Group Quarters Fac Group Quarters Facility Questionnaire

Group Quarters Facility Questionnaire

Screen

Hello. My name is _______. I’m with the U.S. Census Bureau. We are currently conducting an important survey in your community, the American/Puerto Rico Community Survey, and I’d like to verify that this is [fill: GQNAME]?

Screen

SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME What is the name of this place? Update GQ name (GQNAME - 100 characters) Fields available to enter contact information (and variable name and length). Use these titles for the form pane: Instrument: Prefill all of these fields with the current value. Valid Values: Alphanumeric (field length 100), Do not accept DK or R.

Screen

SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME Is [fill: GQNAME] owned by or affiliated with [fill:SPECPLACE]? Fields available to enter contact information (and variable name and length). Use these titles for the form pane:

Screen	SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME Is [fill: GQNAME] owned by or affiliated with another organization or company?
Input Options	Yes No Valid Values: 1,2,DK,R

Screen	SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME What is the name of that company or organization that [fill: GQ name] is associated with?
Skip Instructions	1. Go to VERIFYADDR.

Variable Name	VERIFYADDR
Screen	Special Place Name: [fill: SPNAME] Group Quarters Name: [fill: GQNAME] I have your address listed as [fill: GQADDLINE1 GQADDLINE2]. Is this correct?
Input Options	Yes No Valid Values: 1,2, Do not accept DK or R.
Skip Instructions	If Yes, go to SRCHKNWLRESP. If No, go to NHNO

Variable Name	NEWHNO, NEWHNOSUF, NEWSTRPRXD,NEWSTRPRXT, NEWSTRNAME,NEWSTRSFXT, NEWSTRSFXD, NEWSTRNAMX, NEWUNITDES, NEWRRDESC, NEWRRID, NEWBOXDESC, NEWBOXID, NEWPO, NEWST, NEWZIP5, NEWZIP4, NEWPRADDR1, NEWPRADDR2, NEWPHYSDES
Universe	[VERIFYADDR= 2]
Screen	OLD ADDRESS: Fill in GQADDLINE1 Fill in GQADDLINE2 What is the correct address for [Fill: GQNAME]?  Update the [fill: full field name.] Press <ENTER> if the field is not applicable. Instrument: “Full field name” is “house number”, “house number suffix”, etc.
Skip Instructions	Go to ADDRCHNG Valid Values: Do not accept DK or R.

Variable Name	ADDRCHNG
Input Options	Yes No Valid Values: 1,2, Do not accept DK or R
Fill Instructions	Question fill if INITSCREEN=2: Does the address change represent a physical location that is different from the sample GQ Address? FR Instruction Fill if INITSCREEN=3 Does the address change represent a physical location that is different from the sample GQ Address? If so, select Option 1 for Yes. If not, select Option 2 for No.
Skip Instructions	If ADDRCHNG=1 or 2, go to SRCHKNWLRESP.

Variable Name	SRCHKNWLRESP
Screen	SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME ADDRESS: Fill in GQADDLINE1 Fill in GQADDLINE2 GENERAL/MAIN PHONE #: Fill in GQPHONE, GQEXT CONTACT PERSON 1: Fill in CP1NAME CONTACT TITLE: Fill in CP1TITL CONTACT PHONE: Fill in CP1PHON, CP1EXT CONTACT PERSON 2: Fill in CP2NAME CONTACT TITLE: Fill in CP2TITL CONTACT PHONE: Fill in CP2PHON, CP2EXT I’d like to speak with someone who can give me the authority to conduct this survey which means getting access to interview selected people staying at [fill: GQNAME]. Would that person be you or should I speak to someone else?
Input Options	Yes, this is the correct person. No, need to speak to someone else. Valid Values: 1,2, DK, R **Input Options for BoP: Yes, they are available. No, you’ll need to call back. Valid Values for BoP only: 1,2 only

Variable Name	NEWCP1NAME, NEWCP1TITL, NEWCP1PHON, NEWCP1EXT
Screen	[fill #1 May I have your name, title and phone number?] [fill #2 May I have the name of the person who can help me?]  Enter Contact #1’s information. Press <ENTER> if a field is not applicable. CONTACT PERSON 1: Fill in CP1NAME CONTACT TITLE: Fill in CP1TITL CONTACT PHONE: Fill in CP1PHON, CP1EXT

Variable Name	SPEAKNOW
Screen	May I talk to [fill: CP1NAME] now?
Input Options	Yes No Valid Values: 1,2,R, Do not accept DK
Skip Instructions	If SPEAKNOW = 1 and INITSCREEN = 2, go to INTRO. If SPEAKNOW = 1 and INITSCREEN = 3, go to INTRO. If SPEAKNOW = 2 and INITSCREEN = 2, go to TCALLBACK. Is SPEAKNOW = 2 and INITSCREEN = 3, go to TCALLBACK. If SPEAKNOW = R and INITSCREEN = 2 or 3, go to TCALLBACK.

Variable Name	INTRO
Screen	CONTACT PERSON 1: Fill in CP1NAME CONTACT TITLE 1: Fill in CP1TITL CONTACT PHONE 1: Fill in CP1PHON, CP1EXT APPOINTMENT DATE/TIME: Fill in Response TCALLBACK or APPOINTMENT1 Question Fill #1 {Hello. My name is _____________. I’m with the U. S. Census Bureau. We are currently conducting an important survey in your community, the American / Puerto Rico Community Survey. Did you receive the letter and brochure we mailed to you recently? * If no, ask if they would like you to FAX them a copy. *Press Shift + F2 and use FAQ #1 to provide further info on the survey. Use other FAQs to answer additional questions. To conduct this survey, I need to schedule a day and time to meet with you. On the day of our meeting, I will collect additional information from you about [fill: GQNAME]. Then, I will ask you for a current list of all the people that are living/staying there. On the day of this visit, I will also need access to the people that are selected for the survey so I can conduct the interviews while I'm there. Do you have any questions?} Fill #2 We are currently conducting an important survey in your community, the American / Puerto Rico Community Survey. Did you receive the letter and brochure we mailed to you recently? * If no, ask if they would like you to FAX them a copy. *Press Shift + F2 and use FAQ #1 to provide further info on the survey. Use other FAQs to answer additional questions. To conduct this survey, I need to schedule a day and time to meet with you. On the day of our meeting, I will collect additional information from you about [fill: GQNAME]. Then, I will ask you for a current list of all the people that are living/staying there. On the day of this visit, I will also need access to the people that are selected for the survey so I can conduct the interviews while I'm there. Do you have any questions?} Fill #3 {Hello. My name is _____________. I’m with the U. S. Census Bureau. We are currently conducting an important survey in your community, the American / Puerto Rico Community Survey. Did you receive the letter and brochure we mailed to you recently? *If no, give them a copy of the letter and brochure.  Show GQ contact the questionnaire. *Press Shift + F2 and use FAQ #1 to provide further info on the survey. Use other FAQs to answer additional questions. I want to describe what I would like to do during the rest of my visit here today. First, I will collect additional information from you about [fill: GQNAME]. Second, I will ask you for a list of all people staying here as of today. Then, I will need access to the people I select for the survey. I will do all of these tasks today. I would like to continue with the interview. Do you have any questions?} Fill #4 Did you receive the letter and brochure we mailed to you recently? *If no, give them a copy of the letter and brochure.  Show GQ contact the questionnaire. *Press Shift + F2 and use FAQ #1 to provide further info on the survey. Use other FAQs to answer additional questions. I want to describe what I would like to do during the rest of my visit here today. First, I will collect additional information from you about [fill: GQNAME]. Second, I will ask you for a list of all people staying here as of today. Then, I will need access to the people I select for the survey. I will do all of these tasks today. Do you have any questions?} Fill #5 {Hello. My name is _____________. I’m with the U. S. Census Bureau. Thanks for agreeing to meet with me today. I have a few more questions about [fill:GQNAME].}
Input Options	Enter ‘1’ to Continue. Valid Values: 1, DK, R
Fill Instructions	1. Display Fill #1 if INITSCREEN = 2 and PEAS_FL = 1 and SRCHKNWLRESP = 2 and SPEAKNOW =1 2. Display fill #2 if INITSCREEN = 2 and PEAS_FL = 1 and SRCHKNWLRESP = 1 3. Display fill #3 if INITSCREEN = 3 and PEAS_FL = 1 and SRCHKNWLRESP = 2 and SPEAKNOW = 1 4. Display fill #4 if INITSCREEN = 3 and PEAS_FL=1 and SRCHKNWLRESP = 1 5. Display fill #5 if INITSCREEN = 4, PEAS_FL= 1 6. Display fill #2 if INITSCREEN = 2 and PEAS_FL = 1 and SRCHKNWLRESP = DK or R] 7. Display fill #4 if INITSCREEN = 3 and PEAS_FL = 1 and SRCHKNWLRESP = DK or R Special BoP Fill Instruction: 1. Display Fill #6 if INITSCREEN=2 and PEAS_FL=1 and SRCHKNWLRESP=1 and BoP_Flag = 1.
Skip Instructions	1. If INTRO = 1 and INITSCREEN = 2 and PEAS_FL = 1, go to APPOINTMENT 2. If INTRO = 1 and INITSCREEN =3 and PEAS_FL = 1, go to CONDINTNOW 3. If INITSCREEN = 4 and PEAS_FL = 1, go to MAILADDYSAME 4. If DK or R, go to INTSTAT
Skip Instructions for BoP	1. If INTRO = 1 and INITSCREEN = 2 and PEAS_FL = 1 and BoP flag = 1, go to APPOINTMENT.

Variable Name	CONDINTNOW
Screen	Question  Are you going to conduct the interview now? *Try to convince the contact person to continue and finish the interviews today.
Input Options	Yes No Valid Values: 1,2, Do not accept DK, R.
Skip Instructions	1. [If CONDINTNOW = 1] and [HNO or STRNAME = blank] go to MAILHNO 2. [If CONDINTNOW = 1] and [HNO and STRNAME ne blank] go to MAILADDYSAME 3. If CONDINTNOW = 2, go to APPOINTMENT

Screen	SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME ADDRESS: Fill in GQADDLINE1 Fill in GQADDLINE2 PHYSICAL DESCRIPTION: Fill in PHYSDES Is this (read address above) also the mailing address for fill in GQNAME? Instrument: Update GQADDRESS1 and GQADDRESS2 based on the responses to Question 2.9.
Input Options	Yes No Valid Values: 1,2 Do not accept DK or R
Skip Instructions	1. If MAILADYSAME = 1, go to NEWBLDGNAME 2. If MAILADDYSAME = 2, go to MAILHNO

Variable Name	MAILHNO to MAILZIP4
Screen	SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME ADDRESS: Fill in GQADDLINE1 Fill in GQADDLINE2 What is the mailing address for fill in GQNAME?  Mail full field name. Press <ENTER> if the field is not applicable. Instrument: “Full field name” is “house number”, “house number suffix”, etc.
Input Options	Fields available to enter address information (and variable name and length): Same as in Question 2.10, except that building name and physical description are not included. Valid Values: Do not accept DK or R
Skip Instructions	1. Go to NEWBLDGNAME

Variable Name	NEWBLDGNAME
Screen	SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME ADDRESS: Fill in GQADDLINE1 Fill in GQADDLINE2 Is there a unique name for this building?  The GQ building name is the actual name on the GQ structure or on a sign easily seen in front of the GQ structure. Examples are: Building 202 or Building A-1.
Input Options	Yes No Valid Values: 1, 2, DK, R
Skip Instructions	1. If 1, go to BLDGNAME 2. If 2, DK, or R go to UPDATECONTACT2INFO

Variable Name	UPDATEBLDGNAME
Screen	NEWBLDGNAME = 1 Question SPECIAL PLACE NAME: Fill in SPECPLACE GROUP QUARTERS NAME: Fill in GQNAME ADDRESS: Fill in GQADDLINE1 Fill in GQADDLINE2 BUILDING NAME: Fill in BLDGNAME  Enter the building name. Fields available to enter address information (and variable name and length): · Update GQ building name (BLDGNAME - 60 characters)
Input Options	Valid Values: alphanumeric, DK, R (go to UPDATECONT2INFO)
Skip Instructions	Go to UPDATECONTACT2INFO

Variable Name	UPDATECONT2INFO
Screen	CONTACT PERSON 2: Fill in CP2NAME CONTACT TITLE2: Fill in CP2TITL CONTACT PHONE2: Fill in CP2PHON, CP2EXT Is there another person who might be able to help us if needed? *Update the Second GQ contact name.
Input Options	Yes No Valid Values: 1,2
Skip Instructions	1. If 1, go to NEWCP2NAME 2. If 2, go to NEWGENPHON

Variable Name	NEWCP2NAME, NEWCP2TITL, NEWCP2PHON, NEWCP2EXT
Screen	CONTACT PERSON 2: Fill in CP2NAME CONTACT TITLE2: Fill in CP2TITL CONTACT PHONE2: Fill in CP2PHON, CP1EXT · For CP2NAME display “Enter Contact #2 Name (CP1NAME - 42 characters)” · For CP2TITLT display “Enter Contact #2 Title (CP1TITL - 20 characters)” · For CP2PHON display “Enter Contact #2 Phone (CP1PHON - 10 characters)” · For CP2EXT display “Enter Contact #2 Extension (CP1EXT - 5 characters)” Instrument: Field is name, title, phone number, or phone number extension, whichever is appropriate. Fields available to enter contact information (and variable name and length). Use these tiles for the form pane: All variables are not must fill. If CP2PHON is not filled, do not fill CP2EXT. Instrument: Prefill all of these fields with the current value.
Skip Instructions	Go to NEWGENPHON

Variable Name	NEWGENPHON and NEWGENEXT
Screen	What is the general or main phone number for fill in GQNAME? GENERAL/MAIN PHONE #: Fill in GQPHONE, GQEXT  Update the main or general phone number of the group quarters/special place. Field available to enter general contact information (and variable name and length). Use these tiles for the form pane: · General phone number (GQPHONE - 10 characters) · General phone extension (GQEXT - 5 characters) R is allowed for GQPHONE. If GQPHONE is not filled or R, do not fill GQEXT. Instrument: Prefill all of these fields with the current value.
Input Options	See screen section Valid Values: numeric only, R, Blank
Skip Instructions	1. If entry, blank or R, go to STAY_NOW

Variable Name	STAY_NOW
Screen	SPECIAL PLACE NAME: Fill in SPECNAME GROUP QUARTERS NAME: Fill in GQNAME Are people currently living or staying at fill in GQNAME ?
Input Options	Yes No Valid Values: 1,2, R. Do not accept blank.
Skip Instructions	1. If STAY_NOW = 1,2 or R, go to GQMAIN1.

Variable Name	APPOINTMENT1
Screen	I want to schedule a date and time in the next few days to complete our interview and the interviews with the people I select for the survey. What date and time would be the best to visit? Special BoP Question text We would like to schedule this visit to happen as soon as possible. What date and time would be the best for someone to visit you? *Ask for directions if necessary. Press Ctrl + F7 keys simultaneously and record details in Notes.
Input Options	Appointment Date/Time: _________________________
Skip Instructions	If INITSCREEN = 2 and PEAS_FL = 1, go to SECPROCS If INITSCREEN = 3 and PEAS_FL = 1, go to SECPROCS

Variable Name	SECPROCS
Screen	I will have a picture ID with me on the day of my visit. Are there any specific procedures I need to know of prior to my visit for entering this place or interviewing the residents. *If yes, press Ctrl + F7 keys simultaneously and record details in Notes.
Input Options	Yes No Valid Values: 1,2
Skip Instructions	1. Go to THANKYOU

Variable Name	INTSTAT
Screen	 Is the respondent able to complete the interview? If this is a Federal Prison or a Federal Detention Center select option 3 for Other noninterview. (This option does not apply to privately operated correctional facilities that house mostly federal prisoners.) If you are at a privately operated correctional facility that contains federal, state, or local prisoners, do not exit the interview. Continue with the GQFQ interview, sampling and interviewing the persons selected for sample. Select the F8 to return to the interview. Instructions are directly below on how these GQs will be classified. If you are at a privately operated correctional facility that contains mostly federal prisoners, you will continue with the interview. This GQ will be coded out as a 102, Federal Prison. If you are at a privately operated correctional facility that contains mostly state prisoners, you will continue with the interview. This GQ will be coded out as a 103, State Prison. If you are at a privately operated correctional facility that contains mostly local prisoners, you will continue with the interview. This GQ will be coded out as a 104, Local Jail. (Local jails include tribal as well.)
Input Options	Inconvenient Time. Try again later. Refusal. Other noninterview
Skip Instructions	If 1, go to PCALLBACK If 2, go to REFREASON If 3, go to REASONINT

Variable Name	PCALLBACK
Screen	What day and time would be best to contact you again?
Input Options	Date/Time: [Fill in the blank. Allow 25 characters]
Skip Instructions	Go to THANKYOU

Variable Name	REFREASON
Screen	Question  Mark all that apply.
Input Options	Answer Categories 1. Respondent busy. 2. Interview too long 3. Survey is a waste of taxpayers money 4. Respondent questions legitimacy of survey 5. Confidentiality reasons 6. Respondent says that he/she cannot comply because of legal restrictions 7. Other – Specify in Notes
Skip Instructions	If 1-5 OR 7, go to THANKYOU If 6, go to REASON811

Block	BF10_Exit BExit
Variable Name	REASON811
Field Description	4.8 Reason for 811 Outcome
Universe	REFREASON=6
Screen	Question  What is the legal restriction cited by the respondent? Get the name of the law, if possible, and whether it is a federal or state law.
Input Options	Fill in the blank – 60 characters.
Fill Instructions
Skip Instructions	Go to THANKYOU.
Skip Instructions for BoP
Special Instructions
BoP Special Instruction

Variable Name	TCALLBACK
Screen	When is a good time for me to call back? Callback date/time: ____________________
Skip Instructions	1. Go to THANKYOU

Variable Name	REASONINT
Screen	Question  Indicate the reason for the noninterview. Answer Categories 1. Unable to locate 2. Other Type A - Specify in Notes. 3. GQ no longer exists 4. GQ is actually a housing unit (in addition to standard housing units, this includes assisted / independent living units, RV parks, campgrounds, marinas, or racetracks) 5. GQ is a domestic violence shelter or sensitive place 6. Other Type C - Specify in Notes. 7. Natural disaster - Type B 8. Type C - no residents during survey period Federal Prison Federal Detention Center
Skip Instructions	1. If REASONINT = 1,3, 4, 5, 7, 8, 9, 10 go to NOTES 2. If REASONINT = 2, go to REASON819 3. If REASONINT = 6, go to REASON844. 4. If REASONINT = 9, display soft error that says the following: This facility is out of scope at this time. You have reached a Federal Prison outside of the data collection period for Federal Prisons. You will be exited out of the interview and your case will be closed. Please read the script below to the contact person. “I’m sorry, we have contacted you at a time outside of the data collection period for Federal Prisons. This ends the interview. Those Federal correctional facilities, selected for sample for the ACS, will be visited beginning in September, in which your facility may be one of those. You will be notified prior to our return. Thank you for your time.” Suppress exits the instrument. Close and Go to returns to REASONINT. Set GQTYPE CODE = 102 If REASONINT = 10, display soft error that says the following: This facility is out of scope at this time. You have reached a Federal Detention Center outside of the data collection period for Federal Detention Centers. You will be exited out of the interview and your case will be closed. Please read the script below to the contact person. “I’m sorry, we have contacted you at a time outside of the data collection period for Federal Detention Centers. This ends the interview. Those Federal correctional facilities, selected for sample for the ACS, will be visited beginning in September, in which your facility may be one of those. You will be notified prior to our return. Thank you for your time.” *****Suppress exits the instrument. Close and Go to exit the instrument. SET GQTYPE = 101

Variable Name	REASON819
Screen	Question  Specify the reason for this Other Type A outcome.
Skip Instructions	Go to THANKYOU.

Variable Name	REASON844
Screen	Question  Specify the reason for this Other Type C outcome.
Skip Instructions	Go to Notes.

Variable Name	THANKYOU
Screen	Thank you for helping the Census Bureau with the [fill in American/Puerto Rico] Community Survey
Fill Instructions	1. If ST = 72, display “Puerto Rico”, else display “American”
Skip Instructions	Go to Notes

Variable Name	GQMAIN1
Screen	Special Place Name: fill in SPECNAME Group Quarters Name: fill in GQNAME This is a list of places where people live, could live, or stay and/or receive services. Using this list, please select ONLY ONE category that BEST describes [fill in GQNAME] Give the contact person time to read all the categories on the flashcard and provide you with a selection. If they choose more than one category, ask for the one that has the most residents and note that we’ll ask about the other categories later.
Input Options	Answer Categories 1. Educational Facility 2. Correctional Facility 3. Group Home 4. Health Care or Treatment Facility 5. Military 6. Other Group Living Facilities 7. None of the Above” Valid Values 1 through 7 Do not accept DK, R
Skip Instructions	1. If 1, go to EDU_DD 2. If 2, go to CORRECTIONAL_DD 3. If 3, go to GROUPHOME_DD 4. If 4, go to HEALTH_DD 5. If 5, go to MILITARY_DD 6. If 6, go to OGLF_DD 7. If 7, go to OUTOFSCOPE

Variable Name	EDU_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. College/University, Student Housing 2. Residential School for People with Disabilities
Skip Instructions	1. If EDU_DD = 1, go to COLLEGE 2. If EDU_DD = 2, go to MAXCAP1

Variable Name	College
Screen	“Is [fill: GQNAME] used solely to provide housing for college students?”
Input Options	1. Yes 2. No
Skip Instructions	1. If College=1, go to MAXCAP1 2. If College = 2, go to OUTOFSCOPE_TY

Variable Name	CORRECTIONAL_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Correctional Residential Facility 2. Juvenile Correctional Facility
Skip Instructions	1. If CORRECTIONAL_DD = 1, go to CF_DESC. 2. If CORRECTIONAL_DD = 2, go to MAXCAP1.

Variable Name	CF_DESC
Screen	Which of the following categories describes [fill in GQNAME]?  If more than one flashcard category applies, mark the one with the most prisoners. ♦ If this is a Federal Prison or a Federal Detention Center, select either Option 5 or Option 6 respectively to exit out of the interview. ♦ If you are at a privately operated facility that contains federal, state or local prisoners, do not exit the interview. Continue with the GQFQ interview, sampling and interviewing the persons selected for sample. Instructions are directly below on how to code privately operated facilities out. ♦ If you are at a privately operated correctional facility that contains mostly state prisoners, you will select Option 1 and continue with the interview. This case will have the GQ Type code of 103, State Prison. ♦ If you are at a privately operated correctional facility that contains mostly local/county prisoners, you will select Option 2 and continue with the interview. This case will have the GQ Type code of 104, Local Jail. (Local jails include tribal as well) ♦ If you are at a privately operated correctional facility that contains mostly federal prisoners, you will select Option 4 and continue with the interview. This case will have the GQ Type code of 102.
Input Options	1. State Prison/Privately Operated Facility housing mainly state prisoners 2. Local or County Jail/Privately Operated Facility housing mainly local or county prisoners. 3. Adult Residential Correctional Facility 4. Privately Operated Facility housing mainly federal prisoners. 5. Federal Prison 6. Federal Detention Center
Skip Instructions	1. If CF_DESC = 1 through 4 go to MAXCAP1 2. If CF_DESC = 5, display soft error that says: This facility is out of scope at this time. You have reached a Federal Prison outside of the data collection period for Federal Prisons. You will be exited out of the interview and your case will be closed. Please read the script below to the contact person. “I’m sorry, we have contacted you at a time outside of the data collection period for Federal Prisons. This ends the interview. Those Federal correctional facilities, selected for sample for the ACS, will be visited beginning in September, in which your facility may be one of those. You will be notified prior to our return. Thank you for your time,” Suppress exits the instrument. Close and GO returns to CF_DESC. Set GQTYPE = 102 3. If CF_DESC = 6 display soft error that says: This facility is out of scope at this time. You have reached a Federal Detention Center outside of the data collection period for Federal Detention Centers. You will be exited out of the interview and your case will be closed. Please read the script below to the contact person. “I’m sorry, we have contacted you at a time outside of the data collection period for Federal Detention Centers. This ends the interview. Those Federal correctional facilities, selected for sample for the ACS, will be visited beginning in September, in which your facility may be one of those. You will be notified prior to our return. Thank you for your time,” Suppress exits the instrument. Close and GO returns to CF_DESC. Set GQTYPE = 101

Variable Name	GROUPHOME_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Group Home 2. Juvenile Group Home
Skip Instructions	1. If GROUPHOME_DD = 1 go to MAXCAP1. 2. If GROUPHOME_DD = 2, go to MAXCAP1.

Variable Name	HEALTH_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Residential Treatment Center (non-correctional) 2. Assisted Living, Independent Living or Continuing Care Facility 3. Nursing or Skilled Nursing Facility 4. In-Patient Hospice Facility 5. Hospital 6. Juvenile Residential Treatment Center (non-correctional)
Skip Instructions	1. If 1,3, 4 or 6 go to MAXCAP1. 2. If 2, go to ALF 3. If 5, go to HOSP_DESC

Variable Name	ALF
Screen	Does [GQNAME] have a skilled nursing unit or a nursing unit?
Input Options	1. Yes 2. No
Skip Instructions	1. If ALF = 1, go to MAXCAP1 2. If ALF = 2, got to OUTOFSCOPE_TY

Variable Name	HOSP_DESC
Screen	Does [GQNAME] provide treatment or care that includes: If more than one Information Card category applies, enter the one with the most patients.
Input Options	1. Mental / Psychiatric Hospital or Unit 2. Skilled Nursing Unit 3. Patients Who Have No Usual Home Elsewhere. 4. None Of The Above Apply To This Hospital
Skip Instructions	1. If HOSP_DESC = 3, go to UHE_COUNT 2. If HOSP_DESC = 1 or 2, go to MAXCAP1. 3. If HOSP_DESC = 4, go to OUTOFSCOPE_TY.

Variable Name	UHE_COUNT
Screen	Fill #1 [What is the maximum number of people who have no usual home elsewhere who live or stay here?] Fill #2 [What is the maximum number of people experiencing homelessness who can live or stay in this building?]
Skip Instructions	Go to SECGQ.

Variable Name	MILITARY_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Barracks or Academy Residence Hall 2. Disciplinary Barracks or Jail 3. Ship 4. Military Treatment Facility with Assigned Patients
Skip Instructions	MILITARY_DD – 1 through 4, go to MAXCAP1.

Variable Name	OGLF_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Commune, Recreational Vehicle Park, Campground, Marina, Racetrack. 2. Religious Facility 3. Hotel, Motel, Inn, Resort, Lodge, or Bed and Breakfast. 4. Job Corps or Vocational Training Facility 5. Shelter 6. Worker’s Group Living Facility
Skip Instructions	1. If OGLF_DD = 1, go to OUTOFSCOPE_TY. 2. If OGLF_DD = 2,4,6, go to MAXCAP1. 3. If OGLF_DD = 3, go to HOTEL_UHE. 4. If OGLF_DD=5, go to DVS_DD.

Variable Name	DVS_DD
Screen	Interviewer instruction in blue – ♦ Domestic Violence Shelters are always out of scope for the American Community Survey. Scripted question: Is this facility a Domestic Violence Shelter?
Input Options	Yes No
Skip Instructions	1. If DVS_DD = 1, go to OUTOFSCOPE_TY. 2. If DVS_DD= 2 go to MAXCAP1.

Variable Name	HOTEL_UHE
Screen	Does [fill GQNAME] or part of [fill GQNAME] provide shelter for people experiencing homelessness?
Input Options	1. Yes 2. No
Skip Instructions	1. If HOTEL_UHE = 1, go to UHE_COUNT. 2. If HOTEL_UHE = 2, go to OUTOFSCOPE_TY.

Variable Name	OUTOFSCOPE_DD
Screen	Is [fill GQNAME] a..?
Input Options	1. Soup Kitchen 2. Regularly Scheduled Mobile Food Van 3. Targeted Non-Sheltered Outdoor Location 4. Natural Disaster Shelter 5. Maritime/Merchant Vessel 6. None of these
Skip Instructions	1. If OUTOFSCOPE = 1 through 5, go to OUTOFSCOPE_TY. 2. If OUTOFSCOPE = 6, go to HU.

Variable Name	HU
Input Options	1. Yes 2. No Valid Values 1, 2, do not accept DK or R
Skip Instructions	1. If HU = 1 or 2, go to OUTOFSCOPE_TY.

Variable Name	OUTOFSCOPE_TY
Screen	This place is not in scope for this part of the American / Puerto Rico Community Survey. In the future, you may be contacted again for an interview.
Input Options	Enter 1 to continue
Fill Instructions	If ST = 72, display “Puerto Rico”, else display “American”
Skip Instructions	Go to Notes.

Variable Name	MAXCAP1
Screen	What is the maximum number of people who can live or stay at [fill GQNAME]? Include only those people who are part of the [fill GQTYPECODE1DESC] section of [fill GQNAME]. Please include any staff living or staying at [fill GQNAME].
Skip Instructions	GO to SECGQ

Variable Name	SECGQ
Screen	This is the same list of places where people live, could live or stay and/or receive services. Is [fill GQNAME] also one of the categories on the card? Give the contact person some time to read all the categories and provide you with a selection.
Input Options	1. Yes 2. No
Skip Instructions	1. If SECGQ = 1, go to SECGQ_NAME. 2. If SECGQ = 2 and STAY_NOW = 1, go to PEOPLEATGQ. 3. If SECGQ = 2 and STAY_NOW = 2, go to RI_BCT.

Variable Name	SECGQNAME
Screen	What is the name of this place? Enter the name that accurately describes only that part of the GQ that the contact identified on the Information Card. PRIMARY GQ NAME: [fill GQNAME] PRIMARY GQ TYPE: [fill GQTYPE1CODE] SECOND GQ NAME: [fill GQNAME#2] SECOND GQ TYPE: [fill GQTYPE2CODE]
Skip Instructions	Go to GQMAIN2

Block	BGQtype2
Variable Name	GQMAIN2
Field Description	11.5 Second GQ Category
Universe	SECGQ_NAME ne blank
Screen	Special Place Name: fill SPECNAME Group Quarters name: fill GQNAME Please tell me which is the category that best describes [fill GQNAME#2]? This type code must be different from the first type code. The second GQ name must accurately describe only the GQ that reflects the second type code.
Input Options	1. Educational Facility 2. Correctional Facility 3. Group Home 4. Health Care Treatment Facility 5. Military 6. Other Group Living Facilities Valid Values 1 through 6, do not accept DK, R
Fill Instructions
Skip Instructions	1. If GQMAIN2 = 1, go to EDU_DD 2. If 2, go to CORRECTIONAL_DD 3. If 3, go to GROUPHOME_DD 4. If 4, go to HEALTH_DD 5. If 5, go to MILITARY_DD 6. If 6, go to OGLF_DD

Variable Name	EDU_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. College/University Student Housing 2. Residential School for People with Disabilities
Skip Instructions	1. If EDU_DD = 1, go to COLLEGE 2. If EDU_DD = 2, go to MAXCAP2

Variable Name	College
Screen	“Is [fill: GQNAME] used solely to provide housing for college students?”
Input Options	1. Yes 2. No
Skip Instructions	1. If College = 1, go to MAXCAP2 2. If College = 2, go to PEOPLEATGQ.

Variable Name	CORRECTIONAL_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Correctional Residential Facility 2. Juvenile Correctional Facility
Skip Instructions	1. If CORRECTIONAL_DD = 1, go to CF_DESC. 2. If CORRECTIONAL_DD = 2, go to MAXCAP2.

Variable Name	CF_DESC
Screen	Which of the following categories describes [fill in GQNAME#2]? If more than one flashcard category applies, mark the one with the most prisoners.
Input Options	1. State Prison 2. Local or County Jail 3. Adult Residential Correctional Facility 4. Privately Operated Correctional Facility (federal) 5. Federal Prison 6. Federal Detention Center
Skip Instructions	1. If CF_DESC = 1 through 4 go to MAXCAP2 This Goes to PEOPLEATGQ and should be going to MAXCAP2 2. If CF_DESC = 5, display soft error that says: “ You have attempted to collect GQ information for Federal Prison outside of the data collection period for Federal Prisons. Please read the script below to the respondent and continue with the interview. Federal facilities are out of scope at this time of data collection. Is this GQ another of the categories on this card? Suppress is off line. Close and GO returns to SECGQ. 3. If CF_DESC = 6 display soft error that says: You have attempted to collect GQ information for Federal Prison outside of the data collection period for Federal Prisons. Please read the script below to the respondent and continue with the interview. Federal facilities are out of scope at this time of data collection. Is this GQ another of the categories on this card? Suppress is off line. Close and GO returns to SECGQ.

Variable Name	GROUPHOME_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Group Home 2. Juvenile Group Home
Skip Instructions	1. If GROUPHOME_DD = 1 go to MAXCAP2. 2. If GROUPHOME_DD = 2, go to MAXCAP2.

Variable Name	HEALTH_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Residential Treatment Center (non-correctional) 2. Assisted Living, Independent Living or Continuing Care Facility 3. Nursing or Skilled Nursing Facility 4. Hospice 5. Hospital 6. Juvenile Residential Treatment Center (non-correctional)
Skip Instructions	1. If 1, 3, 4 or 6 go to MAXCAP2. 2. If 2, go to ALF 3. If 5, go to HOSP_DESC

Variable Name	ALF
Screen	Does [GQNAME#2] have a skilled nursing unit or a nursing unit?
Input Options	1. Yes 2. No
Skip Instructions	1. If ALF = 1, go to MAXCAP2 2. If ALF = 2, got to PEOPLEATGQ

Variable Name	HOSP_DESC
Screen	Does [GQNAME#2] provide treatment or care that includes: If more than one Information Card category applies, enter the one with the most patients.
Input Options	1. Mental /Psychiatric Hospital or Unit. 2. Skilled Nursing Unit 3. Patients Who Have No Usual Home Elsewhere. 4. None Of The Above Apply To This Hospital
Skip Instructions	1. If HOSP_DESC = 3, go to UHE_COUNT 2. If HOSP_DESC = 1 or 2, go to MAXCAP2. 3. If HOSP_DESC = 4, go to PEOPLEATGQ.

Variable Name	UHE_COUNT
Screen	Fill #1 [What is the maximum number of people who have no usual home elsewhere who live or stay here?] Fill #2 [What is the maximum number of people experiencing homelessness who can live or stay in this building?]
Skip Instructions	Go to TERGQ.

Variable Name	MILITARY_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Barracks or Academy Residence Hall 2. Disciplinary Barrack or Jail 3. Ship 4. Military Treatment Facility with Assigned Patients
Skip Instructions	MILITARY_DD – 1 through 4, go to MAXCAP2.

Variable Name	OGLF_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Commune, Recreational Vehicle Park, Campground, Marina, Racetrack. 2. Religious Facility 3. Hotel, Motel, Inn, Resort, Lodge, or Bed and Breakfast. 4. Job Corps or Vocational Training Facility 5. Shelter 6. Worker’s Group Living Facility
Skip Instructions	1. If OGLF_DD = 1, go to PEOPLEATGQ. 2. If OGLF_DD = 2,4,6 go to MAXCAP2. 3. If OGLF_DD = 3, go to HOTEL_UHE. 4. If OGLF_DD=5, go to DVS_DD

Variable Name	DVS_DD
Screen	Domestic Violence Shelters are always out of scope for the American Community Survey. Is this facility a Domestic Violence Shelter?
Input Options	Yes No
Skip Instructions	1. If DVS_DD = 1, go to OUTOFSCOPE_TY. 2. If DVS_DD= 2 go to MAXCAP2.

Variable Name	HOTEL_UHE
Screen	Does [fill GQNAME#2] or part of [fill GQNAME#2] provide shelter for people experiencing homelessness?
Input Options	1. Yes 2. No
Skip Instructions	1. If HOTEL_UHE = 1, go to UHE_COUNT. 2. If HOTEL_UHE = 2, go to PEOPLEATGQ.

Variable Name	MAXCAP2
Screen	“What is the maximum number of people who can live or stay at [fill GQNAME#2]? Include only those people who are part of the [fill GQTYPECODE2DESC] section of [fill GQNAME#2]. Please include any staff living or staying at [fill GQNAME#2].” This was in the last spec sent up – re-sending it in this one.
Skip Instructions	GO to TERGQ

Variable Name	TerGQ
Screen	This is the same list of places where people live, could live or stay and/or receive services. Is [fill GQNAME] also one of the categories on the card? Give the contact person some time to read all the categories and provide you with a selection.
Input Options	1. Yes 2. No
Skip Instructions	1. If TerGQ = 1, go to TERGQNAME. 2. If TerGQ = 2 and STAY_NOW = 1, go to PEOPLEATGQ. 3. If TerGQ = 2 and STAY_NOW = 2, go to RI_BCT.

Variable Name	TERGQNAME
Screen	What is the name of this place? Enter the name that accurately describes only the part of the GQ that the contact identified on the Information Card. PRIMARY GQ NAME: [fill GQNAME] PRIMARY GQ TYPE: [fill GQTYPE1CODE] SECOND GQ NAME: [fill GQNAME#2] SECOND GQ TYPE: [fill GQTYPE2CODE] THIRD GQ NAME: [fill: GQNAME#3 for third GQ] THIRD GQTYPE: [fill: GQTYPE3CODE]
Skip Instructions	Go to GQMAIN3

Variable Name	GQMAIN3
Screen	Special Place Name: fill SPECNAME Group Quarters name: fill GQNAME Please tell me which is the category that best describes [fill GQNAME#3]? This type code must be different from the first type code. The third GQ name must accurately describe only the GQ that reflects the third type code.
Input Options	1. Educational Facility 2. Correctional Facility 3. Group Home 4. Health Care Treatment Facility 5. Military 6. Other Group Living Facilities Valid Values 1 through 6, do not accept DK, R
Skip Instructions	1. If GQMAIN3 = 1, go to EDU_DD 2. If GQMAIN3 = 2, go to CORRECTIONAL_DD 3. If GQMAIN3 = 3, go to GROUPHOME_DD 4. If GQMAIN3 = 4, go to HEALTH_DD 5. If GQMAIN3 = 5, go to MILITARY_DD 6. If GQMAIN3 = 6, go to OGLF_DD

Variable Name	EDU_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. College/University Student Housing 2. Residential School for People with Disabilities
Skip Instructions	1. If EDU_DD = 1, go to COLLEGE 2. If EDU_DD = 2, go to MAXCAP3

Variable Name	College
Field Description	6.1 College/University Student Housing
Screen	“Is [fill: GQNAME] used solely to provide housing for college students?”
Input Options	1. Yes 2. No
Skip Instructions	1. If College=1, go to MAXCAP3 2. If College = 2, go to PEOPLEATGQ

Variable Name	CORRECTIONAL_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Correctional Residential Facility 2. Juvenile Correctional Facility
Skip Instructions	1. If CORRECTIONAL_DD = 1, go to CF_DESC. 2. If CORRECTIONAL_DD = 2, go to MAXCAP3.

Variable Name	CF_DESC
Screen	“Which of the following categories describes [fill in GQNAME#3]? If more than one flashcard category applies, mark the one with the most prisoners.”
Input Options	1. State Prison 2. Local or County Jail 3. Adult Residential Correctional Facility 4. Privately Operated Correctional Facility (federal) 5. Federal Prison 6. Federal Detention Center
Skip Instructions	1. If CF_DESC = 1 through 4 go to MAXCAP3 Going to PEOPLEATGQ and it should be going to MAXCAP3 2. If CF_DESC = 5, display soft error that says: “ You have attempted to collect GQ information for Federal Prison outside of the data collection period for Federal Prisons. Please read the script below to the respondent and continue with the interview. “Federal facilities are out of scope at this time of data collection. Is this GQ another one of the categories on this card?” Suppress is off line. Close and GO returns to TERGQNAME. 3. If CF_DESC = 6, display soft error that says: You have attempted to collect GQ information for Federal Prison outside of the data collection period for Federal Prisons. Please read the script below to the respondent and continue with the interview. “Federal facilities are out of scope at this time of data collection. Is this GQ another one of the categories on this card?” Suppress is off line. Close and GO returns to TERGQNAME.

Variable Name	GROUPHOME_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Group 2. Juvenile Group
Skip Instructions	1. If GROUPHOME_DD = 1 go to MAXCAP3. 2. If GROUPHOME_DD = 2, go to MAXCAP3.

Variable Name	HEALTH_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Adult Residential Treatment Center (non-correctional) 2. Assisted Living, Independent Living or Continuing Care Facility 3. Nursing or Skilled Nursing Facility 4. In-Patient Hospice Facility 5. Hospital 6. Juvenile Residential Treatment Center (non-correctional)
Skip Instructions	1. If 1, 3, 4 or 6 go to MAXCAP3. 2. If 2, go to ALF 3. If 5, go to HOSP_DESC

Variable Name	ALF
Screen	Does [GQNAME#3] have a skilled nursing unit or a nursing unit?
Input Options	1. Yes 2. No
Skip Instructions	1. If ALF = 1, go to MAXCAP3 2. If ALF = 2, got to PEOPLEATGQ

Variable Name	HOSP_DESC
Screen	Does [GQNAME#3] provide treatment or care that includes: If more than one Information Card category applies, enter the one with the most patients.”
Input Options	1. Mental/Psychiatric Hospital or Unit 2. Skilled Nursing Unit. 3. Patients Who Have No Usual Home Elsewhere. 4. None Of The Above Apply To This Hospital
Skip Instructions	1. If HOSP_DESC = 3, go to UHE_COUNT 2. If HOSP_DESC = 1 or 2, go to MAXCAP3. 3. If HOSP_DESC = 4, go to PEOPLEATGQ.

Variable Name	UHE_COUNT
Screen	Fill #1 [What is the maximum number of people who have no usual home elsewhere who live or stay here?] Fill #2 [What is the maximum number of people experiencing homelessness who can live or stay in this building?]
Skip Instructions	1. If STAY_NOW = 1, go to PEOPLEATGQ 2. If STAY_NOW = 2, go to RI_BTC

Variable Name	MILITARY_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Barracks or Academy Residence Hall 2. Disciplinary Barracks or Jail 3. Ship 4. Military Treatment Facility with Assigned Patients
Skip Instructions	MILITARY_DD – 1 through 4, go to MAXCAP3.

Variable Name	OGLF_DD
Screen	Select category based on GQ contact’s response.
Input Options	1. Commune, Recreational Vehicle Park, Campground, Marina, Racetrack. 2. Religious Facility 3. Hotel, Motel, Inn, Resort, Lodge, or Bed and Breakfast. 4. Job Corps or Vocational Training Facility 5. Shelter 6. Worker’s Group Living Facility
Skip Instructions	1. If OGLF_DD = 1, go to PEOPLEATGQ. 2. If OGLF_DD = 2,4,6, go to MAXCAP3. 3. If OGLF_DD = 3, go to HOTEL_UHE. 4. If OGLF_DD=5, go to DVS_DD.

Variable Name	DVS_DD
Screen	Domestic Violence Shelters are always out of scope for the American Community Survey. Is this facility a Domestic Violence Shelter?
Input Options	Yes No
Skip Instructions	1. If DVS_DD = 1, go to OUTOFSCOPE_TY. 2. If DVS_DD= 2 go to MAXCAP3.

Variable Name	HOTEL_UHE
Screen	Does [fill GQNAME#3] or part of [fill GQNAME#3] provide shelter for people experiencing homelessness?
Input Options	1. Yes 2. No
Skip Instructions	1. If HOTEL_UHE = 1, go to UHE_COUNT. 2. If HOTEL_UHE = 2, go to PEOPLEATGQ.

Variable Name	MAXCAP3
Screen	What is the maximum number of people who can live or stay at [fill GQNAME#3]? Include only those people who are part of the [fill GQTYPECODE3DESC] section of [fill GQNAME#3]. Please include any staff living or staying at [fill GQNAME#3]. The instruction should be up in the question, not as an FR instruction any longer. Thanks!
Skip Instructions	GO to PEOPLEATGQ

Variable Name	PEOPLEATGQ
Screen	“We need to take a sample of the residents and staff of [fill: GQNAME] to determine who I should interview. To take the sample, I will now need a list of all occupied beds as of TODAY. The list needs to include sufficient information so that I can locate that person. For example: the resident’s name, floor number, room number and bed designation. Can you provide me with this type of list? Be sure to include any staff members living of staying at the GQ. Do not include Held Beds.”
Input Options	1. Yes 2. No Valid Values 1,2,R
Skip Instructions	1. If PEOPLEATGQ = 1, go to CURRENTPOP 2. If PEOPLEATGQ = 2,R go to ALLBEDS

Variable Name	ALLBEDS
Screen	Is there an up-to-date list of all beds at [fill: GQNAME] Be sure to include any staff members living or staying at the GQ.
Input Options	1. Yes 2. No Valid Values 1, 2, R
Skip Instructions	1. If ALLBEDS = 1, go to CURRENTPOP 2. If ALLBEDS = 2,R go to CREATE_OCCBEDS

Variable Name	CREATE_OCCBEDS
Screen	Can you help me create a list of occupied beds? Be sure to include any staff members living of staying at the GQ. Do not include Held Beds.
Input Options	1. Yes 2. No Valid Values 1,2,R
Skip Instructions	1. If CREATE_OCCBEDS = 1, go to CURRENTPOP 2. If CREATE_OCCBEDS = 2, R go to CREATE_ALLBEDS.

Variable Name	CREATE_ALLBEDS
Screen	Can you help me create a list of all beds?
Input Options	1. Yes 2. No Valid Values 1,2,R
Skip Instructions	1. If CREATE_ALLBEDS = 1, go to CURRENTPOP 2. If CREATE_ALLBEDS = 2, R go to INSTAT

Variable Name	CURRENTPOP
Screen	“What is the total number of [fill 1: occupied beds] or [fill 2: all beds] at this place? Be sure you have the resister/list that you just received from or created with the GQ contact person.”
Skip Instructions	Go to CONFIRMATION

Variable Name	CONFIRMATION
Screen	You have entered that the total number of [fill1: occupied beds] or [fill2: all beds] is [fill3: CURRENTPOP]. Verify, using your list, that this number is accurate and then re-enter the correct number.
Fill Instructions	1. If PEOPLEATGQ = 1 or CREATE_OCCBEDS = 1. then fill 1 with “occupied beds”. 2. If ALLBEDS = 1 or CREATE_ALLBEDS = 1, then fill 2 with “all beds”. 3. Fill 3 and Fill 4 is the value from CURRENTPOP 4. Fill 5 is the value from CONFIRMATION.

Variable Name	RI_BCT
Screen	Thank you for your help with the [fill American / Puerto Rico] Community Survey. In order to evaluate the quality of my work, my supervisor may contact you to verify that I am doing my job correctly. What is the best time to contact you?
Skip Instructions	1. If STAY_NOW = 1, go to GQCONTACTFINISH 2. If STAY_NOW = 2, go to NOTES 3. If STAY_NOW = R, go to NOTES

Variable Name	GQCONTACTFINISH
Screen	You are now finished getting the information you need from the GQ contact. Let the GQ contact know that it will take a few minutes to take the sample. Let the GQ contact know that you will need to meet with them once you are finished sampling so they can help you find the people in sample to interview. Ask the GQ contact if there is a room that you can sit in to finish the sampling.
Skip Instructions	Go to TAKESAMPLE

Variable Name	TAKESAMPLE
Screen	You need to have you register in front of you. You are about to draw the sample for [fill: GQNAME]. Reminders: Be sure to only include those people who are currently staying at the GQ. For those GQs where you have determined there is a mix of housing units and GQs, ONLKY include those people currently staying in the sample GQ. Do not include Held Beds.
Input Options	Enter 1 to continue
Skip Instructions	Go to SAMPROSTER, PHONENUM, and EXTENSION for each person.

Variable Name	SAMPROSTER, PHONENUM , and EXTENSION
Screen	Enter Name of person, bed, or room Using you register and referring to the sample line below, enter the room #, bed #, floor # and / or sample person’s name for each of the GQ residents that were selected in the sample. Sample line number (This column is prefilled and cannot be changed by the interviewer) Phone Number Enter the telephone number for the sample person, room, or bed if you were able to get a telephone number. Phone Number extension Enter the telephone number extension for the sampled person, room, or bed if one exists. If phone number is blank, DK or R only accept blank. ACS Control Number (This column is prefilled and can not be changed by the interviewer. D, R or no answer are acceptable for Phone number and Phone Number extension. If Phone number is blank, D or R, only accept no answer for Phone number extension.
Skip Instructions	Go to COLLINDV

Variable Name	COLLINDV
Screen	You have completed sampling at this GQ. You must now prepare the ACS-1(GQ) questionnaires to be distributed to each sampled person. Remember that the contact(s) must be sworn in if he/she/they will be handling completed questionnaires. Since this is a completed interview, you must select the Geocode tab or press Ctrl+G to verify that this GQ has the correct Geocodes.
Input Options	Enter 1 to continue
Skip Instructions	1. If INITSCREEN = 3 or 4; PEAS_FL = 1 and GeocodeCmplt = 1, set STOREOUT = 801, set GeocodeReqd = 1 goto FINISH. 2. If INITSCREEN = 3 or 4; PEAS_FL = 1 and GeocodeCmplt = 0, set OUTCOME =807, set STOREOUT = 801, set GeocodeReqd = 1 goto GCDRemind. 3. If INITSCREEN = 3 or 4; PEAS_FL = 0, set STOREOUT = 801, goto FINISH. 4. If Ctrl+G is pressed, go to GCDCORRECT.

Variable Name	GCDREMIND
Screen	 Geocode verification is required for this case and has not yet been completed. Please verify the geocodes during this personal visit to the sample unit. Select the Geocoding Tab or Press Ctrl+G to proceed to the geocode verification screens now, or enter 1 to continue exiting the instrument. If you exit the instrument before Geocoding, this case will not be complete and you will not be able to transmit.
Input Options	Enter 1
Skip Instructions	If GCDREMIND=1 and GeocodeCmplt=1, Goto NOTES FINISH.

Variable Name	FINISH
Screen	This case is ready to be transmitted. Enter 1 to continue.
Skip Instructions	If FINISH = 1 and STOREOUT ne blank, set OUTCOME = STOREOUT and Goto NOTES.

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