Various Pretesting Activities

Section(s): Ancestry/Language/Migration/Marital History/Military (Phase 2)
INTRO_CP	1. Yes 2. No
Hello. I'm... from the United States Census Bureau. [Here is my identification card (show ID card).] We are conducting the [American/ Puerto Rico] Community Survey to collect current population and housing information. I have some questions to ask you. Did you receive our mailings?
FN_PG1	
I am going to be asking some questions about everyone who is living or staying at this address. First let's create a list of the people starting with you. What is your name?/What is the name of the next person living or staying here?
FN_PG2	
The following questions are to make sure this list is as complete as possible... /<blank>] “Does anyone else live or stay here, such as roommates, foster children, boarders, or live-in employees?
FN_PG3	
"Is there anyone else staying here even for a short time, such as a friend or relative?"
HHOLDER	
Of the people you named, who owns or rents this place? (What name(s) are on the deed or lease? Is there anyone 15 years or older?)

RELP	<1> Husband or wife <2> Biological son or daughter <3> Adopted son or daughter <4> Stepson or stepdaughter <5> Brother or sister <6> Father or mother <7> Grandchild <8> Parent-in-law <9> Son-in-law or daughter-in-law <10> Other relative <11> Roomer or boarder <12> Housemate or roommate <13> Unmarried partner <14> Foster child <15> Other nonrelative
PRS/ESP: (If CAPI) Using Card A in this packet, How {is <Name>/ are you} related to {<HHoldername>/you}?
RELT	<1> Husband or wife <2> Son or daughter <3> Brother or sister <4> Father or mother <5> Grandchild <6> Parent-in-law <7> Son-in-law or daughter-in-law <8> Other relative <9> Roomer or boarder <10> Housemate or roommate <11> Unmarried partner <12> Foster child <13> Other nonrelative
PRS/ESP: How {is <Name>/ are you} related to {<HHoldername>/you}?
DOBA	<1> <Current year - DOBY - 1> years of age <2> <Current year - DOBY> years of age <3> Neither is correct
Would you say {<Name> is / you are}:
AGEASK	
What is your best estimate of {<Name>'s/ your} age?
ANCW	
What is [your/<Name>'s] ancestry or ethnic origin? (Read if Necessary - For example: Italian, Jamaican, African-American, Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian and so on.)
LANX	1. Yes 2. No
(Does <Name>/Do you) speak a language other than English at home?

LANW	
What is this language? (For example: Korean, Italian, Spanish, Vietnamese)
ENG	<1> Very well <2> Well <3> Not well <4> Not at all
How well (does <Name>/do you) speak English - very well, well, not well, not at all?
MIGA	 Yes No
Did [you/<Name>] live in this (BUILDING TYPE) 1 year ago?
MIGB	1. United States 2. Puerto Rico  goto MGW1 3. Another Country
Did [you/<Name>] live in the United States, Puerto Rico or another country?
MGW1	
What was the foreign country?
MGW1a	
What was the street address?
MGW2	
What was the city or town?
MGW4	
What was the [county / municipio]?
MGST	
What was the state?
MGW6	
What was the ZIP Code?
MAR	<1> Now married <2> Widowed <3> Divorced <4> Separated <5> Never married
I will now be asking about (your/<Name’s>) marital status. Is <Name>/ Are you} married, widowed, divorced, separated or never married?

MARHIS1	1. Yes 2. No
In the past 12 months, did (<Name>/ you) get married?
MARHIS2	1. Yes 2. No
In the past 12 months, did (<Name>/ you) become a (widow/widower)?
MARHIS3	1. Yes 2. No
In the past 12 months, did (<Name>/ you) get divorced?
NUMMAR	1. Once 2. Twice 3. Three or more times
How many times (has <Name>/ have you) been married? Is that once, twice, or three or more times?
MARYR	
In what year did (<Name>/ you) (get/last get) married?
FER (If female, 15-50 y/o)	Yes No
(Has <Name>/have you) given birth to any children in the past 12 months?
GCL	 Yes  No  Goto MILA
[Does <Name>/Do you] have any of <his/her/your/his or her> grandchildren under the age of 18 living in this [BUILDING TYPE]?
GCR	 Yes  No  Goto MILA
{Is <Name>/Are you} currently responsible for most of the basic needs of any grandchildren under the age of 18 who live in this [BUILDING TYPE]?
GCM	Menos de 6 meses De 6 a 11 meses 1 ó 2 años 3 ó 4 años 5 años o más
How long {has <Name>/ have you} been responsible for these grandchildren? If financially responsible for more than one grandchild, answer for the grandchild for whom the grandparent has been responsible for the longest time.
MILA	 Yes  No  Goto MILC.
(Has <Name> / Have you)] ever served on active duty in the U.S. Armed Forces, military Reserves, or National Guard? Do not include training for the Reserves or National Guard but do include activation, for example, for the Persian Gulf War.

MILB	<1> Now on active duty <2> On active duty during the last 12 months, but not now <3> On active duty in the past, but not during the last 12 months
When (was <Name>/were you) on active duty?
MILC	<1> Yes <2> No
{Has <Name>/ Have you } ever been in the U.S. military Reserves or the National Guard?
MILP	<11> September 2001 or later <12> August 1990 to August 2001 (including Persian Gulf War) <13> September 1980 to July 1990 <14> May 1975 to August 1980 <15> Vietnam Era (August 1964 to April 1975) <16> March 1961 to July 1964 <17> February 1955 to February 1961 <18> Korean War (July 1950 to January 1955) <19> January 1947 to June 1950 <20> World War II (December 1941 to December 1946) <21> November 1941 or earlier
If in person: Did {<Name>/you} serve on active duty during: / Using Card F, please tell me each period in which (<Name>/you) served on active duty, even if it was just for part of the period. Enter all that apply, even if the person served for only part of the period. Separate with commas. By telephone: Did {<Name>/you} serve on active duty during: Enter all that apply, even if the person served for only part of the period. Separate with commas.
SERVICE1	 Yes (such as 0%, 10%, 20%, .. , 100%)  No  Goto THANKYOU.
Do you (Does <NAME>) have a VA service-connected disability rating?
SERVICE2	0 percent 10 or 20 percent 30 or 40 percent 50 or 60 percent 70 percent or higher
What is (your/<Name’s>) service-connected disability rating? Is it: Read all answer categories. 0 percent 10 or 20 percent 30 or 40 percent 50 or 60 percent 70 percent or higher
THANKYOU
Thank you very much for your participation in this important survey. You've been very helpful.