| YIR-100 [] | Section: Interviewer Remarks |
On a scale of 1 to 10, where 1 is uncooperative/uninformative, 5 is neutral and 10 is very cooperative and informative, rate the quality of the youth interview.
| | 1 1 UNCOOPERATIVE/UNINFORMATIVE |
| | 2 2 |
| | 3 3 |
| | 4 4 |
| | 5 5 NEUTRAL |
| | 6 6 |
| | 7 7 |
| | 8 8 |
| | 9 9 |
| | 10 10 VERY COOPERATIVE AND INFORMATIVE |
| YIR-200 [] | Section: Interviewer Remarks |
In general, what was the youth respondent's understanding of the questions?
| YIR-300 [] | Section: Interviewer Remarks |
Did the youth respondent have any special circumstances that affected his/her ability to answer any portion of the survey?
(SELECT ALL THAT APPLY.)
| | 1 hard of hearing? |
| | 2 unable to see well? |
| | 3 mentally handicapped or retarded? |
| | 4 command of English is poor? |
| | 5 unable to read? |
| | 6 physically handicapped? |
| | 7 under the influence of alcohol or drugs? |
| | 8 illness or injury? |
| | 9 environmental distractions? |
| | 11 lacking in basic social skills |
| | 10 other |
| | 0 none |
| YIR-400 [] | Section: Interviewer Remarks |
In general, how candid/honest was the youth respondent?
| | 1 Very candid/honest |
| | 2 Moderately candid/honest |
| | 3 Somewhat candid/honest |
| | 4 Not at all candid/honest |
| YIR-500 [] | Section: Interviewer Remarks |
Was the youth interview conducted in English or Spanish?
| YIR-600 [] | Section: Interviewer Remarks |
Was anyone else present during any portion of the youth interview, not just walking through the area where the interview was being administered, but listening in or taking part in the interview itself?
| YIR-700 [] | Section: Interviewer Remarks |
Who was present?
(SELECT ALL THAT APPLY.)
| | 1 Parent |
| | 2 Friend |
| | 3 Children |
| | 4 Other relative |
| | 5 Other |
| YIR-800 [] | Section: Interviewer Remarks |
Where was the youth interview conducted?
| | 1 Immediately outside the respondent's home, standing |
| | 2 Immediately outside the respondent's home, sitting |
| | 3 Inside the respondent's home |
| | 4 In the interviewer's car |
| | 5 At another location |
| YIR-900 [] | Section: Interviewer Remarks |
How well kept is the exterior of the housing unit where the youth respondent lives?
| | 1 Very well kept / cared for |
| | 2 Fairly well kept but some evidence of needed repairs |
| | 3 Poorly kept |
| YIR-1000 [] | Section: Interviewer Remarks |
How well kept is the interior of the home in which the youth respondent lives?
| | 1 Very well kept / cared for |
| | 2 Fairly well kept but some evidence of needed repairs |
| | 3 Poorly kept |
| | 4 Cannot determine |
| YIR-1100 [] | Section: Interviewer Remarks |
Does youth respondent live with adult respondent?
| YIR-1200 [] | Section: Interviewer Remarks |
How would you describe the immediate area or street (one block, both sides) where the youth respondent lives?
| | 1 Rural and agricultural |
| | 2 Rural and residential |
| | 3 Suburban, residential |
| | 4 Suburban, mixed residential and commercial |
| | 5 Urban, residential only |
| | 6 Urban, mixed residential and retail commercial properties |
| | 7 Urban, mixed residential and wholesale or manufacturing or industrial |
| | 8 Buildings used for churches, golf course, park, schools, cemetery |
| | 9 Vacant buildings / vacant lots |
| | 10 Other (specify) |
| YIR-1300 [] | Section: Interviewer Remarks |
What type of residence is most common on the street (one block, both sides) where the youth respondent lives?
| | 1 detached single-family house |
| | 2 mobile home / trailer |
| | 3 single-family row house or town house, with two or more units side by side |
| | 4 small single-family apartment or condominium, with at least three stories |
| | 5 large apartment complex |
| | 6 apartment attached to or above commercial structure |
| | 7 campus setting |
| | 8 other institutional setting |
| | 9 military barracks |
| | 10 other |
| YIR-1400 [] | Section: Interviewer Remarks |
How well kept are most of the buildings on the street where the youth resident lives?
| | 1 Very well kept / cared for |
| | 2 Fairly well kept but some evidence of needed repairs |
| | 3 Poorly kept |
| YIR-1500 [] | Section: Interviewer Remarks |
When you went to the your respondent's neighborhood/home, did you feel concerned for your safety?
| YIR-1600 [] | Section: Interviewer Remarks |
Did you have any problems conducting this interview?
| YIR-1700 [] | Section: Interviewer Remarks |
Describe the problem.
| YIR-1800 [] | Section: Interviewer Remarks |
INTERVIEWER: YOU HAVE COMPLETED THIS YOUTH INTERVIEW.
| Y-END [] | Section: Interviewer Remarks |
Your age makes you ineligible to be in our study. Thank you for your time.