Asthma Module (Child)
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2001 |
2002 |
2003 |
2004 |
2005 |
2006 |
| Q1: How many children under the age of 18 living in your household have ever been diagnosed with asthma? |
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| Q2: How many children under the age of 18 living in your household have current asthma? |
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| Q3: Has a doctor or other health official ever told you that [randomly selected child] has asthma? |
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| Q4: Does the [randomly selected child] still have asthma? |
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| Q5: During the past 12 months, did the [randomly selected child] take Prednisone or any other steroid such as a pill, capsule, or injection to control his or her asthma? |
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| Q6: Does the [randomly selected child] currently take the preventative kind of asthma medication used everyday to protect his or her lungs and keep him or her from having an attack? Include both pills and inhalers. This is different from inhalers used for quick relief. |
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| Q7: Symptoms of asthma include cough, wheezing, shortness of breath, chest tightness, and phlegm production when you don’t have a cold or respiratory infection. During the past 30 days, how often did the [randomly selected child] have any symptoms of asthma? |
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| Q8: During the past 30 days, how many days did symptoms of asthma make it difficult for {randomly selected child] to stay asleep? |
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2006-Q8 |
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| Q9: During the past 30 days, how many days of daycare, preschool, school, or work did [randomly selected child] miss because of his or her asthma? |
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2006-Q9 |
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| Q10: During the past 30 days, how many days was [randomly selected child] unable to do his or her usual activities because of asthma symptoms? |
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2006-Q10 |
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| Q11: Is there a bird, cat, dog or some other pet with fur that spends all or some of its time in the house? |
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| Q12: Does anyone, including household members or guests, smoke inside the home? |
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| Q13: What type of home heating do you use? |
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2006-Q13 |
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| Q14: During the cold months, about how often do you light a fire in a fireplace to burn wood or other solid fuel? Do not include gas fireplaces. |
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2006-Q14 |

