QID 2006 Quality Control Worksheet - Veg Chem

TELEPHONE QUALITY CONTROL WORKSHEET
for the

2006 Vegetable Chemical Use Survey
State:

Version:

POID:

Subtract:

Name of Operation:
Address:

Operator’s Name:
Telephone:

Enumerator:

Interview Date & Time:

Survey Respondent:

Operator/Manager
Accountant/Bookkeeper
Other

Spouse
Partner

Current Respondent:

Operator/Manager
Accountant/Bookkeeper
Other

Spouse
Partner

INTRODUCTION:
[Introduce yourself, and ask for the survey respondent. Rephrase in your own words.]
Recently you should have been contacted by one of our interviewers, Mr./Ms.
, for
the Vegetable Chemical Use Survey. This telephone call is part of our survey quality assurance
program, to verify that personal contact was actually made with you for that purpose. Your response is
voluntary and not required by law, but your cooperation will be appreciated. Facts about your operation
will be kept confidential.

1. During the past few days, do you recall an interview with Mr./Ms.
purpose of obtaining information about your vegetable operation?

□
□
□

, for the

YES - [Go to item 3.]
NO - [Go to item 2.]
DON’T REMEMBER - [Go to item 2.]

2. During the past few days, did any other person from the
Agricultural Statistics
Service, NASS or USDA, interview you to obtain information about your operation?

□
□
□

YES - [Go to item 3.]
NO - [Conclude interview.]
DON’T REMEMBER - [Conclude interview.]

3. Did the person conducting the interview ask you to verify the spelling of your name, address
and the operation name?

□
□
□

YES -

[Go to item 4.]

NO -

[Go to item 4.]

DON’T REMEMBER - [Go to item 4.]

4. Now I need to verify items that are critical to our survey procedures.[Circle Correct Answers]
Reported
Vegetable Acreage Planted:

5. Did Mr./Ms.

□
□

None

Verified

Positive

None

Positive

conduct the interview in a knowledgeable and professional manner?

YES
NO - Explain:

Additional Comments:

This concludes the interview. Thank you for your help.

Signature:

.

Date:

/

/

.