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2022

Survey form view entire document: text image

Question ID: TLH.0010.00.4
Variable: VIRAPP12M_A
Interview Module: Adult
Content Type: Emerging Content

Question text:

During the past 12 months, have you had an appointment with a doctor, nurse, or other health
professional by video or by phone?

Response:

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Universe:

Sample Adults 18+

Skip Instructions:

1,2,RF,DK [goto next section]

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2021

Survey form view entire document: text image

Question ID: ACC.0030.00.4
Variable: VIRAPP12M_A
Interview Module: Adult
Content Type: Emerging Content
Question text:

In the past 12 months, have you had an appointment with a doctor, nurse, or other health professional by video or by phone?

Response:

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Universe:

Sample Adults 18+

Skip Instructions:

1 [goto VIRAPPCVD_A]
2,RF,DK [goto next section]

Question ID: ACC.0030.00.4
Variable: VIRAPP12M_C
Interview Module: Child
Content Type: Emerging Content
Question text:

In the past 12 months, has ^SCNAME had an appointment with a doctor, nurse, or other health professional by video or by phone?

Fills:

^SCNAME

Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1

Response:

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Universe:

Sample Children 0-17

Skip Instructions:

1 [goto VIRAPPCVD_C]
2,RF,DK [goto next section]

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2020

Survey form view entire document: text image

Question ID: ACC.0030.00.4
Variable: VIRAPP12M_A
Interview Module: Adult
Content Type: Emerging Content
Question text:

In the past 12 months, have you had an appointment with a doctor, nurse, or other health
professional by video or by phone?

Response:

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Universe:

Sample Adults 18+

Skip Instructions:

1 [goto VIRAPPCVD_A]
2,RF,DK [goto next section]

Question ID: ACC.0030.00.4
Variable: VIRAPP12M_C
Interview Module: Child
Content Type: Emerging Content
Question text:

In the past 12 months, has ^SCNAME had an appointment with a doctor, nurse, or other health
professional by video or by phone?

Fills:

^SCNAME

Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1

Response:

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Universe:

Sample Children 0-17

Skip Instructions:

1 [goto VIRAPPCVD_C]
2,RF,DK [goto next section]

Survey Text