Survey Text

2021 2016 2011 2006
2020 2015 2010 2005
2019 2014 2009 2004
2018 2013 2008 2003
2017 2012 2007 2002
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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
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

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2017
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

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2016
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

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2015
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

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2014
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

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2013
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

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2012
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

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2011
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2010
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2009
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2008
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2007
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2006
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2005
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2004
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2003
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

top
2002
Survey form view entire document:  text  image
AC28
====

[NAME OF MEDICAL CARE PROVIDER.......]
SHOW CARD AC-3.
If there were a choice between treatments, how often would [a medical person at] (PROVIDER) ask them to help make the decision?
Would you say...
never, ................................. 1
sometimes, ............................. 2
usually, or ............................ 3
always? ................................ 4
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
DISPLAY 'a medical person at' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------