Attachment L

PDF 5 - Attachment L.pdf

2012 National Survey on Drug Use and Health (NSDUH)

Attachment L

OMB: 0930-0110

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0930-0110 can be found here:

2024-04-09 - No material or nonsubstantive change to a currently approved collection
2023-10-24 - No material or nonsubstantive change to a currently approved collection

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Attachment L
Showcard Booklet

2012 National Survey on
Drug Use and Health
SHOWCARD BOOKLET

RESEARCH TRIANGLE INSTITUTE

Supervisor Contacts
FS Name .............. ___________________________
FS Number ........... ( ______ ) __________________
RS Name .............. ___________________________
RS Number .......... ( ______ ) __________________

RTI Telephone Numbers
Tech Support ....... (877) 419-1768
Headway.............. (800) 208-7043
To reach other RTI staff, call toll-free 1-800-848-4079
then ask the operator for the employee with whom you
wish to speak.

Website Addresses
NSDUH ................. http://nsduhweb.rti.org
RTI....................... http://www.rti.org
SAMHSA ............... http://www.samhsa.gov

English
Spanish

Lead Letter

DEPARTMENT OF HEALTH & HUMAN SERVICES

U.S. Public Health Service
Center for Behavioral Health Statistics and Quality
Rockville, MD 20857

______________, 2012

Dear Resident:
To better serve all people across the nation, the United States Public Health Service (USPHS)
is conducting a national study on health-related issues. Your address was randomly chosen
along with more than 200,000 others. Research Triangle Institute (RTI) is under contract to
carry out this study for the USPHS. Soon, an RTI interviewer will be in your neighborhood to
give you more information.
When the interviewer arrives, please ask to see his or her personal identification card. An
example of the ID card is shown below. The interviewer will ask you a few questions, and
then may ask one or two members of your household to complete an interview. It is possible
that no one from your household will be chosen to be interviewed. You may choose not to
take part in this study, but no one else can take your place. Every person who is chosen and
completes the interview will receive $30 in cash.
All the information collected is confidential and will be used only for statistical purposes.
This is assured by federal law. This letter is addressed to “Resident” because your address was
selected, and we do not know your name. Feel free to ask the interviewer any questions you
have about the study.
Your help is very important to this study’s success. Thank you for your cooperation.

Ilona S. Johnson
National Field Director, RTI
(800) 848-4079

pl
m
Ex
a

Joel Kennet, Ph.D.
National Study Director,
Center for Behavioral Health Statistics
and Quality

Sincerely,

______________________________
Assigned Field Interviewer

Confidentiality protected by the Confidential Information Protection and Statistical Efficiency Act of 2002 (PL 107-347)
Authorized by Section 505 of the Public Health Service Act (42 USC 290aa4)
Approved by Office of Management and Budget (OMB Approval No. 0930-0110)

DEPARTMENT OF HEALTH & HUMAN SERVICES

U.S. Public Health Service
Center for Behavioral Health Statistics and Quality
Rockville, MD 20857

______________, 2012

Estimado(a) residente:
Para servir mejor a toda la gente a través de la nación, el Departamento de la Salud Pública de
los Estados Unidos (USPHS, por sus siglas en inglés) está realizando un estudio nacional sobre
asuntos relacionados con la salud. Su dirección fue seleccionada al azar junto con más de otras
200,000 residencias. El Research Triangle Institute (RTI, por sus siglas en inglés) está bajo
contrato para realizar este estudio para el Servicio de Salud Pública de los Estados Unidos.
Muy pronto, un(a) entrevistador(a) de RTI estará en su comunidad para darle más información.
Cuando lo(a) visite el/la entrevistador(a), por favor pídale que le muestre su tarjeta de
identificación personal. Note que aparece una muestra de tal identificación al pie de esta carta.
El/La entrevistador(a) le hará unas cuantas preguntas y luego puede que solicite que uno o dos
miembros de su hogar completen una entrevista. Es posible que no se elija a ninguna persona
en su hogar para la entrevista. Usted puede optar por no participar en este estudio, sin embargo
nadie puede tomar su lugar. Cada persona que sea elegida y llegue a completar la
entrevista recibirá la suma de $30 dólares en efectivo.
Toda la información que se obtenga se mantendrá en forma confidencial y se usará con
propósitos estadísticos únicamente. Esto lo asegura la ley federal. Esta carta está dirigida al
“residente” porque se seleccionó su dirección y nosotros no sabemos su nombre. Sírvase
dirigirse al/a la entrevistador(a) con toda confianza en caso de tener alguna pregunta acerca del
estudio.
Su ayuda es muy importante para el éxito de este estudio. Gracias por su cooperación.
Atentamente,

Dr. Joel Kennet
Centro para las Estadísticas y la
Calidad de la Salud Conductual

Ilona S. Johnson
Directora Nacional, RTI
(800) 848-4079
___________________________________________
Nombre del/de la entrevistador(a) que se comunicará con usted
La ley de la Protección de la Información Confidencial y Eficiencia Estadística del 2002 protege la confidencialidad (PL 107-347)
El estudio está autorizado por la sección 505 de la Ley del Servicio de Salud Pública (42 USC 290aa4)
El estudio está aprobado por la Oficina de Dirección y Presupuesto (OMB, siglas en inglés) No. de aprobación 0930-0110

English
Spanish

Study Description

Study
Description
U.S. Public Health Service
Center for Behavioral Health
Statistics and Quality
Your address is one of several in this area randomly chosen for the 2012 National
Survey on Drug Use and Health. This study, sponsored by the United States Public
Health Service, collects information for research and program planning by asking about:
• tobacco, alcohol, and drug use or non-use,
• knowledge and attitudes about drugs,
• mental health, and
• other health issues.
You cannot be identified through any information you give us. Your name and address
will never be connected to your answers. Also, federal law requires us to keep all of
your answers confidential. Any data that you provide will only be used by authorized
personnel for statistical purposes according to the Confidential Information Protection
and Statistical Efficiency Act of 2002.
The screening questions take just a few minutes. If anyone is chosen, the interview will
take about an hour. You can refuse to answer any questions, and you can quit at any
time. Each person who is chosen and completes the interview will receive $30
in cash.
If you have questions about the study, call the Project Representative at 1-800-8484079. If you have questions about your rights as a study participant, call RTI’s Office of
Research Protection at 1-866-214-2043 (a toll-free number). You can also visit our
project Website: http://nsduhweb.rti.org/ for more information.
Thank you for your cooperation and time.

Michael Jones, Project Officer
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration (SAMHSA)
U.S. Public Health Service
Department of Health and Human Services
Your confidentiality is protected by the Confidential Information Protection and Statistical Efficiency Act of 2002
(CIPSEA, PL 107-347). Any project staff or authorized data user who violates CIPSEA may be subject to a jail
term of up to 5 years, a fine of up to $250,000, or both.

Descripción
del estudio
U.S. Public Health Service
Center for Behavioral Health
Statistics and Quality
Su dirección es una de varias en esta zona que fue seleccionada al azar para participar en la
Encuesta Nacional sobre la Salud y el Consumo de Drogas del año 2012. Este estudio está
bajo el patrocinio del Departamento de la Salud Pública de los Estados Unidos y tiene como
fin recopilar información para planificar estudios y programas relacionados con la salud al
preguntar acerca de lo siguiente:
• el uso o no uso de tabaco, alcohol y drogas,
• el conocimiento y actitudes hacia las drogas,
• la salud mental, y
• otros asuntos relacionados con la salud.
A usted no se le podrá identificar a través de ninguna información que nos proporcione. Sus
respuestas nunca se relacionarán con su nombre y dirección. Además, la ley federal requiere
que mantengamos todas sus respuestas en forma confidencial. Cualquier información que
usted proporcione será utilizada solamente por el personal autorizado con propósitos
estadísticos, de acuerdo a la ley de Protección de la Información Confidencial y Eficiencia
Estadística del año 2002.
Las preguntas iniciales de selección duran sólo unos minutos. Si alguien es seleccionado(a),
la entrevista durará aproximadamente una hora y media. Usted puede rehusarse a contestar
cualquier pregunta y puede dejar de participar en cualquier momento. Cada persona
seleccionada que complete la entrevista recibirá $30 dólares en efectivo.
Si tiene alguna pregunta acerca del estudio, sírvase llamar al representante del proyecto al
1-800-848-4079. Si tiene alguna pregunta acerca de sus derechos como participante del
estudio, sírvase llamar a la Oficina de RTI para la Protección de Participantes en Estudios al
1-866-214-2043 (número gratuito). También le invitamos a visitar nuestro sitio en el
Internet: http://nsduhweb.rti.org/ si desea mayor información.
Le agradecemos su tiempo y colaboración.

Michael Jones, Administrador del Proyecto
Centro para las Estadísticas y la Calidad de la Salud Conductual
Administración de Servicios para el Abuso de Drogas y la Salud Mental (SAMHSA)
Departamento de la Salud Pública de los Estados Unidos
Departamento de Salud y Servicios Humanos
Su confidencialidad está protegida por la ley de Protección de la Información Confidencial y Eficiencia Estadística
del año 2002 (CIPSEA, por sus siglas en inglés, Ley Pública 107-347). Cualquier miembro del personal del
proyecto o cualquier empleado autorizado a usar los datos que viole esta ley, puede estar sujeto a pasar tiempo
en prisión hasta por 5 años, puede ser multado hasta por $250,000 dólares, o ambos.

English
Spanish

Introduction and Informed Consent for
Interview Respondents age 18+
Intro to CAI/
Informed Consent [18+]

INTRODUCTION AND INFORMED CONSENT FOR
INTERVIEW RESPONDENTS AGE 18+
IF INTERVIEW RESPONDENT IS NOT SCREENING RESPONDENT,
INTRODUCE YOURSELF AND STUDY AS NECESSARY: Hello, I’m ________,
and I’m working on a nationwide study sponsored by the U.S. Public Health
Service. You should have received a letter about this study. (SHOW LEAD
LETTER, IF NECESSARY.)
READ THE BOXED INFORMATION BELOW
BEFORE STARTING EVERY INTERVIEW

This year, we are interviewing about 70,000 people across the nation. You have
been randomly chosen to take part. You will represent over 4,500 other people who
are similar to you. You may choose not to take part in this study, but no one else
can take your place. We will pay you $30 when you finish the interview.
GIVE STUDY DESCRIPTION TO R IF YOU HAVE NOT ALREADY DONE SO.
This study asks about tobacco, alcohol, and drug use or non-use, knowledge and
attitudes about drugs, mental health, and other health issues. It takes about an
hour. You will answer most of the questions on the computer, so I will not see your
answers. We are only interested in the combined responses from all 70,000 people,
not just one person’s answers. This is why we do not ask for your name and we
keep your answers separate from your address. RTI may contact you by phone or
mail to ask a few questions about the quality of my work. This is why we ask for
your phone number and mailing address at the end of the interview.
While the interview has some personal questions, federal law keeps your answers
private. We hope that protecting your privacy will help you to give accurate
answers. You can quit the interview at any time and you can refuse to answer any
questions.
If it is all right with you, let’s get started.
(Can we find a private place to complete the interview?)

INTRODUCCIÓN Y CONSENTIMIENTO INFORMADO
PARA LOS PARTICIPANTES ENTREVISTADOS
DE 18 AÑOS DE EDAD O MÁS
SI EL PARTICIPANTE ENTREVISTADO NO ES LA MISMA PERSONA QUE
COMPLETÓ LAS PREGUNTAS INICIALES (“SCREENING”), PRESÉNTESE
USTED MISMO Y EXPLIQUE EL ESTUDIO TAL COMO SEA NECESARIO:
Hola, me llamo ________, y trabajo para un estudio nacional patrocinado por el
Departamento de la Salud Pública de los Estados Unidos. Usted debe haber
recibido una carta acerca de este estudio. (MUESTRE LA CARTA, SI ES
NECESARIO.)
FAVOR DE LEER LA SIGUIENTE INFORMACIÓN
ANTES DE COMENZAR CADA ENTREVISTA

Este año, estamos entrevistando a cerca de 70,000 personas en toda la nación.
Usted ha sido seleccionado(a) al azar para participar en este estudio. Usted
representará a más de 4,500 otras personas similares a usted. Usted puede decidir
no tomar parte en este estudio, pero nadie podrá tomar su lugar. Nosotros le
pagaremos $30 dólares en efectivo al terminar la entrevista.
ENTREGUE LA DESCRIPCIÓN DEL ESTUDIO AL PARTICIPANTE SI TODAVĺA
NO LO HA HECHO.
Este estudio hace preguntas sobre el uso o no uso de tabaco, alcohol y drogas;
conocimiento y actitudes hacia las drogas; la salud mental y otros asuntos sobre la
salud. La entrevista dura aproximadamente una hora y media. Usted usará la
computadora para responder a la mayoría de las preguntas y por lo tanto, yo no
podré ver sus respuestas. Nosotros estamos interesados únicamente en las
respuestas de todas las 70,000 personas en conjunto, y no solamente en las
respuestas de una persona. Esta es la razón por la cual nosotros no le
preguntamos por su nombre y mantenemos sus respuestas separadas de su
dirección. Es posible que el personal de RTI se comunique con usted por teléfono o
por correo para hacerle algunas preguntas acerca de la calidad de mi trabajo. Es
por eso que le preguntamos por su número de teléfono y su dirección al final de la
entrevista.
Aunque algunas preguntas de la entrevista son personales, la ley federal mantiene
sus respuestas en forma confidencial. Esperamos que el hecho de proteger su
privacidad le ayude a darnos respuestas exactas. Usted puede dejar de participar
en cualquier momento y puede rehusarse a contestar cualquier pregunta.
Si usted está de acuerdo, podemos empezar.
(¿Podríamos ir a un lugar privado para llevar a cabo la entrevista?)

English
Spanish

Introduction and Informed Consent for
Interview Respondents ages 12-17

Intro to CAI/
Informed Consent [12-17]

INTRODUCTION AND INFORMED CONSENT FOR
INTERVIEW RESPONDENTS AGE 12-17

FIRST, OBTAIN PERMISSION FROM THE PARENT
AND READ THE BOXED INFORMATION BELOW

Your (AGE) year-old child has been selected to be in this study. Your child’s participation is
voluntary. This interview asks about tobacco, alcohol, and drug use or non-use, knowledge
and attitudes about drugs, mental health, and other health related issues. All of your child’s
answers will be confidential and used only for statistical purposes. Since your child will answer
most of the questions on the computer, I will never see the answers, and you are not allowed
to see them either. If it is all right with you, we’ll get started.
(Can we find a private place to complete the interview?)

THEN, READ THE BOXED INFORMATION BELOW BEFORE STARTING EVERY
INTERVIEW WITH A 12-17 YEAR OLD

This year, we are interviewing about 70,000 people across the nation. You have been
randomly chosen to take part. You will represent over 1,000 young people in this country who
are similar to you. You may choose not to take part in this study, but no one else can take
your place. We will pay you $30 when you finish the interview.
GIVE STUDY DESCRIPTION TO R IF YOU HAVE NOT ALREADY DONE SO.
This study asks about tobacco, alcohol, and drug use or non-use, knowledge and attitudes
about drugs, mental health, and other health issues. It takes about an hour. You will answer
most of the questions on the computer, so I will not see your answers. Your answers will
never be seen by either your parents or your school. We are only interested in the combined
responses from all 70,000 people, not just one person’s answers. This is why we do not ask
for your name and we keep your answers separate from your address. RTI may contact you
by phone or mail to ask a few questions about the quality of my work. This is why we ask for
your phone number and mailing address at the end of the interview.
While the interview has some personal questions, federal law keeps your answers private. We
hope that protecting your privacy will help you to give accurate answers. You can quit the
interview at any time and you can refuse to answer any questions.
If it is all right with you, let’s get started.

INTRODUCCIÓN Y CONSENTIMIENTO INFORMADO
PARA LOS PARTICIPANTES ENTREVISTADOS DE 12 A 17 AÑOS
DE EDAD
PRIMERO, OBTENGA PERMISO DEL PADRE DE FAMILIA
Y LEA LA SIGUIENTE INFORMACIÓN

Su hijo(a) de (EDAD) años ha sido seleccionado(a) para participar en el estudio. La
participación de su hijo(a) es voluntaria. Esta entrevista le hace preguntas sobre el uso o no
uso de tabaco, alcohol y drogas; conocimiento y actitudes hacia las drogas; la salud mental y
otros asuntos sobre la salud. Todas las respuestas de su hijo(a) se mantendrán en forma
confidencial y se utilizarán con propósitos estadísticos únicamente. Ya que su hijo(a) usará la
computadora para responder la mayoría de las preguntas, yo no podré ver sus respuestas, y a
usted tampoco se le permitirá ver las respuestas. Si usted está de acuerdo, podemos
empezar.
(¿Podríamos ir a un lugar privado para llevar a cabo la entrevista?)
LUEGO, LEA LA SIGUIENTE INFORMACIÓN ANTES DE EMPEZAR CADA ENTREVISTA
CON UN JOVEN DE 12 A 17 AÑOS DE EDAD

Este año, estamos entrevistando a cerca de 70,000 personas en toda la nación. Tú has sido
seleccionado(a) al azar para participar en este estudio. Tú representarás a más de 1,000
jóvenes en este país que son similares a ti. Tú puedes decidir no tomar parte en este estudio,
pero nadie podrá tomar tu lugar. Nosotros te pagaremos $30 dólares al terminar la entrevista.
ENTREGUE LA DESCRIPCIÓN DEL ESTUDIO AL PARTICIPANTE SI TODAVĺA NO LO HA
HECHO.
Este estudio hace preguntas sobre el uso o no uso de tabaco, alcohol y drogas; conocimiento
y actitudes hacia las drogas; la salud mental y otros asuntos sobre la salud. La entrevista dura
aproximadamente una hora y media. Tú usarás la computadora para responder a la mayoría
de las preguntas y por lo tanto, yo no veré tus respuestas. Ni tus padres ni el personal de la
escuela podrán ver tus respuestas. Nosotros estamos interesados únicamente en las
respuestas de todas las 70,000 personas en conjunto, y no solamente en las respuestas de
una persona. Esta es la razón por la cual nosotros no preguntamos por tu nombre y
mantenemos tus respuestas separadas de tu dirección. Es posible que el personal de RTI se
comunique contigo por teléfono o por correo para hacerte algunas preguntas acerca de la
calidad de mi trabajo. Es por eso que te preguntamos por tu número de teléfono y tu dirección
al final de la entrevista.
Aunque algunas preguntas de la entrevista son personales, la ley federal mantiene tus
respuestas en forma confidencial. Esperamos que el hecho de proteger tu privacidad te ayude
a darnos respuestas exactas. Tú puedes dejar de participar en cualquier momento y puedes
rehusarte a contestar cualquier pregunta.
Si tú estás de acuerdo, podemos empezar.

Showcards 1-4

SHOWCARD 1

MEXICAN, MEXICAN AMERICAN, MEXICANO
OR CHICANO

PUERTO RICAN

CENTRAL OR SOUTH AMERICAN

CUBAN OR CUBAN AMERICAN

DOMINICAN (FROM DOMINICAN REPUBLIC)

SPANISH (FROM SPAIN)

TARJETA 1

MEXICANO, MEXICANOAMERICANO,
CHICANO

PUERTORRIQUEÑO

CENTROAMERICANO O SUDAMERICANO

CUBANO O CUBANOAMERICANO

DOMINICANO (DE LA REPÚBLICA DOMINICANA)

ESPAÑOL (DE ESPAÑA)

SHOWCARD 2

WHITE

BLACK OR AFRICAN AMERICAN

AMERICAN INDIAN OR ALASKA NATIVE
(AMERICAN INDIAN INCLUDES NORTH
AMERICAN, CENTRAL AMERICAN, AND SOUTH
AMERICAN INDIANS)

NATIVE HAWAIIAN

OTHER PACIFIC ISLANDER

ASIAN (INCLUDING: ASIAN INDIAN, CHINESE,
FILIPINO, JAPANESE, KOREAN, AND
VIETNAMESE)

TARJETA 2

BLANCO

NEGRO O AFROAMERICANO

INDÍGENO AMERICANO O NATIVO DE ALASKA
(INDÍGENO AMERICANO INCLUYE INDÍGENOS DE
NORTEAMÉRICA, CENTROAMÉRICA Y
SUDAMÉRICA)

NATIVO DE HAWAII

OTRO ISLEÑO DEL PACÍFICO

ASIÁTICO (INCLUYENDO: INDIO ASIÁTICO,
CHINO, FILIPINO, JAPONÉS, COREANO,
VIETNAMITA)

SHOWCARD 3

ASIAN INDIAN

CHINESE

FILIPINO

JAPANESE

KOREAN

VIETNAMESE

TARJETA 3

INDIO ASIÁTICO

CHINO

FILIPINO

JAPONÉS

COREANO

VIETNAMITA

SHOWCARD 4

NEVER ATTENDED SCHOOL

PRIMARY AND SECONDARY GRADES:
1

1ST GRADE COMPLETED

2ND GRADE COMPLETED

3RD GRADE COMPLETED

4TH GRADE COMPLETED

5TH GRADE COMPLETED

6TH GRADE COMPLETED

7TH GRADE COMPLETED

8TH GRADE COMPLETED

9TH GRADE COMPLETED

10TH GRADE COMPLETED

11TH GRADE COMPLETED

12TH GRADE COMPLETED

COLLEGE OR UNIVERSITY:
13

1ST YEAR COMPLETED

2ND YEAR COMPLETED

3RD YEAR COMPLETED

4TH YEAR COMPLETED

5TH OR HIGHER YEAR COMPLETED

TARJETA 4

NUNCA ASISTIÓ A LA ESCUELA

ESCUELA PRIMARIA O SECUNDARIA:
1

COMPLETÓ EL 1er. GRADO

COMPLETÓ EL 2o. GRADO

COMPLETÓ EL 3er. GRADO

COMPLETÓ EL 4o. GRADO

COMPLETÓ EL 5o. GRADO

COMPLETÓ EL 6o. GRADO

COMPLETÓ EL 7o. GRADO

COMPLETÓ EL 8o. GRADO

COMPLETÓ EL 9o. GRADO

COMPLETÓ EL 10o. GRADO

COMPLETÓ EL 11o. GRADO

COMPLETÓ EL 12o. GRADO

COLLEGE O UNIVERSIDAD:
13

COMPLETÓ EL 1er. AÑO

COMPLETÓ EL 2o. AÑO

COMPLETÓ EL 3er. AÑO

COMPLETÓ EL 4o. AÑO

COMPLETÓ EL 5o. AÑO O MÁS

Pillcards A-D

CARD A
Pain Relievers
1

Darvocet-N®
Vicodin®

Percocet®
Lortab®

Darvon®
Percodan®

Tylenol® with Codeine

Tylox®

Lorcet®/Lorcet Plus®

10
Codeine
Methadone

5
11

14
Propoxyphene

Morphine

Demerol®

Phenaphen® with Codeine

Dilaudid®

SK-65®

Stadol®

17
Fioricet®

Talacen®

18
Talwin®
19

Fiorinal®

Talwin® NX
9
20
Tramadol
21
NSDUH 2011

Hydrocodone

OxyContin®

Ultram®

CARD B
Tranquilizers
1

Xanax®
Klonopin®

Valium®

Alprazolam

Ativan®
Clonazepam

Diazepam

Lorazepam

Atarax®
Librium®
5

Serax®

9
14
Limbitrol®
10
BuSpar®

Soma®

Meprobamate

Miltown®
Equanil®
12

Tranxene®

7
16
Flexeril®
NSDUH 2011

Rohypnol®

Vistaril®

CARD C
Stimulants
2

Amphetamines

(picture not available)

Methamphetamine
(“speed” or “ice” or
“crank”)

Benzedrine®

Desoxyn®

Biphetamine®
Ritalin®

Fastin®

(picture not available)

Methedrine
Methylphenidate

Phentermine

Didrex®
Cylert®

Plegine®
13

Eskatrol®

Preludin®
9
14
Dexedrine®

Ionamin®
10

Sanorex®
15

Mazanor®
Dextroamphetamine
NSDUH 2011

Obedrin-LA®

Tenuate®

CARD D
Sedatives
1

(picture not available)

Methaqualone
(includes Sopor®,
Quaalude®)

Nembutal® Sodium
Restoril®

(picture not available)

Pentobarbital

Seconal®
Temazepam

(picture not available)

Secobarbital

(picture not available)

Butalbital

Dalmane®
8
Amytal®

Placidyl®

5
Halcion®

Butisol®

6
Chloral Hydrate
Phenobarbital
NSDUH 2011

Tuinal®

Showcards 5-18

SHOWCARD 5

PRIMARY AND SECONDARY GRADES:
1

1ST GRADE

2ND GRADE

3RD GRADE

4TH GRADE

5TH GRADE

6TH GRADE

7TH GRADE

8TH GRADE

9TH GRADE

10TH GRADE

11TH GRADE

12TH GRADE

COLLEGE OR UNIVERSITY:
13

1ST YEAR

2ND YEAR

3RD YEAR

4TH YEAR

5TH YEAR OR HIGHER

TARJETA 5

ESCUELA PRIMARIA O SECUNDARIA:
1

1er. GRADO

2o. GRADO

3er. GRADO

4o. GRADO

5o. GRADO

6o. GRADO

7o. GRADO

8o. GRADO

9o. GRADO

10o. GRADO

11o. GRADO

12o. GRADO

COLLEGE O UNIVERSIDAD:
13

1er. AÑO

2o. AÑO

3er. AÑO

4o. AÑO

5o. AÑO O MÁS

SHOWCARD 6
1

SCHOOL WAS BORING OR I DIDN’T WANT TO BE
THERE

I GOT PREGNANT / I GOT SOMEONE PREGNANT

I GOT IN TROUBLE OR EXPELLED FOR SELLING
DRUGS

I GOT IN TROUBLE OR EXPELLED FOR USING
DRUGS

I GOT IN TROUBLE OR EXPELLED FOR SOME
OTHER REASON

I OFTEN GOT INTO TROUBLE

I HAD TO GET A JOB (OR WORK MORE HOURS)

I WAS GETTING BAD GRADES

I WASN’T LEARNING ANYTHING

I GOT MARRIED OR MOVED IN WITH MY
BOY/GIRLFRIEND

I MOVED HERE FROM ANOTHER COUNTRY AND
DIDN’T ENROLL IN SCHOOL (OR DROPPED OUT
OF SCHOOL) BECAUSE OF LANGUAGE OR OTHER
PROBLEMS

I WAS TREATED BADLY AT SCHOOL

I BECAME ILL OR INJURED

I WENT TO JAIL / PRISON

I HAD RESPONSIBILITIES AT HOME OR
PERSONAL PROBLEMS

TARJETA 6
1

LA ESCUELA ERA ABURRIDA O NO QUERÍA
ESTAR AHÍ

QUEDÉ EMBARAZADA / EMBARACÉ A ALGUIEN

ME METÍ EN PROBLEMAS O ME EXPULSARON
POR VENDER DROGAS

ME METÍ EN PROBLEMAS O ME EXPULSARON
POR USAR DROGAS

ME METÍ EN PROBLEMAS O ME EXPULSARON
POR OTRA RAZÓN

ME METÍ EN PROBLEMAS VARIAS VECES

TUVE QUE BUSCAR UN TRABAJO (O TRABAJAR
MÁS HORAS)

ESTABA SACANDO MALAS NOTAS

NO ESTABA APRENDIENDO NADA

ME CASÉ O ME FUI A VIVIR CON MI
ENAMORADO(A) O NOVIO(A)

VINE DE OTRO PAÍS A VIVIR AQUÍ Y NO ME
INSCRIBÍ EN LA ESCUELA (O ABANDONÉ LOS
ESTUDIOS) POR PROBLEMAS CON EL IDIOMA U
OTROS PROBLEMAS

ME TRATARON MAL EN LA ESCUELA

ME ENFERMÉ O ME LASTIMÉ

FUI A LA CÁRCEL O A LA PRISIÓN

TENÍA RESPONSABILIDADES EN EL HOGAR O
PROBLEMAS PERSONALES

SHOWCARD 7

MANUFACTURING

WHOLESALE TRADE

RETAIL TRADE

AGRICULTURE

CONSTRUCTION

SERVICE

GOVERNMENT

TARJETA 7

FABRICACIÓN

COMPRA Y VENTA AL POR MAYOR

COMPRA Y VENTA AL POR MENOR

AGRICULTURA

CONSTRUCCIÓN

SERVICIO

GOBIERNO

SHOWCARD 8

PRIVATE FOR-PROFIT COMPANY OR BUSINESS

PRIVATE NOT-FOR-PROFIT COMPANY OR
BUSINESS

LOCAL GOVERNMENT (CITY, COUNTY, ETC.)

STATE GOVERNMENT

FEDERAL GOVERNMENT

INTERNATIONAL OR FOREIGN GOVERNMENT

SELF-EMPLOYED IN AN INCORPORATED
BUSINESS

SELF-EMPLOYED IN AN UNINCORPORATED
BUSINESS

WORKING WITHOUT PAY IN A FAMILY BUSINESS
OR FARM

TARJETA 8

COMPAÑÍA O EMPRESA PRIVADA CON FINES DE
LUCRO

COMPAÑÍA O EMPRESA PRIVADA SIN FINES DE
LUCRO

GOBIERNO LOCAL (CIUDAD, CONDADO, ETC.)

GOBIERNO ESTATAL

GOBIERNO FEDERAL

GOBIERNO INTERNACIONAL O EXTRANJERO

TRABAJA POR CUENTA PROPIA EN UNA
COMPAÑÍA INCORPORADA

TRABAJA POR CUENTA PROPIA EN UNA
COMPAÑÍA NO INCORPORADA

TRABAJA SIN PAGO EN UN NEGOCIO O GRANJA
DE LA FAMILIA

SHOWCARD 9

ON VACATION, SICK, FURLOUGH, STRIKE, OR
OTHER TEMPORARY ABSENCE

ON LAYOFF AND NOT LOOKING FOR WORK

ON LAYOFF AND LOOKING FOR WORK

WAITING TO REPORT TO A NEW JOB

SELF-EMPLOYED AND DID NOT HAVE ANY
BUSINESS LAST WEEK

GOING TO SCHOOL OR TRAINING

TARJETA 9

DE VACACIONES, ENFERMO, CON LICENCIA, DE
HUELGA, OTRA AUSENCIA TEMPORAL

LO DESPIDIERON DEL TRABAJO Y NO ESTÁ
BUSCANDO EMPLEO

LO DESPIDIERON DEL TRABAJO Y SÍ ESTÁ
BUSCANDO EMPLEO

ESTÁ ESPERANDO A REPORTARSE A UN NUEVO
EMPLEO

TRABAJA POR CUENTA PROPIA Y NO HUBO
NINGUNA ACTIVIDAD LA SEMANA PASADA

ASISTE A LA ESCUELA / ENTRENAMIENTO

SHOWCARD 10

LOOKING FOR WORK

ON LAYOFF AND NOT LOOKING FOR WORK

KEEPING HOUSE OR CARING FOR CHILDREN
FULL-TIME

GOING TO SCHOOL OR TRAINING

RETIRED

DISABLED FOR WORK

DIDN’T WANT A JOB

TARJETA 10

BUSCANDO TRABAJO

LO DESPIDIERON DEL TRABAJO Y NO ESTÁ
BUSCANDO EMPLEO

ENCARGADO DE LA CASA O CUIDANDO LOS
NIÑOS A TIEMPO COMPLETO

ASISTE A LA ESCUELA / ENTRENAMIENTO

JUBILADO

INCAPACITADO PARA TRABAJAR

NO QUERÍA TRABAJAR

SHOWCARD 11

LESS THAN 10 PEOPLE

10-24 PEOPLE

25-99 PEOPLE

100-499 PEOPLE

500 PEOPLE OR MORE

TARJETA 11

MENOS DE 10 PERSONAS

DE 10-24 PERSONAS

DE 25-99 PERSONAS

DE 100-499 PERSONAS

500 PERSONAS O MÁS

SHOWCARD 12

HANDLED ON AN INDIVIDUAL BASIS/POLICY
DOES NOT SPECIFY WHAT HAPPENS

EMPLOYEE IS FIRED

EMPLOYEE IS REFERRED FOR TREATMENT
OR COUNSELING

NOTHING HAPPENS

SOMETHING ELSE HAPPENS

TARJETA 12

CADA CASO SE TRATA DE MANERA
INDIVIDUAL / EL REGLAMENTO NO
ESPECIFICA QUÉ PASA

EL EMPLEADO ES DESPEDIDO

SE LE PIDE AL EMPLEADO QUE OBTENGA
TRATAMIENTO O CONSEJERÍA

NO PASA NADA

PASA OTRA COSA

SHOWCARD 13

SELF

FATHER (INCLUDES STEP, FOSTER,
ADOPTIVE)

SON (INCLUDES STEP, FOSTER, ADOPTIVE)

BROTHER (INCLUDES HALF, STEP, FOSTER,
ADOPTIVE)

HUSBAND

UNMARRIED PARTNER

HOUSEMATE OR ROOMMATE

SON-IN-LAW

GRANDSON

FATHER-IN-LAW

GRANDFATHER

BOARDER OR ROOMER

OTHER RELATIVE

OTHER NON-RELATIVE

TARJETA 13

SÍ MISMO

PADRE (INCLUYE PADRASTRO, PADRE
“FOSTER” O DE CRIANZA, PADRE ADOPTIVO)

HIJO (INCLUYE HIJASTRO, HIJO “FOSTER”
O DE CRIANZA, HIJO ADOPTIVO)

HERMANO (INCLUYE MEDIO HERMANO,
HERMANASTRO, HERMANO “FOSTER” O DE
CRIANZA, HERMANO ADOPTIVO)

ESPOSO

PAREJA (SIN ESTAR CASADOS)

COMPAÑERO DE CASA O DE CUARTO

YERNO

NIETO

SUEGRO

ABUELO

INQUILINO O HUÉSPED

OTRO PARIENTE

OTRO QUE NO SEA PARIENTE

SHOWCARD 14

SELF

MOTHER (INCLUDES STEP, FOSTER,
ADOPTIVE)

DAUGHTER (INCLUDES STEP, FOSTER,
ADOPTIVE)

SISTER (INCLUDES HALF, STEP, FOSTER,
ADOPTIVE)

WIFE

UNMARRIED PARTNER

HOUSEMATE OR ROOMMATE

DAUGHTER-IN-LAW

GRANDDAUGHTER

MOTHER-IN-LAW

GRANDMOTHER

BOARDER OR ROOMER

OTHER RELATIVE

OTHER NON-RELATIVE

TARJETA 14

SÍ MISMA

MADRE (INCLUYE MADRASTRA, MADRE
“FOSTER” O DE CRIANZA, MADRE ADOPTIVA)

HIJA (INCLUYE HIJASTRA, HIJA “FOSTER” O
DE CRIANZA, HIJA ADOPTIVA)

HERMANA (INCLUYE MEDIA HERMANA,
HERMANASTRA, HERMANA “FOSTER” O DE
CRIANZA, HERMANA ADOPTIVA)

ESPOSA

PAREJA (SIN ESTAR CASADOS)

COMPAÑERA DE CASA O DE CUARTO

NUERA

NIETA

SUEGRA

ABUELA

INQUILINA O HUÉSPED

OTRA PARIENTE

OTRA QUE NO SEA PARIENTE

SHOWCARD 15

PERSON IN FAMILY WITH HEALTH INSURANCE LOST
JOB OR CHANGED EMPLOYERS

LOST MEDICAID OR MEDICAL ASSISTANCE
COVERAGE BECAUSE OF NEW JOB OR INCREASE IN
INCOME

LOST MEDICAID OR MEDICAL ASSISTANCE
COVERAGE FOR SOME OTHER REASON

COST IS TOO HIGH / CAN’T AFFORD PREMIUMS

BECAME INELIGIBLE BECAUSE OF AGE OR
LEAVING SCHOOL

EMPLOYER DOES NOT OFFER COVERAGE, OR
NOT ELIGIBLE FOR COVERAGE

GOT DIVORCED OR SEPARATED FROM PERSON
WITH INSURANCE

DEATH OF SPOUSE OR PARENT

INSURANCE COMPANY REFUSED COVERAGE

DON’T NEED IT

RECEIVED MEDICAID OR MEDICAL INSURANCE
ONLY WHILE PREGNANT

TARJETA 15

LA PERSONA EN LA FAMILIA CON SEGURO DE SALUD
PERDIÓ EL EMPLEO O CAMBIÓ DE EMPLEADOR O
PATRÓN

PERDIÓ LA COBERTURA DE MEDICAID O DE
BENEFICIOS MÉDICOS POR CAMBIAR DE EMPLEO O
POR UN AUMENTO EN LOS INGRESOS

PERDIÓ LA COBERTURA DE MEDICAID O DE
BENEFICIOS MÉDICOS POR ALGUNA OTRA RAZÓN

EL COSTO ES DEMASIADO ALTO / NO PUEDE PAGAR
LAS CUOTAS (PRIMAS)

PERDIÓ LOS BENEFICIOS DEBIDO A LA EDAD O POR
DEJAR LA ESCUELA

EL EMPLEADOR NO OFRECE COBERTURA O LA
PERSONA NO CALIFICA PARA RECIBIR COBERTURA

SE DIVORCIÓ O SE SEPARÓ DE LA PERSONA CON
SEGURO

LA MUERTE DEL CÓNYUGE O DEL PADRE O LA MADRE

LA COMPAÑÍA DE SEGUROS LE NEGÓ COBERTURA

NO LO NECESITA

RECIBIÓ MEDICAID O SEGURO MÉDICO SOLAMENTE
DURANTE EL EMBARAZO

SHOWCARD 16

COST IS TOO HIGH / CAN’T AFFORD PREMIUMS

EMPLOYER DOES NOT OFFER COVERAGE, OR
NOT ELIGIBLE FOR COVERAGE

INSURANCE COMPANY REFUSED COVERAGE

DON’T NEED IT

TARJETA 16

EL COSTO ES MUY ALTO / NO PUEDE PAGAR LAS
CUOTAS (PRIMAS)

EL EMPLEADOR NO OFRECE COBERTURA O
LA PERSONA NO CALIFICA PARA RECIBIR
COBERTURA

LA COMPAÑÍA DE SEGUROS LE NEGÓ
COBERTURA

NO LO NECESITA

SHOWCARD 16a

VETERAN’S ADMINISTRATION PAYMENTS

OTHER DISABILITY, RETIREMENT OR SURVIVOR
PENSION

UNEMPLOYMENT OR WORKER’S COMPENSATION

INTEREST INCOME

DIVIDENDS FROM STOCKS OR MUTUAL FUNDS

INCOME FROM RENTAL PROPERTIES, ROYALTIES,
ESTATES OR TRUSTS

ALIMONY

CHILD SUPPORT

TARJETA 16a

PAGOS DE LA ADMINISTRACIÓN DE VETERANOS

OTRA INCAPACIDAD, JUBILACIÓN O PENSIÓN DE
SUPERVIVIENTE

DESEMPLEO O COMPENSACIÓN DE TRABAJADORES

INGRESO PROVENIENTE DE INTERESES

DIVIDENDOS PROVENIENTES DE ACCIONES O
FONDOS MUTUOS

INGRESOS POR ALQUILER DE PROPIEDADES,
REGALÍAS, HERENCIAS O FIDEICOMISOS

PENSIÓN ALIMENTICIA

MANUTENCIÓN INFANTIL

SHOWCARD 17

LESS THAN $1,000 (INCLUDING LOSS)

$1,000 - $1,999

$2,000 - $2,999

$3,000 - $3,999

$4,000 - $4,999

$5,000 - $5,999

$6,000 - $6,999

$7,000 - $7,999

$8,000 - $8,999

$9,000 - $9,999

$10,000 - $10,999

$11,000 - $11,999

$12,000 - $12,999

$13,000 - $13,999

$14,000 - $14,999

$15,000 - $15,999

$16,000 - $16,999

$17,000 - $17,999

$18,000 - $18,999

$19,000 - $19,999

TARJETA 17

MENOS DE $1,000 (INCLUYENDO PÉRDIDAS)

$1,000 - $1,999

$2,000 - $2,999

$3,000 - $3,999

$4,000 - $4,999

$5,000 - $5,999

$6,000 - $6,999

$7,000 - $7,999

$8,000 - $8,999

$9,000 - $9,999

$10,000 - $10,999

$11,000 - $11,999

$12,000 - $12,999

$13,000 - $13,999

$14,000 - $14,999

$15,000 - $15,999

$16,000 - $16,999

$17,000 - $17,999

$18,000 - $18,999

$19,000 - $19,999

SHOWCARD 18

$20,000 - $24,999

$25,000 - $29,999

$30,000 - $34,999

$35,000 - $39,999

$40,000 - $44,999

$45,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 OR MORE

TARJETA 18

$20,000 - $24,999

$25,000 - $29,999

$30,000 - $34,999

$35,000 - $39,999

$40,000 - $44,999

$45,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 O MÁS

English
Spanish

Summary of the NSDUH Questionnaire
Questionnaire
Summaries

2012 National Survey on Drug Use and Health
Summary of the Questionnaire
You have asked to know more about the National Survey on Drug Use and Health and the types of
questions the interviewer will ask. Below is a summary of each section of the questionnaire for you to
examine. Keep in mind that not everyone will see every question—the questions depend on the
participant’s own experiences. Furthermore, participants can always refuse to answer any questions
during the interview.
Demographics
This section, administered by the interviewer, consists of questions about the participant such as his/her
date of birth, race, educational background, and health status.
Sample Questions:
What is the highest grade or year of school you have completed?
Would you say your health in general is excellent, very good, good, fair, or poor?
Computer Practice Session
In this section, the interviewer shows the participant how to use the laptop computer and lets him/her
practice using a short practice session.
Cigarettes, Alcohol and Illicit Drugs
For most of the rest of the interview, the participant answers questions by listening to the questions over
the headphones and/or reading the questions on the computer screen, and then entering responses using
the computer’s keyboard. The participant answers these questions in private, although the interviewer is
available to help with any problems using the computer. During this part of the interview, only the
participant can hear and see the questions and see his/her responses.
Tobacco Products and Alcohol
These sections include questions about whether and how often participants have used cigarettes, chewing
tobacco, snuff, cigars, pipe tobacco, and alcoholic beverages such as beer, wine, or liquor.
Sample Questions:
Have you ever smoked part or all of a cigarette?
How old were you the first time you used chewing tobacco?
What is your best estimate of the number of days you drank alcohol during the past 30 days?
Illicit Drugs
The next sections ask about the participant’s use or non-use of marijuana, heroin, cocaine, hallucinogens,
and inhalants; and prescription pain killers, tranquilizers, stimulants, and sedatives when taken only for
their effect. Questions about drug dependence and drug treatment are also included in these sections.
Sample Questions:
Have you ever, even once, used marijuana or hashish?
How much do people risk harming themselves physically and in other ways when they use
cocaine once a month?

Adult Social Environment and Mental Health
Participants aged 18 and older receive questions about their social experiences such as: how many times
they have moved, their opinions about drug use, and in some cases, their experiences as a parent. Mental
health questions cover such topics as depression and treatment for mental health problems.
Sample Questions:
How do you feel about adults trying marijuana or hashish once or twice?
During the past 12 months, was there any time when you needed mental health treatment or
counseling for yourself but didn’t get it?
Have you ever in your life had a period of time lasting several days or longer when most of the
day you felt sad, empty, or depressed?
Youth Experiences and Mental Health
Youth aged 12-17 participating in the survey are also asked questions about their social experiences such
as: perceptions about the risks of using certain drugs; whether getting drugs is difficult or easy; feelings
about school and peers; and involvement in clubs, sports, and other extracurricular activities. The mental
health questions cover such topics as depression and treatment for mental health problems.
Sample Questions:
During the past 12 months, in how many different kinds of school-based activities, such as team
sports, cheerleading, choir, band, student government, or clubs, have you participated?
Have you ever in your life had a period of time lasting several days or longer when most of the
day you felt sad, empty, or depressed?
During the past 12 months, did you receive treatment or counseling from a private therapist,
psychologist, psychiatrist, social worker, or counselor for emotional or behavioral problems
that were not caused by alcohol or drugs?
Health Care and Demographic Information
In this section, the laptop is handed back to the interviewer, who asks questions about education, health
insurance, and family income information to help in analyzing the data. If necessary, a knowledgeable
adult in the household may be asked to help participants answer some of these questions.
The answers to these questions increase the government’s knowledge about health care, especially as it
may relate to drug use or treatment. This information helps in planning health care services and finding
ways to lower the costs of care.
Sample Questions:
How many hours did you work last week at all jobs or businesses?
Before taxes and other deductions, was the total combined family income during 2011 more or
less than 20,000 dollars?
Are you currently covered by private health insurance?

Please feel free to ask the interviewer if you have any other questions about the questionnaire.

Thank you for your cooperation and help!

Encuesta Nacional sobre la Salud y el
Consumo de Drogas del año 2012
Resumen del Cuestionario
Usted ha solicitado obtener más información acerca de la Encuesta Nacional sobre la Salud y el
Consumo de Drogas y la clase de preguntas que le hará el entrevistador. Sírvase revisar el resumen de
cada sección del cuestionario que se encuentra a continuación. Tenga en cuenta que no todas las personas
verán cada pregunta porque las preguntas dependen de las experiencias de cada participante. Además, los
participantes siempre pueden negarse a responder cualquier pregunta durante la entrevista.
Demografía
Esta sección la lleva a cabo el entrevistador y consta de preguntas sobre el participante, tales como su
fecha de nacimiento, raza, nivel de educación y el estado de su salud.
Ejemplos de preguntas:
¿Cuál es el último grado o año de escuela o universidad que usted ha completado?
¿Diría que su salud en general es excelente, muy buena, buena, más o menos, o mala?
Sesión de práctica con la computadora
En esta sección, el entrevistador le muestra al participante cómo usar la computadora portátil,
permitiéndole ensayar a través de una breve sesión de práctica.
Cigarrillos, alcohol y drogas ilegales
Para la mayoría de las demás preguntas en la entrevista, el participante contesta las preguntas
escuchándolas a través de los audífonos y/o leyéndolas en la pantalla de la computadora. Luego el
participante registra las respuestas directamente usando el teclado de la computadora. El participante
contesta estas preguntas en privado, aunque el entrevistador está disponible a ayudar con cualquier
problema relacionado con el uso de la computadora. Durante esta parte de la entrevista, sólo el
participante puede escuchar las preguntas y ver sus respuestas.
Alcohol y productos de tabaco
Las preguntas en estas secciones son para saber si los participantes han usado, y con qué frecuencia han
usado cigarrillos, tabaco de mascar, tabaco en polvo, cigarros (puros), tabaco en pipa y bebidas
alcohólicas como cerveza, vino y licor.
Ejemplos de preguntas:
¿Alguna vez ha fumado un cigarrillo entero o parte de uno?
¿Cuántos años tenía usted la primera vez que usó tabaco de mascar?
¿Cuál es su mejor cálculo del número de días en que usted bebió alcohol durante los últimos 30
días?
Drogas ilegales
Las siguientes secciones son para saber si el participante usa o no marihuana, heroína, cocaína,
alucinógenos e inhalantes; así como analgésicos, tranquilizantes, estimulantes y sedantes que se venden
normalmente con receta médica pero que se toman sólo por la sensación que causan. También se incluyen
en esta sección preguntas acerca de la dependencia a las drogas y el tratamiento por uso de drogas.
Ejemplos de preguntas:
¿Alguna vez ha usado marihuana o hachís, aunque haya sido sólo una vez?
¿Cuánto riesgo corren las personas de hacerse daño físico y de otro tipo cuando usan cocaína una
vez al mes?

Ambiente social de los adultos y la salud mental
A los participantes de 18 años de edad o más se les harán preguntas sobre sus experiencias en el ambiente
social tales como: cuántas veces se han mudado, sus opiniones acerca del uso de drogas, y en algunos
casos, sus experiencias como padres de familia. Las preguntas acerca de la salud mental abarcan temas
como la depresión y el tratamiento para problemas de la salud mental.
Ejemplos de preguntas:
¿Qué piensa de que los adultos prueben marihuana o hachís una o dos veces?
En los últimos 12 meses, ¿hubo alguna época en que usted necesitó recibir tratamiento o
consejería para la salud mental pero no la recibió?
¿Alguna vez en su vida pasó por un periodo de tiempo, el cual duró varios días o más, cuando
usted se sintió triste, falto de sentimientos o deprimido la mayor parte del día?
Experiencias juveniles y la salud mental
A los jóvenes de 12 a 17 años de edad que participan en la encuesta también se les harán preguntas acerca
de sus experiencias sociales como: el conocimiento de los riesgos al usar ciertas drogas; si es fácil o
difícil conseguir drogas; sus opiniones acerca de la escuela y sus compañeros; y su participación en
clubes, deportes y otras actividades después del horario escolar. Las preguntas sobre la salud mental
abarcan temas como la depresión y el tratamiento para problemas de la salud mental.
Ejemplos de preguntas:
Durante los últimos 12 meses, ¿en cuántas actividades diferentes has participado en la escuela,
como por ejemplo, equipos deportivos, en la barra (“cheerleading”), el coro, la banda, el gobierno
estudiantil o clubes?
¿Alguna vez en tu vida pasaste por un periodo de tiempo, el cual duró varios días o más, cuando
te sentiste triste, falto de sentimientos o deprimido la mayor parte del día?
En los últimos 12 meses, ¿recibiste tratamiento o consejería de un terapeuta privado, psicólogo,
psiquiatra, trabajador social o consejero privado por problemas emocionales o por problemas
de comportamiento que no fueron causados por el alcohol o las drogas?
Cuidado de la salud e información demográfica
En esta sección, se devuelve la computadora portátil al entrevistador, quien hará preguntas acerca de la
educación, seguro médico y los ingresos de la familia, todo esto con el fin de ayudarnos a analizar los
datos. De ser necesario, se le pedirá a un adulto del hogar que esté más informado, a que ayude al
participante a responder algunas de estas preguntas.
Las respuestas a estas preguntas ayudarán a aumentar el conocimiento del gobierno en cuanto al cuidado
de la salud, especialmente si está relacionado con el uso de drogas o el tratamiento para el uso de drogas.
Esta información ayudará en la planificación de los servicios del cuidado de la salud y también a
encontrar maneras de disminuir el costo de dichos servicios.
Ejemplos de preguntas:
¿Cuántas horas trabajó la semana pasada en todos sus trabajos o negocios?
Antes de las deducciones de impuestos y de cualquier otro tipo, ¿el ingreso total familiar
durante el año 2011 fue mayor o menor que 20,000 dólares?
¿Actualmente está usted cubierto por algún seguro de salud privado?
Usted puede dirigirse al entrevistador con toda confianza en caso de tener cualquier pregunta acerca del
cuestionario.
¡Muchas gracias por su cooperación y por su ayuda!

Page

Quick Reference Guide .................................................. Inside
Back Cover

Equipment Maintenance Checklist ....................................... 26

Procedures After an Automobile Accident............................. 25

Instructions for Using the Certificate of Participation ............. 24

Result Codes ............................................................... 22, 23

Helpful Hints for Gathering Good I&O Data .................... 20, 21

The Interview Process .................................................. 18, 19

Refusal Reasons ................................................................ 17

Counting and Listing Abbreviations...................................... 16

ROC Comments ................................................................. 15

Guidelines for Speaking With Neighbors............................... 14

Reconciling Missed DUs ...................................................... 13

Checking for and Adding Missed DUs ................................. 12

Editing Address Protocol ............................................... 10, 11

Physical Features Data Reference Sheet ............................ 8, 9

Screening and Interviewing Tasks ......................................... 7

Overview of the Screening and Interview Process.................. 6

Sampling Process Explanation ........................................... 4, 5

Steps to Maximize Data Quality ......................................... 2, 3

Enumeration Rules............................................................... 1

Interviewer Job Aids

Interviewer
Job Aids

Enumeration Rules
PERSONS WHO ARE NOT TO BE INCLUDED ON ROSTER:

Persons under the age of 12 at the time of screening (do count them in the total SDU
Members number)

Persons who are institutionalized at the time of screening

Persons who will not live at the SDU for most of the time during the quarter

PERSONS WHO ARE TO BE INCLUDED ON ROSTER:

Persons who will live at the SDU for most of the time during the quarter (provided
they are 12 or older and not institutionalized at the time of screening)

PERSONS ON ACTIVE DUTY IN THE UNITED STATES’ MILITARY/ARMED FORCES:

Active duty personnel who live at the SDU for half or more of the quarter will be
rostered, but then will be made ineligible by the iPAQ prior to selection

KNOWN CITIZENS OF FOREIGN COUNTRIES:

DO NOT INCLUDE:

—

citizens of foreign countries living on the premises of an
embassy, ministry, legation, chancellery, or consulate

—

citizens of foreign countries who consider themselves to
be just visiting or traveling in the United States
(regardless of the length of time they will be staying at the
SDU)

DO INCLUDE citizens of foreign countries who are not living on the premises of an
embassy, ministry, etc., but who are living/studying/working in the United States and
who will be living at the SDU for most of the time during the quarter.

Steps to Maximize Data Quality
This summary is not a replacement for information contained in your FI Manual,
but is a listing of some of our most crucial protocols that must be followed.
Be sure that you follow each of these at all times.
Note the FI Manual pages referenced with each key point. Keep in mind that the below
protocols are not the only steps that are necessary to follow. Use your FI Manual, Field
Supervisor, and project e-mails for information on additional steps to maximize data quality.

Screening
•

Use your segment maps, and not just the address, to locate your selected
DUs. [FI Manual p. 3-21]

•

Display your ID badge when knocking on every door in your segment.
[FI Manual pgs. 4-14 and 5-1]

•

Complete screenings in-person with a resident who is 18 or older. The
only exception is in the case of emancipated minors. [FI Manual p. 4-15]

•

Give a Study Description to each SR. [FI Manual p. 4-16]

•

Obtain complete and accurate screening information, reading the
screening questions verbatim to the SR and immediately entering
responses into the iPAQ. The only missing screening data should be a
result of the respondent’s refusal or inability to provide the information.
[FI Manual p. 6-15]

Interview
•

Read the CAI Introduction and Informed Consent from the Showcard
Booklet to the R (choosing the appropriate version based on the
respondent’s age) before beginning the interview. Before speaking with a
selected minor, you must obtain verbal parental permission. If the R was
not the SR, give him/her a Study Description. [FI Manual pgs. 7-22 and 7-23]

•

Make it apparent that you are completing the interview in a completely
confidential and unbiased manner. [FI Manual pgs. 2-6, 2-7 and 8-1]
2

Interview—continued
•

•

To the extent possible, choose an interview location that gives the
respondent privacy. [FI Manual pgs. 7-26 and 7-27]
Do not rush the respondent. Do not tell the respondent how to make the
interview go faster. [FI Manual p. 8-2 and 8-3]
Use the Reference Date Calendar and read verbatim the explanation
provided on the CAI screen to the R. As appropriate, remind the
respondent to use the calendar as a visual aid throughout the interview.
[FI Manual p. 8-14]

•

Familiarize the R with the laptop and function keys by reading the
provided script in the CAI Interview and allow the R to successfully
complete the Computer Practice on his or her own. You must always
explain, offer, AND plug in the headphones with each R. [FI Manual pgs. 816 and 8-17]

•

Read the interview questions exactly as they appear on the screen. It is
never acceptable to use your own words or ‘wing it’. Do not assume you
know answers from a previous conversation, question, or interview.
[FI Manual p. 8-2 and 8-3]

•

Hand the appropriate Showcard to the respondent when instructed to do
so on the CAI screen. [FI Manual p. 8-13]
Allow your respondents to complete the ACASI portion of the interview on
their own. Never read the questions in the ACASI portion of the interview
out loud to the respondent. In cases of extreme physical impairment, it
may be necessary to enter the answers into the computer for the ACASI
questions, but always allow the ACASI recording to ‘read’ the questions
and answer categories via the headphones. [FI Manual pgs. 8-20 through 822]

•

Have the respondent fill out the top portion of the Quality Control Form
and allow the respondent to insert the form into the envelope and seal it.
Mail the form promptly. [FI Manual pgs. 8-23 through 8-25]
Always protect the confidentiality of your respondents. Never reveal a
respondent’s answers to anyone, including the respondent’s family
members. Resist the temptation to reveal even positive information
gleaned from an interview to parents or other household members.
[FI Manual pgs. 2-6 through 2-8]

Sampling Process Explanation
Sample: A representative part of a population that is studied to gain information about the whole population.
NSDUH target population: Civilian, non-institutional population aged 12 years or older residing within the 50 United
States and the District of Columbia.

THE PROCESS:
RTI statisticians draw a smaller sample of the target population designed to represent the population as a whole using
probability sampling.
Step 1:
Break each state up into geographic areas, called State Sampling Regions (SS Regions) using estimates of population
and housing unit counts from the Census Bureau.
o

o
Step 2:
Break each
o
o
o

Number of SS Regions is dependent on the population of the state.
8 most populated states=48 regions.
Remaining states=12 regions
Each SS Region is expected to yield the same number of interviews. This means the more densely populated
the area, the smaller the region.
SS Region up into segments.
Scientifically selected to ensure the sample accurately represents the United States’ population.
Each area is assigned a “probability,” or “chance,” of being selected based on the Census population count.
8 segments selected within each SS Region.
2 per quarter of data collection.

Step 3:
Dwelling Units within the segments are counted and listed, and recorded on the List of Dwelling Units or Group
Quarters Listing Form.
Step 4:
From the listed dwelling units, specific HUs and GQUs are randomly selected.
o Selected units are called sample dwelling units, or SDUs which you contact for screening and possible
interviewing.
o Approximately 180,000 SDUs randomly selected each year
Step 5:
Either 0, 1, or 2 persons (respondents) are selected for interview using the roster information entered into the iPAQ
during screening. Approximately 70,000 respondents are selected and complete the interview each year.
o Eligibility for interview is based only on the AGE of the SDU members
o All screening data is used by the RTI statisticians
Analysis:
“Sample Weighting” is used to determine how many people in the population each respondent represents.
o 1 adult - represents over 4,500 other adults
o 1 youth - represents over 1,000 other youths
FIELD INTERVIEWER’S ROLE
Maintain the integrity of the sample by:
o Using segment materials properly
o Following project procedures, including editing address and adding missed DU protocols
o Investigating discrepancies between the materials and what you actually see in the field
o Paying close attention to details

Sampling Process Explanation (continued)
United States

(50 States + DC)

State Sampling Regions
(SS Regions)
48 in 8 most populated states

Segments

8 per SS Region

Listed Dwelling Units

Selected Dwelling Units
~ 180,000 randomly
selected per year

Respondents
1 adult=over
4,500 other adults
1 youth=over
1,000 other youths

Overview of the Screening and Interview Process
Review segm ent m aterials to locate area and plot the best
and m ost direct travel route to and from the area .
Prepare and m ail lead letters.
Locate (using the segm ent m aterials) and contact selected DU.
Enter Physical Features Data based on first visit to DU .
Determ ine that the SDU is a true HU or G Q U ,
and check for m issed dwelling units.

Com plete Record of Calls (RO C) in
iPAQ . Try DU later. If unit is vacant,
not a DU , or only a tem porary
residence, verify with neighbor or
other knowledgeable person.
Com plete verification inform ation
and RO C .

Try to determ ine a good tim e to
return. Com plete RO C .

Is anyone hom e?
Yes

Is an eligible SR
(resident of DU , 18+)
available?

Yes
Com plete the household roster and selection process with the SR .

Any
respondents
selected?

O btain verification inform ation and
thank SR. Com plete RO C .

Establish an appointm ent. Com plete
RO C, including an entry about the
interview appointm ent.

Yes
Can the
selected R com plete
interview now ?
Yes
Introduce self, study, and obtain inform ed consent from respondent.
(O btain parent/guardian consent before approaching a selected youth .)

Conduct interview .
Com plete end of the interview tasks, including Q uality Control (Q C) Form .

G ive respondent cash paym ent and com pleted receipt. G ive adult respondents &
parent/guardian of youth respondents a Q &A Brochure if not done already.

Thank respondent, com plete RO C.
Transm it data to RTI.
M ail Q uality Control Form to RTI within 24 hours.

Screening and Interview Tasks
When you work in the field, you will encounter a variety of situations:

Can’t screen (i.e. no one home, vacant units, SR not available, etc.)
•
•
•
•

choose case from Select Case, tap Actions, Screen DU
approach unit and discover you can’t screen
obtain verification information for codes 10, 13 and 18
complete ROC to document situation

Screen only (codes 22, 26, 30)
•
•
•
•
•

choose case from Select Case, tap Actions, Screen DU
approach unit and obtain participation of eligible SR
complete screening
obtain verification information
complete ROC

Screen, then interview (31, 32 and then 70)
•
•
•
•
•
•
•
•
•
•

choose case from Select Case, tap Actions, Screen DU
approach unit and obtain participation of eligible SR
complete screening
complete ROC for screening
obtain participation/informed consent of selected respondent(s)
prepare laptop and enter QuestID from iPAQ
conduct interview(s) with available selected respondent(s)
enter QC ID from Quality Control Form in CAI program in laptop
complete ROC(s) in iPAQ for completed interview(s)
mail completed Quality Control Form(s) to RTI within 24 hours

Screen, make appointment for interview (codes 31, 32 and then 50)
•
•
•
•
•
•

choose case from Select Case, tap Actions, Screen DU
approach unit and obtain participation of eligible SR
complete screening
complete ROC for screening
complete ROC to document appointment for each selected respondent
prepare appointment card and give to each respondent

Interview only at appointment time or other follow-up contact
•
•
•
•
•
•
•

choose case from Select Case, review selections and roster
obtain participation/informed consent of selected respondent(s)
prepare laptop and enter QuestID from iPAQ
conduct interview(s) with selected respondent(s)
enter QC ID from Quality Control Form in CAI program in laptop
complete ROC(s) in iPAQ
mail completed Quality Control Form to RTI within 24 hours

Always enter Physical Features Data based on your first visit to a DU.
7

Physical Features Data Reference Sheet
There are two key elements for entering accurate Physical Features Data into the iPAQ:
1. The SDU characteristic and controlled access type should be based on what you encounter during
your first visit to the SDU. Details on what transpires during subsequent contact attempts are
documented in the Record of Calls (ROC). If the situation changes during future visits, that information
will be reported in the ROCs.
2. Reference the definitions for SDU characteristic and controlled access type. The categories are
abbreviated in the iPAQ program, so reference, as necessary, the additional information provided in
parentheses below or the additional text provided in the iPAQ information screen.
Physical Features Data provides a “picture” associated with the SDU. These data are used in conjunction with
ROCs to provide more complete information about issues impacting field interviewers and household surveys.

SDU Characteristic:
Select the description of the characteristics of the SDU from the list on the SDU Characteristic screen.
IMPORTANT NOTE: Some SDUs may fall into several characteristic categories—if so, check all
characteristics that apply to the SDU. For example, if the SDU is a high-rise apartment complex (more
than 50 units) on a military base, use codes 4 and 5.
1. House/Single Unit (single family home, trailer, or cottage)
2. Multi-unit, 2-9 units (multi-unit structure with 2-9 units)
3. Multi-unit, 10-49 units (multi-unit structure with 10-49 units)
4. Multi-unit, 50+ units (multi-unit structure with 50 or more units)
5. Military Base
6. Student Housing (includes dormitory, fraternity/sorority housing, or college-owned apartment)
7. Native American Tribal Land (Reservation)
8. Senior Housing/Assisted Living (includes houses, apartments, or condos)
9. Other GQU (group quarters units OTHER than those listed in the above options, such as shelters)
10. Empty Lot (empty home site or mobile home site)

Controlled Access Type:
"Controlled access" is defined as any situation where an FI approaches an SDU and encounters some barrier
that prevents the FI from gaining access to the door of the SDU. Select the type of physical barrier(s), if any,
that prevents you from gaining access to the door of the SDU during your initial visit from the list on the
Controlled Access Type screen. If you encounter a controlled access barrier during your initial visit to a multiunit building or complex that prevents you from gaining access to any SDUs, you should enter the barrier type
for all SDUs in that building or complex.
IMPORTANT NOTE: Some SDUs may include multiple types—if so, check all types that apply to the
SDU. For example, if you encounter a guard station and locked gate with no intercom when trying to approach
an SDU in a community and the guard does not grant you access to the community, you would enter 2 and 3.

1. None (The vast majority of SDUs possess none of the types of access barriers listed below, so “None”
will be a common entry. Remember, if you encounter any of the access barriers below, but gain access
to the door of the SDU during your initial visit, the barrier would be coded as “None” per the Controlled
Access definition.)
2. Guard/Door Person/Staff/Manager (door person at front door who has to call the unit, door person
that must give access to building, guard at gate of community, on-site or off-site manager who controls
access)
3. Locked main entrance/gate, no intercom/buzzer (locked doors, locked gate, controlled gate, or other
locked entry)
4. Locked main entrance/gate with intercom/buzzer, no unit address labels (may contain other labels
such as names, but does not provide address label)
5. Locked main entrance/gate with intercom/buzzer, with unit address labels

Example Scenarios
One story brick home in a gated neighborhood. The gate was open upon your
arrival & you entered and accessed the SDU successfully.
The manager of a college dorm will not grant you access to the locked building (with
no intercom/buzzer). There are 8 SDUs within the 16 unit dorm.
The SDU is in a high rise apartment building with over 100 units. There is a locked
elevator and intercoms with only names listed in the lobby. You are unable to gain
access to any SDUs on your first attempt.
The rural SDU on a reservation is located down a long driveway that is dangerous to
traverse due to severe ice from a recent storm.
The SDU is located in a senior housing apartment building with 18 units. After being
granted access to the building from a guard in the lobby, you buzz residents from an
intercom with room numbers. The residents can unlock the main door from their
apartment. You are granted access by the resident of the first SDU contacted.
After screening 5 SDUs in the senior housing example above, you return a week
later to initially visit the remaining 7 SDUs, but the manager has told the guard not
to grant you access to the building. How do you code the physical features data for
the remaining cases?
You try to contact 4 SDUs in an 8 unit apartment complex on a military base, but the
guard at the controlled entrance gate will not grant you access to the base on your
first attempt. How do you code the physical features data for these 4 SDUs?

CHAR

TYPE

3 and 6

2 and 3

1 and 7

3 and 8

2 and 5

2 and 3

If you have questions about entering Physical Features Data, contact your FS.

Editing Address Protocol
When to Edit an Address
Editing SDU addresses should not be a common task. An address should only be edited if the
physical address is missing or incorrect, such as when only a description of the SDU is provided.
Before editing an address, first confirm that you are at the correct selected dwelling unit. To do this,
use a combination of project resources, including the handwritten List of DUs, block listing maps, and
the address or description in your iPAQ. If you are confident you are at the correct DU but the
address is incorrect, you should consult the Editing Address Protocol chart. It will guide you on the
steps to follow.
When you edit an address, there are two additional steps you must take to complete the process.
First, you must enter a note in the Record of Calls explaining the reason for the edit. Second, you
should notify your FS of the edit. Your FS must update their copy of the segment materials with the
edit, and in many cases notify RTI’s Sampling Department to update the project sampling frame.

When NOT to Edit an Address
In order to maintain the integrity of the sample, there are specific situations when you should not edit
an address. These situations are listed as “Improper” in the third column of the Editing Address
Protocol chart.
For example, addresses must never be edited due to screening on the incorrect line or at the wrong
dwelling unit. Always double-check the address at the top of the iPAQ screen and consult your
segment materials to prevent this type of error.
Never make edits to an address which create a duplicate of an address already listed on the
original List of DUs without first obtaining permission from your FS and Sampling. Checking
the original List of DUs before making an edit will ensure no duplication occurs.
Also, do not change an address or description to a Post Office Box, but instead enter any PO Box
information in the Record of Calls.
Lastly, do not edit addresses to change abbreviations to full spellings, such as “Dr.” to “Drive,” or from
full spellings to abbreviations, such as “Boulevard” to “Blvd.”

Reminder:
Always refer to the chart:

when deciding whether or not to edit an address, and

to be certain all appropriate procedures have been completed when editing an address.

EDITING ADDRESS PROTOCOL
REMINDER: Always review your segment maps, original list of dwelling units, and iPAQ information before editing SDU
Scenario

Description of Situation

addresses.
Proper or
Improper to
Appropriate FI Action
Edit

Appropriate FS Action

Description edited to a street address

Proper

Check handwritten list of DUs, if
address is not on list, delete
description; enter street address in
iPAQ; proceed with screening; enter
notes in ROCs; notify FS

Street name spelling corrected or
drive/avenue/street/etc. corrected

Proper

Edit address in iPAQ; proceed with
screening; enter notes in ROCs;
notify FS

Make correction in segment materials

Correction of one SDU address due to
911/U.S. Postal Service/ local
government address revisions

Proper

Edit address in iPAQ; proceed with
screening; enter notes in ROCs;
notify FS

Make correction in segment materials

Correction of listing error for one SDU
(includes edits to street/apt. number)

Proper

Check handwritten list of DUs, if
address is not on list, edit address in
iPAQ; proceed with screening; enter
notes in ROCs; notify FS

Make correction in segment materials

Adding apt. numbers to differentiate
between added units in a SDU or on
SDU property

Proper

Check handwritten list of DUs, if
address is not on list, edit address in
iPAQ; proceed with screening; enter
notes in ROCs; notify FS

Make correction in segment materials

City, state, or zip code corrected

Proper

Edit address in iPAQ; proceed with
screening; enter notes in ROCs;
notify FS

Make correction in segment materials

Within controlled access
buildings/complexes, edits to
addresses for multiple units originally
gained through "blind" listing or listing
by buzzer/mailbox

Proper (with
prior approval
from FS)

Notify FS; if approved by FS, edit
address in iPAQ; proceed with
screening; enter notes in ROCs

Make correction in segment materials;
instruct FI to make edit and proceed
with screening; notify Sampling

Complete street name change

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

Removing the apt. number from SDU
address

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

Correction of address for multiple
units due to 911/U.S. Postal
Service/local government address
revisions

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

Correction of listing error for multiple
units (includes edits to street and/or
apt. number) *See Scenario G for
additional information

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

Adding apt. numbers to single
dwelling units *See Scenario E for
additional information

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

Description or street address edited to
a Post Office Box address

Improper

Place Post Office Box address in
ROCs

Retrain FI

Edit due to screening on the wrong
line or at the wrong dwelling unit

Improper

Request status code change or
reopen code from FS; complete
screening on correct line

Give status code change code or
reopen code or instruct FI to final
code, as appropriate; retrain FI

Edit due to merged or condemned
unit, or unit does not exist

Improper

Notify FS; code case as instructed by
FS and Sampling

Seek Sampling input; instruct FI to
code case as instructed by Sampling

Make correction in segment materials

Checking for and Adding Missed DUs
You are not required to check the entire segment for missed dwelling units. Check for
missed DUs at every selected DU. (However do not ignore significant changes, such as a
new development or new apartment building—call your FS.)
At a selected housing unit, look for missed dwelling units:
•

Within the structure or on the property.
For regular housing units (houses, townhouses, trailers, cottages, duplexes), during each
screening you ask the SR if there are any other units within the structure or on the
property, such as a separate apartment with a separate entrance. If so, simply enter the
address of the other unit(s) and proceed with screening.
For housing units in apartment and condo buildings, do not ask the Missed DU question.
However, if you discover a missed DU such as the rare but possible ‘unit within a unit,’
check with the SR and add the unit from the Select Case Screen by tapping “Actions/Add
Missed DU.”

•

In the geographic interval between the SDU and the next listed line.
On the first visit to the SDU, check the space between the SDU and the next listed DU.
Enter any discovered units using “Actions/Add Missed DUs.”
If the SDU is the last one listed on a map page:
•

the ‘next listed line’ means the next one listed on that map page, not the next one
listed numerically. Check the interval between the SDU and the very first DU listed
on that map page.

•

check any subsequent zero map pages for missed DUs.

For group quarters structures listed by persons or beds:
•

Compare the original list with the current situation. If there are more units now, call your
FS who will contact RTI’s Sampling Department about which missed GQUs to add.

Limits on missed DUs:
•
•
•

Up to 5 units at one SDU
Up to 10 units per segment
iPAQ stores space for 5 added DUs per segment. If more are required, contact your FS to
have 5 more lines transferred to your iPAQ.

For more information on checking for and adding missed DUs, refer to pages 3-32
through 3-39 and 3-44 through 3-46 in your FI Manual.

Reconciling Missed DUs
Recording the addresses of missed DUs in the iPAQ does not automatically add them to
your assignment. When ready to reconcile these missed DUs to see if they should be
added, be sure that you have the handwritten List of Dwelling Units and the block listing
maps.
You can Reconcile at three different spots in the iPAQ:
•

At the end of screening if you have entered a missed DU address(es). If you don’t have
time or your segment materials, simply tap “No” and reconcile later.

•

If you entered a missed DU address using “Actions/Add Missed DUs,” you will be asked
if you want to reconcile.

•

From the option “Admin/Reconcile Missed DUs.”

To Reconcile Missed DUs:
•

Follow the instructions on the iPAQ screen carefully, making certain you refer to your
segment materials as you reconcile the unit.

•

Determine if the missed unit is already on the handwritten List of DUs.

•

Determine if the missed unit is in the correct geographic interval.

•

If the missed unit is not on the list and is in the correct interval, it will be added to your
assignment.

•

Complete the List of Added Dwelling Units to document the unit.

•

Remember to mark the location of the missed DU on the correct Block Listing Map.

If you have any questions, exit the program and contact your FS.
In the following situations, check with your FS who will check with RTI’s Sampling
Department:
•
•
•
•
•
•

more than five missed DUs are found at a specific SDU
more than 10 missed DUs are found in a segment
a missed HU (other than a ‘unit within a unit’) is discovered in an apartment or condo
building
a missed GQU is discovered within a group quarters structure
a missed group quarters structure is discovered
a significant listing problem is discovered.

For more information on reconciling missed DUs, refer to pages 3-40 through 3-46 in
your FI Manual.
13

Guidelines for Speaking with Neighbors
When speaking with neighbors, it’s important only to ask for and obtain certain information. Always
be very general and concise, and do not offer more information than is necessary.
If the neighbor is suspicious and won’t provide any information unless you tell them why you are
interested in a particular address, simply state the household has been selected to participate in a
national study. Do not name or describe the survey.
You CAN speak to a neighbor to:
1. Verify whether someone actually lives at the selected DU(s)
2. Find out a good time to find the residents at home
3. Obtain verification data is the SDU is vacant
When speaking with neighbors, you CANNOT:
1. Explain that the household has been selected to participate in the NSDUH
2. Obtain screening information for the selected DU(s)
Suggested wording to use when speaking with neighbors:
“Hello, my name is [INSERT NAME] with Research Triangle Institute. I am working on a nationwide
study sponsored by the U. S. Public Health Service and need to speak with your neighbor. Do you
know when would be a good time to find them at home?”
OR
“Hello, my name is [INSERT NAME] with Research Triangle Institute. Your neighbor has been
selected to participate in a national study and I’m having trouble catching them at home. Do you
know when a good time would be for me to find them at home?”
Suggested wording for vacancy verification:
“Hello, my name is [INSERT NAME] with Research Triangle Institute. Your neighbor has been
selected to participate in a national study, but it looks like the house may be vacant. Can you tell me
if someone lives there?”

ROC Comments
ROC comments should be appropriate, non-judgmental, and:
•
•
•

Informative – Record appointment times, best times to return, who you talked to, or if no
adult was home, record which cars were in the driveway.
Helpful – Note relevant information for you to use in preparing to return or when discussing
the case with your supervisor. If a case gets transferred to another FI, the notes are very
important to the new FI to understand what has happened.
Concise – Explain your comments directly, leaving out unnecessary words or information.
Your comments must be easily understood by you, your FS, other FIs, and project managers.

Examples of good ROCs:
•
•
•

•

CB after 7:00 pm
2:30 Sat appt
W M 15ish said parents home after 8:00
HISP F 60s send SPAN letter

PROJECT ABBREVIATIONS
R
SR
FI
Q&A
DU

respondent (for the interview)
screening respondent
field interviewer
Q&A Brochure
dwelling unit

STANDARD ABBREVIATIONS
days of the week
F
M
B
W
HISP
SPAN
INFO
REF

(with 3 letters)
female
male
black
white
Hispanic
Spanish
information
refused

SUGGESTED HELPFUL ABBREVIATIONS
CB
APPT
AM
AFTRN
PM
NGHBR
GTKPR
WKND

call back (or come back)
appointment
morning
afternoon
evening
neighbor
gatekeeper
weekend

Counting and Listing Abbreviations
COLORS
BG
BK
BL
BR
DK
GR
GN
LT
MED
OR
PK
RD
TN
WH
YL

ADDRESSES
Beige
Black
Blue
Brown
Dark
Grey
Green
Light
Medium
Orange
Pink
Red
Tan
White
Yellow

ADD
ALY
APT
AVE
BLK
BLVD
BLDG
CIR
CT
DRWR
DR
HWY
JCT
LN
PKWY
PL
PT
PO
RD
RTE
ST
TER

OTHER/GENERAL
Address
Alley
Apartment
Avenue
Block
Boulevard
Building
Circle
Court
Drawer
Drive
Highway
Junction
Lane
Parkway
Place
Point
Post Office
(Box)
Road
Route
Street
Terrace

DIRECTION/ORIENTATION

STRUCTURE/MATERIALS

ABV
ACR
ADJ
BCK
BEH
BTWN
BTM
E
FRT
L
N
NE
NW
RE
R
S
SE
SW
W

ALUM
BRK
BRNSTN
CDR
CBLK
CEM
LOG
RCK
SDG
STN
STU
VNY

Above
Across
Adjacent
Back
Behind
Between
Bottom
East
Front
Left
North
Northeast
Northwest
Rear
Right
South
Southeast
Southwest
West

ARCHITECTURE/BUILDING
STYLE
APT
CPCD
CLNL
CONDO
CNTP
DBLWID
DPX
RCH
RF
SPL
TRAD
TRLR
TRANS

Apartment
Cape Cod
Colonial
Condominium
Contemporary
Doublewide
Duplex
Ranch
Roof
Split Level
Traditional
Trailer
Transitional

Aluminum
Brick
Brownstone
Cedar
Cement Block
Cement
Log
Rock
Siding
Stone
Stucco
Vinyl

TYPES OF ROOFS
FLT
GBL
GMBR
HIP
MNSD
SHGL
SPNTL
TIN

Flat
Gable
Gambrel
Hip
Mansard
Shingle
Spanish Tile
Tin

ATT
BSMT
BUS
CPT
CG
CHNLNK
CHMY
CHUR
COL
COR
CO
DB
DRMR
DBL
DRWY
ELCMTR
ENT
EXT
EXTR
FEN
FLR
FDN
FRM
FR
GAR
GRD
GRV
GRND
HSE
LG
MBX
MID
MI
PKT
PCH
PVT
RR
RSTR
RM
SCRN
SHK
SHUT
SD
STR
STY
TR
UC
VAC
VER
VEST
WIN
WD

Attached
Basement
Business
Carport
Cattleguard
Chainlink
Chimney
Church
Column
Corner
County
Doorbell
Dormer
Double
Driveway
Electric Motor
Entrance
Exit
Exterior
Fence
Floor
Foundation
Frame
From
Garage
Guard
Gravel
Ground
House
Large
Mailbox
Middle
Mile
Picket
Porch
Private
Railroad
Restaurant
Room
Screen/Screened
Shake
Shutters
Side Door
Store
Story
Trim
Under
Construction
Vacant
Veranda
Vestibule
Window
Wood

Refusal Reasons
Use these descriptions to help you classify refusals in the iPAQ.
1.

Too busy/no time/did too many surveys already
The number one reason for refusals is lack of time.

Surveys/Govt. invasive/teen exposure
These people feel that the government invades their privacy too much with surveys. There
may be philosophical, political, or religious reasons for not participating in surveys. Parents
may be concerned about exposing their teen to the sensitive subject matter in the survey.

Clarify confidentiality, legitimacy, or selection
Be sure to listen carefully to what respondents are telling you—questions about the legitimacy
of the survey or how the survey guarantees confidentiality can often be explained by you on
the doorstep, if you understand their concern.

“Nothing in it for me”/uncooperative
Although rare, sometimes people will either not give a reason for their refusal or they’ll tell you
that there’s no reason for them to participate.

Gatekeeper/Parent/HH member disallow
Sometimes you encounter a refusal situation controlled by another person besides the person
selected for the interview. A spouse, parent, guardian, or another influential person in the
household may refuse for the selected individual, or deny you the ability to talk directly to the
selected person. Even if you are able to talk with the selected person, he or she may refuse
because of the other person’s opinions.

Welfare or INS concern
Persons involved with various government programs may fear that you are a welfare worker or
an immigration officer checking on their status.

Too ill/house messy/not dressed
These refusals are situational and will not generate a refusal letter. They refused because you
caught them at an awkward time.

Need to discuss with FS
In some cases, a respondent’s refusal won’t fit any of the above categories, but you are able
to gather a sense of what is preventing them from participating. With this option write a very
specific note in the refusal comment section to alert your FS. Then you can talk with him/her
about how best to handle the refusal.

The Interview Process
Informed Consent Procedures
•
•

READ THE INFORMED CONSENT FOUND AT THE FRONT OF THIS BOOKLET TO RESPONDENT
If the respondent is 12 - 17 years old, obtain parental consent first

Choose the Best Interview Location
•

•

Consider the following issues:
– Privacy and ethics
– Comfort and safety
– Battery power and/or the availability of an electrical outlet
Be flexible in choosing a location, but never compromise NSDUH protocols

Setting up the Computer
•
•
•

•
•

Unpack the computer and plug it in using the extension cord if needed
Press the ON button and WAIT for the computer to boot up
While waiting, make sure you have the QuestID displayed on the iPAQ, a Reference Date
Calendar, your Showcard Booklet, a Quality Control Form and envelope, a Q&A Brochure (if not
given earlier), $30 and an Interview Payment Receipt
Place clean headphone covers on the ear pieces of the headphones
Enter the passwords, then enter the QuestID from the iPAQ to begin the interview

Conducting the Interview
•
•

•

Obtain informed consent (if not done earlier)
If respondent is under the age of 12 or is active in the military, the computer will automatically
complete this case (If this occurs, remember to enter a Code 79 in the iPAQ and explain the
situation)
Complete the Reference Date Calendar, following the script on the computer screen
Write the 12-month and 30-day dates given to you on the computer screen in the
appropriate boxes
– Circle the 12-month reference date
– Circle the 30-day reference date, then underline the 30 days between the circled day and
the current date
– Record the Case ID at the top of the calendar
Use the Showcards as instructed
During the ACASI, be available to assist the respondent without being intrusive
Prepare the Quality Control Form:
– Record the date and approximate interview completion time
– Print your name and FI ID # legibly
– Record the Case ID, including the A or B
– Indicate which parent (or guardian) gave permission if respondent is a minor
Prepare the Interview Payment Receipt:
– Record the Case ID, including the A or B
– Do not sign, date, or check the box for payment acceptance until prompted by the
computer
–

•
•

The Interview Process (continued)
Other possible tasks include: review your iPAQ ROCs and work plan for the day, re-read
portions of the FI Computer Manual or FI Manual (remove a chapter or two at a time from
the binder), re-read the Job Aids section in the Showcard Booklet, review materials for
information to use when obtaining cooperation
Enter the QC ID and the Case ID when prompted and follow Quality Control Form procedures
– For a youth, the Quality Control Form should be completed by a parent or guardian (If no
parent is available, it is acceptable for the youth to complete the form)
– The R/parent should place the Quality Control Form into the envelope and seal it (If
R/parent refuses to complete the Quality Control Form, ask him/her to write “REFUSED”
across the top)
Give R the $30 cash payment, sign, date and mark the appropriate box on the Interview
Payment Receipt and give the respondent the top copy
Give adult interview respondents and parent/guardian of youth respondents a Q&A Brochure
(if not done earlier)
Answer the observation questions

•

•
•
•

When Finished with the Interview
•

•
•
•
•

Pack up your equipment:
– Unplug the power cord from the computer first, unplug from the wall, then wrap them up and
place in carrying case
– Close the screen display until you hear a click, place the laptop in the case and zip closed
– Remember your iPAQ, Showcard Booklet, Reference Date Calendar, and other papers
THANK YOUR RESPONDENT!
Enter a Code 70 in your iPAQ.
Mail Quality Control Form to RTI within 24 hours of completion of the interview
Mail Reference Date Calendar and Interview Payment Receipt (FS copy) to your FS each week

Possible Respondent Difficulties
•

•
•

•

Is the respondent physically or emotionally capable of participating?
– Slow the pace of the questions to see if comprehension improves
– Allow adequate time to answer
– If respondent does not seem to understand, politely discontinue the interview and speak with
your FS
Is the respondent intoxicated or under the influence of other drugs?
– Attempt to schedule another time to return
Is the respondent blind or paralyzed?
– Take the time to figure out if respondent can complete interview–each interview is precious!
– Only in these situations are you allowed to enter the responses during the ACASI portion for
the respondent (Make note of this in the FI Observation questions)
Does the respondent exhibit behaviors that suggest he or she may have difficulty reading?
– Remember that the respondent can listen to all the questions through the headphones and
answer most questions with a number

Helpful Hints for Gathering Good I&O Data
What you record in the Industry and Occupation questions is used to classify the respondent’s work
by assigning two separate codes. To assign these codes, the coding staff needs descriptive, yet
concise information. For all of the industry and occupation questions, it is important to probe
for further details. Use adjectives in your probes⎯for example, find out what type of doctor or
salesperson, what kind of engineer or programmer, supervisor of what?
Also, keep in mind the following:
•

List the most important information first, as each answer field has a character limit.

•

Consider abbreviating when possible. Use typical abbreviations that coding staff will
understand, such as dr for doctor and mgr for manager. Don't use abbreviations that are
not standard—deciphering abbreviations takes a lot of time and the end result may not be
what you originally intended.

The chart below lists the open-ended I&O questions, plus hints and character limits for each.
Name

Question

INOC01

In what kind of business or
industry do you work? That is,
what product is made or what
kind of service is offered?

Character
Limit

Hints

• Don't enter just the name of a company as the
Industry—include a description of the type of
company. There could be multiple industries with
the same name (e.g., Lowe's Foods or Lowe's
Home Improvement Store).

100

• Probe for the specific product the respondent’s
INOC02M

What do they make?

employer makes (for example, car timing belts,
small aircraft propellers).

• One word answers are usually too general and not
descriptive enough.

• Probe for the specific product the respondent’s
employer sells.

INOC02T

What do they sell?

INOC03

PLEASE SPECIFY THE
TYPE OF INDUSTRY

• If the respondent has difficulty specifying what is

sold, it could be the response to the previous
question should not have been “wholesale or retail
trade.” Probe for accuracy.

• Probe for the specific business or industry in which
35

the respondent works. Company name and/or job
title are not sufficient descriptions.

• Try to use detailed terms that describe the
INOC04

What kind of work do you do?
That is, what is your
occupation?

Occupation (for example, "Electrical Engineer"
rather than "Engineer").

• Don't list a generic job title as the Occupation (for

example, manager). Try to get a specific title for
the occupation.

• Be sure to list only one occupation.
INOC05

What are your most important
activities or duties in that job?

• Describe the work the R spends most of his/her

100

time doing for that business or occupation.

The following are examples of probes and the types of details required for certain jobs in order to
correctly assign the industry and occupation codes.
Industry/Occupation
Service
[Businesses and
occupations that work with
the public]

Questions to Ask
What type of service? (housekeeping, customer service, waiter)
What type of location? (restaurant, hotel, private home)
For whom is the service done? (airline industry, the government, bank
customers)
What type of medical field or office? (doctor, dentist, pediatrician, orthopedic
surgeon)

Medical Field

What is their full title? (Write out the word–orthodontist, orthopedist, podiatrist–do
not use abbreviations such as "ortho")
What type of location? (hospital, private doctor's office, Planned Parenthood)
What grade level do they teach? (K-5, 6-9, 10-12, college)
What subject do they teach? (English, Biology, French)

Education

What type of position? (Dean, Professor, Principal, Teacher, Teacher's aide,
School Board member, Janitor, Cafeteria Worker)
What type of location? (the YMCA, a recreation center, a school)
Is the school public or private?

Childcare
[Babysitter, Nanny,
Daycare Center, etc.]
Supervisors/
Managers

Where is the service given? (private home, someone else’s home such as a
neighbor, daycare center)
What is their employment status? (self-employed, employee in a business)
What type of position? (teacher, care provider, cleaner)
Who or what type of activity do you supervise or manage? (sales clerks,
laborers, accountants)
What type of manager are you? (hotel, office, property, bakery)

Government
Contractors

Call Centers

Is the company run by the government or is it a private company? (for
example, RTI is a contractor for the federal government—RTI is not a government
agency)
What type of call center is it? (retail, credit card, delinquent debt, market
research, non-market research—do not only give the company name)
What is the primary purpose of the call center? (repair service center, catalog
ordering center, merchandising)

Manufacturing

What specific product do they make? (for example, does the company develop
the software for a program or manufacture the products holding the software (e.g.,
discs, CD-ROMs))?
What type of machine do they operate? (Riveter, lathe operator, punch press
operator)

Additional examples and information on Industry and Occupation Questions can be found in your FI
Manual, pages 8-18 through 8-20.

Result Codes

01
02
03
04
05
06
07
08
09

Pending Screening Codes
No One at DU
Screening Respondent Unavailable
Neighbor Indicates Occupancy
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Refusal to Screening Questions
Unable to Locate SDU
Other

Final Screening Codes

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes

Ineligible SDUs
10
13
18
19
20
22
25
26
29

Vacant
Not a Primary Residence
Not a Dwelling Unit
GQU Listed as HU
HU Listed as GQU
DU Contains Only Military Personnel
No Eligible SDU Members
In DU less than ½ of the Quarter
Listing Error

9
9
9

Screening Not Obtained
11
12
14
15
16
17
21
23

No One at DU after Repeated Visits
SR Unavailable after Repeated Visits
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Refusal
Denied Access to Building/Complex
Other

9
9
9
9
9
9
9
9

Screening Completed
30
31
32

No One Selected for Interview
One Selected for Interview
Two Selected for Interview

Result Codes (continued)

50
51
52
53
54
55
56
57
58
59

Pending Interview Codes
Appointment for Interview
No One at DU
Respondent Unavailable
Breakoff (Partial Interview)
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Refusal (By Respondent)
Parental Refusal for 12-17 Year Old
Other

70
71
72
73
74
75
76
77
78
79

Final Interview Codes
Interview Complete
No One at Home after Repeated Visits
Respondent Unavailable
Breakoff (Partial Interview)
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Final Refusal by Respondent
Parental Refusal for 12-17 Year Old
Other

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes

9
9
9
9
9
9
9
9
9
9

Instructions for Using the Certificate of Participation
At the end of the interview, you can give a Certificate of Participation that authenticates the
respondent’s participation in NSDUH. Youth and other interested respondents may use the
completed certificate to verify with teachers or group leaders that they participated in NSDUH, and
may then receive credit for participating in the study. Possibilities include:
•
•
•

extra credit for school
incorporating the NSDUH experience into a school project
credit towards community service hours.

It is the respondents’ responsibility to arrange to receive any possible credit. Respondents and
parents must understand that:
•
•
•

they are responsible for making arrangements for any credit
their school or group may or may not give credit; credit is not guaranteed
no advance arrangements have been made with any school or community group in the
nation.

The certificate is worded to allow for use with respondents other than middle or high school students,
such as a young adult required to perform community service or for classes beyond high school.
However, the certificate should be used primarily with youth respondents. Adult respondents should
not receive a certificate unless they ask for acknowledgement that he/she completed the survey or
seem very interested in receiving one.
Upon completion of the interview, prepare the certificate by:
•
•

filling in the date the interview was completed
and your FI name and ID number.

To preserve confidentiality, the respondent adds his or her name at a later time.
Also provide a Question and Answer Brochure along with the certificate, as it contains additional
details and includes contact information and Website addresses where interested persons can obtain
additional information.

Procedures After an Automobile Accident
Immediately After an Accident...
•
•
•
•
•

Check for injuries. Life and health are more important than damage to vehicles.
Make note of specific damages to all vehicles involved.
Write down the names, addresses and license numbers of persons involved in the accident. Also, write
a description of the other vehicles.
Call the police, even if the accident is minor.
Jot down names and addresses of anyone who may have witnessed the accident. This can prevent
disagreement concerning how the accident actually happened.

DOs and DON’Ts
•
•

•

DO jot down details about the accident and circumstances such as weather conditions and visibility.
DO notify your FS, Headway, and your insurance agent about the accident immediately. If you are
working as a traveling interviewer in a rental car, notify the car rental agency as well.
DO NOT sign any document unless it is for the police or your insurance agent.

Headway Accident/Injury Reporting Procedures
•

In the event of an accident, the employee must contact his/her FS immediately. The employee must
also contact a Headway Representative directly to report the accident within 24 hours of the injury. If
you’re calling after hours, leave a message.

•

Employees are expected to seek treatment at an Emergency Room, Urgent Care Facility, or General
Practitioner. If the employee seeks treatment elsewhere, the employee may be responsible for
payment depending on the applicable state workers’ compensation laws.

•

Whenever possible, the employee will notify a Headway representative before seeking medical
treatment.

•

The employee will provide a signed written statement to Headway detailing the nature and extent of all
injuries sustained at work.

•

The employee is required to submit the results of all evaluations to a Headway representative, as well
as any doctor’s notes that prevent the employee from working, within 24 hours of any doctor’s visit
related to injury.

•

Headway will investigate all on-the-job injuries thoroughly to determine causes and
contributing factors. The employee will cooperate with the investigation of any accident
he/she is involved in or witness to. Workers’ Compensation fraud is a felony offense and
Headway will prosecute anyone proven to be committing fraud.

•

If physical therapy or surgery (in the event of a non-threatening injury) is recommended, preauthorization must be obtained from the worker’s compensation insurance carrier in order to guarantee
payment of services. The physician should contact the Human Resources Department of Headway at
(800) 948-9379 for approval.

Failure to comply with these policies and procedures may jeopardize your workers’ compensation benefits.
Please also be reminded that workers’ compensation laws vary from state to state. There may be additional
requirements that you must meet in compliance with your state’s laws.

EQUIPMENT MAINTENANCE CHECKLIST
Before Leaving Home to Screen/Interview:
Ensure iPAQ is in the canvas case and fully charged
Ensure you have all accessories needed [car charger and mini-USB cable]
Check iPAQ date & time, and transmit to correct if necessary

While Screening/Interviewing:
Reset from Today Screen or Admin menu every 30 minutes *
Turn off iPAQ between screenings
Be careful not to drop iPAQ
Be extremely careful to select the correct case when screening
Keep an eye on the battery level and charge as needed
Before leaving the field, exit screener program to the Today Screen **

Upon Returning Home from Screening/Interviewing:
Exit to the Today Screen if not done earlier **
Transmit
Plug in iPAQ to charge when not in use, noticing an orange light to ensure you
have a good connection

When Transmitting/Charging:
Reset iPAQ from Today Screen or Admin Menu
Follow steps in computer manual for transmission
If problems occur, refer to computer manual

Never remove the battery from the iPAQ unless instructed to do so while on the
phone with Tech Support. Data loss can occur!
* Resetting enhances the function of your iPAQ by cleaning up memory leaks
** Exiting screening program saves all data to the storage card—if the iPAQ battery runs down before
you have exited the screening program, you will lose data

Quick Reference Guide
In the CAI Manager, if you want to:

CLICK ON

Start an interview ............................................................................. Start CAI
Cancel the start of an interview............................................................ Cancel
Resume (re-start) an interview ........................................................ Start CAI
Transmit data to RTI....................................................... Transmit to RTI, Yes
View e-mail messages ................................................... View Email Messages
Start the ePTE Program ................................................................... PTE Entry
List the cases by Descending Order (based on date) .................... Descending
List the cases in Ascending Order (based on date) ......................... Ascending
Hide previous quarters’ interviews .......................................................... Hide
Exit CAI Manager .......................................................................................Exit

To begin a CAI Interview:
Enter QuestID from iPAQ for selected sample member. Double check!

In the Interview, if you need to:
Break off an interview ..................................................................[Alt] [f], [x]
Enter Don’t Know ...................................................................................... [F3]
Enter Refused ........................................................................................... [F4]
Return to the first screen.......................................................................... [F5]
Return to the first unanswered question .................................................. [F6]
Toggle audio on/off .................................................................................. [F7]
Enter a comment....................................................................................... [F8]
Save a comment ................................................................................. [Alt] [s]
Back up one screen ................................................................................... [F9]
Replay audio ........................................................................................... [F10]
Edit a lengthy text field ...........................................................................[Ins]
Return the focus to the CAI window so the top bar is blue ............ [Alt] [Tab]

To adjust the main laptop volume*:
Increase volume ..................................................................... [Fn], [Page Up]
Decrease volume ............................................................... [Fn], [Page Down]
Mute volume ............................................................................... [Fn], [Home]
*Keep the main laptop volume turned all the way UP at all times. Respondents will
only adjust the volume on the headphone cord.

To suppress a Hard Error in the interview, involving two questions:
•

Read the message box carefully.
– If the first question listed is the one to be changed, press [Enter].
– If the second question listed is the one to be changed, press the down arrow key
to highlight the second question, then press [Enter].
– In the rare but possible event that neither question needs to be changed and the
data entered are correct, press [Tab] until the Suppress box is highlighted and
then press [Enter].

To edit a lengthy response:
•

With the cursor blinking in the answer field, press the Insert key [Ins]. You can then
use the arrow keys to move to the precise place within the answer field and add
additional text or edit existing text.

File Type	application/pdf
Author	Lee Ellen Coffey
File Modified	2011-06-14
File Created	2011-06-07