Routing for UAS206

el_intro
In this survey, we are inviting you to take part in a new UAS research study that focuses on health and finances among Americans ages 65 and older. Please answer the following questions to find out if you are eligible to participate in this study.
if statereside = empty then
state_2 (updated state residence)
In which state do you currently reside?
1 Alaska (AK)
2 Alabama (AL)
3 Arizona (AZ)
4 Arkansas (AR)
5 California (CA)
6 Colorado (CO)
7 Connecticut (CT)
8 Delaware (DE)
9 Florida (FL)
10 Georgia (GA)
11 Hawaii (HI)
12 Idaho (ID)
13 Illinois (IL)
14 Indiana (IN)
15 Iowa (IA)
16 Kansas (KS)
17 Kentucky (KY)
18 Louisiana (LA)
19 Maine (ME)
20 Maryland (MD)
21 Massachusetts (MA)
22 Michigan (MI)
23 Minnesota (MN)
24 Mississippi (MS)
25 Missouri (MO)
26 Montana (MT)
27 Nebraska (NE)
28 Nevada (NV)
29 New Hampshire (NH)
30 New Jersey (NJ)
31 New Mexico (NM)
32 New York (NY)
33 North Carolina (NC)
34 North Dakota (ND)
35 Ohio (OH)
36 Oklahoma (OK)
37 Oregon (OR)
38 Pennsylvania (PA)
39 Rhode Island (RI)
40 South Carolina (SC)
41 South Dakota (SD)
42 Tennessee (TN)
43 Texas (TX)
44 Utah (UT)
45 Vermont (VT)
46 Virginia (VA)
47 Washington (WA)
48 West Virginia (WV)
49 Wisconsin (WI)
50 Wyoming (WY)
51 Washington D.C.
52 Puerto Rico
Else
state_1 (confirm state reside)
Just for verification purposes, are you still a resident of [R STATE RESIDENCE[]]?
1 (YES) Yes
2 (NO) No
if state_1 = 2 then
state_2 (updated state residence)
In which state do you currently reside?
1 Alaska (AK)
2 Alabama (AL)
3 Arizona (AZ)
4 Arkansas (AR)
5 California (CA)
6 Colorado (CO)
7 Connecticut (CT)
8 Delaware (DE)
9 Florida (FL)
10 Georgia (GA)
11 Hawaii (HI)
12 Idaho (ID)
13 Illinois (IL)
14 Indiana (IN)
15 Iowa (IA)
16 Kansas (KS)
17 Kentucky (KY)
18 Louisiana (LA)
19 Maine (ME)
20 Maryland (MD)
21 Massachusetts (MA)
22 Michigan (MI)
23 Minnesota (MN)
24 Mississippi (MS)
25 Missouri (MO)
26 Montana (MT)
27 Nebraska (NE)
28 Nevada (NV)
29 New Hampshire (NH)
30 New Jersey (NJ)
31 New Mexico (NM)
32 New York (NY)
33 North Carolina (NC)
34 North Dakota (ND)
35 Ohio (OH)
36 Oklahoma (OK)
37 Oregon (OR)
38 Pennsylvania (PA)
39 Rhode Island (RI)
40 South Carolina (SC)
41 South Dakota (SD)
42 Tennessee (TN)
43 Texas (TX)
44 Utah (UT)
45 Vermont (VT)
46 Virginia (VA)
47 Washington (WA)
48 West Virginia (WV)
49 Wisconsin (WI)
50 Wyoming (WY)
51 Washington D.C.
52 Puerto Rico
Else
state_2 := statereside
End of if
End of if
mc_enroll (currently enrolled in Medicare)
Are you currently enrolled in Medicare, either Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C)? (Medicare advantage plans are provided by private health insurance carriers in your area.)
1 Yes
2 No
3 Not sure
FLMedicaid := getMediState(state_2)
md_enroll (currently enrolled in state medicaid)
Are you currently enrolled in [[]]?
1 Yes
2 No
3 Not sure
if mc_enroll = 1 AND md_enroll = 1 then
enrolled := 3
elseif mc_enroll = 1 then
enrolled := 1
elseif md_enroll = 1 then
enrolled := 2
Else
enrolled := 4
earlyexit
Thank you for answering these questions. The project is being offered to people who are currently either enrolled in either Medicare or Medicaid. Please let us know if your situation changes and you would like to learn more about the project.
dummy := doPayout(2)
Exit the survey
End of if
info1
As part of our ongoing study of the health and financial situation of people residing in the U.S., our next research project is to analyze data from outside sources along with the answers that you and the other members of the Understanding America Study provide in our surveys. That that will allow us to better understand how individual health, access to healthcare, and finances affect our lives.

The following is a short summary of the key information about this study to help you decide whether or not you should participate. More detailed information is listed later on.

Key Information
  • Being in this research study is voluntary - it is your choice.
  • You are being asked to possibly take part in this study because you are a member of the Understanding America Study who is age 65 or older. The purpose of this study is to use health data collected by Medicare and Medicaid to help understand the needs of olderresidents.. Your participation in this study will last as long as you agree to participate.
  • There is a small risk that people who are not connected with this study will learn your identity or your personal information.
  • There are no direct benefits to you from taking part in this study. However, your participation in this study may help us learn how health, access to healthcare, and finances affect Americans' lives. It may also help us understand how better to inform Americans about the choices that are available to them.
  • If you decide not to participate in this research, you can continue to participate in the Understanding America Study, doing surveys.
info2
What follows is a set of screens providing detailed information about the study. Please take as much time as you need to read the information. You may want to discuss it with your family or friends. If you find any of the language difficult to understand, please contact us with any questions before you decide. If you decide to participate, you will be asked to fill out a survey question indicating your agreement, and then provide the information that is needed to participate.
info3 (purpose understanding)
THE PURPOSE OF THIS STUDY

We are interested in learning more about the financial and health situation of older U.S .residents all across the country. We also want to help organizations that affect all our lives, such as federal and local governments understand the priorities and needs of people living in America.

You are invited as a possible participant because you are a member of the Understanding America Study online panel, you are 65 or older, and you are enrolled in Medicare or Medicaid. About 5000 UAS participants may take part in the study. This research is being funded by the National Institute of Aging, and the Social Security Administration.
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info4 (procedures understanding)
STUDY PROCEDURES

If you decide to take part, this is what will happen: Your Medicare and/or Medicaid numbers will be used to locate your Medicare and/or Medicaid data. Your numbers or other identifiers will then be replaced with a study code, to protect your privacy. This is called “anonymizing” the data.

We will use the study code to combine the data with your survey data. These combined files (which will not include any names or other personal identifiers) will be kept in what is known as a “secure enclave” which means a computer that can only be accessed by a few researchers, and only for very specific purposes. Your anonymized data, combined with all other participants, will be used by researchers to create statistics, charts, and publications.

If you do not know your Medicare number, we can use the last four digits of your social security number, and/or your name, address, sex, and date of birth, to locate the records.

1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info4a (alternatives understanding)
ALTERNATIVES TO PARTICIPATING

Participation in this study is completely voluntary. The alternative to participating in it is to indicate that you do not want to participate, when we ask later in this survey.

We very much appreciate your participation in our UAS surveys, and whether or not you decide to participate in this or any other UAS project,you will continue to be a member of the Understanding America Study.
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info4b (payments understanding)
PAYMENTS

You will not be compensated for your participation in this research, other than the compensation you will earn for reading this information and completing this survey. If you decide to participate, you will earn an additional amount for the extra time it takes to provide the information.
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info5 (risks and benefits understanding)
RISKS AND DISCOMFORTS

If you decide to take part in this study, the possible risks and discomforts you could experience in the study are minimal: There is a small risk that people who are not connected with this study will learn your identity or your personal information.

BENEFITS

There are no direct benefits to you from taking part in this study. However, your participation will help us learn how health, access to healthcare, and finances affect Americans’ lives. It may also help us understand how better to inform Americans about the choices that are available to them.
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info6 (privacy understanding)
PROTECTING PRIVACY AND CONFIDENTIALITY

We will keep your records for this study confidential as far as permitted by law. However, if we are required to do so by law, we will disclose confidential information about you.

Efforts will be made to limit the use and disclosure of your personal information, including research study and medical records, to people who are required to review this information.

For example, the University of Southern California’s Institutional Review Board (IRB) or Federal representatives may access your research records for the purpose of protecting human subjects in research projects. They will not disclose your personal identifying information to anyone else.
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info6a (certificate understanding)
This research is covered by a Certificate of Confidentiality from the National Institutes of Health. This means that the researchers cannot release or use information, documents, or samples that may identify you in any action or suit unless you say it is okay. They also cannot provide them as evidence unless you have agreed. This protection includes federal, state, or local civil, criminal, administrative, legislative, or other proceedings. An example would be a court subpoena.

There are some important things that you need to know. The Certificate DOES NOT stop reporting that federal, state or local laws require. Mostly these are not applicable to this research, as they are laws that require reporting of child or elder abuse, some communicable diseases, and threats to harm to yourself or others. The Certificate CANNOT BE USED to stop a sponsoring United States federal or state government agency from checking records or evaluating programs. The Certificate also DOES NOT prevent your information from being used for other research if allowed by federal regulations.

Researchers may release information about you when you say it is okay. The Certificate of Confidentiality does not stop you from willingly releasing information about your involvement in this research. It also does not prevent you from having access to your own information.
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info6b (future understanding)
How will the data from this study be used in the future?

Data collected as part of this research will be used or distributed for future research studies without any additional informed consent. Information that identifies you (such as your name) will not be in the information that is shared with others for research.
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
info7 (contact understanding)
VOLUNTARY PARTICIPATION and CONTACT INFORMATION

It is your choice whether or not to participate. If you choose to participate, you may change your mind and leave the study at any time. Refusal to participate or stopping your participation will involve no penalty. If you stop being in the research, already collected data may not be removed from the study database. You will be asked whether the investigator can continue to collect data from your records. If you agree, this data will be handled the same as the research data. No new information will be collected about you by the study team without your permission.

This research has been reviewed and approved by the USC Institutional Review Board (IRB). The IRB is a research review board that reviews and monitors research studies to protect the rights and welfare of research participants. Contact the IRB if you have questions about your rights as a research participant or you have complaints about the research. You may contact the IRB at (323) 442-0114 or by email at irb@usc.edu.

If you have questions, concerns, or complaints, or if you choose to withdraw after you have decided to participate, contact the study investigator Arie Kapteyn by phone (855) 872-8673 or by email (uashelp@usc.edu).
1 I have read and understood this information
2 I did not understand this information
3 I am not sure I understood this information
faq_shown := 2
if info3 in [2,3] OR info4 in [2,3] OR info4a in [2,3] OR info4b in [2,3] OR info5 in [2,3] OR info6 in [2,3] OR info6a in [2,3] OR info6b in [2,3] OR info7 in [2,3] then
faq_shown := 1
faq (FAQ)
Since there was some information that you may not have understood, below is a list of frequently asked questions. Click on each panel heading to read more. To close the panel click on the heading again.

The goal of this study is to understand the health and financial situation for older Americans. We do this through conducting surveys, of course. The purpose of asking you for permission to combine survey data with data from Medicare and/or Medicaid is to reduce the burden on our survey respondents, and ensure that we are working with accurate data.

Researchers study this information to create findings that may include
  • New knowledge about the relationships between access to health care and health.
  • Understanding of how changes in a financial situation (e.g. retirement) may impact access to care.
People volunteer to join the study for different reasons including:
  • To help policy makers understand how people in the country are doing in regards to health, finances, and access to care.
  • To make sure research findings benefit all types of people – regardless of age, race, ethnicity, or geography.
We believe that giving members the chance to volunteer for research studies like this one is one of the benefits of being a member of the Understanding America Study.
If you join, you agree to allow us to combine the following information.
  • Your Information from various surveys that you have taken in the UAS or will take in the future
  • Your Information from your past Medicare and/or Medicaid use records
Your information will be de-identified. This means information like your name and address, and your Medicare and/or Medicaid number will be removed and replaced with a unique number.

If you agree to participate, you will provide your Medicare / Medicaid member numbers, and we will use them to find your records so that they may be linked to survey data. The de-identified data will be MISSING.
Joining is safe, secure, and private
The health information you share is de-identified. This means that your name and other personal information are removed. It is then replaced with a unique study number.

Only researchers who do approved studies have access to the data.

Your information is protected
The UAS is serious about protecting your privacy and information.

The data will be stored servers and computers. They are protected through electronic security, in what is called an “enclave”. This means that the server can only be accessed by people who have signed agreements to never try to identify the people in the study. Everything they do is checked and monitored, to protect your privacy.

Will the study share your personal results with you?


You should not expect to get personal results from taking part in this study. We do not expect that results will be the kind of information that you would use to make decisions about your life.

UAS will not give identifiable results about you to anyone else. Eventually, researchers may be able to use the findings made from your participation to change policy and help people who struggle with access to health care.
There are no physical risks to you. The biggest risk is that someone could get access to the data the UAS has stored about you, despite best efforts to keep the information safe. The UAS believes the chance that this will happen is very small, but there is no guarantee that there is no risk. We will make every reasonable effort to protect your privacy.
There are no direct benefits to you. Society may benefit from this research if policy changes are made that benefit others.

Research Projects and Findings Should Represent Everyone
When all types of people are part of research, the findings benefit everyone. People are different, so if only certain groups participate in research, only certain groups may benefit from the findings. UAS welcomes all UAS members who are 65 or older and have Medicare or Medicaid to join. We welcome people who are:
  • healthy or sick,
  • from all different socioeconomic levels,
  • from different areas of the country, and
  • from all races and ethnicities.
The more people who join in, the more powerful the findings will be.
The UAS is asking all members of the UAS who are 65 years of age or older, to participate. It takes thousands of records to be able to draw accurate conclusions from our research. Researchers need to collect and study information of many people from the entire population. This includes healthy people and those who are not, people from all walks of life across the country. All groups can help researchers understand disease and improve health care.
No. Joining is your choice. If you decide not to join now, or to withdraw your consent later, your decision will not affect your participation in the Understanding America Study.
You can click the “back” button on the survey and choose “I agree to participate.” You can also contact us by phone (855) 872-8673 or by email (uashelp@usc.edu), and request to be added to the study.
his is a volunteer study. You can leave the study at any time.

If you choose to leave the study you can contact the UAS helpdesk by phone (855) 872-8673 or by email (uashelp@usc.edu), and request to be withdrawn from this study.

Refusal to participate or stopping your participation will involve no penalty. If you stop being in the research, already collected data may not be removed from the study database.

You will be asked whether the investigator can continue to collect data from your records. If you agree, this data will be handled the same as the research data. No new information will be collected about you by the study team without your permission.
We believe that research is the key to understanding the financial and health needs of Americans. When you participate in research, it is very important to us that we protect your information. We want to share some ways that we keep study participants safe.

Some people worry about participating in research.
Often, it is because of bad things that have happened in the past. In the past, some research was not ethical (not the right thing to do). Before rules and regulations were created and required for all researchers to understand and follow, some people hid the truth about research.

However, now we Have Research Safeguards...
A USC Institutional Review Board (IRB) reviews all research studies before they start. Members of the IRB include researchers, experts, and community members. The IRBs include people who bring many different views to the review of research.

The IRB makes sure that:
  • The rights, safety, privacy, and dignity of all participants (human research subjects) are protected.
  • The benefits of the research outweigh the risks.
  • The risks to people who participate are as low as possible.
  • All research activities are reviewed so that all regulations are followed.
  • All research activities are reviewed so that all ethical principles are met.
UAS will go to great lengths to reduce risks of harm for all its participants.

We also have a Certificate of Confidentiality
The UAS has a Certificate of Confidentiality from the federal government (through the National Institutes of Health).

Having the certificate means:No one can force the UAS to share information that may link to you. This includes a court subpoena by federal, state, or local civil, criminal, administrative, legislative, or other proceedings. However, we will share data about you with the IRB if they need to review our research records to make sure the research is being done right.

All Staff undergo extensive training on Human Subjects Research and Informed Consent
All UAS research staff must complete special training called Human Subjects Training. ‘Human Subject’ is another word for ‘participant.’ In this training, research staff learns about ethical research and how to protect participant rights.

Learning about ‘informed consent’ is an important part of staff training. Before a person participates, you should understand what you are being asked to do, and why. Knowing this can help you make an informed choice about if you want to participate. This process is called ‘informed consent.’ Informed consent is required for most types of research.

To obtain ‘informed consent’ these things must happen:

Researchers must tell participants what they will be asked to do if they sign up for research. A person must be told the benefits and risks of being a part of the research project. A person must be told they will not personally benefit from the research. A person must be told how they can withdraw from (leave) the project, if they change their mind.

This information is found in the survey that you are taking, and in this FAQ.
Contact the UAS helpdesk by phone (855) 872-8673 or by email uashelp@usc.edu and say that you would like to know more about this project before you decide.
End of if
consent1 (consent)
I have read and understood the information about this study and:
1 I agree to participate in the study
2 I do not agree to participate in the study
3 I have more questions before I can decide
if consent1 = 2 then
consent := 2
earlyexit2
Thank you for taking the time to consider participating in our new study. We will let you know when there are more surveys ready for you to take.
dummy := doPayout(2)
Exit the survey
elseif consent1 = 3 then
if faq_shown = 2 then
faq2 (FAQ)
Below is a list of frequently asked questions. Click on each panel heading to read more. To close the panel click on the heading again.

The goal of this study is to understand the health and financial situation for older Americans. We do this through conducting surveys, of course. The purpose of asking you for permission to combine survey data with data from Medicare and/or Medicaid is to reduce the burden on our survey respondents, and ensure that we are working with accurate data.

Researchers study this information to create findings that may include
  • New knowledge about the relationships between access to health care and health.
  • Understanding of how changes in a financial situation (e.g. retirement) may impact access to care.
People volunteer to join the study for different reasons including:
  • To help policy makers understand how people in the country are doing in regards to health, finances, and access to care.
  • To make sure research findings benefit all types of people – regardless of age, race, ethnicity, or geography.
We believe that giving members the chance to volunteer for research studies like this one is one of the benefits of being a member of the Understanding America Study.
If you join, you agree to allow us to combine the following information.
  • Your Information from various surveys that you have taken in the UAS or will take in the future
  • Your Information from your past Medicare and/or Medicaid use records
Your information will be de-identified. This means information like your name and address, and your Medicare and/or Medicaid number will be removed and replaced with a unique number.

If you agree to participate, you will provide your Medicare / Medicaid member numbers, and we will use them to find your records so that they may be linked to survey data. The de-identified data will be MISSING.
Joining is safe, secure, and private
The health information you share is de-identified. This means that your name and other personal information are removed. It is then replaced with a unique study number.

Only researchers who do approved studies have access to the data.

Your information is protected
The UAS is serious about protecting your privacy and information.

The data will be stored servers and computers. They are protected through electronic security, in what is called an “enclave”. This means that the server can only be accessed by people who have signed agreements to never try to identify the people in the study. Everything they do is checked and monitored, to protect your privacy.

Will the study share your personal results with you?


You should not expect to get personal results from taking part in this study. We do not expect that results will be the kind of information that you would use to make decisions about your life.

UAS will not give identifiable results about you to anyone else. Eventually, researchers may be able to use the findings made from your participation to change policy and help people who struggle with access to health care.
There are no physical risks to you. The biggest risk is that someone could get access to the data the UAS has stored about you, despite best efforts to keep the information safe. The UAS believes the chance that this will happen is very small, but there is no guarantee that there is no risk. We will make every reasonable effort to protect your privacy.
There are no direct benefits to you. Society may benefit from this research if policy changes are made that benefit others.

Research Projects and Findings Should Represent Everyone
When all types of people are part of research, the findings benefit everyone. People are different, so if only certain groups participate in research, only certain groups may benefit from the findings. UAS welcomes all UAS members who are 65 or older and have Medicare or Medicaid to join. We welcome people who are:
  • healthy or sick,
  • from all different socioeconomic levels,
  • from different areas of the country, and
  • from all races and ethnicities.
The more people who join in, the more powerful the findings will be.
The UAS is asking all members of the UAS who are 65 years of age or older, to participate. It takes thousands of records to be able to draw accurate conclusions from our research. Researchers need to collect and study information of many people from the entire population. This includes healthy people and those who are not, people from all walks of life across the country. All groups can help researchers understand disease and improve health care.
No. Joining is your choice. If you decide not to join now, or to withdraw your consent later, your decision will not affect your participation in the Understanding America Study.
You can click the “back” button on the survey and choose “I agree to participate.” You can also contact us by phone (855) 872-8673 or by email (uashelp@usc.edu), and request to be added to the study.
his is a volunteer study. You can leave the study at any time.

If you choose to leave the study you can contact the UAS helpdesk by phone (855) 872-8673 or by email (uashelp@usc.edu), and request to be withdrawn from this study.

Refusal to participate or stopping your participation will involve no penalty. If you stop being in the research, already collected data may not be removed from the study database.

You will be asked whether the investigator can continue to collect data from your records. If you agree, this data will be handled the same as the research data. No new information will be collected about you by the study team without your permission.
We believe that research is the key to understanding the financial and health needs of Americans. When you participate in research, it is very important to us that we protect your information. We want to share some ways that we keep study participants safe.

Some people worry about participating in research.
Often, it is because of bad things that have happened in the past. In the past, some research was not ethical (not the right thing to do). Before rules and regulations were created and required for all researchers to understand and follow, some people hid the truth about research.

However, now we Have Research Safeguards...
A USC Institutional Review Board (IRB) reviews all research studies before they start. Members of the IRB include researchers, experts, and community members. The IRBs include people who bring many different views to the review of research.

The IRB makes sure that:
  • The rights, safety, privacy, and dignity of all participants (human research subjects) are protected.
  • The benefits of the research outweigh the risks.
  • The risks to people who participate are as low as possible.
  • All research activities are reviewed so that all regulations are followed.
  • All research activities are reviewed so that all ethical principles are met.
UAS will go to great lengths to reduce risks of harm for all its participants.

We also have a Certificate of Confidentiality
The UAS has a Certificate of Confidentiality from the federal government (through the National Institutes of Health).

Having the certificate means:No one can force the UAS to share information that may link to you. This includes a court subpoena by federal, state, or local civil, criminal, administrative, legislative, or other proceedings. However, we will share data about you with the IRB if they need to review our research records to make sure the research is being done right.

All Staff undergo extensive training on Human Subjects Research and Informed Consent
All UAS research staff must complete special training called Human Subjects Training. ‘Human Subject’ is another word for ‘participant.’ In this training, research staff learns about ethical research and how to protect participant rights.

Learning about ‘informed consent’ is an important part of staff training. Before a person participates, you should understand what you are being asked to do, and why. Knowing this can help you make an informed choice about if you want to participate. This process is called ‘informed consent.’ Informed consent is required for most types of research.

To obtain ‘informed consent’ these things must happen:

Researchers must tell participants what they will be asked to do if they sign up for research. A person must be told the benefits and risks of being a part of the research project. A person must be told they will not personally benefit from the research. A person must be told how they can withdraw from (leave) the project, if they change their mind.

This information is found in the survey that you are taking, and in this FAQ.
Contact the UAS helpdesk by phone (855) 872-8673 or by email uashelp@usc.edu and say that you would like to know more about this project before you decide.
consent2 (consent two)
I have read and understood the information about this study and:
1 I agree to participate in the study
2 I do not agree to participate in the study
if consent2 = 2 then
earlyexit2
Thank you for taking the time to consider participating in our new study. We will let you know when there are more surveys ready for you to take.
dummy := doPayout(2)
Exit the survey
End of if
Else
earlyexit3
Thank you for taking the time to consider participating in our new study. We will contact you to answer any further questions before you decide to participate.
dummy := doPayout(2)
Exit the survey
End of if
End of if
consent := 1
consented
Thank you for agreeing to participate in our study! As we mentioned, the Understanding America Study is working to understand how people's medical history affects their financial status, and how use of health care may change as people age.

Medicare and Medicaid recommend using member numbers to increase accuracy in locating records. The next screens will ask you to provide those numbers, so take a minute now to go get your membership cards or other materials that would have your membership number if you don’t have them memorized.
if sid = empty then
sid := getSid()
End of if
if enrolled in [1,3] then
Group of questions presented on the same screen
mbi_intro
Since April 2018, Medicare has been mailing new Medicare cards, with Medicare numbers that replace the Social Security Number as an identifier. The Medicare number is an 11-digit number that is made up of random numbers and letters, as shown in this example.
mbi (medicare number)
Please type in your Medicare number below. It will be a combination of letters and numbers. You can type in either upper or lower case.
STRING
mbi_confirm (confirm medicare number)
Please enter your number again to verify:
STRING
mcare_warning
mbi_dk (dont know medicare number)
1 I do not know or cannot find my Medicare number
End of group of questions
if mbi = response AND checkNumber(mbi) = 1 then
mc_id := 1
last_four_ssn_asked := 2
Else
if mbi = response and mbi_dk = empty then
mbi_warning
Sorry, something went wrong in entering your Medicare number, the format is incorrect. Please go back, check your Medicare ID and enter the numbers and letters again.
End of if
last_four_ssn (ssn last four)
Since you do not have your Medicare number, Medicare will try to locate your records using your name, date of birth, and address. Please also provide the last four digits of your social security number to ensure accuracy.

Please fill in ONLY the last four digits of your social security number here:
STRING
last_four_ssn_asked := 1
if last_four_ssn = response then
mc_id := 2
Else
mc_id := 3
End of if
End of if
End of if
if enrolled in [2,3] then
Group of questions presented on the same screen
maid_2 (Medicaid consent)
Thank you for agreeing to provide your [[]] Member identification number. You can find your ID number on your [[]] card.
mc_num (Medicaid number)
Please type in your [[]] number:
STRING
mc_num_confirm (confirm Medicaid number)
Please enter it again to verify:
STRING
mc_num_dk (dont know Medicaid number)
1 I do not know or cannot find my number
End of group of questions
if checkNumberMedicaid(mc_num) = 1 then
md_id := 1
Else
if mc_num = response and mc_num != "" then
md_warning
Sorry, something went wrong in entering your Medicaid number, the format is incorrect. Please go back, check your Medicaid ID and enter the numbers and letters again.
End of if
if last_four_ssn_asked = 2 then
last_four_ssn (ssn last four)
Since you do not have your Medicare number, Medicare will try to locate your records using your name, date of birth, and address. Please also provide the last four digits of your social security number to ensure accuracy.

Please fill in ONLY the last four digits of your social security number here:
STRING
if last_four_ssn = response then
md_id := 2
Else
md_id := 3
End of if
Else
if last_four_ssn = response then
md_id := 2
End of if
End of if
End of if
End of if
thankscreen
These are all of our questions. Thank you, and we will let you know when the next survey is available.
CS_001 (HOW PLEASANT INTERVIEW)
Could you tell us how interesting or uninteresting you found the questions in this interview?
1 Very interesting
2 Interesting
3 Neither interesting nor uninteresting
4 Uninteresting
5 Very uninteresting
CS_003 (comments)
Do you have any other comments on the interview? Please type these in the box below.(If you have no comments, please click next to complete this survey.)

Please do not write in any identifying numbers (e.g. Medicare, SSN).
STRING
dummy := doPayout(8)