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2015

Survey form view entire document: text image

Question ID: NAF.055_01.000

Instrument Variable Name: RSKX1N
Question Text:

1 of 2
*Read if necessary: When did you have your MOST RECENT skin exam?
*Enter number for time since last skin exam.
*Enter '95' for 95 or more.

01-95 1-95
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) [go to RSKX1T]
(R,D) store "R,D" in RSKX1T [go to RSKX2]

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2010

Survey form view entire document: text image

Question ID: NAF.055_01.000

Instrument Variable Name: RSKX1N
QuestionText:

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

UniverseText: Sample adults 18+ who selected number and time period format for most recent skin exam
SkipInstructions:

(1-95) [goto RSKX1T] (R,D) store "R,D" in RSKX1T [goto RSKX2]

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2005

Survey form view entire document: text image

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]

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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

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1992

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7a. When did you have your most recent skin exam?

Month ____ [if 3 years ago or less (8); if more than 3 years ago (10)]
Year 19____ [if 3 years ago or less (8); if more than 3 years ago (10)]
OR

Number ____

1[] Days ago [if 3 years ago or less (8); if more than 3 years ago (10)]
2[] Weeks ago [if 3 years ago or less (8); if more than 3 years ago (10)]
3[] Months ago [if 3 years ago or less (8); if more than 3 years ago (10)]
4[] Years ago [if 3 years ago or less (8); if more than 3 years ago (10)]

999[] DK (7b)

Survey Text