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1989

No questionnaire text is available for this sample.

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1986

Survey form view entire document: text image

Ask for each person "Not covered" in M1. If "Not covered 65 and over," include "or Medicare."
8a. (Many people do not carry health insurance for various reasons.)

Hand Card M.

[Card M not found in flashcards]

Which of these statements describes why -- is not covered by any health insurance (or Medicare)? Any other reason? Circle all responses given.

[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8 (Specify) ____

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1984

Survey form view entire document: text image

M1
Review 1 and 7 for each person and determine if "Covered" by either Medicare and/ or insurance, or "Not covered."

1[] Covered (NP)
2[] Not covered under 65 (NP)
3[] Not covered 65 and over (NP)

Ask for each person "Not covered" in P1. If "Not covered 65 and over," include "or Medicare."
8a.[Many people do not carry health insurance for various reasons.] Hand card M.
Which of those statements describes why -- is not covered by any health insurance (or Medicare)?
Any other reason?
CARD M

1. Job layoff, job loss, or any reasons related to umemployment
2. Can't obtain insurance because of poor health, illness or age
3. Too expensive, can't afford health insurance
4. Dissatisfied with previous insurance
5. Don't believe in insurance
6. Have been healthy, not much sickness in the family, haven't needed health insurance
7. Covered by some other health plan
8. Some other reason - Specify

1
2
3
4
5
6
7
8 ___ Specify

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1983

Survey form view entire document: text image

P1
Review 1 and 7 for each person and determine if "Covered" by either Medicare and/ or insurance, or "Not covered."

1[] Covered (NP)
2[] Not covered under 65 (NP)
3[] Not covered 65 and over (NP)

Ask for each person "Not covered" in P1. If "Not covered 65 and over," include "or Medicare."
8a. [Many people do not carry health insurance for various reasons.] Hand card N.
Which of those statements describes why -- is not covered by any health insurance (or Medicare)?
Any other reason? Circle all reasons given.
CARD N

1. Unemployed, or reasons related to unemployment.
2. Can't obtain insurance because of poor health, illness, or age.
3. Too expensive, can't afford health insurance.
4. Dissatisfied with previous insurance.
5. Don't believe in insurance.
6. Have been healthy, not much sickness in the family, haven't needed health insurance.
7. Military dependent, (CHAMPUS), veterans' benefits.
8. Some other reasons - Specify

1
2
3
4
5
6
7
8 ____

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1982

Survey form view entire document: text image

M1
Review 1 and 7 for each person and determine if "Covered" by either Medicare and/ or insurance, or "Not covered."

1[] Covered (NP)
2[] Not covered under 65 (NP)
3[] Not covered 65 and over (NP)

Ask for each person "Not covered" in M1. If "not covered 65 and over," include "or Medicare".
Many people do not carry health insurance for various reasons. Hand card N.
Card N

1. Unemployed, or reason related to unemployment
2. Can't obtain insurance because of poor health, illness or age
3. Too expensive, can't afford health insurance
4. Dissatisfied with previous insurance
5. Don't believe in insurance
6. Have been healthy, not much sickness in the family, haven't needed health insurance
7. Covered by some other health plan
8. Some other reason- Specify

8a. Which of those statements describes why -- is not covered by any health insurance (or Medicare)? Any other reason? Circle all reasons given.

1
2
3
4
5
6
7
8 ________ (specify)

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1980

Survey form view entire document: text image

For each person review 1,2, 3 and 6 for each plan and determine if "covered" by either Medicare or insurance, or "Not covered."

1 [] Cov. (NP)
2 [] Not cov. (NP)

Ask for each person "Not covered,"

Many people do not carry health insurance for various reasons. Hand card N
CARD N

1. Care received through Medicaid or Welfare.
2. Unemployed, or reasons related to unemployment.
3. Can't obtain insurance because of poor health, illness, or age.
4. Too expensive, can't afford health insurance.
5. Dissatisfied with previous insurance.
6. Don't believe in insurance.
7. Have been healthy, not much sickness in the family, haven't needed health insurance.
8. Military dependent, (CHAMPUS), veterans' benefits.
9. Some other reasons - Specify

7a. Which of those statements describes why -- is not covered by any health insurance plan? Any other reason?
Circle all reasons given

[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9 -- Specify ________

Survey Text