Is there a place that you USUALLY go to when you are sick or needed advice about your health?
If yes, what kind of place is it?
If no, why don’t you have a usual source of medical care?
DURING THE PAST 12 MONTHS, have you seen a health care provider for your own routine or preventive care (physical exams or check-ups) at a doctor’s office, a clinic, or some other place? Do not include times you were hospitalized overnight, visits to hos
DURING THE PAST 12 MONTHS, have you had a flu shot? A flu shot is usually given in the fall season and it protects against influenza for the flu season
If no, why didn’t you get a flu shot?
Do you usually use home remedies (herbal medicine from Africa) to cure or meet your health care needs?
If yes, do you use herbal medicine from Africa for the following reasons?
About how long have you lived in the United States?
Do you hang out (socialize) with U.S. born citizens, such as Whites, Blacks-Americans, and Hispanics? This includes taking part in social activities such as visiting, attending clubs and meetings, going to parties, making and maintaining relationships wi
How often do you watch American movies, and television (TV) shows in English?
At any time during the past 12 months, HOW MANY TIMES have you seen a doctor or other health care professional about your own health at a DOCTOR’S OFFICE, A CLINIC, OR SOME OTHER PLACE? You must include times you were hospitalized overnight, visits to ho
How would you rate the quality of health care services that you received IN THE PAST 12 MONTHS?
DURING THE PAST 12 MONTHS, have you ever used a computer, or smart-phone to look up health information, fill prescriptions, schedule an appointment with a health care provider, chat with a health provider by emails, or chat online with chat groups to le
In general, what would you say your health status is? Would you say it is:
What is your country of origin?
Before taxes and other deductions, in the past 12 months, what was your total household or individual income from all sources?
What is your age?
What is your current working status? Would you say you’re
What is the highest level of school you have completed or the highest degree you have received?
Which of the following best describes your current relationship status?
Please tell me about your gender. Are you Male or Female?
Do you currently have health insurance that pays for all or part of your health care cost?
What kind of health insurance do you have?
What is your immigration status?
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