2008 Survey of COF 2008 Survey of Compact of Free Association (COFA) Migran

3

Attachment 4: Survey Questionnaire

2008 Survey of Compact of Free Association (COFA) Migrants

INTRODUCTION

S1. Hello, my name is (Your name) and I’m an official working with the Census

Bureau on the 2008 Survey of Compact of Free Association (COFA)

Migrants. (Show ID card).

S2. For the average household, this interview should take about 17 minutes. This notice (Hand respondent a Privacy Act Notice) explains that your answers are kept confidential.

What is your name?

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

S3. In case we need to contact you about this survey, what is your telephone number and the best time to call?

( __ __ __ ) __ __ __ - __ __ __ __

__ Day __ Evening __ Either

S4. If we have a question and you are not available may we talk to someone else in the household?

__ Yes __ No

S4. How many people are living or staying in this house, apartment at this address? INCLUDE everyone living or staying here for more than 2 months. INCLUDE anyone staying here who does not have another place to stay, even if they are here for 2 months or less. DO NOT INCLUDE anyone who is living somewhere else for more than 2 months, such as a college student living away.

Number of people

__ __

QUESTIONNAIRE

1. What is each person’s name? Start with the name of a person who owns, is buying, or rents this (house/apartment/mobile home).

First name MI

__ __ __ __ __ __ __ __ __ __ __ __ __

Last name

__ __ __ __ __ __ __ __ __ __ __ __ __ __

2. (Show Card A) Which of these categories best describes how (you are /this

person is) related to (you/Read name of Person 1)?

__ (Person 1)

__ Husband or wife __ Roomer, boarder

__ Son or daughter __ Housemate, roommate

__ Brother or sister __ Unmarried partner

__ Father or mother __ Foster child

__ Grandchild __ Other non-relative

__ In-law

__ Other Relative

3. What is (your/this person’s) sex?

__ Male __ Female

4. What is (your/this person’s) age and what is (your/this person’s) date of

birth?

Age (in years)

__ __ __

Month Day Year of birth

__ __ __ __ __ __ __ __

5. Where (were you/was this person) born? (Print the name of the island, village, U.S. state, commonwealth, territory, or foreign country.)

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

6. When did (you/this person) come to live in this Area?

Year

__ __ __ __