Attachment 9b
2022 Q3 Additions to Sample Adult Questionnaire
Internet Use
(ACCSSINT_A): Do you have access to the Internet?
Yes
No
DK/REF
(ACCSSHOM_A): Do you have access to the Internet from your home?
Yes
No
DK/REF
Health Information Technology
(HITLOOK_A): During the past 12 months, have you used the Internet for any of the following reasons? To look for health or medical information.
Yes
No
DK/REF
(HITCOMM_A): During the past 12 months, have you used the Internet for any of the following reasons? To communicate with a doctor or doctor’s office.
Yes
No
DK/REF
(HITTEST_A): During the past 12 months, have you used the Internet for any of the following reasons? To look up medical test results.
Yes
No
DK/REF
Civic Engagement
(CEVOLUN1_A): During the past 12 months, did you spend any time volunteering for any organization or association?
Yes (End Section)
No (goto CEVOLUN2_A)
DK/REF
(CEVOLUN2_A): Some people don’t think of activities they do infrequently or for children’s schools or youth organizations as volunteer activities. During the past 12 months, have you done any of these types of activities?
Yes
No
DK/REF
(CEMMETNG): During the past 12 months, did you attend a public meeting, such as a zoning or school board meeting, that discussed a local issue? (Adapted from the CPS; 2019 prevalence = 10.4%)
Yes
No
DK/REF
(CEVOTELC_A): Did you vote in the last local elections, such as for mayor, councilmembers, or school board?
Yes
No
DK/REF
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Simile, Catherine M. (CDC/DDPHSS/NCHS/DHIS) |
| File Modified | 0000-00-00 |
| File Created | 2022-05-09 |