ATTACHMENT 3a
Introductory Screening Interview
REACH U.S. Evaluation
(English-Language)
Form Approved
OMB No. 0920-XXXX
Exp. Date XX/XX/XXXX
INTRO
Hello, my name is [INTERVIEWER NAME]. I’m calling on behalf of the Centers for Disease Control and Prevention. We’re conducting a study of [TARGET RACE(S). USE “AND” IF MULTIPLE RACES] regarding health issues in your area.
1: CONTINUE
2: GATEKEEPER REFUSAL
3: REFUSAL
4: RESPONDENT IS NOT TARGET RACE(S)
5: LANGUAGE BARRIER
6: HUDI
23: NOT AVAILABLE DURING STUDY PERIOD
92: GENERAL CALLBACK
93: SPECIFIC CALLBACK
96: R WILL CALL US
97: FINAL OTHER
IF INTRO = 2, 3, 6, TERMINATE AND CODE AS A REFUSAL.
IF INTRO = 4, SKIP TO CONF_RACE
IF INTRO = 92, 93, 96, SET A CALLBACK.
IF INTRO = 5, TERMINATE AND CODE AS LANGUAGE BARRIER.
IF INTRO = 23, TERMINATE AND CODE AS USER14.
IF INTRO = 97, TERMINATE AND CODE AS FINAL OTHER (USER97)
IF INTRO = 1, SKIP TO INITELIG.
CONF_RACE
Is there anyone in this household who is [TARGET RACE(S). USE “OR” IF MULTIPLE RACES]?
1. YES [SKIP TO INITELIG]
2. NO [SKIP TO CLOSE. USER39]
9. REFUSED [TERMINATE AND CODE AS USER37]
INITELIG
Am I speaking with someone who lives in this household who is over age 18?
1. YES
2. NO, HOUSEHOLD MEMBER OVER 18 NOT HOME [SCHEDULE APPOINTMENT]
3. NO, NO HOUSEHOLD MEMBER OVER 18 [TERMINATE: USER31]
4. NOT A RESIDENCE [TERMINATE: USER20]
Public reporting of this collection of information is estimated to average 2 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX)
INTROBND
[NOTE: THERE WILL BE A FLAG IN THE SAMPLE FILE (SAMPTYPE) TO DENOTE SAMPLE TYPE. LIST SAMPLE (SAMPTYPE=L) IS ASSUMED TO BE WITHIN THE REQUIRED GEOGRAPHIC BOUNDARIES, SO GEOGRAPHIC SCREENING QUESTIONS SHOULD BE SKIPPED FOR THOSE CASES.]
This first part is just to check that you live in the specific area we are studying.
1: CONTINUE
2: GENERAL CALLBACK
3: SPECIFIC CALLBACK
9: REFUSED
[ASK COMMUNITY-SPECIFIC BOUNDARY QUESTIONS
NUM_ADULT
In order to scientifically select a member of your household, I need to ask how many people in your household are 18 years old or older?
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Number of Adults
77. DON’T KNOW
99. REFUSED
HELP SCREEN: DEFINITION OF HOUSEHOLD MEMBER
HOUSEHOLD MEMBERS INCLUDE ALL RELATED ADULTS 18 YEARS OLD OR OLDER, UNRELATED ADULTS, ROOMERS, AND DOMESTIC WORKERS WHO CONSIDER THE HOUSEHOLD THEIR HOME, EVEN THOUGH THEY MAY NOT BE HOME AT THE TIME OF THE CALL.
DO NOT INCLUDE ADULT FAMILY MEMBERS WHO ARE CURRENTLY LIVING ELSEWHERE, SUCH AS AT COLLEGE, A MILITARY BASE, A NURSING HOME, A CORRECTIONAL FACILITY, AND SO FORTH.
IF NUM_ADULT = 1, GO TO HOUSEHOLD ROSTER: ONE-PERSON HOUSEHOLD.
IF NUM_ADULT GE 2, GO TO HOUSEHOLD ROSTER: HOUSEHOLDS WITH MORE THAN ONE PERSON.
IF NUM_ADULT = 77, TERMINATE INTERVIEW. USERCODE USER2.
IF NUM_ADULT = 99, TERMINATE INTERVIEW. CODE AS REFUSAL.
HOUSEHOLD ROSTER: ONE-PERSON HOUSEHOLD |
ONE_RACE Are you [TARGET RACE(S)]?
1. YES 2. NO 7. DON’T KNOW 9. REFUSED
IF ONERACE = 2, THEN SKIP TO CLOSE. IF ONERACE = 7, 9, TERMINATE INTERVIEW. CODE AS REFUSAL. IF ONERACE = 1, CONTINUE
ONE_RACE_A IF COMMNUMB NE 20, SKIP TO ONE_SEX. Are you [TARGET RACE_A]?
1. YES 2. NO 7. DON’T KNOW 9. REFUSED
IF ONERACE_A = 2, THEN SKIP TO CLOSE. IF ONERACE_A = 7, 9, TERMINATE INTERVIEW. CODE AS REFUSAL. IF ONERACE_A = 1, CONTINUE
ONE_SEX READ ONLY IF NECESSARY: Just to confirm, are you male or female?
1. MALE 2. FEMALE 7. DON’T KNOW 9. REFUSED
IF ONE_SEX = 7, 9, TERMINATE INTERVIEW. CODE AS REFUSAL. IF ONE_SEX = 1, 2:
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HOUSEHOLD ROSTER: HOUSEHOLDS WITH MORE THAN ONE PERSON |
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NUM_RACE Of the [NUM_ADULT] adults in your household, how many are [TARGET RACE(S)]?
Number of Adults
77. DON’T KNOW 99. REFUSED
IF NUM_RACE GE 1, CONTINUE. IF NUM_RACE = 0, THEN SKIP TO CLOSE. IF NUM_RACE = 77, 99, TERMINATE INTERVIEW. CODE AS REFUSAL.
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NUM_RACE_A IF COMMNUMB NE 20, SKIP TO NUM_FEM.
[Of the [NUM_ADULT] [TARGET RACE(S)] adults in your household, how many are [TARGET RACE_A]?
Number of Adults
77. DON’T KNOW 99. REFUSED
IF NUM_RACE GE 1, CONTINUE. IF NUM_RACE = 0, THEN SKIP TO CLOSE. IF NUM_RACE = 77, 99, TERMINATE INTERVIEW. CODE AS REFUSAL. NUM_FEM IF NUM_RACE OR NUM_RACE_A = 1, SKIP TO ONE_SEX_A. How many of these [NUM_RACE] adults are women?
Number of Adults
77. DON’T KNOW 99. REFUSED
IF NUM_FEM = 77, 99, TERMINATE INTERVIEW. CODE AS REFUSAL. IF NUM_FEM = 1, SKIP TO AGE_1 AND ASK AGE_1 (AND AGE_1_A AS NEEDED). ONCE AGE HAS BEEN COLLECTED, PROCEED TO HOUSEHOLD ENUMERATION AND SAMPLE CLASSIFICATION PROCESS.
NUM_OVER64 IF NUM_FEM = 0, SKIP TO HOUSEHOLD ENUMERATION How many of these [NUM_FEM] women are] aged 65 or older?
Number of Women
77. DON’T KNOW 99. REFUSED
IF NUM_OVER64 = 77, 99, TERMINATE INTERVIEW. CODE AS REFUSAL. CATI: CHECK THAT ((NUM_RACE-NUM_FEM)+NUM_OVER64+(NUM_FEM-NUM_OVER64))=NUM_RACE. IF THAT IS NOT THE CASE, DISPLAY “I’m sorry. I need to recheck the numbers I have entered.” RETURN TO NUM_RACE FOR INTERVIEWER TO RE-ASK NUM_RACE THROUGH NUM_4064.
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NUM_4064 IF NUM_FEM = NUMOVER64, SKIP TO HOUSEHOLD ENUMERATION How many of the other [NUM_FEM-NUM_OVER64] women are 40 to 64 years old?
Number of Women
77. DON’T KNOW 99. REFUSED
IF NUM_4064 = 77, 99, TERMINATE INTERVIEW. CODE AS REFUSAL. CATI: CHECK THAT ((NUM_RACE-NUM_FEM)+NUM_OVER64+NUM_4064+(NUM_FEM-NUM_OVER64-NUM_4064))=NUM_RACE. IF THAT IS NOT THE CASE, DISPLAY “I’m sorry. I need to recheck the numbers I have entered.” RETURN TO NUM_RACE FOR INTERVIEWER TO RE-ASK NUM_RACE THROUGH NUM_4064.
ONE_SEX_A Is this adult male or female?
1. MALE 2. FEMALE 7. DON’T KNOW 9. REFUSED
SKIP TO AGE_1 AND ASK AGE_1 (AND AGE_1_A AS NEEDED). ONCE AGE HAS BEEN COLLECTED, PROCEED TO HOUSEHOLD ENUMERATION AND SAMPLE CLASSIFICATION PROCESS.
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HOUSEHOLD ENUMERATION
CATI: CREATE TWO “PRIMARY” ROSTERS OF ELIGIBLE HOUSEHOLD MEMBERS ACCORDING TO INFORMATION FROM NUM_ADULT, NUM_RACE, NUM_FEM. THE PRIMARY ROSTERS WILL PROVIDE THE LABELS USED FOR REFERRING TO HOUSEHOLD MEMBERS DURING THE INTERVIEW.
FEMALES
IF ONLY ONE FEMALE IN HOUSEHOLD, USE: FEMALE
IF MORE THAN ONE FEMALE IN HOUSEHOLD, USE: OLDEST FEMALE
SECOND OLDEST FEMALE
THIRD OLDEST FEMALE
FOURTH OLDEST FEMALE
FIFTH OLDEST FEMALE
.
.
MALES
IF ONLY ONE MALE IN HOUSEHOLD, USE: MALE
IF MORE THAN ONE MALE IN HOUSEHOLD, USE: OLDEST MALE
SECOND OLDEST MALE
THIRD OLDEST MALE
FOURTH OLDEST MALE
FIFTH OLDEST MALE
.
.
THEN…
CATI: CREATE TWO “SECONDARY” ROSTERS CONSISTING OF 1) FEMALES AGED 40-64 AND 2) MALES AND OTHER FEMALES (I.E., THOSE NOT AGED 40-64), USING INFORMATION FROM NUM_RACE, NUM_FEM, NUM_OVER64 AND NUM_4064. THESE ROSTERS WILL BE USED SOLELY FOR SAMPLING PURPOSES. WHEN CREATING THESE SECONDARY ROSTERS, BE SURE TO MAINTAIN THE LABELS FROM THE PRIMARY ROSTERS.
FOR EXAMPLE, IF WE HAVE A FOUR-PERSON HOUSEHOLD WITH 1 MALE, 1 FEMALE OVER 64, 2 FEMALES AGED 40-64, AND 1 FEMALE UNDER AGE 40, THE SECONDARY ROSTERS WOULD READ AS FOLLOWS:
FEMALES 40-64
SECOND OLDEST FEMALE
THIRD OLDEST FEMALE
MALES AND OTHER FEMALES [FOR CONSISTENCY: ALWAYS LIST MALES FIRST]
OLDEST MALE
OLDEST FEMALE
FOURTH OLDEST FEMALE
FOR SAMPLING PURPOSES, FEMALES 40-64 WILL BE ONE GROUP AND MALES/OTHER FEMALES WILL BE THE SECOND GROUP. FOLLOW SAMPLING PROCEDURES BELOW FOR SELECTING RESPONDENT(S).
SAMPLE CLASSIFICATION
Classify screened eligible households into 1 of 3 categories: |
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Primary approach:
Create a pre-load variable called CAT1SELCTL which will be assigned to each sample telephone number in a stratum in a community. CAT1SELCTL starts at 1 and increases to 100, decreases to 1, and restarts at 1, and so on. For a category 1 household the value of CAT1SELCTL will be compared against CAT1SELLIM, a constant that will be handled internally within CATI. If CAT1SELCTL is less than or equal to CAT1SELLIM then we will keep the household. If it is greater we will terminate the household. So for example if we set CAT1SELLIM to 100, then we will not terminate any category 1 households.
To do this we need to create two pre-load variables which we will call SELKEY1 and SELKEY2. SELKEY1 will start with 1 and increase to 60. It will then restart at 1 and increase to 60, and so on. Each sample telephone number in a stratum within a community will receive a SELKEY1 value. SELKEY2 would be created in the same fashion. SELKEY2 would be used to select other adults and SELKEY1 would be used to select females age 40-64 years.
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For category 1: If NUMNOTF4064 = 1, select that adult.
If NUMNOTF4064 > 1, let K = min{NUMNOTF4064, 6}. Calculate the remainder of SELKEY2 modulo K, namely R = SELKEY2 - K * INT(SELKEY2 / K), where INT(x) denotes the integer part of x. Let P = NUMNOTF4064 - R. Select the Pth person from the roster.
(If NUMNOTF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.)
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For category 2: If NUMF4064 = 1, select that adult.
If NUMF4064 > 1, let K = min{NUMF4064, 6}. Calculate the remainder of SELKEY1 modulo K, namely R = SELKEY1 - K * INT(SELKEY1 / K), where INT(x) denotes the integer part of x. Let P = NUMF4064 - R. Select the Pth person from the roster.
(If NUMF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.) |
For category 3, the other adult category: If NUMNOTF4064 = 1, select that adult.
If NUMNOTF4064 > 1, let K = min{NUMNOTF4064, 6}. Calculate the remainder of SELKEY2 modulo K, namely R = SELKEY2 - K * INT(SELKEY2 / K), where INT(x) denotes the integer part of x. Let P = NUMNOTF4064 - R. Select the Pth person from the other adults in the roster.
(If NUMNOTF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.)
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For category 3, female age 40-64 category: If NUMF4064 = 1, select that adult.
If NUMF4064 > 1, let K = min{NUMF4064, 6}. Calculate the remainder of SELKEY1 modulo K, namely R = SELKEY1 - K * INT(SELKEY1 / K), where INT(x) denotes the integer part of x. Let P = NUMF4064 - R. Select the Pth person from the females age 40-64 in the roster.
(If NUMF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.)
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Secondary approach: (Back-up)
Step A is the same as above.
Create a pre-load variable called CAT3SELCTL which will be assigned to each sample telephone number in a stratum in a community. CAT3SELCTL starts at 1 and increases to 100, decreases to 1, and restarts at 1, and so on. For a category 3 household the value of CAT3SELCTL will be compared against CAT3SELLIM, a constant that will be handled internally within CATI (i.e., this is the same as NBSELLIM in CO-TABS). If CAT3SELCTL is less than or equal to CAT3SELLIM then we will select a female age 40-64 from the household. If it is greater we will select an adult who is not a female age 40-64 from the household. So for example if we set CAT3SELLIM to 60 we will select a female age 40-64 with a 60% probability and we will select an adult who is not a female age 40-64 with a 40% probability.
To do this we need to create a pre-load variable which we will call SELKEY3. SELKEY3 will start with 1 and increase to 60. It will then restart at 1 and increase to 60, and so on. Each sample telephone number in a stratum within a community will receive a SELKEY3 value.
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For category 1: If NUMNOTF4064 = 1, select that adult.
If NUMNOTF4064 > 1, let K = min{NUMNOTF4064, 6}. Calculate the remainder of SELKEY3 modulo K, namely R = SELKEY3 - K * INT(SELKEY3 / K), where INT(x) denotes the integer part of x. Let P = NUMNOTF4064 - R. Select the Pth person from the roster.
(If NUMNOTF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.)
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For category 2: If NUMF4064 = 1, select that adult.
If NUMF4064 > 1, let K = min{NUMF4064, 6}. Calculate the remainder of SELKEY3 modulo K, namely R = SELKEY3 - K * INT(SELKEY3 / K), where INT(x) denotes the integer part of x. Let P = NUMF4064 - R. Select the Pth person from the roster.
(If NUMF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.)
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For category 3, if we select the other adult category: If NUMNOTF4064 = 1, select that adult.
If NUMNOTF4064 > 1, let K = min{NUMNOTF4064, 6}. Calculate the remainder of SELKEY3 modulo K, namely R = SELKEY3 - K * INT(SELKEY3 / K), where INT(x) denotes the integer part of x. Let P = NUMNOTF4064 - R. Select the Pth person from the other adults in the roster.
(If NUMNOTF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.)
For category 3, if we select the female age 40-64 category: If NUMF4064 = 1, select that adult.
If NUMF4064 > 1, let K = min{NUMF4064, 6}. Calculate the remainder of SELKEY3 modulo K, namely R = SELKEY3 - K * INT(SELKEY3 / K), where INT(x) denotes the integer part of x. Let P = NUMF4064 - R. Select the Pth person from the females age 40-64 in the roster.
(If NUMF4064 > 6, only the six oldest adult in the household will have a chance of being selected, but the impact of this limitation is small.)
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62 STRTPROG
[CATI/CAPI: RANDOMLY SAMPLE, AS APPLICABLE. ONCE SOMEONE IS SAMPLED, FLIP “SCREENER COMPLETE: PERSON SAMPLED” FLAG TO FACILITATE CODING OF SAMP_CAT AND GO TO SELECTED.]
93 SELECTED
ONE PERSON SELECTED AND NUM_ADULT = 1: PROCEED TO DETAILED INTERVIEW
ONE PERSON SELECTED AND NUM_ADULT > 1 OR MORE THAN ONE PERSON SELECTED: PROCEED TO SPEAK.3
SPEAK.3 |
IF ONE PERSON SELECTED: The person selected for the interview in your household is the [FILL SAMPLED ADULT #1]. Before I speak with this person, I just have a few more questions for you. GO TO AGE_1
IF NUM_ADULT = 2 AND TWO PEOPLE SELECTED: Both members of your household have been selected for the interview.
IF NUM_ADULT > 2 AND TWO PEOPLE SELECTED: The people selected for the interview in your household are the [FILL SAMPLED ADULT #1] and the [FILL SAMPLED ADULT #2]. Before I speak with them, I just have a few more questions for you.
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[CATI: IF NUM_ADULT > 1, THEN ASK WHOENU. ELSE, SKIP TO AGE_1.]
WHOENU
Are you… 1. Person1 [SKIP TO AGE_1] 2. Person2 [SKIP TO AGE_2] 3. NONE OF THE ABOVE [SKIP TO AGE_1] |
AGE_1
IF NUM_ADULT = 1 OR WHOENU=1: What is your age?
IF NUM_ADULT > 1 AND NUM_RACE OR NUM_RACE_A = 1: What is [his/her] age?
ELSE: So that I’ll know which questions to ask, would you please tell me the age of the [FILL SAMPLED ADULT #1] in your household.
|___|___| CODE AGE IN YEARS. RANGE 18-120, DK = 777, REF = 999
IF AGE = 777 OR 999 THEN GO TO AGE_1_A. ELSE, IF NUM_ADULT = 1 OR (NUM_RACE = 1 OR NUM_RACE_A = 1), GO TO HOUSEHOLD ENUMERATION AND SAMPLE CLASSIFICATION. ELSE IF AGE = 18-120 AND ONE PERSON SELECTED THEN SKIP TO FINDP1. ELSE IF AGE = 18-120 AND MORE THAN ONE PERSON SELECTED THEN GO TO AGE_2.
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AGE_1_A IF NUM_ADULT = 1 OR WHOENU=1: For the purposes of this survey, it is important that I get at least an age range so that I will know which questions to ask. Would you say that your age is:
IF NUM_ADULT > 1 AND NUM_RACE OR NUM_RACE_A = 1: For the purposes of this survey, it is important that I get at least an age range so that I will know which questions to ask. Would you say that the [TARGET RACE(s)] adult’s age is:
ELSE: For the purposes of this survey, it is important that I get at least an age range for the person(s) selected for the interview. Would you say that the [FILL SAMPLED ADULT #1] is:
IF NUM_ADULT = 1 OR IF (NUM_RACE = 1 OR NUM_RACE_A = 1), OFFER THE FOLLOWING ANSWER CHOICES:
9. 80+
IF FEMALE AND AGE GROUP FROM SCREENER = 18-39, OFFER THE FOLLOWING ANSWER CHOICES:
IF FEMALE AND AGE GROUP FROM SCREENER = 40-64, OFFER THE FOLLOWING ANSWER CHOICES: 4. 40-49 5. 50-59 or
IF FEMALE AND AGE GROUP FROM SCREENER = 65+, OFFER THE FOLLOWING ANSWER CHOICES:
IF MALE, OFFER THE FOLLOWING ANSWER CHOICES:
DK = 77 REF = 99
IF (NUM_ADULT = 1 OR (NUM_RACE = 1 OR NUM_RACE_A = 1)) AND AGE_1_A = 77, 99), TERMINATE INTERVIEW AND CODE AS REFUSAL. ELSE IF (NUM_ADULT = 1 OR (NUM_RACE = 1 OR NUM_RACE_A = 1)) AND AGE_1_A NE 77, 99, GO TO HOUSEHOLD ENUMERATION AND SAMPLE CLASSIFICATION.
ELSE, IF THERE IS ONLY ONE ADULT SELECTED THEN SKIP TO FINDP1. ELSE, IF THERE IS MORE THAN ONE ADULT SELECTED THEN GO TO AGE_2.
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AGE_2
IF WHOENU=2, THEN ASK: What is your age?
ELSE: Would you please tell me the age of the [FILL SAMPLED ADULT #2] in your household?
|___|___| CODE AGE IN YEARS. RANGE 18-120, DK = 777, REF = 999
IF AGE = 777 OR 999 THEN GO TO AGE_2_A. ELSE IF AGE = 18-120 SKIP TO FINDP1.
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AGE_2_A
IF WHOENU=2: For the purposes of this survey, it is important that I get at least an age range so that I will know which questions to ask. Would you say that your age is:
ELSE: Would you say that the [FILL SAMPLED ADULT #2] is:
IF FEMALE AND AGE GROUP FROM SCREENER = 18-39, OFFER THE FOLLOWING ANSWER CHOICES:
IF FEMALE AND AGE GROUP FROM SCREENER = 40-64, OFFER THE FOLLOWING ANSWER CHOICES:
IF FEMALE AND AGE GROUP FROM SCREENER = 65+, OFFER THE FOLLOWING ANSWER CHOICES:
IF MALE, OFFER THE FOLLOWING ANSWER CHOICES:
DK = 77 REF = 99
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[CATI: IF WHOENU=1 THEN PROCEED TO DETAILED INTERVIEW AND COMPLETE SAMPLED ADULT #1 INTERVIEW. ELSE, IF WHOENU=2 THEN PROCEED TO DETAILED INTERVIEW AND COMPLETE SAMPLED ADULT #2 INTERVIEW. ELSE, SKIP TO RPICK.]
RPICKMay I speak to …
SELECT AN OPTION TO PROCEED.
# SEX AGE R COMPLETE -----------------------------------------------------------------------------------------------------------------------
(PERSON 1:) [SAMPLED ADULT #1] [AGE1] COMPLETE:NO LAST DISP:NONE DATE:
(PERSON 2:) [SAMPLED ADULT #2] [AGE2] COMPLETE: NO LAST DISP: NONE DATE:
1: Person 1 [SKIP TO FINDP1] 2: Person2 [SKIP TO FINDP2] 3: EXIT HH |
FINDP1 |
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May I please speak with the [FILL SAMPLED ADULT #1] in the household? |
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PROCEED TO DETAILED INTERVIEW |
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DP1NAME
So that I’ll know how to refer to you when I call back, can you please give me your first name or initials?
SET CALLBACK APPOINTMENT
ONE PERSON SAMPLED THEN TERMINATE: USERCODE A.APPT
MORE THAN ONE PERSON SAMPLED: GO TO FINDP2 |
3. NEW PERSON COMES TO PHONE |
PROCEED TO DETAILED INTERVIEW |
4. NEW PERSON IS NOT AVAILABLE |
DP1NAME
So that I’ll know how to refer to [FILL SAMPLED ADULT #1] when I call back, can you please give me their first name or initials?
SET CALLBACK APPOINTMENT
ONE PERSON SAMPLED THEN TERMINATE: USERCODE A.APPT
MORE THAN ONE PERSON SAMPLED: GO TO FINDP2 |
5. NEW PERSON UNABLE TO DO THE INTERVIEW DUE TO ILLNESS |
ONE PERSON SAMPLED: TERMINATE, USER13
MORE THAN ONE PERSON SAMPLED: GO TO FINDP2 |
6. SAMPLED PERSON REFUSED |
ONE PERSON SAMPLED: SKIP TO CLOSE
MORE THAN ONE PERSON SAMPLED: GO TO FINDP2 |
FINDP2 |
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May I please speak with the [FILL SAMPLED ADULT #2] in the household? |
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1. YES, I AM THAT PERSON |
PROCEED TO DETAILED INTERVIEW |
2. YES, I AM THAT PERSON, BUT I CAN’T COMPLETE INTERVIEW NOW |
DP2NAME
So that I’ll know how to refer to you when I call back, can you please give me your first name or initials?
SET CALLBACK APPOINTMENT
TERMINATE: USERCODE A.APPT
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3. NEW PERSON COMES TO PHONE |
PROCEED TO DETAILED INTERVIEW |
4. NEW PERSON IS NOT AVAILABLE |
DP2NAME
So that I’ll know how to refer to [FILL SAMPLED ADULT #2] when I call back, can you please give me their first name or initials?
SET CALLBACK APPOINTMENT
TERMINATE: USERCODE A.APPT
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5. NEW PERSON UNABLE TO DO THE INTERVIEW DUE TO ILLNESS |
TERMINATE, USER13 |
6. SAMPLED PERSON REFUSED |
SKIP TO CLOSE
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91 CLOSE ➔ Those are all the questions I have. I’d like to thank you on behalf of the Centers for Disease Control and Prevention for the time and effort you’ve spent answering these questions. If you have any questions about this survey, you may call my supervisor toll-free at 1-800-xxx-xxxx. If you have questions about your rights as a survey participant, you may call the Chair of the xxx Institutional Review Board at xxx-xxx-xxxx. Thanks again.
TERMINATE B/C NOT IN CATCHMENT AREA: USER32 TERMINATE B/C NOT IN REQUIRED RACE/ETHNICITY GROUP: USER33 TERMINATE, ELIGIBLE HH MEM., BUT NO ONE SAMPLED: USER34
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NOTE: 92 PN2 HAS BEEN DELETED.
| File Type | application/msword |
| File Title | REACH 2010 Behavioral Risk Factor Survey |
| Author | pc-user |
| Last Modified By | arp5 |
| File Modified | 2008-01-02 |
| File Created | 2008-01-02 |