COMPLETED-INT [R64333.00] | Section: Y18 NIRS |
INTERVIEWER: DID YOU COMPLETE AN INTERVIEW WITH THIS RESPONDENT?
| 1 YES - INTERVIEWER COMPLETED |
| 2 NO - CASE WAS NOT COMPLETED ...(Go To NIR-CAUTION) |
NIR-CAUTION [] | Section: Y18 NIRS |
INTERVIEWER: YOU CANNOT ENTER A NON-INTERVIEW REPORT UNLESS YOUR FIELD MANAGER PROVIDES YOU WITH THE CASE-SPECIFIC NIR PASSWORD.
| 1 SELECT TO ENTER NIR PASSWORD ...(Go To NIR-PASSWORD1) |
| 2 SELECT IF NO NIR PASSWORD PROVIDED |
NIR-CAUTION2 [] | Section: Y18 NIRS |
INTERVIEWER: CALL YOUR FIELD MANAGER AND SEEK PERMISSION TO CREATE AN NIR FOR THIS CASE. IF SHE GIVES YOU PERMISSION, SHE WILL ALSO PROVIDE YOU WITH THE PASSWORD.
NIR-PASSWORD1 [] | Section: Y18 NIRS |
INTERVIEWER: PLEASE ENTER THE NIR PASSWORD FOR THIS CASE.
NIR-PASSWORD2 [] | Section: Y18 NIRS |
([correct NIR password] = [NIR password actually entered])
COMMENT: DOES THE NIR PASSWORD ENTERED FOR THIS CASE, MATCH THE CORRECT PASSWORD ON THE INFORMATION SHEET?
| 1 CONDITION APPLIES ...(Go To NIR-INTRO) |
| 0 CONDITION DOES NOT APPLY |
NIR-PASSWORD3 [] | Section: Y18 NIRS |
INTERVIEWER: THE NIR PASSWORD YOU HAVE ENTERED IS INCORRECT. PLEASE BACK UP AND TRY AGAIN, OR CONTACT YOUR FIELD MANAGER TO VERIFY THE PASSWORD FOR THIS CASE.
NIR-INTRO [] | Section: Y18 NIRS |
The following questions should only be answered if you have cleared the final disposition code with your Field Manager. IF YOU HAVE NOT CLEARED A FINAL DISPOSITION (NIR) CODE WITH YOUR FIELD MANAGER YOU MUST DO SO IN ORDER TO CONTINUE.
CASEID: [NORC id number]
RESPONDENT NAME: [r's first name] [r's middle name] [r's last name]
NIRDATE: [1998 int (current) date]
NIR-1 [] | Section: Y18 NIRS |
MAIN DISPOSITION CODES
FINAL: NOT INTERVIEWED
(With Field Manager approval)
| 92 DECEASED ...(Go To NIR-2) |
| 93 UNABLE TO LOCATE RESPONDENT ...(Go To NIR-3) |
| 95 REFUSAL/BREAKOFF |
| 98 HOSTILE REFUSAL/BREAKOFF (ASSIGNED BY FM ONLY) |
| 99 OTHER (ILLNESS,ETC.) ...(Go To NIR-4) |
NIR-2 [] | Section: Y18 NIRS |
How was the information acquired?
| 1 FAMILY MEMBER OR RELATIVE |
| 2 OBITUARY |
| 3 NONRELATIVE MEMBER OF HOUSEHOLD |
| 4 OTHER INFORMANT (SPECIFY) |
NIR-2A [] | Section: Y18 NIRS |
DECEASED CODING:
What was the date of death?
NIR-2B [] | Section: Y18 NIRS |
CAUSE OF DEATH:
Please select the cause of death from the following:
| 1 HEART DISEASE |
| 2 CANCER |
| 3 STROKE |
| 4 ACCIDENT, INDUSTRIAL |
| 5 ACCIDENT, OTHER |
| 6 DIABETES |
| 7 EMPHYSEMA, BRONCHITIS, ASTHMA |
| 8 HOMOCIDE |
| 9 SUICIDE |
| 10 UNKNOWN |
| 11 OTHER (SPECIFY) |
NIR-3 [] | Section: Y18 NIRS |
COULD NOT LOCATE CODE:
Which of the following steps were taken to locate the respondent?
(MARK ALL THAT APPLY)
| 1 TALKED TO ALL LOCATOR REFS |
| 2 WENT TO POST OFFICE |
| 3 CALLED DIRECTORY ASSISTANCE |
| 4 VISITED LAST KNOWN NEIGHBORHOOD |
| 5 CBI |
| 6 TRW |
| 7 TRANSUNION |
| 8 WORLD WIDE LOCATOR (Internet Search) |
| 9 WELFARE OFFICE |
| 10 STATE CORRECTIONAL SYSTEM |
| 11 VOTER REGISTRATION |
| 12 DMV |
| 13 CONTACTED FIRST DEGREE RELATIVE (e.g. parents) |
| 14 CONTACTED OTHER PERSONAL RELATION |
| 15 OTHER (SPECIFY) |
NIR-4 [] | Section: Y18 NIRS |
OTHER REASON FOR NIR:
What other reason is there for NIR?
(INTERVIEWER: ENTER VERBATIM EXPLANATION)
NIR-4A [] | Section: Y18 NIRS |
([NIR-1] = 99)
COMMENT: Reason for non-interview coded as 99 in NIR-1?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To NIR-9) |
NIR-5 [] | Section: Y18 NIRS |
OTHER DISPOSITION VERBATIM:
Describe the efforts undertaken to complete this case.
NIR-8A [] | Section: Y18 NIRS |
TYPE OF REFUSAL:
| 1 FIRM REFUSAL, NOT HOSTILE |
| 2 HOSTILE REFUSAL (SPECIFY) |
NIR-8B1 [] | Section: Y18 NIRS |
REFUSAL DUE TO GATEKEEPER:
Was this refusal due to the decision of a.....
PARENT?
NIR-8B2 [] | Section: Y18 NIRS |
(REFUSAL DUE TO GATEKEEPER:
Was this refusal due to the decision of a.....)
SPOUSE?
NIR-8B3 [] | Section: Y18 NIRS |
(REFUSAL DUE TO GATEKEEPER:
Was this refusal due to the decision of a.....)
PARTNER?
NIR-9 [] | Section: Y18 NIRS |
TYPE OF PERSONAL CONTACT:
(MARK ALL THAT APPLY)
The first personal contact with the informant/R was:
| 1 FACE-TO-FACE WITH R |
| 2 BY INTERCOM OR TELEPHONE WITH R |
| 3 OTHER TELEPHONE WITH R |
| 4 FACE-TO-FACE WITH INFORMANT |
| 5 BY INTERCOM OR TELEPHONE WITH INFORMANT |
| 6 OTHER TELEPHONE WITH INFORMANT |
| 7 OTHER (SPECIFY) |
NIR-11 [] | Section: Y18 NIRS |
QUESTIONS ABOUT THE SURVEY
DID THE INFORMANT/R ASK ANY OF THE FOLLOWING QUESTIONS?
(MARK ALL THAT APPLY)
| 1 HOW LONG WILL THE INTERVIEW TAKE |
| 2 WHO WILL SEE THE ANSWERS, PRIVACY QUESTIONS |
| 3 CAN I GET A COPY OF THE RESULTS? |
| 4 OTHER INFORMATIONAL QUESTION OR EXPRESSION OF INTEREST (SPECIFY) |
| 5 DO I HAVE TO CONTINUE TO PARTICIPATE? |
| 6 OTHER TYPE OF QUESTION (SPECIFY) |
| 7 NO QUESTIONS ASKED |
NIR-11A [] | Section: Y18 NIRS |
INLIST ([NIR-11],4)
COMMENT: Other informational question or expression of interest from respondent/informant reported in NIR-11?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To NIR-13) |
NIR-12 [] | Section: Y18 NIRS |
OTHER QUESTIONS ON SURVEY:
What other questions about the survey did informant/R ask?
(INTERVIEWER: PLEASE SPECIFY)
NIR-13 [] | Section: Y18 NIRS |
INFORMANT/R COMMENTS:
Did the informant/R make any of the following comments?
(MARK ALL THAT APPLY)
| 1 I'M TOO BUSY/DON'T HAVE TIME/SURVEY TOO LONG |
| 2 I DON'T LIKE TO DO SURVEYS |
| 3 I DON'T KNOW ANYTHING ABOUT THIS |
| 4 I AM NOT THE SORT OF PERSON YOU WANT |
| 5 I'M NOT INTERESTED |
| 6 THIS IS ALL TOO PERSONAL |
| 7 SURVEY A WASTE OF MONEY |
| 8 GOVERNMENT HAS NO BUSINESS DOING THIS |
| 9 GOVERNMENT ALREADY KNOWS ALL THIS |
| 10 DON'T WANT MY CHILDREN BOTHERED/INTERVIEWED |
| 11 LET ME THINK ABOUT IT |
| 12 OTHER NEGATIVE COMMENT OR DELAY (SPECIFY) |
| 13 I DO NOT WANT TO PARTICIPATE ANY LONGER |
| 14 I AGREED TO DO THIS FOR ONLY (AMOUNT OF TIME) - THIS HAS BEEN MUCH LONGER |
| 15 COMMENT REGARDING MONETARY REMUNERATION FOR SURVEY COMPLETION |
| 16 I WILL ONLY DO THE SURVEY IF ADMINISTERED BY A PARTICULAR INTERVIEWER |
| 17 I WILL NOT PARTICIPATE BECAUSE I WAS INSULTED/WRONGED BY AN INTERVIEWER |
| 18 NONE OF THE ABOVE |
NIR-29A [] | Section: Y18 NIRS |
INLIST ([NIR-13],12)
COMMENT: "Other negative comment or delay" chosen in NIR-13?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To NIR-30A) |
NIR-29B [] | Section: Y18 NIRS |
OTHER SPECIFY COMMENTS:
If there are other negative comments or delays, please specify:
NIR-30A [] | Section: Y18 NIRS |
INLIST ([NIR-13],1)
COMMENT: "I'm too busy/don't have time/survey too long" chosen in NIR-13?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To NIR-31A) |
NIR-30B [] | Section: Y18 NIRS |
TOO BUSY SPECIFICATION:
The respondent stated that s/he was too busy to complete the survey. In your opinion, would you say this is because... (MARK ONLY ONE)
| 1 OF A TEMPORARY LIFE SITUATION (E.G., MARRIAGE OR DEATH IN THE FAMILY) |
| 2 OF CONSTANT LACK OF TIME (E.G., WORKING MULTIPLE JOBS) |
| 3 THE RESPONDENT HAS A FLUCTUATING SCHEDULE, SOMETIMES BUSY/SOMETIMES FREE (I.E., "BAD TIMING") |
| 4 THE RESPONDENT WANTED TO AVOID DOING THE SURVEY (I.E. CONVENIENT EXCUSE) |
| 5 OTHER (SPECIFY) |
NIR-31A [] | Section: Y18 NIRS |
INLIST ([NIR-13],15)
COMMENT: "Comment regarding monetary remuneration for survey completion" chosen in NIR-13?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To NIR-DECEASED) |
NIR-31B [] | Section: Y18 NIRS |
MONETARY COMMENTS:
The respondent referred to the amount of payment for completion of the survey. Would you say that the respondent stated .... (MARK ONE ONLY)
| 1 THAT NO AMOUNT OF MONEY WOULD SUFFICE |
| 2 THAT MORE MONEY THAN WAS OFFERED MIGHT SUFFICE |
| 3 THAT THEY WILL COMPLETE THE SURVEY SOME OTHER TIME WHEN THEY NEED CASH |
| 4 THAT A FAMILY MEMBER IS ALSO PARTICIPATING BUT THEY CANNOT ACCEPT DIFFERENT AMOUNTS OF MONEY |
| 5 OTHER (SPECIFY) |
NIR-DECEASED [] | Section: Y18 NIRS |
([RNI deceased?] = 0)
COMMENT: WAS R REPORTED AS DECEASED IN NIR INTERVIEW?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To INTCHAR_INT_ID) |