Instrument Variable Name: RPSA1_MT
Question Text:

1 of 2
When did you have your MOST RECENT PSA test?
*Enter month of last PSA test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

UniverseText: Male sample adults 40+ who have had a PSA test
SkipInstructions:

(1-12,D) [goto RPSA1_YR]
(R) store 'R' in RPSA1_YR [goto RPSA2]
(96) store '9996' in RPSA1_YR [goto RPSA1N]

Instrument Variable Name: RPSA1_MT
Question Text:

1 of 2
When did you have your MOST RECENT PSA test?
*Enter month of last PSA test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

Universe Text: Male sample adults 40+ who have had a PSA test
Skip Instructions:

(1-12,D) [go to RPSA1_YR]
(R) store "R' in RPSA1_YR [go to RPSA2]
(96) store "9996" in RPSA1_YR [go to RPSA1N]

Instrument Variable Name: RPSA1_MT
Question Text:

1 of 2
When did you have your MOST RECENT PSA test?
*Enter month of last PSA test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

UniverseText: Male sample adults 40+ who have had a PSA test
SkipInstructions:

(1-12,D) [goto RPSA1_YR]
(R) store 'R' in RPSA1_YR [goto RPSA2]
(96) store '9996' in RPSA1_YR [goto RPSA1N]

Instrument Variable Name: RPSA1_MT
QuestionText:

1 of 2
When did you have your MOST RECENT PSA test?
* Enter month of last PSA test.
* Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

UniverseText: Male sample adults 40+ who have had a PSA test
SkipInstructions:

(1-12,D) [goto RPSA1_YR] (R) store "R' in RPSA1_YR [goto RPSA2] (96) store "9996" in RPSA1_YR [goto
RPSA1N]

Instrument Variable Name:RPSA1_MT
QuestionText:

1 of 2
The next few questions are about your recent PSA tests. When did you have your MOST RECENT PSA test?
* Enter month of last PSA test.
* Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

UniverseText:Male sample adults 40+ who have ever had a PSA test
SkipInstructions:

(1-12,D) goto RPSA1_YR
(R) store "R" in RPSA1_YR and goto RPSA2
(96) store "96" in RPSA1_YR and goto RPSA1N
(13-95) goto ERR_RPSA1_MT

Instrument Variable Name: RPSA1_MT
Question Text:

1 of 2
The next few questions are about your recent PSA tests. When did you have your MOST RECENT PSA test?
*Enter month of last PSA test.
*Enter '96' to go to number and time period format.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
96 Time period format
97 Refused
99 Don't know

Universe Text: Male sample adults 40+ who have ever had a PSA test
Skip Instructions:

(1-12,D) [goto RPSA1_YR] (R) store "R' in RPSA1_YR [goto RPSA2] (96) store "96" in RPSA1_YR [goto RPSA1N]

When did you have your MOST RECENT PSA 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.465/RPSA1_NO)
(97) Don't know (NAF.470)
(99) Refused (NAF.470)
(T) Time Period

Year:

(1950-2004) 1950-2004 (NAF.480)
(9997) Refused (NAF.470)
(9999) Don't know (NAF.470)

When did you have your MOST RECENT PSA test?

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

[ ] Number

(01-94) 1-94
(95) 95+
(97) Refused (NAF.470)
(99) Don't know (NAF.470)

[ ] Time Period

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

(goto NAF.480)

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

Check item NAFCCI09: Refer to Household Composition, Basic Module.
SEX/HHC.110 "{Are/Is} {you/name} male or female?" and AGE/HHC.120 "What is {name/your} age...?"
(1) Male, 18-39 (under 40) (END_NAF)
(2) Male, 40+ (NAF.420)
(3) Female (Check item NAFCCI10)

When did you have your MOST RECENT PSA 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 (RPSA1_NO)

Year:

(1950-2000) 1950-2000 (NAF.480)
(9997)Don't know (NAF.470)
(9999)Refused (NAF.470)

When did you have your MOST RECENT PSA test?

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

[ ] Number

(01-94) 1-94 (RPSA1_TP/NAF.460)
(95) 95+ (RPSA1_TP/NAF.460)
(97) Refused (NAF.470)
(99) Don't know (NAF.470)

[ ] Time Period

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

[Go to NAF.480]

FR: SHOW CARD CAN29.

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