Survey Text

2021 2017 2013 2009
2020 2016 2012 2008
2019 2015 2011 2007
2018 2014 2010
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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
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2017
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2016
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2015
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2014
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2013
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2012
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2011
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2010
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2009
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2008
Survey form view entire document:  text  image
PE09
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
(Have/Has) (PERSON) ever been told by a doctor or other health professional that (PERSON) had a heart attack, also called myocardial infarction or MI?
YES .................................... 1 [PE10]
NO ..................................... 2 [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
IF CODED '1' (YES), ADD THE PRIORITY CONDITION 'HEART ATTACK - MYOCARDIAL INFARC' TO PERSON'S- MEDICAL-CONDITIONS-ROSTER.
----------------------------------------------------
PE10
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
How old (were/was) (PERSON) when the heart attack, also called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
[Enter Age-3] ......................... [BOX_06]
REF ................................... -7 [BOX_06]
DK .................................... -8 [BOX_06]
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 0 TO PERSON'S CURRENT AGE
----------------------------------------------------

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2007
Survey form view entire document:  text  image
PC12_03
=======
...A heart attack, also called myocardial infarction or MI? ( )