NIH Common Data Elements (CDE) Repository

In the last 6 months, did you need your child’s doctors or other health providers to contact a school or daycare center about your child’s health or health care?
In the last 6 months, did you get the help you needed from your child’s doctors or other health providers in contacting your child’s school or daycare?
What is your birthdate?
About how old are you?
Do you consider yourself to be Hispanic, Latino, or of Spanish origin?
READ IF NECESSARY
Please give the number of the group that represents your Hispanic/Latino or Spanish origin or ancestry. Please select 1 or more of these categories. PROBE
If "Other Hispanic/Latino", please specify
Special medical equipment or devices include a walker, wheelchair, nebulizer, feeding tubes, or oxygen equipment. In the last 6 months, did you get or try to get any special medical equipment or devices for your child?
In the last 6 months, how often was it easy to get special medical equipment or devices for your child?
Did anyone from your child’s health plan, doctor’s office, or clinic help you get special medical equipment or devices for your child?
In the last 6 months, did you get or try to get special therapy such as physical, occupational, or speech therapy for your child?
In the last 6 months, how often was it easy to get this therapy for your child?
Did anyone from your child’s health plan, doctor’s office, or clinic help you get this therapy for your child?
In the last 6 months, did you get or try to get treatment or counseling for your child for an emotional, developmental, or behavioral problem?
In the last 6 months, how often was it easy to get this treatment o r counseling for your child?
Did anyone from your child’s health plan, doctor’s office, or clinic help you get this treatment or counseling for your child?
In the last 6 months, did your child get care from more than one kind of health care provider or use more than one kind of health care service?
In the last 6 months, did anyone from your child’s health plan, doctor’s office, or clinic help coordinate your child’s care among these different providers or services?
A personal doctor is the one your child would see if he or she needs a check-up or gets sick or hurt. Does your child have a personal doctor?