QIR-3 [] | Section: Interviewer Remarks Section |
INTERVIEWER: IN WHAT LANGUAGE WAS THIS INTERVIEW CONDUCTED?
| 1 English |
| 2 Spanish |
| 3 Other (SPECIFY) |
QIR-4 [] | Section: Interviewer Remarks Section |
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 |
QIR-5 [] | Section: Interviewer Remarks Section |
INTERVIEWER: IN GENERAL, WAS THE RESPONDENT'S UNDERSTANDING OF THE QUESTIONS GOOD, FAIR OR POOR?
QIR-5A [] | Section: Interviewer Remarks Section |
{INTTYPE}==2
COMMENT: Is this an in-person interview?
If Answer = 1 Then Go To QIR-6
QIR-6 [] | Section: Interviewer Remarks Section |
INTERVIEWER: WAS ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 AND UNDER) DURING ANY PORTION OF THE INTERVIEW?
QIR-6A [] | Section: Interviewer Remarks Section |
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) |
QIR-7 [] | Section: Interviewer Remarks Section |
INTERVIEWER: PLEASE LIST QUESTION NUMBERS THAT CONFUSED, ANGERED, OR CAUSED DISCOMFORT TO THE RESPONDENT OR QUESTIONS THAT YOU FEEL RESPONDENT DID NOT ANSWER TRUTHFULLY.
| 1 SELECT TO ENTER QUESTION |
| 0 NO QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To QIR-8) |
QIR-7A [] | Section: Interviewer Remarks Section |
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.
QIR-7B [] | Section: Interviewer Remarks Section |
INTERVIEWER: ENTER CLEAR DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN QIR-7A. CLICK ON BACK ARROW AT TOP LEFT OF SCREEN TO REVIEW QIR-7A.
QIR-7C [] | Section: Interviewer Remarks Section |
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 QIR-8) |
QIR-7D [] | Section: Interviewer Remarks Section |
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.
QIR-7E [] | Section: Interviewer Remarks Section |
INTERVIEWER: ENTER CLEAR DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN QIR-7D. CLICK ON THE BACK ARROW AT THE TOP LEFT OF SCREEN TO REVIEW QIR-7D.
QIR-7F [] | Section: Interviewer Remarks Section |
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 QIR-8) |
QIR-7G [] | Section: Interviewer Remarks Section |
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.
QIR-7H [] | Section: Interviewer Remarks Section |
INTERVIEWER: ENTER CLEAR DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN QIR-7G. CLICK ON THE BACK ARROW AT THE TOP LEFT OF SCREEN TO REVIEW QIR-7G.
QIR-8 [] | Section: Interviewer Remarks Section |
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 QIR-9) |
QIR-8A [] | Section: Interviewer Remarks Section |
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.
QIR-8B [] | Section: Interviewer Remarks Section |
INTERVIEWER: ENTER CLEAR DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN QIR-8A. CLICK ON THE BACK ARROW AT THE TOP LEFT OF THE SCREENTO REVIEW QIR-8A.
QIR-8C [] | Section: Interviewer Remarks Section |
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 QIR-9) |
QIR-8D [] | Section: Interviewer Remarks Section |
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.
QIR-8E [] | Section: Interviewer Remarks Section |
INTERVIEWER: ENTER CLEAR DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN QIR-8D. CLICK ON THE BACK ARROW AT THE TOP LEFT OF THE SCREEN TO REVIEW QIR-8D.
QIR-8F [] | Section: Interviewer Remarks Section |
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 QIR-9) |
QIR-8G [] | Section: Interviewer Remarks Section |
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.
QIR-8H [] | Section: Interviewer Remarks Section |
INTERVIEWER: ENTER CLEAR DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN QIR-8G.CLICK ON THE BACK ARROW AT THE TOP LEFT OF THE SCREEN TO REVIEW QIR-8G.
QIR-9 [] | Section: Interviewer Remarks Section |
INTERVIEWER: DID THE RESPONDENT HAVE ANY SPECIAL CHARACTERISTICS THAT COULD AFFECT [HISR_HERR] ABILITY TO ANSWER ANY PORTION OF THIS QUESTIONNAIRE?
QIR-9A [] | Section: Interviewer Remarks Section |
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) |
QIR-11 [] | Section: Interviewer Remarks Section |
INTERVIEWER: HAVE YOU INTERVIEWED THIS RESPONDENT IN PRIOR YEARS?
QIR-11C [] | Section: Interviewer Remarks Section |
INTERVIEWER: PLEASE ENTER THE AMOUNT OF THE RESPONDENT FEE AND THE FORM OF PAYMENT.
[RFEE_AMOUNT]
WE WILL ASK ABOUT ADDITIONAL INCENTIVES BESIDES THE RESPONDENT FEE IN THE NEXT SCREEN.
QIR-11CA [] | Section: Interviewer Remarks Section |
| 1 CASH (PAID IN PERSON) |
| 2 CHECK |
| 3 CASH (FED-EXED) |
| 4 OTHER |
QIR-11D [] | Section: Interviewer Remarks Section |
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?
QIR-11E [] | Section: Interviewer Remarks Section |
INTERVIEWER: PLEASE DESCRIBE WHAT YOU GAVE [RESP_FNAME] [RESP_LNAME], OR DID FOR [HIMR_HERR].
QIR-11F [] | Section: Interviewer Remarks Section |
INTERVIEWER: PLEASE ENTER THE AMOUNT YOU SPENT ON THE INCENTIVES DESCRIBED IN THE PREVIOUS QUESTION.
(IF NOTHING SPENT, ENTER 0.00)
QIR-11G [] | Section: Interviewer Remarks Section |
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?
QIR-11H [] | Section: Interviewer Remarks Section |
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.
QIR-12 [] | Section: Interviewer Remarks Section |
INTERVIEWER: PLEASE ENTER YOUR 6 DIGIT NORC EMPLOYEE ID NUMBER FOR THIS COMPLETED INTERVIEW.