Survey Text

2023 2019 2015 2011
2022 2018 2014
2021 2017 2013
2020 2016 2012
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2023

No questionnaire text is available for this sample.


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2022
Survey form view entire document:  text  image
Question ID: PMD.0040.00.1
Variable: RXDL12M_A
Interview Module: Adult
Content Type: Annual Core

Question text:

* Read if necessary: During the past 12 months, were any of the following true for you?
...You DELAYED filling a prescription to save money.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have taken prescribed medication in the past 12 months
Skip Instructions:
1,2,RF,DK [goto RXDG12M_A]

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2021
Survey form view entire document:  text  image
Question ID: PMD.0040.00.1
Variable: RXDL12M_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Read if necessary: During the past 12 months, were any of the following true for you?
...You DELAYED filling a prescription to save money.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have taken prescribed medication in the past 12 months
Skip Instructions:
1,2,RF,DK [goto RXDG12M_A]
Question ID: PMD.0020.00.1
Variable: RXDL12M_C
Interview Module: Child
Content Type: Annual Core
Question text:
During the past 12 months, did you DELAY filling a prescription for ^SCNAME to save money?
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 who had been prescribed medication in the past 12 months
Skip Instructions:
1,2,RF,DK [goto RXDG12M_C]

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2020
Survey form view entire document:  text  image
Question ID: PMD.0040.00.1
Variable: RXDL12M_A
Interview Module: Adult
Content Type: Annual Core
Question text:
* Read if necessary: During the past 12 months, were any of the following true for you?
...You DELAYED filling a prescription to save money.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have taken prescribed medication in the past 12 months
Skip Instructions:
1,2,RF,DK [goto RXDG12M_A]
Question ID: PMD.0020.00.1
Variable: RXDL12M_C
Interview Module: Child
Content Type: Annual Core
Question text:
During the past 12 months, did you DELAY filling a prescription for ^SCNAME to save money?
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 who had been prescribed medication in the past 12 months
Skip Instructions:
1,2,RF,DK [goto RXDG12M_C]

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2019
Survey form view entire document:  text  image
Question ID: PMD.0040.00.1
Variable: RXDL12M_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Read if necessary: During the past 12 months, were any of the following true for you?

...You DELAYED filling a prescription to save money.
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ who have taken prescribed medication in the past 12 months
Skip Instructions:
1,2,RF,DK = [goto RXDG12M_A]
Question ID: PMD.0020.00.1
Variable: RXDL12M_C
Interview Module: Child
Content Type: Annual Core

Question Text:
During the past 12 months, did you DELAY filling a prescription for ^SCNAME to save money?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 who had been prescribed medication in the past 12 months
Skip Instructions:
1,2,RF,DK = [goto RXDG12M_C]

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2018
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARX12_3
Questionnaire File Name: Sample Adult
Question Text:
*Read if necessary.
DURING THE PAST 12 MONTHS, were any of the following true for you?
...You delayed filling a prescription to save money.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who had been prescribed medication in the past 12 months
Skip Instructions:
(1,2,R,D)[goto ARX12_4]

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2017
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARX12_3
Questionnaire File Name: Sample Adult
Question Text:
*Read if necessary.
DURING THE PAST 12 MONTHS, were any of the following true for you?
...You delayed filling a prescription to save money.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who had been prescribed medication in the past 12 months
Skip Instructions:
(1,2,R,D)[goto ARX12_4]

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2016
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARX12_3
Questionnaire File Name: Sample Adult
Question Text:
*Read if necessary.
DURING THE PAST 12 MONTHS, were any of the following true for you?
...You delayed filling a prescription to save money.
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Sample adults 18+ who had been prescribed medication in the past 12 months
Skip Instructions:
(1,2,R,D)[goto ARX12_4]

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2015
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARX12_3
Question Text:
*Read if necessary.
DURING THE PAST 12 MONTHS, were any of the following true for you?
?You delayed filling a prescription to save money
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who had been prescribed medication in the past 12 months
SkipInstructions:
(1,2,R,D)[goto ARX12_4]

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2014
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARX12_3
Question Text:
*Read if necessary.
DURING THE PAST 12 MONTHS, were any of the following true for you?
?You delayed filling a prescription to save money
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who had been prescribed medication in the past 12 months
SkipInstructions:
(1,2,R,D)[goto ARX12_4]

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2013
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARX12_3
Question Text:
*Read if necessary.
DURING THE PAST 12 MONTHS, were any of the following true for you?
?You delayed filling a prescription to save money
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ who had been prescribed medication in the past 12 months
SkipInstructions:
(1,2,R,D)[goto ARX12_4]

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2012
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARXPR_3
QuestionText:
*Read if necessary. The following questions concern the use of prescription medication DURING THE PAST 12 MONTHS, are any of the following true for you? _You delayed filling a prescription to save money
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[goto ARXPR_4]

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2011
Survey form view entire document:  text  image
Question ID: AAU.127_03.010

Instrument Variable Name: ARXPR_3
QuestionText:
*Read if necessary. The following questions concern the use of prescription medication DURING THE PAST 12 MONTHS, are any of the following true for you? _You delayed filling a prescription to save money
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+
SkipInstructions:

(1,2,R,D)[goto ARXPR_4]