Survey Text

2020
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2020

No questionnaire text is available for this sample.


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2019
Survey form view entire document:  text  image
Question ID: INS.0530.00.1
Variable: CHPREM_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

?[F1]

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK= [goto CHDEDUC_A]
Question ID: INS.0490.00.1
Variable: CHPREM_C
Interview Module: Child
Content Type: Annual Core

Question Text:
?[F1]

A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this CHIP plan?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 with a CHIP plan
Skip Instructions:
1,2,RF,DK = [goto CHDEDUC_C]

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2018
Survey form view entire document:  text  image
Question ID: FHI.250_00.020

Instrument Variable Name:STRFPRM1
QuestionText:
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with SCHIP
SkipInstructions:
(1) goto CHPRINC
(2,R,D) goto STDOC1

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2017
Survey form view entire document:  text  image
Question ID: FHI.250_00.020

Instrument Variable Name:STRFPRM1
QuestionText:
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with SCHIP
SkipInstructions:
(1) goto CHPRINC
(2,R,D) goto STDOC1

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2016
Survey form view entire document:  text  image
Question ID: FHI.250_00.020

Instrument Variable Name:STRFPRM1
QuestionText:
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with SCHIP
SkipInstructions:
(1) goto CHPRINC
(2,R,D) goto STDOC1

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2015
Survey form view entire document:  text  image
Question ID: FHI.250_00.020

Instrument Variable Name:STRFPRM1
QuestionText:
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with SCHIP
SkipInstructions:
(1) goto CHPRINC
(2,R,D) goto STDOC1

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2014
Survey form view entire document:  text  image
Question ID: FHI.250_00.020

Instrument Variable Name: STRFPRM1
QuestionText:
Under [fill 1: ^STNAME1/this CHIP plan] is there an enrollment fee or premium?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with CHIP
SkipInstructions:
(1) goto CHPRINC
(2,R,D) goto STDOC1