Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

OMB: 0938-0568

Document [pdf]
Download: pdf | pdf
2026 MCBS Community Questionnaire

Variable Name

MR Screen Name

Question Type

PVQ-PREVENTIVE CARE

Question Text/Description

Code List

Routing

PREVENTIVE CARE QUESTIONNAIRE SPECIFICATIONS
CRITERIA
INTTYPE=ALL
SPALIVE=1
SEASON=ALL FALL
SPPROXY=SP or PROXY
Other: N/A
PLACEMENT
If SEASON=FALL, aAdminister after MBQ.
If SEASON=WINTER or SUMMER, administer after HIQ

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 PVINTPVINTRO.
ELSE IF (SEASON=SUMMER) AND (WINTER ROUND RESONSE TO PVF1-FLUSHOT=1/YES), GO TO BOX
PVEND.

PVINTRO

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."

FLUSHOT

PVF1

yes/no

BOX PV1

routing

Since [July 1st, (ROUND 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”.

PVF2

code all

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

(01) FLUSITE-FLUSITE
(02) BOX PV1
(-8) BOX PVEND
(-9) BOX PVEND

(01) I WAS SICK WITH FLU SO I DON’T’ NEED THE
VACCINE
(02) I DIDN’T KNOW THE VACCINE WAS NEEDED
(03) THE VACCINE COULD GIVE ME FLU
(04) THE VACCINE COULD HAVE SIDE EFFECTS OR IS
NOT SAFE
(05) I DON’T THINK THE VACCINE WILL PREVENT THE
FLU
(06) FLU IS NOT SERIOUS
(07) MY DOCTOR DID NOT TELL ME THAT I SHOULD
GET THE VACCINE
(08) MY DOCTOR TOLD ME NOT TO GET THE VACCINE
(09) I DON'T LIKE VACCINES OR NEEDLES
(10) I COULDN’T GET TO THE PLACE WHERE THEY
WERE OFFERING THE VACCINE
(11) I COULDN’T FIND A PLACE THAT WAS OFFERING
THE VACCINE
(12) I FORGOT
(13) I COULDN’T AFFORD THE VACCINE
(14) I HAD VACCINE BEFORE AND DON’T NEED TO
GET IT AGAIN
(15) THE VACCINE WAS NOT AVAILABLE
(16) THE VACCINE IS NOT WORTH THE MONEY
(17) I DIDN'T HAVE TIME TO GET THE VACCINE
(18) I’M NOT IN A HIGH RISK/PRIORITY GROUP
(19) I HAVE AN ONGOING HEALTH
CONDITION/ALLERGY/MEDICAL REASON THAT
PREVENT ME FROM GETTING THE VACCINE
(20) I DON'T TRUST WHAT GOVERNMENT SAYS
ABOUT VACCINE
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

(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
(19) BOX PV2
(20) BOX PV2
(91) PVF2 - FLUOTHOS
(-8) BOX PV2
(-9) BOX PV2

IF SEASON=WINTER OR (IF SEASON=SUMMER AND P_FLUSHOT in (., -7, -8), GO TO PVF2-FLUCODE.
ELSE GO TO BOX PVEND.

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

PVF1-FLUSHOT

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

Page 1 of 6

2026 MCBS Community Questionnaire

PVQ-PREVENTIVE CARE

Variable Name

MR Screen Name

Question Type

Question Text/Description

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

PVF3

code one

BOX PV3

routing

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

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

FLUSITE

code one

Where did [you/(SP)] go for [your/(SP)'s] most recent seasonal flu shot?

FLUSITOS

FLUSITOS

verbatim text

OTHER (SPECIFY)

VACAVAIL

VACPAID

PVF5

PREVHLTHINTRO PV8

WELLNESS

BPTAKEN

PV8A

PV9

yes/no

yes/no

BOX PV2

[LIST ALL RESPONSES SELECTED AT PVF2-FLUCODE]
_ _ [ENTER MAIN REASON]
BOX PV3
(-8) DON’T KNOW
(-9) REFUSED

Did [you/(SP)] pay some or all of the cost of the flu shot?

(01) PHARMACY/DRUG STORE
(02) DOCTORS OFFICE OR GROUP PRACTICE
(03) CLINIC (MEDICAL
CLINIC/NEIGHBORHOOD/FAMILY HEALTH
CENTER/RURAL HEALTH CLINIC/COMPANY
CLINIC/WORKPLACE)
(04) HOSPITAL/WALK-IN URGENT CENTER
(05) VA FACILITY
(06) COMMUNITY SITE (HEALTH FAIR/SHOPPING
MALL/CHURCH/SCHOOL/LIBRARY)
(07) AT HOME
(08) SENIOR CENTER
(91) OTHER, SPECIFY
(-8) DON'T KNOW
(-9) REFUSED

Did [you/(SP)] have any trouble getting a seasonal flu shot when [you/(SP)] wanted to because the vaccine was in
short supply or unavailable?

(01) YES
(02) NO
(-8) DON'T KNOW
[IF NEEDED: This question is asking about whether the seasonal flu shot was available to [you/(SP)], regardless if
(-9) REFUSED
[you/(SP)] did not receive or want one.]
(01) CONTINUE
(-7) EMPTY

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
(01) YES
in Medicare for 12 months, Medicare pays for “Annual Wellness” visits. These visits are yearly appointments with
(02) NO
the beneficiary’s primary care provider to update their personalized prevention plan.
(-8) DON'T KNOW
(-9) REFUSED
Since (SAMPLE_PERSON.DATE_FALLRND), [have you/has (SP)] had either a “Welcome to Medicare” or an
“Annual Wellness” visit?

SHOW CARD PV1
When was the most recent time [your/(SP)'s] blood pressure was taken by a doctor or other health professional?

(01)-(08) VACPAID
(91) FLUSITOS - FLUSITOS
(-8) VACPAID - VACPAID
(-9) VACPAID - VACPAID

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

no entry

code one

Routing

IF RESPONSE TO PVF2-FLUCODE DOES NOT INCLUDE 15, GO TO PVF5-VACAVAIL..
ELSE GO TO BOX PVEND.

FLUSITE

VACPAID

Code List

(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 BLOOD PRESSURE TAKEN
(-8) DON'T KNOW
(-9) REFUSED

PVF5-VACAVAIL

BOX PVEND

PV8A- WELLNESS

PV9-BPTAKEN

PV10 - BCTAKEN

Page 2 of 6

2026 MCBS Community Questionnaire

Variable Name

BCTAKEN

MR Screen Name

Question Type

PVQ-PREVENTIVE CARE

Question Text/Description

SHOW CARD PV2

Code List

Routing

(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

BOXPV5A

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

(01) PV10C-OCCEXAM
(02) BOX PV5C
(-8) BOX PV5C
(-9) BOX PV5C

PV10

code one

BOX PV5A

routing

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

BASKORAL

PV10A

yes/no

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

CASKORAL

PV10B

yes/no

(01) YES
Since (SAMPLE_PERSON.DATE_FALLRND), [have you/has SP] had an exam for oral cancer in which the doctor
(02) NO
or dentist pulls on [your/(SP)'s] tongue, sometimes with gauze wrapped around it, and feels under the tongue and
(-8) DON'T KNOW
inside the cheeks?
(-9) REFUSED

OCCEXAM

PV10C

code one

BOX PV5C

routing

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

PV19

yes/no

BTSTHIV

code one

When was the most recent time [your/(SP)'s] cholesterol was checked?

BOX PV5C

(01) WITHIN THE PAST YEAR
(02) BETWEEN 1 AND 3 YEARS AGO
(03) OVER 3 YEARS AGO
(-8) DON'T KNOW
(-9) REFUSED

BOX PV5C

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/has (SP)] ever been tested for HIV?

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

(01) PV21-RCNTHIV
(02) BOX PV5D
(-8) BOX PV6
(-9) BOX PV6

When was [your/(SP)'s] 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
(-8) DON'T KNOW
(-9) REFUSED

BOX PV6

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

(01) BOX PV6
(02) BOX PV5D
(-8) BOX PV6
(-9) BOX PV6

When was [your/(SP)'s] most recent oral or mouth cancer exam?
Was it within the past year, between 1 and 3 years ago, or over 3 years ago?

RCNTHIV

PV21

CTSTHIV

PV20

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/has (SP)] been tested for
HIV?

BOX PV5D

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

Page 3 of 6

2026 MCBS Community Questionnaire

Variable Name

MR Screen Name

Question Type

PVQ-PREVENTIVE CARE

Question Text/Description

SHOW CARD PV3
WHYNHIV

MAMMOGRM

PV22

code one

BOX PV6

routing

PV11

yes/no

I am going to show you a list of reasons why some people have not been tested for HIV (the virus that causes
AIDS). Which one of these would you say is the MAIN reason why [you have/(SP) has] not been tested?

Code List

Routing

(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 BE
REPORTED TO THE GOVERNMENT IF YOU TESTED
POSITIVE
BOX PV6
(06) YOU DIDN’T KNOW WHERE TO GET 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

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

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

(01) YES
(02) NO
(03) QUESTION DOES NOT APPLY TO SP
(-8) DON'T KNOW
(-9) REFUSED

(01) BOX PV7
(02) PV11 - MAMCODE
(03) BOX PV7
(-8) BOX PV7
(-9) BOX PV7

(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) 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
(16) BOX PV7
(91) PV11 - MAMNOTHS
(-8) BOX PV7
(-9) BOX PV7

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)

BOX PV7

Page 4 of 6

2026 MCBS Community Questionnaire

Variable Name

MR Screen Name

PVQ-PREVENTIVE CARE

Question Type

Question Text/Description

BOX PV7

routing

IF RESPONDENT HAS NOT PREVIOUSLY REPORTED HYSTERECTOMY
(SAMPLE_PERSON.P_HYSTEREC^=1), GO TO PV14 - HYSTER
ELSE GO TO BOX PVEND.

Code List

Routing

HYSTER

PV14

yes/no

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

(01) YES
(02) NO
(03) QUESTION DOES NOT APPLY TO SP
(-8) DON'T KNOW
(-9) REFUSED

(01) BOX PVEND
(02) PV12 - PAPTEST
(03) PV12 - PAPTEST
(-8) PV12 - PAPTEST
(-9) PV12 - PAPTEST

PAPTEST

PV12

yes/no

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

(01) YES
(02) NO
(03) QUESTION DOES NOT APPLY TO SP
(-8) DON'T KNOW
(-9) REFUSED

(01) BOX PVEND
(02) PV13 - PAPREASN
(03) BOX PVEND
(-8) BOX PVEND
(-9) BOX PVEND

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
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
(15) TOO ILL, PHYSICALLY/MENTALLY
(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
(15) BOX PVEND
(91) PV13 - PAPOTHR
(-8) BOX PVEND
(-9) BOX PVEND

PAPREASN

PV13

code all

PAPOTHR

PV13

verbatim text

OTHER (SPECIFY)

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.

PV15

yes/no

PROSSURG

[Since (SAMPLE_PERSON.DATE_FALLRND), [have you/has (SP)/[Have you/has (SP)] ever] had surgery on
[your/(SP)'s] prostate?
[EXPLAIN IF NECESSARY: Surgery on the prostate gland is typically used as a treatment for prostate cancer or
to correct urinary problems. Surgery can include complete or partial removal of the prostate.]

[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.]

BOX PVEND

(01) YES
(02) NO
(03) QUESTION DOES NOT APPLY TO SP
(-8) DON'T KNOW
(-9) REFUSED

PV16 - DIGTEXAM

(01) YES
(02) NO
(03) QUESTION DOES NOT APPLY TO SP
(-8) DON'T KNOW
(-9) REFUSED

PV17 - BLOODTST

Page 5 of 6

2026 MCBS Community Questionnaire

Variable Name

MR Screen Name

Question Type

PVQ-PREVENTIVE CARE

Question Text/Description
[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.]

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=SUMMER, GO TO CPQ.
IF SEASON=WINTER, GO TO IMQ.
ELSE, GO TO HFQ.

Code List

Routing

(01) YES
(02) NO
(03) QUESTION DOES NOT APPLY TO SP
(-8) DON'T KNOW
(-9) REFUSED

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

(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

Page 6 of 6


File Typeapplication/pdf
File TitleMedicare Current Beneficiary Survey Section Specifications for PVQ
SubjectMedicare beneficiaries, MCBS community questionnaire, 2026, Preventive care, PVQ
KeywordsMedicare, beneficiaries;, MCBS, community, questionnaire;, 2026;, Preventive, care;, PVQ
AuthorNORC at the University of Chicago
File Modified2025:06:18 17:08:40-05:00
File Created2025:06:18 17:07:21-05:00

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