Questionnaire Text

2017 ACS
2016 ACS
2015 ACS
2014 ACS
2013 ACS
2012 ACS
2011 ACS
2010 ACS
2009 ACS
2008 ACS
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2017 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
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16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2016 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
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16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2015 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2014 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2013 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2012 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2011 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2010 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2009 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


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2008 ACS
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16. Is this person CURRENTLY covered by any of the following types of health insurance or health coverage plans? Mark "Yes" or "No" for EACH type of coverage in items a - h.

g) Indian Health Service
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

15. Mark the "Yes" or "No" box for each part of question 15. Mark "Yes" if this person currently has the type of health insurance or health coverage plans listed. Mark "No" if this person does not have the type of health insurance or health coverage plans listed.

These categories include health insurance obtained through a job, an insurance company, or government health care plans such as Medicaid, Medicare, VA, and military health programs.

If the person reports any other type of coverage plan in 15h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.