Survey Text

2022
2021
2012
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2022
Survey form view entire document:  text  image
Question ID: UTZ.0100.00.4
Variable: PERSDOC_C
Interview Module: Child
Content Type: Emerging Content

Question text:

Do you have one or more persons you think of as ^SCNAME's personal doctor or nurse?
*Read if necessary: A personal doctor or nurse is a health professional who knows ^SCNAME well
and is familiar with ^hisher_C health history. This can be a general doctor, a pediatrician, a
specialist doctor, a nurse practitioner, or a physician assistant.
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^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"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 12-17
Skip Instructions:
1,2,RF,DK [goto URGENT12M_C]

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2021
Survey form view entire document:  text  image
Question ID: UTZ.0100.00.4
Variable: PERSDOC_C
Interview Module: Child
Content Type: Emerging Content
Question text:
Do you have one or more persons you think of as ^SCNAME's personal doctor or nurse?
Read if necessary: A personal doctor or nurse is a health professional who knows ^SCNAME well and is familiar with ^hisher_C health history. This can be a general doctor, a pediatrician, a specialist doctor, a nurse practitioner, or a physician assistant.
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^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"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 12-17
Skip Instructions:
1,2,RF,DK [goto URGENT12M_C]

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2012
Survey form view entire document:  text  image
QuestionID: ALT.001_00.000

Instrument Variable Name: PROV1 Adult CAM
QuestionText:

? [F1]
A personal health care provider is a health professional who knows you well and is familiar with your health history. This can be a general doctor, a specialist doctor, a nurse practitioner, a physician's assistant, or another type of provider. Do you have one or more persons you think of as your personal health care provider?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who have a usual place for healthcare
SkipInstructions:

(1) [go to PROVTYP]
(2,R,D) [go to PROVUSPL]

Survey form view entire document:  text  image
Question ID: CAL.001_00.000

Instrument Variable Name: CPROV1
QuestionText:

? [F1] A personal health care provider is a health professional who knows [fill S.C. name] well and is familiar with [fill: his/her] health history. This can be a general doctor, a specialist doc tor, a nurse practitioner, a physician's assistant, or another type of provider. Do you have one or more persons you think of as [fill S.C. name]'s personal health care provider?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample children 4+ who have a usual place for healthcare
SkipInstructions:
(1) [goto CPROVTYP]
(2,R,D) [goto CPRVUSPL]