Form 1 Instrument Debriefing Screens

Generic Clearance for Questionnaire Pretesting Research

Enclosure 3 Placeholder screens for debriefing.pptx

Census Test Usability Testing Addendum

OMB: 0607-0725

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<number>

Do you have any comments on this screen?  

(POINT TO THE MIDDLE SECTION: Why should I respond?/What to expect?) Did you read these paragraphs on this screen?  Y/N

If Y:  What did you think this message is about?

If N: Please take a moment and read it now.  What do you think this message is about?

<number>

<number>

 

If there were issues with CAPTCHA button: Tell me about your experience with this screen.

<number>

<number>

Do you have any comments on this screen?

 

(ID) If there were issues with entering User ID:

Tell me about your experience with this screen.

(NON-ID) Please tell me about your experience with this screen.  

<number>

<number>

Did you see the English button at the top?

Do you have any comments on this?

Was it easy to find [TARGET] language?  Why or why not?  

<number>

<number>

 

[OPTIONAL: POINT TO THE EDIT TEXT BOXES] What would you do if you encountered this screen?

(ID) CONTINUE TO #6, <CONFIRM>

(NON-ID) SKIP TO #8 , <RESIDENCE>

<number>

<number>

[ID ONLY] Do you have any comments on this screen?

<number>

<number>

[ID ONLY] Do you have any comments on this screen?

SKIP TO #10 , <RR_ROUTE> & <RR_ADDRESS>  

<number>

<number>

[NON-ID ONLY]

Do you have any comments on this screen?

If you were write your own address, not the address on the Login Card, would you write your address in English or in <TARGET LANGUAGE>? Why or why not?

If R had any issues with filling out the address: Please tell me about your experience with this screen.

<number>

<number>

 

[NON-ID ONLY]

Do you have any comments on this screen?

If R had any issues with filling out the address: Please tell me about your experience with this screen.

<number>

<number>

 

(ALL CASES)

You did not see these screens before but please take a look.

What do you think they mean by 'Rural Route‘ here?

<number>

<number>

 

You did not see this screen before but please take a look. What are they asking here?

 

IF NEEDED: Can you give me an example?

<number>

<number>

 

Do you have any comments on this screen?

If R provided the name in TARGET LANGUAGE (or using diacritics), instead of English:

Can you tell me how you decided to write your name in TARGET LANGUAGE?  

 

(POINT TO INSTRUCTION, “We will only contact you…”)Did you read this instruction?  

What does the instruction mean in your own words?

 

Is that the phone number most likely to reach you?  (If no, probe more about why R didn’t give a phone # (s)he answers.)

 

Is that the email address you are most likely to check?  (If no, probe more about why R didn’t give an email (s)he checks often.)

<number>

<number>

 

HOUSEHOLD DASHBOARD

Do you have any comments on this screen?

<number>

<number>

 

Do you have any comments on this screen?

If they added people later in the interview ask:

I believe you entered x people at this question, can you tell me a little more about why you did not include y or z at this question but you added them later?

<number>

<number>

 

If R did not see this screen, say:

This is the screen that you would receive, if you click the “For more information…” link in the previous question.

 

To all Rs:

Do you have any comments on this screen?

 

Based on these instructions, where should college students be included?

 

(POINT TO <Why We Ask> paragraph) Did you read this paragraph at the bottom? Y/N

 

If yes: Tell me what you thought about this paragraph. Do you have any comments?

 

If no: Please take a moment to read this part now. Tell me what you thought about this. Do you have any comments?  

<number>

<number>

 

Do you have any comments on this screen?

 

(If R provided names in TARGET LANGUAGE)

Can you tell me how you decided to enter the names in [TARGET LANGAUGE]?

(Point to the instruction about providing names) Did you noticed this instruction when you were completing the survey?

If R had any issues with providing names: Please tell me about your experience with this screen.

<number>

<number>

 

Do you have any comments on this screen?

If R had any issues: Please tell me about your experience with this screen.

[NEW LANGUAGES ONLY: TG, PL, FR, HC, PT, JP]

-What do you think they mean by 'foster children'?

 

-Can you give me an example of 'people without a permanent place to live'?

[IF NO SELECTED, SKIP TO #19; IF YES SELECTED, CONTINUE TO #18]

<number>

<number>

 

UC (2)

(IF R SEE THIS SCREEN)

Do you have any comments on this screen?

If R had issues: Please tell me more about your experience with this screen.

<number>

<number>

 

Tell me more about why you chose [their answer].  

IF R=RENTER, CONTINUE TO #20

IF R=OWNER, SKIP TO #21

<number>

<number>

 

(RENTER ONLY) Probe only if there were issues.  Such as “Do you have any comments on this screen?”

SKIP TO #22

<number>

<number>

 

(OWNER ONLY) Probe only if there were issues.  Such as “Do you have any comments on this screen?”

CONTINUE TO #22

<number>

<number>

 

Do you have any comments on this screen?

<number>

<number>

 

Probe ONLY IF there were issues.  Such as “Do you have any comments on this screen?”

<number>

<number>

 

Probe ONLY IF there were issues.  Such as “Do you have any comments on this screen?”

<number>

<number>

 

Probe ONLY IF there were issues.  Such as “Do you have any comments on this screen?”

<number>

<number>

 

Do you have any comments on this screen?

Did you have any difficulty finding the correct relationship?

[NEW LANGUAGES ONLY: TG, PL, FR, HC, PT, JP]

-Please read through these response options.  

  Is there anything that is unclear to you?  What is it? What do you think it means?

-(If not mentioned by R) What do you think they mean by ‘unmarried partner’?  Does the translation sound natural in [TARGET LANGUAGE]?

  What about “roommate or housemate”?

<number>

<number>

 

SEX

Probe if there were any issues

<number>

<number>

 

       SEXRELEDIT (PTRSEXCONFIRM)

[ONLY IF R SAW THIS SCREEN]

Do you have any comments on this screen?

If there were issues: Please tell me about your experience with this screen.

<number>

<number>

 

                  SEXRELEDIT (PTRSEX2)

[ONLY IF R SAW THIS SCREEN]

Do you have any comments on this screen?

If there were issues: Please tell me about your experience with this screen.

<number>

<number>

 

       SEXRELEDIT (REFSEXCONFIRM)

[ONLY IF R SAW THIS SCREEN]

Do you have any comments on this screen?

If there were issues: Please tell me about your experience with this screen.

<number>

<number>

 

       SEXRELEDIT (REFSEX2)

[ONLY IF R SAW THIS SCREEN]

Do you have any comments on this screen?

If there were issues: Please tell me about your experience with this screen.

<number>

<number>

 

       SEXRELEDIT (RELATION2)

[ONLY IF R SAW THIS SCREEN]

Do you have any comments on this screen?

If there were issues: Please tell me about your experience with this screen.

<number>

<number>

 

Were there any household members whose age you didn’t know?  

If so, what did you do?  (Fill in what you knew?  Leave the question blank?  Making something up?)

Probe only if there were issues.  Such as “Do you have any comments on this screen?”

<number>

<number>

 

HISP

Please take a look at this screen.  

Do you have any comments on the instructions, the question or answer options?  

 

What word would you use to describe these choices?

 

<number>

<number>

 

RACE

Please take a look at this screen.  

Do you have any comments on the instructions, the question or answer options?  

 

What word would you use to describe these choices?

 

If someone identifies with more than one of these options, could they choose as many as apply to them one or could they just choose one?

 

<number>

<number>

 

Placeholder for New Citizenship Screen

  • Is this person a citizen of the United States? 

    • Yes, born in the United States 

    • Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas 

    • Yes, born abroad of U.S. citizen parent or parents 

    • Yes, U.S. citizen by naturalization 

      • Year of naturalization ____ 

    • No, not a U.S. citizen 

 

Do you have any comments about this screen?

If there were any issues: Please tell me your experience with this screen.

<number>

<number>

 

Probe only if there were issues.  Such as “Do you have any comments on this screen?”

What time period were you thinking of when you answered this question.

Verify or probe that they do not have any other address where they could be counted.  

[NEW LANGUAGES ONLY: TG, PL, FR, HC, PT, JP]

-What does “nursing home” mean to you in this question?  

-What do you think they mean here by 'at a seasonal or second residence'?  Can you give me an example?

<number>

<number>

 

If R received this screen, “Do you have any comments on this screen?”

<number>

<number>

 

If R received this screen, “Do you have any comments on this screen?”

<number>

<number>

 

Probe only if there was an issue:

Do you have any comments on this screen?

<number>

<number>

 

Do you have any comments on this screen?”

<number>

<number>

 

Do you have any comments on this screen?”

<number>

<number>

 

INITIAL LETTER

Show the lead letter

[For ID path] This is the letter that you used to log in to this survey at the beginning.  

[For Non ID path]  The Census Bureau usually sends out a letter like this to each household to ask for participation.

Please take a moment to look over this letter.  What was your first impression of this letter?  If you received a letter like this at home by mail, do you think you would type the internet address and the User ID to access the survey?  Why or why not?

What about other [TARGET LANGUAGE] speakers?  Would they try to log in the survey to participate in the 2020 Census by reading this letter?  Why or why not?  

The initial letter from the Census Bureau will be only in English as you see.  Is there any way to make this easier for [TARGET LANGUAGE] speakers to participate in the Census using this letter?  How can we improve this letter?

<number>

<number>

 
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