Instrument Variable Name: RPAP1T1
Question Text:

2 of 2
*Enter time period for time since most recent Pap test.

1 Days ago
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 PAPREA1
(4) if RPAP1N1=4
set RPAP21=4
goto PAPREA1
elseif RPAP1N1 gt 5 and RPAP1N1 gt AGE goto ERR_RPAP1T1 (greater than persons age)
elseif RPAP1N1 gt 5 and RPAP1N1 le AGE set RPAP21=5 goto PAPREA1
elseif RPAP1N1=1,2,3,5
goto RPAP21
(R,D) goto RPAP21
ERR_RPAP1T1
Hard Edit:
*Time since last exam cannot be greater than age.
*Please correct.

Instrument Variable Name: RPAP1T1
Question Text:

2 of 2
*Enter time period for time since most recent Pap test.

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 18+ who answered 1-95 for number part of this 2 part question
Skip Instructions:

(1-3) if AGE LT 65 [go to HPVHRD]; else [go to PAPREA2]
(4) (if RPAP1N1=4, set RPAP21=4; and if AGE LT 65 [go to HPVHRD];
else [go to PAPREA2])
elseif RPAP1N1 gt 5 and RPAP1N1 gt AGE, [go to ERR_RPAP1T1 (greater than persons age)]
elseif RPAP1N1 gt 5 and RPAP1N1 le AGE, set RPAP21=5
if AGE LT 65 [go to HPVHRD]; else [go to PAPREA2] elseif RPAP1N1=1,2,3,5, [go to RPAP21] (R,D) [go to RPAP21]
ERR_RPAP1T1
Hard Edit:
*
Time since last exam cannot be greater than age.
*
Please correct.

Instrument Variable Name: RPAP1T1
Question Text:

2 of 2
*Enter time period for time since most recent Pap test.

1 Days ago
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 PAPREA1
(4) if RPAP1N1=4
set RPAP21=4
goto PAPREA1
elseif RPAP1N1 gt 5 and RPAP1N1 gt AGE goto ERR_RPAP1T1 (greater than persons age)
elseif RPAP1N1 gt 5 and RPAP1N1 le AGE set RPAP21=5 goto PAPREA1
elseif RPAP1N1=1,2,3,5
goto RPAP21
(R,D) goto RPAP21
ERR_RPAP1T1
Hard Edit:
*Time since last exam cannot be greater than age.
*Please correct.

Instrument Variable Name: RPAP1N1
QuestionText:

1 of 2
When did you have your MOST RECENT Pap test?
*Enter number for time since last 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 RPAP1T1] (R,D) store "R,D" in RPAP1T1 [goto RPAP21]

Instrument Variable Name: RPAP1T1
QuestionText:

2 of 2
*Enter time period for time since most recent Pap test.

1 Days ago
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 PAPREA1
(4) if RPAP1N1=4
set RPAP21=4
goto PAPREA1
elseif RPAP1N1 gt 5 and RPAP1N1 gt AGE
goto ERR_RPAP1T1 (greater than persons age)
elseif RPAP1N1 gt 5 and RPAP1N1 le AGE
set RPAP21=5
goto PAPREA1
elseif RPAP1N1=1,2,3,5
goto RPAP21
(R,D) goto RPAP21

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

Instrument Variable Name: RPAP1T
Question Text:

2 of 2
*Enter time period for time since most recent Pap smear test.

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

Universe Text: Female sample adults 18+ who answered 1-95 for number part of this 2 part question
Skip Instructions:

(1-3) [goto PAPREAS];
(4) if RPAP1N and RPAP1T GT 5 years from system, fill "5" in RPAP2 [goto PAPREAS]; else [goto RPAP2]
(R,D) [goto RPAP2]
IF [RPAPIN = Number greater than person years old and RPAP1T= 4]] goto ERR1_RPAP1T

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

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

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)

When did you have your MOST RECENT Pap smear test?

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 (RPAP1_NO)

Year:

(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

(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

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

[Go to NAF.170]

FR: SHOW CARD CAN19

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

When did you have your MOST RECENT Pap smear test?

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

Year:

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

When did you have your MOST RECENT Pap smear test?

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

[ ] Number

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

[ ] Time Period

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

[Go to NAF.170]

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 (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 ____


999[] DK (14b)

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

Mo. ____
Year 19_ _

OR
_____


999[] DK (1d)