Name | Label | Folder | |
---|---|---|---|
be
Child Health Questionnaire Parent Form 50 Questions: Behavior subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Behavior subscore (0-100)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests fewer behavior problems. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
bp
Child Health Questionnaire Parent Form 50 Questions: Bodily pain subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Bodily pain subscore (0-100)
The subscale score is based on 2 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less bodily pain. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
fa
Child Health Questionnaire Parent Form 50 Questions: Family activities subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Family activities subscore (0-100)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less limitations in family activities. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
fc
Child Health Questionnaire Parent Form 50 Questions: Family cohesion subscore
|
Child Health Questionnaire Parent Form 50 Questions: Family cohesion subscore
The subscale score is based on 1 item from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests higher family cohesion. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
gh
Child Health Questionnaire Parent Form 50 Questions: General health subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: General health subscore (0-100)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests better general health. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
mh
Child Health Questionnaire Parent Form 50 Questions: Mental health subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Mental health subscore (0-100)
The subscale score is based on 5 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests better mental health. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
pe
Child Health Questionnaire Parent Form 50 Questions: Parental impact-emotional subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Parental impact-emotional subscore (0-100)
The subscale score is based on 3 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less impact on parent emotional well-being. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
phf
Child Health Questionnaire Parent Form 50 Questions: Physical functioning subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Physical functioning subscore (0-100)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests better physical functioning. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
phs
Child Health Questionnaire Parent Form 50 Questions: Physical Summary Health Score
|
Child Health Questionnaire Parent Form 50 Questions: Physical Summary Health Score
The summary score is based on 10 subscores from the Child Health Questionnaire Parent Form 50 Questions. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
pss
Child Health Questionnaire Parent Form 50 Questions: Psychosocial Summary Health Score
|
Child Health Questionnaire Parent Form 50 Questions: Psychosocial Summary Health Score
The summary score is based on 10 subscores from the Child Health Questionnaire Parent Form 50 Questions. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
pt
Child Health Questionnaire Parent Form 50 Questions: Parental impact-time subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Parental impact-time subscore (0-100)
The subscale score is based on 3 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less impact on parent time. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
reb
Child Health Questionnaire Parent Form 50 Questions: Role/Social functioning due to emotional/behavioral problems subscore
|
Child Health Questionnaire Parent Form 50 Questions: Role/Social functioning due to emotional/behavioral problems subscore
The subscale score is based on 3 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less limitations in role/social functioninig due to emotional/behavioral problems. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
rp
Child Health Questionnaire Parent Form 50 Questions: Role/Social functioning due to physical problems subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Role/Social functioning due to physical problems subscore (0-100)
The subscale score is based on 2 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less limitations in role/social functioninig due to physical problems. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
se
Child Health Questionnaire Parent Form 50 Questions: Self-esteem subscore (0-100)
|
Child Health Questionnaire Parent Form 50 Questions: Self-esteem subscore (0-100)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests better self-esteem. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
efp
Medical Outcomes Study SF-36: Vitality subscale score (0-100)
|
Medical Outcomes Study SF-36: Vitality subscale score (0-100)
The subscale score is based on 4 items from the Medical Outcomes Study Short Form 36 (SF-36). A high score suggests the participant "feels full of pep and energy all of the time in the past 4 week ". Ware JE and Sherbourne CD, 1992 (PubMed ID: 1593914) |
General Health/Medical Outcomes Study Short Form (SF-36) | |
mhp
Medical Outcomes Study SF-36: General mental health subscale score (0-100)
|
Medical Outcomes Study SF-36: General mental health subscale score (0-100)
The subscale score is based on 5 items from the Medical Outcomes Study Short Form 36 (SF-36). A high score suggests the participant "feels peaceful, happy, and calm all of the time in the past 4 weeks ". Ware JE and Sherbourne CD, 1992 (PubMed ID: 1593914) |
General Health/Medical Outcomes Study Short Form (SF-36) | |
painp
Medical Outcomes Study SF-36: Body pain subscale score (0-100)
|
Medical Outcomes Study SF-36: Body pain subscale score (0-100)
The subscale score is based on 2 items from the Medical Outcomes Study Short Form 36 (SF-36). A high score suggests the participant has "no pain or limitations due to pain in the past 4 weeks". Ware JE and Sherbourne CD, 1992 (PubMed ID: 1593914) |
General Health/Medical Outcomes Study Short Form (SF-36) | |
php
Medical Outcomes Study SF-36: Physical functioning subscale score (0-100)
|
Medical Outcomes Study SF-36: Physical functioning subscale score (0-100)
The subscale score is based on 10 items from the Medical Outcomes Study Short Form 36 (SF-36). A high score suggests the participant "performs all types of physical activities including the most vigorous without limitations due to health". Ware JE and Sherbourne CD, 1992 (PubMed ID: 1593914) |
General Health/Medical Outcomes Study Short Form (SF-36) | |
pp
Medical Outcomes Study SF-36: General health perceptions subscale score (0-100)
|
Medical Outcomes Study SF-36: General health perceptions subscale score (0-100)
The subscale score is based on 5 items from the Medical Outcomes Study Short Form 36 (SF-36). A high score suggests the participant "believes personal health is excellent". Ware JE and Sherbourne CD, 1992 (PubMed ID: 1593914) |
General Health/Medical Outcomes Study Short Form (SF-36) | |
rfep
Medical Outcomes Study SF-36: Role limitations due to emotional problem subscale score (0-100)
|
Medical Outcomes Study SF-36: Role limitations due to emotional problem subscale score (0-100)
The subscale score is based on 3 items from the Medical Outcomes Study Short Form 36 (SF-36). A high score suggests the participant has "no problems with work or other daily activities as a result of emotional problems in the past 4 weeks ". Ware JE and Sherbourne CD, 1992 (PubMed ID: 1593914) |
General Health/Medical Outcomes Study Short Form (SF-36) | |
rfpp
Medical Outcomes Study SF-36: Role limitations due to physical problem subscale score (0-100)
|
Medical Outcomes Study SF-36: Role limitations due to physical problem subscale score (0-100)
The subscale score is based on 4 items from the Medical Outcomes Study Short Form 36 (SF-36). A high score suggests the participant has "no problems with work or other daily activities as a result of physical health in the past 4 weeks". Ware JE and Sherbourne CD, 1992 (PubMed ID: 1593914) |
General Health/Medical Outcomes Study Short Form (SF-36) | |
allergy
Are you allergic to dust, mold, grass, or pollen
|
Are you allergic to dust, mold, grass, or pollen | General Health | |
apacold
Do you wheeze apart from a cold
|
Do you wheeze apart from a cold | General Health | |
chescold
If you had any colds this year did they go to your chest
|
If you had any colds this year did they go to your chest | General Health | |
chestwhe
How often do you wheeze or whistle from your chest
|
How often do you wheeze or whistle from your chest | General Health | |
cheswhe
During the past year, has your chest ever made whistling noises or sounded wheezy
|
During the past year, has your chest ever made whistling noises or sounded wheezy | General Health | |
chrcough
Did you usually cough on most days for three (3) consecutive months or more during the year
|
Did you usually cough on most days for three (3) consecutive months or more during the year | General Health | |
chrphle
Did you usually bring up phlegm like this as much as twice a day
|
Did you usually bring up phlegm like this as much as twice a day | General Health | |
chstpain
During the last month, have you had, or have been told you do the following while asleep or trying to sleep: chest pain while in bed
|
During the last month, have you had, or have been told you do the following while asleep or trying to sleep: chest pain while in bed | General Health | |
coldair
Wheeze when breathing cold air
|
Wheeze when breathing cold air | General Health | |
cough
Did you usually have a cough
|
Did you usually have a cough | General Health | |
couphl3
Have you had periods or episodes of increased cough and phlegm lasting three weeks or more
|
Have you had periods or episodes of increased cough and phlegm lasting three weeks or more | General Health | |
daynite
Wheeze most days or nights
|
Wheeze most days or nights | General Health | |
diffwgt
During the past 5 years, what is the difference between your highest and lowest weight (excluding illness)
|
During the past 5 years, what is the difference between your highest and lowest weight (excluding illness) | General Health | |
discramp
During the last month, have you had, or have been told you do the following while asleep or trying to sleep: leg cramps
|
During the last month, have you had, or have been told you do the following while asleep or trying to sleep: leg cramps | General Health | |
dishead
Over the last month, have you experienced: headaches during sleep time
|
Over the last month, have you experienced: headaches during sleep time | General Health | |
dishrtb
Over the last month, have you experienced: heartburn during your sleep time
|
Over the last month, have you experienced: heartburn during your sleep time | General Health | |
dispain
Over the last month, have you experienced: pain or physical discomfort
|
Over the last month, have you experienced: pain or physical discomfort | General Health | |
dochest
What do you do when you get chest discomfort while walking
|
What do you do when you get chest discomfort while walking | General Health | |
docpain
See a doctor because of this pain (or discomfort)
|
See a doctor because of this pain (or discomfort) | General Health | |
dustfume
Wheeze when exposed to dust or fumes
|
Wheeze when exposed to dust or fumes | General Health | |
levchest
Chest discomfort when walking at an ordinary pace
|
Chest discomfort when walking at an ordinary pace | General Health | |
mornhead
Over the last month, have you experienced: morning headaches
|
Over the last month, have you experienced: morning headaches | General Health | |
onlynite
Wheeze only during nights
|
Wheeze only during nights | General Health | |
palp
During the last month, have you had, or have been told you do the following while asleep or trying to sleep: palpitations or heart racing
|
During the last month, have you had, or have been told you do the following while asleep or trying to sleep: palpitations or heart racing | General Health | |
pastmon
Wheeze during past month
|
Wheeze during past month | General Health | |
phl1st
Did you usually bring up phlegm at all on getting up or first thing in the morning
|
Did you usually bring up phlegm at all on getting up or first thing in the morning | General Health | |
phl3
Did you usually bring up phlegm like this for three consecutive months or more during the year
|
Did you usually bring up phlegm like this for three consecutive months or more during the year | General Health | |
phlegm
Did you usually bring up phlegm from your chest
|
Did you usually bring up phlegm from your chest | General Health | |
phlrest
Did you bring up phlegm at all during the rest of the day or night
|
Did you bring up phlegm at all during the rest of the day or night | General Health | |
rmdusty
A dusty room gives you a stuffy of runny nose
|
A dusty room gives you a stuffy of runny nose | General Health | |
rmsmoky
Smoky room gives you a stuffy or runny nose
|
Smoky room gives you a stuffy or runny nose | General Health | |
shbrmon
Shortness of breath past month while hurrying on level ground or walking up a slight hill
|
Shortness of breath past month while hurrying on level ground or walking up a slight hill | General Health | |
shbrwal
During the past year, have you been troubled by shortness of breath when hurrying on level ground or walking up a slight hill
|
During the past year, have you been troubled by shortness of breath when hurrying on level ground or walking up a slight hill | General Health | |
soonches
How soon is chest discomfort relieved / not relieved
|
How soon is chest discomfort relieved / not relieved | General Health | |
stilches
What happens to chest discomfort when standing still
|
What happens to chest discomfort when standing still | General Health | |
strnnos
Are you bothered by a stuffy or runny nose
|
Are you bothered by a stuffy or runny nose | General Health | |
stufexer
Does exercise give you a stuffy or runny nose
|
Does exercise give you a stuffy or runny nose | General Health | |
uphchest
Chest discomfort when you walk uphill or hurry
|
Chest discomfort when you walk uphill or hurry | General Health | |
weatcold
Cold weather gives you a stuffy or runny nose
|
Cold weather gives you a stuffy or runny nose | General Health | |
wgtgain
In the past 5 years, have you gained weight
|
In the past 5 years, have you gained weight | General Health | |
wgtlost
In the past 5 years, have you lost weight
|
In the past 5 years, have you lost weight | General Health | |
wheattac
Had an attack of wheezing during past year
|
Had an attack of wheezing during past year | General Health | |
whecold
Do you wheeze when have a cold
|
Do you wheeze when have a cold | General Health | |
wheexer
Do you wheeze when exercising
|
Do you wheeze when exercising | General Health | |
beraw
Child Health Questionnaire Parent Form 50 Questions: Behavior subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: Behavior subscore (raw)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests fewer behavior problems. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
bpraw
Child Health Questionnaire Parent Form 50 Questions: Bodily pain subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: Bodily pain subscore (raw)
The subscale score is based on 2 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less bodily pain. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
faraw
Child Health Questionnaire Parent Form 50 Questions: Family activities subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: Family activities subscore (raw)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less limitations in family activities. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
ghraw
Child Health Questionnaire Parent Form 50 Questions: General health subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: General health subscore (raw)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests better general health. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
globalbe
Child Health Questionnaire Parent Form 50 Questions: Single item Behavior
|
Child Health Questionnaire Parent Form 50 Questions: Single item Behavior
The subscale score is based on 1 item from the Child Health Questionnaire Parent Form 50 Questions. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
globalgh
Child Health Questionnaire Parent Form 50 Questions: Single item global Behavior
|
Child Health Questionnaire Parent Form 50 Questions: Single item global Behavior
The subscale score is based on 1 item from the Child Health Questionnaire Parent Form 50 Questions. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
mhraw
Child Health Questionnaire Parent Form 50 Questions: Mental health subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: Mental health subscore (raw)
The subscale score is based on 5 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests better mental health. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
peraw
Child Health Questionnaire Parent Form 50 Questions: Parental impact-emotional subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: Parental impact-emotional subscore (raw)
The subscale score is based on 3 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less impact on parent emotional well-being. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
pfraw
Child Health Questionnaire Parent Form 50 Questions: Physical functioning subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: Physical functioning subscore (raw)
The subscale score is based on 6 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests better physical functioning. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
ptraw
Child Health Questionnaire Parent Form 50 Questions: Parental impact-time subscore (raw)
|
Child Health Questionnaire Parent Form 50 Questions: Parental impact-time subscore (raw)
The subscale score is based on 3 items from the Child Health Questionnaire Parent Form 50 Questions. A high score suggests less impact on parent time. Asmussen L et al., 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q1
What is your child's gender
|
What is your child's gender
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q2
Was this your first child (natural or adopted)
|
Was this your first child (natural or adopted)
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q3
Child's date of birth
|
Child's date of birth
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5a
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any anxiety problems
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any anxiety problems
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5b
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has asthma
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has asthma
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5c
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any attentional problems
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any attentional problems
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5d
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any behavioral problems
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any behavioral problems
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5e
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic allergies or sinus troubles
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic allergies or sinus troubles
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5f
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic orthopedic, bone, or joint problems
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic orthopedic, bone, or joint problems
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5g
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic respiratory, lung, or breathing trouble (NOT ASTHMA)
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic respiratory, lung, or breathing trouble (NOT ASTHMA)
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5h
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic rheumatic disease
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has chronic rheumatic disease
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5i
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has depression
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has depression
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5j
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has a developmental delay or mental retardation
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has a developmental delay or mental retardation
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5k
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has diabetes
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has diabetes
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5l
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has epilepsy
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has epilepsy
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5m
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any hearing impairment or deafness
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any hearing impairment or deafness
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5n
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any learning problems
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any learning problems
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5o
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any sleep disturbances
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any sleep disturbances
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5p
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any speech problems
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any speech problems
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5q
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any vision problems
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any vision problems
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q10q5r
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any other chronic medical condition that is affecting what they do or how they feel?
|
Have you ever been told by a teacher, school official, doctor, nurse or other health professional that your child has any other chronic medical condition that is affecting what they do or how they feel?
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q11q1
What is your gender
|
What is your gender
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q11q2
Your date of birth
|
Your date of birth
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q11q3a
Which of the following best describes your current work status: Not working due to my child's health
|
Which of the following best describes your current work status: Not working due to my child's health
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) | |
q11q3b
Which of the following best describes your current work status: Not working for other reasons
|
Which of the following best describes your current work status: Not working for other reasons
Item from the Child Health Questionnaire Parent Form 50 Questions (CHQ-PF50). Asmussen L et al, 2000 (PubMed ID: 11029320) |
General Health/Child Health Questionnaire (CHQ) |