Questionnaire on rhinitis

Questionnaire on rhinitis (children 6-7 years)
Description

Questionnaire on rhinitis (children 6-7 years)

Alias
UMLS CUI-1
C0035455
1. Has your child EVER had a problem with sneezing or a runny or blocked nose, when he/she DID NOT have a cold or the ‘flu?
Description

IF YOU HAVE ANSWERED “NO” PLEASE SKIP TO QUESTION 6.

Data type

boolean

Alias
UMLS CUI [1]
C3173931
2. IN THE PAST 12 MONTHS, has your child had a problem with sneezing or a runny or blocked nose when he/she DID NOT have a cold or the ‘flu?
Description

IF YOU HAVE ANSWERED “NO” PLEASE SKIP TO QUESTION 6.

Data type

boolean

Alias
UMLS CUI [1]
C3173932
3. IN THE PAST 12 MONTHS, has this nose problem been accompanied by itchy-watery eyes?
Description

child rhinitis attacks last 12 months

Data type

boolean

Alias
UMLS CUI [1]
C3173934
4. In which of the PAST 12 MONTHS did this nose problem occur? (Please tick any which apply)
Description

child nose problem which months

Data type

integer

Alias
UMLS CUI [1]
C3173787
5. IN THE PAST 12 MONTHS, how much did this nose problem interfere with your child’s daily activities?
Description

interference with daily activities of child

Data type

integer

Alias
UMLS CUI [1]
C3173937
6. Has your child EVER had hay fever?
Description

child hay fever

Data type

boolean

Alias
UMLS CUI [1]
C3173939

Similar models

Questionnaire on rhinitis

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Questionnaire on rhinitis (children 6-7 years)
C0035455 (UMLS CUI-1)
child ever rhinitis in the past
Item
1. Has your child EVER had a problem with sneezing or a runny or blocked nose, when he/she DID NOT have a cold or the ‘flu?
boolean
C3173931 (UMLS CUI [1])
child rhinitis last 12 months
Item
2. IN THE PAST 12 MONTHS, has your child had a problem with sneezing or a runny or blocked nose when he/she DID NOT have a cold or the ‘flu?
boolean
C3173932 (UMLS CUI [1])
child rhinitis attacks last 12 months
Item
3. IN THE PAST 12 MONTHS, has this nose problem been accompanied by itchy-watery eyes?
boolean
C3173934 (UMLS CUI [1])
Item
4. In which of the PAST 12 MONTHS did this nose problem occur? (Please tick any which apply)
integer
C3173787 (UMLS CUI [1])
Code List
4. In which of the PAST 12 MONTHS did this nose problem occur? (Please tick any which apply)
CL Item
January (1)
C3829466 (UMLS CUI-1)
CL Item
February (2)
C3830166 (UMLS CUI-1)
CL Item
March (3)
C3829202 (UMLS CUI-1)
CL Item
April (4)
C3715024 (UMLS CUI-1)
CL Item
May (5)
C3812381 (UMLS CUI-1)
CL Item
June (6)
C3829443 (UMLS CUI-1)
CL Item
July (7)
C3829447 (UMLS CUI-1)
CL Item
August (8)
C3831448 (UMLS CUI-1)
CL Item
September (9)
C3828193 (UMLS CUI-1)
CL Item
October (10)
C3828732 (UMLS CUI-1)
CL Item
November (11)
C3828767 (UMLS CUI-1)
CL Item
December (12)
C3830550 (UMLS CUI-1)
Item
5. IN THE PAST 12 MONTHS, how much did this nose problem interfere with your child’s daily activities?
integer
C3173937 (UMLS CUI [1])
Code List
5. IN THE PAST 12 MONTHS, how much did this nose problem interfere with your child’s daily activities?
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little (2)
C2984078 (UMLS CUI-1)
CL Item
A moderate amount (3)
C3869891 (UMLS CUI-1)
CL Item
A lot (4)
C2984081 (UMLS CUI-1)
child hay fever
Item
6. Has your child EVER had hay fever?
boolean
C3173939 (UMLS CUI [1])