Survey Text

2022
2021
2020
2019
2018
top
2022
Survey form view entire document:  text  image
Question ID: IMS.0090.00.3
Variable: SHTSHINGL1_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 that have been used to prevent shingles. The first
was Zostavax®, which was available from 2006 through 2020 and required one shot. The other is
Shingrix®, which has been available since 2017 and requires two shots.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 50+ or adults 18+ who have a weakened immune system
Skip Instructions:
1 [goto SHINGYEAR_A]
2,RF,DK [goto SHTTETANUS_A]

top
2021
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 that have been used for shingles. The first was
Zostavax®, which required one shot and was made available in 2006. The other is Shingrix®, a new vaccine which requires two shots and has been available since 2017.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 50+
Skip Instructions:
1 [goto ZOSTAVAX1_A]
2,RF,DK [goto SHTHEPB_A]

top
2020
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. The first is Zostavax®,
which requires 1 shot and has been available since 2006. The other is Shingrix®, a new vaccine
which requires 2 shots and has been available since 2017.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 50+
Skip Instructions:
1 [goto ZOSTAVAX_A]
2,RF,DK [goto WORKHEALTH_A]

top
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]

top
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]