YVCES 2008 Youth Volunteering and Civic Engagement Survey

National Youth Volunteering & Civic Engagement Survey

Attachment C Questionnaire.rtf

National Youth Volunteering & Civic Engagement Survey

OMB: 0607-0913

Document [rtf]
Download: rtf | pdf

HELLO_PAR



                                                                             
Hello.   This is  . . . from the U.S. Census Bureau.
May I please speak to the parent or guardian of (Sample child)/ Respondent name?

  

        (OR IF INCOMING CALL)

         Thank you for returning our call.  My name is . . . . from the U.S. Census Bureau.
         We contacted your house concerning a very important survey.

If necessary:    Am I speaking with the parent or guardian of (Sample child)/ Respondent name?



1.

This is correct person/correct person called to phone

2.

Person not home or not available now

3.

Person unknown at this number

4.

Other outcome or problem interviewing respondent

5.

Refusal



HELLO



                                                                                          (Proxy Intrv for: Sample person's Name/ )
Hello.   This is  . . . from the U.S. Census Bureau.
May I please speak to (Respondent's Name)?

        (OR IF INCOMING CALL)

         Thank you for returning our call.  My name is . . . . from the U.S. Census Bureau.
         We contacted your house concerning a very important survey.

If necessary:    Am I speaking with (Respondent's Name)?



1.

This is correct person/correct person called to phone

2.

Person not home or not available now

3.

Person unknown at this number

4.

Person away at school

5.

Proxy by Parent/Guardian

6.

Other outcome or problem interviewing respondent

7.

Refusal



VERIFY_ADD



Have I reached a resident at:

     (House number)    (House number)SUF    (Street name)
     (Unit designation)
     (City),  (State)  (Zipcode)
       GQ unit:  (Group Quarters Information)
       Non-city:   (Non City Address)
       Building:   (Building Name)



1.

Yes

2.

No



EXITTHANK



Thank you for your time.

        Hang up




1.

Enter 1 to Continue



WHO_PROXY



  Enter Line Number of the person you are speaking to.

    Proxy's can only be parents or guardians.



1.

NAME[1]

2.

NAME[2]

3.

NAME[3]

4.

NAME[4]

5.

NAME[5]

6.

NAME[6]

7.

NAME[7]

8.

NAME[8]

9.

NAME[9]

10.

NAME[10]

11.

NAME[11]

12.

NAME[12]

13.

NAME[13]

14.

NAME[14]

15.

NAME[15]

16.

NAME[16]



INTRO



Hello, I'm . . . from the U.S. Census Bureau.

We are conducting a survey for the Corporation for National and Community Service called the National Youth Volunteering and Civic Engagement Survey.  This is a one-time only survey and will take about 10 to 20 minutes.

Recently, we sent you a letter explaining the survey and the importance of your participation.  Did you receive our letter?



1.

Yes

2.

No



LETTER



(Letter Information)

(Debit card information)

The survey is authorized by Title 13, Sections 8 and 9 of the United States Code.  The Office of Management and Budget number is 0607-0913



1.

Enter 1 to Continue



ADD_VERIFY



Before we get started, I need to verify that (your/ Name's) address is still:

     (House number)    (House number)SUF    (Street name)
     (Unit designation)
     (City),  (State)  (Zipcode)
       GQ unit:  (Group Quarters Information)
       Non-city:   (Non City Address)
       Building:   (Building Name)



1.

Same address

2.

Moved, not same address

3.

Haven't moved, but address has changed

4.

Incorrect address previously recorded



MOVED



Since we selected an individual at this address for inclusion in the
survey and we are not following people when they move, no interview
is needed of you at this time.





1.

Enter 1 to Continue



NEWHNO



  Enter corrections for House Number  or  press ENTER for Same/No Change.
            
          ^HNO  (Suffix) (Street name)   
          (Unit designation)
          (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWHNOSUF



    Enter corrections for House Number Suffix or  press ENTER for Same/No Change.
            
          (House number)  (House number)SUF (Street name)   
          (Unit designation)
          (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWSTR



  Enter corrections for Street Name or  press ENTER for Same/No Change.
            
          (House number)  (House number)SUF (Street name)   
          (Unit designation)
          (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWUNIT



   Enter corrections for Unit Designation  or  press ENTER for Same/No Change.
            
         (House number)  (House number)SUF (Street name)   
         (Unit designation)
         (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWPO



    Enter corrections for City  or  press ENTER for Same/No Change.
            
         (House number)  (House number)SUF (Street name)   
         (Unit designation)
         (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWST



? [F1]
    Enter corrections for State  or  press ENTER for Same/No Change.
            
         (House number)  (House number)SUF (Street name)   
         (Unit designation)
         (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansa

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Florida

GA.

Georgia

HI.

Hawaii

ID.

Idaho

IL.

Illnois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentucky

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



NEWZIP



   Enter corrections for Zipcode  or  press ENTER for Same/No Change.
            
         (House number)  (House number)SUF (Street name)   
         (Unit designation)
         (City),  (State)   ^ZIP5 -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWGQINFO



   Enter corrections for GQ information  or  press ENTER for Same/No Change.
            
           (House number)  (House number)SUF (Street name)   
           (Unit designation)
           (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  ^GQUNITINFO
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWNONCITY



  Enter corrections for Non-City Style Address  or  press ENTER for Same/No Change.
            
          (House number)  (House number)SUF (Street name)   
          (Unit designation)
          (City),  (State)   (Zipcode) -(zip 4)
            GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



NEWBLDG



   Enter corrections for Building Name  or  press ENTER for Same/No Change.
            
            (House number)  (House number)SUF (Street name)   
         (Unit designation)
         (City),  (State)   (Zipcode) -(zip 4)
             GQ unit:  (Group Quarters Information)
             Non-City:  (Non City Address)
             Building:  (Building Name)



MAILAD



Is this (also/ ) (your/ Name's) mailing address?


     Mail Address Info 



1.

Yes

2.

No



NEWMHNO



   Enter change to Mailing address - House # or Press ENTER for Same/No Change

Address:                                                 Mailing Address:                                              
(House number) (House number)SUF  (Street name)                ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                            ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                             ^MPO, ^MST ^MZIP5-^MZIP4
GQ unit:   (Group Quarters Information)                        GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                       Non-city:  (non-city style address)
Building:   (Building Name)                              



NEWMHNOSUF



   Enter change to Mailing address - House #  suffix or Press ENTER for Same/No Change

Address:                                               Mailing Address:                                              
(House number) (House number)SUF  (Street name)              ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                          ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                           ^MPO, ^MST ^MZIP5-^MZIP4
GQ unit:   (GQ Unit info)                           GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                             Non-city:  (non-city style address)
Building:   (Building Name)                              



NEWMSTR



  Enter change to Mailing address - Street Name or Press ENTER for Same/No Change

Address:                                             Mailing Address:                                              
(House number) (House number)SUF  (Street name)            ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                        ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                        ^MPO, ^MST ^MZIP5-^MZIP4
GQ unit:   (GQ Unit info)                      GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                        Non-city:  (non-city style address)
Building:   (Building Name)                              



NEWMUNIT



  Enter change to Mailing address - Unit Designation or Press ENTER for Same/No Change
            
Address:                                          Mailing Address:                                              
(House number) (House number)SUF  (Street name)         ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                     ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                      ^MPO, ^MST ^MZIP5-^MZIP4
GQ unit:   (GQ Unit info)                    GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                      Non-city:  (non-city style address)
Building:   (Building Name)                              



NEWMQGQINFO



  Enter change to Mailing address - GQ Unit Description or Press ENTER for Same/No Change
            
Address:                                               Mailing Address:                                              
(House number) (House number)SUF  (Street name)              ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                          ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                           ^MPO, ^MST ^MZIP5-^MZIP4                   
GQ unit:   (GQ Unit info)                           GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                             Non-city:  (non-city style address)
Building:   (Building Name)                              



NEWMNONCITY



  Enter change to Mailing address - Non-City Style Address or Press ENTER for Same/No Change
            
 Address:                                           Mailing Address:                                              
(House number) (House number)SUF  (Street name)           ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                       ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                        ^MPO, ^MST ^MZIP5-^MZIP4
GQ unit:   (GQ Unit info)                      GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                        Non-city:  (non-city style address)
Building:   (Building Name)                              



NEWMPO



   Enter change to Mailing address - City or Press ENTER for Same/No Change
            
Address:                                             Mailing Address:                                              
(House number) (House number)SUF  (Street name)             ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                         ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                          ^MPO, ^MST ^MZIP5-^MZIP4
GQ unit:   (GQ Unit info)                         GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                           Non-city:  (non-city style address)
Building:   (Building Name)                              



NEWMST



?  [F1] 
  Enter change to Mailing address -State or Press ENTER for Same/No Change
            
 Address:                                          Mailing Address:                                              
(House number) (House number)SUF  (Street name)           ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                       ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                        ^MPO, ^MST ^MZIP5-^MZIP4             
GQ unit:   (GQ Unit info)                      GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                          Non-city:  (non-city style address)
Building:   (Building Name)                              




AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansa

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Florida

GA.

Georgia

HI.

Hawaii

ID.

Idaho

IL.

Illnois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentucky

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



NEWMZIP



  Enter change to Mailing address - Zipcode or Press ENTER for Same/No Change
            
   Address:                                         Mailing Address:                                              
(House number) (House number)SUF  (Street name)            ^MHNO  ^MHNOSUF  ^MSTRNAME
^UNITDESC                                        ^MUNITDES
(City), (State)  (Zipcode)-(zip 4)                         ^MPO, ^MST ^MZIP5-^MZIP4
GQ unit:   (GQ Unit info)                        GQ unit:  (GQ Unit info)
Non-Cty:  (Non City Address)                          Non-city:  (non-city style address)
Building:   (Building Name)                              



INTRO_PT



 Hello, this is ...... from the U.S. Census Bureau.

We completed part of the interview for the National Youth Volunteering and Civic Engagement  Survey and would like to finish it now.

     CUTOFF DATE  : (Cut-off Date)




1.

Enter 1 to Continue



INTROB



      
         My supervisor is working with me today
         and may listen in to evaluate my performance.

           Persuade respondent to complete interview now, if possible




1.

Continue

2.

Inconvenient time. Callback needed

3.

Other outcome or problem



INTRO_RESUME



                          Respondent: (Respondent's Name)


  Some of the questions have already been answered.

   After you enter 1, Press 'END' to return to the next
      unanswered question
     


 



S_REFWHO




     Was the refusal BY the respondent or from someone else FOR the respondent?

          If necessary:  May I ask with whom I am speaking?



1.

By respondent

2.

Parent/guardian for the respondent

3.

Someone else

4.

Not sure



S_REFWHY




     Record reason for refusal

If necessary ask:  Would you please tell me the main reason you don't want
                              to participate in this.



1.

Not interested in topic

2.

Too busy, survey takes to long

3.

Topic is too personal/none of government's business

4.

Other - Specify



S_REFSPEC




     Specify reason for refusal



END_FRONT



** NON-DISPLAYED ITEM **



SKIP_TO_BACK






CTRLNUM



** NON-DISPLAYED  **



SPEAKING_TO




Who am I speaking to?

  Enter Line Number of the person you are speaking to.

 



0.

Not on list

1.

NAME[1]

2.

NAME[2]

3.

NAME[3]

4.

NAME[4]

5.

NAME[5]

6.

NAME[6]

7.

NAME[7]

8.

NAME[8]

9.

NAME[9]

10.

NAME[10]

11.

NAME[11]

12.

NAME[12]

13.

NAME[13]

14.

NAME[14]

15.

NAME[15]

16.

NAME[16]



PERSTAT



I have listed   Read names in grid
Are all of these persons still living or staying here?

      If YES - -Press END to move to the next appropriate item
        If NO -- Use the arrow keys to move to the correct person for membership change.
                     When done, press END to move to the next appropriate item.



1.

Person deceased

2.

Person moved out

3.

Person is a URE

4.

Correct a previous mistake

9.

Reinstate



FNAME



Is anyone else living or staying here now?

           Enter First Name

           Enter 999 if no more persons



LNAME



           Enter Last Name

          



MEM



Is this (your/NAME's) usual place of residence?



1.

Yes

2.

No



URE



Do you have a usual place of residence elsewhere?



1.

Yes

2.

No



SEX



    Ask only if necessary

    What is (your/NAME's)  sex?



1.

Male

2.

Female



BIRTHM



What is (your/NAME's) date of birth?

        Enter Birth Month



1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



BIRTHD



  Enter Birth Day



BIRTHY



  Enter Birth Year



VERIFY_AGE



To verify, as of August 31, (You/Name) would have been (approximately (AGE)/ less than 1 / over 98 / AGE) years old?
  
Is that correct?



1.

Yes

2.

No



AGE



** SHOW ONLY FIELD **



LINENO



** NON-DISPLAYED ITEM **



CTRLNUM



** NON-DISPLAYED ITEM **



HHMEM






SMP_PERSON



** NON-DISPLAYED ITEM **



OWNREN



  What is the name of the person or one of the persons
  who owns or rents that home?

       Enter line number (1-16) if current HH member   
      



0.

Owner/Renter not a HH member

1.

Person 1's name

2.

Person 2's name

3.

Person 3's name

4.

Person 4's name

5.

Person 5's name

6.

Person 6's name

7.

Person 7's name

8.

Person 8's name

9.

Person 9's name

10.

Person 10's name

11.

Person 11's name

12.

Person 12's name

13.

Person 13's name

14.

Person 14's name

15.

Person 15's name

16.

Person 16's name



NAME



** SHOW ONLY Field **



RRP



   Ask if not apparent

How (are/is) (You/Name) related to (Name of CPS Reference person)?



20.

Spouse (husband/wife)

21.

Unmarried Partner

22.

Child/stepchild

23.

Grandchild

24.

Parent (mother or father)

25.

Brother/sister

26.

Other related person (aunt, cousin, nephew, mother-in-law, etc.)

27.

Foster child

28.

Housemate/roommate

29.

Roomer/Boarder

30.

Other nonrelative



LINENO



** NON-DISPLAYED ITEM **



CTRLNUM



** NON-DISPLAYED ITEM **



SET_REFPER_RRP



** Not displayed



DR_UOAGE



  Designated respondent is (under/over) age
   (If this is not correct, back up and correct the age.)


   Entering "1" will exit the case and code it out as resolved.



1.

Enter 1 to Continue



DR_NOTMEM



  Designated respondent is not a household member
   (If this is not correct, back up and correct the membership status.)


   Entering "1" will exit the case and code it out as resolved.



1.

Enter 1 to Continue



CTRLNUM



** NON-DISPLAYED ITEM **



REFPER






LFSELF



Now I have a number of questions for (name of person talking about)[SAMPLE_LNO].
It would be best if I could talk to (him/her) directly.
Is (he/she) available now?

  If no/refused to let child do interview, Probe:
      We understand that you may be concerned about having your child answer the survey on his/her own.  
      Is it possible for you to serve as a proxy for the survey as long as your child is present during the interview?



1.

Yes, person called to phone

2.

Not available now, but okay to callback

3.

At school, but okay to call

4.

Proxy by Parent/Guardian

5.

Other outcome or problem/set callback for parent

6.

No, permission not given



WHO_PROXY2



  Enter Line Number of the person you are speaking to.

    Proxy's can only be parents or guardians.



1.

NAME[1]

2.

NAME[2]

3.

NAME[3]

4.

NAME[4]

5.

NAME[5]

6.

NAME[6]

7.

NAME[7]

8.

NAME[8]

9.

NAME[9]

10.

NAME[10]

11.

NAME[11]

12.

NAME[12]

13.

NAME[13]

14.

NAME[14]

15.

NAME[15]

16.

NAME[16]



CHLD_PRSNT



   Is the child present  for the proxy interview?

    If No,  Press F10 to set a callback for a time when both the parent and child are available.



1.

Enter 1 to Continue



DETINTRO



Hello, I'm . . . from the U.S. Census Bureau.

We are conducting a survey for the Corporation for National and Community Service called the National Youth Volunteering and Civic Engagement Survey.  This is a one-time only survey and will take about 10 to 20 minutes.

The interview may be monitored to evaluate my performance.



1.

Enter 1 to Continue



Q1




How old (were/was) ( you/NAME of sample person ) on August 31, 2008?



Q2




(Are/Is) ( you/NAME of sample person ) of Spanish, Hispanic, or Latino origin?



1.

Yes

2.

No



Q3



What is ( your/NAME of sample person ) race?

White; Black or African American; American Indian or Alaska Native; Asian; Native Hawaiian or Other Pacific Islander?    

       Enter all that apply, separate with commas 



1.

White

2.

Black or African American

3.

American Indian or Alaska Native

4.

Asian

5.

Native Hawaiian or Other Pacific Islander

6.

DO NOT READ



Q3a



 Read only if necessary:

What is (your/his/her) race?



Q3b



** SHOW ONLY FIELD **



Q3c



     Specify Other race



Q4



(Were/Was) ( you/NAME of sample person ) born in the United States?

       Includes U.S. territories



1.

Yes

2.

No



Q5



Which language (do/does) ( you/NAME of sample person ) usually speak at home?



1.

English

2.

Spanish

3.

Other (Specify)



LANG_SPEC



  Specify the language spoken at home.



Q6



I'd like to start off by asking you some questions about ( your/NAME(sample person)'s ) education and general activities.

(Were/Was) ( you/NAME of sample person ) in school last year?



1.

Yes

2.

No



Q7



Was it a public school, private school or (were/was) ( you/NAME of sample person ) home schooled?



1.

Public School

2.

Home School

3.

Private School



Q8



Was that a religious or non-religious school?



1.

Religious

2.

Non-religious



Q9



What grade ((were you/was NAME) in/would (you/NAME) have been in if (you/he/she) (were/was) in public or privat?



6.

6th Grade

7.

7th Grade

8.

8th Grade

9.

9th Grade

10.

10th Grade

11.

11th Grade

12.

12th Grade

13.

Technical/Vocational school

14.

1st or 2nd year of college

15.

Other (specify)



OTHGRADE



  Specify other grade.



Q10



Was the last high school or secondary school ( you/NAME of sample person ) went to a public school, private school, or (were/was) ( you/NAME of sample person ) home schooled?



1.

Public School

2.

Home School

3.

Private School



Q11



Was that a religious or non-religious school?



1.

Religious

2.

Non-religious



Q12



What is the highest level ( you/NAME of sample person ) (have/has) achieved?



1.

Less than a high school diploma

2.

High school graduate

3.

GED

4.

Technical/Vocational school

5.

1st or 2nd year of college

6.

Other (Specify)



OTHGRADE2



  Specify highest level achieved.



Q13



What was ( your/NAME(sample person)'s ) overall grade average for the (past year/last year (you/he/she) attended school)?

 Respondent can provide either a letter grade or a grade point average.
   Grade point average must be based on a four point scale.



11.

A+

12.

A [4.0 - 3.8]

13.

A- [3.7 - 3.4]

14.

B+ [3.3 - 3.1]

15.

B [3.0 - 2.8]

16.

B- [2.7 - 2.4]

17.

C+ [2.3 - 2.1]

18.

C [2.0 - 1.8]

19.

C- [1.7 - 1.4]

20.

D+ [1.3 - 1.1]

21.

D [1.0 - 0.8]

22.

Other

23.

Do not receive grades through school



OTHAVG



  Enter the grade that the respondent has given.



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Q14



Now I'd like to learn about any experiences ( you/NAME of sample person ) may have had with performing community service as part of a school activity or requirement that takes place as part of a class.

(Have/Has) ( you/NAME of sample person ) ever performed any community service as part of a class activity or requirement?



1.

Yes

2.

No



Q15



How many different classes (have/has) ( you/NAME of sample person ) taken that included community service as part of the class?



0.

None

1.

1 Class

2.

2 Classes

3.

3 Classes

4.

4 Classes

5.

5 Classes



Q16



I'd like to ask you some questions about ( your/NAME(sample person)'s ) (experience/most recent experience) with serving in (your/his/her) community as part of this class.

How many years ago did ( you/NAME of sample person ) take the class?



1.

Currently taking the class

2.

Last year

3.

Two years ago

4.

Three years ago

5.

Four years ago

6.

Five or more years ago



Q17



What subject area was the class in?



11.

Social Studies

12.

Math

13.

English/Language Arts

14.

Science

15.

Foreign Languages

16.

Art/Music/Theater

17.

Physical Education

18.

Health

19.

Special Education

20.

Vocational/Career Educations

21.

Advisory Period

22.

Gifted/Talented

23.

Elective

24.

Other (Specify)



OTHSUBJ



  Specify the subject area of the class.



Q18



Was the class required or an elective?



1.

Requirement

2.

Elective



Q19



Was the community service a requirment of the class or an optional activity?



1.

Requirement

2.

Optional Activity



Q20



Did ( you/NAME of sample person ) help plan the service project?



1.

Yes

2.

No



Q21



Did T_NAME do any research to identify a community problem or need
that would be addressed through the service project?



1.

Yes

2.

No



Q22



(Were/Was) ( you/NAME of sample person ) required to write about or reflect on (your/his/her) experience in the service project for the class?



1.

Yes

2.

No



Q23



Did ( you/NAME of sample person ) present the results of the service project to (your/his/her) classmates or others in the community?



1.

Presented results to the class

2.

Presented results to the community

3.

Both the class and the community

4.

Did not present results



Q24



Was the service project connected to the learning objectives of the class?



1.

Yes

2.

No



Q25



Was the service project included in (your/his/her) grade for the class?



1.

Yes

2.

No



Q26



How long did ( you/NAME of sample person ) regularly participate in this service project?
Was it a one time activity, for a month or less, for more than a month but less than three months, for a whole semester, for the entire school year, or for some other length of time?



1.

It was a one time activity

2.

One month or less

3.

More than one month, but less than three

4.

One semester

5.

The entire school year

6.

Other (Specify)



LENGTHOTH



  Specify the amount of participation time.



Q27



Did ( you/NAME of sample person ) work with an organization outside of the school as part of the service project?



1.

Yes

2.

No



Q28



As part of the service project, did ( you/NAME of sample person ) personally provide services that directly
benefited individuals outside of school?
(Examples of these kinds of services would be providing companionship to those in hospitals or nursing homes, serving meals in a shelter, or assisting victims of natural disasters.)



1.

Yes

2.

No



Q29



About how many hours did ( you/NAME of sample person ) spend on activities outside of school for the service project?



Q30



Through this service project, (were/was) ( you/NAME of sample person ) introduced to people whose background is very different from (your/his/her) own?



1.

Yes

2.

No



Q31



How would you describe the impact this service project had on you?
Would you say that it had a positive impact on you, a somewhat positive impact, no impact, a somewhat negative impact, or a very negative impact?



1.

Very positive impact

2.

Somewhat positive impact

3.

No impact

4.

Somewhat negative impact

5.

Very negative impact



Q32



Has this service experience made you more likely, less likely or just as likely to volunteer in the future?



1.

More likely

2.

Less likely

3.

Just as likely



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Q33



Now I would like to ask you about (volunteering/NAME's volunteering).  Volunteer activities are those things (you/that people) do for others for which (you/they) are not paid, except perhaps for expenses. 
I only want you to include volunteer activities that ( you/NAME of sample person ) did for an organization, even if (you/he/she) only did them once in awhile.

I would like you to tell me about any volunteer activities (you have done/NAME did) in the previous year, or  between September 1, 2007 and September 1, 2008.

Between September 1, 2007 and September 1, 2008, (have/has) ( you/NAME of sample person ) done any volunteering activities through or for an organization?




1.

Yes

2.

No



Q34



Sometimes people don't think of activities they do infrequently or activities they do for schools or youth organizations as volunteer activities.  In the previous year, (have/has) ( you/NAME of sample person ) done any of these types of volunteer activities?



1.

Yes

2.

No



Q35



How many different organizations (have/has) ( you/NAME of sample person ) volunteered through or for in the previous year?



1.

1 organization

2.

2 organizations

3.

3 organizations

4.

4 organizations

5.

5 organizations

6.

6 organizations

7.

7 or more



Q36



What (is it/are they)?

   (* Record names of the four organizations he/she volunteered with most frequently during the past y
     If respondent doesn't know the name of organization,  
       ask "What type of organization is it?" and enter verbatim response.



Q36A1



What type of oranization is (Organization name/is that)?



11.

Religious congregation

12.

School

13.

School club

14.

Social or community service group

15.

Education group (non-school)

16.

Cultural or arts org.

17.

Environmental or animal care org.

18.

Health research or education org.

19.

Hospital, clinic or nursing home

20.

International or immigrant/refugee org.

21.

Labor union, business or professional org.

22.

Political party or advocacy group

23.

Public safety org.

24.

Sports or recreation group

25.

Youth civic/leadership group

26.

Some other type of org. (Specify)



OTHORG



  Specify the other type of organization.



Q80



Earlier, you mentioned that ( you/NAME of sample person ) (have/has) not volunteered through or for an organization in the previous year.  (Have/Has) ( you/NAME of sample person ) ever volunteered through or for an organization?



1.

Yes

2.

No



Q81



How long ago did ( you/NAME of sample person ) volunteer?



1.

Within the last 2 years but not in the last 12 months (September 2006-August 2007)

2.

Three to five years ago (September 2003-August 2005)

3.

More than five years ago (August 2003 or earlier)



Q82



Many people stop volunteering for a variety of reasons.  In fact, we know that one out of three volunteers stop volunteering each year.  Why did ( you/NAME of sample person ) stop volunteering?



1.

Didn't enjoy it

2.

No longer required to volunteer

3.

Moved

4.

No longer a member of the organization

5.

School responsibilities

6.

Family responsibilities

7.

Took paid work

8.

Organization did not ask me again

9.

Some other reason (Specify)



OTHSTOP



  Specify the other reason the respondent stopped volunteering.



Q83



What was it about the volunteering experience that ( you/NAME of sample person ) didn't enjoy?



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Q37



During how many weeks in the previous year did ( you/NAME of sample person ) do volunteer activities for (Organization name)?

      Enter 0 if less than one week



Q38



In (those (Q37) weeks/that 1 week/those weeks) that ( you/NAME of sample person ) volunteered for (Organization name), how many hours per week
did (you/he/she) do volunteer activities?

    Enter 0 if it varies



Q39



How many total hours did ( you/NAME of sample person ) do volunteer activities for (Organization name)
in the last year?



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Q40



Now I'm going to ask you about the volunteer activities ( you/NAME of sample person ) might have done for (Organization name) in the last year.  For each activity that I mention, please tell me - yes or no - whether ( you/NAME of sample person ) did that activity for that organization.

Since September 1, 2007 did ( you/NAME of sample person )

   . . . Coach, referee, or supervise sports teams?



1.

Yes

2.

No



Q41



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Tutor or teach?  
       (Includes reading to children or adults, assisting teachers, helping with homework or school projects.)
        



1.

Yes

2.

No



Q42



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Mentor youth?
        (Includes being a Boy Scout/Girl Scout leader, Big Brother/Big Sister, or engaging in other mentoring
      activities.)
        



1.

Yes

2.

No



Q43



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Be an usher, greeter, or minister? 
          (Includes showing people to their seats, giving directions, handing out programs and other materials.)        



1.

Yes

2.

No



Q44



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Collect, prepare, distribute, or serve food?  
        (Includes serving meals in shelters and packaging meals for distribution.)        



1.

Yes

2.

No



Q45



Since September 1, 2007 did ( you/NAME of sample person )

   . . . 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, and
       collecting furniture.)        



1.

Yes

2.

No



Q46



Since September 1, 2007 did ( you/NAME of sample person )

   . . . 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.)        



1.

Yes

2.

No



Q47



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Provide counseling, medical care, fire/EMS, or protective services?  



1.

Yes

2.

No



Q48



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Provide general office services?  
        (Includes clerical, administrative activities, running errands, manning information booths.)        



1.

Yes

2.

No



Q49



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Provide companionship or assistance for others, such as the sick or elderly?  
        (Includes candy striping, reading to patients, providing therapy.)        



1.

Yes

2.

No



Q50



Since September 1, 2007 did ( you/NAME of sample person )

   . . . Engage in music, performance, or other artistic activities?  
        (Includes choir, musical, dance, theatrical performance, fine arts.)        



1.

Yes

2.

No



Q51



Since September 1, 2007 did ( you/NAME of sample person )

   . . . 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.)        



1.

Yes

2.

No



Q52



Since September 1, 2007 did ( you/NAME of sample person )

 ...Volunteer in any other activities which do not belong in one of the categories previously mentioned?

        (Includes campaigning, registering people to vote, political activities, and any other activities
       which do not belong in one of the above categories.)        



1.

Yes

2.

No



OTHACT



  Specify the other activity.



Q53



Which of the activities that ( you/NAME of sample person ) performed did (you/he/she) spend the most time doing for
(Organization name) last year?

       Read answer categories if necessary
   



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 that 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 companionship or assistance for others

11.

Engage in music, performance, or other artistic activities

12.

Engage in general labor or supply transportation for people

13.

^FILL_OTHACT

14.

Equal time spent on all activities



OTHACTTIME



  Specify the other activity.



Q54



Now I'd like to ask you how ( you/NAME of sample person ) became a volunteer for (Organization name).

Did ( you/NAME of sample person ) approach the organization (yourself/himself/herself), (were/was) (you/he/she) asked by someone, or did (you/he/she) become involved in some other way?



1.

Approached the organization

2.

Was asked

3.

Some other way

4.

Don't remember



Q55



How did ( you/NAME of sample person ) learn about the volunteering opportunity with the organization?



1.

Parent or other adult

2.

School teacher or administrator

3.

Friend or coworker

4.

The Internet

5.

Volunteer center

6.

Advertisement

7.

Some other way (specify)



OTHWAY



  Specify how ( you/NAME of sample person ) learned about the volunteering opportunity.



Q56



Who asked ( you/NAME of sample person ) to become a volunteer for this organization?

       Read answer categories if necessary



1.

Parent

2.

Other relative

3.

Friend

4.

Teacher

5.

An adult at ^P_NAME place of worship

6.

Co-worker

7.

Someone in the organization

8.

Someone else (Specify)



OTHASK



  Specify who asked ( you/NAME of sample person ) to become a volunteer.



Q57



Please describe how ( you/NAME of sample person ) became involved with this organization.

       Read answer categories if necessary



1.

Court-ordered community service

2.

Public housing requirement

3.

School requirement

4.

Family member's involvement in the organization

5.

Friend's, co-worker's, or roommate's involvement in the organization

6.

Own involvement in the organization

7.

Referred by volunteer organization

8.

Responded to public appeal in newspaper/radio/TV/flyer/Internet

9.

Other (specify)



OTHINVOLVE



  Specify how ( you/NAME of sample person ) became involved.



Q58



Would you say that your volunteering experience with (Organization name)
was excellent, good, fair, poor or very poor?



1.

Excellent

2.

Good

3.

Fair

4.

Poor

5.

Very poor



Q59



Has this volunteer experince made you more likey, less likely or just as likely
to volunteer in the future?



1.

More likely

2.

Less likely

3.

Just as likely



Q60



Did ( you/NAME of sample person ) help to plan a project for (your/his/her) volunteer activities with (Organization name)?



1.

Yes

2.

No



Q61



Did the organization provide ( you/NAME of sample person ) with an opportunity to write about or reflect upon (your/his/her) volunteer activities?



1.

Yes

2.

No



Q62



Through (your/his/her) volunteer experience, (were/was) ( you/NAME of sample person ) introduced to people whose background is very different from (your/his/her) own?



1.

Yes

2.

No



Q63



Which of the following statements accurately describes ( your/NAME(sample person)'s ) volunteering activities with (Organization name): all of (your/his/her) volunteer work was used to fulfill a service requirement; a portion of (your/the) volunteer work was used to fulfill a service requirement; none of (your/the) volunteer work was used to fulfill a service requirement?



1.

All of the volunteer work

2.

A portion of the volunteer work

3.

None of the volunteer work



Q64



If all or a portion of (your/the) volunteer work was used to fulfill a service requirement, was the service required by school, a community organization, a religious congregation, or some other type of organization?


     Enter all that apply, separate with commas



1.

School

2.

Community organization

3.

Religious congregation

4.

Some other type (specify)



OTHREQFOR



  Specify what the service requirement was for.



Q65



Were any of the volunteer activities ( you/NAME of sample person ) did for (Organization name) also connected to a class at school?



1.

Yes, all of ^MYNAMES volunteer activities were connected to a class

2.

Yes, some of ^MYNAMES volunteer activities were connected to a class

3.

No



Q66



Were these volunteer activities the same activities that you reported earlier as community service that ( you/NAME of sample person ) did as part of a class?



1.

Yes, they are the same activities

2.

Some of the activities are the same

3.

No, they are completely different activities



Q67



Now I'm going to read you a series of statements that might explain why you volunteered with (Organization name) in the previous year and I would like you to tell me whether each statement was a very important reason, somewhat important, or not important at all to why you volunteered with this organization.

The first statement is "I volunteered because: "
  
                 I can do something for a cause that is important to me.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q68



I volunteered because . .
   
                 Volunteering helps me to explore different career options.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q69



I volunteered because . .
   
                 Volunteering allows me to gain a new perspective on things.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q70



I volunteered because . .
   
                 My religious or spiritual beliefs led me to volunteer.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q71



I volunteered because . .
   
                 Volunteering is an important activity to the people I respect.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q72



I volunteered because . . .
   
                 Volunteer experience will look good on my resume or college applications.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q73



I volunteered because . . .
   
                 I feel it is important to help others.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q74



I volunteered because . . .
   
                 Volunteering can help me get my foot in the door at a place where I would like to work.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q75



I volunteered because . . .
   
                 I can explore my own strengths.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q76



I volunteered because . . .
   
                  Volunteering makes me feel needed.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q77



I volunteered because . . .
   
                  I feel compassion toward people in need.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q78



I volunteered because . . .
   
                  I can learn new skills through direct, hands-on experience.



1.

Very Important

2.

Somewhat Important

3.

Not Important



Q79



I volunteered because . . .
   
                  Volunteering helps me to deal with some of my own problems.



1.

Very Important

2.

Somewhat Important

3.

Not Important



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Q84



I'm going to read to you a list of (possible/ NAME's possible) family members and I'd like you to tell me if they volunteered in the past year.  If ( you/NAME of sample person ) (don't/doesn't) have one of these types of family members, or if they are deceased, just say it doesn't apply.

Did (your/his/her) mother or stepmother volunteer in the past year?



1.

Volunteers

2.

Doesn't volunteer

3.

Doesn't apply



Q85



I'm going to read to you a list of (possible/ NAME's possible) family members and I'd like you to tell me if they volunteered in the past year.  If ( you/NAME of sample person ) (don't/doesn't) have one of these types of family members, or if they are deceased, just say it doesn't apply.

Did (your/his/her) father or stepfather volunteer in the past year?



1.

Volunteers

2.

Doesn't volunteer

3.

Doesn't apply



Q86



I'm going to read to you a list of (possible/ NAME's possible) family members and I'd like you to tell me if they volunteered in the past year.  If ( you/NAME of sample person ) (don't/doesn't) have one of these types of family members, or if they are deceased, just say it doesn't apply.

Did (your/his/her) brothers or sisters volunteer in the past year?



1.

Volunteers

2.

Doesn't volunteer

3.

Doesn't apply



Q87



I'm going to read to you a list of Q84_FILL1 family members and I'd like you to tell me if they volunteered in the past year.  If ( you/NAME of sample person ) (don't/doesn't) have one of these types of family members, or if they are deceased, just say it doesn't apply.

Did (your/his/her) Grandparents volunteer in the past year?



1.

Volunteers

2.

Doesn't volunteer

3.

Doesn't apply



Q88



I'm going to read to you a list of (possible/ NAME's possible) family members and I'd like you to tell me if they volunteered in the past year.  If ( you/NAME of sample person ) (don't/doesn't) have one of these types of family members, or if they are deceased, just say it doesn't apply.

Did any other member of ( your/NAME(sample person)'s ) family volunteer in the past year?



1.

Volunteers

2.

Doesn't volunteer

3.

Doesn't apply



OTHMBR



  Specify other household members.



Q89



(Do you have/Are there) people who live in ( your/NAME(sample person)'s ) household that you don't count as members of (your/his/her) family?



1.

Yes

2.

No



Q90



Did any of these other members volunteer in the past year?



1.

Yes

2.

No



Q91



(Would you say that there is/Is there) an expectation within ( your/NAME(sample person)'s ) family that (you/he/she) volunteer?



1.

Yes

2.

No



Q92



(Have/Has) ( you/NAME of sample person ) ever reflected on (your/his/her) volunteering experiences with members of (your/the) family?



1.

Yes

2.

No



Q93



Do any of ( your/NAME(sample person)'s ) close friends volunteer?



1.

Yes

2.

No



Q94



Now I'd like to ask you about some national and international service programs.

Would you say that your impression of AmeriCorps is very positive, somewhat positive, very negative, or that  you haven't heard enough about the organization to have such an impression?



1.

Very Positive

2.

Somewhat Positive

3.

No impression

4.

Somewhat negative

5.

Very negative



Q95



Would you say that your impression of VISTA (Volunteers in Service to America) is very positive, somewhat positive, very negative, or that  you haven't heard enough about the organization to have such an impression?



1.

Very Positive

2.

Somewhat Positive

3.

No impression

4.

Somewhat negative

5.

Very negative



Q96



Would you say that your impression of the Peace Corps is very positive, somewhat positive, very negative, or that  you haven't heard enough about the organization to have such an impression?



1.

Very Positive

2.

Somewhat Positive

3.

No impression

4.

Somewhat negative

5.

Very negative



Q97



Would you say that your impression of ROTC (Reserve Officers' Training Corps) is very positive, somewhat positive, very negative, or that  you haven't heard enough about the organization to have such an impression?



1.

Very Positive

2.

Somewhat Positive

3.

No impression

4.

Somewhat negative

5.

Very negative



Q98



Would you say that your impression of the military is very positive, somewhat positive, somewhat negative, very negative or that you haven't heard enough about the military to have such an impression?



1.

Very Positive

2.

Somewhat Positive

3.

No impression

4.

Somewhat negative

5.

Very negative



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Q99



Now I'd like to know about different ways ( you/NAME of sample person ) might be involved in (your/his/her) community.

In the previous year, (have/has) ( you/NAME of sample person ) attended any public meeting in which there was discussion of community affairs?



1.

Yes

2.

No



Q100



In the previous year, (have/has) ( you/NAME of sample person ) worked with other people in (your/the) neighborhood to fix or improve something?



1.

Yes

2.

No



Q101



In the previous year, did ( you/NAME of sample person ) attend any live performing arts events [such as jazz, Latin, or classical music concerts, operas, musicals, stage plays, ballet, or other dance]?



1.

Yes

2.

No



Q102



In the previous year, did ( you/NAME of sample person ) take lessons or classes in music, dance, theater, or the visual arts?



1.

Yes

2.

No



Q103



In the previous year, did ( you/NAME of sample person ) serve in a leadership position in an organization in (your/his/her) school or community?



1.

Yes

2.

No



Q104



(Do/Does) ( you/NAME of sample person ) attend religious services at a church, synagogue, mosque, or other religious organizations?



1.

Yes

2.

No



Q105



How often (do/does) ( you/NAME of sample person ) attend religious services?



1.

At least once a week

2.

Almost every week

3.

Once or twice a month

4.

A few times per year

5.

Less often than that



Q106



During a TYPICAL MONTH in the past year, how often did ( you/NAME of sample person ) eat dinner with any of the other members of (your/his/her) household - not at all, once a month, a few times a month, a few times a week or basically every day?



1.

Once a month

2.

A few times a month

3.

A few times a week

4.

Basically every day

5.

Not at all



Q107



During a TYPICAL MONTH in the past year, how often did ( you/NAME of sample person ) talk with any of (your/his/her) neighbors - not at all, once a month, a few times a month, a few times a week or basically every day?



1.

Once a month

2.

A few times a month

3.

A few times a week

4.

Basically every day

5.

Not at all



Q108



During a TYPICAL MONTH in the past year, how often did ( you/NAME of sample person ) and (your/his/her) neighbors do favors for each other?  By favors we mean such things as helping with shopping or yard work, house sitting, and other small acts of kindness- not at all, once a month, a few times a month, a few times a week or basically every day?



1.

Once a month

2.

A few times a month

3.

A few times a week

4.

Basically every day

5.

Not at all



Q109



How many different adults could you go to if you were in trouble or needed help?



Q110



Who are these adults you could go to if you were in trouble or needed help?

     Enter all that apply, separate with commas



1.

A parent

2.

Older brother or sister

3.

Grandparent

4.

Other family member

5.

Teacher

6.

Coach

7.

Guidance counselor

8.

Other school staff

9.

Neighbor

10.

Adult in a youth organization

11.

Religious leader

12.

Co-worker or work supervisor

13.

Someone else (specify)



OTHADULT



  Specify the other adult.



Q111



NOT COUNTING family members, about how many CLOSE FRIENDS do you currently have, if any?  These are people about your age, you feel at ease with, can talk to about private matters, or call on for help?



Q111A



How may are of a different race than you?



Q112



Finally, I'd like to ask you some questions about ( your/NAME(sample person)'s ) interest in politics and current events.

Generally speaking, how interested (are/is) ( you/NAME of sample person ) in politics?



1.

A great deal

2.

Somewhat

3.

Not at all



Q113



C_DODOES ( you/NAME of sample person ) ever discuss politics with (your/his/her) parents or other adults in (your/his/her) household?



1.

Yes

2.

No



Q113A



How many days in the past week did ( you/NAME of sample person ) talk about politics with (your/his/her) parents or other adults?



Q114



(Do/Does) ( you/NAME of sample person ) ever discuss politics with (your/his/her) friends?



1.

Yes

2.

No



Q114A



How many days in the past week did ( you/NAME of sample person ) talk about politics with (your/his/her) friends?



Q115



(Do/Does) ( you/NAME of sample person ) ever participate in chat rooms or on-line social networking sites, such as Facebook or MySpace?



1.

Yes

2.

No



Q115A



How many days in the past week did ( you/NAME of sample person ) participate in chat rooms or on-line social networking sites?



Q116



Now I'm going to read you a quick list of things that some people have done to express their views.  For each one I read, please tell me whether ( you/NAME of sample person ) (have/has) ever done it or not.

(Have/Has) ( you/NAME of sample person ) ever signed a written or on-line petition about a political or social issue?

        If Yes, Probe:  And (have/has) (you/he/she) done this is the last 12 months, or not?



1.

Yes; have done it, but not in last 12 months

2.

Yes; have done it, and within last 12 months

3.

Yes; have done it, DK whether in last 12 months or not

4.

No; have not done it



Q117



(Have/Has) ( you/NAME of sample person ) ever NOT bought something because of conditions under which the product is made, or because (you/he/she) (dislike/dislikes) the conduct of the company that produces it?

        If Yes, Probe:  And have you done this is the last 12 months, or not?



1.

Yes; have done it, but not in last 12 months

2.

Yes; have done it, and within last 12 months

3.

Yes; have done it, DK whether in last 12 months or not

4.

No; have not done it



Q118



(Have/Has) ( you/NAME of sample person ) ever bought a certain product or service because (you/he/she) (like/likes) the social or political values of the company that produces or provides it?

        If Yes, Probe:  And (have/has) (you/he/she) done this is the last 12 months, or not?



1.

Yes; have done it, but not in last 12 months

2.

Yes; have done it, and within last 12 months

3.

Yes; have done it, DK whether in last 12 months or not

4.

No; have not done it



Q119



(Have/Has) ( you/NAME of sample person ) ever worked as a canvasser - having gone door to door for a political or social group or candidate?

        If Yes, Probe:  And (have/has) (you/he/she) done this is the last 12 months, or not?



1.

Yes; have done it, but not in last 12 months

2.

Yes; have done it, and within last 12 months

3.

Yes; have done it, DK whether in last 12 months or not

4.

No; have not done it



Q120



Would you say that you have recently been taking a good deal of interest in current events and what's happening in the world today, some interest, or not very much interest?



1.

A good deal

2.

Some

3.

Not very much



Q121



Thinking about the problems you see in your community, how much difference do you believe you can personally make in working to solve problems you see - a great deal of difference, some difference, a little difference, almost no difference, or no difference at all?



1.

A great deal of difference

2.

Some difference

3.

A little difference

4.

Almost no difference

5.

No difference at all



Q122



Generally speaking, would you say that people can be trusted or that you can't be too careful in dealing with people?



1.

You can't be too careful

2.

Depends

3.

People can be trusted

4.

Neither



Q123



Now I'd like to ask you how you feel about the future. 
Considering everything, would you say you feel generally optimistic about the future of our county, or generally pessimistic, or that you're uncertain about our country's future?



1.

Generally optimistic

2.

Uncertain

3.

Generally pessimistic



Q124



How likely is it that you will get a bachelor's degree?
Would you say that it is very likely, somewhat likely, not very likely, or not likely at all?



1.

Very likely

2.

Somewhat likely

3.

Not very likely

4.

Not likely at all



Q125



How likely is it that you will participate in volunteer or community service in the next year?
Would you say that it is very likely, somewhat likely, not very likely, or not likely at all?



1.

Very likely

2.

Somewhat likely

3.

Not very likely

4.

Not likely at all



Q126



How likely is it that you will regularly vote in elections(? /after you turn eighteen?)
Would you say that it is very likely, somewhat likely, not very likely, or not likely at all?



1.

Very likely

2.

Somewhat likely

3.

Not very likely

4.

Not likely at all



Q127



How likely is it that you will enlist in the military?
Would you say that it is very likely, somewhat likely, not very likely, or not likely at all?



1.

Very likely

2.

Somewhat likely

3.

Not very likely

4.

Not likely at all



Q128A



People nowadays have a lot to keep up with and no one can keep up with everything.  I have two questions about federal laws.   If you don't happen to know the answers, just tell me and we'll move on.

What individual or group of individuals has the responsibility to make the final decision on whether a law is constitutional or not - is it the President of the United States, the Supreme Court, or the Congress?



1.

President of the United States

2.

Supreme Court

3.

Congress



Q128B



Do you know how much of a majority is required for the U.S. Senate and House to override a presidential veto?    Is it 80 percent, 67 percent, 60 percent, or 51 percent?



1.

80 percent

2.

67 percent

3.

60 percent

4.

51 percent



SAMPLE_LNO



** NON-DISPLAYED ITEM **



CTRLNUM



** NON-DISPLAYED ITEM **



EXIT_SCREEN




    Are you exiting this case because of a refusal?



1.

Yes

2.

No



S_REFWHO2




     Was the refusal BY the respondent or from someone else FOR the respondent?

          If necessary:  May I ask with whom I am speaking?



1.

By respondent

2.

Parent/guardian for the respondent

3.

Someone else

4.

Not sure



S_REFWHY2




     Record reason for refusal

If necessary ask:  Would you please tell me the main reason you don't want
                              to participate in this.



1.

Not interested in topic

2.

Too busy, survey takes to long

3.

Topic is too personal/none of government's business

4.

Other - Specify



S_REFSPEC2




     Specify reason for refusal



EXIT_TO_WEBCATI



  Exit to Webcati

^Webcati_fill



1.

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THANKYOU



Thank you for your time.
(ATM card information)



1.

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WEB_SPLASH_CTRL



 Control codes to pass to WebCATI
 
Wc_case_status.Outcome = [Fill: OUTCOME]
Wc_case_status.outcome_subtype = [Fill: OUTCOME_SUBTYPE]
Wc_case_status_Mark = [Fill: MARK]
Wc_case_status_Marktwo = [Fill: MARKTWO]



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WEB_SPLASH_ADDR



 Address Components to pass to WebCATI

Wc_address.House_number = <Fill HNO> 
Wc_address.House_number_suffix = <Fill HNOSUF> 
Wc_address.Address_1 = <Fill STRNAME>
Wc_address.Unit_designation = <Fill UNITDES>
Wc_address.Physical_description = <Fill GQUNITINFO>
Wc_address.Physical_description = <Fill NONCITYADD>
Wc_address.Locality_place = <PO>
Wc_address.State = <Fill ST>
Wc_address.Zip5code = <Fill ZIP5>
Wc_address.Zip4code = <Fill ZIP4>

MAILING ADDRESS
Wc_address.House_number = <Fill MHNO> 
Wc_address.House_number_suffix = <Fill MHNOSUF> 
Wc_address.Address_1 = <Fill MSTRNAME>
Wc_address.Unit_designation = <Fill MUNITDES>
Wc_address.Physical_description = <Fill MGQUNITINFO>
Wc_address.Physical_description = <Fill MNONCITYADD>
Wc_address.Locality_place = <MPO>
Wc_address.State = <Fill MST>
Wc_address.Zip5code = <Fill MZIP5>
Wc_address.Zip4code = <Fill MZIP4>



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WC_ROSTER






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File Typetext/rtf
File TitleHELLO_PAR
AuthorBureau Of The Census
Last Modified ByBureau Of The Census
File Modified2008-09-02
File Created2008-09-02

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