Survey Text

2022 2016 2010 2004
2021 2015 2009 2003
2020 2014 2008 2002
2019 2013 2007 2001
2018 2012 2006 2000
2017 2011 2005
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2022

No questionnaire text is available for this sample.


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2021

No questionnaire text is available for this sample.


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2020

No questionnaire text is available for this sample.


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2019

No questionnaire text is available for this sample.


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2018
Survey form view entire document:  text  image
1.
In general, would you say your health is:
( ) Excellent
( ) Very good
( ) Good
( ) Fair
( ) Poor

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2017
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16. Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your health care in the last 12 months?

( ) 0 Worst health care possible
( ) 1
( ) 2
( ) 3
( ) 4
( ) 5
( ) 6
( ) 7
( ) 8
( ) 9
( ) 10 Best health care possible

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2016
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17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2015
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2014
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2013
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2012
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2011
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2010
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2009
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2008
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2007
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2006
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2005
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2004
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2003
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2002
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2001
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor

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2000
Survey form view entire document:  text  image
17. In general, would you say your health is:
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor