July 15, 2009
A1 <Read if incoming call: Thank you for returning our call. >
Hello, I’m (your Name) from the U.S. Census Bureau. We recently conducted the 2010 Census. Now we’re doing a study to find out how well we did our job. This interview should take about 7 minutes to complete.
May I speak with <the person who completed the 2010 Census Form/<RNAME>>?
If yes, go to A3 when correct person comes to phone (if different from
person you are currently talking to).
If correct person not available now, then schedule a time to call back.
If Census respondent is permanently unavailable, then go to A2.
A2 Is there someone else who would be able to answer questions about the people who lived there and who is at least 15 years old?
If yes and person is on the phone or can come to the phone, go to A3.
If yes and person is not available, schedule a time to call back.
If no, schedule a time to call back (and attempt the interview again two more times).
A3 Did you live or stay at <ADDRESS> on April 1, 2010?
If yes, go to A5.
If no, go to A4.
A4 Is there anyone living or staying there now who stayed at <ADDRESS> on April 1, 2010?
If yes, go to A5 after new person comes to phone.
If no, interview ends.
A5 <Hello, I’m (your Name) from the U.S. Census Bureau. We recently conducted the 2010 Census. Now we’re doing a study to find out how well we did our job. This interview should take about 7 minutes to complete.>
My supervisor is working with me today and may listen in to evaluate my performance.
Did you receive a letter about this survey?
If Yes, received letter, go to B1.
If No, did not receive letter, go to A6.
A6 Your response to this census is protected by law under Title 13 of the United States Code. This is the same law that protects your privacy. No one outside the Census Bureau will see your answers. This interview will take about 7 minutes.
Go to B1.
B1 We need to list people living or staying there on April 1, 2010. We want to list people where they usually live and sleep. For example, college students and armed forces personnel should be listed where they live and sleep most of the time.
Let’s start with you, what is your first name?
Middle initial?
Last name?
If other resident(s), ask…
What is that person’s first name?
Middle initial?
Last name?
Anyone else? (What is that person’s first name?)
B3 We do not want to miss any people who might have been staying there on April 1. Were there any additional people that you didn’t mention, for example:
Babies or foster children?
If yes, enter name(s).
What is that child’s first name
Middle initial?
Last name?
Any other children? (What is that child’s first name?)
If no, go to B5.
B5 Were there any additional people staying there on April 1 that you haven’t mentioned, for example:
Any other relatives?
If yes, enter names.
If no, go to B6.
B6 Were there any additional people staying there on April 1 that you haven’t mentioned, for example:
Roommates or other nonrelatives?
If yes, enter names.
If no, go to B8.
B8 How about anyone staying there on April 1st who had no other permanent place to live?
If yes, enter names.
If no, go to B9.
B9 Now, thinking of all the people you just mentioned, in April, <were you/was anyone> living in college housing or away for the military?
If yes, go to B9a.
If no, go to B11.
B9a Who was living in college housing or away for the military?
Enter name(s) then go to B11.
B11 On April 1, 2010, <were you/was anyone> in a place like a nursing home or a jail or prison?
If yes, go to B11a.
If no, go to B12.
B11a Who was living away in a place like a nursing home or jail or prison?
Enter name(s) then go to B12.
B12 If there is only one person in the household, demographic questions will be asked of that person only (go to C1). If there are two people in the household, demographic questions will be asked of both persons in the household (go to C1). If there are more than two people in the household, demographic questions will be asked of the respondent and a random person in the household. The random person is selected by the CATI instrument.
We are going to ask information about you and one other person in the household, <NAME_RANDOM>.
Read if necessary: We have randomly selected <NAME_RANDOM> from your household. We are selecting only one other person because we want to keep the interview short. >
Go to C1.
Tenure and Demographic Information is Collected
C1 <Do you own this/ Do you or does someone in this household own this> house, apartment or mobile home with a mortgage or loan (including home equity loans), own it free and clear, rent it, or occupy it without having to pay rent?
Record answer and go to C2.
C2 Are you male or female?
Record answer and go to C3.
C3 What is your date of birth?
Record month, day, and year and go to C3a.
C3a If date-of-birth is given, age is calculated by the WebCATI system and verified in C3b. Inconsistencies between date-of-birth and age are corrected in C3d. If date-of-birth is not given then age is asked here.
What was your age on April 1, 2010?
Record answer and go to C4.
C3b For the Census, we need to record age as of April 1, 2010.
So, just to confirm - you were <CALC_AGE > on April 1, 2010?
If yes, go to C4.
If no, go to C3c.
C3c What was your age on April 1, 2010?
If age is valid but does not correspond to calculated age, then go to C3d. Else go to C4.
C3d Since your age on April 1, 2010 was <CORRECTAGE >, can you help me correct your date of birth?
I have <Date of birth>. What should it be?
Record answer and go to C4.
C4 Are you of Hispanic, Latino, or Spanish origin?
If yes, go to C4a.
If no, go to C5.
C4a Are you Mexican, Mexican American, or Chicano; Puerto Rican; Cuban; or of another Hispanic, Latino, or Spanish origin; for example, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on?
Note that multiple responses are allowed.
If respondent indicates they are “another Hispanic, Latino, or Spanish origin”, go to C4b.
Else record answer and go to C5.
C4b What is that origin? (For example, Argentinean, Colombian, Dominican, Nicaraguan,
Salvadoran, Spaniard, and so on.)
Note that multiple responses are allowed.
Record answer and go to C5.
C5 I’m going to read a list of race categories. You may choose one or more races.
<For this census, Hispanic origin is not a race.>
Are you White; Black, African American, or Negro; American Indian or Alaska Native; Asian; Native Hawaiian or Other Pacific Islander; or Some other race?
If race is American Indian or Alaska Native, go to C5a.
If race is Asian, go to C5b.
If race is Native Hawaiian or Other Pacific Islander, go to C5d.
If race is “Some other race”, go to C5f.
Else, record race and go to C6.
C5a You may list one or more tribes.
What is your enrolled or principal tribe?
Record all that apply.
If race is also Asian, go to C5b.
If race is also Native Hawaiian or Other Pacific Islander, go to C5d.
If race is also “Some other race”, go to C5f.
Else go to C6.
C5b You may choose one or more Asian groups. Are you Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or another Asian group, for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on?
Record all that apply.
If “Other Asian” is selected, go to C5c.
If race is also Native Hawaiian or Other Pacific Islander, go to C5d.
If race is also “Some other race”, go to C5f.
Else go to C6.
C5c What is that other Asian group? (For example, Hmong, Laotian, Thai, Pakistani,
Cambodian, and so on.)
Record all that apply.
If race is also Native Hawaiian or Other Pacific Islander, go to C5d.
If race is also “Some other race”, go to C5f.
Else go to C6.
C5d You may choose one or more Pacific Islander groups. Are you Native Hawaiian; Guamanian or Chamorro; Samoan; or another Pacific Islander group, for example, Fijian, Tongan, and so on?
Record all that apply.
If “another Pacific Islander group” is selected, go to C5e.
If race is also “Some other race”, go to C5f.
Else go to C6.
C5e What is that other Pacific Islander group? (For example, Fijian, Tongan, and so on.)
Record all that apply.
If race is also “Some other race”, go to C5f.
Else go to C6.
C5f What is your other race group?
Record all that apply and then go to C6.
Randomly Selected Person – The remaining questions in section C are asked of the second person in the household (when there are only two people in the household) or the randomly selected person (when there are more than two people in the household).
C6. How is <NAME_RANDOM> related to you?
If “Child”, go to C6a.
Else go to C7.
C6a Is <NAME_RANDOM> your biological son or daughter, adopted son or daughter, OR stepson or stepdaughter?
Record answer and then go to C7.
C7 Same as C2 except sex is asked for <NAME RANDOM>. Record answer and then go to C8.
C8 Same as C3 except date-of-birth and are are asked for <NAME RANDOM>. In addition
to the questions asked in C3 a check is done on relationship (see C8e) when there appears to be an inconsistency between age and relationship (for example if the age for a child is greater than that of the parent). Record answer and then go to C9.
C8e I have recorded that <NAME_RANDOM> is your <parent/parent-in-law>. Is that correct?
Record answer and go to C9.
C9 Same as C4 except Hispanic origin is asked for <NAME RANDOM>. Record answer and go to C10.
C10 Same as C5 except Race is asked for <NAME RANDOM>. Record answer and go to D4.
Close Interview
D4 This concludes our interview. Thank you very much for your cooperation.
| File Type | application/msword |
| File Title | Interviewer asks to speak to the Census respondent |
| Author | macho001 |
| Last Modified By | love0313 |
| File Modified | 2009-07-15 |
| File Created | 2009-07-15 |