Instrument Variable Name: RMAM1T
Question Text:

2 of 2
*Enter time period for time since most recent mammogram.

1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know

UniverseText: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
SkipInstructions:

(1-3) goto MAMREAS
(4) if RMAM1N=4
set RMAM2=4
goto MAMREAS
elseif RMAM1N gt 5 and RMAM1N gt AGE goto ERR_RMAM1T (greater than persons age)
elseif RMAM1N gt 5 and RMAM1N le AGE set RMAM2=5 goto MAMREAS
elseif RMAM1N=1,2,3,5
goto RMAM2
(R,D) goto RMAM2
ERR_RMAM1T
Hard Edit:
*Time since last exam cannot be greater than age.
*Please correct.

Instrument Variable Name: RMAM1T
Question Text:

2 of 2
*Enter time period for time since most recent mammogram.

1 Day(s) ago
2 Week(s) ago
3 Month(s) ago
4 Year(s) ago
7 Refused
9 Don't know

Universe Text: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
Skip Instructions:

(1-3) go to MAMPAY
(4) if RMAM1N=4
set RMAM2=4
go to MAMPAY
elseif RMAM1N gt 5 and RMAM1N gt AGE go to ERR_RMAM1T (greater than persons age)
elseif RMAM1N gt 5 and RMAM1N le AGE set RMAM2=5 go to MAMPAY
elseif RMAM1N=1,2,3,5
go to RMAM2
(R,D) go to RMAM2
ERR_RMAM1T
Hard Edit:
*
Time since last exam cannot be greater than age.
*
Please correct.

Instrument Variable Name: RMAM1T
Question Text:

2 of 2
*Enter time period for time since most recent mammogram.

1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know

UniverseText: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
SkipInstructions:

(1-3) goto MAMREAS
(4) if RMAM1N=4
set RMAM2=4
goto MAMREAS
elseif RMAM1N gt 5 and RMAM1N gt AGE goto ERR_RMAM1T (greater than persons age)
elseif RMAM1N gt 5 and RMAM1N le AGE set RMAM2=5 goto MAMREAS
elseif RMAM1N=1,2,3,5
goto RMAM2
(R,D) goto RMAM2
ERR_RMAM1T
Hard Edit:
*Time since last exam cannot be greater than age.
*Please correct.

Instrument Variable Name: RMAM1T
QuestionText:

2 of 2
*Enter time period for time since most recent mammogram.

1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know

UniverseText: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
SkipInstructions:

(1-3) goto MAMREAS
(4) if RMAM1N=4
set RMAM2=4
goto MAMREAS
elseif RMAM1N gt 5 and RMAM1N gt AGE
goto ERR_RMAM1T (greater than persons age)
elseif RMAM1N gt 5 and RMAM1N le AGE
set RMAM2=5
goto MAMREAS
elseif RMAM1N=1,2,3,5
goto RMAM2
(R,D) goto RMAM2

Instrument Variable Name:RMAM1T
QuestionText:

2 of 2
* Enter time period for time since most recent mammogram.

1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know

UniverseText:Female sample adults 30+ who answered 1-95 for number part of this 2 part question
SkipInstructions:

(1-3) goto MAMREAS
(4) if RMAM1N=4
set RMAM2=4
goto MAMREAS
elseif RMAM1N gt 5 and RMAM1N gt AGE
goto ERR_RMAM1T (greater than persons age)
elseif RMAM1N gt 5 and RMAM1N le AGE
set RMAM2=5
goto MAMREAS
elseif RMAM1N=1,2,3,5
goto RMAM2
(R,D) goto RMAM2

Instrument Variable Name: RMAM1T
Question Text:

2 of 2
*Enter time period for time since most recent mammogram.

1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know

Universe Text: Female sample adults 30+ who answered 1-95 for number part of this 2 part question
Skip Instructions:

(1-3) [goto MAMWHER]; (4) if RMAM1N and RMAM1T GT 5 years from system date, fill "5" in RMAM2 [goto MAMWHER]; else [goto RMAM2] (R,D) [goto RMAM2]
IF [RMAM1N = Number greater than person years old and RMAM1T= 4]] goto ERR1_RMAM1T

Instrument Variable Name:RMAM1N
QuestionText:

1 of 2
When did you have your MOST RECENT mammogram?
* Enter number for time since last mammogram.
* Enter '95' for 95 or more.

01-94 1-94
95 95+
97 Refused
99 Don't know

UniverseText:Female sample adults 30+ who selected number and time period format for most recent mammogram from the initial month screen
SkipInstructions:

(1-95) goto RMAM1T
(R,D) store "R","D" in RMAM1T and goto RMAM2

Instrument Variable Name:RMAM1T
QuestionText:

2 of 2
* Enter time period for time since most recent mammogram.

1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know

UniverseText:Female sample adults 30+ who answered 1-95 for number part of this 2 part question
SkipInstructions:

(1-3) goto MAMREAS
(4) if RMAM1N=4
set RMAM2=4
goto MAMREAS
elseif RMAM1N gt 5 and RMAM1N gt AGE
goto ERR_RMAM1T (greater than persons age)
elseif RMAM1N gt 5 and RMAM1N le AGE
set RMAM2=5
goto MAMREAS
elseif RMAM1N=1,2,3,5
goto RMAM2
(R,D) goto RMAM2

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)

When did you have your MOST RECENT mammogram?

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

Month:

(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:

(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

(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

(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

[Go to NAF.280]

FR: SHOW CARD CAN24

Was it: (READ CATEGORIES BELOW)

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

(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

When did you have your MOST RECENT mammogram?

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

Month:

(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:

(1950-2004) 1950-2004 (NAF.310)
(9997) Refused (NAF.270)
(9999) Don't know (NAF.270)

When did you have your MOST RECENT mammogram?

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

[ ] Number

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

[ ] Time Period

(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

[Go to NAF.310]

FR: SHOW FLASHCARD A17.

Was it: (READ CATEGORIES BELOW)

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

(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

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 ____


999[] DK (20b)

Number ____

[] Days ago
[] Weeks ago
[] Months ago
[] Years ago

9[] DK

(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