Survey Text

2022
2021
2020
2019
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2022
Survey form view entire document:  text  image
Question ID: UTZ.0040.00.1
Variable: WELLVIS_A
Interview Module: Adult
Content Type: Annual Core

Question text:

About how long has it been since you last saw a doctor or other health professional for a
wellness visit, physical, or general purpose check-up?
* Read if necessary: This kind of visit typically includes: blood pressure, cholesterol, and
blood sugar checks, height and weight measurements, and vaccinations. The doctor or other health
professional may also discuss topics related to your health such as smoking, alcohol use, diet
and exercise. These visits are usually scheduled in advance and occur when you are not sick or
injured.
* Read if necessary: If a wellness exam was combined with a sick care visit, include this visit.
* Read if necessary: An obstetrician/gynecologist (OB/GYN) may perform this visit.
Response:
0 - Never
1 - Within the past year (anytime less than 12 months ago)
2 - Within the last 2 years (1 year but less than 2 years ago)
3 - Within the last 3 years (2 years but less than 3 years ago)
4 - Within the last 5 years (3 years but less than 5 years ago)
5 - Within the last 10 years (5 years but less than 10 years ago)
6 - 10 years ago or more
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have seen a doctor, but the last visit was not a wellness visit or they didn't know or refused whether it was a wellness visit
Skip Instructions:
0-6,RF,DK [goto USUALPL_A]

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2021
Survey form view entire document:  text  image
Question ID: UTZ.0040.00.1
Variable: WELLVIS_A
Interview Module: Adult
Content Type: Annual Core
Question text:
About how long has it been since you last saw a doctor or other health professional for a wellness visit, physical, or general purpose check-up?
Read if necessary: This kind of visit typically includes: blood pressure, cholesterol, and blood sugar checks, height and weight measurements, and vaccinations. The doctor or other health professional may also discuss topics related to your health such as smoking, alcohol use, diet and exercise. These visits are usually scheduled in advance and occur when you are not sick or injured.
Read if necessary: If a wellness exam was combined with a sick care visit, include this visit.
Read if necessary: An obstetrician/gynecologist (OB/GYN) may perform this visit.
Response:
0 - Never
1 - Within the past year (anytime less than 12 months ago)
2 - Within the last 2 years (1 year but less than 2 years ago)
3 - Within the last 3 years (2 years but less than 3 years ago)
4 - Within the last 5 years (3 years but less than 5 years ago)
5 - Within the last 10 years (5 years but less than 10 years ago)
6 - 10 years ago or more
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have seen a doctor, but the last visit was not a wellness visit or they didn't know or refused whether it was a wellness visit
Skip Instructions:
0-6,RF,DK [goto USUALPL_A]
Question ID: UTZ.0050.00.1
Variable: WELLVIS_C
Interview Module: Child
Content Type: Annual Core
Question text:
About how long has it been since ^SCNAME last saw a doctor or other health professional for a well ^babychild visit, physical, or general purpose check-up?
Read if necessary: This kind of visit typically includes: height and weight measurements, vaccinations, and vision or hearing checks. The doctor or other health professional may also discuss topics related to ^SCNAME's health such as ^hisher_C growth and development, diet and exercise, safety, and sleep patterns. These visits are usually scheduled in advance and occur when ^hesheistheyare_C not sick.
Read if necessary: If a wellness exam was combined with a sick care visit, include this visit.
Read if necessary: An obstetrician/gynecologist (OB/GYN) may perform this visit.
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^babychild
Description: baby/child
Instruction:
If AGE LE 2 fill "baby"; else if AGE GE 3 or AGE IN ('DK','RF') fill "child"
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^hesheistheyare_C
Description: he is/she is/they are
Instruction:
If SEX_FINAL_C=1 fill: "he is" If SEX_FINAL_C=2 fill: "she is"
If SEX_FINAL_C =blank fill: "they are"
Response:
0 - Never
1 - Within the past year (anytime less than 12 months ago)
2 - Within the last 2 years (1 year but less than 2 years ago)
3 - Within the last 3 years (2 years but less than 3 years ago)
4 - Within the last 5 years (3 years but less than 5 years ago)
5 - Within the last 10 years (5 years but less than 10 years ago)
6 - 10 years ago or more
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 who did not have a baby/child visit, physical, or general purpose check-up, or who don't know or refused.
Skip Instructions:
0,RF,DK [goto USUALPL_C]
1-6 if 0 less than =GEN.AGE_FINAL less than =11 [goto USUALPL_C]
1-6 if 12 less than =GEN.AGE_FINAL less than =17 [goto PTIMEALONE_C]

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2020
Survey form view entire document:  text  image
Question ID: UTZ.0040.00.1
Variable: WELLVIS_A
Interview Module: Adult
Content Type: Annual Core
Question text:
About how long has it been since you last saw a doctor or other health professional for a
wellness visit, physical, or general purpose check-up?
* Read if necessary: This kind of visit typically includes: blood pressure, cholesterol, and
blood sugar checks, height and weight measurements, and vaccinations. The doctor or other health
professional may also discuss topics related to your health such as smoking, alcohol use, diet
and exercise. These visits are usually scheduled in advance and occur when you are not sick or
injured.
* Read if necessary: If a wellness exam was combined with a sick care visit, include this visit.
* Read if necessary: An obstetrician/gynecologist (OB/GYN) may perform this visit.
Response:
0 - Never
1 - Within the past year (anytime less than 12 months ago)
2 - Within the last 2 years (1 year but less than 2 years ago)
3 - Within the last 3 years (2 years but less than 3 years ago)
4 - Within the last 5 years (3 years but less than 5 years ago)
5 - Within the last 10 years (5 years but less than 10 years ago)
6 - 10 years ago or more
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have seen a doctor, but the last visit was not a wellness visit or they didn't know or refused whether it was a wellness visit
Skip Instructions:
0-6,RF,DK [goto USUALPL_A]
Question ID: UTZ.0040.00.1
Variable: WELLVIS_C
Interview Module: Child
Content Type: Annual Core
Question text:
About how long has it been since ^SCNAME last saw a doctor or other health professional for a
well ^babychild visit, physical, or general purpose check-up?
* Read if necessary: This kind of visit typically includes: height and weight measurements,
vaccinations, and vision or hearing checks. The doctor or other health professional may also
discuss topics related to ^SCNAME's health such as ^hisher_C growth and development, diet and
exercise, safety, and sleep patterns. These visits are usually scheduled in advance and occur
when ^hesheistheyare_C not sick.
* Read if necessary: If a wellness exam was combined with a sick care visit, include this visit.
* Read if necessary: An obstetrician/gynecologist (OB/GYN) may perform this visit.
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^babychild
Description: baby/child
Instruction:
If AGE LE 2 fill "baby"; else if AGE GE 3 or AGE IN ('DK','RF') fill "child"
^hisher_C
Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"
^hesheistheyare_C
Description: he is/she is/they are
Instruction:
If SEX_FINAL_C=1 fill: "he is" If SEX_FINAL_C=2 fill: "she is"
If SEX_FINAL_C =blank fill: "they are"
Response:
0 - Never
1 - Within the past year (anytime less than 12 months ago)
2 - Within the last 2 years (1 year but less than 2 years ago)
3 - Within the last 3 years (2 years but less than 3 years ago)
4 - Within the last 5 years (3 years but less than 5 years ago)
5 - Within the last 10 years (5 years but less than 10 years ago)
6 - 10 years ago or more
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 who did not have a baby/child visit, physical, or general purpose check-up, or who dont' know or refused.
Skip Instructions:
0,1,2,3,4,5,6,RF,DK [goto USUALPL_C]

top
2019
Survey form view entire document:  text  image
Question ID: UTZ.0040.00.1
Variable: WELLVIS_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

About how long has it been since you last saw a doctor or other health professional for a wellness visit, physical, or general purpose check-up?

Read if necessary: This kind of visit typically includes: blood pressure, cholesterol, and blood sugar checks, height and weight measurements, and vaccinations. The doctor or other health professional may also discuss topics related to your health such as smoking, alcohol use, diet and exercise. These visits are usually scheduled in advance and occur when you are not sick or injured.

Read if necessary: If a wellness exam was combined with a sick care visit, include this visit.

Response:

0 Never
1 Within the past year (anytime less than 12 months ago)
2 Within the last 2 years (1 year but less than 2 years ago)
3 Within the last 3 years (2 years but less than 3 years ago)
4 Within the last 5 years (3 years but less than 5 years ago)
5 Within the last 10 years (5 years but less than 10 years ago)
6 10 years ago or more
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ who have seen a doctor, but the last visit was not a wellness visit or they didn't know or refused whether it was a wellness visit
Skip Instructions:
0-6,RF,DK = [goto USUALPL_A]
Question ID: UTZ.0040.00.1
Variable: WELLVIS_C
Interview Module: Child
Content Type: Annual Core


Question Text:

About how long has it been since ^SCNAME last saw a doctor or other health professional for a well ^babychild visit, physical, or general purpose check-up?

Read if necessary: This kind of visit typically includes: height and weight measurements, vaccinations, and vision or hearing checks. The doctor or other health professional may also discuss topics related to ^SCNAME's health such as ^hisher_C growth and development, diet and exercise, safety, and sleep patterns. These visits are usually scheduled in advance and occur when ^hesheistheyare_C not sick.

Read if necessary: If a wellness exam was combined with a sick care visit, include this visit.
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^babychild

Description baby/child
Instruction If AGE LE 2 fill "baby";
else if AGE GE 3 or AGE IN ('DK','RF') fill "child

"

^hisher_C

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

^hesheistheyare_C

Description he is/she is/they are
Instruction If SEX_FINAL_C=1 fill: "he is" If SEX_FINAL_C=2 fill: "she is"
If SEX_FINAL_C =blank fill: "they are"
Response:
0 Never
1 Within the past year (anytime less than 12 months ago)
2 Within the last 2 years (1 year but less than 2 years ago)
3 Within the last 3 years (2 years but less than 3 years ago)
4 Within the last 5 years (3 years but less than 5 years ago)
5 Within the last 10 years (5 years but less than 10 years ago)
6 10 years ago or more
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 who did not have a baby/child visit, physical, or general purpose check-up, or who dont' know or refused.
Skip Instructions:
0,1,2,3,4,5,6,RF,DK = [goto USUALPL_C]