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2007 Biennial Health Insurance Survey Qq

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Submitted By Rashmi2208
Words 10236
Pages 41
Final Questionnaire

2007 Health Insurance Survey
Prepared by Princeton Survey Research Associates International for The Commonwealth Fund N=3500 adults 19 and older (sample drawn to over-represent low income households)
June 6, 2007 (Final Field Version)

INTRODUCTION: Hello, my name is _______ and I am calling for Princeton Survey Research International. We are conducting an important national opinion survey about health care. To make sure our survey includes many different kinds of families, I’m going to start with a few questions about who lives in your household. S1 First, how many adults age 19 or older live in your household? 00 __ 10 99 None–THANK AND TERMINATE RECORD EXACT NUMBER 1-9 10 or more Don’t know/Refused

S2

IF ONLY ONE ADULT AGE 19+ IN HH (S1=1) May I please speak to that person? 1 2 3 9 Continue with current respondent–GO TO S5 New respondent being brought to phone–REPEAT INTRO EXCEPT LAST SENTENCE THEN GO TO S5 New respondent not available–SCHEDULE CALL BACK Refused–THANK AND TERMINATE

S3

IF TWO ADULTS AGE 19+ IN HH (S1=2) May I please speak to the [ROTATE: younger/older] of those two people? 1 2 3 9 Continue with current respondent–GO TO S5 New respondent being brought to phone–REPEAT INTRO EXCEPT LAST SENTENCE THEN GO TO S5 New respondent not available–SCHEDULE CALL BACK Refused–THANK AND TERMINATE

S4

IF THREE OR MORE PEOPLE AGE 19+ IN HH (S1=3-10 OR 99) May I please speak to the person age 19 or older who has had the most recent birthday? 1 2 3 9 Continue with current respondent–GO TO S5 New respondent being brought to phone–REPEAT INTRO EXCEPT LAST SENTENCE THEN GO TO S5 New respondent not available–SCHEDULE CALL BACK Refused–THANK AND TERMINATE

2

S5

ASK IF SCREENING INTERVIEW IS BEING DONE IN ENGLISH We’re giving people a choice of being interviewed in English or in Spanish. Would you like to continue in

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