MEPS-HC Core Interview

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)

Attachment 63 -- HC Reenumeration Subsection B

MEPS-HC Core Interview

OMB: 0935-0118

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MEPS FAMES P12R5/P13R3/P14R1 Reenumeration Section Subsection B

December 8, 2008

Reenumeration (RE) Section Subsection B




BOX_28AA

========


----------------------------------------------------

| NOTE: THE RU-MEMBERS-ROSTER HAS BEEN UPDATED |

| THROUGHOUT THE RE-A SECTION AS FOLLOWS: |

| - NEW RU MEMBERS RECORDED AT RE08, RE45, |

| RE49, RE52, AND RE55 HAVE BEEN ADDED |

| - DU MEMBERS SELECTED AT RE06, RE44, RE48, RE51, |

| AND RE54 HAVE BEEN ADDED |

| - RU MEMBERS WHO MEET ANY ONE OF THE FOLLOWING |

| CONDITIONS HAVE BEEN REMOVED: |

| - PERSONS IN STUDENT RUs IDENTIFIED AS |

| FULL-TIME MILITARY (RE14 CODED ‘1’ (YES)) |

| OR |

| - INCORRECTLY LISTED IN RU DURING {NHIS/ |

| PREVIOUS INTERVIEW} (RE21 CODED ‘3’) |

| OR |

| - LEFT THE RU BEFORE 01/01/{YEAR}, WHERE |

| ‘YEAR’ IS THE FIRST CALENDAR YEAR OF THE |

| PANEL, FOR ANY REASON OTHER THAN STUDENT |

| LIVING AWAY AT SCHOOL IN GRADES 1-12 (DATE |

| AT RE41) |

| OR |

| - FLAGGED AS ‘NON-MILITARY MOVER IN U.S.’ |

| OR |

| - FLAGGED AS ‘NEW STUDENT’ |

| OR |

| - FLAGGED AS ‘FULL-TIME MILITARY IN U.S. AND |

| NOT ON MILITARY FACILITY’ |

| OR |

| - ADDED TO THE RU AT RE54 OR RE55 AND FLAGGED |

| AS ‘SAMPLEABLE AT NHIS’ AT RE56A |

| |

| REFERENCES IN THE RE-B SECTION TO RU MEMBERS OR TO|

| THE RU-MEMBERS-ROSTER POINT TO THE CURRENT STATUS |

| OF THAT ROSTER, INCLUDING THE ADDITIONS AND |

| DELETIONS, IF ANY, THAT OCCURRED IN RE-A. |

----------------------------------------------------




BOX_28

======


----------------------------------------------------

| IF STUDENT RU AND RU-MEMBERS-ROSTER IS EMPTY, |

| GO TO BOX_44 |

----------------------------------------------------


----------------------------------------------------

| IF STUDENT RU AND RU-MEMBERS-ROSTER IS NOT EMPTY, |

| GO TO BOX_37 |

----------------------------------------------------


----------------------------------------------------

| IF STANDARD OR NEW RU |

| AND |

| RU-MEMBERS-ROSTER IS EMPTY |

| AND |

| NO PERSON WHO WAS REMOVED FROM THE RU-MEMBERS- |

| ROSTER DURING THIS INTERVIEW IS FLAGGED AS ONE OF |

| THE FOLLOWING: |

| - ‘NEW STUDENT’ |

| OR |

| - ‘NON-MILITARY MOVER IN U.S.’ |

| OR |

| - ‘FULL-TIME MILITARY IN U.S. AND NOT ON |

| MILITARY FACILITY’, |

| GO TO BOX_44 |

----------------------------------------------------


----------------------------------------------------

| IF STANDARD OR NEW RU |

| AND |

| RU-MEMBERS-ROSTER IS EMPTY |

| AND |

| AT LEAST ONE PERSON WHO WAS AN ORIGINAL RU MEMBER |

| (THAT IS, ON THE RU-MEMBERS-ROSTER AT THE TIME OF |

| NHIS) WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THIS INTERVIEW AND FLAGGED AS A ‘NEW |

| STUDENT’, GO TO LOOP_09 |

----------------------------------------------------


----------------------------------------------------

| IF STANDARD OR NEW RU |

| AND |

| RU-MEMBERS-ROSTER IS EMPTY |

| AND |

| AT LEAST ONE PERSON WHO WAS ADDED TO THE RU DURING|

| THIS INTERVIEW AT RE54 OR RE55 WAS SUBSEQUENTLY |

| REMOVED FROM THE RU-MEMBERS-ROSTER AND IS FLAGGED |

| AS A ‘NEW STUDENT’, |

| GO TO LOOP_13 |

----------------------------------------------------


----------------------------------------------------

| IF STANDARD OR NEW RU |

| AND |

| RU-MEMBERS-ROSTER IS EMPTY |

| AND |

| NO ONE WHO WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THIS INTERVIEW IS FLAGGED AS A ‘NEW |

| STUDENT’, |

| AND |

| AT LEAST ONE PERSON WHO WAS REMOVED FROM THE |

| RU-MEMBERS-ROSTER DURING THIS INTERVIEW IS |

| FLAGGED AS EITHER OF THE FOLLOWING: |

| - ‘NON-MILITARY MOVER IN U.S.’ |

| OR |

| - ‘FULL-TIME MILITARY IN U.S. AND NOT ON |

| MILITARY FACILITY’, |

| GO TO RE85A |

----------------------------------------------------


----------------------------------------------------

| IF SINGLE-PERSON RU (EITHER STANDARD OR NEW |

| (SPLIT)) |

| AND |

| NO ONE WHO WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THIS INTERVIEW IS FLAGGED AS A ‘NEW |

| STUDENT’, |

| GO TO BOX_29 |

----------------------------------------------------


----------------------------------------------------

| IF MULTI-PERSON RU |

| OR |

| (SINGLE-PERSON RU (EITHER STANDARD OR NEW (SPLIT))|

| AND |

| AT LEAST ONE PERSON WHO WAS REMOVED FROM THE RU- |

| MEMBERS-ROSTER DURING THIS INTERVIEW IS FLAGGED |

| AS A ‘NEW STUDENT’), |

| CONTINUE WITH BOX_28AAA |

----------------------------------------------------


BOX_28AAA

=========


----------------------------------------------------

| IF NOT ROUND 1 |

| AND |

| IF NO NEW RU MEMBERS HAVE BEEN ADDED THIS ROUND |

| AND |

| IF NO RELATIONSHIPS ARE CODED ‘-7’ (REFUSED), |

| ‘-8’ (DON’T KNOW), OR MISSING FROM THE PREVIOUS |

| ROUND |

| CONTINUE WITH RE75B |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO RE76_1 |

----------------------------------------------------




RE75B

=====


{STR-DT}


INTERVIEWER: HAND HOUSEHOLD COMPOSITION SHEET(S) TO RESPONDENT.


Please look at this sheet listing the relationships of the

people living here. {Since (START DATE)/Between (START DATE)

and December 31, {YEAR}}, have any of the relationships between

members of this household changed?


YES .................................... 1 {RE76_1}

NO ..................................... 2 {BOX_29}

REF ................................... -7 {BOX_29}

DK .................................... -8 {BOX_29}



----------------------------------------------------

| DISPLAY ‘Since (START DATE)’ IF NOT ROUND 5. |

| DISPLAY ‘Between (START DATE) and December 31, |

| {YEAR}’, WHERE ‘YEAR’ IS THE SECOND CALENDAR YEAR |

| OF THE PANEL, IF ROUND 5. |

----------------------------------------------------



RE76_1

======


{Now I would like to collect information about how the {new}

members of this household are related {to the family}./Please

tell me whose relationships have changed./INTERVIEWER: FILL IN

MISSING RELATIONSHIPS.}


{READ GRID STARTING FROM LEFT. EXAMPLE: “(NAME ON LEFT) IS (NAME

ON TOP)’S ______________ (RELATIONSHIP).”}


|-----------------|-----------------|-----------------|-----------------|

| MEMBER NAME | RE76_1_01. DU | RE76_1_02. DU | RE76_1_03. DU |

| | MEMBER 1 | MEMBER 2 | MEMBER 3 |

|-----------------|-----------------|-----------------|-----------------|

| 1. First | [Display | [Display | [Display |

| Name-15 | Relationship] | Relationship] | Relationship] |

|-----------------|-----------------|-----------------|-----------------|

| 2. First | [Display | [Display | [Display |

| Name-15 | Relationship] | Relationship] | Relationship] |

|-----------------|-----------------|-----------------|-----------------|

| 3. First | [Display | [Display |[Display |

| Name-15 | Relationship] | Relationship] | Relationship] |

|-----------------|-----------------|-----------------|-----------------|


PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE



----------------------------------------------------

| Display ‘Now I would like to collect information |

| about how the {new} members of this household are |

| related {to the family}.’ if Round 1 or if Rounds |

| 2-5 and at least one new RU member was added this |

| round. |

| |

| Display ‘new’ if Rounds 2-5 and at least one new |

| RU member was added this round. Otherwise, use a |

| null display. |

| |

| Display ‘to the family’ if Rounds 2-5 and at least|

| one new RU member was added this round. Otherwise,|

| use a null display. |

| |

| Display ‘Please tell me whose relationships have |

| changed.’ if Rounds 2-5 and RE75B was coded ‘1’ |

| (YES). |

| |

| Display ‘INTERVIEWER: FILL IN MISSING |

| RELATIONSHIPS.’ if Rounds 2-5 and no new RU |

| members have been added this round, and at least |

| one relationship is coded ‘-7’ (REFUSED) or ‘-8’ |

| (DON’T KNOW) from a previous round. |

| |

| Display ‘READ GRID STARTING...’ IF ROUNDS 2-5. |

| OTHERWISE, USE A NULL DISPLAY. |

----------------------------------------------------


----------------------------------------------------

| CONTINUE WITH LOOP_08B |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_3 |

| |

| COL # 1 HEADER: MEMBER NAME |

| INSTRUCTIONS: DISPLAY DU MEMBER’S FIRST NAME |

| (PERS.SMPFNAMR) |

| |

| COL # 2 HEADER: DU MEMBER “n” |

| INSTRUCTIONS: DISPLAY DU MEMBER’S NAME |

| NOTE THAT THERE WILL BE AS MANY COLUMNS AS |

| NECESSARY TO ACCOMMODATE ALL DU MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS THE DU-MEMBERS-ROSTER FOR |

| DISPLAY OF DU-MEMBERS. |

----------------------------------------------------

----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

| |

| 2. THE COLUMN HEADINGS ‘DU MEMBER N’ ARE FILLED |

| WITH THE NAMES OF DU MEMBERS IN ORDER FROM |

| YOUNGEST TO OLDEST. IF AGES OF ANY RU MEMBERS |

| ARE UNKNOWN, AND RU MEMBERS ARE IN AGE |

| CATEGORIES 1-4, LIST THESE RU MEMBERS FIRST, |

| FOLLOWED BY RU MEMBERS WITH KNOWN AGES IN ORDER|

| FROM YOUNGEST TO OLDEST IN ALL OTHER AGE |

| CATEGORIES. |

| |

| 3. DISPLAY RELATIONSHIPS THAT WERE CODED IN THE |

| PREVIOUS ROUND AND ARE STILL APPLICABLE. NOTE |

| THAT THE RELATIONSHIPS COLLECTED IN THE NHIS |

| WILL NOT BE PRE-FILLED IN THE ROUND 1 CAPI. |

| |

| 4. DISPLAY QUESTION MARK FOR RELATIONSHIPS NOT YET|

| CODED OR WHERE RELATIONSHIP WAS CODED ‘-7’ |

| (REFUSED) OR ‘-8’ (DON’T KNOW) IN PREVIOUS |

| ROUND. |

| |

| 5. FOR EACH CYCLE THROUGH THE LOOP, THE MATRIX |

| SHOULD DISPLAY TEXT LABELS FOR ALL |

| RELATIONSHIPS CODED UP TO THAT POINT, INCLUDING|

| RECIPROCAL RELATIONSHIPS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY PERSONS WHO MEET EITHER OF THE FOLLOWING |

| CONDITIONS: |

| 1. PERSON IS A MEMBER OF THE RU |

| OR |

| 2. PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THIS INTERVIEW AND FLAGGED AS A ‘NEW |

| STUDENT’. |

----------------------------------------------------




LOOP_08B

========


----------------------------------------------------

| FOR EACH ELEMENT IN DU-MEMBERS-ROSTER, ASK |

| RE76A-END_LP08B |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINTION: LOOP_08B COLLECTS RELATIONSHIPS |

| BETWEEN RU MEMBERS. THE LOOP BEGINS WITH THE |

| YOUNGEST RU MEMBER AND CONTINUES TO LOOP ON THE |

| NEXT YOUNGEST RU MEMBER. THE LOOP CYCLES ON ALL |

| DU MEMBERS WHO MEET EITHER OF THE FOLLOWING |

| CONDITIONS: |

| - PERSON IS A MEMBER OF THE RU FOR THIS CASE |

| OR |

| - PERSON WAS REMOVED FROM THE RU-MEMBERS ROSTER |

| DURING THIS INTERVIEW AND IS FLAGGED AS A |

| ‘NEW STUDENT’ |

----------------------------------------------------




RE76

====

OMITTED




RE76A

=====


{PERSON’S FIRST, MIDDLE AND LAST NAME}


I would like to know how everyone in this household is

related to (PERSON).


[DU MEMBER 1 First, Middle and Last Name] {is/was} (PERSON)’s [{Relation}]

[DU MEMBER 2 First, Middle and Last Name] {is/was} (PERSON)’s [{Relation}]

[DU MEMBER 3 First, Middle and Last Name] {is/was} (PERSON)’s [{Relation}]

[DU MEMBER 4 First, Middle and Last Name] {is/was} (PERSON)’s [{Relation}]


----------------------------------------------------

| DISPLAY ‘is’ IF BOTH PERSONS ARE LIVING. DISPLAY |

| ‘was’ IF BOTH ARE OR EITHER PERSON IS DECEASED. |

| |

| DISPLAY NAME OF PERSON BEING LOOPED ON FOR |

| ‘PERSON’ IN EACH ROW OF GRID. |

| |

| DISPLAY THE NAME OF A DU MEMBER WHO MEETS THE |

| FOLLOWING CONDITIONS IN EACH ROW OF THE GRID: |

| 1. PERSON IS A MEMBER OF THE RU |

| 2. PERSON WAS REMOVED FROM THE RU_MEMBERS_ROSTER |

| DURING THIS INTERVIEW AND FLAGGED AS ‘NEW |

| STUDENT’ |

| |

| DISPLAY NAME OF THE SELECTED RELATIONSHIP FOR |

| ‘RELATION’ IN EACH ROW OF THE GRID. |

----------------------------------------------------

----------------------------------------------------

| QUESTION BEHAVIOR SPECIFICATIONS: |

| |

| 1. FOR EACH PERSON BEING LOOPED ON, DISPLAY A |

| LIST OF QUESTIONS THAT ASKS THE RELATIONSHIP |

| TO EVERY DU MEMBER ON THE RELATIONSHIP MATRIX |

| AT RE76_1. |

| 2. ALL RELATIONSHIPS THAT HAVE ALREADY BEEN |

| ESTABLISHED BETWEEN THE PERSON BEING LOOPED ON |

| AND THE DU MEMBER SHOULD BE FILLED IN. ALL |

| FIELDS CONTAINING RELATIONSHIPS ARE INPUT |

| FIELDS. EACH INPUT FIELD CAN DISPLAY A DROP |

| DOWN LIST OF SELECTABLE RELATIONSHIP CODES AND |

| LABELS. ALL RELATIONSHIPS CAN BE EDITED. IF NO |

| CHANGES NEEDED, THE INTERVIEWER CAN MOVE TO THE|

| NEXT FIELD. |

| 3. IF CODE ‘91’ (OTHER RELATED, SPECIFY) IS |

| SELECTED, MOVE INTERVIEWER TO TYPE THE |

| RELATIONSHIP IN THE OTHER SPECIFY FIELD. |

| 4. IF CODE ‘99’ (NOT RELATED) IS SELECTED, DISPLAY|

| THE FOLLOWING MESSAGE: ”THIS PERSON HAS BEEN |

| CODED AS NOT RELATED. PROBE RESPONDENT AND |

| REVIEW CODES. IF APPLICABLE, USE A MORE |

| DESCRIPTIVE CODE OR USE CODE 91 (OTHER RELATED,|

| SPECIFY). IF RESPONDENT CONFIRMS PERSON IS |

| NOT RELATED, CONTINUE ENTERING OTHER |

| RELATIONSHIPS.” |

----------------------------------------------------


----------------------------------------------------

| REFUSED AND DON’T KNOW ALLOWED IN ALL RELATIONSHIP|

| FIELDS. |

----------------------------------------------------


----------------------------------------------------

| THE LIST OF RELATIONSHIP CODES AND LABELS (IN |

| ORDER OF PRESENTATION IN LIST) IS AS FOLLOWS: |

| |

| 21 = AUNT |

| 4 = BROTHER/STEP-/HALF- |

| 12 = BROTHER-IN-LAW |

| 25 = COUSIN |

| 5 = DAUGHTER/ADOPTED DAUGHTER |

| 13 = DAUGHTER-IN-LAW |

| 32 = DAUGHTER OF PARTNER |

| 2 = FATHER (BIOLOGICAL/ADOPTIVE) |

| 10 = FATHER-IN-LAW |

| 31 = FATHER’S PARTNER |

| 28 = FEMALE PARTNER |

| 47 = FOSTER BROTHER |

| 45 = FOSTER DAUGHTER |

| 44 = FOSTER FATHER |

| 43 = FOSTER MOTHER |

| 48 = FOSTER SISTER |

| 46 = FOSTER SON |

| 20 = GRANDFATHER |

| 19 = GRANDMOTHER |

| 26 = GRANDSON |

| 27 = GRANDDAUGHTER |

| 36 = GREAT GRANDFATHER |

| 35 = GREAT GRANDMOTHER |

| 38 = GREAT GRANDSON |

| 37 = GREAT GRANDDAUGHTER |

| 39 = GREAT AUNT |

| 40 = GREAT UNCLE |

| 42 = GREAT NEPHEW |

| 41 = GREAT NEICE |

| 8 = HUSBAND |

| 1 = MOTHER (BIOLOGICAL/ADOPTIVE) |

| 9 = MOTHER-IN-LAW |

| 30 = MOTHER’S PARTNER |

| 29 = MALE PARTNER |

| 24 = NEPHEW |

| 23 = NIECE |

| 99 = NOT RELATED |

| 91 = OTHER RELATED, SPECIFY |

| 3 = SISTER/STEP-/HALF- |

| 6 = SON/ADOPTED SON |

| 33 = SON OF PARTNER |

| 11 = SISTER-IN-LAW |

| 14 = SON-IN-LAW |

| 16 = STEPFATHER |

| 15 = STEPMOTHER |

| 18 = STEPSON |

| 17 = STEPDAUGHTER |

----------------------------------------------------

----------------------------------------------------

| 22 = UNCLE |

| 7 = WIFE |

----------------------------------------------------


----------------------------------------------------

| THE LEGAL GUARDIAN ITEMS (BOX_RE76A1 – RE76F) WERE|

| INTRODUCED IN PANEL 12 ROUND 2. STARTING IN |

| PANEL 13, THESE ITEMS WILL BE INCORPORATED IN ALL |

| ROUNDS. |

----------------------------------------------------


----------------------------------------------------

| IF PANEL 12 ROUND 1, GO TO END_LP08B |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, CONTINUE WITH BOX_RE76A1 |

----------------------------------------------------


----------------------------------------------------

| SOFT CHECK: |

| IF CODE ‘1’ (MOTHER) OR ‘2’ (FATHER) IS USED MORE |

| THAN ONCE, DISPLAY THE FOLLOWING MESSAGE: |

| “UNLIKELY RESPONSE – RELATIONSHIP ALREADY USED. |

| VERIFY AND RE-ENTER.” |

| |

| IF CODE ‘15’ (STEPMOTHER) OR ‘16’ (STEPFATHER) AND|

| THE AGE OF PERSON ASSOCIATED WITH CODE IS YOUNGER |

| THAN PERSON BEING LOOPED ON, DISPLAY THE FOLLOWING|

| MESSAGE: “UNLIKELY RESPONSE DUE TO AGE. VERIFY AND|

| RE-ENTER.” |

| |

| HARD CHECK: |

| IF CODE ‘1’ (MOTHER), ‘2’ (FATHER), ‘19’ |

| (GRANDMOTHER), ‘20’ (GRANDFATHER), ‘35’ (GREAT |

| GRANDMOTHER), ‘36’ (GREAT GRANDFATHER) ‘43’ |

| (FOSTER MOTHER), OR ‘44’ (FOSTER FATHER), THE AGE |

| OF PERSON ASSOCIATED WITH THE CODE MUST BE OLDER |

| THAN THE PERSON BEING LOOPED ON. |

----------------------------------------------------




BOX_RE76A1

==========


----------------------------------------------------

| IF PERSON BEING LOOPED ON IS AGE 18 OR UNDER OR |

| IN AGE CATEGORIES 1-4, CONTINUE WITH BOX_RE76A2 |

----------------------------------------------------

----------------------------------------------------

| OTHERWISE, GO TO END_LP08B |

----------------------------------------------------




BOX_RE76A2

==========


----------------------------------------------------

| IF THERE IS NO ENTRY FOR MOTHER (CODE 1), STEP- |

| MOTHER (CODE 15), FOSTER MOTHER (CODE 43), |

| FATHER (CODE 2), STEP-FATHER (CODE 16), FOSTER |

| FATHER (CODE 44), WIFE/SPOUSE (CODE 7), OR |

| HUSBAND/SPOUSE (CODE 8), CONTINUE WITH BOX_RE76D |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, (AT LEAST ONE OF THESE RELATIONSHIPS IS|

| CODED), GO TO END_LP08B |

----------------------------------------------------




RE76C

=====

OMITTED


RE76COV

=======

OMITTED


BOX_RE76C

=========

OMITTED




BOX_RE76D

=========


----------------------------------------------------

| CHECK TO DETERMINE IF ELIGIBLE GUARDIAN: |

| IF AT LEAST ONE RU MEMBER WHO IS: |

| -NOT PERSON BEING LOOPED ON |

| AND |

| -IS 18 YEARS OF AGE OR OLDER OR IS IN AGE |

| CATEGORIES 4-9 |

| AND |

| -IS NOT DECEASED, |

| CONTINUE WITH RE76E |

----------------------------------------------------

----------------------------------------------------

| OTHERWISE, GO TO END_LP08B |

----------------------------------------------------




RE76D

=====

OMITTED


RE76DOV

=======

OMITTED


BOX_RE76D

=========

OMITTED




RE76E

=====

{PERSON’S FIRST, MIDDLE AND LAST NAME}


I have recorded that (PERSON) does not have a mother or

father living in this household. Does (PERSON) have a

legal guardian living in this household?



YES .................................... 1 {RE76F}

NO ..................................... 2 {END_LP08B}

REF ................................... -7 {END_LP08B}

DK .................................... -8 {END_LP08B}


HELP AVAILABLE FOR DEFINITION OF LEGAL GUARDIAN.




RE76F

=====


{PERSON’S FIRST, MIDDLE AND LAST NAME}


Who is (PERSON)’s legal guardian?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


[Code One]


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR |

| SELECTION OF LEGAL GUARDIAN. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT ALLOWED. |

| |

| 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT |

| DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ONLY THOSE RU MEMBERS WHO ARE 18 YEARS OF |

| AGE OR OLDER OR IN AGE CATEGORIES 4-9 AND WHO ARE |

| NOT DECEASED AND DO NOT DISPLAY THE PERSON BEING |

| LOOPED ON. |

----------------------------------------------------


----------------------------------------------------

| CONTINUE WITH END_LP08B |

----------------------------------------------------




END_LP08B

=========


----------------------------------------------------

| CYCLE ON NEXT PERSON ON THE DU-MEMBERS-ROSTER |

| WHO MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| THEN END LOOP_08B AND CONTINUE WITH RE76_2 |

----------------------------------------------------

RE77

====

OMITTED




RE76_2

======


INTERVIEWER: REVIEW THE RELATIONSHIPS BELOW.

READ GRID STARTING FROM LEFT.

EXAMPLE: “(NAME ON LEFT) IS (NAME ALONG TOP)’S (RELATIONSHIP).”


|-----------------|-----------------|-----------------|-----------------|

| MEMBER NAME | RE76_2_01. DU | RE76_2_02. DU | RE76_2_03. DU |

| | MEMBER 1 | MEMBER 2 | MEMBER 3 |

|-----------------|-----------------|-----------------|-----------------|

| 1. First | [Display | [Display | [Display |

| Name-15 | Relationship] | Relationship] | Relationship] |

|-----------------|-----------------|-----------------|-----------------|

| 2. First | [Display | [Display | [Display |

| Name-15 | Relationship] | Relationship] | Relationship] |

|-----------------|-----------------|-----------------|-----------------|

| 3. First | [Display | [Display |[Display |

| Name-15 | Relationship] | Relationship] | Relationship] |

|-----------------|-----------------|-----------------|-----------------|


PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE



----------------------------------------------------

| CONTINUE WITH BOX_28AAAA |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_3 |

| |

| COL # 1 HEADER: MEMBER NAME |

| INSTRUCTIONS: DISPLAY DU MEMBER’S FIRST NAME |

| (PERS.SMPFNAMR) |

| |

| COL # 2 HEADER: DU MEMBER “n” |

| INSTRUCTIONS: DISPLAY DU MEMBER’S NAME |

| NOTE THAT THERE WILL BE AS MANY COLUMNS AS |

| NECESSARY TO ACCOMMODATE ALL DU MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS DU-MEMBERS-ROSTER FOR DISPLAY |

| OF DU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

| |

| 2. THE COLUMN HEADINGS ‘DU MEMBER n’ ARE FILLED |

| WITH THE NAMES OF DU MEMBERS IN ORDER FROM |

| YOUNGEST TO OLDEST. IF AGES OF ANY RU MEMBERS |

| ARE UNKNOWN, AND RU MEMBERS ARE IN AGE |

| CATEGORIES 1-4, LIST THESE RU MEMBERS FIRST, |

| FOLLOWED BY RU MEMBERS WITH KNOWN AGES IN ORDER|

| FROM YOUNGEST TO OLDEST IN ALL OTHER AGE |

| CATEGORIES. |

| |

| 3. DISPLAY ALL RELATIONSHIPS CODED PREVIOUSLY. |

| |

| 4. DISPLAY RF OR DK FOR RELATIONSHIPS CODED |

| ‘-7’ (REFUSED) OR ‘-8’ (DON’T KNOW). |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY PERSONS WHO MEET EITHER OF THE FOLLOWING |

| CONDITIONS: |

| 1. PERSON IS A MEMBER OF THE RU |

| OR |

| 2. PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THIS INTERVIEW AND FLAGGED AS A ‘NEW |

| STUDENT’. |

----------------------------------------------------




BOX_28AAAA

==========


----------------------------------------------------

| IF AT LEAST ONE RU MEMBER OR ‘NEW STUDENT’ MEETS |

| THE FOLLOWING CONDITION: |

| - CODED NOT RELATED FOR RELATIONSHIP WITH |

| REFERENCE PERSON AT RE76A, |

| CONTINUE WITH RE78 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_29 |

----------------------------------------------------

BOX_28A

=======

OMITTED.




RE78

====


At this time, we are only collecting information about the

people in this family. Therefore, that is all the information

we will need about the non-related people who live here. We

will not collect any additional information about (READ NAMES

BELOW).


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.



----------------------------------------------------

| REMOVE ALL RU MEMBERS DISPLAYED AT RE78 FROM THE |

| RU-MEMBERS-ROSTER AND FLAG SUCH PERSONS AS |

| REMOVED FROM THE ROSTER AT RE78. (NOTE THAT |

| ‘NEW STUDENTS’ HAVE BEEN REMOVED FROM THE RU- |

| MEMBERS-ROSTER EARLIER IN THE RE SECTION.) |

----------------------------------------------------


----------------------------------------------------

| IF PERSON DISPLAYED AT RE78 MEETS BOTH OF THE |

| FOLLOWING CONDITIONS: |

| - ADDED TO THE RU DURING THIS INTERVIEW |

| AND |

| - FLAGGED AS A ‘NEW STUDENT’, |

| TURN OFF THE ‘NEW STUDENT’ FLAG. |

| PERSON IS NOT RELATED TO REFERENCE PERSON AND, |

| THEREFORE, DOES NOT MEET THE REQUIREMENTS FOR A |

| ‘NEW STUDENT’ ASSOCIATED WITH THIS RU. PERSON IS |

| NOT KEY AND IS OUT OF SCOPE FOR THIS STUDY. NO |

| INFORMATION WILL BE COLLECTED FOR PERSON. |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY DU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------

----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS PERSONS IN THE DU-MEMBERS- |

| ROSTER FOR DISPLAY ONLY. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. DISPLAY ONLY. |

| |

| 2. SELECT, ADD, EDIT, AND DELETE DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ONLY THOSE DU MEMBERS WHO MEET BOTH OF THE|

| FOLLOWING CONDITIONS: |

| - PERSON IS AN RU MEMBER OR ‘NEW STUDENT’ |

| DISPLAYED AT RE76_2 |

| AND |

| - PERSON IS NOT RELATED TO REFERENCE PERSON |

| (RELATIONSHIP TO REFERENCE PERSON CODED ‘NOT |

| RELATED’ AT RE76A |

----------------------------------------------------




BOX_28B

=======

OMITTED.


LOOP_08A

========

OMITTED.


END_LP08A

=========

OMITTED.




BOX_29

======


----------------------------------------------------

| IF ROUND 1 AND AT LEAST ONE PERSON ON THE |

| DU-MEMBERS-ROSTER MEETS EITHER OF THE FOLLOWING |

| SETS OF CONDITIONS: |

| |

| PERSON IS: |

| - CURRENTLY ON THE RU-MEMBERS-ROSTER |

| AND |

| - AGE 17 - 23, INCLUSIVE, AT THE TIME OF NHIS |

| AND |

| - AN ORIGINAL RU OR DU MEMBER (THAT IS, ON THE |

| RU-MEMBERS-ROSTER OR THE DU-MEMBERS-ROSTER |

| AT THE START OF THIS ROUND) |

| AND |

| - PERSON’S KEYNESS HAS NOT YET BEEN DETERMINED |

| DURING THIS INTERVIEW OR IN A PREVIOUS |

| INTERVIEW WITHIN THIS ROUND |

| |

| OR PERSON IS: |

| - FLAGGED AS A ‘NEW STUDENT’ |

| AND |

| - AN ORIGINAL RU MEMBER (THAT IS, ON THE RU- |

| MEMBERS-ROSTER AT THE START OF THIS ROUND), |

| |

| CONTINUE WITH LOOP_09 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_30A |

----------------------------------------------------




LOOP_09

=======


----------------------------------------------------

| FOR EACH ELEMENT IN THE DU-MEMBERS-ROSTER, |

| ASK RE79-END_LP09 |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_09 COLLECTS INFORMATION TO |

| IDENTIFY THE FOLLOWING TYPES OF STUDENTS: |

| - STUDENTS SAMPLED BY NHIS APART FROM THEIR |

| PARENTS |

| AND |

| - STUDENTS WHO ARE LIVING ‘PERMANENTLY’ APART |

| FROM THEIR PARENTS AND WHO DO NOT RECEIVE |

| HEALTH CARE BENEFITS THROUGH THE CURRENT RU |

| |

| THIS LOOP CYCLES ON PERSONS ON THE DU-MEMBERS- |

| ROSTER WHO MEET EITHER OF THE FOLLOWING SETS OF |

| CONDITIONS: |

| |

| PERSON IS: |

| - CURRENTLY ON THE RU-MEMBERS-ROSTER |

| AND |

| - AGE 17 - 23, INCLUSIVE, AT THE TIME OF NHIS |

| AND |

| - AN ORIGINAL RU OR DU MEMBER (THAT IS, ON THE |

| RU-MEMBERS-ROSTER OR THE DU-MEMBERS-ROSTER |

| AT THE START OF THIS ROUND) |

| AND |

| - PERSON’S KEYNESS HAS NOT YET BEEN DETERMINED |

| DURING THIS INTERVIEW OR IN A PREVIOUS |

| INTERVIEW WITHIN THIS ROUND |

| |

| OR PERSON IS: |

| - FLAGGED AS A ‘NEW STUDENT’ |

| AND |

| - AN ORIGINAL RU MEMBER (THAT IS, ON THE RU- |

| MEMBERS-ROSTER AT THE START OF THIS ROUND). |

----------------------------------------------------




RE79

====


{PERSON’S FIRST MIDDLE LAST NAME}


At the time of the National Health Interview Survey on

{MONTH, DAY, YEAR OF NHIS INTERVIEW} (were/was) (PERSON)

attending school?


YES .................................... 1 {RE80}

NO ..................................... 2 {END_LP09}

REF ................................... -7 {END_LP09}

DK .................................... -8 {END_LP09}



----------------------------------------------------

| FOR (MONTH...) DISPLAY THE NHIS INTERVIEW DATE. |

----------------------------------------------------




RE80

====


{PERSON’S FIRST MIDDLE LAST NAME}


(Were/Was) (PERSON) attending ...


grades 1-12, ............................1 {END_LP09}

a college or university, or .............2

some other training school after

high school? ..........................3

REF ....................................-7 {END_LP09}

DK .....................................-8 {END_LP09}


HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.



----------------------------------------------------

| IF CODED ‘2’ (COLLEGE) OR ‘3’ (OTHER TRAINING |

| SCHOOL) |

| AND |

| PERSON WAS NOT CODED ‘NEVER MARRIED’ AT NHIS |

| INTERVIEW, |

| GO TO END_LP09 |

----------------------------------------------------


----------------------------------------------------

| IF CODED ‘2’ (COLLEGE) OR ‘3’ (OTHER TRAINING |

| SCHOOL) |

| AND |

| PERSON WAS CODED ‘NEVER MARRIED’ AT NHIS |

| INTERVIEW, |

| CONTINUE WITH RE80A |

----------------------------------------------------




RE80A

=====


{PERSON’S FIRST MIDDLE LAST NAME}


At the time of the National Health Interview Survey on {MONTH,

DAY, YEAR OF NHIS INTERVIEW} were either of (PERSON)’s parents

living in this household?


YES .................................... 1 {END_LP09}

NO ..................................... 2 {RE81}

REF ................................... -7 {END_LP09}

DK .................................... -8 {END_LP09}



----------------------------------------------------

| FOR (MONTH...) DISPLAY THE NHIS INTERVIEW DATE. |

----------------------------------------------------




RE81

====


{PERSON'S FIRST MIDDLE AND LAST NAME}


(Do/Does)(PERSON) have parents who live somewhere else?


YES .................................... 1 {RE82}

NO ..................................... 2 {END_LP09}

REF ................................... -7 {RE82}

DK .................................... -8 {RE82}




BOX_29A

=======

OMITTED.




RE82

====


{PERSON'S FIRST MIDDLE AND LAST NAME}


Is this (PERSON)'s usual year-round place of residence or is

this (PERSON)'s place of residence only during the school year?


USUAL YEAR-ROUND PLACE OF RESIDENCE .... 1 {END_LP09}

RESIDENCE ONLY DURING SCHOOL YEAR ...... 2 {END_LP09}

SOME OTHER ARRANGEMENT ................ 91 {RE83}

REF ................................... -7 {RE83}

DK .................................... -8 {RE83}


[Code One]


HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.



----------------------------------------------------

| IF RE82 CODED ‘2’ (RESIDENCE ONLY DURING SCHOOL |

| YEAR) |

| AND |

| PERSON IS FLAGGED AS A ‘NEW STUDENT’, |

| TURN OFF THE ‘NEW STUDENT’ FLAG AND CLEAN UP ALL |

| RELATED VARIABLES. PERSON DOES NOT MEET THE |

| REQUIREMENTS FOR A ‘NEW STUDENT’ ASSOCIATED WITH |

| THIS RU. PERSON IS NOT KEY AND IS OUT OF SCOPE FOR|

| THIS STUDY. NO INFORMATION WILL BE COLLECTED FOR |

| PERSON. |

----------------------------------------------------




BOX_29B

=======

OMITTED.




RE83

====


{PERSON'S FIRST MIDDLE AND LAST NAME}


Does someone in this household have primary responsibility for

(PERSON)'s health and health care?


YES .................................... 1 {END_LP09}

NO ..................................... 2 {END_LP09}

REF ................................... -7 {END_LP09}

DK .................................... -8 {END_LP09}


HELP AVAILABLE FOR DEFINITION OF PRIMARY RESPONSIBILITY.



----------------------------------------------------

| IF RE83 CODED ‘2’ (NO), ‘-7’ (REFUSED), OR ‘-8’ |

| (DON’T KNOW) |

| AND |

| PERSON IS FLAGGED AS A ‘NEW STUDENT’, |

| TURN OFF THE ‘NEW STUDENT’ FLAG AND CLEAN UP ALL |

| RELATED VARIABLES. PERSON DOES NOT MEET THE |

| REQUIREMENTS FOR A ‘NEW STUDENT’ ASSOCIATED WITH |

| THIS RU. PERSON IS NOT KEY AND IS OUT OF SCOPE |

| FOR THIS STUDY. NO INFORMATION WILL BE COLLECTED |

| FOR PERSON. |

----------------------------------------------------




END_LP09

========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |

| WHO MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_09 AND CONTINUE WITH BOX_30 |

----------------------------------------------------




BOX_30

======


----------------------------------------------------

| IF AT LEAST ONE PERSON BECAME NON-KEY IN THE |

| COURSE OF LOOP_09, THAT IS, IF AT LEAST ONE PERSON|

| WHOSE KEYNESS WAS EVALUATED IN LOOP_09 MEETS |

| EITHER OF THE FOLLOWING CONDITIONS: |

| |

| PERSON IS: |

| - AGE 17 - 23, INCLUSIVE, AND LIVES IN RU ONLY |

| DURING SCHOOL YEAR (RE82 CODED ‘2’) |

| |

| OR PERSON IS: |

| - AGE 17-23, INCLUSIVE,

| AND |

| - RU IS NOT PERSON’S YEAR-ROUND RESIDENCE, |

| AND |

| - PERSON’S HEALTH CARE IS NOT THE PRIMARY |

| RESPONSIBILITY OF AN RU MEMBER (RE83 CODED ‘2’,|

| ‘-7’, OR ‘-8’), |

| |

| CONTINUE WITH RE84 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_30A |

----------------------------------------------------




RE84

====


At this time, we are only collecting information about persons

who are usual year-round residents of this household and for

whom we can collect health care information. Therefore, the

remaining questions will not be asked about (READ NAMES BELOW).


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.


----------------------------------------------------

| IF ANY PERSON MEETS EITHER OF THE FOLLOWING |

| CONDITIONS: |

| - PERSON IS AN RU MEMBER |

| AND |

| - PERSON WAS DETERMINED TO BE NON-KEY IN THE |

| COURSE OF LOOP_09 (THAT IS, PERSON WAS |

| DISPLAYED AT RE84) |

| REMOVE PERSON FROM THE RU-MEMBERS-ROSTER AND FLAG |

| PERSON AS REMOVED FROM RU-MEMBERS-ROSTER AT RE84. |

| |

| NO FURTHER INFORMATION WILL BE COLLECTED FOR SUCH |

| PERSONS OR FOR THE ‘NEW STUDENTS’ WHO HAD THE |

| ‘NEW STUDENT’ FLAG TURNED OFF DURING THE COURSE OF|

| LOOP_09. THESE PERSONS ARE NON-KEY AND OUT-OF- |

| SCOPE (INELIGIBLE FOR REST OF SURVEY). |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY DU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS DU-MEMBERS-ROSTER FOR DISPLAY |

| OF DU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------

----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY PERSONS WHO MEET THE FOLLOWING CONDITIONS:|

| |

| - PERSON’S KEYNESS WAS EVALUATED IN LOOP_09 |

| AND |

| EITHER OF THE FOLLOWING CONDITIONS: |

| - PERSON LIVES IN THE RU ONLY DURING THE |

| SCHOOL YEAR (RE82 CODED ‘2’) |

| OR |

| - RU IS NOT PERSON’S YEAR-ROUND RESIDENCE AND |

| PERSON’S HEALTH CARE IS NOT THE PRIMARY |

| RESPONSIBILITY OF ANOTHER RU MEMBER |

| (RE83 CODED ‘2’, ‘-7’, OR ‘-8’) |

----------------------------------------------------




BOX_30A

=======


-----------------------------------------------------

| DETERMINE THE KEYNESS AND ELIGIBILITY OF ALL |

| PERSONS ON THE RU-MEMBERS-ROSTER. |

| |

| THE DETERMINATION OF KEYNESS AND ELIGIBILITY IS |

| BASED ON DEFINED CRITERIA AND IS DETERMINED IN THE |

| FOLLOWING ORDER: |

| 1. DETERMINE THE KEYNESS OF PERSONS WHO ARE |

| NOT NEWBORN |

| 2. DETERMINE THE KEYNESS OF PERSONS WHO ARE |

| NEWBORN |

| 3. DETERMINE THE ELIGIBILITY OF ALL PERSONS ON |

| THE RU-MEMBERS-ROSTER |

| |

| KEYNESS AND ELIGIBILITY FOR PERSONS WHO HAVE BEEN |

| REMOVED FROM THE RU-MEMBERS-ROSTER IS DETERMINED |

| ELSEWHERE IN THE REENUMERATION (RE) SECTION |

| OF THE INSTRUMENT. |

-----------------------------------------------------


-----------------------------------------------------

| DELETE ANY RU MEMBERS WHO ARE DETERMINED TO BE |

| INELIGIBLE FROM THE RU-MEMBERS-ROSTER. |

-----------------------------------------------------


-----------------------------------------------------

| IF THE RU-MEMBERS-ROSTER IS NOT EMPTY (THAT IS, IF |

| AT LEAST ONE RU MEMBER REMAINS ELIGIBLE FOR THE |

| SURVEY IN THE CURRENT ROUND, |

| CONTINUE WITH RE85 |

-----------------------------------------------------


-----------------------------------------------------

| IF THE RU-MEMBERS-ROSTER IS EMPTY (THAT IS NO RU |

| MEMBER REMAINS ELIGIBLE FOR THE SURVEY IN THE |

| CURRENT ROUND), |

| GO TO RE85A |

-----------------------------------------------------




RE85

====


THESE ARE NOW THE MEMBERS OF THE RU WHO WILL BE INCLUDED IN

THIS INTERVIEW.


{FULL NAME OF REFERENCE PERSON}'S FAMILY:


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.



----------------------------------------------------

| FOR ‘FULL...’ DISPLAY THE REFERENCE PERSON’S FULL |

| NAME. |

----------------------------------------------------


----------------------------------------------------

| GO TO BOX_34 |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------



----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS WHO ARE ELIGIBLE FOR THE |

| SURVEY IN THE CURRENT ROUND. |

----------------------------------------------------




RE85A

=====


INTERVIEWER: THERE ARE NO ELIGIBLE INDIVIDUALS REMAINING IN THIS

RU. PLEASE REPORT THIS SITUATION TO YOUR SUPERVISOR.


PRESS ENTER OR SELECT NEXT PAGE TO END THE INTERVIEW.




RE85B

=====


INTERVIEWER: DID YOU COMPLETE THIS INTERVIEW IN-PERSON OR BY

TELEPHONE? (YOU MUST HAVE SUPERVISOR APPROVAL PRIOR TO

INTERVIEWING BY TELEPHONE.)


IN-PERSON ............................. 1

TELEPHONE ............................. 2


[Code One]



----------------------------------------------------

| IF AT LEAST ONE PERSON REMOVED FROM THE RU- |

| MEMBERS-ROSTER DURING THIS INTERVIEW IS FLAGGED |

| AS A ‘NEW STUDENT’, GO TO BOX_37 |

----------------------------------------------------


----------------------------------------------------

| IF NO PERSON WHO WAS REMOVED FROM THE RU-MEMBERS- |

| ROSTER DURING THIS INTERVIEW IS FLAGGED AS A ‘NEW |

| STUDENT’ |

| AND |

| AT LEAST ONE PERSON WHO WAS REMOVED FROM THE RU- |

| MEMBERS-ROSTER DURING THIS INTERVIEW IS FLAGGED |

| AS EITHER OF THE FOLLOWING: |

| - ‘NON-MILITARY MOVER IN U.S.’ |

| OR |

| - ‘FULL-TIME MILITARY IN U.S. AND NOT ON |

| MILITARY FACILITY’, |

| GO TO RE111 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE (NO ‘NEW STUDENT’, ‘NON-MILITARY MOVER |

| IN U.S.’, OR ‘FULL-TIME MILITARY IN U.S. AND NOT |

| ON MILITARY FACILITY’), GO TO BOX_44 |

----------------------------------------------------




BOX_31

======

OMITTED.


RE86

====

OMITTED.


RE87

====

OMITTED.


LOOP_10

=======

OMITTED.


RE88

====

OMITTED.


END_LP10

========

OMITTED.


BOX_32

======

OMITTED.


RE89

====

OMITTED.


RE90

====

OMITTED.


LOOP_11

=======

OMITTED.


RE91

====

OMITTED.


END_LP11

========

OMITTED.


BOX_33

======

OMITTED.


RE92

====

OMITTED.


RE93

====

OMITTED.


RE93A

=====

OMITTED.


RE93B

=====

OMITTED.




BOX_34

======


----------------------------------------------------

| IF ROUND 1 |

| AND |

| AT LEAST ONE PERSON ON THE RU-MEMBERS-ROSTER IS: |

| - > 16 YEARS OLD AND < 60 YEARS OLD |

| AND |

| - NOT CODED ‘FULL TIME ACTIVE DUTY IN THE |

| MILITARY’ (RE35 CODED ‘6’), |

| CONTINUE WITH RE94A |

----------------------------------------------------


----------------------------------------------------

| IF NOT ROUND 1 |

| AND |

| AT LEAST ONE PERSON ON THE RU-MEMBERS-ROSTER |

| - IS > 16 YEARS OLD AND < 60 YEARS OLD |

| AND |

| - ADDED TO THE RU THIS ROUND, |

| GO TO RE95A |

----------------------------------------------------


----------------------------------------------------

| IF NOT ROUND 1 |

| AND |

| AT LEAST ONE PERSON ON THE RU-MEMBERS-ROSTER |

| - IS > 16 YEARS OLD AND < 60 YEARS OLD |

| AND |

| - NOT ADDED TO THE RU THIS ROUND, |

| GO TO LOOP_12A0 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_35B |

----------------------------------------------------




BOX_35AA

========

OMITTED.


BOX_34A

=======

OMITTED.

RE94

====

OMITTED (INTEGRATED WITH RE94A).




RE94A

=====


{In addition to (READ NAMES BELOW),is/Is} anyone in the family

currently serving on active duty in the Armed Forces of the

United States?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


YES .................................... 1 {RE95}

NO ..................................... 2 {BOX_35B}

REF ................................... -7 {BOX_35B}

DK .................................... -8 {BOX_35B}


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.



----------------------------------------------------

| IF AT LEAST ONE PERSON ON THE RU-MEMBERS-ROSTER |

| IS CODED AS ON FULL-TIME ACTIVE DUTY IN THE |

| MILITARY (RE35 CODED ‘6’) IN ANY INTERVIEW DURING |

| THIS ROUND, DISPLAY THE INTRODUCTORY PHRASE ‘In |

| addition to ...’ AND THE SCREEN INSTRUCTIONS AND |

| ROSTER. OTHERWISE, DISPLAY ‘Is’ AND DO NOT |

| DISPLAY THE SCREEN INSTRUCTIONS AND ROSTER. |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------

----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY PERSONS WHO ARE CODED AS ON FULL-TIME |

| ACTIVE DUTY IN THE MILITARY (RE35 CODED ‘6’) IN |

| ANY INTERVIEW DURING THIS ROUND. |

----------------------------------------------------




RE95

====


Who {else} is currently serving on active duty in the Armed Forces?


PROBE: Anyone else?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.



----------------------------------------------------

| DISPLAY ‘else’ IF A ROSTER WAS DISPLAYED AT RE94A.|

| OTHERWISE, USE NULL DISPLAY. |

----------------------------------------------------


----------------------------------------------------

| [PERSON-LEVEL CONTROL VARIABLE SET HERE. STATUS |

| (FULL-TIME MILITARY LIVING IN RU)] FOR THOSE |

| SELECTED AT RE95. |

----------------------------------------------------


----------------------------------------------------

| CONTINUE WITH LOOP_12 |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR |

| SELECTION. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. MULTIPLE SELECT ALLOWED. |

| |

| 2. ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ONLY THOSE PERSONS WHO ARE OLDER THAN 16 |

| YEARS AND YOUNGER THAN 60 YEARS AND WHO ARE NOT |

| CODED AS ON FULL-TIME ACTIVE DUTY IN THE MILITARY |

| (RE35 CODED ‘6’) IN ANY INTERVIEW DURING THIS |

| ROUND. |

----------------------------------------------------




LOOP_12

=======


----------------------------------------------------

| FOR EACH ELEMENT IN RU-MEMBER-ROSTER, |

| ASK BOX_34B-END_LP12 |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_12 COLLECTS INFORMATION ON |

| WHEN PERSON ENTERED FULL-TIME ACTIVE DUTY IN THE |

| ARMED FORCES. THIS LOOP CYCLES ON RU MEMBERS |

| SELECTED AT RE95. |

----------------------------------------------------




BOX_34B

=======


----------------------------------------------------

| IF PERSON FIRST IDENTIFIED AS CURRENTLY SERVING |

| IN ARMED FORCES DURING PREVIOUS ROUND, |

| GO TO END_LP12 |

----------------------------------------------------


----------------------------------------------------

| IF ROUND 1 |

| OR |

| IF PERSON FIRST IDENTIFIED AS CURRENTLY SERVING |

| IN ARMED FORCES DURING CURRENT ROUND, |

| CONTINUE WITH RE96B |

----------------------------------------------------




RE96

====

OMITTED.


RE96A

=====

OMITTED.




RE96B

=====


{PERSON'S FIRST MIDDLE AND LAST NAME}


On what date did (PERSON) enter full-time active duty service

in the Armed Forces?


[Enter Month, Day, Year -4] ............ {END_LP12}

REF ................................... -7 {END_LP12}

DK .................................... -8 {END_LP12}


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.




END_LP12

========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |

| THAT MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_12 AND CONTINUE WITH BOX_35B |

----------------------------------------------------

RE95A

=====


(Is/Are) (READ NAMES BELOW) currently serving on active duty

in the Armed Forces of the United States?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


YES .................................... 1 {RE95B}

NO ..................................... 2 {BOX_34AA}

REF ................................... -7 {BOX_34AA}

DK .................................... -8 {BOX_34AA}


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.



----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ONLY THOSE PERSONS WHO ARE OLDER THAN 16 |

| YEARS AND YOUNGER THAN 60 YEARS OF AGE AND WHO |

| WERE ADDED TO THE RU THIS ROUND. |

----------------------------------------------------



RE95B

=====


Who is currently serving on active duty in the Armed Forces?


PROBE: Anyone else?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.


----------------------------------------------------

| [PERSON-LEVEL CONTROL VARIABLE SET HERE. STATUS |

| (FULL-TIME MILITARY LIVING IN RU)] FOR THOSE |

| SELECTED AT RE95B. |

----------------------------------------------------


----------------------------------------------------

| CONTINUE WITH LOOP_12B |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. MULTIPLE SELECT ALLOWED. |

| |

| 2. ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ONLY THOSE PERSONS WHO ARE OLDER THAN 16 |

| YEARS AND YOUNGER THAN 60 YEARS OF AGE AND WHO |

| WERE ADDED TO THE RU THIS ROUND. |

----------------------------------------------------

LOOP_12B

========


----------------------------------------------------

| FOR EACH ELEMENT IN RU-MEMBER-ROSTER, ASK |

| RE95E-END_LP12B |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_12B COLLECTS INFORMATION ON|

| WHEN PERSON ENTERED FULL-TIME ACTIVE DUTY IN THE |

| ARMED FORCES. THIS LOOP CYCLES ON RU MEMBERS |

| SELECTED AT RE95B. |

----------------------------------------------------




RE95C

=====

OMITTED.


RE95D

=====

OMITTED.




RE95E

=====


{PERSON'S FIRST MIDDLE AND LAST NAME}


On what date did (PERSON) enter full-time active duty service

in the Armed Forces?


[Enter Month, Day, Year -4] ............ {END_LP12B}

REF ................................... -7 {END_LP12B}

DK .................................... -8 {END_LP12B}


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.



----------------------------------------------------

| HARD CHECK: |

| EDIT (FOR ROUND 5): DATE MUST BE ON OR BEFORE |

| 12/31/{YEAR}, WHERE ‘YEAR’ IS THE SECOND CALENDAR |

| YEAR OF THE PANEL. IF A DATE AFTER 12/31/{YEAR} IS|

| ENTERED, DISPLAY THE FOLLOWING MESSAGE: “DATE |

| MUST BE ON OR BEFORE 12/31/{YEAR}. IF PERSON WAS |

| ONLY FULL-TIME MILITARY AFTER 12/31/{YEAR}, |

| BACK-UP AND CHANGE RESPONSE TO RE95B.” |

----------------------------------------------------

END_LP12B

=========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |

| THAT MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_12B AND CONTINUE WITH BOX_34AA |

----------------------------------------------------




BOX_34AA

========


----------------------------------------------------

| IF NOT ROUND 1 |

| AND |

| AT LEAST ONE PERSON ON THE RU-MEMBERS-ROSTER: |

| - IS > 16 YEARS OLD AND < 60 YEARS OLD |

| AND |

| - NOT ADDED TO THE RU THIS ROUND, |

| GO TO LOOP_12A0 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_35B |

----------------------------------------------------




LOOP_12A0

=========


----------------------------------------------------

| FOR EACH ELEMENT IN RU-MEMBERS-ROSTER, ASK |

| RE96B1-END_LP12A0 |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_12A0 COLLECTS INFORMATION |

| TO DETERMINE WHETHER PERSON IS CURRENTLY ON |

| FULL-TIME ACTIVE DUTY IN THE MILITARY AND IF “YES”|

| WHEN PERSON ENTERED ACTIVE DUTY IN THE ARMED |

| FORCES. THIS LOOP CYCLES ON RU MEMBERS WHO ARE |

| > 16 YEARS OLD AND < 60 YEARS OLD AND NOT ADDED TO|

| THE RU THIS ROUND. |

----------------------------------------------------

RE96B1

======


{PERSON'S FIRST MIDDLE AND LAST NAME}


{Is/Was} (PERSON) currently serving on full-time active duty

in the Armed Forces of the United States {on December 31, {YEAR}}?


YES .................................... 1

NO ..................................... 2 {END_LP12A0}

REF ................................... -7 {END_LP12A0}

DK .................................... -8 {END_LP12A0}


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.



----------------------------------------------------

| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |

| ROUND 5. |

| |

| DISPLAY ‘on December 31, {YEAR}’, WHERE ‘YEAR’ IS |

| THE SECOND CALENDAR YEAR OF THE PANEL, IF ROUND 5.|

| OTHERWISE, USE A NULL DISPLAY. |

----------------------------------------------------


----------------------------------------------------

| IF CODED ‘1’ (YES), FLAG PERSON AS ‘FULL-TIME |

| MILITARY AND LIVING IN RU’. |

----------------------------------------------------


----------------------------------------------------

| IF CODED ‘1’ (YES), AND PREVIOUS ROUND STATUS NOT |

| FULL-TIME MILITARY LIVING IN THE RU/FULL-TIME |

| MILITARY IN U.S. AND NOT ON A MILITARY FACILITY, |

| CONTINUE WITH RE96B2 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO END_LP12A0 |

----------------------------------------------------



RE96B2

======


{PERSON'S FIRST MIDDLE AND LAST NAME}


On what date did (PERSON) enter full-time active duty service

in the Armed Forces?


[Enter Month, Day, Year -4] ............ {END_LP12A0}

REF ................................... -7 {END_LP12A0}

DK .................................... -8 {END_LP12A0}


HELP AVAILABLE FOR DEFINITION OF FULL-TIME ACTIVE DUTY.



----------------------------------------------------

| HARD CHECK: |

| EDIT (FOR ROUND 5): DATE MUST BE ON OR BEFORE |

| 12/31/{YEAR}, WHERE ‘YEAR’ IS THE SECOND CALENDAR |

| YEAR OF THE PANEL. IF A DATE AFTER 12/31/{YEAR} IS|

| ENTERED, DISPLAY THE FOLLOWING MESSAGE: “DATE |

| MUST BE ON OR BEFORE 12/31/{YEAR}. IF PERSON WAS |

| ONLY FULL-TIME MILITARY AFTER 12/31/{YEAR}, |

| BACK-UP AND CHANGE RESPONSE TO RE96B1.” |

----------------------------------------------------




END_LP12A0

==========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |

| THAT MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_12A0 AND CONTINUE WITH BOX_35B |

----------------------------------------------------




BOX_35AA

========

OMITTED.



BOX_35B

=======


----------------------------------------------------

| IF AT LEAST ONE RU MEMBER MEETS ALL OF THE |

| FOLLOWING CONDITIONS, CONTINUE WITH RE96F: |

| |

| IF ROUND 1: |

| - AGE > 16 |

| AND |

| - RE35 IS NOT CODED ‘6’ THAT IS NOT CODED AS |

| ‘FULL TIME ACTIVE DUTY IN THE MILITARY’ |

| AND |

| - IS NOT CODED AS ‘CURRENTLY SERVING ON ACTIVE |

| DUTY IN THE MILITARY AND LIVING IN THE RU’ |

| (BOTH [NOT SELECTED AT RE95 AND RE95B] AND |

| [RE96B1 NOT CODED ‘1’]) |

| |

| IF ROUND 2-5: |

| AND |

| - [PERSON ADDED TO THE RU THIS ROUND OR PERSON’S|

| STATUS IN THE PREVIOUS ROUND WAS ‘FULL TIME |

| MILITARY AND LIVING IN THE RU’] |

| AND |

| - AGE > 16 |

| AND |

| - IS NOT CODED AS ‘CURRENTLY SERVING ON ACTIVE |

| DUTY IN THE MILITARY AND LIVING IN THE RU’ |

| (BOTH [NOT SELECTED AT RE95 AND RE95B] AND |

| [RE96B1 NOT CODED ‘1’]) |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_35A |

----------------------------------------------------


RE96F

=====


{PERSON’S FIRST MIDDLE AND LAST NAME}


(Have/Has) (READ NAMES BELOW) ever been honorably discharged from

active duty in the U.S. Army, Navy, Air Force, Marine Corps or Coast

Guard?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


YES .................................... 1 {RE96G}

NO ..................................... 2 {BOX_35A}

REF ................................... -7 {BOX_35A}

DK .................................... -8 {BOX_35A}



----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. DISPLAY ONLY. |

| |

| 2. ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS- |

| ROSTER WHO MEET ALL OF THE FOLLOWING CONDITIONS: |

| |

| IF ROUND 1: |

| - AGE > 16 |

| AND |

| - RE35 IS NOT CODED ‘6’ THAT IS NOT CODED AS |

| ‘FULL TIME ACTIVE DUTY IN THE MILITARY’ |

| AND |

| - IS NOT CODED AS ‘CURRENTLY SERVING ON ACTIVE |

| DUTY IN THE MILITARY AND LIVING IN THE RU’ |

| (BOTH [NOT SELECTED AT RE95 AND RE95B] AND |

| [RE96B1 NOT CODED ‘1’]) |

| |

| IF ROUND 2-5: |

| AND |

| - [PERSON ADDED TO THE RU THIS ROUND OR PERSON’S|

| STATUS IN THE PREVIOUS ROUND WAS ‘FULL TIME |

| MILITARY AND LIVING IN THE RU’] |

| AND |

| - AGE > 16 |

| AND |

| - IS NOT CODED AS ‘CURRENTLY SERVING ON ACTIVE |

| DUTY IN THE MILITARY AND LIVING IN THE RU’ |

| (BOTH [NOT SELECTED AT RE95 AND RE95B] AND |

| [RE96B1 NOT CODED ‘1’]) |

----------------------------------------------------




RE96G

=====


Who was this?


PROBE: Anyone else?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]



----------------------------------------------------

| CONTINUE WITH BOX_35A |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| MULTIPLE SELECT ALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS- |

| ROSTER WHO MEET ALL OF THE FOLLOWING CONDITIONS: |

| |

| IF ROUND 1: |

| - AGE > 16 |

| AND |

| - RE35 IS NOT CODED ‘6’ THAT IS NOT CODED AS |

| ‘FULL TIME ACTIVE DUTY IN THE MILITARY’ |

| AND |

| - IS NOT CODED AS ‘CURRENTLY SERVING ON ACTIVE |

| DUTY IN THE MILITARY AND LIVING IN THE RU’ |

| (BOTH [NOT SELECTED AT RE95 AND RE95B] AND |

| [RE96B1 NOT CODED ‘1’]) |

| |

| IF ROUND 2-5: |

| AND |

| - [PERSON ADDED TO THE RU THIS ROUND OR PERSON’S|

| STATUS IN THE PREVIOUS ROUND WAS ‘FULL TIME |

| MILITARY AND LIVING IN THE RU’] |

| AND |

| - AGE > 16 |

| AND |

| - IS NOT CODED AS ‘CURRENTLY SERVING ON ACTIVE |

| DUTY IN THE MILITARY AND LIVING IN THE RU’ |

| (BOTH [NOT SELECTED AT RE95 AND RE95B] AND |

| [RE96B1 NOT CODED ‘1’]) |

----------------------------------------------------



BOX_35A

=======


----------------------------------------------------

| IF AT LEAST ONE RU MEMBER IS KEY AND NOT FULL-TIME|

| MILITARY (THAT IS, KEY AND NOT FLAGGED AS EITHER: |

| - ‘FULL-TIME MILITARY AND LIVING IN RU’ |

| OR |

| - ‘FULL-TIME MILITARY IN U.S. AND NOT ON MILITARY|

| FACILITY’, |

| PERSONS SELECTED AT RE95 OR IN LOOP_12A0 AS |

| ‘FULL-TIME MILITARY LIVING IN RU’ ARE ELIGIBLE |

| FOR THIS INTERVIEW. |

----------------------------------------------------


----------------------------------------------------

| IF NO RU MEMBER IS KEY AND NOT FULL-TIME MILITARY |

| (THAT IS, KEY AND NOT FLAGGED AS EITHER: |

| - ‘FULL-TIME MILITARY AND LIVING IN RU’ |

| OR |

| - ‘FULL-TIME MILITARY IN U.S. AND NOT ON MILITARY|

| FACILITY’, |

| PERSONS SELECTED AT RE95 OR IN LOOP_12A0 AS |

| ‘FULL-TIME MILITARY LIVING IN RU’ ARE NOT |

| ELIGIBLE FOR THIS INTERVIEW. REMOVE ALL PERSONS |

| FLAGGED AS ‘FULL-TIME MILITARY LIVING IN RU’ FROM |

| THE RU-MEMBERS-ROSTER AND FLAG PERSONS AS REMOVED |

| AT RE95 OR LOOP_12A0. |

----------------------------------------------------


----------------------------------------------------

| IF NO ONE WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| AT RE95 OR LOOP_12A0, |

| GO TO BOX_35 |

----------------------------------------------------


----------------------------------------------------

| IF AT LEAST ONE PERSON WAS REMOVED FROM THE RU- |

| MEMBERS-ROSTER AT RE95 OR LOOP_12A0 |

| AND |

| AT LEAST ONE PERSON REMAINS ELIGIBLE FOR THE |

| THE INTERVIEW (THAT IS, THE RU-MEMBERS-ROSTER IS |

| NOT EMPTY), |

| GO TO RE96E |

----------------------------------------------------


----------------------------------------------------

| IF THE RU-MEMBERS-ROSTER IS EMPTY (THAT IS, ALL |

| REMAINING RU MEMBERS WERE REMOVED AT RE95 OR |

| LOOP_12A0), CONTINUE WITH RE96C |

----------------------------------------------------

RE96C

=====


INTERVIEWER: THERE ARE NO ELIGIBLE INDIVIDUALS REMAINING IN THIS

RU. PLEASE REPORT THIS SITUATION TO YOUR SUPERVISOR.


PRESS ENTER OR SELECT NEXT PAGE TO END THE INTERVIEW.




RE96D

=====


INTERVIEWER: DID YOU COMPLETE THIS INTERVIEW IN-PERSON OR BY

TELEPHONE? (YOU MUST HAVE SUPERVISOR APPROVAL PRIOR TO

INTERVIEWING BY TELEPHONE.)


IN-PERSON ............................. 1 {BOX_37}

TELEPHONE ............................. 2 {BOX_37}


[Code One]




RE96E

=====


At this time, we are collecting information only about some of

the people in this family. Therefore, we will not collect any

additional information about (READ NAMES BELOW).


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]



----------------------------------------------------

| CONTINUE WITH BOX_35 |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY DU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS DU-MEMBERS-ROSTER FOR DISPLAY |

| OF DU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY PERSONS WHO ARE FLAGGED AS ‘FULL-TIME |

| MILITARY LIVING IN RU’ AND WHO WERE REMOVED FROM |

| THE RU-MEMBERS-ROSTER DURING THIS INTERVIEW. |

----------------------------------------------------




BOX_35

======


----------------------------------------------------

| IF ANY PERSONS ON THE RU-MEMBERS-ROSTER MEET THE |

| FOLLOWING CONDITION: |

| - AGE = OR > 16, |

| CONTINUE WITH RE97 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_37 |

----------------------------------------------------




BOX_36

======

OMITTED.



RE97

====


{(Are/Is) (PERSON) now/As of December 31, {YEAR}, (were/was)

(PERSON)} married, widowed, divorced, separated, or never married?


|------------------------------------|------------------------------------|

| ROSTER. NAME | RE97_02. MARITAL STATUS |

|------------------------------------|------------------------------------|

| 1. First Name Middle Name Last | [Enter Selection] |

| Name-35 | |

|------------------------------------|------------------------------------|

| 2. First Name Middle Name Last | [Enter Selection] |

| Name-35 | |

|------------------------------------|------------------------------------|

| 3. First Name Middle Name Last | [Enter Selection] |

| Name-35 | |

|------------------------------------|------------------------------------|


HELP AVAILABLE FOR DEFINITIONS OF MARITAL STATUS CODES.



----------------------------------------------------

| DISPLAY ‘(Are/Is) (PERSON) now’ IF NOT ROUND 5. |

| DISPLAY ‘As of December 31, {YEAR}, (were/was) |

| (PERSON)’, WHERE ‘YEAR’ IS THE SECOND CALENDAR |

| YEAR OF THE PANEL, IF ROUND 5. |

----------------------------------------------------


----------------------------------------------------

| REFUSED AND DON’T KNOW ALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_5 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

| |

| COL # 2 HEADER: MARITAL STATUS |

| INSTRUCTIONS: DISPLAY RU MEMBER’S MARITAL STATUS |

| (PRND.MARISTAT) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR ENTRY |

| OF MARITAL STATUS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. THE RU MEMBERS COLUMN IS PROTECTED; NO CHANGES |

| ARE ALLOWED. |

| |

| 2. THE MARITAL STATUS COLUMN PROVIDES A DROP-DOWN |

| LIST OF STATUS INCLUDING: MARRIED, WIDOWED, |

| DIVORCED, SEPARATED, NEVER MARRIED, RF, DK. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS AGE 16 OR OLDER. |

----------------------------------------------------




BOX_37

======


----------------------------------------------------

| IF ANY PERSON ON THE DU-MEMBERS-ROSTER MEETS |

| ANY ONE OF THE FOLLOWING CONDITIONS: |

| - PERSON IS AN RU MEMBER AND ETHNICITY DATA ARE |

| MISSING |

| OR |

| - PERSON IS FLAGGED AS A ‘NEW STUDENT’ ASSOCIATED|

| WITH THIS RU AND ETHNICITY DATA ARE MISSING, |

| CONTINUE WITH LOOP_13 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_38 |

----------------------------------------------------




LOOP_13

=======


----------------------------------------------------

| FOR EACH ELEMENT IN THE DU-MEMBERS-ROSTER, ASK |

| RE98A-END_LP13 |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_13 COLLECTS ETHNICITY FOR |

| RU MEMBERS AND NEW STUDENTS WHOSE ETHNICITY DATA |

| ARE MISSING. THIS LOOP CYCLES ON DU MEMBERS WHO |

| MEET EITHER OF THE FOLLOWING CONDITIONS: |

| - PERSON IS AN RU MEMBER AND ETHNICITY DATA ARE |

| MISSING |

| OR |

| - PERSON IS FLAGGED AS A ‘NEW STUDENT’ ASSOCIATED|

| WITH THIS RU AND ETHNICITY DATA ARE MISSING |

----------------------------------------------------




BOX_37A

=======

OMITTED.


RE98

====

OMITTED.


RE99

====

OMITTED.


RE100

=====

OMITTED.


RE100OV

=======

OMITTED.




RE98A

=====


{PERSON'S FIRST MIDDLE AND LAST NAME}


SHOW CARD RE-1B.


(Do/Does) (PERSON) consider (yourself/himself/herself) Hispanic

or Latino?


YES .................................... 1 {RE100A}

NO ..................................... 2 {END_LP13}

REF ................................... -7 {END_LP13}

DK .................................... -8 {END_LP13}




RE100A

======


{PERSON'S FIRST MIDDLE AND LAST NAME}


SHOW CARD RE-1B.


Please look at this card and tell me which group best describes

(PERSON)’s ethnic background.


PUERTO RICAN ........................... 1 {END_LP13}

CUBAN/CUBAN AMERICAN ................... 2 {END_LP13}

DOMINICAN .............................. 3 {END_LP13}

MEXICAN ................................ 4 {END_LP13}

MEXICAN-AMERICAN ....................... 5 {END_LP13}

CENTRAL OR SOUTH AMERICAN .............. 6 {END_LP13}

OTHER LATIN AMERICAN .................. 91 {END_LP13}

OTHER HISPANIC/LATINO ................. 92 {END_LP13}

REF ................................... -7 {END_LP13}

DK .................................... -8 {END_LP13}


[Code One]




RE100AOV1

=========

OMITTED.


RE100AOV2

=========

OMITTED.

END_LP13

========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE DU-MEMBERS-ROSTER |

| WHO MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_13 AND CONTINUE WITH BOX_38 |

----------------------------------------------------




BOX_38

======


----------------------------------------------------

| IF ANY PERSON ON THE DU-MEMBERS-ROSTER MEETS |

| ANY ONE OF THE FOLLOWING CONDITIONS: |

| - PERSON IS AN RU MEMBER AND RACE DATA ARE |

| MISSING |

| OR |

| - PERSON IS FLAGGED AS A ‘NEW STUDENT’ ASSOCIATED|

| WITH THIS RU AND RACE DATA ARE MISSING, |

| CONTINUE WITH LOOP_14 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO LOOP_15 |

----------------------------------------------------




LOOP_14

=======


----------------------------------------------------

| FOR EACH ELEMENT IN THE DU-MEMBERS-ROSTER, ASK |

| RE101A-END_LP14 |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_14 COLLECTS RACE DATA FOR |

| RU MEMBERS AND NEW STUDENTS WHOSE RACE DATA ARE |

| IS MISSING. THIS LOOP CYCLES ON DU MEMBERS WHO |

| MEET EITHER OF THE FOLLOWING CONDITIONS: |

| - PERSON IS AN RU MEMBER AND RACE DATA ARE |

| MISSING |

| OR |

| - PERSON IS FLAGGED AS A ‘NEW STUDENT’ ASSOCIATED|

| WITH THIS RU AND RACE DATA ARE MISSING |

----------------------------------------------------




BOX_37B

=======

OMITTED.


RE101

=====

OMITTED.


RE102

=====

OMITTED.


RE102OV

=======

OMITTED.




RE101A

======


{PERSON'S FIRST MIDDLE AND LAST NAME}


SHOW CARD RE-2B.


Please look at this card and tell me which race or races best

describes (PERSON).


CHECK ALL THAT APPLY.


WHITE .................................. 1

BLACK/AFRICAN AMERICAN ................. 2

AMERICAN INDIAN OR ALASKA NATIVE ....... 3

ASIAN .................................. 4

NATIVE HAWAIIAN OR OTHER PACIFIC

ISLANDER ............................. 5

OTHER: SPECIFY ........................ 91

REF ................................... -7 {BOX_38A}

DK .................................... -8 {BOX_38A}


[Code All That Apply]



----------------------------------------------------

| FOR SPECIFICATIONS PURPOSES ONLY (CAPI HANDLES |

| AUTOMATICALLY): ‘-7’ (REFUSED) AND ‘-8’ (DON’T |

| KNOW) NOT ALLOWED IN COMBINATION WITH ANY OTHER |

| CODES. |

----------------------------------------------------


----------------------------------------------------

| IF CODED ‘91’ (OTHER: SPECIFY) ALONE OR IN |

| COMBINATION W/ OTHER CODES, CONTINUE WITH |

| RE101AOV3 |

----------------------------------------------------


----------------------------------------------------

| IF CODED ‘4’ (ASIAN) ALONE OR IN COMBINATION WITH |

| OTHER CODES EXCEPT ‘91’, GO TO RE101B |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_38A |

----------------------------------------------------


RE101AOV3

=========


OTHER RACE:


[Enter Other Specify] ..................

REF ................................... -7

DK .................................... -8



----------------------------------------------------

| IF RE101A CODED ‘4’ (ASIAN) IN COMBINATION WITH |

| CODE ‘91’ (OTHER: SPECIFY), CONTINUE WITH RE101B |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_38A |

----------------------------------------------------




RE101AOV1

=========

OMITTED.


RE101AOV2

=========

OMITTED.




RE101B

======


{PERSON'S FIRST MIDDLE AND LAST NAME}


SHOW CARD RE-2C.


Please look at this card and tell me which group best describes

(PERSON)’s ethnic background.


ASIAN INDIAN ........................... 1 {BOX_38A}

CHINESE ................................ 2 {BOX_38A}

FILIPINO ............................... 3 {BOX_38A}

JAPANESE ............................... 4 {BOX_38A}

KOREAN ................................. 5 {BOX_38A}

VIETNAMESE ............................. 6 {BOX_38A}

OTHER ASIAN: SPECIFY .................. 91 {RE101BOV}

REF ................................... -7 {BOX_38A}

DK .................................... -8 {BOX_38A}


RE101BOV

========


OTHER ASIAN:


[Enter Other Asian Specify] ............. {BOX_38A}

REF ................................... -7 {BOX_38A}

DK .................................... -8 {BOX_38A}




BOX_38A

=======


----------------------------------------------------

| GO TO END_LP14 |

----------------------------------------------------




RE102A

======

OMITTED.




END_LP14

========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE DU-MEMBERS-ROSTER |

| WHO MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_14 AND CONTINUE WITH LOOP_15 |

----------------------------------------------------




LOOP_15

=======


----------------------------------------------------

| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |

| BOX_39-END_LP15 |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_15 COLLECTS INFORMATION ON |

| EDUCATION LEVEL OF ALL RU MEMBERS AND NEW |

| STUDENTS. THIS LOOP CYCLES ON RU MEMBERS WHO |

| MEET EITHER OF THE FOLLOWING CONDITIONS: |

| - PERSON IS AN RU MEMBER (THAT IS, CURRENTLY ON |

| THE RU-MEMBERS-ROSTER FOR THIS RU) |

| OR |

| - PERSON IS FLAGGED AS A ‘NEW STUDENT’ ASSOCIATED|

| WITH THIS RU |

----------------------------------------------------




BOX_39

======


----------------------------------------------------

| IF PERSON’S AGE <= 4 YEARS, CODE RE103 AS ‘0’ |

| (NEVER ATTENDED SCHOOL/KINDERGARTEN ONLY) |

| AUTOMATICALLY BY CAPI, THEN GO TO END_LP15 |

----------------------------------------------------


----------------------------------------------------

| IF ROUND 1, CONTINUE WITH RE103 |

----------------------------------------------------


----------------------------------------------------

| IF NOT ROUND 1 |

| AND |

| PERSON WAS ADDED TO THE RU THIS ROUND (I.E., NEW |

| RU MEMBER), |

| CONTINUE WITH RE103 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE (I.E., NOT ROUND 1 AND PERSON WAS NOT |

| ADDED TO THE RU THIS ROUND (NOT NEW RU MEMBER)), |

| GO TO END_LP15 |

----------------------------------------------------


RE103

=====


{PERSON'S FIRST MIDDLE AND LAST NAME}


{As of December 31, {YEAR}, what/What} is the highest grade or

year of regular school (PERSON) ever completed?


NEVER ATTENDED SCHOOL/KINDERGARTEN

ONLY ...................................... 0

ELEMENTARY:

FIRST GRADE ............................ 1

SECOND GRADE ........................... 2

THIRD GRADE ............................ 3

FOURTH GRADE ........................... 4

FIFTH GRADE ............................ 5

SIXTH GRADE ............................ 6

SEVENTH GRADE .......................... 7

EIGHTH GRADE ........................... 8

HIGH SCHOOL:

NINTH GRADE ............................ 9

TENTH GRADE ........................... 10

ELEVENTH GRADE ........................ 11

TWELFTH GRADE (HIGH SCHOOL DIPLOMA) ... 12

COLLEGE:

FIRST YEAR ............................ 13 {RE105}

SECOND YEAR ........................... 14 {RE105}

THIRD YEAR ............................ 15 {RE105}

FOURTH YEAR (BACHELOR’S DEGREE) ....... 16 {RE105}

FIVE OR MORE YEARS (GRADUATE DEGREE) .. 17 {RE105}

REF ...................................... -7 {RE105}

DK ....................................... -8 {RE105}


[Code One]


HELP AVAILABLE FOR DEFINITIONS OF REGULAR SCHOOL AND GRADE OR YEAR.



----------------------------------------------------

| DISPLAY ‘What’ IF NOT ROUND 5. DISPLAY ‘As of |

| December 31, {YEAR}, what’ IF ROUND 5, WHERE |

| ‘YEAR’ IS THE SECOND CALENDAR YEAR OF THE PANEL. |

----------------------------------------------------


----------------------------------------------------

| IF CODED ‘0’ (NEVER ATTENDED SCHOOL/KINDERGARTEN |

| ONLY) THROUGH ‘12’ (TWELFTH GRADE (HIGH SCHOOL |

| DIPLOMA)) AND PERSON = OR > 16, CONTINUE WITH |

| RE104 |

----------------------------------------------------

----------------------------------------------------

| IF CODED ‘13’ THROUGH ‘17’ (COLLEGE LEVEL), ‘-7’ |

| (REFUSED), OR ‘-8’ (DON’T KNOW), GO TO RE105 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO END_LP15 |

----------------------------------------------------




RE104

=====


{PERSON'S FIRST MIDDLE AND LAST NAME}


{{Do/Does/Did}/As of December 31, {YEAR} did}

(PERSON) have a high school diploma or

{{have/has/had}/had} (PERSON) passed the GED equivalency test?


HAVE HIGH SCHOOL DIPLOMA ............... 1 {END_LP15}

PASSED GED ............................. 2 {END_LP15}

NEITHER HIGH SCHOOL DIPLOMA OR GED ..... 3 {END_LP15}

REF ................................... -7 {END_LP15}

DK .................................... -8 {END_LP15}


[Code One]


HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.


----------------------------------------------------

| DISPLAY ‘Do’ AND ‘have’ IF PERSON IS RESPONDENT. |

| DISPLAY ‘Does’ AND ‘has’ IF PERSON IS NOT |

| RESPONDENT AND LIVING. DISPLAY ‘Did’ AND ‘had’ |

| IF PERSON IS DECEASED. |

----------------------------------------------------


----------------------------------------------------

| IF NOT ROUND 5, DISPLAY ‘(Do/Does/Did)’. IF |

| ROUND 5, DISPLAY ‘As of December 31, {YEAR}, did’,|

| WHERE ‘YEAR’ IS THE SECOND CALENDAR YEAR OF THE |

| PANEL. |

----------------------------------------------------


----------------------------------------------------

| IF NOT ROUND 5, DISPLAY {have/has/had}. IF ROUND |

| 5, DISPLAY ‘had’. |

----------------------------------------------------




BOX_40

======

OMITTED.




RE105

=====


{PERSON’S FIRST MIDDLE AND LAST NAME}


What is the highest educational degree (PERSON) obtained

{as of December 31, {YEAR}}?


BACHELOR’S DEGREE ....................... 1 {END_LP15}

MASTER’S DEGREE ......................... 2 {END_LP15}

DOCTORATE DEGREE ........................ 3 {END_LP15}

NO DEGREE ............................... 4 {END_LP15}

OTHER .................................. 91 {END_LP15}

REF .................................... -7 {END_LP15}

DK ..................................... -8 {END_LP15}


[Code One]


HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.



----------------------------------------------------

| DISPLAY ‘as of December 31, {YEAR}’ IF ROUND 5, |

| WHERE ‘YEAR’ IS THE SECOND CALENDAR YEAR OF THE |

| PANEL. OTHERWISE, USE NULL A DISPLAY. |

----------------------------------------------------




END_LP15

========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE DU-MEMBERS-ROSTER |

| WHO MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_15 AND CONTINUE WITH BOX_41 |

----------------------------------------------------


BOX_41

======


----------------------------------------------------

| IF RU TYPE IS STANDARD OR NEW (NOT A STUDENT RU) |

| AND |

| IF ANY PERSON ON THE RU-MEMBERS-ROSTER MEETS |

| BOTH OF THE FOLLOWING CONDITIONS: |

| - AGE 17-23, INCLUSIVE |

| AND |

| - NOT CODED AS LIVING AWAY AT SCHOOL IN GRADES |

| 1-12, |

| CONTINUE WITH RE106 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_41A |

----------------------------------------------------




RE106

=====


{(Is/Are)/As of December 31, {YEAR}, (were/was)} (READ NAMES BELOW)

attending school either part-time or full-time?


SELECT ‘YES’ IF ANY PERSON ATTENDING SCHOOL.


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


YES ..................................... 1 {RE107}

NO ...................................... 2 {BOX_41A}

REF .................................... -7 {BOX_41A}

DK ..................................... -8 {BOX_41A}


HELP AVAILABLE FOR DEFINITIONS OF PART-TIME/FULL-TIME.



----------------------------------------------------

| DISPLAY ‘(Is/Are)’ IF NOT ROUND 5. DISPLAY ‘As of|

| December 31, {YEAR}, (were/was)’, WHERE ‘YEAR’ IS |

| THE SECOND CALENDAR YEAR OF THE PANEL, IF ROUND 5.|

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS AGE 17 TO 23 INCLUSIVE AND WHO|

| ARE NOT CODED AS LIVING AWAY AT SCHOOL IN GRADES |

| 1-12. |

----------------------------------------------------




RE107

=====


Who {is/was} attending school either part-time or full-time

{on December 31, {YEAR}}?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]



----------------------------------------------------

| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |

| ROUND 5. DISPLAY ‘on December 31, {YEAR}’ IF |

| ROUND 5, WHERE ‘YEAR’ IS THE SECOND CALENDAR YEAR |

| OF THE PANEL. OTHERWISE, USE A NULL DISPLAY. |

----------------------------------------------------


----------------------------------------------------

| CONTINUE WITH BOX_41A |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. MULTIPLE SELECT ALLOWED. |

| |

| 2. ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS AGE 17 TO 23 INCLUSIVE AND WHO|

| ARE NOT CODED AS LIVING AWAY AT SCHOOL IN GRADES |

| 1-12. |

----------------------------------------------------




BOX_41A

=======


----------------------------------------------------

| IF ANY RU MEMBERS MEET EITHER OF THE FOLLOWING |

| CONDITIONS: |

| - SELECTED AT RE107 |

| OR |

| - CODED AS LIVING AWAY AT SCHOOL IN GRADES 1-12, |

| CONTINUE WITH RE108 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_41B |

----------------------------------------------------

RE108

=====


{[Earlier you mentioned (PERSON) was living away at school in

grades 1-12.]} {Is/Was} (PERSON) attending school part-time or

full-time?


|------------------------------------|-------------------------------------|

| ROSTER. NAME | RE108_02. PART-TIME/FULL-TIME STATUS|

|------------------------------------|-------------------------------------|

| 1. First Name Middle Name Last | [Enter Selection] |

| Name-35 | |

|------------------------------------|-------------------------------------|

| 2. First Name Middle Name Last | [Enter Selection] |

| Name-35 | |

|------------------------------------|-------------------------------------|

| 3. First Name Middle Name Last | [Enter Selection] |

| Name-35 | |

|------------------------------------|-------------------------------------|


HELP AVAILABLE FOR DEFINITIONS OF PART-TIME/FULL-TIME.



---------------------------------------------------

| DISPLAY ‘[Earlier you mentioned (PERSON) was |

| living away at school in grades 1-12.]’ IF |

| PERSON BEING ASKED ABOUT IS CODED AS LIVING AWAY |

| AT SCHOOL IN GRADES 1-12. OTHERWISE, USE NULL |

| DISPLAY. |

---------------------------------------------------


----------------------------------------------------

| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |

| ROUND 5. |

----------------------------------------------------


----------------------------------------------------

| REFUSED AND DON’T KNOW ALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_MEMBERS_6 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY RU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

| |

| COL # 2 HEADER: PART-TIME/FULL-TIME STATUS |

| INSTRUCTIONS: DISPLAY RU MEMBERS’ STUDENT STATUS |

| (PRND.STUDTIME) |

----------------------------------------------------

----------------------------------------------------

| ROSTER DEFINITION: |

| DISPLAY THE RU-MEMBERS-ROSTER FOR ENTRY OF SCHOOL |

| STATUS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. MULTIPLE SELECT ALLOWED. |

| |

| 2. ADD, DELETE, AND EDIT DISALLOWED. |

| |

| 3. DISPLAY PERSONS WHO ARE AGE 17-23 INCLUSIVE, |

| ATTENDING SCHOOL PART-TIME OR FULL-TIME (I.E., |

| SELECTED AT RE107) FIRST ON THE ROSTER. THEN |

| DISPLAY PERSONS CODED AS LIVING AWAY AT SCHOOL |

| GRADES 1-12. |

| |

| 4. THE STATUS COLUMN PROVIDES A DROP-DOWN LIST OF |

| CHOICES INCLUDING: PART-TIME, FULL-TIME, -7, |

| AND -8. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS WHO MEET ONE OF THE FOLLOWING |

| CONDITIONS: |

| - AGE 17-23 AND ATTENDING SCHOOL PART-TIME OR |

| FULL-TIME (I.E., SELECTED AT RE107) |

| OR |

| - PREVIOUSLY CODED AS LIVING AWAY AT SCHOOL |

| GRADES 1-12 |

----------------------------------------------------


BOX_41B

=======


----------------------------------------------------

| IF ROUND 1 OR ROUND 3 |

| AND |

| IF AT LEAST ONE ELIGIBLE RU MEMBER, THEN GO TO |

| BOX_41BB |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_42 |

----------------------------------------------------



BOX_41BB

========


----------------------------------------------------

| IF HOUSEHOLD CONSISTS OF EITHER ONE OR TWO |

| MEMBERS, GO TO RE108A |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO RE108B |

----------------------------------------------------




RE108A

======


INTERVIEWER: REFER TO HOUSEHOLD SUMMARY.


IS REFERENCE PERSON LESS THAN 65 YEARS OLD, OR AGE 65 AND OLDER?


LESS THAN 65 YEARS OLD .................. 1 {RE108B}

AGE 65 OR OLDER ......................... 2 {RE108B}


[Code One]

RE108B

======


{SHOWCARD RE-}


Please look at the various sources of income listed on the top of

this card and think for a moment about the income received from

these sources by all household members during the calendar year

{YEAR}.


Please tell me the letter on the bottom of the card that corresponds

to your household’s total income from these sources during {YEAR}.


IF RESPONDENT WILL NOT ANSWER WITH A YEARLY INCOME AND MONTHLY

INCOME VARIES, PROBE: Please pick the typical or average or most

recent monthly amount.



A. {< 100%) ............................. 1 {BOX_42}

B. {100% - 150%} ........................ 2 {BOX_42}

C. {150% - 200%} ........................ 3 {BOX_42}

D. {200% - 300%} ........................ 4 {BOX_42}

E. {> 300%} ............................. 5 {BOX_42}

REF .................................... -7 {BOX_42}

DK ..................................... -8 {BOX_42}


[Code One]



----------------------------------------------------

| (FOR SPECIFICATIONS ONLY; ‘YEAR’ IN PROGRAM IS |

| HARD-CODED.) IF ROUND 1, DISPLAY THE YEAR PRIOR |

| TO THE FIRST YEAR OF THE PANEL FOR ‘YEAR’. IF |

| ROUND 3, DISPLAY THE FIRST YEAR OF THE PANEL FOR |

| ‘YEAR’. |

----------------------------------------------------


----------------------------------------------------

| FOR ‘SHOWCARD RE-’ DISPLAY THE FOLLOWING: |

| |

| - IF RE-108A IS CODED ‘1’ (LESS THAN 65 YEARS |

| OLD), AND HOUSEHOLD ROSTER LISTS ONE RU MEMBER, |

| DISPLAY ‘SHOWCARD RE-3A’ |

| |

| - IF RE-108A IS CODED ‘1’ (LESS THAN 65 YEARS |

| OLD), AND HOUSEHOLD ROSTER LISTS TWO RU MEMBERS,|

| DISPLAY ‘SHOWCARD RE-3B’ |

| |

| - IF RE-108A IS CODED ‘2’ (AGE 65 OR OLDER), AND |

| HOUSEHOLD ROSTER LISTS ONE RU MEMBER, DISPLAY |

| ‘SHOWCARD RE-3C’ |

| |

| - IF RE-108A IS CODED ‘2’ (AGE 65 OR OLDER), AND |

| HOUSEHOLD ROSTER LISTS TWO RU MEMBERS, DISPLAY |

| ‘SHOWCARD RE-3D’ |

----------------------------------------------------


----------------------------------------------------

| FOR ALL HOUSEHOLD ROSTERS WITH MORE THAN TWO RU |

| MEMBERS, |

| |

| IF RU MEMBERSHIP = 3, DISPLAY ‘SHOWCARD RE-3E’ |

| IF RU MEMBERSHIP = 4, DISPLAY ‘SHOWCARD RE-3F’ |

| IF RU MEMBERSHIP = 5, DISPLAY ‘SHOWCARD RE-3G’ |

| IF RU MEMBERSHIP = 6, DISPLAY ‘SHOWCARD RE-3H’ |

| IF RU MEMBERSHIP = 7, DISPLAY ‘SHOWCARD RE-3I’ |

| IF RU MEMBERSHIP = 8, DISPLAY ‘SHOWCARD RE-3J’ |

| IF RU MEMBERSHIP = >9, DISPLAY ‘SHOWCARD RE-3K’ |

----------------------------------------------------


----------------------------------------------------

| FOR ANSWER CATEGORY DISPLAYS: |

| |

| IF RE-108A IS CODED ‘1’ (LESS THAN 65 YEARS OLD) |

| AND HOUSEHOLD ROSTER LISTS ONE RU MEMBER, |

| |

| FOR {< 100%}, DISPLAY ‘less than $11,300’ |

| FOR {100%-150%}, DISPLAY ‘$11,300-$17,000’ |

| FOR {150%-200%}, DISPLAY ‘$17,001-$22,700’ |

| FOR {200%-300%}, DISPLAY ‘$22,701-$34,000’ |

| FOR {> 300%}, DISPLAY ‘more than $34,000’ |

| |

| IF RE-108A IS CODED ‘1’ (LESS THAN 65 YEARS OLD) |

| AND HOUSEHOLD ROSTER LISTS TWO RU MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $14,700’ |

| FOR {100%-150%}, DISPLAY ‘$14,700-$22,000’ |

| FOR {150%-200%}, DISPLAY ‘$22,001-$29,300’ |

| FOR {200%-300%}, DISPLAY ‘$29,301-$44,000’ |

| FOR {> 300%}, DISPLAY ‘more than $44,000’ |

| |

| IF RE-108A IS CODED ‘2’ (AGE 65 OR OLDER) AND |

| HOUSEHOLD ROSTER LISTS ONE RU MEMBER, |

| |

| FOR {< 100%}, DISPLAY ‘less than $10,400’ |

| FOR {100%-150%}, DISPLAY ‘$10,400-$15,700’ |

| FOR {150%-200%}, DISPLAY ‘$15,701-$20,900’ |

| FOR {200%-300%}, DISPLAY ‘$20,901-$31,300’ |

| FOR {> 300%}, DISPLAY ‘more than $31,300’ |

| |

| IF RE-108A IS CODED ‘2’ (AGE 65 OR OLDER) AND |

| HOUSEHOLD ROSTER LISTS TWO RU MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $13,200’ |

| FOR {100%-150%}, DISPLAY ‘$13,200-$19,800’ |

| FOR {150%-200%}, DISPLAY ‘$19,801-$26,400’ |

| FOR {200%-300%}, DISPLAY ‘$26,401-$39,500’ |

| FOR {> 300%}, DISPLAY ‘more than $39,500’ |

----------------------------------------------------

----------------------------------------------------

| IF RU ROSTER LISTS THREE HOUSEHOLD MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $17,400’ |

| FOR {100%-150%}, DISPLAY ‘$17,400-$26,000’ |

| FOR {150%-200%}, DISPLAY ‘$26,001-$34,700’ |

| FOR {200%-300%}, DISPLAY ‘$34,701-$52,100’ |

| FOR {> 300%}, DISPLAY ‘more than $52,100’ |

| |

| IF RU ROSTER LISTS FOUR HOUSEHOLD MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $22,300’ |

| FOR {100%-150%}, DISPLAY ‘$22,300-$33,400’ |

| FOR {150%-200%}, DISPLAY ‘$33,401-$44,500’ |

| FOR {200%-300%}, DISPLAY ‘$44,501-$66,800’ |

| FOR {> 300%}, DISPLAY ‘more than $66,800’ |

| |

| IF RU ROSTER LISTS FIVE HOUSEHOLD MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $26,300’ |

| FOR {100%-150%}, DISPLAY ‘$26,300-$39,500’ |

| FOR {150%-200%}, DISPLAY ‘$39,501-$52,700’ |

| FOR {200%-300%}, DISPLAY ‘$52,701-$79,000’ |

| FOR {> 300%}, DISPLAY ‘more than $79,000’ |

| |

| IF RU ROSTER LISTS SIX HOUSEHOLD MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $29,800’ |

| FOR {100%-150%}, DISPLAY ‘$29,800-$44,600’ |

| FOR {150%-200%}, DISPLAY ‘$44,601-$59,500’ |

| FOR {200%-300%}, DISPLAY ‘$59,501-$89,300’ |

| FOR {> 300%}, DISPLAY ‘more than $89,300’ |

| |

| IF RU ROSTER LISTS SEVEN HOUSEHOLD MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $33,700’ |

| FOR {100%-150%}, DISPLAY ‘$33,700-$50,500’ |

| FOR {150%-200%}, DISPLAY ‘$50,501-$67,400’ |

| FOR {200%-300%}, DISPLAY ‘$67,401-$101,100’ |

| FOR {> 300%}, DISPLAY ‘more than $101,100’ |

| |

| IF RU ROSTER LISTS EIGHT HOUSEHOLD MEMBERS, |

| |

| FOR {< 100%}, DISPLAY ‘less than $37,500’ |

| FOR {100%-150%}, DISPLAY ‘$37,500-$56,300’ |

| FOR {150%-200%}, DISPLAY ‘$56,301-$75,100’ |

| FOR {200%-300%}, DISPLAY ‘$75,101-$112,600’ |

| FOR {> 300%}, DISPLAY ‘more than $112,600’ |

----------------------------------------------------

----------------------------------------------------

| IF RU ROSTER LISTS NINE OR MORE HOUSEHOLD MEMBERS,|

| |

| FOR {< 100%}, DISPLAY ‘less than $44,800’ |

| FOR {100%-150%}, DISPLAY ‘$44,800-$67,200’ |

| FOR {150%-200%}, DISPLAY ‘$67,201-$89,600’ |

| FOR {200%-300%}, DISPLAY ‘$89,601-$134,400’ |

| FOR {> 300%}, DISPLAY ‘more than $134,400’ |

----------------------------------------------------




BOX_42

======


----------------------------------------------------

| IF AT LEAST ONE DU MEMBER WAS REMOVED FROM THE |

| RU-MEMBERS-ROSTER THIS ROUND AND IS FLAGGED AS A |

| ‘NEW STUDENT’, CONTINUE WITH RE109 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_43 |

----------------------------------------------------




RE109

=====


We may conduct a separate interview with (READ NAMES BELOW)

so I will remove (READ NAMES BELOW) from this form.


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


LINE THROUGH STUDENT NAMES ON HOUSEHOLD SUMMARY.



----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY DU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR DISPLAY |

| OF RU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS WHO WERE REMOVED FROM THE RU- |

| MEMBERS-ROSTER THIS ROUND AND WHO WERE FLAGGED AS |

| A ‘NEW STUDENT’. |

----------------------------------------------------




LOOP_16

=======


------------------------------------------------------

| FOR EACH ELEMENT IN DU-MEMBERS-ROSTER, |

| ASK RE110-END_LP16 |

------------------------------------------------------


------------------------------------------------------

| LOOP DEFINITION: LOOP_16 COLLECTS LOCATING ADDRESS |

| AND PHONE NUMBER FOR EACH STUDENT RU. THIS LOOP |

| CYCLES ON PERSONS WHO MEET BOTH OF THE FOLLOWING |

| CONDITIONS: |

| - PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| THIS ROUND |

| AND |

| - PERSON IS FLAGGED AS A ‘NEW STUDENT’ |

------------------------------------------------------



RE110

=====


{PERSON’S FIRST MIDDLE AND LAST NAME}


Please give me the address and telephone number where (PERSON)

can be reached at school.


IF NO TELEPHONE, ENTER ‘000’.


STREET_ADDRESS1: [_______________]

STREET_ADDRESS2: [_______________]

CITY: [_______________]

STATE: [_______________]

ZIP CODE: [_______________]

TELEPHONE: [_______________]



USE HELP TO VIEW LIST OF STATE ABBREVIATIONS.



--------------------------------------------------------

| DISPLAY THE FOLLOWING MESSAGE IN RED UPON EXITING |

| RE110: “RECORD ADDRESS AND TELEPHONE ABOVE ON SPLIT/ |

| STUDENT MOVING FORM NOW.” |

--------------------------------------------------------


--------------------------------------------------------

| CONTINUE WITH END_LP16 |

--------------------------------------------------------




END_LP16

========


--------------------------------------------------------

| CYCLE ON THE NEXT PERSON IN THE DU-MEMBERS-ROSTER |

| WHO MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

--------------------------------------------------------


--------------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_16 AND CONTINUE WITH BOX_43 |

--------------------------------------------------------




BOX_43

======


----------------------------------------------------

| IF ANY PERSON ON THE DU-MEMBERS-ROSTER MEETS |

| EITHER OF THE FOLLOWING CONDITIONS: |

| - PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THE INTERVIEW WITH THIS RU AND IS |

| FLAGGED AS ‘NON-MILITARY MOVER IN U.S.’ |

| OR |

| - PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THE INTERVIEW WITH THIS RU AND IS |

| FLAGGED AS ‘FULL-TIME MILITARY IN U.S. AND NOT |

| ON MILITARY FACILITY’, |

| CONTINUE WITH RE111 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, GO TO BOX_44 |

----------------------------------------------------




RE111

=====


We may (also) conduct a separate interview with (READ NAMES

BELOW) so I will remove (READ NAMES BELOW) from this form.


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


LINE THROUGH NAMES LISTED ABOVE ON HOUSEHOLD SUMMARY SHEET.



----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY DU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS DU-MEMBERS-ROSTER FOR DISPLAY |

| OF DU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS WHO MEET EITHER OF THE |

| FOLLOWING CONDITIONS: |

| |

| - PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THE INTERVIEW WITH THIS RU AND IS FLAGGED|

| AS ‘NON-MILITARY MOVER IN US’. |

| |

| - PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THE INTERVIEW WITH THIS RU AND IS FLAGGED|

| AS ‘FULL-TIME MILITARY IN US AND NOT ON MILITARY|

| FACILITY’. |

----------------------------------------------------




LOOP_17

=======


----------------------------------------------------

| FOR EACH ELEMENT IN THE DU-MEMBERS-ROSTER, |

| ASK RE111A-END_LP17 |

----------------------------------------------------


----------------------------------------------------

| LOOP DEFINITION: LOOP_17 COLLECTS LOCATING |

| INFORMATION FOR EACH PERSON WHO HAS LEFT THE RU |

| AND MOVED TO ANOTHER HOUSEHOLD IN THE U.S. THIS |

| LOOP CYCLES ON DU MEMBERS WHO MEET BOTH OF THE |

| FOLLOWING CONDITIONS: |

| - PERSON NOT FLAGGED AS ‘PROCESSED MOVER’ |

| AND |

| - PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |

| DURING THE INTERVIEW WITH THIS RU |

| AND EITHER OF THE FOLLOWING CONDITIONS: |

| - FLAGGED AS ‘NON-MILITARY MOVER IN U.S.’ |

| OR |

| - FLAGGED AS ‘FULL-TIME MILITARY IN U.S. AND NOT |

| ON MILITARY FACILITY’ |

----------------------------------------------------




RE111A

======


{PERSON’S FIRST MIDDLE AND LAST NAME}


Please give me the address and telephone number where

(PERSON) has moved.


IF NO TELEPHONE, ENTER ‘000’.


STREET_ADDRESS1: [_____________]

STREET_ADDRESS2: [_____________]

CITY: [_____________]

STATE: [_____________]

ZIP CODE: [_____________]

TELEPHONE: [_____________]


USE HELP TO VIEW LIST OF STATE ABBREVIATIONS.



----------------------------------------------------

| DISPLAY THE FOLLOWING MESSAGE IN RED UPON EXITING |

| RE111A: “RECORD ADDRESS AND TELEPHONE ABOVE ON |

| SPLIT/STUDENT MOVING FORM NOW.” |

----------------------------------------------------


----------------------------------------------------

| FLAG PERSON AS ‘PROCESSED MOVER’. |

----------------------------------------------------


----------------------------------------------------

| IF ALL PERSONS WHO MEET EITHER OF THE FOLLOWING |

| CONDITIONS: |

| - REMOVED FROM THE RU-MEMBERS-ROSTER DURING THE |

| INTERVIEW WITH THIS RU AND FLAGGED AS ‘NON- |

| MILITARY MOVER IN U.S.’ |

| OR |

| - REMOVED FROM THE RU-MEMBERS-ROSTER DURING THE |

| INTERVIEW WITH THIS RU AND FLAGGED AS ‘FULL- |

| TIME MILITARY IN U.S. AND NOT ON MILITARY |

| FACILITY’ |

| ARE FLAGGED AS ‘PROCESSED MOVER’, |

| GO TO END_LP17 |

----------------------------------------------------


----------------------------------------------------

| OTHERWISE, CONTINUE WITH RE111B |

----------------------------------------------------




RE111B

======


{PERSON’S FIRST MIDDLE AND LAST NAME}


IF KNOWN, CODE WITHOUT ASKING.


Is (PERSON) living with any of the following family members?

(READ NAMES BELOW)


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


YES ..................................... 1 {RE112}

NO ...................................... 2 {END_LP17}

REF .................................... -7 {END_LP17}

DK ..................................... -8 {END_LP17}



----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY DU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS DU-MEMBERS-ROSTER FOR DISPLAY |

| OF DU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS WHO WERE NOT FLAGGED AS |

| ‘PROCESSED MOVERS’ AND WHO WERE REMOVED FROM THE |

| RU-MEMBERS-ROSTER DURING THE INTERVIEW WITH THIS |

| RU AND MEET EITHER OF THE FOLLOWING CONDITIONS: |

| |

| - FLAGGED AS ‘NON-MILITARY MOVER IN US’. |

| - FLAGGED AS ‘FULL-TIME MILITARY IN US AND NOT |

| ON MILITARY FACILITY’. |

----------------------------------------------------

RE112

=====


{PERSON’S FIRST MIDDLE AND LAST NAME}


Who lives with (PERSON)?


[1. First Name,[Middle Name],Last Name-65]

[2. First Name,[Middle Name],Last Name-65]

[3. First Name,[Middle Name],Last Name-65]


[Code All That Apply]



----------------------------------------------------

| FLAG ALL SELECTED PERSONS AS ‘PROCESSED MOVER’. |

----------------------------------------------------


----------------------------------------------------

| CONTINUE WITH END_LP17 |

----------------------------------------------------


----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: DU_MEMBERS_1 |

| |

| COL # 1 HEADER: NAME |

| INSTRUCTIONS: DISPLAY DU MEMBERS’ FIRST, MIDDLE, |

| AND LAST NAMES (PERS.FULLNAME) |

----------------------------------------------------


----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS DU-MEMBERS-ROSTER FOR DISPLAY |

| OF DU-MEMBERS. |

----------------------------------------------------


----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. MULTIPLE SELECT ALLOWED. |

| |

| 2. ADD, DELETE, AND EDIT DISALLOWED. |

----------------------------------------------------


----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY ALL PERSONS WHO WERE NOT FLAGGED AS |

| ‘PROCESSED MOVERS’ AND WHO WERE REMOVED FROM THE |

| RU-MEMBERS-ROSTER DURING THE INTERVIEW WITH THIS |

| RU AND MEET EITHER OF THE FOLLOWING CONDITIONS: |

| |

| - FLAGGED AS ‘NON-MILITARY MOVER IN US’. |

| - FLAGGED AS ‘FULL-TIME MILITARY IN US AND NOT |

| ON MILITARY FACILITY’. |

----------------------------------------------------




END_LP17

========


----------------------------------------------------

| CYCLE ON NEXT PERSON IN THE DU-MEMBERS-ROSTER |

| WHO MEETS THE CONDITIONS STATED IN THE LOOP |

| DEFINITION. |

----------------------------------------------------


----------------------------------------------------

| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |

| END LOOP_17 AND CONTINUE WITH BOX_44A |

----------------------------------------------------




BOX_44A

=======


----------------------------------------------------

| THE PROGRAM DETERMINES THE ELIGIBILITY OF PERSONS |

| WHO HAVE MOVED TO ANOTHER HOUSEHOLD IN THE U.S. |

| AND HAVE THEREFORE BEEN REMOVED FROM THE |

| RU-MEMBERS-ROSTER FOR THE CURRENT CASE. THE |

| ELIGIBILITY OF SUCH PERSONS IS BASED ON WHETHER |

| THEY ARE KEY AND/OR MOVED WITH A KEY PERSON. IF A |

| PERSON WHO HAS MOVED TO A HOUSEHOLD WITHIN THE |

| U.S. IS DETERMINED TO BE ELIGIBLE, THAT PERSON |

| WILL BE INTERVIEWED AS PART OF A NEW RU. |

-----------------------------------------------------




BOX_44

======


-----------------------------------------------------

| IF NO PERSONS ARE ELIGIBLE AS PART OF THIS RU FOR |

| THE SURVEY THIS ROUND (THAT IS, IF THE |

| RU-MEMBERS-ROSTER IS EMPTY), EXIT INTERVIEW. |

-----------------------------------------------------


-----------------------------------------------------

| OTHERWISE, CONTINUE WITH NEXT QUESTIONNAIRE |

| SECTION |

-----------------------------------------------------

3-205

File Typeapplication/msword
File TitleMEPS Reenumeration Subsection B - P12R5/P13R3/P14R1
SubjectRE-B Section Item Specifications
AuthorAgency for Healthcare Research and Quality
Last Modified Bywcarroll
File Modified2009-07-10
File Created2009-07-10

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