REFUSED -7 GO TO OHQ.845 DON’T KNOW -8 OHQ.780 What were the reasons that you could not get the dental care you needed? CODE ALL THAT APPLY COULD NOT AFFORD THE COST 10 DID NOT WANT TO SPEND THE MONEY 11 INSURANCE DID NOT COVER RECOMMENDED PROCEDURES 12 DENTAL OFFICE IS TOO FAR AWAY 13 DENTAL OFFICE IS NOT OPEN AT CONVENIENT TIMES 14 ANOTHER DENTIST RECOMMENDED NOT DOING IT 15 AFRAID OR DO NOT LIKE DENTISTS 16 UNABLE TO TAKE TIME OFF FROM WORK 17 TOO BUSY 18 DID NOT THINK ANYTHING SERIOUS WAS WRONG/EXPECTED DENTAL PROBLEMS TO GO AWAY 19 DID NOT HAVE TRANSPORTATION 20 OTHER 91 (SPECIFY:_____________________________________) REFUSED -7 DON'T KNOW -8 OHQ.845 Overall, how would you rate the health of your teeth and gums? EXCELLENT 1 VERY GOOD 2 GOOD, 3 FAIR 4 POOR 5 REFUSED -7 DON’T KNOW -8 PFINTRO2. We like to ask about difficulties with some common activities of everyday life and whether {you need/NAME OF PARTICIPANT needs} assistance performing these activities. Please exclude the effects of temporary conditions. PF1. {Do you/Does NAME OF PARTICIPANT} have difficulty getting around inside the home? (PFDFIN) YES 1 NO 2 REFUSED -7 GO TO PF2 DON’T KNOW -8
REFUSED -7 GO TO OHQ.845 DON’T KNOW -8 OHQ.780 What were the reasons that you could not get the dental care you needed? CODE ALL THAT APPLY COULD NOT AFFORD THE COST 10 DID NOT WANT TO SPEND THE MONEY 11 INSURANCE DID NOT COVER RECOMMENDED PROCEDURES 12 DENTAL OFFICE IS TOO FAR AWAY 13 DENTAL OFFICE IS NOT OPEN AT CONVENIENT TIMES 14 ANOTHER DENTIST RECOMMENDED NOT DOING IT 15 AFRAID OR DO NOT LIKE DENTISTS 16 UNABLE TO TAKE TIME OFF FROM WORK 17 TOO BUSY 18 DID NOT THINK ANYTHING SERIOUS WAS WRONG/EXPECTED DENTAL PROBLEMS TO GO AWAY 19 DID NOT HAVE TRANSPORTATION 20 OTHER 91 (SPECIFY:_____________________________________) REFUSED -7 DON'T KNOW -8 OHQ.845 Overall, how would you rate the health of your teeth and gums? EXCELLENT 1 VERY GOOD 2 GOOD, 3 FAIR 4 POOR 5 REFUSED -7 DON’T KNOW -8 PFINTRO2. We like to ask about difficulties with some common activities of everyday life and whether {you need/NAME OF PARTICIPANT needs} assistance performing these activities. Please exclude the effects of temporary conditions. PF1. {Do you/Does NAME OF PARTICIPANT} have difficulty getting around inside the home? (PFDFIN) YES 1 NO 2 REFUSED -7 GO TO PF2 DON’T KNOW -8
Redesigned_NSOAAP_Baseline_508_res.docx