dv_conditionapproach

1. Person number ________

Record each date on which a doctor was visited in a separated question 2a of the doctor visits questions.
Earlier you told me that --had seen or talked to a doctor during the past 2 weeks
2a. On what dates during that 2 week period did --visit or talk to a doctor?

Ask and record the answer to question 2b on the last set of Doctor visit questions for each person.
b. Were there any other doctor visits for -- during that period?

Item D:
interviewer check item
Enter the number of Doctor visits reported for each person in question 18-21a on page 4 and 5. If "None" reported for all persons, check here.
[] None reported go to person pages
Person No.

Fill one doctor visit sections for each visit or call reported including additional visits or calls reported in question 2b.
3. Where did -- see the doctor on the (date)? Mark one

4. How much was the doctor's bill for that visit (call)?
If bill not received, ask:
How much do you expect the doctor's bill to be for that visit (call)?

5. Is the doctor a general practitioner or a specialist?

Doctor visit (2):

1. Person number ____

Record each date on which a doctor was visited in a separate question 2a of the doctor visits questions.
Earlier you told me that -- had seen or talked to a doctor during the past 2 weeks.
2a. On what dates during that 2 week period did -- visit or talk to a doctor?

Ask and record the answer to Question 2b on the last set of Doctor visits questions for each person.
b. Were there any other doctor visits for --during that period?

3. Where did -- see the doctor on the (Date)? Mark one.

4. How much was the doctor's bill for that visit (call)?
If bill not received, ask:
How much do you expect the doctor's bill to be for that visit (call)?

5. Is the doctor a general practitioner or a specialist?