TEAM Y&R AND CENSUS
2020 CENSUS ATTITUDES SURVEY
WEB QUESTIONNAIRE
August 16, 2019
PROGRAMMING NOTES:
Form 1/Form 2: each a random half sample
FORM A/FORM B: each a random half sample
Respondents can skip items NOT used for quotas
Respondents to be randomly assigned a value C1 or C2 to QORDER to see unipolar scales in the order they are written in these requirements (C1=Choice 1 to Choice 5) or to see them in reverse order (C2=Choice 5 to Choice 1).
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SHOW ALL:
We are conducting an opinion survey about important issues facing this country today. This study will take about 15 minutes to complete, and your information will not be made available in any way that would personally identify you.
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ASK ALL:
Age. What is your age? Pew
________ years
Logic:
Only allow 3 digits between 0 to 110
[PROGRAMMING NOTE: Terminate under 18 yrs]
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Now, just a few questions for statistical purposes only.
ASK ALL:
Sex. Are you… CBAMS
Male
Female
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK ALL:
Hisp. Are you of Hispanic, Latino, or Spanish origin? ACS p. 285 modified for web
Yes, Hispanic, Latino, Spanish origin
No, not of Hispanic, Latino, or Spanish origin
Logic:
Only one response permitted
Do NOT rotate answer choices
ASK ALL:
Race. What is your race? Please select all that apply. ACS p. 290 modified for web
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Some other race
Logic:
Multiple responses permitted
Do NOT rotate answer choices
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ASK ALL:
Education. What is the highest degree or level of school you have completed? CBAMS
No high school
Some high school
High school graduate or equivalent (for example GED)
Some college, but degree not received or is in progress
Associate degree (for example AA, AS)
Bachelor’s degree (for example BA, BS, AB)
Graduate degree (for example master’s, professional, doctorate)
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK ALL:
ZIP. What is your ZIP code? Gallup 2010 modified for web, removed “May I please have”
______Enter 5 digit ZIP code
[PROGRAMMING NOTE: CODE REGION AND URBAN/SUBURBAN/RURAL FROM ZIP, CODE SEGMENT FROM ZIP, CODE TRACT DENSITY FROM ZIP]
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[PROGRAMMING NOTE: Split sample for first month to test Awareness intro]
ASK FORM A:
AwarenessA. The next few questions are about the 2020 Census, which will occur on April 1st, 2020. How much have you seen or heard recently - within the last week or so - about the 2020 Census? GALLUP 2010 modified for web
A great deal
Some
A little
Nothing at all
Logic:
Only one response permitted
If QORDER = C1 the show written order of answers.
If QORDER = C2 then show reversed order of answer choices.
ASK FORM B:
AwarenessB. Every ten years, the United States Census Bureau conducts a nationwide census, or a count of all individuals living in the United States. The next few questions are about the 2020 Census, which will occur on April 1st, 2020. How much have you seen or heard recently - within the last week or so - about the 2020 Census? GALLUP 2010 with intro from Gallup 2012-2018 modified for web
A great deal
Some
A little
Nothing at all
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL BEGINNING MARCH 2020:
Answered. Have you or someone in your household answered the 2020 Census questions, or has your household not answered them yet?
Yes, have answered
No, have not answered
Logic:
Only one response permitted
Do NOT allow question rotation
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[PROGRAMMING NOTE: Split sample first month to test 2010 vs. revised stem with “someone else in household”. Beginning in March 2020 this is asked only of people who have not yet responded and those who have skipped these questions]
ASK FORM A:
IntentA. How likely are you to participate in the 2020 Census? By participate we mean answer the questions on the census form. GALLUP 2010 modified for web
Definitely will
Probably will
Might or might not
Probably will not
Definitely will not
Logic:
Only one response permitted
If QORDER = C1 then show written order of answers choices.
If QORDER = C2 then show reversed order of answer choices.
ASK FORM B:
IntentB [In 2019: In 2020; In 2020: Later this year], the Census Bureau will mail nearly every household in the U.S. a questionnaire and an invitation to participate online. How likely do you think it is that you or someone in your household will mail back the questionnaire or submit it online?
Definitely will
Probably will
Might or might not
Probably will not
Definitely will not
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
ASK IF AT ALL LIKELY (INTENTA or INTENTB = 1, 2, 3, 4):
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Mode. You or someone in your household could answer the census questions either on the Internet or by filling out a paper form to mail in. Is your household more likely to answer the questions on the Internet or on a paper form? New
Internet
Paper form
Equally likely to fill out on Internet and paper
Logic:
Only one response permitted
Do NOT rotate response options
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/* RANDOM ROTATE SERIES */
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ASK ALL:
Personally_counted. How much, if at all, do you think it matters if you personally are counted in the 2020 Census? CBAMS modified response scale to match awareness
A great deal
Some
A little
Not at all
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Encourage. How likely are you to encourage someone living in another household to fill out the 2020 Census? CBAMS Adapted
Extremely likely
Very likely
Somewhat likely
Not too likely
Not at all likely
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Msg_aware1. Have you heard or seen the message “Shape your future. Start here.” about the 2020 Census?
Yes, have heard or seen this message
No, have not heard or seen this message
I do not know if I have heard or seen this message
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
ASK ALL:
Msg_aware2. Have you heard or read that it’s important everyone is counted in the census?
Yes, have heard or read
No, have not heard or read
Don’t know
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
ASK ALL:
Msg_aware3. Have you heard or read that the census helps inform how public funds are distributed to communities for things such as schools, roads, and health clinics?
Yes, have heard or read
No, have not heard or read
Don’t know
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Confidentiality. How concerned are you, if at all, that the Census Bureau will not keep answers to the 2020 Census confidential? CBAMS
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Share_data. How concerned are you, if at all, that the Census Bureau will share individuals’ answers to the 2020 Census with other government agencies? CBAMS
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Used_against. How concerned are you, if at all, that the answers you provide to the 2020 Census will be used against you? CBAMS
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Unauthorized_use. How concerned are you, if at all, that an unauthorized person from outside the Census Bureau will access your answers to the census? New
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Without_doc. How likely do you think it is, if at all, that the answers to the census will be used to find people living in the U.S. without documentation? CBAMS modified
Extremely likely
Very likely
Somewhat likely
Not too likely
Not at all likely
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
Citizenship. Have you heard or read that the 2020 Census may ask whether each person living in your household is a citizen of the United States or have you not heard or read that? New
Yes, have heard or read
No, have not heard or read
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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[PROGRAMMING NOTE: Split sample for first month to test Use_fed_statsA and Use_fed_statsB]
ASK Form A:
Use_fed_statsA. The census, the number of deaths in the U.S. by different diseases, the crime rate, and the unemployment rate are examples of federal statistics produced by federal statistical agencies that are part of the federal government. Have you ever used federal statistics for study or work? Gallup trend item
Yes
No
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
Ask Form B:
Use_fed_statsB Examples of federal statistics are the population count, the number of deaths in the U.S. by different diseases, the crime rate, and the unemployment rate. Have you ever used federal statistics for study or work?
Yes
No
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
ASK ALL:
Trust_fed_stats. Personally, how much trust do you have in the federal statistics in the United States? Would you say that you tend to trust federal statistics or tend not to trust them? Gallup trend item
Tend to trust
Tend not to trust
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
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ASK ALL:
NHANES_blood. During the past 12 months, that is, since [current month] [current year - 1], have you donated blood? NHANES
Yes
No
Logic:
Only one response permitted
Do NOT rotate answer choices
ASK ALL:
CPS_vol. We are interested in volunteer activities, that is, activities for which people are not paid, except perhaps expenses. We only want you to include volunteer activities that you did through or for an organization, even if you only did them once in a while. Since [current month] 1st of last year, have you done any volunteer activities through or for an organization? CPS
Yes
No
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK ALL:
NHANES_activity. In a typical week, do you do any moderate-intensity sports, fitness, or recreational activities that cause a small increase in breathing or heart rate such as brisk walking, bicycling, swimming, or golf for at least 10 minutes continuously? NHANES
Yes
No
Logic:
Only one response permitted
Do NOT rotate answer choices
ASK ALL:
NHIS_health. Would you say your health in general is excellent, very good, good, fair, or poor? NHIS
Excellent
Very good
Good
Fair
Poor
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK ALL:
Marital_status. Are you married, widowed, divorced, separated, or never married? ACS p. 477
Now married
Widowed
Divorced
Separated
Never married
Logic:
Only one response permitted
Do NOT rotate answer choices
ASK ALL:
Lang_Eng. Do you speak a language other than English at home? ACS p. 449
Yes
No
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK IF Lang_Eng = 1:
Lang_spoken. What is this language? ACS p. 450
______ Enter language
[PROGRAMMING NOTE: Allow only letters with a maximum of 30 characters]
ASK IF Lang_Eng = 1:
Eng_well. How well do you speak English? ACS p. 451
Very well
Well
Not well
Not at all
Logic:
Only one response permitted
Do NOT rotate answer choices
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Country_birth. Were you born in the United States, on the island of Puerto Rico, or in another country?
United States
Puerto Rico
Another country
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK ALL:
HH_size. Including yourself, how many people live or stay in your household? Pew modified to remove interviewer note
______ Enter number
[PROGRAMMING NOTE: Allow maximum of 2 digits between 1 and 20?]
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ASK IF MORE THAN ONE PERSON IN HH (HH_Size>1):
HH_adult. Including yourself, how many are adults, age 18 and older? Pew
______ Enter number
[PROGRAMMING NOTE: Allow maximum of 2 digits between 2 and 20?]
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ASK IF HH_size>HH_adult.
Young_child. Are there any children 5 years old or younger (including babies) currently living in your household? CBAMS
Yes
No
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK ALL:
Own_rent. Is your house, apartment, or mobile home…
Owned by you or someone in the household
Rented
Occupied without payment of rent
Logic:
Only one response permitted
Do NOT rotate answer choices
ASK ALL:
Internet. About how often do you use the internet? CBAMS
Almost constantly
Several times a day
About once a day
Several times a week
Once a week
Less than once a week
Never
Logic:
Only one response permitted
Do NOT rotate answer choices
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ASK ALL:
LGB. Which of the following best represents how you think of yourself? CBAMS
Lesbian or gay
Straight, that is not lesbian or gay
Bisexual
Something else, please specify [SPECIFY]
Logic:
Only one response permitted
Do NOT rotate answer choices
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kyley McGeeney |
| File Modified | 0000-00-00 |
| File Created | 2021-01-15 |