MEPS-HC Core Interview

MEPS FAMES P12R5/P13R3/P14R1 Calendar (CA) Section

December 8, 2008

Calendar (CA) Section

BOX_01

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| IF ROUND 1 OR IF RESPONDENT FOR THIS ROUND IS NOT |

| THE SAME AS THE RESPONDENT FOR THE PREVIOUS ROUND,|

| GO TO CA01 |

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| IF NOT ROUND 1 AND IF RESPONDENT FOR THIS ROUND |

| IS SAME AS RESPONDENT FOR THE PREVIOUS ROUND, |

| CONTINUE WITH BOX_02 |

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BOX_02

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| 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 |

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| OTHERWISE, CONTINUE WITH CA01 |

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CA01

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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 MONTHLY PLANNER (CALENDAR) IF NOT ALREADY

OUT.

HAS MONTHLY PLANNER .................... 1 {CA03}

HAS CALENDAR OTHER THAN

MONTHLY PLANNER ........................ 2 {CA03}

DOES NOT HAVE CALENDAR ................. 3 {CA04}

WILL NOT USE CALENDAR .................. 4 {CA04}

[Code One]

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| 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. |

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CA02

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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 CALENDAR DURING THE PREVIOUS INTERVIEW.

ASK RESPONDENT TO GET CALENDAR IF NOT ALREADY OUT.

HAS MONTHLY PLANNER .................... 1 {CA03}

HAS CALENDAR OTHER THAN

MONTHLY PLANNER ........................ 2 {CA03}

DOES NOT HAVE CALENDAR ................. 3 {CA04}

WILL NOT USE CALENDAR .................. 4 {CA04}

[Code One]

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| 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. |

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CA03

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CODE WITHOUT ASKING IF RESPONDENT HAS ALREADY ANSWERED.

Has anyone in the family been using the calendar to record all

visits to medical providers and medical places, most of the visits,

only some of the visits, or has the calendar not been used?

ALL VISITS RECORDED .................... 1 {BOX_05}

MOST VISITS RECORDED ................... 2 {BOX_05}

SOME VISITS RECORDED ................... 3 {CA04}

DID NOT USE ............................ 4 {CA04}

VOLUNTEERED: NO EVENTS TO RECORD ...... 5 {BOX_05}

REF ................................... -7 {CA04}

DK .................................... -8 {CA04}

[Code One]

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| 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. |

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CA04

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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.

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| 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. |

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| 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. |

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| GO TO BOX_05 |

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BOX_03

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OMITTED.

BOX_04

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OMITTED.

CA05

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OMITTED.

BOX_05

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| GO TO NEXT QUESTIONNAIRE SECTION |

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