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
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2017
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2016
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2015
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2014
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2013
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2012
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2011
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2010
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

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2009
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2008
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2007
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2006
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2005
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2004
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2003
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2002
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2001
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
2000
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
1999
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
1998
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
1997
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------

top
1996
Survey form view entire document:  text  image
PP06
====

[STR-DT] [END-DT]
SHOW CARD PP-2.
Has anyone in the family been a patient in a hospital or been seen in a hospital emergency room or outpatient department?
Or has anyone been a patient in any type of long term care facility? [Please include any hospital care we have not yet talked about.]
YES .................................... 1
NO ..................................... 2 [PP08]
REF ................................... -7 [PP08]
DK .................................... -8 [PP08]
PRESS F1 FOR DEFINITION OF ITEMS ON SHOW CARD.
[Code One]
----------------------------------------------------
NOTE: IN ROUNDS 1 AND 2 THE SENTENCE "[Please include any hospital care we have not yet talked about.]" WAS NOT INCLUDED AS PART OF THE QUESTION TEXT.
----------------------------------------------------