Routing for UAS533

intro1

In this survey we want to ask you some questions about your health insurance, any health services you use, and how likely you think various events might be.

previous_z076 := getHRSPreloadWave4(6,"z076")

previous_endtime := getHRSPreloadWave4(6,"endtime")

if previous_endtime = response then

Z076 := YES

Else

Z076 := NO

End of if

if Z076 = YES then

Z092_temp := getBeginTime(4)

PrevIWMonth := date('n',strtotime(Z092_temp))

Fill code of question 'Z092' executed

Z093 := date('Y',strtotime(Z092_temp))

X008 := getHRSPreloadWave4(1,"A167_A028")

Z240 := getHRSPreloadWave4(1, "B035_")

Z123 := getHRSPreloadWave4(3, "J020")

Z245 := getHRSPreloadWave4(4, "N353")

Z201 := getHRSPreloadWave4(4, "N001")

preload_A019_RAge := getHRSPreloadWave4(1,"A019_RAge")

preload_X065 := getHRSPreloadWave4(1, "X065ACouplenss", 2)

preload_N033 := getHRSpreloadWave4(4, "N033", 2)

preload_N034 := getHRSpreloadWave4(4, "N034", 2)

preload_N035 := getHRSpreloadWave4(4, "N035", 2)

preload_N036 := getHRSpreloadWave4(4, "N036", 2)

preload_N037 := getHRSpreloadWave4(4, "N037", 2)

Loop from 1 to 3

if preload_N033[pncnt] = 1 then

Z553[pncnt] := 1

elseif preload_N034[pncnt] = 1 then

Z553[pncnt] := 2

elseif preload_N035[pncnt] = 1 then

Z553[pncnt] := 3

elseif preload_N036[pncnt] = 1 then

Z553[pncnt] := 4

elseif preload_N037[pncnt] = 1 then

Z553[pncnt] := 5

elseif preload_N037[pncnt] = 2 or preload_N037[pncnt] = 3 then

Z553[pncnt] := 6

elseif preload_N037[pncnt] = 4 or preload_N037[pncnt] = 6 or preload_N037[pncnt] = 7 then

Z553[pncnt] := 7

elseif preload_N037[pncnt] = 5 then

Z553[pncnt] := 8

End of if

End of loop

z553_flag := 2

preload_n024 := getHRSPreloadWave4(4, "N024", 2)

Else

B035_ := getHRSpreload(1, "B035_")

End of if

FLCurrentYear := date("Y")

X004AmoBorn[1] := getHRSPreload(1, "X004AmoBorn[1]")

X005AdaBorn[1] := getHRSPreload(1, "X005AdaBorn[1]")

X067AYrBorn[1] := getHRSPreload(1, "X067AYrBorn[1]")

if X004AmoBorn[1] = response AND X005AdaBorn[1] = response AND X067AYrBorn[1] = response then

A014 := calcAge(X067AYrBorn[1], X004AmoBorn[1], X005AdaBorn[1]);

A019_RAge := A014

Else

IF X067AYrBorn[1] = EMPTY THEN

A019_RAge := empty

A014 := empty

Else

A014 := FLCurrentYear - X067AYrBorn[1]

A019_RAge := A014

End of if

A044TSpAge_A := getHRSPreload(1, "A044TSpAge_A")

A026_Rmarried := getHRSPreload(1, "A026_Rmarried")

A027_Rpartnerd := getHRSPreload(1, "A027_Rpartnerd")

A166_A020TSameSpP_A := getHRSPReload(1,"A166_A020TSameSpP_A")

A167_A028 := getHRSPReload(1,"A167_A028")

B063_ := getHRSPReload(1,"B063_")

A101_TotalKids := getHRSPReload(1,"A101_TotalKids")

A102_TotalNumInLaw := getHRSPReload(1,"A102_TotalNumInLaw")

FL_CHILDLIST := getHRSPreload(1, "FL_CHILDLIST", 2)

R2X060ASex := getHRSPReload(1, "R2X060ASex")

intro2

Before we start we would first like to retrieve some information that you provided to us in another survey. This may take a few moments. Please just click 'Next' to continue and wait until the next screen appears.

E046_NumGKids := getHRSPReload(2,"E046_NumGKids")

X501 := getHRSPreload(2, "X501")

X502 := getHRSPreload(2, "X502")

X503 := getHRSPreload(2, "X503")

X504 := getHRSPreload(2, "X504")

X508 := getHRSPreload(2, "X508")

X511 := getHRSPreload(2, "X511")

X512 := getHRSPreload(2, "X512")

X514 := getHRSPreload(2, "X514")

X515 := getHRSPreload(2, "X515")

H004_OwnRent := getHRSPReload(2,"H004_OwnRent")

H008_OwnFarm := getHRSPReload(2,"H008_OwnFarm")

H011_OwnFarmLand := getHRSPReload(2,"H011_OwnFarmLand")

H014_OwnMobile := getHRSPReload(2,"H014_OwnMobile")

J020 := getHRSPReload(3,"J020")

J021 := getHRSPReload(3,"J021")

J505 := getHRSPReload(3,"J505")

J517 := getHRSPReload(3,"J517")

J478 := getHRSPReload(3,"J478")

J479 := getHRSPReload(3,"J479")

askJMissing := getSecJMissing()

X065ACouplenss := getHRSpreload(1, "X065ACouplenss", 2)

X058AFName := getHRSPreload(1, "X058AFName", 2)

if z076 = YES then

intro3

Thanks again for your patience! We are now ready to begin. Please just click 'Next>>' to continue.

Note:

Some of the questions in this survey will show you information that you entered in a survey you took up to two years ago. If you don't recognize that information or it doesn't make sense in some way, please click the 'Remark' button and leave a comment in the box that pops up.

If you don’t know the answer to a question, please click the 'Next>>' button twice.

Else

intro3_2

Thanks again for your patience! We are now ready to begin. Please just click 'Next>>' to continue.

Note:

If you don’t know the answer to a question, please click the 'Next>>' button twice. If you want to add clarifying information to your answer, please click the 'Remark' button and leave a comment in the box that pops up.

End of if

X516 := getHRSPreload(5, "X516")

X517 := getHRSPreload(5, "X517")

X518 := getHRSPreload(5, "X518")

X519 := getHRSPreload(5, "X519")

X520 := getHRSPreload(5, "X520")

Fill code of question 'FLHWP' executed

Fill code of question 'FLSPPHESHE' executed

Fill code of question 'FLTwoYears' executed

Fill code of question 'FLTwoYearsCaps' executed

if z076 = YES then

X523 := getHRSPreloadWave4(4, "X523")

Fill code of question 'FLHWP_previous' executed

Else

X523 := mt_rand(1,8)

End of if

X061ARelateR := getHRSPreload(1, "X061ARelateR", 2)

X056AResStat := getHRSPreload(1, "X056AResStat", 2)

personcounter := getHRSPreload(1, "personcounter")

if personcounter = empty then

personcounter := 52

End of if

if statereside = empty then

statereside_temp (R STATE RESIDENCE)

In what state are you currently residing?

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

statereside := statereside_temp

End of if

if x083 = empty then

X083 := mt_rand(0,100)

End of if

P195_ALTWAVE := YES

A237_ := getHRSPreload(1, "A237")

C331_ := getHRSPreload(1, "C331_")

C006_ := getHRSPreload(1, "C006_")

C011_ := getHRSPreload(1, "C011_")

C012_ := getHRSPreload(1, "C012_")

C037_ := getHRSPreload(1, "C037_")

C046_ := getHRSPreload(1, "C046_")

C050_ := getHRSPreload(1, "C050_")

C060_ := getHRSPreload(1, "C060_")

FLMedicaid := getMediStateWave5(statereside)

Fill code of question 'FLOrYour' executed

Fill code of question 'FLAndYour' executed

Fill code of question 'FLAndYours' executed

N090 := '0'

plancounter := 1

N211 := '0'

N001 (COVERED BY MEDICARE)

The next questions are about health insurance, both public and private. Medicare is a public health insurance program for people 65 or older and for disabled persons. [[]] is a public health insurance program for people with low incomes.

Are you currently covered by Medicare health insurance?

if N001 != YES and A019_RAge > 69 then

Fill code of question 'FLN002' executed

N002 (why COVERED BY MEDICARE)

[Most people become eligible for Medicare when they turn 65. Our records show you are at least 65 years of age. Can you tell us why you are not covered by Medicare?/Most people become eligible for Medicare when they turn 65. Our records show that you are not yet 65. Can you tell us more about the reason why you are eligible?]

STRING

elseif N001 = YES and A019_RAge < 65 then

Fill code of question 'FLN002' executed

N002 (why COVERED BY MEDICARE)

STRING

End of if

if N001 = YES then

FLPlans[20] := "MEDICARE"

N090 := N090 + 1

N004 (COVERED BY MEDICARE PART B)

Part A of Medicare covers most hospital expenses.

Part B covers many doctors’ expenses including doctor visits, and the premium is usually deducted from your Social Security.

Are you covered under Part B of Medicare?

End of if

N005 (COVERED BY MEDICAID PAST TWO YEARS)

Have you been covered by health insurance through [[]] or any other Medicaid program at any time [in the last two years/since ^z092, ^z093]?
[DEF: By [[]] we mean the public health insurance program for people with low incomes.]

if N005 = YES then

N006 (CURRENTLY COVERED BY MEDICAID)

Are you currently covered by [[]]?
[DEF: By [[]] we mean the public health insurance program for people with low incomes.]

if N006 = YES then

FLPlans[20] := "MEDICAID"

N090 := N090 + 1

End of if

N007 (CURRENTLY COVERED BY MILITARY HEALTH CARE PLAN)

Are you currently covered by TRI-CARE, CHAMPUS, CHAMP-VA, or any other military health care plan?

If you use VA services, but do not have any other form of military health care coverage, please answer "No" here. We will ask about use of VA services later in the survey.
[DEF: TRI-CARE is the new name for the military's health insurance program. It includes what used to be known as CHAMPUS and CHAMP-VA.]

if N007 = YES then

FLPlans[20] := "TRI-CARE, CHAMPUS, CHAMP-VA"

N090 := N090 + 1

End of if

N285 (OBTAINED MEDICAL CARE FROM VA FACILITY)

[In the last two years/Since ^z092, ^z093], have you obtained medical care or prescription drugs from a Veterans’ Administration facility?

if N285 = YES then

N286 (WHICH MEDICAL CARE FROM VA FACILITY)

What kind of care did you obtain from the VA? Please select all that apply.

1 Hospital stay
2 Doctor or clinic visit, outpatient surgery
3 Prescription drugs
4 Other services such as emergency care, counseling, eye care, eyeglasses, or physical therapy

End of if

if N001 = YES OR (N005 = YES and N006 = YES) then

Fill code of question 'FLN009' executed

N009 (BENEFITS THROUGH HMO)

[We are interested in how your Medicare health insurance works for routine care.

Do you receive your benefits through a Medicare Advantage Plan, sometimes called a Medicare HMO (that is a Health Maintenance Organization), or Medicare Managed Care?/We are interested in how your ^FLMedicaid health insurance works for routine care.

Do you receive these benefits through an HMO (that is a Health Maintenance Organization), or Managed Care Plan?]

if N009 = YES then

N350 (NAME OF PLAN)

What is the name of this plan?

STRING

if N350 = response then

FLPlans[19] := "MEDICARE HMO/MEDICARE ADVANTAGE PLAN - " . N350

N090 := N090 + 1

Else

FLPlans[19] := "MEDICARE HMO/MEDICARE ADVANTAGE PLAN"

N090 := N090 + 1

End of if

if N001 = YES and N009 = YES then

N351 (PLAN COVERS REGULAR PRESCRIPTION DRUGS)

Does this plan cover or provide help with paying for regular prescription drugs?

N351_asked := YES

End of if

Fill code of question 'FLN014' executed

Group of questions presented on the same screen

N014 (PREMIUM FOR PLAN)

[How much do you, yourself, pay in premiums for this plan?/Not including co-pays or deductions from your Social Security, how much do you, yourself, pay in premiums for this plan?]

Please enter zero for nothing.

RANGE 0..99999996

N018 (PREMIUM FOR PLAN - PER)

Per:

1 Month
2 Quarterly (every 3 months)
3 Semi-annually (every 6 months/twice a year)
4 Year
7 Other, please specify:

N019 (PREMIUM FOR PLAN - PER - SPECIFY)

STRING

End of group of questions

if N014 = empty then

IF X501 = 1 THEN

N015_Unf_Random := 5

Else

N015_Unf_Random := 6

End of if

N015_Unf

Thinking about your Medicare/Medicaid Managed Care Plan premiums:

Per month, is it more, about, or less than...

N015_Unf_Results := explodeUnfolding(N015_Unf)

if N015_Unf_Results[1] = N015_Unf_Results[2] then

N015_Unf_Results[3] := N015_Unf_Results[1]

Else

N015_Unf_Results[3] := empty

End of if

if N001 = YES then

if N351_asked = YES AND (N351 = YES OR N351 = empty) then

Else

N352 (ENROLLED IN MEDICATE PART D)

Part D of Medicare provides coverage for prescription drugs, usually through a private insurance provider.

Are you enrolled in Medicare Part D, also known as the Medicare Prescription Drug Plan?

if N352 = YES then

if z076 = YES and z245 = response then

N414 (same medicare part d plan)

The last time when we asked you about Part D (in [January/February/March/April/May/June/July/August/September/October/November/December], [[]]), you indicated that [previous medicare plan D[]] provided your Medicare drug coverage.

Do you still get your Medicare drug coverage through this plan?

1 Yes
3 Same company, but a different plan
5 No

End of if

if z076 = YES and N414 = 1 then

FLPlans[18] := Z245

elseif z076 = YES and z245 = response and N414 = empty then

Else

N353 (PLAN NAME MEDICARE DRUG COVERAGE)

What is the plan name and the company or organization that provides your Medicare drug coverage?

Please provide the full plan name.

STRING

N090 := N090 + 1

if N353 = response then

FLPlans[18] := N353

End of if

if z076 = YES and N414 in [3,5] then

Group of questions presented on the same screen

N415 (why change medicare d plan)

Why did you change to your new Part D plan?

Choose all that apply.

1 The old one closed
2 Lower premiums
5 No gap in coverage
7 Other, please specify:

N416 (other why change medicare d plan)

STRING

End of group of questions

End of if

N404 (PREMIUM FOR PRESCRIPTION DRUGS COVERAGE PLAN)

How much do you, yourself, pay per month in premiums for this plan?

Please enter zero for nothing.

RANGE 0..99999996

if N404 = empty then

IF X503 = 1 THEN

N405_Unf_Random := 5

Else

N405_Unf_Random := 6

End of if

N405_Unf

Thinking about how much you pay per month in premiums for your Medicare part D plan:

Per month, is it more, about, or less than...

N405_Unf_Results := explodeUnfolding(N405_Unf)

if N405_Unf_Results[1] = N405_Unf_Results[2] then

N405_Unf_Results[3] := N405_Unf_Results[1]

Else

N405_Unf_Results[3] := empty

End of if

elseif N352 = NO then

N417 (PRESCRIPTION DRUGS COVERAGE OTHER SOURCE)

Do you have prescription drug coverage from some other source?

End of if

Fill code of question 'FLN023' executed

Fill code of question 'FLN023_2' executed

N023 (NUMBER OF PRIVATE PLANS)

Now, we'd like to ask about all the other types of health insurance plans you might have, such as insurance through an employer or a business, coverage for retirees, or health insurance you buy for yourself, including any [Medigap or other/other] supplemental coverage.

[Please do NOT include long-term care insurance. Other than your Medicare HMO or Medicare Advantage Plan you’ve just mentioned, how many other plans do you have?/Please do NOT include long-term care insurance. How many other plans do you have?]

Enter zero for none.

RANGE 0..10

kidsonlist := NO

Loop from 3 to PERSONCOUNTER

IF X058AFName[ECnt] = "" OR X056AResStat[Ecnt] in [4] OR not(X061ARelateR[ECnt] in [3,4,5,6,7,8,90,91]) THEN

Else

FLN_LIST[Ecnt] := X058AFName[ECnt]

kidsonlist := YES

End of if

End of loop

if z076 = YES then

preload_n024_temp := preload_n024

Fill code of question 'FL_preload_N037_2' executed

End of if

if N023 > 0 then

if N023 > 3 then

N024_max := 3

Else

N024_max := N023

End of if

Loop from 1 to N024_MAX

Fill code of question 'FLN280' executed

Fill code of question 'FLN280_2' executed

Group of questions presented on the same screen

N280 (PREVIOUS PLAN SELECTION)

[What is the name of this plan?/What is the name of the most important of those plans?/What is the name of the second most important of those plans?/What is the name of the third most important of those plans?] [What is the name of this plan?/What is the name of the most important of those plans?/What is the name of the second most important of those plans?/What is the name of the third most important of those plans?]_2

If you don't know your plan name, select "Add a plan" and leave the space provided empty.

1 [PRELOADED PLAN NAME[]]
2 [PRELOADED PLAN NAME[]]
3 [PRELOADED PLAN NAME[]]
27 Add a plan:

N024 (PLAN NAME)

STRING

End of group of questions

if z076 = YES and N280[cnt] in [1,2,3] then

N024[cnt] := preload_n024[N280[cnt]]

FLPlans[plancounter] := N024[cnt]

plancounter := plancounter + 1

N090 := N090 + 1

preload_n024_temp[N280[cnt]] := empty

Else

if N024[cnt] = empty then

N024[cnt] := "Plan " . cnt

plan_name_screen1 (SHOWS R THE DEFAULT PLAN NAME IF NO PLAN NAME GIVEN)

We will refer to the unnamed plan you just selected as [PLAN NAME[]] for the rest of this survey.

End of if

FLPlans[plancounter] := N024[cnt]

plancounter := plancounter + 1

N090 := N090 + 1

End of if

if z076 = YES and N280[cnt] in [1,2,3] and z553[N280[cnt]] = response then

Fill code of question 'FLN485_new' executed

N485 (CONFIRM SOURCE OF PREVIOUS PLAN)

[Last time you told us you got this plan from the employer, business, or professional organization you had at that time. Is your plan still provided by this organization?/Last time you told us you got this plan from the employer your spouse or partner had at that time. Is your plan still provided by this organization?/Last time you told us you got this plan from your union. Is this still the case?/Last time you told us you got this plan from your spouse/partner's union. Is this still the case?/Last time you told us you got this plan from what was then your former employer, business, or professional organization. Is this still the case?/Last time you told us you got this plan from what was then a former employer, business, or professional organization of your spouse/partner. Is this still the case?/Last time you told us you got this plan from an insurance company. Is this still the case?/Last time you told us you got this plan from a group, church, or other organization. Is this still the case?/Last time you told us you got this plan from an insurance exchange. Is this still the case?]

End of if

if z076 = YES and N485[cnt] = 1 and N280[cnt] in [1,2,3] and z553[N280[cnt]] = response then

Else

if J020 = YES then

Fill code of question 'FLN033' executed

N033 (PLAN THROUGH EMPLOYER/BUSINESS)

[Do you obtain this health insurance through your own business or professional organization?/Do you obtain this health insurance through your current employer?]

End of if

if J020 != YES OR (J020 = YES and N033[cnt] != YES) then

N034 (PLAN THROUGH OLD EMPLOYER/BUSINESS)

Do you obtain this health insurance through a former employer of yours?

if N034[cnt] != YES then

if B063_ in [1,2,3,4] then

Fill code of question 'FLN035' executed

N035 (PLAN THROUGH SPOUSE/PARTNER CURRENT EMPLOYER)

[Do you obtain this health insurance through your ^FLHWP's current employer?/Do you obtain this health insurance through your spouse's current employer?/Do you obtain this health insurance through your former spouse’s/partner's current employer?]

if N035[cnt] != YES then

Fill code of question 'FLN036' executed

N036 (PLAN THROUGH SPOUSE/PARTNER FORMER WORK)

[Do you obtain this health insurance through your ^FLHWP's former employer?/Do you obtain this health insurance through your spouse's former employer?/Do you obtain this health insurance through your former spouse's/partner's former employer?]

if N036[cnt] != YES then

Fill code of question 'FLN037' executed

Fill code of question 'FLN037_2' executed

Group of questions presented on the same screen

N037 (PURCHASE THROUGH ORGANIZATION)

Did you purchase this plan directly from an insurance company, through an insurance marketplace or exchange, through your[ or your ^FLHWP's] union, through a group such as AARP, a church, or other organization?

1 Insurance company
2 My union
3 [My ^FLHWP's union]
4 Group
5 Through an insurance marketplace or exchange
7 Other organization, please specify:

N038 (PURCHASE THROUGH ORGANIZATION - SPECIFY)

STRING

End of group of questions

End of if

elseif B063_ = 5 then

Fill code of question 'FLN036' executed

N036 (PLAN THROUGH SPOUSE/PARTNER FORMER WORK)

if N036[cnt] != YES then

Fill code of question 'FLN037' executed

Fill code of question 'FLN037_2' executed

Group of questions presented on the same screen

N037 (PURCHASE THROUGH ORGANIZATION)

1 Insurance company
2 My union
3 [My ^FLHWP's union]
4 Group
5 Through an insurance marketplace or exchange
7 Other organization, please specify:

N038 (PURCHASE THROUGH ORGANIZATION - SPECIFY)

STRING

End of group of questions

End of if

Else

Fill code of question 'FLN037' executed

Fill code of question 'FLN037_2' executed

Group of questions presented on the same screen

N037 (PURCHASE THROUGH ORGANIZATION)

1 Insurance company
2 My union
3 [My ^FLHWP's union]
4 Group
5 Through an insurance marketplace or exchange
7 Other organization, please specify:

N038 (PURCHASE THROUGH ORGANIZATION - SPECIFY)

STRING

End of group of questions

End of if

Group of questions presented on the same screen

N282_options (OPTIONS COVERAGE STARTED)

When did this coverage start? That is, when did coverage from the plan with this name start?

1 Year:
2 At age:
3 Years ago:

N282 (YEAR COVERAGE STARTED)

When did this coverage start? That is, when did coverage from the plan with this name start?

RANGE 1900..^FLCurrentYear

N453 (AGE COVERAGE STARTED)

RANGE 18..120

N473 (YEARS AGO COVERAGE STARTED)

RANGE 0..120

End of group of questions

if (N282_options[cnt] = 1 AND N282[cnt] = response AND ((FLCurrentYear - N282[cnt]) < 3)) then

N281 (MONTH COVERAGE STARTED)

In what month was that?

If you don't know the month, please select a season from the bottom of the list.

elseif (N282_options[cnt] = 2 AND N453[cnt] = response AND ((A019_RAge - N453[cnt])) < 3) then

N281 (MONTH COVERAGE STARTED)

In what month was that?

If you don't know the month, please select a season from the bottom of the list.

elseif (N282_options[cnt] = 3 AND N473[cnt] = response AND N473[cnt] < 3) then

N281 (MONTH COVERAGE STARTED)

In what month was that?

If you don't know the month, please select a season from the bottom of the list.

End of if

if N282_options[cnt] = empty then

N482 (less than, more than, about 5 years ago)

Even if you cannot remember the exact date this coverage started, please give us your best guess.

Was it less than 5 years ago, more than 5 years ago, or about 5 years ago?

1 Less than 5 years ago
3 About 5 years ago
5 More than 5 years ago

if N482[cnt] = 1 then

N483 (less than, more than, about 2 years ago)

Was it less than 2 years ago, more than 2 years ago, or about 2 years ago?

1 Less than 2 years ago
3 About 2 years ago
5 More than 2 years ago

elseif N482[cnt] = 5 then

N484 (less than, more than, about 10 years ago)

Was it less than 10 years ago, more than 10 years ago, or about 10 years ago?

1 Less than 10 years ago
3 About 10 years ago
5 More than 10 years ago

End of if

if N001 = YES and cnt = 1 then

N025 (PRIMARY PLAN)

Which is your primary plan, Medicare or [PLAN NAME[]]?

1 Medicare
2 [PLAN NAME[]]

End of if

N032 (PLAN PROVIDES REGULAR PRESCRIPTION DRUGS)

Does [PLAN NAME[]] provide help with paying for regular prescription drugs?

Please note, the follow-up questions refer to the private plan, not to Medicare.

Fill code of question 'FLN040' executed

Fill code of question 'FLN040_2' executed

N040 (HOW MUCH PREMIUM)

How much do you[ or your ^FLHWP ] pay per month in premiums for this plan for you and any members of your household that are also covered? [ or your ^FLHWP ]_2

Please enter zero for nothing.

RANGE 0..99999996

if N040[cnt] = empty then

IF X515 = 1 THEN

N041_Unf_Random[cnt] := 8

ELSEIF X515 = 2 THEN

N041_Unf_Random[cnt] := 7

Else

N041_Unf_Random[cnt] := 9

End of if

N041_Unf

Thinking about the amount you[ or your ^FLHWP ] pay per month in premiums for this plan:

Per month, is it more, about, or less than...

N041_Unf_Results[cnt] := explodeUnfolding(N041_Unf[cnt])

if N041_Unf_Results[cnt,1] = N041_Unf_Results[cnt,2] then

N041_Unf_Results[cnt,3] := N041_Unf_Results[cnt,1]

Else

N041_Unf_Results[cnt,3] := empty

End of if

if N037[cnt] = 5 then

N296 (PREMIUM SUBSIZIDED)

Was the cost of the premium subsidized based on your family income?

End of if

N048 (ANYONE ELSE COVERED)

Besides you, is anyone else covered on this health insurance policy?

if N048[cnt] = YES then

Fill code of question 'FLN049' executed

Fill code of question 'FLN049_2' executed

Fill code of question 'FLN049_3' executed

Group of questions presented on the same screen

N049 (WHO ELSE COVERED)

Who besides yourself is covered?

Please select all that apply.

3 [[]]
4 [[]]
5 [[]]
6 [[]]
7 [[]]
8 [[]]
9 [[]]
10 [[]]
11 [[]]
12 [[]]
13 [[]]
14 [[]]
15 [[]]
16 [[]]
17 [[]]
18 [[]]
19 [[]]
20 [[]]
21 [[]]
22 [[]]
23 [[]]
24 [[]]
25 [[]]
26 [[]]
27 [[]]
28 [[]]
29 [[]]
30 [[]]
31 [[]]
32 [[]]
33 [[]]
34 [[]]
35 [[]]
36 [[]]
37 [[]]
38 [[]]
39 [[]]
40 [[]]
41 [[]]
42 [[]]
43 [[]]
44 [[]]
45 [[]]
46 [[]]
47 [[]]
48 [[]]
49 [[]]
50 [[]]
51 [[]]
52 [[]]
91 [My ^FLHWP]
93 [My ^FLHWP]_2
94 [My ^FLHWP]_3
97 Other, please specify:

N050 (WHO ELSE COVERED - SPECIFY)

STRING

End of group of questions

End of if

if X065ACouplenss[1] in [1,2] and N035[cnt] != YES and N036[cnt] != YES and N037[cnt] != 3 and not (91 in N049[cnt]) then

N051 (COULD HAVE COVERED SPOUSE)

Could you have obtained coverage for your spouse through this health insurance plan?

End of if

if ((N033[cnt] = YES and J021 = 1) OR N034[cnt] = YES) then

if A019_RAge < 65 then

Fill code of question 'FLN059' executed

N059 (CAN CONTINUE COVERAGE)

[Can you continue this insurance coverage for yourself up to the age of 65?/If you left your current employer now, could you continue this insurance coverage for yourself up to the age of 65?]

if N059[cnt] = YES then

Fill code of question 'FLN060' executed

N060 (CAN CONTINUE COVERAGE AFTER 65)

[Does your former employer offer this type of health insurance coverage for you after the age of 65?/If you left your current employer now, does your employer offer this type of health insurance coverage for you after the age of 65?]

End of if

if X065ACouplenss[1] in [1,2] and A044TSpAge_A < 65 and N059[cnt] != 5 AND N051[cnt] = YES then

Fill code of question 'FLN062' executed

N062 (CAN CONTINUE SPOUSE COVERAGE UNTIL 65)

[Could your spouse be covered by this plan until ^FLSPPHESHE is age 65?/If you left your current employer now, could you continue this type of health insurance coverage for your spouse until ^FLSPPHESHE is age 65?]

if N062[cnt] = YES then

Fill code of question 'FLN063' executed

N063 (CAN CONTINUE SPOUSE COVERAGE AFTER 65)

[Does your former employer offer this type of health insurance coverage for your spouse after the age of 65?/If you left your current employer now, does your employer offer this type of health insurance coverage for your spouse after the age of 65?]

End of if

N284 (HOW SATISFIED PLAN)

Overall, how satisfied are you with this health plan?

1 Very satisfied
2 Somewhat satisfied
3 Neutral
4 Somewhat dissatisfied
5 Very dissatisfied

End of loop

End of if

if (sizeof(removeEmpties(preload_n024_temp)) > 0) then

N274_asked := NO

Loop from 1 to SIZEOF(PRELOAD_N024_TEMP)

if preload_n024_temp[cnt] = response then

Fill code of question 'FLN274' executed

N274 (STILL COVERED BY PLAN)

[In a previous interview, you mentioned other health insurance plans.

] Are you still covered by [PRELOADED PLAN NAME[]]?

1 (YES) Yes
5 (NO) No
7 This plan is the old name of a newly added plan

N274_asked := YES

if N274[cnt] != YES then

Group of questions presented on the same screen

N277 (MONTH WHEN STOPPED COVERED BY PLAN)

When did this coverage stop?

N278 (YEAR WHEN STOPPED COVERED BY PLAN)

RANGE ^z093..^FLCurrentYear

End of group of questions

Else

FLPlans[plancounter] := preload_n024_temp[cnt]

plancounter := plancounter + 1

N090 := N090 + 1

End of if

End of loop

End of if

if N090 = 0 then

N342 (NO PLANS CONFIRMATION)

According to what you have answered so far, you are not currently covered by any government or private health insurance plans that cover medical care.

Is that correct?

if N342 = YES then

N260 (WHEN LAST COVERAGE)

About how long has it been since you last had health care coverage?

1 3 months or less
2 More than 3 months, but not more than 1 year ago
3 More than 1 year, but not more than 3 years ago
4 More than 3 years ago
5 I have never had health care coverage

Group of questions presented on the same screen

N261 (MAIN REASON NO COVERAGE)

What is the main reason you don't have health care coverage?

1 Person in the family with health insurance lost their job or changed employers
4 Employer does not offer coverage or not eligible for coverage
5 Cost is too high
97 Other, please specify:

N262 (MAIN REASON NO COVERAGE - SPECIFY)

STRING

End of group of questions

elseif N342 = NO then

N343 (COVERED UNDER WHICH PLANS)

Under which of the following plans are you covered? Please choose all that apply.

1 Medicare
2 Medicaid
3 TRI-CARE/CHAMPUS/CHAMPVA
4 A private plan from an employer
5 A private plan purchased directly
6 Other plan

if 1 in N343 then

FLPlans[20] := "MEDICARE"

N090 := N090 + 1

End of if

if 2 in N343 then

FLPlans[20] := "MEDICAID"

N090 := N090 + 1

End of if

if 3 in N343 then

FLPlans[20] := "TRI-CARE, CHAMPUS, CHAMP-VA"

N090 := N090 + 1

End of if

if 4 in N343 then

N090 := N090 + 1

End of if

if 5 in N343 then

N090 := N090 + 1

End of if

if 6 in N343 then

N090 := N090 + 1

End of if

if N417 = 1 AND not((N024_max > 0 AND N032[1] = YES) OR (N024_max > 1 AND N032[2] = YES) OR (N024_max > 2 AND N032[3] = YES)) then

Group of questions presented on the same screen

N431 (WHICH PLAN PRESCRIPTION DRUG COVERAGE)

Earlier you indicated that you have prescription drug coverage. Which plan is that?

For your reference, below are plans you've mentioned before.

If you select a plan already on the list, please be sure to confirm the entire plan name has remained the same. If not, select "Add a plan" and enter the new plan name in the space provided.

If you don't know your plan name, select "Add a plan" and leave the space provided empty.

1 [list of plans[]]
2 [list of plans[]]
3 [list of plans[]]
4 [list of plans[]]
5 [list of plans[]]
6 [list of plans[]]
7 [list of plans[]]
8 [list of plans[]]
9 [list of plans[]]
10 [list of plans[]]
11 [list of plans[]]
12 [list of plans[]]
13 [list of plans[]]
14 [list of plans[]]
15 [list of plans[]]
16 [list of plans[]]
17 [list of plans[]]
18 [list of plans[]]
19 [list of plans[]]
20 [list of plans[]]
27 Add a plan:
97 I get prescription drugs via the VA

N432 (OTHER PLAN NAME)

STRING

End of group of questions

if N431 = 27 then

if N432 = empty then

Fill code of question 'N432_default' executed

N432 := N432_default

End of if

N090 := N090 + 1

FLPlans[plancounter] := N432

plancounter := plancounter + 1

End of if

N067 (INSURANCE DENTAL BILLS)

Do you have any insurance that covers dental bills?

if N067 = YES then

Group of questions presented on the same screen

N069 (WHICH PLAN DENTAL INSURANCE)

Which of these plans provides this coverage?

For your reference, below are plans you've mentioned before.

If you select a plan already on the list, please be sure to confirm the entire plan name has remained the same. If not, select "Add a plan" and enter the new plan name in the space provided.

If you don't know your plan name, select "Add a plan" and enter "Dental Plan" in the space provided.

1 [list of plans[]]
2 [list of plans[]]
3 [list of plans[]]
4 [list of plans[]]
5 [list of plans[]]
6 [list of plans[]]
7 [list of plans[]]
8 [list of plans[]]
9 [list of plans[]]
10 [list of plans[]]
11 [list of plans[]]
12 [list of plans[]]
13 [list of plans[]]
14 [list of plans[]]
15 [list of plans[]]
16 [list of plans[]]
17 [list of plans[]]
18 [list of plans[]]
19 [list of plans[]]
20 [list of plans[]]
21 [list of plans[]]
22 [list of plans[]]
27 Add a plan:

N070 (OTHER PLAN NAME)

STRING

End of group of questions

if N069 = 27 then

if N070 = empty then

N070 := "Dental Plan"

End of if

N071 (LONG TERM INSURANCE FOR NURSING HOME CARE)

Not including government programs, do you now have any long-term care insurance which specifically covers nursing home care for a year or more or any part of personal or medical care in your home?

if N071 = YES then

Group of questions presented on the same screen

N073 (WHICH PLAN NURSING HOME COVERAGE)

Which of these plans provides this coverage? [

For your reference, below are plans you've mentioned before.

If you select a plan already on the list, please be sure to confirm the entire plan name has remained the same. If not, select "Add a plan" and enter the new plan name in the space provided.]

If you don't know your plan name, select "Add a plan" and enter "LTC Plan" in the space provided.

1 [list of plans[]]
2 [list of plans[]]
3 [list of plans[]]
4 [list of plans[]]
5 [list of plans[]]
6 [list of plans[]]
7 [list of plans[]]
8 [list of plans[]]
9 [list of plans[]]
10 [list of plans[]]
11 [list of plans[]]
12 [list of plans[]]
13 [list of plans[]]
14 [list of plans[]]
15 [list of plans[]]
16 [list of plans[]]
17 [list of plans[]]
18 [list of plans[]]
19 [list of plans[]]
20 [list of plans[]]
21 [list of plans[]]
22 [list of plans[]]
27 Add a plan:

N074 (OTHER NURSING HOME PLAN NAME)

STRING

End of group of questions

if N073 = 27 then

if N074 = response then

FLPlans[plancounter] := N074

Else

FLPlans[plancounter] := "LTC Plan"

End of if

plancounter := plancounter + 1

N090 := N090 + 1

End of if

N075 (PLAN COVERAGE NURSING HOME)

Does this plan cover care in a nursing home facility only, personal or long-term care at home, or both in-home and nursing home care?

1 Nursing home care only
2 In-home care only
3 Both

if not(X065ACouplenss[1] in [1,2,3,4]) OR (N073 != 27) then

Else

N238 (COVERAGE FOR SPOUSE/PARTNER)

Does this plan provide long-term care coverage for your [husband/wife/partner/spouse] as well as for yourself?

End of if

Fill code of question 'FLN077' executed

N077 (RECEIVED BENEFITS FROM LONG TERM PLAN)

[Have you or your ^FLHWP ever received benefits under your long-term care policy?/Have you ever received benefits under your long-term care policy?]

N078 (INCREASE PAYMENTS WITH INFLATION LONG TERM PLAN)

Does this plan increase payments with inflation?

if N073 = 27 then

Fill code of question 'FLN079' executed

Group of questions presented on the same screen

N079 (AMOUNT RECEIVED BENEFITS FROM LONG TERM PLAN)

[How much do you^FLOrYour pay for this plan?/How much do you^FLOrYour pay for this long-term care coverage?]

Please enter zero if no payments are made.

RANGE 0..99999996

N083 (AMOUNT RECEIVED BENEFITS FROM LONG TERM PLAN - PER )

Per:

1 Month
2 Quarter (every 3 months)
4 Year
7 Other, please specify:

N084 (AMOUNT RECEIVED BENEFITS FROM LONG TERM PLAN - PER - SPECIFY)

STRING

End of group of questions

if N079 = empty then

IF X502 = 1 THEN

N082_Unf_Random := 5

Else

N082_Unf_Random := 6

End of if

N082_Unf

Thinking about how much you pay for your long-term care plan:

Per month, is it more, about, or less than...

N082_Unf_Results := explodeUnfolding(N082_Unf)

if N082_Unf_Results[1] = N082_Unf_Results[2] then

N082_Unf_Results[3] := N082_Unf_Results[1]

Else

N082_Unf_Results[3] := empty

End of if

if z076 = YES and z201 = 1 and preload_A019_RAge > 64 then

elseif N090 > 0 then

N091 (EVER WITHOUT HEALT INSURANCE IN LAST TWO YEARS)

Were you ever without health insurance coverage at any time [in the last two years/since ^z092, ^z093]?

if N091 = YES then

N294 (HOW LONG WITHOUT HEALT INSURANCE IN LAST TWO YEARS)

Altogether, how many months were you without health insurance [in the last two years/since ^z092, ^z093]?

RANGE 1..24

End of if

if Z076 = YES and (z553[1] = 1 OR z553[2] = 1 OR z553[3] = 1) then

elseif (N024_max > 0 and N033[1] = 1) OR (N024_max > 1 and N033[2] = 1) OR (N024_max > 2 and N033[3] = 1) then

elseif J021 = 1 then

N092 (EMPLOYER OFFER HEALTH INSURANCE PLAN)

Does your employer or union offer a health insurance plan to any of its employees?

if N092 = YES then

N093 (OFFERED HEALTH INSURANCE PLAN THROUGH EMPLOYER)

Were you offered health insurance through your job?

End of if

if J021 != 1 then

Else

if J021 = 1 and (Z076 = YES and (z553[1] = 1 OR z553[2] = 1 OR z553[3] = 1)) then

N094 (OFFERED CHOICE OF HEALTH INSURANCE PLAN THROUGH EMPLOYER)

In the last two years, has your employer offered a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered to you?

1 Yes, more than one plan
2 No, only one plan

elseif J021 = 1 and ((N024_max > 0 and N033[1] = 1) OR (N024_max > 1 and N033[2] = 1) OR (N024_max > 2 and N033[3] = 1)) then

N094 (OFFERED CHOICE OF HEALTH INSURANCE PLAN THROUGH EMPLOYER)

In the last two years, has your employer offered a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered to you?

1 Yes, more than one plan
2 No, only one plan

End of if

N099 (HOSPITAL OVERNIGHT)

The next questions are about health care you have received.

[In the last two years/Since ^z092, ^z093], have you been a patient in a hospital overnight?

if N099 = YES then

N100 (NUMBER OF OVERNIGHT STAYS)

How many different times were you a patient in a hospital overnight [in the last two years/since ^z092, ^z093]?

RANGE 0..100

Fill code of question 'FLN101' executed

N101 (HOW MANY NIGHTS IN HOSPITAL)

[Altogether, how/How] many nights were you a patient in the hospital [in the last two years/since ^z092, ^z093]?

RANGE 0..500

pcnt := 1

Fill code of question 'FLN433' executed

Fill code of question 'FLN433B' executed

N433 (INSURANCE PAY FOR HOSPITAL STAY)

[Earlier you said you are taking prescription medications.

/You have mentioned you are taking prescription medications.

/Aside from any hospital stays and outpatient surgery, please think about the times you seen or talked to a medical doctor about your health ^FLTwoYears.

] Did insurance pay for any [Earlier you said you are taking prescription medications.

/You have mentioned you are taking prescription medications.

/Aside from any hospital stays and outpatient surgery, please think about the times you seen or talked to a medical doctor about your health ^FLTwoYears.

]B?

if N433[1] = YES then

Fill code of question 'FLN434' executed

N434 (INSURANCE ALL PAY FOR MEDICAL)

Did insurance pay for all of [your hospitalizations ^FLTwoYears/your nursing home stays ^FLTwoYears/your outpatient surgery ^FLTwoYears/your doctor or clinic visits ^FLTwoYears/your dental care ^FLTwoYears/your prescriptions ^FLTwoYears/your in-home medical care ^FLTwoYears]?

if N434[1] != YES then

N435 (INSURANCE MORE THAN HALF PAY FOR MEDICAL)

Did insurance pay for more than half of [your hospitalizations ^FLTwoYears/your nursing home stays ^FLTwoYears/your outpatient surgery ^FLTwoYears/your doctor or clinic visits ^FLTwoYears/your dental care ^FLTwoYears/your prescriptions ^FLTwoYears/your in-home medical care ^FLTwoYears]?

End of if

if (N433[1] = YES and N434[1] != YES) OR N433[1] != YES then

N106 (PAID OUT-OF-POCKET HOSPITAL)

About how much did you pay out-of-pocket for hospital bills [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N106 = empty then

IF X511 = 1 THEN

N107_Unf_Random := 8

ELSEIF X511 = 2 THEN

N107_Unf_Random := 7

Else

N107_Unf_Random := 9

End of if

N107_Unf

Thinking about how much you paid in hospital bills [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N107_Unf_Results := explodeUnfolding(N107_Unf)

if N107_Unf_Results[1] = N107_Unf_Results[2] then

N107_Unf_Results[3] := N107_Unf_Results[1]

Else

N107_Unf_Results[3] := empty

End of if

Else

End of if

N474 (OXYGEN OR VENTILATOR IN HOSPITAL)

Were you on oxygen or a ventilator while you were in the hospital?
[DEF: All ventilators give oxygen, so if "both", please select "Yes, ventilator and oxygen".]

1 Yes, oxygen only
2 Yes, ventilator and oxygen
5 No, neither

if C331_ = 1 then

N475 (PAID OUT-OF-POCKET HOSPITAL)

[In the last two years/Since ^z092, ^z093] were you admitted to the hospital because you had COVID-19?

End of if

if A237_ = 1 then

N114 := YES

Else

N114 (OVERNIGHT IN NURSING HOME)

[In the last two years/Since ^z092, ^z093], have you been a patient overnight in a nursing home, or other long-term health care facility?
[DEF: By "nursing home or other long-term health care facility" we mean a facility that provides all of the following services for its residents: 24-hour nursing assistance and supervision, dispensing of medication, personal assistance, and room & meals.]

End of if

N477_asked := NO

if N114 = YES then

Fill code of question 'FLN115' executed

N115 (NUMBER OF TIMES IN NURSING HOME)

[How many times, including now, have you been a patient in a nursing home or other long-term care facility ^FLTwoYears?/How many times were you a patient in a nursing home or other long-term care facility ^FLTwoYears?]

RANGE 1..50

Fill code of question 'FLN116' executed

Fill code of question 'FLN116_2' executed

Group of questions presented on the same screen

N116_options

[Altogether, how/How] many nights or months have you been a patient in a nursing home or other long-term care facility [in the last two years/since ^z092, ^z093]?

1 Number of nights:
2 Number of months:
996 [I have lived in a nursing home or other long-term care facility continuously ^FLTwoYears.]

N116 (HOW MANY NIGHTS IN NURSING HOME)

RANGE 0..730

N117 (HOW MANY MONTHS IN NURSING HOME)

RANGE 0..24

End of group of questions

pcnt := 2

Fill code of question 'FLN433' executed

Fill code of question 'FLN433B' executed

N433 (INSURANCE PAY FOR HOSPITAL STAY)

if N433[2] = YES then

Fill code of question 'FLN434' executed

N434 (INSURANCE ALL PAY FOR MEDICAL)

if N434[2] != YES then

N435 (INSURANCE MORE THAN HALF PAY FOR MEDICAL)

End of if

if (N433[2] = YES and N434[2] != YES) OR N433[2] != YES then

N119 (PAID OUT-OF-POCKET NURSING BILLS)

About how much did you pay out-of-pocket for nursing home or other long-term care facility bills [in the last two years/since ^z092, ^z093]?

Please include any amount paid by others.

RANGE 0..99999996

if N119 = empty then

IF X512 = 1 THEN

N120_Unf_Random := 8

ELSEIF X512 = 2 THEN

N120_Unf_Random := 7

Else

N120_Unf_Random := 9

End of if

N120_Unf

Thinking about how much you paid in nursing home bills [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N120_Unf_Results := explodeUnfolding(N120_Unf)

if N120_Unf_Results[1] = N120_Unf_Results[2] then

N120_Unf_Results[3] := N120_Unf_Results[1]

Else

N120_Unf_Results[3] := empty

End of if

Else

End of if

if N115 > 0 then

N124_max := N115

if N115 > 3 then

N124_max := 3

End of if

Loop from 1 to N124_MAX

if N116_options = 996 then

Else

if A167_A028 != 1 OR (A167_A028 = 1 AND N115 > 1) then

Fill code of question 'FLN124' executed

Fill code of question 'FLN124_2' executed

N124_minimum := 1900

N124 (YEAR INTO NURSING HOME)

[Think back to the first time ^FLTwoYears that you were a patient in a/Think back to the second time ^FLTwoYears that you were a patient in a/Think about your current stay at the/Think back to the last time ^FLTwoYears that you were a patient in a/Think back to the time ^FLTwoYears that you were a patient in a] nursing home or other long-term care facility.

In what year did you go into the nursing home or health care facility?

RANGE ^N124_minimum..^FLCurrentYear

if (FLCurrentYear - N124[cnt]) < 3 then

N123 (MONTH INTO NURSING HOME)

What month was that?

If you don't know the month, please select a season from the bottom of the list.

End of if

if A167_A028 != 1 OR (A167_A028 = 1 AND (cnt + 1) <= N124_max) then

N126_minimum := N124[cnt]

if N126_minimum = empty then

N126_minimum := 1900

End of if

N126 (YEAR OUT OF NURSING HOME)

In what year did you move out of the nursing home or health care facility?

RANGE ^N126_minimum..^FLCurrentYear

if (FLCurrentYear - N126[cnt]) < 3 then

N125_minimum := empty

if N124[cnt] = N126[cnt] and N123[cnt] = response and N123[cnt] < 13 then

N125_minimum := N123[cnt]

End of if

N125 (MONTH OUT OF NURSING HOME)

What month was that?

If you don't know the month, please select a season from the bottom of the list.

if (N124[cnt] - N126[cnt]) = 0 then

if N125[cnt] = response AND N125_minimum = response AND N125[cnt] < N125_minimum AND N125[cnt] < 13 then

N125_warning

Your previous answers suggest you would have moved out of the nursing home or health care facility after [[]] instead of [MONTH OUT OF NURSING HOME[]]. Please go back and change your answer or click next to continue if this is correct.

End of if

if N126[cnt] > 2019 AND (N125[cnt] = empty OR N125[cnt] > 2) then

N477_asked := YES

End of if

if N005 != YES then

Else

N127 (ELIGIBLE MEDICAID START NURSING HOME STAY)

Were you eligible for [[]] at the time your [first/second/current/last] nursing home or other long-term care facility stay started?

if N127[cnt] = NO then

N128 (ELIGIBLE MEDICAID DURING NURSING HOME STAY)

Did you become eligible for [[]] during that nursing home or other long-term care facility stay?

if N128[cnt] = YES then

if (A167_A028 != 1 OR (A167_A028 = 1 and A237_ > 1)) AND cnt = N124_max then

Fill code of question 'FLN130' executed

N130 (NO LONGER ELIGIBLE MEDICAID AFTER NURSING HOME STAY)

Did you lose your eligibility for [[]] when you were discharged from your[ last/] nursing home or other long-term care facility stay?

End of if

elseif N127[cnt] = YES then

if (A167_A028 != 1 OR (A167_A028 = 1 and A237_ > 1)) AND cnt = N124_max then

Fill code of question 'FLN130' executed

N130 (NO LONGER ELIGIBLE MEDICAID AFTER NURSING HOME STAY)

Did you lose your eligibility for [[]] when you were discharged from your[ last/] nursing home or other long-term care facility stay?

End of if

if A167_A028 != 1 OR (A167_A028 = 1 AND A237_ > 1) OR (A167_A028 = 1 AND (cnt + 1) <= N124_max) then

Fill code of question 'FLN131' executed

Fill code of question 'FLN131_2' executed

Group of questions presented on the same screen

N131 (WHERE LIVE AFTER NURSING HOME STAY)

Who did you live with after leaving the nursing home or health care facility?

1 By myself (alone)
2 [With my ^FLHWP only]
3 [With my ^FLHWP only]_2
4 With other relative(s)
5 In a retirement center
6 In another nursing home, hospital, assisted living, or rehab center
7 Other, please specify:

N132 (WHERE LIVE AFTER NURSING HOME STAY - SPECIFY)

STRING

End of group of questions

if N131[cnt] in [3,4] then

N480 (family with you or you with them)

Did your family live with you, in your home, or did you live with them in their home?

1 I live with them in my own home
2 I live with them in a family member's home

End of if

if N131[cnt] = 3 then

N133 (CHILD LIVE WITH)

Which child is that? (If you lived with a grandchild, which of your children is the parent of that grandchild?)

End of if

End of loop

End of if

if N477_asked = 1 then

N477 (concern about COVID-19 a reason for moving out)

Was concern about COVID-19 a reason for moving out of the nursing home or other health care facility at that time?

N478 (visitation reduced because of COVID-19)

Was visitation reduced because of COVID-19?

N479 (quality of care decline because of COVID-19)

Did the quality of care decline because of COVID-19?

End of if

if A019_RAge > 64 then

N486 (any time when needed nursing home care but did not get it)

[In the last two years/Since ^z092, ^z093], was there any time when you needed nursing home care but did not get it?

if N486 = 1 then

Group of questions presented on the same screen

N487 (why did not get nursing home care)

Why was that? Please check all that apply.

1 Couldn't afford it
2 Couldn't get a bed
3 Closest location was too far from family
4 Coronavirus/Covid-91 concerns
7 Other, please specify:

N488 (specify why did not get nursing home care)

STRING

End of group of questions

End of if

Fill code of question 'FLN134' executed

N134 (HAD OUTPATIENT SURGERY)

[Not counting overnight hospital stays, ^FLTwoYears/^FLTwoYearsCAPS], have you had outpatient surgery?

if N134 = YES then

pcnt := 3

Fill code of question 'FLN433' executed

Fill code of question 'FLN433B' executed

N433 (INSURANCE PAY FOR HOSPITAL STAY)

if N433[3] = YES then

Fill code of question 'FLN434' executed

N434 (INSURANCE ALL PAY FOR MEDICAL)

if N434[3] != YES then

N435 (INSURANCE MORE THAN HALF PAY FOR MEDICAL)

End of if

if (N433[3] = YES and N434[3] != YES) OR N433[3] != YES then

N139 (PAID OUT-OF-POCKET OUTPATIENT SURGERY)

About how much did you pay out-of-pocket for outpatient surgery [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N139 = empty then

IF X514 = 1 THEN

N140_Unf_Random := 8

ELSEIF X514 = 2 THEN

N140_Unf_Random := 7

Else

N140_Unf_Random := 9

End of if

N140_Unf

Thinking about how much you paid in outpatient surgery bills [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N140_Unf_Results := explodeUnfolding(N140_Unf)

if N140_Unf_Results[1] = N140_Unf_Results[2] then

N140_Unf_Results[3] := N140_Unf_Results[1]

Else

N140_Unf_Results[3] := empty

End of if

Else

End of if

Fill code of question 'FLN147' executed

N147 (NUMBER OF DOCTOR VISITS)

[Aside from any/hospital stays/and/outpatient surgery/, how/How] many times have you seen or talked to a medical doctor about your health, including emergency room, clinic visits, or house calls [in the last two years/since ^z092, ^z093]?

Please just enter zero if you did not see or talk to a medical doctor [in the last two years/since ^z092, ^z093].

RANGE 0..1500

if N147 = 0 and not(n147 = empty) then

N164_jump := '1'

elseif N147 = empty then

N148 (MORE THAN 20 TIMES)

Even if you cannot remember the exact number of times you saw a doctor [in the last two years/since ^z092, ^z093], please give us your best guess.

Did it amount to less than 20 times, more than 20 times, or what?

1 Less than 20 times
3 About 20 times
5 More than 20 times

if N148 = 1 then

N149 (MORE THAN 5 TIMES)

Did it amount to less than 5 times, more than 5 times, or what?

1 Less than 5 times
3 About 5 times
5 More than 5 times

if N149 = 1 OR N149 = empty then

N150 (SEEN DOCTOR AT LEAST ONCE)

Do you think you have seen a medical doctor about your health at least once [in the last two years/since ^z092, ^z093]?

End of if

elseif N148 = 5 then

N151 (MORE THAN 50 TIMES)

Did it amount to less than 50 times, more than 50 times, or what?

1 Less than 50 times
3 About 50 times
5 More than 50 times

elseif N148 = empty then

N150 (SEEN DOCTOR AT LEAST ONCE)

Do you think you have seen a medical doctor about your health at least once [in the last two years/since ^z092, ^z093]?

End of if

if N164_jump = 1 then

elseif N147 > 0 OR N148 > 1 OR (N148 = 1 AND N149 > 1) OR (N148 = 1 AND (N149 = 1 OR N149 = empty) AND N150 != 5) OR (N148 = empty AND N150 != 5) then

N476 (any of visits with medical doctor done by telephone or video)

Were any of your visits with a medical doctor done by telephone or video?

End of if

if N164_jump = 1 then

elseif N147 > 0 OR N148 > 1 OR (N148 = 1 AND N149 > 1) OR (N148 = 1 AND N149 = 1 AND N150 != 5) OR (N148 = empty AND N150 != 5) then

pcnt := 4

Fill code of question 'FLN433' executed

Fill code of question 'FLN433B' executed

N433 (INSURANCE PAY FOR HOSPITAL STAY)

if N433[4] = YES then

Fill code of question 'FLN434' executed

N434 (INSURANCE ALL PAY FOR MEDICAL)

if N434[4] != YES then

N435 (INSURANCE MORE THAN HALF PAY FOR MEDICAL)

End of if

if (N433[4] = YES and N434[4] != YES) OR N433[4] != YES then

N156 (PAID OUT-OF-POCKET DOCTOR VISITS)

About how much did you pay out-of-pocket for doctor or clinic visits [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N156 = empty then

IF X515 = 1 THEN

N157_Unf_Random := 8

ELSEIF X515 = 2 THEN

N157_Unf_Random := 7

Else

N157_Unf_Random := 9

End of if

N157_Unf

Thinking about how much you paid for doctor or clinic visits [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N157_Unf_Results := explodeUnfolding(N157_Unf)

if N157_Unf_Results[1] = N157_Unf_Results[2] then

N157_Unf_Results[3] := N157_Unf_Results[1]

Else

N157_Unf_Results[3] := empty

End of if

Else

End of if

N164 (SEEN DENTIST)

[In the last two years/Since ^z092, ^z093], have you seen a dentist for dental care, including dentures?

if N164 = YES then

pcnt := 5

Fill code of question 'FLN433' executed

Fill code of question 'FLN433B' executed

N433 (INSURANCE PAY FOR HOSPITAL STAY)

if N433[5] = YES then

Fill code of question 'FLN434' executed

N434 (INSURANCE ALL PAY FOR MEDICAL)

if N434[5] != YES then

N435 (INSURANCE MORE THAN HALF PAY FOR MEDICAL)

End of if

if (N433[5] = YES and N434[5] != YES) OR N433[5] != YES then

N168 (PAID OUT-OF-POCKET DENTAL BILLS)

About how much did you pay out-of-pocket for dental bills [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N168 = empty then

IF X516 = 1 THEN

N169_Unf_Random := 8

ELSEIF X516 = 2 THEN

N169_Unf_Random := 7

Else

N169_Unf_Random := 9

End of if

N169_Unf

Thinking about how much you paid in dental bills [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N169_Unf_Results := explodeUnfolding(N169_Unf)

if N169_Unf_Results[1] = N169_Unf_Results[2] then

N169_Unf_Results[3] := N169_Unf_Results[1]

Else

N169_Unf_Results[3] := empty

End of if

Else

End of if

if C006_ = YES OR C011_ = YES OR C012_ = YES OR C037_ = YES OR C046_ = YES OR C050_ = YES OR C060_ = YES then

N175 := 7

Else

N175 (REGULARLY TAKE MEDICATIONS)

Do you regularly take prescription medications?

End of if

if N175 in [1,7] then

Group of questions presented on the same screen

N360_intro

Do you regularly take prescription medications for any of the following common health problems:

Subgroup of questions

N360 (LOWER CHOLESTEROL)

To help lower your cholesterol?

N361 (JOINT PAIN)

For pain in your joints or muscles?

N362 (ASTMA, ALLERGIES)

For asthma or allergies or other breathing problems?

N363 (STOMACH)

For stomach problems?

N364 (SLEEP)

To help you sleep?

N365 (ANXIETY, DEPRESSION)

To help relieve anxiety or depression?

End of subgroup of questions

N283 (BLOOD CLOTS)

Do you regularly take prescription medications other than aspirin to thin your blood or to prevent blood clots?

End of group of questions

if N175 = 7 AND not(N360 = YES OR N361 = YES OR N362 = YES OR N363 = YES OR N364 = YES OR N365 = YES OR N283 = YES) then

End of if

if N175 in [1,7] or N360 = YES OR N361 = YES OR N362 = YES OR N363 = YES OR N364 = YES OR N365 = YES OR N283 = YES then

pcnt := 6

Fill code of question 'FLN433' executed

Fill code of question 'FLN433B' executed

N433 (INSURANCE PAY FOR HOSPITAL STAY)

if N433[6] = YES then

Fill code of question 'FLN434' executed

N434 (INSURANCE ALL PAY FOR MEDICAL)

if N434[6] != YES then

N435 (INSURANCE MORE THAN HALF PAY FOR MEDICAL)

End of if

Fill code of question 'FLN178' executed

Group of questions presented on the same screen

N178 (PLAN THAT COVERED LARGEST SHARE)

What is the name of the health insurance plan that covered the largest share of the costs? [

For your reference, below are plans you've mentioned before.

If you select a plan already on the list, please be sure to confirm the entire plan name has remained the same. If not, select "Add a plan" and enter the new plan name in the space provided.]

If you don't know your plan name, select "Add a plan" and leave the space provided empty.

1 [list of plans[]]
2 [list of plans[]]
3 [list of plans[]]
4 [list of plans[]]
5 [list of plans[]]
6 [list of plans[]]
7 [list of plans[]]
8 [list of plans[]]
9 [list of plans[]]
10 [list of plans[]]
11 [list of plans[]]
12 [list of plans[]]
13 [list of plans[]]
14 [list of plans[]]
15 [list of plans[]]
16 [list of plans[]]
17 [list of plans[]]
18 [list of plans[]]
19 [list of plans[]]
20 [list of plans[]]
21 [list of plans[]]
22 [list of plans[]]
27 Add a plan:
97 I get medications through the VA

N179 (NAME OF PLAN)

STRING

End of group of questions

if N178 = 27 then

if N179 = empty then

N179 := "Drug Plan"

End of if

FLPlans[plancounter] := N179

plancounter := plancounter + 1

N090 := N090 + 1

End of if

if (N433[6] = YES and N434[6] != YES) OR N433[6] != YES then

Group of questions presented on the same screen

N180 (PAID OUT-OF-POCKET PRESCRIPTIONS)

On average, about how much have you paid out-of-pocket per month for these prescriptions [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

N444 (AMOUNT PAID OUT-OF-POCKET PRESCRIPTIONS - PER )

Per:

1 Month
2 Every 90 days / every 3 months
3 Semi-annually (every 6 months or twice a year)
4 Year
7 Other, please specify:

N445 (AMOUNT PAID OUT-OF-POCKET PRESCRIPTIONS - PER SPECIFY)

STRING

End of group of questions

if N180 = empty then

IF X517 = 1 THEN

N181_Unf_Random := 8

ELSEIF X517 = 2 THEN

N181_Unf_Random := 7

Else

N181_Unf_Random := 9

End of if

N181_Unf

Thinking about how much you paid for prescriptions:

Per month, was it more, about, or less than...

N181_Unf_Results := explodeUnfolding(N181_Unf)

if N181_Unf_Results[1] = N181_Unf_Results[2] then

N181_Unf_Results[3] := N181_Unf_Results[1]

Else

N181_Unf_Results[3] := empty

End of if

Else

End of if

if not((N444 = empty OR N444 = 7) OR (N180 = empty and N181_Unf_Results[1] > 500) OR (N180 = empty and N181_Unf_Results[2] = 99999996)) then

Fill code of question 'FLN368' executed

N368 (OUT OF POCKET HIGHER COSTS)

[You said your average payment for prescription drugs has been $^N180.

/You said your average payment for prescription drugs has been about $^N181_Unf_Results[1].

/You said your average payment for prescription drugs has been between $^N181_Unf_Results[1] and $^N181_Unf_Results[2].

] Have there been some months when your out-of-pocket payments were much higher than this?

End of if

N188 (TAKEN LESS MEDICATION DUE TO COST)

Sometimes people delay taking medication or filling prescriptions because of the cost. At any time [in the last two years/since ^z092, ^z093] have you ended up taking less medication than was prescribed for you because of the cost?

if z076 = YES and X008 = 1 and N116_options = 996 then

Else

N189 (HELP MEDICAL PERSON)

[In the last two years/Since ^z092, ^z093], has any medically-trained person come to your home to help you?

Only include help given to you. Do not include help that you received in order to care for someone else.

Please include hospice care received at home.

if N189 = YES then

pcnt := 7

Fill code of question 'FLN433' executed

Fill code of question 'FLN433B' executed

N433 (INSURANCE PAY FOR HOSPITAL STAY)

if N433[7] = YES then

Fill code of question 'FLN434' executed

N434 (INSURANCE ALL PAY FOR MEDICAL)

if N434[7] != YES then

N435 (INSURANCE MORE THAN HALF PAY FOR MEDICAL)

End of if

if (N433[7] = YES and N434[7] != YES) OR N433[7] != YES then

N194 (PAID OUT-OF-POCKET HOME MEDICAL CARE)

About how much did you pay out-of-pocket for in-home medical care [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N194 = empty then

IF X518 = 1 THEN

N195_Unf_Random := 8

ELSEIF X518 = 2 THEN

N195_Unf_Random := 7

Else

N195_Unf_Random := 9

End of if

N195_Unf

Thinking about how much you paid for in-home medical care [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N195_Unf_Results := explodeUnfolding(N195_Unf)

if N195_Unf_Results[1] = N195_Unf_Results[2] then

N195_Unf_Results[3] := N195_Unf_Results[1]

Else

N195_Unf_Results[3] := empty

End of if

Else

End of if

N202 (OTHER MEDICAL HELP)

[In the last two years/Since ^z092, ^z093], did you use any special facility or service which we haven't asked about, such as: an adult care center, a social worker, an outpatient rehabilitation program, physical therapy, or transportation for the elderly or disabled?

if N202 = YES then

N203 (PAY OTHER MEDICAL HELP)

Did you[ or your ^FLHWP] have to pay for any of these other health care services?

if N203 = YES then

N239 (PAID OTHER HELP)

Altogether, about how much did you have to pay for these other health care services [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N239 = empty then

IF X519 = 1 THEN

N246_Unf_Random := 8

ELSEIF X519 = 2 THEN

N246_Unf_Random := 7

Else

N246_Unf_Random := 9

End of if

N246_Unf

Thinking about how much you paid for other health care services [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N246_Unf_Results := explodeUnfolding(N246_Unf)

if N246_Unf_Results[1] = N246_Unf_Results[2] then

N246_Unf_Results[3] := N246_Unf_Results[1]

Else

N246_Unf_Results[3] := empty

End of if

Else

End of if

N489 (any time when needed needed rehabilitation care, or physical therapy but did not get it)

[In the last two years/Since ^z092, ^z093], was there any time when you needed rehabilitation care or physical therapy but did not get it?

if N489 = 1 then

Group of questions presented on the same screen

N490 (why not get needed rehabilitation care, or physical therapy)

Why was that? Please select all that apply.

1 Couldn't afford it
2 Couldn't get an appointment soon enough
3 Too busy to go the doctor
4 Don't like going to the doctor
5 Long wait times in office
6 Trouble scheduling the appointment
7 Didn't have transportation
8 Coronavirus/Covid-19 concerns
9 No care was available in the region
10 Other, please specify:

N491 (specify why not get needed rehabilitation care, or physical therapy)

STRING

End of group of questions

End of if

N332 (OTHER OUT OF POCKET EXPENSES)

[In the last two years/Since ^z092, ^z093], aside from the medical expenses we already mentioned, have you had any other out-of pocket expenses, that is, expenses not covered by insurance, such as medications, special food, equipment such as a special bed or chair, visits by health professionals, or other costs?

if N332 = YES then

N333 (HOW MUCH PAID OTHER OUT OF POCKET)

About how much did you pay out-of-pocket for these other expenses [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N333 = empty then

IF X520 = 1 THEN

N334_Unf_Random := 8

ELSEIF X520 = 2 THEN

N334_Unf_Random := 7

Else

N334_Unf_Random := 9

End of if

N334_Unf

Thinking about how much you paid for other medical expenses [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N334_Unf_Results := explodeUnfolding(N334_Unf)

if N334_Unf_Results[1] = N334_Unf_Results[2] then

N334_Unf_Results[3] := N334_Unf_Results[1]

Else

N334_Unf_Results[3] := empty

End of if

Else

End of if

Fill code of question 'FLN211' executed

if N211 > 9999 then

N212 (ANY HELP)

Besides any costs covered by insurance, has anyone helped you[ and your ^FLHWP] pay for your health care costs [in the last two years/since ^z092, ^z093], or helped you pay the cost of health insurance or for long-term care insurance?

if N212 = YES then

Fill code of question 'FLN254' executed

Fill code of question 'FLN254_2' executed

Fill code of question 'FLN254_3' executed

N213 (WHO HELPED)

Is that a [ child or other] relative of yours[ and your ^FLHWP's], or is that someone else who helped with medical expenses [in the last two years/since ^z092, ^z093]?

Please select all that apply.

1 [Child/Child-in-law/Grandchild]
2 [Child/Child-in-law/Grandchild]_3
3 Someone else

if 1 in N213 then

N254 (CHILD HELPED)

Which child is that who helped with medical expenses? (If it was a grandchild, which of your children is the parent of that grandchild?)

Please select all that apply.

3 [[]]
4 [[]]
5 [[]]
6 [[]]
7 [[]]
8 [[]]
9 [[]]
10 [[]]
11 [[]]
12 [[]]
13 [[]]
14 [[]]
15 [[]]
16 [[]]
17 [[]]
18 [[]]
19 [[]]
20 [[]]
21 [[]]
22 [[]]
23 [[]]
24 [[]]
25 [[]]
26 [[]]
27 [[]]
28 [[]]
29 [[]]
30 [[]]
31 [[]]
32 [[]]
33 [[]]
34 [[]]
35 [[]]
36 [[]]
37 [[]]
38 [[]]
39 [[]]
40 [[]]
41 [[]]
42 [[]]
43 [[]]
44 [[]]
45 [[]]
46 [[]]
47 [[]]
48 [[]]
49 [[]]
50 [[]]
51 [[]]
52 [[]]
92 Unlisted child who is now deceased
93 All children equally

End of if

N215 (HOW MUCH HELP)

Altogether, about how much money did that help with medical expenses amount to [in the last two years/since ^z092, ^z093]?

Please enter zero for nothing.

RANGE 0..99999996

if N215 = empty then

IF X503 = 1 THEN

N216_Unf_Random := 5

Else

N216_Unf_Random := 6

End of if

N216_Unf

Thinking about how much you received in help for medical expenses [in the last two years/since ^z092, ^z093]:

Was it more, about, or less than...

N216_Unf_Results := explodeUnfolding(N216_Unf)

if N216_Unf_Results[1] = N216_Unf_Results[2] then

N216_Unf_Results[3] := N216_Unf_Results[1]

Else

N216_Unf_Results[3] := empty

End of if

N235 (OVERALL SATISFACTION HEALTH CARE)

Thinking about the quality, cost, and convenience of your health care, how satisfied are you overall?

1 Very satisfied
2 Somewhat satisfied
3 Neutral
4 Somewhat dissatisfied
5 Very dissatisfied

N295 (PREFERENCES TAKEN INTO ACCOUNT)

Thinking about your experiences with the health care system over the past year, how often were your preferences for care taken into account?
[DEF: By "wishes for care taken into account" we mean your medical provider(s) asked about and considered your values and what matters most to you as a person when recommending a plan for your care.]

1 Never
2 Sometimes
3 Usually
4 Always
5 No experiences in the past year

N492 (any time when needed needed medical care but did not get it)

[in the last two years/since ^z092, ^z093], was there any time when you needed medical care, but did not get it?

[IWER: By "Medical Care" we mean visits with any medical professional, including dentists and psychologists. This could include not getting care for a disease you have, such as heart disease or cancer, not getting a surgery you needed, or preventive care such as a mammogram, a cholesterol test, or a screening test for colon or other cancer.]

if N492 = 1 then

Group of questions presented on the same screen

N493 (why not get needed medical care)

Why was that? Please select all that apply.

1 Couldn't afford it
2 Couldn't get an appointment soon enough
3 Too busy to go to the doctor
4 Don't like going to the doctor
5 Long wait times in office
6 Trouble scheduling the appointment
7 Didn't have transportation
8 Coronavirus/Covid-19 concerns
9 Other, please specify:

N494 (specify why not get needed medical care)

STRING

End of group of questions

End of if

N291 (USUAL PLACE)

Is there a place that you usually go to when you are sick or need advice about your health?

if N291 = 1 then

Fill code of question 'FLN292' executed

N292 (KIND OF PLACE)

What kind of place [is it/do you go to most often] - a clinic, doctor's office, emergency room, or some other place?

If there is more than one place you usually go, please select the place you use most often.

1 Clinic or health center
2 Doctor's office or HMO
3 Hospital emergency room
4 Hospital outpatient department
5 Some other place
10 Veteran's Administration (VA)
11 Urgent Care
6 I don't go to one place most often

End of if

N293 (KIND OF PLACE)

[In the last two years/Since ^z092, ^z093], did you have any trouble finding a general doctor or provider who would see you?

N236 (ASSIST SECTION N)

How often did you receive assistance with answers to the previous questions about your health insurance and any health services you use?

1 Never
2 A few times
3 Most or all of the time

P156 := '0'

P155 := '0'

P009 := '0'

P002_ (P002 - EXPECTATIONS INTRO)

Next we would like to ask your opinion about how likely you think various events might be. When we ask a question we'd like for you to give us a number from 0 to 100, where "0" means that you think there is absolutely no chance, and "100" means that you think the event is absolutely sure to happen.

For example, no one can ever be sure about tomorrow's weather, but if you think that rain is very unlikely tomorrow, you might say that there is a 10 percent chance of rain. If you think there is a very good chance that it will rain tomorrow, you might say that there is an 80 percent chance of rain.

Fill code of question 'FLP005' executed

P005_ (WILL R LEAVE INHERITANCE - 10K)

Thinking about an inheritance you[ and your ^FLHWP] might leave[ (but not including any inheritance you might leave to each other)./.]

Including property and other valuables that you might own, what are the chances that you[ and your ^FLHWP] will leave an inheritance totaling $10,000 or more?

P155 := P155 + 1

if P005_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if P009 = 1 or P155 < 3 then

if P005_ > 0 then

P155 := P155 + 1

P006_ (WILL R LEAVE INHERITANCE - 100K)

And what are the chances that you [ and your ^FLHWP] will leave an inheritance totaling $100,000 or more?

Please include properties and other valuable items as well as money.

if P006_ = empty then

P156 := P156 + 1

End of if

if P006_ > 0 then

P059_ (CHANCE R/SP LEAVE INHERIT OF 500K/MORE)

And what are the chances that you[ and your ^FLHWP] will leave an inheritance totaling $500,000 or more?

Please include properties and other valuable items as well as money.

P155 := P155 + 1

if P059_ = empty then

P156 := P156 + 1

End of if

elseif P005_ = 0 and P005_ = response then

P155 := P155 + 1

P007_ (WILL R LEAVE ANY INHERITANCE)

And what are the chances that you[ and your ^FLHWP] will leave any inheritance?

Please include properties and other valuable items as well as money.

if P007_ = empty then

P156 := P156 + 1

End of if

if P009 = 1 or P155 < 3 then

if J020 = 1 and (J021 != 2 or J021 = empty) then

P155 := P155 + 1

P014_ (LIKELIHOOD R WILL LOSE JOB)

Sometimes people are permanently laid off from jobs they want to keep.

On the same scale from 0 to 100 (where 0 means absolutely no chance and 100 means absolutely certain), what are the chances that you will lose your job during the next year?

if P014_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if P009 = 1 or P155 < 3 then

End of if

if P009 = 1 or P155 < 3 then

p016_asked := '0'

if j020 = 1 then

p016_asked := '0'

Else

P016_ (LIKELIHOOD R WILL WORK FOR PAY)

On this same 0 to 100 scale, what are the chances that you will be working for pay at some time in the future?

p016_asked := '1'

P155 := P155 + 1

if P016_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if P009 = 1 or P155 < 3 then

p017_asked := '0'

if p016_asked = 1 and p016_ = response and p016_ = 0 then

p017_asked := '0'

elseif A019_RAge > 61 then

p017_asked := '0'

elseif p016_asked = 1 AND p016_ = empty then

p017_asked := '0'

Else

Fill code of question 'FLP017' executed

P155 := P155 + 1

P017_ (LIKELIHOOD R WILL WORK AFTER AGE 62)

[Thinking about work in general and not just your present job, what/What] do you think the chances are that you will be working full-time after you reach age 62?

p017_asked := '1'

if P017_ = empty then

P156 := P156 + 1

End of if

P018_asked := '0'

if p016_asked = 1 and p016_ = response and p016_ = 0 then

p018_asked := '0'

elseif A019_RAge > 64 then

p018_asked := '0'

elseif p016_asked = 1 and p016_ = empty then

p018_asked := '0'

elseif p017_asked = 1 and p017_ = response and p017_ = 0 then

p018_asked := '0'

Else

Fill code of question 'FLP018' executed

P155 := P155 + 1

P018_ (LIKELIHOOD R WILL WORK AFTER AGE 65)

[Thinking about work in general and not just your present job, what do you think the chances are/And what about the chances] that you will be working full-time after you reach age 65?

p018_asked := '1'

if P018_ = empty then

P156 := P156 + 1

End of if

p198_asked := '0'

if p016_asked = 1 and p016_ = response and p016_ = 0 then

p198_asked := '0'

elseif A019_RAge > 64 then

p198_asked := '0'

elseif A019_RAge > 61 then

p198_asked := '0'

elseif (p017_asked = 1 and p017_ = 100) OR (p018_asked = 1 and p018_ = 100) then

p198_asked := '0'

Else

P155 := P155 + 1

P198_ (LIKELIHOOD R DOING ANY WORK AFTER AGE 62)

What are the chances that you will be doing any work for pay after you reach age 62?

P198_asked := '1'

if P198_ = empty then

P156 := P156 + 1

End of if

P199_asked := '0'

if p016_asked = 1 and p016_ = response and p016_ = 0 then

p199_asked := '0'

elseif (P198_asked = 1 and ((P198_ = response and P198_ = 0) or P198_ = empty)) then

p199_asked := '0'

elseif A019_RAge > 64 then

p199_asked := '0'

elseif (p018_asked = 1 and p018_ = 100) then

p199_asked := '0'

Else

P155 := P155 + 1

P199_ (LIKELIHOOD R DOING ANY WORK AFTER AGE 65)

What are the chances that you will be doing any work for pay after you reach age 65?

P199_asked := 1

if P199_ = empty then

P156 := P156 + 1

End of if

p181_asked := '0'

if p016_asked = 1 and p016_ = response and p016_ = 0 then

p181_asked := '0'

elseif (P198_asked = 1 and ((P198_ = response and P198_ = 0) or P198_ = empty)) then

p181_asked := '0'

elseif (P199_asked = 1 and ((P199_ = response and P199_ = 0) or P199_ = empty)) then

p181_asked := '0'

elseif A019_RAge > 69 then

p181_asked := '0'

Else

P155 := P155 + 1

P181_ (LIKELIHOOD R WILL DO ANY WORK AFTER AGE 70)

What are the chances that you will be doing any work for pay after you reach age 70?

p181_asked := '1'

if P181_ = empty then

P156 := P156 + 1

End of if

p182_asked := '0'

if A019_RAge > 69 then

p182_asked := '0'

elseif p017_asked = 1 and ((p017_ = response and p017_ = 0) OR p017_ = empty) then

p182_asked := '0'

elseif p018_asked = 1 and ((p018_ = response and p018_ = 0) OR p018_ = empty) then

p182_asked := '0'

elseif p181_asked = 1 and ((p181_ = response and p181_ = 0) OR p181_ = empty) then

p182_asked := '0'

Else

p182_asked := '1'

Fill code of question 'FLP182' executed

P155 := P155 + 1

P182_ (LIKELIHOOD R WILL WORK AFTER AGE 70)

[Thinking about work in general and not just your present job, what/What] do you think the chances are that you will be working full-time after you reach age 70?

if P182_ = empty then

P156 := P156 + 1

End of if

if P009 = 1 or P155 < 3 then

if J505 = 1 or J517 = 1 then

P155 := P155 + 1

P020_ (CHANCE R WILL FIND DESIRED JOB IN FEW MO)

You indicated earlier that you were looking for a new job.

What are the chances that you will find a job like the one you're looking for within the next few months?

if P020_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if A019_RAge < 65 and (P009 = 1) then

P028_ (CHANCE R WILL LIVE TO BE AGE 75 OR MORE)

What is the percent chance that you will live to be 75 or more?

P155 := P155 + 1

if P028_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if A019_RAge < 90 and (P009 = 1) and (P028_ > 0 or P028_ = empty) then

Fill code of question 'FLP029' executed

P029_ (CHANCE R WILL LIVE TO 80/85/90/95/100)

What is the percent chance that you will live to be [85/80/85/90/95/100] or more?

P155 := P155 + 1

if P029_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if p009 != 1 then

elseif z076 != YES OR (z076 = YES and A019_RAge > 89) then

elseif (A019_RAge < 65 AND p195_altwave = YES) OR A019_RAge > 64 then

P107_ (CHANCE MENTALLY OK AT AGE-FILL)

Assuming that you are still living at [85/90/95/100], what are the chances that you will be free of serious problems in thinking, reasoning, or remembering things that would interfere with your ability to manage your own affairs?

if P107_ = empty then

P156 := P156 + 1

End of if

if P009 = 0 OR (A167_A028 = 1 AND (A237_ = empty OR A237_ in [1,2,4,7,8,9,10])) OR (Z076 = YES AND A019_RAge < 65) then

Else

Fill code of question 'FLP032' executed

P032_ (PERCENT CHANCE R WILL MOVE TO NH IN 5YR)

[What is the percent chance that you will ever have to move to a nursing home?/What is the percent chance that you will move to a nursing home in the next five years?]
[DEF: By "nursing home or other long-term health care facility" we mean a facility that provides all of the following services for its residents: 24-hour nursing assistance and supervision, dispensing of medication, personal assistance, and room & meals.]

P155 := P155 + 1

if P032_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if (P009 = 1) and J478 = 1 then

P111_ (CHANCE YOUR SOC SEC BENEFIT LESS 10 YRS)

What do you think is the percent chance that the benefits you yourself are receiving from Social Security will be cut some time over the next 10 years?

P155 := P155 + 1

if P111_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if (P009 = 1 or P155 < 3) and J479 = 1 then

P112_ (CHANCE YOUR FUTURE SOCSEC BENEFITS LESS)

What do you think is the percent chance that over the next 10 years there will be changes to Social Security that will reduce your future benefits compared to what you would get under the current system?

P155 := P155 + 1

if P112_ = empty then

P156 := P156 + 1

Else

P009 := 1

End of if

if P009 = 1 or P155 < 3 then

if z076 = YES AND P195_ALTWAVE != YES then

Else

P041_ (FAM FINANCIAL TIMELINE - SAVE/SPEND/PLAN)

In planning your saving and spending, which of the following time periods is most important to you[ and your ^FLHWP]?

1 The next few months
2 The next year
3 The next few years
4 The next 5-10 years
5 Longer than 10 years

End of if