Field test observation form

Attachment 2

CAPI & ACASI

FIELD TEST OBSERVATION FORM

Instructions:

The following questions are about how you perceive the respondent and the housing unit. We are asking for your best common-sense judgment.

Sample ID:

Interviewer ID:

Date (MM/DD/YY)

/

/

Time (HR: MIN)					AM
					PM

CAPI INTERVIEW

1. Time CAPI interview began until start of ACASI explanation ___________(min:sec)

2. Where did the CAPI interview take place?

• Inside R’s house

• Immediately outside (e.g., porch)

• Outdoor, Away from house

• O ther: Describe:

3. Where was the computer? (during CAPI)

• Table

• Interviewer’s lap, sitting down

• Interviewer’s arm, standing up

• O ther: Describe:

4. Who was present during the interview?

• No one; (only respondent, interviewer and observers)

• One or more people, but not within hearing range

• One or more people, in hearing range, some of the time

• One or more people, in hearing range, entire interview

5. Atmosphere of interview site:

• Extremely chaotic and noisy, disruptive to interview

• Some noise or interruptions

• Very quiet and calm, ideal for interview

• O ther: Describe:

6. List distractions:

CAPI to ACASI TRANSITION

7. Time from start of ACASI explanation to R pressing first key: _______ (min:sec)

8. Describe how interviewer gave computer to respondent:

9. Did Interviewer follow the script?

• Y es

• No: Describe

10. Did R move the computer?

• No, did not touch the computer except to answer the question

• Y es, but only a little to see the screen better

• Yes, R moved the computer: Describe:

11. List problems that occurred during the transition from CAPI to ACASI:

ACASI INTERVIEW

12. Time of R pressing first key to end of ACASI: _______ (min:sec)

13. Where did the ACASI portion take place?

• Inside R’s house

• Immediately outside (e.g., porch)

• Outdoor, Away from house

• O ther: Describe:

14. Where was the computer? (during ACASI)

• Table

• Respondents lap, sitting down

• Interviewer’s arm, standing up

• O ther: Describe:

15. Did the respondent ask for help?

• No

• Y es: Describe:

16. During the ACASI, write down anything the respondent says:

17. Types of usability issues observed please mark all that you observed

• Did R have trouble using the keys to select and enter answers?

• Was R afraid of doing something wrong or breaking the computer?

• Did R attempt to use the mouse instead of the keyboard?

• Did R attempt to answer by touching the screen?

• Did R provide a verbal response to the question instead of pressing a key?

• O ther: Describe

18. How long did the respondent use the headphones?

• None/took headphones off immediately

• Some of the time

• All of the ACASI interview

19. Did the respondent mention anything about the voice?

• No

• Y es: Describe

Other comments and observations:

5