Survey Text

2015
2010
2005
2000
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2015
Survey form view entire document:  text  image
Question ID: NAF.730_01.000

Question Text:
1 of 2
*Read if necessary: When did you have your MOST recent OFFICE blood stool or FIT test?
*Enter number for time since last office blood stool/FIT test.
*Enter '95' for 95 or more.
01-95 1-95
97 Refused
99 Don?t know
Universe Text: Sample adults 40+ who selected number and time period format for most recent office blood stool/FIT test from the initial month screen
Skip Instructions:
(1-95) [go to RFOB2T] (R,D) store "R,D" in RFOB2T [go to RFOB2]

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2010
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Question ID: NAF.730_01.000

Instrument Variable Name: RFOB1N
QuestionText:
1 of 2
When did you have your MOST recent OFFICE blood stool test?
*Enter number for time since last office blood stool 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 office blood stool test from the
initial month screen
SkipInstructions:
(1-95) [goto RFOB1T] (R,D) store "R,D" in RFOB1T [goto RFOB2]

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2005
Survey form view entire document:  text  image
NAF.730_01.000

Instrument Variable Name: RFOB1N
Question Text:
1 of 2
When did you have your MOST recent OFFICE blood stool test?
*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
Universe Text: Sample adults 40+ who selected number and time period format for most recent office blood stool test from the initial month screen
Skip Instructions:
(1-95) [goto RFOB1T] (R,D) store "R,D" in RFOB1T [goto RFOB2]

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2000
Survey form view entire document:  text  image
NAF.720

When did you have your MOST recent OFFICE blood stool test?

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

Month:
RFOB1_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 (RFOB1_NO)

Year:
RFOB1_YR
(1950-2000) 1950-2000 (END_NAF)
(9997) Don't know (NAF.730)
(9999) Refused (NAF.730)

When did you have your MOST recent OFFICE blood stool test?

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

[ ] Number
RFOB1_NO
(01-94) 1-94 (RFOB1_TP/NAF.720)
(95) 95+ (RFOB1_TP/NAF.720)
(97) Refused (NAF.730)
(99) Don't know (NAF.730)

[ ] Time Period
RFOB1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't Know

[Go to END_NAF]

NAF.730

FR: SHOW CARD CAN37

Was it: (READ CATEGORIES BELOW)
Card CAN37
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
RFOB2
(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