CPS Demographic Items

Current Population Survey (CPS) Basic Demographics

Attach B - CPS Demographic Items

Current Population Survey (CPS) Basic Demographics

OMB: 0607-0049

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PERSTAT



   Are all of these persons still living here? / Person status



1.

Person deceased

2.

Person moved out

3.

Person left - was a URE last month

4.

Delete person - to correct previous mistake

5.

Person is a URE this month

9.

Reinstate person



FNAME



    What are the names of all persons living or staying here? / What is the name of the next person

        
  Enter 999 if no more persons




LNAME



  Enter Last Name




S_HHMEM



Is this (name of person talking about)’s usual place of residence?



1.

Yes

2.

No

3.

Proxy



URE



Does (name of person talking about) have a usual place of residence elsewhere?




1.

Yes

2.

No



SEX



    Ask only if necessary

    What is (name of person talking about)’s  sex?



1.

Male

2.

Female





NROS2B



 16 Persons in household roster

    At this point count additional people.
     You will interview only those household members
     15 years old or older who are listed.

  Are there any other persons 15 years old or older now living or
  staying there?   (Who have not been listed.)



1.

Yes

2.

No



CNT2BG



How many other?

  
  Enter number



MCHILD



   I have listed . . .  READ NAMES                       
  Have I missed any babies or small children?

         
       Member?     LN       NAME



1.

Yes

2.

No



MAWAY



Have I missed anyone who usually lives here but is
away now -  traveling, at school, or in a hospital?

        
      Member?    LN       NAME



1.

Yes

2.

No



MLODGE



Have I missed any lodgers, boarders, or persons
you employ who live here?

         
      Member?    LN       NAME



1.

Yes

2.

No







MELSE



Have I missed anyone else staying here?                        

          
    Member?    LN       NAME



1.

Yes

2.

No



OWNREN1



  What is the name of the person or one of the persons
  who owns or rents that home?

    
  Enter line number (1-16) if current HH member   
       Enter (0) if owner(s)/renter(s) not a household member 



0.

Owner/Renter not a HH member

1.

Person 1's name

2.

Person 2's name

3.

Person 3's name

4.

Person 4's name

5.

Person 5's name

6.

Person 6's name

7.

Person 7's name

8.

Person 8's name

9.

Person 9's name

10.

Person 10's name

11.

Person 11's name

12.

Person 12's name

13.

Person 13's name

14.

Person 14's name

15.

Person 15's name

16.

Person 16's name



HHRESP



   Ask if necessary

  With whom am I speaking? 
  
  Respondent must be a household member and 15+
       or a proxy.



0.

Under_15

1.

Person 1's name

2.

Person 2's name

3.

Person 3's name

4.

Person 4's name

5.

Person 5's name

6.

Person 6's name

7.

Person 7's name

8.

Person 8's name

9.

Person 9's name

10.

Person 10's name

11.

Person 11's name

12.

Person 12's name

13.

Person 13's name

14.

Person 14's name

15.

Person 15's name

16.

Person 16's name



HHRESP_VERIFY



* Are all persons -



1.

Under 15 years of age

2.

Non-household members





S_RRP



^SHOW_READ

   ^READ_LIST  
   How (are / is)  (name/you) related
   to (reference person's name/you)?




20.

Spouse

21.

Unmar_Part

22.

Child

23.

Grandchild

24.

Parent

25.

Bro_Sis

26.

Oth_Rel

27.

Foster_Child

28.

Roommate

29.

Roomer

30.

Oth_Nonrel








S_SUBFAM



Earlier you said that (name of person talking about) (was/were)
not related to (reference person's name/you).
(Are / Is) (name of person talking about) related to anyone else in this household?



1.

Yes

2.

No



SUBFAM_WHO



Who (are / is) (name of person talking about) related to? 

 
PROBE:  Anyone else?               
                              
   
  Enter line number(s), separate with commas



1.

Person 1's name

2.

Person 2's name

3.

Person 3's name

4.

Person 4's name

5.

Person 5's name

6.

Person 6's name

7.

Person 7's name

8.

Person 8's name

9.

Person 9's name

10.

Person 10's name

11.

Person 11's name

12.

Person 12's name

13.

Person 13's name

14.

Person 14's name

15.

Person 15's name

16.

Person 16's name





LNMOM



  Enter line number of mother of (name of person talking about)

      Ask if necessary: 
Is (name's/your) mother a member of this household?





0.

No_One

1.

Person1

2.

Person2

3.

Person3

4.

Person4

5.

Person5

6.

Person6

7.

Person7

8.

Person8

9.

Person9

10.

Person10

11.

Person11

12.

Person12

13.

Person13

14.

Person14

15.

Person15

16.

Person16



MOMTYP



(are / is) (name of person talking about) Your / Mother's name biological, step, or adopted child?



1.

Bio

2.

Step

3.

Adopt



CK_LNDAD






LNDAD



  Enter line number of father of (name of person talking about)

        Ask if necessary: 
Is (name's/your) father a member of this household?





0.

No_One

1.

Person1

2.

Person2

3.

Person3

4.

Person4

5.

Person5

6.

Person6

7.

Person7

8.

Person8

9.

Person9

10.

Person10

11.

Person11

12.

Person12

13.

Person13

14.

Person14

15.

Person15

16.

Person16



DADTYP



(are / is) (name of person talking about) your / father's name biological, step, or adopted child?



1.

Bio

2.

Step

3.

Adopt



PARENT2



^REF_FNAME ^REF_LNAME ‘s parent is also
(name of person talking about)’s parent, is that correct?



1.

Yes

2.

No



BIRTHM



  What is (name's/your) date of birth?

         
   Enter Birth Month




1.

Jan

2.

Feb

3.

Mar

4.

Apr

5.

May

6.

June

7.

July

8.

Aug

9.

Sept

10.

Oct

11.

Nov

12.

Dec



BIRTHD



What is (name's/your) date of birth?
   
*  
Enter Birth Day








BIRTHY



What is (name's/your) date of birth?
   
  *  
Enter Birth Year         (Enter 4 digit year - ex:  1964)



VERIFY_AGE



As of last week, that would make (name/you)  (approximately (AGE)/ less than 1 / over 98 / AGE)
years old.

  Is that correct?



1.

Yes

2.

No



AGEGSS



Even though you don’t know (name's/your) exact birthdate,
what is your best guess as to how old ( you/he/she) (was/were)
on (your/his/her) last birthday? 

   
 99  -          Enter for 99 years or older
    00-98  -     Enter for 0 to 98 years old   
   

      



AGE2



  Ask if necessary

(Are / Is) ( you/he/she) under 15?




1.

Yes

2.

No





PREMARTL



Since our last interview, has any household member had any changes in his or her Marital Status?



1.

Yes

2.

No



MARITL



(Are / Is) (name/you) now married, widowed, divorced, separated or never married?



1.

Married - Spouse PRESENT

2.

Married - Spouse ABSENT

3.

Widowed

4.

Divorced

5.

Separated

6.

Never married



SPOUSE



 Enter line number of spouse of (name of person talking about)
    
     - -  Ask if necessary



0.

No_One

1.

Person1

2.

Person2

3.

Person3

4.

Person4

5.

Person5

6.

Person6

7.

Person7

8.

Person8

9.

Person9

10.

Person10

11.

Person11

12.

Person12

13.

Person13

14.

Person14

15.

Person15

16.

Person16





COHAB



(do/does) (name/you) have a boyfriend, girlfriend or partner in this household?

  
  If Yes, probe WHO and enter line number     
        If No, enter "0"



0.

No

1.

Person 1's name

2.

Person 2's name

3.

Person 3's name

4.

Person 4's name

5.

Person 5's name

6.

Person 6's name

7.

Person 7's name

8.

Person 8's name

9.

Person 9's name

10.

Person 10's name

11.

Person 11's name

12.

Person 12's name

13.

Person 13's name

14.

Person 14's name

15.

Person 15's name

16.

Person 16's name



AFEVER



Did (name/you) ever serve on active duty
in the U. S. Armed Forces?



1.

Yes

2.

No



AFWHEN



  *  IF NECESSARY:   Previously I was told that (name/you)
     served on active duty in the U. S. Armed Forces.


   When did ( you/he/she) serve?

 
   * Enter all that apply, separate with commas
      Mark up to 4 that apply






1.

Sept_2001

2.

Aug_1990

3.

May_1975

4.

Vietnam

5.

Feb_1955

6.

Kor_war

7.

Jan_1947

8.

WWII

9.

Nov_1941



AFNOW



(Are / Is) (name/you) now/still
  in the Armed Forces?



1.

Yes

2.

No



EDUCA



   What is the highest level of school (name/you)
   (have/has) completed or the highest degree
   (name/you) (have/has) received?


                                
^PREV_EDUC



31.

less_1

32.

1-4

33.

5_6

34.

7_8

35.

9th

36.

10th

37.

11th

38.

12th

39.

HS_grad

40.

coll

41.

Assoc_deg

42.

Assoc_deg

43.

Bach_deg

44.

Mast_deg

45.

Proff_deg

46.

Doct_deg



DIPGED



People can get a High School diploma in a variety
of ways, such as graduating from High School or
by getting a GED or other equivalent.

How did (name/you) get (your/his/her)
High School diploma?



1.

HS_Grad

2.

GED



HGCOMP



What was the highest grade of regular school
(name/you) completed before receiving
(your/his/her) GED?



1.

Less_1

2.

1_4

3.

5_6

4.

7_8

5.

9th

6.

10th

7.

11th

8.

12th



CYC



(Including any time that may have been spent getting as Associate's Degree,/ )
^Howhow many years of college CREDIT (have/has)
(name/you) completed?
(Have / Has) ( you/he/she) COMPLETED...



1.

Less_1

2.

Fresh

3.

Soph

4.

Jun

5.

4+



GRPROF



Since completing (your/his/her) Bachelor's degree
(have/has) (name/you) ever
taken any GRADUATE or PROFESSIONAL
school courses for credit?



1.

Yes

2.

No



GR6COR



Did (name/you) complete SIX
or MORE graduate or professional
school courses?



1.

Yes

2.

No



MS123



Was (name's/your) Master's Degree
program a 1-year, 2-year, or 3-year program?



1.

1_yr

2.

2_yr

3.

3_yr





OWNREN2



  What is the name of the person or one of the persons
  who owns or rents that home?

        Enter line number (1-16) if current HH member   
          Enter 0 if owner(s)/renter(s) not a household member


           
      LN       NAME    M     AGE
          LN  (name of person talking about)  ^mem   age
     



0.

Owner/Renter not a HH member

1.

Person 1's name

2.

Person 2's name

3.

Person 3's name

4.

Person 4's name

5.

Person 5's name

6.

Person 6's name

7.

Person 7's name

8.

Person 8's name

9.

Person 9's name

10.

Person 10's name

11.

Person 11's name

12.

Person 12's name

13.

Person 13's name

14.

Person 14's name

15.

Person 15's name

16.

Person 16's name





S_RRP



^SHOW_READ

   ^READ_LIST  
   How (are / is)  (name/you) related
   to (reference person's name/you)?




20.

Spouse

21.

Unmar_Part

22.

Child

23.

Grandchild

24.

Parent

25.

Bro_Sis

26.

Oth_Rel

27.

Foster_Child

28.

Roommate

29.

Roomer

30.

Oth_Nonrel





HSPNON (through December 2011)



(Are / Is) (name/you) Spanish, Hispanic, or Latino?



1.

Yes

2.

No



HSPNON (starting January 2012)



1.

2.







(Are / Is) (name/you) of Hispanic, Latino, or Spanish origin?


Yes

No

ORISPN (through December 2011)



(Are / Is) (name/you) Mexican,
Mexican American, Chicano, Puerto Rican,
Cuban, Cuban American, or some other Spanish,
Hispanic, or Latino group?

  If multiple answer, Probe:  Which group (do/does) ( you/he/she) most closely identify with?



1.

Mexican

2.

Mexican American

3.

Chicano

4.

Puerto Rican

5.

Cuban

6.

Cuban American

7.

Other



ORISPN (starting January 2012)

















(Are / Is) (name/you) Mexican,
Mexican American, or Chicano; Puerto Rican;
Cuban; Cuban American; or of another Hispanic, Latino, or Spanish
origin; for example, Argentinean, Columbian, Dominican, Nicaraguan

Salvadoran, Spaniard, and so on?


  If multiple answer, Probe:  Which group (do/does) ( you/he/she) most closely identify with?


  1. Mexican

  2. Mexican-American

  3. Chicano

  4. Puerto Rican

  5. Cuban

  6. Cuban American

  7. Other


S_OROTSP(through December 2011)



What is the name of (your/his/her) other Spanish, Hispanic, or Latino group?




S_OROTSP(starting January 2012)



What is that origin?



(For example, Argentinean, Columbian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on)




RACE (through December 2011)


I am going to read you a list of five race categories. Please choose one or more races that (NAME/you) (consider yourself/considers himself/considers herself) to be: White; Black or African American; American Indian or Alaska native; Asian; OR Native Hawaiian or Other Pacific Islander.


  
          
  Do not probe unless response is Hispanic or a Hispanic origin

          
  Enter all that apply, separate with commas



1.

White

2.

Black or African American

3.

American Indian or Alaska Native

4.

Asian

5.

Native Hawaiian or Other Pacific Islander

6.

Other - DO NOT READ




RACE (starting January 2012)













I’m going to read a list of race categories. You may choose one or more races. For this survey, Hispanic origin is not a race.


(Are you/Is NAME) White; Black or African American; American Indian or Alaska native; Asian; or Native Hawaiian or Other Pacific Islander?


             Do not probe unless response is Hispanic or a Hispanic origin
             Enter all that apply, separate with commas


  1. White

  2. Black or African American

  3. American Indian or Alaska native

  4. Asian

  5. Native Hawaiian or Other Pacific Islander

  6. Some other race – DO NOT READ



RACEAS(through December 2011)



  Which of the following Asian groups
   (are / is) ( you/he/she)?

      
  Read each item      

        
Enter all that apply, separate with commas
          



1.

Asian Indian

2.

Chinese

3.

Filipino

4.

Japanese

5.

Korean

6.

Vietnamese

7.

Other Asian - DO NOT READ


RACEAS(starting January 2012)




(You/He/She) may choose one or more Asian groups.


(Are/Is) (you/he/she) Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or another Asian group, for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on?


  • Enter all that apply, separate with commas


  1. Asian Indian

  2. Chinese

  3. Filipino

  4. Japanese

  5. Korean

  6. Vietnamese

  7. Other Asian (For example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.)


RACEPI(through December 2011)



  Which of the following Native Hawaiian or
  Other Pacific Islander groups
  (are / is) ( you/he/she)?

      
Read each item      

     
Enter all that apply, separate with commas



1.

Native Hawaiian

2.

Guamanian or Chamorro

3.

Samoan

4.

Other Pacific Islander - DO NOT READ



RACEPI(starting January 2012)









(You/He/She) may choose one or more Pacific Islander groups.


(Are/Is) (you/he/she) Native Hawaiian; Guamanian or Chamorro; Samoan; or another Pacific Islander group, for example, Fijian, Tongan, and so on?


  • Enter all that apply, separate with commas


  1. Native Hawaiian

  2. Guamanian or Chamorro

  3. Samoan

  4. Other Pacific Islander (For example, Fijian, Tongan, and so on)


S_RACEOT



  • Read only if necessary:

  • Select from Race Group Lookup Table

    What is (your/his/her) other race group?



RACEOS



     Specify Other race



17


File Typeapplication/msword
File TitlePERSTAT
AuthorDSD
Last Modified Bymarsh007
File Modified2011-02-10
File Created2011-02-07

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