Quality Followup Operations

I am calling to verify (your/your household’s) responses to the 2018 End-to-End Census Test so that we may
evaluate how well our questions help us collect the correct information. Some of the questions I will ask are
similar to what you were previously asked.
This interview is authorized by Title 13 of the US Code and should take approximately 10 minutes. All of the
information you provide will be confidential.
This interview may be recorded for quality assurance purposes. Do I have your permission to record this
interview?
If the respondent indicates they do not wish to be recorded, please click the XXXX stop recording button located
in your CTI Toolkit Agent Desktop. Click “Next” to continue.

I would like you to confirm the names of the people who were living or staying at
on .
The names I have listed are:
Kristen Ann Hughes
Grady Canine Hughes
Do you need to add more people or remove names from this list?
No change necessary

ROSTER VERIFY

I would like you to confirm the names of the people who were living or staying at
on .
The names I have listed are:
Kristen Ann Hughes
Grady Canine Hughes
Do you need to add more people or remove names from this list?
No change necessary

If “Add another person” is selected, display name fields as shown above.

ROSTER VERIFY

I would like you to confirm the names of the people who were living or staying at
on .

Kristen Ann Hughes
Grady Canine Hughes
What is the reason you would like to remove ?
Do you need to add more people or remove names from this list?
o This person was added in error/never lived at this address
This person sometimes lives or stays somewhere else
No change o
necessary

If name is selected to be deleted, display “Delete Household level modal (see “Special instructions” in user story.)

ROSTER VERIFY

No change necessary

ROSTER REVIEW

Based on what you’ve told me so far, the names I have listed are:
Kristen Ann Hughes
Grady Canine Hughes

No change necessary

What is the name of the person you want to add?

If “Add another person” is selected, display name fields as shown above.

ROSTER REVIEW

No change necessary

What is the name of the person you want to add?

If “Delete” is selected, display the modal as shown above.

ROSTER REVIEW

I’d like to make sure that we are not missing anyone who lived or stayed at
on .
Were there any babies, children, grandchildren, or foster children that you did not
mention yet?
o
o

Yes
No

If Yes, display:

UC CHILD

Were there any other additional people living or staying there that you did not
mention yet, such as nonrelatives, roommates, or anyone without a permanent place
to live?
o
o

Yes
No

If Yes, display:

UC OTHER

Please provide the full address of the place where sometimes lives or stays with a parent,
grandparent, or other person.
Fist time an alternate street address is asked:
Please provide the complete street address you would use to have a package delivered directly to your
residence, rather than a rural route or P.O. Box address used for mailing purposes. A street address is the
most helpful for processing your response.
When entering an address, you must provide an Address Number and Street Name. You must also provide a City and State or a ZIP
Code. If the address is for a group living facility, please provide the name of the facility in the “Facility Name” field.
If the respondent indicates that they do not have a city-style address, select “The other place does not have a street address.”

Facility Name (if applicable)

 The other place does not have a street address.

Can you provide a rural route address for the other place where sometimes lives or stays?
o Yes
o No
If yes, display:
Please provide the complete rural route address, and then describe the physical location of that place?
For the location description, please provide as much information as possible about the location, such as "The apartment
over the gas station" or "The brick house with the screened porch on the northeast corner of Farm Road and Highway 46.”
When entering an address, you must provide a Rural Route Descriptor, Rural Route number, Rural Route Box ID number. You must also provide
a City and State or a ZIP Code. If the address is for a group living facility, please provide the name of the facility in the “Facility Name” field.
If the respondent indicates that they do not have a rural route address, select “Next”.

Physical Location Description

Facility Name (if applicable)

00

We need to know as much information as possible about the other place where sometimes lives or
stays. Please tell me the City and State, or the ZIP Code. Then describe the physical location.
For the description, provide as much information as possible about the location. For example, you could say
"The apartment over the gas station" or a name of a park, street intersection or shelter, if you were
experiencing homelessness.
You must provide at least a City and State or a ZIP Code. If the other place is a group living facility, please
provide the name of the facility in the “Facility Name” field.

OC
(Some people live or stay in more than one place, and we would like to make sure everyone is only counted
once.) 1st time/person asked

Does sometimes live or stay somewhere else, other than , (such as with a parent,
grandparent, or other person, while attending college, to be closer to a job or military assignment, in a
nursing home or group home, in a jail or prison, at a seasonal or second residence, or for another reason?)
1st and 2nd time asked

Select all that apply.
 No
 Yes, with a parent, grandparent, or other person
 Yes, while attending college
 Yes, for a military assignments
 Yes, to be closer to a job
 Yes, in a nursing home or a group home
 Yes, in a jail or prison
 Yes, at a seasonal or second residence
 Yes, for another reason
 Don’t know
 Refused
For what reason?
14