Survey Text

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2015

No questionnaire text is available for this sample.


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2010
Survey form view entire document:  text  image

Question ID: NAH.191_00.000

Instrument Variable Name: FHDAGE1
QuestionText:
[Fill1: Was your daughter under 50 years of age when [Fill3: FHDTYP_1] was first diagnosed?
*Enter '0' if daughter was 50 or over.
*Enter '1' if daughter was under 50.]
[Fill2: How many of these daughters were under 50 years of age when [Fill3: FHDTYP_1] was first diagnosed?
*Enter '0' for none.
*Enter '21' for 21 or more daughters.]
00 None
01-20 1-20 daughters
21 21+
97 Refused
99 Don't know
UniverseText: Sample adults 18+ whose daughter(s) had a first kind of cancer or refused or didn't know name of first kind of
cancer
SkipInstructions:
(0-21) if FHDMAN1 NE 'Refused' and FHDMAN1 NE 'Don't know' and FHDAGE1 GT FHDMAN1
goto ERR2_FHDAGE1
elseif (FHDMAN1 = 'Refused' or FHDMAN1 = 'Don't know') and FHDAGE1 GT FHDCAN
goto ERR3_FHDAGE1
elseif AGE LE '55' and FHDMAN1 NE 'Refused' and FHDMAN1 NE 'Don't know' and FHDAGE1 LT
FHDMAN1
goto ERR1_FHDAGE1
elseif AGE LE '55' and (FHDMAN1 = 'Refused' or FHDMAN1 = 'Don't know') and FHDAGE1 = '0'
goto ERR1_FHDAGE1
else
goto FHDTYP_2
(DK) goto FHDTYP_2
(RF) IF FHDTYP_1=RF goto next section
else if FHDTYP_1 NE RF goto FHDTYP_2
Question ID: NAH.193_00.000

Instrument Variable Name: FHDAGE2
QuestionText:
[Fill1: Was your daughter under 50 years of age when [Fill3: FHDTYP_2] was first diagnosed?
*Enter '0' if daughter was 50 or over.
*Enter '1' if daughter was under 50.]
[Fill2: How many of these daughters were under 50 years of age when [Fill3: FHDTYP_2] was first diagnosed?
*Enter '0' for none. *Enter '21' for 21 or more daughters.]
00 None
01-20 1-20 daughters
21 21+
97 Refused
99 Don't know
UniverseText: Sample adults 18+ whose daughter(s) had a second kind of cancer or refused or didn't know name of second kind
of cancer
SkipInstructions:
(0-21)if FHDMAN2 NE 'Refused' and FHDMAN2 NE 'Don't know' and FHDAGE2 GT FHDMAN2
goto ERR2_FHDAGE2
elseif (FHDMAN2 = 'Refused' or FHDMAN2 = 'Don't know') and FHDAGE2 GT FHDCAN
goto ERR3_FHDAGE2
elseif AGE LE '55' and FHDMAN2 NE 'Refused' and FHDMAN2 NE 'Don't know' and FHDAGE2 LT
FHDMAN2
goto ERR1_FHDAGE2
elseif AGE LE '55' and (FHDMAN2 = 'Refused' or FHDMAN2 = 'Don't know') and FHDAGE2 = '0'
goto ERR1_FHDAGE2
else
goto FHDTYP_3
(DK) goto FHDTYP_3
(RF) IF FHDTYP_2=RF goto next section
else if FHDTYP_2 NE RF goto FHDTYP_3

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2005
Survey form view entire document:  text  image

NAH.191_00.000

Instrument Variable Name: FHDAGE1
Question Text:
[Fill1: Was your daughter under 50 years of age when [Fill3: FHDTYP_1] was first diagnosed?
*Enter '0' if daughter was not under 50.
*Enter '1' if daughter was under 50.]
[Fill2: How many of these daughters were under 50 years of age when [Fill3: FHDTYP_1] was first diagnosed?
*Enter '0' for none.
*Enter '21' for 21 or more daughters.]
00 None
01-20 1-20 daughters
21 21+
97 Refused
99 Don't know
Universe Text: Sample adults 18+ whose daughter(s) had a first kind of cancer or refused or didn't know name of first kind of cancer
Skip Instructions:
(0-21) if FHDMAN1 NE R and FHDMAN1 NE D and FHDAGE1 GT FHDMAN1 [goto ERR2_FHDAGE1]; elseif (FHDMAN1 = R or FHDMAN1 = D) and FHDAGE1 GT FHDCAN [goto ERR3_FHDAGE1]; elseif AGE LE '55' and FHDMAN1 NE R and FHDMAN1 NE D and FHDAGE1 LT FHDMAN1 [goto ERR1_FHDAGE1]; elseif AGE LE '55' and (FHDMAN1 = R or FHDMAN1 = D) and FHDAGE1 = 0 [goto ERR1_FHDAGE1]; else [goto FHDTYP_2]
(D) [goto FHDTYP_2]
(R) and (R) at FHDTYP_1 [goto next section]
(R) and FHDTYP_1 NE (R) [goto FHDTYP_2]

NAH.193_00.000

Instrument Variable Name: FHDAGE2
Question Text:
[Fill1: Was your daughter under 50 years of age when [Fill3: FHDTYP_2] was first diagnosed?
*Enter '0' if daughter was not under 50.
*Enter '1' if daughter was under 50.]
[Fill2: How many of these daughters were under 50 years of age when [Fill3: FHDTYP_2] was first diagnosed?
*Enter '0' for none.
*Enter '21' for 21 or more daughters.]
00 None
01-20 1-20 daughters
21 21+
97 Refused
99 Don't know
Universe Text: Sample adults 18+ whose daughter(s) had a second kind of cancer or refused or didn't know name of second kind of cancer
Skip Instructions:
(0-21)if FHDMAN2 NE R and FHDMAN2 NE D and FHDAGE2 GT FHDMAN2 [goto ERR2_FHDAGE2]; elseif (FHDMAN2 = R or FHDMAN2 = D) and FHDAGE2 GT FHDCAN [goto ERR3_FHDAGE2]; elseif AGE LE '55' and FHDMAN2 NE R and FHDMAN2 NE D and FHDAGE2 LT FHDMAN2 [goto ERR1_FHDAGE2]; elseif AGE LE '55' and (FHDMAN2 = R or FHDMAN2 = D) and FHDAGE2 = 0 [goto ERR1_FHDAGE2]; else [goto FHDTYP_3]
(D) [goto FHDTYP_3]
(R) and (R) at FHDTYP_2 [goto next section]
(R) and FHDTYP_2 NE (R) [goto FHDTYP_3]

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2000
Survey form view entire document:  text  image

NAH.191

FR: IF ONE DAUGHTER HAD {DAUGHTER CANCER TYPE 1} CANCER, ASK:

Was your daughter under 50 years of age when {DAUGHTER CANCER TYPE 1} cancer was first diagnosed?

(00) Daughter not under 50 years of age (NAH.192)
(01) Daughter was under 50 (NAH.192)
(97) Refused (NAH.192)
(99) Don't know (NAH.192)

FR: IF TWO OR MORE DAUGHTERS HAD (DAUGHTER CANCER TYPE 1) CANCER, ASK:

How many of these daughters were under 50 years of age when {DAUGHTER CANCER TYPE 1} cancer was first diagnosed?
FHDAGE1
(00) None diagnosed under 50 years
(01-20) 1-20 daughters
(21) 21+ daughters
(97) Refused
(99) Don't know

NAH.193

FR: IF ONE DAUGHTER HAD {DAUGHTER CANCER TYPE 2} CANCER, ASK:

Was your daughter under 50 years of age when {DAUGHTER CANCER TYPE 2} cancer was first diagnosed?

(00) Daughter not under 50 years of age (END_NAH)
(01) Daughter was under 50 (END_NAH)
(97) Refused (END_NAH)
(99) Don't know (END_NAH)

FR: IF TWO OR MORE DAUGHTERS HAD (DAUGHTER CANCER TYPE 2) CANCER, ASK:

How many of your daughters were under 50 years of age when {DAUGHTER CANCER TYPE 2} cancer was first diagnosed?
FHDAGE2
(00)None diagnosed under 50 years
(01-20) 1-20 daughters
(21) 21+ daughters
(97) Refused
(99) Don't know