Attachment B - R74 KNQ (Sept 2015).

Beneficiary Knowledge and Information Needs (KNQ)
Variable Name

MR Screen Name

Question type

KNINTR

KNINTRO

no entry

KNOWMC

KCARKNOW

KNINFMCR

KNINTMCR

KNCOVOPT

KN1

KN2

KN25B1

KN25C

KN25D

code 1

code 1

Question text/description
Now I have some questions that ask how you get information
about the Medicare program [for (SP)]. Your answers will help
Medicare provide the information that people need.

KN25E

In the past year, have you tried to find any information [for (SP)]
about Medicare?

code 1

SHOW CARD KN7
How interested are you in getting (more) information [for (SP)]
about Medicare?

code 1

(01) CONTINUE
(-7) Empty

[for(SP)] respondent is proxy

How easy or difficult would you say it is for [you/(SP)] to review
and compare [your/his/her] Medicare coverage options? Would
you say it is …

How often [do you/does (SP)] review or compare [your/his/her]
Medicare coverage options? Would that be at least once every
year, once every few years, rarely, or never?

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
(01) VERY INTERESTED
(02) SOMEWHAT INTERESTED
(03) NOT VERY INTERESTED
(04) NOT AT ALL INTERESTED
(-8) Don't Know
(-9) Refused
(01) Very easy
(02) Somewhat easy
(03) Somewhat difficult
(04) Very difficult
(05) DOES NOT MAKE DECISIONS ON HEALTH INSURANCE
(-8) Don't Know
(-9) Refused
(01) AT LEAST ONCE EVERY YEAR
(02) ONCE EVERY FEW YEARS
(03) RARELY
(04) NEVER
(05) ONLY ONCE WHEN FIRST SIGNED UP FOR DRUG PLAN
(06) ONLY ONCE WHEN FIRST SIGNED UP FOR MEDICARE
(07) JUST SIGNED UP FOR MEDICARE
(-8) DON'T KNOW
(-9) REFUSED

Input mask

Routing

KN1 - KNOWMC

KN2 - KCARKNOW

SHOW CARD KN2
(01) JUST ABOUT EVERYTHING YOU NEED TO KNOW
How much do you think you know about the Medicare program? (02) MOST OF WHAT YOU NEED TO KNOW
(03) SOME OF WHAT YOU NEED TO KNOW
Do you know just about everything you need to know, most of
(04) A LITTLE OF WHAT YOU NEED TO KNOW
what you need to know, some of what you need to know, a little (05) ALMOST NONE OF WHAT YOU NEED TO KNOW
of what you need to know or almost none of what you need to
(-8) Don't Know
know about the Medicare program?
(-9) Refused

SHOW CARD KNX
KNCOVREV

Text Fill Logic

Keep in mind that, generally, there are no right or wrong answers
to these questions. Your opinions and experiences are important
to us.
SHOW CARD KN1
(01) VERY EASY
Overall, how easy or difficult do you think the Medicare program
(02) SOMEWHAT EASY
is to understand?
(03) SOMEWHAT DIFFICULT
(04) VERY DIFFICULT
[PROBE IF NECESSARY: Would you say it is very easy to
(-8) Don't Know
understand, somewhat easy to understand, somewhat difficult to
(-9) Refused
understand, or very difficult to understand?]

yes/no

code 1

Code list

BOX KN1 KN25B1 - KNINFMCR.

[for(SP)] respondent is proxy

KN25C - KNINTMCR

[for(SP)] respondent is proxy

KN26 - KNFOSATI KN25D-KNCOVOPT

[you] respondent is SP
[(SP)] respondent is proxy
[your] respondent is SP
[his] respondent is proxy, SP is male
[her] respondent is proxy, SP is female

KN25E-KNCOVREV

[do you] respondent is SP
[does (SP)] respondent is proxy
[your] respondent is SP
[his] respondent is proxy, SP is male
[her] respondent is proxy, SP is female

KN35F-KNCOVINF

SHOW CARD KNX

KNCOVINF

KN25F

code 1

KNFOSATI

KN26

code 1

KN27IN

KN27INT

no entry

KBOKRECD

KBOKREAD

KN27

KN28

yes/no

code 1

(01) Completely agree
(02) Somewhat agree
To what extent do you agree or disagree with the following
(03) Somewhat disagree
statement:
(04) Completely disagree
[I have/(SP) has] the information [I need/he needs/she needs] to
(05) DOES NOT MAKE DECISIONS ON HEALTH INSURANCE
make an informed comparison among different health insurance
(-8) Don't Know
choices.
(-9) Refused
Would you say you …
(01) VERY SATISFIED
(02) SATISFIED
SHOW CARD KN4
(03) DISSATISFIED
How satisfied are you in general with the availability of
(04) VERY DISSATISFIED
information about the Medicare program when you need it [for
(05) NOT APPLICABLE
(SP)]?
(-8) Don't Know
(-9) Refused
Now I would like to ask you about publications that are available (01) CONTINUE
to you [and (SP)] about the Medicare program.
(-7) Empty
SHOW CARD KN5
Did [you/(SP)] receive in the mail or view on the Medicare website (01) YES
a book called "Medicare and You
(02) NO
2015[CURRENT YEAR]?” This book gives an overview of the
(-8) Don't Know
Medicare program and is sent to Medicare beneficiaries every fall. (-9) Refused
The cover looks like this.
(01) READ IT THOROUGHLY
(02) READ PARTS OF IT
Would you say you have read this book thoroughly, that you have
(03) HAVEN'T READ IT AT ALL
read parts of it, or that you haven't read it at all?
(-8) Don't Know
(-9) Refused

[I have] respondent is SP
[(SP) has] respondent is proxy
[I need] respondent is SP
[he needs] respondent is proxy, SP is male
[she needs] respondent is proxy, SP is female

KN26 - KNFOSATI

[for(SP)] respondent is proxy

KN27INT - KN27IN

[and (SP)] respondent is proxy

KN27 - KBOKRECD

[you] respondent is SP
[(SP)] respondent is proxy

(01) KN28 - KBOKREAD
(02) BOX KN1A
(-8) BOX KN1A
(-9) BOX KN1A
(01) KN29 - KBOKUNDR
(02) KN29 - KBOKUNDR
(03) BOX KN1A
(-8) BOX KN1A
(-9) BOX KN1A

SHOW CARD KN1
How easy or difficult did you find (the parts you read/this book)
to understand?
KBOKUNDR

KN29

code 1
[PROBE IF NECESSARY: Would you say (they were/it was) very
easy to understand, somewhat easy to understand, somewhat
difficult to understand, or very difficult to understand?]
Next, I'd like to ask about [your/(SP's)] use of computers.

KNHAVCOM

KN50

yes/no

[Do you/Does (SP)] have a personal computer in (your/his/her)
home?
Some people use the Internet to get different kinds of
information. The next questions ask about the Internet.

KN51IN

KN51INT

KNETFRND

KNETOFTN

KVSITWEB

KN51A

KN51B

code 1

yes/no

KN51C

code 1

BOX KN7

routing

KN53

yes/no

[the parts you read] respondent only read parts
of book
[this book] respondent read entire book
[they were] respondent only read parts of book
[it was] respondent read entire book

BOX KN1A KN50 - KNHAVCOM

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

[your] respondent is SP
[(SP's)] respondent is proxy
[Do you] respondent is SP
[Does (SP)] respondent is proxy
[your] respondent is SP
[his] respondent is proxy, SP male
[her] respondent is proxy, SP female

KN51INT - KN51IN

(01) CONTINUE
(-7) Empty

KN51A - KNETPERS

[Do you/Does (SP)] personally ever use the Internet to get
information of any kind?

(01) YES
(02) NO
(03) NEVER HEARD OF THE INTERNET
(-8) Don't Know
(-9) Refused

[Do you] respondent is SP
[Does (SP)] respondent is proxy

(01) KN51C - KNETOFTN
(02) KN51B - KNETFRND
(03) BOX KN8
(-8) BOX KN8
(-9) BOX KN8

[Do you/Does(SP)] have someone else, such as a friend, relative,
or anyone else, get information for (you/him/her) on the
Internet?

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

[Do you] respondent is SP
[Does (SP)] respondent is proxy
[you] respondent is SP
[him] respondent is proxy, SP male
[her] respondent is proxy, SP female

(01) KN51C - KNETOFTN
(02) BOX KN8
(-8) BOX KN8
(-9) BOX KN8

[do you] respondent is SP
[does (SP)] respondent is proxy
[your] respondent is SP
[his] respondent is proxy, SP male
[her] respondent is proxy, SP female

BOX KN7

[Has anyone] respondent is SP or proxy, used if
(for [you/SP]) used
If KN51B - KNETFRND = 1/YES, display "Has
anyone". Else display {Have you/Has (SP)] where
[Have you] respondent is SP
[Has (SP)] respondent is proxy
[for you] respondent is SP, used if [Has anyone]
used
[for (SP)] respondent is proxy, used if [Has
anyone] used
If KN51B - KNETFRND = 1/YES, display " - for
[you/{SP}], else do not display.

BOX KN7A KN53D - KNDOCREC

[you] respondent is SP
[(SP)] respondent is proxy
[visit] respondent is SP
[visits] respondent is proxy
[your] respondent is SP
[his] respondent is proxy, SP male
[her] respondent is proxy, SP female
[your] respondent is SP
[(SP's)] respondent is proxy
[you are] respondent is SP
[he is] respondent is proxy, SP male
[she is] respondent is proxy, SP female

BOX KN8

no entry
[EXPLAIN IF NECESSARY: The Internet includes web sites, e-mail,
newsgroups, and other forums.]

KNETPERS

(01) VERY EASY
(02) SOMEWHAT EASY
(03) SOMEWHAT DIFFICULT
(04) VERY DIFFICULT
(-8) Don't Know
(-9) Refused

(01) EVERY DAY
How often [do you/does (SP)] access the Internet to seek
(02) A FEW TIMES A WEEK
information, either on (your/his/her) own or with someone else's
(03) A FEW TIMES PER MONTH
help?
(04) A FEW TIMES PER YEAR OR LESS
(-8) Don't Know
Please do not include any time spent reading or sending e-mail.
(-9) Refused
IF SP DID NOT REPORT VISITING OR ACCESSING THE OFFICAL
WEBSITE FOR MEDICARE INFORMATION IN ANY PREVIOUS
ROUND (SAMPLE_PERSON.P_KVISITWEB ^=1) GO TO KN53 KVSITWEB.
ELSE GO TO BOX KN7A.

(01) YES
(Has anyone/[Have you/Has (SP)]) ever visited or ever accessed
(02) NO
the official website for Medicare information - www.medicare.gov
(-8) Don't Know
(- for [you/(SP)])?
(-9) Refused

Many health care providers are beginning to use electronic or
computer-based medical records instead of using paper-based
records.

KNDOCREC

KN53D

yes/no

(01) YES
When [you/(SP)] (visit/visits) (your/his/her) usual doctor, does the
(02) NO
doctor generally enter [your/(SP's)] health information into a
(-8) Don't Know
computer while (you are/he is/she is) present?
(-9) Refused
[EXPLAIN IF NECESSARY: "Health Information" includes
information such as symptoms, vital signs, test results, or
prescribed medicines.]

BOX KN8

KCHIHELP

routing

KN54

code 1

BOX KN9

routing

IF PROXY IS RESPONDENT, GO TO BOX KN9.
ELSE GO TO KN54 - KCHIHELP.
(01) MAKES DECISIONS ON OWN
Most of the time, do you make decisions about Medicare health
(02) GETS HELP ON DECISIONS
insurance on your own, do you get help from someone in making
(03) SOMEONE ELSE MAKES DECISIONS
these decisions, or do you rely on someone else to make decisions
(-8) Don't Know
about health insurance for you?
(-9) Refused
IF IT IS UNKNOWN WHETHER OR NOT THIS SP IS AWARE OF THE 1800 MEDICARE LINE (SAMPLE_PERSON.P_KREELINE = .), GO TO
KN56 - KREELINE.
ELSE GO TO BOX KN10.

BOX KN9

KREELINE

KN56

BOX KN10

KCPHINFO

KCSUGGST

KN57

yes/no

Before today, were you aware of the 1-800-MEDICARE toll-free
line?

routing

IF SP DID NOT REPORT CALLING 1-800-MEDICARE TO GET
INFORMATION ABOUT MEDICARE IN ANY PREVIOUS ROUND
(SAMPLE_PERSON.P_KREELINE ^= 1) GO TO KN57 - KCPHINFO.
ELSE GO TO KN58 - KCSUGGST.

yes/no

Have you ever called 1-800-MEDICARE to get information about
Medicare?

KN58

verbatim text

BOX KNEND

routing

As you know, this survey is sponsored by the Centers for
Medicare and Medicaid Services, which is the government agency
that runs Medicare. What are your suggestions or concerns about
Medicare?
RECORD VERBATIM.
GO TO NEXT SECTION

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

(01) KN57 - KCPHINFO
(02) KN58 - KCSUGGST
(-8) KN58 - KCSUGGST
(-9) KN58 - KCSUGGST

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

KN58 - KCSUGGST

(01) R DOES NOT HAVE SUGGESTIONS OR CONCERNS
(02) RECORD ALL OTHER RESPONSES VERBATIM
(-8) Don't Know
(-9) Refused

(01) BOX KNEND KNEND - KNENDSCR
(02) KN58 - KCSUGGVB
(-8) BOX KNEND KNEND - KNENDSCR
(-9) BOX KNEND KNEND - KNENDSCR