Screener Questions

Enclosure 3. Additional Screening Question

Who typically handles the mail in your household?

• Only you

• You and other members of your household

• Someone else in your household other than you

NEW QUESTIONS FOR THE ADDENDUM

RA-17:Are you of Hispanic, Latino, or Spanish origin?

• YES

• NO

• REF

• DK

IF RA-17=NO (NOT HISPANIC ORIGIN), REF or DK, AT RA-18 USE “WHAT IS YOUR…”

OTHERWISE USE “WHAT RACE…”

RA-18. {What is your race and origin/What race and other origins are you}?

MARK ALL THAT APPLY.

WRITE-IN RESPONSE FOR “WHITE” AND “BLACK” IF MORE DETAIL PROVIDED.

FOR EVERYONE, PROBE: Can you tell me about your ancestry or ethnic origin?

• WHITE ______________________

• BLACK OR AFRICAN AMERICAN ______________________

• MIDDLE EASTERN (E.G., EGYPTIAN, LEBANESE, IRANIAN, TURKISH, PALESTINIAN, SYRIAN)

• AFRICAN (E.G., ETHIOPIAN, NIGERIAN)

• CARRIBEAN (E.G., HAITIAN, JAMAICAN)

• CENTRAL OR SOUTH AMERICAN (E.G., BELIZEAN, BRAZILIAN, GUYANESE)

• AMERICAN INDIAN/ALASKAN NATIVE

• ASIAN

• NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER

• OTHER ______________________

• NO OTHER RACE (IF YES AT RA-17)

• REF

• DK

IF MORE THAN ONE PERSON IN HOUSEHOLD (GD-2 = YES), CONTINUE.

OTHERWISE, COLLECT CONTACT INFORMATION.

RA-14. Is anyone who lives with you a different race than you?

• YES

• NO

• REF

• DK