top

1992

Survey form view entire document: text image

14. How many times in the past 12 months have you donated blood?

00[] None in past 12 months
Times ____
97[] Refused
99[] DK

top

1991

Survey form view entire document: text image

14. How many times in the past 12 months have you donated blood?

00[] None in past 12 months
Times ____
97[] Refused
99[] DK

top

1990

Survey form view entire document: text image

If "No" or "DK" in 11b, mark box -- or ask:
13. How many times in the past 12 months have you donated blood?

00[] None in past twelve months
01[] One time
02[] Two times
03[] Three times
04[] Four times
05[] Five times
06[] Six times
07[] Seven times
08[] Eight times
09[] Nine times
10[] Ten times
11[] Eleven times
12[] Twelve times
13[] More than twelve times
99[] DK

top

1978

Survey form view entire document: text image

D

1 [] 17-64 (1)
2 [] Other (NP)

1a. During the past 12 months, has -- given or sold any blood to a blood bank, a hospital, the Red Cross, or anywhere else?

1 [] Y
2 [] N (2)

b. During the past 12 months, how many times has -- given or sold blood? ____

top

1973

Survey form view entire document: text image

If 17 years old or over, ask

33a. During the past 12 months, has -- given or sold any blood to a blood bank, a hospital, the Red Cross, or anywhere else?

0 [] Under 17 (NP)
1 [] Y
2 [] N (NP)

b. During the past 12 months, how many times has -- given or sold his blood?

Times ____

Survey Text