Form Email Collection T Email Collection T Email Collection Test Supplemental Questions

Attachment A

Email Address Collection Test Supplement Wording

Mode: CAPI or CATI

Wording in Bold should be read. Wording not in bold should not be read aloud.

Universe for Supplement: Respondent of Main Survey - 15+, member of household or proxy respondent.

Intro. This month we are asking a few additional questions to explore whether in the future we can use email to contact people for our surveys.

Skip: Continue to Q1A or Q1B (Split sample 50/50 using random number).

Q1A. Universe: Subsample A

Do you have an email address we could use to contact you?

1. Yes  Go to Q1AA.

2. No  Go to Q2a.

DK  Go to Q2a.

RF Go to Q2a.

Q1AA. Universe: Q1A = Yes

What is that email address?

Open Entry  Goto Q3.

DK  Go to Q2b.

RF Go to Q2b.

Q1B. Universe: Subsample B

What is your email address?

(Int Instruction: If they do not provide an email address for any reason, use Ctrl+R)

Valid Open Entry  Skip to Q3.

DK  Go to Q2a.

RF  Skip to Q2a.

Q2a. Universe: Q1A = No/DK/RF, Q1AA = DK/RF, Q1B = DK/RF

Did you say no I couldn’t have your email address because you don’t have one, or because you don’t want to share it with the Census Bureau?

1. Do not have -- Terminate

2. Do not want to share – Q2b

Q2b. Universe: Q2a = 2

What is your main reason for not providing an email address?

1. Personal Use only, do not give out to agencies/stores/etc.

2. Privacy/Security Concerns

3. Receive too much email

4. I don’t want the Census Bureau contacting me via email

5. Don’t use email very often

6. Other

RF/DK

Skip: 1-5, RF, DK  Terminate

6  Skip to Q2c.

Q2c. Universe: Q2 = 6

What is that other reason?

Open Ended

RF

DK

Skip: Terminate

Q3. Universe: Q1AA = Valid Entry or Q1B = Valid Entry

Is this email address used only by you or is it shared with other people in your household?

1. Just me

2. Shared

DK

RF

Skip: Go to Q4

Q4. Universe: Q3 not blank

Typically, how often do you check this email address?

1. More than once a day

2. Once a day

3. Every two days

4. Once or twice a week

5. Few times a month

6. Once a month or less

7. Varies (Not Read aloud – only if respondent volunteers)

DK

RF

Skip: Go to Q5.

Q5. Universe: Q4 not blank

If you had a choice, how would you prefer to answer this survey?

1. In Person

2. On the Phone

3. Over the Internet

4. Combo – Phone/Person

5. Combo – Phone/Internet

6. Combo - Person/Internet

7. No Preference

DK/RF

Skip: If Q4 not blank, Go to Q6.

If Q4 is blank(off-path), go to Q7.

Q6* Universe: Q4 and Q5 not blank

Would it be okay to contact you by email for the following reasons :

Q6a. Provide feedback to the Census Bureau on this survey?

Yes, No, DK, RF

Q6b. Set an appointment for next month’s interview?

Yes, No, DK, RF

Q6c. Provide a link to do this survey over the internet?

Yes, No, DK, RF

Skip: Go to Q7

Q7. Universe: Q5 not blank

If this survey was available on the internet, how likely on a scale of 1 to 10 would you be to complete the survey with 1 being would not do it and 10 being very likely to do it?

Valid Values – 1 through 10

DK

RF

Skip: Go to Q8

Q8. Universe: Q7 not blank

Have you ever done an Internet or Online survey before?

Yes

No

DK

RF

Skip: Terminate