Questionnaire Text

ASEC 2018 ASEC 2015 ASEC 2012 ASEC 2009
ASEC 2017 ASEC 2014 ASEC 2011 ASEC 2008
ASEC 2016 ASEC 2013 ASEC 2010
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ASEC 2018

No questionnaire text is available for this sample.


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ASEC 2017

No questionnaire text is available for this sample.


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ASEC 2016

No questionnaire text is available for this sample.


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ASEC 2015

No questionnaire text is available for this sample.


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ASEC 2014
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SRCEGEN
? [F1]
ASK OR VERIFY
For the coverage (name/you) (have/has/had) NOW, (do/does/did) (you/he/she) get it through a job, the government or state, or some other way?
JOB GOVERNMENT OR STATE OTHER
Military (TRICARE, VA, etc.) Medical Assistance Privately purchased
Former job/Retiree Medicaid Parent or spouse
Union Medicare (Parts A+B; Part C) School
Spouse/parent's job Medicare Advantage Exchange plan/Marketplace
Job with the government State-provided health coverage Group or association
COBRA Indian Health Service Medicare Supplements
IF RESPONDENT CHOOSES MORE THAN ONE: Let's talk about one plan at a time. Which would you like to tell me about first? [ If respondent is not covered, go back to VERIFY and select "Yes"]
1 Job (current or former)
2 Government or State
3 Some other way

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ASEC 2013
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SHI2
At any time in 2012, (was/were) (you/ anyone in this household) covered by a health insurance plan provided through (their/your) current or former employer or union? Military health insurance will be covered later in another question.
1 Yes
2 No
SHI4
In addition to (name/you) who else in this household was covered by (name?s/your) plan? Enter all that apply, separate using the space bar or a comma.
Enter 0 if no one listed
Enter 96 for All persons
Enter persons line number (1-16)

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ASEC 2012
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SHI2
At any time in 2011, (was/were) (you/ anyone in this household) covered by a health insurance plan provided through (their/your) current or former employer or union? Military health insurance will be covered later in another question.
1 Yes
2 No
SHI4
In addition to (name/you) who else in this household was covered by (name?s/your) plan? Enter all that apply, separate using the space bar or a comma. Enter 0 if no one listed. Enter 96 for All persons Probe: Anyone else?
Enter persons line number (1-16)

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ASEC 2011
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SHI2
At any time in 2010, (was/were) (you/ anyone in this household) covered by a health insurance plan provided through (their/your) current or former employer or union?
Military health insurance will be covered later in another question.
(1) Yes
(2) No
SHI4
In addition to (name/you) who else in this household was covered by (name?s/your) plan?
Enter all that apply, separate using the space bar or a comma. Enter 0 if no one listed Enter 96 for All persons
Probe: Anyone else?
Enter persons line number (1-16)

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ASEC 2010
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SHI2
At any time in 2009, (was/were) (you/ anyone in this household) covered by a health insurance plan provided through (their/your) current or former employer or union?
MILITARY HEALTH INSURANCE WILL BE COVERED LATER IN ANOTHER QUESTION.
(1) Yes
(2) No
SHI4
In addition to (name/you) who else in this household was covered by (name's/your) plan?
ENTER ALL THAT APPLY, SEPARATE USING THE SPACE BAR OR A COMMA.
ENTER "0" IF NO ONE LISTED
ENTER "96" FOR ALL PERSONS
PROBE: Anyone else?
ENTER PERSONS LINE NUMBER (1-16)

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ASEC 2009
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SHI2
At any time in 2008, (was/were) (you/ anyone in this household) covered by a health insurance plan provided through (their/your) current or former employer or union?
MILITARY HEALTH INSURANCE WILL BE COVERED LATER IN ANOTHER QUESTION.
(1) Yes
(2) No
SHI4
In addition to (name/you) who else in this household was covered by (name's/your) plan?
ENTER ALL THAT APPLY, SEPARATE USING THE SPACE BAR OR A COMMA.
ENTER "0" IF NO ONE LISTED
ENTER "96" FOR ALL PERSONS
PROBE: Anyone else?
ENTER PERSONS LINE NUMBER (1-16)

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ASEC 2008
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SHI2
At any time in 2007, (was/were) (you/ anyone in this household) covered by a health insurance plan provided through (their/your) current or former employer or union?
MILITARY HEALTH INSURANCE WILL BE COVERED LATER IN ANOTHER QUESTION.
(1) Yes
(2) No

SHI4

In addition to (name/you) who else in this household was covered by (name's/your) plan?
ENTER ALL THAT APPLY, SEPARATE USING THE SPACE BAR OR A COMMA.
ENTER "0" IF NO ONE LISTED
ENTER "96" FOR ALL PERSONS
PROBE: Anyone else?
ENTER PERSONS LINE NUMBER (1-16)