Survey Text

2012
top
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]