Survey Text

2021 2016 2011 2006
2020 2015 2010 2005
2019 2014 2009 2004
2018 2013 2008 2003
2017 2012 2007 2002
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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
MV20 (MV1020)
BLAISE NAME: MVDocSpeclty
Context Header: 
(PERSON'S FIRST MIDDLE AND LAST NAME) (NAME OF MEDICAL CARE PROVIDER)-(DOC OR DEPT) (EVN-DT)
Question Text:
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.
Responses: 
ALLERGY/IMMUNOLOGY 1 BOX_30 (MV1030)
CARDIOLOGY (HEART) 3 BOX_30 (MV1030)
DERMATOLOGY (SKIN) 4 BOX_30 (MV1030)
ENDOCRINOLOGY/METABOLISM (DIABETES, THYROID) 5 BOX_30 (MV1030)
FAMILY PRACTICE 6 BOX_30 (MV1030)
GASTROENTEROLOGY 7 BOX_30 (MV1030)
GENERAL PRACTICE 8 BOX_30 (MV1030)
GENERAL SURGERY 9 BOX_30 (MV1030)
GYNECOLOGY/OBSTETRICS 11 BOX_30 (MV1030)
INTERNAL MEDICINE (INTERNIST) 14 BOX_30 (MV1030)
NEPHROLOGY (KIDNEYS) 15 BOX_30 (MV1030)
NEUROLOGY 16 BOX_30 (MV1030)
ONCOLOGY (TUMORS, CANCER) 18 BOX_30 (MV1030)
OPHTHALMOLOGY (EYES) 19 BOX_30 (MV1030)
ORTHOPEDICS 20 BOX_30 (MV1030)
OTORHINOLARYNGOLOGY (EAR, NOSE, THROAT) 22 BOX_30 (MV1030)
PEDIATRICIAN 24 BOX_30 (MV1030)
PSYCHIATRY/PSYCHIATRIST 28 BOX_30 (MV1030)
UROLOGY 33 BOX_30 (MV1030)
OTHER DR SPECIALTY 91 MV20LU (MV1023)
REFUSED RF BOX_30 (MV1030)
DON'T KNOW DK BOX_30 (MV1030)
Display Instructions:
OP20 (OP1015)
BLAISE NAME: OPDocSpeclty
Context Header: 
(PERSON'S FIRST MIDDLE AND LAST NAME) (NAME OF MEDICAL CARE PROVIDER)-(DOC OR DEPT) (EVN-DT)
Question Text:
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.
Responses: 
CARDIOLOGY (HEART) 3 OP40 (OP1030)
ENDOCRINOLOGY/METABOLISM (DIABETES, THYROID) 5 OP40 (OP1030)
FAMILY PRACTICE 6 OP40 (OP1030)
GASTROENTEROLOGY 7 OP40 (OP1030)
GENERAL PRACTICE 8 OP40 (OP1030)
GENERAL SURGERY 9 OP40 (OP1030)
GYNECOLOGY/OBSTETRICS 11 OP40 (OP1030)
INTERNAL MEDICINE (INTERNIST) 14 OP40 (OP1030)
NEPHROLOGY (KIDNEYS) 15 OP40 (OP1030)
NEUROLOGY 16 OP40 (OP1030)
ONCOLOGY (TUMORS, CANCER) 18 OP40 (OP1030)
OPHTHALMOLOGY (EYES) 19 OP40 (OP1030)
ORTHOPEDICS 20 OP40 (OP1030)
OTORHINOLARYNGOLOGY (EAR, NOSE, THROAT) 22 OP40 (OP1030)
PEDIATRICIAN 24 OP40 (OP1030)
PHYSICAL MEDICINE/REHAB 25 OP40 (OP1030)
PSYCHIATRY/PSYCHIATRIST 28 OP40 (OP1030)
RADIOLOGY 30 OP40 (OP1030)
UROLOGY 33 OP40 (OP1030)
OTHER DR SPECIALTY 91 OP20LU (OP1017)
REFUSED RF OP40 (OP1030)
DON'T KNOW DK OP40 (OP1030)
Display Instructions: 
Display OP20 and OP20LU on the same form pane.

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2017
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER] [EVN-DT]
What was the doctor?s specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.
ALLERGY/IMMUNOLOGY ..................... 1 [BOX_01]
ANESTHESIOLOGY ......................... 2 [BOX_01]
CARDIOLOGY (HEART) ..................... 3 [BOX_01]
DERMATOLOGY (SKIN) ..................... 4 [BOX_01]
ENDOCRINOLOGY/METABOLISM (DIABETES,
THYROID) ............................. 5 [BOX_01]
FAMILY PRACTICE ........................ 6 [BOX_01]
GASTROENTEROLOGY ....................... 7 [BOX_01]
GENERAL PRACTICE ....................... 8 [BOX_01]
GENERAL SURGERY ........................ 9 [BOX_01]
GERIATRICS (ELDERLY) .................. 10 [BOX_01]
GYNECOLOGY/OBSTETRICS ................. 11 [BOX_01]
HEMATOLOGY (BLOOD) .................... 12 [BOX_01]
HOSPITAL RESIDENCE .................... 13 [BOX_01]
INTERNAL MEDICINE (INTERNIST) ......... 14 [BOX_01]
NEPHROLOGY (KIDNEYS) .................. 15 [BOX_01]
NEUROLOGY ............................. 16 [BOX_01]
NUCLEAR MEDICINE ...................... 17 [BOX_01]
ONCOLOGY (TUMORS, CANCER) ............. 18 [BOX_01]
OPHTHALMOLOGY (EYES) .................. 19 [BOX_01]
ORTHOPEDICS ........................... 20 [BOX_01]
OSTEOPATHY (DO) ....................... 21 [BOX_01]
OTORHINOLARYNGOLOGY (EAR, NOSE, THROAT) ............................. 22 [BOX_01]
PATHOLOGY ............................. 23 [BOX_01]
PEDIATRICIAN .......................... 24 [BOX_01]
PHYSICAL MEDICINE/REHAB ............... 25 [BOX_01]
PLASTIC SURGERY ....................... 26 [BOX_01]
PROCTOLOGY ............................ 27 [BOX_01]
PSYCHIATRY/PSYCHIATRIST ............... 28 [BOX_01]
PULMONARY ............................. 29 [BOX_01]
RADIOLOGY ............................. 30 [BOX_01]
RHEUMATOLOGY (ARTHRITIS) .............. 31 [BOX_01]
THORACIC SURGERY (CHEST) .............. 32 [BOX_01]
UROLOGY ............................... 33 [BOX_01]
OTHER DR SPECIALTY .................... 91 [BOX_01]
REF ................................... -7 [BOX_01]
DK .................................... -8 [BOX_01]
[Code One]

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2016
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2015
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2014
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2013
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2012
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2011
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2010
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2009
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2008
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

top
2007
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

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2006
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

top
2005
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

top
2004
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

top
2003
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------

top
2002
Survey form view entire document:  text  image
OP04A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE
PROVIDER......] [EVN-DT]
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

ALLERGY/IMMUNOLOGY .......... 1
ANESTHESIOLOGY .............. 2
CARDIOLOGY (HEART) .......... 3
DERMATOLOGY (SKIN) .......... 4
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID) ....... 5
FAMILY PRACTICE ............. 6
GASTROENTEROLOGY ............ 7
GENERAL PRACTICE ............ 8
GENERAL SURGERY ............. 9
GERIATRICS (ELDERLY) ........ 10
GYNECOLOGY-OBSTETRICS ....... 11
HEMATOLOGY (BLOOD) .......... 12
HOSPITAL RESIDENCE .......... 13
INTERNAL MEDICINE
(INTERNIST) ............... 14
NEPHROLOGY (KIDNEYS) ........ 15
NEUROLOGY ................... 16
NUCLEAR MEDICINE ............ 17
ONCOLOGY (TUMORS, CANCER) ... 18
OPHTHALMOLOGY (EYES) ........ 19
ORTHOPEDICS ................. 20
OSTEOPATHY (DO) ............. 21
OTORHINOLARYNGOLOGY
(EAR, NOSE, THROAT) ....... 22
PATHOLOGY ................... 23
PEDIATRICIAN ................ 24
PHYSICAL MEDICINE/REHAB ..... 25
PLASTIC SURGERY ............. 26
PROCTOLOGY .................. 27
PSYCHIATRY/PSYCHIATRIST ..... 28
PULMONARY ................... 29
RADIOLOGY ................... 30
RHEUMATOLOGY (ARTHRITIS) .... 31
THORACIC SURGERY (CHEST) .... 32
UROLOGY ..................... 33
OTHER DR SPECIALTY .......... 91

[Code One]
----------------------------------------------------
GO TO BOX_01
----------------------------------------------------