Survey Text

2008
2005
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2008
Survey form view entire document:  text  image
Question ID:NAF.560_01.000

Instrument Variable Name:RCRE1_MT
QuestionText:
1 of 2
When did you have your MOST RECENT exam?
* Enter month of last exam.
* 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 colorectal exam
SkipInstructions:
(1-12,D) goto RCRE1_YR
(R) store "R" in RCRE1_YR and goto RCRE2
(96) store "96" in RCRE1_YR and goto RCRE1N
(13-95) goto ERR_RCRE1_MT

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2005
Survey form view entire document:  text  image
NAF.560_01.000

Instrument Variable Name: RCRE1_MT
Question Text:
1 of 2
When did you have your MOST RECENT exam?
*Enter month of last exam.
*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 colorectal exam
Skip Instructions:
(1-12,D) [goto RCRE1_YR] (R) store "R' in RCRE1_YR [goto RCRE2] (96) store "96" in RCRE1_YR [goto RCRE1N]

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2003
Survey form view entire document:  text  image
NAF.560

When did you have your MOST RECENT exam?

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

Month:
RCRE1_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(NAF.565/RCRE1_NO)
(97) Don't know (NAF.570)
(99) Refused (NAF.570)
(T) Time Period

Year:
RCRE1_YR
(1950-2004) 1950-2004 (NAF.580)
(9997) Don't know (NAF.570)
(9999) Refused (NAF.570)

NAF.565

When did you have your MOST RECENT exam?

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

[ ] Number
RCRE1_NO
(01-94) 1-94
(95) 95+
(97) Refused (NAF.570)
(99) Don't know (NAF.570)

[ ] Time Period
RCRE1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

[Go to NAF.580]

NAF.570

FR: SHOW FLASHCARD A21.

Was it: (READ CATEGORIES BELOW)
Card A21
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

rf

RCRE2
(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

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2000
Survey form view entire document:  text  image
Check item NAFCCI10:Refer to Household Composition, Basic Module.
AGE/HHC.120 "What is {name/your} age...?"
(1) Age 18-39 (under 40) (END_NAF)
(2) Age 40+ (NAF.540)

NAF.560

When did you have your MOST RECENT exam?

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

Month:
RCRE1_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 (RCRE1_NO)

Year:
RCRE1_YR
(1950-2000) 1950-2000 (NAF.580)
(9997) Don't know (NAF.570)
(9999) Refused (NAF.570)

When did you have your MOST RECENT exam?

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

[ ] Number
RCRE1_NO
(01-94) 1-94 (RCRE1_TP/NAF.560)
(95) 95+(RCRE1_TP/NAF.560)
(97) Refused (NAF.570)
(99) Don't know (NAF.570)

[ ] Time Period
RCRE1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know