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
OP02
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
OUTPATIENT DEPT. NAME: [OUTPATIENT DEPT NAME FROM OP01]
Did (PERSON) visit the (OUTPATIENT DEPARTMENT) at (PROVIDER) on (VISIT DATE) in person or was this a telephone call?
SAW PROVIDER ........................... 1
TELEPHONE CALL ......................... 2
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY THE TEXT ENTRY FROM OP01 FOR 'OUTPATIENT DEPT NAME FROM OP01'.
----------------------------------------------------
----------------------------------------------------
IF OP02 IS CODED '1' (SAW PROVIDER), FLAG EVENT AS 'OP-IN-PERSON'.
----------------------------------------------------
----------------------------------------------------
IF OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW) FLAG EVENT AS 'OP-TELEPHONE'.
----------------------------------------------------

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2017
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2016
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2015
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2014
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2013
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2012
Survey form view entire document:  text  image
EV02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
INTERVIEWER: WHAT TYPE OF EVENT IS IT?
HOSPITAL STAY ......................... HS
HOSPITAL EMERGENCY ROOM ............... ER
HOSPITAL OUTPATIENT DEPARTMENT ........ OP
MEDICAL PROVIDER VISIT ................ MV
DENTAL CARE ........................... DN
HOME HEALTH ........................... HH [EV06]
OTHER MEDICAL EXPENSES ................ OM
INSTITUTIONAL/LONG TERM CARE STAY ..... IC
PRESS F1 FOR DEFINITION OF EVENT TYPES.
[Code One]
----------------------------------------------------
IF ROUNDS 3 OR 5 AND EV02 IS CODED 'OM', GO TO EV02A
----------------------------------------------------
----------------------------------------------------
IF ROUNDS 1, 2, OR 4 AND EV02 IS CODED 'OM', GO TO EV03
----------------------------------------------------

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2011
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2010
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2009
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2008
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2007
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2006
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2005
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2004
Survey form view entire document:  text  image
EV02
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
INTERVIEWER: WHAT TYPE OF EVENT IS IT?
HOSPITAL STAY ......................... HS
HOSPITAL EMERGENCY ROOM ............... ER
HOSPITAL OUTPATIENT DEPARTMENT ........ OP
MEDICAL PROVIDER VISIT ................ MV
DENTAL CARE ........................... DN
HOME HEALTH ........................... HH [EV06]
OTHER MEDICAL EXPENSES ................ OM
INSTITUTIONAL/LONG TERM CARE STAY ..... IC
PRESS F1 FOR DEFINITION OF EVENT TYPES.
[Code One]
----------------------------------------------------
IF ROUNDS 3 OR 5 AND EV02 IS CODED 'OM', GO TO EV02A
----------------------------------------------------
----------------------------------------------------
IF ROUNDS 1, 2, OR 4 AND EV02 IS CODED 'OM', GO TO EV03
----------------------------------------------------

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2003
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

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2002
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

top
2001
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

top
2000
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

top
1999
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

top
1998
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

top
1997
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------

top
1996
Survey form view entire document:  text  image
OP04
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [EVN-DT]
[Did (PERSON) see a medical doctor during this particular visit?/Was this telephone call about (PERSON)'s health with a medical doctor?]
YES .................................... 1
NO ..................................... 2 [OP05]
REF ................................... -7 [OP05]
DK .................................... -8 [OP05]
PRESS F1 FOR DEFINITION OF MEDICAL DOCTOR.
----------------------------------------------------
DISPLAY 'Did (PERSON) see a medical doctor during this particular visit?' IF OP02 IS CODED '1' (SAW PROVIDER), '-7' (REFUSED), OR '-8' (DON'T KNOW) FOR THIS EVENT.

DISPLAY 'Was this telephone call about (PERSON)'s health with a medical doctor?' IF OP02 IS CODED '2' (TELEPHONE CALL) FOR THIS EVENT.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '1' (SAW PROVIDER), GO TO OP06
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND OP02 IS CODED '2' (TELEPHONE CALL), '-7' (REFUSED), OR '-8' (DON'T KNOW), GO TO BOX_01
----------------------------------------------------