In (state), the (fill state CHIP program name) helps families get health insurance for CHILDREN. (Just to be sure,) Were any of the children in this household covered by that program? Read if necessary: (fill state CHIP program name) is the name of your state's CHIP program. It is the same as the Children's Health Insurance Program, which helps pay for children's health care.
Who was that? Enter all that apply, separate using the space bar or a comma. Probe: Anyone Else?
Enter persons line number (1-16)