Various Demographic Area Pretesting Activities

Be Counted – Automated Protocol (Round 3)

INTERVIEW ID: ____________________

INTERVIEW DATE: ____/____/____ START TIME: ___________ AM / PM

Hello, my name is ___________. I work for RTI/RSS a research company that has been hired by the Census Bureau to conduct research on the census forms. Thanks for agreeing to help us today. Let me start by telling you a little about what we will be doing. Every ten years the United States conducts a census, or count, of everyone who is living in the United States. The form we’re working on today is the kind you might access online, using a computer, tablet, or smartphone if you thought you had not been counted in the census.

Permission to Record:

Because it would be hard to keep track of everything you say today, I would like to record this session. [HAND RESPONDENT THE CONSENT FORM IF YOU HAVE NOT ALREADY.] Please read over this consent form and let me know if you have any questions. When you are ready, please sign the form. I want you to know that your responses will be kept strictly confidential and will only be seen by members of the project team and the Census Bureau. Your participation in this study is completely voluntary and you can decline to answer any particular question. At the end of the study, we will delete any record of your responses from our machines. Your name will never be used in any reports.

Think-out-loud Instructions:

What I’ll ask you to do today is to fill the questionnaire out, just as you would if you accessed it online. But, so I can keep track of what you are doing, I’d like you to describe what you are doing and thinking as you go along. For example, I may ask you a question that seems relatively simple such as “How many cars do you have?” Instead of just providing a number, tell me what you were thinking when you answered it. For example, my response would be “Well I have an SUV that I drive every day and I also have an old truck. But the truck does not currently run. I assume that you mean working cars, so…one. I just have one car.” This kind of response will help me understand how you understood and interpreted the question so that we can see what each question means to you. I may remind you to think aloud as we go along. After some of the questions, I will ask you some additional questions about your answers to the Census. Some of these questions may sound a little strange. For example, I might ask you what a certain word means to you or how you came up with your answer. Again, the reason for this is to see how people understand each question. Even though some of these questions may sound like I am giving you a test, there are no right or wrong answers. We are interested in how these questions work for you.

Do you have any questions before we begin?

IF CONSENT WAS GIVEN, START TAPE RECORDER AND DEVICE RECORDER.

Logon TO APP (PASSWORD: CSM##2012).

[GIVE DEVICE TO R AND SAY: So that I can follow along more easily, please read the survey questions aloud and tell me your answers.]

[administer scripted probes after respondent has answered all questions in the section; note usability issues as they occur. Administer debriefing probes after scripted probes.]

Roster Questions (1-4)
The Census Bureau needs to count everyone where they were living or staying on Census Day, which was June 1, 2013. It should take about 10 minutes to complete this survey. [Calendar with June 1 circled]	Q0 USABILITY: NOTE WHETHER RESPONDENT READS INTRODUCTION What does the phrase “living or staying” mean to you as it is used in the introduction?
1. What is your full name? [Name fields: First Middle Last] Were you already counted in the 2013 Census? Yes No Don’t Know	Q1 USABILITY: WRITE DOWN R’S NAME SO THAT YOU CAN PROBE ON IT LATER. NOTE IF FULL NAME IS PROVIDED AND IF IT IS ENTERED CORRECTLY.
2. On June 1, 2013, were you staying on the street, in a shelter, or in another location for persons experiencing homelessness? Yes  Go to 2a No  Go to 2c	Q2 USABILITY: What do you think they mean by “experiencing homelessness” in this question? IF YES: Can you tell me more about that. Why did you answer yes?
2a. Is there a street address where you were living or sleeping on June 1, 2013? Yes  Go to 2c No  Go to 2b	Q2a USABILITY: How did you decide what to answer here? What does “living or sleeping” mean to you as it is used in this question?
2b. Please provide any additional information about where you were living or sleeping such as major cross roads, neighborhoods, or facility name. VERBATIM FIELD City: State [select state picklist]	Q2b USABILITY: NOTE WHETHER R PROVIDED SUFFICIENT INFORMATION TO DETERMINE LOCATION. IF NOT, ASK: How did you decide what to answer here?
2c. What was the street address where you were living or staying on June 1, 2013? Address (# and Street Name): Apt #: City: State [select state picklist] Zip	Q2c USABILITY: NOTE COMPLETENESS OF ADDRESS. IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED. IF PARTIAL, ASK: Please tell me about the address you provided for Q2c. What kind of place is it? How long were you there?
3. On June 1, 2013, was there anyone else living or staying at [ADDRESS 1]? Yes (if not homeless go to 4, else 3a) No (if not homeless go to 5, else 10)	Q3 USABILITY: Why did you say [YES/NO]?
3a. Are you completing this form for… All of them – Go to Q4 Some of them – Go to Q4 Just yourself – Go to Q10	Q3a USABILITY: Why did you decide to complete it for all/some/just yourself? IF SOME OR JUST SELF: How are the other people living or staying at this address related to you? Are they friends, relatives, or what?
4. What are the full names of the other people who were living or staying at [Address 1] on June 1, 2013? [Name fields: First Middle Last] [Name fields: First Middle Last] [Name fields: First Middle Last] Add additional name (max 9 rows)	Q4 USABILITY: WRITE DOWN NAMEs SO THAT YOU CAN PROBE ON THEM LATER. NOTE WHETHER FULL NAMES ARE PROVIDED AND IF THEY ARE ENTERED CORRECTLY (E.G. ONE NAME PER LINE). NOTE ANY DIFFICULTY WITH ADDING ADDITIONAL NAMES. IF NEEDED: How easy or difficult was it to add additional names to this screen? How did you determine who was living or sleeping here? [Was there anyone you were unsure about including? IF YES: Can you tell me more about that?]
5. On June 1, 2013, were there any additional people living or staying at [Address 1] who you did not include yet? For example Babies or young children? [ ] Yes [ ] No Foster children? [ ] Yes [ ] No Any other relatives? [ ] Yes [ ] No Roommates or people [ ] Yes [ ] No not related to you?	Q5 USABILITY: IF R INITIALLY LEFT YES/NO BOXES BLANK FOR AN ITEM, ASK: I noticed that you did not choose Yes or No at first for [item], how did you figure out what to choose? In your own words, what is this question asking? [NOTE WHETHER THEY UNDERSTAND THAT THIS QUESTION IS ASKING ABOUT ADDITIONAL PEOPLE.]
5a. What are their full names? [Name fields: First Middle Last] [Name fields: First Middle Last] [Name fields: First Middle Last] Add additional name	Q5a USABILITY: Why did you not initially include [NAME] as living or staying at <ADDRESS>? FOR ANY PEOPLE ADDED, PROBE TO UNDERSTAND THEIR RELATIONSHIP TO THE PARTICIPANT AND HOW FREQUENTLY THEY LIVE/STAY THERE. NOTE ANY DIFFICULTY WITH ADDING ADDITIONAL NAMES. IF NEEDED: How easy or difficult was it to add additional names to this screen? WRITE DOWN NAMEs SO THAT YOU CAN PROBE ON THEM LATER. NOTE WHETHER FULL NAMES ARE PROVIDED AND IF THEY ARE ENTERED CORRECTLY (E.G. ONE NAME PER LINE).
6. On June 1, 2013, was there anyone else staying or sleeping at [Address 1] who had no permanent place to live? Yes – Go to 6a No – Go to 7	Q4 USABILITY: What does “no permanent place to live” mean as it is used in this question? What were you thinking of?
6a. What are full the names of the people who had no permanent place to live? [Name fields: First Middle Last] [Name fields: First Middle Last] [Name fields: First Middle Last] Add additional name	Q4F USABILITY: FOR ANY PEOPLE ADDED, PROBE TO UNDERSTAND THEIR RELATIONSHIP TO THE PARTICIPANT AND HOW FREQUENTLY THEY LIVE/STAY THERE. NOTE ANY DIFFICULTY WITH ADDING ADDITIONAL NAMES. IF NEEDED: How easy or difficult was it to add additional names to this screen? WRITE DOWN NAMEs SO THAT YOU CAN PROBE ON THEM LATER. NOTE WHETHER FULL NAMES ARE PROVIDED AND IF THEY ARE ENTERED CORRECTLY (E.G. ONE NAME PER LINE).

1. Roster Questions (1-6) Debriefing

I would like to stop here for a moment to ask you a few follow-up questions about the items you just answered.

A1. Is there anyone you listed or thought about listing for any question, but you were unsure whether he or she should be included on the census or not? [Tell me more about that?]

A2. Was there anyone you included as living or staying here, who was actually away on June 1, 2013. For example away on a business trip, for vacation, or for another reason? [How did you know to include this person?]

A3. I see that you provided ________________ as your name. Is that a full name or a nickname? NOTE DIFFERENCES WITHOUT USING PII.

A4. Would you ever use a different version of your name on a form like this?

1. IF YES: How else might you list your name? NOTE DIFFERENCES WITHOUT USING PII.

2. IF YES: How do you decide which way to write it on different forms?

3. IF HISPANIC: Do you have two surnames? IF YES, ASK: How did you decide which surname to provide on the Census form?

A5. IF MIDDLE NAME BLANK OR JUST INITIAL: Did you see that you were supposed to provide your [full] middle name? Do you have a middle name? How did you decide to [leave it blank/just provide an initial]?

Now let’s review the names of the other people you listed.

• A6a. I see that you wrote ___________ as his/her name. Is that a full name or a nickname? NOTE DIFFERENCES

WITHOU USING PII.

• A6b. Would you ever use a different version of his/her name on a form like this?

• IF YES: How else might you list this name? How do you decide which way to write on different forms? NOTE DIFFERENCES WITHOUT USING PII.

• IF HISPANIC: Does he or she have two surnames? IF YES, ASK: How did you decide which surname to provide on the Census form?

• A6c. How did you decide how to list their name?

• A6d. IF MIDDLE NAME BLANK OR JUST INITIAL: Did you see that you were supposed to provide his or her

[full] middle name? Does he or she have a middle name? How did you decide to [leave it blank/just

provide an initial]?

Person	Probe A6a	Probe A6b	Probe A6c	Probe A6d
2
3
4
5
6

Those are all the follow-up questions I have for this part. Let’s continue with the rest of the interview.

Demographic Questions (7-11):
ADMINISTER Q7 AND DEMOGRAPHIC QUESTIONS 8-11. administer scripted probes after respondent has answered all questions in the section; note usability issues as they occur. .
7. The next few questions will be about the people who lived or stayed at [ADDRESS] on [Census Day]. Based on your previous responses, this is who we have listed. [Name; Name] Are these names correct?	Q7 USABILITY: NOTE WHETHER ANY CHANGES ARE MADE TO THE ROSTER. NOTE ANY DIFFICULTIES MAKING UPDATES. IF NEEDED: How easy or difficult was it for you to update this list?
8. If [ADDRESS] is a house apartment or mobile home, is it: Owned by you or someone else in this household with a mortgage or loan (including home equity loans)? - Go to 8a Owned free and clear (without a mortgage or loan)? – Go to Q8a Rented? – Go to 8a Occupied without payment of rent? –Go to Q9 8a. Of the people who live here at [ADDRESS], who owns or rents this house? [NAMES] Go to Q9	Q8 USABILITY: Q8a USABILITY:
9. Next, we need to record each person’s relationship to [Person 1]. Using the categories on the screen, [NAME] is [Person 1]’s . • Opposite-sex husband/wife/spouse • Opposite-sex unmarried partner • Same-sex husband/wife/spouse • Same-sex unmarried partner • Biological son or daughter • Adopted son or daughter • Stepson or stepdaughter • Brother or sister • Father or mother • Grandchild • Parent-in-law • Son-in-law or daughter-in-law • Other relative • Roomer or boarder • Housemate or roommate • Foster child • Other nonrelative	Q9 USABILITY: NOTE WHETHER R READS THE LIST, ANY MIXUPS OR SELF-CORRECTIONS. IF THEY HAVE AN OBJECTION, LET THEM COMMENT. WRITE DOWN VERBTAIM ANY SPONTANEOUS COMMENTS. Could you find a relationship category that fit [NAME]? How did you choose your answer? Is there something else you would rather call your relationship to [NAME]? IF YES: What is that term? Why do you think that is better?
10. Are you/Is [NAME] male or female? Male Female What is your / [NAME]’s date of birth? [DATE: mm-dd-yyyy] If date of birth is unknown- What was your age on [Census Day]?	Q10 USABILITY: VERIFY FOR EACH PERSON THAT THE DATE PROVIDED VERBALLY MATCHES THE DATE ENTERED ON DEVICE.
11. Using the categories on the screen, what is your / [NAME]’s race or origin? White – For example, German Irish, Lebanese, Egyptcian, and so on.  Go to 11a Black or African Am. – For example, African American, Haitian, Nigerian, and so on.  Go to 11b Hispanic, Latino, or Spanish origin – For example, Mexican, Mexican Am., Puerto Rican, Cuban, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.  Go to 11c American Indian or Alaska Native – For example, Navajo, Mayan, Tlingit, and so on.  Go to 11d Asian – For example, Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.  Go to 11e Native Hawaiian or Other Pacific Islander – For example, Native Hawaiian, Guamanian or Chamorro, Somoan, Fijian, Tongan, and so on.  Go to 11f Some other race or origin.  Go to 11g	Q11 USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments: Did you notice the examples? IF YES: How helpful or unhelpful were they?
11a. You said you are / [NAME] is white. Enter your specific origin(s) - For example, German, Irish, Lebanese, Egyptian, and so on.	Q11a USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments:
11b. You said you are/ [NAME] is black or African Am. Enter your specific origin(s) - For example, African American, Haitian, Nigerian and so on.	Q11b USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments:
11c. You said you are / [NAME] is Hispanic, Latino or of Spanish origin. Enter your specific origin(s) - For example, Mexican, Mexican Am., Puerto Rican, Cuban, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.	Q11c USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments:
11d. You said you are / [NAME] is American Indian or Alaska Native. Enter your specific origin(s) - For example, Navajo, Mayan, Tlingit and so on.	Q11d USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments:
11e. You said you are / [NAME] is Asian. Enter your specific origin(s) - For example, Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Hmong, Laotian, Thai, Pakistani, Cambodian and so on.	Q11e USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments:
11f. You said you are / [NAME] is Native Hawaiian or Other Pacific Islander. Enter your specific origin(s) - For example, Native Hawaiian, Guamanian or Chamorro, Samoan, Fijian, Tongan and so on.	Q11f USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments:
11g. You said you have / [NAME] has some other race or origin. Enter your specific origin(s).	Q11g USABILITY: if they have an objection, let them comment. WRITE DOWN Verbatim any spontaneous comments:

Question 12-16 Series (“you”)
12. Did you move into or out of [ADDRESS] AFTER May 1 2013? Yes, moved into [ADDRESS]- Go to 12a Yes, moved out of [ADDRESS]– Go to 12a No- Go to Q13	Q12 USABILITY: IF YES, PROBE FOR DETAILS. NOTE ANY CONFUSION ON THE DIRECTION OF MOVING IN/OUT.
12a. On what date did you move [into/out of] [ADDRESS]? [Date: mm-dd-yyyy]	Q12 USABILITY: VERIFY THAT THE DATE PROVIDED VERBALLY MATCHES THE DATE ENTERED ON DEVICE. NOTE ANY DIFFICULTIES WITH ENTERING DATE. IF NEEDED: How easy or difficult was it to enter the date?
12b What is the address you moved [out of / into]? Please provide as much information as you know. [ ] SAMPLE ADDRESS [ ] OTHER ADDRESSES [ ] NEW ADDRESS	Q12b USABILITY: IS THE ADDRESS PROVIDED THEIR PREVIOUS ADDRESS OR NEW ADDRESS? NOTE COMPLETENESS OF ADDRESS.
13. Besides [Address 1], do you sometimes live or stay at another address: For college, the military, or a job? []Yes [] No At another home, like a seasonal or second residence? []Yes [] No With a parent, grandparent, []Yes [] No friend, or other person ?	Q13 USABILITY: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: What does the phrase “sometimes live or stay at another address” mean in this question? What time period were you thinking about when you answered this question?
13a. What is the address where you stayed for college, military, or a job? Please provide as much information as you know.	Q13a USABILITY: PROBE FOR DETAILS. Can you tell me more about the place you stayed? [How long/often are you there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13b. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13c. What is the address where you stayed at another home, like a seasonal or second home? Please provide as much information as you know.	Q13c USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [What type of places is it? Who owns it? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13d. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13d. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13e. What is the address where you stayed with a parent, grandparent, friend or other person? Please provide as much information as you know.	Q13e USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [Who did you stay with? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13f. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13f. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
14. On June 1, 2013, did you stay in any of the following facilities? Shelter or group home [] Yes [] No Nursing home [] Yes [] No Jail or prison [] Yes [] No Other facility [] Yes [] No	Q14a USABILITY (FOR ALL PERSONS):: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: IF YES: Can you tell me more about that? How long did you stay there?
14a. What is the address of the facility where you stayed? Please provide as much information as you know.	Q14a USABILITY: NOTE HOW MANY NEW ADDRESSES WERE PROVIDED AND COMPLETENESS OF THE ADDRESSES BY PLACE.
14b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q14n. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
15. Where do you live and sleep most of the time? Here at this residence  Go to Q16 ALTERNATE ADDRESS 1  Go to Q16 (ADDITIONAL ALT ADDR)  Go to Q16 In above places about equally  Q16 Some other place  Go to Q15a	Q15. USABILITY: P53. IF ADD’L ADDRESSES PROVIDED: How did you determine where you live and sleep most of the time? P55. If I had asked, “Around June 1, 2013, where did you live and sleep most of the time?” would that have changed your answer? How so?
15a. What is the adress of the other place?	Q15a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
16. On June 1, 2013, where were you staying? Here at this residence  next Person ALTERNATE ADDRESS 1  next Person (ADDITIONAL ALT ADDR)  next Person Some other place  Go to Q16A	Q16 USABILITY: P57. IF ANSWER IS DIFFERENT THAN WHAT YOU WOULD EXPECT: How did you come up with your answer to this question?
16a. What is the adress of the other place?	Q16a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
INTERVIEWER: IF ONE-PERSON HOUSEHOLD, GO TO SECTION B, PAGE X FOR DEBRIEFING. IF OTHERS IN HOUSEHOLD, CONTINUE TO PERSON 2 ON THE NEXT PAGE.

Question 12-16 Series (Person 2)
12. Did [NAME] move into or out of [ADDRESS] AFTER May? Yes, moved into [ADDRESS]- Go to 12a Yes, moved out of [ADDRESS]– Go to 12a No- Go to Q13	Q12 USABILITY: IF YES, PROBE FOR DETAILS.
12a. On what date did [NAME] move [into / out of] [ADDRESS]? [Date: mm-dd-yyyy]	Q12 USABILITY: VERIFY THAT THE DATE PROVIDED VERBALLY MATCHES THE DATE ENTERED ON DEVICE. NOTE ANY DIFFICULTIES WITH ENTERING DATE. IF NEEDED: How easy or difficult was it to enter the date?
12b What is the address [NAME] moved [out of / into]? Please provide as much information as you know. [ ] SAMPLE ADDRESS [ ] OTHER ADDRESSES [ ] NEW ADDRESS	Q12b USABILITY: IS THE ADDRESS PROVIDED THEIR PREVIOUS ADDRESS OR NEW ADDRESS? NOTE COMPLETENESS OF ADDRESS.
13. Besides [Address 1], does [NAME] sometimes live or stay at another address: For college, the military, or a job? []Yes [] No At another home, like a seasonal or second residence? []Yes [] No With a parent, grandparent, []Yes [] No friend, or other person ?	Q13 USABILITY: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: What does the phrase “sometimes live or stay at another address” mean in this question? What time period were you thinking about when you answered this question?
13a. What is the address where [NAME] stayed for college, military, or a job? Please provide as much information as you know.	Q13a USABILITY: PROBE FOR DETAILS. Can you tell me more about the place you stayed? [How long/often are you there?] NO IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED. NOTE HOW MANY NEW ADDRESSES WERE PROVIDED AND COMPLETENESS OF THE ADDRESSES BY PLACE.
13b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13b. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13c. What is the address where [NAME] stayed at another home, like a seasonal or second home? Please provide as much information as you know. City: State [select state picklist]	Q13c USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [What type of places is it? Who owns it? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13d. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13d. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13e. What is the address where [NAME] stayed with a parent, grandparent, friend or other person? Please provide as much information as you know.	Q13e USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [Who did you stay with? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13f. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13f. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
14. On [Census Day], did [NAME] stay in any of the following facilities? Shelter or group home [] Yes [] No Nursing home [] Yes [] No Jail or prison [] Yes [] No Other facility [] Yes [] No	Q14a USABILITY (FOR ALL PERSONS):: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: IF YES: Can you tell me more about that? How long did you stay there?
14a. What is the address of the facility where [NAME] stayed? Please provide as much information as you know.	Q14a USABILITY: NOTE HOW MANY NEW ADDRESSES WERE PROVIDED AND COMPLETENESS OF THE ADDRESSES BY PLACE.
14b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name.	Q14n. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
15. Where does [NAME] live and sleep most of the time? Here at this residence  Go to Q16 ALTERNATE ADDRESS 1  Go to Q16 (ADDITIONAL ALT ADDR)  Go to Q16 In above places about equally  Q16 Some other place  Go to Q15a	Q15. USABILITY: IF ADD’L ADDRESSES PROVIDED: How did you determine where you live and sleep most of the time? If I had asked, “Around June 1, 2013, where did you live and sleep most of the time?” would that have changed your answer? How so?
15a. What is the adress of the other place?	Q15a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
16. On June 1, 2013, where was [NAME] staying? Here at this residence  next Person ALTERNATE ADDRESS 1  next Person (ADDITIONAL ALT ADDR)  next Person Some other place  Go to Q16a	Q16 USABILITY: IF ANSWER IS DIFFERENT THAN WHAT YOU WOULD EXPECT: How did you come up with your answer to this question?
16a. What is the adress of the other place?	Q16a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
INTERVIEWER: IF 2-PERSON HOUSEHOLD, GO TO SECTION B, PAGE X FOR DEBRIEFING. IF OTHERS IN HOUSEHOLD, CONTINUE TO PERSON 3 ON THE NEXT PAGE.

Question 12-16 Series (Person 3)
12. Did [NAME] move into or out of [ADDRESS] AFTER May? Yes, moved into [ADDRESS]- Go to 12a Yes, moved out of [ADDRESS]– Go to 12a No- Go to Q13	Q12 USABILITY: IF YES, PROBE FOR DETAILS.
12a. On what date did [NAME] move [into / out of] [ADDRESS]? [Date: mm-dd-yyyy]	Q12 USABILITY: VERIFY THAT THE DATE PROVIDED VERBALLY MATCHES THE DATE ENTERED ON DEVICE. NOTE ANY DIFFICULTIES WITH ENTERING DATE. IF NEEDED: How easy or difficult was it to enter the date?
12b What is the address [NAME] moved [out of / into]? Please provide as much information as you know. [ ] SAMPLE ADDRESS [ ] OTHER ADDRESSES [ ] NEW ADDRESS	Q12b USABILITY: IS THE ADDRESS PROVIDED THEIR PREVIOUS ADDRESS OR NEW ADDRESS? NOTE COMPLETENESS OF ADDRESS.
13. Besides [Address 1], does [NAME] sometimes live or stay at another address: For college, the military, or a job? []Yes [] No At another home, like a seasonal or second residence? []Yes [] No With a parent, grandparent, []Yes [] No friend, or other person ?	Q13 USABILITY: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: What does the phrase “sometimes live or stay at another address” mean in this question? What time period were you thinking about when you answered this question?
13a. What is the address where [NAME] stayed for college, military, or a job? Please provide as much information as you know.	Q13a USABILITY: PROBE FOR DETAILS. Can you tell me more about the place you stayed? [How long/often are you there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13b. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13c. What is the address where [NAME] stayed at another home, like a seasonal or second home? Please provide as much information as you know.	Q13c USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [What type of places is it? Who owns it? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13d. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13d. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13e. What is the address where [NAME] stayed with a parent, grandparent, friend or other person? Please provide as much information as you know.	Q13e USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [Who did you stay with? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13f. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13f. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
14. On [Census Day], did [NAME] stay in any of the following facilities? Shelter or group home [] Yes [] No Nursing home [] Yes [] No Jail or prison [] Yes [] No Other facility [] Yes [] No	Q14a USABILITY (FOR ALL PERSONS):: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: IF YES: Can you tell me more about that? How long did you stay there?
14a. What is the address of the facility where [NAME] stayed? Please provide as much information as you know.	Q14a USABILITY: NOTE HOW MANY NEW ADDRESSES WERE PROVIDED AND COMPLETENESS OF THE ADDRESSES BY PLACE.
14b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q14n. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
15. Where does [NAME] live and sleep most of the time? Here at this residence  Go to Q16 ALTERNATE ADDRESS 1  Go to Q16 (ADDITIONAL ALT ADDR)  Go to Q16 In above places about equally  Q16 Some other place  Go to Q15a	Q15. USABILITY: IF ADD’L ADDRESSES PROVIDED: How did you determine where you live and sleep most of the time? If I had asked, “Around June 1, 2013, where did you live and sleep most of the time?” would that have changed your answer? How so?
15a. What is the adress of the other place?	Q15a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
16. On June 1, 2013, where was [NAME] staying? Here at this residence  next Person ALTERNATE ADDRESS 1  next Person (ADDITIONAL ALT ADDR)  next Person Some other place  Go to Q16a	Q16 USABILITY: IF ANSWER IS DIFFERENT THAN WHAT YOU WOULD EXPECT: How did you come up with your answer to this question?
16a. What is the adress of the other place?	Q16a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
INTERVIEWER: IF 3-PERSON HOUSEHOLD, GO TO SECTION B, PAGE X FOR DEBRIEFING. IF OTHERS IN HOUSEHOLD, CONTINUE TO PERSON 4 ON THE NEXT PAGE.

Question 12-16 Series (Person 4)
12. Did [NAME] move into or out of [ADDRESS] AFTER May? Yes, moved into [ADDRESS]- Go to 12a Yes, moved out of [ADDRESS]– Go to 12a No- Go to Q13	Q12 USABILITY: IF YES, PROBE FOR DETAILS.
12a. On what date did [NAME] move [into / out of] [ADDRESS]? [Date: mm-dd-yyyy]	Q12 USABILITY: VERIFY THAT THE DATE PROVIDED VERBALLY MATCHES THE DATE ENTERED ON DEVICE. NOTE ANY DIFFICULTIES WITH ENTERING DATE. IF NEEDED: How easy or difficult was it to enter the date?
12b What is the address [NAME] moved [out of / into]? Please provide as much information as you know. [ ] SAMPLE ADDRESS [ ] OTHER ADDRESSES [ ] NEW ADDRESS	Q12b USABILITY: IS THE ADDRESS PROVIDED THEIR PREVIOUS ADDRESS OR NEW ADDRESS? NOTE COMPLETENESS OF ADDRESS.
13. Besides [Address 1], does [NAME] sometimes live or stay at another address: For college, the military, or a job? []Yes [] No At another home, like a seasonal or second residence? []Yes [] No With a parent, grandparent, []Yes [] No friend, or other person ?	Q13 USABILITY: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: What does the phrase “sometimes live or stay at another address” mean in this question? What time period were you thinking about when you answered this question?
13a. What is the address where [NAME] stayed for college, military, or a job? Please provide as much information as you know.	Q13a USABILITY: PROBE FOR DETAILS. Can you tell me more about the place you stayed? [How long/often are you there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name.	Q13b. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13c. What is the address where [NAME] stayed at another home, like a seasonal or second home? Please provide as much information as you know.	Q13c USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [What type of places is it? Who owns it? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13d. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13d. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13e. What is the address where [NAME] stayed with a parent, grandparent, friend or other person? Please provide as much information as you know.	Q13e USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [Who did you stay with? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13f. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13f. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
14. On [Census Day], did [NAME] stay in any of the following facilities? Shelter or group home [] Yes [] No Nursing home [] Yes [] No Jail or prison [] Yes [] No Other facility [] Yes [] No	Q14a USABILITY (FOR ALL PERSONS):: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: IF YES: Can you tell me more about that? How long did you stay there?
14a. What is the address of the facility where [NAME] stayed? Please provide as much information as you know.	Q14a USABILITY: NOTE HOW MANY NEW ADDRESSES WERE PROVIDED AND COMPLETENESS OF THE ADDRESSES BY PLACE.
14b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q14n. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
15. Where does [NAME] live and sleep most of the time? Here at this residence  Go to Q16 ALTERNATE ADDRESS 1  Go to Q16 (ADDITIONAL ALT ADDR)  Go to Q16 In above places about equally  Q16 Some other place  Go to Q15a	Q15. USABILITY: IF ADD’L ADDRESSES PROVIDED: How did you determine where you live and sleep most of the time? If I had asked, “Around June 1, 2013, where did you live and sleep most of the time?” would that have changed your answer? How so?
15a. What is the adress of the other place?	Q15a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
16. On June 1, 2013, where was [NAME] staying? Here at this residence  next Person ALTERNATE ADDRESS 1  next Person (ADDITIONAL ALT ADDR)  next Person Some other place  Go to Q16a	Q16 USABILITY: IF ANSWER IS DIFFERENT THAN WHAT YOU WOULD EXPECT: How did you come up with your answer to this question?
16a. What is the adress of the other place?	Q16a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
INTERVIEWER: IF 4-PERSON HOUSEHOLD, GO TO SECTION B, PAGE X FOR DEBRIEFING. IF OTHERS IN HOUSEHOLD, CONTINUE TO PERSON 5 ON THE NEXT PAGE.

Question 12-16 Series (Person 5)
12. Did [NAME] move into or out of [ADDRESS] AFTER May? Yes, moved into [ADDRESS]- Go to 12a Yes, moved out of [ADDRESS]– Go to 12a No- Go to Q13	Q12 USABILITY: IF YES, PROBE FOR DETAILS.
12a. On what date did [NAME] move [into / out of] [ADDRESS]? [Date: mm-dd-yyyy]	Q12 USABILITY: VERIFY THAT THE DATE PROVIDED VERBALLY MATCHES THE DATE ENTERED ON DEVICE. NOTE ANY DIFFICULTIES WITH ENTERING DATE. IF NEEDED: How easy or difficult was it to enter the date?
12b What is the address [NAME] moved [out of / into]? Please provide as much information as you know. [ ] SAMPLE ADDRESS [ ] OTHER ADDRESSES [ ] NEW ADDRESS	Q12b USABILITY: IS THE ADDRESS PROVIDED THEIR PREVIOUS ADDRESS OR NEW ADDRESS? NOTE COMPLETENESS OF ADDRESS.
13. Besides [Address 1], does [NAME] sometimes live or stay at another address: For college, the military, or a job? []Yes [] No At another home, like a seasonal or second residence? []Yes [] No With a parent, grandparent, []Yes [] No friend, or other person ?	Q13 USABILITY: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: What does the phrase “sometimes live or stay at another address” mean in this question? What time period were you thinking about when you answered this question?
13a. What is the address where [NAME] stayed for college, military, or a job? Please provide as much information as you know.	Q13a USABILITY: PROBE FOR DETAILS. Can you tell me more about the place you stayed? [How long/often are you there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13b. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13c. What is the address where [NAME] stayed at another home, like a seasonal or second home? Please provide as much information as you know.	Q13c USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [What type of places is it? Who owns it? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13d. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13d. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13e. What is the address where [NAME] stayed with a parent, grandparent, friend or other person? Please provide as much information as you know.	Q13e USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [Who did you stay with? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13f. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13f. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
14. On [Census Day], did [NAME] stay in any of the following facilities? Shelter or group home [] Yes [] No Nursing home [] Yes [] No Jail or prison [] Yes [] No Other facility [] Yes [] No	Q14a USABILITY (FOR ALL PERSONS):: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: IF YES: Can you tell me more about that? How long did you stay there?
14a. What is the address of the facility where [NAME] stayed? Please provide as much information as you know.	Q14a USABILITY: NOTE HOW MANY NEW ADDRESSES WERE PROVIDED AND COMPLETENESS OF THE ADDRESSES BY PLACE.
14b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q14n. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
15. Where does [NAME] live and sleep most of the time? Here at this residence  Go to Q16 ALTERNATE ADDRESS 1  Go to Q16 (ADDITIONAL ALT ADDR)  Go to Q16 In above places about equally  Q16 Some other place  Go to Q15a	Q15. USABILITY: IF ADD’L ADDRESSES PROVIDED: How did you determine where you live and sleep most of the time? If I had asked, “Around June 1, 2013, where did you live and sleep most of the time?” would that have changed your answer? How so?
15a. What is the adress of the other place?	Q15a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
16. On June 1, 2013, where was [NAME] staying? Here at this residence  next Person ALTERNATE ADDRESS 1  next Person (ADDITIONAL ALT ADDR)  next Person Some other place  Go to Q16a	Q16 USABILITY: IF ANSWER IS DIFFERENT THAN WHAT YOU WOULD EXPECT: How did you come up with your answer to this question?
16a. What is the adress of the other place?	Q16a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
INTERVIEWER: IF 5-PERSON HOUSEHOLD, GO TO SECTION B, PAGE X FOR DEBRIEFING. IF OTHERS IN HOUSEHOLD, CONTINUE TO PERSON 6 ON THE NEXT PAGE.

Question 12-16 Series (Person 6)
12. Did [NAME] move into or out of [ADDRESS] AFTER May? Yes, moved into [ADDRESS]- Go to 12a Yes, moved out of [ADDRESS]– Go to 12a No- Go to Q13	Q12 USABILITY: IF YES, PROBE FOR DETAILS.
12a. On what date did [NAME] move [into / out of] [ADDRESS]? [Date: mm-dd-yyyy]	Q12 USABILITY: VERIFY THAT THE DATE PROVIDED VERBALLY MATCHES THE DATE ENTERED ON DEVICE. NOTE ANY DIFFICULTIES WITH ENTERING DATE. IF NEEDED: How easy or difficult was it to enter the date?
12b What is the address [NAME] moved [out of / into]? Please provide as much information as you know. [ ] SAMPLE ADDRESS [ ] OTHER ADDRESSES [ ] NEW ADDRESS	Q12b USABILITY: IS THE ADDRESS PROVIDED THEIR PREVIOUS ADDRESS OR NEW ADDRESS? NOTE COMPLETENESS OF ADDRESS.
13. Besides [Address 1], does [NAME] sometimes live or stay at another address: For college, the military, or a job? []Yes [] No At another home, like a seasonal or second residence? []Yes [] No With a parent, grandparent, []Yes [] No friend, or other person ?	Q13 USABILITY: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: What does the phrase “sometimes live or stay at another address” mean in this question? What time period were you thinking about when you answered this question?
13a. What is the address where [NAME] stayed for college, military, or a job? Please provide as much information as you know.	Q13a USABILITY: PROBE FOR DETAILS. Can you tell me more about the place you stayed? [How long/often are you there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13b. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13c. What is the address where [NAME] stayed at another home, like a seasonal or second home? Please provide as much information as you know.	Q13c USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [What type of places is it? Who owns it? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13d. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13d. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
13e. What is the address where [NAME] stayed with a parent, grandparent, friend or other person? Please provide as much information as you know.	Q13e USABILITY: PROBE FOR DETAILS: Can you tell me more about the place you stayed? [Who did you stay with? When were you there last? How frequently do you stay there?] IF BLANK OR PARTIAL ADDRESS: Can you tell me why you chose not to write an address or left some fields blank here? NOTE: IF R ADDS INFORMATION OR CHANGES A RESPONSE DURING PROBING, FLAG WHICH INFORMATION IS ADDED OR CHANGED.
13f. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q13f. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
14. On [Census Day], did [NAME] stay in any of the following facilities? Shelter or group home [] Yes [] No Nursing home [] Yes [] No Jail or prison [] Yes [] No Other facility [] Yes [] No	Q14a USABILITY (FOR ALL PERSONS):: NOTE WHETHER R SKIPS ANY PART OF THIS QUESTION BEFORE HITTING NEXT: IF YES: Can you tell me more about that? How long did you stay there?
14a. What is the address of the facility where [NAME] stayed? Please provide as much information as you know.	Q14a USABILITY: NOTE HOW MANY NEW ADDRESSES WERE PROVIDED AND COMPLETENESS OF THE ADDRESSES BY PLACE.
14b. (if state, city or state not provided) Please provide any additional information such as major cross roads, neighborhood, or facility name. City: State [select state picklist]	Q14n. USABILITY: DESCRIBE THE TYPE OF INFORMATION PROVIDED WITHOUT USING PII.
15. Where does [NAME] live and sleep most of the time? Here at this residence  Go to Q16 ALTERNATE ADDRESS 1  Go to Q16 (ADDITIONAL ALT ADDR)  Go to Q16 In above places about equally  Q16 Some other place  Go to Q15a	Q15. USABILITY: IF ADD’L ADDRESSES PROVIDED: How did you determine where you live and sleep most of the time? If I had asked, “Around June 1, 2013, where did you live and sleep most of the time?” would that have changed your answer? How so?
15a. What is the adress of the other place?	Q15a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.
16. On June 1, 2013, where was [NAME] staying? Here at this residence  next Person ALTERNATE ADDRESS 1  next Person (ADDITIONAL ALT ADDR)  next Person Some other place  Go to Q16A	Q16 USABILITY: IF ANSWER IS DIFFERENT THAN WHAT YOU WOULD EXPECT: How did you come up with your answer to this question?
16a. What is the adress of the other place?	Q16a. USABILITY: NOTE IF NEW ADDRESS WAS PROVIDED AND COMPLETENESS OF THAT ADDRESS.

B. Enumeration Questions 12-16 Debriefing

INTERVIEWER: BEFORE PROCEEDING, CHECK FOR SIGNS OF R FATIGUE (SIGHS, COMMENTS). PLEASE NOTE ANY COMMENTS PROVIDED BY THE PARTICIPANT OR SIGNS OF FATIGUE BELOW THEN RESUME THE INTERVIEW AND COMPLETE THE FINAL SECTION.

B1. IF OTHERS: When you answered these questions about living or staying someplace else, were you thinking about everyone in the household [SUCH AS PEOPLE ADDED AFTER THE INITIAL ROSTER] or just some people [SUCH AS PEOPLE INCLUDED IN INTIAL ROSTER]?

B2. IF OTHERS IN HHD: How confident are you in the answers you provided for the other people in the household?

B3. Are there any other places that you (or the other people you mentioned) stay that we did not ask about or that you were not sure counted?

B4. IF APPLICABLE AND HHD: How easy or difficult was it for you to type the addresses on the device?

B5. IF APPLICABLE: How sure or unsure are you that you provided the correct address(es)? IF UNSURE: If this were the real census, what would you do? [Would you look them up, call someone, make your best guess?]

B6. IF OTHERS IN HHD: How sure or unsure are you about where the other people in your household were staying on and around June 1, 2013?

B7. IF ANY RESPONSES TO THE CENSUS QUESTIONS ARE INCONSISTENT, UNEXPECTED, OR COMPLICATED, ASK: I need to make sure I understand where you / [NAME] would have been counted. Please describe in your own words you / [NAME]’s living situation and how much time you/he/she spends at each place you have told me about?

DO NOT READ:

Example 1: If the R says that he was at their usual residence around June 1, but had told

you previously that he was traveling then.

Example 2: If the R says that he/she sometimes stayed somewhere in Q3 & Q14, but

then did not provide addresses to the follow-up questions.

Example 3 (Be Counted only): If R said in Q2 about experiencing homelessness in a

shelter but did not report staying.

Final Enumeration Questions 18-21
18. You listed the following people at [ADDRESS 1]: Person 1 Person 2 Person 3 Person 4 Person 5 Person 6 Was there anyone else living or staying at [Address 1] on June 1st who you did not complete the form for? Yes – Go to Q19 No – End interview	Q18 USABILITY: IF SOMETHING WAS INCORRECT, WHAT DID R DO? WAS R ABLE TO FIX IT SUCCESSFULLY? DESCRIBE. In your own words, what is this question (below the list of names) asking?
19. Were they already counted in the 2013 Census? Yes – End interview No – Go to Q20 Don’t Know – Go to Q20	Q19 USABILITY: IF YES: How do you know they were counted?
20. What are the names of the other people living or staying at [ADDRESS] on June 13, 2013?	Q20 USABILITY:
[IF NOT HOMELESS] 21. In case we need to contact them, can you provide a name and phone number where we can reach them? [NAME AND PHONE FIELDS]	Q14 USABILITY: What are your thoughts about this question?

C. Final Debriefing

INTERVIEWER: BEFORE PROCEEDING, CHECK FOR SIGNS OF R FATIGUE (SIGHS, COMMENTS). PLEASE NOTE ANY COMMENTS PROVIDED BY THE PARTICIPANT OR SIGNS OF FATIGUE BELOW THEN RESUME THE INTERVIEW AND COMPLETE THE FINAL SECTION.

Thanks, we’re almost finished. I have a few more questions for you.

[SCROLL BACK TO THE “This is who we have listed at [address]” QUESTION SO THAT YOU CAN SEE THE NAMES PROVIDED OR ELSE REFER TO YOUR NOTES.]

C1. Was there anything in these questions that you found sensitive or uncomfortable to answer?

C2. Was there any information for yourself or others that you would be hesitant to provide on the census form?

C3. Aside from the things we’ve talked about, were there any questions or instructions that you find confusing or difficult to answer?

C4. Did you find parts of the interview repetitive? If so, what parts?

C5. If you were going to answer your census questionnaire on your own, without an interviewer, how would you prefer to do it: CHECK ALL THAT APPLY

Yes No On a smartphone? (What kind:____________________________________________)

Yes No On a tablet? (What kind:____________________________________________)

Yes No On a laptop or desktop?

Yes No On a paper form?

FOR EACH “Yes” ANSWER CHOSEN, ASK: Why?

C6. If you don’t answer the census on your own, an interviewer might be sent to your home to get your census information. How would you feel about the interviewer using….. CHECK ALL THAT APPLY.

• a smartphone to do the interview?

• a tablet, like an iPad?

• a laptop computer?

• a paper form?

Which do you prefer and why?

C7. Now, thinking of an interviewer using a smartphone, a tablet or a laptop computer, would it make a difference to you if the interviewer used her own device or a government-issued device?

IF R SHOWED CONCERN WITH PERSONAL DEVICE: The information people give will not be saved in the personal machines. Instead, they will be encrypted through a secure internet server and the machine is just used to get to the secure server. Would this explanation assure you? (IF NOT: What should the Census Bureau say to assure you that interviewers’ personal devices work the same as government-issued devices?

C8. Do you own or have access to…

____ A smartphone? (What kind:____________________________________________)

____ A tablet? (What kind:____________________________________________)

____ A laptop or desktop?

I have one more question about technology that might be used to improve the next Census. Please look at the following. HAND R THE PRINTOUT WITH THIS QUESTION: In order to count people in the right place, the Census Bureau must collect detailed geographic information about each person's place of residence. If you were at home completing your census on a smartphone or tablet, we could determine your location easily and accurately using GPS technology. Would you allow the Census Bureau to collect GPS coordinates on a one-time-only basis to determine where to count you in the census?

C9. Tell me why/why not? [IF NECESSARY: What additional information would you want to know?]

C10. What does geographic information mean to you in this question?

End Time:________

R3 Be Counted Automated Protocol 17