Survey Text

2015
2010
2005
2000
1999
1992
1987
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2015
Survey form view entire document:  text  image
Question ID: NAF.229_04.000

Instrument Variable Name: RCBE1T
Question Text:
2 of 2
*Enter time period for time since most recent breast exam.
1 Day(s) ago
2 Week(s) ago
3 Month(s) ago
4 Year(s) ago
7 Refused
9 Don't know
Universe Text: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
Skip Instructions:
(1-3) [go to MAMHAD]
(4) if RCBE1N=4
set RCBE2=4
[go to MAMHAD]
elseif RCBE1N gt 5 and RCBE1N gt AGE [go to ERR_RCBE1T (greater than persons age)]
elseif RCBE1N gt 5 and RCBE1N le AGE
set RCBE2=5
[go to MAMHAD]
elseif RCBE1N=1,2,3,5
[go to RCBE2]
(R,D) go to RCBE2
ERR_RCBE1T
Hard Edit:
*
Time since last exam cannot be greater than age.
*
Please correct.

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2010
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Question ID: NAF.410_02.000

Instrument Variable Name: RCBE1T
QuestionText:
2 of 2
*Enter time period for time since most recent breast exam.
1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know
UniverseText: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
SkipInstructions:
(1-3) goto MRIHAD
(4) if RCBE1N=4
set RCBE2=4
goto MRIHAD
elseif RCBE1N gt 5 and RCBE1N gt AGE
goto ERR_RCBE1T (greater than persons age)
elseif RCBE1N gt 5 and RCBE1N le AGE
set RCBE2=5
goto MRIHAD
elseif RCBE1N=1,2,3,5
goto RCBE2
(R,D) goto RCBE2

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2005
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NAF.410_02.000

Instrument Variable Name: RCBE1T
Question Text:
2 of 2
*Enter time period for time since most recent breast exam.
1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know
Universe Text: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
Skip Instructions:
(1-3) [goto CREHAD if AGE GE 40; else goto next section];
(4) if RCBE1N and RCBE1T GT 5 years from system date, fill "5" in RCBE2 [goto CREHAD if AGE GE 40; else goto next section]; else [goto RCBE2] (R,D) [goto RCBE2]
IF [RCBEIN = Number greater than person years old and RCBE1T= 4]] goto ERR1_RCBE1T

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2000
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Check item NAFCCI08: Refer to Household Composition, Basic Module.
AGE, HHC.120 "What is {name/your} age...?"
(1)Female 18-29 (under 30) (END_NAF)
(2)Female 30+ (NAF.390)

NAF.400

When did you have your MOST RECENT breast exam?

FR: ENTER "T" TO USE TIME PERIOD FORMAT.

Month:
RCBE1_MT
(01) January
(02) February
(03) March
(04) April
(05) May
(06) June
(07) July
(08) August
(09) September
(10) October
(11) November
(12) December
(97) Don't know
(99) Refused
(T) Time Period (RCBE1_NO)

Year:
RCBE1_YR
(1950-2000) 1950-2000 (Check item NAFCCI09)
(9997) Don't know (NAF.410)
(9999) Refused (NAF.410)

When did you have your MOST RECENT breast exam?

FR: IF GREATER THAN "95", ENTER "95".

[ ] Number
RCBE1_NO
(01-94) 1-94 (RCBE1_TP/NAF.400)
(95) 95+(RCBE1_TP/NAF.400)
(97) Refused (NAF.410)
(99) Don't know (NAF.410)

[ ] Time Period
RCBE1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

[Go to Check item NAFCCI09]

NAF.410

FR: SHOW CARD CAN27

Was it: (READ CATEGORIES BELOW)
Card CAN27
1. A year ago or less
2. More than 1 year but not more than 2 years
3. More than 2 years but not more than 3 years
4. More than 3 years but not more than 5 years
5. Over 5 years ago
RCBE2
(1) A year ago or less?
(2) More than 1 year but not more than 2 years?
(3) More than 2 years but not more than 3 years?
(4) More than 3 years but not more than 5 years?
(5) Over 5 years ago?
(7) Refused
(9) Don't know

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1999
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AAU.111.031

When did you have your most recent breast physical exam?
RBEX1NO
[ ] NUMBER

(01-94) 01-94 (Check Item AAUCCI3)
(95) 95+ (Check Item AAUCCI3)
(97) Refused (AAU.111.040)
(99) Don't know (AAU.111.040)
RBEX1TP
[ ] TIME PERIOD

(1) Days
(2) Weeks
(3) Months
(4) Years
(7) Refused
(9) Don't know

AAU.111.040

FR: SHOW CARD A9

Was it a year ago or less, more than 1 year but not more than 2 years, more than 2 years but not more than 3 years, more than 3 years but not more than 5 years, or over 5 years ago?
Card A9
1. A year ago or less
2. More than 1 year, but not more than 2 years
3. More than 2 years, but not more than 3 years
4. More than 3 years, but not more than 5 years
5. Over 5 years ago
RBEX2
(1) A year ago or less
(2) More than 1 yr but not more than 2 yrs
(3) More than 2 yrs but not more than 3 yrs
(4) More than 3 yrs but not more than 5 yrs
(5) Over 5 years ago
(7) Refused
(9) Don't know

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1992
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27a. When did you have your most recent breast physical exam?

Month ____ [if 3 years ago or less (28); if more than 3 years ago (29)]
Year 19____ [if 3 years ago or less (28); if more than 3 years ago (29)]
OR

Number ____
1[] Days ago [if 3 years ago or less (28); if more than 3 years ago (29)]
2[] Weeks [if 3 years ago or less (28); if more than 3 years ago (29)]
3[] Months ago [if 3 years ago or less (28); if more than 3 years ago (29)]
4[] Years ago [if 3 years ago or less (28); if more than 3 years ago (29)]


999[] DK (27b)

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1987
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c. When did you have your last breast physical exam?

If 3 years ago or less (10).
If more than 3 years ago (12)

Mo. ____
Year 19_ _

OR
_____
1 [] Days ago
2 [] Weeks ago
3 [] Months ago
4 [] Years ago

999 [] DK (9d)