Respondent Debrief Respondent Debriefing Questions

2008 EHC Field Test

FR Code:__________ OMB #: 0607-0725

Case ID:__________________________________ Expiration Date: 08/31/2010

Person Line #:________ Form Name: SIPP-EHC2008RQ

Please take a minute to give us your...

Reactions to the Interview

1. Overall, how interesting was the interview?

☐ Very interesting

☐ Somewhat interesting

☐ Not very interesting

☐ Not at all interesting

☐ Don’t know / can’t say / can’t remember

2. Overall, how enjoyable was the interview?

☐ Very enjoyable

☐ Somewhat enjoyable

☐ Not very enjoyable

☐ Not at all enjoyable

☐ Don’t know / can’t say / can’t remember

3. It’s hard, sometimes, to remember when things happened. During the interview, did you have any trouble recalling when during 2007 some event occurred?

☐ Yes ➔ 3a

☐ No ➔ 4

☐ Don’t know / can’t say / can’t remember ➔ 4

3a. When a person can’t quite remember a date, this interview is supposed to help, by offering a reminder about other things that might have been going on at about the same time. Did the interview ever give you a reminder like that?

☐ Yes ➔ 3b

☐ No ➔ 4

☐ Don’t know / can’t say / can’t remember ➔ 4

3b. Was that helpful to you? Did that sort of reminder help you remember when during 2007 some event occurred?

☐ Yes

☐ No

☐ Don’t know / can’t say / can’t remember

Over, please...

4. Which statement best describes how this interview was mostly carried out:

☐ The interviewer asked the questions and filled out the form – I just answered the questions.

☐ The interviewer asked the questions, but we worked together to fill out the form.

☐ Don’t know / can’t say / can’t remember

5. IF YOU WERE IN THE “SIPP” SURVEY SEVERAL MONTHS AGO: Which statement best describes how the SIPP interview was mostly carried out:

☐ The interviewer asked the questions and completed the questionnaire – I just answered the questions.

☐ The interviewer asked the questions, but we worked together to complete the questionnaire.

☐ Don’t know / can’t say / can’t remember

☐ I WAS NOT IN THE “SIPP” SURVEY

6. Were there any specific aspects of today’s interview that you really liked?

☐ Yes ➔ Please explain:

☐ No

☐ Don’t know / can’t say / can’t remember

7. Were there any specific aspects of today’s interview that you really disliked?

☐ Yes ➔ Please explain:

☐ No

☐ Don’t know / can’t say / can’t remember

8. Do you have any suggestions for improving the interview?

☐ Yes ➔ Please explain:

☐ No

Thank you!