Instrument Variable Name: RHFO2_MT
Questionnaire File Name: Sample Adult
Question Text:

1 of 2
When did you have your MOST RECENT blood stool or FIT test using a kit at home?
*Enter month of last home blood stool or FIT test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

Universe Text: Sample adults 40+ who have ever had a home blood stool or FIT test
Skip Instructions:

(1-12,D) goto RHFO2_YR
(R) store "R" in RHFO2_YR and goto RHFO2
(96) store "9996" in RHFO2_YR and goto RHFO2N

Instrument Variable Name: RHFO2_MT
Question Text:

1 of 2
When did you have your MOST RECENT blood stool or FIT test using a kit at home?
*Enter month of last home blood stool or FIT test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

Universe Text: Sample adults 40+ who have ever had a home blood stool or FIT test
Skip Instructions:

(1-12,D) go to RHFO2_YR
(R) store "R" in RHFO2_YR and go to RHFO2
(96) store "9996" in RHFO2_YR and go to RHFO2N

Instrument Variable Name: RHFO1_MT
Question Text:

1 of 2
When did you have your MOST RECENT blood stool test using a kit at home?
*Enter month of last home blood stool test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

UniverseText: Sample adults 40+ who have ever had a home blood stool test
SkipInstructions:

(1-12,D) goto RHFO1_YR
(R) store "R" in RHFO1_YR and goto RHFO2
(96) store "9996" in RHFO1_YR and goto RHFO1N

Instrument Variable Name: RHFO1_MT
QuestionText:

1 of 2
When did you have your MOST RECENT blood stool test using a kit at home?
*Enter month of last home blood stool test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

UniverseText: Sample adults 40+ who have ever had a home blood stool test
SkipInstructions:

(1-12,D) goto RHFO1_YR
(R) store "R" in RHFO1_YR and goto RHFO2
(96) store "9996" in RHFO1_YR and goto RHFO1N

Instrument Variable Name:RHFO1_MT
QuestionText:

1 of 2
When did you have your MOST RECENT blood stool test using a kit at home?
* Enter month of last test.
* Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

UniverseText:Sample adults 40+ who have ever had a home blood stool test
SkipInstructions:

(1-12,D) goto RHFO1_YR
(R) store "R" in RHFO1_YR and goto RHFO2
(96) store "96" in RHFO1_YR and goto RHFO1N
(13-95) goto ERR_RHFO1_MT

Instrument Variable Name: RHFO1_MT
Question Text:

1 of 2
When did you have your MOST RECENT blood stool test using a kit at home?
*Enter month of last test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

Universe Text: Sample adults 40+ who have ever had a home blood stool test
Skip Instructions:

(1-12,D) [goto RHFO1_YR] (R) store "R' in RHFO1_YR [goto RHFO2] (96) store "96" in RHFO1_YR [goto RHFO1N]

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

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

Month:

(01) January
(02) February
(03) March
(04) April
(05) May
(06) June
(07) July
(08) August
(09) September
(10) October
(11) November
(12) December(NAF.645/RHFOB1_N)
(97) Don't know (NAF.650)
(99) Refused (NAF.650)
(T) Time Period

Year:

(1950-2004) 1950-2004 (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

(01-94) 1-94
(95) 95+
(97) Refused (NAF.650)
(99) Don't know (NAF.650)

[ ] Time Period

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

[Go to NAF.660]

FR: SHOW FLASHCARD A21.

Was it: (READ CATEGORIES BELOW)

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

(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

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

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

Month:

(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:

(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

(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

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

[Go to NAF.660]

FR: SHOW CARD CAN34

Was it: (READ CATEGORIES BELOW)

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

(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