Over-the-Counter Medicines (OC) Section
OC01
====
{STR-DT} {END-DT}
SHOW CARD OC-1.
Looking at this card, has anyone in the family purchased
any of these types of over-the-counter medications {since
(START DATE)/between (START DATE) and (END DATE)}?
YES .................................... 1
NO ..................................... 2 {BOX_01}
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
PRESS F1 FOR DESCRIPTION OF OTC CATEGORIES LISTED ON CARD.
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| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
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OC02
====
{STR-DT} {END-DT}
SHOW CARD OC-1.
Which of the categories on this card best describe the
types of over-the-counter medications anyone in the family
has purchased {since (START DATE)/between (START DATE) and
(END DATE)}?
PROBE: Any others?
CODE ALL THAT APPLY.
DIGESTIVE SYSTEM PROBLEMS .............. 1
RESPIRATORY PROBLEMS ................... 2
PAIN PROBLEMS .......................... 3
SKIN PROBLEMS .......................... 4
EYE/EAR/MOUTH PROBLEMS ................. 5
FEMININE PROBLEMS ...................... 6
GENERAL WELL-BEING PROBLEMS ............ 7
REF ................................... -7
DK .................................... -8
[Code All That Apply]
PRESS F1 FOR DESCRIPTION OF OTC CATEGORIES LISTED ON CARD.
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| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
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OC03
====
{STR-DT} {END-DT}
{OTC CATEGORIES: {DIGESTIVE SYSTEM PROBLEMS} {RESPIRATORY PROBLEMS}
{PAIN PROBLEMS} {SKIN PROBLEMS} {EYE/EAR/MOUTH PROBLEMS}
{FEMININE PROBLEMS} {GENERAL WELL-BEING PROBLEMS}}
Thinking about all purchases of over-the-counter medications
{for (READ OTC CATEGORIES)}, please give me your best estimate of
how much the family has spent {since (START DATE)/between (START
DATE) and (END DATE)}.
PROBE: Is that {since (START DATE)/between (START DATE) and
(END DATE)}, per month, per week, or what?
[Enter $ Amount] ......................
REF ................................... -7 {OC04}
DK .................................... -8 {OC04}
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| DISPLAY ‘OTC CATEGORIES:...’ AND ‘FOR (READ OTC |
| CATEGORIES)’ ONLY IF OC02 ≠ ‘-7’ (REFUSED) OR ‘-8’|
| (DON’T KNOW). IF OC02 = ‘-7’ (REFUSED) OR ‘-8’ |
| (DON’T KNOW), USE A NULL DISPLAY. |
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----------------------------------------------------
| DISPLAY ‘DIGESTIVE SYSTEM PROBLEMS’ IF OC02 IS |
| CODED 1. DISPLAY ‘RESPIRATORY PROBLEMS’ IF OC02 |
| IS CODED 2. DISPLAY ‘PAIN PROBLEMS’ IF OC02 IS |
| CODED 3. DISPLAY ‘SKIN PROBLEMS’ IF OC02 IS |
| CODED 4. DISPLAY ‘EYE/EAR/MOUTH PROBLEMS’ IF OC02|
| IS CODED 5. DISPLAY ‘FEMININE PROBLEMS’ IF OC02 |
| IS CODED 6. DISPLAY ‘GENERAL WELL-BEING PROBLEMS’|
| IF OC02 IS CODED 7. |
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| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
----------------------------------------------------
OC03OV1
=======
ENTER UNIT:
{SINCE (START DATE)/BETWEEN (START
DATE) AND (END DATE)} ............... 1 {BOX_01}
PER MONTH .............................. 2 {BOX_01}
EVERY OTHER WEEK (2 TIMES PER MONTH) ... 3 {BOX_01}
PER WEEK ............................... 4 {BOX_01}
OTHER ................................. 91
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
[Code One]
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| DISPLAY ‘SINCE (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘BETWEEN (START DATE) AND (END DATE)’ IF |
| ROUND 5. |
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OC03OV2
=======
ENTER OTHER:
[Enter Other Specify] .................. {BOX_01}
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
OC04
====
{STR-DT} {END-DT}
[About how much has the family spent on all purchases of
over-the-counter medications {since (START DATE)/between (START
DATE) and (END DATE)}?]
Would you say $5 to $10, $10 to $25, or what?
OC04_01
=======
ENTER DOLLAR AMOUNT OF LOWER RANGE:
[Enter $ Amount] ......................
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
OC04_02
=======
TO -
ENTER DOLLAR AMOUNT OF UPPER RANGE:
[Enter $ Amount] ......................
REF ................................... -7
DK .................................... -8
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| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
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| EDIT: LOWER RANGE OF ESTIMATE MUST BE LESS |
| THAN OR EQUAL TO UPPER RANGE OF ESTIMATE. |
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BOX_01
======
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| GO TO NEXT QUESTIONNAIRE SECTION |
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