Various Demographic & Decennial Areas Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

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Various Demographic & Decennial Areas Pretesting Activities

OMB: 0607-0725

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A





What is your legal marital or same-sex civil partnership status?


Person 1


  • Never married and never registered a same-sex

civil partnership


  • Married


  • Separated, but still legally married


  • Divorced


  • Widowed



  • In a registered same-sex civil partnership

  • Separated, but still legally in a same-sex civil partnership

  • Formerly in a same-sex civil partnership which is now legally dissolved

  • Surviving partner from a same-sex civil partnership






How is Person 2 related to Person 1?


  • Husband or wife

  • Same-sex civil partner

  • Partner

  • Son or daughter

  • Step-child

  • Brother or sister

  • Step-brother or step-sister

  • Mother or father

  • Step-mother or step-father

  • Grandchild

  • Grandparent

  • Relation – other

  • Unrelated (including foster child)




A

B







PERSON 1 MARITAL STATUS


  • Never legally married

  • Legally married (and not separated)

  • Separated, but still legally married

  • Divorced

  • Widowed




RELATIONSHIP TO PERSON 1


  • Opposite-sex husband or wife of Person 1

  • Opposite-sex unmarried partner of Person 1

  • Same-sex married spouse of Person 1

  • Same-sex unmarried partner of Person 1

  • Son or daughter of Person 1

  • Son-in-law or daughter-in-law of Person 1

  • Grandchild of Person 1

  • Father or mother of Person 1

  • Father-in-law or mother-in-law of Person 1

  • Brother or sister of Person 1

  • Foster child

  • Room-mate, lodger, or boarder

  • Other – Specify:

_________________________







C






PERSON 1


Which one of these statements is true about your legal marital / civil union status?


If you have had more than one legal marriage / civil union, answer for your most recent.


  • I have never been legally married and I have never been legally joined in a civil union

  • I am divorced or my marriage has been dissolved

  • I am a widow / widower / bereaved civil union partner

  • I am permanently separated from my legal husband / wife / civil union partner

  • I am legally married

  • I am legally joined in a civil union





Relationship to Person 1:


  • Wife / husband or opposite-sex partner / de facto

  • Same-sex partner / de facto

  • Mother / father

  • Son / daughter

  • Brother / sister

  • Flatmate

  • Other, for example grandchild, visitor. Please state:

_____________________________




File Typeapplication/msword
AuthorJeffrey Kerwin
Last Modified Bymom
File Modified2010-01-22
File Created2010-01-22

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