Calendar (CA) Section


BOX_01
======

----------------------------------------------------
IF ROUND 1 OR IF RESPONDENT FOR THIS ROUND IS NOT
THE SAME AS THE RESPONDENT FOR THE PREVIOUS ROUND,
GO TO CA01
----------------------------------------------------

----------------------------------------------------
IF NOT ROUND 1 AND IF RESPONDENT FOR THIS ROUND
IS SAME AS RESPONDENT FOR THE PREVIOUS ROUND,
CONTINUE WITH BOX_02
----------------------------------------------------

BOX_02
======

----------------------------------------------------
IF NOT ROUND 1 AND RESPONDENT USED ANY CALENDAR
DURING THE PREVIOUS ROUND’S INTERVIEW - CL67 IS
CODED ‘1’ (YES) FOR USE OF MONTHLY PLANNER, HEALTH
EVENTS WORKSHEET, RECORD FILE, OR OTHER CALENDAR,
GO TO CA02
----------------------------------------------------

----------------------------------------------------
OTHERWISE, CONTINUE WITH CA01
----------------------------------------------------

CA01
====

We've talked about health conditions for the family. The next
set of questions is about health care received {in the last few
months/between {START DATE OF REFERENCE PERIOD} and {END DATE OF
REFERENCE PERIOD}}. Some of these questions ask for information
which may be difficult to remember. Because it is important to
the U.S. Public Health Service to get complete and accurate
information, please take your time in answering these
questions.

ASK RESPONDENT TO GET RECORD KEEPING MATERIALS (SUCH AS MEPS
PLANNER, MEPS RECORD KEEPER, OR PERSONAL RECORDS) IF NOT ALREADY
OUT.

HAS MEPS RECORD KEEPING MATERIALS ..... 1 {CA03}
HAS SOME OTHER TYPE OF RECORD KEEPING
MATERIALS ............................. 2 {CA03}
DOES NOT HAVE RECORDS ................. 3 {CA04}
WILL NOT USE RECORDS .................. 4 {CA04}

[Code One]

----------------------------------------------------
DISPLAY ‘in the last few months’ IF NOT ROUND 5.
DISPLAY ‘between {START DATE OF REFERENCE PERIOD}
and {END DATE OF REFERENCE PERIOD}’ IF ROUND 5.

FOR ‘START DATE OF REFERENCE PERIOD’, DISPLAY THE
DATE OF THE ROUND 4 INTERVIEW AS MM/DD/YYYY. FOR
‘END DATE OF REFERENCE PERIOD’, DISPLAY THE RU END
DATE FOR ROUND 5 AS MM/DD/YYYY.
----------------------------------------------------

CA02
====

We've talked about health conditions for the family. The next
set of questions is about health care received {in the last few
months/between {START DATE OF REFERENCE PERIOD} and {END DATE OF
REFERENCE PERIOD}}. As you may remember from the last interview,
some of these questions ask for information which may be difficult
to remember.

THANK RESPONDENT FOR USING RECORDS DURING THE PREVIOUS INTERVIEW.
ASK RESPONDENT TO GET RECORD KEEPING MATERIALS (SUCH AS MEPS PLANNER,
MEPS RECORD KEEPER, OR PERSONAL RECORDS) IF NOT ALREADY OUT.

HAS MEPS RECORD KEEPING MATERIALS...... 1 {CA03}
HAS SOME OTHER TYPE OF RECORD KEEPING
MATERIALS ............................. 2 {CA03}
DOES NOT HAVE RECORDS ................. 3 {CA04}
WILL NOT USE RECORDS .................. 4 {CA04}

[Code One]

----------------------------------------------------
DISPLAY ‘in the last few months’ IF NOT ROUND 5.
DISPLAY ‘between {START DATE OF REFERENCE PERIOD}
and {END DATE OF REFERENCE PERIOD}’ IF ROUND 5.

FOR ‘START DATE OF REFERENCE PERIOD’, DISPLAY THE
DATE OF THE ROUND 4 INTERVIEW AS MM/DD/YYYY. FOR
‘END DATE OF REFERENCE PERIOD’, DISPLAY THE RU END
DATE FOR ROUND 5 AS MM/DD/YYYY.
----------------------------------------------------

CA03
====

CODE WITHOUT ASKING IF RESPONDENT HAS ALREADY ANSWERED.

Has anyone in the family been keeping records of all visits
to medical providers and medical places, most of the visits,
only some of the visits, or have no records been kept?

ALL VISITS RECORDED .................... 1 {BOX_05}
MOST VISITS RECORDED ................... 2 {BOX_05}
SOME VISITS RECORDED ................... 3 {CA04}
NO RECORDS KEPT......................... 4 {CA04}
VOLUNTEERED: NO EVENTS TO RECORD ...... 5 {BOX_05}
REF ................................... -7 {CA04}
DK .................................... -8 {CA04}

[Code One]

----------------------------------------------------
THE COMPUTER SUMMARY ITEMS (BOX_03 – CA05) WERE
REMOVED IN PANEL 12 ROUND 2. STARTING IN
PANEL 13, THESE ITEMS WILL BE OMITTED IN ALL
ROUNDS.
----------------------------------------------------

CA04
====

GIVE RESPONDENT A MONTHLY PLANNER (CALENDAR).

Through the rest of the interview, there are questions that
will ask for dates. When you do not remember the date, we can
refer to this calendar for help.

CIRCLE {TODAY'S DATE/12/31/{YEAR}} {AND DATE OF LAST INTERVIEW}.

PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.

----------------------------------------------------
DISPLAY ‘TODAY’S DATE’ IF NOT ROUND 5. DISPLAY
‘12/31/{YEAR}’ IF ROUND 5. FOR {YEAR} DISPLAY
SECOND YEAR OF PANEL.

Display ‘AND DATE OF LAST INTERVIEW’ if not
ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------

----------------------------------------------------
THE COMPUTER SUMMARY ITEMS (BOX_03 – CA05) WERE
REMOVED IN PANEL 12 ROUND 2. STARTING IN
PANEL 13, THESE ITEMS WILL BE OMITTED IN ALL
ROUNDS.
----------------------------------------------------

----------------------------------------------------
GO TO BOX_05
----------------------------------------------------

BOX_03
======
OMITTED.

BOX_04
======

OMITTED.

CA05
====

OMITTED.

BOX_05
======

----------------------------------------------------
GO TO NEXT QUESTIONNAIRE SECTION
----------------------------------------------------

Return to Top