Questionnaire Text

ASEC 2023 ASEC 2019 ASEC 2015 ASEC 2011
ASEC 2022 ASEC 2018 ASEC 2014 ASEC 2010
ASEC 2021 ASEC 2017 ASEC 2013 ASEC 2009
ASEC 2020 ASEC 2016 ASEC 2012
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ASEC 2023

No questionnaire text is available for this sample.


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ASEC 2022

No questionnaire text is available for this sample.


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ASEC 2021

No questionnaire text is available for this sample.


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ASEC 2020

No questionnaire text is available for this sample.


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ASEC 2019

No questionnaire text is available for this sample.


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ASEC 2018
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OTHGOVT
(Are/Is) (name/you) NOW covered by a state or government assistance program that helps pay for healthcare, such as: State Medicaid, CHIP, Exchange/Portal, or other State Health program?
Stop reading list if respondent says "YES"
1 Yes
2 No

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ASEC 2017
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OTHGOVT
(Are/Is) (name/you) NOW covered by a state or government assistance program that helps pay for healthcare, such as: State Medicaid, CHIP, Exchange/Portal, or other State Health program?
Stop reading list if respondent says "YES"
1 Yes
2 No

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ASEC 2016
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OTHGOVT
(Are/Is) (name/you) NOW covered by a state or government assistance program that helps pay for healthcare, such as: State Medicaid, CHIP, Exchange/Portal, or other State Health program?
Stop reading list if respondent says "YES"
1 Yes
2 No

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ASEC 2015
Questionnaire form view entire document:  text  image
OTHGOVT
(Are/Is) (name/you) NOW covered by a state or government assistance program that helps pay for healthcare, such as: State Medicaid, CHIP, Exchange/Portal, or other State Health program?
Stop reading list if respondent says "YES"
1 Yes
2 No

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ASEC 2014

No questionnaire text is available for this sample.


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ASEC 2013
Questionnaire form view entire document:  text  image
SHI21
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.
1 Yes
2 No
SHI22
Who was that? Enter all that apply, separate using the space bar or a comma. Probe: Anyone Else?
Enter persons line number (1-16)

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ASEC 2012
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SHI21
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.
1 Yes
2 No
SHI22
Who was that? Enter all that apply, separate using the space bar or a comma. Probe: Anyone Else?
Enter persons line number (1-16)

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ASEC 2011
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SHI21
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.
1 Yes
2 No
SHI22
Who was that? Enter all that apply, separate using the space bar or a comma. Probe: Anyone Else?
Enter persons line number (1-16)

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ASEC 2010
Questionnaire form view entire document:  text  image
SHI21
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.
1 Yes
2 No
SHI22
Who was that? Enter all that apply, separate using the space bar or a comma. Probe: Anyone Else?
Enter persons line number (1-16)

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ASEC 2009
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SHI21
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.
1 Yes
2 No
SHI22
Who was that? Enter all that apply, separate using the space bar or a comma. Probe: Anyone Else?
Enter persons line number (1-16)