Please respond to the following questions about your child’s physical health. Prefer not Yes No to answer a. Is your child deaf or does your child have serious difficulty hearing? .........    b. Is your child blind or does your child have serious difficulty seeing, even: measure 5505

Please respond to the following questions about your child’s physical health. Prefer not Yes No to answer a. Is your child deaf or does your child have serious difficulty hearing? ...    b. Is your child blind or does your child have serious difficulty seeing, even

RequiredotherA4

Tier not determined

No rule matched this measure, so no tier is guessed.

Answer categories: when wearing glasses? ... | c. Because of a physical, mental, or emotional condition, does your child | have serious difficulty concentrating, remembering, or making decisions? | d. Does your child have serious difficulty walking or climbing stairs? ...    | e. Does your child have difficulty dressing or bathing? ...    | f. Because of a physical, mental, or emotional condition, does your child | have difficulty doing errands alone such as visiting a doctor’s office or    | shopping? ...

Instrument: SUPRT-C
Reporting: baseline
Target: No target rule stated

Source document, 5

Measure 5505

Please respond to the following questions about your child’s physical health. Prefer not Yes No to answer a. Is your child deaf or does your child have serious difficulty hearing? ...    b. Is your child blind or does your child have serious difficulty seeing, even

Grantee precedent for this measure