P-IM7. In the last 12 months, did your personal doctor ask about the After P-IM6 impact of pain on your life? Note: Use with P-IM6 1 Yes 2 No P-IM8. In the last 12 months, how often did fatigue limit your ability After P-IM7 to do the things you needed to do? Note: Use with P-IM1 1 Never If Never, go to core question 17 2 Sometimes 3 Usually 4 Always P-IM9. In the last 12 months, did your personal doctor ask about the After P-IM8 impact of fatigue on your life? Note: Use with P-IM8 1 Yes 2 No P-IM10. In the last 12 months, did you need physical or occupational After core question 26 therapy? 1 Yes 2 No If No, go to P-IM12 P-IM11. In the last 12 months, how often was it easy to get this kind of After P-IM10 therapy? Note: Use with P-IM10 1 Never 2 Sometimes 3 Usually 4 Always P-IM12. In the last 12 months, did you need speech therapy? After P-IM11 1 Yes 2 No If No, go to P-IM14 P-IM13. In the last 12 months, how often was it easy to get speech After P-IM12 therapy? Note: Use with P-IM12 1 Never 2 Sometimes 3 Usually 4 Always
P-IM7. In the last 12 months, did your personal doctor ask about the impact of pain on your life? 1 Yes 2 No After P-IM6 Note: Use with P-IM6 P-IM8. In the last 12 months, how often did fatigue limit your ability to do the things you needed to do? 1 Never If Never, go to core question 17 2 Sometimes 3 Usually 4 Always After P-IM7 Note: Use with P-IM1 P-IM9. In the last 12 months, did your personal doctor ask about the impact of fatigue on your life? 1 Yes 2 No After P-IM8 Note: Use with P-IM8 P-IM10. In the last 12 months, did you need physical or occupational therapy? 1 Yes 2 No If No, go to P-IM12 After core question 26 P-IM11. In the last 12 months, how often was it easy to get this kind of therapy? 1 Never 2 Sometimes 3 Usually 4 Always After P-IM10 Note: Use with P-IM10 P-IM12. In the last 12 months, did you need speech therapy? 1 Yes 2 No If No, go to P-IM14 After P-IM11 P-IM13. In the last 12 months, how often was it easy to get speech therapy? 1 Never 2 Sometimes 3 Usually 4 Always After P-IM12 Note: Use with P-IM12
supplemental-mobilityimpairments-healthplan-adult-2157-9a.docx