Questionnaire Text

ASEC 2021 ASEC 2017 ASEC 2013 ASEC 2009
ASEC 2020 ASEC 2016 ASEC 2012
ASEC 2019 ASEC 2015 ASEC 2011
ASEC 2018 ASEC 2014 ASEC 2010
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ASEC 2021

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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ASEC 2020

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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ASEC 2019

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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ASEC 2018
Questionnaire form view entire document:  text  image
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 2017
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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 2016
Questionnaire form view entire document:  text  image
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 2015
Questionnaire form view entire document:  text  image
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 2014

No questionnaire text is available for this sample.


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ASEC 2013
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SHI18
At any time in, 2012 (was/were) (you/ anyone in this household) covered by TRICARE, CHAMPVA, VA, military health care, or Indian Health Service? NOTE: CHAMPVA is the Civilian Health And Medical Program of the Department of Veteran's Affairs.
1 Yes
2 No

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ASEC 2012
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SHI18
At any time in, 2011 (was/were) (you/ anyone in this household) covered by TRICARE, CHAMPVA, VA, military health care, or Indian Health Service? NOTE: CHAMPVA is the Civilian Health And Medical Program of the Department of Veteran's Affairs.
1 Yes
2 No

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ASEC 2011
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SHI18
At any time in, 2010 (was/were) (you/ anyone in this household) covered by TRICARE, CHAMPVA, VA, military health care, or Indian Health Service?
NOTE: CHAMPVA is the Civilian Health and Medical Program of the Department of Veterans Affairs.
(1) Yes
(2) No

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ASEC 2010
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SHI18
At any time in, 2009 (was/were) (you/ anyone in this household) covered by TRICARE, CHAMPUS, CHAMPVA, VA, military health care, or Indian Health Service?
NOTE: CHAMPVA IS THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERAN'S AFFAIRS.
(1) Yes
(2) No

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ASEC 2009
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SHI18
At any time in, 2008 (was/were) (you/ anyone in this household) covered by TRICARE, CHAMPUS, CHAMPVA, VA, military health care, or Indian Health Service?
NOTE: CHAMPVA IS THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERAN'S AFFAIRS.
(1) Yes
(2) No