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pdfYEARBUILT
Was this structure built before April of 2000?
1.
2.
3.
Do not ask for GQs, mobile homes, trailers, tents, or any other unit not
located in a structure.
Yes
No (This case will be classified as a Type C)
(Unit is a GQ, mobile home, trailer, or any unit not located in a structure)
BCNAME_CV
Enter name of contact person.
Press ENTER for None or Same.
Name of contact person: ^CP1NAME
Title of contact person: ^CP1TITL
Phone number to contact: (^CP1AREA)^CP1PHON
Extension: ^CP1EXT
Observation Only? ^BCOBS
BCTITL_CV
Enter title of contact person.
Press ENTER for None or Same.
Name of contact person: ^CP1NAME
Title of contact person: ^CP1TITL
Phone number to contact: (^CP1AREA)^CP1PHON
Extension: ^CP1EXT
Observation Only? ^BCOBS
BCNUM_CV
Enter phone number of contact person.
Press ENTER for None or Same.
Name of contact person: ^CP1NAME
Title of contact person: ^CP1TITL
Phone number to contact: (^CP1AREA)^CP1PHON
Extension: ^CP1EXT
Observation Only? ^BCOBS
BCOBS_CV
Observation only?
Name of contact person: ^CP1NAME
Title of contact person: ^CP1TITL
Phone number to contact: (^CP1AREA)^CP1PHON
Extension: ^CP1EXT
1.
2.
Observation Only? ^BCOBS
Yes
No
1.
2.
Are there any other living quarters, either occupied or vacant, at this
address?
Yes
No
HUCOVERAGE
TABX_INTRO
WARNING
You are about to begin asking questions about one or more additional
living arrangements at this location to determine if they quallify as EXTRA
UNITS!!!
1.
If you have accidentally reached this screen, PRESS "UP ARROW" to
back up to the previous screen and correct earlier entry.
Enter 1 to Continue
EXTRAHNO
What is the exact address of this other living quarters?
Enter house number; otherwise, press enter to continue.
EXTRAHNOSUF
What is the exact address of this other living quarters?
Enter house number suffix; otherwise, press enter to continue.
EXTRASTRNAME
What is the exact address of this other living quarters?
Enter street name; otherwise, press enter to continue.
EXTRAUNITDES
What is the exact address of this other living quarters?
Enter unit designation; otherwise, press enter to continue.
EXTRANONCITY
STYLEADDRESS
What is the exact address of this other living quarters?
Enter non-city style address; otherwise, press enter to continue.
EXTRAPHYS
DESCRIPTION
What is the exact address of this other living quarters?
Enter physical location description; otherwise, press enter to continue.
EXTRACITY
What is the exact address of this other living quarters?
Enter city name; otherwise, press enter to continue.
EXTRASTATE
What is the exact address of this other living quarters?
Enter state abbreviation; otherwise, press enter to continue.
EXTRAZIP5
What is the exact address of this other living quarters?
Enter 5-digit ZIP code; otherwise, press enter to continue.
EXTRAZIP4
What is the exact address of this other living quarters?
Enter 4-digit ZIP code; otherwise, press enter to continue.
EXTRABUILDING
NAME
What is the exact address of this other living quarters?
Enter group quarters building name; if none, press enter to continue.
EXTRAGQ
DESCRIPTION
What is the exact address of this other living quarters?
Enter group quarters description; otherwise press "Enter" to continue.
MOREEXTRA
1.
2.
ALREADYLISTED
Did you find another living quarters, either occupied or vacant at this
address?
Yes
No
ADDRESS OF POTENTIAL EXTRA UNIT:
(fills address here)
1.
2.
Is this address already listed?
Yes
No
SAMESTRSPACE
ADDRESS OF POTENTIAL EXTRA UNIT:
(fills address here)
1.
2.
Are the additional living quarters within the same structure and within the
same space as the sample unit?
Yes
No
SAMESTRUCTURE
ADDRESS OF POTENTIAL EXTRA UNIT:
(fills address here)
1.
2.
Are the additional living quarters in the same structure as the sample unit?
Yes
No
SAMEBSA
ADDRESS OF POTENTIAL EXTRA UNIT:
(fills address here)
1.
2.
Are the additional living quarters within the same basic address of the
original sample unit?
Yes
No
INAGQ
ADDRESS OF POTENTIAL EXTRA UNIT:
(fills address here)
1.
2.
Are the additional living quarters in a group quarters?
Yes
No
SEPARATENESS
ADDRESS OF POTENTIAL EXTRA UNIT:
(fills address here)
1.
2.
DIRECTACCESS
Do the occupants or intended occupants of the additional living quarters
live separately from all other persons on the property?
Yes
No
ADDRESS OF POTENTIAL EXTRA UNIT:
(fills address here)
1.
2.
Do the occupants or intended occupants of the additional living quarters
have direct access from the outside or through a common hall?
Yes
No
1.
This other living quarters IS NOT considered to be an extra unit.
Enter 1 to Continue
TABX_NO
TABXSPAWN
This other living quarters IS an extra unit. Do not include members of this
unit as members of the current unit. They MUST be interviewed separately.
Add the extra unit to your listing sheet according to the instructions in your
Listing and Coverage manual.
1.
ADDRESS OF EXTRA UNIT:
(fills address here)
Enter 1 to Continue
TABX_FR
Interview the parent case.
After interviewing the parent unit, you will receive instructions on what to
do with the EXTRA unit(s).
1.
You have identified Number of True Extra Units extra unit(s).
Enter 1 to Continue
TENURE
Ask or verify:
Are your living quarters...
1.
2.
3.
Read answer categories.
Owned or being bought by ^YOU_NAME or someone in
^YOUR_HIS_HER household?
Rented for cash?
Occupied without payment of cash rent?
STUDENTHOUSING
If apparent, enter precode without asking.
1.
2.
Are ^YOUR_NAME living quarters presently used as student housing
by a college or university?
Yes
No
1.
2.
Is this building owned by a public housing authority?
Yes, public housing
No, not public housing
1.
2.
3.
4.
If possible, verify PUBLICHOUSING entry of 1 (Yes) with the manager of
building.
Able to verify Public housing
Not public housing
Unable to verify Telephone
Other - Specify
PUBLICHOUSING
PUBLICHOUSING
MGRVERIFY
PUBLICHOUSING
MGRVERIFYSPEC
Specify the reason why you are unable to verify the public housing status
for this housing unit.
INDIANRESERVATION
HU
If apparent, enter precode without asking.
1.
2.
Are your living quarters located on an American Indian Reservation or
on American Indian Lands?
Yes
No
1.
During the past 12 months did sales of crops, livestock, and other farm
products from this place amount to $1,000 or more?
Yes
FARMSALES
2.
No
ACCESS
1.
2.
Please mark whether or not the sample household has direct access to
their living quarters.
Direct
Through another unit - Not a separate HU; combine with unit through which
access is gained
TYPEOFHOUSING
UNIT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Please select one box that describes the type of housing unit.
House, apartment, flat
HU in nontransient hotel, motel, etc.
HU permanent in transient hotel, motel, etc.
HU in rooming house
Mobile home or trailer with no permanent room added
Mobile home or trailer with one or more permanent rooms attached
HU not specified above - Describe
Quarters not HU in rooming or boarding house
Unit not permanent in transient hotel, motel, etc.
Unoccupied site for mobile home, trailer, or tent
Student quarters in college dormitory
Other unit not specified above - Describe
TYPEOFHOUSING
UNITSPEC7
Please specify the other type of "Housing Unit".
TYPEOFHOUSING
UNITSPEC12
Please specify the other type of "Other Unit".
NUMBEROFUNITS
Observe or ask:
1.
2.
3.
4.
5.
6.
7.
8.
DIRECTENTRANCE
TOUNIT
How many housing units are in this structure?
1
2
3
4
5-9
10+
Mobile home/trailer
Only OTHER units
Observe or ask:
1.
2.
3.
Does the unit have an outside entrance, patio doors, or windows, etc.,
on the ground level - or outside stairs leading directly to this unit?
Yes
No
Don't know
GATEDWALLED
COMMUNITY
Ask if unsure
1.
2.
Is this unit in a gated or walled community that restricts access by nonresidents or requires entry codes, key cards, or security guard approval
to access?
Yes
No
RESTRICTEDACCESS
Ask if unsure:
1.
2.
Is this unit in a building that requires a special entry system such as
entry codes, key cards, or security guard approval to access?
Yes
No
NAMECHECK
I have ^YOU_READ listed as living or staying at ^THIS_THAT address.
LN NAME
REL AGE SEX MARITAL STATUS
^L_NO ^NAME
^REL ^AGS ^SEX ^MARITAL ^PNEED
1.
2.
Are ALL of these people still living or staying at ^THIS_THAT address?
Yes
No
REFPERSTILLLIVE
Ask or verify
1.
2.
Does ^REFPERSON still live at this address?
Yes
No
NEWREFPER
What is the name of the person (or one of the persons) who owns or
rents that home? Would that be you?
Enter line number of the new reference person or 31 if someone not listed
LN NAME HHRESP REL SEX AGE
^L_NO ^NAME ^HHLD_R ^REL ^SEX ^AGS
01.-30.
31.
Line number 01 – Line number 30
Someone not listed above
NEWREFPER_FNAME
What is their name?
Enter the new reference person's first name on this screen and last name
on the next screen
NEWREFPER_LNAME
What is their last name?
Enter new reference person's last name.
VFYSEX
Ask if necessary:
1.
2.
^IS_ARE ^REFPERSON male or female?
Male
Female
MEMBERCHANGES
Enter reason why there is a change in household membership for this
person.
If no change is needed for this person, press the ENTER key without
selecting a precode.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
HHROSTER_FNAME
Use the arrow keys to move through the table and REVIEW/UPDATE
demographics. When done, press Page Down.
WHY ENTERED HOUSEHOLD: Person turned 12
Returned from school or college
Returned from institution
Entered because of marriage/separation/divorce
Person entered household for reasons other than above
WHY LEFT HOUSEHOLD: Person died
Left for school or college
Entered institution
Left because of marriage/separation/divorce
Person left household for reasons other than above
Visitor - residence elsewhere
NO Change to Membership
What are the names of all people living or staying ^HERE_THERE?
Start with the person who ^OWNS_RENTS this home.
Enter first name on this screen.
^MEM_NONMEM
Enter 999 to leave the table.
HHROSTER_LNAME
What are the names of all people living or staying ^HERE_THERE? Start
with the person who ^OWNS_RENTS this home.
Enter last name on this screen.
SEX
Ask if necessary:
1.
2.
^AREYOU_IS_C ^NONHHRNAME_CC male or female?
Male
Female
RELATIONSHIP
^NEWREFPERRVW
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
What is ^YOUR_NAME_CC^NMS_CC relationship to ^REFPERSON?
Husband
Wife
Son
Daughter
Father
Mother
Brother
Sister
Other relative
Nonrelative
HHMEMBER
^DO_DOES_C_CC ^YOU_NAME_CC usually live ^HERE_THERE?
1.
2.
If "No", probe for usual residence elsewhere.
Yes
No
1.
2.
^DO_DOES_C_CC ^YOU_NAME_CC have a usual place of residence
elsewhere?
Yes
No
HSEMEMURE
HHLDCOVERAGE
Have I missed anyone else living or staying ^HERE_THERE such as
any babies, any lodgers, or anyone who is away at present
traveling or in the hospital?
L_NO NAME
1.
2.
^L_NO ^NAME
Yes
No
ENTIREHHURE
All people on the household roster have a usual residence elsewhere.
Enter 1 to exit this case.
1.
Then, reenter this case to code it a Noninterview (Type B - Entire
Household URE) via START_CP.
Enter 1 to Continue
PICK1STHHRESP
Enter the line number for the person with whom you are speaking.
This person should be at least 18 years of age and knowledgeable about
the household.
LN
01.-30.
NAME
^L_NO ^NAME
Line number 01 – Line number 30
AGECHECK
1.
2.
I have ^YOU_NAME_CC listed as ^AGE_NO ^YEAR_YEARS
old^AS_OF_LAST_MONTH Is that correct?
Yes, age IS correct
No, age is NOT correct
BRTHDATEMO
What is ^YOUR_NAME_CC^NMS_CC date of birth?
1.
2.
3.
4.
5.
6.
7.
8.
9.
Enter month on this screen.
January
February
March
April
May
June
July
August
September
10.
11.
12.
October
November
December
BRTHDATEDY
What is ^YOUR_NAME_CC^NMS_CC date of birth?
Enter day on this screen
BRTHDATEYR
What is ^YOUR_NAME_CC^NMS_CC date of birth?
Enter year on this screen
If year is less than 1890, enter 1890
VFYAGE
1.
2.
That would make ^YOU_NAME_CC ^AGE_NO ^YEAR_YEARS
old^AS_OF_LAST_MONTH Is that correct?
Yes
No
ESTAGE
Even though you don't know ^YOUR_NAME_CC^NMS_CC exact
birthdate, ^AGE_GUESS ^HE_SHE_WAS_ON ^HIS_HER ^LAST_BDAY
AGERNG
^AGE_RANGE
1.
2.
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8.
9.
Read appropriate age categories.
0 - 11 years old?
12 - 13 years old?
14 - 15 years old?
16 - 17 years old?
18 - 24 years old?
25 - 34 years old?
35 - 49 years old?
50 - 65 years old?
66 years old or older?
MARITAL
Enter new marital status for ^NAME_CC
LAST REPORTED AS: ^MARITAL
If in doubt, ask:
1.
^AREYOU_IS_C ^NONHHRNAME_CC now married, widowed, divorced,
separated or ^HAVE_YOU_HAS_HE_SHE_CC never been married?
Married
2.
3.
4.
5.
Widowed
Divorced
Separated
Never married
ARMEDFORCES
LAST REPORTED AS: ^MILITARY
1.
2.
^AREYOU_IS_C ^NONHHRNAME_CC now in the Armed Forces?
Yes
No
EDUCATIONATTAIN
(Page 6)
LAST REPORTED AS: ^EDUCATIONATTAIN
1.
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3.
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6.
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19.
20.
What is the highest level of school ^YOU_NAME_CC completed or the
highest degree ^YOU_HE_SHE_CC received?
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade (No diploma)
High school graduate (Diploma or equivalent)
Some college (No Degree)
Associate's degree
Bachelor's degree (e.g. BA, AB, BS)
Master's degree (e.g. MA, MS, Meng, MSW, MBA)
Professional School degree (e.g. MD, DDS, DVM, LLB, JD)
Doctorate degree (PhD, EdD)
Never attended, preschool, kindergarten
ATTENDINGSCHOOL
LAST REPORTED AS: ^ATTENDINGSCHOOL
1.
2.
^AREYOU_IS_C ^NONHHRNAME_CC currently attending or
^REGULAR_SCHOOL enrolled either full-time or part-time in a college
or university, trade, or vocational school?
Regular school
College/University
3.
4.
5.
Trade school
Vocational school
None of the above schools
SP_ORIGIN
(Page 8)
1.
2.
^AREYOU_IS_C ^NONHHRNAME_CC Spanish, Hispanic, or Latino?
Yes
No
RACE
(Page 10)
If personal interview show flash card.
If telephone interview read answer categories.
Do not probe.
1.
2.
3.
4.
5.
6.
Please choose one or more races that ^YOU_NAME_CC
consider/considers ^YOURSELF_HIMSELF_HERSELF_CC to be.
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Other - Specify
RACE_SPECIFY
Specify the other race for this person.
File Type | application/pdf |
File Title | YEARBUILT |
Author | seama300 |
File Modified | 2009-03-20 |
File Created | 2009-03-20 |