Q13-1 [R43961.00] | Section: Interviewer Remarks |
INTERVIEWER: WHAT IS RESPONDENT'S RACE?
| 1 White |
| 2 Black |
| 3 Other |
| -2 DK |
| -1 REFUSAL |
Q13-2 [R43962.00] | Section: Interviewer Remarks |
INTERVIEWER: WHAT IS RESPONDENT'S GENDER?
| 1 Male |
| 2 Female |
| -2 DK |
| -1 REFUSAL |
Q13-3 [R43963.00] | Section: Interviewer Remarks |
INTERVIEWER: IN WHAT LANGUAGE WAS THIS INTERVIEW CONDUCTED?
| 1 English |
| 2 Spanish |
| 3 Other (SPECIFY) |
| -2 DK |
| -1 REFUSAL |
Q13-4 [R43964.00] | Section: Interviewer Remarks |
INTERVIEWER: IN GENERAL, WHAT WAS THE RESPONDENT'S ATTITUDE TOWARD THE
INTERVIEW?
| 1 Friendly and interested |
| 2 Cooperative but not particularly interested |
| 3 Impatient and restless |
| 4 Hostile |
| -2 DK |
| -1 REFUSAL |
Q13-5 [R43965.00] | Section: Interviewer Remarks |
INTERVIEWER: IN GENERAL, WAS THE RESPONDENT'S UNDERSTANDING OF THE
QUESTIONS GOOD, FAIR OR POOR?
| 1 Good? |
| 2 Fair? |
| 3 Poor? |
| -2 DK |
| -1 REFUSAL |
Q13-6 [R43966.00] | Section: Interviewer Remarks |
INTERVIEWER: WAS ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 AND
UNDER) DURING ANY PORTION OF THE INTERVIEW?
| 1 YES ...(Go To Q13-6A) |
| 0 NO |
| 2 TELEPHONE INTERVIEW |
| -2 DK |
| -1 REFUSAL |
Q13-6A [R43967.00] | Section: Interviewer Remarks |
INTERVIEWER: WHO WAS PRESENT?
(CODE ALL THAT APPLY)
| 5 Spouse/partner |
| 1 R's parent(s) |
| 2 Other member(s) of R's household |
| 3 R's friend(s) |
| 4 Other (SPECIFY) |
| -2 DK |
| -1 REFUSAL |
Q13-7 [R43974.00] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE LIST QUESTIONS THAT CONFUSED, ANGERED, OR CAUSED
DISCOMFORT TO THE RESPONDENT OR QUESTIONS THAT YOU FEEL THE
RESPONDENT DID NOT ANSWER TRUTHFULLY.
| 1 SELECT TO ENTER QUESTION |
| 0 NO QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q13-8) |
| -2 DK |
| -1 REFUSAL |
Q13-7A [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF FIRST QUESTION THAT
CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION OR
QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
Q13-7B [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN
Q13-7A. PRESS <PG-UP> TO REVIEW Q13-7A.
Q13-7C [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS THAT CONFUSED, ANGERED, OR
CAUSED DISCOMFORT TO THE RESPONDENT OR QUESTIONS THAT YOU
FEEL THE RESPONDENT DID NOT ANSWER TRUTHFULLY?
| 1 SELECT TO ENTER QUESTION |
| 0 NO OTHER QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q13-8) |
| -2 DK |
| -1 REFUSAL |
Q13-7D [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT
CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION AND
QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
Q13-7E [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN
Q13-7D. PRESS <PG-UP> TO REVIEW Q13-7D.
Q13-7F [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS THAT CONFUSED, ANGERED, OR
CAUSED DISCOMFORT TO THE RESPONDENT OR QUESTIONS THAT YOU
FEEL THE RESPONDENT DID NOT ANSWER TRUTHFULLY?
| 1 SELECT TO ENTER QUESTION |
| 0 NO OTHER QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q13-8) |
| -2 DK |
| -1 REFUSAL |
Q13-7G [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT
CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION AND
QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
Q13-7H [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN
Q13-7G. PRESS <PG-UP> TO REVIEW Q13-7G.
Q13-8 [R43975.00] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE LIST QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE
CONFUSING TO YOU, OR QUESTIONS THAT OTHERWISE DID NOT WORK.
| 1 SELECT TO ENTER QUESTION |
| 0 NO QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q13-9) |
| -2 DK |
| -1 REFUSAL |
Q13-8A [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF FIRST QUESTION THAT
CAUSED INTERVIEWER PROBLEMS. IF DON'T KNOW SECTION OR
QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
Q13-8B [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN
Q13-8A. PRESS <PG-UP> TO REVIEW Q13-8A.
Q13-8C [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS WITH SKIP ERRORS, QUESTIONS
THAT WERE CONFUSING TO YOU, OR QUESTIONS THAT OTHERWISE DID
NOT WORK?
| 1 SELECT TO ENTER QUESTION |
| 0 NO OTHER QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q13-9) |
| -2 DK |
| -1 REFUSAL |
Q13-8D [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT
CAUSED INTERVIEWER PROBLEMS. IF DON'T KNOW SECTION OR
QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
Q13-8E [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN
Q13-8D. PRESS <PG-UP> TO REVIEW Q13-8D.
Q13-8F [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS WITH SKIP ERRORS, QUESTIONS
THAT WERE CONFUSING TO YOU, OR QUESTIONS THAT OTHERWISE DID
NOT WORK?
| 1 SELECT TO ENTER QUESTION |
| 0 NO OTHER QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q13-9) |
| -2 DK |
| -1 REFUSAL |
Q13-8G [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT
CAUSED INTERVIEWER PROBLEMS. IF DON'T KNOW SECTION OR
QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
Q13-8H [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN
Q13-8G. PRESS <PG-UP> TO REVIEW Q13-8G.
Q13-9 [R43976.00] | Section: Interviewer Remarks |
INTERVIEWER: DID THE RESPONDENT HAVE ANY OF THE SPECIAL CHARACTERISTICS
THAT COULD AFFECT [HISR/HERR] ABILITY TO ANSWER ANY PORTION
OF THIS QUESTIONNAIRE?
| 1 YES ...(Go To Q13-9A) |
| 0 NO |
| -2 DK |
| -1 REFUSAL |
Q13-9A [R43977.05] | Section: Interviewer Remarks |
INTERVIEWER: WHICH CHARACTERISTIC(S) DID THE RESPONDENT HAVE?
(CODE ALL THAT APPLY)
| 1 Respondent deaf |
| 2 Respondent blind |
| 3 Respondent mentally handicapped or retarded |
| 4 Respondent's English is very poor |
| 5 Respondent cannot read |
| 6 Respondent physically handicapped (SPECIFY HANDICAP) |
| 7 Other (SPECIFY) |
| -2 DK |
| -1 REFUSAL |
Q13-10 [] | Section: Interviewer Remarks |
INTERVIEWER: IN GENERAL, WHAT WAS THE RESPONDENT'S ATTITUDE ABOUT THE
USE OF A COMPUTER IN THE INTERVIEW? PLEASE DESCRIBE BELOW.
IF RESPONDENT HAD NO NOTICEABLE REACTION, ENTER "NONE"
AND PRESS <ENTER> TO CONTINUE.
Q13-11 [R43986.00] | Section: Interviewer Remarks |
INTERVIEWER: HAVE YOU INTERVIEWED THIS RESPONDENT IN PRIOR YEARS?
| 1 YES ...(Go To Q13-11A) |
| 0 NO |
| -2 DK |
| -1 REFUSAL |
Q13-11A [R43987.00] | Section: Interviewer Remarks |
INTERVIEWER: WAS THERE ANY DIFFERENCE IN THIS RESPONDENT'S ATTITUDE TOWARD
THIS YEAR'S SURVEY AND PRIOR SURVEYS, BECAUSE A COMPUTER WAS
BEING USED THIS YEAR?
| 1 YES ...(Go To Q13-11B) |
| 0 NO |
| -2 DK |
| -1 REFUSAL |
Q13-11B [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE DESCRIBE ANY DIFFERENCE YOU NOTICED IN THIS
RESPONDENT'S ATTITUDE TOWARD THIS YEAR'S SURVEY AND PRIOR
SURVEYS, BECAUSE A COMPUTER WAS BEING USED THIS YEAR.
Q13-12 [R43988.00] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER YOUR INTERVIEWER ID#.