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.150_02.000

Instrument Variable Name: RPAP1_Y1
Question Text:
2 of 2
*Enter year of last Pap test.
1880-current year 1880-current year
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Female sample adults age 18+ who answered month of last Pap smear test or didn't know month of last Pap smear test
SkipInstructions:
(valid year) if RPAP1_Y1 gt current year or (RPAP1_Y1=current year and RPAP1_M1 gt current month)
goto ERR1_ RPAP1_Y1 (future date)
elseif RPAP1_Y1 lt DOBY or (RPAP1_Y1=DOBY and RPAP1_M1 lt DOBM)
goto ERR2_ RPAP1_Y1 (prior to birth date)
elseif RPAP1_M1=D
goto RPAP21
elseif RPAP1_M1=1-12
goto PAPREA1
(R,D) goto RPAP21
Hard Edit:
ERR1_ RPAP1_Y1
*Future date invalid. Please correct.
ERR2_ RPAP1_Y1
*Date before birth. Please correct.

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2015
Survey form view entire document:  text  image
Question ID: NAF.150_02.000

Instrument Variable Name: RPAP1_Y1
Question Text:
2 of 2
*Enter year of last Pap test.
1880-2016
9996 Time period format
9997 Refused
9999 Don't know
Universe Text: Female sample adults age 18+ who answered month of last Pap test test or didn't know month of last Pap test test
Skip Instructions:
(valid year) if RPAP1_Y1 gt current year or
(RPAP1_Y1=current year and RPAP1_M1 gt current month) [go to ERR1_ RPAP1_Y1 (future date)]
elseif RPAP1_Y1 lt DOBY or (RPAP1_Y1=DOBY and RPAP1_M1 lt DOBM) [go to ERR2_ RPAP1_Y1 (prior to birth date)]
elseif RPAP1_M1=D
[go to RPAP21]
elseif RPAP1_M1=1-12 and AGE LT 65 [go to HPVHRD]; else [go to PAPREA2]
(R,D) [go to RPAP21]
ERR1_ RPAP1_Y1
Hard Edit:
*
Future date invalid. Please correct.
ERR2_ RPAP1_Y1
*
Date before birth. Please correct.

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2013
Survey form view entire document:  text  image
Question ID: NAF.150_02.000

Instrument Variable Name: RPAP1_Y1
Question Text:
2 of 2
*Enter year of last Pap test.
1880-current year 1880-current year
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Female sample adults age 18+ who answered month of last Pap smear test or didn't know month of last Pap smear test
SkipInstructions:
(valid year) if RPAP1_Y1 gt current year or (RPAP1_Y1=current year and RPAP1_M1 gt current month)
goto ERR1_ RPAP1_Y1 (future date)
elseif RPAP1_Y1 lt DOBY or (RPAP1_Y1=DOBY and RPAP1_M1 lt DOBM)
goto ERR2_ RPAP1_Y1 (prior to birth date)
elseif RPAP1_M1=D
goto RPAP21
elseif RPAP1_M1=1-12
goto PAPREA1
(R,D) goto RPAP21
Hard Edit:
ERR1_ RPAP1_Y1
*Future date invalid. Please correct.
ERR2_ RPAP1_Y1
*Date before birth. Please correct.

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2010
Survey form view entire document:  text  image
Question ID: NAF.150_02.000

Instrument Variable Name: RPAP1_Y1
QuestionText:
2 of 2
*Enter year of last Pap test.
1880-2011 1880-2011
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Female sample adults age 18+ who answered month of last Pap smear test or didn't know month of last Pap smear
test
SkipInstructions:
(valid year) if RPAP1_Y1 gt current year or (RPAP1_Y1=current year and RPAP1_M1 gt current month)
goto ERR1_ RPAP1_Y1 (future date)
elseif RPAP1_Y1 lt DOBY or (RPAP1_Y1=DOBY and RPAP1_M1 lt DOBM)
goto ERR2_ RPAP1_Y1 (prior to birth date)
elseif RPAP1_M1=D
goto RPAP21
elseif RPAP1_M1=1-12
goto PAPREA1
(R,D) goto RPAP21

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2008
Survey form view entire document:  text  image
Question ID:NAF.150_02.000

Instrument Variable Name:RPAP1_YR
QuestionText:
2 of 2
* Enter year of last Pap smear or Pap test.
1880-2009 1880-2009
9996 Time period format
9997 Refused
9999 Don't know
UniverseText:Female sample adults age 18+ who answered month of last Pap smear or Pap test or didn't know month of last Pap smear or Pap test
SkipInstructions:
(valid year) if RPAP1_YR gt current year or (RPAP1_YR=current year and RPAP1_MT gt current month)
goto ERR1_RPAP1_YR (future date)
elseif RPAP1_YR lt DOBY or (RPAP1_YR=DOBY and RPAP1_MT lt DOBM)
goto ERR2_RPAP1_YR (prior to birth date)
elseif RPAP1_MT=D
goto RPAP2
elseif RPAP1_MT=1-12
goto PAPREAS
(R,D) goto RPAP2

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2005
Survey form view entire document:  text  image
NAF.150_02.000

Instrument Variable Name: RPAP1_YR
Question Text:
2 of 2
*Enter year of last Pap smear test.
1880-2006 1880-2006
9996 Time period format
9997 Refused
9999 Don't know
Universe Text: Female sample adults age 18+ who answered month of last Pap smear test or didn't know month of last Pap smear test
Skip Instructions:
(valid year) if RPAP1_MT=1-12 [goto PAPREAS]; else if RPAP1_MT=D [goto RPAP2] (R,D) [goto RPAP2]
IF RPAP1_MT and RPAP1_YR = a future date [goto ERR1_RPAP1_YR]
IF RPAP1_MT and RPAP1_YR = a date prior to birth date [goto ERR2_RPAP1_YR]

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2003
Survey form view entire document:  text  image
NAF.150

When did you have your MOST RECENT Pap smear test?

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

Month:
RPAP1_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.155/RPAP1_NO)
(97) Don't know (NAF.160)
(99) Refused (NAF.160)
(T) Time Period

Year:
RPAP1_YR
(1950-2004) 1950-2004 (NAF.170)
(9997) Refused (NAF.160)
(9999) Don't know (NAF.160)

NAF.155

When did you have your MOST RECENT Pap smear test?

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

[ ] Number
RPAP1_NO
(01-94) 1-94
(95) 95+
(97) Don't know (NAF.160)
(99) Refused (NAF.160)

[ ] Time Period
RPAP1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Don't know
(9) Refused

[Go to NAF.170]

NAF.160

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
RPAP2CA
(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
Survey form view entire document:  text  image
Check item NAFCCI03: Refer to Household Composition, Basic Module.
SEX/HHC.110 and AGE/HHC.120.
(1) Male 18-39 (under 30) (END_NAF)
(2) Male 40+ (Check Item NAFCCI09)
(3) Female (NAF.080)

NAF.150

When did you have your MOST RECENT Pap smear test?

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

Month:
RPAP1_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 (RPAP1_NO)

Year:
RPAP1_YR
(1950-2000) 1950-2000 (NAF.170)
(9997) Don't know (NAF.160)
(9999) Refused (NAF.160)

When did you have your MOST RECENT Pap smear test?

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

[ ] Number
RPAP1_NO
(01-94) 1-94 (RPAP1_TP/NAF.150)
(95) 95+ (RPAP1_TP/NAF.150)
(97) Don't know (NAF.160)
(99) Refused (NAF.160)

[ ] Time Period
RPAP1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Don't know
(9) Refused

[Go to NAF.170]

NAF.160

FR: SHOW CARD CAN19

Was it: (READ CATEGORIES BELOW)
Card CAN19
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
RPAPCA
(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
14a. When did you have your most recent Pap smear test?

Month ____ [if 3 years ago or less (15); if more than 3 years ago (16)]
Year 19____ [if 3 years ago or less (15); if more than 3 years ago (16)]
OR

Number ____
1[] Days ago [if 3 years ago or less (15); if more than 3 years ago (16)]
2[] Weeks ago [if 3 years ago or less (15); if more than 3 years ago (16)]
3[] Months ago [if 3 years ago or less (15); if more than 3 years ago (16)]
4[] Years ago [if 3 years ago or less (15); if more than 3 years ago (16)]


999[] DK (14b)

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1987
Survey form view entire document:  text  image
c. When did you have your last Pap smear?

If 3 years ago or less (2)
if More than 3 years ago (4)

Mo. ____
Year 19_ _

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


999[] DK (1d)