOC bottle available (65 mL amber glass bottle)?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    TWC_C05

    • If WFLUFLG = 1, go to TWC_N05.
    • Otherwise, go to TWC_C06.

    TWC_N05

    • INTERVIEWER : Is there a fluoride tube available (15 mL plastic tube)?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    TWC_C06

    • If TWC_N04 = 1 or TWC_N05 = 1, go to TWC_D06A.
    • Otherwise, go to TWC_C90.

    TWC_D06A

    • If TWC_N04 = 1 and TWC_N05 = 1, DT_TWCR6TEXTE = "I would like to take two small samples of water from your kitchen tap. One sample will be used to measure the amount of fluoride in your tap water. The other will be used to assess the levels of certain environmental contaminants.
    • I will need to let your cold water run for five minutes in order to flush the stagnant water from your household pipes and to ensure a constant water temperature.".
      Otherwise if TWC_N04 = 1, DT_TWCR6TEXTE = "I would like to take a small sample of water from your kitchen tap. This sample will be used to assess the levels of certain environmental contaminants in your tap water.
    • I will need to let your cold water run for five minutes in order to flush the stagnant water from your household pipes and to ensure a constant water temperature.".
      Otherwise (i.e., TWC_N05 = 1), DT_TWCR6TEXTE = "I would like to take a small sample of water from your kitchen tap. This sample will be used to measure the amount of fluoride in your tap water.
    • I will need to let your cold water run for five minutes in order to flush the stagnant water from your household pipes and to ensure a constant water temperature.".

    TWC_D06B

    • If TWC_N04 = 1, DT_TWCR6VOCE = "- VOC water sample (65 mL amber glass bottle)".
    • Otherwise, DT_TWCR6VOCE = "EMPTY".
    • If TWC_N05 = 1, DT_TWCR6FLUE = "- fluoride water sample (15 mL plastic tube)".
    • Otherwise, DT_TWCR6FLUE = "EMPTY".

    TWC_R06
    ^DT_TWCR6TEXTE

    • INTERVIEWER : You will need a collection container for a...
    • [- VOC water sample (65 mL amber glass bottle)/EMPTY]
    • [- fluoride water sample (15 mL plastic tube)/EMPTY]
    • Show the respondent the collection container(s).
    • Press <1> to continue.

    TWC_R07
    After you have completed the clinic portion of the survey, we will send your tap water test results to you, along with the results of your other tests.

    Do you have any questions before we proceed?

    • INTERVIEWER : Press <1> to continue.

    TWC_Q10
    Do you agree to provide a water sample?

    • 1 Yes (Go to TWC_R20)
    • 2 No (DK, RF not allowed)

    TWC_N11

    • INTERVIEWER : Record the reason(s) that the respondent refused to provide a water sample.
    • Mark all that apply.
    • 01 Did not want interviewer in kitchen or other area of house
    • 02 Felt measure was invasive / not Statistics Canada's business
    • 03 Cost of running tap for five minutes
    • 04 Environmental concerns (e.g., water wastage)
    • 05 Concerns over well running dry
    • 06 Concerns over cistern running dry
    • 07 Problem with water source (e.g., interference with current water use in the household, water turned off at source)
    • 10 Other - Specify
    • (Go to TWC_S11)
    • DK, RF

    Go to TWC_C90

    TWC_S11
    (Record the reason(s) that the respondent refused to provide a water sample.)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    Go to TWC_C90

    TWC_R20
    Could you please take me to your kitchen tap so I can start running the cold water?

    • INTERVIEWER : If the kitchen tap is not available, then take the water sample(s) from another source in the following priority:
    • 1. Bathroom sink
    • 2. Bathroom tub or shower
    • 3. Basement bathroom sink
    • 4. Basement bathroom tub or shower
    • 5. Laundry sink
    • 6. Outside faucet
    • If in an apartment building, the sample(s) should only be taken from within the dwelling (e.g., sample should not be taken from apartment building laundry facility).
    • Press <1> to continue.

    TWC_D20

    • If TWC_N04 = 1, DT_TWCN20VOCE = "Remove the lid from the VOC bottle and...
    • - tilt the bottle slightly to avoid getting bubbles in the sample
    • - fill the bottle until it is completely full (about to overflow or overflows just a few drops) to eliminate headspace
    • - ensure there are no bubbles trapped in sample, and
    • - cap the bottle immediately.
    • If the water overflows more than a few drops, discard the water, label the bottle as unusable, take another VOC bottle and collect another sample.".
    • Otherwise, DT_TWCN20VOCE = "EMPTY".
    • If TWC_N05 = 1, DT_TWCN20FLUE = "Remove the lid from the fluoride tube and...
    • - fill the tube, leaving a 1 cm gap at the top, and cap immediately.".
    • Otherwise, DT_TWCN20FLUE = "EMPTY".

    TWC_N20

    • INTERVIEWER : Let the cold water run on full for five minutes, then reduce the water flow to a trickle.
    • ^DT_TWCN20VOCE
    • ^DT_TWCN20FLUE
    • If a lid drops or becomes contaminated, label the container as unusable and get a new container.
    • Press <1> to continue.
    • 1 Continue
    • (DK, RF not allowed)

    TWC_C21

    • If TWC_N04 = 1, go to TWC_B21.
    • Otherwise, go to TWC_C31.

    TWC_B21

    • Call the Tap Water VOC block (TWV).

    TWC_C31

    • If TWC_N05 = 1, go to TWC_B31.
    • Otherwise, go to TWC_C34.

    TWC_B31

    • Call the Tap Water Fluoride block (TWF).

    TWC_C34

    • If WVOCREP = 1 and TWC_B21.TWV_N01 = 1, go to TWC_N34.
    • Otherwise, go to TWC_C35.

    Content type:

    • NOTE TO DATA USERS:
      A small percentage of households is randomly selected to provide a replicate VOC sample (WVOCREP=1). If the first VOC sample was successfully collected and WVOCREP=1, then the interview flows to TWC_N34.

    TWC_N34

    • INTERVIEWER : Is there a VOC bottle available for the replicate sample?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    TWC_C35

    • If WFLUREP = 1 and TWC_B31.TWF_N01 = 1, go to TWC_N35.
    • Otherwise, go to TWC_C36.

    Content type:

    • NOTE TO DATA USERS:
      A small percentage of households is randomly selected to provide a replicate fluoride sample (WFLUREP=1). If the first fluoride sample was successfully collected and WFLUREP=1, then the interview flows to TWC_N35.

    TWC_N35

    • INTERVIEWER : Is there a fluoride tube available for the replicate sample?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    TWC_C36

    • If (WVOCREP = 1 and TWC_N34 = 1) or (WFLUREP = 1 and TWC_N35 = 1), go to TWC_D36A.
    • Otherwise, go to TWC_C90.

    TWC_D36A

    • If [(WVOCREP = 1 and TWC_N34 = 1) and (WFLUREP = 1 and TWC_N35 = 1)], DT_TWCNUME = "two additional samples of water".
    • Otherwise, DT_TWCNUME = "one additional sample of water".

    TWC_D36B

    Programmer:

    • IF WVOCREP = 1 and TWC_N34 = 1, then
    • DT_TWCR36VOCE = DT_TWCR6VOCE.
    • DT_TWCN37VOCE = DT_TWCN20VOCE.
    • ENDIF.
    • IF WFLUREP = 1 and TWC_N35 = 1, then
    • DT_TWCR36FLUE = DT_TWCR6FLUE.
    • DT_TWCN37FLUE = DT_TWCN20FLUE.
    • ENDIF.

    TWC_R36
    To ensure the accuracy of the water data collected, a small percentage of households has been randomly selected to provide duplicate water samples. Yours is one of these randomly selected households.

    Could we please go back and take [two additional samples of water/one additional sample of water].

    Was it... ?

    • INTERVIEWER : Please take a replicate...
    • ^DT_TWCR36VOCE
    • ^DT_TWCR36FLUE
    • Press <1> to continue.

    TWC_N37

    • INTERVIEWER : Turn the cold water on full, then reduce the water flow to a trickle.
    • ^DT_TWCN37VOCE
    • ^DT_TWCN37FLUE
    • If a lid drops or becomes contaminated, label the container as unusable and get a new container.
    • Press <1> to continue.
    • 1 Continue
    • (DK, RF not allowed)

    TWC_C38

    • If WVOCREP = 1 and TWC_N34 = 1, go to TWC_B40.
    • Otherwise, go to TWC_C50.

    TWC_B40

    • Call the Tap Water VOC block (TWV).

    TWC_C50

    • If WFLUREP = 1 and TWC_N35 = 1, go to TWC_B50.
    • Otherwise, go to TWC_C90.

    TWC_B50

    • Call the Tap Water Fluoride block (TWF).

    TWC_C90

    • If TWC_ B21.TWV_N01 = 1 or TWC_ B31.TWF_N01 = 1, go to TWC_N90.
    • Otherwise, go to TWC_C95.

    TWC_N90

    • INTERVIEWER : Record the source of the water sample(s).
    • 01 Kitchen sink
    • 02 Bathroom sink
    • 03 Bathroom tub or shower
    • 04 Basement bathroom sink
    • 05 Basement bathroom tub or shower
    • 06 Laundry sink
    • 07 Outside faucet
    • 10 Other - Specify
    • (Go to TWC_S90)
    • (DK, RF not allowed)

    Go to TWC_N96

    TWC_S90

    • (Record the source of the water sample(s).)
    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    Go to TWC_N96

    TWC_C95

    • If [(TWC_Q10 = 2 and only 7 is selected at TWC_N11) or (TWC_B21.TWV_N02 = 1) or (TWC_B31.TWF_N02 = 1)] and PERSEL = 2 and (TWVSTATUS = EMPTY or TWFSTATUS = EMPTY) (i.e., this is the first respondent in the household to be asked the TWC block) and (TWC_B21.TWV_N01 <> 1 and TWC_B31.TWF_N01 <> 1), go to TWC_N95.
    • Otherwise, go to TWC_N96.

    Content type:

    • NOTE TO DATA USERS:
      If the current interview is with the first respondent in a household with two selected respondents, and no tap water sample could be taken due to a problem with the water source, the interviewer is given the opportunity, at TWC_N95, to indicate whether another attempt should be made to take the water sample(s) during the interview with the second respondent.

    TWC_N95

    • INTERVIEWER : You have indicated that no water sample could be taken due to a problem with the water source.
    • Do you want to try again during the second respondent's interview?
    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    TWC_N96

    • INTERVIEWER : This is the end of the Tap Water Collection block.
    • Press <1> to continue.
    • 1 Continue
    • (DK, RF not allowed)
    • NOTE TO DATA USERS:
    • The status of the VOC tap water sample is set at TWC_D97: whether the sample was taken, and if not, the reason for not taking the sample.

    TWC_D97

    Programmer:

    • If WVOCFLG <> 1, DV_TWVSTATUS = 0 (Not selected for VOC sample).
    • Otherwise, if TWC_B21.TWV_N01 = 1, DV_TWVSTATUS = 1 (VOC water sample successfully taken).
    • Otherwise, if [TWC_Q10 = 2 and (at least one of 1, 2, 3, 4, 5, 6 has been selected at TWC_N11)] or TWC_B21.TWV_N02 = 4, DV_TWVSTATUS = 2 (VOC water sample not taken - Refusal).
    • Otherwise, if TWC_N02 = 2, DV_TWVSTATUS = 3 (VOC water sample not taken - Interview not in respondent's home).
    • Otherwise, if [(TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_B21.TWV_N02 = 1)] and TWC_N95 = 1, DV_TWVSTATUS = 4 (VOC water sample not taken due to problem with water source - try again with second respondent).
    • Otherwise, if (((TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_B21.TWV_N02 = 1)) and TWC_N95 <> 1) or TWC_N03 = 2, DV_TWVSTATUS = 5 (VOC water sample not taken due to a problem with the water source - no further attempt to be made).
    • Otherwise, if TWC_N04 = 2 or (TWC_B21.TWV_N02 = 2 or 3), DV_TWVSTATUS = 6 (VOC water sample not taken - no bottle available).
    • Otherwise, if only 10 has been selected at TWC_N11 or TWC_B21.TWV_N02 = 7, DV_TWVSTATUS = 7 (VOC water sample not taken - other reason).
    • Otherwise, DV_TWVSTATUS = 9.
    • NOTE TO DATA USERS:
    • The status of the fluoride tap water sample is set at TWC_D98: whether the sample was taken, and if not, the reason for not taking the sample.

    TWC_D98

    Programmer:

    • If WFLUFLG <> 1, DV_TWFSTATUS = 0 (Not selected for fluoride sample).
    • Otherwise, if TWC_B31.TWF_N01 = 1, DV_TWFSTATUS = 1 (Fluoride water sample successfully taken).
    • Otherwise, if [TWC_Q10 = 2 and (at least one of 1, 2, 3, 4, 5, 6 has been selected at TWC_N11)] or TWC_B31.TWF_N02 = 3, DV_TWFSTATUS = 2 (Fluoride water sample not taken - refusal).
    • Otherwise, if TWC_N02 = 2, DV_TWFSTATUS = 3 (Fluoride water sample not taken - interview not in respondent's home).
    • Otherwise, if [(TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_31.TWF_N02 = 1)] and TWC_N95 = 1, DV_TWFSTATUS = 4 (Fluoride water sample not taken due to problem with water source - try again with second respondent).
    • Otherwise, if (((TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_B31.TWF_N02 = 1)) and TWC_N95 <> 1) or TWC_N03 = 2, DV_TWFSTATUS = 5 (Fluoride water sample not taken due to a problem with the water source - no further attempt to be made).
    • Otherwise, if TWC_N05 = 2 or TWC_B31.TWF_N02 = 2, DV_TWFSTATUS = 6 (Fluoride water sample not taken - no tube available).
    • Otherwise, if only 10 has been selected at TWC_N11 or TWC_B31.TWF_N02 = 7, DV_TWFSTATUS = 7 (Fluoride water sample not taken - other reason).
    • Otherwise, DV_TWFSTATUS = 9.

    TWC_D99

    Programmer:

    • IF TWC_N96 = 1 and TWC_ETIME = EMPTY, then DO:
      • Set TWC_ETIME = Current Time (in HH:MM:SS format).
      • Set TWC_EDATE = Current Date (in YYYMMDD format).
    • ENDIF.

    TWC_END

    Tap Water VOC (TWV)

    TWV_BEG

    TWV_N01

    • INTERVIEWER : Were you able to collect a useable VOC water sample?
    • Select "no" only if you cannot collect any useable VOC water sample.
    • 1 Yes (Go to TWV_N11)
    • 2 No
    • (DK, RF not allowed)

    TWV_N02

    • INTERVIEWER : Specify the reason that a useable VOC water sample was not obtained.
    • 1 Problem with water source
    • 2 No more VOC bottles available
    • 3 All VOC bottles have expired
    • 4 Respondent refused to run water for five minutes
    • 7 Other - Specify
    • (Go to TWV_S02)
    • (DK, RF not allowed)

    Go to TWV_END

    TWV_S02
    (Specify the reason that a useable VOC water sample was not obtained.)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    Go to TWV_END

    TWV_N11

    • INTERVIEWER : Scan or manually enter the serial number on the filled VOC bottle.
    • Serial number
    • (MIN: 1,012)
    • (MAX: 99,999,999,012)
    • (DK, RF not allowed)

    TWV_N12

    • INTERVIEWER : Scan or manually enter the expiry date on the filled VOC bottle in the format YYYYMMDD.
    • (8 spaces)
    • (DK, RF not allowed)

    TWV_N13

    • INTERVIEWER : Re-scan or manually enter the serial number on the filled VOC bottle.
    • Serial number
    • (MIN: 1,012)
    • (MAX: 99,999,999,012)
    • DK, RF

    TWV_N14

    • INTERVIEWER : Re-scan or manually enter the expiry date on the filled VOC collection container in the format YYYYMMDD.
    • (8 spaces)
    • (DK, RF not allowed)

    TWV_END

    Tap Water Fluoride (TWF)

    TWF_BEG

    TWF_N01

    • INTERVIEWER : Were you able to collect a useable fluoride water sample?
    • Select "no" only if you cannot collect any useable fluoride water sample.
    • 1 Yes (Go to TWF_N11)
    • 2 No (DK, RF not allowed)

    TWF_N02

    • INTERVIEWER : Specify the reason that a useable fluoride water sample was not obtained.
    • 1 Problem with water source
    • 2 No more fluoride tubes available
    • 3 Respondent refused to run water for five minutes
    • 7 Other - Specify
    • (Go to TWF_S02)
    • (DK, RF not allowed)

    Go to TWF_END

    TWF_S02
    (Specify the reason that a useable fluoride water sample was not obtained.)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    Go to TWF_END

    TWF_N11

    • INTERVIEWER : Scan or manually enter the serial number on the filled fluoride tube.
    • (MIN: 1,013)
    • (MAX: 99,999,999,013)
    • (DK, RF not allowed)

    TWF_N12

    • INTERVIEWER : Re-scan or manually enter the serial number on the filled fluoride tube.
    • (MIN: 1,013)
    • (MAX: 99,999,999,013)
    • (DK, RF not allowed)

    TWF_END

    Administration Information (ADM)

    ADM_BEG

    • External variables required:
    • Variables from previously completed blocks:
    • PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
      • 1 = male, non-proxy
      • 2 = female, non-proxy
      • 3 = male, proxy
      • 4 = female, proxy

    ADM_N31

    • INTERVIEWER : Is this a fictitious name for the respondent?
    • Yes
    • No
    • (Go to ADM_N35)
    • DK
    • (Go to ADM_N35)
    • (RF is not allowed)

    ADM_N32

    • INTERVIEWER : Remind respondent about the importance of getting correct names.
    • Do you want to make corrections to:
    • ... first name only?
    • ... last name only?
    • (Go to ADM_N34)
    • ... both names?
    • ... no corrections?
    • (Go to ADM_N35)
    • (DK, RF not allowed)

    ADM_N33

    • INTERVIEWER : Enter the first name only.
    • (25 spaces)
    • (DK, RF not allowed)

    ADM_C34

    • If ADM_N32 <> 3 (both names), go to ADM_N35.
    • Otherwise, go to ADM_N34.

    ADM_N34

    • INTERVIEWER : Enter the last name only.
    • (25 spaces)
    • (DK, RF not allowed)

    ADM_N35

    • INTERVIEWER : Was this interview conducted on the telephone or in person?
    • On telephone
    • In person
    • Both
    • (DK, RF not allowed)

    ADM_C36

    • If PROXYSEX = 3 or 4, go to ADM_N38.
    • Otherwise, go to ADM_N36.

    ADM_N36

    • INTERVIEWER : Was the respondent alone when you asked the health component questions
    • 1 Yes (Go to ADM_N38)
    • 2 No
    • (DK, RF not allowed)

    ADM_N37

    INTERVIEWER : Do you think that the answers of the respondent were affected by someone else being there?

    • 1 Yes
    • 2 No
    • (DK, RF not allowed)

    ADM_N38

    • INTERVIEWER : Select the language of interview.
    • 01 English
    • 02 French
    • 03 Chinese
    • 04 Italian
    • 05 Punjabi
    • 06 Spanish
    • 07 Portuguese
    • 08 Polish
    • 09 German
    • 10 Vietnamese
    • 11 Arabic
    • 12 Tagalog (Filipino)
    • 13 Greek
    • 14 Tamil
    • 15 Cree
    • 16 Afghan
    • 17 Cantonese
    • 18 Hindi
    • 19 Mandarin
    • 20 Persian (Farsi)
    • 21 Russian
    • 22 Ukrainian
    • 23 Urdu
    • 24 Inuktitut
    • 25 Hungarian
    • 26 Korean
    • 27 Serbo-Croatian
    • 28 Gujarati
    • 29 Dari
    • 90 Other - Specify
    • (Go to ADM_S38)
    • (DK, RF not allowed)

    Go to ADM_END

    ADM_S38
    (Select the language of interview.)

    • INTERVIEWER : Specify.
    • (80 spaces)
    • (DK, RF not allowed)

    ADM_END

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