BASIC CPS Items Booklet

Attachment B

Basic CPS Items Booklet

Demographic Items

PERSTAT

(Are all of these persons still living here? / Person status)

1. Person deceased

2. Person moved out

3. Person left - was a URE last month

4. Delete person - to correct previous mistake

5. Person is a URE this month

9 Reinstate person

FNAME

(What are the names of all persons living or staying here? / What is the name of the next person)

Enter 999 if no more persons

LNAME

Enter Last Name

S_HHMEM

Is this (name of person talking about)’s usual place of residence?

1. Yes

2. No

3. Proxy

URE

Does (name of person talking about) have a usual place of residence elsewhere?

1. Yes

2. No

SEX

Ask only if necessary

What is (name of person talking about)’s sex?

1. Male

2. Female

NROS2B

16 Persons in household roster

At this point count additional people. You will interview only those household members 15 years old or older who are listed.

Are there any other persons 15 years old or older now living or staying there? (Who have not been listed.)

1. Yes

2. No

CNT2BG

How many other?

Enter number

MCHILD

I have listed . . . READ NAMES 

Have I missed any babies or small children?

1. Yes

2. No

MAWAY

Have I missed anyone who usually lives here but is away now -traveling, at school, or in a hospital?

1. Yes

2. No

MLODGE

Have I missed any lodgers, boarders, or persons you employ who live here?

 

1. Yes

2. No

MELSE

Have I missed anyone else staying here? 

1. Yes

2. No

OWNREN1 

What is the name of the person or one of the persons who owns or rents that home?

Enter line number (1-16) if current HH member Enter (0) if owner(s)/renter(s) not a household member 

1. Owner/Renter not a HH member

2. Person 1's name

3. Person 2's name

4. Person 3's name

5. Person 4's name

6. Person 5's name

7. Person 6's name

8. Person 7's name

9. Person 8's name

10. Person 9's name

11. Person 10's name

12. Person 11's name

13. Person 12's name

14. Person 13's name

15. Person 14's name

16. Person 15's name

17. Person 16's name

HHRESP

Ask if necessary

 With whom am I speaking? 

Respondent must be a household member and 15+ or a proxy.

1. Under_15

2. Person 1's name

3. Person 2's name

4. Person 3's name

5. Person 4's name

6. Person 5's name

7. Person 6's name

8. Person 7's name

9. Person 8's name

10. Person 9's name

11. Person 10's name

12. Person 11's name

13. Person 12's name

14. Person 13's name

15. Person 14's name

16. Person 15's name

17. Person 16's name

HHRESP_VERIFY

Are all persons –

1. Under 15 years of age

2. Non-household members

S_RRP

How (are / is) (name/you) related to (reference person's name/you)?

18. Opposite-sex husband/wife/spouse

19. Opposite-sex unmarried partner

20. Same-sex husband/wife/spouse

21 Same-sex unmarried partner

22 Child

23 Grandchild

24 Parent  (Mother/Father)

25 Brother/Sister

26 Other relative  (Aunt, Cousin, Nephew, Mother-in-law, etc.)

27 Foster_Child

28 Housemate/Roommate

29 Roomer/Boarder

30 Other nonrelative

S_SUBFAM

Earlier you said that (name of person talking about) (was/were) not related to (reference person's name/you). (Are / Is) (name of person talking about) related to anyone else in this household?

1. Yes

2. No

SUBFAM_WHO

Who (are / is) (name of person talking about) related to? 

PROBE: Anyone else? 

Enter line number(s), separate with commas

1. Person 1's name

2. Person 2's name

3. Person 3's name

4. Person 4's name

5. Person 5's name

6. Person 6's name

7. Person 7's name

8. Person 8's name

9. Person 9's name

10. Person 10's name

11. Person 11's name

12. Person 12's name

13. Person 13's name

14. Person 14's name

15. Person 15's name

16. Person 16's name

LNPAR1

Does…..have a parent in the household? Who is that?

 

1. No_One

2. Person1

3. Person2

4. Person3

5. Person4

6. Person5

7. Person6

8. Person7

9. Person8

10. Person9

11. Person10

12. Person11

13. Person12

14. Person13

15. Person14

16. Person15

17. Person16

PAR1TYP

Is (child) (first parent’s name) biological, step, or adopted child?

1. Biological

2. Step

3. Adopted

LNPAR2

Does…have a second parent in the household? Who is that?

1. No_One

2. Person1

3. Person2

4. Person3

5. Person4

6. Person5

7. Person6

8. Person7

9. Person8

10. Person9

11. Person10

12. Person11

13. Person12

14. Person13

15. Person14

16. Person15

17. Person16

PAR2TYP

Is (child) (second parent’s name) biological, step, or adopted child?

1. Biological

2. Step

3. Adopted

PARENT2

(REF_FNAME ^REF_LNAME’s) parent is also (name of person talking about)’s parent, is that correct?

1. Yes

2. No

BIRTHM

What is (name's/your) date of birth?

Enter Birth Month

1. Jan

2. Feb

3. Mar

4. Apr

5. May

6. June

7. July

8. Aug

9. Sept

10. Oct

11. Nov

12. Dec

BIRTHD

What is (name's/your) date of birth?

Enter Birth Day

BIRTHY

What is (name's/your) date of birth?

Enter Birth Year (Enter 4 digit year - ex: 1964)

VERIFY_AGE

As of last week, that would make (name/you) (approximately (AGE)/ less than 1 / over 98 / AGE) years old. Is that correct?

1. Yes

2. No

AGEGSS

Even though you don’t know (name's/your) exact birthdate, what is your best guess as to how old (you/he/she) (was/were) on (your/his/her) last birthday? 

99  99 years or older
  00 – 98  0 to 98 years old 
AGE2

Ask if necessary

(Are / Is) (you/he/she) under 15?

1. Yes

2. No

PREMARTL

Since our last interview, has any household member had any changes in his or her Marital Status?

1. Yes

2. No

MARITL

(Are / Is) (name/you) now married, widowed, divorced, separated or never married?

1. Married - Spouse PRESENT

2. Married - Spouse ABSENT

3. Widowed

4. Divorced

5. Separated

6. Never married

SPOUSE

Enter line number of spouse of (name of person talking about)

• -Ask if necessary

1. No_One

2. Person1

3. Person2

4. Person3

5. Person4

6. Person5

7. Person6

8. Person7

9. Person8

10. Person9

11. Person10

12. Person11

13. Person12

14. Person13

15. Person14

16. Person15

17. Person16

COHAB

Do you have a boyfriend, girlfriend or partner in this household?

If Yes, probe WHO and enter line number 
If No, enter "0"

1. No

2. Person 1's name

3. Person 2's name

4. Person 3's name

5. Person 4's name

6. Person 5's name

7. Person 6's name

8. Person 7's name

9. Person 8's name

10. Person 9's name

11. Person 10's name

12. Person 11's name

13. Person 12's name

14. Person 13's name

15. Person 14's name

16. Person 15's name

17. Person 16's name

AFEVER

Did (name/you) ever serve on active duty in the U. S. Armed Forces?

1. Yes

2. No

AFWHEN

IF NECESSARY: Previously I was told that (name/you) served on active duty in the U. S.

Armed Forces.

When did (you/he/she) serve?

Enter all that apply, separate with commas Mark up to 4 that apply

1. September 2001 or later

2. August 1990 to August 2001

3. May 1975 to July 1990

4. Vietnam Era   (August 1964 to  April 1975)

5. February 1955 to July 1964

6. Korean War    (July 1950 to January 1955)

7. January 1947 to June 1950

8. World War II (December 1941 to December 1946)

9. November 1941 or earlier

AFNOW

(Are / Is) (name/you) (now/still) in the Armed Forces?

1. Yes

2. No

EDUCA

What is the highest level of school (name/you) (have/has) completed or the highest degree (name/you) (have/has) received?

31 Less than 1st grade

32 1st, 2nd, 3rd or 4th grade

33 5th or 6th grade

34 7th or 8th grade

35 9th grade

36 10th grade

37 11th grade

38 12th grade NO DIPLOMA

39 HIGH SCHOOL GRADUATE- high school DIPLOMA or the equivalent  (For example:  GED)

40 Some college but no degree

41 Associate degree in college - Occupational/vocational program

42 Associate degree in college -- Academic program

43 Bachelor's degree   (For example: BA, AB, BS)

44 Master's degree (For example:  MA, MS, MEng, MEd, MSW, MBA)

45 Professional School Degree (For example: MD,DDS,DVM,LLB,JD)

46 Doctorate degree  (For example: PhD, EdD)

DIPGED

People can get a High School diploma in a variety of ways, such as graduating from High School or by getting a GED or other equivalent. How did (name/you) get (your/his/her) High School diploma?

1. Graduation from High School

2. GED or other equivalent

HGCOMP

What was the highest grade of regular school (name/you) completed before receiving (your/his/her) GED?

1. Less than 1st grade

2. 1st, 2nd, 3rd or 4th grade

3. 5th or 6th grade

4. 7th or 8th grade

5. 9th grade

6. 10th grade

7. 11th grade

8. 12th grade NO DIPLOMA

CYC

(Including any time that may have been spent getting as Associate's Degree,/ )
(How/how) many years of college CREDIT (have/has) (name/you) completed?
(Have / Has) (you/he/she) COMPLETED...

1. Less than 1 year (include 0 years completed)?

2. The first, or FRESHMAN year?

3. The second, or SOPHOMORE year?

4. The third, or JUNIOR year?

5. Four or more years?

GRPROF

Since completing (your/his/her) Bachelor's degree (have/has) (name/you) ever taken any GRADUATE or PROFESSIONAL school courses for credit?

1. Yes

2. No

GR6COR

Did (name/you) complete SIX or MORE graduate or professional school courses?

1. Yes

2. No

MS123

Was (name's/your) Master's Degree program a 1-year, 2-year, or 3-year program?

1. 1-year program

2. 2-year program

3. 3-year program (or longer)

HSPNON

(Are / Is) (name/you) of Hispanic, Latino, or Spanish origin?

1. Yes

2. No

ORISPN

 

(Are / Is) (name/you) Mexican, Mexican American, or Chicano; Puerto Rican; Cuban, Cuban American, or of another Hispanic, Latino, or Spanish origin; for example, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on?

If multiple answer, Probe: Which group (do/does) (you/he/she) most closely identify

with?

1. Mexican

2. Mexican American

3. Chicano

4. Puerto Rican

5. Cuban

6. Cuban-American

7. Other

S_OROTSP

What is that origin?

OROTSS

Specify "Other" Spanish, Hispanic, or Latino group

RACE

I am going to read you a list of race categories. You may choose one or more races. For this survey, Hispanic origin is not a race. Are you:  White; Black or African American; American Indian or Alaska Native; Asian; OR Native Hawaiian or Other Pacific Islander?

Do not probe unless response is Hispanic or a Hispanic origin

Enter all that apply, separate with commas

1. White

2. Black or African American

3. American Indian or Alaska Native

4. Asian

5. Native Hawaiian or Other Pacific Islander

6. Other - DO NOT READ

RACEAS  

You may choose one or more Asian groups. (Are / Is) (you/name) Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or another Asian group, for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on?

Read each item 

Enter all that apply, separate with commas

1. Asian Indian

2. Chinese

3. Filipino

4. Japanese

5. Korean

6. Vietnamese

7. Other Asian

RACEPI 

You may choose one or more Pacific Islander groups. (Are / Is) (you/name) Native Hawaiian; Guamanian or Chamorro; Samoan; or another Pacific Islander group, for example, Fijian, Tongan, and so on?

Read each item 

Enter all that apply, separate with commas

1. Native Hawaiian

2. Guamanian or Chamorro

3. Samoan

4. Other Pacific Islander

S_RACEOT

Read only if necessary: What is (your/his/her) race?

RACEOS

Specify Other race

SCHENR

(THE WEEK BEFORE LAST/LAST WEEK), (was/were) (you/he/she) enrolled in a high school, college, or university?

Enter '1' if currently on holiday or seasonal vacation.
Enter '2' for summer vacation.

1. Yes

2. No

SCHLVL

Ask only if necessary: Would that be high school, college or university?

1. High school

2. College or university

SCHFT

(Are / Is) (you/he/she) enrolled in school as a full time or part time student?

1. Full-time

2. Part-time

IB-34 January 2015