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1996

Survey form view entire document: text image

9a. In the past 2 years, has anyone in the family applied for health insurance and not been able to get it?

1[] Yes (9b)
2[] No (10)
9[] DK (10)

b. Who is this?
Mark (x) "Turned down" in person's column

1[] Turned down

c. Anyone else?

[] Yes (Reask 9b and c)
[] No (9d)
[] DK (9d)

Ask for each person with "Turned down" box marked in 9b.
d. Why was -- unable to get that health insurance? Anything else?
Mark (x) all that apply

1[] Because of pre-existing condition, (such as cancer or diabetes)
2[] Because of health risk(s), (such as smoking or overweight)
3[] Because of work, (such as construction worker, beautician, farm worker)
4[] Because premiums were too high
8[] Other- Specify
_______
9[] DK

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1995

Survey form view entire document: text image

9a. In the past 2 years, has anyone in the family applied for health insurance and not been able to get it?

1[] Yes (9b)
2[] No (10)
9[] DK (10)

b. Who is this?
Mark (x) "Turned down" in person's column

1[] Turned down

c. Anyone else?

[] Yes (Reask 9b and c)
[] No (9d)
[] DK (9d)

Ask for each person with "Turned down" box marked in 9b.
d. Why was -- unable to get that health insurance? Anything else?
Mark (x) all that apply

1[] Because of pre-existing condition, (such as cancer or diabetes)
2[] Because of health risk(s), (such as smoking or overweight)
3[] Because of work, (such as construction worker, beautician, farm worker)
4[] Because premiums were too high
8[] Other- Specify
_______
9[] DK

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1994

Survey form view entire document: text image

9a. In the past 2 years, has anyone in the family applied for health insurance and not been able to get it?

[] 1 Yes (9b)
[] 2 No (10)
[] 9 DK (10)

b. Who is this?
Mark (X) "Turned down" box in person's column.

[] 1 Turned down

c. Anyone else?

[] Yes (Reask 9b and c)
[] No
[] DK

Ask for each person with "Turned down" box marked in 9b.
d. Why was -- unable to get that health insurance? Anything else?
Mark (X) all that apply

[] 1 Because of pre-existing condition, as cancer or diabetes
[] 2 Because of health risk(s), such as smoking or overweight
[] 3 Because of work, such as construction worker, beautician, farm worker
[] 4 Because premiums were too high
[] 8 Other -- Specify -- ____
[] 9 DK

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1993

Survey form view entire document: text image

Ask for each person with "Turned down" box marked in 9b.
d. Why was -- unable to get that health insurance? Anything else?
Mark (X) all that apply

[] 1 Because of pre-existing condition, as cancer or diabetes
[] 2 Because of health risk(s), such as smoking or overweight
[] 3 Because of work, such as construction worker, beautician, farm worker
[] 4 Because premiums were too high
[] 8 Other -- Specify -- ____
[] 9 DK

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