Survey Text

2020
2019
2018
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2020

No questionnaire text is available for this sample.


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2019
Survey form view entire document:  text  image
Question ID: IMS.0090.00.3
Variable: SHTSHINGLE_A
Interview Module: Adult
Content Type: Sponsored Content

Question Text:

Have you had a vaccine for shingles?

Read if necessary: Shingles is an illness that results in a rash or blisters on the skin, and is usually painful. There are two vaccines now available for shingles; Zostavax (R), which requires
1 shot, and Shingrix (R), a new vaccine which requires 2 shots.

Response:

1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adult's age is 50 or over
Skip Instructions:
1 = [goto ZOSTAVAX_A]
2,RF,DK = [goto SHTTETANUS_A]

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2018
Survey form view entire document:  text  image
Question ID: AAU.410_00.010

Instrument Variable Name: SHINGLE1
Questionnaire File Name: Sample Adult
Question Text:
Shingles is an illness that results in a rash or blisters on the skin, and is usually painful. There are two vaccines now available for shingles; Zostavax®, which requires 1 shot, and Shingrix®, a new vaccine which requires 2 shots. Have you had a vaccine for shingles?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 50+
Skip Instructions:
(1) [goto ZOSTAVAX]
(2,R,D) [goto SHTTD]