Survey Text

2023 2018 2010 2003
2021 2015 2008 2000
2019 2013 2005 1999
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2023

No questionnaire text is available for this sample.


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2021
Survey form view entire document:  text  image
Question ID: PRV.0220.00.3
Variable: PSAWHEN_A
Interview Module: Adult
Content Type: Sponsored Content
Question text:
About how long has it been since your MOST RECENT PSA test?
Response:
1 - Within the past year (anytime less than 12 months ago)
2 - Within the past 2 years (1 year but less than 2 years ago)
3 - Within the past 3 years (2 years but less than 3 years ago)
4 - Within the past 5 years (3 years but less than 5 years ago)
5 - Within the past 10 years (5 years but less than 10 year ago)
6 - 10 years ago or more
7 - Refused
9 - Don't Know
Universe:
Male Sample Adults 40+ who ever had a PSA test
Skip Instructions:
1-6,RF,DK [goto PSAREASON_A]

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2019
Survey form view entire document:  text  image
Question ID: PRV.0220.00.3
Variable: PSAWHEN_A
Interview Module: Adult
Content Type: Sponsored Content

Question Text:

About how long has it been since your MOST RECENT PSA test?
Response:
1 Within the past year (anytime less than 12 months ago)
2 Within the past 2 years (1 year but less than 2 years ago)
3 Within the past 3 years (2 years but less than 3 years ago)
4 Within the past 5 years (3 years but less than 5 years ago)
5 Within the past 10 years (5 years but less than 10 year ago)
6 10 years ago or more
7 Refused
9 Do not Know
Universe:
Male Sample Adults 40+ who ever had a PSA test
Skip Instructions:
1-6,RF,DK = [goto PSAREASON_A]

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2018
Survey form view entire document:  text  image
Question ID: NAF.440_04.000

Instrument Variable Name: RPSA2
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: Male sample adults 40+ 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 PSA test was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RPSA2]; else [goto PSAREAS]
Hard Edit:
ERR_RPSA2
*That is not a valid response.
*Please correct.

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2015
Survey form view entire document:  text  image
Question ID: NAF.440_04.000

Instrument Variable Name: RPSA2
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: Male sample adults 40+ 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 PSA test was over 5 years ago)
Skip Instructions:
(1-5,R,D) if answer code is grayed out [go to ERR_RPSA2] else [go to PSAREAS]
ERR_RPSA2
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.440_04.000

Instrument Variable Name: RPSA2
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: Male sample adults 40+ 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 PSA test was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RPSA2]; else [goto PSAREAS]
Hard Edit:
ERR_RPSA2
*That is not a valid response.
*Please correct.

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2010
Survey form view entire document:  text  image
Question ID: NAF.440_04.000

Instrument Variable Name: RPSA2
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: Male sample adults 40+ 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 PSA test was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RPSA2] else [goto PSAREAS]

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2008
Survey form view entire document:  text  image
Question ID:NAF.475_00.000

Instrument Variable Name:RPSA2
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:Male sample adults 40+ 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 PSA test was over 5 years ago)
SkipInstructions:
(1-5,R,D) goto PSAREAS

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2005
Survey form view entire document:  text  image
NAF.475_00.000

Instrument Variable Name: RPSA2
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: Male sample adults 40+ 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 PSA test was over 5 years ago)
Skip Instructions:
(1-5,R,D) [goto PSAREAS]

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2003
Survey form view entire document:  text  image
Question ID:NAF.475_00.000

Instrument Variable Name:RPSA2
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:Male sample adults 40+ 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 PSA test was over 5 years ago)
SkipInstructions:
(1-5,R,D) goto PSAREAS

Survey form view entire document:  text  image
Question ID:NAF.470_01.000

Instrument Variable Name:RPSA1N
QuestionText:
1 of 2
When did you have your MOST RECENT PSA test?
* Enter number for time since last PSA test.
* Enter '95' for 95 or more.
01-94 1-94
95 95+
97 Refused
99 Don't know
UniverseText:Male sample adults 40+ who selected number and time period format for most recent PSA test from the initial month screen
SkipInstructions:
(1-95) goto RPSA1T
(R,D) store "R","D" in RPSA1T and goto RPSA2
Question ID:NAF.470_02.000

Instrument Variable Name:RPSA1T
QuestionText:
2 of 2
* Enter time period for time since most recent PSA test.
1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know
UniverseText:Male sample adults 40+ who answered 1-95 for number part of this 2 part question
SkipInstructions:
(1-3) goto PSAREAS
(4) if RPSA1N=4
set RPSA2=4
goto PSAREAS
elseif RPSA1N gt 5 and RPSA1N gt AGE
goto ERR_RPSA1T (greater than persons age)
elseif RPSA1N gt 5 and RPSA1N le AGE
set RPSA2=5
goto PSAREAS
elseif RPSA1N=1,2,3,5
goto RPSA2
(R,D) goto RPSA2

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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

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

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1999
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