* 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

Sample Adults 18+ who have taken prescribed medication in the past 12 months

1,2,RF,DK [goto RXDG12M_A]

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

Sample Adults 18+ who have taken prescribed medication in the past 12 months

1,2,RF,DK [goto RXDG12M_A]

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

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

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

Sample Children 0-17 who had been prescribed medication in the past 12 months

1,2,RF,DK [goto RXDG12M_C]

* 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

Sample Adults 18+ who have taken prescribed medication in the past 12 months

1,2,RF,DK [goto RXDG12M_A]

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

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

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

Sample Children 0-17 who had been prescribed medication in the past 12 months

1,2,RF,DK [goto RXDG12M_C]

...You DELAYED filling a prescription to save money.

1 Yes
2 No
7 Refused
9 Do not Know

Sample Adults 18+ who have taken prescribed medication in the past 12 months

1,2,RF,DK = [goto RXDG12M_A]

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

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

1 Yes
2 No
7 Refused
9 Do not Know

Sample Children 0-17 who had been prescribed medication in the past 12 months

1,2,RF,DK = [goto RXDG12M_C]

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]

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]

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]

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]

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]

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]

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]

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]