Cms-p-0015a Mcbs

Medicare Current Beneficiary Survey

Section Specifications for BQF

Round 69

BACKGROUND QUESTIONNAIRE

Created on 5/9/2014 6:07:12 PM

BOX BQBEG

Box Instructions

IF BQDISP = 1/ConsentRequired OR BQDISP = 4/InitialRefusal, GO TO BQCONREF - CONREFFN.

ELSE GO TO BQ1PRE1 - BQ1PRECT.

BQCONREF Code 1

Question Text

PLEASE INDICATE THE FINAL (CONSENT/REFUAL) STATUS FOR THIS SECTION.

Field 1: CONREFFN

Field 1 Routing

Value	Label	Route
1	CONSENT OBTAINED (CONTINUE INTERVIEW)	BQ1PRE1 - BQ1PRECT
2	FINAL CONSENT DENIED	BQEND - BQENDCT
3	REFUSAL CONVERTED (CONTINUE INTERVIEW)	BQ1PRE1 - BQ1PRECT
4	FINAL REFUSAL	BQEND - BQENDCT

BQ1PRE1 No Entry

Question Text

The following questions are about (SP's) background including (his/her) use of long-term care, demographics, and (his/her) immediate family. In answering some of these questions, you might find it useful to refer to various records. Some of these questions refer to specific points in time while others are more general in nature/background.

IF THERE ARE NO CONSENT OR REFUSAL ISSUES FOR THIS SECTION, PRESS "1" TO CONTINUE.

Field 1: BQ1PRECT

Field 1 Routing

Value	Label	Route
1	CONTINUE	BQRH22A - BEFORADM
2	CONSENT REQUIRED	BQEND - BQENDCT
3	INITIAL REFUSAL	BQEND - BQENDCT

BQRH22A Code 1

Question Text

SHOW CARD RH1

Please look at this card and tell me what kind of place (SP) was in just before being admitted here on (ADMISSION DATE).

PRESS F1 FOR DEFINITIONS.

Field 1: BEFORADM

Field 1 Routing

Value	Label	Route
1	NURSING HOME/REHAB CENTER	BOX BQ3B
2	PERSONAL CARE HOME/RESIDENTIAL CARE FACILITY	BOX BQ3B
3	CCRC/RETIREMENT HOME/CENTER	BOX BQ3B
4	HOSPITAL	BOX BQ3B
5	PRIVATE HOME OR APARTMENT	BOX BQ3B
7	OTHER LTC FACILITY	BOX BQ3B
91	OTHER	BQRH22A - BEFORAOS
	Don't Know	BOX BQ3B
	Refused	BOX BQ3B

Field 2: BEFORAOS

OTHER (SPECIFY)

Field 2 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3B

BOX BQ3B

Box Instructions

IF BQRH22A - BEFORADM = 5/PrivateHomeOrApartment OR 91/Other, GO TO BQRH30AA - BLIVALONE.

ELSE GO TO BQ9PRE - BQ9PRECT.

BQRH30AA Yes/No

Question Text

Did (SP) live there alone?

Field 1: BLIVALONE

Field 1 Routing

Value	Label	Route
0	NO	BQRH30A - BLIVEWITH
1	YES	BQ9PRE - BQ9PRECT
	Don't Know	BQ9PRE - BQ9PRECT
	Refused	BQ9PRE - BQ9PRECT

BQRH30A Code All

Question Text

Who lived with (him/her) there?

SELECT ALL THAT APPLY.
SEPARATE RESPONSES BY USING THE SPACEBAR.

Field 1: BLIVEWITH

Field 1 Routing

Value	Label	Route
1	SPOUSE	BOX BQ3C1
2	DAUGHTER	BOX BQ3C1
3	SON	BOX BQ3C1
4	MOTHER	BOX BQ3C1
5	FATHER	BOX BQ3C1
6	SISTER	BOX BQ3C1
7	BROTHER	BOX BQ3C1
8	DAUGHTER-IN-LAW	BOX BQ3C1
9	SON-IN-LAW	BOX BQ3C1
10	GRANDDAUGHTER	BOX BQ3C1
11	GRANDSON	BOX BQ3C1
12	NIECE	BOX BQ3C1
13	NEPHEW	BOX BQ3C1
14	FRIEND/NEIGHBOR	BOX BQ3C1
15	NURSE/NURSE'S AIDE	BOX BQ3C1
16	BOARDER	BOX BQ3C1
17	GUARDIAN	BOX BQ3C1
91	OTHER FEMALE RELATIVE	BQRH30A - BOFROS
92	OTHER MALE RELATIVE	BQRH30A - BOMROS
93	OTHER NONRELATIVE	BQRH30A - BONROS
	Don't Know	BQ9PRE - BQ9PRECT
	Refused	BQ9PRE - BQ9PRECT

Field 2: BOFROS

OTHER FEMALE RELATIVE (SPECIFY)

Field 2 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C1

Field 3: BOMROS

OTHER MALE RELATIVE (SPECIFY)

Field 3 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C1

Field 4: BONROS

OTHER NONRELATIVE (SPECIFY)

Field 4 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C1

BOX BQ3C1

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 2/Daughter, GO TO BQRH30A1 - BDAUGN.

ELSE GO TO BOX BQ3C2.

BQRH30A1 Numeric

Question Text

How many daughters lived there?

Field 1: BDAUGN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C2
	Don't Know	BOX BQ3C2
	Refused	BOX BQ3C2

BOX BQ3C2

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 3/Son, GO TO BQRH30A2 - BSONN.

ELSE GO TO BOX BQ3C3.

BQRH30A2 Numeric

Question Text

How many sons lived there?

Field 1: BSONN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C3
	Don't Know	BOX BQ3C3
	Refused	BOX BQ3C3

BOX BQ3C3

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 6/Sister, GO TO BQRH30A3 - BSISN.

ELSE GO TO BOX BQ3C4.

BQRH30A3 Numeric

Question Text

How many sisters lived there?

Field 1: BSISN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C4
	Don't Know	BOX BQ3C4
	Refused	BOX BQ3C4

BOX BQ3C4

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 7/Brother, GO TO BQRH30A4 - BBROTN.

ELSE GO TO BOX BQ3C5.

BQRH30A4 Numeric

Question Text

How many brothers lived there?

Field 1: BBROTN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C5
	Don't Know	BOX BQ3C5
	Refused	BOX BQ3C5

BOX BQ3C5

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 8/DaughterInLaw, GO TO BQRH30A5 - BDLAWN.

ELSE GO TO BOX BQ3C6.

BQRH30A5 Numeric

Question Text

How many daughters-in-law lived there?

Field 1: BDLAWN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C6
	Don't Know	BOX BQ3C6
	Refused	BOX BQ3C6

BOX BQ3C6

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 9/SonInLaw, GO TO BQRH30A6 - BSLAWN.

ELSE GO TO BOX BQ3C7.

BQRH30A6 Numeric

Question Text

How many sons-in-law lived there?

Field 1: BSLAWN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C7
	Don't Know	BOX BQ3C7
	Refused	BOX BQ3C7

BOX BQ3C7

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 10/Granddaughter, GO TO BQRH30A7 - BGDAUN.

ELSE GO TO BOX BQ3C8.

BQRH30A7 Numeric

Question Text

How many granddaughters lived there?

Field 1: BGDAUN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C8
	Don't Know	BOX BQ3C8
	Refused	BOX BQ3C8

BOX BQ3C8

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 11/Grandson, GO TO BQRH30A8 - BGSONN.

ELSE GO TO BOX BQ3C9.

BQRH30A8 Numeric

Question Text

How many grandsons lived there?

Field 1: BGSONN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C9
	Don't Know	BOX BQ3C9
	Refused	BOX BQ3C9

BOX BQ3C9

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 12/Niece, GO TO BQRH30A9 - BNIECN.

ELSE GO TO BOX BQ3C10.

BQRH30A9 Numeric

Question Text

How many nieces lived there?

Field 1: BNIECN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C10
	Don't Know	BOX BQ3C10
	Refused	BOX BQ3C10

BOX BQ3C10

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 13/Nephew, GO TO BQRH30A10 - BNEPHN.

ELSE GO TO BOX BQ3C11.

BQRH30A10 Numeric

Question Text

How many nephews lived there?

Field 1: BNEPHN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C11
	Don't Know	BOX BQ3C11
	Refused	BOX BQ3C11

BOX BQ3C11

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 14/Friend, GO TO BQRH30A11 - BFRIEN.

ELSE GO TO BOX BQ3C12.

BQRH30A11 Numeric

Question Text

How many friends lived there?

Field 1: BFRIEN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C12
	Don't Know	BOX BQ3C12
	Refused	BOX BQ3C12

BOX BQ3C12

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 91/OtherFemaleRel, GO TO BQRH30A12 - BOFRN.

ELSE GO TO BOX BQ3C13.

BQRH30A12 Numeric

Question Text

How many (OTHER FEMALE RELATIVE)s lived there?

Field 1: BOFRN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C13
	Don't Know	BOX BQ3C13
	Refused	BOX BQ3C13

BOX BQ3C13

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 92/OtherMaleRel, GO TO BQRH30A13 - BOMRN.

ELSE GO TO BOX BQ3C14.

BQRH30A13 Numeric

Question Text

How many (OTHER MALE RELATIVE)s lived there?

Field 1: BOMRN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ3C14
	Don't Know	BOX BQ3C14
	Refused	BOX BQ3C14

BOX BQ3C14

Box Instructions

IF BQRH30A-BLIVEWITH INCLUDES 93/OtherNonRel, GO TO BQRH30A14 - BONRN.

ELSE GO TO BQ9PRE - BQ9PRECT.

BQRH30A14 Numeric

Question Text

How many (OTHER NONRELATIVE)s lived there?

Field 1: BONRN

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BQ9PRE - BQ9PRECT
	Don't Know	BQ9PRE - BQ9PRECT
	Refused	BQ9PRE - BQ9PRECT

BQ9PRE Code 1

Question Text

The next few questions are about (SP's) (level of education,) race, ethnicity, and military service.

PRESS "1" TO CONTINUE.

Field 1: BQ9PRECT

Field 1 Routing

Value	Label	Route
1	CONTINUE	BOX BQ4

BOX BQ4

Box Instructions

IF HA51-BACK.HEDULEV = DK, RF, EMPTY, OR NULL GO TO BQ9 - EDLEVELF.

ELSE GO TO BQ10A - BHISPORG.

BQ9 Code 1

Question Text

As far as you know, what (is/was) the highest level of schooling (SP) completed?

IF DK, USE CATEGORIES AS PROBES.

Field 1: EDLEVELF

Field 1 Routing

Value	Label	Route
1	NO FORMAL SCHOOLING	BQ10A - BHISPORG
2	ELEMENTARY (1ST-8TH GRADES)	BQ10A - BHISPORG
3	SOME HIGH SCHOOL (9TH-12TH GRADES)	BQ10A - BHISPORG
4	COMPLETED HIGH SCHOOL, NO COLLEGE	BQ10A - BHISPORG
5	TECHNICAL OR TRADE SCHOOL	BQ10A - BHISPORG
6	SOME COLLEGE	BQ10A - BHISPORG
7	COLLEGE GRADUATE	BQ10A - BHISPORG
8	GRADUATE DEGREE	BQ10A - BHISPORG
	Don't Know	BQ10A - BHISPORG
	Refused	BQ10A - BHISPORG

BQ10A Yes/No

Question Text

(Is/Was) (SP) of Hispanic or Latino origin?

Field 1: BHISPORG

Field 1 Routing

Value	Label	Route
0	NO	BQ11A - BQRACE
1	YES	BQ10B - BHISPORD
	Don't Know	BQ11A - BQRACE
	Refused	BQ11A - BQRACE

BQ10B Code All

Question Text

SHOW CARD BQ1AA.

Looking at this card, (is/was) (SP) Mexican, Mexican American, or
(Chicano/Chicana), Puerto Rican, Cuban, or of another Hispanic,
(Latino/Latina) or Spanish origin?

CHECK ALL THAT APPLY.

Field 1: BHISPORD

Field 1 Routing

Value	Label	Route
1	MEXICAN/MEXICAN AMERICAN/CHICANO(A)	BQ11A - BQRACE
2	PUERTO RICAN	BQ11A - BQRACE
3	CUBAN	BQ11A - BQRACE
91	OTHER HISPANIC, LATINO/A, OR SPANISH ORIGIN	BQ10B - BHISPDOS
	Don't Know	BQ11A - BQRACE
	Refused	BQ11A - BQRACE

Field 2: BHISPDOS

OTHER ORIGIN (SPECIFY)

Field 2 Routing

Value	Label	Route
1	[Continuous answer.]	BQ11A - BQRACE

BQ11A Code All

Question Text

SHOW CARD BQ1A

Please look at this card and tell me what (is/was) (SP's) race.

SELECT ALL THAT APPLY.
SEPARATE RESPONSES BY USING THE SPACEBAR.

Field 1: BQRACE

Field 1 Routing

Value	Label	Route
1	AMERICAN INDIAN OR ALASKA NATIVE	BOX BQ4A
2	ASIAN	BOX BQ4A
3	BLACK OR AFRICAN AMERICAN	BOX BQ4A
4	NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER	BOX BQ4A
5	WHITE	BOX BQ4A
91	ANOTHER RACE	BQ11A - BRACEOS
	Don't Know	BOX BQ4A
	Refused	BOX BQ4A

Field 2: BRACEOS

ANOTHER RACE (SPECIFY)

Field 2 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ4A

BOX BQ4A

Box Instructions

IF BQ11A-BQRACE INCLUDES 2/Asian, GO TO BQ11B - BRACEASD.

ELSE GO TO BOX BQ4B.

BQ11B Code All

Question Text

SHOW CARD BQ1B.

Looking at this card, (is/was) (SP) Asian Indian, Chinese, Filipino,
Japanese, Korean, Vietnamese or some other Asian group?

You can choose more than one group.

CHECK ALL THAT APPLY.

Field 1: BRACEASD

Field 1 Routing

Value	Label	Route
1	ASIAN INDIAN	BOX BQ4B
2	CHINESE	BOX BQ4B
3	FILIPINO	BOX BQ4B
4	JAPANESE	BOX BQ4B
5	KOREAN	BOX BQ4B
6	VIETNAMESE	BOX BQ4B
91	OTHER ASIAN GROUP	BQ11B - BRACASOS
	Don't Know	BOX BQ4B
	Refused	BOX BQ4B

Field 2: BRACASOS

OTHER ASIAN GROUP (SPECIFY)

Field 2 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ4B

BOX BQ4B

Box Instructions

IF BQ11A-BQRACE INCLUDES 4/NativeHawaiianOrOtherPacificIslander, GO TO BQ11C - BRACPIDT.

ELSE GO TO BOX BQ5.

BQ11C Code All

Question Text

SHOW CARD BQ1C.

Looking at this card, (is/was) (SP) Native Hawaiian, Guamanian
or Chamorro, Samoan, or some other Pacific Islander group?

You can choose more than one group.

CHECK ALL THAT APPLY.

Field 1: BRACPIDT

Field 1 Routing

Value	Label	Route
1	NATIVE HAWAIIAN	BOX BQ5
2	GUAMANIAN OR CHAMORRO	BOX BQ5
3	SAMOAN	BOX BQ5
91	OTHER PACIFIC ISLANDER GROUP	BQ11C - BRACPIOS
	Don't Know	BOX BQ5
	Refused	BOX BQ5

Field 2: BRACPIOS

OTHER PACIFIC ISLANDER GROUP (SPECIFY)

Field 2 Routing

Value	Label	Route
1	[Continuous answer.]	BOX BQ5

BOX BQ5

Box Instructions

IF SP IS LESS THAN 15 YEARS OLD, GO TO BQ18PRE - BQ18PRCT.

ELSE GO TO BQ12 - BEVERAF.

BQ12 Yes/No

Question Text

Did (SP) ever serve on active duty in the Armed Forces?

Field 1: BEVERAF

Field 1 Routing

Value	Label	Route
0	NO	BQ12B - BEVERNG
1	YES	BQ12A - BARMEDF
	Don't Know	BQ12B - BEVERNG
	Refused	BQ12B - BEVERNG

Other Programming Instructions

Background Variable Assignments

Variable Name	Assignment Instructions
AFHIST	PERS.AFHIST = BQ12 - BEVERAF

BQ12A Code All

Question Text

SHOW CARD BQ1

Looking at this card, which time periods best describe when (SP) served in the Armed Forces?

SELECT ALL THAT APPLY.
SEPARATE RESPONSES BY USING THE SPACEBAR.

Field 1: BARMEDF

Field 1 Routing

Value	Label	Route
1	IRAQ OR AFGHANISTAN CONFLICT (2001 - Present)	BQ12B - BEVERNG
2	PERSIAN GULF WAR (Aug. 1990 - March 1991)	BQ12B - BEVERNG
3	VIETNAM ERA (Aug. 1964 - May 1975)	BQ12B - BEVERNG
4	KOREAN CONFLICT (June 1950 - Jan. 1955)	BQ12B - BEVERNG
5	WORLD WAR II (Sept. 1940 - July 1947)	BQ12B - BEVERNG
6	WORLD WAR 1 (1917 - 1918)	DO NOT DISPLAY.
7	PEACE TIME ONLY (ALL OTHER TIMES)	BQ12B - BEVERNG
	Don't Know	BQ12B - BEVERNG

BQ12B Yes/No

Question Text

Was (SP) ever an active member of a National Guard or military reserve unit of the United States?

Field 1: BEVERNG

Field 1 Routing

Value	Label	Route
0	NO	BOX BQ5A
1	YES	BQ12C - BNGDUTY
	Don't Know	BOX BQ5A
	Refused	BOX BQ5A

BQ12C Yes/No

Question Text

Was all of (SP's) active duty related to National Guard or military reserve training?

Field 1: BNGDUTY

Field 1 Routing

Value	Label	Route
0	NO	BOX BQ5A
1	YES	BOX BQ5A
	Don't Know	BOX BQ5A
	Refused	BOX BQ5A

BOX BQ5A

Box Instructions

IF BQ12 - BEVERAF = 1/Yes OR BQ12B - BEVERNG = 1/Yes, GO TO BQ12E - BVARATE.

ELSE GO TO BQ13 - BMRJAN.

BQ12E Numeric

Question Text

What (is/was) (SP's) (current/most recent) VA disability rating?

THE VA DISABILITY RATING IS A PERCENTAGE IN MULTIPLES OF 10 (I.E., 10%, 20%, ETC.). ENTER THE NUMBER AS A WHOLE NUMBER. DO NOT ENTER THE "%" SIGN.

Field 1: BVARATE

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BQ13 - BMRJAN
	Don't Know	BQ13 - BMRJAN
	Refused	BQ13 - BMRJAN

BQ13 Code 1

Question Text

(Is/Was) (SP) married, widowed, divorced, separated, or never married?

Field 1: BMRJAN

Field 1 Routing

Value	Label	Route
1	MARRIED	BQ15 - BHWLIVES
2	WIDOWED	BQ18PRE - BQ18PRCT
3	DIVORCED	BQ18PRE - BQ18PRCT
4	SEPARATED	BQ18PRE - BQ18PRCT
5	NEVER MARRIED	BQ18PRE - BQ18PRCT
	Don't Know	BQ18PRE - BQ18PRCT
	Refused	BQ18PRE - BQ18PRCT

BQ15 Code 1

Question Text

SHOW CARD BQ2

Please look at this card and tell me where (SP's) (husband/wife) lives now.

Field 1: BHWLIVES

Field 1 Routing

Value	Label	Route
1	IN THIS FACILITY	BQ18PRE - BQ18PRCT
2	OTHER NURSING HOME/REHAB CENTER	BQ18PRE - BQ18PRCT
3	PERSONAL CARE HOME/RESIDENTIAL CARE FACILITY	BQ18PRE - BQ18PRCT
4	CCRC/RETIREMENT HOME/CENTER	BQ18PRE - BQ18PRCT
5	HOSPITAL	BQ18PRE - BQ18PRCT
6	PRIVATE HOME OR APARTMENT	BQ18PRE - BQ18PRCT
7	SPOUSE DECEASED	BQ18PRE - BQ18PRCT
8	OTHER LTC FACILITY	BQ18PRE - BQ18PRCT
91	OTHER	BQ15 - BHWLIVOS
	Don't Know	BQ18PRE - BQ18PRCT
	Refused	BQ18PRE - BQ18PRCT

Field 2: BHWLIVOS

OTHER (SPECIFY)

Field 2 Routing

Value	Label	Route
1	[Continuous answer.]	BQ18PRE - BQ18PRCT

BQ18PRE Code 1

Question Text

The next few questions are about (SP's) immediate family.

PRESS "1" TO CONTINUE.

Field 1: BQ18PRCT

Field 1 Routing

Value	Label	Route
1	CONTINUE	BOX BQ10

BOX BQ10

Box Instructions

IF SP IS LESS THAN 15 YEARS OLD, GO TO BQ24 - BINCOAMT.

ELSE GO TO BQ18 - BTOTLDAU.

BQ18 Numeric

Question Text

How many living daughters altogether (does/did) (SP) have, including any who may live far away?

PRESS F1 FOR DEFINITION OF DAUGHTER.

Field 1: BTOTLDAU

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BQ19 - BTOTLSON
	Don't Know	BQ19 - BTOTLSON
	Refused	BQ19 - BTOTLSON

BQ19 Numeric

Question Text

How many living sons altogether (does/did) (SP) have, including any who may live far away?

PRESS F1 FOR DEFINITION OF SON.

Field 1: BTOTLSON

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BQ24 - BINCOAMT
	Don't Know	BQ24 - BINCOAMT
	Refused	BQ24 - BINCOAMT

BQ24 Dollar

Question Text

In studies like this, people are sometimes grouped together according to income.

SHOW CARD BQ3

Looking at this card, please tell me what (is/was) the total yearly income (SP) [and (his/her) spouse] received from jobs, businesses, interest, Social Security, Railroad Retirement, Supplemental Security Income (SSI), pensions, and any other sources of income, before taxes or any deductions.

ENTER A WHOLE DOLLAR AMOUNT FOLLOWED BY ".00"

Field 1: BINCOAMT

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BQ28 - DIDABBQ
	Don't Know	BQ25 - BLESS25
	Refused	BQ25 - BLESS25

BQ25 Yes/No

Question Text

(Is/Was) it less than $25,000?

Field 1: BLESS25

Field 1 Routing

Value	Label	Route
0	NO	BQ27 - BHOWMORE
1	YES	BQ26 - BHOWLESS
	Don't Know	BQ28 - DIDABBQ
	Refused	BQ28 - DIDABBQ

BQ26 Code 1

Question Text

Would you say it (is/was)…

Field 1: BHOWLESS

Field 1 Routing

Value	Label	Route
1	Less than $5,000,	BQ28 - DIDABBQ
2	$5,000 to $9,999,	BQ28 - DIDABBQ
3	$10,000 to $14,999,	BQ28 - DIDABBQ
4	$15,000 to $19,999, or	BQ28 - DIDABBQ
5	$20,000 to $24,999?	BQ28 - DIDABBQ
	Don't Know	BQ28 - DIDABBQ
	Refused	BQ28 - DIDABBQ

BQ27 Code 1

Question Text

Would you say it (is/was)…

Field 1: BHOWMORE

Field 1 Routing

Value	Label	Route
1	$25,000 to $29,999,	BQ28 - DIDABBQ
2	$30,000 to $34,999,	BQ28 - DIDABBQ
3	$35,000 to $39,999,	BQ28 - DIDABBQ
4	$40,000 to $44,999,	BQ28 - DIDABBQ
5	$45,000 to $49,999, or	BQ28 - DIDABBQ
6	$50,000 or more?	BQ28 - DIDABBQ
	Don't Know	BQ28 - DIDABBQ
	Refused	BQ28 - DIDABBQ

BQ28 Code 1

Question Text

DID YOU ABSTRACT?

Field 1: DIDABBQ

Field 1 Routing

Value	Label	Route
1	ALL	BQ29 - WHYABBQ
2	MAJORITY	BQ29 - WHYABBQ
3	HALF	BQ29 - WHYABBQ
4	SOME	BQ29 - WHYABBQ
5	NONE	BQEND - BQENDCT

BQ29 Code 1

Question Text

WHY DID YOU ABSTRACT?

Field 1: WHYABBQ

Field 1 Routing

Value	Label	Route
1	NO KNOWLEDGEABLE RESPONDENT AVAILABLE	BQEND - BQENDCT
2	NO TIME/STAFF BURDEN TOO GREAT	BQEND - BQENDCT
3	REFUSAL--UNWILLING TO COOPERATE	BQEND - BQENDCT
91	OTHER	BQ29VB - WHYABBOS

BQ29VB Verbatim Text

Question Text

WHY DID YOU ABSTRACT?

Field 1: WHYABBOS

OTHER (SPECIFY)

Field 1 Routing

Value	Label	Route
1	[Continuous answer.]	BQEND - BQENDCT

BQEND Code 1

Question Text

(YOU HAVE COMPLETED THE BACKGROUND SECTION FOR THIS SP.)

PRESS "1" TO RETURN TO NAVIGATION SCREEN.

Field 1: BQENDCT

Field 1 Routing

Value	Label	Route
1	CONTINUE	BOX BQEND

Other Programming Instructions

Background Variable Assignments

BQDISP:
If BQ1PRE1-BQ1PRECT = 2/ConsentRequired, BQDISP = 1/ConsentRequired.
Else if BQ1PRE1-BQ1PRECT = 3/InitialRefusal, BQDISP = 4/InitialRefusal.
Else if BQCONREF-CONREFFN = 2/FinalConsentDenied, BQDISP = 11/FinalConsentDenied.
Else if BQCONREF-CONREFFN = 4/FinalRefusal, BQDISP = 12/FinalRefusal.
Else if BQ1PRE1-BQ1PRECT = 1/Continue and (BQ11A-BQRACE = DK or RF or BQ13-BMRJAN = DK or RF) then BQDISP = 94/MissingData.
Else BQDISP = 96/Complete.

BOX BQEND

Box Instructions

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