Survey Text

2015
2010
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2015
Survey form view entire document:  text  image

Question ID: NAG.050_01.000

Instrument Variable Name: GTRSK_MT
Question Text:
1 of 2
When did you have this genetic test done?
*Enter month of genetic test.
*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 18+ who have had a genetic test for cancer
Skip Instructions:
(1-12,D) go to GTRSK_YR
(R) store "R' in GTRSK_YR then [go to GTRSK2]
(96) store "9996" in GTRSK_YR then [go to GTRSKN]

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2010
Survey form view entire document:  text  image

Question ID: NAG.050_01.000

Instrument Variable Name: GTRSK_MT
QuestionText:
1 of 2
When did you have this genetic test done?
*Enter month of genetic test.
*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 18+ who have had a genetic test for cancer
SkipInstructions:
(1-12,D) goto GTRSK_YR
(R) store "R' in GTRSK_YR then goto GTINSURE
(96) store "9996" in GTRSK_YR then goto GTRSKN

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2005
Survey form view entire document:  text  image

NAG.050_01.000

Instrument Variable Name: GTRSK_MT
Question Text:
1 of 2
When did you have this genetic test done?
*Enter month of genetic test.
*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 18+ who have had a genetic test for cancer
Skip Instructions:
(1-12,D) [goto GTRSK_YR] (R) store "R' in GTRSK_YR [goto GTINSURE ] (96) store "9996" in GTRSK_YR [goto GTRSKN]

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2000
Survey form view entire document:  text  image

NAG.050

When did you have this genetic test done?

FR: ENTER "96" TO USE TIME PERIOD FORMAT.
GTRSK_MT MONTH: __________________________________________
(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) Refused
(96) Time period format (NAG.055)
(99) Don't Know
GTRSK_YR YEAR: _____________________________________________
(1950-2001) 1950-2001 (NAG.060)
(9996) Time period format (NAG.055)
(9997) Refused (NAG.060)
(9999) Don't Know (NAG.060)

NAG.055

When did you have this genetic test done?

FR: IF GREATER THAN "96", ENTER "96".
GTRSKBNO
[ ] Number

(01-95) 1-95
(96)96+
(97)Refused
(99)Don't know
GTRSKBTP
[ ] Time Period

(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know