Survey Text

2013 2010 2007 2004
2012 2009 2006 2003
2011 2008 2005 2002
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2013
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2012
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AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2011
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2010
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2009
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2008
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2007
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2006
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2005
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2004
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2003
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]

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2002
Survey form view entire document:  text  image
AC14
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-1.
How difficult is it for (PERSON) to get to (PROVIDER)?
Would you say it is ...
very difficult, ........................ 1
somewhat difficult, .................... 2
not too difficult or ................... 3
not at all difficult? .................. 4
REF ................................... -7
DK .................................... -8
[Code One]