Various Demographic Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

OMB11222010 Effectiveness of Unduplicationenc4.xlsx

Various Demographic Pretesting Activities

OMB: 0607-0725

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Landmark Events January February March April May June July August September October November December
First, I want to ask you about what we call "landmark events" - important things that happened to you this year, that is, during 2010. These events are often very useful in helping people recall when other things happened. So, take a moment to think about major events in your life in 2010. For example: Were there any births or deaths of people important to you? (When did these events occur?)











Did you begin or end a relationship? Did you get married, divorced or separated? (When did these events occur?)











Did you attend any weddings or other ceremonies or special events? (When did these events occur?)











Did you have a serious injury or illness? Did any close family members have a serious injury or illness? (When did these events occur?)











How about birthdays or anniversaries? (When did these events occur?)











Vacations? (When did these occur?)











Any other significant or memorable events? (When did these occur?)











School Enrollment January February March April May June July August September October November December
Have you been in school anytime during 2010?











Yes -> What dates were you in school? Did you change schools during 2010?











No -> Did you take any classes or trianing during 2010? (When?)











Employment January February March April May June July August September October November December
Have you been employed during 2010?











Yes -> What dates were you employed? Did you get promoted, fired or laid off during 2010? (When did these events occur?)











No -> Have you done any kind of work, paid or unpaid during 2010? When/what months?











Residences January February March April May June July August September October November December
When did you/NAME move into this current residence? Have you/Has he/she lived here continuously since then? Where live before that? When/ What months? Etc











Has this been the only place you lived since that time? If not, where else did you stay?











Did you stay anywhere else during 2010, even for a short period of time? When/What months?











People living in household January February March April May June July August September October November December
Who was living in your household this year? All year? Did people move in or out?











Did anybody else stay with you for a short period of time? Who? When?











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