RE96A
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[PERSON'S FIRST MIDDLE AND LAST NAME]
Is (PERSON) now on full-time active duty service with the Armed Forces of the United States?
YES .................................... 1
NO ..................................... 2 [END_LP12]
REF ................................... -7 [END_LP12]
DK .................................... -8 [END_LP12]
PRESS F1 FOR DEFINITION OF FULL-TIME ACTIVE DUTY.
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IF CODED '1' (YES), FLAG PERSON AS 'FULL-TIME MILITARY AND LIVING IN RU'.
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HX12
====
[STR-DT] [END-DT]
[During the last interview, we recorded that no one in the family was covered by CHAMPUS, TRICARE or CHAMPVA.]
At any time [since (START DATE)/between (START DATE) and (END DATE)], has anyone in the family been covered by CHAMPUS, TRICARE or CHAMPVA?
YES .................................... 1
NO ..................................... 2 [BOX_16]
REF ................................... -7 [BOX_16]
DK .................................... -8 [BOX_16]
PRESS F1 FOR DEFINITION OF CHAMPUS/CHAMPVA.
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DISPLAY FIRST PARAGRAPH ('During .... CHAMPVA.') IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
DISPLAY 'since (START DATE)' IF NOT ROUND 5.
DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.
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IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AT HX13 AUTOMATICALLY BY CAPI AND GO TO LOOP_06
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IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX13
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HX13
====
[STR-DT] [END-DT]
Who is covered by CHAMPUS, TRICARE or CHAMPVA?
PROBE: Who else is covered by CHAMPUS, TRICARE or CHAMPVA?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
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ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
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PR19
====
[STR-DT] [END-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by CHAMPUS, TRICARE or CHAMPVA.
Have all of these people been covered by CHAMPUS, TRICARE or CHAMPVA at any time [since (START DATE)/between (START DATE) and (END DATE)]?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_08]
DK .................................... -8 [BOX_08]
PRESS F1 FOR DEFINITION OF CHAMPUS/CHAMPVA.
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DISPLAY 'since (START DATE)' IF NOT ROUND 5.
DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.
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ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY CHAMPUS/CHAMPVA AT ANY TIME DURING THE PREVIOUS ROUND.
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IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY CHAMPUS/CHAMPVA DURING CURRENT ROUND.' THEN GO TO BOX_06
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IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY CHAMPUS/CHAMPVA DURING CURRENT ROUND.'
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IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED IN PR19, GO TO PR21
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IF CODED '3' (NO, NONE),
AND
IF ALL CURRENT RU MEMBERS ARE LISTED IN PR19, GO TO BOX_08
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IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR20
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PR20
====
[STR-DT] [END-DT]
Who has been covered by CHAMPUS, TRICARE or CHAMPVA [since (START DATE)/between (START DATE) and (END DATE)]?
PROBE: Who else has been covered by CHAMPUS, TRICARE or CHAMPVA [since (START DATE)/between (START DATE) and (END DATE)]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
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DISPLAY 'since (START DATE)' IF NOT ROUND 5.
DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.
----------------------------------------------------
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ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY CHAMPUS/CHAMPVA AT ANY TIME DURING THE PREVIOUS ROUND.
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FLAG ALL PERSONS SELECTED AS 'COVERED BY CHAMPUS/ CHAMPVA' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY CHAMPUS/CHAMPVA' DURING CURRENT ROUND.
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PR21
====
[STR-DT] [END-DT]
Besides the family members we've just talked about, have any additional family members been covered by CHAMPUS, TRICARE or CHAMPVA [since (START DATE)/between (START DATE) and (END DATE)]?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF CHAMPUS/CHAMPVA.
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DISPLAY 'since (START DATE)' IF NOT ROUND 5.
DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.
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IF CODED '2' (NO), '-7' (REFUSED) OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER FLAGGED AS COVERED BY CHAMPUS/CHAMPVA DURING CURRENT ROUND, GO TO LOOP_03
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IF CODED '2' (NO), '-7' (REFUSED) OR '8' (DON'T KNOW) AND NO RU MEMBERS FLAGGED AS COVERED BY CHAMPUS/CHAMPVA DURING CURRENT ROUND, GO TO BOX_08
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OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR22
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PR22
====
[STR-DT] [END-DT]
Who has been covered by CHAMPUS, TRICARE or CHAMPVA [since (START DATE)/between (START DATE) and (END DATE)]?
PROBE: Who else has been covered by CHAMPUS, TRICARE or CHAMPVA [since (START DATE)/between (START DATE) and (END DATE)]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
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DISPLAY 'since (START DATE)' IF NOT ROUND 5.
DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.
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ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS BEING COVERED BY CHAMPUS/CHAMPVA AT ANY TIME DURING THE PREVIOUS ROUND
----------------------------------------------------
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FLAG ALL PERSONS SELECTED AS 'COVERED BY CHAMPUS/ CHAMPVA' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY CHAMPUS/CHAMPVA' DURING CURRENT ROUND.
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HQ01
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF ESTABLISHMENT.........] [STR-DT] [END-DT]
(Were/Was) (PERSON) covered the whole time from (START DATE) until [today/(END DATE)], or only part of the time?
WHOLE TIME ............................. 1 [BOX_01]
PART OF THE TIME ....................... 2
REF ................................... -7 [BOX_01]
DK .................................... -8 [BOX_01]
[Code One]
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DISPLAY 'today' IF NOT ROUND 5. DISPLAY '(END DATE)' IF ROUND 5.
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IF ROUND 5 AND CODED '2' (PART OF THE TIME), GO TO HQ05
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IF NOT ROUND 5 AND CODED '2' (PART OF THE TIME), CONTINUE WITH HQ02
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NOTE: FOR ROUND 5, THE END DATE IS DISPLAYED IN THE CONTEXT HEADER FOR QUESTIONS HQ01 AND HQ05.
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