Survey Text

2018
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2018
Survey form view entire document:  text  image
Question ID: NAF.165_00.000

Instrument Variable Name: RPAP21
Question Text:
Was it:
*Read answer categories.
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
UniverseText: Female sample adults 18+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last Pap smear test was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RPAP21]; else [goto PAPREA1]
Hard Edit:
ERR_RPAP21
*That is not a valid response.
*Please correct.

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2015
Survey form view entire document:  text  image
Question ID: NAF.165_00.000

Instrument Variable Name: RPAP21
Question Text:
Was it:
*Read answer categories.
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
Universe Text: Female sample adults 18+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last Pap test test was over 5 years ago)
Skip Instructions:
(1-5,R,D) if answer code is grayed out [go to ERR_RPAP21]
else if AGE LT 65 [go to HPVHRD]; else [go to PAPREA2]
ERR_RPAP21
Hard Edit:
*That is not a valid response.
*Please correct.

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2013
Survey form view entire document:  text  image
Question ID: NAF.165_00.000

Instrument Variable Name: RPAP21
Question Text:
Was it:
*Read answer categories.
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
UniverseText: Female sample adults 18+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last Pap smear test was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RPAP21]; else [goto PAPREA1]
Hard Edit:
ERR_RPAP21
*That is not a valid response.
*Please correct.

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2010
Survey form view entire document:  text  image
Question ID: NAF.165_00.000

Instrument Variable Name: RPAP21
QuestionText:
Was it:
*Read answer categories.
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
UniverseText: Female sample adults 18+ who failed to give a complete date in either the month or year format or failed to give a
complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last Pap smear test was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RPAP21] else [goto PAPREA1]

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2008
Survey form view entire document:  text  image
Question ID:NAF.165_00.000

Instrument Variable Name:RPAP2
QuestionText:
(book) CAN3
Was it:
* Read answer categories.
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
UniverseText:Female sample adults 18+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last Pap smear test was over 5 years ago)
SkipInstructions:
(1-5,R,D) goto PAPREAS

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2005
Survey form view entire document:  text  image
NAF.165_00.000

Instrument Variable Name: RPAP2
Question Text:
(book) CAN14
Was it:
*Read answer categories.
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
Card CAN14
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
Universe Text: Female sample adults 18+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last Pap smear test was over 5 years ago)
Skip Instructions:
(1-5,R,D) [goto PAPREAS]

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2003
Survey form view entire document:  text  image
Question ID:NAF.165_00.000

Instrument Variable Name:RPAP2
QuestionText:
(book) CAN3
Was it:
* Read answer categories.
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
UniverseText:Female sample adults 18+ who failed to give a complete date in either the month or year format or failed to give a complete date in the number and time period format, or entered years ago in the time period format (excluding those whose last Pap smear test was over 5 years ago)
SkipInstructions:
(1-5,R,D) goto PAPREAS

Survey form view entire document:  text  image
Question ID:NAF.160_01.000

Instrument Variable Name:RPAP1N
QuestionText:
1 of 2
When did you have your MOST RECENT Pap smear or Pap test?
* Enter number for time since last Pap smear or Pap test.
* Enter '95' for 95 or more.
01-94 1-94
95 95+
97 Refused
99 Don't know
UniverseText:Female sample adults 18+ who selected number and time period format for most recent Pap smear test from the initial month screen
SkipInstructions:
(1-95) goto RPAP1T
(R,D) store "R","D" in RPAP1T and goto RPAP2
Question ID:NAF.160_02.000

Instrument Variable Name:RPAP1T
QuestionText:
2 of 2
* Enter time period for time since most recent Pap smear or Pap test.
1 Days ago 1
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know
UniverseText:Female sample adults 18+ who answered 1-95 for number part of this 2 part question
SkipInstructions:
(1-3) goto PAPREAS
(4) if RPAP1N=4
set RPAP2=4
goto PAPREAS
elseif RPAP1N gt 5 and RPAP1N gt AGE
goto ERR_RPAP1T (greater than persons age)
elseif RPAP1N gt 5 and RPAP1N le AGE
set RPAP2=5
goto PAPREAS
elseif RPAP1N=1,2,3,5
goto RPAP2
(R,D) goto RPAP2

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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

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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1999
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