Survey Text

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2021
Survey form view entire document:  text  image
Question ID: PRV.0410.00.3
Variable: MAMNOT1_A
Interview Module: Adult
Content Type: Sponsored Content
Question text:
What is the most important reason why you have ^MAMNEVER2YEARS_A?
Do not read choices, select answer category based on respondent's answer.
Fills:
^MAMNEVER2YEARS_A
Description: NEVER had a mammogram/NOT had a mammogram in the past 2 years
Instruction:
If MAMEV_A=2, fill "NEVER had a mammogram" elseif MAMWHEN_A IN (3-6), fill: "NOT had a mammogram in
the past 2 years"
Response:
1 - No reason/never thought about it
2 - Didn't need it/didn't know I needed this type of test
3 - Doctor didn't order it/didn't say I needed it
4 - Haven't had any problems
5 - Put it off/didn't get around to it
6 - Too expensive/no insurance/cost
7 - Too painful, unpleasant, or embarrassing
8 - Don't have a doctor
9 - I am too old
10 - I am too young
11 - Other
97 - Refused
99 - Don't Know
Universe:
Female Sample Adults 30+ who never had a mammogram or had a mammogram more than 2 years ago
Skip Instructions:
1-11,RF,DK [goto next section]

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2018
Survey form view entire document:  text  image
Question ID: NAF.330_00.000

Instrument Variable Name: MAMNOT1
Questionnaire File Name: Sample Adult
Question Text:
What is the most important reason why you have [fill1: NEVER had a mammogram/NOT had a mammogram in the PAST 2 YEARS]?
*Put response into correct category below.
01 No reason/never thought about it
02 Didn't need it/didn't know I needed this type of test
03 Doctor didn't order it/didn't say I needed it
04 Haven't had any problems
05 Put it off/Didn't get around to it
06 Too expensive/no insurance/cost
07 Too painful, unpleasant or embarrassing
08 I'm too young
09 Don't have doctor
10 Other
97 Refused
99 Don't know
Universe Text: Female sample adults 30+ who have never had a mammogram or not had a mammogram in the past 2 years
Skip Instructions:
(1-10,R,D) if AGE GE 40 [goto COLHAD/NAF.540_00.000];
elseif AGE LT 40 [goto next section]

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2010
Survey form view entire document:  text  image
Question ID: NAF.360_00.000

Instrument Variable Name: MAMNOT
QuestionText:
What is the most important reason why you have [fill1: NEVER had a mammogram/NOT had a mammogram in the PAST 2 YEARS]?
*Put response into correct category below.
01 No reason/never thought about it
02 Didn't need it/didn't know I needed this type of test
03 Doctor didn't order it/didn't say I needed it
04 Haven't had any problems
05 Put it off/Didn't get around to it
06 Too expensive/no insurance/cost
07 Too painful, unpleasant or embarrassing
08 I'm too young
09 Don't have doctor
10 Other
97 Refused
99 Don't know
UniverseText: Female sample adults 30+ who have never had a mammogram or had a last mammogram more than 2 years ago
SkipInstructions:
(1-2,4-8,10,R,D) [goto MDRECMAM] (3,9) [goto CBEHAD]

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2005
Survey form view entire document:  text  image
NAF.360_00.000

Instrument Variable Name: MAMNOT
Question Text:
(book) CAN18
What is the most important reason why you have [fill1: NEVER had a mammogram/NOT had a mammogram in the PAST 2 YEARS]?
01 No reason/never thought about it
02 Didn't need it/didn't know I needed this type of test
03 Doctor didn't order it/didn't say I needed it
04 Haven't had any problems
05 Put it off/Didn't get around to it
06 Too expensive/no insurance/cost
07 Too painful, unpleasant or embarrassing
08 I'm too young
09 Don't have doctor
10 Other
97 Refused
99 Don't know
Card CAN18
1. No reason/never thought about it
2. Didn't need it/didn't know I needed this type of test
3. Doctor didn't order it/didn't say I needed it
4. Haven't had any problems
5. Put it off/didn't get around to it
6. Too expensive/no insurance/cost
7. Too painful, unpleasant, or embarrassing
8. I'm too young
9. Don't have a doctor
Universe Text: Female sample adults 30+ who have never had a mammogram or had a last mammogram more than 2 years ago
Skip Instructions:
(1-2,4-8,10,R,D) [goto MDRECMAM] (3,9) [goto MEDHRT]

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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)
Check item NAFCCI06: Refer to:
MAMHAD/NAF.230, Have had a mammogram.
RMAM1/NAF.260, Date of last mammogram in month, year or time ago
RMAM2/NAF.270, Date of last mammogram in time categories.
(1) Have NEVER had a mammogram (NAF.360)
(2) Have NOT had a mammogram in the last 2 years (NAF.360)
(3) HAVE HAD a mammogram in the last 2 years (Check item NAFCCI07)
(7) Refused (NAF.370)
(9) Don't Know (NAF.370)

NAF.360

FR: SHOW CARD CAN26

What is the most important reason why you have {NEVER had/ NOT had} a mammogram in the PAST 2 YEARS)?
Card CAN26
1. No reason/never thought of it
2. Didn't need it/didn't know I needed this type of test
3. Doctor didn't order it/didn't say I needed it
4. Haven't had any problems
5. Put if off/didn't get around to it
6. Too expensive/no insurance/cost
7. Too painful, unpleasant, or embarrassing
8. I'm too young
9. Don't have doctor
MAMNOT
(01) No reason/never thought of it. (NAF.370)
(02) Didn't need it/ didn't know I needed this type of test (NAF.370)
(03) Doctor didn't order it/ didn't say I needed it (Check item NAFCCIO7)
(04) Haven't had any problems (NAF.370)
(05) Put it off/ Didn't get around to it (NAF.370)
(06) Too expensive/no insurance/cost (NAF.370)
(07) Too painful, unpleasant or embarrassing (NAF.370)
(08) I'm too young (NAF.370)
(09) Don't have doctor (Check item NAFCCI07)
(10) Other reason (NAF.370)
(97) Refused (NAF.370)
(99) Don't know (NAF.370)