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pdf2019 MCBS Facility Instrument
Variable Name
BQM-Background Questionnaire Missing Data
MR Screen Name Question Type
Question Text/Description
Code List
Routing
(01) CONTINUE
(01) BOX BQM1
(01) AMERICAN INDIAN OR ALASKA NATIVE
(02) ASIAN
(03) BLACK OR AFRICAN AMERICAN
(04) NATIVE HAWAIIAN OR OTHER PACIFIC
ISLANDER
(05) WHITE
(91) ANOTHER RACE
(95) R NEVER WILL KNOW
(-8) Don't Know
(-9) Refused
(01) BOX BQM1A
(02) BOX BQM1A
(03) BOX BQM1A
(04) BOX BQM1A
(05) BOX BQM1A
(91) BQM1A - BQMRACOS
(95) BOX BQM2
(-8) BOX BQM2
(-9) BOX BQM2
(01) Continuous answer
(01) BOX BQM1A
(01) ASIAN INDIAN
(02) CHINESE
(03) FILIPINO
(04) JAPANESE
(05) KOREAN
(06) VIETNAMESE
(91) OTHER ASIAN GROUP
(-8) Don't Know
(-9) Refused
(01) BOX BQM1B
(02) BOX BQM1B
(03) BOX BQM1B
(04) BOX BQM1B
(05) BOX BQM1B
(06) BOX BQM1B
(91) BQM1AB - BMRACAOS
(-8) BOX BQM1B
(-9) BOX BQM1B
(01) Continuous answer
(01) BOX BQM1B
(01) NATIVE HAWAIIAN
(02) GUAMANIAN OR CHAMORRO
(03) SAMOAN
(91) OTHER PACIFIC ISLANDER GROUP
(-8) Don't Know
(-9) Refused
(01) BOX BQM2
(02) BOX BQM2
(03) BOX BQM2
(91) BQM1AC - BMRACPOS
(-8) BOX BQM2
(-9) BOX BQM2
(01) Continuous answer
(01) BOX BQM2
(01) BQMEND - BQMSEND
(02) BQMEND - BQMSEND
(03) BQMEND - BQMSEND
(04) BQMEND - BQMSEND
(05) BQMEND - BQMSEND
(95) BQMEND - BQMSEND
(-8) BQMEND - BQMSEND
(-9) BQMEND - BQMSEND
(01) BOX BQMEND
BACKGROUND QUESTIONNAIRE MISSING DATA SPECIFICATIONS
CRITERIA
SAMPLE TYPE= CFC, IPR and at least one key Background Questionnaire (BQ) variable is DK, RF, or NULL
SEASON
If SAMPLE TYPE= CFC, then SEASON= ALL
If SAMPLE TYPE= IPR, then SEASON= FALL
PLACEMENT
Administered in flexible order after FQ, RH, and BQ sections are completed.
BQMISSNG
BOX BQMBEG
routing
BQMISS1
code one
BOX BQM1
routing
GO TO BQMISS1 - BQMISSNG.
THE FOLLOWING ITEMS ARE MISSING FROM BQ. CONFIRM THAT RESPONDENT CAN ANSWER AT LEAST
ONE OF THESE ITEMS.
PRESS "1" TO CONTINUE.
IF (BQ11A - BQRACE = DK OR RF) AND (BQM1A - BQMRACE = DK, EMPTY OR NULL), GO TO BQM1A BQMRACE.
ELSE, GO TO BOX BQM2.
SHOW CARD BQ1A
Please look at this card and tell me what (is/was) (SP's) race.
BQMRACE
BQM1A
code all
SELECT ALL THAT APPLY, OR ENTER "95" R NEVER WILL KNOW.
SEPARATE RESPONSES BY USING THE SPACEBAR.
BQMRACOS
BMRACASD
BQM1A
verbatim text
BOX BQM1A
routing
BQM1AB
code all
ANOTHER RACE (SPECIFY)
IF BQM1A-BQMRACE INCLUDES 2/Asian, GO TO BQM1AB - BMRACASD.
ELSE GO TO BOX BQM1B.
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.
BMRACAOS
BMRACPID
BQM1AB
verbatim text
OTHER ASIAN GROUP (SPECIFY)
BOX BQM1B
routing
IF BQM1A-BQMRACE INCLUDES 4/NativeHawaiianOrOtherPacificIslander, GO TO BQM1AC - BMRACPID.
ELSE GO TO BOX BQM2.
BQM1AC
code all
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.
BMRACPOS
verbatim text
verbatim text
BOX BQM2
routing
OTHER PACIFIC ISLANDER GROUP (SPECIFY)
IF (BQ13 - BMRJAN = DK OR RF) AND (BQM2A - BQMMARTL = DK, EMPTY OR NULL GO TO BQM2A BQMMARTL.
ELSE GO TO BOX BQMEND.
BQMMARTL
BQM2A
code one
(Is/was) (SP) married, widowed, divorced, separated, or never married?
IF R NEVER WILL KNOW, ENTER "95".
(01) NEVER MARRIED
(02) MARRIED
(03) WIDOWED
(04) DIVORCED
(05) SEPARATED
(95) R NEVER WILL KNOW
(-8) Don't Know
(-9) Refused
BQMSEND
BQMEND
code one
YOU HAVE REACHED THE END OF THE SECTION FOR BACKGROUND QUESTIONNAIRE MISSING DATA.
PRESS "1" TO RETURN TO FACILITY NAVIGATION SCREEN.
(01) CONTINUE
BOX BQMEND
routing
GO TO NAVIGATOR
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File Type | application/pdf |
File Title | Medicare Current Beneficiary Survey Section Specifications for BQM |
Subject | MCBS facility instrument, 2019, Background Questionnaire Missing Data, BQM |
Author | NORC |
File Modified | 2019-09-05 |
File Created | 2019-09-03 |