2003 findings with survey instrument - Shadac

1. Yes2. No7. Don’t know9. RefusedPUB3 If you learned that you were eligible for health coverage through a public program at no costto you or your family, would you enroll?1. Yes SKIP TO USC2. No7. Don’t know SKIP TO USC9. Refused SKIP TO USCPUB4 Please tell me why you would not enroll?I:UTILIZATION ITEMS ASKED OF ALL RESPONDENTSUSC.Is there a regular place that you go for medical care?1. Yes2. No SKIP TO WHYNOUSC7. Don't know ? SKIP TO WHYNOUSC9. Refused SKIP TO WHYNOUSCUSCKIND. Where do you usually go/you usually go for medical care. Is that an:1. Emergency room or urgent care center SKIP TO USCPERS2. Clinic3. Doctor’s office SKIP TO USCPERS4. Some place else … SKIP TO USCPERS7. Don't know SKIP TO CONFID9. Refused SKIP TO CONFID… Please SpecifyCLINIC. Is this clinic a . . .1. Public health, community, or free clinic2. Hospital outpatient clinic3. Private clinic4. Other…7. Don't know9. Refused… Please SpecifyUSCPERS. Is there a particular health care professional or traditional healer you usually see when yougo there?1. Yes2. No7. Don't know9. RefusedMILES.How many miles do you travel for this care?1. Miles:2. Less than 10 miles51