CMS-P-0015A Preventive Care

2020 MCBS Community Questionnaire

Variable Name

MR Screen Name

PVQ - PREVENTIVE CARE

Question type

Question text/description

Code list

Routing

PREVENTIVE CARE QUESTIONNAIRE SPECIFICATIONS
CRITERIA
INTTYPE=ALL
SPALIVE=1
SEASON=ALL
SPPROXY=SP or PROXY
Other: N/A
PLACEMENT
Administer after MBQ.

PVINTRO

FLUSHOT

BOX PVBEG

routing

IF RESPONDENT IS DECEASED, GO TO BOX PVEND.
ELSE IF SEASON=FALL, GO TO PV8 - PREVHLTHINTRO.
ELSE IF (SEASON=WINTER), GO TO PVINT-PVINTRO.
ELSE IF (SEASON=SUMMER) AND (WINTER ROUND RESONSE TO PVF1-FLUSHOT^=1/YES), GO TO
PVINT-PVINTRO.
ELSE IF (SEASON=SUMMER) AND (WINTER ROUND RESONSE TO PVF1-FLUSHOT=1/YES), GO TO
BOX PV4.

PVINT

No entry

IF SEASON=WINTER, FILL "Now I’d like to ask you some questions about the seasonal flu vaccine."
ELSE IF SEASON=SUMMER, FILL "At the time of the last interview, we recorded that [you/(SP)] had not
gotten a flu vaccination for the [CURRENT YEAR MINUS 1] - [CURRENT YEAR] flu season."

PVF1

yes/no

Since [July 1st, (CURRENT YEAR MINUS 1)/[MREFDATE]], [have you/has (SP)] had a seasonal flu
vaccination?
IF THE RESPONDENT MENTIONS A SHORT NEEDLE OR NEEDLELESS INJECTOR, CODE AS “YES”.

BOX PV1

routing

IF SEASON=WINTER GO TO PVF2-FLUCODE.
ELSE GO TO BOX PV4.

PVF1-FLUSHOT

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

(01) PVF5-VACSUPLY
(02) BOX PV1
(-8) BOX PV4
(-9) BOX PV4

2020 MCBS Community Questionnaire

PVQ - PREVENTIVE CARE

For what reason didn't [you/(SP)] get a seasonal flu vaccination since July 1st?
FLUCODE

PVF2

code all

FLUOTHOS

PVF2

verbatim text

OTHER (SPECIFY)

BOX PV2

routing

IF MORE THAN ONE RESPONSE SELECTED AS YES AT PVF2-FLUCODE, GO TO PVF3-PVFLU3, ELSE
GO TO BOX PV3

[PROBE: Any other reason?]
CHECK ALL THAT APPLY.

Of the reasons you listed, what is the main reason [you/(SP)] did not get a flu vaccination this flu season?
PVFLU3

NOVACINE

VACSUPLY

(01) DIDN’T KNOW IT WAS NEEDED
(02) SHOT COULD CAUSE FLU
(03) SHOT COULD HAVE SIDE EFFECTS OR
CAUSE DISEASE
(04) DIDN’T THINK IT WOULD PREVENT THE
FLU/COULD GET THE FLU ANYWAY
(05) FLU NOT SERIOUS/WOULD NOT GET FLU
ANYWAY/NOT AT RISK/NEVER GET THE FLU
(06) DOCTOR DID NOT RECOMMEND THE SHOT
(07) DOCTOR RECOMMENDED AGAINST GETTING
VACCINE
(08) DON'T LIKE SHOTS OR NEEDLES/CONCERNS
ABOUT SORENESS OR RASH/LOCAL REACTIONS
(09) INCONVENIENT TO GET SHOT/UNABLE TO
GET TO LOCATION
(10) DIDN’T THINK ABOUT IT/FORGOT/MISSED IT
(11) COST OF VACCINE
(12) HAD VACCINE BEFORE/DIDN’T NEED IT
AGAIN
(13) VACCINE UNAVAILABLE/VACCINE
SHORTAGE
(14) NOT WORTH THE MONEY
(15) DIDN'T HAVE TIME
(16) NOT IN HIGH RISK/PRIORITY GROUP
(17) ONGOING HEALTH CONDITION PREVENTING
VACCINE/ALLERGIC TO SHOT/MEDICAL
REASONS
(18) DON'T TRUST WHAT GOVERNMENT SAYS
ABOUT VACCINE
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

BOX PV2

[LIST ALL RESPONSES SELECTED AT PVF2FLUCODE]
_ _ [ENTER MAIN REASON]
(-8) DON’T KNOW
(-9) REFUSED

BOX PV3

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

BOX PV4

BOX PV4

PVF3

code 1

BOX PV3

routing

IF RESPONSE TO PVF2-FLUCODE DOES NOT INCLUDE 13, GO TO PVF4-NOVACINE.
ELSE GO TO BOX PV4.

yes/no

Was one reason that [you/(SP)] did not get a seasonal flu vaccination since July 1st, [CURRENT YEAR
MINUS 1] because the vaccine was in short supply or unavailable?

yes/no

(01) YES
Did [you/(SP)] have any trouble getting a seasonal flu shot when (you/he/she) wanted to because the vaccine (02) NO
was in short supply or unavailable?
(-8) DON'T KNOW
(-9) REFUSED

routing

IF THIS IS A SUMMER ROUND AND RESPONDENT HAS NOT REPORTED RECEIVING THE SHINGLES
VACCINE (P_SHINGVAC^=1) AND RESPONDENT IS AGE 60 OR ABOVE (AGECALC ≥ 60) OR
RESPONDENT IS AGE=0, GO TO PV6-SHINGVAC.
ELSE GO TO BOX PV5.

PVF4

PVF5

BOX PV4

READ LIST TO RESPONDENT. IF RESPONDENT SELECTS MORE THAN ONE REASON PROBE FOR
MAIN REASON.

(01) BOX PV2
(02) BOX PV2
(03) BOX PV2
(04) BOX PV2
(05) BOX PV2
(06) BOX PV2
(07) BOX PV2
(08) BOX PV2
(09) BOX PV2
(10) BOX PV2
(11) BOX PV2
(12) BOX PV2
(13) BOX PV2
(14) BOX PV2
(15) BOX PV2
(16) BOX PV2
(17) BOX PV2
(18) BOX PV2
(91) PVF2 - FLUOTHOS
(-8) BOX PV2
(-9) BOX PV2

2020 MCBS Community Questionnaire

PVQ - PREVENTIVE CARE

Shingles is an outbreak of a rash or blisters on the skin that may be associated with severe pain. The pain is
generally on one side of the body or face. Shingles is caused by the chicken pox virus. A vaccine for shingles
has been available since May 2006.
SHINGVAC

PV6

yes/no

[Have you/Has (SP)] ever had a the Zoster (ZOSS-ter) or shingles vaccine, also called Zostavax®?
Shingles is an illness that results in a rash or blisters on the skin, and is usually painful. There are two
vaccines now available for shingles; Zostavax®, which requires 1 shot, and Shingrix®, a new vaccine which
requires 2 shots.

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

BOX PV5

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

BOX PVEND

(01) CONTINUE
(-7) EMPTY

PV9 - BPTAKEN PV8AWELLNESS

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

PV9-BPTAKEN

[Have you/Has (SP)] had a vaccine for Shingles?

BOX PV5

routing

IF THIS IS A SUMMER ROUND AND RESPONDENT HAS NOT REPORTED RECEIVING THE PNEUMONIA
VACCINE (PNEUSHOT^=1), GO TO PV7-PNEUSHOT.
ELSE GO TO BOX PVEND.
[Have you/Has (SP)] EVER had a pneumonia shot?

PNEUSHOT

PV7

yes/no

PREVHLTHINTRO

PV8

no entry

These next few questions are about preventive health care measures some people take.

yes/no

Within the first 12 months of a beneficiary’s Medicare enrollment, Medicare pays for a one-time “Welcome to
Medicare” visit with their primary care provider to assess their current health. After a beneficiary has been
enrolled in Medicare for 12 months, Medicare pays for “Annual Wellness” visits. These visits are yearly
appointments with the beneficiary’s primary care provider to update their personalized prevention plan.

WELLNESS

PV8A

This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also
called the pneumococcal vaccine.

Since (SAMPLE_PERSON.DATE_FALLRND), [have you/has SP] had either a “Welcome to Medicare” or an
“Annual Wellness” visit?

BPTAKEN

BCTAKEN

code one

(01) LESS THAN 6 MONTHS AGO
(02) 6 MONTHS TO LESS THAN 1 YEAR AGO
(03) 1 YEAR TO LESS THAN 2 YEARS AGO
When was the most recent time [you/(SP)] had [your/his/her] blood pressure taken by a doctor or other health (04) 2 YEARS AGO TO LESS THAN 5 YEARS AGO
professional?
(05) 5 OR MORE YEARS AGO
(06) NEVER HAD BLOOD PRESSURE TAKEN
(-8) DON'T KNOW
(-9) REFUSED

PV10

code one

(01) LESS THAN 6 MONTHS AGO
(02) 6 MONTHS TO LESS THAN 1 YEAR AGO
(03) 1 YEAR TO LESS THAN 2 YEARS AGO
(04) 2 YEARS AGO TO LESS THAN 5 YEARS AGO
(05) 5 OR MORE YEARS AGO
(06) NEVER HAD CHOLESTEROL CHECKED
(-8) DON'T KNOW
(-9) REFUSED

BOX PV5A

routing

PV9

When was the most recent time [you/(SP)] had [your/his/her] cholesterol checked?

IF ROUND= FALL 2020 ROUND 88, GO TO PV10A-BASKORAL.
ELSE IF SP IS IN THE BASELINE INTERIVEW (sample_person.INTTYPE=3) GO TO PV10A-BASKORAL.
ELSE GO TO PV10B-CASKORAL.

PV10 - BCTAKEN

BOX PV6
BOX PV5A

2020 MCBS Community Questionnaire

BASKORAL

CASKORAL

PV10A

PV10B

PVQ - PREVENTIVE CARE

yes/no

yes/no

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

(01) PV10C-OCCEXAM
(02) BOX PV19
(-8) BOX PV19
(-9) BOX PV19

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

BOX PV19

(01) WITHIN THE PAST YEAR
(02) BETWEEN 1 AND 3 YEARS AGO
(03) OVER 3 YEARS AGO

BOX PV19

The next question is about the test for HIV, the virus that causes AIDS. Except for tests [you/(SP)] may have
had as part of blood donations, have [you/he/she] ever been tested for HIV?

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

(01) PV21-RCNTHIV
(02) BOX PV5D
(03) BOX PV5D
(04) BOX PV5D

When did [you/(SP)] have [your/his/her] most recent HIV test?

(01) LESS THAN 1 YEAR AGO
(02) 1 YEAR TO LESS THAN 2 YEARS
(03) 2 YEARS TO LESS THAN 3 YEARS
(04) 3 YEARS TO LESS THAN 4 YEARS
(05) 4 YEARS TO LESS THAN 5 YEARS
(06) 5 YEARS TO LESS THAN 6 YEARS
(07) 6 YEARS TO LESS THAN 7 YEARS
(08) 7 YEARS TO LESS THAN 8 YEARS
(09) 8 YEARS TO LESS THAN 9 YEARS
(10) 9 YEARS TO LESS THAN 10 YEARS
(11) 10 YEARS AGO OR MORE
(12) 5 YEARS AGO OR MORE
(996) NEVER HAD EXAM
(-8) DON'T KNOW
(-9) REFUSED

BOX PV6

The next question is about the test for HIV, the virus that causes AIDS. Except for tests [you/(SP)] may have
had as part of blood donations, since (SAMPLE_PERSON.DATE_FALLRND) have [you/he/she] been tested
for HIV?

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

(01) BOX PV6
(02) BOX PV5D
(03) BOX PV5D
(04) BOX PV5D

[Have you/Has SP] ever had an exam for oral cancer in which the doctor or dentist pulls on [your/his/her]
tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks?

Since (SAMPLE_PERSON.DATE_FALLRND), [have you/has SP] had an exam for oral cancer in which the
doctor or dentist pulls on [your/his/her] tongue, sometimes with gauze wrapped around it, and feels under the
tongue and inside the cheeks?

When did [you/SP] have [your/his/her] most recent oral or mouth cancer exam?
OCCEXAM

PV10C

code one

IF ROUND= FALL 2019 ROUND 85, GO TO PV19-BTSTHIV.
ELSE IF SP IS IN THE BASELINE INTERIVEW (sample_person.INTTYPE=3) GO TO PV19-BTSTHIV.
ELSE GO TO PV20-CTSTHIV.

BOX PV5C

BTSTHIV

RCNTHIV

CTSTHIV

PV19

PV21

PV20

Was it within the past year, between 1 and 3 years ago, or over 3 years ago?

yes/no

code one

2020 MCBS Community Questionnaire

WHYNHIV

MAMMOGRM

PVQ - PREVENTIVE CARE

BOX PV5D

IF ROUND= FALL 2019 ROUND 85, GO TO PV22-WHYNHIV
ELSE IF SP IS IN THE BASELINE INTERIVEW (sample_person.INTTYPE=3) GO TO PV22-WHYNHIV
ELSE GO TO BOX PV6

PV22

code one

(01) IT’S UNLIKELY YOU’VE BEEN EXPOSED TO
HIV
(02) YOU WERE AFRAID TO FIND OUT IF YOU
WERE HIV POSITIVE (THAT YOU HAD HIV)
(03) DR. DID NOT PRESCRIBE OR RECOMMEND IT
(04) YOU DIDN’T WANT TO THINK ABOUT HIV OR
ABOUT BEING HIV POSITIVE
(05) YOU WERE WORRIED YOUR NAME WOULD
SHOW CARD PV1
BE REPORTED TO THE GOVERNMENT IF YOU
TESTED POSITIVE
BOX PV6
I am going to show you a list of reasons why some people have not been tested for HIV (the virus that causes (06) YOU DIDN’T KNOW WHERE TO GET TESTED
AIDS). Which one of these would you say is the MAIN reason why [you/(SP)] have not been tested?
(07) YOU DON’T LIKE NEEDLES
(08) YOU WERE AFRAID OF LOSING JOB,
INSURANCE, HOUSING, FRIENDS, FAMILY, IF
PEOPLE KNEW YOU WERE POSITIVE FOR AIDS
INFECTION
(09) SOME OTHER REASON
(10) NO PARTICULAR REASON
(-8) REFUSED
(-9) DON’T KNOW

BOX PV6

routing

IF SP IS FEMALE, GO TO PV11 - MAMMOGRM.
ELSE GO TO BOX PV8.

PV11

yes/no

[Have you/Has (SP)] had a mammogram or a breast X-ray since (SAMPLE_PERSON.DATE_FALLRND)?

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

(01) PV12 - PAPSMEAR
(02) PV11 - MAMCODE
(-8) PV12 - PAPSMEAR
(-9) PV12 - PAPSMEAR

2020 MCBS Community Questionnaire

PVQ - PREVENTIVE CARE

MAMCODE

PV11

code all

What is the reason that [you have/(SP) has] not had a mammogram since
(SAMPLE_PERSON.DATE_FALLRND)?
CHECK ALL THAT APPLY.

MAMNOTHS

PV11

verbatim text

OTHER (SPECIFY)

PAPSMEAR

PAPCODE

PV12

PV13

yes/no

code all

[Have you/Has (SP)] had a Pap smear test since (SAMPLE_PERSON.DATE_FALLRND)?

What is the reason that [you have/(SP) has] not had a Pap smear test since
(SAMPLE_PERSON.DATE_FALLRND)?
CHECK ALL THAT APPLY.

(01) DIDN’T KNOW IT WAS NEEDED/NO
NEED/NOTHING WRONG
(02) NOT RECOMMENDED EVERY YEAR/ON A
DIFFERENT SCREENING SCHEDULE
(03) DIDN’T THINK IT WOULD PREVENT BREAST
CANCER/COULD GET BREAST CANCER
ANYWAY/TEST IS USELESS
(04) NOT AT RISK FOR BREAST CANCER
(05) DOCTOR DID NOT PRESCRIBE OR
RECOMMEND IT
(06) DOCTOR RECOMMENDED AGAINST GETTING
IT
(07) DON’T LIKE MAMMOGRAMS/PAIN,
SORENESS, DISCOMFORT OR REACTIONS
(08) INCONVENIENT/UNABLE TO GET TO
LOCATION/TRANSPORTATION DIFFICULTY
(09) DIDN’T THINK ABOUT IT/FORGOT/MISSED
IT/PROCRASTINATED
(10) COST OF MAMMOGRAM/INSURANCE
DOESN’T COVER COST/NOT WORTH THE MONEY
(11) AFRAID OF RESULTS/DON’T WANT TO KNOW
(12) MAMMOGRAM RADIATION COULD CAUSE
CANCER/ILL EFFECTS
(13) NEVER HEARD OF MAMMOGRAM
(14) APPOINTMENT SCHEDULED FOR FUTURE
DATE
(15) MASTECTOMY/BREASTS REMOVED
(16) TOO ILL, PHYSICALLY/MENTALLY
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

(01) PV12 - PAPSMEAR
(02) PV12 - PAPSMEAR
(03) PV12 - PAPSMEAR
(04) PV12 - PAPSMEAR
(05) PV12 - PAPSMEAR
(06) PV12 - PAPSMEAR
(07) PV12 - PAPSMEAR
(08) PV12 - PAPSMEAR
(09) PV12 - PAPSMEAR
(10) PV12 - PAPSMEAR
(11) PV12 - PAPSMEAR
(12) PV12 - PAPSMEAR
(13) PV12 - PAPSMEAR
(14) PV12 - PAPSMEAR
(15) PV12 - PAPSMEAR
(16) PV12 - PAPSMEAR
(91) PV11 - MAMNOTHS
(-8) PV12 - PAPSMEAR
(-9) PV12 - PAPSMEAR

PV12 - PAPSMEAR
(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

(01) DIDN’T KNOW IT WAS NEEDED/NO
NEED/NOTHING WRONG
(02) NOT RECOMMENDED EVERY YEAR/ON A
DIFFERENT SCREENING SCHEDULE
(03) DIDN’T THINK IT WOULD PREVENT
CANCER/COULD GET CANCER ANYWAY/TEST IS
USELESS
(04) NOT AT RISK FOR CANCER
(05) DOCTOR DID NOT PRESCRIBE OR
RECOMMEND IT
(06) DOCTOR RECOMMENDED AGAINST GETTING
IT
(07) DON’T LIKE PAP SMEAR/PAIN, SORENESS,
DISCOMFORT OR REACTIONS
(08) INCONVENIENT/UNABLE TO GET TO
LOCATION/TRANSPORTATION DIFFICULTY
(09) DIDN’T THINK ABOUT IT/FORGOT/MISSED
IT/PROCRASTINATED
(10) COST OF PAP SMEAR/INSURANCE DOESN’T
COVER COST/NOT WORTH THE MONEY
(11) AFRAID OF RESULTS/DON’T WANT TO KNOW
(12) NEVER HEARD OF PAP SMEAR
(13) APPOINTMENT SCHEDULED FOR FUTURE
DATE
(14) HAD HYSTERECTOMY/NO UTERUS, OVARIES
(15) TOO ILL, PHYSICALLY/MENTALLY
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

(01) BOX PV7
(02) PV13 - PAPCODE
(-8) BOX PV7
(-9) BOX PV7

(01) BOX PV7
(02) BOX PV7
(03) BOX PV7
(04) BOX PV7
(05) BOX PV7
(06) BOX PV7
(07) BOX PV7
(08) BOX PV7
(09) BOX PV7
(10) BOX PV7
(11) BOX PV7
(12) BOX PV7
(13) BOX PV7
(14) BOX PV7
(15) BOX PV7
(91) PV13 - PAPNOTHS
(-8) BOX PV7
(-9) BOX PV7

2020 MCBS Community Questionnaire

PAPNOTHS

PV13

BOX PV7

HYSTEREC

PROSSURG

PVQ - PREVENTIVE CARE

verbatim text

OTHER (SPECIFY)

routing

IF RESPONDENT HAS NOT PREVIOUSLY REPORTED HYSTERECTOMY
(SAMPLE_PERSON.P_HYSTEREC^=1) AND RESPONSE TO PV13 – PAPCODE DOES NOT INCLUDE
14/HadHysterectomy, GO TO PV14 - HYSTEREC.
ELSE GO TO BOX PVEND.

BOX PV7

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

PV14

yes/no

[Have you/Has (SP)] ever had a hysterectomy?

BOX PV8

routing

IF SP HAS EVER REPORTED HAVING PROSTATE SURGERY IN A PREVIOUS ROUND
(sample_person.P_PROSSURG=1), GO TO PV16 - DIGTEXAM.
ELSE GO TO PV15 - PROSSURG.

yes/no

[Since (SAMPLE_PERSON.DATE_FALLRND), [have you/has (SP)/[Have you/has (SP)] ever] had surgery on
(01) YES
(your/his) prostate?
(02) NO
(-8) DON'T KNOW
[EXPLAIN IF NECESSARY: Surgery on the prostate gland is typically used as a treatment for prostate cancer
(-9) REFUSED
or to correct urinary problems. Surgery can include complete or partial removal of the prostate.]

PV15

BOX PVEND

PV16 - DIGTEXAM

[These next few questions are about follow-up care sometimes prescribed after prostate surgery].
DIGTEXAM

PV16

yes/no

[Have you/Has (SP)] had a digital rectal examination (of the prostate) since
(SAMPLE_PERSON.DATE_FALLRND)?
[EXPLAIN IF NECESSARY: The exam may be used to detect prostate cancer, to determine whether cancer
has spread beyond the prostate, and as part of follow-up care after prostate surgery.]

[Have you/Has (SP)] had a blood test for detection of prostate cancer, known as a PSA, since
(SAMPLE_PERSON.DATE_FALLRND)?
BLOODTST

PV17

yes/no

PSA = PROSTATE-SPECIFIC ANTIGEN
[EXPLAIN IF NECESSARY: The test may be used to detect prostate cancer, to determine whether cancer
has spread beyond the prostate, and as part of follow-up care after prostate surgery.]

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

PV17 - BLOODTST

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

(01) BOX PVEND
(02) PV18 - PRONCODE
(-8) BOX PVEND
(-9) BOX PVEND

2020 MCBS Community Questionnaire

PVQ - PREVENTIVE CARE

PRONCODE

PV18

code all

What is the reason that [you have/(SP) has] not had a prostate blood test or PSA since
(SAMPLE_PERSON.DATE_FALLRND)?
CHECK ALL THAT APPLY.

PRONOTHS

PV18

verbatim text

OTHER (SPECIFY)

BOX PVEND

routing

IF SEASON=FALL AND INTTYPE in(C001, C002, C003, C004, C005, C006), GO TO HFQ.
IF SEASON=WINTER, GO TO KNQ.
IF SEASON=SUMMER, GO TO CPQ.

(01) DIDN’T KNOW IT WAS NEEDED/NO
NEED/NOTHING WRONG
(02) NOT RECOMMENDED EVERY YEAR/ON A
DIFFERENT SCREENING SCHEDULE
(03) DIDN’T THINK IT WOULD PREVENT
CANCER/COULD GET CANCER ANYWAY/TEST IS
USELESS
(04) NOT AT RISK FOR CANCER
(05) DOCTOR DID NOT PRESCRIBE OR
RECOMMEND IT
(06) DOCTOR RECOMMENDED AGAINST GETTING
IT
(07) DON’T LIKE BLOOD TESTS/PAIN, SORENESS,
DISCOMFORT OR REACTIONS
(08) INCONVENIENT/UNABLE TO GET TO
LOCATION/TRANSPORTATION DIFFICULTY
(09) DIDN’T THINK ABOUT IT/FORGOT/MISSED
IT/PROCRASTINATED
(10) COST OF TEST/INSURANCE DOESN’T COVER
COST/NOT WORTH THE MONEY
(11) AFRAID OF RESULTS/DON’T WANT TO KNOW
(12) NEVER HEARD OF PSA
(13) APPOINTMENT SCHEDULED FOR FUTURE
DATE
(14) PROSTATECTOMY/PROSTATE REMOVED
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

(01) BOX PVEND
(02) BOX PVEND
(03) BOX PVEND
(04) BOX PVEND
(05) BOX PVEND
(06) BOX PVEND
(07) BOX PVEND
(08) BOX PVEND
(09) BOX PVEND
(10) BOX PVEND
(11) BOX PVEND
(12) BOX PVEND
(13) BOX PVEND
(14) BOX PVEND
(91) PV18 - PRONOTHS
(-8) BOX PVEND
(-9) BOX PVEND

BOX PVEND