Survey Text

2019
2003
2000
top
2019
Survey form view entire document:  text  image
Question ID: PRV.0150.00.2
Variable: FITHWHEN_A
Interview Module: Adult
Content Type: Rotating Core

Question Text:

When was your most recent blood stool or FIT test, using a home test kit?
Response:
1 Within the past year (anytime less than 12 months ago)
2 Within the past 2 years (1 year but less than 2 years ago)
3 Within the past 3 years (2 years but less than 3 years ago)
4 Within the past 5 years (3 years but less than 5 years ago)
5 Within the past 10 years (5 years but less than 10 year ago)
6 10 years ago or more
7 Refused
9 Do not Know
Universe:
Sample Adults 40+ who have ever had a home blood stool or FIT test
Skip Instructions:
1-6,DK,RF = [goto COLOGUARD_A]

top
2003
Survey form view entire document:  text  image
Question ID:NAF.650_01.000

Instrument Variable Name:RHFO1N
QuestionText:
1 of 2
When did you have your MOST RECENT blood stool test using a kit at home?
* Enter number for time since last test.
* Enter '95' for 95 or more.
01-94 1-94
95 95+
97 Refused
99 Don't know
UniverseText:Sample adults 40+ who selected number and time period format for most recent home blood stool test from the initial month screen
SkipInstructions:
(1-95) goto RHFO1T
(R,D) store "R","D" in RHFO1T and goto RHFO2
Question ID:NAF.650_02.000

Instrument Variable Name:RHFO1T
QuestionText:
2 of 2
* Enter time period for time since most recent home blood stool test.
1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know
UniverseText:Sample adults 40+ who answered 1-95 for number part of this 2 part question
SkipInstructions:
(1-3) goto MDHFOB
(4) if RHFO1N=4
set RHFO2=4
goto MDHFOB
elseif RHFO1N=6,7,8,9
set RHFO2=5
goto MDHFOB
elseif RHFO1N gt 10 and RHFO1N gt AGE
goto ERR_RHFO1T (greater than persons age)
elseif RHFO1N gt 10 and RHFO1N le AGE
set RHFO2=6
goto MDHFOB
elseif RHFO1N=1,2,3,5,10
goto RHFO2
(R,D) goto RHFO2

top
2000
Survey form view entire document:  text  image
NAF.640

When did you have your MOST RECENT HOME blood stool test?

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

Month:
RHFOB1_M
(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 (RHFOB1_N)

Year:
RHFOB1_Y
(1950-2000) 1950-2000 (NAF.660)
(9997) Don't know (NAF.650)
(9999) Refused (NAF.650)

When did you have your MOST RECENT HOME blood stool test?

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

[ ] Number
RHFOB1_N
(01-94) 1-94 (RHFOB1_T/NAF.640)
(95) 95+ (RHFOB1_T/NAF.640)
(97) Refused (NAF.650)
(99) Don't know (NAF.650)

[ ] Time Period
RHFOB1_T
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

[Go to NAF.660]

NAF.650

FR: SHOW CARD CAN34

Was it: (READ CATEGORIES BELOW)
Card CAN34
1. A year ago or less
2. More than 1 year but not more 2 years
3. More than 2 years but not more 3 years
4. More than 3 years but not more 5 years
5. More than 5 years but not more 10 years
6. Over 10 years ago
RHFOB2
(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) More than 5 years but not more than 10 years?
(6) Over 10 years ago?
(7) Refused
(9) Don't know