Survey Text

2015
2010
2005
2000
top
2015

No questionnaire text is available for this sample.


top
2010
Survey form view entire document:  text  image

Question ID: NAH.060_00.001

Instrument Variable Name: FHMAGE1
QuestionText:
Was your biological mother under 50 years of age when [Fill: FHMTYP_1] was first diagnosed?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who selected a first kind of cancer for mother or refused to answer or didn't know kind of cancer
SkipInstructions:
(1,2,DK) goto FHMTYP_2
(RF) IF FHMTYP_1=RF goto FHBNUM
else if FHMTYP_1 NE RF goto FHMTYP_2
Question ID: NAH.060_00.002

Instrument Variable Name: FHMAGE2
QuestionText:
Was your biological mother under 50 years of age when [Fill: FHMTYP_2] was first diagnosed?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who selected a second kind of cancer for mother or refused to answer or didn't know kind of
cancer
SkipInstructions:
(1,2,DK) goto FHMTYP_3
(RF) IF FHMTYP_2=RF goto FHBCAN
else if FHMTYP_2 NE RF goto FHMTYP_3
Question ID: NAH.060_00.003

Instrument Variable Name: FHMAGE3
QuestionText:
Was your biological mother under 50 years of age when [Fill: FHMTYP_3] was first diagnosed?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who selected a third kind of cancer for mother or refused to answer or didn't know kind of
cancer
SkipInstructions:
(1,2,DK) goto FHMTYP_4
(RF) IF FHMTYP_3=RF goto FHBNUM
else if FHMTYP_3 NE RF goto FHMTYP_4

top
2005
Survey form view entire document:  text  image

NAH.060_00.001

Instrument Variable Name: FHMAGE1
Question Text:
Was your biological mother under 50 years of age when [Fill: FHMTYP_1] was first diagnosed?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who selected a first kind of cancer for mother or refused to answer or didn't know kind of cancer
Skip Instructions:
(1,2,D) [goto FHFMYP_2]
(R) and (R) at FHMTYP_1 [goto FHBCAN]
(R) and FHMTYP_1 NE (R) [goto FHMTYP_2]

NAH.060_00.002

Instrument Variable Name: FHMAGE2
Question Text:
Was your biological mother under 50 years of age when [Fill: FHMTYP_2] was first diagnosed?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who selected a second kind of cancer for mother or refused to answer or didn't know kind of cancer
Skip Instructions:
(1,2,D) [goto FHMTYP_3]
(R) and (R) at FHMTYP_2 [goto FHBCAN]
(R) and FHMTYP_2 NE (R) [goto FHMTYP_3]

NAH.060_00.003

Instrument Variable Name: FHMAGE3
Question Text:
Was your biological mother under 50 years of age when [Fill: FHMTYP_3] was first diagnosed?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who selected a third kind of cancer for mother or refused to answer or didn't know kind of cancer
Skip Instructions:
(1,2,D) [goto FHMTYP_4]
(R) and (R) at FHMTYP_3 [goto FHBNUM]
(R) and FHMTYP_3 NE (R) [goto FHMTYP_4]]

top
2000
Survey form view entire document:  text  image

NAH.060

Was your biological mother under 50 years of age when ...

(1) Yes
(2) No
(7) Refused
(9) Don't know
FHMAGE
...(Mother Cancer Type 1) was first diagnosed?
...(Mother Cancer Type 2) was first diagnosed?
...(Mother Cancer Type 3) was first diagnosed?