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All HINTS Questions

This section provides summary data from HINTS 1, HINTS 2, HINTS 3, HINTS 4 Cycle 1, HINTS 4 Cycle 2, HINTS 4 Cycle 3, HINTS 4 Cycle 4, HINTS FDA, HINTS FDA Cycle 2, HINTS 5 Cycle 1, HINTS 5 Cycle 2, HINTS 5 Cycle 3, HINTS 5 Cycle 4, HINTS 6, and HINTS 7 surveys including summary sample data and estimated U.S. population values, charts, and trends. Click here to view all Survey Instruments.

Select one or more below. Please leave all the boxes unchecked if you want to see results for all sections.

Select one or more below. Please leave all the boxes unchecked if you want to see results for all cycles.

1538 Items found.

Legend

H1 = HINTS 1 (2003) (2003)

H2 = HINTS 2 (2005) (2005)

H3 = HINTS 3 (2008) (2008)

H4Cyc1 = HINTS 4 Cycle 1 (2011) (2011)

H4Cyc2 = HINTS 4 Cycle 2 (2012) (2012)

H4Cyc3 = HINTS 4 Cycle 3 (2013) (2013)

H4Cyc4 = HINTS 4 Cycle 4 (2014) (2014)

FDA = HINTS FDA (2015) (2015)

FDACyc2 = HINTS FDA Cycle 2 (2017) (2017)

H5Cyc1 = HINTS 5 Cycle 1 (2017) (2017)

H5Cyc2 = HINTS 5 Cycle 2 (2018) (2018)

H5Cyc3 = HINTS 5 Cycle 3 (2019) (2019)

H5Cyc4 = HINTS 5 Cycle 4 (2020) (2020)

H6 = HINTS 6 (2022) (2022)

H7 = HINTS 7 (2024) (2024)

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*Select from the green boxes below to view survey responses.

Alcohol
Do you think that drinking a lot of alcoholic beverages increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
During the past 30 days, how many days per week did you have at least one drink of any alcoholic beverage?
During the past 30 days, on the days when you drank, about how many drinks did you drink on average?
Which of the following health conditions do you think can result from drinking too much alcohol? Cancer.
Which of the following health conditions do you think can result from drinking too much alcohol? Heart Disease.
Which of the following health conditions do you think can result from drinking too much alcohol? Diabetes.
Which of the following health conditions do you think can result from drinking too much alcohol? High cholesterol.
Which of the following health conditions do you think can result from drinking too much alcohol? Liver disease.
Which of the following health conditions do you think can result from drinking too much alcohol? Being overweight or obese.
How much do you agree or disagree that alcohol increases your risk of cancer?
How much do you agree or disagree that drinking alcohol in moderation reduces your risk of heart disease?
Average Number of Alcoholic Drinks Per Week (Composite of DrinkDaysPerWeek and DrinksPerDay)
In the past 12 months, how much have you heard about the negative health consequences of drinking alcohol from a doctor or other health care professional?
For males: During the past 30 days, how many times did you have 5 or more alcoholic drinks on one occasion? For females: During the past 30 days, how many times did you have 4 or more alcoholic drinks on one occasion?
In your opinion, how much does drinking beer affect the risk of getting cancer?
In your opinion, how much does drinking wine affect the risk of getting cancer?
In your opinion, how much does drinking liquor affect the risk of getting cancer?
In your opinion, how much does drinking beer affect the risk of getting heart disease?
In your opinion, how much does drinking wine affect the risk of getting heart disease?
In your opinion, how much does drinking liquor affect the risk of getting heart disease?
To reduce the problems associated with excessive alcohol use, to what extent would you support or oppose banning outdoor advertising of alcohol such as on billboards and bus stops?
To reduce the problems associated with excessive alcohol use, to what extent would you support or oppose requiring specific health warnings on alcohol containers?
To reduce the problems associated with excessive alcohol use, to what extent would you support or oppose requiring alcohol containers to show the recommended drinking guidelines for keeping health risks low?
In the next 12 months, I am likely to drink less, drink about as much, or drink more alcohol as I do now OR I do not drink alcohol now and do not plan on drinking alcohol in the future.
Have you ever heard or read that alcohol increases the risk of cancer?
In the past 12 months, have you heard about the negative health consequences of drinking alcohol from doctors or other health care professionals?
Which of the following health consequences of alcohol did the doctor or other health care professional discuss?
Compared to drinking no alcohol, do you think that having 1-2 alcoholic drinks per day…
During the past 30 days, on how many days did you have at least one drink of any alcoholic beverage?
Average Number of Alcoholic Drinks Per Week (Composite of DrinkDaysPerMonth and DrinksPerDay)
In your opinion, how does drinking alcohol affect the risk of getting cancer?
Breast Cancer
A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?
When did you have your most recent mammogram to check for breast cancer?
How likely do you think it is that you will develop breast cancer in the future?
Would you say that you plan to get one, you don't plan to get one, or you're undecided?
At what age are women supposed to start having mammograms?
In general, once women start having mammograms, about how often should they have them?
Compared to the average woman your age, would you say that you are...
A mammogram is an x-ray of each breast to look for breast cancer. During the past 12 months, did a doctor, nurse, or other health professional advise you to get a mammogram?
How long before your most recent mammogram was the last one?
Is there any particular reason why you haven't had a mammogram?
A mammogram is an x-ray of each breast to look for cancer. Has a doctor ever told you that you could choose whether or not to have a mammogram?
How much do you agree or disagree with each of the following statements: In women, breast cancer is more common than lung cancer.
Cancer Communication
Have you ever looked for information about cancer from any source?
Not including your doctor or other health care provider, has someone else ever looked for information about cancer for you?
Who was that? [that looked for information about cancer for you]
The most recent time you looked for cancer information, where did you go first?
Based on the results of your most recent search for information about cancer, how much do you agree or disagree with the following statements? It took a lot of effort to get the information you needed.
Have you ever visited an Internet web site to learn specifically about cancer?
How useful was the cancer-related information you got from the Internet?
Overall, how confident are you that you could get advice or information about cancer if you needed it?
Imagine that you had a strong need to get information about cancer. Where would you go first?
Would you like to get information about cancer by email or the internet?
Please tell me whether you might like to get information about cancer by watching a video cassette?
...by reading materials created for you based on your personal lifestyle and family history?
...by using an interactive computer CD-ROM that lets you select information you want?
...by receiving a telephone call from a health care professional who could talk with you and answer your questions?
...by meeting in person with a health care professional?
Is there any other way you'd like to get information about cancer? (SPECIFY)
How much would you trust the information about cancer from a doctor or other health professional?
In general, how much would you trust information about cancer from family or friends?
In general, how much would you trust information about cancer from each of the following? Newspapers:
In general, how much would you trust information about cancer from each of the following? Magazines:
In general, how much would you trust information about cancer on the radio?
In general, how much would you trust information about cancer on the Internet?
In general, how much would you trust information about cancer on television?
Based on the results of your overall search for information on cancer, tell me how much you agree or disagree with the following statements. You wanted more information, but did not know where to find it.
...You did not have the time to get all the information you needed.
Within the past 12 months, have you seen, heard, or read anything about nutrition and cancer?
Within the past 12 months, have you seen, heard, or read anything about exercise or physical activity and cancer?
Within the past 12 months, how much have you heard about nutrition and cancer on television?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer on television?
Within the past 12 months, how much have you heard about nutrition and cancer in newspapers?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer in newspapers?
Within the past 12 months, how much have you heard about nutrition and cancer in magazines?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer in magazines?
Within the past 12 months, how much have you heard about nutrition and cancer on the Internet?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer on the Internet?
Within the past 12 months, how much have you heard about nutrition and cancer from a doctor or other health care professional?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer from a doctor or other health care professional?
...had you ever heard of the National Cancer Institute's Cancer Information Service?
...had you ever heard of the 1-800-4-Cancer information number?
...had you ever heard of the 1-800-ACS-2345 cancer information number?
Is there a particular reason that you didn't contact it?
Did you look for information by yourself, by proxy, both or neither?
Were your looking for information on cancer organizations?
Were you looking for information on causes of cancer or risk factors for cancer?
Were you looking for information on coping with cancer?
Were you looking for information on paying for medical care or insurance?
Were you looking for information on where to get medical care?
Were you looking for other information relate to cancer?
Based on the results of your most recent search for information about cancer, how much do you agree or disagree with the following statements? You felt frustrated during your search for the information.
Based on the results of your most recent search for information about cancer, how much do you agree or disagree with the following statements? You were concerned about the quality of the information.
Based on the results of your most recent search for information about cancer, how much do you agree or disagree with the following statements? The information you found was hard to understand.
In general, how much would you trust information about cancer from a doctor?
In general, how much would you trust information about cancer in newspapers or magazines?
In general, how much would you trust information about cancer from government health agencies?
In general, how much would you trust information about cancer from charitable organizations?
In general, how much would you trust information about cancer from religious organizations and leaders?
In general, how much would you trust information about cancer from each of the following? Online Newspapers:
In general, how much would you trust information about cancer from each of the following? Print Newspapers:
In general, how much would you trust information about cancer from each of the following? In special health or medical magazines or newspapers:
In general, how much would you trust information about cancer from each of the following? Local Television:
In general, how much would you trust information about cancer from each of the following? National or cable television news programs:
Do family members and friends ask you for information or advice on health topics?
How much attention do you pay to information about cancer from each of the following sources? In online newspapers
How much attention do you pay to information about cancer from each of the following sources? In print newspapers
How much attention do you pay to information about cancer from each of the following sources? In special health or medical magazines or newsletters
How much attention do you pay to information about cancer from each of the following sources? On the Internet
How much attention do you pay to information about cancer from each of the following sources? On the radio
How much attention do you pay to information about cancer from each of the following sources? On local television news programs
How much attention do you pay to information about cancer from each of the following sources? On national or cable television news programs
Has a doctor ever told you there are different tests, such as colonoscopy, sigmoidoscopy, or blood stool tests to detect colorectal cancer?
In general, how much would you trust information about cancer from scientists?
Cancer Perceptions and Knowledge
How likely do you think it is that you will develop colon cancer in the future?
Compared to the average person your age, would you say that you are more likely to get colon cancer, less likely, or about as likely?
Compared to the average person your age, would you say that you are more likely to get lung cancer, less likely, or about as likely?
Compared to the average person your age, would you say that you are more likely to get skin cancer, less likely, or about as likely?
What are some things that people can do to reduce their chances of getting colon cancer?
What are some things that people can do to reduce their chances of getting lung cancer?
What are some things that people can do to reduce their chances of getting skin cancer?
Would you say you agree or disagree with the following statements? There's not much you can do to lower your chances of getting colon cancer.
... There's not much you can do to lower your chances of getting lung cancer.
... There's not much you can do to lower your chances of getting skin cancer.
... There are so many different recommendations about preventing colon cancer that it's hard to know which ones to follow.
... There are so many different recommendations about preventing lung cancer that it's hard to know which ones to follow.
... There are so many different recommendations about preventing skin cancer that it's hard to know which ones to follow.
... Colon cancer develops over a period of several years.
... Lung cancer develops over a period of several years.
... Skin cancer develops over a period of several years.
... There are ways to slow down or disrupt the development of colon cancer.
... There are ways to slow down or disrupt the development of lung cancer.
... There are ways to slow down or disrupt the development of skin cancer.
... Colon cancer is most often caused by a person's behavior or lifestyle.
... Lung cancer is most often caused by a person's behavior or lifestyle.
... Skin cancer is most often caused by a person's behavior or lifestyle.
... It seems like almost everything causes colon cancer.
... It seems like almost everything causes lung cancer.
... It seems like almost everything causes skin cancer.
... You are reluctant to get checked for colon cancer because you fear you may have it.
... You are reluctant to get checked for lung cancer because you fear you may have it.
... People with lung cancer would have pain or other symptoms prior to being diagnosed.
... People with colon cancer would have pain or other symptoms prior to being diagnosed.
Overall, how many people who develop colon cancer do you think survive at least 5 years?
Overall, how many people who develop skin cancer do you think survive at least 5 years?
Compared to the average {man/woman} your age, would you say that you are more likely to get colon cancer, less likely, or about as likely?
Is there anything about your behavior or your lifestyle that you would like to change to reduce your chances of getting cancer? Anything else?
What specific changes should you make in your eating habits to reduce your chances of getting cancer?
You said you should get tested for cancer. What kinds of tests do you have in mind?
Do you think that smoking increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that eating a high fat diet increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that exposure to the sun increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that pesticides or food additives increase a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that not eating much fiber increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that not eating many fruits and vegetables increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that stress increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that drinking a lot of alcoholic beverages increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that being hit in the breast increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that having many sexual partners increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that having a family history of cancer increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that being a particular race or ethnicity increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that not getting much exercise increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that pollution increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Do you think that radon increases a person's chances of getting cancer a lot, a little, or not at all or do you have no opinion?
Would you say you strongly agree, somewhat agree, somewhat disagree, strongly disagree with the following statements or do you have no opinion: It seems like everything causes cancer.
How much do you agree or disagree with each of the following statements? There's not much you can do to lower your chances of getting cancer.
Would you say you strongly agree, somewhat agree, somewhat disagree, strongly disagree with the following statements or do you have no opinion: There are so many recommendations about preventing cancer, it's hard to know which ones to follow.
Which type of cancer do you think will cause the most deaths in {women/men} this year in the U.S.?
What specific changes should people make in their eating habits to reduce their chances of getting cancer?
You said people should get tested for cancer. What kinds of tests do you have in mind?
How likely do you think it is that you will develop cancer in the future?
Would you say you strongly agree, somewhat agree, somewhat disagree, strongly disagree with the following statements or do you have no opinion: When I think about cancer, I automatically think about death.
How much do you agree or disagree that Cancer is most often caused by a person's behavior or lifestyle?
...Getting checked regularly for cancer helps find cancer when it's easy to treat.
...People can tell they might have cancer before being diagnosed.
...Cancer is an illness that when detected early can typically be cured.
...Overall, how many people who develop cancer do you think survive at least 5 years?
When you hear the word cancer, what type of cancer comes to mind first?
Do you think HPV can go away on its own, without treatment?
Do you think that HPV can affect a woman's ability to get pregnant?
... You are reluctant to get checked for skin cancer because you fear you may have it.
... Getting checked regularly for skin cancer increases the chances of finding cancer when it's easy to treat.
At what age are people supposed to start doing home stool blood tests?
In general, once people start doing home blood stool tests, about how often should they do them?
At what age are people supposed to start having sigmoidoscopy or colonoscopy exams?
In general, once people start having sigmoidoscopy or colonoscopy exams, about how often should they have them?
Would you say you strongly agree, somewhat agree, somewhat disagree, strongly disagree, or do you have no opinion with the following statements: Arranging to get checked for colon cancer would be easy for you.
Do you believe these tests are about equally effective in finding colon cancer, or are some more effective than others?
Which test (or tests) do you believe is more effective in finding colon cancer?
As far as you know, does physical activity or exercise increase the chances of getting some types of cancer, decrease the chances of getting some types of cancer, or does it not make much difference?
Overall, how many people who develop lung cancer do you think survive at least 5 years?
How likely do you think it is that the average {male/female} cigarette smoker will develop lung cancer in the future?
Overall, how many people who develop lung cancer do you think are cured?
Would you say the average smoker has about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk or 10 or more times the non-smoker's risk?
Would you say you have about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk, or 10 or more times the non-smoker's risk?
...There's no risk of getting cancer if someone only smokes a few years.
...Whether a person gets lung cancer depends more on genes than anything else.
Compared to the average person your age, would you say that for colon/lung/skin cancer you are:
ThereÂżs not much you can do to lower your chances of getting colon/lung/skin cancer.
There are ways to slow down or disrupt the development of colon/lung/skin cancer.
Colon/Lung/Skin cancer is most often caused by a personÂżs behavior or lifestyle.
It seems like almost everything causes colon/lung/skin cancer.
You are reluctant to get checked for colon/lung/skin cancer because you fear you may have it.
Getting checked regularly for colon/lung/skin cancer increases the chances of finding cancer when itÂżs easy to treat.
How likely do you think it is that you will develop skin cancer in the future?
... People with skin cancer would have pain or other symptoms prior to being diagnosed.
... Getting checked regularly for colon cancer increases the chances of finding cancer when it's easy to treat.
Can you think of any thing people can do to reduce their chances of getting cancer?
You are afraid of finding colon cancer if you were checked.
How much do you agree or disagree with each of the following statements? In adults, cancer is more common than heart disease?
As far as you know, who has a greater chance of getting cancer - a person with a 1 in 1,000 chance of getting cancer, or a person with a 1 in 100 chance?
How much do you agree or disagree with each of the following statement: In women, breast cancer is more common than lung cancer.
How much do you agree or disagree with each of the following statements: Some cancers are slow growing and need no treatment.
Which of the following is closest to your opinion about how cancers can be cured?
Which of the following is closest to your opinion about people's ability to avoid cancers through what they eat or drink?
Which of the following is closest to your opinion about how dietary supplements affect people's ability to avoid cancer?
Which of the following is closest to your opinion about treating cancer with dietary supplements instead of drugs or surgery?
How much do you think that being overweight or obese can influence whether or not a person will develop cancer?
Have you ever heard of the Hepatitis C virus (also known as Hep C or HCV)?
Do you think unexplained bleeding could be a sign of cancer?
Do you think a change in bowel or bladder habits could be a sign of cancer?
Do you think unexplained weight loss could be a sign of cancer?
How much do you think that eating enough fiber can influence whether or not a person will develop cancer?
How much do you think that eating too much processed meat can influence whether or not a person will develop cancer?
How much do you think that eating fruits and vegetables can influence whether or not a person will develop cancer?
Before completing this survey, had you ever heard of approaches like precision medicine?
Would you say you strongly agree, somewhat agree, somewhat disagree, strongly disagree with the following statements or do you have no opinion: If I found out from a genetic test that I was at high risk of cancer, I would change my behaviors such as diet, exercise and getting routine medical tests
How much do you think that gaining weight in adult life can influence whether or not a person will develop cancer?
How much do you think that eating too much red meat can influence whether or not a person will develop cancer?
How interested are you in having a cancer screening test in the next year?
In the last 12 months, how much did worry about COVID-19 cause you to delay or avoid having a cancer screening test?
How much do you think that drinking soda or other sugar-sweetened drinks could increase a person’s chance of developing cancer?
How much do you think that drinking alcohol could increase a person’s chance of developing cancer?
How much do you think that eating too much processed meat (for example: bacon, lunch meats, hot dogs) could increase a person''s chance of developing cancer?
How much do you think that eating too much red meat (for example: beef, pork, ham) could increase a person''s chance of developing cancer?
How much do you think that eating too much fast foods and processed foods high in fat, starches or sugars (for example: pre-prepared dishes, snacks, bakery foods, desserts) could increase a person''s chance of developing cancer?
How much do you think that not eating enough fruits and vegetables could increase a person''s chance of developing cancer?
How much do you think that not getting enough sleep could increase a person''s chance of developing cancer?
Before today, had you ever heard of Multi-Cancer Early Detection tests?
How valuable do you think it would be for you to have a Multi-Cancer Early Detection test right now?
Do you think the Hepatitis B virus (also known as Hep B or HBV) can cause cancer?
Do you think the Hepatitis C virus (also known as Hep C or HCV) can cause cancer?
If you had a choice, how would you prefer to do the cervical cancer screening test?
What are the reasons you would consider collecting your own at-home sample for cervical cancer screening?
Have you heard of "chemo brain," "chemo fog," or "cancer-related cognitive impairment?"
Caregiving
Are you currently caring for or making health care decisions for someone with a medical, behavioral, disability, or other condition?
Please think about the individual for whom you are currently providing the most care. Please check all conditions for which you have provided care for this person.
Thinking of all of the kinds of help you provide for this person or persons, about how many hours do you spend in an average week providing care?
Do you provide any of this care professionally as part of a job (for example, as a nurse or professional home health aide)?
Think about the individual for whom you are currently providing the most care. About how many hours per week do you spend in an average week providing care?
Think about the individual for whom you are currently providing the most care. About how long have you been providing care for this person?
Think about the individual for whom you are currently providing the most care. Where does your care recipient live currently?
Think about the individual for whom you are currently providing the most care. Do you help your care recipient with any of the following activities?
Think about the individual for whom you are currently providing the most care. How many times did you access your care recipient's online medical record in the last 12 months?
As a caregiver, have you ever needed and/or received training on how to perform medical/nursing tasks (for example, giving medicine, changing bandages, managing side effects or symptoms)?
As a caregiver, have you ever needed and/or received help in getting access to services such as nurses, home care aides, Meals on Wheels or other community services?
As a caregiver, have you ever needed and/or received short-term or long-term breaks for caregivers (respite care)?
As a caregiver, have you ever needed and/or received support groups for caregivers?
As a caregiver, have you ever needed and/or received Individual counseling to help cope with giving care?
If you had to learn how to do a medical/nursing task to assist someone, how would you prefer to learn?
How would you describe your level of knowledge about palliative care?
How much do you agree or disagree with the following statements about palliative care? If you accept palliative care, you must stop other treatments.
Think about the individual for whom you are currently providing the most care. Do you help your care recipient with any of the following medical activities?
Cervical Cancer
How often do you think a woman your age should have a Pap smear?
Most medical organizations now recommend a Pap smear every three years for healthy adult women. Have you heard about this change in guidelines?
Would you agree to have Pap smears every three years if your health care provider recommended it?
Have you ever heard of HPV? HPV stands for Human Papillomavirus. It is not HIV, HSV, or herpes.
Have you ever been told by a health care provider that you had a human papillomavirus or HPV infection?
Do you think HPV can go away on its own, without treatment?
Do you think that HPV can affect a woman's ability to get pregnant?
A vaccine to prevent HPV infection is available and is called the cervical cancer vaccine or HPV shot. Before today, have you ever heard of the cervical cancer vaccine or HPV shot?
Has a health care provider such as a doctor or nurse ever talked to you about a HPV test?
Do you think women who get the cervical cancer vaccine or HPV shot should continue to get screened for cervical cancer with the Pap test?
A vaccine to prevent the human papillomavirus or HPV infection is recommended for girls ages 11-12 and is called the cervical cancer vaccine, HPV shot, or GARDASIL. If you had a daughter that age, would you have her get it?
What is the main reason you would not have her get it?
You said your most recent Pap smear was {INSERT TIME FRAME FROM CV-2}. How long before that Pap smear was the previous one?
Has a doctor ever told you that you could choose whether or not to have the Pap test?
A vaccine to prevent HPV infection is available and is called the HPV shot, cervical cancer vaccine, GARDASIL®, or Cervarix®. Has a doctor or other health care professional ever talked with you about the HPV shot or vaccine?
If your doctor told you that getting a Pap test less often than you do now would give you the same health benefits, would you
In the last 12 months, has a doctor or health care professional recommended that you or someone in your immediate family get an HPV shot or vaccine?
In your opinion, how successful is the Pap test at detecting cervical cancer in its earliest stages?
In your opinion, how successful is the HPV vaccine at preventing cervical cancer?
Do you think HPV requires medical treatment or will it usually go away on its own without treatment?
In the last 12 months, has a doctor or health care professional ever talked with you or an immediate family member about the HPV shot or vaccine?
Clinical Trials
Have you ever participated in a clinical trial for treatment of your cancer?
Has a doctor or other member of your medical team discussed clinical trials as a treatment option for your cancer?
How would you describe your level of knowledge about clinical trials?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would helping other people by participating influence your decision to participate in the clinical trial?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would getting paid to participate influence your decision to participate in the clinical trial?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would getting support to participate such as transportation, childcare, or paid time off from work influence your decision to participate in the clinical trial?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would your doctor enouraging you to participate influence your decision to participate in the clinical trial?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would your family and friends enouraging you to participate influence your decision to participate in the clinical trial?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would wanting to get better influence your decision to participate in the clinical trial?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would getting a chance to try a new kind of care influence your decision to participate in the clinical trial?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. How much would the standard care not being covered by your insurance influence your decision to participate in the clinical trial?
Imagine you had a need to get information about clinical trials. Which of the following would you go to first to get information about clinical trials?
Imagine you had a need to get information about clinical trials. Which of the following would you most trust as a source of information about clinical trials?
Have you ever heard of the website clinicaltrials.gov?
Have you ever been invited to participate in a clinical trial?
Which of the following best describes your experience with clinical trials?
Imagine that you had a health issue and you were invited to participate in a clinical trial for that issue. Which of the following would most influence your decision to participate in the clinical trial? Please mark up to 3.
How much do you agree or disagree with the following statement? People should be suspicious of clinical trials.
Colon Cancer
How likely do you think it is that you will develop colon cancer in the future?
Compared to the average person your age, would you say that you are more likely to get colon cancer, less likely, or about as likely?
What are some things that people can do to reduce their chances of getting colon cancer?
Would you say you agree or disagree with the following statements? There's not much you can do to lower your chances of getting colon cancer.
... There are so many different recommendations about preventing colon cancer that it's hard to know which ones to follow.
... Colon cancer develops over a period of several years.
... There are ways to slow down or disrupt the development of colon cancer.
... Colon cancer is most often caused by a person's behavior or lifestyle.
... It seems like almost everything causes colon cancer.
... You are reluctant to get checked for colon cancer because you fear you may have it.
... People with colon cancer would have pain or other symptoms prior to being diagnosed.
Overall, how many people who develop colon cancer do you think survive at least 5 years?
Compared to the average {man/woman} your age, would you say that you are more likely to get colon cancer, less likely, or about as likely?
Can you think of any tests that detect colon cancer? Anything else?
Has a doctor, nurse or other health professional ever advised you to get a test to check for colon cancer?
Have you ever done a stool blood test using a home kit?
When did you do your most recent stool blood test using a home kit to check for colon cancer?
A sigmoidoscopy and a colonoscopy are both tests that examine the bowel by inserting a tube in the rectum. Have you ever had either a colonoscopy or a sigmoidoscopy?
When did you have your most recent sigmoidoscopy or colonoscopy to check for colon cancer?
Is there any particular reason why you haven't done a home stool blood test yet?
Have you thought about doing {a/another} home stool blood test?
Would you say that you plan to do one, you don't plan to do one, or you're undecided?
When do you expect to do your next home stool blood test?
At what age are people supposed to start doing home stool blood tests?
In general, once people start doing home blood stool tests, about how often should they do them?
Have you ever heard of a sigmoidoscopy or colonoscopy?
Did a doctor, nurse, or other health professional ever advise you to get a sigmoidoscopy?
Did a doctor, nurse, or other health professional ever advise you to get a colonoscopy?
How long before your most recent {sigmoidoscopy/colonoscopy} was your last one?
Is there any particular reason why you haven't gotten a {sigmoidoscopy/(or) colonoscopy} yet?
Have you thought about getting {a/another} {sigmoidoscopy or colonoscopy?}
Would you say that you plan to get one, you don't plan to get one, or you're undecided?
When do you expect to have {your next/a} {sigmoidoscopy/colonoscopy}?
At what age are people supposed to start having sigmoidoscopy or colonoscopy exams?
In general, once people start having sigmoidoscopy or colonoscopy exams, about how often should they have them?
Would you say you strongly agree, somewhat agree, somewhat disagree, strongly disagree, or do you have no opinion with the following statements: Arranging to get checked for colon cancer would be easy for you.
When would you say the risk of colon cancer is the highest, when you're under 40 years old, between 40 and 60 years old, or over 60 years old?
Have you ever heard of a fecal occult or stool blood test?
During the past 12 months, did a doctor, nurse, or other health professional advise you to do a stool blood test using a home test kit?
How long before your most recent stool test was your last one?
Think about the last time a doctor, nurse or other health professional told you that you should get a test to check for colon cancer. When did that discussion take place?
Think about the last time a doctor, nurse or other health professional told you that you should get a test to check for colon cancer. Was it within the last five years?
Who talked to you about getting a test to check for colon cancer?
Who talked to you about getting a test to check for colon cancer?
Who talked to you about getting a test to check for colon cancer?
The last time you were told you should be tested for colon cancer, which of the following tests did the {doctor, nurse, or other health professional} describe?
Did the {doctor, nurse, or other health professional} describe any other test?
What test did the {doctor, nurse, or other health professional} describe?
The last time you were told you should be tested for colon cancer, did the {doctor, nurse, or other health professional} recommend to you any particular test?
Which test to check for colon cancer did the {doctor, nurse, or other health professional} recommend to you?
What was the main reason you did your most recent stool blood test using a home kit?
When did you have your most recent colonoscopy to check for colon cancer?
What was the main reason you had your most recent colonoscopy?
When did you have your most recent sigmoidoscopy to check for colon cancer?
What was the main reason you had your most recent sigmoidoscopy?
Do you believe these tests are about equally effective in finding colon cancer, or are some more effective than others?
Which test (or tests) do you believe is more effective in finding colon cancer?
... Getting checked regularly for colon cancer increases the chances of finding cancer when it's easy to treat.
Did the {doctor, nurse, or other health professional} describe colonoscopy?
Did the {the doctor, nurse, or other health professional} describe sigmoidoscopy?
You are afraid of finding colon cancer if you were checked.
Has a doctor ever told you that you could choose whether or not to have a test for colon cancer?
Has a doctor or other health professional ever told you there are a few different tests to detect colorectal cancer?
Demographics
In what year did you come to live in the United States?
Including yourself, how many people live in your household?
How many people in your household are related to you by blood, marriage, or adoption?
At the end of the month, how much money are you able to put aside?
Is there at least one telephone inside your home that is currently working and is not a cell phone?
Does anyone in your family have a working cellular phone?
How many children under the age of 18 live in your household?
Do you or anyone in your household have cable or satellite TV?
Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare?
Are there any children in your household under the age 18?
What is your combined annual income, meaning the total pre-tax income from all sources earned in the past year?
What is the highest grade or level of schooling you completed?
How many of these family members are under the age of 18?
Have you ever served on active duty in the U.S. Armed Forces, military Reserves or National Guard? Active duty does not include training in the Reserves or National Guard, but DOES include activation, for example, for the Persian Gulf War.
In the past 12 months, have you received some or all of your health care from a VA hospital or clinic?
Including yourself, is anyone in your immediate family between the ages of 9 and 27 years old?
Are you deaf or do you have serious difficulty hearing?
Are you blind or do you have serious difficulty seeing, even when wearing glasses?
Because of a physical, mental or emotional condition, do you have serious difficulty concentrating, remembering or making decisions?
Do you have serious difficulty walking or climbing stairs?
Because of a physical, mental or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping?
Do you live in the same household with someone who uses tobacco products?
How many people in your household use tobacco products?
Which one of these comes closest to your own feelings about your household's income?
In the past 30 days, did you usually work 35 hours or more per week in total at all jobs or businesses?
Which of the following best describe your current occupational status (one option selected)?
Which of the following best describe your current occupational status?
How much do you agree or disagree with the following statement? I have a strong sense of belonging to my own ethnic group.
About how many hours do you work per week at all of your jobs and businesses combined?
Thinking about politics these days, how would you describe your own political viewpoint?
Determinants of Health
In the past 12 months, how often were the following things true? Someone in your household cut the size of meals or skipped meals because there wasn't enough money for food.
In the past 12 months, how often were the following things true? Someone in your household was not able to afford to eat balanced meals.
In the past 12 months, how often were the following things true? Someone in your household was worried about being forced to move (for example, because of eviction or foreclosure).
In the past 12 months, how often were the following things true? Lack of reliable transportation kept someone in your household from medical appointments, work, or from getting things needed for daily living.
How comfortable would you be with your health care providers sharing your information about issues with affording or accessing healthy food with each other for your treatment purposes?
How comfortable would you be with your health care providers sharing your information about issues with transportation that make it difficult getting to work or medical appointments with each other for your treatment purposes?
How comfortable would you be with your health care providers sharing your information about issues with housing (for example, concerns about eviction, making mortgage payments, lead paint, or asbestos) with each other for your treatment purposes?
In the past 12 months, how often were the following things true? You or someone in your household had difficulty paying or was unable to pay medical bills.
If you were experiencing issues with housing, transportation, or affording or accessing healthy food, how comfortable would you be with your health care providers doing the following? Documenting the issue in your medical record for your healthcare purposes.
If you were experiencing issues with housing, transportation, or affording or accessing healthy food, how comfortable would you be with your health care providers doing the following? Sharing your information about these issues with other providers for your healthcare purposes.
Exposures
How much do you worry that each of the following will harm your health? Outdoor air pollution.
How much do you worry that each of the following will harm your health? Indoor air pollution.
How much do you worry that each of the following will harm your health? Man-made chemicals in the water.
How much do you worry that each of the following will harm your health? Pesticides and other chemicals on food.
How much do you worry that each of the following will harm your health? Radiation from cell phones.
How much do you worry that each of the following will harm your health? Radiation from medical imaging tests such as x-rays, mammography, radioactive dyes, etc.
How much do you worry that each of the following will harm your health? Chemicals in household items such as plastic containers, furniture, paint, etc.
How much do you worry that each of the following will harm your health? Chemicals in personal care products such as make-up, fragrances, hair products, etc.
Thinking about your neighborhood, over the past 12 months, how much was it affected by extreme weather events (such as severe storms, droughts, floods, heat waves, cold snaps, etc.)?
Food and Medical Products Information
Do you agree or disagree with the following statements: Information about foods is easy to understand
Do you agree or disagree with the following statements: Information about foods helps me make the right food choices
Do you agree or disagree with the following statements: I can easily find information about the foods I eat
Do you buy any over-the-counter drugs (you don’t need a doctor’s prescription) for yourself or someone else?
Do you agree or disagree with the following statements: Information about the benefits of over-the-counter drugs is easy to understand
Do you agree or disagree with the following statements: Information about the benefits of over-the-counter drugs helps me decide whether to buy a drug
Do you agree or disagree with the following statements: I can easily find information about the benefits of the over-the-counter drugs I may buy
Do you agree or disagree with the following statements: Information about the risks of over the-counter drugs is easy to understand
Do you agree or disagree with the following statements: Information about the risks of over the-counter drugs helps me decide whether to buy a drug
Do you agree or disagree with the following statements: I can easily find information about the risks of the over-the-counter drugs I may buy
When you first buy over-the-counter drugs, how often do you read the directions and warnings label?
“The directions and warnings label on over-the-counter drugs is easy to understand.” Do you…
Do you agree or disagree with the following statements: Ads for over-the-counter drugs tell me enough about the benefits of using the drugs
Do you agree or disagree with the following statements: Ads for over-the-counter drugs tell me enough about their negative side-effects
Do you agree or disagree with the following statements: Over-the-counter drugs are safer than prescription drugs
Do you agree or disagree with the following statements: Over-the-counter drugs are less effective than prescription drugs
Do you buy any prescription drugs for yourself or anyone else?
When you first buy drugs that a doctor prescribes, how often do you read the directions and warnings that come with the drug?
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Stop taking it at once
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Keep using the drug
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Pay no attention to the recall
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Be on guard
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Go on the manufacturer’s website
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Contact the manufacturer
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Contact the doctor/nurse/other medical professional
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Talk to the pharmacist
What would you do if a prescription drug you purchased for yourself or someone else was recalled? Would you: Unsure
Would you do anything else if a prescription drug you purchased for yourself or someone else was recalled?
“The directions and warnings that come with prescription drugs are easy to understand.” Do you…
Do you agree or disagree with the following statements: Ads for prescription drugs tell me enough about the benefits of using the drugs
Do you agree or disagree with the following statements: Ads for prescription drugs tell me enough about their negative side-effects
At any time in the last 12 months, have you purchased any common household medical product for yourself or for someone else in your household, such as bandages (e.g., Band-Aids®), a thermometer, an electronic toothbrush or a pregnancy test kit?
At any time in the last 12 months have you purchased a medical product for yourself or for someone else in your household to help care for a chronic condition, such as a walker, blood glucose kit, hearing aid, blood pressure cuff, contact lenses or prescription eye glasses?
At any time in the last 12 months have you purchased any other type of medical product for yourself or for someone else in your household, such as a powered wheelchair, motorized scooter, or hospital bed?
When you first buy a medical product, how frequently do you read the directions and warnings that come with it?
“Directions and warnings that come with medical products are easy to understand.” Do you…
Do you agree or disagree with the following statements: Ads for common medical products tell me enough about the benefits of using these products
Do you agree or disagree with the following statements: Ads for common medical products tell me enough about the risks of using these products
What would you do if a medical product you or someone you loved depended on was recalled? Would you... Have it removed/Stop using it
What would you do if any medical product that you or someone you love depended on was recalled? Would you.... Contact the doctor
What would you do if any medical product that you or someone you love depended on was recalled? Would you.... Go on the manufacturer’s website/ Contact the manufacturer
What would you do if any medical product that you or someone you love depended on was recalled? Would you.... Have it replaced/Find a substitute
What would you do if any medical product that you or someone you love depended on was recalled? Would you.... Keep using it/Keep it
What would you do if any medical product that you or someone you love depended on was recalled? Would you.... Make no change
What would you do if any medical product that you or someone you love depended on was recalled? Would you.... Unsure/Don’t know
Would you do anything else if a medical product that you or someone you love depended on was recalled?
Did you ever visit the Food and Drug Administration’s website (www.FDA.gov)?
Why haven’t you visited the FDA website? Mark all that apply.
Is there any other reason you have not visited the FDA website?
On your most recent visit, did you find the information you were looking for on your most recent visit to the FDA website...?
How easy or hard was it to find the information you were looking for On your most recent visit to the FDA website.?
Why haven't you visited the FDA website? I didn't know about the FDA site
Why haven't you visited the FDA website? I don't trust the FDA
Why haven't you visited the FDA website? I don't trust government websites
Why haven't you visited the FDA website? It's too hard to find information on the FDA website
Why haven't you visited the FDA website? I don’t own a computer (no internet access)
Why haven't you visited the FDA website? I don’t have a reason to visit the site
Why haven't you visited the FDA website? I prefer other sites
Please indicate whether or not you have taken one or more multi-vitamins or multi-mineral supplements in the past 12 months.
Please indicate whether or not you have taken specialized or single-ingredient vitamins or minerals in the past 12 months.
Please indicate whether or not you have taken herbs, botanicals, or other supplements in the past 12 months.
In the past 12 months, have you experienced any health problem that you thought might be related to any dietary supplements you took?
The last time you had any health problem that you thought might be related to any dietary supplements, what were the major symptoms of the problem?
What dietary supplement(s) did you think was(were) related to your problem?
Did you report your dietary supplement health problem to The Food and Drug Administration?
Did you report your dietary supplement health problem to the CDC, Centers for Disease Control and Prevention?
Did you report your dietary supplement health problem to a health department or poison control center?
Did you report your dietary supplement health problem to the manufacturer of the dietary supplement?
Did you report your dietary supplement health problem to your doctor?
Have you given any dietary supplements to any infant(s), child(ren), or adolescent(s) in your family in the past 12 months?
If a dietary supplement product says on its package that it "may produce anticarcinogenic effects in the body," does this mean that the product may reduce the risk of cancer?
If a dietary supplement product says on its package that it "may produce anticarcinogenic effects in the body," does this mean that the product may treat cancer?
If a dietary supplement product says on its package that it "may produce anticarcinogenic effects in the body," does this mean that the product may completely prevent cancer?
If a dietary supplement product says on its package that it "may produce anticarcinogenic effects in the body," does this mean that the product may cure cancer?
In your opinion, if a dietary supplement product says on its package that it "may produce anticarcinogenic effects in the body," does this mean the product may reduce the risk of…
In your opinion, if a dietary supplement product says on its package that it "may reduce the risk of certain cancers," does this mean the product may reduce the risk of:
How much attention do you pay to reports of FDA investigations?
If the FDA reports that it is investigating an approved drug, what does it mean to you?
How often do you use medicine for pain by prescription only?
How often do you use non-prescription medicine for pain such as aspirin,acetaminophen, ibuprofen, or naproxen?
If a prescription drug you take is recalled and you hear that some people who use the drug have been hospitalized, would you check the number on your pill bottle to see if it matches the numbers in the recall notice?
If a prescription drug you take is recalled and you hear that some people who use the drug have been hospitalized, would you stop taking the drug immediately?
If a prescription drug you take is recalled and you hear that some people who use the drug have been hospitalized, would you continue taking the drug but watch for symptoms reported in the recall notice?
If a prescription drug you take is recalled and you hear that some people who use the drug have been hospitalized, would you ask your doctor what to do?
If a brand of canned food that you have in your home was recalled because some people became seriously ill after eating it, how likely would you be to switch brands?
If a brand of canned food that you have in your home was recalled because some people became seriously ill after eating it, how likely would you be to ask your doctor what to do?
If a brand of canned food that you have in your home was recalled because some people became seriously ill after eating it, how likely would you be to check the number of the can to see if it matches any of the numbers in the recall notice?
If a brand of canned food that you have in your home was recalled because some people became seriously ill after eating it, how likely would you be to no longer buy any brand of that food?
If a brand of canned food that you have in your home was recalled because some people became seriously ill after eating it, how likely would you be to pay no attention to the recall/keep buying and eating that brand?
How much do you agree that direct exposure to lasers may damage your skin and eyes?
Would you agree or disagree that the food you buy is safe to eat?
Would you agree or disagree that cosmetics are tested for safety before they go on the market?
Would you agree or disagree that pet foods are tested for safety before they go on the market?
Would you agree or disagree that the drugs you buy without a prescription are tested to see if they are safe before they go on the market?
Would you agree or disagree that vaccines that I get are tested to see if they are safe before they go on the market?
Would you agree or disagree that prescription drugs that you buy are tested to see if they are safe before they go on the market?
Would you agree or disagree with the following statement? Medical equipment (including prescription eyeglasses, hearing aids, blood glucose kits, thermometers, pregnancy test kits, and contact lenses) is tested to see if it is effective before it goes on the market.
Genetic Testing
How much do you think genetics, that is characteristics passed from one generation to the next, determine whether or not a person will develop diabetes/high blood sugar?
How much do you think genetics, that is characteristics passed from one generation to the next, determine whether or not a person will develop obesity?
How much do you think genetics, that is characteristics passed from one generation to the next, determine whether or not a person will develop heart disease?
How much do you think genetics, that is characteristics passed from one generation to the next, determine whether or not a person will develop cancer?
From which of the following sources did you read or hear anything about genetic tests? Mark all that apply.
Have you ever had any of the following type(s) of genetic tests? Mark all that apply.
If you had a genetic test, who did you share the results with? Mark all that apply.
Which of the following types of genetic tests have you heard of?
If you had a genetic test, who helped you understand the results? Mark all that apply.
How important is knowing a person’s genetic information for preventing cancer?
How important is knowing a person’s genetic information for detecting early cancer?
How important is knowing a person’s genetic information for treating cancer?
How much would you want to know if you have a genetic change that increases your chances of getting cancer?
If you had a genetic test for disease risk (including prenatal carrier testing), how did you get the test?
What were the reasons you had genetic testing? Mark all that apply.
Overall, how confident are you that your genetic testing results are correct and accurate?
If you had a genetic test, what did you expect would happen to your test results after the test?
In addition to you and your health care provider, who did you think the laboratory that did your genetic test would share your results with? Mark all that apply.
How have you changed your behavior based on the results of genetic testing? Mark all that apply.
Health Communication
When you hear or read a new recommendation about nutrition, are you more likely to pay attention to it or to ignore it?
When you hear or read a new recommendation about physical activity or exercise, are you more likely to pay attention to it or to ignore it?
There are so many different messages about whether being overweight is harmful to one's health it is hard to know what weight one should maintain to be healthy.
On a typical weekday, about how many hours do you watch television?
On a typical weekday, about how many hours do you listen to the radio?
On a typical weekday, about how many hours do you use the internet for personal reasons?
During a typical weekend, about how many hours do you watch television?
During a typical weekend, about how many hours do you listen to the radio?
During a typical weekend, about how many hours do you use the internet for personal reasons?
In the past seven days, how many days did you read a newspaper?
In the past seven days, how many days did you watch the national news on television?
In the past seven days, how many days did you watch the local news on television?
In the past 12 months, have you read health sections of the newspaper or of a general magazine?
About how often have you read such health sections in the past 12 months? Would you say once or more per week, or less than once per week?
Some local television news programs include special segments of their newscasts that focus on health issues. In the past 12 months, have you watched health segments on the local news?
How often have you watched health segments on local news in the past 12 months?
In general, how much would you trust information about health or medical topics from a doctor or other healthcare professional?
In general, how much would you trust information about health or medical topics from family or friends?
How much would you trust information about health or medical topics in newspapers?
How much would you trust information about health or medical topics in magazines?
In general, how much would you trust information about health or medical topics on the radio?
In general, how much would you trust information about health or medical topics on the Internet?
In general, how much would you trust information about health or medical topics on television?
In the past seven days, how many days did you read a magazine?
How much attention do you pay to information about health or medical topics on TV?
How much attention do you pay to information about health or medical topics on the radio?
How much attention do you pay to information about health or medical topics in newspapers?
How much attention do you pay to information about health or medical topics in magazines?
How much attention do you pay to information about health or medical topics on the Internet?
Have you ever looked for information about health or medical topics from any source?
The most recent time you looked for information about health or medical topics, where did you go first?
The most recent time you looked for information about health or medical topics, who was it for?
Based on the results of your most recent search for information about health or medical topics, how much do you agree or disagree with the following statements? It took a lot of effort to get the information you needed.
Based on the results of your most recent search for information about health or medical topics, how much do you agree or disagree with the following statements? You felt frustrated during your search for the information.
Based on the results of your most recent search for information about health or medical topics, how much do you agree or disagree with the following statements? You were concerned about the quality of the information.
Based on the results of your most recent search for information about health or medical topics, how much do you agree or disagree with the following statements? The information you found was hard to understand.
Overall, how confident are you that you could get advice or information about health or medical topics if you needed it?
In general, how much would you trust information about health or medical topics in newspapers or magazines?
In general, how much would you trust information about health or medical topics from government health agencies?
In general, how much would you trust information about health or medical topics from charitable organizations?
In general, how much would you trust information about health or medical topics from religious organizations and leaders?
Before being contacted for this study had you ever heard of the National Cancer Institute?
Before being contacted for this study, had you ever heard of the National Institutes of Health?
Before being contacted for this study had you ever heard of the CDC or the Centers for Disease Control and Prevention?
In the past 12 months, how often did you use the Internet to look for health or medical information {for yourself (or) someone else]?
When was the last time you used the Internet to look for information about health or medical care?
The last time you used the Internet to look for information about health or medical care, was this from. . . home, from work, or from someplace else?
Did you get to this web site by doing an Internet search, or did you find out about it some other way?
In the past 12 months, how often have you used the Internet to look for advice or information about cancer?
Why did you decide to use the Internet to look for information about cancer?
Before being contacted for this survey, had you ever heard of telephone quit lines such as a toll-free number to call for help in quitting smoking?
Before being contacted for this survey, had you ever heard of 1-800-QUIT-NOW?
How much do you agree or disagree with the following statement?  There are so many different recommendations about nutrition that it's hard to know which ones to follow.
How much do you agree or disagree with the following statement?  There are so many different recommendations about physical activity or exercise that it's hard to know which ones to follow.  
How much attention do you pay to information about health or medical topics in online newspapers?
How much attention do you pay to information about health or medical topics in special health or medical magazines or newsletters?
How much attention do you pay to information about health or medical topics on local television news programs?
How much attention do you pay to information about health or medical topics on national or cable news programs?
Imagine that you had a strong need to get information about health or medical topics. Where would you go first?
In general, how much would you trust information about health or medical topics from health organizations or groups?
Have you ever looked for information on electronic cigarettes from any source?
What kinds of information on electronic cigarettes have you ever looked for from any source?
What information did you look for the most recent time you looked for information about electronic cigarettes?
In general, how much would you trust information about the health effects of electronic cigarettes from a doctor/pharmacist/health care provider?
In general, how much would you trust information about the health effects of electronic cigarettes from family or friends?
In general, how much would you trust information about the health effects of electronic cigarettes from government health agencies?
In general, how much would you trust information about the health effects of electronic cigarettes from health organizations or groups?
In general, how much would you trust information about the health effects of electronic cigarettes from religious organizations and leaders?
In general, how much would you trust information about the health effects of electronic cigarettes from tobacco companies?
In general, how much would you trust information about the health effects of electronic cigarettes from electronic cigarette companies?
Have you ever looked for any of the following information about tobacco products (e.g. cigarettes, cigars, or chewing tobacco) from any source?
If you have looked for information about tobacco products, what information did you look for the most recent time you looked?
Overall, how confident are you that you could get health information about tobacco products if you needed it?
In general, how much would you trust information about the health effects of using tobacco from a doctor/pharmacist/health care provider?
In general, how much would you trust information about the health effects of using tobacco from family or friends?
In general, how much would you trust information about the health effects of using tobacco from government health agencies?
In general, how much would you trust information about the health effects of using tobacco from health organizations or groups?
In general, how much would you trust information about the health effects of using tobacco from religious organizations and leaders?
In general, how much would you trust information about the health effects of using tobacco from tobacco companies?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from television?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from news websites?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from health websites?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from government websites?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from social media?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from magazines?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from newspapers?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from the radio?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from billboards?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from public transportation?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from the mail?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from a community event?
In the past 30 days, how often have you seen, heard, or read a message about the health effects of tobacco use from a point of sale?
How often do health recommendations from experts seem to conflict or contradict one another?
How often do health recommendations from experts seem to change over time?
Health Services
In the past 12 months, have you talked to a doctor, nurse, or other health professional about any kind of health information you have gotten from the Internet?
During the past 12 months, not counting times you went to an emergency room, how many times did you go to a doctor, nurse, or other health professional to get care for yourself?
Not including psychiatrists and other mental health professionals, is there a particular doctor, nurse, or other health professional that you see most often?
What kind of health professional do you see most often? Do you see a doctor, nurse, or some other health professional?
The following questions are about your communication with all doctors, nurses, or other health professionals you saw during the past 12 months...How often did they explain things in a way you could understand?
The following questions are about your communication with all doctors, nurses, or other health professionals you saw during the past 12 months...How often did they spend enough time with you?
The following questions are about your communication with all doctors, nurses, or other health professionals you saw during the past 12 months...How often did they involve you in decisions about your health care as much as you wanted?
During the past 12 months, did you use any complementary, alternative, or uncoventional therapies such as herbal supplements, acupuncture, chiropractic, homeopathy, meditation, yoga, or Tai Chi?
Did you discuss your use of unconventional therapies with any of your doctors?
The following questions are about your communication with all doctors, nurses, or other health professionals you saw during the past 12 months... How often did doctors, nurses, or other health professionals give you the chance to ask all the health-related questions you had?
The following questions are about your communication with all doctors, nurses, or other health professionals you saw during the past 12 months...How often did doctors, nurses, or other health professionals give the attention you needed to your feelings and emotions?
The following questions are about your communication with all doctors, nurses, or other health professionals you saw during the past 12 months...How often did they make sure you understood the things you needed to do to take care of your health?
The following questions are about your communication with all doctors, nurses, or other health professionals you saw during the past 12 months...How often did they help you deal with feelings of uncertainty about your health or health care?
Overall, how would you rate the quality of health care you received in the past 12 months?
I avoid seeing my doctor because I feel uncomfortable when my body is being examined.
I avoid seeing my doctor because I fear I may have a serious illness.
I avoid seeing my doctor because it makes me think about dying.
Are there any other reasons why you avoid seeing your doctor?
In general, I think that the information I give doctors is safely guarded.
Scientists doing research should be able to review my medical information if the information cannot be linked to me personally.
Genetic tests that analyze your DNA, diet, and lifestyle for potential health risks are currently being marketed by companies directly to consumers. Have you heard or read about these genetic tests?
Do you have any of the following health insurance or health coverage plans: Insurance through a current or former employer or union (of you or another family member)
Do you have any of the following health insurance or health coverage plans: Insurance purchased directly from an insurance company (by you or another family member)
Do you have any of the following health insurance or health coverage plans: Medicare
Do you have any of the following health insurance or health coverage plans: Medicaid, Medical Assistance, or any kind of government-assistance plan for those with low incomes or a disability
Do you have any of the following health insurance or health coverage plans: TRICARE or other military health care
Do you have any of the following health insurance or health coverage plans: VA (including those who have ever used or enrolled for VA health care)
Do you have any of the following health insurance or health coverage plans: Indian Health Service
About how long has it been since you last visited a doctor for a routine checkup? A routine checkup is a general physical exam, not an exam for a specific injury, illness, or condition.
How much do you worry that each of the following will harm your health? Man-made chemicals in the water.
How much do you worry that each of the following will harm your health? Pesticides and other chemicals on food.
How much do you worry that each of the following will harm your health? Radiation from cell phones.
How much do you worry that each of the following will harm your health? Radiation from medical imaging tests such as x-rays, mammography, radioactive dyes, etc.
How much do you worry that each of the following will harm your health? Chemicals in household items such as plastic containers, furniture, paint, etc.
How much do you worry that each of the following will harm your health? Chemicals in personal care products such as make-up, fragrances, hair products, etc.
Have you ever had one of these tests to check for colon cancer?
Has a doctor ever discussed with you whether or not you should have the PSA test?
In that discussion, did the doctor ask you whether or not you wanted to have the PSA test?
Did a doctor ever tell you that some experts disagree about whether men should have PSA tests?
Has a doctor or other health care professional ever told you that...The PSA test is not always accurate?
Has a doctor or other health care professional ever told you that...Some types of prostate cancer are slow-growing and need no treatment?
Has a doctor or other health care professional ever told you that...Treating any type of prostate cancer can lead to serious side-effects, such as problems with urination or having sex?
Do you have any other health care coverage plan for yourself (please do not include dental or vision plans)?
How important is it to know your family's health history for your own health?
Since October of 2013, have you tried to get health insurance for yourself through the new federal health care law (e.g., from healthcare.gov or a state website)?
In the past 12 months, when getting care for a medical problem, was there a time when you had to bring an X-ray, MRI, or other type of test result with you to the appointment?
In the past 12 months, when getting care for a medical problem, was there a time when you had to wait for test results longer than you thought reasonable?
In the past 12 months, when getting care for a medical problem, was there a time when you had to redo a test or procedure because the earlier test results were not available?
In the past 12 months, when getting care for a medical problem, was there a time when you had to provide your medical history again because your chart could not be found?
Are you currently covered by insurance through a current or former employer or union?
Are you currently covered by insurance purchased directly from an insurance company?
Are you currently covered by Medicare, for people 65 and older, or people with certain disabilities?
Are you currently covered by Medicaid, Medical Assistance, or any kind of government-assistance plan for those with low incomes or a disability
Are you currently covered by TRICARE or other military health care
Are you currently covered by VA (including those who have ever used or enrolled for VA health care)
Are you currently covered by any other type of health insurance or health coverage plan?
How many times in the past 12 months have you visited an urgent care, walk-in or retail clinic to get care for yourself?
Overall, how would you rate the quality of health care you received from urgent care, walk-in or retail clinics in the past 12 months?
In the past 12 months, did you delay or not get medical care you felt you needed—such as seeing a doctor, a specialist, or other health professional?
Are you covered by any kind of health insurance or health care plan, including employer-sponsored insurance, prepaid plans, or government plans such as Medicare, Medicaid or TRICARE?
How confident are you filling out medical forms by yourself?
How much do you trust the health care system (for example, hospitals, pharmacies, and other organizations involved in health care)?
Have you ever been treated unfairly or been discriminated against when getting medical care because of your race or ethnicity?
In the past 12 months, when I talked with a healthcare professional about information I found on the Internet they were open to talking about the information with me.
In the past 12 months, when I talked with a healthcare professional about information I found on the Internet they respected what I had to say.
As a result of talking to my doctor, nurse or other health professional about health information from the Internet, our interaction became...
Have you ever experienced prejudice or been discriminated against when getting medical care?
In the past 12 months, how often did you get the help you needed from your primary care provider's office to manage your care among different providers and services?
In the past 12 months, how often did your primary care provider's office seem informed and up-to-date about the care you got from other health care providers?
Health Status
How long ago did you finish your most recent treatment?
Some people avoid visiting their doctor even when they suspect they should. Would you say this is true for you, or not true for you?
During the past 30 days, how often did you feel so sad that nothing could cheer you up?
During the past 30 days, how often did you feel nervous?
During the past 30 days, how often did you feel restless or fidgety?
During the past 30 days, how often did you feel hopeless?
During the past 30 days, how often did you feel that everything was an effort?
During the past 30 days, how often did you feel worthless?
The last few questions were about a number of feelings you had during the past 30 days. Altogether, how much did these feelings interfere with your life or activities?
Do you have friends or family members that you talk to about your health?
How long ago were you diagnosed with cancer? (WhenDiagnosedCancer Age Recode)
Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things
Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed or hopeless
Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling nervous, anxious or on edge
Over the past 2 weeks, how often have you been bothered by any of the following problems? Not being able to stop or control worrying
How much sleep do you usually get… On a workday or school day? (i.e., weekday)? Hours:
How much sleep do you usually get… On a non-work or non-school day (i.e., weekend)? Hours:
PHQ-4 total score (LittleInterest Hopeless Nervous Worrying Combined)
Has a doctor or other health professional ever told you that you had any of the following medical conditions: Diabetes or high blood sugar?
Has a doctor or other health professional ever told you that you had any of the following medical conditions: High blood pressure or hypertension?
Has a doctor or other health professional ever told you that you had any of the following medical conditions: A heart condition such as heart attack, angina or congestive heart failure?
Has a doctor or other health professional ever told you that you had any of the following medical conditions: Chronic lung disease, asthma, emphysema, or chronic bronchitis?
Has a doctor or other health professional ever told you that you had any of the following medical conditions: Arthritis or rheumatism?
Has a doctor or other health professional ever told you that you had any of the following medical conditions: Depression or anxiety disorder?
At any time in the past year, have you intentionally tried to… Fruit or Fruit Juice
Is there anyone you can count on to provide you with emotional support when you need it - such as talking over problems or helping you make difficult decisions?
If you needed help with your daily chores, is there someone who can help you?
Which of the following cancer treatments have you ever received? Chemotherapy (IV or pills)
Which of the following cancer treatments have you ever received? Radiation.
Which of the following cancer treatments have you ever received? Surgery.
Which of the following cancer treatments have you ever received? Other.
About how long ago did you receive your last cancer treatment?
Did you ever receive a summary document from your doctor or other health care professional that listed all of the treatments you received for your cancer?
Have you ever received instructions from a doctor or other health care professional about where you should return….after completing your cancer treatment?
Were you ever denied health insurance coverage because of your cancer?
Looking back, since the time you were first diagnosed with cancer, how much, if at all, has cancer and its treatment hurt your financial situation?
In the past 30 days, how often have you felt…happy
In the past 30 days, how often have you felt…angry
In the past 30 days, how often have you felt…anxious
In the past 30 days, how often have you felt…hopeful
In the past 30 days, how often have you felt…sad
How much do you agree or disagree with each of the following statements? When I feel threatened or anxious I find myself thinking about my strengths
How much do you agree or disagree with each of the following statements? When I feel threatened or anxious I find myself thinking about my values
How much do you agree or disagree with each of the following statements? I'm always optimistic about my future
Do you have someone to prepare your meals if you are unable to do it yourself?
Do you have someone to take you to the doctor if you need it?
How easy is it for you to imagine yourself developing cancer again in the future?
How well do you know your family’s cancer history?
Have you ever had a discussion about your family cancer history with any of the following people? If there is no cancer in your family, and you have discussed this, please include that.
How confident are you that you could complete a summary of your family cancer history on a medical form?
To what extent do you agree or disagree that you control your emotions by changing the way I am thinking about the situation you are in?
To what extent do you agree or disagree that you consider how things might be in the future, and try to influence those things with your day to day behavior?
How much do you agree or disagree that you go to medical appointments expecting the worst?
From the set of values below, which ONE is most important to you in your day-to-day life?
PROMIS_Meaning_t: PROMIS Meaning and purpose in Life T scores
PROMIS_Isolation_t: PROMIS Social isolation scale T scores
Do any of the following significantly limit your daily activities? Deafness or serious difficulty hearing.
Do any of the following significantly limit your daily activities? Visual impairment or blindness.
Do any of the following significantly limit your daily activities? Permanent or long term physical or mobility limitations.
Do any of the following significantly limit your daily activities? Chronic pain.
Internet Use
Have you ever visited an Internet web site to learn specifically about cancer?
How useful was the cancer-related information you got from the Internet?
Within the past 12 months, how much have you heard about nutrition and cancer on the Internet?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer on the Internet?
Some people notice information about health on the Internet, even when they are not trying to find out about a health concern they have or someone in their family has. Have you read such health information on the Internet in the past 12 months?
About how often have you read health information on the internet in the past 12 months?
In the past 12 months when you talked with a health care professional, how interested were they in hearing about the information you found on-line?
Do you ever go on-line to access the Internet or World Wide Web, or to send and receive e-mail?
When you use the Internet at home, do you mainly access it through...
When you use the Internet at [FILL GA-3], do you mainly access it through. . .
In the past 12 months, have you done the following things while using the Internet? Looked for health or medical information for yourself?
In the past 12 months, have you done the following things while using the Internet? Looked for health or medical information for someone else?
In the last 12 months, have you used the Internet for any of the following reasons? Bought medicine or vitamins on-line
In the last 12 months, have you used the Internet for any of the following reasons? Participated in an on-line support group for people with a similar health or medical issue?
In the last 12 months, have you used the Internet for any of the following reasons? Used e-mail or the Internet to communicate with a doctor or doctor’s office
... Looked for information about physical activity or exercise?
... Looked for information about protecting yourself from the sun?
In the last 12 months, have you used the Internet for any of the following reasons? Looked for information about quitting smoking?
Have you done anything else health-related on the Internet?
Which of the following, if any, are the reasons you do not access the Internet? Because you are not interested.
In the past 12 months, how often did you use the Internet to look for health or medical information {for yourself (or) someone else]?
When was the last time you used the Internet to look for information about health or medical care?
The last time you used the Internet to look for information about health or medical care, was this from. . . home, from work, or from someplace else?
Did you get to this web site by doing an Internet search, or did you find out about it some other way?
In the past 12 months, how often have you used the Internet to look for advice or information about cancer?
Why did you decide to use the Internet to look for information about cancer?
In the last 12 months, have you used the Internet for any of the following reasons? Used a website to help you with your diet, weight, or physical activity?
In the last 12 months, have you used the Internet for any of the following reasons? Looked for a health care provider?
In the last 12 months, have you used the Internet for any of the following reasons? Downloaded health-related information to a mobile device, such as an MP3 player, cell phone, tablet computer or electronic book device?
In the last 12 months, have you used the Internet for any of the following reasons? Visited a “social networking” site, such as “Facebook” or “LinkedIn” to read and share about medical topics
In the last 12 months, have you used the Internet for any of the following reasons? Wrote in an on-line diary or “blog” (i.e., Web log) about any type of health topic
In the last 12 months, have you used the Internet for any of the following reasons? Kept track of personal health information such as care received, test results, or upcoming medical appointments
When you use the Internet, do you access it through… A regular dial-up telephone line
When you use the Internet, do you access it through… Broadband such as DSL, cable or FiOS
When you use the Internet, do you access it through… A cellular network (i.e., telephone, 3G/4G)
When you use the Internet, do you access it through… A wireless network (Wi-Fi)
Is there a specific Internet site you like to go to for health or medical information?
In the past 12 months, have you used the Internet to look for information about cancer for yourself?
In the last 12 months, have you used the Internet for any of the following reasons? To visit a social networking site, such as Facebook or LinkedIn?
In the last 12 months, have you used the Internet for any of the following reasons? To write in an online diary or blog (i.e., Web log)?
Sometimes people use the Internet to connect with other people online through social networks like Facebook or Twitter. This is often called social media.In the last 12 months, have you used the Internet for any of the following reasons? Participated in an online forum or support group for people with a similar health or medical issue
In the last 12 months, have you used the Internet for any of the following reasons? Watched a health-related video on YouTube?
In the past 12 months, have you used any of the following to exchange medical information with a health care professional?
Please indicate if you have one of the following electronic devices…Tablet, Smartphone,Cell Phone, Etc..
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? General Health Tips
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Medication Reminders
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Lab Test Results
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Diagnostic information (e.g., medical illnesses or diseases)
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Vital signs (e.g., heart rate, blood pressure, glucose levels, etc.)
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Lifestyle behaviors (e.g., physical activity, food intake, sleep patterns, etc.)
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Symptoms (e.g., nausea, pain, dizziness, etc.)
On your tablet or smartphone, do you have any software applications or apps related to health?
Have the apps on your smartphone or tablet related to health helped you achieve a health-related goal such as quitting smoking, losing weight,or increasing physical activity?
Have the apps on your smartphone or tablet related to health helped you make a decision about how to treat an illness or condition?
Have the apps on your smartphone or tablet related to health led you to ask a doctor new questions, or to get a second opinion from another doctor?
How often do you access the Internet through a computer at home?
How often do you access the Internet through a computer at work?
How often do you access the Internet through a computer at school?
How often do you access the Internet through a computer in a public place?
How often do you access the Internet through a mobile device?
How often do you access the Internet through a gaming device/ smart TV?
How often do you access the Internet through other means?
In the last 12 months, have you used the Internet for any of the following reasons? Shared health information on social media sites?
In the last 12 months, have you used the Internet for any of the following reasons? Exchanged support about health concerns with family or friends?
In the last 12 months, have you used the Internet for any of the following reasons? Exchanged support about health concerns with family or friends? Kept track of personal health information such as care received, test results, or upcoming medical appointments?
In the past 12 months, have you used a computer, smartphone, or other electronic means to look for health or medical information for yourself?
In the past 12 months, have you used a computer, smartphone, or other electronic means to look for health or medical information for someone else?
In the past 12 months, have you used a computer, smartphone, or other electronic means to buy medicine or vitamins online?
In the past 12 months, have you used a computer, smartphone, or other electronic means to look for a health care provider?
In the past 12 months, have you used a computer, smartphone, or other electronic means to use email or the internet to communicate with a doctor or doctor's office?
In the past 12 months, have you used a computer, smartphone, or other electronic means to make appointments with a health care provider?
In the past 12 months, have you used a computer, smartphone, or other electronic means to track health care charges and costs?
In the past 12 months, have you used a computer, smartphone, or other electronic means to fill out forms or paperwork related to your health care?
In the past 12 months, have you used a computer, smartphone, or other electronic means to look up test results?
Please indicate if you have a tablet computer like an iPad, Samsung Galaxy, Motorola Xoom, or Kindle Fire
Please indicate if you have a smartphone, such as an iPhone, Android, Blackberry, or Windows phone
Has your tablet or smartphone helped you achieve a health-related goal such as quitting smoking, losing weight,or increasing physical activity?
Has your tablet or smartphone helped you make a decision about how to treat an illness or condition?
Has your tablet or smartphone helped you in discussion with your healthcare provider?
Other than a tablet or smartphone, have you used an electronic device to monitor or track your health within the last 12 months? Examples include Fitbit, blood glucose meters, and blood pressure monitors.
Have you shared health information from either an electronic monitoring device or smartphone with a health professional within the last 12 months?
Have you sent or received a text message from a doctor or other health care professional within the last 12 months?
In the past 12 months, have you used a computer, smartphone, or other electronic means to look for assistance for the care that you provide for someone else?
Please indicate if you have any of the following devices.
In the past 12 months, have you used a computer, smartphone, or other electronic means to look for information about the harms of electronic or e-cigarettes?
In the past 12 months, have you used an electronic wearable device to monitor or track your health or activity?
In the past month, how often did you use a wearable device to track your health?
Would you be willing to share health data from your wearable device with your health care provider?
Would you be willing to share health data from your wearable device with your family or friends?
In the last 12 months, have you used an electronic medical device to monitor or track your health?
To what extent are you satisfied with your internet speed?
In the past 12 months, have you used any health or wellness apps?
Would you be willing to share health data from your wearable device with your family?
Would you be willing to share health data from your wearable device with your friends?
In the past 12 months, have you used the Internet to take care of any of the following health-related needs? Send a message to a health care provider or a health care provider's office.
How satisfied are you with your Internet connection at home to meet health-related needs?
How confident are you that you can find helpful health resources on the Internet?
In the last 12 months, have you used the Internet for any of the following reasons? Share personal health information on social media?
In the last 12 months, have you used the Internet for any of the following reasons? Share general health-related information on social media?
How much of the health information that you see on social media do you think is false or misleading?
How much do you agree or disagree with the following statements? I use information from social media to make decisions about my health.
How much do you agree or disagree with the following statements? I use information from social media in discussions with my health care provider.
How much do you agree or disagree with the following statements? I find it hard to tell whether health information on social media is true or false.
How much do you agree or disagree with the following statements? Most of the people in my social media networks have the same views about health as me.
Who do you think has the main responsibility for reducing the amount of false or misleading health information on social media?
When you use the Internet, do you access it through...A high-speed service such as DSL, cable, FiOS, Wi-Fi, or satellite
When you use the Internet, do you access it through...A cellular network (i.e., phone, 3G/4G/5G)
In the past 12 months, have you used the Internet to take care of any of the following health-related needs? Look for health or medical information.
In the past 12 months, have you used the Internet to take care of any of the following health-related needs? View medical test results.
In the past 12 months, have you used the Internet to take care of any of the following health-related needs? Make an appointment with a health care provider.
About how often do you use the Internet, either on a computer, laptop, smartphone or any other device?
How much do you agree or disagree with the following statements? I find learning how to use new technology frustrating.
How much do you agree or disagree with the following statements? I can use applications/programs (like Zoom) on my cell phone or computer without asking someone for help.
How much do you agree or disagree with the following statements? I have the skills to find the health information I need on the Internet.
In the last 12 months, which of the following devices did you use? Desktop computer or laptop.
In the last 12 months, which of the following devices did you use? Smartphone.
In the last 12 months, which of the following devices did you use? Tablet.
In the last 12 months, which of the following devices did you use? Smartwatch or other electronic wearable device (for example an Apple Watch or Fitbit).
Lung Cancer
How likely do you think it is that you will develop lung cancer in the future?
Compared to the average person your age, would you say that you are more likely to get lung cancer, less likely, or about as likely?
What are some things that people can do to reduce their chances of getting lung cancer?
... There's not much you can do to lower your chances of getting lung cancer.
... There are so many different recommendations about preventing lung cancer that it's hard to know which ones to follow.
... Lung cancer develops over a period of several years.
... There are ways to slow down or disrupt the development of lung cancer.
... Lung cancer is most often caused by a person's behavior or lifestyle.
... It seems like almost everything causes lung cancer.
... You are reluctant to get checked for lung cancer because you fear you may have it.
... People with lung cancer would have pain or other symptoms prior to being diagnosed.
Overall, how many people who develop lung cancer do you think survive at least 5 years?
How likely do you think it is that the average {male/female} cigarette smoker will develop lung cancer in the future?
Overall, how many people who develop lung cancer do you think are cured?
Would you say the average smoker has about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk or 10 or more times the non-smoker's risk?
Would you say you have about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk, or 10 or more times the non-smoker's risk?
...There's no risk of getting cancer if someone only smokes a few years.
...Whether a person gets lung cancer depends more on genes than anything else.
Have you heard of any tests to find lung cancer before the cancer creates noticeable problems?
At any time in the past year, have you talked with your doctor or other health professional about having a test to check for lung cancer?
At any time in the past year, did a doctor or other health professional talk with you about having a low-dose CT (LDCT) scan to check for lung cancer?
Marijuana Products
Please mark all of the following ways you have used a product containing marijuana in the past 12 months.
When you used marijuana during the past 12 months was it usually...
Medical Research and Medical Records
As far as you know, do your healthcare providers maintain your medical information in a portable, electronic format?
Please indicate how important each of the following statements is to you. Doctors and other health care providers should be able to share your medical information with each other electronically
How important would it be for you to get your own medical information electronically?
In general, I think that the information I give doctors is safely guarded.
Scientists doing research should be able to review my medical information if the information cannot be linked to me personally.
How confident are you that safeguards (including the use of technology) are in place to protect your medical record from being seen by people who aren’t permitted to see them?
How confident are you that you have some say in who is allowed to collect, use and share your medical information?
Have you ever kept information from your health care provider because you were concerned about the privacy or security of your medical record?
If your medical information is sent by fax from one health care provider to another, how concerned are you that an unauthorized person would see it?
If your medical information is sent electronically from one health care provider to another, how concerned are you that an unauthorized person would see it?
Clinical trials are research studies that involve people. Have you ever heard of a clinical trial?
How much do you think genetics, that is characteristics passed from one generation to the next, determine whether or not a person will develop high blood pressure/hypertension?
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Appointment reminders
How willing would you be to exchange the following types of medical information with a health care provider electronically through your mobile phone or tablet? Digital images/video (e.g., photos of skin lesions)
How much do you agree or disagree with the following statement? Medical research provides information that people need to make medical decisions.
More and more, people are getting involved in research in new ways beyond being a research subject. They are partnering with medical researchers to help decide what research is done and how it is done. For example, people can suggest important topics to study or how to report results to the public. This is sometimes called "patient engagement" in research. Have you ever heard about "patient engagement" in medical research?...
More and more, people are getting involved in research in new ways beyond being a research subject. They are partnering with medical researchers to help decide what research is done and how it is done. For example, people can suggest important topics to study or how to report results to the public. This is sometimes called "patient engagement" in research. Have you ever engaged in medical research in this way?
More and more, people are getting involved in research in new ways beyond being a research subject. They are partnering with medical researchers to help decide what research is done and how it is done. For example, people can suggest important topics to study or how to report results to the public. This is sometimes called "patient engagement" in research. Would you ever be interested in engaging in research this way?
Have you ever been offered access to your own personal health information online through a secure website or app by your health care provider?
Have you ever been offered access to your own personal health information online through a secure website or app by your health insurer?
How many times did you access your personal health information on-line through a secure website or app in the last 12 months?
How many times did you access a family member's personal health information online through a secure website or app in the last 12 months?
Have you ever been in a medical research study where you got one of two treatments, such as medicines or surgery procedures?
Do any of your doctors or other health care providers maintain your medical records in a computerized system?
Have you ever been offered online access to your medical records by your health care provider?
Have you ever been offered online access to your medical records by your health insurer?
Have any of your health care providers, including doctors, nurses, or office staff ever encouraged you to use an online medical record?
How many times did you access your online medical record in the last 12 months?
Why have you not accessed your medical records online? Is it because you prefer to speak to your health care provider directly?
Why have you not accessed your medical records online? Is it because you do not have a way to access the website?
Why have you not accessed your medical records online? Is it because you did not have a need to use your online medical record?
Why have you not accessed your medical records online? Is it because you were concerned about the privacy or security of the website that had your medical records?
Why have you not accessed your medical records online? Is it because you don’t have an online medical record?
Why have you not accessed your medical records online? Is it because…Other
Do any of your online medical records include laboratory test results?
Do any of your online medical records include a current list of medications?
Do any of your online medical records include a list of health/medical problems?
Do any of your online medical records include an allergy list?
Do any of your online medical records include summaries of your office visit?
Do any of your online medical records include clinical notes?
Do any of your online medical records include immunization or vaccination history?
In the past 12 months, have you used your online medical record to make appointments with a health care provider?
In the past 12 months, have you used your online medical record to request refill of medications?
In the past 12 months, have you used your online medical record to fill out forms or paperwork related to your health care?
In the past 12 months, have you used your online medical record to request correction of inaccurate information?
In the past 12 months, have you used your online medical record to securely message health care provider and staff (e.g., e-mail)?
In the past 12 months, have you used your online medical record to look up test results?
In the past 12 months, have you used your online medical record to monitor your health?
In the past 12 months, have you used your online medical record to download your health information to your computer or mobile device, such as a cell phone or tablet?
In the past 12 months, have you used your online medical record to add health information to share with your health care provider, such as health concerns, symptoms, and side-effects?
In the past 12 months, have you used your online medical record to help you make a decision about how to treat an illness or condition?
Have you electronically sent your medical information to another health care provider?
Have you electronically sent your medical information to a family member or another person involved with your care?
Have you electronically sent your medical information to a service or app that can help manage and store your health information?
How easy or difficult was it to understand the health information in your online medical record?
In general, how useful is your online medical record for monitoring your health?
How many times did you access a family member or close friend’s online medical record in the last 12 months?
How did you access a family member or close friend’s personal health information? Used family member’s login and password.
How did you access a family member or close friend’s personal health information? Used a login and password assigned to me to access their record.
Doctors use DNA tests to analyze someone’s DNA for health reasons. Have you heard or read about this type of genetic test?
Which of the following uses of a genetic test have you heard of?
Have you ever had any of the following type(s) of genetic tests?
Have you ever been offered online access to your medical records by your health care provider or health insurer?
Who offered you online access to your medical records?
Why have you not accessed your medical records online? Is it because you found it difficult to login (for example, you had trouble remembering your password)?
Why have you not accessed your medical records online?Is it because you are not comfortable or experienced with computers?
Why have you not accessed your medical records online? Is it because you have more than one online medical record?
Did you use a smartphone health app to access your online medical record?
In the past 12 months, have you used your online medical record to electronically send your medicalinformation to a third party (such as another health care provider, a family member, or a smartphone health app)?
In the past 12 months, have you used your online medical record to view clinical notes (a health care provider's written notes that describe your visit)?
Which of the following organizations/ providers do you have an online medical record or patient portal with?
Do you have one, or more than one patient portal or online medical record?
Have you ever used an app like 'Apple Health Records' or 'CommonHealth' to combine your medical information from different patient portals or online medical records into one place?
In the past 12 months, were you given the option to decide whether or not you wanted to receive test results before your health care provider could discuss them with you?
In the past 12 months, did you look at test results made available to you through your online medical record or patient portal before hearing about the result from your health care provider?
How well did you understand what the test results showed and what they meant for your care?
Numeracy
In general, how easy or hard do you find it to understand medical statistics?
In general, I feel uncomfortable with health information that has a lot of numbers and statistics.
When people tell you the chance of something happening do you prefer they use words or numbers?
In general, I depend on numbers and statistics to help me make decisions about my health.
Which of the following numbers represents the biggest risk of getting a disease?
Nutrition and Physical Activity
During the past 30 days, how often did you drink 100% fruit juice such as orange, apple, and grape juices?
During the past 30 days, how often did you eat potatoes?
During the past 30 days, how often did you eat vegetables other than potatoes?
How many servings of fruits and vegetables do you think the average adult should eat each day for good health?
In a typical week, how many days do you do any physical activity or exercise of at least moderate intensity, such as brisk walking, bicycling at a regular pace, swimming at a regular pace, and heavy gardening?
On the days that you do any physical activity or exercise of at least moderate intensity, how long are you typically doing these activities?
How many days a week of physical activity or exercise of at least moderate intensity are recommended for the average adult to stay healthy?
On those days, how long should the average adult be physically active to stay healthy?
As far as you know, does physical activity or exercise increase the chances of getting some types of cancer, decrease the chances of getting some types of cancer, or does it not make much difference?
Have you tried to lose any weight in the past 12 months?
Are you aware of low carbohydrate, high protein diets such as the Atkins Diet, the Zone, Sugar Busters, or the South Beach Diet?
Have you tried a low carbohydrate, high protein diet in the past 12 months?
Do you think a low carbohydrate, high protein diet is a healthy way to lose weight?
When you hear or read a new recommendation about nutrition, are you more likely to pay attention to it or to ignore it?
When you hear or read a new recommendation about physical activity or exercise, are you more likely to pay attention to it or to ignore it?
Think about the last time you heard a new recommendation about nutrition. Which of the following things did you do in response to the new recommendation? I changed what I do; I did not change what I do; or I waited to get more information.
Think about the last time you heard a new recommendation about physical activity or exercise. Which of the following things did you do in response to the new recommendation? I changed what I do; I did not change what I do; or I waited to get more information.
People who are overweight can lose a significant amount of weight by doing 30 minutes of moderate activities such as brisk walking on most days of the week. Would you say you strongly agree, somewhat agree, somewhat disagree, or strongly disagree?
Within the past 12 months, have you seen, heard, or read anything about nutrition and cancer?
Within the past 12 months, have you seen, heard, or read anything about exercise or physical activity and cancer?
Within the past 12 months, how much have you heard about nutrition and cancer on television?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer on television?
Within the past 12 months, how much have you heard about nutrition and cancer in newspapers?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer in newspapers?
Within the past 12 months, how much have you heard about nutrition and cancer in magazines?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer in magazines?
Within the past 12 months, how much have you heard about nutrition and cancer on the Internet?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer on the Internet?
Within the past 12 months, how much have you heard about nutrition and cancer from a doctor or other health care professional?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer from a doctor or other health care professional?
During the past month, did you participate in any physical activities or exercises such as running, yoga, golf, gardening, or walking for exercise?
At least once a week, do you engage in regular activity such as brisk walking, jogging, bicycling, or another activity long enough to work up a sweat?
Which type of cancer, or don't you know? [That can help lower the chances of getting cancer]
How many servings of fruits do you usually eat or drink each day?
How many servings of vegetables do you usually eat or drink each day?
About how many cups of fruit (including 100% pure fruit juice) do you eat or drink each day?
About how many cups of vegetables (including 100% pure vegetable juice) do you eat or drink each day?
There are so many different messages about whether being overweight is harmful to one's health it is hard to know what weight one should maintain to be healthy.
Right now do you feel you are...overweight, slightly overweight, underweight, slightly underweight, or just about the right weight for you?
Sunlight helps the body produce Vitamin D naturally. Would you say you strongly agree, somewhat agree, somewhat disagree, or strongly disagree?
To what extent do you believe that obesity is inherited. Would you say...
... Looked for information about physical activity or exercise?
How often do you eat vegetables per day? (excl. potatoes)?
How much do you agree or disagree with the following statement?  There are so many different recommendations about nutrition that it's hard to know which ones to follow.
How much do you agree or disagree with the following statement?  There are so many different recommendations about physical activity or exercise that it's hard to know which ones to follow.  
To what extent do you believe that obesity is caused by overeating and not exercising?
How often in the past 12 months would you say you were worried or stressed about having enough money to buy nutritious meals?
When available, how often do you use menu information on calories in deciding what to order?
How much sugar-sweetened soda or pop do you usually drink each day? Do not include diet sodas or diet pop.
In a typical week, outside of your job or work around the house, how many days do you do leisure-time physical activities specifically designed to strengthen your muscles such as lifting weights or circuit training (do not include cardio exercise such as walking, biking, or swimming)?
Over the past 30 days, in your leisure time, how many hours per day, on average, did you sit and watch TV or movies, surf the web, or play computer games? Do not include “active gaming” such as Wii.
How much do you think health behaviors like diet, exercise, and smoking determine whether or not a person will develop diabetes/high blood sugar?
How much do you think health behaviors like diet, exercise, and smoking determine whether or not a person will develop obesity?
How much do you think health behaviors like diet, exercise, and smoking determine whether or not a person will develop heart disease?
How much do you think health behaviors like diet, exercise, and smoking determine whether or not a person will develop high blood pressure/hypertension?
How much do you think health behaviors like diet, exercise, and smoking determine whether or not a person will develop cancer?
How much do you agree or disagree with this statement: "Body weight is something basic about a person that they can't change very much."
When available, how helpful do you find menu information on calories in deciding what to order?
Not counting any diet soda or pop, about how often do you drink regular soda or pop in a typical week?
At any time in the past year, have you intentionally tried to… Vegetables or Vegetable Juice
At any time in the past year, have you intentionally tried to…Exercise.
How much does pressure from others reflect why you would start or continue exercising regularly?
How much does concern over the way you look reflect why you would start or continue exercising regularly?
How much does feeling guilty when you skip exercising reflect why you would start or continue exercising regularly?
How much does getting enjoyment from exercise reflect why you would start or continue exercising regularly?
Over the past 30 days, how many hours per day, on average, did you sit and watch TV or movies, surf the web, or play computer games?
The food label above can be found on the back of a container of a pint of ice cream. We would like to know how easy it is to use this information. Use the food label above to answer questions N1-N4. If you eat the entire container, how many calories will
If you are allowed to eat 60g of carbohydrates as a snack, how much ice cream could you have? Write a number on one line below.
Your doctor advises you to reduce the amount of saturated fat in your diet. You usually have 42g of saturated fat each day, which includes 1 serving of ice cream. If you stop eating ice cream, how many grams of saturated fat would you be consuming each da
If you usually eat 2,500 calories in a day, what percentage of your daily value of calories will you be eating if you eat one serving?
At any time in the past year, have you intentionally tried to…lose weight? Maintain your weight? Gain Weight? I haven't really paid attention to my weight.
At any time in the past year, have you intentionally tried to…Soda.
Which of the following health conditions do you think can result from drinking too much alcohol? Cancer.
Which of the following health conditions do you think can result from drinking too much alcohol? Heart Disease.
Which of the following health conditions do you think can result from drinking too much alcohol? Diabetes.
Which of the following health conditions do you think can result from drinking too much alcohol? High cholesterol.
Which of the following health conditions do you think can result from drinking too much alcohol? Liver disease.
Which of the following health conditions do you think can result from drinking too much alcohol? Being overweight or obese.
How much do you agree or disagree that alcohol increases your risk of cancer?
How much do you agree or disagree that drinking alcohol in moderation reduces your risk of heart disease?
How much do you think that eating healthy food can influence whether or not a person will develop cancer?
How much do you think that exercising regularly can influence whether or not a person will develop cancer?
Think about the last time you ordered food in a fast food or sit down restaurant, did you notice calorie information listed next to the food on the menu or menu board?
Thinking about the last time you noticed calorie information on the menu or menu board, how easy or difficult to understand was the calorie information?
Thinking about the last time you noticed calorie information on the menu or menu board, how did the calorie information change what you were thinking of ordering? I ordered something with fewer calories.
Thinking about the last time you noticed calorie information on the menu or menu board, how did the calorie information change what you were thinking of ordering? I ordered something with more calories.
Thinking about the last time you noticed calorie information on the menu or menu board, how did the calorie information change what you were thinking of ordering? I ordered fewer items.
Thinking about the last time you noticed calorie information on the menu or menu board, how did the calorie information change what you were thinking of ordering? I ordered smaller sizes.
Thinking about the last time you noticed calorie information on the menu or menu board, how did the calorie information change what you were thinking of ordering? I ordered more items.
Thinking about the last time you noticed calorie information on the menu or menu board, how did the calorie information change what you were thinking of ordering? I ordered larger sizes.
During the past 7 days, how much time did you spend sitting on a typical day at home or at work? This may include time spent sitting at a desk, visiting friends, reading, driving or riding in a car, or sitting or lying down to watch television.
Weekly Minutes of Moderate Exercise (Composite of TimesModerateExercise and HowLongModerateExerciseMinutes)
In the past 12 months, how much have you heard about the negative health consequences of drinking alcohol from a doctor or other health care professional?
In the past 6 months, have you heard about government recommendations for physical activity from a health professional or doctor?
In the past 6 months, have you heard about government recommendations for physical activity from social media or the internet?
In the past 6 months, have you heard about government recommendations for physical activity from television?
In the past 6 months, have you heard about government recommendations for physical activity from a magazine?
Think about the last time you heard a new government recommendation about physical activity or exercise. Which of the following best describe what you did in response to the new recommendation?
As far as you know, does physical activity help with sleep?
As far as you know, does physical activity reduce anxiety and depression?
As far as you know, does physical activity reduce pain?
During the past 7 days, how many hours of sleep did you get on average per night?
In the past 7 days, how would you rate your sleep quality overall?
Someone might describe themselves as a “morning-person” or “night-person.” Which do you consider yourself to be?
To what extent would you support or oppose that junk food products, including candy, chips, soda, and flavored sports drinks, should not be advertised to children on social media.
Have you tried to follow the recommendations in the MyPlate plan?
Thinking about the last time you bought a prepared meal at a grocery store, did you use the calorie information in deciding what to buy?
Palliative Care
To me, the goal of palliative care is to help friends and family to cope with a patient’s illness.
To me, the goal of palliative care is to offer social and emotional support
To me, the goal of palliative care is to manage pain and other physical symptoms
To me, the goal of palliative care is to give patients more time at the end of life
Imagine you had a strong need to get information about palliative care. Where would you go first to get information?
Imagine you had a strong need to get information about palliative care. Which of the following would you most trust as a source of information about palliative care?
How much do you agree or disagree with the following statements about palliative care? Accepting palliative care means giving up.
How much do you agree or disagree with the following statements about palliative care? It is a doctor’s obligation to inform all patients with cancer about the option of palliative care.
How much do you agree or disagree with the following statements about palliative care? Palliative care is the same as hospice care.
How much do you agree or disagree with the following statements about palliative care? When I think of “palliative care,” I automatically think of death.
Patient-provider Communication
A mammogram is an x-ray of each breast to look for breast cancer. During the past 12 months, did a doctor, nurse, or other health professional advise you to get a mammogram?
Has a health care provider such as a doctor or nurse ever talked to you about a HPV test?
Has a doctor, nurse or other health professional ever advised you to get a test to check for colon cancer?
Did a doctor, nurse, or other health professional ever advise you to get a sigmoidoscopy?
Did a doctor, nurse, or other health professional ever advise you to get a colonoscopy?
During the past 12 months, did a doctor, nurse, or other health professional advise you to do a stool blood test using a home test kit?
Think about the last time a doctor, nurse or other health professional told you that you should get a test to check for colon cancer. When did that discussion take place?
Think about the last time a doctor, nurse or other health professional told you that you should get a test to check for colon cancer. Was it within the last five years?
Who talked to you about getting a test to check for colon cancer?
Who talked to you about getting a test to check for colon cancer?
Who talked to you about getting a test to check for colon cancer?
Did the {doctor, nurse, or other health professional} describe any other test?
What test did the {doctor, nurse, or other health professional} describe?
The last time you were told you should be tested for colon cancer, did the {doctor, nurse, or other health professional} recommend to you any particular test?
Which test to check for colon cancer did the {doctor, nurse, or other health professional} recommend to you?
Within the past 12 months, how much have you heard about nutrition and cancer from a doctor or other health care professional?
Within the past 12 months, how much have you heard about physical activity or exercise and cancer from a doctor or other health care professional?
In the past 12 months when you talked with a health care professional, how interested were they in hearing about the information you found on-line?
During the past 12 months, how often did doctors or other health providers listen carefully to you?
How often did they show respect for what you had to say?
Did you discuss your use of unconventional therapies with any of your doctors?
In the past 12 months, how often did you feel you could rely on your doctors, nurses, or other health care professionals to take care of your health care needs
Has a health care provider such as a doctor or nurse ever talked to you about a PSA test?
Thinking about the last time a health care provider talked to you about a PSA test, which of the following statements best describes your health care provider's recommendation about PSA tests? That you should have a PSA test. That you should NOT have a PSA test. Your health care provider did not make a recommendation.
Thinking about the last time a health care provider talked to you about a PSA test, did your health care provider encourage you to ask questions or express any concerns you had about PSA testing? Would you say yes, definitely; yes, somewhat; or no, not at all?
In the past 12 months, did any doctor, dentist, nurse or other health professional suggest that you call or use a telephone helpline or quit line to help you quit smoking?
A vaccine to prevent HPV infection is available and is called the HPV shot, cervical cancer vaccine, GARDASIL®, or Cervarix®. Has a doctor or other health care professional ever talked with you about the HPV shot or vaccine?
Medical decisions are choices you make with a health care professional like which tests to have, which medications to take, or whether to have surgery. When was the last time you made a medical decision?
Other than your main health care professional, which of the following people played an important role in your last medical decision?
In general, how often do you do each of the following? Take with you to your doctor visits a list of questions or concerns you want to cover
In general, how often do you do each of the following? Take a list of all of your prescribed medicines to your doctor visits
In general, how often do you do each of the following? Ask your doctor to explain a test, treatment, or procedure to you in detail
In general, how often do you do each of the following? Read information about a new prescription, such as side effects and precautions
In general, how often do you do each of the following? Do your own research on a health or medical topic after seeing your doctor
In general, how often do you do each of the following? Take with you to your doctor visit any kind of health information you have found
How interested are you in exchanging appointment reminders with a health care provider electronically?
How interested are you in exchanging general health tips with a health care provider electronically?
How interested are you in exchanging medication reminders with a health care provider electronically?
How interested are you in exchanging lab/test results with a health care provider electronically?
How interested are you in exchanging diagnostic information (e.g.,medical illnesses or diseases) with a health care provider electronically?
How interested are you in exchanging vital signs (e.g., heart rate,blood pressure, glucose levels,etc.) with a health care provider electronically?
How interested are you in exchanging lifestyle behaviors (e.g.,physical activity, food intake,sleep patterns, etc.) with a health care provider electronically?
How interested are you in exchanging symptoms (e.g., nausea, pain, dizziness, etc.) with a health care provider electronically?
How interested are you in exchanging digital images/video (e.g., photos of skin lesions) with a health care provider electronically?
At any time since you were first diagnosed with cancer, did any doctor or other health care provider ever discuss with you the impact of cancer or its treatment on your ability to work?
Prostate Cancer
Have you ever heard of a PSA or prostate-specific antigen test?
Has a health care provider such as a doctor or nurse ever talked to you about a PSA test?
Thinking about the last time a health care provider talked to you about a PSA test, which of the following statements best describes your health care provider's recommendation about PSA tests? That you should have a PSA test. That you should NOT have a PSA test. Your health care provider did not make a recommendation.
Thinking about the last time a health care provider talked to you about a PSA test, did your health care provider encourage you to ask questions or express any concerns you had about PSA testing? Would you say yes, definitely; yes, somewhat; or no, not at all?
How likely do you think it is that you will develop prostate cancer in the future?
Compared to the average man your age, would you say that you are more likely to get prostate cancer, less likely, or about as likely?
During the past 12 months, did a doctor, nurse, or other health professional advise you to get a PSA test?
How long before your most recent PSA test was the last one?
Has a doctor ever told you that you could choose whether or not to have the PSA test?
Has a doctor or other health care professional ever told you that some doctors recommend the PSA test and others do not?
Has a doctor or other health care professional ever told you that no one is sure if using the PSA test actually saves lives?
Risk Perceptions
How likely do you think it is that you will develop breast cancer in the future?
Compared to the average woman your age, would you say that you are...
How likely do you think it is that you will develop colon cancer in the future?
How likely do you think it is that you will develop lung cancer in the future?
Compared to the average person your age, would you say that you are more likely to get colon cancer, less likely, or about as likely?
Compared to the average person your age, would you say that you are more likely to get lung cancer, less likely, or about as likely?
Compared to the average person your age, would you say that you are more likely to get skin cancer, less likely, or about as likely?
Compared to the average {man/woman} your age, would you say that you are more likely to get colon cancer, less likely, or about as likely?
How likely do you think it is that you will develop cancer in the future?
When would you say the risk of colon cancer is the highest, when you're under 40 years old, between 40 and 60 years old, or over 60 years old?
Overall, how confident are you about your ability to take good care of your health?
How likely do you think it is that you will develop prostate cancer in the future?
Compared to the average man your age, would you say that you are more likely to get prostate cancer, less likely, or about as likely?
During the past 12 months, did a doctor, nurse, or other health professional advise you to get a PSA test?
How likely do you think it is that the average {male/female} cigarette smoker will develop lung cancer in the future?
Would you say the average smoker has about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk or 10 or more times the non-smoker's risk?
Would you say you have about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk, or 10 or more times the non-smoker's risk?
...There's no risk of getting cancer if someone only smokes a few years.
Do you believe that some types of cigarettes are less harmful than others?
Which of the following do you think causes the most deaths each year in the United States:
How likely do you think it is that you will develop skin cancer in the future?
... People with skin cancer would have pain or other symptoms prior to being diagnosed.
... Getting checked regularly for colon cancer increases the chances of finding cancer when it's easy to treat.
Can you think of any thing people can do to reduce their chances of getting cancer?
Compared to other people your age, how likely are you to get cancer in your lifetime?
Select one answer that best represents your opinion about the statement: “I feel like I could easily get cancer in my lifetime.”
How likely are you to get heart disease in your lifetime?
How much do you agree or disagree with this statement: I'd rather not know my chance of getting cancer.
If experts had conflicting opinions about a medical test or treatment, I would still be willing to try it.
Medical tests or exams such as colonoscopies, mammograms, and Pap tests that check for early signs of cancer can definitely tell that a person has cancer.
When medical tests or exams such as colonoscopies, mammograms, and Pap tests that check for early signs of cancer find something abnormal, more tests are needed to know if it is cancer.
When medical tests or exams such as colonoscopies, mammograms, and Pap tests that check for early signs of cancer find something abnormal, it is very likely to be cancer.
The harms of medical tests or exams such as colonoscopies, mammograms, and Pap tests that check for early signs of cancer sometimes outweigh the benefits.
Suppose you have been diagnosed with cancer with a moderate chance of survival and several treatment options, what role would you prefer to take in deciding your cancer treatment?
Suppose you have been diagnosed with cancer with a low chance of survival and limited treatment options, what role would you prefer to take in deciding your cancer treatment?
In the past year, how often have you thought about the chemicals contained in tobacco products?
Where do you think the chemicals in cigarettes and cigarette smoke come from?
How long do you think someone has to smoke cigarettes before it harms their health?
How much do you think people harm themselves when they smoke a few cigarettes every day?
How much do you think people harm themselves when they smoke 10 or more cigarettes every day?
How harmful do you think cigarette smoking is to a person's health?
How harmful do you think cigar smoking is to a person's health?
How harmful do you think smokeless tobacco is to a person's health?
How harmful do you think electronic cigarette use is to a person's health?
How harmful do you think smoking tobacco in a hookah is to a person's health?
How harmful do you think smoking roll your own cigarettes is to a person's health?
How harmful do you think smoking a pipe filled with tobacco is to a person's health?
How much do you think people harm themselves when they use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus, every day?
How much do you think people harm themselves when they use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus, some days but not every day?
Please indicate how much you agree or disagree with the following statement: Tobacco is safer to use now than it was 5 years ago.
Compared to a typical cigarette, would you think that a cigarette advertised as low nicotine have a…Lung Cancer
How easy is it for you to imagine yourself developing cancer in the future?
In your opinion, how much does drinking beer affect the risk of getting cancer?
In your opinion, how much does drinking wine affect the risk of getting cancer?
In your opinion, how much does drinking liquor affect the risk of getting cancer?
In your opinion, how much does drinking beer affect the risk of getting heart disease?
In your opinion, how much does drinking wine affect the risk of getting heart disease?
In your opinion, how much does drinking liquor affect the risk of getting heart disease?
To reduce the problems associated with excessive alcohol use, to what extent would you support or oppose requiring alcohol containers to show the recommended drinking guidelines for keeping health risks low?
Skin Cancer
Compared to the average person your age, would you say that you are more likely to get skin cancer, less likely, or about as likely?
What are some things that people can do to reduce their chances of getting skin cancer?
... There's not much you can do to lower your chances of getting skin cancer.
... There are so many different recommendations about preventing skin cancer that it's hard to know which ones to follow.
... Skin cancer develops over a period of several years.
... There are ways to slow down or disrupt the development of skin cancer.
... Skin cancer is most often caused by a person's behavior or lifestyle.
... It seems like almost everything causes skin cancer.
Overall, how many people who develop skin cancer do you think survive at least 5 years?
... You are reluctant to get checked for skin cancer because you fear you may have it.
... Getting checked regularly for skin cancer increases the chances of finding cancer when it's easy to treat.
How likely do you think it is that you will develop skin cancer in the future?
... People with skin cancer would have pain or other symptoms prior to being diagnosed.
Skin Protection
... Looked for information about protecting yourself from the sun?
When you go outside for more than 1 hour on a warm, sunny day, how often do you wear sunscreen?
How often do you stay in the shade or under an umbrella?
When you go outside for more than 1 hour on a warm, sunny day, how often do you wear long pants?
How many times in the past 12 months have you used a tanning bed or booth?
How many times in the past 12 months have you used sunless tanning creams or sprays, also know as self-tanning or fake tanning?
How often do you wear a shirt with sleeves that cover your shoulders?
Do you ever have your skin examined by a health professional for signs of skin cancer?
On warm sunny days, how often do you spend time in the sun in order to get a tan?
During the past 12 months, has a physician or other health care provider talked to you about reducing your exposure to the sun or indoor tanning devices such as sunlamps, sunbeds, or tanning booths to reduce the risk for skin cancer?
After several months of not being in the sun very much, if you went out in the sun for an hour without sunscreen, a hat or protective clothing, which one of these best describes what would happen to your skin?
During the past 12 months, how many times have you had a sunburn (even a small part of your skin turns red or hurts for 12 hours or more) from too much sun exposure?
On the most recent time you were sunburned, what were you doing when you were sunburned?
The most recent time you got sunburned, were you doing any of the following things to protect yourself from the sun?
Were you drinking alcohol at any of the times when you were sunburned?
Were you using marijuana or a marijuana product at any of the times when you were sunburned?
Social Networks
How many community organizations are you currently a member of?
Do any of these community organization{s} provide you with information on health?
How frequently do you talk to these friends or family members about health?
How many people live near you who you can rely on in case you need a ride to visit your health care provider?
Not including funerals and weddings, how often do you attend religious services?
Telehealth
In the past 12 months, did you receive care from a doctor or health professional using telehealth?
In the past 12 months, were you offered the option to have a telehealth visit for any medical care you tried to schedule?
Did you choose not to participate in a telehealth visit because you preferred to have the appointment in person?
Did you choose not to participate in a telehealth visit because you were concerned about the privacy of telehealth visits?
Did you choose not to participate in a telehealth visit because you thought the telehealth technology would be difficult to use?
Why did you choose a telehealth visit(s) for yourself? The health care provider recommended or required the visit use telehealth.
Why did you choose a telehealth visit(s) for yourself? I wanted advice about whether I needed in-person medical care.
Why did you choose a telehealth visit(s) for yourself? I wanted to avoid possible infection at the doctor’s office or hospital (for example, COVID-19 or flu).
Why did you choose a telehealth visit(s) for yourself? It was more convenient than going to the doctor (for example, less travel or wait times).
Why did you choose a telehealth visit(s) for yourself? I could include family or other caregivers in my appointment.
What was the primary reason for your most recent telehealth visit?
In general, how much do you agree or disagree with the following statements regarding your telehealth visit(s)? I had technical problems with my telehealth visit(s) (for example, difficulty using the technology, trouble seeing or hearing my health care provider)
In general, how much do you agree or disagree with the following statements regarding your telehealth visit(s)? The care I received through telehealth was as good as a regular in-person visit.
In general, how much do you agree or disagree with the following statements regarding your telehealth visit(s)? I was concerned about the privacy of my telehealth visit(s).
If you have not used telehealth in the last 12 months, what was the primary reason?
What are the reasons you chose (a) telehealth visit(s) for yourself?
In general, how much do you agree or disagree with the following statements regarding your telehealth visit(s)? Telehealth made it easier for me to get care when and where I needed it.
In general, how much do you agree or disagree with the following statements regarding your telehealth visit(s)? I would recommend using telehealth to another person.
How willing are you to do a telehealth visit in the future if one is offered to you?
Tobacco Use
How likely do you think it is that you will develop lung cancer in the future?
Overall, how many people who develop lung cancer do you think survive at least 5 years?
Have you smoked at least 100 cigarettes in your entire life?
Do you now smoke cigarettes every day, some days, or not at all?
On the average, how many cigarettes do you now smoke a day?
On how many of the past 30 days, did you smoke a cigarette?
On the average, when you smoked during the past 30 days, about how many cigarettes did you smoke a day?
During the past 12 months, have you tried to quit smoking completely?
How many times during the past 12 months have you stopped smoking for one day or longer because you were trying to quit smoking?
Are you seriously considering quitting smoking within the next six months?
About how long has it been since you completely quit smoking cigarettes?
Have you ever smoked cigarettes every day for at least 6 months?
When you last smoked every day, how many cigarettes did you usually smoke each day?
Around this time 12 months ago, were you smoking cigarettes. . .
If a new cigarette were advertised as less harmful than current cigarettes, how interested would you be in trying it?
Next are some questions about new types of tobacco products that have been recently introduced. Have you ever heard of a tobacco product called Eclipse?
Have you heard of any other types of new tobacco products? These would include products like Accord, Advance, Omni, Exalt and Stonewall.
You said you have heard of {FILL WITH LIST OF ITEMS MENTIONED IN TU-18A-Jii}. Have you ever tried {this product/any of these products}?
Do you now use {FILL} every day, some days, or not at all?
{Now that you are using/When you tried or used} {FILL} {did/do} you smoke less of your regular brand of cigarettes, about the same number of your regular brand of cigarettes, or more of your regular brand of cigarettes?
What is the main reason you {use/tried or used} {FILL}?
As far as you know, is {FILL} less harmful than conventional cigarettes, equally harmful, or more harmful than conventional cigarettes?
What type of cigarette do you now smoke most often -- a regular, light, ultra light or some other type?
Is the main reason you now smoke this type of cigarette because it is a way to reduce the health risks of smoking, to try to quit smoking, because of the taste, or for some other reason?
Tobacco companies have recently introduced new types of cigarettes that are claimed to have fewer harmful chemicals or carcinogens. These have names like Eclipse, Accord, Advance, and Omni. Have you ever tried one of these products?
Tobacco companies have also recently introduced new types of smokeless tobacco products. These have names like Arriva, Exalt, and Revel. Have you ever tried one of these products?
How likely do you think it is that the average {male/female} cigarette smoker will develop lung cancer in the future?
Overall, how many people who develop lung cancer do you think are cured?
Would you say the average smoker has about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk or 10 or more times the non-smoker's risk?
Would you say you have about the same lung cancer risk as a non-smoker, a little higher lung cancer risk than a non-smoker, twice the non-smoker's risk, 5 times the non-smoker's risk, or 10 or more times the non-smoker's risk?
Would you say that you plan to quit smoking, you don't plan to quit, or you're undecided?
Would you say you strongly agree, somewhat agree, somewhat disagree, strongly disagree or you have no opinion with the statement: Exercise can undo most of the effects of smoking.
...There's no risk of getting cancer if someone only smokes a few years.
...Whether a person gets lung cancer depends more on genes than anything else.
Have you ever smoked cigarettes every day for at least 6 months?
When you last smoked every day, how many cigarettes did you usually smoke each day?
Do you believe that some smokeless tobacco products, such as chewing tobacco and snuff, are less harmful than cigarettes?
Before being contacted for this survey, had you ever heard of telephone quit lines such as a toll-free number to call for help in quitting smoking?
In the past 12 months, did any doctor, dentist, nurse or other health professional suggest that you call or use a telephone helpline or quit line to help you quit smoking?
How likely would you be to call a smoking cessation telephone quit line in the future, for any reason?
Before being contacted for this survey, had you ever heard of 1-800-QUIT-NOW?
Smoking Status (Composite of Smoke100 and SmokeNow Recode)
At any time in the past year, have you stopped smoking for one day or longer because you were trying to quit?
How much do you agree or disagree with this statement: Smoking behavior is something basic about a person that they can't change very much.
In your opinion, do you think that some types of cigarettes are less harmful to a person's health than other types?
Compared to people who smoke every day, do you think people who smoke just some days have less or more risk of getting health problems in their lifetime?
Compared to smoking cigarettes, would you say that electronic cigarettes are…
Do you believe that the United States Food and Drug Administration (FDA) regulates tobacco products in the U.S.?
A hookah pipe (or shisha) is a large water pipe. People smoke tobacco using hookah pipes in groups at cafes or bars. Compared to smoking cigarettes, would you say that smoking tobacco using a hookah is…
How much do you think quitting cigarette smoking can help reduce the harmful effects of smoking?
How much do you think each of the following helps a current smoker reduce the harmful effects of smoking if the person continues to smoke?... Exercising
How much do you think each of the following helps a current smoker reduce the harmful effects of smoking if the person continues to smoke?... Eating fruits and vegetables
How much do you think each of the following helps a current smoker reduce the harmful effects of smoking if the person continues to smoke?... Taking vitamins
How much do you think each of the following helps a current smoker reduce the harmful effects of smoking if the person continues to smoke?... Sleeping at least 8 hours per night
Which statement best describes the rules about smoking inside your home?
Have you ever looked for information on electronic cigarettes from any source?
What kinds of information on electronic cigarettes have you ever looked for from any source?
What information did you look for the most recent time you looked for information about electronic cigarettes?
In general, how much would you trust information about the health effects of electronic cigarettes from a doctor/pharmacist/health care provider?
In general, how much would you trust information about the health effects of electronic cigarettes from family or friends?
In general, how much would you trust information about the health effects of electronic cigarettes from government health agencies?
In general, how much would you trust information about the health effects of electronic cigarettes from health organizations or groups?
In general, how much would you trust information about the health effects of electronic cigarettes from religious organizations and leaders?
In general, how much would you trust information about the health effects of electronic cigarettes from tobacco companies?
In general, how much would you trust information about the health effects of electronic cigarettes from electronic cigarette companies?
Before being contacted for this survey (and regardless of whether or not you smoke), had you ever heard of telephone quitlines or websites for help with quitting smoking?
Have you ever called a telephone quitline or visited a website for help with quitting smoking?
How likely would you be to call a quitline or visit a website for help with quitting smoking in the future?
How many cigars, cigarillos, or little filtered cigars have you smoked in your entire life?
Do you now smoke cigars, cigarillos, or little filtered cigars every day, some days, or not at all?
Is the size of the cigars, cigarillos, or little filtered cigars that you usually smoke…
Before this survey, which of the following tobacco products have you ever heard of?
Which of the following tobacco products have you ever tried even once?
Have you used chewing tobacco, snus, snuff, or dip, at least 20 times in your entire life?
Do you now use chewing tobacco, snus, snuff, or dip every day, some days or not at all?
Were any of the tobacco products you used in the past 30 days flavored to taste like menthol (mint), clove, spice, alcohol (wine, cognac), candy, fruit, chocolate, or other sweets?
Of the five closest friends or acquaintances that you spend time with on a regular basis, how many of them use any kind of tobacco?
How soon after you wake up do you usually use any tobacco product?
How much do you agree or disagree that nicotine is the main substance in tobacco that makes people want to smoke?
How much do you agree or disagree that the nicotine in cigarettes is the substance that causes most of the cancer caused by smoking?
How much do you agree or disagree that addiction to nicotine is something that I am concerned about?
Overall, how addictive do you believe cigarette smoking is?
Overall, how addictive do you believe cigar smoking is?
Overall, how addictive do you believe smokeless tobacco use is?
Overall, how addictive do you believe using electronic cigarettes or e-cigarettes is?
Overall, how addictive do you believe smoking tobacco in a hookah is?
Overall, how addictive do you believe smoking roll your own cigarettes is?
Overall, how addictive do you believe smoking a pipe filled with tobacco cigarette smoking is?
How harmful do you think electronic cigarette use is to a person's health?
Do you believe that anyone regulates statements from tobacco companies about the contents or health effects of their tobacco products?
Who do you believe regulates statements that tobacco companies make about the contents or health effects of their tobacco products?
In your opinion, how qualified is the United States Food and Drug Administration (FDA) to regulate tobacco products?
Compared to a typical cigarette, would you think that a cigarette advertised as low nicotine would be…Harmful
Compared to a typical cigarette, would you think that a cigarette advertised as low nicotine would be…Addictive
How believable is it that a cigarette could be low nicotine?
How likely do you think it is that tobacco products could be made without some of the chemicals that are harmful to health?
If a tobacco product made a claim that it was less addictive than other tobacco products, how likely would you be to use that product?
If a tobacco product made a claim that it was less harmful to health than other tobacco products, how likely would you be to use that product?
Smokeless Tobacco Status (Composite of UsedTobacco20Times and UseTobaccoNow Recode)
Cigar Smoking Status (Composite of NumberCigarsSmoked and SmokeNowCigars Recode)
CigSLTCigar Tobacco Status (Indicator of current polytobacco use (including only Cigarettes, Smokeless, and Cigar))
Have you ever used an e-cigarette, even one or two times?
Do you now use an e-cigarette every day, some days, or not at all?
Do you think a tobacco product that says it has no additives is less harmful, about the same, or more harmful than a regular tobacco product?
Do you think a tobacco product that says it is organic is less harmful, about the same, or more harmful than a regular tobacco product?
CigSLTCigarEcig Tobacco Status (Indicator of current polytobacco use (including only Cigarettes, Smokeless, Cigar, and Ecig))
Electronic Cigarette Use (Composite of UsedECigEver and UseECigNow)
In the past 6 months, have you seen messages in newspapers or on television that say that a Federal Court has ordered tobacco companies to make statements about the dangers of smoking cigarettes?
Which of the following messages about the dangers of smoking cigarettes have you seen?
During the past 30 days, on how many days did you use e-cigarettes?
In the past 12 months, have you seen messages saying that a Federal Court has ordered tobacco companies to make statements about the dangers of smoking cigarettes? These messages have been in newspapers, on television, on tobacco company websites, and on cigarette packs.
Thinking about heated tobacco products, which of the following statements best applies to you?
To what extent would you support or oppose that just like with violence and sex, movies with cigarette smoking should be rated R to protect children and youth from seeing cigarette smoking in movies?
To what extent would you support or oppose that cigarette packs should be required to have warning labels that use both images and words to show the negative health effects of smoking?
To what extent would you support or oppose that stores should be required to keep tobacco products out of customers’ view at the checkout counter?
To what extent would you support or oppose that stores should be required to keep advertisements for tobacco products away from cash registers and out of windows?
To what extent would you support or oppose that tobacco products should not be advertised on social media?
In the past 3 months, how often, if at all, have you noticed the health warnings on cigarette packs?
During the past 3 months, have you noticed or heard any anti-tobacco messages (that is, messages that talk about the dangers of tobacco products or encourage quitting) in any of the following places? Mark all that apply.
During the past 3 months, have you noticed or heard tobacco products being advertised, marketed, or promoted in any of the following places? Mark all that apply.
Compared to smoking cigarettes, would you say that using e-cigarettes that contain nicotine is…?
Do you believe that any of the following tobacco products can help people quit smoking cigarettes?
In the past 6 months, have you seen messages saying that a Federal Court has ordered tobacco companies to make statements about the dangers of smoking cigarettes?
Based on the messages saying that a Federal Court has ordered tobacco companies to make statements about the dangers of smoking cigarettes that you saw, which of the following statements are true?
Have you ever used any of the following tobacco products, even one or two times?
Do you now use any of the following tobacco products every day or some days?