Survey Text

2015
2010
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2015
Survey form view entire document:  text  image
Question ID: NAF.060_00.000

Instrument Variable Name: RSKX2
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: Sample adults 18+ 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 skin exam was over 5 years ago)
Skip Instructions:
(1-5,R,D) if answer code is grayed out [go to ERR_RSKX2] else [go to SKINREAS]
ERR_RSKX2
Hard Edit:
*That is not a valid response.
*Please correct.

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2010
Survey form view entire document:  text  image
Question ID: NAF.060_00.000

Instrument Variable Name: RSKX2
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: Sample adults 18+ 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 skin exam was over 5 years ago)
SkipInstructions:
(1-5,R,D) if answer code is grayed out [goto ERR_RSKX2] else [goto SKINREAS]

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2005
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NAF.050_01.000

Instrument Variable Name: RSKX1_MT
Question Text:
1 of 2
When did you have your MOST RECENT skin exam to check for cancer?
*Enter month of last skin exam.
*Enter '96' to go to the 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: Sample adults 18+ who have had a skin exam
Skip Instructions:
(1-12,D) [goto RSKX1_YR] (R) store "R' in RSKX1_YR [goto RSKX2] (96) store "96" in RSKX1_YR [goto RSKX1N]

NAF.050_02.000

Instrument Variable Name: RSKX1_YR
Question Text:
2 of 2
*Enter year of last skin exam.
1880-2006 1880-2006
9996 Time period format
9997 Refused
9999 Don't know
Universe Text: Sample adults age 18+ who answered month of last skin exam or didn't know month of last skin exam
Skip Instructions:
(valid year) if RSKX1_MT=1-12 [goto SKINREAS]; else if RSKX1_MT=D [goto RSKX2] (R,D) [goto RSKX2] IF RSKX1_MT and RSKX1_YR = a future date [goto ERR1_RSKX1_YR] IF RSKX1_MT and RSKX1_YR = a date prior to birth date [goto ERR2_RSKX1_YR]

NAF.055_01.000

Instrument Variable Name: RSKX1N
Question Text:
1 of 2
When did you have your MOST RECENT skin exam?
*Enter number for time since last skin exam.
*Enter '95' for 95 or more.
01-94 01-94
95 95+
97 Refused
99 Don't know
Universe Text: Sample adults 18+ who selected number and time period format for most recent skin exam
Skip Instructions:
(1-95) [goto RSKX1T] (R,D) store "R,D" in RSKX1T [goto RSKX2]

NAF.055_02.000

Instrument Variable Name: RSKX1T
Question Text:
2 of 2
*Enter time period for time since most recent skin exam.
1 Days ago
2 Weeks ago
3 Months ago
4 Years ago
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who answered 1-95 for number part of this 2 part question
Skip Instructions:
(1-3) [goto SKINREAS]; (4) if RSKX1N and RSKX1T GT 5 years from system date, fill "5" in RSKX2 [goto SKINREAS]; else [goto RSKX2] (R,D) [goto RSKX2] IF [RSKX1N = Number greater than person years old and RSKX1T= 4]] goto ERR1_RSKX1T

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2000
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NAF.050-055

When did you have your MOST RECENT skin exam?

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

NAF.050

Month:
RSKX1_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 (NAF.055)

Year:
RSKX1_YR
(1950-2000) 1950-2000 (NAF.070)
(9997) Don't know (NAF.060)
(9999) Refused (NAF.060)

NAF.055

[ ] NUMBER
RSKX1_NO
(01-94) 1-94 (RSKX1_TP/NAF.055)
(95)95+ (RSKX1_TP/NAF.055)
(97)Refused (NAF.060)
(99)Don't know (NAF.060)

[ ] TIME PERIOD
RSKX1_TP
(1) Days ago
(2) Weeks ago
(3) Months ago
(4) Years ago
(7) Refused
(9) Don't know
[Go to NAF.070]

NAF.060

FR: SHOW CARD CAN17

Was it: (READ CATEGORIES BELOW)
Card CAN17
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
RSKX2
(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