Lead-In:
Q13-CK [Default], Q13INT-TIME [Default], PROXY-11 [Default], PROXY-1 [0:0],
PROXY-1 [-1:-1]
Q15-B
([Is
this an in person interview or over the phone?]=2);
/*Was
this a phone interview? if yes, skip resp race and gender questions */
If
Answer =1 Then Go To:
Q15-7
Go
To: Q15-1
Lead-In:
Q15-A [Default]
Q15-1
INTERVIEWER:
WHAT IS THE RESPONDENT'S RACE?
1 White
2 Black
3 Other
Go
To: Q15-2
Lead-In:
Q15-B [Default]
Q15-2
INTERVIEWER:
WHAT IS RESPONDENT'S GENDER?
1 Male
2 Female
Go
To: Q15-7
Lead-In:
Q15-1 [Default]
Q15-7
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)
Lead-In:
Q15-2 [Default], Q15-B [1:1]
Q15-7A
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.
Enter Answer: _____________________
Go
To: Q15-7B
Lead-In:
Q15-7 [Default]
Q15-7B
INTERVIEWER:
ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7A.
PRESS <PG-UP> TO REVIEW Q15-7A.
Enter Answer: _____________________
Go
To: Q15-7C
Lead-In:
Q15-7A [Default]
Q15-7C
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)
Go
To: Q15-7D
Lead-In:
Q15-7B [Default]
Q15-7D
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.
Enter Answer: _____________________
Go
To: Q15-7E
Lead-In:
Q15-7C [Default]
Q15-7E
INTERVIEWER:
ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7D.
PRESS <PG-UP> TO REVIEW Q15-7D.
Enter Answer: _____________________
Go
To: Q15-7F
Lead-In:
Q15-7D [Default]
Q15-7F
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)
Go
To: Q15-7G
Lead-In:
Q15-7E [Default]
Q15-7G
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.
Enter Answer: _____________________
Go
To: Q15-7H
Lead-In:
Q15-7F [Default]
Q15-7H
INTERVIEWER:
ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7G.
PRESS <PG-UP> TO REVIEW Q15-7G.
Enter Answer: _____________________
Go
To: Q15-8
Lead-In:
Q15-7G [Default]
Q15-8
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)
Go
To: Q15-8A
Lead-In:
Q15-7H [Default], Q15-7F [0:0], Q15-7C [0:0], Q15-7 [0:0]
Q15-8A
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.
Enter Answer: _____________________
Go
To: Q15-8B
Lead-In:
Q15-8 [Default]
Q15-8B
INTERVIEWER:
ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8A.
PRESS <PG-UP> TO REVIEW Q15-8A.
Enter Answer: _____________________
Go
To: Q15-8C
Lead-In:
Q15-8A [Default]
Q15-8C
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)
Go
To: Q15-8D
Lead-In:
Q15-8B [Default]
Q15-8D
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.
Enter Answer: _____________________
Go
To: Q15-8E
Lead-In:
Q15-8C [Default]
Q15-8E
INTERVIEWER:
ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8D.
PRESS <PG-UP> TO REVIEW Q15-8D.
Enter Answer: _____________________
Go
To: Q15-8F
Lead-In:
Q15-8D [Default]
Q15-8F
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)
Go
To: Q15-8G
Lead-In:
Q15-8E [Default]
Q15-8G
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.
Enter Answer: _____________________
Go
To: Q15-8H
Lead-In:
Q15-8F [Default]
Q15-8H
INTERVIEWER:
ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8G.
PRESS <PG-UP> TO REVIEW Q15-8G.
Enter Answer: _____________________
Go
To: Q15-9
Lead-In:
Q15-8G [Default]
Q15-9
INTERVIEWER:
DID THE RESPONDENT HAVE ANY OF THE SPECIAL CHARACTERISTICS THAT COULD AFFECT
HIS/HER ABILITY TO ANSWER ANY PORTION OF THIS QUESTIONNAIRE?
1 YES...(Go
to Q15-9A)
0 NO
Go
To: Q15-11
Lead-In:
Q15-8H [Default], Q15-8C [0:0], Q15-8 [0:0], Q15-8F [0:0]
Q15-9A
INTERVIEWER:
WHICH CHARACTERISTIC(S) DID THE RESPONDENT HAVE?
|
1 Respondent deaf
2 Respondent blind
3 Respondent mentally handicapped or
retarded
4 Respondent speaks very poor English
5 Respondent cannot read
6 Respondent physically handicapped
(SPECIFY HANDICAP)
7 Other (SPECIFY) |
8 Substance abuse problems
9 R did not seem to understand questions
10 Medical Concerns (surgery, sick, etc.)
11 Spoke English well, but had difficulty
understanding questions due to language barrier
12 Hearing problems
13 Educational background poor |
Go
To: Q15-11
Lead-In:
Q15-9 [1:1]
Q15-11
([Is
this an in person interview or over the phone?]=1);/*was this interview done in
person or over the phone? */
If
Answer =0 Then Go To:
Q15-18
Go
To: Q15-14
Lead-In:
Q15-9 [Default], Q15-9A [Default]
Q15-14
How
would you describe the immediate area or street (one block, both sides) where
the 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 commercial |
7 Urban, mixed residential and wholesale
and
manufacturing and industrial
8 Buildings used for churches, golf course,
park,
school, cemetery
9 Vacant buildings, vacant lots
10 Other (SPECIFY) |
Go
To: Q15-15
Lead-In:
Q15-11 [Default]
Q15-15
What
type of residence is most common on the street (one block, both sides) where the
respondent lives?
|
1 Detached, single family home
2
Mobile home/trailer
3 Single family row houses or town houses,
with 2 or more stories
4 Small single family apartment or
condominium, with at least
three stories
5 Apartment attached or above a commercial structure |
6 Campus setting
7 Other institutional setting
8 Military barracks
9 Large apartment complex
10 Other (SPECIFY) |
Go
To: Q15-18
Lead-In:
Q15-14 [Default]
Q15-18
([Is
this an in person interview or over the phone?]=1);/*check again if this
interview was done in person*/
Go
To: Q15-18a
Lead-In:
Q15-15 [Default], Q15-A [1:1], Q15-11 [0:0]
Q15-18a
PLEASE
ENTER YOUR INTERVIEWER ID.
Enter Answer: |__|__|__|
Go
To: QEND-TIME
Lead-In:
Q15-18 [Default]
QEND-TIME
TIME();/*
End survey */
DefNext:
NIL
Go
To: NIL