Slaits Health Pilot Test Questionnaire Most Current Final Version -- Monday, June 02, 1997 (11 : 30Am)

By Department of Health and Human Services

Book Id: WPLBN0000217806
Format Type: PDF eBook
File Size: 0.1 MB
Reproduction Date: 2005

Title:	Slaits Health Pilot Test Questionnaire Most Current Final Version -- Monday, June 02, 1997 (11 : 30Am)
Author:	Department of Health and Human Services
Volume:
Language:	English
Subject:	Health., Medical research, Medical reports
Collections:	Medical Library Collection
Historic Publication Date:
Publisher:	Centers for Disease Control and Prevention


Citation APA MLA Chicago Health And Human Services, D. O. (n.d.). Slaits Health Pilot Test Questionnaire Most Current Final Version -- Monday, June 02, 1997 (11 : 30Am). Retrieved from http://www.self.gutenberg.org/

Excerpt
Hello, my name is . I’m calling on behalf of the Centers for Disease Control and Prevention. We’re conducting a nationwide study on general health issues such as immunization, health insurance, and use of health care services. Your telephone number has been selected at random for the study. CONTINUE WITH INTERVIEW... HUDI - During 1st/2nd sentence...2 [HUDI: Hung Up During Intro] HUDI - After end 2nd sentence...3 HUDI - After end 3rd sentence...4 HUDI - After end last sentence...

Table of Contents
SPOUSE (HUSBAND/WIFE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 UNMARRIED PARTNER . . . . . . . . . . . . . . . . . . . . . . . .3 CHILD (SON/DAUGHTER) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 CHILD OF PARTNER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 GRANDCHILD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 PARENT (MOTHER/FATHER) . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 BROTHER/SISTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 GRANDPARENT (GRANDMOTHER/FATHER) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 AUNT/UNCLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 NIECE/NEPHEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 OTHER RELATIVE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 HOUSEMATE/ROOMMATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 ROOMER/BOARDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 OTHER NONRELATIVE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 LEGAL GUARDIAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 WARD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 REFUSED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97