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pdfEX1
EX1
Page Order # :
Design Screen Type:
No Entry
Fields:
Field 1:
EXINTRO
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HELP
COMMENTS
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No
Yes
Yes
Roster Functions:
Add Item
Edit Item
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Search Item
No
No
No
No
Grid Functions:
Add Line
Delete Line
No
No
10
Roster Name:
Roster Type:
DISPLAY INSTRUCTIONS:
Context header display:
Question display:
Multi Field display:
Roster/Grid Instructions:
Roster/Grid display:
Report display:
TEXT:
Context Header:
Int. Instr I:
Question Text:
As I mentioned earlier, this is [your/(SP's)] final interview with this
study. We have learned much from [your/(SP's)] participation in the
MCBS. Data from the study have already been used to inform
Congress of the problems Medicare beneficiaries might face
regarding their access to health care. [Your/(SP's)] participation in
this study has given the United States government a much clearer
picture of [your/(SP's)] health care needs and those of more than 42
million Medicare participants.
Int. Instr II:
2:28:50 PM Wednesday, December 19, 2007
Page 1 of 6
EX1
INPUT FIELDS / ROUTING
Field1:
EXINTRO
( EXQ1010 )
Cheshire Name:
Item Text display:
Item Text:
Label:
Label Position:
Field Type:
Type Name:
Answers Allowed:
Drop Down List:
Lookup File:
Lookup File Name:
Enumerated
TContinueEMPTY
1
No
No
Number Label
1 Continue
FieldSize:
Min Value:
Max Value:
Mask:
Route
EX1A - EXTHANK ( EXQ1020 )
English text: CONTINUE
Attribute
Empty
Route
EX1A - EXTHANK ( EXQ1020 )
BACKGROUND VARIABLE ASSIGNMENTS
SOFT EDIT CHECKS
HARD EDIT CHECKS
TECHNICAL NOTES
DESIGN NOTES
2:28:54 PM Wednesday, December 19, 2007
Page 2 of 6
EX1A
EX1A
Page Order # :
Design Screen Type:
No Entry
Fields:
Field 1:
EXTHANK
Enable Functions:
HELP
COMMENTS
JUMPBACK
No
Yes
Yes
Roster Functions:
Add Item
Edit Item
Delete Item
Search Item
No
No
No
No
Grid Functions:
Add Line
Delete Line
No
No
20
Roster Name:
Roster Type:
DISPLAY INSTRUCTIONS:
Context header display:
Question display:
If respondent is a proxy, display "you and (SP)".
Else display "you".
Always display "[RESPONDENT MAY KEEP THE CALENDAR.]" in
brackes.
Multi Field display:
Roster/Grid Instructions:
Roster/Grid display:
Report display:
TEXT:
Context Header:
Int. Instr I:
Question Text:
I thank you sincerely for all the time and effort that you have put into
this study. You have made a very important contribution to the
Medicare program and all of its beneficiaries by sharing [your/(SP's)]
health care experiences with us. Even though [you/(SP)] will no
longer be a participant in our survey, [your/(SP's)] health care needs
will continue to be covered through the Medicare program. I'd like to
express to [you/you and (SP)] appreciation on behalf of the Centers
2:28:57 PM Wednesday, December 19, 2007
Page 3 of 6
EX1A
for Medicare and Medicaid Services. Both Westat and the Centers
for Medicare and Medicaid Services wish [you/you and (SP)] the
very best for the future.
[RESPONDENT MAY KEEP THE CALENDAR.]
Int. Instr II:
INPUT FIELDS / ROUTING
( EXQ1020 )
EXTHANK
Field1:
Cheshire Name:
Item Text display:
Item Text:
Label:
Label Position:
Field Type:
Type Name:
Answers Allowed:
Drop Down List:
Lookup File:
Lookup File Name:
Enumerated
TContinueEMPTY
1
No
No
Number Label
1 Continue
FieldSize:
Min Value:
Max Value:
Mask:
Route
BOX EXEND - (EXQ1050 )
English text: CONTINUE
Attribute
Empty
Route
BOX EXEND - (EXQ1050 )
BACKGROUND VARIABLE ASSIGNMENTS
SOFT EDIT CHECKS
HARD EDIT CHECKS
TECHNICAL NOTES
4
Respondent
A Proxy interview (respondent is a proxy) =
MRES.SPPROXY=2/Proxy.
MRES.RROSTNUM=ROST.ROSTNUM of respondent.
An SP interview (respondent is the SP) =
MRES.SPPROXY=1/SP.
MRES.RROSTNUM='01'.
2:29:02 PM Wednesday, December 19, 2007
Page 4 of 6
EX1A
DESIGN NOTES
2:29:02 PM Wednesday, December 19, 2007
Page 5 of 6
BOX EXEND
BOX EXEND
Page Order # :
40
BOX INSTRUCTIONS
( EXQ1050 )
FINALIZE CASE AND RETURN TO IMS .
ASSIGNMENTS
TECHNICAL NOTES
DESIGN NOTES
2:29:02 PM Wednesday, December 19, 2007
Page 6 of 6
| File Type | application/pdf |
| File Title | rptMCBSSpecs_Main |
| Author | Sweeney_l |
| File Modified | 2010-04-02 |
| File Created | 2007-12-19 |