Form 1 PE COVID-19

Medical Expenditure Panel Survey (MEPS) COVID-19 Changes

Attachment A - PE COVID-19 items

COVID-19 Questions

OMB: 0935-0118

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First time asked (All rounds spring 2023, Round 1, or new household member)


  1. Has a doctor or other health professional ever told {you/PERSON} that {you/he/she} had or likely had coronavirus or COVID-19?  [Yes/No/Refused/Don’t Know]


  1. Did {you/PERSON} ever take a test that showed {you/he/she} had coronavirus or COVID-19? [Yes/No/Refused/Don’t Know]


* Read if necessary: Testing includes antibody or blood tests as well as other forms of testing for COVID-19, such as a nasal swabbing or throat swabbing.


  1. Please think about the last 12 months, that is between {MONTH YEAR-1} and today. Was {your/PERSON’s} most recent COVID-19 diagnosis or positive test within the past 12 months or more than 12 months ago?

*Read if necessary: When did you first have symptoms or a positive test?

Routing logic: asked for all MEPS sample members who have been told by a doctor or other health professional that they had or likely had coronavirus or COVID-19 or tested positive for COVID-19


  1. What month and year did you last have COVID-19?


*Read if necessary: What month and year did you first have symptoms or a positive test?

*Read if necessary: Give your best estimate.

Routing logic: asked for all MEPS sample members who most recently had COVID-19 within the past 12 months


Later time asked (Rounds 2+)


  1. {Since {START DATE}/Between {START DATE} and December 31, {YEAR}}, {has/did} a doctor or other health professional ever tell {you/{PERSON}} that {you/he/she} had or likely had coronavirus or COVID-19? [Yes/No/Refused/Don’t Know]


  1. {Since {START DATE}/Between {START DATE} and December 31, {YEAR}}, did {you/PERSON} ever take a test that showed {you/he/she} had coronavirus or COVID-19? [Yes/No/Refused/Don’t Know]


* Read if necessary: Testing includes antibody or blood tests as well as other forms of testing for COVID-19, such as a nasal swabbing or throat swabbing.


  1. What month and year did you last have COVID-19?


*Read if necessary: What month and year did you first have symptoms or a positive test?

*Read if necessary: Give your best estimate.


Routing logic: asked for MEPS sample members who most recently had COVID-19 since the last interview


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorRebecca Ahrnsbrak
File Modified0000-00-00
File Created2022-10-06

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