MEPS-HC Core Interview

MEPS FAMES P12R5/P13R3/P14R1 RU Information Screen (RS) Section

December 8, 2008

Information Screen (RS) Section

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

| NOTE: THIS SECTION DOES NOT REQUIRE DISPLAYS OF |

| ANY PREVIOUSLY ENTERED INFORMATION. IT CONSISTS |

| ONLY OF QUESTIONS ASKED TO THE INTERVIEWER AND |

| INFORMATION RECORDED ON HARD COPY MATERIALS. |

| |

| ALL INFORMATION IS SAVED BY ROUND. THE |

| INFORMATION USED FOR THE FACE SHEET WILL BE |

| THE ENTIRE HISTORY. |

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

BOX_00

======

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

| IF NOT ROUND 5, CONTINUE WITH RS01 |

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

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

| OTHERWISE (I.E., IF ROUND 5), GO TO RS05 |

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

RS01

====

REFER TO THE RU FACE SHEET AND RU FOLDER FOR INFORMATION

REQUIRED TO COMPLETE THIS SECTION.

BASED ON YOUR EXPERIENCE WITH THE RU AND YOUR REVIEW OF THE

RECORD OF CALLS, ARE THERE ANY {ADDITIONAL} SPECIAL INSTRUCTIONS

THAT SHOULD BE CARRIED OVER TO THE NEXT ROUND THAT WOULD HELP WITH

THE COMPLETION OF THE INTERVIEW? INCLUDE SUCH THINGS AS BEST TIME

TO CONTACT, SPECIAL NEEDS OF THE RESPONDENT, OR OTHER CONSIDERATIONS.

YES .................................... 1 {RS02}

NO ..................................... 2 {RS03}

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

| IF ROUND > 1, DISPLAY THE WORD “ADDITIONAL”. |

| IF ROUND 1, USE A NULL DISPLAY. |

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

RS02

====

ENTER SPECIAL INSTRUCTIONS:

[Enter Text] ....................... {RS03}

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

| ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS |

| PER LINE THAT THE SCREEN WILL PERMIT. |

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

RS03

====

BASED ON YOUR EXPERIENCE USING THE PREPRINTED ADDRESS

INFORMATION ON THE RU FOLDER AND FACE SHEET TO FIND THE

HOUSEHOLD, ARE THERE ANY {ADDITIONAL OR DIFFERENT} LOCATING

DIRECTIONS THAT SHOULD BE CARRIED OVER TO THE NEXT ROUND?

INCLUDE SUCH THINGS AS LANDMARKS, MILEAGE, ROAD SIGNS AND

SO FORTH.

YES .................................... 1 {RS04}

NO ..................................... 2 {RS05}

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

| IF ROUND > 1, DISPLAY “ADDITIONAL OR DIFFERENT”. |

| IF ROUND 1, USE A NULL DISPLAY. |

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

RS04

====

ENTER DIRECTIONS THAT WILL HELP TO LOCATE THE RU IN THE

NEXT ROUND.

[Enter Text] ........................ {RS05}

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

| ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS |

| PER LINE THAT THE SCREEN WILL PERMIT. |

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

RS05

====

OTHER THAN AUTHORIZATION FORM PROBLEMS REPORTED IN THE CLOSING

SECTION, IN GENERAL, DID YOU HAVE ANY PROBLEMS WITH THE

ADMINISTRATION OF THE QUESTIONNAIRE? IS THERE ANYTHING IN THE

CASE RECORDS THAT NEEDS TO BE FIXED AT THE HOME OFFICE BEFORE

THE NEXT ROUND?

YES .................................... 1 {RS06}

NO ..................................... 2 {RS09}

RS06

====

ENTER COMMENTS OR QUESTIONS OR DESCRIBE THE SITUATION:

[Enter Text] ............................ {RS09}

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

| ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS |

| PER LINE THAT THE SCREEN WILL PERMIT. |

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

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

| NOTE THAT INFORMATION COLLECTED AT THIS ITEM WILL |

| NOT APPEAR ON THE FACE SHEET. |

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

RS07

====

OMITTED

RS08

====

OMITTED

RS09

====

WAS THE INTERVIEW FOR THIS RU OBSERVED THIS ROUND?

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

NO ..................................... 2

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

| IF MESSAGE FROM DATA PREP, CONTINUE WITH RS10 |

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

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

| OTHERWISE, GO TO RS12 |

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

RS10

====

MESSAGE FROM DATA PREP:

{MESSAGE TEXT}

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

| THE MESSAGE TEXT WILL DISPLAY THE SPECIAL |

| INSTRUCTIONS (FROM DATA PREP). |

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

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

| ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS |

| PER LINE THAT THE SCREEN WILL PERMIT. |

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

RS11

====

PLEASE PROVIDE ENOUGH INFORMATION TO CLARIFY THE SITUATION AND/OR

DESCRIBE THE ACTION TAKEN TO CORRECT THE SITUATION:

[Enter Text] ................. {RS12}

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

| ALLOW 3 LINES OF 30 CHARACTERS PER LINE. |

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

RS12

====

HAS THIS RU MOVED TO A NEW CITY OR STATE SINCE THE START OF THIS

ROUND?

YES .................................... 1 {RS12A}

NO ..................................... 2 {BOX_01}

RS12A

=====

PLEASE INDICATE THE NEW CITY AND STATE FOR THIS RU:

CITY:

[Enter City-30] ................

STATE:

[Enter State-2] ................ {BOX_01}

BOX_01

======

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

| END OF RU INFORMATION SCREEN (RS) SECTION. |

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

34-7