Various Demographic Pretesting Activities

Section(s): Place of Work/Income (Phase IV)
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?

COWCP	<1> An employee of a PRIVATE FOR PROFIT company or business, or of an individual for wages, salary, or commissions? <2> An employee of a PRIVATE NOT-FOR-PROFIT, tax-exempt, or charitable organization? <3> A local GOVERNMENT employee (city, county, [municipio,] etc.)? <4> A state GOVERNMENT employee? <5> An active duty U.S. Armed Forces member? <6> A federal GOVERNMENT employee (excluding active duty military)? <7> SELF-EMPLOYED in own NOT INCORPORATED business, professional practice, or farm? <8> SELF-EMPLOYED in own INCORPORATED business, professional practice, or farm? <9> Working WITHOUT PAY in family business or farm?
The next series of questions are about the type of business {<Name>/ you} {works/ work/ worked} for and the type of work that {he/ she/<Name>/ you} {does/ do/ did}… Using Card CARD H, please pick the category that best describes who {he/ she/<Name>/ you} {works/ work/ worked} for. (If {<Name>/ you} had more than 1 job, describe the one at which the most hours were worked. If {<Name>/ you} did not work last week, give information for the last job or business in the past five years.)
COWA	(1) Private organization or company (2) Government (3) US Armed Forces (active duty) – goto INMIL (4) Self-employed – goto COWD (5) Working without pay in a family business
The next series of questions are about the type of business {<Name>/ you} {works/ work/ worked} for and the type of work that {he/ she/<Name>/ you} {does/ do/ did}... I am going to read 5 categories. Please pick the one that best describes who {he/ she/<Name>/ you} {works/ work/ worked} for - a private organization or company, government, the US Armed Forces (active duty), self-employed, or working without pay in a family business. (If {<Name>/ you} had more than 1 job, describe the one at which the most hours were worked. If {<Name>/ you} did not work last week, give information for the last job or business in the past five years.)
COWB	Non-profit organization Goto INWL.  For profit company Goto INWL.
{Is/Was} this a non-profit organization or a for profit company?
COWC	 Local  Goto INWL.  State  Goto INWL.  Federal Goto INWL.
{Is/ Was} this for Local, State, or the Federal Government?
COWD	 Incorporated  goto INW2.  Not incorporated goto INW2.
{Is/Was} this self-employment incorporated or not incorporated?

INW2	_____________________  Goto INW3
What {is/ was} the name of {<Name>'s/ your} company, business or other employer?
INMIL	 U.S. Army Goto OCW7  U.S. Navy Goto OCW7  U.S. Air Force Goto OCW7  U.S. Marine Corps Goto OCW7  U.S. Coast Guard Goto OCW7
Which branch of the Armed Forces {does <Name>/ do you} work for?
INW3	_____________________
What kind of business or industry {"is/ was"} this? (For example: hospital, newspaper publishing, mail order house, auto engine manufacturing, bank)
INX4	Manufacturing Wholesale trade Retail trade Other (agriculture, construction, service, government, etc.)
Is this business mainly -- manufacturing, wholesale trade, retail trade or some other kind of business?
OCW1	_________________________
What kind of work {(is/was) <Name>/ (are/were) you} doing at this job? (For example: registered nurse, personnel manager, supervisor of order department, secretary, accountant)
OCW2	__________________________
What {(are/were) <Name>'s/ (are/were) your} most important activities or duties? (For example: patient care, directing hiring policies, supervising order clerks, typing and filing, reconciling financial records)
WAGX	 Yes  No  Goto SEMX.
The next few questions are about income DURING THE PAST 12 MONTHS… Did [<Name>/you] receive any wages, salary, tips, bonuses or commissions?

WAG	$__________.00
How much did [<Name>/you] receive? (Report amount from all jobs before any deductions for taxes, bonds or other items.)
SEMX	 Yes  No  Goto INTRX.
Did [<Name>/you] receive any self-employment income DURING THE PAST 12 MONTHS? (Report income from own businesses [farm or non-farm] including proprietorships and partnerships.)
SEM	$__________.00
What was the amount? (Report net income after operating expenses. Include earnings as a tenant farmer or sharecropper.) If net income was a loss precede amount with a '-'. Breakeven = 1.
INTRX	 Yes  No  Goto SSX.
(The next few questions are about income during the PAST 12 MONTHS…) Did [<Name>/you] receive any interest, dividends, net rental income, royalty income, or income from estates and trusts [DURING THE PAST 12 MONTHS]? Report even small amounts credited to an account.
INTR	$__________.00
What was the amount received? If income was a loss, precede amount with a '-'. Breakeven = 1.
SSX	 Yes  No  Goto SSIX.
Did [<Name>/you] receive any Social Security or Railroad Retirement benefits DURING THE PAST 12 MONTHS?"
SS	$__________.00
What was the amount?
SSIX	 Yes  No  Goto PAX.
Did [<Name>/you] receive any Supplemental Security Income (SSI) payments DURING THE PAST 12 MONTHS?"

SSI	$__________.00
What was the amount?
PAX	 Yes  No  Goto RETX.
Did [<Name>/you] receive any public assistance or public welfare payments from the state or local welfare office DURING THE PAST 12 MONTHS?
PA	$__________.00
What was the amount? (Do not include SSI.)
RETX	 Yes  No  Goto OIX.
"Did [<Name>/you] receive any retirement, survivor, or disability pensions DURING THE PAST 12 MONTHS?"
RET	$__________.00
What was the amount? (Do not include Social Security.)
OIX	 Yes  No  Goto TI.
Did [<Name>/you] receive income on a REGULAR basis from any other sources such as Veteran's Administration (VA) payments, unemployment compensation, child support or alimony DURING THE PAST 12 MONTHS?"
OI	$__________.00
What was the amount from all sources? (Do not include lump sum payments such as money from an inheritance or sale of a home.)
TI	$__________.00
What was [<Name>'s/your] TOTAL income during the PAST 12 MONTHS?" If income was a loss, precede amount with a '-'.

TICALC
According to my calculations [<Name>/you have/<blank>] received $<sum of WAG, SEM, INTR, SS, SSI, PA, RET, OI> from all income sources/<blank>] [I have recorded that/<blank>] [<Name> has/you have/<blank>] received no income] over the PAST 12 MONTHS. Is this correct?
THANKYOU
Thank you very much for your participation in this important survey. You've been very helpful.