Survey Text

2019
2015
2010
2005
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2019
Survey form view entire document:  text  image
Question ID: PRV.0420.00.3
Variable: BEXAMWHEN_A
Interview Module: Adult
Content Type: Sponsored Content

Question Text:

About how long has it been since your MOST RECENT breast exam?
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:
Female Sample Adults 30+ who have ever had a breast exam
Skip Instructions:
1-6,RF,DK = [goto BEXAMREAS_A]

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2015
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Question ID: NAF.229_05.000

Instrument Variable Name: RCBE2
Question Text:
Was it:
*Read answer categories.
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
Universe Text: Female sample adults 30+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose breast exam was over 5 years ago)
Skip Instructions:
(1-5,R,D) if answer code is grayed out [go to ERR_RCBE2] else [go to MAMHAD]

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2010
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Question ID: NAF.415_00.000

Instrument Variable Name: RCBE2
QuestionText:
Was it:
*Read answer categories.
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
UniverseText: Female sample adults 30+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last breast exam was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RCBE2] else [goto MRIHAD]

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2005
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NAF.415_00.000

Instrument Variable Name: RCBE2
Question Text:
(book) CAN14
Was it:
*Read answer categories.
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
Card CAN14
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
Universe Text: Female sample adults 30+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last breast exam was over 5 years ago)
Skip Instructions:
(1-5,R,D) [goto CREHAD if AGE GE 40; else goto Genetic Testing]

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2000
Survey form view entire document:  text  image
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