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Most assessments of response error have focused only on reports by adult respondents; we know little about the propensity to misreport or the magnitude or direction of response error for self-reports by adolescents. To the extent that adults and adolescents differ in the magnitude or direction of response error, comparisons between adults and adolescents will be confounded. This study compares the quality of self-response among adolescents and adults in their reporting of health conditions and health care utilization.