BLAISE NAME: TimeProv
Context Header: [PERSON?S FIRST MIDDLE AND LAST NAME][[NAME OF MEDICAL CARE PROVIDER......] [NAME OF FACILITY]
Question Text:

How long does it usually take [you/[PERSON]] to get to [PROVIDER]?

LESS THAN 15 MINUTES 1 BOX_50 (AC1070)
16 TO 30 MINUTES 2 BOX_50 (AC1070)
31 TO 60 MINUTES (1 HOUR) 3 BOX_50 (AC1070)
61 TO 90 MINUTES 4 BOX_50 (AC1070)
91 TO 120 MINUTES (2 HOURS) 5 BOX_50 (AC1070)
MORE THAN 120 MINUTES (2 HOURS) 6 BOX_50 (AC1070)
REFUSED RF BOX_50 (AC1070)
DON'T KNOW DK BOX_50 (AC1070)

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it usually take [you/[PERSON]] to get to [PROVIDER]?

LESS THAN 15 MINUTES ................... 1 [BOX_03]
15 TO 30 MINUTES ....................... 2 [BOX_03]
31 TO 60 MINUTES (1 HOUR) .............. 3 [BOX_03]
61 TO 90 MINUTES ....................... 4 [BOX_03]
91 TO 120 MINUTES (2 HOURS) ............ 5 [BOX_03]
MORE THAN 120 MINUTES (2 HOURS) ........ 6 [BOX_03]
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it usually take [you/[PERSON]] to get to [PROVIDER]?

LESS THAN 15 MINUTES ................... 1 [BOX_03]
15 TO 30 MINUTES ....................... 2 [BOX_03]
31 TO 60 MINUTES (1 HOUR) .............. 3 [BOX_03]
61 TO 90 MINUTES ....................... 4 [BOX_03]
91 TO 120 MINUTES (2 HOURS) ............ 5 [BOX_03]
MORE THAN 120 MINUTES (2 HOURS) ........ 6 [BOX_03]
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it usually take [you/[PERSON]] to get to [PROVIDER]?

LESS THAN 15 MINUTES ................... 1 [BOX_03]
15 TO 30 MINUTES ....................... 2 [BOX_03]
31 TO 60 MINUTES (1 HOUR) .............. 3 [BOX_03]
61 TO 90 MINUTES ....................... 4 [BOX_03]
91 TO 120 MINUTES (2 HOURS) ............ 5 [BOX_03]
MORE THAN 120 MINUTES (2 HOURS) ........ 6 [BOX_03]
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it usually take [you/[PERSON]] to get to [PROVIDER]?

LESS THAN 15 MINUTES ................... 1 [BOX_03]
15 TO 30 MINUTES ....................... 2 [BOX_03]
31 TO 60 MINUTES (1 HOUR) .............. 3 [BOX_03]
61 TO 90 MINUTES ....................... 4 [BOX_03]
91 TO 120 MINUTES (2 HOURS) ............ 5 [BOX_03]
MORE THAN 120 MINUTES (2 HOURS) ........ 6 [BOX_03]
REF ................................... -7 [BOX_03]
DK .................................... -8 [BOX_03]
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
How long does it take (PERSON) to get to (PROVIDER)?

LESS THAN 15 MINUTES ................... 1
15 TO 30 MINUTES ....................... 2
31 MINUTES TO 60 MINUTES (1 HOUR)....... 3
61 MINUTES TO 90 MINUTES ............... 4
91 MINUTES TO 120 MINUTES (2 HOURS) .... 5
MORE THAN 120 MINUTES (2 HOURS) ........ 6
REF ................................... -7
DK .................................... -8
[Code One]