2020 National Health Interview Survey (NHIS) Questionnaire Contents 1. Introduction This National Health Interview Survey (NHIS) questionnaire report provides the questions administered to NHIS respondents in the order they were asked. It is organized hierarchically into these parts: Contents, Index, and NHIS questionnaire, which in turn includes the Roster, Adult and Child modules. 2. Section Index A section index is provided for each of the three modules: Roster, Adult, and Child. The index can be navigated via the Bookmarks pane to quickly get information about the different sections in the module. The display pane lists information about each section in the module including the three-letter section name, the section description, the type of content in the section (annual core, rotating core, sponsored or emerging content) and the page range in this document for each section for ease of printing. 3. NHIS questionnaire: Roster, Adult and Child modules The questionnaire is the main part of the report and provides detailed information about each question in the survey. The hierarchy in the Bookmarks pane has three levels: module (Roster, Adult, Child), sections within each module, and questions within each section represented by the variable name in the instrument. The sections and questions are listed in questionnaire order. Selecting a specific question in the Bookmarks pane will display a detailed report for that question in the display pane while selecting a section abbreviation will display the report for the first question in the section. In the question text field of the report, text displayed in bold and in blue font is an interviewer instruction which is sometimes followed by optional text in gray, italic font. Information provided for each question includes: - Question ID: unique alphanumeric code for each question beginning with the 3-letter section abbreviation - Variable: instrument variable name for the question - Interview Module: module where the question is located: Roster, Adult, or Child - Content Type: indicates whether the question is part of the Annual Core, Rotating Core, Sponsored Content or Emerging Content - Question Text: question wording administered to respondent with indicators for fills; may also include interviewer instructions - Fills: table of contextual text substitutions that are filled into the question text - Response: table of possible responses to the question - Universe: group of respondents who received the question - Skip Instructions: instructions for moving to the next question in the questionnaire Additional information may include: - Hard Edit: prompt received when response entered is not allowed; response must be changed in order to proceed - Soft Edit: prompt received when response entered is questionable; must follow instructions in order to proceed - Replicate To: indicates family-level information obtained in the Sample Adult interview that is copied to a replicated variable in the Sample Child and vice versa for efficiency when the Sample Child and the Sample Adult are in the same family. Page 1 Questions deleted in 2020 Q3,Q4 Adult: LNG (Lung Cancer Screening) Question ID Section Name Variable Question Text LNG.0010.00.3 LNG CTSCANEV_A The following questions are about CT scans. During this test, you lie down on your back and are moved through an open, donut-shaped x-ray machine. Have you EVER HAD a CT scan? LNG.0020.00.3 LNG CTSCANCHST_A Were any of the CT scans of your chest area? LNG.0030.00.3 LNG CTLNGCAN_A The next question is only about CT scans to check or screen for lung cancer, sometimes called low-dose CT scans. Were any of the CT scans of your chest area done mainly to check or screen for lung cancer? LNG.0040.00.3 LNG CTLNGWHEN_A When did you have your MOST RECENT CT scan of your chest area done mainly to check or screen for lung cancer? Page 2 Questions added in 2020 Q3,Q4 Adult: CNV (Cancer COVID-19) Question ID Section Name Variable Question Text CNV.0010.00.3 CNV CANCOVTREA_A The next question refers to treatments for cancer such as surgery, radiation therapy, chemotherapy, bone marrow transplants, stem cell transplants, or hormone therapy. At any time since the start of the coronavirus pandemic, were you in treatment or supposed to receive treatment for your cancer? * Read if necessary: Hormone therapy includes Tamoxifen, Fulvestrant (full-VESS-trant) or Aromatase (uh-ROH-muh-tayz) inhibitors for breast cancer and androgen therapy, such as Eligard or Zoladex for prostate cancer. CNV.0020.00.3 CNV CANCOVCHG_A Were any of your treatments for cancer changed, delayed, or cancelled because of the coronavirus pandemic? CNV.0030.00.3 CNV CANCOVOTH_A As a cancer patient or cancer survivor, you may need OTHER medical care related to your cancer such as lab visits, imaging, monitoring visits, rehabilitation, physical therapy, care for side- effects, or visits with medical specialists. At any time since the start of the coronavirus pandemic, did you need any of this OTHER medical care related to your cancer? CNV.0040.00.3 CNV CANCOVCARE_A Was any of this OTHER medical care related to your cancer changed, delayed, or cancelled because of the coronavirus pandemic? Page 3 Questions added in 2020 Q3,Q4 Adult: CVD (Positive COVID-19 Diagnosis) Question ID Section Name Variable Question Text CVD.0010.00.4 CVD CVDINTRO_A The next set of questions are about coronavirus or COVID-19. * Enter '1' to continue. CVD.0020.00.4 CVD CVDDIAG_A Has a doctor or other health professional ever told you that you had or likely had coronavirus or COVID- 19? CVD.0030.00.4 CVD COVIDTEST_A Have you ever been tested for coronavirus or COVID- 19? CVD.0040.00.4 CVD CVDRSLT_A Did the test find that you had coronavirus or COVID-19? * If any test has shown they have COVID-19, enter '1' for yes. * If the respondent indicates they are waiting for their results, enter '3' for Did not receive results. * If the respondent indicates the test was inconclusive, enter 'CTRL-D' for Don't Know. CVD.0050.00.4 CVD CVDSEV_A How would you describe your coronavirus symptoms when they were at their worst? Would you say no symptoms, mild symptoms, moderate symptoms, or severe symptoms? Page 4 Questions added in 2020 Q3,Q4 Adult: SDW (Social distancing at work) Question ID Section Name Variable Question Text SDW.0010.00.3 SDW CURJOBSD_A Thinking about your MAIN job or business, are there currently social distancing measures in effect to help keep people apart? * If this person is working from home full-time because of COVID-19, answer '1' for yes. SDW.0020.00.3 SDW WRKCLSSD_A Currently, at your MAIN job or business, how often do you still need to work closer than 6 feet to other people? Would you say all of the time, most of the time, some of the time, or none of the time? * If person works from home full-time and does not know how to answer, ask, "Does your job require you to be face-to-face with any people you don't live with?" * If no, answer '4' for "none of the time." * If yes, ask, "How much of your time at work is spent with people who are closer than 6 feet?" SDW.0030.00.3 SDW WRKCLSNOSD_A When social distancing measures were NOT in effect, how often did you need to work closer than 6 feet to other people? Would you say all of the time, most of the time, some of the time, or none of the time? * Enter '5' if respondent only worked at main job when social distancing measures were in effect. If person worked from home full-time and does not know how to answer, ask, "Did your job require you to be face-to-face with any people you didn't live with?" If no, answer '4' for "none of the time." If yes, ask, "How much of your time at work was spent with people who were closer than 6 feet?" SDW.0040.00.3 SDW WRKCLSOFT_A Currently, at your MAIN job or business, how often do you need to work closer than 6 feet to other people? Would you say all of the time, most of the time, some of the time, or none of the time? If person works from home full-time and does not know how to answer, ask, "Does your job require you to be face-to-face with any people you don't live with?" If no, answer '4' for "none of the time." If yes, ask, "How much of your time at work is spent with people who are closer than 6 feet?" SDW.0050.00.3 SDW SDMSRS_A At any time since the start of the coronavirus pandemic, did your MAIN job or business put social distancing measures into effect? * If this person was working from home full-time because of COVID-19, answer '1' for yes. * If person started job while social distancing measures were in effect, answer '1' for yes. SDW.0060.00.3 SDW SDMSRSOFT_A When social distancing measures were in effect, how often did you need to work closer than 6 feet to other people? Would you say all of the time, most of the time, some of the time, or none of the time? * Enter '5' if respondent did not work at main job when social distancing measures were in effect. If person worked from home full-time and does not know how to answer, ask, "Did your job require you to be face-to-face with any people you didn't live with?" If no, answer '4' for "none of the time." If yes, ask, "How much of your time at work was spent with people who were closer than 6 feet?" Page 5 SDW.0070.00.3 SDW RECJOBSD_A Thinking about the MAIN job you held in the past 12 months, were there ever any social distancing measures in effect while you worked there? That is, were there ever practices in place to help keep people apart? * If this person was working from home full-time because of COVID-19, answer '1' for yes.