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.
---------------------------------------------------- | DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. | | DISPLAY ‘between (START DATE) and (END DATE)’ IF | | ROUND 5. | ----------------------------------------------------
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.
---------------------------------------------------- | DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. | | DISPLAY ‘between (START DATE) and (END DATE)’ IF | | ROUND 5. | ----------------------------------------------------
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}
---------------------------------------------------- | 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. | ----------------------------------------------------
---------------------------------------------------- | 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. | ----------------------------------------------------
---------------------------------------------------- | 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]
---------------------------------------------------- | DISPLAY ‘SINCE (START DATE)’ IF NOT ROUND 5. | | DISPLAY ‘BETWEEN (START DATE) AND (END DATE)’ IF | | ROUND 5. | ----------------------------------------------------
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
---------------------------------------------------- | DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. | | DISPLAY ‘between (START DATE) and (END DATE)’ IF | | ROUND 5. | ----------------------------------------------------
---------------------------------------------------- | EDIT: LOWER RANGE OF ESTIMATE MUST BE LESS | | THAN OR EQUAL TO UPPER RANGE OF ESTIMATE. | ----------------------------------------------------
BOX_01 ======
---------------------------------------------------- | IF ROUND 3 AND OC04_02 -7 OR –8, CONTINUE WITH | | OC05 | ----------------------------------------------------
---------------------------------------------------- | IF ROUND 3 AND OC04_02 = -7 OR –8, GO TO NEXT | | QUESTIONNAIRE SECTION | ----------------------------------------------------
---------------------------------------------------- | OTHERWISE, GO TO NEXT QUESTIONNAIRE SECTION | ----------------------------------------------------
OC05 ====
{STR-DT} {END-DT}
AMOUNT SPENT SINCE (START DATE): {AMOUNT FROM OC03 OR OC04_01 AND OC04_02}
PER: {UNIT FROM OC03OV1}
Of the total dollar amount spent since (START DATE), about how much of this amount was spent during 1999 (that is, between (START DATE) and December 31, 1999)?
[Enter $ Amount] ...................... REF ................................... -7 DK .................................... -8
---------------------------------------------------- | DISPLAY ‘AMOUNT FROM OC03’ IF OC03 DOES NOT EQUAL | | REFUSED (-7) OR DON’T KNOW (-8). DISPLAY ‘AMOUNT | | FROM OC04_01 AND OC04_02’ IF OC03 DOES EQUAL | | REFUSED (-7) OR DON’T KNOW (-8). | ----------------------------------------------------
BOX_02 ======
---------------------------------------------------- | GO TO NEXT QUESTIONNAIRE SECTION | ----------------------------------------------------