Various Demographic Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

OMB1026ACSSpanishenc1

Various Demographic Pretesting Activities

OMB: 0607-0725

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Section(s): Employment/Journey to Work (Phase 3)

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?

WRK



Yes Goto PWW1

No

Now, I am going to ask a series of questions about employment…

LAST WEEK, did (<Name>/you) do any work for pay at a job or business?


(Include any work even if {<he/she>/you} worked only 1 hour, or helped without pay in a family business or farm for 15 hours or more, or {was/were} on active duty in the Armed Forces.)























WRK2



Yes

No Goto NWLA







LAST WEEK, did (<Name>/you) do ANY work for pay, even for as little as one hour?


PWW1








The next few questions deal with where {<Name>/you} worked LAST WEEK

and how {he/she/<Name>/you} got there.

LAST WEEK, at what location did {<Name>/you} work?

What is the address – {urbanization or condominium name, if any, and} number and street name?

(If {he/she/you} worked at more than one address or location, give the address

or location where {he/she/<Name>/you} worked most LAST WEEK.

If you do not know the exact street address, give a description of the location such as the

building name or the nearest street or intersection.

For example: Town Center Mall, 1st National Bank Building, Reno Airport, 2nd Ave. and 4th St.)

PWW2





What is the city, town or post office?


PWX3






Is the work location inside the limits of {<PWW2> / <that city or town>}?

PWW4





What is the [county / municipio or U.S. county]?

PWW5





[Was that in Puerto Rico or the United States?] What is the state?


PWW6





What is the ZIP code?


JWTR


<1> Car, truck, or van <5> Railroad <9> Bicycle

<2> Bus or trolley bus <6> Ferryboat <10> Walked

<3> Streetcar or trolley car <7> Taxicab <11> Worked at home

<4> Subway or elevated <8> Motorcycle <12> Other method


Using Card G, LAST WEEK, how did (<NAME>/you) USUALLY get to work?

(If [(he/she/<Name>/you)] usually used more than one method of transportation during the trip, report the one used for most of the distance.)





JRWI






LAST WEEK, how many people including {<Name>/yourself} usually rode to work together?


JWHL






LAST WEEK, what time did {<Name>/you} usually leave for work -- (what hour)?

JWLM







(How many minutes past that hour?)

JWAM





AM

PM



(Was that AM or PM?)


JWMN



Minutes


LAST WEEK, how many minutes did it usually take {<Name>/you} to get from home to work?


Enter a ONE-WAY commute time for the person's usual DAILY commute from home to work last week.

NWLA



Yes Goto NWRE.

No Goto NWAB.

LAST WEEK, {was <Name>/were you} on layoff from a job?

NWAB



Yes Goto WKL.

No




LAST WEEK, {Fill 1: was <Name>/were you} TEMPORARILY absent from a job or business because of vacation, temporary illness, maternity leave, other family or personal reasons, bad weather, etc.?


NWRE



Yes Goto NWAVA.

No

{Has <Name>/Have you} been informed that {<he/she/you>} will be recalled to work within the next 6 months OR been given a date to return to work?




NWLK




Yes

No Goto WKL.


During the LAST 4 WEEKS, {Has <Name>/Have you} been ACTIVELY looking for work?


NWAVA




Yes Goto WKL.

No




LAST WEEK, could {<Name>/you} have started a job if offered one [For returned to work if recalled]?


NWAVB


Own temporary illness

Going to school or some other reason


Why was that?



WKL



 Within the past 12 months Goto BESTIM

 Between 1 and 5 years ago Goto BESTIM

 Over 5 years ago or never worked Goto BESTIM

When did {<Name>/you} last work, even for a few days?


WKW


Yes Goto WKH

No


During the PAST 12 MONTHS or 52 weeks, did {<Name>/ you} work 50 or more weeks? Count paid time off as work.

WKW2



50 to 52 weeks

48 to 49 weeks

40 to 47 weeks

27 to 39 weeks

14 to 26 weeks

13 weeks or less

How many weeks DID {<Name>/ you} work, even for a few hours, INCLUDING paid vacation, paid sick leave, and military service? Was it:


WKH



Hours

During the weeks worked IN THE PAST 12 MONTHS, how many hours did {<Name>/ you} usually work each week?


BESTIM







What is the best time to contact you?


GUESSTIM







Specify your best estimate of the best time to contact an adult household member at this address.


THANKYOU


Thank you very much for your participation in this important survey.

You've been very helpful.


File Typeapplication/msword
File TitleYBL
AuthorBureau Of The Census
Last Modified Bydemai001
File Modified2010-07-06
File Created2010-07-06

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