top

2000

Survey form view entire document: text image

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.280

Where was this mammogram done? Was it a (READ CATEGORIES 1-5 BELOW):

MAMWHER

(1) Mammogram van?
(2) Independent X-ray or radiology center?
(3) Clinic/health center, not in a hospital?
(4) Private doctor's office?
(5) Hospital?
(6) Other place?
(7) Refused
(9) Don't know

top

1992

Survey form view entire document: text image

b. Was it within the past year, between 1 and 3 years ago, or over 3 years ago?

1[] Within the past year (21)
2[] 1 to 3 years (21)
3[] Over 3 years ago (24)
9[] DK (24)

21. Where was this mammogram done -- in a doctor's office, a clinic, a hospital, an x-ray or radiology lab, or some other place?

1[] Doctor's office (private or HMO)
2[] Clinic
3[] Hospital
4[] X-ray or radiology lab
5[] Mammogram van
8[] Other (Specify) -- ____
9[] DK

top

1987

Survey form view entire document: text image

16. Where was this test done -- in a doctor's office, a clinic, a hospital, or some other place?

1 [] Doctor's office
2 [] Clinic
3 [] Hospital
4 [] Imaging center
8 [] Other place (Specify) ____
9 [] DK

Survey Text