SAS 6.12.00 WIN_95 4. 0 FORMATS È>ßÒAbô7O“LkB©/€À{ìÒA ¼¼€SYSRESR PGBITMAPFORMATC MONTHF ŒFORMAT _TOTINDXŒ¡FORMAT _SMOKER ¡FORMAT _RFHYPE Ü{FORMAT _RACEGR „ FORMAT _DRNKMO FORMAT _CHOLCHKpFORMAT _AGEGFMTx?FORMAT _AGEG5YRô>FORMAT _AGEG p>FORMAT _AGE75GRh=FORMAT _AGE65YRä<FORMAT _AGE50GRì=FORMAT YNGTEEN `<FORMAT YESNONVTÜ;FORMAT YESNONVRX;FORMAT YESNONE Ô:FORMAT YESNO P:FORMAT WTDIFF Ì9FORMAT WINDDOWNH9FORMAT WHYTEST Ä8FORMAT WHYPAP @8FORMAT WHYDONE ¼7FORMAT WHRSVCS 87FORMAT WHCARE ´6FORMAT WEIGHT 06FORMAT VISNLMTD¬5FORMAT USE (5FORMAT TYPEARTH¤4FORMAT TYPCOVX 4FORMAT TYPCOVR œ3FORMAT TYPCNTRL3FORMAT TOLDMORE”2FORMAT TIMES 2FORMAT TESTAIDSŒ1FORMAT SUPPLE 1FORMAT SUNSENS 0FORMAT SUNBLOCKxÏFORMAT STATUS ôÎFORMAT SPFNUM pÎFORMAT SMOKTESTìÍFORMAT SMOKNMLThÍFORMAT SMOKENUMäÌFORMAT SMOKEDAY`ÌFORMAT SMKWORK ÜËFORMAT SMKPUBLCXËFORMAT SMKPLACEÔÊFORMAT SMKDETECPÊFORMAT SEXZ ÌÉFORMAT SEXINTMNHÉFORMAT SEXFMT ÄÈFORMAT SEXAGEGP¼ÇFORMAT SEXAGE @ÈFORMAT SEX 8ÇFORMAT SERVINGS´ÆFORMAT SEATRF 0ÆFORMAT SEATBELT¬ÅFORMAT SEAT2RF (ÅFORMAT RSNNOCOV¤ÄFORMAT RSNNOBC ÄFORMAT RNSARMEDœÃFORMAT RMVTEETHÃFORMAT RFREGUL ”ÂFORMAT RFACTIV ÂFORMAT RF ŒÁFORMAT RENTHOMEÁFORMAT REASONS „ÀFORMAT REASDENTÀFORMAT RATECARExFORMAT RATE ô~FORMAT RACESD p~FORMAT RACEND ì}FORMAT RACEGRP h}FORMAT RACEAK ä|FORMAT RACE2FMT`|FORMAT PRSNFMT X{FORMAT PROCAGE ÔzFORMAT PRIMCAREPzFORMAT PREGAGE ÌyFORMAT PNEUMVA HyFORMAT PASTPLANÄxFORMAT PASTMENO@xFORMAT PASTCGAR¼wFORMAT PAPAGE 8wFORMAT PAP3CHK ´vFORMAT PAP2AGE 0vFORMAT PAINACTV¬uFORMAT NUMPHONS(uFORMAT NUMHHOLD¤tFORMAT NUMBURN „0FORMAT NUMBDOCT tFORMAT NUMATT œsFORMAT NOPRIMCRsFORMAT NFRIE ”rFORMAT NATTMPTSrFORMAT MTHFMT ŒqFORMAT MENOFMT qFORMAT MENOAGE „pFORMAT MCRELNGTpFORMAT MAYBE xÿFORMAT MARITAL ôþFORMAT MAMMAGE pþFORMAT MAMM5AGEìýFORMAT MAMM3AGEhýFORMAT MAMM2AGEäüFORMAT MAM2PRO `üFORMAT MAM1PRO ÜûFORMAT LSTPREG XûFORMAT LSTHHPREÔúFORMAT LONGLMTDPúFORMAT LONG ÌùFORMAT LASTUSEDHùFORMAT LASTSMOKÄøFORMAT LASTDENT@øFORMAT LASTCHNG¼÷FORMAT INSULIN 8÷FORMAT INSLNFRQ´öFORMAT INCOMEB 0öFORMAT INCOME ¬õFORMAT HOWSAFE (õFORMAT HOWOFTEN¤ôFORMAT HOWLONG ôFORMAT HOWLNG œóFORMAT HLTHSTATóFORMAT HLTHPROB”òFORMAT HLTHPLANòFORMAT HLTHPLA ŒñFORMAT HISPFMT ñFORMAT HISPANIC„ðFORMAT HELMETX ðFORMAT HADPAP xFORMAT GETAIDS ôŽFORMAT FRUTINDXpŽFORMAT FRTINDX ìFORMAT FLUSHOT hFORMAT FEWCAL äŒFORMAT FATCAT `ŒFORMAT FACILIT Ü‹FORMAT EYEEXAM X‹FORMAT EXERFMT ÔŠFORMAT EXERANYBPŠFORMAT EXERACT ̉FORMAT EXAM H‰FORMAT EMPLOYA ĈFORMAT EMPLOY @ˆFORMAT EDUCAIDS¼‡FORMAT EDUCA 8‡FORMAT DRADVICE´†FORMAT DOCTDIAB0†FORMAT DISTCARE¬…FORMAT DISPFMTX(…FORMAT DISPFMTH¤„FORMAT DISPFMT „FORMAT DISP2FMTœƒFORMAT DIETPILLƒFORMAT DIAFMT ”‚FORMAT DIABETES‚FORMAT DIABAGE ŒFORMAT CURADS FORMAT COUNSEL „€FORMAT CONEFF €FORMAT CONDUSE xFORMAT CONDLASTôFORMAT CHOLCHK ìFORMAT CHNGDOCThFORMAT CHLDCNT äFORMAT CHECK `FORMAT BURNTYPEÜFORMAT BSTLAGE XFORMAT BPTOLDHIPFORMAT BPTAKE ÔFORMAT BPHIGH ÌFORMAT BPCHECK HFORMAT BLDSUGAR@FORMAT BLDSTCHK¼FORMAT BLCKSIZEÄFORMAT BIRTHCNT8FORMAT BIKEHLMT´FORMAT BCCHK 0FORMAT BADHLTX ¬FORMAT ASPUNSAF(FORMAT AIDSAGE ¤FORMAT AGEGROUP FORMAT AGEGFMT œFORMAT AGE3FMT FORMAT AGE2FMT ”FORMAT ACTIV »/ ©žHH¬ž(°×è÷
úî±K OREPT DDˆúî±K\\FORMAT:MAXLEN=2,2,9 OREPT ”””úî±K\\FORMAT:MAXLEN=16,16,7 OREPT šššúî±K\\FORMAT:MAXLEN=16,16,15 OREPT œœœúî±K\\FORMAT:MAXLEN=16,16,14 OREPT ˆˆúî±K\\FORMAT:MAXLEN=16,16,7 OREPT (úî±K\\FORMAT:MAXLEN=16,16,7 OREPT ,,,úî±K\\FORMAT:MAXLEN=16,16,7 OREPT 888úî±K\\FORMAT:MAXLEN=16,16,24 OREPT :::úî±K\\FORMAT:MAXLEN=16,16,9 OREPT <�<�<�úî±K\\FORMAT:MAXLEN=16,16,9 OREPT (($úî±K\\FORMAT:MAXLEN=16,16,18 OREPT >>>úî±K\\FORMAT:MAXLEN=16,16,19 OREPT DDDúî±K\\FORMAT:MAXLEN=16,16,13 OREPT $ÀHúî±K\\FORMAT:MAXLEN=16,16,19 OREPT 0ÄÔúî±K\\FORMAT:MAXLEN=16,16,6 OREPT ...úî±K\\FORMAT:MAXLEN=16,16,22 OREPT jjjúî±K\\FORMAT:MAXLEN=16,16,7 OREPT JJJúî±K\\FORMAT:MAXLEN=16,16,8 OREPT 44@úî±K\\FORMAT:MAXLEN=16,16,12 OREPT AAAúî±K\\FORMAT:MAXLEN=16,16,7 OREPT HHIúî±K\\FORMAT:MAXLEN=16,16,38 OREPT @@Fúî±K\\FORMAT:MAXLEN=16,16,7 OREPT FF°úî±K\\FORMAT:MAXLEN=16,16,9 OREPT °°´úî±K\\FORMAT:MAXLEN=16,16,19 OREPT ¹¹Xúî±K\\FORMAT:MAXLEN=16,16,13 OREPT ½½^ûî±K\\FORMAT:MAXLEN=16,16,15 OREPT ´´Pûî±K\\FORMAT:MAXLEN=16,16,47 OREPT XX`ûî±K\\FORMAT:MAXLEN=16,16,23 OREPT j@@@0@0PBdÀ$ä\BLDSUGARff¦¾{ìÒA(ê-™—q=¨Ð(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(€€BŽhf~Òî½q—™-ê(ÀY@À[@ÀY?ÿÿÿÿºÀ[@F(À[€ÀhàÀ[ÿÿÿÿºÀhà#(Ài Ài@ÀiÿÿÿÿÝÀi@#(Ài`ÀiÀÀi_ÿÿÿÿÝÀiÀ#(ÀiàÀppÀißÿÿÿÿÝÀpp(Àp€Àr°ÀpÿÿÿÿîÀr°(ÀrÐÀrðÀrÏÿÿÿÿîÀrð(ÀsÀspÀrÿÿÿÿÿîÀsp(Às€ÀtÀsÿÿÿÿîÀt(Àt ÀxðÀtŸÿÿÿÿîÀxð(ÀyÀy°ÀyÿÿÿÿîÀy°(ÀyÀÀ{@Ày¿ÿÿÿÿîÀ{@(À{PÀ0À{OÿÿÿÿîÀ0(ÀˆHÀˆHÀˆGÿÿÿÿ÷ÀˆH (À‹ÀÀ‹ÀÀ‹¿ÿÿÿÿ÷À‹À (À8À8À7ÿÿÿÿ÷À8
DAILY OR MORE1-2 TIMES PER WEEK3-6 TIMES PER WEEK1-3 TIMES PER MONTH
< 1 PER (:\BIKEHLMT)\Ÿ¾{ìÒA(ê-™—q=x@(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(À À ÀÿÿÿÿûšÀ 3(À"À"À!ÿÿÿÿýÍÀ"3ALWAYS
NEARLY ALWAYS SOMETIMESSELDOM OR NEVERNEVER RIDES A BIKEUNK/REF,’\AIDSAGE áz”¾{ìÒA(ê-™—q=`È(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(À À"ÀÿÿÿÿûšÀ"3
18-24
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35-44
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25-34
35-44
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55-64UNK/REFÄ0Ô\BLCKSIZE𙩾{ìÒA(ê-™—q=@H(€€BŽhf~Òî½q—™-ê(¿ðÀ¿ïÿÿÿÿÜÑÀf(ÀÀ$ÀÿÿÿÿûšÀ$3(À&À.À%ÿÿÿÿýÍÀ.3(À0À4À/ÿÿÿÿýÍÀ4(À5À9À4ÿÿÿÿþçÀ9(À:À>À9ÿÿÿÿþçÀ>(À?ÀA€À>ÿÿÿÿþçÀA€(ÀBÀDÀAÿÿÿÿÿsÀD( ÀD€ÀF€ÀDÿÿÿÿsÀF€(
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>= 5 YEARS
NEVERUNK/REF8î\ASPUNSAFìQ˜¾{ìÒA(ê-™—q=X(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(€€BŽhf~Òî½q—™-ê(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3YES, NOT STOMACH RELATEDYES, STOMACH PROBLEMSNOUNK/REF:Ñ\BADHLTX …›¾{ìÒA( ê-™—q=@ (.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(€€BŽhf~Òî½q—™-ê(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀS@ÀS@ÀS?ÿÿÿÿºÀS@F(ÀXÀÀXÀÀX¿ÿÿÿÿºÀXÀF NONE
1 DAY >= 2 DAYSUNK/REF<�o\BCCHK …›¾{ìÒA( ê-™—q=0È (.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3
NO CHECK HAD CHECKUNK/REF>\BIRTHCNT)\Ÿ¾{ìÒA(ê-™—q=8È(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3YESNONOT SEXUALLY ACTIVEUNK/REF@X\CHECK …»¾{ìÒA( ê-™—q=ph(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(€€BŽhf~Òî½q—™-ê(¿ðÀ*¿ïÿÿÿÿÜÑÀ*3(À,À:À+ÿÿÿÿýÍÀ:(À;ÀC€À:ÿÿÿÿþçÀC€(ÀDÀJÀCÿÿÿÿÿsÀJ(ÀS@ÀS@ÀS?ÿÿÿÿºÀS@F(ÀVÀVÀUÿÿÿÿÿºÀVF(ÀXÀÀXÀÀX¿ÿÿÿÿºÀXÀF1 - 1314 - 2627 - 3940 - 52 NONEUNK/REFMISSINGD¹\BLDSTCHK\¢¾{ìÒA(
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2 YRS OR MOREWITHIN 2 YRS
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NOT HIGHUNK/REFL[\PASTPLAN\â¿{ìÒA( ê-™—q=ph(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(€€BŽhf~Òî½q—™-ê(¿ðÀ¿ïÿÿÿÿÜÑÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(À À ÀÿÿÿÿûšÀ 3(À"À"À!ÿÿÿÿýÍÀ"3 <= 1 YEAR1 TO 2 YEARS2 TO < 5 YEARS
>= 5 YEARS
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1 TO 6 MONTHS6 TO 12 MONTHS1 TO 2 YEARS AGO2 OR MORE YEARS AGOUNK/REFXÛ\CONDUSE š™É¾{ìÒA(ê-™—q=@(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(€€BŽhf~Òî½q—™-ê(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3YESNOWOULD GIVE OTHER ADVICEUNK/REFZ½\DISP2FMT®×¾{ìÒA(ê-™—q=X¸(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(À À ÀÿÿÿÿûšÀ 3(À"À"À!ÿÿÿÿýÍÀ"3( À$À$À#ÿÿÿÿýÍÀ$3(
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18-44
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FORMER SMOKERNEVER SMOKEDUNK/REFÿÿÿÿ„)Û\_TOTINDX×£€À{ìÒA(ê-™—q=pð(€€BŽhf~Òî½q—™-ê(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(À"À"À!ÿÿÿÿýÍÀ"3PHYSICALLY INACTIVE*IRREGULAR**
REGULAR***REGULAR & VIGOROUS****UNK/REFˆ)^\AGEGFMT ®G‘¾{ìÒA( ê-™—q=xh(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3
18-24
25-34
35-44
45-54
55-6465+UNK/REFMISSINGŒ)Û\_TOTINDX×£€À{ìÒA(ê-™—q=pð(€€BŽhf~Òî½q—™-ê(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(À"À"À!ÿÿÿÿýÍÀ"3PHYSICALLY INACTIVE*IRREGULAR**
REGULAR***REGULAR & VIGOROUS****UNK/REFŽ)H\SEXAGEGPHáÀ{ìÒA(ê-™—q=@ (À2À8À1ÿÿÿÿþçÀ8(À9ÀAÀ8ÿÿÿÿþçÀA(ÀA€ÀFÀAÿÿÿÿsÀF(ÀF€ÀH€ÀFÿÿÿÿsÀH€
18-24
25-34
35-44
45-49*`\AGEGROUPáz”¾{ìÒA( ê-™—q=€h(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3(À2À8À1ÿÿÿÿþçÀ8(À9ÀAÀ8ÿÿÿÿþçÀA(ÀA€ÀFÀAÿÿÿÿsÀF(ÀF€ÀKÀFÿÿÿÿsÀK(ÀK€ÀPÀKÿÿÿÿsÀPF(ÀP@ÀXÀÀP?ÿÿÿÿºÀXÀF
18-24
25-34
35-44
45-54
55-64
65 + UNK/REFMISSING”*c\ACTIV q=о{ìÒA(ê-™—q= È(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3YESNOUNK/REF–*Øÿÿÿ÷ÀˆH (À8À8À7ÿÿÿÿ÷À8 < 1 PER MONTH OR NEVER1-3 SERVINGS PER MONTH1-2 SERVINGS PER WEEK3-6 SERVINGS PER WEEK
DAILY OR MOREUNK/REF—*Y\SEXAGE HáÀ{ìÒA(ê-™—q=H (¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf18-49 & UNK/REF 50 +MISSINGINVALID AGEÿÿÿÿ™*Øš*\AGE2FMT ¤p¾{ìÒA(ê-™—q=8x(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ18-64 & UNK/REF 65 +MISSINGœ*\AGE3FMT ®G‘¾{ìÒA(ê-™—q=8x(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ40 + & UNK/REF
18-39MISSINGž*\SEXFMT R¸À{ìÒA(ê-™—q=0x(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ MALEFEMALEMISSINGxx€ï±K\\FORMAT:MAXLEN=16,16,13 OREPT ~~~ï±K\\FORMAT:MAXLEN=16,16,19 OREPT €€„ï±K\\FORMAT:MAXLEN=16,16,28 OREPT ŒŒŒï±K\\FORMAT:MAXLEN=16,16,22 OREPT 55-64
65-74
75 + UNK/REF”*\_AGEG )\ïÈ>ßÒA(ê-™—q=(x(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ
18-34
35-5455+–*÷\_AGEG5YR)\ïÈ>ßÒA(ê-™—q=p(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(À À"ÀÿÿÿÿûšÀ"3(À$À*À#ÿÿÿÿýÍÀ*3(À,À,À+ÿÿÿÿýÍÀ,3
18-24
25-34
35-44
45-54
55-64 65 +UNK/REFš*\_AGEGFMT)\ïÈ>ßÒA(ê-™—q= à(€€BŽhf~Òî½q—™-ê(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(À À ÀÿÿÿÿûšÀ 3( À"À"À!ÿÿÿÿýÍÀ"3(
À$À$À#ÿÿÿÿýÍÀ$3(À&À&À%ÿÿÿÿýÍÀ&318+
18-24
25-34
35-44
45-54
55-6465+
18-34
35-5455+
18-4445+ÿÿÿÿž*°,Œ\CHNGDOCTR¸¾¾{ìÒA( ê-™—q=˜h(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(À À ÀÿÿÿÿûšÀ 3(À"À"À!ÿÿÿÿýÍÀ"31 TO 12 MONTHS AGO1 TO 2 YEARS AGO2 TO 3 YEARS AGO3 TO 5 YEARS AGO5 OR MORE YEARS AGO
NEVERUNK/REF´,?\CONDLASTž{ìÒA///ê-™—q=°/(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3TO PREVENT PREGNANCY4/TO PREVENT DISEASES LIKE SYPHILIS,AIDS, AND ETC$FOR BOTH PREGNANCY AND DISEASESFOR SOME OTHER REASONUNK/REFÿÿÿÿ¸,Ïÿÿÿ÷ÀˆH (À8À8À7ÿÿÿÿ÷À8 < 1 PER MONTH OR NEVER1-3 TIMES PER MONTH1-2 TIMES PER WEEK3-6 TIMES PER WEEK
DAILY OR MOREUNK/REF¹,¹\CHOLCHK R¸¾¾{ìÒA(
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(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3
5 YRS OR MOREWITHIN 5 YRS
NEVER CHECKEDUNK/REF»,\SEXZ …ë!À{ìÒA(ê-™—q=0x(€€BŽhf~Òî½q—™-ê(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ
TOTAL MALEFEMALE½,µ\_CHOLCHK\¾{ìÒA(ê-™—q=Pð(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3WITHIN 5 YEARS5 OR MORE YEARS
NEVERUNK/REFÿÿÿÿ¿,ÊÀ-4MONTH
NEVERUNK/REFMISSINGÁ-…\SMKPLACEÂ%À{ìÒA(ê-™—q=@È(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3 ALL AREAS
SOME AREASNOT ALLOWEDUNK/REFÿÿÿÿÃ-4Ä-,ÿÿÿºÀYF01-5 6-10
11-15
16-20
21-25
26-30
31-35
36-40
41-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
81-85
86-90
91-9596-100ÿÿÿÿÆ-,È-Ïÿÿÿ÷ÀˆH (À8À8À7ÿÿÿÿ÷À8 < 1 PER MONTH OR NEVER1-3 TIMES PER MONTH1-2 TIMES PER WEEK3-6 TIMES PER WEEK
DAILY OR MOREUNK/REFÉ-þ\SMKWORK Ãõ(À{ìÒA(ê-™—q=ð(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3"NOT ALLOWED IN ANY WORK AREASALLOWED IN SOME WORK AREASALLOWED IN ALL WORK AREASNO OFFICIAL POLICYUNK/REFÿÿÿÿÍ-ÏÿÿÿÿÐ.¼ÿÿÿºÀXÀFHOSPITALIZATIONHEALTH INSURANCELIFE INSURANCE
EMPLOYMENTMARRIAGE LICENSEMILITARY INDUCTION/SERVICEIMMIGRATIONTO SEE IF INFECTEDREFERRED BY DR.PREGNANCY TESTREFERRED BY SEX PARTNERBLOOD DONATION PROCESSROUTINE CHECKUPOCCUPATIONAL EXPOSUREILLNESSAT RISK FOR HIV
OTHERUNK/REFÒ.ÊHEART PROBLEMSTROKE PROBLEM% HYPERTENSION/HIGH BLOOD PRESSURE
DIABETESCANCER&!DEPRESSION/ANXIETY/EMOTIONAL PROBOTHER IMPAIRMENT/PROBLEMUNK/REFÿÿÿÿÓ.ÊÿÿÿÿÖ.¼Ø.åÿÿþçÀ3(ÀS@ÀS@ÀS?ÿÿÿÿºÀS@F(ÀUÀÀUÀÀU¿ÿÿÿÿºÀUÀF(ÀXÀÀXÀÀX¿ÿÿÿÿºÀXÀFPRIVATE DR. OR HMO(#BLOOD BANK, PLASMA CTR OR RED CROSSHEALTH DEPTAIDS CLINIC OR TEST SITEHOSPITAL OR EMERG ROOMFAMILY PLANNING CLINIC$PRENATAL CLINIC OR OBGYN OFFICETUBERCULOSIS CLINIC
STD CLINICCOMM HEALTH CLINICCOMPANY OR INDUSTRY CLINICINSURANCE CO. CLINICOTHER PUBLIC CLINICDRUG TREATMENT CLINIC
MILITARY SITEIMMIGRATION SITE"AT HOME, NURSE OR HLTH WORKERAT HOME, SELF-TESTING KITIN JAIL OR PRISON
OTHERUNK/REFÜ.«MPORARY EMPLOYEEBENEFITS RAN OUTCOULD NOT AFFORD PREMIUMS'"INSURANCE COMPANY REFUSED COVERAGE
LOST MEDICAID
OTHERUNK/REFÿÿÿÿÝ.«à/¼ÿÿÿºÀXÀFHOSPITALIZATIONHEALTH INSURANCELIFE INSURANCE
EMPLOYMENTMARRIAGE LICENSEMILITARY INDUCTION/SERVICEIMMIGRATIONTO SEE IF INFECTEDREFERRED BY DR.PREGNANCY TESTREFERRED BY SEX PARTNERBLOOD DONATION PROCESSROUTINE CHECKUPOCCUPATIONAL EXPOSUREILLNESSAT RISK FOR HIV
OTHERUNK/REFÿÿÿÿâ/¼ÿÿÿÿä/Øÿÿÿÿå/4\SMKDETECq=ê"3ãÒA(ê-™—q=x@(.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ.ÿÿÿÿÿ(¿ðÀ¿ïÿÿÿÿÜÑÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"30 - 6 MONTHS6 -12 MONTHS
1+ YEARS
NEVERNO SMOKE DETECTORSUNK/REFÿÿÿÿé/\SMKPUBLCff#3ãÒA(ê-™—q=˜ð(¿ð¿ð¿ïÿÿÿÿÜÑ¿ð˜(ÀÀ¿ÿÿÿÿÿîhÀÌ(ÀÀÀÿÿÿÿ÷4ÀÌ(ÀÀÀÿÿÿÿ÷4Àf(ÀÀÀÿÿÿÿûšÀf(À"À"À!ÿÿÿÿýÍÀ"3$NOT ALLOWED IN ANY PUBLIC AREAS!ALLOWED IN SOME PUBLIC AREAS ALLOWED IN ALL PUBLIC AREASNO OFFICIAL POLICYUNK/REFÿÿÿÿÞ.ÿÿÿÿÏ-