Survey Text

2021 2014 2007 2000
2020 2013 2006 1999
2019 2012 2005 1998
2018 2011 2004 1997
2017 2010 2003 1996
2016 2009 2002
2015 2008 2001
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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
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2017
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2016
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2015
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2014
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2013
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2012
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2011
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2010
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2009
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2008
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

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2007
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2006
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2005
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2004
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2003
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2002
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2001
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
2000
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
1999
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
1998
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
1997
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------

top
1996
Survey form view entire document:  text  image
EM115
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Even though (PERSON) chose not to take health insurance, did/Did] (PERSON) have a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered through this [job/business]?
YES, MORE THAN ONE PLAN ................ 1
NO, ONLY ONE PLAN ...................... 2
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF CHOICE OF HEALTH INSURANCE PLANS.
----------------------------------------------------
DISPLAY 'EVEN THOUGH (PERSON) CHOSE NOT TO TAKE HEALTH INSURANCE, DID' IF JOB IS NOT FLAGGED AS PROVIDING HEALTH INSURANCE. DISPLAY 'DID' IF JOB IS FLAGGED AS PROVIDING HEALTH INSURANCE.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'JOB' IF JOB IS FLAGGED AS 'NOT SELF- EMPLOYED'. DISPLAY 'BUSINESS' IF JOB IS FLAGGED AS 'SELF-EMPLOYED'.
----------------------------------------------------