Q15-ANY_SIBS [] | Section: Interviewer Remarks |
INTERVIEWER: DID YOU UPDATE OR ADD ANY SIBLING PHONE OR ADDRESS INFORMATION IN THE LOCATOR SECTION?
INTMODE [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE SELECT THE TYPE OF INTERVIEW BELOW.
COMMENT: Mode of Interview
| 71 COMPLETED PERSONAL |
| 72 COMPLETED TELEPHONE |
| 74 CONVERTED PERSONAL |
| 75 CONVERTED TELEPHONE |
Q15-PROXY1 [] | Section: Interviewer Remarks |
INTERVIEWER: WAS THIS INTERVIEW CONDUCTED WITH A PROXY (SOMEONE OTHER THAN THE RESPONDENT).
| 1 Respondent interviewed |
| 2 Proxy interviewed ...(Go To Q15-PROXY2) |
Q15-PROXY2 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE DESCRIBE THE PROXY SITUATION AND IDENTIFY THE PROXY RESPONDENT IN THE TEXT BOX PROVIDED.
Q15-3 [] | Section: Interviewer Remarks |
INTERVIEWER: IN WHAT LANGUAGE WAS THIS INTERVIEW CONDUCTED?
| 1 English |
| 2 Spanish |
| 3 Other (SPECIFY) |
Q15-4 [] | 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 |
Q15-4A [] | Section: Interviewer Remarks |
INTERVIEWER: HOW MANY TIMES DID YOU HAVE TO PAUSE THE INTERVIEW FOR THE RESPONDENT TO DO SOMETHING ELSE (E.G., TAKE A PHONE CALL, GO TO THE BATHROOM, TALK TO SOMEONE ELSE, ETC.)?
| 0 0 times |
| 1 1-2 times |
| 2 3-5 times |
| 3 6 or more times |
Q15-4B [] | Section: Interviewer Remarks |
INTERVIEWER: HOW MANY TIMES DID YOU HAVE TO REPEAT A QUESTION BECAUSE.....
| - ...THE RESPONDENT DID NOT UNDERSTAND THE QUESTION? |
| - ...THE RESPONDENT DID NOT SEEM TO BE PAYING ATTENTION? |
| 0 0 times |
| 1 1-2 times |
| 2 3-5 times |
| 3 6 or more times |
Q15-4C [] | Section: Interviewer Remarks |
INTERVIEWER: WHERE WAS THE RESPONDENT DURING THE INTERVIEW?
SELECT ALL THAT APPLY
| 1 AT RESPONDENT'S HOME |
| 2 AT SOMEONE ELSE'S HOME |
| 3 AT WORK |
| 4 OUTSIDE/IN A CAR OR TRAIN, ETC. |
| 5 A PUBLIC BUILDING SUCH AS A LIBRARY, RESTAURANT OR COFFEE SHOP, LOBBY, ETC. |
| 6 OTHER LOCATION (SPECIFY) |
| 7 DON'T KNOW/COULDN'T TELL |
Q15-4D [] | Section: Interviewer Remarks |
INTERVIEWER: HOW MUCH OF THIS INTERVIEW WAS CONDUCTED BY PHONE VERSUS IN-PERSON? IF YOU COMPLETED ONLY PART OF THE INTERVIEW AND DON'T KNOW THE MODE OF THE EARLIER PARTS, CODE FOR THE PART OF THE INTERVIEW YOU COMPLETED.
| 1 ALL BY TELEPHONE |
| 2 MOSTLY BY PHONE, BUT SOME IN-PERSON |
| 3 ABOUT EQUALLY BY PHONE AND IN-PERSON |
| 4 MOSTLY IN-PERSON, BUT SOME BY PHONE |
| 5 ALL IN-PERSON ...(Go To Q15-4F) |
Q15-4E [] | Section: Interviewer Remarks |
INTERVIEWER: WHAT TYPE OF PHONE WAS THE RESPONDENT USING?
SELECT ALL THAT APPLY.
Q15-4F [] | Section: Interviewer Remarks |
INTERVIEWER: DO YOU RECALL THE RESPONDENT DOING ANYTHING ELSE WHILE COMPLETING THE INTERVIEW? FOR EXAMPLE, WAS S/HE LOOKING AFTER CHILDREN, HOUSEHOLD CHORES, WATCHING TELEVISION, USING A COMPUTER, DRIVING, WALKING AROUND, EATING, SHOPPING, OR SOMETHING ELSE?
| 1 YES ...(Go To Q15-4G) |
| 0 NO |
| 2 COULDN'T TELL |
Q15-4G [] | Section: Interviewer Remarks |
INTERVIEWER: WHAT OTHER ACTIVITIES DO YOU RECALL THE RESPONDENT DOING WHILE COMPLETING THE INTERVIEW?
SELECT ALL THAT APPLY.
| 1 LOOKING AFTER CHILDREN |
| 2 HOUSEHOLD CHORES SUCH AS CLEANING, COOKING, LAWN WORK, FIXING THINGS, ETC. |
| 3 WATCHING TELEVISION |
| 4 USING A COMPUTER OR PLAYING VIDEO GAMES |
| 5 DRIVING A CAR |
| 6 WALKING AROUND |
| 7 EATING |
| 8 SHOPPING |
| 9 OTHER (SPECIFY) |
Q15-5 [] | Section: Interviewer Remarks |
INTERVIEWER: IN GENERAL, WAS THE RESPONDENT'S UNDERSTANDING OF THE QUESTIONS GOOD, FAIR OR POOR?
Q15-6 [] | 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 Q15-6A) |
| 0 NO |
| 2 TELEPHONE INTERVIEW |
Q15-6A [] | Section: Interviewer Remarks |
INTERVIEWER: WHO WAS PRESENT?
| 5 Spouse/partner |
| 1 R's parent(s) |
| 2 Other member(s) of R's household |
| 3 R's friend(s) |
| 4 Other (SPECIFY) |
Q15-7 [] | 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 Q15-8) |
Q15-7A [] | 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.
Q15-7B [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7A. PRESS <PG-UP> TO REVIEW Q15-7A.
Q15-7C [] | 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 Q15-8) |
Q15-7D [] | 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.
Q15-7E [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7D. PRESS <PG-UP> TO REVIEW Q15-7D.
Q15-7F [] | 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 Q15-8) |
Q15-7G [] | 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.
Q15-7H [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7G. PRESS <PG-UP> TO REVIEW Q15-7G.
Q15-8 [] | 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 Q15-9) |
Q15-8A [] | 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.
Q15-8B [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8A. PRESS <PG-UP> TO REVIEW Q15-8A.
Q15-8C [] | 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 Q15-9) |
Q15-8D [] | 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.
Q15-8E [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8D. PRESS <PG-UP> TO REVIEW Q15-8D.
Q15-8F [] | 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 Q15-9) |
Q15-8G [] | 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.
Q15-8H [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8G. PRESS <PG-UP> TO REVIEW Q15-8G.
Q15-9 [] | Section: Interviewer Remarks |
INTERVIEWER: DID THE RESPONDENT HAVE ANY OF THE SPECIAL CHARACTERISTICS THAT COULD AFFECT HIS/HER ABILITY TO ANSWER ANY PORTION OF THIS QUESTIONNAIRE?
Q15-9A [] | Section: Interviewer Remarks |
INTERVIEWER: WHICH CHARACTERISTIC(S) DID THE RESPONDENT HAVE?
| 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 IN COMMENT) |
| 7 Other (SPECIFY) |
Q15-11 [] | Section: Interviewer Remarks |
INTERVIEWER: HAVE YOU INTERVIEWED THIS RESPONDENT IN PRIOR YEARS?
Q15-11_A_1 [] | Section: Interviewer Remarks |
COMMENT: INTERVIEWER: PLEASE RECORD AMOUNT OF RESPONDENT FEE AND FORM OF PAYMENT (CHECK or CASH (FED-EXed)).
WE WILL ASK ABOUT ADDITIONAL INCENTIVES BESIDES THE RESPONDENT FEE IN THE NEXT QUESTION.
Q15-11_A_2 [] | Section: Interviewer Remarks |
SELECT FORM OF PAYMENT
| 1 CHECK |
| 2 CASH (FED-EXed) |
| 4 OTHER |
Q15-11A [] | Section: Interviewer Remarks |
INTERVIEWER: BESIDES THE RESPONDENT FEE, DID YOU GIVE [RESP_FNAME] [RESP_LNAME] ANYTHING ELSE, OR DO ANYTHING FOR [HIMR_HERR], TO GET [HIMR_HERR] TO COMPLETE THE INTERVIEW?
Q15-11B [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE DESCRIBE WHAT YOU GAVE [RESP_FNAME] [RESP_LNAME], OR DID FOR [HIMR_HERR].
Q15-11C [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER THE AMOUNT YOU SPENT ON THE INCENTIVES DESCRIBED IN THE PREVIOUS QUESTION.
(IF NOTHING SPENT, ENTER 0.00)
Q15-12 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER YOUR PROJECT IDENTIFICATION NUMBER FOR THIS CASE.
Q15-12A000001 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER YOUR FULL NAME ON THE LINE PROVIDED. THEN PRESS TO CONTINUE.
Q15-12E_1 [] | Section: Interviewer Remarks |
INTERVIEWER: IS THERE ANY ADDITIONAL INFORMATION ABOUT THIS CASE THAT WOULD BE IMPORTANT TO REMEMBER FOR THE NEXT ROUND, OR THAT MIGHT BE OF USE TO FUTURE INTERVIEWERS?
PLEASE SELECT "YES" AND <SUBMIT AND CONTINUE> TO RECORD INFORMATION.
| 1 Yes |
| 0 No ...(Go To NIL) |
Q15-12E_2 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER ANY ADDITIONAL INFORMATION ABOUT THIS CASE THAT WOULD BE IMPORTANT TO REMEMBER FOR THE NEXT ROUND, OR THAT MIGHT BE OF USE TO FUTURE INTERVIEWERS?