*002AMD26* itêcarefully

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2 SURVYÊINSTRUCTIONS AnswerÊall theêquestionsêbyêcheckingêtheêcircleêto theêleftêofêyourêanswerêêyouêareêsometimesêtoldêto skipêoverêsomeêquestionsêinêthisêsurveyêêwhenêthis happensêyouêwillêseeêaênoteêthatêtellsêyouêwhat questionêtoêanswerênextêlikeêthis PleaseÊreturnÊtheÊcompletedÊquestionnaireÊinÊthe enclosedêpostagepaidêenvelopeêwithinêsevenêdaysêêif youêhaveêmisplacedêtheêenvelopeêourêaddressêisê OfficeÊofÊtheÊAssistantÊSecretaryÊofÊDefenseÊHealth Affairs coêsurveyêprocessingêcenterê POÊoxÊ LincolnÊNÊÊ AccordingÊtoÊtheÊPrivacyÊActÊofÊ ÊPublicÊLawÊ ÊtheÊDepartmentÊofÊDefenseÊisÊrequiredÊtoÊinform youêofêtheêpurposesêandêuseêofêthisêsurveyêêpleaseêread itêcarefully Authority ÊUSCÊChapterÊÊSectionÊÊPublic LawÊÊOÊ Purpose ThisÊsurveyÊhelpsÊhealthÊpolicyÊmakersÊgauge beneficiaryêsatisfactionêwithêtheêcurrentêmilitary healthcareêsystemêandêprovidesêvaluableêinputêfrom beneficiariesêthatêwillêbeêusedêtoêimproveêtheêmilitary HealthÊSystem RoutineÊUses neê Disclosure VoluntaryÊÊFailureÊtoÊrespondÊwillÊnotÊresult inêanyêpenaltyêtoêtheêrespondentêêhoweverêmaximum participationêisêencouragedêsoêthatêdataêwillêbeêas completeêandêrepresentativeêasêpossible AMD *002AMD26*

3 *002AMD37* AMD ÊÊSURVYÊSTARTSÊHRÊÊÊ ThisÊsurveyÊisÊaboutÊtheÊhealthÊcareÊofÊtheÊperson addressedêinêtheêcoverêletterêêtheêquestionnaire shouldêbeêcompletedêbyêthatêpersonêêifêyouêareênot theêaddresseeêpleaseêgiveêthisêsurveyêtoêtheêperson namedêinêtheêcoverêletter AreÊyouÊtheÊpersonÊwhoseÊnameÊappearsÊonÊthe mailingêlabelêofêthisêenvelope ÊPleaseÊgiveÊthisÊquestionnaireÊtoÊtheÊperson addressedêonêtheêenvelope yêwhichêofêtheêfollowingêhealthêplansêareêyou currentlyêcoveredêêmarkêallêthatêapply MilitaryÊHealthÊPlans a TRICARÊPrime TRICARÊxtraÊorÊStandardÊCHAMPUS TRICARÊPlus TRICARÊforÊLife OtherÊHealthÊPlans b Medicare FederalÊmployeesÊHealthÊenefitÊProgram FHPÊ Medicaid AÊcivilianÊHMOÊsuchÊasÊKaiser OtherÊcivilianÊhealthÊinsuranceÊsuchÊas lueêcross UniformedÊServicesÊFamilyÊHealthÊPlan USFHPÊ TheÊVeteransÊAdministrationÊVA têsure CurrentlyÊareÊyouÊcoveredÊbyÊMedicareÊPartÊA MedicareÊisÊtheÊfederalÊhealthÊinsuranceÊprogramÊfor peopleêagedêêorêolderêandêforêcertainêdisabled peopleêêmedicareêpartêaêhelpsêpayêforêinpatient hospitalêcare ÊIÊamÊnowÊcoveredÊbyÊMedicareÊPartÊA ÊIÊamÊnotÊcoveredÊbyÊMedicareÊPartÊA CurrentlyÊareÊyouÊcoveredÊbyÊMedicareÊPartÊ MedicareÊisÊtheÊfederalÊhealthÊinsuranceÊprogramÊfor peopleêagedêêorêolderêandêforêcertainêdisabled peopleêêmedicareêpartêêhelpsêpayêforêdoctors servicesêoutpatientêhospitalêservicesêandêcertain otherêservices ÊIÊamÊnowÊcoveredÊbyÊMedicareÊPartÊ ÊIÊamÊnotÊcoveredÊbyÊMedicareÊPartÊ CurrentlyÊareÊyouÊcoveredÊbyÊMedicareÊsupplemental insurance MedicareÊsupplementalÊinsuranceÊalso calledêmedigapêorêmedisupêisêusuallyêobtainedêfrom privateêinsuranceêcompaniesêandêcoversêsomeêofêthe costsênotêpaidêforêbyêmedicare ÊIÊamÊnowÊcoveredÊbyÊMedicare supplementalêinsurance ÊIÊamÊnotÊcoveredÊbyÊMedicare supplementalêinsurance WhichÊhealthÊplanÊdidÊyouÊuseÊforÊallÊorÊmostÊofÊyour healthêcareêinêtheêlastêêmonthsêêmarkêonlyêon TRICARÊPrime TRICARÊxtraÊorÊStandardÊCHAMPUS TRICARÊPlus Medicare FederalÊmployeesÊHealthÊenefitÊProgram FHPÊ Medicaid AÊcivilianÊHMOÊsuchÊasÊKaiser OtherÊcivilianÊhealthÊinsuranceÊsuchÊasÊlue CrossÊ UniformedÊServicesÊFamilyÊHealthÊPlans USFHPÊ TheÊVeteransÊAdministrationÊVA têsure DidÊnotÊuseÊanyÊhealthÊplanÊinÊtheÊlastÊÊmonths

4 ForÊtheÊremainderÊofÊthisÊquestionnaireÊtheÊterm healthêplanêrefersêtoêtheêplanêyouêindicatedêin QuestionÊ DidÊyouÊhaveÊtheÊsameÊpersonalÊdoctorÊorÊnurse before youêjoinedêthisêhealthêplan HowÊmanyÊmonthsÊorÊyearsÊinÊaÊrowÊhaveÊyouÊbeenÊin thisêhealthêplan LessÊthanÊÊmonths ÊupÊtoÊÊmonths ÊupÊtoÊÊmonths ÊupÊtoÊÊyears ÊupÊtoÊÊyears ÊorÊmoreÊyears SinceÊyouÊjoinedÊyourÊhealthÊplanÊhowÊmuchÊofÊa problemêifêanyêwasêitêtoêgetêaêpersonalêdoctorêor nurseêyouêareêhappyêwith ÊGTTINGÊHALTHCARÊFROMÊAÊSPCIALISTÊ ÊÊYOURÊPRSONALÊDOCTORÊORÊNURSÊÊ TheÊnextÊquestionsÊaskÊaboutÊyourÊown healthêcareê DoÊnot includeêcareêyouêgotêwhenêyouêstayed overnightêinêaêhospital DoÊnot includeêtheêtimesêyou wentêforêdentalêcareêvisits WhenÊyouÊanswerÊtheÊnextÊquestionsÊdoÊnot include dentalêvisits Specialists areêdoctorsêlikeêsurgeonsêheartêdoctors allergyêdoctorsêskinêdoctorsêandêothersêwho specializeêinêoneêareaêofêhealthêcare AÊpersonalÊdoctorÊorÊnurse isêtheêhealthêproviderêwho knowsêyouêbestêêthisêcanêbeêaêgeneralêdoctorêa specialistêdoctorêaênurseêpractitionerêorêaêphysician assistantêêdoêyouêhaveêoneêpersonêyouêthinkêofêas yourêpersonalêdoctorêorênurse UsingÊanyÊnumberÊfromÊÊtoÊ whereêêisêtheêworst personalêdoctorêorênurseêpossibleêandêêisêtheêbest personalêdoctorêorênurseêpossibleêwhatênumberêwould youêuseêtoêrateêyourêpersonalêdoctorêorênurse ÊÊWorstÊpersonalÊdoctorÊorÊnurseÊpossible ÊÊestÊpersonalÊdoctorÊorÊnurseÊpossibleÊ IÊdontÊhaveÊaÊpersonalÊdoctorÊorÊnurse InÊtheÊlastÊÊmonthsÊdidÊyouÊorÊaÊdoctorÊorÊnurse thinkêyouêneededêtoêseeêaêspecialist InÊtheÊlastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊifÊany wasêitêtoêseeêaêspecialistêthatêyouêneededêtoêsee IÊdidntÊneedÊtoÊseeÊaÊspecialistÊinÊtheÊlastÊ monthsê InÊtheÊlastÊÊmonthsÊdid you seeêaêspecialist AMD *002AMD48*

5 WeÊwantÊtoÊknowÊyourÊratingÊofÊtheÊspecialist you saw mostêoften inêtheêlastêêmonthsêusingêanyênumber fromêêtoê whereêêisêtheêworstêspecialistêpossible andêêisêtheêbestêspecialistêpossibleêwhatênumber wouldêyouêuseêtoêrateêtheêspecialist ÊÊWorstÊspecialistÊpossible ÊÊestÊspecialistÊpossible IÊdidntÊseeÊaÊspecialistÊinÊtheÊlastÊÊmonths InÊtheÊlastÊÊmonthsÊwasÊtheÊspecialistÊyouÊsaw mostêoftenêtheêsameêdoctorêasêyour personalêdoctor IÊdontÊhaveÊaÊpersonalÊdoctorÊorÊIÊdidntÊseeÊa specialistêinêtheêlastêêmonths ÊÊCALLINGÊDOCTORSÊOFFICSÊÊ InÊtheÊlastÊÊmonthsÊdidÊyouÊcallÊaÊdoctorsÊofficeÊor clinic duringêregularêofficeêhours toêgetêhelpêorêadvice forêyourself InÊtheÊlastÊÊmonthsÊwhenÊyouÊcalledÊduringÊregular officeêhoursêhowêoftenêdidêyouêget theêhelpêorêadvice youêneeded IÊdidntÊcallÊforÊhelpÊorÊadviceÊduringÊregular officeêhoursêinêtheêlastêêmonths ÊÊYOURÊHALTHCARÊINÊTHÊLASTÊÊMONTHSÊÊ InÊtheÊlastÊÊmonthsÊdidÊyouÊhaveÊanÊillnessÊinjury orêconditionêthatêneededêcareêrightêawayêinêaêclinic emergencyêroomêorêdoctorsêoffice InÊtheÊlastÊÊmonthsÊwhenÊyouÊneededÊcareÊright away forêanêillnessêinjuryêorêconditionêhowêoftenêdid youêgetêcareêasêsoonêasêyouêwanted IÊdidntÊneedÊcareÊrightÊawayÊforÊanÊillness injuryêorêconditionêinêtheêlastêêmonths InÊtheÊlastÊÊmonthsÊwhenÊyouÊneededÊcareÊright away forêanêillnessêinjuryêorêconditionêhowêlongêdid youêusuallyêhaveêtoêwaitêbetweenêtryingêtoêgetêcare andêactuallyêseeingêaêprovider SameÊday Êday Êdays Êdays Êdays Êdays ÊdaysÊorÊlonger IÊdidntÊneedÊcareÊrightÊawayÊforÊanÊillness injuryêorêconditionêinêtheêlastêêmonths AÊhealthÊprovider couldêbeêaêgeneralêdoctorêa specialistêdoctorêaênurseêpractitionerêaêphysician assistantêaênurseêorêanyoneêelseêyouêwouldêseeêfor healthêcare InÊtheÊlastÊÊmonthsÊnotÊcountingÊtheÊtimesÊyou neededêhealthêcareêrightêawayêdidêyouêmakeêany appointments withêaêdoctorêorêotherêhealthêcare providerêforêhealthêcare AMD *002AMD59*

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7 *002AMD7* AMD InÊtheÊlastÊÊmonthsÊhowÊoftenÊdidÊ doctorsêorêother healthêproviders listenêcarefullyêtoêyou IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths InÊtheÊlastÊÊmonthsÊhowÊoftenÊdid doctorsêorêother healthêprovidersêexplainêthings inêaêwayêyouêcould understand IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths InÊtheÊlastÊÊmonthsÊhowÊoftenÊdid doctorsêorêother healthêprovidersêshow respectêforêwhatêyouêhadêto say IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths InÊtheÊlastÊÊmonthsÊhowÊoftenÊdidÊdoctorsÊorÊother healthêproviders spendêenoughêtime with you IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths Using anyênumberêfromêêtoê whereêêisêtheêworst healthêcareêpossibleêandêêisêtheêbestêhealthêcare possibleêwhatênumberêwouldêyouêuseêtoêrateêallêyour healthêcareêinêtheêlastêêmonths ÊÊWorstÊhealthcareÊpossible ÊÊestÊhealthcareÊpossible IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths InÊtheÊlastÊÊmonthsÊwhereÊdidÊyouÊgoÊmostÊoftenÊfor yourêhealthêcareêêmarkêonlyêonêanswr AÊmilitaryÊfacilityÊÊThisÊincludesÊMilitary clinicêmilitaryêhospitalêprimusêclinic NAVCARÊclinic AÊcivilianÊfacilityÊÊThisÊincludesÊDoctors officeêclinicêhospitalêcivilianêtricar contractor UniformedÊServicesÊFamilyÊHealthÊPlanÊfacility USFHPÊ VeteransÊAffairsÊVAÊclinicÊorÊhospital IÊwentÊtoÊnoneÊofÊtheÊlistedÊtypesÊofÊfacilities inêtheêlastêêmonths ÊÊPATINTÊSAFTYÊÊÊ TheÊfollowingÊquestionsÊaskÊaboutÊyourÊopinionÊof patientêsafetyêatêmilitaryêhospitalsêclinicsêand pharmaciesêêpatientêsafetyêmeansêavoiding accidentsêorêmistakesêthatêharmêpatientsêêplease indicateêhowêmuchêyouêagreeêorêdisagreeêwithêwith ofêtheêstatementsêbelow TheÊpeopleÊwhoÊworkÊinÊmilitaryÊhospitalsÊuseÊthe bestêpossibleêmethodsêtoêensureêpatientêsafety

8 *002AMD8C* AMDC WhenÊIÊhaveÊaÊsurgicalÊorÊdiagnosticÊprocedureÊinÊa militaryêhospitalêiêamêconfidentêthatêiêwillênotêbe accidentallyêinjuredêorêinfected WhenÊIÊamÊatÊaÊmilitaryÊhospitalÊIÊamÊconfidentÊIÊwill getêtheêrightêdrugsêandêdosagesêandêiêwillênotêgetêa dangerousêcombinationêofêdrugs DoctorsÊnursesÊandÊpharmacistsÊatÊmilitaryÊhospitals getêtheêsupportêtheyêneedêtoêkeepêpatientsêsafe WhenÊIÊgoÊtoÊaÊmilitaryÊpharmacyÊIÊamÊconfidentÊIÊwill getêtheêrightêdrugêandêdosageêandêiêwillênotêgetêa dangerousêcombinationêofêdrugs TheÊpeopleÊwhoÊworkÊinÊmilitaryÊpharmaciesÊuseÊthe bestêpossibleêmethodsêtoêensureêpatientêsafety WhenÊIÊhaveÊaÊtestÊsuchÊasÊanÊxrayÊorÊbloodÊtestÊatÊa militaryêfacilityêiêamêconfidentêthatêtheêtestêwillêbe correctlyêperformedêandêtheêresultsêcorrectlyêanalyzed andêreported WhenÊIÊseeÊaÊdoctorÊorÊnurseÊatÊaÊmilitaryÊhospitalÊor clinicêiêamêconfidentêthatêiêwillêbeêexaminedêcarefully andêthoroughly InÊtheÊlastÊÊmonthsÊdoÊyouÊthinkÊsafetyÊatÊmilitary hospitalsêclinicsêandêpharmaciesêhasêgottenêbetterêor gottenêworse GottenÊbetter StayedÊaboutÊtheÊsame GottenÊworse

9 *002AMD9D* AMD D ÊÊTRICARSÊCIVILIANÊNTWORKÊÊ TheÊfollowingÊquestionsÊaskÊaboutÊyourÊexperiences withêtheêtricarêcivilianêproviderênetworkê TRICARÊincludingÊTRICARÊPrimeÊandÊxtraÊisÊthe healthêcareêsystemêofêtheêdepartmentêofêdefense thatêprovidesêcareêforêactiveêdutyêandêretired militaryêpersonnelêandêtheirêdependentsêêtricar includesêtheêhospitalsêclinicsêandêpharmaciesêof theêthreeêservicesêsupplementedêbyêaêcivilian network TheÊTRICARÊcivilianÊproviderÊnetworkÊisÊmadeÊup ofêtheêdoctorsêclinicsêhospitalsêandêotherêhealth careêprovidersêwhoêareêpartêofêdodsêpreferred providerêpoolêêtheênextêsixêquestionsêreferêto healthêservicesêyouêreceivedêfromêtheêcivilian network InÊtheÊpastÊÊmonthsÊhowÊmuchÊofÊyourÊhealthÊcare didêyouêreceiveêfromêtheêtricarêcivilianêprovider network AllÊofÊmyÊhealthcare MostÊofÊmyÊhealthcare SomeÊofÊmyÊhealthcare neêofêmyêhealthcare IÊdidÊnotÊneedÊhealthcareÊinÊtheÊpastÊÊmonthsÊ InÊtheÊpastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊwasÊit toêgetêtheêhealthêcareêyouêwantedêfromêtheêtricar civilianêproviderênetwork IÊdidÊnotÊtryÊtoÊgetÊhealthcareÊfromÊtheÊcivilian networkê AÊpersonalÊdoctorÊorÊnurse isêtheêhealthêproviderêwho knowsêyouêbestêêthisêcanêbeêaêgeneralêdoctorêa specialistêdoctorêaênurseêpractitionerêorêaêphysician assistant InÊtheÊpastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊwasÊit toêfindêaêconvenientlyêlocatedêpersonalêdoctorêor nurseêfromêtheêtricarêcivilianêproviderênetwork IÊdidÊnotÊtryÊtoÊfindÊaÊpersonalÊdoctorÊfromÊthe civilianênetwork InÊtheÊpastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊwasÊit toêfindêaêconvenientlyêlocatedêlabêorêxrayêfacilityêin theêtricarêcivilianêproviderênetwork IÊdidÊnotÊtryÊtoÊfindÊaÊlabÊorÊxrayÊfacilityÊinÊthe civilianênetwork Specialists areêdoctorsêlikeêsurgeonsêheartêdoctors allergyêdoctorsêskinêdoctorsêandêothersêwho specializeêinêoneêareaêofêhealthêcare InÊtheÊpastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊwasÊit toêfindêaêconvenientlyêlocatedêspecialistêfromêthe TRICARÊcivilianÊproviderÊnetwork IÊdidÊnotÊtryÊtoÊfindÊaÊspecialistÊinÊtheÊcivilian networkê InÊtheÊpastÊÊmonthsÊdidÊyouÊlearnÊthatÊaÊdoctor whomêyouêwantedêtoêseeêhadêleftêtheêtricarêcivilian providerênetwork IÊdidÊnotÊwantÊtoÊseeÊanyÊnetworkÊdoctors

10 ÊÊYOURÊHALTHÊPLANÊÊÊ TheÊnextÊquestionsÊaskÊaboutÊyourÊexperienceÊwith yourêhealthêplanêêyêyourêhealthêplanêweêmeanêthe healthêplanêyouêmarkedêinêquestionê ClaimsÊareÊsentÊtoÊaÊhealthÊplanÊforÊpaymentÊÊYou mayêsendêin the claimsêyourselfêorêdoctors hospitalsêorêothersêmayêdoêthisêforêyou InÊtheÊlastÊ monthsêdidêyouêorêanyoneêelse sendêinêanyêclaims to your healthêplan DontÊknow InÊtheÊlastÊÊmonthsÊhowÊoftenÊdid your healthêplan handle your claims inêaêreasonableêtime DontÊknow ÊclaimsÊwereÊsentÊforÊmeÊinÊtheÊlastÊ monthsê InÊtheÊlastÊÊmonthsÊhowÊoftenÊdid your healthêplan handle your claims correctly DontÊknow ÊclaimsÊwereÊsentÊforÊmeÊinÊtheÊlastÊ monthsê InÊtheÊlastÊÊmonthsÊbefore you wentêforêcareêhow oftenêdid your healthêplan makeêitêclearêhowêmuchêyou wouldêhaveêtoêpay DontÊknow ÊclaimsÊwereÊsentÊforÊmeÊinÊtheÊlastÊ monthsê InÊtheÊlastÊÊmonthsÊdidÊyouÊlookÊforÊanyÊinformation aboutêhowêyourêhealthêplanêworksêinêwrittenêmaterial orêonêtheêinternet InÊtheÊlastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊifÊany wasêitêtoêfindêorêunderstandêthisêinformation IÊdidntÊlookÊforÊinformationÊfromÊmyÊhealth planêinêtheêlastêêmonths InÊtheÊlastÊÊmonthsÊdidÊyouÊcall your healthêplans customerêservice toêgetêinformationêorêhelp InÊtheÊlastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊifÊany wasêitêtoêgetêtheêhelpêyouêneededêwhenêyouêcalled your healthêplansêcustomerêservice IÊdidntÊcallÊmyÊhealthÊplansÊcustomerÊservice inêtheêlastêêmonths InÊtheÊlastÊÊmonthsÊhaveÊyouÊcalledÊorÊwritten your healthêplanêwithêaêcomplaintêorêproblem HowÊlongÊdidÊitÊtakeÊforÊthe healthêplanêto resolve your complaint SameÊday Êdays Êdays Êdays MoreÊthanÊÊdays IÊamÊstillÊwaitingÊforÊitÊtoÊbeÊsettledÊGoÊto QuestionÊ IÊhaventÊcalledÊorÊwrittenÊwithÊaÊcomplaintÊor problemêinêtheêlastêêmonths AMDA *002AMDA*

11 *002AMDF* AMDF WasÊyour complaintêorêproblem settledêtoêyour satisfaction IÊhaventÊcalledÊorÊwrittenÊwithÊaÊcomplaintÊor problemêinêtheêlastêêmonths HowÊlongÊhaveÊyouÊbeenÊwaitingÊforÊyourÊhealthÊplan toêresolve yourêcomplaint Êdays Êdays Êdays MoreÊthanÊÊdays IÊhaventÊcalledÊorÊwrittenÊwithÊaÊcomplaintÊor problemêinêtheêlastêêmonths InÊtheÊlastÊÊmonthsÊdidÊyouÊhaveÊtoÊfillÊoutÊany paperworkêforêyourêhealthêplan InÊtheÊlastÊÊmonthsÊhowÊmuchÊofÊaÊproblemÊifÊany didêyouêhaveêwithêpaperworkêforêyour healthêplan IÊdidntÊhaveÊanyÊexperiencesÊwithÊpaperwork forêmyêhealthêplanêinêtheêlastêêmonths UsingÊanyÊnumberÊfromÊÊtoÊ whereêêisêtheêworst healthêplanêpossibleêandêêisêtheêbestêhealthêplan possibleêwhatênumberêwouldêyouêuseêtoêrateêyour healthêplan ÊÊWorstÊhealthÊplanÊpossible ÊÊestÊhealthÊplanÊpossible IfÊyouÊare currentlyêenrolled inêtricarêprimeêhow likelyêareêyouêto disenroll fromêtricarêprimeêforêa differentêtypeêofêhealthêplanêinêtheênextêêmonths VeryÊunlikely Unlikely NeitherÊlikelyÊnorÊunlikely Likely VeryÊlikely têsure IÊamÊnotÊcurrentlyÊenrolledÊinÊTRICARÊPrime ÊÊPRVNTATIVÊCARÊÊ PreventativeÊcareÊisÊmedicalÊcareÊyouÊreceiveÊthatÊis intendedêtoêmaintainêyourêgoodêhealthêorêpreventêa futureêmedicalêproblemêêaêphysicalêorêaêcholesterol screeningêareêexamplesêofêpreventativeêcare WhenÊdidÊyouÊlastÊhaveÊaÊbloodÊpressureÊreading LessÊthanÊÊmonthsÊago ÊtoÊÊyearsÊago MoreÊthanÊÊyearsÊago DoÊyouÊknowÊifÊyourÊbloodÊpressureÊisÊtooÊhigh ÊitÊisÊtooÊhigh ÊitÊisÊnotÊtooÊhigh DontÊknow WhenÊdidÊyouÊlastÊhaveÊaÊcholesterolÊscreeningÊthat isêaêtestêtoêdetermineêtheêlevelêofêcholesterolêinêyour blood LessÊthanÊÊmonthsÊago ÊtoÊÊyearsÊago MoreÊthanÊÊbutÊlessÊthanÊÊyearsÊago ÊorÊmoreÊyearsÊago ÊhadÊaÊcholesterolÊscreening WhenÊdidÊyouÊlastÊhaveÊaÊfluÊshot LessÊthanÊÊmonthsÊago ÊÊÊyearsÊago MoreÊthanÊÊyearsÊago ÊhadÊaÊfluÊshot

12 *002AMDCG* AMDCG HaveÊyouÊever smoked atêleastêêcigarettesêinêyour entireêlife DontÊknow DoÊyouÊnowÊsmokeÊeverydayÊsomeÊdaysÊorÊnotÊatÊall veryêday SomeÊdays têatêall DontÊknow HowÊlongÊhasÊitÊbeenÊsinceÊyou quitêsmoking cigarettes LessÊthanÊÊmonths ÊmonthsÊorÊmore DontÊknow InÊtheÊlastÊÊmonthsÊonÊhowÊmanyÊvisitsÊwereÊyou advisedêtoêquit smokingêbyêaêdoctorêorêotherêhealth providerêinêyourêplan ne Êvisit ÊtoÊÊvisits ÊtoÊ Êvisits ÊorÊmoreÊvisits IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths OnÊhowÊmanyÊvisitsÊwasÊmedicationÊrecommendedÊor discussedêtoêassistêyouêwithêquittingêsmokingêfor exampleênicotineêgumêpatchênasalêsprayêinhaler prescriptionêmedication ne Êvisit ÊtoÊÊvisits ÊtoÊ Êvisits ÊorÊmoreÊvisits IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths OnÊhowÊmanyÊvisitsÊdidÊyourÊdoctorÊorÊhealthÊprovider recommendêorêdiscussêmethodsêandêstrategiesêother thanêmedicationêtoêassistêyouêwithêquittingêsmoking ne Êvisit ÊtoÊÊvisits ÊtoÊ Êvisits ÊorÊmoreÊvisits IÊhadÊnoÊvisitsÊinÊtheÊlastÊÊmonths AreÊyouÊmaleÊorÊfemale Male Female WhenÊwasÊtheÊlastÊtimeÊyouÊhadÊaÊprostateÊgland examinationêorêbloodêtestêforêprostateêdisease WithinÊtheÊlastÊÊmonths ÊtoÊÊyearsÊago MoreÊthanÊÊbutÊlessÊthanÊÊyearsÊago ÊorÊmoreÊyearsÊago ÊhadÊaÊprostateÊglandÊexamination WhenÊdidÊyouÊlastÊhaveÊaÊPapÊsmearÊtest WithinÊtheÊlastÊÊmonths ÊtoÊÊyearsÊago MoreÊthanÊÊbutÊlessÊthanÊÊyearsÊago ÊorÊmoreÊyearsÊago ÊhadÊaÊPapÊsmearÊtest AreÊyouÊunderÊageÊ WhenÊwasÊtheÊlastÊtimeÊyourÊbreastsÊwereÊcheckedÊby mammography WithinÊtheÊlastÊÊmonths ÊtoÊÊyearsÊago MoreÊthanÊÊyearsÊagoÊbutÊlessÊthanÊÊyears agoê ÊorÊmoreÊyearsÊago ÊhadÊaÊmammogram

13 *002AMDDH* AMDDH WhenÊwasÊtheÊlastÊtimeÊyouÊhadÊaÊbreastÊexamÊbyÊa healthêcareêprofessional WithinÊtheÊlastÊÊmonths ÊtoÊÊyearsÊago MoreÊthanÊÊbutÊlessÊthanÊÊyearsÊago ÊorÊmoreÊyearsÊago ÊhadÊaÊbreastÊexam HaveÊyouÊbeenÊpregnantÊinÊtheÊlastÊÊmonthsÊorÊare youêpregnantênow ÊIÊamÊcurrentlyÊpregnantÊ ÊIÊamÊnotÊcurrentlyÊpregnantÊbutÊhaveÊbeen pregnantêinêtheêpastêêmonthsê GoÊtoÊQuestion ÊIÊamÊnotÊcurrentlyÊpregnantÊandÊhaveÊnot beenêpregnantêinêtheêpastêêmonthsê GoÊto QuestionÊ InÊwhatÊtrimesterÊisÊyourÊpregnancy FirstÊtrimester SecondÊtrimester ThirdÊtrimester InÊwhichÊtrimesterÊdidÊyouÊfirstÊreceiveÊprenatalÊcare FirstÊtrimester SecondÊtrimester ThirdÊtrimester DidÊnotÊreceiveÊprenatalÊcare ÊÊAOUTÊYOUÊÊ InÊgeneralÊhowÊwouldÊyouÊrateÊyourÊoverallÊhealth now xcellent VeryÊGood Good Fair Poor AreÊyouÊlimitedÊinÊanyÊwayÊinÊanyÊactivitiesÊbecauseÊof anyêimpairmentêorêhealthêproblem ThinkingÊaboutÊyourÊphysicalÊhealthÊwhichÊincludes physicalêillnessêandêinjuryêforêhowêmanyêdaysêduring theêpastêêdaysêwasêyourêphysicalêhealthênotêgood ThinkingÊaboutÊyourÊmentalÊhealthÊwhichÊincludes stressêdepressionêandêproblemsêwithêemotionsêfor howêmanyêdaysêduringêtheêpastêêdaysêwasêyour mentalêhealthênotêgood DuringÊtheÊpastÊÊdaysÊforÊaboutÊhowÊmanyÊdaysÊdid poorêphysicalêorêmentalêhealthêkeepêyouêfromêdoing yourêusualêactivitiesêsuchêasêselfcareêworkêor recreation DuringÊtheÊpastÊÊdaysÊforÊaboutÊhowÊmanyÊdaysÊdid painêmakeêitêhardêforêyouêtoêdoêyourêusualêactivities suchêasêselfcareêworkêorêrecreation

14 *002AMDI* AMDI DuringÊtheÊpastÊÊdaysÊforÊaboutÊhowÊmanyÊdays haveêyouêfeltêsadêblueêorêdepressed DuringÊtheÊpastÊÊdaysÊforÊaboutÊhowÊmanyÊdays haveêyouêfeltêworriedêtenseêorêanxious DuringÊtheÊpastÊÊdaysÊforÊaboutÊhowÊmanyÊdays haveêyouêfeltêyouêdidênotêgetêenoughêrestêorêsleep DuringÊtheÊpastÊÊdaysÊforÊaboutÊhowÊmanyÊdays haveêyouêfeltêveryêhealthyêandêfullêofêenergy WhatÊisÊtheÊhighestÊgradeÊorÊlevelÊofÊschoolÊthatÊyou have completed thêgradeêorêless SomeÊhighÊschoolÊbutÊdidÊnotÊgraduate HighÊschoolÊgraduateÊorÊGD SomeÊcollegeÊorÊyearÊdegree yearêcollegeêgraduate MoreÊthanÊyearÊcollegeÊdegree AreÊyouÊofÊHispanicÊorÊLatinoÊoriginÊorÊdescentÊ MarkÊÌNOÌÊifÊnotÊSpanishHispanicLatino ÊnotÊSpanishÊHispanicÊorÊLatino ÊMexicanÊMexicanÊAmericanÊChicano ÊPuertoÊRican ÊCuban ÊotherÊSpanishÊHispanicÊorÊLatino WhatÊisÊyourÊraceÊÊMarkÊONÊORÊMORÊracesÊto indicateêwhatêyouêconsiderêyourselfêtoêbe White lackêorêafricanêamerican AmericanÊIndianÊorÊAlaskaÊNative AsianÊegÊAsianÊIndianÊChineseÊFilipino JapaneseÊKoreanÊVietnamese NativeÊHawaiianÊorÊotherÊPacificÊIslanderÊeg SamoanÊGuamanianÊorÊChamorro WhatÊisÊyourÊageÊnow ÊtoÊ ÊtoÊ ÊtoÊ ÊtoÊ ÊtoÊ ÊtoÊ ÊorÊolder THANKÊYOUÊFORÊTAKINGÊTHÊTIMÊTOÊCOMPLT THÊSURVYË YourÊgenerousÊcontributionÊwill greatlyêaidêeffortsêtoêimproveêtheêhealthêofêour militaryêcommunity ReturnÊyourÊsurveyÊinÊtheÊpostagepaidÊenvelope If envelopeêisêmissingêpleaseêsendêtoêênational ResearchÊCorporationÊSurveyÊProcessingÊCenterÊPO OXÊÊLincolnÊNÊ