Form H-108 Reinterview Questionnaire

OMB No. XXXX-XXXX: Approval Expires XX/XX/XXXX
U.S. DEPARTMENT OF COMMERCE

FORM H-108 (1-31-2013)

Economics and Statistics Administration

U.S. CENSUS BUREAU

REINTERVIEW QUESTIONNAIRE – 2014
NEW YORK CITY HOUSING AND VACANCY SURVEY
Section I – IDENTIFICATION AND ORIGINAL INTERVIEW INFORMATION
Borough

Segment

Serial No.

Expected HUs

Name and FR code of original interviewer

Name of original respondent

Respondent address

Telephone

Original interview date

(
)
Beginning interview time

a.m.
p.m.

Original interview outcome (Enter complete or B/C.
If B/C, enter code and reason.)

Ending interview time

a.m.
p.m.

Section II – REINTERVIEW INFORMATION
Best time to call

Reinterview
mode (T or P)

Date

Date

Reinterview
callbacks

Time

a.m.
p.m.

Time

Date

a.m.
p.m.

Time

Date

a.m.
p.m.

Time

a.m.
p.m.

Section III – REINTERVIEW QUESTIONS
1. Is this . . . (read respondent address B) ?
1
Yes
No
2
2. May I speak with . . . (original respondent)?
1
Yes
No – Not available, arrange for callback
2
No – No longer is available at address.
3
Go to item 3
3. Do you remember if a representative of the
Census Bureau visited on or about . . .
(read date)?
1
Yes
2
No
4. Did a representative of the Census Bureau visit
regarding . . . (read sample unit address A)?
1
2

Yes
No

5. Did a representative of the Census Bureau visit
regarding the New York City Housing and
Vacancy Survey?
Yes
1
No
2

6. How long did the interview last?
1
Less than 1⁄2 hour
1
⁄2–2 hours
2
More than 2 hours
3
7. Was the unit occupied or vacant as of
(original interview date)?
Occupied
1
Vacant – Go to 8
2
Don’t remember
3
8. Was the unit –
1
Available for rent?
Q71 must match.
Fix H-100
2
Available for sale only?
Not available for rent or sale? if necessary.
3

}

Reinterviewer assessment
1
Original interview status correct (B/C or complete)
2
Suspected falsification
Original interview status not correct but
3
falsification not suspected
4
Reinterview refused
5
Noninterview in the reinterview
6

Other