Attachment A - Questionnaire

Final Questionnaire.doc

CPS Volunteer Supplement

Attachment A - Questionnaire

OMB: 1220-0176

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Attachment A

DRAFT V.12

September 2007 CPS

Volunteer Supplement

drafted: 2/6/07


Supplement Universe: civilian population, age 15+ (hhmem = 1, afnow = 2, age = 15+ )


[All skip paths should go to next item, unless otherwise instructed. All <D> and <R> precodes are to be blind coded.]




>PRESUP<

This month, we are interested in volunteer activities, that is activities for which people are not paid, except perhaps expenses.


We only want you to include volunteer activities that (you/NAME) did through or for an organization, even if (you/he/she) only did them once in a while.



<H> Frequently asked questions [GO TO H_SUPP_FAQ]

<I> Importance of responding [GO TO H_SUPP_I]


<P> Proceed with interview [GO TO NXTPR]




NXTPR

ENTER LINE NO: |__|__| FOR [fill name]

I (also) need to talk with [fill name/READ LIST OF NEEDED PERSONS]. Is he/she at home now/Are either of them at home now/Are any of them at home now)?


NO ONE ELIGIBLE, SKIP TO FIN (F10)

IF ANSWERED, JUMP FORWARD (F3)


GET SELF RESPONSE ONLY.

WHEN DONE, F10 FOR CALLBACKS

CALLBACK #: [fill number]


ENTER LINE NUMBER FOR INTERVIEW: |__|__|

HOUSEHOLD ROSTER

LN Q NEED NAME M AGE

01 (Person 1)

02 (Person 2)

03 (Person 3)

:

:

16 (Person 16)


***DO NOT READ, INTERVIEWER CHECK ITEM***


(ONLY TAKE A PROXY IF THIS IS THE 2ND CALLBACK, THE PERSON WILL NOT RETURN BEFORE CLOSEOUT OR THE HOUSEHOLD IS GETTING IRRITATED.)


>NXTPR3< Is this a Self or Proxy response?


<1> Self

<2> Proxy


===>_

>EPROXY< *** DO NOT READ ***


*** POSSIBLE ERROR ****

You have picked PROXY for (name of person talking about) even though (name of respondent) is the current respondent.


Are you currently talking to (name of respondent)?


<1> Yes, SELF interview (Go to S1)

<2> No (Go to NXTPER5)


===>_



NXTPER5

DO NOT ASK

ENTER LINE NUMBER OF CURRENT RESPONDENT

|__|__|



HOUSEHOLD ROSTER

LN NAME

01 (Person 1)

02 (Person 2)

03 (Person 3)

:

16 (Person 16)



>S1<

Since September 1st of last year, (have you/has NAME) done any volunteer activities through or for an organization?


<1> Yes [Go to S3]

<2> No [Go to S2]


==> _

Blind <D> [GO TO S2]

Blind <R> [Proxy GO TO CK1, Self Response GO TO NXTPR or END]



>S2<

Sometimes people don’t think of activities they do infrequently or activities they do for children’s schools or youth organizations as volunteer activities. Since September 1st of last year, (have you/has he/has she) done any of these types of volunteer activities?


<1> Yes [GO TO S3]

<2> No [GO TO S17]


==> _


Blind <D> [GO TO S17]

Blind <R> [Proxy GO TO CK1, Self Response GO TO NXTPR or END]


_____________________________________________________________________________



>S3<

How many different organizations (have you/has he/has she) volunteered through or for in the last year, that is, since September 1, 2006?


<1> 1

<2> 2

<3> 3

<4> 4

<5> 5

<6> 6

<7 > 7 or more


==> _


Blind <D> [GO TO S4A]

Blind <R> [Go to S15]


______________________________________________________________________________



[Fill: If S3 = <1>, use first fill; else use second]


>S4A<


(What organization is it?/What organizations are they?)


ENTER NAME OF THE ORGANIZATION (1 PER SCREEN)

IF RESPONDENT DOESN’T KNOW NAME OF ORG., ASK “WHAT TYPE OF ORGANIZATION IS IT?” AND RECORD VERBATIM RESPONSE



==>_


Blind <D or R> [Go to S15]

>S4A1<


ASK IF NECESSARY. DO NOT READ CATEGORIES ALOUD.


What type of organization is that?


<1> Religious org. <9> Hospital, clinic, or healthcare org.

<2> Children’s educational, sports, <10> Immigrant/refugee assistance

or recreational group <11>International org.

<3> Other educational group <12> Labor union, business or

<4> Social and community service professional org.

group <13> Political party or advocacy group

<5> Civic org. <14> Public safety org.

<6> Cultural or arts org. <15> Sports or hobby group

<7> Environmental or animal care org. <16> Youth services org.


<8> Health research or health <17> Some other type of org. [go to S4As]

education org.


==>__


Blind <D> <R> [Go to PRE_S4B]

[If <17> GO TO >S4As ]




>S4As<


ENTER VERBATIM RESPONSE (TYPE OF VOLUNTEER ORGANIZATION)

>PRE_S4B<


If S3 = <1> GO TO >PRE_S5<

else go to >S4B<



>S4(B-G)<


What other organization?


ENTER NAME OF THE ORGANIZATION (1 PER SCREEN).

IF RESPONDENT DOESN’T KNOW NAME OF ORG., ASK “WHAT TYPE OF ORGANIZATION IS IT?” AND RECORD VERBATIM RESPONSE.


ENTER <N> FOR NO MORE.


==>________________________________________________________________


Blind <D> [Go to PRE_S5]

Blind <R> [Go to PRE_S5]


If <N> go to >PRE_S5<



>S4(B_G)1<


ASK IF NECESSARY. DO NOT READ CATEGORIES ALOUD.


What type of organization is that?


<1> Religious org. <9> Hospital, clinic, or healthcare org.

<2> Children’s educational, sports, <10> Immigrant/refugee assistance

or recreational group <11> International org.

<3> Other educational group <12> Labor union, business or

<4> Social and community service professional org.

group <13> Political party or advocacy group

<5> Civic org. <14> Public safety org.

<6> Cultural or arts org. <15> Sports or hobby group

<7> Environmental or animal care org. <16> Youth services org.


<8> Health research or health <17> Some other type of org. [go to S4Bs]

education org.



==>__


Blind <D> <R> [Go to next in cycle, or PRE_S5]

[If <17> GO TO >S4Bs ]




>S4Bs<


ENTER VERBATIM RESPONSE (TYPE OF VOLUNTEER ORGANIZATION)


=>___________________________________________________________________________



S4C, S4D, S4E, S4F, and S4G format same as >S4B<





>PRE_S5<


Begin Cycle: S5 => S6 => S7 for each entry for S4A, S4B, S4C, S4D, S4E, S4F, & S4G



IF cycle’s entry for S4(B-G) = <D> or <R> , go to PRE_S8




>S5(A-G)<

During how many different weeks in the last year did (you/he/she) do volunteer activities for (fill S4A - S4G)?


ENTER NUMBER OF WEEKS [1-52]. ENTER 52 IF EVERY WEEK.


<L> Less than one week [Go to S7]


==>__ [1-52] [Go to >S6<] [Blind acceptable range <1-52, D, R, L>. Show error if out of range]


Blind <D> [Go to S7]

Blind <R> [Cycle back to next entry for S7(A-G) ]




>S6(A-G)<

In those (fill on-path entry for S5A - S5G) weeks that (you/he/she) volunteered for (fill on-path entry for S4A@a - S4G@a), how many hours per week did (you/he/she) do volunteer activities?


<V> Varies [Go to S7]


==> [Blind: field length = 3 spaces. Acceptable range <1-168, D, R, V>. Show error if out of range]

Blind <D> or <R>


[Verify if entry > 40. If S6(A-G) greater than <40>, go to S6(A-G)V.

If entry = <D, R, 1 - 40>, Go to next in cycle]




>S6(A-G)V<


***DO NOT READ TO THE RESPONDENT***


THE NUMBER OF HOURS VOLUNTEERED FOR THIS ORGANIZATION IS (FILL: ON-PATH ENTRY FOR S6(A-G)). IS THIS A CORRECT ENTRY?


<1> Yes

<2> No [Go to S6(A-G) to correct entry]


==> _



>S7(A-G)<

How many hours did (you/he/she) do volunteer activities for (fill on-path entry for S4A-S4G) in the last year?


==> _ [Blind: field length = 4 spaces. Acceptable range 1 - 8736]


Blind <D> or <R>


[Verify if entry > 99. If S6(A-G) > <99>, go to S7(A-G)V]



>S7(A-G)V<


***DO NOT READ TO THE RESPONDENT***


THE NUMBER OF HOURS VOLUNTEERED FOR THIS ORGANIZATION IS (FILL: ON-PATH ENTRY FOR S7(A-G). IS THIS A CORRECT ENTRY?

<1> Yes

<2> No [Go to S7(A-G) to correct entry]


==> _



End Cycle: S5(B-G)=>S6(B-G)=>S7(B-G) . Then go to PRE_S8.




>PRE_S8<


Fill #2 instructions for S8 and S8a

If S5(A-G) = <L> or <D> or < > AND S7(A-G) = <D> or <R> or < >

If S3 = <1>

If S4A = <D> or <R> fill with “that organization”

Else, fill with entry for S4A

If S3 = <D, 2-7>

Fill with “the organization you think (you/he/she) spent the most time volunteering for”


If any entry for S5(A-G) > 0 OR any entry for S7(A-G) > 0

If S3 = <1>

Fill with entry for S4A@a

If S3 = <D, 2-7>

Take entry for S4(A-G)@a corresponding to highest numerical value from S5(A-G) OR from S7(A-G)




>S8<

Now I’m going to ask you about activities (you /NAME) might have done for (Fill #2) in the last year. For each activity that I mention, please tell me – yes or no – whether (you/he/she) did that activity for that organization in the last year. Since September 1, 2006, did (you/he/she) --


READ AND MARK ALL THAT APPLY.

ENTER <N> FOR NO MORE. ENTER <H> FOR HELP


<1> Coach, referee, or supervise sports teams

<2> Tutor or teach

<3> Mentor youth

<4> Be an usher, greeter, or minister

<5> Collect, prepare, distribute, or serve food

<6> Collect, make or distribute clothing, crafts, or goods other than food

<7> Fundraise or sell items to raise money

<8> Provide counseling, medical care, fire/EMS, or protective services

<9> Provide general office services

<10> Provide professional or management assistance including serving on a board or committee

<11> Engage in music, performance, or other artistic activities

<12> Engage in general labor; supply transportation for people

<13> Other (specify) [GO TO S8s]



=>__

Blind <D> OR <R> [GO TO PRE_S9]

[IF <H> GO TO H_ACTIVITY]



>S8s<


ENTER VERBATIM RESPONSE (TYPE OF VOLUNTEER ACTIVITY)


=>______________________________________________________________________



______________________________________________________________________________




>H_ACTIVITY< p. 1 of 2


<1> Coach, referee, or supervise sports teams



<2> Tutor or teach (includes reading to children or adults, assisting teachers, helping with homework or school projects)



<3> Mentor youth (includes being a Boy Scout/Girl Scout Leader, Big Brother/Big Sister, or engaging in other mentoring activities)



<4> Be an usher, greeter, or minister (includes showing people to their seats, giving directions, handing out programs and other materials)



<5> Collect, prepare, distribute, or serve food (includes serving meals in shelters, packaging meals for distribution)



<6> Collect, make or distribute clothing, crafts, or goods other than food (includes gathering clothes for a clothing drive, producing hand made items such as quilts, collecting furniture)



<7> Fundraise or sell items to raise money (includes manning concession booths, working in thrift stores, or at events for which the purpose is to raise money)



“Pgdn = NEXT screen…………..” for next page



>H_ACTIVITY< p. 2 of 2



<8> Provide counseling, medical care, fire/EMS, or protective services



<9> Provide general office services (includes clerical, administrative activities, running errands, manning information booths)



<10> Provide professional or management assistance including serving on a board or committee, (DOES NOT INCLUDE medical or emergency care but INCLUDES providing legal, computer, or accounting services)



<11> Engage in music, performance, or other artistic activities (includes choir, musical, dance, theatrical performances, fine arts)



<12> Engage in general labor; supply transportation for people (includes building, repairing, or cleaning indoors or outdoors, driving school teams to games or practices, driving people to a political rally)



<13> Other (includes campaigning, registering people to vote, political activities, and any other activities which do not belong in one of the above categories)

<P> PROCEED WITH INTERVIEW

=>__


“Pgup = PREVIOUS screen…………..” for prior page





>CK_I_A<


If only 1 selection chosen in S8, go to PRE_S9.

If 2 or more selections chosen in S8, go to S8a.



>S8a<


[Pre-fill all fills with <blank>.

If <1> entered in S8, store < <1> Coach, referee, or supervise sports teams > in Fill_1

If <2> entered in S8, store < <2> Tutor or teach > in Fill_2

If <3> entered in S8, store < <3> Mentor youth > in Fill_3

If <4> entered in S8, store < <4> Be an usher, greeter, or minister > in Fill_4

If <5> entered in S8, store < <5> Collect, prepare, distribute, or serve food > in Fill_5

If <6> entered in S8, store < <6> Collect, make or distribute clothing, crafts, or goods other than food > in Fill_6

If <7> entered in S8, store < <7> Fundraise or sell items to raise money > in Fill_7

If <8> entered in S8, store < <8> Provide counseling, medical care, fire/EMS, or

protective services > in Fill_8

If <9> entered in S8, store < <9> Provide general office services > in Fill_9

If <10> entered in S8, store < <10> Provide professional or management assistance including serving on a board or committee > in Fill_10

If <11> entered in S8, store < <11> Engage in music, performance, or other artistic activities > in Fill_11

If <12> entered in S8, store < <12> Engage in general labor; supply transportation for people > in Fill_12

If <13> entered in S8, store < <13> Other - specify > in Fill_13


Which of the activities that (you/he/she) performed did (you/NAME)

spend the most time doing for (Fill #2) last year?

**READ ANSWERS IF NECESSARY**

[Fill_1]

[Fill_2]

[Fill_3]

[Fill_4]

[Fill_5]

[Fill_6]

[Fill_7]

[Fill_8]

[Fill_9]

[Fill_10]

[Fill_11]

[Fill_12]

[Fill_13]

<14> Equal time among all


=>__ Go to PRE_S9


Valid entries are <D, R, 14, and only those precodes stored in fills above>


Blind <D> <R> Go to PRE_S9


>PRE_S9<


Fill #2 instructions for S9

If S5(A-G) = <L> or <D> AND S7(A-G) = <D> or <R>

If S3 = <1>

If S4A = <D> or <R> fill with “that organization”

Else, fill with entry for S4A

If S3 = <D, 2-7>

Fill with “that organization”


If any entry for S5(A-G) > 0 OR any entry for S7(A-G) > 0

If S3 = <1>

Fill with entry for S4A@a

If S3 = <D, 2-7>

Take entry for S4(A-G) corresponding to highest numerical value from S5(A-G) OR from S7(A-G)

____________________________________________________________________________


>S9<


Now I’d like to ask you how (you/he/she) first became a volunteer for (Fill #2). Did (you/he/she) approach the organization (yourself/himself/herself), (were you/was he/was she) asked by someone, or did (you/he/she) become involved in some other way?


DO NOT READ TO RESPONDENT


<1> Approached the organization [Go to S15]

<2> Was asked [Go to S10]

<3> Some other way [GO TO S11]


==>_

Blind <D> or <R> [Go to S15]


>S10< Who asked (you/him/her) to become a volunteer for this organization?


<1> Friend [Go to S15]

<2> Relative [Go to S15]

<3> Co-worker [Go to S15]

<4> Someone in the organization/school [Go to S15]

<5> Boss or employer [Go to S15]

<6> Someone else/specify [Go to >S11s<]


==> _


Blind <D> or <R> [Go to S15]

>S11<


READ IF NECESSARY: PLEASE DESCRIBE HOW (YOU/HE/SHE) BECAME INVOLVED WITH THIS ORGANIZATION?


<1> Court-ordered community service

<2> Family member’s involvement in the organization/school

<3> Friend’s, co-worker’s, or roommate’s involvement in the organization

<4> Own involvement in organization/school

<5> Public housing requirement

<6> Referred to by volunteer organization

<7> Responded to public appeal in newspaper/radio/TV/flyer/Internet

<8> School requirement

<9> Other/ Specify [Go to S11s]


==> _


<1 – 8>, Blind <D> or <R> [Go to S15]





>S11s<


ENTER VERBATIM RESPONSE (HOW PERSON BECAME A VOLUNTEER)

=>_____________________________________________________________________


[Go to S15]


________________________________________________________________________




>S15< Did any of the volunteer work (you have/he has/she has) done since September 1st of last

year take place in a foreign country, that is, outside the United States or any of its territories?


<1> Yes [Go to S15.5]

<2> No [Go to S16.3]


==> _


Blind <D> [Go to S16.3]

Blind <R> [Go to S16.3]


> S15.5< Considering all of the volunteer work (you have/he has/she has) done since September 1st of last year, about how much of it was done abroad? Would you say:


<1> All or almost all

<2> More than half

<3> About half

<4> Less than half

<5> Very little



==> _


Blind <D>

Blind <R>


All responses [Go to S16.3]




>S16.3< [Fill if S15 = 1: Other than (your/his/her) volunteering abroad,] Did any of the volunteer work (you have/NAME has) done since September 1st of last year take place more than 120 miles from your home?


<1> Yes [Go to S16.4]

<2> No [Go to S17]


==> _

Blind <D> or <R> [GO TO S17]




> S16.4< Considering all of the volunteer work (you have/he has/she has) done [Fill if S15 = 1: in the United States] since September 1st of last year, about how much of it was done more than 120 miles from your home? Would you say:


<1> All or almost all

<2> More than half

<3> About half

<4> Less than half

<5> Very little



==> _


Blind <D>

Blind <R>


All responses [Go to S16.5]




>S16.5< In what state or states did it take place?

(show list of states by full name and abbreviations from Blaise tobacco use supplement)

(Interviewer Note – Include the respondent’s home state if they traveled 120 miles or more to the site and were still within their home state.)


==> _


Blind <D>

Blind <R>


All responses [Go to S17]

______________________________________________________________________________


> S17<

Now I'd like to ask about some of (your/NAMES) involvement in (your/his/her) community. Since September 1st, 2006, (have you/has he/has she) attended any public meetings in which there was discussion of community affairs?


<1> Yes [Go to S17a]

<2> No [Go to S18]


==> _


Blind <D or R> [Go to S18]

__________________________________________________________________________


> S17a<

About how many times did (you/he/she) do this?


==> _ [Blind: field length = 2 spaces. Acceptable range 1 - 99]


Blind <D> or <R> [Go to S18]

If entry = <D, R, 1-99> [Go to S18]

________________________________________________________________________


>S18<

Since September 1st, 2006, (have you/has he/has she) worked with other people in (your/his/her) neighborhood to fix a problem or improve a condition in your community or elsewhere?


<1> Yes [GO TO S18a]

<2> No [Proxy GO TO CK1, Self Response GO TO NXTPR or END]


==> _


Blind <D or R> [Proxy GO TO CK1, Self Response GO TO NXTPR or END]

_________________________________________________________________________


>S18a<

About how many times did (you/he/she) do this?


==> _ [Blind: field length = 2 spaces. Acceptable range 1 - 99]


Blind <D> or <R> [Proxy GO TO CK1, Self Response GO TO NXTPR or END]

If entry = <D, R, 1-99> [Proxy GO TO CK1, Self Response GO TO NXTPR or END]

_______________________________________________________________________


________________________________________________________________________

CK1

***DO NOT READ****


Enter the line number of the person who answered the supplement questions for (NAME).

HOUSEHOLD ROSTER

LN NAME

01 (Person 1)

02 (Person 2)

03 (Person 3)

:

:

16 (Person 16)



Callback if necessary. Allow for 2 callbacks. After 2nd callback, use proxy respondent.


END

5


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