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pdf2021 MCBS Community Questionnaire
Variable Name
MR Screen Name
MBQ-MOBILITY OF BENEFICIARIES
Question Type
Question Text/Description
Code List
Routing
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
MB2 - MREDTRAV
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
MB3 - MASKRIDE
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
BOX MB1
MOBILITY OF BENEFICIARIES QUESTIONNAIRE SPECIFICATIONS
CRITERIA
INTTYPE=ALL
SPALIVE=1
SEASON=FALL
SPPROXY=SP or PROXY
Other: N/A
PLACEMENT
If INTTYPE in (C001, C004, C005), administer after CPS.
If INTTYPE in (C002, C006), administer after NSQ.
If INTTYPE in (C003), administer after HIQ.
BOX MBBEG
routing
GO TO MB1 - MTBLGTPL.
My next questions are about [your/(SP)’s] travel activities and [your/his/her] health.
MTBLGTPL
MB1
yes/no
Because of a health or physical problem, [have you/has (SP)]...
had trouble getting places, like the doctor’s office, a supermarket, or a friend’s house since (TODAY'S DATE - 12
MONTHS, MONTH AND YEAR)?
MREDTRAV
MASKRIDE
MB2
MB3
BOX MB1
yes/no
yes/no
routing
Because of a health or physical problem, [have you/has (SP)]…
reduced [your/his/her] day-to-day travel since (TODAY'S DATE - 12 MONTHS, MONTH AND YEAR)?
Because of a health or physical problem, [have you/has (SP)]...
asked others for rides since (TODAY'S DATE - 12 MONTHS, MONTH AND YEAR)?
If the respondent ever reported that they don't drive, have never driven, or gave up driving
(SAMPLE_PERSON.P_MGIVUPDR =1, 3, 4, or 5), go to MB6-MUSETRNS.
Else go to MB5-MGIVUPDR.
(01) YES
(02) NO
(03) DOESN'T DRIVE (DO NOT DISPLAY.)
given up driving altogether since (TODAY'S DATE - 12 MONTHS, MONTH AND YEAR)?
(04) HAS NEVER DRIVEN
(05) GAVE UP DRIVING BEFORE (TODAY'S DATE - 12
[PROBE FOR PROPER RESPONSE IF R OFFERS MORE THAN A YES OR NO RESPONSE, USING PROBES
MONTHS, MONTH AND YEAR)
SUCH AS “Was this because of a health or physical problem” and “I just want to check whether this was before or
(-8) Don't Know
after (TODAY'S DATE - 12 MONTHS, MONTH AND YEAR)”.]
(-9) Refused
Because of a health or physical problem, [have you/has (SP)]...
MGIVUPDR
MB5
yes/no
(01) MB6 - MUSETRNS
(02) MB4 - MLIMDRIV
(03) MB6 - MUSETRNS (DO NOT DISPLAY.)
(04) MB6 - MUSETRNS
(05) MB6 - MUSETRNS
(-8) MB4 - MLIMDRIV
(-9) MB4 - MLIMDRIV
Page 1 of 2
2021 MCBS Community Questionnaire
Variable Name
MR Screen Name
MBQ-MOBILITY OF BENEFICIARIES
Question Type
Question Text/Description
Code List
Routing
Because of a health or physical problem, [have you/has (SP)]…
limited driving to daytime since (TODAY'S DATE - 12 MONTHS, MONTH AND YEAR)?
MLIMDRIV
MB4
yes/no
(01) YES
(02) NO
[PROBE FOR PROPER RESPONSE IF R OFFERS MORE THAN A YES OR NO RESPONSE, USING PROBES (03) DOES NOT DRIVE (DO NOT DISPLAY.)
SUCH AS “Was this because of a health or physical problem” and “I just want to check whether this was before or (-8) Don't Know
(-9) Refused
after (TODAY'S DATE - 12 MONTHS, MONTH AND YEAR)”.]
MB6 - MUSETRNS
[IF THE R DOES NOT DRIVE, BACK UP AND CHANGE THE RESPONSE TO THE PREVIOUS QUESTION.]
Because of a health or physical problem, [have you/has (SP)]...
MUSETRNS
MB6
yes/no
used a taxi or special transportation service since (TODAY'S DATE - 12 MONTHS, MONTH AND YEAR)?
[EXPLAIN IF NECESSARY: A special transportation service may include a van or shuttle service for seniors or
people with disabilities.]
BOX MBEND
routing
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
BOX MBEND
GO TO PVQ.
Page 2 of 2
File Type | application/pdf |
File Title | Medicare Current Beneficiary Survey Section Specifications for MBQ |
Subject | Medicare beneficiaries, MCBS community questionnaire, 2021, Mobility of beneficiaries, MBQ |
Author | NORC |
File Modified | 2021-08-17 |
File Created | 2021-08-11 |