Survey Text

2017 2013 2009 2005
2016 2012 2008 2004
2015 2011 2007 2003
2014 2010 2006 2002
top
2017
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2016
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2015
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2014
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2013
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2012
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2011
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2010
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2009
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2008
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2007
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2006
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2005
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2004
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2003
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------

top
2002
Survey form view entire document:  text  image
AC36
====
In the last 12 months, was anyone in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?
YES .................................... 1
NO ..................................... 2 [AC40A]
REF ................................... -7 [AC40A]
DK .................................... -8 [AC40A]
----------------------------------------------------
IF CODED '1' (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS 'DELAY IN RECEIVING MEDICAL CARE' AT AC37 BY CAPI AND GO TO LOOP_04
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH AC37
----------------------------------------------------
AC37
====

Who was that?
PROBE: Was anyone else in the family delayed in getting medical care, tests, or treatments they or a doctor believed necessary?

TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- MEMBERS-ROSTER.
----------------------------------------------------