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BOX_01
IF ROUND 1 OR IF RESPONDENT FOR THIS ROUND IS NOT THE SAME AS THE
RESPONDENT FOR THE PREVIOUS ROUND, GO TO CA01.
IF NOT ROUND 1 AND IF RESPONDENT FOR THIS ROUND IS SAME AS RESPONDENT FOR
THE PREVIOUS ROUND, CONTINUE WITH BOX_02.
BOX_02
IF NOT ROUND 1 AND RESPONDENT USED ANY CALENDAR DURING THE PREVIOUS
ROUND'S INTERVIEW - CL67 IS CODED '1' (YES) FOR USE OF MONTHLY PLANNER,
HEALTH EVENTS WORKSHEET, RECORD FILE, OR OTHER CALENDAR, GO TO CA02.
OTHERWISE, CONTINUE WITH CA01.
1
Calendar (CA) Section
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CA01
Help Enabled
Variable Name
HOME.HASCALDR
Comment Enabled
Jump Back Enabled
Label
CA01/CA02 DOES RESP HAVE NMES CALENDAR
Size
2
We’ve talked about health conditions for the family. The next set of questions
is about health care received {in the last few months/between {START DATE
OF REFERENCE PERIOD} and {END DATE OF REFERENCE PERIOD}}.
Some of these questions ask for information which may be difficult to
remember. Because it is important to the U.S. Public Health Service to get
complete and accurate information, please take your time in answering these
questions.
ASK RESPONDENT TO GET MONTHLY PLANNER (CALENDAR) IF NOT
ALREADY OUT.
HAS MONTHLY PLANNER
1
{CA03}
HAS CALENDAR OTHER THAN
MONTHLY PLANNER
2
{CA03}
DOES NOT HAVE CALENDAR
WILL NOT USE CALENDAR
3
4
{CA04}
{CA04}
DISPLAY INSTRUCTIONS:
DISPLAY ‘in the last few months’ IF NOT ROUND 5. DISPLAY
‘between {START DATE OF REFERENCE PERIOD} and {END DATE OF
REFERENCE PERIOD}’ IF ROUND 5.
FOR ‘START DATE OF REFERENCE PERIOD’, DISPLAY THE DATE OF THE
ROUND 4 INTERVIEW AS MM/DD/YYYY. FOR ‘END DATE OF REFERENCE
PERIOD’, DISPLAY THE RU END DATE FOR ROUND 5 AS MM/DD/YYYY.
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Calendar (CA) Section
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CA02
Help Enabled
Variable Name
HOME.HASCALDR
Comment Enabled
Jump Back Enabled
Label
CA01/CA02 DOES RESP HAVE NMES CALENDAR
Size
2
We’ve talked about health conditions for the family. The next set of questions
is about health care received {in the last few months/between {START DATE
OF REFERENCE PERIOD} and {END DATE OF REFERENCE PERIOD}}. As
you may remember from the last interview, some of these questions ask for
information which may be difficult to remember.
THANK RESPONDENT FOR USING CALENDAR DURING THE PREVIOUS
INTERVIEW.
ASK RESPONDENT TO GET CALENDAR IF NOT ALREADY OUT.
HAS MONTHLY PLANNER
HAS CALENDAR OTHER THAN
MONTHLY PLANNER
1
2
{CA03}
{CA03}
DOES NOT HAVE CALENDAR
3
{CA04}
WILL NOT USE CALENDAR
4
{CA04}
DISPLAY INSTRUCTIONS:
DISPLAY ‘in the last few months’ IF NOT ROUND 5. DISPLAY
‘between {START DATE OF REFERENCE PERIOD} and {END DATE OF
REFERENCE PERIOD}’ IF ROUND 5.
FOR ‘START DATE OF REFERENCE PERIOD’, DISPLAY THE DATE OF THE
ROUND 4 INTERVIEW AS MM/DD/YYYY. FOR ‘END DATE OF REFERENCE
PERIOD’, DISPLAY THE RU END DATE FOR ROUND 5 AS MM/DD/YYYY.
3
Calendar (CA) Section
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CA03
Help Enabled
Variable Name
HOME.USECALDR
Comment Enabled
Jump Back Enabled
Label
HAS RESPONDENT USED THE NMES CALENDAR
Size
2
CODE WITHOUT ASKING IF RESPONDENT HAS ALREADY ANSWERED.
Has anyone in the family been using the calendar to record all visits to
medical providers and medical places, most of the visits, only some of the
visits, or has the calendar not been used?
ALL VISITS RECORDED
MOST VISITS RECORDED
1
2
{BOX_03}
{BOX_03}
SOME VISITS RECORDED
DID NOT USE
3
4
{CA04}
{CA04}
VOLUNTEERED: NO EVENTS TO
RECORD
5
{BOX_03}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
4
{CA04}
{CA04}
Calendar (CA) Section
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CA04
Help Enabled
Comment Enabled
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GIVE RESPONDENT A MONTHLY PLANNER (CALENDAR) IF
RESPONDENT DOES NOT HAVE ONE, OR A HEALTH EVENTS
WORKSHEET IF RESPONDENT WILL NOT USE CALENDAR.
Through the rest of the interview, there are questions that will ask for dates.
When you do not remember the date, we can refer to this calendar for help.
CIRCLE {TODAY’S DATE/12/31/{YEAR}} {AND DATE OF LAST
INTERVIEW}.
PRESS ENTER OR SELECT 'NEXT PAGE' TO CONTINUE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘TODAY’S DATE’ IF NOT ROUND 5. DISPLAY ‘12/31/{YEAR}’
IF ROUND 5. FOR {YEAR} DISPLAY SECOND YEAR OF PANEL.
DISPLAY ‘AND DATE OF LAST INTERVIEW’ IF NOT ROUND 1.
OTHERWISE, USE A NULL DISPLAY.
BOX_03
IF ROUND 1, GO TO BOX_05.
IF NOT ROUND 1, CONTINUE WITH BOX_04.
BOX_04
IF ANY EVENTS (INCLUDING PRESCRIBED MEDICINES) RECORDED DURING PREVIOUS
ROUND, CONTINUE WITH CA05.
IF NO EVENTS (INCLUDING PRESCRIBED MEDICINES) RECORDED DURING PREVIOUS
ROUND, GO TO BOX_05.
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Calendar (CA) Section
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CA05
Help Enabled
Comment Enabled
Jump Back Enabled
If at any point it would help you to look at information from the last interview, I
have a computer printed summary of the health care received during that
period. This summary includes any hospital stays; visits to medical providers;
names of doctors, hospitals, and other providers; and prescribed medicines
that were talked about during the last interview. If you need to refer to a past
visit, date, or provider name, we can use this summary.
HOLD UP SUMMARY OF HEALTH CARE EVENTS FOR THIS RU.
PRESS ENTER OR SELECT 'NEXT PAGE' TO CONTINUE.
BOX_05
GO TO NEXT QUESTIONNAIRE SECTION.
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File Type | application/pdf |
File Title | \\rk29\vol2905\MEPSWVS\SpecWriter\BETA\ca (beta).snp |
Author | miller_n |
File Modified | 2005-12-21 |
File Created | 2005-12-21 |