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2016

Survey form view entire document: text image

Question ID: ASI.405_00.000

Instrument Variable Name: ACIBLD12
Questionnaire File Name: Sample Adult
Question Text:

Now, I am going to ask about giving blood donations to a blood bank such as the American Red Cross.
During the PAST 12 MONTHS, have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

Universe Text: Sample adults 18+
Skip Instructions:

(1,2,R,D) [goto ACIHIVT]

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2010

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2009

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2008

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2007

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2006

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2005

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2004

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2003

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2002

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2001

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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2000

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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1999

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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1998

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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1997

Survey form view entire document: text image

Question ID: ADS.020_00.000

Instrument Variable Name: BLDG12M
QuestionText:

During the PAST 12 MONTHS, that is, since [fill: 12-month ref. Date], have you donated blood?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: Sample adults 18+ who have given blood since March 1985
SkipInstructions:

(1,2,R,D)[goto HIVTST]

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1992

Survey form view entire document: text image

13. Have you donated blood --

b. in the past 12 months?

1[] Yes (14)
2[] No (15)
9[] DK (15)

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1991

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13. Have you donated blood --

b. in the past 12 months?

1[] Yes (14)
2[] No (15)
9[] DK (15)

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1990

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11. Have you donated blood --

b. in the past 12 months?

1[] Yes
2[] No
9[] DK

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1989

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26. Have you donated blood --

b. In the past 12 months?

1[] Yes
2[] No
9[] DK

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1988

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26. Have you donated blood --

b. In the past 12 months?

1[] Yes
2[] No
9[] DK

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1978

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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)

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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)

2016	2005	1999	1989
2010	2004	1998	1988
2009	2003	1997	1978
2008	2002	1992	1973
2007	2001	1991
2006	2000	1990

Survey Text