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HARD COPY REQUIRED DP,PAS65699
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FIELD FINAL – AUGUST 1, 2007
(Columns are ABSOLUTE)
(6/27 Revisions highlighted in yellow)
(6/29 Revisions highlighted in blue)
(7/27 Revisions highlighted in green)
(8/2 Revisions highlighted in pink)
(8/3 Revisions highlighted in gray)
(8/7 Revisions highlighted in dark yellow)
PROJECT REGISTRATION #151312
DEPARTMENT OF STATE - Y TRANSLATIONS
BEARING POINT
City Center: Washington, DC X SURVEY DESIGN: Tara McGhee
WHTI Passport Study
Abraham/D. Royal/Bechtolt OMB Approval #: 1405-0177
Jane Wood, Specwriter Expires: 1/31/2008
July, 2007 n=4,000
I.D.#: (1-6)
**AREA CODE AND TELEPHONE NUMBER:
______ ______
____________________________________________ (1161 - 1170)
**INTERVIEW TIME:
______ ______
____________________________________________ (1716 - 1721)
(NOTE: All interviews are recorded. The recording begins when the respondent answers the phone. This statement is read after the "Continue" response is entered after the Introduction and before the first question) This call will be recorded for quality assurance.
1 (Continue)
2 (Refused) - (Thank and Terminate) (1984)
Sa. ZIP CODE: (Code from fone file)
______ ______
____________________________________________ (58 - 62)
Sb. STATE: (Code from fone file
01 Alabama - SC 30 Montana - W
02 Alaska - W 31 Nebraska - NC
04 Arizona - W 32 Nevada - W
05 Arkansas - SC 33 New Hampshire - NE
06 California - W 34 New Jersey - NE
08 Colorado - W 35 New Mexico - W
09 Connecticut - NE 36 New York - NE
10 Delaware - SC 37 North Carolina - SC
11 Washington D.C. - SC 38 North Dakota - NC
12 Florida - SC 39 Ohio - NC
13 Georgia - SC 40 Oklahoma - SC
15 Hawaii - W 41 Oregon - W
16 Idaho - W 42 Pennsylvania - NE
17 Illinois - NC 44 Rhode Island - NE
18 Indiana - NC 45 South Carolina - SC
19 Iowa - NC 46 South Dakota - NC
20 Kansas - NC 47 Tennessee - SC
21 Kentucky - SC 48 Texas - SC
22 Louisiana - SC 49 Utah - W
23 Maine - NE 50 Vermont - NE
24 Maryland - SC 51 Virginia - SC
25 Massachusetts - NE 53 Washington - W
26 Michigan - NC 54 West Virginia - SC
27 Minnesota - NC 55 Wisconsin - NC
28 Mississippi - SC 56 Wyoming - W
29 Missouri - NC
______ ______
___________________________________________ (52) (53)
Sc. BORDER COUNTRY 1: (Code from fone file)
1 Canada
2 Mexico _____(83)
Sd. BORDER COUNTRY 2: (Code from fone file)
1 Canadian
2 Mexican _____(85)
Se. STRATUM GROUPS: (Code from fone file)
1 Canada – Eastern Segment/High Density
2 Canada – Eastern Segment/Low Density
3 Canada – Western Segment/High Density
4 Canada – Western Segment/Low Density
5 Mexico - Eastern Segment/High Density
6 Mexico - Eastern Segment/Low Density
7 Mexico - Western Segment/High Density
8 Mexico - Western Segment/Low Density _____(81)
Sf. QUOTA GROUPS: (Code from fone file)
1 Canada – Eastern Segment (n=1000)
2 Canada – Western Segment (n=1000)
3 Mexico - Eastern Segment (n=1000)
4 Mexico - Western Segment (n=1000) _____(87)
Sg. SAMPLE GROUPS: (Code from fone file)
01 VT (stratum key=1)
02 ME (stratum key=1)
03 Targeted County List (NY) (stratum key=1)
04 CT, MA, NH, RI, NJ, PA (stratum key=2)
05 Non-targeted County List (NY) (stratum key=2)
06 MI (stratum key=3)
07 Targeted County List (WA) (stratum key=3)
08 MN (stratum key=3)
09 ID (stratum key=3)
10 MT (stratum key=3)
11 Non-targeted County List (WA) (stratum key=4)
12 IL, IN, OH, WI, IA, KS, MO, NE, ND, SD, WY, OR, AK (stratum key=4)
13 Targeted County List (TX) (stratum key=5)
14 Non-targeted County List (TX) (stratum key=6)
15 DE, DC, FL, GA, MD, NC, SC, VA, WV, AL, KY, MS, TN, AR, LA, OK (stratum key=6)
16 San-Diego, Imperial and Orange Counties in CA (stratum key=7)
17 LA and Riverside counties in CA (stratum key=7)
18 Targeted County List (AZ) (stratum key=7)
19 Targeted County List (NM) (stratum key=7)
20 Non-targeted County List (CA) (stratum key=8)
21 Non-targeted County List (AZ) (stratum key=8)
22 Non-targeted County List (NM) (stratum key=8)
23 UT, CO, NV (stratum key=8)
______ ______
___________________________________________ (71) (72)
Hello, my name is _____, and I’m calling from The Gallup Poll, on behalf of Passport Services at the U.S. Department of State. The Department is conducting a study to improve planning for the document needs of U.S. citizens who plan to cross the land border between the U.S. and Canada or Mexico. The purpose of the survey is to help Passport Services better serve U.S. citizens applying for passports, by getting a better estimate of how many U.S. citizens will be applying for U.S. Passports to cross a land border of the United States over the next several months and the next several years.
(If necessary, read:) The Gallup Organization adheres to the Privacy Act of 1974 and all other relevant Federal laws and regulations that ensure the privacy, security, and confidentiality of information provided by respondents to this survey.
S1. May I please speak with a U.S. citizen, 18 years of age or older?
1 Respondent available - (If other than respondent, ask to speak to that person, and continue)
7 Respondent not available - (Set time to call back)
8 (Soft Refusal)
9 (Hard Refusal) - (Thank and Terminate) _____(2001)
S2. Including yourself, and considering only those who are U.S. citizens, how many U.S. citizen members of this household, age 18 or older, have made at least one land border crossing from either Canada or Mexico back into the U.S. within the past 12 months? (Open ended and code actual number) (INTERVIEWER NOTE: A land border crossing means they cross by either car or bus, or on foot/walking rather than air travel)
00 None - (Continue)
01 One - (If other than respondent, ask to speak to that person, and Skip to Read #1 before #1)
02-
96 96+ (Skip to S4)
97 Not available - (Set time to call back)
98 (DK) (Continue)
99 (Refused) (Continue)
______ ______
___________________________________________ (2002) (2003)
S3. (If code 00, 98, or 99 in S2, ask:) Again, including yourself and considering only those who are U.S. citizens, how many U.S. citizen members of this household, age 18 or older, plan to make at least one land border crossing trip from either Canada or Mexico back into the U.S. within the next 12 months? (Open ended and code actual number) (INTERVIEWER NOTE: A land border crossing means they cross by either car or bus, rather than air travel)
00 None - (Thank and Terminate)
01 One - (If other than respondent, ask to speak to that person, and Skip to Read #1 before #1)
02-
96 96+ (Skip to S5)
97 Not available - (Set time to call back)
98 (DK) (Thank and Terminate)
99 (Refused) (Thank and Terminate)
______ ______
___________________________________________ (2004) (2005)
S4. (If code 02-96 in S2, ask:) Of those (response in S2) U.S. citizens, age 18 and older, who have made a land border crossing from Canada or Mexico back into the U.S. in the past 12 months, I need to speak to the one who had the most recent birthday.
1 Respondent available - (Skip to Read #1 before #1)
7 Respondent not available - (Set time to call back)
8 (Refused) - (Thank and Terminate) _____(2006)
S5. (If code 02-96 in S3, ask:) Of those (response in S3) U.S. citizens, age 18 and older, who plan to make a land border crossing from Canada or Mexico back into the U.S. in the next 12 months, I need to speak to the one who had the most recent birthday.
1 Respondent available - (Skip to Read #1 before #1)
7 Respondent not available - (Set time to call back)
8 (Refused) - (Thank and Terminate) _____(2007)
(READ #1:)
(If necessary, read:) Hello, my name is _____, and I’m calling from The Gallup Poll, on behalf of Passport Services at the U.S. Department of State. The Department is conducting a study to improve planning for the document needs of U.S. citizens who plan to cross the land border between the U.S. and Canada or Mexico. The purpose of the survey is to help Passport Services better serve U.S. citizens applying for passports, by getting a better estimate of how many U.S. citizens will be applying for U.S. Passports to cross a land border of the United States over the next several months and the next several years.
(READ #2:)
(If necessary, read:) Your telephone number was randomly selected from all numbers assigned to households located near the U.S. border with (response in Sc). We will not ask or record your name or any other identifying information, and your answers will be completely confidential. Your participation is voluntary. If you choose not to participate there will be no penalty, and you can stop participating at any time.
PERSONAL PAST TRAVEL
(If code 01-96 in S2, Continue;
Otherwise, Skip to #6)
1. About how many times have you crossed the (response in Sd) border by land back into the U.S. within the past 12 months? (Open ended and code actual number of trips) (If necessary, read:) Your best estimate will do.
00 None
01-
96
97 97+
98 (DK)
99 (Refused)
______ ______
___________________________________________ (2301) (2302)
2. How often do you cross the (response in Sd) border by land back into the U.S.? (Open ended and code) (If necessary, read 01-09)
01 Every day
02 2-3 times per week
03 Once a week
04 2-3 times per month
05 Once a month
06 Once every few months
07 A few times a year
08 Once a year
09 Once every few years
10 (Never)
11 (DK)
12 (Refused)
______ ______
___________________________________________ (2303) (2304)
(If code 01-09 in #2, Continue;
Otherwise, Skip to #5)
3. When you cross back INTO THE U.S. from (response in Sc), where do you cross the border most often? That is, what border crossing do you use?
01 Other (list)
02 (DK)
03 (Refused)
04 HOLD
05 HOLD
(If code 1 in Sc, display this code list:)
98 Other - CAN
06 Alexandria Bay–Thousand Island, NY - CAN
10 Calais-Ferry Point, ME - CAN
13 Champlain, NY - CAN
15 Derby Line, VT - CAN
16 Detroit Ambassador Bridge, MI - CAN
17 Detroit Tunnel, MI - CAN
24 International Falls, MN - CAN
28 Lewiston-Queenston Bridge, NY - CAN
33 Massena, NY - CAN
36 Pacific Highway–Blaine, WA - CAN
38 Peace Arch–Blaine, WA - CAN
39 Peace Bridge–Buffalo, NY - CAN
41 Point Roberts, WA - CAN
42 Port Huron-Blue Water Bridge, MI - CAN
45 Rainbow Bridge-Niagara Falls, NY - CAN
50 Sault Ste. Marie, MI - CAN
57 Sumas, WA - CAN
(If code 2 in Sc, display this code list:)
99 Other - MEX
07 Andrade, CA - MEX
08 B&M–Brownsville, TX - MEX
09 Bridge of the Americas (BOTA) El Paso, TX - MEX
11 Calexico, CA - MEX
12 Calexico East-Imperial Valley, CA - MEX
14 Del Rio, TX - MEX
18 Douglas, AZ - MEX
19 Eagle Pass, TX - MEX
20 Eagle Pass II, TX - MEX
21 Fabens, TX - MEX
22 Gateway–Brownsville, TX - MEX
23 Hidalgo, TX - MEX
25 Laredo–Columbia, TX - MEX
26 Laredo AF-Convent Street, TX - MEX
27 Laredo-Lincoln–Juarez, TX - MEX
29 Los Indios, TX - MEX
30 Los Tomates–Brownsville, TX - MEX
3. (Continued:)
31 Lukeville, AZ - MEX
32 Marisposa-Nogales West, AZ - MEX
34 Nogales East, AZ - MEX
35 Otay Mesa-San Diego, CA - MEX
37 Paso Del Norte-El Paso, TX - MEX
40 Pharr, TX - MEX
43 Presidio, TX - MEX
44 Progreso, TX - MEX
46 Rio Grande City, TX - MEX
47 Roma, TX - MEX
48 San Luis, AZ - MEX
49 San Ysidro-San Diego, CA - MEX
56 Stanton Street Bridge, TX - MEX
58 Tecate, CA - MEX
59 World Trade Bridge-Laredo IV, TX - MEX
60 Ysleta-El Paso, TX - MEX
______ ______
___________________________________________ (2305) (2306)
4. How often do you cross the (response in Sd) border into the U.S. at other locations? (Open ended and code) (If necessary, read 01-09)
01 Every day
02 2-3 times per week
03 Once a week
04 2-3 times per month
05 Once a month
06 Once every few months
07 A few times a year
08 Once a year
09 Once every few years
10 (Never)
11 (DK)
12 (Refused)
______ ______
___________________________________________ (2307) (2308)
5. In the past twelve months, how many times, if any, did you travel back into the U.S. from [(If code 1 in Sc, read:) Mexico/(If code 2 in Sc, read:) Canada] by land? (Open ended and code actual number of trips)
00 None
01-
96
97 97+
98 (DK)
99 (Refused)
______ ______
___________________________________________ (2309) (2310)
FUTURE TRAVEL
6. In the next 12 months, how often do you expect to be crossing the border by land into the U.S. from Canada or Mexico? (Open ended and code) (If necessary, read 01-08)
01 Every day
02 2-3 times per week
03 Once a week
04 2-3 times per month
05 Once a month
06 Once every few months
07 A few times a year
08 Once a year
09 HOLD
10 (Never)
11 (DK)
12 (Refused)
______ ______
___________________________________________ (2311) (2312)
PASSPORT POSSESSION
7. Do you currently possess a valid, that is non-expired, U.S. passport? (INTERVIEWER NOTE: "valid" implies "non-expired")
1 Yes
2 No
3 (DK)
4 (Refused)
8 (Have recently applied and am waiting for processing) _____(2313)
(If code 1 or 8 in #7, Continue;
Otherwise, Skip to #10)
8. And do you know about when your U.S. passport will expire? (Open ended and code) (If necessary, read 1-4)
1 Within the next 6 months
2 More than 6 months to 18 months from now (i.e. next year or 2008)
3 18 months to 3 years from now (2009 or 2010)
4 More than three years from now (2011 or later)
5 (DK)
6 (Refused) _____(2314)
9. Approximately when do you think you would apply for a renewal of your existing U.S. passport? (Open ended and code) (If necessary, read 1-4)
1 Within the next 6 months
2 More than 6 months to 18 months from now (i.e. next year or 2008)
3 18 months to 3 years from now (2009 or 2010)
4 More than three years from now (2011 or later)
5 (DK)
6 (Refused)
7 (Do not have plans to renew)
8 (Have recently applied and am waiting for processing) _____(2315)
(If code 2, 3, or 4 in #7, Continue;
Otherwise, Skip to #11a)
10. Do you plan to apply for a U.S. passport for land travel back into the U.S. from Canada or Mexico or for air travel to any international destination?
1 Yes, land Canada or Mexico travel
2 Yes, air travel to international destination
3 Yes, both
4 No
5 (Already have a passport)
6 (DK)
7 (Refused)
8 (Have recently applied and am waiting for processing) _____(2316)
(If code 1-3 or 8 in #10, Continue;
Otherwise, Skip to #11a)
11. Approximately when do you think you would apply for a U.S. passport? (Open ended and code) (If necessary, read 1-4)
1 Within the next 6 months
2 More than 6 months to 18 months from now (i.e. next year or 2008)
3 18 months to 3 years from now (2009 or 2010)
4 More than three years from now (2011 or later)
5 (DK)
6 (Refused) _____(2317)
TRAVEL BY OTHER HOUSEHOLD MEMBERS
11a. Not including yourself, how many other U.S. citizens are members of your household? (Open ended and code actual number) (SURVENT NOTE: Allow only up to 19)
00 None
01-
19
DK (DK)
RF (Refused)
______ ______
___________________________________________ (2359) (2360)
(If code 00, DK, or RF in #11a, Skip to #16;
Otherwise, Continue)
12. How many other U.S. citizen members of your household, including children, have crossed the Canadian or Mexican border back into the U.S. by land in the past 12 months? (Open ended and code actual number)
00 None
01-
96
97 97+
98 (DK)
99 (Refused)
______ ______
___________________________________________ (2318) (2319)
(If response in #12 equals response in #11a,
Autocode as 00 in #13 and Skip to #13a;
Otherwise, Continue)
13. [(If code 01-97 in #12, read:) Not including these (response in #12) household members who have crossed,] how many other U.S. citizen members of your household, including children, do you think will cross the Canadian or Mexican border back into the U.S. by land in the NEXT 12 months? (Open ended and code actual number)
00 None
01-
96
97 97+
98 (DK)
99 (Refused)
______ ______
___________________________________________ (2320) (2321)
(If code 01-97 in #12 OR #13, Continue;
Otherwise, Skip to Note before #16)
13a. (SURVENT NOTE: Calculate number of people who have or will cross a U.S. border by adding response in #12 to response in #13) (If code 98 or 99 in #12 or #13 code as a 0)
001-
998
999 999+
______ ______
___________________________________________ (2701 - 2703)
14. How many of the (response in #13a) other household members who have crossed in the past 12 months or may cross the Canadian or Mexican border back into the U.S. by land in the next 12 months already have valid passports? (Open ended and code actual number)
00 None
01-
96
97 97+
98 (DK)
99 (Refused)
______ ______
___________________________________________ (2322) (2323]
(If code 001-999 in #13a AND
Code 00-97 in #14, Continue;
Otherwise, Skip to Note before #16)
14a. (SURVENT NOTE: Calculate number of people who will cross who do not have passports by subtracting response in #14 from response in #13a)
000 None
001-
998
999 999+
______ ______
___________________________________________ (2704 - 2707)
(If code 000 in #14a, Skip to Note before #16;
Otherwise, Continue)
15. How many of these (response in #14a) household members who do not have passports do you think will be applying for a passport (read A-D, as appropriate)? (Open ended and code actual number)
(SURVENT NOTE: When #15 A-D equals response in #14a, Skip to Note before #16)
00 None
01-
96
97 97+
DK (DK)
RF (Refused)
A. Within the next 6 months
______ ______
___________________________________________ (2326) (2327)
[Deleted Note]
B. More than 6 months to 18 months from now (i.e. next year or 2008)
______ ______
___________________________________________ (2328) (2329)
[Deleted Note]
C. 18 months to 3 years from now (2009 or 2010)
______ ______
___________________________________________ (2330) (2331)
[Deleted Note]
D. More than three years from now (2011 or later)
______ ______
___________________________________________ (2332) (2333)
[Deleted Note]
(SURVENT NOTE: Total response in #15 A-D cannot total more than response in #14a. If number in SUM of #15 A-D is greater than response in #14a, show total on screen and have interviewer read:) I am sorry, the number of other Citizens you think will apply for a passport in the coming years exceed the total number who currently do not have a passport. Can we review these numbers again? Please count each person only once in the time period they are most likely to apply for a passport.
(All in Read, Reset to #15)
(If code 4, 6, or 7 in #10 OR
If code 7 in #9, Continue;
Otherwise, Skip to #20)
[ANALYST NOTE: If don't have passport or passport will expire in next 18 months]
NEW REQUIREMENTS
16. New Federal Government regulations will require all U.S. citizens to have a valid passport or other qualifying travel document for travel to Canada, Mexico, and countries in the Caribbean, even if the travel is by land or sea. The requirement for a passport or other travel document to travel across this border may take effect as early as January 2008. Were you aware of this new regulation already?
1 Yes
2 No
3 (DK)
4 (Refused) _____(2334)
(If code 10, 11, or 12 in #6, Continue;
Otherwise, Skip to #18)
17. Do you have any plans to travel to Canada, Mexico, and countries in the Caribbean anytime in the next five years?
1 Yes
2 No
3 (DK)
4 (Refused) _____(2335)
(If code 1 in #17, Continue;
Otherwise, Skip to #20)
[ANALYST NOTE: If expect to land border cross in next 12 months or 5 years and don't plan to apply for or renew passport]
18. [(If code 01-08 in #6 read:) You mentioned earlier that you were planning on traveling to Canada or Mexico in the next 12 months. Considering this new requirement, how likely will you be to travel to any of these locations (Canada, Mexico, and countries in the Caribbean) if you need to apply for a passport first? It costs about $100 to apply for a U.S. Passport book./(If code 1 in #17, read:) Considering this new requirement, how likely will you be to travel to any of these locations (Canada, Mexico, and countries in the Caribbean) if you need to apply for a passport first? It costs about $100 to apply for a U.S. Passport book.] Would you say (read 5-4, 2-1)?
5 Very likely
4 Somewhat likely
3 (Neither)
2 Not very likely
1 Not at all likely
6 (DK)
7 (Refused) _____(2336)
(If code 3, 4, or 5 in #18, Continue;
Otherwise, Skip to #20)
19. When do you plan to apply for a passport? (Open ended and code) (If necessary, read 1-4)
1 Within the next 6 months
2 More than 6 months to 18 months from now (i.e. next year or 2008)
3 18 months to 3 years from now (2009 or 2010)
4 More than three years from now (2011 or later)
5 (DK)
6 (Refused) _____(2337)
PASSPORT CARD QUESTIONS
20. The Federal Government is currently developing a passport card system called a U.S. Passport Card. The proposed new U.S. Passport Card could be used by U.S. citizens as a travel credential for land and sea travel between the United States and Canada or Mexico, but cannot be used for international air travel. Under current plans, the Card would be available in mid 2008 and would cost $50 or one-half the cost of a Passport book ($100).
U.S. Passport Cards will be wallet size (i.e. like a credit card or driver’s license), and would take about the same amount of time to process. If you are a first-time applicant and apply for a Passport Book and a Passport Card at the same time, there would be about a 20% cost savings ($120 instead of $150).
If the U.S. Passport Card were available at the time you applied for a Passport, how likely would you be to apply for a U.S. Passport Card for travel to Mexico or Canada? Would you say (read 5-4, 2-1)? (INTERVIEWER NOTE: It would be about $50 cheaper than a full U.S. passport)
5 Very likely
4 Somewhat likely
3 (Neither)
2 Not very likely
1 Not at all likely
6 (DK)
7 (Refused) _____(2338)
(If code 3-5 in #20, Continue;
Otherwise, Skip to Note before #23)
(SURVENT NOTE: Rotate #21/with #21a so that each comes up first about 1/2 the time)
21. Keeping in mind that the law requiring a passport, U.S. Passport Card, or other qualifying document to travel across the Canadian or Mexican border by land may take effect as early as mid next-year (2008), if the U.S. Passport Card were available starting in mid-2008, when, if ever, do you think you would apply for a U.S. Passport Card? (Open ended and code) (If necessary, read 1-4)
1 Within the next 6 months
2 More than 6 months to 18 months from now (i.e. next year or 2008)
3 18 months to 3 years from now (2009 or 2010)
4 More than three years from now (2011 or later)
5 (DK)
6 (Refused)
7 (As soon as it is available) _____(2339)
21a. Keeping in mind that the law requiring a passport, U.S. Passport Card, or other qualifying document to travel across the Canadian or Mexican border by land may take effect as early as mid next-year (2008), if the U.S. Passport Card were available starting in mid-2009, when, if ever, do you think you would apply for a U.S. Passport Card? (Open ended and code) (If necessary, read 2-4)
1 HOLD
2 As soon as it is available
3 Second half of 2009 or sometime in 2010
4 More than three years from now (2011 or later)
5 (DK)
6 (Refused) _____(2358)
22. If you did purchase a U.S. Passport Card, would you also maintain (i.e. renew/apply for) a U.S. Passport Book? Remember, the U.S. Passport Card can be used for land and sea travel between the United States and Canada or Mexico, but cannot be used for international air travel. (The cost for a full U.S. Passport Book is about $100, while the cost for a U.S. Passport Card is about $50. If applied for at the same time, the cost is $120 total.)
1 Yes
2 No
3 (DK)
4 (Refused) _____(2340)
(If code 01-19 in #11a, Continue;
Otherwise, Skip to Read before D1)
23. How many, if any, of the (response in #11a) other U.S. citizen members of your household do you think might purchase a U.S. Passport Card for land travel to Canada or Mexico (read A-D, as appropriate)? (Open ended and code actual number)
(SURVENT NOTE: When #23 A-D equals response in #11a, Skip to Read before D1)
00 None
01-
96
97 97+
DK (DK)
RF (Refused)
A. Within the next 6 months
______ ______
___________________________________________ (2341) (2342)
[Deleted Note]
23. (Continued:)
B. More than 6 months to 18 months from now (i.e. next year or 2008)
______ ______
___________________________________________ (2343) (2344)
[Deleted Note]
C. 18 months to 3 years from now (2009 or 2010)
______ ______
___________________________________________ (2345) (2346)
[Deleted Note]
D. More than three years from now (2011 or later)
______ ______
___________________________________________ (2347) (2348)
DEMOGRAPHICS BEGIN HERE:
(READ:) I have only a few more questions to complete the survey. These are only for statistical purposes and will never be shared by Gallup.
D1. What is your age? (Open ended and code actual age)
18-
98
99 99+
00 (Refused)
______ ______
____________________________________________ (2350) (2351)
D2. GENDER: (Code only, Do NOT ask)
Male
Female _____(2354)
(DEMOGRAPHICS CONTINUED)
D3. Does your household have a single phone NUMBER or does it have more than ONE phone NUMBER coming into it? (INTERVIEWER NOTE: We need the number of different phone lines NOT the number of TELEPHONES in the household)
1 Single phone number
2 More than one phone number
3 (DK)
4 (Refused) _____(2355)
(If code 1, 3, or 4 in D3, Autocode D4 as 1
AND Skip to D5;
Otherwise, Continue)
D4. And, NOT including lines dedicated to a fax machine, modem or used strictly for business purposes, how many different phone NUMBERS do you have coming into your household? (Open ended and code)
1 One
2 Two
3 Three
4 Four
5 Five or more
6 (DK)
7 (Refused) _____(2356)
D5. (CODE ONLY:) Was this interview conducted in English or Spanish?
1 English
2 Spanish _____(2357)
(VALIDATE PHONE NUMBER AND
THANK RESPONDENT BY SAYING:)
Again, this is _____, with The Gallup Organization of _____. I would like to thank you for your time. Your responses are important to the Passport Office.
INTERVIEWER I.D.# _____(1571-
1574)
REVISIONS
8/2/07 Revised: Wording in #13, Code 98 to DK and 99 to RF in #15
Added: Survent Note and Read after #15, Note after #15
8/3/07 Added: #11a, Note after #11a, Note before #13, If condition to #13, Note before #15-B, Note before #15-C, Note before #15-D, Note before #16, Analyst Note before #16, Analyst Note before #18, Note after #22, Note before #23-B, Note before #23-C, Note before #23-D
Revised: Read and rotate in #15, Read and rotate in #23
Deleted: Note after #15
8/7/07 Added: Code 8 to #7, Code 8 to #9, Code 8 to #10, Survent Note to #15, Note after #18, Survent Note to #23
Revised: Note after #7, Note before #10, Note after #10, Note before #11, Codes DK and RF in #11a, Note after #11a, Note after #12, Survent Note in #13a, Note before #16, Analyst Note before #18, Wording in #23, Codes DK and RF in #23
Deleted: Notes in #15, Notes in #23
jlw\Department_of_State\Questionnaires\Outbound\2007\
Dept of State Passport Survey 0706
Department
of State Passport Study
| File Type | application/msword |
| File Title | CRT |
| Author | Gallup User |
| Last Modified By | Marc Vogtman |
| File Modified | 2007-12-30 |
| File Created | 2007-06-18 |