CMS-P-0015A Comm2018R80USQ

Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)

Comm2018R80USQ

Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

OMB: 0938-0568

Document [pdf]
Download: pdf | pdf
Usual Source of Care (USQ)
Variable Name

MR Screen Name

Question type

Question text/description

Code List

Routing

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

(01) US2 - PLACEKND
(02) BOX USA
(-8) BOX USA
(-9) BOX USA

USQ SPECIFICATIONS
CRITERIA
INTTYPE=C001, C002, C004, C005, C006, C007
SPALIVE=1
SEASON= WINTER
SPPROXY=SP or PROXY
Other: N/A
PLACEMENT
Administer after KNQ.

PLACEPAR

US1

BOX USA

yes/no

Is there a particular doctor or other health professional, or a clinic [you/(SP)]
usually [go/goes] to when [you are/he is/she is] sick or for advice about
[your/his/her] health?

routing

IF SP ever reported speaking a language other than English in the home
(SAMPLE_PERSON.WHATLANG EQUALS 1-"SPANISH", 2-"FRENCH", 3"GERMAN", OR 91-"Other, Specify") AND P_ENGWELL=1, GO TO LEP6LANGPROB.
ELSE IF ((SAMPLE_PERSON.WHATLANG EQUALS 1-"SPANISH", 2-"FRENCH", 3"GERMAN", OR 91-"Other, Specify") AND P_ENGWELL=0 or missing) OR
(SAMPLE_PERSON.WHATLANG=MISSING, DK, RF), GO TO US39 – NUSNOTSK.

(01) BOX USB
(02) BOX USB
(03) US3A - CLNAME
(04) US3A - CLNAME
(05) US3A - CLNAME
(06) US3A - CLNAME
(07) US3A - CLNAME
(08) US3A - CLNAME
(09) US3A - CLNAME
(10) US5A - MDNAME
(11) US3A - CLNAME
(12) US3A - CLNAME
(13) US3A - CLNAME
(14) US3A - CLNAME
(91) US2 - PLACEOS
(-8) US3A - CLNAME
(-9) US3A - CLNAME
US3A - CLNAME

PLACEKND

US2

code one

(01) DOCTOR'S OFFICE OR GROUP PRACTICE
(02) MEDICAL CLINIC
(03) MANAGED CARE PLAN CENTER/HMO
(04) NEIGHBORHOOD/FAMILY HEALTH CENTER
(05) FREESTANDING SURGICAL CENTER
What kind of place [do you/does (SP)] usually go to when [you are/he is/she (06) RURAL HEALTH CLINIC
is] sick or for advice about [your/his/her] health -- is that a managed care plan (07) COMPANY CLINIC
(08) OTHER CLINIC
or HMO center, a clinic, a doctor or other health professional's office, a
(09) WALK-IN URGENT CENTER
hospital, or some other place?
(10) DOCTOR COMES TO SP'S HOME
IF CLINIC, ASK: Is it a hospital outpatient clinic, or some other kind of clinic? (11) HOSPITAL EMERGENCY ROOM
(12) HOSPITAL OUTPATIENT DEPARTMENT/CLINIC
IF SOME OTHER PLACE, ASK: Where is this?
(13) VA FACILITY
(14) MENTAL HEALTH CENTER
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

PLACEOS

US2

text

OTHER (SPECIFY)

(01) CONTINUOUS ANSWER

BOX USB

PLACEMCP

routing

IF SP WAS COVERED BY A MANAGED CARE PLAN ANYTIME DURING THE
CURRENT ROUND, GO TO US2A - PLACEMCP.
ELSE IF US2 - PLACEKND = 1/DoctorsOffice, GO TO US5A - MDNAME.
ELSE GO TO US3A - CLNAME.

US2A

yes/no

Is this [doctor or other health professional/medical clinic] associated with
[your/his/her] [READ MANAGED CARE PLAN NAME(S) BELOW] plan?

BOX USC

routing

IF US2 - PLACEKND = 1/DoctorsOffice, GO TO US5A - MDNAME.
ELSE GO TO US3A - CLNAME.

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

BOX USC

(01) continuous answer

US4 - USUALDOC

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

(01) US5A - MDNAME
(02) BOX USD
(-8) US8 - GETUSHOW
(-9) US8 - GETUSHOW

(01) CONTINUOUS ANSWER

MDSEX - US5B

(01) MALE
(02) FEMALE
(-8) DON’T KNOW
(-9) REFUSED

US6A - MDSPEC

What is the complete name of the [place/managed care plan or HMO
center/(US2 RESPONSE)] that [you go to/(SP) goes to]?
CLNAME

US3A

verbatim text
[ENCOURAGE THE RESPONDENT TO REFER TO A BILL, TELEPHONE DIRECTORY,
APPOINTMENT CARD, ETC., FOR COMPLETE INFORMATION.]

USUALDOC

US4

yes/no

Is there a particular doctor or other health professional [you usually see/(SP)
usually sees] at this [place/managed care plan or HMO center/(US2
RESPONSE)]?
What is the complete name of that doctor or other health professional?

MDNAME

MDSEX

US5A

US5B

verbatim text

code one

[ENCOURAGE THE RESPONDENT TO REFER TO A BILL, TELEPHONE DIRECTORY,
APPOINTMENT CARD, ETC., FOR COMPLETE INFORMATION.]

Is (US5A PROVIDER NAME) a male or female?

SHOW CARD US1
What is (US5A PROVIDER NAME)'s specialty?
MDSPEC

US6A

code one

[PROBE FOR RESPONDENT TO SELECT A CHOICE FROM THE CARD IF THEY
MENTION A 'GENERIC' SPECIALITY LIKE ‘HEART DOCTOR.’ IF RESPONDENT
ONLY GIVES A 'GENERIC' SPECIALTY AND THE GENERIC WORD IS SHOWN IN
PARENTHESES FOLLOWING ONE OF THE RESPONSES, SELECT THE RESPONSE
CATEGORY FOR THAT SPECIALTY (E.G., 'CARDIOLOGY'). OTHERWISE SELECT
'OTHER DR SPECIALTY'.]

(01) ALLERGY/IMMUNOLOGY
(02) ANESTHESIOLOGY
(03) CARDIOLOGY (HEART)
(05) DERMATOLOGY (SKIN)
(07) ENDOCRINOLOGY/ METABOLISM (DIABETES,
THYROID)
(08) FAMILY PRACTICE
(09) GASTROENTEROLOGY
(10) GENERAL PRACTICE
(11) GENERAL SURGERY
(12) GERIATRICS (ELDERLY)
(13) GYNECOLOGY - OBSTETRICS
(14) HEMATOLOGY (BLOOD)
(15) HOSPITAL RESIDENCE
(16) INTERNAL MEDICINE (INTERNIST)
(17) NEPHROLOGY (KIDNEYS)
(18) NEUROLOGY
(19) NUCLEAR MEDICINE
(20) ONCOLOGY (TUMORS, CANCER)
(21) OPHTHALMOLOGY (EYES)
(22) ORTHOPEDICS
(24) OSTEOPATHY (DO)
(25) OTORHINOLARYNGOLOGY (EAR, NOSE, THROAT)
(26) PATHOLOGY
(27) PHYS MED/REHAB
(36) PHYSICIAN’S ASSISTANT
(28) PLASTIC SURGERY
(29) PROCTOLOGY
(30) PSYCHIATRY/PSYCHIATRIST
(31) PULMONARY (LUNGS)
(32) RADIOLOGY
(33) RHEUMATOLOGY (ARTHRITIS)
(34) THORACIC SURGERY (CHEST)
(35) UROLOGY
(91) OTHER DR SPECIALTY
(-8) DON'T KNOW
(-9) REFUSED

(01)-(05) BOX USD
(07)-(36) BOX USD
(91) US6A - MDSPECOS
(-8) BOX USD
(-9)BOX USD

(01) CONTINUOUS ANSWER

BOX USD

OTHER DR SPECIALTY (SPECIFY)

MDSPECOS

US6A

text

BOX USD

routing

[PROBE FOR RESPONDENT TO SELECT A CHOICE FROM THE CARD IF THEY
MENTION A 'GENERIC' SPECIALITY LIKE ‘HEART DOCTOR.’ IF RESPONDENT
ONLY GIVES A 'GENERIC' SPECIALTY AND THE GENERIC WORD IS SHOWN IN
PARENTHESES FOLLOWING ONE OF THE RESPONSES, SELECT THE RESPONSE
CATEGORY FOR THAT SPECIALTY (E.G., 'CARDIOLOGY'). OTHERWISE SELECT
'OTHER DR SPECIALTY'.]

IF (SAMPLE_PERSON.WHATLANG EQUALS 1-"SPANISH", 2-"FRENCH", 3"GERMAN", OR 91-"Other, Specify"), GO TO LEP1A-LANGPREF.
IF SAMPLE_PERSON.WHATLANG=MISSING, DK, RF, GO TO BOX US1.

LANGPREF

LEP1A

select one

In general, in what language [do you/does (SP)] prefer to receive
[your/his/her] medical care?

(01) English
(02) [LANGUAGE SPOKEN AT HOME], or
(03) Both English and [LANGUAGE SPOKEN AT
HOME] equally
(91) OTHER
(-8) Don't Know
(-9) Refused

LANGPFOS

LEP1B

verbatim text

In general, in what language [do you/does (SP)] prefer to receive
[your/his/her] medical care?

(01) CONTINUOUS ANSWER

LANGPRVD

LEP2

select one

LANGCOMM

LEP3

select one

BOX LEP1

routing

(01) YES
[Does (US5A PROVIDER NAME)/Do the providers at (US3A PROVIDER NAME)] (02) NO
(-8) DON'T KNOW
speak [LANGUAGE SPOKEN AT HOME/LEP1B-LANGPFOS]?
(-9) REFUSED
SHOW CARD US2
(01) VERY WELL
(02) WELL
How well can [you/(SP)] and [(US5A PROVIDER NAME)/the providers at (US3A (03) NOT WELL
(04) NOT AT ALL
PROVIDER NAME)] communicate in [LANGUAGE SPOKEN AT HOME/LEP1BLANGPFOS] about [your/his/her] symptoms? Very well, well, not well, or not (-8) DON’T KNOW
at all?
(-9) REFUSED

LEP4

select one

BOX LEP2

routing

Without the aid of a translator, language assistant, or interpreter, how well
can [you/(SP)] and [(US5A PROVIDER NAME)/the providers at (US3A
PROVIDER NAME)] communicate in English about [your/his/her] symptoms?
Very well, well, not well, or not at all?

LEP5

select all

Who helps [you/(SP)] communicate with [(US5A PROVIDER NAME)/the
providers at (US3A PROVIDER NAME)] – a professional interpreter, a staff
person at [your/his/her] provider's office, a family member, a friend, or do
[you/(SP)] do the best that [you/(SP)] can in English?
PROBE: Anyone else?

LANGPROB

LEP6

select one

(01) LEP3-LANGCOMM
(02) LEP4-LANGSYMP
(-8) LEP4-LANGSYMP
(-9) LEP4-LANGSYMP

BOX LEP1

(01) VERY WELL
(02) WELL
(03) NOT WELL
(04) NOT AT ALL
(-8) DON’T KNOW
(-9) REFUSED

BOX LEP2

IF P_ENGWELL=1, GO TO LEP5-LANGASST. ELSE GO TO BOX US1.
SHOW CARD US3

LANGASST

LEP2-LANGPRVD

IF P_ENGWELL=1, GO TO LEP6-LANGPROB. ELSE GO TO BOX US1.

SHOW CARD US2
LANGSYMP

(01) LEP4-LANGSYMP
(02) LEP2-LANGPRVD
(03) LEP2-LANGPRVD
(91) LEP1B-LANGPFOS
(-8) LEP2-LANGPRVD
(-9) LEP2-LANGPRVD

Have [you/(SP)] ever had a problem understanding a medical situation
because it was not explained in [LANGAUGE SPOKEN AT HOME/LEP1BLANGPFOS]?

(01) PROFESSIONAL INTERPRETER
(02) STAFF PERSON AT MEDICAL PROVIDER’S OFFICE
(03) FAMILY MEMBER
(04) FRIEND
LEP6-LANGPROB
(05) SOMEONE ELSE
(06) DOES BEST THAT CAN IN ENGLISH
(-8) DON’T KNOW
(-9) REFUSED
(01) YES
(02) NO
(-8) DON’T KNOW
(-9) REFUSED

LEP7-LANGHELP

SHOW CARD US3
(01) PROFESSIONAL INTERPRETER
(02) STAFF PERSON AT MEDICAL PROVIDER’S OFFICE
(03) FAMILY MEMBER
(04) FRIEND
BOX US1
Who helps [you/(SP)] communicate with medical providers who do not speak (05) SOMEONE ELSE
(06) DOES BEST THAT CAN IN ENGLISH
[LANGUAGE SPOKEN AT HOME/LEP1B-LANGPFOS]– a professional
(07) DOES NOT SEE A MEDICAL PROVIDER
interpreter, a staff person at [your/his/her] provider's office, a family
member, a friend, or do [you/(SP)] do the best that [you/(SP)] can in English? (-8) DON’T KNOW
(-9) REFUSED
PROBE: Anyone else?
Now think about all of [your/(SP)'s] medical providers other than
[your/his/her] usual provider.
LANGHELP

LEP7

select all

BOX US1

routing

IF US1 - PLACEPAR = NO, DK, or RF, GO TO US39 - NUSNOTSK.
ELSE IF US2 - PLACEKND = 10/AtHome, GO TO PP1A-PROVYR.
ELSE GO TO US8 - GETUSHOW.

How [do you/does (SP)] usually get to [(US5A PROVIDER NAME)'S
office/(US3A PROVIDER NAME)]?

(01) WALKING
(02) DRIVING
(03) BEING DRIVEN
(04) AMBULANCE OR OTHER SPECIAL VEHICLE
(05) TAXI
(06) OTHER PUBLIC TRANSPORTATION
(07) DR. USUALLY COMES TO HOME
(08) SeniorCitizenVan DO NOT DISPLAY.
(91) SOME OTHER WAY
(-8) DON'T KNOW
(-9) REFUSED
(01) continuous answer
(01) HOURS ONLY
(02) MINUTES ONLY
(03) HOURS AND MINUTES
(-8) DON'T KNOW
(-9) REFUSED

GETUSHOW

US8

code one

GETUSOS

US8

verbatim text

SOME OTHER WAY (SPECIFY)

GETUSUNT

US9

code one

About how long does it usually take for [you/(SP)] to get there?

GETUSHRS

US9

numeric

HOURS:

(01) CONTINUOUS ANSWER

GETUSMIN

US9

numeric

MINUTES:

ACCOMPUS

US10

yes/no

[Do you/Does (SP)] usually have someone accompany [you/him/her] there?

(01) CONTINUOUS ANSWER
(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

[EXPLAIN IF NECESSARY: [Do you/Does (SP)] get there by walking, driving,
being driven by someone else, by ambulance or other special vehicle for
disabled people, by taxi, other public transportation, or some other way?]

(01) US9 - GETUSUNT
(02) US9 - GETUSUNT
(03) US9 - GETUSUNT
(04) US9 - GETUSUNT
(05) US9 - GETUSUNT
(06) US9 - GETUSUNT
(07) PP1A-PROVYR
(08) DO NOT DISPLAY.
(91) US8 - GETUSOS
(-8) PP1A-PROVYR
(-9) PP1A-PROVYR
US9 - GETUSUNT
(01) US9 - GETUSHRS
(02) US9 - GETUSMIN
(03) US9 - GETUSHRS
(-8) US10 - ACCOMPUS
(-9) US10 - ACCOMPUS
If US9 GETUSUNT=3/HoursAndMinutes go
to US9 - GETUSMIN.
Else go to US10 - ACCOMPUS.
US10 - ACCOMPUS
(01) US11 - PERSON_USUALGO
(02) PP1A-PROVYR
(-8) PP1A-PROVYR
(-9) PP1A-PROVYR

Who usually goes with [you/(SP)]?

PERSON_USUALG
US11
O

roster

ROSTFNAM
ROSTLNAM

text
text

ROSTREL

ROSTREOS

US11_NEW
US11_NEW

US11_NEW

US11_NEW

SELECT OR ADD ONLY ONE PERSON

code one

verbatim text

[What is the name of the person and relationship to (SP)?]
[What is the name of the person and relationship to (SP)?]

[What is the name of the person and relationship to (SP)?]

[What is the name of the person and relationship to (SP)?]

DISPLAY PERSON ROSTER AS RESPONSE OPTIONS:
1. [PERSON 1]
2. [PERSON 2]
…
(01-N) LIST ALL PERSONS AS RESPONSE OPTIONS
(N+1) ADD ANOTHER
DISPLAY:
1 First Name Display ROST.ROSTFNAM.
2 Last Name Display ROST.ROSTLNAM.
3 Relationship to SP Display relationship:
If ROST.ROSTREL=91/OtherRelative or 92/OtherNonRelative, display ROST.ROSTREOS.
Else display ROST.ROSTREL relationship.
(01) CONTINUOUS ANSWER
(01) CONTINUOUS ANSWER
(02) SPOUSE
(03) SON
(04) DAUGHTER
(05) BROTHER
(06) SISTER
(07) FATHER
(08) MOTHER
(09) SON-IN-LAW
(10) DAUGHTER-IN-LAW
(11) GRANDSON
(12) GRANDDAUGHTER
(13) NEPHEW
(14) NIECE
(51) FRIEND/NEIGHBOR
(52) BOARDER
(53) NURSE/NURSE'S AIDE
(54) LEGAL/FINANCIAL OFFICER
(55) GUARDIAN
(56) PARTNER
(57) ROOMMATE
(91) OTHER
(-8) Don't Know
(-9) Refused
(01) CONTINUOUS ANSWER
(-8) Don't Know
(-9) Refused

(01-N) US11AA-ACCREAS
(N+1) US11_NEW-ROSTFNAM
IF EXISTING PERSON SELECTED, GO TO
US11AA-ACCREAS.
ELSE IF "ADD ANOTHER" SELECTED, GO TO
US11_NEW-ROSTFNAM

US11_NEW - ROSTLNAM
US11_NEW - ROSTREL
(01) DO NOT DISPLAY
(02) US11AA-ACCREAS
(03) US11AA-ACCREAS
(04) US11AA-ACCREAS
(05) US11AA-ACCREAS
(06) US11AA-ACCREAS
(07) US11AA-ACCREAS
(08) US11AA-ACCREAS
(09) US11AA-ACCREAS
(10) US11AA-ACCREAS
(11) US11AA-ACCREAS
(12) US11AA-ACCREAS
(13) US11AA-ACCREAS
(14) US11AA-ACCREAS
(50) DO NOT DISPLAY
(51) US11AA-ACCREAS
(52) US11AA-ACCREAS
(53) US11AA-ACCREAS
(54) US11AA-ACCREAS
(55) US11AA-ACCREAS
(56) US11AA-ACCREAS
(57) US11AA-ACCREAS
(91) US11_NEW - ROSTREOS
(-8) US11AA-ACCREAS
(-9) US11AA-ACCREAS
US11AA-ACCREAS

ACCREAS

US11AA

code all

(01) WRITES DOWN WHAT DOCTOR SAYS/RECORDS
INSTRUCTIONS/TAKES NOTES/REMEMBERS
(02) GIVES INFORMATION/EXPLAINS SP'S MEDICAL
CONDITION OR NEEDS TO THE DOCTOR
(03) EXPLAINS DOCTOR’S INSTRUCTIONS TO SP
What are the reasons [you accompany (SP)/this person accompanies you/this
(04) ASKS QUESTIONS
person accompanies this person] do?
(05) TRANSLATES LANGUAGE
(06) SCHEDULES APPOINTMENTS
[PROBE: Any other reason?]
(07) NOTHING/KEEPS SP COMPANY/SITS WITH
SP/MORAL SUPPORT
CHECK ALL THAT APPLY.
(08) TRANSPORTATION
(09) SP NEEDS PHYSICAL ASSISTANCE
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

ACCOTHOS

US11AA

verbatim text

OTHER (SPECIFY)

code one

(01) YES
[Have you/Has (SP)] seen [(US5A PROVIDER NAME)/(US3A PROVIDER NAME)] (02) NO
(-8) DON’T KNOW
in the last 12 months?
(-9) REFUSED

PROVYR

PP1A

(01) continuous answer

(01) PP1A-PROVYR
(02) PP1A-PROVYR
(03) PP1A-PROVYR
(04) PP1A-PROVYR
(05) PP1A-PROVYR
(06) PP1A-PROVYR
(07) PP1A-PROVYR
(08)PP1A-PROVYR
(09) PP1A-PROVYR
(91) US11AA - ACCOTHOS
(-8) PP1A-PROVYR
(-9) PP1A-PROVYR

PP1A-PROVYR
(01) PP1-REMINDAPPT
(02) BOX US3
(-8) BOX US3
(-9) BOX US3

The next questions ask about the care [you/(SP)] received from [(US5A
PROVIDER NAME)'S office/(US3A PROVIDER NAME)].
REMINDAPPT

PREPARE

PP1

PP2

yes/no

yes/no

(01) YES
(02) NO
Some offices remind patients about appointments. Before [your/(SP)'s] most
(-8) DON'T KNOW
recent visit with [(US5A PROVIDER NAME)/(US3A PROVIDER NAME) ], did
(-9) REFUSED
[you/he/she] get a reminder from [(US5A PROVIDER NAME)'S office /(US3A
PROVIDER NAME)] about the appointment?
Before [your/(SP)'s] most recent visit with [(US5A PROVIDER NAME)/(US3A
PROVIDER NAME)], did [you/he/she] get instructions telling [you/him/her]
what to expect or how to prepare?

PP2- PREPARE

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

PP4-MISSAPPT

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

(01) PP8-DOCHLTH
(02) PP5- NEWAPPT
(03) PP5-NEWAPPT
(04) PP5- NEWAPPT
(-8) PP8-DOCHLTH
(-9) PP8-DOCHLTH

SHOW CARD US4

MISSAPPT

PP4

code one

Now I’m going to read you questions about the medical providers [you
have/SP has] seen in the last twelve months, that is since {TODAY'S MONTH
AND YEAR - 12 MONTHS}.
People have busy lives and miss appointments for many reasons. Since
(TODAY'S MONTH AND YEAR-12 MONTHS), how often did [you/(SP)] miss an
appointment with [(US5A PROVIDER NAME)/(US3A PROVIDER NAME)]?

SHOW CARD US4

NEWAPPT

PP5

code one

(01) NEVER
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), when [ you/(SP)] missed an
(04) ALWAYS
appointment with US5A PROVIDER NAME/US3A PROVIDER NAME), how often
(-8) Don't Know
did someone from [(US5A PROVIDER NAME)'S office/(US3A PROVIDER
(-9) Refused
NAME)] contact [you/him/her] to make a new appointment?

SHOW CARD US4

DOCHLTH

PP8

code one

Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] ask
about things in [your/(SP)'s] work or life at home that affect [your/(SP)'s]
health?

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

(01) NEVER
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
(04) ALWAYS
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] explain
(-8) Don't Know
things in a way that was easy [for (SP)] to understand?
(-9) Refused
(01) NEVER
SHOW CARD US4
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
(04) ALWAYS
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] listen
(-8) Don't Know
carefully to [you/(SP)]?
(-9) Refused
(01) NEVER
SHOW CARD US4
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
(04) ALWAYS
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] show
(-8) Don't Know
respect for what [you/(SP)] had to say?
(-9) Refused
(01) NEVER
SHOW CARD US4
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
(04) ALWAYS
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] spend
(-8) Don't Know
enough time with [you/(SP)]?
(-9) Refused

PP8-DOCHLTH

PP9- DOCEASY

SHOW CARD US4
DOCEASY

PP9

code one

DOCLSTN

PP10

code one

DOCRSPCT

PP11

code one

ENUFTIME

PP12

code one

SHOW CARD US4
HLTHIDEA

PP13

code one

Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] ask
whether [you/(SP)] had ideas about how to improve [your/his/her] health?

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

PP10-DOCLSTN

PP11-DOCRSPCT

PP12- ENUFTIME

PP13- HLTHIDEA

PP15-STHLTHGL

SHOW CARD US5

STHLTHGL

PP15

code one

(01) YES, DEFINITELY
(02) YES, SOMEWHAT
Since (TODAY'S MONTH AND YEAR-12 MONTHS), did [(US5A PROVIDER
NAME)/the medical providers at (US3A PROVIDER NAME)] talk with [you/(SP)] (03) NO
(-8) DON'T KNOW
about setting goals for [your/his/her] health?
(-9) REFUSED
[IF YES, THEN PROBE: Would you say definitely yes or somewhat yes?]

(01) PP16- MTHLTHGL
(02) PP16- MTHLTHGL
(03) US27-USCKEVRY
(-8) US27-USCKEVRY
(-9) US27-USCKEVRY

SHOW CARD US5

MTHLTHGL

PP16

code one

Since (TODAY'S MONTH AND YEAR-12 MONTHS), did the care [you/(SP)]
received from [(US5A PROVIDER NAME)/the medical providers at (US3A
PROVIDER NAME)] help [you/(SP)] meet [your/his/her] goals?

(01) YES, DEFINITELY
(02) YES, SOMEWHAT
(03) NO
(-8) DON'T KNOW
(-9) REFUSED

BOX US3

(01) STRONGLY AGREE
(02) AGREE
(03) DISAGREE
(04) STRONGLY DISAGREE
(05) NOT APPLICABLE
(-8) Don't Know
(-9) Refused

US27-USUNWRNG

(01) STRONGLY AGREE
(02) AGREE
(03) DISAGREE
(04) STRONGLY DISAGREE
(05) NOT APPLICABLE
(-8) Don't Know
(-9) Refused

BOX US4

[IF YES, THEN PROBE: Would you say definitely yes or somewhat yes?]
BOX US3

routing

GO TO US27-USCKEVRY.
SHOW CARD US6

USCKEVRY

US27

list

Now I am going to read some statements people have made about their
health care. Think about the care [you receive/(SP) receives] from (US5A
PROVIDER NAME/US3A PROVIDER NAME). For each statement, please tell
me whether you strongly agree, agree, disagree, or strongly disagree.
[(US5A PROVIDER NAME) is/The doctors or other health professionals at
(US3A PROVIDER NAME) are] very careful to check everything when
examining [you/him/her].

SHOW CARD US6
USUNWRNG

OTHRSTFF

US27

list

BOX US4

routing

IF PP1A-PROVYR= 01/YES, GO TO PP17 OTHRSTFF.
ELSE GO TO BOX US5.

yes/no

People often get instructions about their health from more than one person in
the same office, such as other medical providers, nurses, nutritionists, and
(01) YES
social workers.
(02) NO
(-8) DON'T KNOW
Since (TODAY'S MONTH AND YEAR-12 MONTHS), did [you/(SP)] get any
(-9) REFUSED
instructions about your health from any other staff [in (US5A PROVIDER
NAME)'s office/ at (US3A PROVIDER NAME)]?

PP17

[(US5A PROVIDER NAME) has/The doctors or other health professionals at
(US3A PROVIDER NAME) have] a complete understanding of the things that
are wrong with [you/him/her].

(01) PP18- OSUPTODT
(02) PP21- ORDRTEST
(-8) PP21- ORDRTEST
(-9) PP21- ORDRTEST

(01) NEVER
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did these other
(04) ALWAYS
staff seem up-to-date about the care [you were/(SP) was] receiving from
(-8) Don't Know
[(US5A PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)]?
(-9) Refused
(01) NEVER
SHOW CARD US4
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did these other
(04) ALWAYS
staff talk with [you/(SP)] about care [you/he/she] [were/was] receiving from
(-8) Don't Know
[(US5A PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)]?
(-9) Refused
(01) NEVER
SHOW CARD US4
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did these other
(04) ALWAYS
staff seem to know the important information about [your/(SP)'s] medical
(-8) Don't Know
history?
(-9) Refused
SHOW CARD US4

OSUPTODT

PP18

code one

OSTLKCR

PP19

code one

OSNOINFO

PP20

code one

The next set of questions ask about the care you received from [(US5A
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] or
someone in [his/her/their] office.
ORDRTEST

PP21

yes/no
Since (TODAY'S MONTH AND YEAR-12 MONTHS), did [(US5A PROVIDER
NAME)/the medical providers at (US3A PROVIDER NAME)] or someone in
[his/her/their] office order a blood test, x-ray, or other test for [you/(SP)]?

PP19- OSTLKCR

PP20- OSNOINFO

PP21- ORDRTEST

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

(01) PP22- TSTFLWUP
(02) PP29-HLTHSRVC
(-8) PP29-HLTHSRVC
(-9) PP29-HLTHSRVC

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

PP23-RQSTRSLT

SHOW CARD US4

TSTFLWUP

PP22

code one

Since (TODAY'S MONTH AND YEAR-12 MONTHS), when [(US5A PROVIDER
NAME)/the medical providers at (US3A PROVIDER NAME)] or someone from
[his/her/their] office ordered a blood test, x-ray, or other test for [you/(SP)],
how often did [(US5A PROVIDER NAME)/the medical providers at (US3A
PROVIDER NAME)] or someone from [his/her/their] office follow up to give
[you/(SP)] those results?

SHOW CARD US4
RQSTRSLT

PP23

code one

Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [you/(SP)]
have to request [your/his/her] test results before [you/he/she] got them?

SHOW CARD US4
RSLTEASY

HLTHSRVC

PP24

PP29

code one

yes/no

Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often were
[your/(SP)'s] test results presented in a way that was easy to understand?

(01) YES
Since (TODAY'S MONTH AND YEAR-12 MONTHS), did [you/(SP)] need services (02) NO
(-8) DON'T KNOW
at home to help [you/him/her] take care of [your/his/her] health?
(-9) REFUSED
SHOW CARD US4

SRVCHELP

GIVEINST

ANYRX

PP30

PP31

PP35

code one

yes/no

yes/no

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused
(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] or
someone in [his/her/their] office help [you/(SP)] get these services at home
to take care of [your/his/her] health?

Since (TODAY'S MONTH AND YEAR-12 MONTHS), did [(US5A PROVIDER
NAME)/the medical providers at (US3A PROVIDER NAME)] or someone in
[his/her/their] office give [you/(SP)] instructions about how to take care of
[your/his/her] health?

PP24- RSLTEASY

PP29-HLTHSRVC

(01) PP30- SRVCHELP
(02) PP31- GIVEINST
(-8) PP31- GIVEINST
(-9) PP31- GIVEINST

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

PP31- GIVEINST

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

PP35-ANYRX

Since (TODAY'S MONTH AND YEAR-12 MONTHS), did [you/(SP)] take any
prescription medicine?

(01) YES
(02) NO
(-8) DON'T KNOW
[THIS IS DIFFERENT FROM THE PRESCRIPTION DRUG WHERE WE ASK IF THE R (-9) REFUSED
HAD ANY PRESCRIPTIONS FILLED]
(01) NEVER
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
(04) ALWAYS
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] or
someone in [his/her/their] office talk with [you/(SP)] about how [you were/he (-8) Don't Know
(-9) Refused
was/she was] supposed to take [your/his/her] medicine?

(01) PP36- TALKRX
(02) BOX US5
(-8) BOX US5
(-9) BOX US5

SHOW CARD US4
TALKRX

PP36

code one

SHOW CARD US4
ASPRSCBD

PP37

code one

There are many reasons why people may not always be able to take their
medicines as prescribed.
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often [were you/was
(SP)] able to take [your/his/her] medicine as prescribed?

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

PP37- ASPRSCBD

PP38-BADRCTN

PP38

code one

(01) NEVER
(02) SOMETIMES
(03) USUALLY
Since (TODAY'S MONTH AND YEAR-12 MONTHS), how often did [(US5A
(04) ALWAYS
PROVIDER NAME)/the medical providers at (US3A PROVIDER NAME)] or
someone in [his/her/their] office talk with [you/(SP)] about what to do if [you (-8) Don't Know
(-9) Refused
have/he has/she has] a bad reaction to [your/his/her] medicine?

BOX US5

routing

GO TO US37A CARESPCL.

SHOW CARD US4
BADRCTN

BOX US5

SHOW CARD US1

CARESPCL

US37A

yes/no

(01) YES
(02) NO
(-8) DON'T KNOW
Since (TODAY'S MONTH AND YEAR-12 MONTHS) , did [you/(SP)] receive care (-9) REFUSED
from any specialists outside the office of [(US5A PROVIDER NAME)/the
doctors or other health professionals at (US3A PROVIDER NAME)]?
Specialists are doctors or other health professionals who specialize in one
area of health care. This card lists some examples of specialists.

(01) US37B - DRINFRMD
(02) US37I - NOTAVAIL
(-8) US37I - NOTAVAIL
(-9) US37I - NOTAVAIL

code one

(01) NEVER
(02) SOMETIMES
(03) USUALLY
In general, how often [does (US5A PROVIDER NAME)/do the doctors or other
(04) ALWAYS
health professionals at (US3A PROVIDER NAME)] seem informed and up-to(-8) Don't Know
date about the care [you get/(SP) gets] from specialists?
(-9) Refused

US37C - REMINDDR

code one

(01) NEVER
(02) SOMETIMES
(03) USUALLY
In general, how often [do you/does(SP)] have to remind [(US5A PROVIDER
(04) ALWAYS
NAME)/the doctors or other health professionals at (US3A PROVIDER NAME)]
(-8) Don't Know
about care [you receive/(SP) receives] from specialists?
(-9) Refused

US37D - STPMSPCL

yes/no

(01) YES
Since (TODAY'S MONTH AND YEAR-12 MONTHS), did any specialists outside
(02) NO
the office of [(US5A PROVIDER NAME)/the doctors or other health
(-8) DON'T KNOW
professionals at (US3A PROVIDER NAME)] prescribe medicine for [you/(SP)]?
(-9) REFUSED

(01) US37E - TALKPMS
(02) US37E1 - SPCLNAME
(-8) US37E1 - SPCLNAME
(-9) US37E1 - SPCLNAME

(01) NEVER
(02) SOMETIMES
(03) USUALLY
In general, how often [does (US5A PROVIDER NAME)/do the doctors or other
(04) ALWAYS
health professionals at (US3A PROVIDER NAME)] talk with [you/(SP)] about
(-8) Don't Know
the medicines prescribed by these specialists?
(-9) Refused

US37E1 - NAMESPCL

SHOW CARD US4
DRINFRMD

US37B

SHOW CARD US4

REMINDDR

STPMSPCL

US37C

US37D

SHOW CARD US4
TALKPMS

US37E

code one

The next four questions ask about care [you/(SP)] received from the specialist
[you/he/she] saw most often in the last 12 months outside the office of
[(US5A PROVIDER NAME)/the doctors or other health professionals at (US3A
PROVIDER NAME)].
NAMESPCL

US37E1

verbatim text

First, what is the name of the specialist [you/(SP)] saw most often since
(TODAY'S MONTH AND YEAR-12 MONTHS)?

(01) continuous answer

US37E2 - SEXSPCL

(01) MALE
(02) FEMALE
(-8) DON’T KNOW
(-9) REFUSED

US37F - KNOWSPCL

(01) YES, DEFINITELY
(02) YES, SOMEWHAT
(03) NO
(-8) Don't Know
(-9) Refused

US37G - RPTINFO

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

BOX US6

(01) NEVER
(02) SOMETIMES
(03) USUALLY
(04) ALWAYS
(-8) Don't Know
(-9) Refused

PP50-HOSADMIT

[ENCOURAGE THE RESPONDENT TO REFER TO A BILL, TELEPHONE DIRECTORY,
APPOINTMENT CARD, ETC., FOR COMPLETE INFORMATION.]

SEXSPCL

US37E2

code one

Is [(US37E1 PROVIDER NAME)/the specialist you saw most often since
(TODAY'S MONTH AND YEAR-12 MONTHS)] a male or female?
SHOW CARD US5
[IF NEEDED: This question is about the last twelve months, that is since
(TODAY'S MONTH AND YEAR - 12 MONTHS).]

KNOWSPCL

US37F

code one

The next questions ask about care [you/(SP)] received from the specialist
[you/he/she] saw most often in the last twelve months outside the [office of
(US5A PROVIDER NAME)/the doctors or other health professionals at (US3A
PROVIDER NAME)].
When [you see/(SP) sees] [(US37E1-SPCLNAME)/this specialist], does
[he/she/he or she] seem to know enough information about [your/his/her]
medical history?
[IF YES, THEN PROBE: Would you say definitely yes or somewhat yes?]
SHOW CARD US4

RPTINFO

US37G

code one

BOX US6

routing

When [you see/(SP) sees] [(US37E1-SPCLNAME)/this specialist], how often
[do you/does (SP)] have to repeat information that [you/he/she] [have/has]
already given to [(US5A PROVIDER NAME)/the doctors or other health
professionals at (US3A PROVIDER NAME)]?
IF PP1A-PROVYR= 01/YES, GO TO PP49-TESTRSLT.
ELSE GO TO BOX US7.
SHOW CARD US4

TESTRSLT

PP49

code one

The next questions ask about care [you/(SP)] received from the specialist
[you/he/she] saw most often in the since (TODAY'S MONTH AND YEAR-12
MONTHS) outside the [office of (US5A PROVIDER NAME)/the doctors or other
health professionals at (US3A PROVIDER NAME)].
When [you see/(SP) sees] [(US37E1-SPCLNAME)/this specialist], how often
does [he/she/he or she] seem to know [your/(SP)'s] important test results
from other providers?

HOSADMIT

HOSFLWUP

PP50

PP51

yes/no

yes/no

HOSMED

PP52

yes/no

HOSFOLLOWUP

PP53

yes/no

HOSINSTU

PP54

yes/no

Since (TODAY'S MONTH AND YEAR-12 MONTHS), [were you/was (SP)]
admitted to a hospital overnight or longer?

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

(01) PP51- HOSFLWUP
(02) PP58- MNGCARE
(-8) PP58- MNGCARE
(-9) PP58- MNGCARE

After [your/(SP)'s] most recent hospital stay, did [(US5A PROVIDER
NAME)/the medical providers at (US3A PROVIDER NAME)] or someone in
[his/her/their] office contact [you/him/her] to see how [you were/he was/she
was] doing?

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

PP52- HOSMED

(01) YES
After [your/(SP)'S] most recent hospital stay, [were you/was (SP)] prescribed (02) NO
any medicines?
(-8) DON'T KNOW
(-9) REFUSED
After (your/(SP)'s)] most recent hospital stay, did [(US5A PROVIDER
(01) YES
NAME)/the medical providers at (US3A PROVIDER NAME)] or someone in
(02) NO
[his/her/their] office contact [you/SP] to check if [you were/he was/she was ]
(-8) DON'T KNOW
able to follow instructions about any medicines [you were/he was/she was]
(-9) REFUSED
prescribed?
(01) YES
After (your/(SP)'s] most recent hospital stay, (were you/was he/was she]
(02) NO
given instructions about caring for [yourself/himself/herself] at home?
(-8) DON'T KNOW
(-9) REFUSED
SHOW CARD US5

INSTUEASY

PP55

code one

After [your/(SP)'s] most recent hospital stay, were the instructions [you
were/(SP) was] given easy to understand?
[IF YES, THEN PROBE: Would you say definitely yes or somewhat yes?]

HOSINFO

PP56

code one

(01) YES, DEFINITELY
(02) YES, SOMEWHAT
(03) NO
(-8) DON'T KNOW
(-9) REFUSED

(01) PP53- HOSFOLLOWUP
(02) PP54- HOSINSTU
(-8) PP54- HOSINSTU
(-9) PP54- HOSINSTU

PP54- HOSINSTU

(01) PP55- INSTUEASY
(02) PP56- HOSINFO
(-8) PP56- HOSINFO
(-9) PP56- HOSINFO

PP56- HOSINFO

SHOW CARD US5
(01) YES, DEFINITELY
After (your/(SP)'s) most recent hospital stay, did [(US5A PROVIDER
(02) YES, SOMEWHAT
NAME)/the medical providers at (US3A PROVIDER NAME)] seem to know the
(03) NO
important information about this hospital stay?
(-8) DON'T KNOW
(-9) REFUSED
[IF YES, THEN PROBE: Would you say definitely yes or somewhat yes?]

PP58-MNGCARE

(00) 0 HARD TO MANAGE
(01) 1
(02) 2
People sometimes need to manage their medical care by making
(03) 3
appointments with multiple providers, following their instructions, and taking (04) 4
medicines as prescribed.
(05) 5
(06) 6
Using any number from 0 to 10, where 0 is hard and 10 is easy, what number (07) 7
would you use to rate how easy it was for [you/(SP)] to manage
(08) 8
[your/his/her] medical care since (TODAY'S MONTH AND YEAR-12 MONTHS)? (09) 9
(10) 10 EASY TO MANAGE

PP59- ONEDOC

SHOW CARD US7

MNGCARE

PP58

code one

SHOW CARD US5
ONEDOC

PP59

code one

(01) YES, DEFINITELY
(02) YES, SOMEWHAT
Since (TODAY'S MONTH AND YEAR-12 MONTHS), was there one provider who
(03) NO
knew about all [your/(SP)'s] medical care needs?
(-8) DON'T KNOW
(-9) REFUSED
[IF YES, THEN PROBE: Would you say definitely yes or somewhat yes?]

PP60- PRVNOMED

SHOW CARD US5
PRVNOMED

NOTAVAIL

EMEDREC

NUSNOTSK

PP60

code one

(01) YES, DEFINITELY
(02) YES, SOMEWHAT
Since (TODAY'S MONTH AND YEAR-12 MONTHS), was there one provider who
(03) NO
knew about all the medicines [you were/(SP) was] taking?
(-8) DON'T KNOW
(-9) REFUSED
[IF YES, THEN PROBE: Would you say definitely yes or somewhat yes?]

BOX US7

routing

GO TO US37I- NOTAVAIL

code one

(01) YES
Since (TODAY'S MONTH AND YEAR-12 MONTHS), when getting care for a
(02) NO
medical problem, was there ever a time when test results, medical records, or
(03) NOT APPLICABLE
reasons for referrals were not available at the time of [your/(SP)’s] scheduled
(04) NOT SURE
doctor or other health professional appointment?
(-9) Refused

US37K - EMEDREC

yes/no

Many health care providers are beginning to use electronic or computerbased medical records instead of using paper-based records. When [you
visit/(SP) visits] [(US5A PROVIDER NAME)/the doctors or other health
professionals at (US3A PROVIDER NAME)] [does he or she/do they] generally
enter [your/(SP)'s] health information into a computer while [you are/(SP) is] (01) YES
(02) NO
present?
(-8) Don't Know
[EXPLAIN IF NECESSARY: An “electronic health record” is an electronic version (-9) Refused
of a patient’s medical history maintained by a provider over time. It
automates the way in which doctors can access patient health information.
"Health Information" includes information such as symptoms, vital signs, test
results, or prescribed medicines.]

BOX USEND

list

I am going to read some reasons that people have given for not having a usual
source of health care. For each one, please tell me whether or not it is a
(01) YES
reason [you do/(SP) does] not have a usual place for health care.
(02) NO
(-8) DON'T KNOW
There is no reason to have a usual source of health care because [you/(SP)]
(-9) REFUSED
seldom or never [get/gets] sick. [Is that a reason [you do/(SP) does] not have
a usual source of health care?]

US39 - NUSMOVIN

US37I

US37K

US39

BOX US7

NUSMOVIN

US39

list

NUSAVAIL

US39

list

USWHYNAV

US42

code one

USWHYNO1

US42

verbatim text

NUSDIFFP

US43

list

NUSTOOFR

US43

list

NUSTOOEX

US43

list

BOX USEND

routing

(01) YES
[You/(SP)] recently moved into the area. [Is that a reason [you do/(SP) does] (02) NO
(-8) DON'T KNOW
not have a usual source of health care?]
(-9) REFUSED
(01) YES
[Your/(SP’s)] usual source of health care in this area is no longer available. [Is (02) NO
that a reason [you do/(SP) does] not have a usual source of health care?]
(-8) DON'T KNOW
(-9) REFUSED
(01) PREVIOUS DOCTOR RETIRED
(02) PREVIOUS DOCTOR DIED
(03) PREVIOUS DOCTOR MOVED
(04) SP MOVED
Why is [your/(SP’s)] usual source of health care no longer available?
(05) PREVIOUS DR/PLACE TOO FAR AWAY
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
OTHER (SPECIFY)
(01) CONTINUOUS ANSWER
Thinking about other possible reasons that people have for not having a usual
(01) YES
source of health care, please tell me if this statement applies to [you/(SP)]:
(02) NO
(-8) DON'T KNOW
[You like/(SP) likes] to go to different places for different health care needs.
(-9) REFUSED
[Is that a reason [you do/(SP) does] not have a usual source of health care?]
(01) YES
The places where [you/(SP)] can receive health care are too far away. [Is that (02) NO
(-8) DON'T KNOW
a reason [you do/(SP) does] not have a usual source of health care?]
(-9) REFUSED
(01) YES
The cost of health care is too expensive. [Is that a reason [you do/(SP) does] (02) NO
not have a usual source of health care?]
(-8) DON'T KNOW
(-9) REFUSED
GO TO END.

US39 - NUSAVAIL
(01) US42 - USWHYNAV
(02) US43 - NUSDIFFP
(-8) US43 - NUSDIFFP
(-9) US43 - NUSDIFFP
(01) US43 - NUSDIFFP
(02) US43 - NUSDIFFP
(03) US43 - NUSDIFFP
(04) US43 - NUSDIFFP
(05) US43 - NUSDIFFP
(91) US42 - USWHYNO1
(-8) US43 - NUSDIFFP
(-9) US43 - NUSDIFFP
US43 - NUSDIFFP

US43 - NUSTOOFR

US43 - NUSTOOEX

USEND


File Typeapplication/pdf
AuthorAndrea Mayfield
File Modified2018-05-03
File Created2018-05-03

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