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That's all the survey questions I have, but now I need to get some information to help us contact you in the future. And again, this information, like your responses to all questions in the interview, is confidential.
I have your home address as [street address line 1] [street address line 2] [city] [state] [zip code]. Is that correct?
What is your current home address?
Is your mailing address the same as your home address?
What is your mailing address?
([phone number]= " -4"); /* R's phone number is missing from DLI */
We have your home telephone number as [phone number]. Is this correct?
Is there a telephone at your house?
What is your correct telephone number, including area code?
Is this telephone number listed in your name? (INTERVIEWER: IS TELEPHONE LISTED IN MOTHER'S OR FATHER'S NAME AND R RESIDES IN SAME HOUSEHOLD)
In whose name is the telephone number listed?
Is there another telephone number at your home?
What is that telephone number?
In whose name is that number listed?
Do you have an e-mail address or a cell phone, pager, or FAX number where you can be reached?
What is that address?
([R is currently employed]=1); /* R is currently employed */
May we contact you at work if we are unable to locate you in the future?
What is your company''s name, address, and telephone number at work?
What is your telephone number at work?
Do you expect to move within the next year?
Where?
When do you think you might move?
In case we have difficulty getting in touch with you in the future, it would be helpful if we had some information about how to contact people who will always know your whereabouts.
([R's biological mother is alive]=1); /* R's biological mother is living */
We have the following information listed for your mother. Is this information complete and correct? INTERVIEWER: SHOW THE RESPONDENT THE INFORMATION ON THE SCREEN BELOW.First name: [mother's first name] Middle name: [mother's middle name] Last name: [mother's last name] Nickname: [mother's nickname]Street address line 1: [address]Street address line 2: [address]Apartment: [apt. number]City: [city] State: [state] Zip: [zip] State/Province: [state/province] Postal Code: [post code]Country: [country]Home Phone: [home phone number]Work Phone: [work phone number]Cell Phone: [cell phone number]Fax: [fax number]E-Mail 1: [email address]E-Mail 2: [email address]
INTERVIEWER: INSERT THE CORRECT AND/OR COMPLETE INFORMATION FOR MOTHER BELOW AND ON THE FOLLOWING SCREEN.
INTERVIEWER: INSERT THE CORRECT AND/OR COMPLETE INFORMATION FOR MOTHER BELOW.
([R's biological father is alive]=1); /* R's biological father is living */
We have the following information listed for your father. Is this information complete and correct? INTERVIEWER: SHOW THE RESPONDENT THE INFORMATION ON THE SCREEN BELOW.First name: [father's first name] Middle name: [father's middle name] Last name: [father's last name] Nickname: [father's nickname]Street address line 1: [address]Street address line 2: [address]Apartment: [apt. number]City: [city] State: [state] Zip: [zip] State/Province: [state/province] Postal Code: [post code]Country: [country]Home Phone: [phone number]Work Phone: [work phone number]Cell Phone: [cell phone number]Fax: [fax number]E-Mail 1: [email address]E-Mail 2: [email address]
INTERVIEWER: INSERT THE CORRECT AND/OR COMPLETE INFORMATION FOR FATHER BELOW AND ON THE FOLLOWING SCREEN.
INTERVIEWER: INSERT THE CORRECT AND/OR COMPLETE INFORMATION FOR FATHER BELOW.
([this is a good contact]=1); /* we have contact information for person 1 */
We have [first name] [last name] listed as someone who will always know your whereabouts and would be able to contact you in case we have difficulty getting in touch with you in the future. Would this person still be able to contact you?
([this is a good contact]=1); /* we have contact information for person 2 */
([this is a good contact]=1); /* we have contact information for person 3 */
([good contact reference]=1); /* contact 1 is still a good contact person */
We have the following information listed for [first name] [last name]. Is this information complete and correct? INTERVIEWER: SHOW THE RESPONDENT THE INFORMATION ON THE SCREEN BELOW.First name: [first name] Middle name: [middle name] Last name: [last name] Nickname: [nickname]Relationship: [relationship to R]Street address line 1: [address line 1]Street address line 2: [address line 2]Apartment: [apartment #]City: [city] State: [state] Zip: [zip code] State/Province: [state/province] Postal Code: [post code]Country: [country]Home Phone: [home phone #]Work Phone: [work phone #]Cell Phone: [cell phone #]Fax: [fax number]E-Mail 1: [email address]E-Mail 2: [email address]
INTERVIEWER: INSERT THE CORRECT AND/OR COMPLETE INFORMATION FOR [first name] [last name] BELOW AND ON THE FOLLOWING SCREEN.
INTERVIEWER: INSERT THE CORRECT AND/OR COMPLETE INFORMATION FOR [first name] [last name] BELOW.
([good contact reference]=1); /* contact 2 is still a good contact person */
([good contact reference]=1); /* contact 3 is still a good contact person */
We have the following information listed for [first name] [last name]. Is this information complete and correct? INTERVIEWER: SHOW THE RESPONDENT THE INFORMATION ON THE SCREEN BELOW.First name: [first name] Middle name: [middle name] Last name: [last name] Nickname: [nickname]Relationship: [relationship to R]Street address line 1: [address line 1]Street address line 2: [address line 1]Apartment: [apartment number]City: [city] State: [state] Zip: [zip code] State/Province: [state/province] Postal Code: [post code]Country: [country]Home Phone: [home phone #]Work Phone: [work phone #]Cell Phone: [cell phone #]Fax: [fax number]E-Mail 1: [email address]E-Mail 2: [email address]
([good contact reference] + [good contact reference] + [good contact reference]) ;
In case we have difficulty getting in touch with you in the future, could you give me the name, address, telephone number, FAX number, and e-mail address of three people who will always know your whereabouts? Please give me information for someone who does not live with you and is not your parent.
What is the name, address, phone number, FAX number, and e-mail address of the first person who would be able to contact you? INTERVIEWER: INSERT THIS INFORMATION BELOW AND ON THE FOLLOWING SCREEN.
INTERVIEWER: INSERT THE INFORMATION BELOW.
What is [first name]'s relationship to you?
What is the name, address, phone number, FAX number, and e-mail address of the second person who would be able to contact you? INTERVIEWER: INSERT THIS INFORMATION BELOW AND ON THE FOLLOWING SCREEN.
What is the name, address, phone number, FAX number, and e-mail address of the third person who would be able to contact you? INTERVIEWER: INSERT THIS INFORMATION BELOW AND ON THE FOLLOWING SCREEN.
And who else will always know your whereabouts? Please tell me about another person who doesn't live with you but might help us get in touch with you in the future. INTERVIEWER: PROBE FOR A LOCATING CONTACT WHO DOES NOT LIVE WITH THE FIRST LOCATING CONTACT OR WITH R.
What is the name, address, phone number, FAX number, and e-mail address of this person who would be able to contact you?INTERVIEWER: INSERT THIS INFORMATION BELOW AND ON THE FOLLOWING SCREEN.
What is the name, address, phone number, FAX number, and e-mail address of this person who would be able to contact you? INTERVIEWER: INSERT THIS INFORMATION BELOW AND ON THE FOLLOWING SCREEN.
Now I would like to make sure that we have the correct spelling of your name. Is this how you spell your name? INTERVIEWER: SPELL NAME TO THE RESPONDENT. IF SPELLING IS INCORRECT, CORRECT THE SPELLING ON THIS SCREEN.
Do you have a nickname, streetname, or some name other than your legal one by which most of your friends, neighbors, or relatives know you?
What is your nickname?
May we have your Social Security Number? We often find it useful when trying to locate people for their next interview.
Do you have a driver's license?
What is your driver''s license number?
Thank you for providing all of this information. You have been very helpful.