Survey Text

2018
2015
2013
2010
2008
2005
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2018
Survey form view entire document:  text  image
Question ID: NAF.440_01.000

Instrument Variable Name: RPSA1_YR
Question Text:
2 of 2
* Enter year of last PSA test.
1880-current year 1880-current year
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Male sample adults 40+ who answered month of last PSA test or didn't know month of last PSA test
SkipInstructions:
(valid year) if RPSA1_YR gt current year or (RPSA1_YR=current year and RPSA1_MT gt current month) goto ERR1_ RPSA1_YR (future date)
elseif RPSA1_YR lt DOBY or (RPSA1_YR=DOBY and RPSA1_MT lt DOBM) goto ERR2_ RPSA1_YR (prior to birth date)
elseif RPSA1_MT=D goto RPSA2 elseif RPSA1_MT=1-12 goto PSAREAS
(R,D) goto RPSA2
Hard Edit:
ERR1_ RPSA1_YR
*Future date invalid. Please correct.
ERR2_ RPSA1_YR
*Date before birth. Please correct.

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2015
Survey form view entire document:  text  image
Question ID: NAF.440_01.000

Instrument Variable Name: RPSA1_YR
Question Text:
2 of 2
* Enter year of last PSA test.
1880-2016 1880-2016
9996 Time period format
9997 Refused
9999 Don?t know
Universe Text: Male sample adults 40+ who have had a PSA test
Skip Instructions:
(valid year) if RPSA1_YR gt current year or
(RPSA1_YR=current year and RPSA1_MT gt current month) go to ERR1_ RPSA1_YR (future date)
elseif RPSA1_YR lt DOBY or (RPSA1_YR=DOBY and RPSA1_MT lt DOBM) go to ERR2_ RPSA1_YR (prior to birth date)
elseif RPSA1_MT=D go to RPSA2
elseif RPSA1_MT=1-12 go to PSAREAS (R,D) go to RPSA2
ERR1_ RPSA1_YR
Hard Edit:
*
Future date invalid. Please correct.
ERR2_ RPSA1_YR
*
Date before birth. Please correct.

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2013
Survey form view entire document:  text  image
Question ID: NAF.440_01.000

Instrument Variable Name: RPSA1_YR
Question Text:
2 of 2
* Enter year of last PSA test.
1880-current year 1880-current year
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Male sample adults 40+ who answered month of last PSA test or didn't know month of last PSA test
SkipInstructions:
(valid year) if RPSA1_YR gt current year or (RPSA1_YR=current year and RPSA1_MT gt current month) goto ERR1_ RPSA1_YR (future date)
elseif RPSA1_YR lt DOBY or (RPSA1_YR=DOBY and RPSA1_MT lt DOBM) goto ERR2_ RPSA1_YR (prior to birth date)
elseif RPSA1_MT=D goto RPSA2 elseif RPSA1_MT=1-12 goto PSAREAS
(R,D) goto RPSA2
Hard Edit:
ERR1_ RPSA1_YR
*Future date invalid. Please correct.
ERR2_ RPSA1_YR
*Date before birth. Please correct.

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2010
Survey form view entire document:  text  image
Question ID: NAF.440_01.000

Instrument Variable Name: RPSA1_YR
QuestionText:
2 of 2
* Enter year of last PSA test.
1880-2011 1880-2011
9996 Time period format
9997 Refused
9999 Don't know
UniverseText: Male sample adults 40+ who have had a PSA test
SkipInstructions:
(valid year) if RPSA1_YR gt current year or (RPSA1_YR=current year and RPSA1_MT gt current month)
goto ERR1_ RPSA1_YR (future date)
elseif RPSA1_YR lt DOBY or (RPSA1_YR=DOBY and RPSA1_MT lt DOBM)
goto ERR2_ RPSA1_YR (prior to birth date)
elseif RPSA1_MT=D
goto RPSA2
elseif RPSA1_MT=1-12
goto PSAREAS
(R,D) goto RPSA2

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2008
Survey form view entire document:  text  image
Question ID:NAF.460_02.000

Instrument Variable Name:RPSA1_YR
QuestionText:
2 of 2
* Enter year of last PSA test.
1880-2009 1880-2009
9996 Time period format
9997 Refused
9999 Don't know
UniverseText:Male sample adults 40+ who answered month of last PSA test or didn't know month of last PSA test
SkipInstructions:
(valid year) if RPSA1_YR gt current year or (RPSA1_YR=current year and RPSA1_MT gt current month)
goto ERR1_RPSA1_YR (future date)
elseif RPSA1_YR lt DOBY or (RPSA1_YR=DOBY and RPSA1_MT lt DOBM)
goto ERR2_RPSA1_YR (prior to birth date)
elseif RPSA1_MT=D
goto RPSA2
elseif RPSA1_MT=1-12
goto PSAREAS
(R,D) goto RPSA2

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2005
Survey form view entire document:  text  image
NAF.460_02.000

Instrument Variable Name: RPSA1_YR
Question Text:
2 of 2
*Enter year of last PSA test.
1880-2006 1880-2006
9996 Time period format
9997 Refused
9999 Don't know
Universe Text: Male sample adults 40+ who answered month of last PSA test or didn't know month of last PSA test
Skip Instructions:
(valid year) if RPSA1_MT=1-12 [goto PSAREAS]; else if RPSA1_MT=D [goto RPSA2] (R,D) [goto RPSA2]
IF RPSA1_MT and RPSA1_YR = a future date [goto ERR1_RPSA1_YR]
IF RPSA1_MT and RPSA1_YR = a date prior to birth date [goto ERR2_RPSA1_YR]

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2003
Survey form view entire document:  text  image
NAF.460

When did you have your MOST RECENT PSA test?

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

Month:
RPSA1_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.465/RPSA1_NO)
(97) Don't know (NAF.470)
(99) Refused (NAF.470)
(T) Time Period

Year:
RPSA1_YR
(1950-2004) 1950-2004 (NAF.480)
(9997) Refused (NAF.470)
(9999) Don't know (NAF.470)

NAF.465

When did you have your MOST RECENT PSA test?

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

[ ] Number
RPSA1_NO
(01-94) 1-94
(95) 95+
(97) Refused (NAF.470)
(99) Don't know (NAF.470)

[ ] Time Period
RPSA1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

(goto NAF.480)

NAF.470

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
RPSA2
(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 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)

NAF.460

When did you have your MOST RECENT PSA test?

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

Month:
RPSA1_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 (RPSA1_NO)

Year:
RPSA1_YR
(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
RPSA1_NO
(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
RPSA1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know

[Go to NAF.480]

NAF.470

FR: SHOW CARD CAN29.

Was it: (READ CATEGORIES BELOW)
Card CAN29
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
RPSA2
(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