Exp. Date __/__/20__
United States Immigration and Citizenship Services
Public Statement of burden estimate here for self-administered questionnaire.
May I speak to [NAME OF PARTICIPANT]?
INTERVIEWER: IF UNABLE TO COMMUNICATE IN ENGLISH, TRY TO DETERMINE WHICH LANGUAGE WE SHOULD USE WHEN WE CALL BACK.
Hello, my name is ___________ and I am calling on behalf of the United States Citizenship and Immigration Services, or USCIS. We sent you a letter about the survey and we’re calling today to follow up. We would like to ask you about your experiences applying for citizenship. The information gathered in this survey will help USCIS improve their services and benefits. [Optional: Please note that this is a research study and we are not trying to sell you anything.]
INTERVIEWER: IF R VOLUNTEERS THAT DID NOT GET LETTER, THEN CONFIRM ADDRESS.
A1. Is this a good time for you to talk?
1 Continue [GO TO A2]
2 Make Appointment [GO TO A2]
3 Do not wish to participate [CODE AS SOFT REFUSAL]
[IF A1=1 or 2]: A2. What language would you like to be interviewed in?
1 English (USE ENGLISH QUESTIONNAIRE)
2 Spanish (USE SPANISH QUESTIONNAIRE)
3 LIST ALL OTHER POSSIBLE LANGUAGES
…
X Either/Any is O.K. (USE ENGLISH QUESTIONNAIRE)
II. Participation
Our letter explained the purpose of the study and provided contact information. I will review that information now so you understand the survey, and what you will be asked.
This survey is completely voluntary and whether or not you decide to participate will not affect yours or anyone’s citizenship or application status. We keep all your information and answers private and confidential – your name will never be associated with anything you say, we will not identify you in any reports written about this study.
The survey will give USCIS an idea about why you and other New Americans have decided to become citizens and what that process was like. We will ask you about your experiences in going through the process to become a citizen, the reason why you decided to become a citizen, your experience coming to the United States, your background, etc. The interview takes about 25 minutes to complete over the telephone.
You can skip any question that you do not want to answer and you can choose to end the interview at any time.
B1. Can we begin?
Yes [CONTINUE]
No, have some questions
No, call back at another time [ARRANGE CALLBACK]
I do not wish to participate
B2. Are you now speaking on a cell phone?
Yes [CONTINUE]
No [SKIP TO Q1a]
B3. Is this your only phone?
Yes [CONTINUE]
No [SKIP TO B5]
B4. Since I am calling you on a cell phone, as a small token of our appreciation for your time, we will pay you $15 for participating in this survey.
B5. If you are now driving I need to call you back later.
CALL BACK LATER
PROCEED
APPLICATION
Q1a. First we’d like to confirm where you are from. In what country were you born? (CODE according to table below ) Interviewer instruction: ask for spelling if you don’t understand.
|
A
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo Democratic Republic of
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
East Timor
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
The Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestinian State*
Panama
Papua New Guinea
Paraguay
Peru
The Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
St. Kitts & Nevis
St. Lucia
St. Vincent & The Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Q1b. Of what country were you a citizen when you came to the U.S.? |
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See table above for country list
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Q1c. Do you consider [Q1b] to be your home country? □1
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Yes |
□2 |
No Q1d. Which country do you consider your home country (IMPORT LIST) |
Q2. Now we’d like to ask about the citizenship application process. How many times in all did you file an application [N-400] for U.S. citizenship with USCIS or INS?
ENTER NUMBER: ________________ (Range: 0-10, 10 or more=10, 98=DK, 99=REF)
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Q3. In what year did you submit your (if Q2>1, READ: “FIRST”) application [N-400] to become a naturalized citizen?
ENTER YEAR: ________________ (Range: 1900-2009, 98=DK, 99=REF)
[IF Q2>1]: Q4. Why wasn’t your application approved the first time? [ Interviewer, read if necessary : We are still referring to the application form itself, not any other part of the naturalization process]
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□1 |
You withdrew the application |
[IF Q4=1]: Q4a. Why did you withdraw your application? (select all that apply) |
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□1 |
You changed your mind about becoming a citizen |
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□2 |
You did not feel ready to give up your citizenship to your home country (if your home country required this) |
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□3 |
You were not prepared with the necessary documentation |
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□4 |
You did not feel prepared to take the civics (history/government) test |
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□5 |
You did not feel prepared to take the English test |
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□6 |
Other, specify ____________________________ |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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□2 |
Your application was rejected |
[IF Q4=2]: Q4b. Why was it rejected? |
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□1 |
You did not have the right paperwork |
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□2 |
You were not eligible to apply |
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□3 |
There was an error on your application |
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□4 |
Other, specify ____________________________ |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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□3 |
Other, specify _____________________________________ |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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Q5. Did any person or organization help you COMPLETE (fill out) the application form, or did you COMPLETE (fill out) it by yourself? [IF NECESSARY IF APPLIED MORE THAN ONCE: PLEASE THINK ABOUT THE LAST TIME YOU APPLIED]
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□1 |
You COMPLETED (FILLED IT OUT) it yourself [SKIP TO Q6] |
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□2 |
You got help |
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[IF Q5=2]: Q5a. Who helped you? [INTERVIEWER: READ IF NECESSARY] Please select ALL that apply. |
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□1 |
Friend |
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□2 |
Family member |
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□3 |
Immigration service, ethnic or national origin association |
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□4 |
Social service or community organization |
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□5 |
Lawyer, notary or other immigration practitioner |
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□6 |
Religious organization or house of worship |
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□7 |
English as a second language (ESL) or Citizenship class |
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□8 |
Employer or place where you work |
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□9 |
Labor Union |
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□10 |
Public Library |
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□11 |
Civic organization or service club |
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□12 |
Local or state government |
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□95 |
Other, specify ___________________ |
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□98 |
DON’T KNOW |
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□99 |
REFUSED |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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[IF Q5=2]: Q5b. Not including any application fees, did you pay to get help in completing the application form? |
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□1 |
YES |
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□2 |
NO [SKIP TO Q6] |
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□8 |
DON’T KNOW [SKIP TO Q6] |
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□9 |
REFUSED [SKIP TO Q6] |
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[IF Q5b=2]: Q5c. How much did you pay for this help? $_________________ |
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(RANGE 0-$9997, $9997 OR MORE=$9997, DK=9998, REFUSED=9999) |
Q6. When you began the application process, how well did you understand YOUR eligibility to become a U.S. citizen? Would you say completely, mostly, only a little, or not at all?
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□1 |
Completely |
□2 |
Mostly |
□3 |
Only a little |
□4 |
Not at all |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q7a. While preparing for the naturalization process, did you have access to the internet?
□1 Yes [GO TO Q7b]
□2 No [SKIP TO Q8]
□8 DON’T KNOW [SKIP TO Q8]
□9 REFUSED [SKIP TO Q8]
Q7b. Where did you have access to the internet? [Choose all that apply]
□1 Home
□2 Work
□3 Friend or Family’s home
□4 Library
□5 Other public place
□8 DON’T KNOW
□9 REFUSED
Q7c. While preparing for the naturalization process, did you use the internet to get information from USCIS or other sources?
□1 Yes
□2 No
□8 DON’T KNOW
□9 REFUSED
TEST
Now I have a few questions about the naturalization test and interview. Let’s start with the U.S. HISTORY AND GOVERNMENT portion of the exam. |
Q8. Did any person or organization help you prepare for the History/Government portion of the naturalization exam? |
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□1 |
Yes |
[IF Q9=1]: Q8A. Who helped you prepare for the History/Government portion of the exam? [Please select ALL that apply] INTERVIEWER: READ ONLY IF NECESSARY] |
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□1 |
Friend |
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□2 |
Family member |
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□3 |
Immigration Service, ethnic or national origin association |
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□4 |
Social service or community organization |
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□5 |
Religious organization or house of worship |
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□6 |
English/ESL or Citizenship Class |
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□7 |
Labor Union |
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□8 |
Employer or place where you work |
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□9 |
Public library |
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□10 |
Civic organization or service club |
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□11 |
Local or state government |
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□12 |
USCIS (e.g., website) |
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□13 |
Other, please specify ___________________________________ |
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□98 |
DON’T KNOW |
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□99 |
REFUSED |
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□2 |
No [IF Q8=2]: Q8B. Why didn’t you get help to prepare for the History/Government portion of the exam? [Please select ALL that apply] |
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□1 |
You did not need any help |
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□2 |
You did not know where to get help |
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□3 |
There were no classes or workshops available in your area |
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□4 |
There were no classes or workshops available at a time when you could attend |
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□5 |
There were no classes or workshops available at a cost you could afford |
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□6 |
Other, please specify ___________________________________ |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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Q10.Did you pass the history/government exam the first time you took it? □1 Yes □2 No □8 DON’T KNOW □9 REFUSED
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LANGUAGE
Q11. Now we have some questions about languages you speak. Is English your native language?
□1 Yes [SKIP TO Q18]
□2 No
□8 DON’T KNOW
□9 REFUSED
Q12. How often do you speak English at home? |
|
□1 |
Never |
□2 |
Sometimes |
□3 |
Often |
□4 |
All the time |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q13. What other language(s) besides English, if any, are spoken in your home? |
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□1 |
(None) Only English spoken in the home |
□2 |
Spanish |
□3 |
Hindi |
□4 |
Chinese |
□5 |
Tagalog |
□6 |
Vietnamese |
□7 |
Something else _______________________ |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q14. How well would you say you UNDERSTAND English when someone is speaking to you? Would you say you understand English very well, somewhat well, not well or not at all? |
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□1 |
Very well |
□2 |
Somewhat well |
□3 |
Not well |
□4 |
Not at all |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q15. How well would you say you SPEAK English? Would you say: |
|
□1 |
Very well |
□2 |
Somewhat well |
□3 |
Not well |
□4 |
Not at all |
□8 |
DON’T KNOW |
□9 |
REFUSED |
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Q16a. Where did you FIRST learn English? |
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□1 |
At home (From your family) |
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□2 |
School (as part of your regular education/curriculum) |
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□3 |
Some other class or workshops |
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□4 |
You taught yourself with books, audio recordings, t.v or radio |
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□5 |
Learned it while living here (through work, friends and day-to-day living) |
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□6 |
On the internet |
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□7 |
Some place else (specify) ________________________ |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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Q16b. Did you take any English classes or workshops in order to prepare for the English sections of the Naturalization Exam? |
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□1 |
Yes [If Q16b=1]Q16c. Where did you take these classes? |
□1 |
Immigration, ethnic or national origin association |
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□2 |
Social service or community organization (SPECIFY) |
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□3 |
Religious organization or house of worship |
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□4 |
School or community college |
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□5 |
Employer or place where you work |
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□6 |
Labor union |
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□7 |
Public library |
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□8 |
Civic organization or service club |
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□9 |
Local or state government |
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□10 |
Other, specify |
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□98 |
DON’T KNOW |
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□99 |
REFUSED |
□2 |
NO |
□8 |
DON’T KNOW |
□9 |
REFUSED |
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Q17. Did you pass the [FILL] part of the test the first time you took it? |
A. English-speaking |
□1 Yes □2 No □8 DON’T KNOW □9 REFUSED |
B. English-reading |
□1 Yes □2 No □8 DON’T KNOW □9 REFUSED |
C. English-writing |
□1 Yes □2 No □8 DON’T KNOW □9 REFUSED |
ARRIVAL
Now I’d like to ask you about your experiences since coming to live in the U.S. Let’s start with your arrival.
Q18. In what year did you come to stay in the US? ________________________________________ (Range: 1900-2009, 8888=DK, 9999=REF)
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Q19. Why did you come to the U.S. to stay? (DO NOT READ LIST, SELECT ALL THAT APPLY) |
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□1 |
To accompany family members |
□2 |
To join family members who were already in the U.S. |
□3 |
To get a better job – either to find work or because you had a job offer |
□4 |
To study/ go to school |
□5 |
Because of political unrest at home |
□6 |
To escape personal or political persecution |
□7 |
To have freedom and opportunity |
□8 |
To practice your religion freely |
□9 |
For any other reason (specify) _______________________________________ |
□98 |
DON’T KNOW |
□99 |
REFUSED |
[DO NOT ASK IF Q19=1]: Q20. Did any other members of your family come along with you when you came to stay in the U.S.? |
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□1 |
Yes: [IF Q20=1 OR Q19=1]]: Q20a: Which family members came with you? [SELECT ALL THAT APPLY] (Read all answer categories) |
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□1 |
Spouse |
□2 |
Children |
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□3 |
Parents |
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□4 |
Siblings |
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□5 |
Other |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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□2 |
No |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
Q21a. Did any other members of your family join you later, after you came to stay in the U.S.? |
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□1 |
Yes: [IF Q21a=1]: 21b: which family members joined later? [SELECT ALL THAT APPLY] |
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□1 |
Spouse |
□2 |
Children |
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□3 |
Parents |
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□4 |
Siblings |
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□5 |
Other |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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□2 |
No |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
Q22. Thinking about when you came to stay in the U.S., were any of your family members already living in this country? |
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□1 |
Yes |
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□2 |
No SKIP TO Q24 |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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Q23. Were any of these family members already U.S. citizens at that time? |
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□1 |
Yes, all were citizens |
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□2 |
Yes, some were citizens |
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□3 |
No, none were citizens |
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□8 |
DON’T KNOW |
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□9 |
REFUSED |
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TIES TO HOME COUNTRY
Now I’d like to ask some questions about your ties to your home country since you came to live in the United States.
Q24. Since coming to the US to live, how often have you returned to [IF Q1c=1 THEN FILL WITH Q1b OR IF Q1c=2 THEN FILL WITH Q1d ELSE FILL WITH “YOUR HOME COUNTRY”]? |
|
□1 |
More than once a year |
□2 |
Once a year |
□3 |
Once in the past three years |
□4 |
Once in the past five years |
□5 |
More than five years ago |
□6 |
Never |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q25. How likely are you to return to [IF Q1c=1 THEN FILL WITH Q1b OR IF Q1c=2 THEN FILL WITH Q1d ELSE FILL WITH “YOUR HOME COUNTRY”] to live permanently some day?
□1 Very likely
□2 Somewhat likely
□3 Unlikely
□4 Very unlikely
□8 DON’T KNOW
□9 REFUSED
Q26. Have you ever sent money to relatives in [IF Q1c=1 THEN FILL WITH Q1b OR IF Q1c=2 THEN FILL WITH Q1d ELSE FILL WITH “YOUR HOME COUNTRY”] or somewhere else outside the U.S.? |
|
□1 |
Yes |
□2 |
No [SKIP TO Q28] |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q27. How often do you send money to relatives in [IF Q1c=1 THEN FILL WITH Q1b OR IF Q1c=2 THEN FILL WITH Q1d ELSE FILL WITH “YOUR HOME COUNTRY”] or somewhere else outside the U.S.? |
|
□1 |
More than once a month |
□2 |
Once a month |
□3 |
Once every few months |
□4 |
Once a year |
□5 |
Less than once a year |
□8 |
DON’T KNOW |
□9 |
REFUSED |
DECISION-MAKING
Now I’d like to ask you some questions about your decision to become a U.S. citizen.
Q28. Please tell me how important the following reasons were to your decision to apply for citizenship. Would you say they were very important, important, somewhat important, not at all important?
(RANDOMIZE A-J)
|
|
Very important |
Important |
Somewhat Important |
Not at all important |
DK |
REF |
a |
To be able to vote |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
b |
To protect your legal and civil rights |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
c |
To be able to get a better job |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
d |
To become eligible for government benefits |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
e |
To be able to bring your family members to this country |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
f |
To feel/become more American |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
g |
To protect yourself or family members from deportation |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
h |
So you could come back and forth from your home country more easily |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
i |
Because your green card was expiring |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
j |
Other, please specify __________________________________ |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
Q29. How long after you became a permanent resident did you first apply for citizenship?
_______months/ _______years
Q30. Please tell me whether any of the following factors or reasons affected the TIMING of your application, that is WHEN you applied for citizenship. [If R says it affects timing, then ask how much this factor affected the timing]
(RANDOMIZE ORDER)
|
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Q30A. Did this affect timing? |
IF Q30A=YES: Q30B. How much did it affect your decision on WHEN to apply? |
||||
A lot |
Some |
A little |
DK |
REF |
|||
1 |
Your ability to pass the English test |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
2 |
Your ability to pass the history/government test |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
3 |
The difficulty of the application process |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
4 |
The application fee |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
5 |
The ability to vote in the upcoming election |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
6 |
The ability to collect government benefits |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
7 |
The ability to sponsor relatives to come to the United States |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
8 |
The ability to travel internationally more easily |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
9 |
Laws in your home country (property ownership and other rights) |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
10 |
Keeping your citizenship of your home country/dual citizenship |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
11 |
Fear of deportation (Fear of being deported) |
□1 Yes □2 No □8 DK □9 REF |
□1 |
□2 |
□3 |
□8 |
□9 |
IF Q30B_1 TO Q30B_15 >1 SKIP TO Q31
[IF MORE THAN ONE “A LOT” ITEM IN Q30B]: Q30c. Among those you mentioned as having a lot of effect on your decision of when to apply, which would you say had the MOST influence on the timing of your citizenship application? [REREAD CHOSEN RESPONSES IF NECESSARY]
(SINGLE RESPONSE)
(CATI: DISPLAY “A LOT” MENTIONS FROM Q30B)
|
|
MOST INFLUENCE |
1 |
Your ability to pass the English test |
□ |
2 |
Your ability to pass the history/government test |
□ |
3 |
The difficulty of the application process |
□ |
4 |
The application fee |
□ |
5 |
The ability to vote in the upcoming election |
□ |
6 |
The ability to collect government benefits |
□ |
7 |
The ability to sponsor relatives to come to the United States |
□ |
8 |
The ability to travel internationally more easily |
□ |
9 |
Laws in your home country (property ownership and other rights) |
□ |
10 |
Keeping your citizenship of your home country/dual citizenship |
□ |
11 |
Fear of deportation (Fear of being deported) |
□ |
98 |
DON’T KNOW |
□ |
99 |
REFUSED |
□ |
EMPLOYMENT
Now I’d like to ask some questions about your life in the United States.
Q31. Which of the following best describes your present employment situation? Are you: [SELECT ONE] (Interviewer: if R says working AND student, code employment.) |
||
□1 |
Working full time, |
|
□2 |
Working part-time, |
|
□3 |
Self-employed, |
|
□4 |
Temporarily laid off, |
|
□5 |
Jobless and looking for work, |
|
□6 |
A student, |
|
□7 |
A homemaker, |
|
□8 |
Retired, |
|
□9 |
Disabled, or |
|
□10 |
Something else? (Please specify) |
|
□88 |
DON’T KNOW |
|
□99 |
REFUSED |
|
|
||
[IF Q31=1-3]: Q32a. Are you working at more than one job? |
||
□1 |
Yes-Q32b. How many jobs do you currently have? (RANGE:2-10, >10=10,DK=98,REF=99) |
|
□2 |
No |
|
□8 |
DON’T KNOW |
|
□9 |
REFUSED |
IF CURRENTLY WORKING [Q31=1-3]: Q33. In your [current/MAIN] job, what kind of work do you do? [IF Q32a=1 USE MAIN, ELSE USE CURRENT] (Do not read responses)
□1 Professional worker (e.g., lawyer, doctor, scientist, teacher, engineer, registered nurse, accountant, programmer, musician)
□2 Skilled tradesperson (e.g., printer, baker, tailor, electrician, machinist, linesperson, plumber, carpenter, mechanic)
□3 Clerical or office worker (e.g., typist, secretary, postal clerk, telephone operator, computer operator, bank clerk)
□4 Service worker (e.g., police officer, fire fighter, waiter or waitress, maid, nurse’s aide, attendant, hairstylist)
□5 Laborer (e.g., plumber’s helper, construction worker, longshoreperson, garbage collector, other physical work)
□6 Manager (e.g., store manager, sales manager, office manager)
□7 Semi-skilled worker (e.g., machine operator, assembly line worker, truck driver, taxi driver, bus driver)
□8 Salesperson
□9 Business owner
□10 Other [Record verbatim]
□98 (Don’t know)
□99 (Refused)
IF CURRENTLY WORKING [Q31=1-3]: Q34. For your [IF Q32a=1: main or primary] job, is a speaking knowledge of English: |
|
□1 |
Very important, |
□2 |
Somewhat important, |
□3 |
Not very important, or |
□4 |
Not important at all? |
□8 |
DON’T KNOW |
□9 |
REFUSED |
|
[If Q31b=6 SKIP TO Q35b] Q35a. Are you currently attending school? □1 Yes □2 No [SKIP TO Q36] □8 DON’T KNOW [SKIP TO Q36] □9 REFUSED [SKIP TO Q36]
|
[IF Q35a=1]: Q35b. What type/level courses are you taking? □1 High School □2 College □3 Graduate Education □4 English Classes □5 Vocational Education (including job training) □6 Other □8 DON’T KNOW □9 REFUSED |
HOUSEHOLD/CHILDREN/PLANS TO PETITION
Q36. Do you have family members who are not permanent residents or U.S. citizens? |
|||
□1 |
Yes Q37a. Have you petitioned for any of these relatives to come to the U.S.? |
|
|
|
|
□1 |
YES Q37b. Who have you petitioned for? □1 Spouse □2 Child □3 Parent □4 Sibling □8 DK □9 REF |
|
|
□2 |
NO |
□2 |
No SKIP TO Q38a |
|
|
□8 |
DON’T KNOW |
|
|
□9 |
REFUSED |
|
|
|
[IF Q37b=2]: Q37c. How many children have you petitioned for? (Range: 1-10,>10=10, 88=DK, 99=REF)
[IF Q37b =3]: Q37d. How many parents have you petitioned for? (Range: 1-10,>10=10, 88=DK, 99=REF)
[IF Q37b =4]: Q37e. How many siblings have you petitioned for? (Range: 1-10,>10=10, 88=DK, 99=REF) |
||
|
|
|
|
NEW: Q38a. Will you petition to bring any relatives to come to the U.S.? |
|||
|
YES Q38b. Who will you petition for? □1 Spouse □2 Child □3 Parent □4 Sibling □8 DK □9 REF |
||
□2 |
No SKIP TO Q39 |
||
□8 |
DON’T KNOW |
||
□9 |
REFUSED |
||
|
IF Q38b=2]: Q38c. How many children will you petition for? (Range: 1-10,>10=10, 88=DK, 99=REF)
[IF Q38b =3]: Q38d. How many parents will you petition for? (Range: 1-10,>10=10, 88=DK, 99=REF)
[IF Q38b =4]: Q38e. How many siblings or will you petition for? (Range: 1-10,>10=10, 88=DK, 99=REF) |
NEIGHBORHOOD
|
COMMUNITY INVOLVEMENT
Now I’m going to read a list of organizations. For each one, please tell me whether you currently participate in it: [RANDOMIZE}
|
Q40a. Do you currently participate in [FILL]? |
[IF Q40=1]: Q40b. How often do you participate in [FILL]? |
A. Sports or recreation organization (other than a gym for exercise) |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
B. Arts, music, or cultural organization |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
C. Labor Union |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
D. A parents’ association, like the PTA or PTO, or other school support or service group |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
E. Social club, community or neighborhood association |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
F. Charitable organization |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
G. Immigrant association, including advocacy groups |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
H. Ethnic or national origin association |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
I. A home town association, a group of people who come from the same country as you |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
J. Church, synagogue, mosque, or other religious group activities, (outside of going to services) |
□1 Yes □2 No □8 DK □9 REF |
□1 Very often □2 Somewhat often □2 Not very often □8 DK □9 REF |
POLTICIAL PARTICIPATION
[PROGRAMMER RANDOMIZE AND ASK Q41a_X then Q41b_X then Q41a_Y then Q41b_Y, etc] |
||
|
Q41a. In your Home Country, did you ever {FILL}? |
Q41b. Have you done so in the U.S.? |
1. Follow politics in the news? |
□1 Yes □2 No □8 DK □9 REF |
□1 Yes □2 No □8 DK □9 REF |
2. Contact a government official about a problem? |
□1 Yes □2 No □8 DK □9 REF |
□1 Yes □2 No □8 DK □9 REF |
3. Contribute to a political candidate, party or action group? |
□1 Yes □2 No □8 DK □9 REF |
□1 Yes □2 No □8 DK □9 REF |
4. Vote in elections? |
□1 Yes □2 No □8 DK □9 REF |
□1 Yes □2 No □8 DK □9 REF |
5. Serve on a jury |
□1 Yes □2 No □8 DK □9 REF |
□1 Yes □2 No □8 DK □9 REF |
[IF Q41a_1 – Q41a_5 all equal 2, ask Q41a_6. IF Q41b_1 – Q41b_5 all equal 2, ask Q41b_6. ]: 6. Never participate in politics. |
□1 Yes □2 No □8 DK □9 REF |
□1 Yes □2 No □8 DK □9 REF |
INSERT SKIP TO Q42b IF Q41b_4 (U.S. VOTING)=2: Q42a. Did you vote in the United States for the November 2008 presidential election? |
||
□1 |
YES |
|
|
□1 |
|
□2 |
|
|
□3 |
|
|
□8 |
|
|
□9 |
|
|
□2 |
NO Q42b. Are you currently registered to vote? |
|
|
□1 |
YES |
|
□2 |
NO |
|
□8 |
DON’T KNOW |
|
□9 |
REFUSED |
INSERT SKIP TO Q44 IF Q41a_6 (NEVER PARTICIPATED BACK HOME)=1:
Q43. Since becoming a U.S. citizen, have you participated in politics in [IF Q1c=1 THEN FILL WITH Q1b OR IF Q1c=2 THEN FILL WITH Q1d ELSE FILL WITH “YOUR HOME COUNTRY”]?
□1 YES
□2 NO
□8 DON’T KNOW
□9 REFUSED
EXPERIENCE SINCE NATURALIZATION
Q44. Since you became a naturalized U.S. citizen, have you.. (RANDOMIZE) |
||||
YES |
NO |
DK |
REF |
|
□1 |
□2 |
□8 |
□9 |
A. Moved residences? |
□1 |
□2 |
□8 |
□9 |
B. Purchased property? |
□1 |
□2 |
□8 |
□9 |
C. Changed your name? |
□1 |
□2 |
□8 |
□9 |
D. Joined any clubs or voluntary organizations? |
□1 |
□2 |
□8 |
□9 |
E. Joined or participated in any political organizations? |
□1 |
□2 |
□8 |
□9 |
F. Applied for a job open only to U.S. citizens? |
Q45. I’m going to read a list of things that some people in the US may have experienced. |
||||
As I read each one, please tell me whether or not it has happened to you while in the US. (RANDOMIZE) |
||||
YES |
NO |
DK |
REF |
|
□1 |
□2 |
□8 |
□9 |
A. Have people acted as if they are suspicious of you? |
□1 |
□2 |
□8 |
□9 |
B. Have you been called offensive names? |
□1 |
□2 |
□8 |
□9 |
C. Have you been unfairly singled out by airport security? |
□1 |
□2 |
□8 |
□9 |
E. Have you been unfairly fired or denied a job or promotion? |
□1 |
□2 |
□8 |
□9 |
F. Have you been treated unfairly by the police? |
□1 |
□2 |
□8 |
□9 |
G. Have you been prevented from moving into a neighborhood because the landlord or a realtor refused to see or rent you a house or apartment? |
□1 |
□2 |
□8 |
□9 |
H. NONE OF THE ABOVE IF YES: SKIP TO Q47 |
[IF Q45A-Q45G>0]. Q46. There are lots of possible reasons why people might be treated unfairly, what do you think was the MAIN reason for your experience(s)? DO NOT READ LIST |
|
□1 |
Color or race |
□2 |
National Origin |
□3 |
Religion |
□4 |
Language |
□5 |
Ethnicity |
□6 |
Age |
□7 |
Gender |
□8 |
Sexual orientation |
□9 |
Disability |
□10 |
Or some other reason |
□98 |
DON’T KNOW |
□99 |
REFUSED |
Q47. Since becoming a naturalized citizen would you say… (RANDOMIZE) |
||||
|
Yes |
No |
DK |
REF |
Q47A. You have more job opportunities |
□1 |
□2 |
□8 |
□9 |
Q47B. Your quality of life has improved |
□1 |
□2 |
□8 |
□9 |
Q47C. You feel a greater attachment to the United States |
□1 |
□2 |
□8 |
□9 |
Q47D. You are an equal member of American society |
□1 |
□2 |
□8 |
□9 |
FEELINGS ABOUT BEING AMERICAN
Q48. Do you think of yourself first as American or first as [nationality of origin]? |
|
□1 |
American |
□2 |
Nationality of Origin |
□3 |
Both equally |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q49. Please tell me whether you strongly agree, somewhat agree, somewhat disagree or strongly disagree with each of the following statements?
RANDOMIZE
|
Strongly Agree |
Somewhat Agree |
Somewhat Disagree |
Strongly Disagree |
DK |
REF |
A. Your ethnicity or race gives you a sense of who you are |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
B. Your religion gives you a sense of who you are |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
C. Being an American gives you a sense of who you are |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
D. Being [NATIONALITY OF ORIGIN] gives you a sense of who you are |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
F. You feel able to influence decisions affecting your local community |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
G. You feel able to influence decisions affecting the United States |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
H. It is important to vote |
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
I. Racial, ethnic, or religious intolerance is a problem in the United States
|
□1 |
□2 |
□3 |
□4 |
□8 |
□9 |
Q50. When you think of what it means to be fully American, do you think it is very important, somewhat important or not important to: (RANDOMIZE)
|
Very important |
Somewhat important |
Not Important |
DK |
REF |
A. To have been born in the United States |
□1 |
□2 |
□3 |
□8 |
□9 |
B. To speak English well |
□1 |
□2 |
□3 |
□8 |
□9 |
C. To be white |
□1 |
□2 |
□3 |
□8 |
□9 |
D. To be Christian |
□1 |
□2 |
□3 |
□8 |
□9 |
E.To work hard and follow the rules |
□1 |
□2 |
□3 |
□8 |
□9 |
F. To have a job |
□1 |
□2 |
□3 |
□8 |
□9 |
G. To own a home |
□1 |
□2 |
□3 |
□8 |
□9 |
H. To respect the country’s political institutions and laws |
□1 |
□2 |
□3 |
□8 |
□9 |
I. To be a U.S. citizen |
□1 |
□2 |
□3 |
□8 |
□9 |
Q51. How proud are you to be an American? Would you say you are extremely proud, very proud, somewhat proud or not at all proud? |
|
□1 |
Extremely proud |
□2 |
Very proud |
□3 |
Somewhat proud |
□4 |
Not at all proud |
□8 |
DON’T KNOW |
□9 |
REFUSED |
DEMOGRAPHICS
We’re almost done. Now I have a few questions for you to help us better understand the data.
Q52. Are you married, widowed, divorced, separated, or have you never been married? |
||
|
||
□1 |
Married Q53a. Is your spouse living in the United States? |
□1 Yes □2 No □8 DK □9 REF |
|
|
Q53b. What is your spouse’s country of origin? [USE SAME COUNTRY LIST AS Q1c] |
□2 |
Widowed |
|
□3 |
Divorced |
|
□4 |
Separated |
|
□5 |
Never been married |
|
□8 |
DON’T KNOW |
|
□9 |
REFUSED |
|
[If Q53a= 1]: Q54. Are you currently living with your spouse or partner? |
||
□1 Yes □2 No □8 DK □9 REF |
||
Q55. What is the highest grade of school or degree that you completed? |
||
□1 |
Less than high school |
|
□2 |
High school degree or GED |
|
□3 |
Some college |
|
□4 |
College degree |
|
□5 |
Post-graduate degree |
|
□8 |
DON’T KNOW |
|
□9 |
REFUSED |
Q56. How many years of schooling did you complete in.. ENTER NUMBER (Range 0-50 / 98=DK, 99=REF) ______a. United States ENTER NUMBER ENTER NUMBER (Range 0-50 / 98=DK, 99=REF) _______b. [IF Q1c=1 THEN FILL WITH Q1b OR IF Q1c=2 THEN FILL WITH Q1d ELSE FILL WITH “YOUR HOME COUNTRY”] ENTER NUMBER (Range 0-50 / 98=DK, 99=REF) ________c.Some other country
|
Q57. How would you describe your religion (you may mention more than one, if you wish). |
|
□1 |
Catholic |
□2 |
Protestant |
□3 |
Orthodox Christian |
□4 |
Muslim |
□5 |
Jewish. |
□6 |
Buddhist |
□7 |
Hindu |
□8 |
No religion SKIP TO Q59. |
□9 |
Some other religion |
□10 |
OTHER (SPECIFY) (_______________) |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q58. Do you presently consider yourself to be a member of a specific church, parish, temple, synagogue, or mosque, or other house of worship in the United States? |
|
□1 |
Yes |
□2 |
No |
□8 |
DON’T KNOW |
□9 |
REFUSED |
|
|
Q59. Surveys of American citizens typically ask questions on ethnicity and race. How would you answer these questions? Do you consider yourself to be Hispanic or Latino? [INTERVIEWER: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.] |
|
□1 |
Yes |
□2 |
No |
□8 |
DON’T KNOW |
□9 |
REFUSED |
Q60. What race do you consider yourself to be? Select one or more of the following. |
|
□1 |
American Indian |
□2 |
Asian |
□3 |
Pacific Islander |
□4 |
Black or African American |
□5 |
White |
□6 |
Some other race _______________________ |
□8 |
DON’T KNOW |
□9 |
REFUSED |
RACIAL/ETHNIC DEFINITIONS FROM NIS
An American Indian is a person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment. An Asian person is a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan,
the Philippine Islands, Thailand, and Vietnam.
A Black, Negro or African American person is a person having origins in any of the black racial groups of Africa.]
A person who is Native Hawaiian or other Pacific Islander, has origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
A person is considered white if he or she has origins in any of the original peoples of Europe, the Middle East, or North Africa.}
Q61. Please think about your total combined HOUSEHOLD income during 2008 for all members of the family. Include money from jobs, investments, social security, retirement income, unemployment payments, and so forth. Which of these income brackets is closest to the total household income in your home? Your best estimate is fine.
|
|
□1 |
Less than $20,000 |
□2 |
$20,000 to just under $35,000 |
□3 |
$35,000 to just under $50,000 |
□4 |
$50,000 to just under $75,000 |
□5 |
$75,000 to just under $100,000 |
□6 |
$100,000 to just under $150,000 |
□7 |
$150,000 or more |
□8 |
DON’T KNOW |
□9 |
REFUSED |
IF CELL PHONE INTERVIEW:
Those are all the questions we have for you right now. Can I please confirm your name and address so we can send you the $15 check?
C.1 [FILL WITH SAMPLE NAME] INTERVIEWER: CONFIRM SPELLING
C2a YOUR ADDRESS IS: [FILL WITH SAMPLE ADDRESS]
IS THAT CORRECT? □1 YES go to thank you □2 NO Please tell me your new address:
C2b. STREET ______________________________________________ C2c. CITY ______________________________________ c2d. STATE ____________________________ c2e. ZIP CODE ___________________________
Thank you very much for your participation.
|
File Type | application/msword |
Author | Test |
Last Modified By | S. Tarragon |
File Modified | 2009-04-10 |
File Created | 2009-04-10 |