Now I am going to read you a list of conditions. For each condition, please tell me if a doctor or other health care provider ever told you that [child] had the condition, even if [he/she] does not have the condition now.

• Intellectual disability or mental retardation?

• Attention Deficit Disorder or Attention-Deficit/Hyperactivity Disorder; that is, ADD or ADHD?

• Vision problems that cannot be corrected with standard glasses or contact lenses?

Follow-up questions for ADHD:

Earlier you told me that [child] has been diagnosed with ADD/ADHD.

• Does [child] currently have ADD/ADHD?

YES

NO

DON'T KNOW

REFUSED

• Would you describe [his/her] ADD/ADHD as mild, moderate, or severe?

MILD

MODERATE

SEVERE

DON'T KNOW

REFUSED

• Is [child] currently taking medication for ADD or ADHD?

YES

NO

DON'T KNOW

REFUSED

Follow-up questions for vision problems:

Earlier you told me that [child] has been diagnosed with vision problems.

• Does [child] currently have vision problems that cannot be corrected with standard glasses or contact lenses?

YES

NO

DON'T KNOW

REFUSED

• (Asked only if answer to above question is “YES”) Would you describe [his/her] vision problems that cannot be corrected with standard glasses or contact lenses as mild, moderate, or severe?

MILD

MODERATE

SEVERE

DON'T KNOW

REFUSED