Attachment B
Survey 1
This is a survey for the US Bureau of Labor Statistics (BLS). This voluntary study is being collected by the Bureau of Labor Statistics under OMB No. 1220-0141. This survey will take approximately 20 minutes to complete. Your participation is voluntary and you have the right to stop at any time.
We are looking for information about how respondents answer our surveys. Please take your time as you answer these questions. The information you provide will contribute to valuable research at the BLS, one of the leading Federal statistical agencies.
This survey is being administered by Qualtrics and resides on a server outside of the BLS Domain. The BLS cannot guarantee the protection of survey responses and advises against the inclusion of sensitive personal information in any response. By proceeding with this study, you give your consent to participate in this study.
Based on your responses, you may receive an invitation to complete a follow-up study through your Mechanical Turk account.
To allow us to contact you again for a follow-up study, please provide your Mechanical Turk Worker ID here: ___________
<page break>
Imagine you received the following envelope in your mailbox on <insert current date>. You open the envelope and find this letter. Please read the letter carefully, as you will answer some questions about it later.
<insert low / high burden letter, randomly assigned>
<page break>
Now, imagine an interviewer from the federal government has some questions about you and your household. Please answer the following questions.
How many people, 15 years old or older, are living or staying with you, including yourself?
1 (just yourself)
2 people
3 people
4 people
5 people
6 or more people
<for 1-5 people> Please enter the initials (first, middle, and last) of each of the people who are living or staying with you (do not include yourself).
<for 6+ people> You indicated that more than one other person is living or staying with you. Please enter the initials (first, middle, and last) of each of the people who are living or staying with you (do not include yourself). In the spaces below, please indicate how you are related to each person.
If you have 6 more people living or staying with you, please select 5 of them.
<insert appropriate number of text boxes based on response to Q1>
<page break>
(skip if only 1 person living in the household) You indicated that [TEXT FILL] other [person/people] are living or staying with you. In the space(s) below, please indicate how you are related to [that/each] person. <instrument will randomly select 2 HH members>
[TEXT FILL initials of Other HH member]
[TEXT FILL initials of Other HH member]
<Dropdown menu with the following selections for each person>
Opposite sex husband/wife/spouse
Opposite sex unmarried partner
Same sex husband/wife/spouse
Same sex unmarried partner
Child
Grandchild
Brother or sister
Parent
Other relative (aunt, uncle, cousin, in law)
Foster child
Roommate or housemate
Other nonrelative
<page break>
Next, we have some questions about you.
Insert demographic items (See Attachment G)
<page break>
You indicated that [TEXT FILL OTHER HH MEMBER INITIALS], is living or staying with you. Please answer the following questions about Person 2.
Insert demographic items (See Attachment G)
<page break>
You indicated that [TEXT FILL OTHER HH MEMBER INITIALS], is living or staying with you. Please answer the following questions about Person 3.
Insert demographic items (See Attachment G)
<page break>
Now we have a few questions about your household generally.
[insert questions about household (See Attachment G)]
Thank you for completing those questions.
Next, we’d like to get some feedback from you about your experience completing these questions.
What were your reactions to answering these questions?
_______
List up to 10 words that describe your experience completing these survey questions:
________
________
________
________
________
________
________
________
________
________
<page break>
From the list below, please select all of the words you would use to describe your experience completing these survey questions. [order of words in each category randomized; 15 words will be selected from the Pre-testing phase to be displayed here; 5 per category]
Positive |
Negative |
Neutral |
Interesting |
Bothersome |
Fine |
Easy |
Annoying |
Standard |
Important |
Inconvenient |
Typical |
Useful |
Time-consuming |
Normal |
Rewarding |
Difficult |
Reasonable |
Motivating |
Intrusive |
Tolerable |
Valuable |
Disruptive |
Necessary |
Good |
Stressful |
Obligatory |
Beneficial |
Effortful |
Civic Duty |
Helpful |
Boring |
Expected |
Relevant |
Personal |
Appropriate |
|
Hassle |
Responsibility |
|
Draining |
|
|
Repetitive |
|
|
Sensitive |
|
<page break>
Questions with * denote that participants will be randomly assigned to receive scale labels with the qualifier ‘A lot’ vs. ‘Somewhat’
Next, we’d like you to rate your experience completing the survey questions about you and your household.
*How burdensome was it to complete these survey questions?
Not at all burdensome
[A little / Somewhat] burdensome
Moderately burdensome
Very burdensome
Extremely burdensome
(If very/extremely): What made the survey burdensome?: _________
<page break>
Thinking back to the letter you imagined getting in the mail earlier, which of the following factors would contribute to finding this survey burdensome? (select all that apply) display only applicable items for burden condition:
The survey (is/is not) required by law
Time it takes to complete the survey
Number of phone calls made to me
Number of in person visits made to me
Number of pieces of mail sent to me
Number of times I am asked to complete the survey
The questions included on the survey
Having to answer about other household members
None of these; I did not find the survey burdensome
Other, specify: ___
How burdensome would it be to complete this survey one more time?
Not at all burdensome
[A little / Somewhat] burdensome
Moderately burdensome
Very burdensome
Extremely burdensome
*How burdensome would it be to complete this survey every month for eight months in a row?
Not at all burdensome
[A little / Somewhat] burdensome
Moderately burdensome
Very burdensome
Extremely burdensome
*How much effort did you put into answering these survey questions?
No effort
[A little / Somewhat of an] effort
Moderate effort
A lot of effort
Extreme effort
*How easy or difficult was it to answer these survey questions?
Very easy
[A little/Somewhat] easy
Neither easy nor difficult
[A little/Somewhat] difficult
Very difficult
*How sensitive were these survey questions?
Not at all sensitive
[A little / somewhat] sensitive
Moderately sensitive
Very sensitive
Extremely sensitive
Would you say that the survey invaded, or did not invade your privacy?
Invaded my privacy
Did not invade my privacy
(If invades) Would you say the survey questions were a little invasive, somewhat invasive, or very invasive?
A little invasive
Somewhat invasive
Very invasive
*How likely would you be to participate in this survey again?
Not at all likely
[A little/somewhat] likely
Moderately likely
Very likely
Extremely likely
*How beneficial would it be to society to complete this survey?
Not at all beneficial
[A little / Somewhat] beneficial
Moderately beneficial
Very beneficial
Extremely beneficial
<page break>
Earlier, you answered questions about the following other members of your household,
<insert initials of all other HH members>
*How burdensome was it to complete the survey questions about <insert initials>?
Not at all burdensome
[A little / Somewhat] burdensome
Moderately burdensome
Very burdensome
Extremely burdensome
*How sensitive was it to complete the survey questions about <insert initials>?
Not at all sensitive
[A little / somewhat] sensitive
Moderately sensitive
Very sensitive
Extremely sensitive
*How easy or difficult was it to answer the survey questions about <insert initials>?
Very easy
[A little/Somewhat] easy
Neither easy nor difficult
[A little/Somewhat] difficult
Very difficult
<repeat for up to one more HH member>
(If selected Very/Extremely Sensitive or Difficult) Please describe how your experience answering questions about other household members was sensitive/difficult: ___________________
<page break>
About how long did you spend answering these survey questions?
____ minutes
Do you feel that the time it took you to complete the survey was less than you expected, about what you expected, or more than you expected?
Less than I expected
About what I expected
More than I expected
<page break>
What other comments or feedback do you have about your experience completing these survey questions and burden of the survey? ______
<page break>
Thank you for participating!
To receive payment for participating in this study, please copy the validation code shown below and paste it in the form on this page for this HIT and submit the task. We will check that code you paste in matches our own database and then approve your payment.
You may be contacted again in one month to participate in a follow-up survey.
Your code is: _____
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kaplan, Robin - BLS |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |