Survey Text

2018
2015
2013
2010
2008
2005
2003
2000
1992
1987
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2018
Survey form view entire document:  text  image
Question ID: NAF.260_02.000

Instrument Variable Name: RMAM1_YR
Question Text:
2 of 2
*Enter year of last mammogram.
1880-current year 1880-current year
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Female sample adults age 30+ who answered month of last mammogram or didn't know month of last mammogram
SkipInstructions:
(valid year) if RMAM1_YR gt current year or (RMAM1_YR=current year and RMAM1_MT gt current month) goto ERR1_ RMAM1_YR (future date) elseif RMAM1_YR lt DOBY or (RMAM1_YR=DOBY and RMAM1_MT lt DOBM) goto ERR2_ RMAM1_YR (prior to birth date) elseif RMAM1_MT=D goto RMAM2 elseif RMAM1_MT=1-12 goto MAMREAS
(R,D) goto RMAM2
Hard Edit:
ERR1_ RMAM1_YR
*Future date invalid. Please correct.
ERR2_ RMAM1_YR
*Date before birth. Please correct.

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2015
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Question ID: NAF.260_02.000

Instrument Variable Name: RMAM1_YR
Question Text:
2 of 2
*Enter year of last mammogram.
1880-2016 1880-2016
9996 Time period format
9997 refused
9999 Don?t know
Universe Text: Female sample adults age 30+ who answered month of last mammogram or didn't know month of last mammogram
Skip Instructions:
(valid year) if RMAM1_YR gt current year or
(RMAM1_YR=current year and RMAM1_MT gt current month) go to ERR1_ RMAM1_YR (future date)
elseif RMAM1_YR lt DOBY or
(RMAM1_YR=DOBY and RMAM1_MT lt DOBM) go to ERR2_ RMAM1_YR (prior to birth date)
elseif RMAM1_MT=D go to RMAM2
elseif RMAM1_MT=1-12 go to MAMPAY (R,D) go to RMAM2
ERR1_ RMAM1_YR
Hard Edit:
*
Future date invalid. Please correct.
ERR2_ RMAM1_YR
*
Date before birth. Please correct.

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2013
Survey form view entire document:  text  image
Question ID: NAF.260_02.000

Instrument Variable Name: RMAM1_YR
Question Text:
2 of 2
*Enter year of last mammogram.
1880-current year 1880-current year
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Female sample adults age 30+ who answered month of last mammogram or didn't know month of last mammogram
SkipInstructions:
(valid year) if RMAM1_YR gt current year or (RMAM1_YR=current year and RMAM1_MT gt current month) goto ERR1_ RMAM1_YR (future date) elseif RMAM1_YR lt DOBY or (RMAM1_YR=DOBY and RMAM1_MT lt DOBM) goto ERR2_ RMAM1_YR (prior to birth date) elseif RMAM1_MT=D goto RMAM2 elseif RMAM1_MT=1-12 goto MAMREAS
(R,D) goto RMAM2
Hard Edit:
ERR1_ RMAM1_YR
*Future date invalid. Please correct.
ERR2_ RMAM1_YR
*Date before birth. Please correct.

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2010
Survey form view entire document:  text  image
Question ID: NAF.260_02.000

Instrument Variable Name: RMAM1_YR
QuestionText:
2 of 2
*Enter year of last mammogram.
1880-2011 1880-2011
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Female sample adults age 30+ who answered month of last mammogram or didn't know month of last mammogram
SkipInstructions:
(valid year) if RMAM1_YR gt current year or (RMAM1_YR=current year and RMAM1_MT gt current month)
goto ERR1_ RMAM1_YR (future date)
elseif RMAM1_YR lt DOBY or (RMAM1_YR=DOBY and RMAM1_MT lt DOBM)
goto ERR2_ RMAM1_YR (prior to birth date)
elseif RMAM1_MT=D
goto RMAM2
elseif RMAM1_MT=1-12
goto MAMREAS
(R,D) goto RMAM2

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2008
Survey form view entire document:  text  image
Question ID:NAF.260_02.000

Instrument Variable Name:RMAM1_YR
QuestionText:
2 of 2
* Enter year of last mammogram.
1880-2009 1880-2009
9996 Time period format
9997 Refused
9999 Don't know
UniverseText:Female sample adults age 30+ who answered month of last mammogram or didn't know month of last mammogram
SkipInstructions:
(valid year) if RMAM1_YR gt current year or (RMAM1_YR=current year and RMAM1_MT gt current month) goto ERR1_RMAM1_YR (future date)
elseif RMAM1_YR lt DOBY or (RMAM1_YR=DOBY and RMAM1_MT lt DOBM)
goto ERR2_RMAM1_YR (prior to birth date)
elseif RMAM1_MT=D
goto RMAM2
elseif RMAM1_MT=1-12
goto MAMREAS
(R,D) goto RMAM2

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2005
Survey form view entire document:  text  image
NAF.260_02.000

Instrument Variable Name: RMAM1_YR
Question Text:
2 of 2
*Enter year of last mammogram.
1880-2006 1880-2006
9996 Time period format
9997 Refused
9999 Don't know
Universe Text: Female sample adults age 30+ who answered month of last mammogram or didn't know month of last mammogram
Skip Instructions:
(valid year) if RMAM1_MT=1-12 [goto MAMWHER]; else if RMAM1_MT=D [goto RMAM2] (R,D) [goto RMAM2] IF RMAM1_MT and RMAM1_YR = a future date [goto ERR1_RMAM1_YR] IF RMAM1_MT and RMAM1_YR = a date prior to birth date [goto ERR2_RMAM1_YR]

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2003
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NAF.260

When did you have your MOST RECENT mammogram?

FR: ENTER "T" TO USE TIME PERIOD FORMAT.

Month:
RMAM1_MT
(01) January
(02) February
(03) March
(04) April
(05) May
(06) June
(07) July
(08) August
(09) September
(10) October
(11) November
(12) December (NAF.265/RMAM1_NO)
(97) Don't know (NAF.270)
(99) Refused (NAF.270)
(T) Time Period

Year:
RMAM1_YR
(1950-2004) 1950-2004 (NAF.310)
(9997) Refused (NAF.270)
(9999) Don't know (NAF.270)
[p. 53]

NAF.265

When did you have your MOST RECENT mammogram?

FR: IF GREATER THAN "95", ENTER "95".

[ ] Number
RMAM1_NO
(01-94) 1-94
(95) 95+
(97) Refused (NAF.270)
(99) Don't know (NAF.270)

[ ] Time Period
RMAM1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know
[Go to NAF.310]

NAF.270

FR: SHOW FLASHCARD A17.

Was it: (READ CATEGORIES BELOW)
Card A17
1. A year ago or less
2. More than 1 year but not more than 2 years
3. More than 2 years but not more than 3 years
4. More than 3 years but not more than 5 years
5. Over 5 years ago
RMAM2CA
(1) A year ago or less?
(2) More than 1 year but not more than 2 years?
(3) More than 2 years but not more than 3 years?
(4) More than 3 years but not more than 5 years?
(5) Over 5 years ago?
(7) Refused
(9) Don't know

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2000
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Check item NAFCCI05: Refer to Household Composition, Basic Module.
AGE/HHC.120 "What is {name/your} age...?"
(1)Female 18-29 (under 30) (Check item NAFCCI07)
(2)Female 30+ (NAF.230)

NAF.260

When did you have your MOST RECENT mammogram?

FR: ENTER "T" TO USE TIME PERIOD FORMAT.

Month:
RMAM1_MT
(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) Don't know
(99) Refused
(T) Time Period (RMAM1_NO)

Year:
RMAM1_YR
(1950-2000) 1950-2000 (NAF.280)
(9997) Don't know (NAF.270)
(9999) Refused (NAF.270)

When did you have your MOST RECENT mammogram?

FR: IF GREATER THAN "95", ENTER "95".

[ ] Number
RMAM1_NO
(01-94) 1-94 (RMAM1_TP/NAF.260)
(95) 95+ (RMAM1_TP/NAF.260)
(97) Refused (NAF.270)
(99) Don't know (NAF.270)

[ ] Time Period
RMAM1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

[Go to NAF.280]

NAF.270

FR: SHOW CARD CAN24

Was it: (READ CATEGORIES BELOW)
Card CAN24
1. A year ago or less
2. More than 1 year but not more 2 years
3. More than 2 years but not more 3 years
4. More than 3 years but not more 5 years
5. Over 5 years ago
RMAMCA
(1) A year ago or less?
(2) More than 1 year but not more than 2 years?
(3) More than 2 years but not more than 3 years?
(4) More than 3 years but not more than 5 years?
(5) Over 5 years ago?
(7) Refused
(9) Don't know

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1992
Survey form view entire document:  text  image
20a. When did you have your (most recent) mammogram?

Month ____ [if 3 years ago or less (21); if more than 3 years ago (24)]
Year 19____ [if 3 years ago or less (21); if more than 3 years ago (24)]
OR

Number ____
1[] Days ago [if 3 years ago or less (21); if more than 3 years ago (24)]
2[] Weeks [if 3 years ago or less (21); if more than 3 years ago (24)]
3[] Months ago [if 3 years ago or less (21); if more than 3 years ago (24)]
4[] Years ago [if 3 years ago or less (21); if more than 3 years ago (24)]


999[] DK (20b)

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1987
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c. When did you have your last mammogram?

(If 3 years ago or less (16), If more than 3 years ago (18))

Mo. ____
Year 19_ _

OR
_____
1 [] Days ago
2 [] Weeks ago
3 [] Months ago
4 [] Years ago

999 [] DK